Change search
Refine search result
1234567 1 - 50 of 301
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 1. Abdon, Nils Johan
    et al.
    Bergfeldt, Lennart
    Herlitz, Johan
    University of Borås, School of Health Science.
    Hjärtstopp utlöst av läkemedel kanske vanligare än vi tror2010In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 107, no 8, p. 521-525Article in journal (Refereed)
  • 2. Abrahamsson, Birgitta
    et al.
    Berg, Marie-Louise U.
    Jutengren, Göran
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Jonsson, Annikki
    To recommend the local primary health-care centre or not: What importance do patients attach to initial contact quality, staff continuity and responsive staff encounters?2015In: International Journal for Quality in Health Care, ISSN 1353-4505, Vol. 27, no 3, p. 196-200Article in journal (Other academic)
    Abstract [en]

    Objective: This study aims to examine the circumstances associated with patients’ tendencies to recommend a primary care centre, based on four hypotheses, the initial contact’s quality, care relationship continuity, treatment encounter responsiveness and whether the significance of encounter responsiveness differs depending on whether the patient has been seeing a nurse or physician. Design: The study is based on the patient’ self-reported responses, retrieved from the Swedish National Patient Survey. The design is cross-sectional, and data were analysed using a binary logistic regression. Setting: Data were collected from three primary healthcare centres in the region of Västra Götaland, Sweden. Participants: A total of 362 patients (62% females) having visited any of three publicly run healthcare centres in September 2010 constitute the analytical sample. Participants were fairly evenly distributed across all age groups. Main Outcome Measures: Recommendation was captured by patients’ binary responses to the question: Would you recommend the visited primary healthcare centre? Results: The hypotheses involving initial contact quality, care relationship continuity and treatment encounter responsiveness were supported by the analyses. The latter was strongly associated with patient tendency to recommend the primary healthcare centre. However, the profession (nurse or physician) involved in the treatment encounter made no difference for the predictive significance of encounter responsiveness for a patient’s tendency to recommend the healthcare centre. Conclusions: Striving for stable and responsive patient/staff relationships and an open approach towards patients are potentially successful strategies for primary healthcare centres seeking to attract new patients and maintain current ones. (PsycINFO Database Record (c) 2015 APA, all rights reserved)(journal abstract)

  • 3. Adriansson, C
    et al.
    Suserud, Björn-Ove
    University of Borås, School of Health Science.
    Bergbom, I
    The use of topical anaesthesia at children's minor lacerations: an experimental study2004In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 12, no 2, p. 74-84Article in journal (Refereed)
    Abstract [en]

    Background: In a great many situations within health care and treatment, children are subjected to unnecessary pain and suffering. When local anaesthetics is to be administered the child can experience this as incomprehensible especially when the nursing staff assures the child that no pain would be felt, only to discover soon after, that it actually did hurt at the moment of anaesthetic infiltration. The soothing of pain during the suturing of wounds in emergency wards can be reduced, ensuring that unnecessary pain in the cafe-and-treatment process is mot meted out to children. In order to prevent this (subjection to unnecessary pain), and by improving accepted practice, it was interesting to investigate whether children felt pain at the time of infiltration anaesthesia following the initial topical anaesthesia. Aim: The aim of the present study was to investigate the effects of introductory topical anaesthesia using Xylocain solution dropped in the wound prior to a definitive infiltration-anaesthesia. An experimental, prospective design was used where children were included in either an experimental group or a control group. The experimental group (n=10) were given a Xylocain solution while the control group (n=10) received physiological Sodium solution. Data collection for the study was made by making VAS estimates and by interviews. Result: The study shows that a certain alleviation of pain does occur when using Xylocain but no statistically significant difference exists between the two groups. Irrespective of whether the children received an introductory topical anaesthesia with Xylocain or Sodium solution at the time of infiltration anaesthesia, they expressed pain in connection with infiltration. The study also shows that many children express fear and anxiety. Conclusion: Current research highlights the difficulties involved in offering children a really satisfactory form of pain relief in connection with infiltration anaesthesia and suturing of wounds. It is urgent to throw more light on children’s pain, both from a nursing and from a medical point of view. No statistically significant difference was found in children’s reported pain, after treatment with Xylocain but the solution can have a positive effect at the time of the infiltration jab, but a larger study needs to be done in order to establish this firmly.

  • 4.
    Ahl, Caroline
    et al.
    University of Borås, School of Health Science.
    Hjälte, L
    Johansson, C
    Wireklint-Sundström, Birgitta
    University of Borås, School of Health Science.
    Jonsson, Anders
    University of Borås, School of Health Science.
    Suserud, Björn-Ove
    University of Borås, School of Health Science.
    Culture and care in the Swedish ambulance services2005In: Emergency Nurse, ISSN 1354-5752, E-ISSN 2047-8984, Vol. 13, no 8, p. 30-36Article in journal (Refereed)
  • 5.
    Ahl, Caroline
    et al.
    University of Borås, School of Health Science.
    Nyström, Maria
    University of Borås, School of Health Science.
    Jansson, L
    Making up one’s mind: Patients Experiences of Calling an Ambulance2006In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 14, no 1, p. 11-19Article in journal (Refereed)
    Abstract [en]

    The issue of the inappropriate use of ambulance transport and care has mainly been studied from the professionals’ and caregivers’ perspective, with few studies focusing on the patient and his/her experiences. To further understand whether patients use ambulance care in an inappropriate manner and, if so, why, it is important to obtain an overall picture of the patients’ existential situation at the time they call an ambulance. The aim of this study was to analyse and describe patients’ experiences related to the decision to call an ambulance and the wait for it to arrive. The design was explorative, and twenty informants aged between 34 and 82 years were interviewed. Qualitative content analyses were performed. The findings showed that calling for an ambulance is a major decision that is preceded by hesitation and attempts to handle the situation by oneself. Our conclusion is that the definition of inappropriate use of valuable health care resources should not be based solely on the professionals’ point of view but also take account of the patients’ reactions when they experience a threat to their life and health.

  • 6. Ahlstrom, Linda
    et al.
    Hagberg, Mats
    Dellve, Lotta
    University of Borås, School of Health Science.
    Workplace Rehabilitation and Supportive Conditions at Work: A Prospective Study2013In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 23, no 2, p. 248-260Article in journal (Refereed)
    Abstract [en]

    Purpose To investigate the impact of rehabilitation measures on work ability and return to work (RTW), specifically the association between workplace rehabilitation/supportive conditions at work and work ability and RTW over time, among women on long-term sick leave. Methods Questionnaire data were collected (baseline, 6 and 12 months) from a cohort of women (n = 324). Linear mixed models were used for longitudinal analysis of the repeated measurements of work ability index (WAI), work ability score and working degree. These analyses were performed with different models; the explanatory variables for each model were workplace rehabilitation, supportive conditions at work and time. Results The individuals provided with workplace rehabilitation and supportive conditions (e.g. influence at work, possibilities for development, degree of freedom at work, meaning of work, quality of leadership, social support, sense of community and work satisfaction) had significantly increased WAI and work ability score over time. These individuals scored higher work ability compared to those individuals having workplace rehabilitation without supportive conditions, or neither. Additionally, among the individuals provided with workplace rehabilitation and supportive conditions, working degree increased significantly more over time compared to those individuals with no workplace rehabilitation and no supportive conditions. Conclusion The results highlight the importance of integrating workplace rehabilitation with supportive conditions at work in order to increase work ability and improve the RTW process for women on long-term sick leave.

  • 7. Almerud, S
    et al.
    Alapack, R.J.
    Fridlund, Bengt
    Växjö University.
    Ekebergh, Margaretha
    Växjö University.
    Beleuguered by technology: Care in technologically intense environments2008In: Nursing Philosophy, ISSN 1466-7681, E-ISSN 1466-769X, Vol. 9, no 1, p. 55-61Article in journal (Refereed)
    Abstract [en]

    Modern technology has enabled the use of new forms of information in the care of critically ill patients. In intensive care units (ICUs), technology can simultaneously reduce the lived experience of illness and magnify the objective dimensions of patient care. The aim of this study, based upon two empirical studies, is to find from a philosophical point of view a more comprehensive understanding for the dominance of technology within intensive care. Along with caring for critically ill patients, technology is part of the ICU staff's everyday life. Both technology and caring relationships are of indispensable value. Tools are useful, but technology can never replace the closeness and empathy of the human touch. It is a question of harmonizing the demands of subjectivity with objective signs. The challenge for caregivers in ICU is to know when to heighten the importance of the objective and measurable dimensions provided by technology and when to magnify the patients’ lived experiences, and to live and deal with the ambiguity of the technical dimension of care and the human side of nursing.

  • 8. Almerud, S
    et al.
    Alapack, R.J.
    Fridlund, Bengt
    Växjö University.
    Ekebergh, Margaretha
    University of Borås, School of Health Science.
    Caught in an Artificial Split: A Phenomenological Study of Being a Caregiver in the Technologically Intense Environment2007In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 24, no 2, p. 130-136Article in journal (Refereed)
    Abstract [en]

    A symbiotic relationship exists between technology and caring, however, technologically advanced environments challenge caregivers. The aim of this study is to uncover the meaning of being a caregiver in the technologically intense environment. Ten open-ended interviews with intensive care personnel comprise the data. A phenomenological analysis shows that ambiguity abounds in the setting. The act of responsibly reading and regulating instruments easily melds the patient and the machinery into one clinical picture. The fusion skews the balance between objective distance and interpersonal closeness. The exciting captivating lure of technological gadgets seduces the caregivers and lulls them into a fictive sense of security and safety. It is mind-boggling and heart-rending to juggle ‘moments’ of slavish mastery and security menaced by insecurity in the act of monitoring a machine while caring for a patient. Whenever the beleaguered caregiver splits technique from human touch, ambiguity decays into ambivalence. Caring and technology become polarized. Everyone loses. Caregiver competence wanes; patients suffer. The intensive care unit should be technologically sophisticated, but also build-in a disclosive space where solace, trust, and reassurance naturally happen. Caring professionals need to balance state-of-the-art technology with integrated and comprehensive care and harmonize the demands of subjectivity with objective signs.

  • 9. Almerud, S
    et al.
    Alapack, R.J.
    Fridlund, Bengt
    Växjö University.
    Ekebergh, Margaretha
    Växjö University.
    Of vigilance and invisibility: being a patient in technologically intense environments2007In: Nursing in Critical Care, ISSN 1362-1017, E-ISSN 1478-5153, Vol. 12, no 3, p. 151-158Article in journal (Refereed)
    Abstract [en]

    Equipment and procedures developed during the past several decades have made the modern intensive care unit (ICU) the hospital’s most technologically advanced environment. In terms of patient care, are these advances unmitigated gains? This study aimed to develop a knowledge base of what it means to be critically ill or injured and cared for in technologically intense environments. A lifeworld perspective guided the investigation. Nine unstructured interviews with intensive care patients comprise its data. The qualitative picture uncovered by a phenomenological analysis shows that contradiction and ambivalence characterized the entire care episode. The threat of death overshadows everything and perforates the patient’s existence. Four inter-related constituents further elucidated the patients’ experiences: the confrontation with death, the encounter with forced dependency, an incomprehensible environment and the ambiguity of being an object of clinical vigilance but invisible at the personal level. Neglect of these issues lead to alienating ‘moments’ that compromised care. Fixed at the end of a one-eyed clinical gaze, patients described feeling marginalized, subjected to rituals of power, a stranger cared for by a stranger. The roar of technology silences the shifting needs of ill people, muffles the whispers of death and compromises the competence of the caregivers. This study challenges today’s caregiving system to develop double vision that would balance clinical competence with a holistic, integrated and comprehensive approach to care. Under such vision, subjectivity and objectivity would be equally honoured, and the broken bonds re-forged between techne, ‘the act of nursing’, and poesis, ‘the art of nursing’.

  • 10.
    Alwén, Erzsébet
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Wessman, Carin
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Kommunernas rekryteringsprocess: HR i praktiken2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Rekryteringsprocessens utformning och utövande är helt avgörande för att verksamheten ska kunna fortsätta att utvecklas samt nå uppsatta mål och visioner. Hur arbetsgivare rekryterar på ett professionellt och tillförlitligt sätt kräver kompetens. Organisationer idag har i regel en egen personalavdelning som inriktar sig på att rekrytera nya medarbetare. Många organisationer som anställer personer i betydande positioner använder sig av externa rekryteringsföretag. Rekrytering är en omfattande och kostnadskrävande process, men att göra rekryteringsprocessen rätt från början kan bli förhållandevis billigare än en felrekrytering. Rätt person på rätt plats kräver planering och framförhållning för att den tilltänkta ska kunna matcha in perfekt förtjänsten.

    Syftet är att beskriva rekryteringsprocessen inom kommunalt verksamhetsområde och i vilken utsträckning befintliga HRM processer upplevs som ett stöd i arbetet för enhetschefer inom rekrytering. Åtta intervjuer med informanter i ledande befattning inom den kommunala organisationens sociala sektor har genomförts. Studiens resultat visar på svårigheter i många delar under hela rekryteringsprocessen. Detta orsakas delvis av lagföreskrifter och delvis utav huruvida den rekryterande chefen anser sig behöva följa den utav strategisk Human Resource personal utarbetade rekryteringsprocessen.

    I vilken utsträckning cheferna tog hjälp av Human Resource avdelningen eller bemanningsenheten vid rekrytering varierade i omfattning bland deltagarna. Gemensamt för kommunerna var att det i samband med en chefsrekrytering lades ner mer resurser i form av tid och pengar på att det skulle bli rätt. Författarna fick en känsla av att rekryterande enhetschefer i större utsträckning kontaktade ansvarig Human Resource personal i samband med arbetsrättsliga processer och inte i lika stor utsträckning i samband med själva rekryteringsprocessen.

  • 11.
    Andersson, Andréa
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Tegelmark, Linnea
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Genomsyras omvårdnadsarbetet av den nationella värdegrunden i Äldreomsorgen?2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    2011 skrevs den nationella värdegrunden i socialtjänstlagen. Med denna bestämmelse skulle det bli tydligare med de etiska normer och värden som skulle ligga till grund för vård-och omsorgen i Sverige. Värdegrundens innehåll handlar om att Sveriges äldreomsorg skall inriktas så att den äldre får leva ett värdigt liv och känna välbefinnande. Den nationella värdegrunden har nu varit aktiv i åtta år och frågan är om omvårdnadsarbetet genomsyras av dess innehåll gentemot brukaren? Syftet med studien var att undersöka om brukaren anser att beviljade insatser samt dess utförande genomsyras av den nationella värdegrunden. Analysen av framarbetat material har gjorts med kvalitativ innehållsanalys med grund i semistrukturerade intervjuer. I analysen framträdde tre huvudkategorier; välbefinnande, bemötande och självbestämmande. Med efterföljande nio underkategorier; trygghet, god vård, engagerad personal, attityd, kompentens, lyhörd, delaktighet, individanpassning och kontroll. Utifrån dessa kategorier påvisades att graden av delaktighet och självbestämmande hos brukarna varierade. Resultatet visar på att brukaren helst vill välja vilka av omvårdnadspersonalen som skall utföra insatserna. I diskussionen förs fram att respondenterna upplever att de inte alltid är delaktiga i hur och när insatser utförs.

  • 12. Andersson, Johanna
    et al.
    Löfström, Mikael
    University of Borås, School of Business and IT.
    Bihari Axelsson, Susanna
    Axelsson, Runo
    Actor or arena: Contrasting translations of a law on interorganizational integration2012In: Journal of Health Organisation & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 26, no 6, p. 778-793Article in journal (Refereed)
    Abstract [en]

    Purpose – A Swedish framework law has enabled integration between public agencies in vocational rehabilitation. With the support of this law, coordination associations can be formed to fund and organize joint activities. The purpose of this study is to describe and analyze how the law has been interpreted and translated into local coordination associations and how local institutional logics have developed to guide the organization of these associations. Design/methodology/approach – Data was collected through observations of meetings within two coordination associations and supplemented with documents. The material was analyzed by compilation and examination of data from field notes, whereupon the most important aspects were crystallized and framed with institutional organization theory. Findings – Two different translations of the law were seen in the associations studied: the association as an independent actor, and as an arena for its member organizations. Two subsequent institutional logics have developed, influencing decisions on autonomy, objectives and rationality for initiating and organizing in the two associations and their activities. The institutional logics are circular, further enhancing the different translations creating different forms of integration. Research implications/limitations – Both forms of integration are legitimate, but the different translations have created integration with different degrees of autonomy in relation to the member organizations. Only a long-term analysis can show whether one form of integration is more functional than the other. Originality/value – This article is based on an extensive material providing insights into a form of interorganizational integration which has been scarcely researched. The findings show how different translations can influence the integration of welfare services.

  • 13. Andreasson, J
    et al.
    Jonsson, A
    Suserud, Björn-Ove
    University of Borås, School of Health Science.
    Åström, S
    Ambulance personnel should take pictures at the sites of accidents!2001In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 26-27, no 98, p. 3162-3163Article in journal (Other academic)
    Abstract [sv]

    Bror Gårdelöf och Thomas Blomberg ställer i Läkartidningen 8/01 (sidorna 856-8) frågan om vem som skall fotografera på olycksplats. Per Örtenwall ifrågasätter i Läkartidningen 15/01 (sidorna 1825-6) om olyckan överhuvudtaget skall fotograferas. Författarna är sedan ett år verksamma i ett av de forskningsprojekt i Västra Götalandsregionen som Per Örtenwall nämner. Syftet är att utröna om bilder tagna på olycksplats tillför patienten och vården något av värde.

  • 14.
    Andreasson, Jörgen
    et al.
    University of Borås, School of Health Science.
    Eriksson, Andrea
    Dellve, Lotta
    University of Borås, School of Health Science.
    Health care manager’s views on and approaches to implementing models for care processes.2014Conference paper (Refereed)
  • 15.
    Andreasson, Jörgen
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. 1KTH – Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden.
    Åhlström, Linda
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Eriksson, Andrea
    1KTH – Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden.
    The importance of nurse managers’ preconditions and support resources for their attitude and work with improved quality of care2015Conference paper (Refereed)
  • 16. Arman, Rebecka
    et al.
    Wikström, Ewa
    Dellve, Lotta
    University of Borås, School of Health Science.
    Structuration in Managerial Communication Processes2012In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 16, no 2, p. 143-163Article in journal (Refereed)
    Abstract [en]

    The aim of this article is to describe and analyse observed managerial communication. The research questions concerned: What characterizes managerial communication practices and the organizational consequences? We make use of structuration theory and view communication as a social interaction process in which temporary structures are negotiated. Ten first- and second-line managers were shadowed. The managers used a combination of structuration of caring, interdependency and accountability typical of health care organizations. The communication practices were related to how new norms of reputation management were institutionalized through structuration. The types of structuration were sometimes contradictory and productive communication was rare or non-existent. The managerial communication practices had consequences for the power and domination and for which issues were signified as part of the agenda. The conclusions can be generalizable to other professional organizations.

  • 17.
    Augustsson, Elisabeth
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Emanuelsson, Susann
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Förfrågningsunderlag: och dess betydelse som kvalitetsindikator för hemtjänst2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Lagen om valfrihet (LOV) infördes bl.a. för att underlätta för fler att starta egna företag inom vård och omsorg, men också för att samhällets medborgare skulle se en ökning av kvalité i utförandet av dessa tjänster. Kommunerna har ansvaret för socialtjänsten och genom att införa LOV ger de uppdraget vidare till en privat utförare. De kvalitetskrav för dem som ansöker om att starta hemtjänst, har kommunerna beskrivit i sina förfrågningsunderlag (FFU).

    Avsikten med studien är att få en bild av hur kommunerna säkerställer en god kvalitet inom hemtjänsten med hjälp av FFU och hur kraven i FFU följs upp. För att få en inblick i hur det kan se ut, sammanställdes kraven i FFU från tio kommuner och med hjälp av tre intervjuer med LOV ansvariga påvisas att kraven som ställs i FFU är olika mellan kommunerna. Kvalité är ett ord vars innebörd är svårfångat och har olika betydelser för olika individer. Samtidigt framgår det att det är ett komplext arbete att följa upp de krav som ställs i FFU och att det är få av kraven som kommunerna följer upp genom att ange uppföljningsmetod i FFU.

    Många kommuner har idag lokala värdegrundsgarantier för att beskriva vilka etiska värden som präglar äldreomsorgen och vad de äldre kan förvänta sig, olika ”löften” som utlovas till medborgarna. Garantierna är dock väldigt olika mellan kommunerna och är många gånger svåra att finna i FFU. I vår diskussion tar vi upp vilka möjligheter kommunen har att följa upp kvalitet i verksamheter som lagts ut på privata aktörer.

    Vår slutsats är att förfrågningsunderlagens betydelse som en kvalitetsindikator kan ifrågasättas.

  • 18. Aune, S
    et al.
    Herlitz, Johan
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Bång, Angela
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Characteristics of patients who die in hospital with no attempt at resuscitation2005In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 65, no 3, p. 291-299Article in journal (Refereed)
    Abstract [en]

    Objective: To describe the characteristics, cause of hospitalisation and symptoms prior to death in patients dying in hospital without resuscitation being started and the extent to which these decisions were documented. Materials and methods: All patients who died at Sahlgrenska University Hospital in Göteborg, Sweden, in whom cardiopulmonary resuscitation (CPR) was not attempted during a period of one year. Results: Among 674 patients, 71% suffered respiratory insufficiency, 43% were unconscious and 32% had congestive heart failure during the 24 h before death. In the vast majority of patients, the diagnosis on admission to hospital was the same as the primary cause of death. The cause of death was life-threatening organ failure, including malignancy (44%), cerebral lesion (10%) and acute coronary syndrome (10%). The prior decision of ‘do not attempt resuscitation’ (DNAR) was documented in the medical notes in 82%. In the remaining 119 patients (18%), only 16 died unexpectedly. In all these 16 cases, it was regarded retrospectively as ethically justifiable not to start CPR. Conclusion: In patients who died at a Swedish University Hospital, we did not find a single case in which it was regarded as unethical not to start CPR. The patient group studied here had a poor prognosis due to a severe deterioration in their condition. To support this, we also found a high degree of documentation of DNAR. The low rate of CPR attempts after in-hospital cardiac arrest appears to be justified.

  • 19. Aune, S
    et al.
    Karlsson, T
    Herlitz, Johan
    University of Borås, School of Health Science.
    Evaluation of 2 different instruments for exposing the chest in conjunction with a cardiac arrest2010In: American Journal of Emergency Medicine, ISSN 0735-6757, E-ISSN 1532-8171, Vol. 29, no 5, p. 549-553Article in journal (Refereed)
    Abstract [en]

    Background Time between onset of previous termcardiac arrestnext term and start of treatment is of ultimate importance for outcome. The length of time it takes to expose the previous termchestnext term in out-of-hospital previous termcardiac arrestnext term (OHCA) is not known. We aimed to compare the time from onset of OHCA until the time at which the previous termchestnext term was exposed using previous termanext term new device (S-CUT; ES Equipment, Gothenburg, Sweden) and previous termanext term pair of scissors. Methods In previous termanext term manikin study, the previous term2next term devices were compared in previous termanext term simulated previous termcardiac arrestnext term where the initial step was exposure of the previous termchest.next term The tests were performed using ambulance staff from 3 previous termdifferentnext term ambulance organizations in Western Sweden. Six previous termdifferentnext term types of clothing combinations were used. The primary choices of clothing for analyses were previous termanext term knitted sweater and shirt (indoors) and previous termanext term jacket with buttons, previous termanext term shirt, and previous termanext term college sweater (outdoors). Results The mean difference from onset of OHCA until the previous termchestnext term was exposed when S-CUT was compared with previous termanext term pair of scissors varied between 6 seconds (P = .006) and 63 seconds (P = .004; shorter with the S-CUT), depending on the type of clothing that was used. The mean differences for the clothing that was chosen for primary analyses were 23 and 63 seconds, respectively. Conclusion We found that previous termanext term new device (S-CUT) used for previous termexposing the chestnext term in OHCA was associated with previous termanext term marked shortening of procedure time as compared with previous termanext term pair of scissors.

  • 20.
    Axelsson, C
    et al.
    University of Borås, School of Health Science.
    Borgström, J
    Karlsson, T
    Axelsson, Å
    Herlitz, Johan
    University of Borås, School of Health Science.
    Dispatch codes of out-of-hospital cardiac arrest should be diagnosis related rather than symptom related2010In: European journal of emergency medicine, ISSN 0969-9546, E-ISSN 1473-5695, Vol. 17, no 5, p. 265-269Article in journal (Refereed)
    Abstract [en]

    Objective: To describe the characteristics and outcome in out-of-hospital cardiac arrest (OHCA) in relation to (i) whether OHCA was coded by the dispatcher as a diagnosis or as a symptom and (ii) the delay until the first unit was alerted at the dispatch centre. Methods: OHCA patients in Göteborg, during 17 months, excluding OHCA after calling the rescue team. Results: Among 250 cases, 20% were coded as a diagnosis (i.e. CA) with or without ongoing cardiopulmonary resuscitation (CPR). Dispatch codes for the remaining 200 patients (80%) were mostly symptom related (unconsciousness in 61%, codes related to breathing problems in 10%, other codes in 24% and missing in 5%). Patients in whom the dispatchers coded the call as CA had an earlier start to CPR after collapse (median 2 vs. 10 min; P<0.0001) and a higher rate of bystander CPR (86% vs. 42%; P<0.0001). Furthermore, they tended to have a higher rate of survival to hospital discharge (14.0% vs. 6.5%; P  = 0.09). The median delay until the first unit was alerted was 1.8 min. Survival to hospital discharge was 10.0% if the delay was below median and 6.7% if the delay was above median (P = 0.48). Conclusion: Patients with OHCA who were not coded by dispatchers as such had a long delay to the start of CPR and a low survival. Dispatching according to diagnosis, that is, CA seems to improve these parameters most likely reflecting a more optimal communication between the dispatcher and the caller as well as the rescue team.

  • 21.
    Axelsson, Christer
    University of Borås, School of Health Science.
    Evaluation of various strategies to improve outcome after out-of-hospital cardiac arrest with particular focus on mechanical chest compressions2010Doctoral thesis, monograph (Other academic)
    Abstract [en]

    Cardiopulmonary resuscitation (CPR) skills vary among health care professionals. A previous study revealed that chest compressions were only performed half the time in out-of-hospital cardiac arrest (OHCA). Field conditions and fatigue could be possible explanations. The aim of this thesis was to study the impact of the introduction of mechanical chest compression in OHCA according to survival and its usability and b) passive leg raising (PLR), to augment the artificial circulation, during CPR. ... mer Methods: This thesis is based on a pilot study conducted in the Gothenburg/Mölndal and Södertälje Emergency Medical Service systems in 2003-2005. Witnessed OHCA (adult >18 years) received either mechanical (n=159) or manual (n=169) chest compressions. The pressure of end-tidal carbon dioxide (PETCO2) has been shown to correlate with cardiac output (CO) during CPR. To compare the effect of the different strategies, the PETCO2 was measured, during CPR, with standardised ventilation. Result: PLR during CPR increased the PETCO2 value within 30 seconds. Mechanical active compression-decompression (ACD) CPR, compared with manual compressions, produced the highest mean of initial, minimum and average values of PETCO2. However, mechanical chest compressions did not appear to result in improved survival. Clinical circumstances such as unidentified cardiac arrests (CAs) resulted in a large drop-out in the intervention group or a late start to the intervention in relation to CA. The late start meant that the intervention targeted a high-risk population with a low chance of survival. The majority of identified CAs were coded by the Rescue Co-ordination Centre (RCC) according to symptoms (usually unconsciousness), while the minority were coded according to the diagnosis of CA. Patients coded according to the diagnosis of CA had an earlier start of CPR, a higher rate of bystander CPR and a tendency toward higher survival rates. Conclusion: Since PLR during CPR appears to improve circulation after OHCA, larger studies are needed to evaluate its potential effects on survival. Compared with manual compressions, mechanical ACD CPR produces probably the most effective CPR. However, different clinical circumstances make the device difficult to study outside hospital. Coding a CA according to diagnosis rather than symptoms appears to improve the out-of-hospital care.

  • 22.
    Axelsson, Sofia
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Jonnestedt, Maj
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Rätt förutsättningar leder till hälsofrämjande ledarskap: Chefers förutsättningar inom vård och omsorg2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Vi lever i dag med ett högt tempo i hela samhället vilket visar sig inte minst på våra arbetsplatser. Det höga tempot resulterar därmed också i att många medarbetare mår dåligt på sin arbetsplats och i många fall leder detta till sjukfrånvaro både i kortare och längre perioder. Chefskapet medför stora krav som att medarbetarna ska må bra på sin arbetsplats, fysiskt och inte minst psykiskt. Vad kan då en chef inom vård och omsorg göra för att medarbetarna ska må bra? Vi har valt att titta närmare på det. Närmare bestämt på vilka faktorer som avgör att en chef lyckas med att arbeta hälsofrämjande för att på sikt resultera i att medarbetarna mår bra. Syftet med studien är att komma fram till vilka förutsättningar en chef behöver ha för att ha ett hälsofrämjande ledarskap. Granskningen är en litteraturstudie som grundas på vetenskapliga artiklar, både av kvalitativ och kvantitativ design.

    Efter att granskat de olika artiklarna så visar resultatet behovet av utbildning, handledning och ett organisatoriskt stöd för att lyckas i rollen som chef. Förutsättningarna har en stor betydelse och positiv effekt på hur cheferna hanterar ledarskapet och på sikt bedriver ett hälsofrämjande arbetsklimat på arbetsplatsen. Resultaten visar även att små förändringar genom stöd eller utbildning har avgörande inverkan på personalens hälsa i form av minskad stress, högre närvaro och lägre personalomsättning.

  • 23. Beillon, Lena Marie
    Att värdera vårdbehov: ett kliniskt dilemma. En studie av nyttjandet av ambulanssjukvård i olika geografiska områden2010Doctoral thesis, monograph (Other academic)
    Abstract [sv]

    De nordiska ländernas hälso- och sjukvård bygger på att sjukvården finns till hands när den behövs. För att ge företräde för de individer som har störst vårdbehov genomförs inom olika verksamheter vårdbehovsprioriteringar. Behovet av prioriteringar tilltar i takt med att efterfrågan på hälso- och sjukvårdens insatser ökar. Skälet till att göra prioriteringar inom hälso- och sjukvården är att upprätthålla en god vård med god effekt till dem som bäst behöver den. Även om hälso- och sjukvården kvantitativt spelar en begränsad roll för folkhälsan, utgör den en viktig del i samhället genom att skapa trygghet. Särskilt betydelsefullt i detta avseende är akutsjukvård varav ambulanssjukvård är en viktig del.

  • 24. Bengtsson, I
    et al.
    Karlson, B
    Herlitz, Johan
    University of Borås, School of Health Science.
    Haglid Evander, M
    Währborg, P
    A 14-year follow-up study of chest pain patients including stress hormones and mental stress at index event2012In: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 154, no 3, p. 306-311Article in journal (Refereed)
    Abstract [en]

    Background Knowledge of long-term outcome in chest pain patients is limited. We reinvestigated patients who 14 years earlier had visited the emergency department due to chest pain, and were discharged without hospitalization. Extensive examinations were made at that time on 484 patients including full medical history, exercise test, a battery of stress questions and stress hormone sampling. Methods From a previously conducted chest pain study patients still alive after 14 years were approached. Hospitalization or deaths with a diagnosis of ischemic heart disease or cerebrovascular disease were used as end point. Results During the follow-up period 24 patients had died with a diagnosis of ischemic heart or cerebrovascular disease, and 50 patients had been given such a diagnosis at hospital discharge. Age (OR 1.12, CI 1.06–1.19), previous history of angina pectoris (OR 9.69, CI 2.06–71.61), pathological ECG at emergency department visit (OR 3.27, CI 1.23–8.67), hypertension (OR 5.03, CI 1.90–13.76), smoking (OR 3.04, CI 1.26–7.63) and lipid lowering medication (OR 14.9, CI 1.60–152.77) were all associated with future ischemic heart or cerebrovascular events. Noradrenalin levels were higher in the event group than in the non-event group, mean (SD) 2.44 (1.02) nmol/L versus 1.90 (0.75) nmol/L. When noradrenalin was included in the regression model high maximal exercise capacity was protective of an event (OR 0.986, CI 0.975–0.997). Conclusion In chest pain patients previous history of angina pectoris, hypertension, smoking, pathological ECG at primary examination, and age were the main risk factors associated with future cardiovascular or cerebrovascular events.

  • 25. Berndtsson, I
    et al.
    Carlsson, E
    Persson, Eva
    University of Borås, School of Health Science.
    Lindholm, E
    Long-term adjustment to living with an ilial pouch-anal anastomosis2011In: Diseases of the Colon & Rectum, ISSN 0012-3706, E-ISSN 1530-0358, Vol. 54, no 2, p. 193-199Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The aim of this study was to describe long-term adjustment to life with an ileal pouch-anal anastomosis after surgery for ulcerative colitis, to investigate the relationship of pouch function to adjustment, and to explore factors affecting quality of life. METHODS: A total of 369 patients treated between 1982 and 1993 were included in the study. Questionnaires designed to assess bowel (pouch) function (Öresland score) and disease-specific adjustment (Swedish version of the Ostomy Adjustment Scale), plus open-ended questions regarding quality of life, were sent by mail. Open-ended questions were analyzed with qualitative content analysis. RESULTS: A total of 252 patients (84%) returned the disease-specific adjustment questionnaire (141 males/111 females); median age, 51 (range, 26-77) years; median follow-up, 15 (range, 10-21) years after construction of the ileal pouch-anal anastomosis. High adjustment ratings were found for all statements, with the maximum median score of 6 on 28 of the 36 items. Items with the lowest ratings (median score, 5) pertained to things one would do if not for the IPAA, feeling free to travel, ability to enjoy sexual activities, comfort with body image, ability to laugh about awkward situations, confidence in the appliance, and whether the surgery helped with decisions on what things are most important in life. Participants with the lowest adjustment scores had low bowel function scores (P < .0001). Open-ended quality of life questions were answered by 150 patients (59.5%). The most important areas for quality of life were health, family, restroom access, and friends. Five categories emerged from the qualitative content analysis: living a "normal" life, food restrictions, physical limitations, influence of restroom access on social life, and being dependent on medical care. CONCLUSIONS: Most participants had adjusted well to life with an ileal pouch-anal anastomosis and considered life to be normal. Good public restrooms were important for quality of life. Improving pouch function may help patients adjust to the postoperative state, but deeper understanding of reasons for poor adjustment despite good pouch function is needed.

  • 26. Berndtsson, Ina
    et al.
    Carlsson, Eva
    Hallén, Ann-Marie
    Fingren, Jeanette
    Lindholm, Eva
    Persson, Eva
    University of Borås, School of Health Science.
    Stoma complications in acute and emergency situations: a prospective longitudinal study2009Conference paper (Refereed)
  • 27. Binfa, Lorena
    et al.
    Pantoja, Loreto
    Gonzalez, Hilda
    Ransjö-Arvidson, Anna-Berit
    Robertson, Eva
    University of Borås, School of Health Science.
    Chilean midwives and midwifery students' views of women's midlife health-care needs2011In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 27, no 4, p. 417-423Article in journal (Refereed)
    Abstract [en]

    Objective to determine Chilean midwives’ views with regard to Chilean women’s health-care needs in midlife. The aim was also to explore Chilean midwifery students’ views on the clinical care provided to women in midlife. Design a qualitative study using focus group discussions and narratives which were analysed using thematic manifest and latent content analysis. Setting 10 different primary health care (PHC) centres in Santiago, Chile. Participants 22 midwives, working in PHC clinics and 13 (n=13) midwifery students with PHC clinical experience, attending their fourth or fifth year of midwifery education at the School of Midwifery in Santiago. Findings the midwives felt that women in midlife have special health-care service needs. They also considered themselves to be the most appropriate health staff to provide health care for women in midlife, but recognised that they lacked competence in attending psychological and social health-care needs of women in midlife such as violence, abuse and sexuality issues. The midwifery students remarked that many midwives focused their attention on fulfilling the biomedical requirements. Even if the midwives had knowledge about recent research on menopause, they had difficulties in approaching this issue and including it in their counselling. Some students also questioned the sometimes disrespectful attitude shown, especially towards Peruvian immigrants and women with psychosocial problems. Conclusions and implications for practice the findings suggest that midwives need more education about women’s health-care needs in midlife, and that more focus should be placed on the psychosocial aspects of midwifery. More reflections about the quality of the client–provider relationship in clinical practice are needed. Gender issues, the structure of power relationships, and empowerment should be incorporated and critically discussed during midwifery education and training, and also in clinics.

  • 28. Binfa, Lorena
    et al.
    Robertson, Eva
    University of Borås, School of Health Science.
    Ransjö-Arvidson, Anna-Berit
    "We are always asked; 'where are you from?'": Chilean women's reflections in midlife about their health and influence of migration to Sweden2010In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 24, no 3Article in journal (Refereed)
    Abstract [en]

    Aim: This study explored how Chilean immigrant women living in Sweden perceived and related their life situations and health status during midlife to their migration experiences. Method: Three focus group discussions (FGDs) were performed with 21 middle-aged Chilean women (40-60 years) who had lived in Stockholm for at least 15-20 years. In-depth interviews were held with three key informants. A combination of manifest and latent content analysis was performed to structure and categorize the tape-recorded and transcribed data. Findings: Three main themes emerged from the data: (i) Chilean women's reflections about migration and resettlement; (ii) Health during midlife; perceptions of Chilean women living in Sweden; and (iii) Strategies to manage their lives and to gain social acceptance and position. The Chilean women reflected about the discrimination they had met in the Swedish society and within the health care system along with health changes they had had during midlife. They connected some of their health related problems to their hardships of migration. They also expressed confusion about the health care they had received in Sweden including conflicting and mistrusting relationship with some health care providers. Important for their way of coping with their own health seemed to be a recognition of their own space, level of independence, self-acceptance and awareness of power relationships. Conclusion: The results illuminate the importance of awareness of influence of gender and socio-cultural aspects, power relationships and communication skills among health care providers on women's health. Complementary interventions to the biomedical paradigm are needed and should be addressed in Swedish health staff educational programmes as well as in clinical training.

  • 29.
    Björk Brämberg, Elisabeth
    et al.
    University of Borås, School of Health Science.
    Nyström, Maria
    University of Borås, School of Health Science.
    To be an immigrant and a patient in Sweden: A study with an individualised perspective2010In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 5, no 3, p. 1-9Article in journal (Refereed)
    Abstract [en]

    The aim is to describe how experiences of being an immigrant can influencethe situation when becoming a patient in Swedish health care. A hermeneutic approach was used. Sixteen persons born in non-Nordic countries were interviewed. The data was analysed with an empirical hermeneutical method. The findings indicate that positive experiences (i.e., establishing oneself in a new home country) enhance the possibilities of taking part in caring situations and vice versa. Hence, there is a need for individually adapted care that takes one's whole life situation into consideration. Consequently, it is suggested that the concept, “cultural competence” merely serves the purpose of illuminating caregivers’ need for categorisation. It does not illuminate individual needs in a caring situation.

  • 30.
    Björk Brämberg, Elisabeth
    et al.
    University of Borås, School of Health Science.
    Nyström, Maria
    University of Borås, School of Health Science.
    Dahlberg, Karin
    Patient participation: A qualitative study of immigrant women and their experiences2010In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 5, no 1Article in journal (Refereed)
    Abstract [en]

    Patient participation in healthcare is a neglected area of interest in the rather extensive amount of research on immigrant so-called Selma patients in Swedish health care as well as worldwide. The aim is to explore the phenomenon ‘‘patient participation’’ in the context of the Swedish health care from the perspective of immigrants non-fluent in Swedish. A phenomenological lifeworld approach was chosen. Data were collected from patients within a municipal home care setting in Sweden. Eight women agreed to participate. In seven interviews, an interpreter was necessary for the translation of the interview. Five authorized interpreters were used. Data were analysed in accordance to a descriptive phenomenological method for caring research. The analysis led to an essence of the phenomenon with three constituents, ‘‘to experience participation,’’ ‘‘to refrain from participation,’’ and ‘‘to be deprived of participation.’’ Patient participation from the perspective of immigrant women means that patients are involved and active in their own health and caring processes. For these women, it is particularly important to have the opportunity to express themselves. Patient participation presupposes professional caregivers who act in a way that increases the patients’ opportunities to take part. A skilled interpreter is often necessary in order to enable the patient participation.

  • 31.
    Björklund, Lina
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Carlsson, Charlotte
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    ”Delar av en helhet”: En Intervjustudie för att beskriva om sjuksköterskor och undersköterskor inom sjukhusvård upplever att de är delaktiga i arbetet med kapacitets- och produktionsstyrning2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Andelen äldre i befolkningen förväntas öka därför behöver hälso- och sjukvården använda befintliga resurser inom sjukvården på ett effektivt sätt. Hälso- och sjukvården är komplex och består av olika systemnivåer (mikro-/meso- och makrosystem) där krav på effektivitet kan konkurrera med medarbetares etiska värden. För att få styrsystemen integrerade i verksamheten krävs att kommunikationen mellan ledning och medarbetare fungerar väl så att medarbetarna trivs, vill arbeta kvar och förblir motiverade att bidra till värdebaserad vård på en hälsofrämjande arbetsplats.

    Syftet med denna studie är att ta reda på hur sjuksköterskor och undersköterskor i mikrosystemet inom öppen respektive sluten sjukhusvård upplever att de är delaktiga i kapacitets- och produktionsstyrning (KPS). Detta är en intervjustudie med kvalitativ ansats genomförd med hjälp av intervjuer med åtta informanter vid en opererande sjukhusklinik. Intervjuerna bandades, transkriberades varpå en induktiv innehållsanalys genomfördes.

    De resultat vi bland annat kommit fram till är att i nämnda verksamhet har medarbetarna en förståelse för delar, de kan se att det finns faktorer som påverkar vad och hur arbetsuppgifter utförs. KPS med inslag av Lean tillsammans med ett fokus på värdebaserad vård borde kunna ge medarbetarna möjlighet att ta ställning till nyttan av förändring och styrning av delar i en helhet efter behov.  

  • 32. Block, K
    et al.
    Ising, G
    Ståhl, Fredrik
    Minichromosomes in Drosophila melanogaster derived from the transposing element TE11990In: Chromosoma, ISSN 0009-5915, E-ISSN 1432-0886, Vol. 99, no 5, p. 336-343Article in journal (Refereed)
    Abstract [en]

    A minichromosome has originated from the transposing element TE1. This autonomously replicating chromosome contains the structural genes white and roughest, from the Drosophila X chromosome. It arose within a stock carrying TE1 at 45F on chromosome 2. In addition to the w and rst genes, the minichromosome may carry section 45C-45F from chromosome 2. It is inherited by 33%-47% of the offspring. By this criterion it carries a centromere, although the origin of the centromere is unknown. From this minichromosome a still smaller one has originated, probably through the loss of all material from chromosome 2 together with some heterochromatin. At the same time a duplication of white and roughest could have taken place. This chromosome has a strange morphology and is more frequently lost in meiosis than the larger one, but is still transmitted to about 29%-37% of the progeny of one parent heterozygous for the minichromosome. In both cases the flies have variegated eyes, probably as a result of position-effect variegation. The variegation pattern is influenced by factors in the X chromosome. The size of the smaller minichromosome is little more than 1 Mb as determined by pulsed field gel electrophoresis.

  • 33.
    Bondas, Terese
    et al.
    University of Borås, School of Health Science.
    Lundgren, Ingela
    University of Borås, School of Health Science.
    Women’s experiences of childbirth, care and support: a metasynthesis2009Conference paper (Refereed)
  • 34.
    Bondas, Terese
    et al.
    University of Borås, School of Health Science.
    Olausson, Sepideh
    University of Borås, School of Health Science.
    Photography as a Data Collection Method in Intensive Care2009Conference paper (Refereed)
    Abstract [en]

    The suffering patient is thrown into a strange and unfamiliar environment of different technological devices in an Intensive care unit. The intensive room is a place for care and treatment, for rest and recovery, a visiting room, and a working place for the staff. In this context patients and relatives are very vulnerable and are in a need of support. Patients may suffer from unreal experiences, often very traumatic during their stay in ICU and many patients also suffer from unpleasant memories, and some develop post traumatic stress after their discharge. In order to design optimal rooms in ICU it would be important to identify factors which are meaningful for the patients and relatives. The aim of this study, as part of a larger research project, is to illuminate patients’ and relatives’ experiences of the physical room, the design and the interior in the ICU. Photographs combined with interviews are used as data collection methods within the ICU-context. Relatives and former patients are asked to photograph different aspects of the room that they remember or associate with a feeling. The pictures were used later during an interview with the informants. In total the researcher meets the informants three times, first time to inform, the second time to take the photos and a third time for the interview. This method gives the researcher opportunity to deepen the understanding and capture aspects of the room that otherwise might have been hidden. The presentation will focus on photography as a research method.

  • 35. Borovszky, Helena
    et al.
    Svensson, Leif
    Bolin, Peter
    Nyström, Maria
    University of Borås, School of Health Science.
    Stroke2009In: Prehospital akutsjukvård / [ed] Björn-Ove Suserud, Stockholm: Liber , 2009, p. 325-330Chapter in book (Other academic)
  • 36. Brandstrom, Y
    et al.
    Brink, E
    Grankvist, G
    Alsen, P
    Herlitz, Johan
    University of Borås, School of Health Science.
    Karlson, BW
    Physical Activity Six Months after a Myocardial Infarction2009In: International Journal of Nursing Practice, ISSN 1322-7114, E-ISSN 1440-172X, Vol. 15, no 3, p. 191-197Article in journal (Refereed)
    Abstract [en]

    In the present study, we wished to explore physical activity in middle-aged patients 6 months after a myocardial infarction and to compare the patients' self-reported activity level with pedometric measures of footsteps/day. The sample comprised 89 patients with myocardial infarction, aged < 40% of the patients were engaged in at least 30 min of physical activity every day. The pedometric physical activity data showed a daily mean number of steps of 6719. The self-report question was correlated with the pedometric registration data. Among myocardial infarction patients, physical activity 6 months after the acute heart attack was insufficient in the majority of patients, both when evaluated with a self-report question and when evaluated with a pedometer. Efforts to increase physical activity after myocardial infarction are warranted.

  • 37.
    Bremer, Anders
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Dagens ambulanssjukvård2016In: Prehospital akutsjukvård / [ed] Björn-Ove Suserud & Lars Lundberg, Stockholm: Liber, 2016, 2, p. 48-64Chapter in book (Other academic)
  • 38.
    Bremer, Anders
    University of Borås, School of Health Science.
    Ett överväldigande ansvar: att vara närstående vid hjärtstopp2010Conference paper (Other academic)
    Abstract [sv]

    Denna fenomenologiska livsvärldsstudie beskriver sju närståendes erfarenheter av att en nära person drabbats av hjärtstopp i hemmet eller ute i samhället. Resultatet visade hur närstående plötsligt upplevde kontrollförlust och en känsla av overklighet. De upplevde sig ensamt ansvariga, otillräckliga och med svårigheter att möta ett överväldigande ansvar. I den ensamma och utsatta situationen blev allt kaotiskt, ångestfyllt och omtumlande. När ambulanspersonal anlände väcktes närståendes hopp. Beroende på vilken föreställning eller kunskap närstående hade om patientens tillstånd kastades de mellan förhoppningar om överlevnad och tvivel över det meningsfulla med livräddande åtgärder. Efter händelsen kände sig närstående ofta lämnade ensamma med oro och frågor inför framtiden. Oron motverkade välbefinnande och hotade viktiga värden i ett gott liv eftersom de riskerade att bli ensamma i sorg efter den döde, eller i oro för den överlevandes framtid. Närstående försummade egna och viktiga behov. Resultatet visar att ambulanspersonal har en prima facie plikt att stödja närstående i samband med en patients hjärtstopp och död. Detta förutsätter uppmärksamhet, känslighet och öppenhet inför närståendes outsagda eller uttryckliga frågor och behov. Vid dödsfall i hemmet bör ambulanspersonal finnas till hands så länge som det krävs för att hjälpa närstående i kris.

  • 39.
    Bremer, Anders
    University of Borås, School of Health Science.
    Svensson, Leif (Editor)
    Mötet med närstående2009In: Prehospital akutsjukvård, Stockholm: Liber , 2009, p. 150-161Chapter in book (Other academic)
  • 40.
    Bremer, Anders
    et al.
    University of Borås, School of Health Science.
    Dahlberg, Karin
    Sandman, Lars
    University of Borås, School of Health Science.
    Experiencing Out-of-Hospital Cardiac Arrest: Significant Others’ Lifeworld Perspective2009In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 19, no 10, p. 1407-1420Article in journal (Refereed)
    Abstract [en]

    When patients suffer out-of-hospital cardiac arrests (OHCA), significant others find themselves with no choice about being there. After the event they are often left with unanswered questions about the life-threatening circumstances, or the patient’s death, or emergency treatment and future needs. When it is unclear how the care and the event itself will affect significant others’ well-being, prehospital emergency personnel face ethical decisions. In this article we describe the experiences of significant others present at OHCA, focusing on ethical aspects and values. Using a lifeworld phenomenological approach, 7 significant others were interviewed. The essence of the phenomenon of OHCA can be stated as unreality in the reality, which is characterized by overwhelming responsibility. The significant others experience inadequacy and limitation, they move between hope and hopelessness, and they struggle with ethical considerations and an insecurity about the future. The study findings show how significant others’ sense of an OHCA situation, when life is trembling, can threaten values deemed important for a good life.

  • 41.
    Bremer, Anders
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Jonasson, Lise-Lotte
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Sandman, Lars
    Chefers etiska värderingar2016In: Ledarskap i äldreomsorgen: Att leda integrerat värdeskapande i en röra av värden och förutsättningar / [ed] Lotta Dellve, Maria Wolmesjö, Borås: Högskolan i Borås, 2016, , p. 16p. 43-56Chapter in book (Other academic)
  • 42.
    Bremer, Anders
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Jonasson, Lise-Lotte
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Sandman, Lars
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Ethical values among managers in elderly care2015In: Dilemmas 2015 Papers from the 18th Annual International Conference Dilemmas for Human Services: Organizing, Designing and Managing / [ed] Sisse Finken, Christina Mörtberg, Anita Mirijamdotter, 2015Conference paper (Other academic)
  • 43.
    Bremer, Anders
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Kullén Engström, Agneta
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Fredman, Margareta
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Jonasson, Lise-Lotte
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Jutengren, Göran
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Karlsson, Per-Åke
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Sandman, Lars
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Wolmesjö, Maria (Editor)
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Ledarskap i äldreomsorgen: att leda integrerat värdeskapande i en röra av värden och förutsättningar2016Report (Refereed)
    Abstract [sv]

    Det övergripande syftet med denna rapport är att beskriva chefers etiska värderingar, dilemman och organisatoriska förutsättningar för att bedriva ett värdebaserat ledarskap i såväl kommunal som privat äldreomsorg.

    Det empiriska materialet består av en omfattande enkätstudie till nästan 500 studerande inom ramen för den nationella ledarutbildningen för chefer inom äldreomsorgen vid Högskolan i Borås under perioden 2013 till 2015. Utbildningen gavs på uppdrag av Socialstyrelsen och omfattade 30 högskolepoäng med två års studier på kvartsfart. Samtliga studerande var yrkesverksamma som chefer och ledare inom kommunal eller privat äldreomsorg i södra Sverige. Metoder som använts i bearbetning och analys av materialet är deskriptiva, jämförande och analytiska med regressionsmodeller och SEM-analys.

    Resultatet visar på att cheferna – oavsett utbildningsbakgrund, värderade följande etiska värden högst: att inte skada, respekt för individen och rätten till konfidentialitet. Värdedilemman i chefsarbetet är dock vanligt och sammanlänkat med andra utmaningar i arbetet, särskilt med utmaningar som rör hantering över organisationsnivåer (buffertproblem och containerproblem) och av olika ansvarsområden (logikkonflikter). Inom privat verksamhet skattade de medverkande cheferna värdekonflikter och andra utmaningar i lägre grad än chefer inom kommunal verksamhet.

    De flesta chefer var nöjda med hur de kunde fullfölja sitt ansvar för utveckling av verksamheten avseende värdegrund, kvalitet, processer, dagligt arbete, brukarmedverkan, brukarsäkerhet och arbetsmiljö. De flesta skattade också att de arbetade i mycket hög grad med strukturering och utveckling av dessa frågor.

    Stödresurser minskade upplevelsen av värdekonflikter, men det fanns skillnad i betydelsen relaterat till chefers grundprofession. Det organisatoriska stödet var också tydligare för chefer inom privat verksamhet. Organiserade stödresurser hade stor betydelse för hållbart integrerat och värdeskapande ledarskap samt för aktiva ledningsstrategier. Även sambandet mellan hållbart ledarskap och aktiva ledarstrategier modererades av grundprofession, där sambandet var moderat negativt för chefer med social grundutbildning. Det tycks således finnas ett utbildningsbehov bland äldreomsorgens chefer och behov av ett utvecklat stöd från arbets- HÖGSKOLAN BORÅS HÖGSKOLAN BORÅS 15 givaren då det varierar avseende omfattning, inriktning och nivå mellan kommunal och privat verksamhet.

    Sammanfattningsvis har chefer i äldreomsorgen många olika värden, på olika nivåer och utifrån olika perspektiv att förhålla sig till i sitt ledarskap. Att hantera och utveckla förståelse för dessa är utmanande i chefskapet och värdedilemman är vanliga. Majoriteten av cheferna i denna studie beskriver dock generellt en aktiv och god hantering och organisering av dessa. Konstateras att en integrerad förståelse och hantering, samt goda organisatoriska stödresurser tycks bidra till mer hållbart och värdeskapande ledarskap.

  • 44. Bruce, K
    et al.
    Suserud, Björn-Ove
    University of Borås, School of Health Science.
    The hand-over process and triage of ambulance-borne patients: The experience of emergency nurses2005In: Nursing in Critical Care, ISSN 1362-1017, E-ISSN 1478-5153, Vol. 10, no 4, p. 201-209Article in journal (Refereed)
    Abstract [en]

    One of the most important tasks that a nurse faces in the emergency room, when receiving a patient, is handover and the triage function. The aim of the study was to explore the experiences of nurses receiving patients who were brought into hospital as emergencies by ambulance crews through an analysis of the handover and triage process. A qualitative descriptive interview study inspired by the phenomenological method was used with six emergency nurses. There are three elements to a handover: a verbal report, handing over documented accounts and the final symbolic handover when a patient is transferred from the ambulance stretcher onto the hospital stretcher. The study identified that the verbal communication between ambulance and emergency nurses was often very structured. The ideal handovers often involved patients with very distinct medical problems. The difficult handover or the ‘non-ideal’ one was characterized by a significantly more complicated care situation. The handover function was pivotal in ensuring that the patient received the correct care and that care was provided at the appropriate level. The most seriously afflicted patients arrived by ambulance; therefore, the interplay between pre-hospital and hospital personnel was vital in conveying this important information. To some extent, this functioned well, but this research has identified areas where this care can be improved.

  • 45.
    Bång, Angela
    et al.
    University of Borås, School of Health Science.
    Castrén, Maaret
    Herlitz, Johan
    University of Borås, School of Health Science.
    Suserud, Björn-Ove
    University of Borås, School of Health Science.
    Svensson, Leif
    Forskning och utveckling2009In: Prehospital akutsjukvård / [ed] Leif Svensson, Stockholm: Liber AB , 2009, p. 461-469Chapter in book (Other academic)
  • 46.
    Bång, Angela
    et al.
    University of Borås, School of Health Science.
    Herlitz, Johan
    University of Borås, School of Health Science.
    Grip, L
    Caidahl, K
    Karlsson, T
    Kihlgren, S
    Hartford, M
    The Relative Influence of Age, Previous History and Therapeutic Strategies Prior to Hospital Admission among Ambulance Transported Patients with ST-elevation Myocardial Infarction2009In: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 136, no 2, p. 213-214Article in journal (Refereed)
    Abstract [en]

    Among 388 patients with ST-elevation and myocardial infarction admitted to hospital with ambulance, we found the following to be independent predictors of the short term (30 days) mortality rate; Age and treatment with aspirin prior to hospital admission. The following were associated with long term (30 days to 5 years) mortality rate; age, a history of diabetes and fast track to CCU.

  • 47. Bång, Angela
    et al.
    Martinell, S
    Herlitz, Johan
    Interaction between emergency medical dispatcher and caller in suspected out-of-hospital cardiac arrest calls with focus on agonal breathing. A review of 100 tape recordings of true cardiac arrest cases2003In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 2003, no 56, p. 25-34Article in journal (Refereed)
    Abstract [en]

    Aim: One of the objectives of this study was to assess the previous termemergency medical dispatchersnext term (EMDs) ability for the identification and prioritisation of previous termcardiac arrestnext term (CA) previous termcases,next term and offering and achievements of previous termdispatchernext term-assisted bystander cardiopulmonary resuscitation (CPR). The other objective was to give an account of the frequency of previous termagonalnext term respiration in previous termcardiac arrest calls and the caller'snext term descriptions of previous termbreathing.next term Methods: Prospective study evaluating previous term100 tape recordingsnext term of the EMD previous termcalls of emergency medicalnext term service (EMS)-provided advanced life support- (ALS) previous termcases, of out-of-hospital cardiac arrest.next term Results: The quality of EMD-performed interviews was highly commended in 63% of previous termcases,next term but insufficient or unapproved in the remaining 37%. The previous termcaller'snext term state of mind was not previous termanext term major problem for co-operation. Among the previous term100 cases,next term 24 were previous termsuspectednext term to be unconscious and in respiratory previous termarrest. Anext term further 38 previous termcasesnext term were presented as unconscious with abnormal previous termbreathing.next term In only 14 previous termcases dispatchernext term-assisted bystander CPR was offered by the EMD, and in 11 of these it was attempted, and completed in eight. Only four of the previous termcasesnext term were unconscious patients with abnormal previous termbreathing.next term The incidence of previous termsuspected agonal breathingnext term was estimated to be not, vert, similar30% and the descriptions were; difficulty, poorly, gasping, wheezing, impaired, occasional previous termbreathing.next term Conclusions: Among previous termsuspected cardiac arrest cases,next term EMDs offer CPR instruction to only previous termanext term small fraction of previous termcallers. Anext term major obstacle was the presentation of previous termagonal breathing.next term Patients with previous termanext term combination of unconsciousness and previous termagonal breathingnext term should be offered previous termdispatchernext term-assisted CPR instruction. This might improve survival in previous termout-of hospital cardiac arrest.next term

  • 48. Bång, Angela
    et al.
    Ortgren, P-O
    Herlitz, Johan
    Währborg, P
    Dispatcher-assisted telephone CPR: A qualitative study exploring how dispatchers perceive their experiences2000In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 53, no 1, p. 135-151Article in journal (Refereed)
    Abstract [en]

    Objectives:To investigate how emergency medical dispatchers (EMDs) perceive their experience of identifying suspected cardiac arrests (CA), and offer and provide instructions in cardiopulmonary resuscitation via telephone (t-CPR). Design: A qualitative method using the phenomenographic design where 10 EMDs were approached for semi-structured interviews. Main outcome measures: Perception in identifying CA, perception in offering t-CPR and perception in providing t-CPR. Results: In this analysis, 12 categories and 31 subcategories emerged. The categories for perception in identifying CA were; to trust the witness's account, to be open-minded and to be organised. The categories for perception in offering t-CPR were: to feel prepared to connect with the witness on a mental level by being organised, flexible and supportive, to obtain a basis for assessments and to be observant for diverse obstacles in a situation. Finally, the categories for perception in providing t-CPR were: to feel engaged, to be supportive of the witness, to feel secure by recognising response-feedback from the witness, to observe external conditions with regard to the locality and technical complications, to be composed and adjust to the needs of the situation, to feel competent or to feel despair. Conclusions: By listening in an open-minded way, a vast amount of information can be collected. Using criteria-based dispatch (CBD) and their own resources, the possibilities and difficulties of the situation are analysed. The EMDs believe that they are being an empathic support, relieving the witness of the burden of responsibility, and connecting with them mentally to enable them to act at the scene. There are EMDs who feel competent and experienced in managing these cases, and other EMDs who feel insecure and despair. The choice between providing t-CPR and answering incoming calls is prioritised differently among EMDs. There is also a broad subjective assessment among EMDs of offering t-CPR, especially to persons over 70 years old whom they consider incapable of performing CPR. The competence of the EMDs in t-CPR is dependent on re-training and a feedback on patient outcome. Witnesses who are negative towards acting constitute a common problem. There are witnesses with physical impediments or psychologically not susceptible to suggestions. The EMD is also dependent on the knowledge and trustworthiness of the witness. Convincing answers from witnesses prompt a more secure feeling in the EMDs, just as lack of knowledge in the witness has a negative effect on the efforts.

  • 49.
    Cannerheim, Cecilia
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Kronberg Thor, Micaela
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Effekter och förutsättningar för etisk reflektion i förhållande till organisatoriskt lärande i palliativ vård: En litteraturstudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Denna litteraturstudie presenterar effekter och förutsättningar för etisk reflektion i förhållande till organisatoriskt lärande i palliativ vård. Arbetet är genomgående av ett kvalitativt förhållningssätt i analys och bearbetning. Utifrån en kvalitativ ansats ger litteraturstudien en fördjupning i området etisk reflektion i förhållande till organisatoriskt lärande i palliativ vård. Datainsamling skedde utifrån sökord kring palliativ vård och etiska modeller. Urvalet presenteras i olika steg utifrån Fribergs analysgång.

    Resultatet av betydelsefulla förutsättningar för etisk reflektion presenteras utifrån huvudteman och underteman i tabell och löpande text.  Det finns en mängd stora som små, komplicerade och mindre svåra aspekter som har en avgörande betydelse för att en verksamhet genom etisk reflektion utvecklas till en lärande organisation.

    Effekter som framförallt redovisats ha en stor betydelse, är vikten av en närvarande och stöttande chef, gemensam vision och vårdfilosofi samt en öppenhet i det vårdande teamet. Erkännande och stöd var viktigt för personalen. De vill ha bekräftelse att de utför vård av god kvalité, som leder till en ökad arbetsglädje. En etisk reflektion, dvs. att fundera och diskutera över händelser eller svårigheter och att spegla dessa med varandra ger personalen möjlighet till personlig utveckling och detta utmynnar i att verksamheten utvecklar ett organisatoriskt lärande. En svårighet ute i verksamheterna är att avsätta tid i konkurrens med ”allt annat”. Detta är givetvis en ledningsfråga men forskningen visar att palliativt förhållningssätt med en struktur för reflektion minskar risken för att vårdtagarnas värdighet hotas.

  • 50. Carlsson, E
    et al.
    Berndtsson, I
    Fingren, J
    Hallén, A-M
    Lindholm, E
    Persson, Eva
    University of Borås, School of Health Science.
    Concerns and quality of life before surgery and during the recovery period in patients with rectal cancer and ostomy2010In: Journal of Wound, Ostomy and Continence Nursing (WOCN), ISSN 1071-5754, E-ISSN 1528-3976, Vol. 37, no 6, p. 654-61Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Rectal cancer is the most common reason for a person to undergo ostomy surgery. The aim of this study was to assess concerns and health-related quality of life (HRQOL) before surgery and during the first 6 months following ostomy surgery in the presence of rectal cancer. SUBJECTS AND SETTINGS: The sample comprised 57 patients at a university hospital in Gothenburg, Sweden. Their median age was 66 years (range, 30-87); 35 men and 22 women participated in the study. METHODS: Participants prospectively answered questionnaires preoperatively, and at 1, 3, and 6 months postoperatively. Concerns were assessed using the rating form of the Inflammatory Bowel Disease Patient Concerns, and HRQOL was evaluated using the 36-Item Short Form Health Survey. Results were compared with population norms. RESULTS: Participants expressed concerns associated with developing cancer, being a burden on others, and related to the uncertain nature of disease. Health-related quality of life scores dropped significantly in 6 of 8 domains when preoperative scores were compared to those obtained 1 month postoperatively, but scores improved at 6 months. There were significant differences between preoperative study group scores and population norms on physical and emotional role function, social function, and for mental health domains. Significant differences persisted when population norms were compared to study group scores 6 months following surgery on all these domains except mental health. Participants identified good relations with significant others, social and leisure activities, psychological issues, and health as important for maintaining QOL. Obstacles to maintaining QOL included fatigue, pain, illness-induced limitations in life, and worries over what their new life would entail. CONCLUSION: Surgical management of rectal cancer raises concerns and profoundly impairs QOL during the first several postoperative months.

1234567 1 - 50 of 301
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf