Levin, J. (2024). The importance of health promotion work in grief processing - A qualitative study on different actors approaches to support young adults due to parental death. Bachelor thesis in Public Health Science. Department of Social Work, Criminology, and Public Health. University of Gävle, Sweden. The aim of this study was to investigate how different actors work to support bereavedadults between 18 to 29 years old due to parental death in a major city in Sweden. Method: A qualitative study with semi-structured interviews with four individuals that work for organisations that support the specific age group in bereavement. The data was analysed with thematic analysis and ended up with three main themes: The meeting with young adults in bereavment; Conditions for promoting health; Opportunities for improvement. The results showed that knowledge and methods differed between, public, private, and non-profit actors. Overall, the organisations experienced that they used methods which were successful in promoting well-being in young adults. They experienced capabilities to create and maintain supportive environments. The result alsoshowed that during the meetings with young adults, multiple deficiencies were revealed about other actors that the young adults had contacted for support. The conclusion of this study showed positive effects but also lacking of support in different actors approach with young adults in bereavment. Further research is needed in this field to deepen the knowledge of the effects of the used methods. It should also be studied based on the young adult’s experiences of support. An advantage may be to use practice based research where different actors, affected individuals and researchers together can come up with strategies that prevent poor health, improve supportive environments and increase the well-being of young adults in bereavment.  Keywords: young adults, bereavement, parental death, support, different actors

Bakgrund: Att vårda patienter i palliativ vård beskrivs som utmanande då sjuksköterskor blir känslomässigt berörda av döende patienter. Detta medför att sjuksköterskor kan finna sig i motstridiga roller och beskrivs vara i behov av att balansera känslor gentemot patienter, anhöriga och arbetskollegor. Tidigare forskning beskriver att vårda patienter med barn i palliativ vård som betydelsefullt. Dock saknas forskning kring sjuksköterskors upplevelser av detta fenomen. Syfte: Att beskriva sjuksköterskors upplevelser av att vårda patienter med barn under 18 år i palliativ vård. Metod: Metoden bestod av en empirisk studie med en kvalitativ ansats. Datainsamlingen utfördes genom fyra semistrukturerade intervjuer och dataanalysen utfördes med en induktiv innehållsanalys. Resultat: Sjuksköterskorna upplevde sig bli berörda av patienter med barn under 18 år i palliativ vård, detta resulterade i tre kategorier; att bli berörd av patienten; att orka vårda och att inkludera hela familjen. Ur dessa kategorier kunde sju underkategorier urskiljas. Slutsats: Genom medlidande upplevde sjuksköterskorna sig bli känslomässigt berörda av patienterna. Sjuksköterskorna fann igenkännande aspekter hos patienterna, likt att vara mitt i livet samt att ha egna barn, som medförde en spegling hos dem själva. Det var essentiellt, såväl för patienterna och barnen, att få barnen delaktiga i vårdförloppet. / Background: Caring for patients in palliative care is described as challenging for nurses as they can be emotionally affected by dying patients in varying degrees. This entails that nurses can find themselves in conflicting roles and have a need of balancing different emotions towards patients, next of kin and colleagues. Previous research describes that caring for patients with children in palliative care includes a unique value. However, research on nurses' experiences of this phenomenon is lacking. Aim: To describe registered nurses experiences of caring for patients with children under the age of 18 in palliative care. Method: The method consists of an empirical study with a qualitative approach. The data was collected by four semi-structed interviews and analyzed by using inductive content analysis. Result: The nurses experienced to be affected by patients with children under the age of 18 in palliative care, this resulted in three themes; to be affected by the patient; to be able to care and to include the whole family. To these themes seven sub-themes could be distinguished. Conclusion: Trough compassion the nurses experienced to become emotionally affected by the patients. The nurses found recognizing aspects of the patients, such as being in the middle of life and having children of their own, which led to a reflection of themselves. It was essential, both for the patients and the children, to get the children involved in the careprocess.