Indiana University-Purdue University Indianapolis (IUPUI) / Intimate partner violence is a problem in the United States (U.S.) military. Previous research has identified factors that increase a couple’s risk for engaging in violence. Most of these factors, such as age, alcohol, and relationship satisfaction are consistent across civilian and military samples. One factor that is unique to military samples is deployment; service members can be exposed to unique traumatic incidents while deployed which are generally unknown to most civilians. Deployments can also increase a service member’s risk for developing Post Traumatic Stress Disorder (PTSD), which can increase their risk for intimate partner violence. Previous research on the effect of deployments on intimate partner violence has produced mixed results. The purpose of this study was to analyze if deployment, total length of deployment, combat experiences from deployment, and PTSD symptoms increased risk for Air Force airmen to perpetrate intimate partner violence at a moderate or severe level of violence. Survey data from a representative sample of active duty Air Force airmen (N = 1,501) was used to conduct Chi-Square analyses and multinomial logistic regression models for perpetrated violence. Results of the study showed that deployment and combat experiences were not significant predictors of perpetrated violence. PTSD symptoms, in addition to alcohol misuse and relationship satisfaction, were significant predictors of moderate and severe perpetrated violence. In terms of practice and policy implications, the study results underscore the importance of widespread screening for these risk factors as well as the availability of interventions focused on alcohol use and relationship issues among service members. Future research could determine if PTSD symptoms moderate the relationship between combat experiences and intimate partner violence.

History can be experiences in many ways, it can be taught in schools, it can be studied by archaeologists in the field. It can also be done by reading historical fiction, and it can be experienced through walking a mile in an historical person’s shoes. Literally walking. This thesis focuses on the experiences of wearing a Legionnaire uniform during the historically inspired larp Legion, made by the company Rolling, in the czech republic. The thesis explores the physical experience of wearing a uniform in harsh winter terrain during this larp as well the emotional process a person goes through while in uniform during the larp The main questions of issue were:  * How does modern humans experience this kind of historical uniform in winter terrain? * What does the uniform do with the person wearing it?  The first question focused on the physical part of wearing the uniform, and the second question focused more on the emotional part of wearing it.  The data was collected by asking larpers who had attended the larp to fill out a survey containing questions about their experiences.  The analysis was done using Actor Network Theory, a theory which made it possible to see connections between the larpers, the terrain, the temperature, and the uniform itself. Maslow’s hierarchy of needs was also used to further analyse the data.  The results of this study show that there are many clusters of actors that play an important part of the experiences of wearing the uniform. The temperature was an important actor, as well as how the uniform erased differences between individuals making comradery a major part of the experience. Emotions of inner strength, confidence and calm were also important parts of what the larpers experiences when wearing the uniform.

Bakgrund: Föräldraskapet förknippas med glädje, självförverkligande och hopp om framtiden. Ibland blir inte den första tiden med barnet vad den nyblivna modern tänkt sig, en del kvinnor känner sig nedstämda medan andra upplever att de inte är förberedda för allt vad föräldraskapet innebär. Kvinnan kan bli rädd för att inte behärska den nya rollen som mor. I Sverige drabbas varje år cirka 10000 kvinnor av depression de första månaderna efter barnets födelse. Symtomen är nedstämdhet, känsla av att vara värdelös, oro, trötthet, svårt att känna glädje för sitt barn och tankar på att skada barnet. Inom hälso- och sjukvården har barnmorskan en viktig roll att screena för postpartum depression, mot bakgrund av att av psykosociala eller psykologiska insatser kort efter förlossningen kan förebygga depression. Postpartum depression påverkar inte bara kvinnan utan även barnet och kvinnans partner. Syfte: Syftet var att belysa mödrars upplevelser av en postpartum depression. Metod: Metoden som användes var en litteraturöversikt. Sexton kvalitativa vetenskapliga artiklar inkluderades och analyserades genom en beskrivande metasyntes som metod. Resultat: I resultatet identifierades fem teman omställning till föräldraskap, de upplevda symtomen, relationen till barnet, upplevelse av stöd, att komma tillbaka. Resultatet visade att tiden som nybliven mor innebar förändringar som kvinnorna inte kände sig förberedda på. Tiden efter barnets födelse präglades av oro inför att skada sitt barn, saknat självförtroende och känslor av att tappa bort sig själva. Kvinnorna upplevde avsaknad av stöd och rädsla inför att anförtro sig till sjukvården med konsekvensen att ses som en inkompetent mor och bli fråntagen sitt barn.

Incidence of incurable disease and disability has been increasing in the Western world in recent years. Parallel to this increase, survival rates for adolescents and young adults with life threatening illness, specifically cancer, have not improved relative to younger and older age groups. Palliative care is a total care for patients, regardless the type and status of the illness, and aims to improve quality of life by controlling symptoms and alleviating physical social, psychological and spiritual suffering. The varying level of physical, emotional and psychological maturity makes palliative and supportive care needs of adolescents distinct and challenging.  In this systematic review, the aim was to describe the experiences of palliative and supportive care for adolescents with life threatening illness, from the perspectives of adolescents, family and nurses as providers of palliative and supportive care.  A systematic review of descriptive meta-synthesis was the appropriate method of choice concerning the aims focus on subjective experiences of palliative and supportive care for adolescents. PubMed and CINAHL were the two databases used for data sources of qualitative published articles between the years of 2006-2016.  A total of 1066 qualitative published articles were identified, but only 16 articles have met the inclusion criteria. Nine articles were focusing on adolescents’ experiences, whereas five articles were focusing on families’ experiences and the remaining two were on the nurses’ experiences in providing palliative and supportive care to adolescents. A total of eleven themes have emerged. Four themes were from adolescent’s perspective: preserving self or identity, social support, acceptance and feeling positive and care setting. Another four themes were on family’s perspective: social support, information and decision making, care setting and perception of self-image. Whereas the remaining three themes were on nurse’s perspective: importance of family dynamics, reaching out to adolescents, balancing professional and personal involvement.  In conclusion this systematic review meta-synthesis showed that social support, specifically peer’s support had an impact in enhancing coping with the altered body image and ordinary daily social activities of adolescents due to life threatening illnesses and their treatment. Nurses have a key professional role in facilitating the social network of social support to promote quality of life by maintaining the need for normality.

No description available.

Background: Every year, several people in Sweden undergo an ostomy operation. Inflammatory bowel disease and cancer are some of the reasons for stoma is inserted. Living with a stoma can affect the person´s experience of health and suffering as well as the view of their own body. As a nurse, it is important to have knowledge and be able to support affected people with a stoma i na professional way. Aim: The aim of this study was to describe adult people's experiences of living with a stoma. Method: A literature-based study based on qualitative research was conducted. Eleven scientific articles were reviewed, analyzed and compiled into a result. Results: The result was based on two themes and six subthemes. The first theme was: Body function and appearance, with the three subthemes: Loss of body control, body control using strategies, varied feelings and behavior related to the appearance of the body. The second theme was: Impact on social life, with the three subthemes: Significant support and guidance from healthcare, mixed feelings in front of returning to work and difficulty with intimate relationships. Conclusion: Living with a stoma is associated with both positive and negative experiences and varies from person to person. Increased support and information from nurses give people with stoma a greater opportunity to adapt to their new life. / Syftet med examensarbetet var att ta reda på vuxna personers erfarenheter av att leva med stomi. Stomi är en kirurgisk öppning i buken där avföring kan rinna ut. En stomi anläggs vid trauma eller sjukdom i tarmarna. Resultatet visade att många personer hade svårt att acceptera sin nya kropps utseende och funktion efter anläggning av stomi. Till följd av förändringen såg vissa personer med stomi negativt på sig själva, vilket påverkade dem psykiskt. Kroppens tidigare naturliga funktion förändrades vilket för många var påfrestande och upplevdes som en förlust av kroppskontroll. Olika typer av egenvård användes för att återfå kontroll över tarmen, ett exempel var irrigation som gjorde det möjligt för personer med stomi att uppnå kontinens. Personer med stomi kände att de fick tillbaka sitt självförtroende och en känsla av makt över sin kropp tack vare den återfunna kontrollen. För personer med inflammatoriska tarmsjukdomar sågs dock stomibildandet och den förändrade kroppsfunktionen som en återvunnen kroppskontroll. Oro för okontrollerbara gasutsläpp och påsläckage gjorde att många personer undvek att umgås med vänner och familj, eller att vistas i sociala sammanhang. Oron och den förändrade bilden av kroppen påverkade även sexlivet negativt. Oron och de psykiska besvären till följd av stomin hindrade personer att njuta av intimitet. Flera personer upplevde svårigheter att återgå till arbetet då känslor av fördomar och diskriminering uppkom. Många personer med stomi såg stöd som en viktig del för att acceptera sitt nya liv, men flera upplevde ett otillräckligt stöd från sjukvården. Personer med stomi finns överallt inom vården vilket innebär att allmänsjuksköterskan ofta möter dessa patienter. För att kunna bemöta och hjälpa personer med stomi på bästa sätt, behöver sjuksköterskan ha kunskap om hur det kan upplevas att leva med stomi. Examensarbetet är litteraturbaserat med grund i analys av kvalitativa studier. Elva artiklar valdes ut och granskades för att sedan analyseras och bilda resultatet till examensarbetet. Tidigare studier visade att personer med stomi hade problem med oro och skamrelaterat till stomin. Detta stämde även överens med resultatet i examensarbetet.

The purpose of my exam thesis in advanced level is that I formed a perception about what difficulties newly arrived students encounter in mathematics. What I also formed is a perception about how I can complete those difficulties. This is done for newly arrived students in order to finally increase their opportunities to develop in their learning and also for teachers, how to behave and react to help their newly arrived students. To answer the purpose, I started with a research overview. The research overview below served as an aid and guideline during the course of the work. “What different types of difficulties do newly arrived students experience in relation to mathematics”. What I also have done is conducted an information search using keywords that are combined in different ways in different databases about scaffolding benefits for newly arrived students, which I discussed later on with the results I got.   To answer my purpose, I implemented qualitative interviews with newly arrived students around the age 15 and 16 in a school that is located in Malmo, Sweden. The work has a phenomenological approach, which has contributed to experiences being the focus of the collection and processing of materials.The results show that newly arrived students' experiences of mathematics are different. Students that didn't get any extra help have a hard time learning math in school while students who get extra help from either family or classmates have it easier. Newly arrived students developed their mathematic and Swedish skills when they were taught and assisted in their first language during class and tasks, however that method was not used a lot by their teachers. Students who had family helping them or students who speak the same language feel less lonely in school than students who didn't have anything. Same difficulties are found in the Swedish language, in which the newly arrived students described how math is a universal language, but some math problems require Swedish language, therefore they are connected.

Background: Many different patient groups arrive to the emergency department often without an investigated diagnose. Deficiencies in nurses' work environment and the shortcomings of nursing education create challenges for nurses to meet the needs of all these patient groups through nursing based on scientific knowledge. Aim: The aim of this study was to describe nurses’ experiences of insufficient knowledge in nursing situations in the emergency department and what the experiences are perceived to depend on. Method: A literature study of eleven qualitative articles was done based on qualitative content analysis. Result: Two themes were identified; inadequate education and experience and attitudes and conceptions. Conclusion: Varying patient presentations in the emergency department can lead to nurses experiencing inadequate knowledge. These experiences are perceived primarily to be due to inadequate experience but perceptions that nurses should not be expected to have knowledge of unusual patient groups also existed.

Bakgrund  När ett barn drabbas av cancer, drabbas hela familjen. Detta betyder att om en individs livssituation förändras kommer detta påverka livet för alla inkluderade. Därför är det essentiellt att familjen och omvårdnaden betraktas som helhet. Hopp har visat sig ha en stor betydelse inom cancervården och för tillfrisknandet. Däremot kan avsaknaden av hoppet få konsekvenser som nedstämdhet, nedsatt motivation och minskad följsamhet i behandlingen.  Bakgrunden visar att sjuksköterskan är den profession som ter sig bäst lämpad i främjandet och bibehållandet av hoppet.  Syfte  Syftet var att beskriva familjers upplevelser av hopp i vården av ett cancersjukt barn.  Metod  En icke-systematisk litteraturöversikt med 17 vetenskapliga artiklar. Tolv vetenskapliga artiklar söktes fram i PubMed och CINAHL samt fem stycken via en manuell sökning. Det totala antalet artiklar kvalitetsgranskades och genomgick sedan en integrerad analys.  Resultat  Flertalet familjer upplevde hoppet som konstant och den viktigaste faktorn i vården av ett cancersjukt barn. Däremot kunde familjer även uppleva att hoppets intensitet varierade beroende på vad som inträffade under behandlingen. Variationens intensitet beskrevs utifrån en hög hoppfullhet som resulterade i minskade ångestsymtom medan en låg hoppfullhet orsakade depression och ångest. Familjers upplevelser av vilka faktorer som främjade hoppet var framförallt ett empatiskt och förstående bemötande, stöd från närstående och vårdpersonal samt sanningsenlig information och kunskap om sjukdomen.  Slutsats  Alla familjer till ett cancersjukt barn upplever att hoppet har en signifikant betydelse i vården. Dels för att orka fortsätta behandlingarna genom den berg- och dalbana föräldrarna beskriver att cancervården medför, men också för att motverka de konsekvenser som cancern och hopplöshet kan orsaka, såsom depression och ångest. Sammantaget beskrevs hoppet som fluktuerande under hela vårdtiden men familjernas upplevelse av hoppet var alltid konstan / Background  The whole family is affected when their child is diagnosed with cancer. If one individuals' life situation changes, this will affect the lives of everyone included. It is essential that the nursing and the family is seen as united. Hope has shown have a great meaning in cancer care and for the recovery. However, lack av hope can eventuate consequences like depression, decreased motivation and compliance. The background shows that the nurse is the profession that is best suited for promoting and preservation of hope.  Aim  The aim was to describe family's experiences of hope in care of a child with cancer.  Method  A non-systematic literature review with 17 scientific articles. Twelve scientific articles were search in PubMed and CINAHL and five articles through a manual research. The total amount of articles was quality reviewed and went later on through an integrated analysis.  Results  Most families experienced hope as something constant and the most important component in nursing for a child suffering from cancer. However parents could also experience that the intensity of hope varied depending on how the treatment progress went. Intensity of the variation was described as high hopefulness resulted in reduced anxiety symptoms while a low hopefulness caused depression and anxiety. An empathic and understanding response, support from relatives and health care professionals together with truthful information and knowledge about the disease were those factors that promoted hope according to the family.  Conclusions  All families experienced the significant meaning of hope. Partly to be able to continue the treatments through the roller-coaster parents described that the cancer brings with it, but also to be able to resist the consequences cancer and hopelessness can bring, such as depression and anxiety. Summarized, hope is described as something fluctuating but were always present.

The prevalence of post abortion contraception in Zambia is lower than in many other African countries, with unmet family planning needs. Midwives play an important professional role in family planning. In conjunction with an abortion the midwife is provided with an opportunity to inform, discuss, prescribe and initiate family planning with the woman concerned. It is shown that women receiving information and knowledge about post abortion contraception are more likely to use it.   The aim of the study was to describe midwives experiences of working with post abortion family planning in Zambia.   A qualitative interview study with semi-structured questions was used. To conduct the study and find participants with the right inclusion criteria a strategic sampling was used. Ten midwives working with post abortion family planning in Zambia were interviewed. Qualitative content analysis was performed to analyze the collected data from the interviews.   During the data-analysis two categories and eight subcategories were identified. The midwives had experiences of several challenges within post abortion family planning. These included lack of knowledge, supplies and health care staff as well as problem with stigma around family planning and lack of compliance. The midwives also described other factors influencing the work with post abortion family planning. These factors included changes in attitudes, the midwife's knowledge and the importance of information provided by the midwives.   The midwives experienced that there were several factors influencing their work with post abortion family planning. Several challenges within post abortion family planning were identified in this study. Areas of improvement involve education, more midwives working and a better availability to post abortion family planning equipment and services. / Användandet av preventivmedel efter abort är lägre i Zambia i jämförelse med andra afrikanska länder och behovet av familjeplanering är inte tillfredsställt i Zambia. Barnmorskeprofessionen har en viktig roll i familjeplanering. I samband med abort har barnmorskan ett utmärkt tillfälle att informera, diskutera, förskriva samt initiera familjeplanering med den berörda kvinnan. Det har visat sig att kvinnor som får information och kunskap om familjeplanering efter abort är mer benägna att använda sig av preventivmedel.   Syftet med denna studie var att beskriva barnmorskors erfarenheter av att arbeta med familjeplanering för kvinnor i Zambia som genomgått en abort.   En kvalitativ intervjustudie med semistrukturerade frågor användes. För att nå deltagare som uppfyllde studiens inklusionskriterier användes ett strategiskt urval. Tio barnmorskor i Zambia som arbetar med familjeplanering efter abort deltog i studien. En kvalitativ innehållsanalys utfördes för att analysera det insamlade materialet.   Under analysen identifierades två kategorier och åtta subkategorier. Barnmorskorna hade erfarenhet av flera utmaningar inom familjeplanering efter abort. Dessa bestod dels av brist på kunskap, material och vårdpersonal samt problem med stigma kring familjeplanering och brist på följsamhet rörande preventivmedelsanvändning. Barnmorskorna beskrev även andra faktorer som påverkade arbetet med familjeplanering efter abort. Dessa faktorer bestod av ändrade attityder, barnmorskans kunskap och vikten av barnmorskans information.   Barnmorskorna hade erfarenhet av att flera faktorer påverkade deras arbete med familjeplanering efter abort. Flera utmaningar med familjeplanering efter abort identifierades genom den här studien. Förbättringsområden involverar utbildning, fler verksamma barnmorskor och en bättre tillgänglighet till material och familjeplanering efter abort.