No description available.

Bakgrund: Schizofreni kännetecknas av en förvrängd verklighetsuppfattning, och att man haft en psykos som varat längre än sex månader. Framträdande är ett desorienterat tänkande och röstahallucinationer, även om störningen huvudsakligen är kognitiv så yttrar den sig oftast på beteendemässiga och känslomässiga plan. Attityderna gentemot schizofrena har under de senare åren generellt förbättrats i det svenska samhället och inom sjukvården. Men ändå är negativa attityder fortfarande vanligt förekommande. En attityd är en uppfattning som man bildar sig gentemot ett visst fenomen, en persons medvetna eller omedvetna inställning till en person eller ting och kan vara positiv eller negativ. En bättre förståelse för vilka faktorer det är som påverkar attityder och hur de uppkommer kan bidra till att de negativa attityderna minskar, då vårdpersonalens attityder är färgade historiskt av att se patienten som en karaktär snarare än en individ. Syfte: Att beskriva syn på och aspekter av attityder gentemot patienter med schizofrenidiagnos. Metod: Elva kvantitativa artiklar analyserades för att se vilka faktorer som bidrar till utveckling av attityder, sökningen av artiklarna gjordes i ett flertal olika vårdvetenskapliga och medicinska databaser. Artiklarna bearbetades sedan för att få fram gemensamma huvudteman. Resultat: Attitydernas uppkomst och förekomst skiljer sig åt mellan vårdinrättningar och nationer, där etnisk och kulturell bakgrund, kön, utbildningsnivå hos personalen, arbetsplats samt arbetslivserfarenhet är faktorer som starkt påverkar attityderna, både på ett positivt och negativt sätt. Samt att vårdpersonalen upplever patienterna som farliga och opålitliga. Diskussion: Sjuksköterskans attityd gentemot patienter med diagnosen schizofreni är högst personlig och påverkas av olika sociodemografiska faktorer.  Detta diskuteras utifrån Travelbees Human-To-Human Relationship Model och omvårdnadsvetenskapens konsensusbegrepp miljö. / Background: Schizophrenia is characterized by a distorted perception of reality, where a person must have had a psychosis that lasted longer than six months. Dominant in the disorder is disoriented thinking and voice hallucinations, even if it´s primarily a cognitive disease and it manifests itself mostly on a behavioral and emotional level. Attitudes towards schizophrenics have in recent years generally improved in the Swedish society and in health care departments. Yet negative attitudes are still prevalent. An attitude is a perception that forms itself against a certain phenomenon, a person's intentional and unintentional feeling toward a person or thing, and it may be positive or negative. A better understanding of the factors that influence attitudes and how they occur may contribute to that the negative attitudes decrease. Objective: To describe the approach to and aspects of attitudes towards patients with a schizophrenia diagnosis. Method: Eleven quantitative articles were analyzed to see which factors contribute to the development of attitudes, the search of articles were made in a variety ofnursing science and medical databases. The articles were then processed to obtain common key themes. Results: Showed that the attitudes of the emergence and prevalence differ between health care institutions and between nations. Where ethnic and cultural background, gender, education levels, workplace and work experience of the staff are factors that strongly influences attitudes, both in a positive and negative way. Caregivers also perceive patients as dangerous and untrustworthy. Discussion: Nurse's attitude towards patients with a diagnosis of schizophrenia is a highly personal and a person's individual attitude, which is influenced by various socio-demographic factors. This is discussed from Travelbees Human-To-Human Relationship Model and the nursing science consensus concept environment.

The study was developed after research with older women suffering urinary symptoms showed that many had tolerated social, psychological and hygiene effects on their lives for some time. There is evidence that some symptoms in later life may originate from pregnancy and childbirth. However, whist there is evidence that pelvic floor muscle exercises can be effective in the short term, there is a paucity of research on the reasons why women tolerate symptoms in the postnatal period rather than seek help. It was also unclear what significance the interactions with health professionals had in aiding or suppressing help-seeking. The aim of this qualitative study was to use grounded theory methodology to describe women’s experiences and knowledge of urinary symptoms in the postnatal period and the perceptions of health professionals. Fifteen women were interviewed in the postnatal period, and one woman was interviewed twice. From the interviews and observations of antenatal clinics and postnatal groups three categories emerged; messages women receive, seeking and understanding information and responding to the messages. Views and knowledge of health professionals were obtained through two focus groups of five. From the analysis of the findings the following five categories emerged; clarifying pathways of care, clarifying education, improving communication, understanding actions and serious issues. The core category arising from this; overcoming barriers to facilitate empowerment, revealed barriers that women and health professionals must overcome in order to approach the issue of urinary incontinence collaboratively. This study identified that there can be problems with communication at all levels between women and health professionals, resulting in poor communication regarding urinary symptoms and accessing treatment. Furthermore, superficial education regarding pelvic floor muscle exercises and dysfunction, both in the antenatal and postnatal periods, coupled with difficulties with disclosure on a sensitive subject could be disempowering for women and health professionals. In particular, women found the possibility of an examination so soon after delivery worrying. Normalisation was a negative but powerful influence on women, encouraged by friends and family. It is suggested that, by developing interventions that enable women and health professionals to overcome the barriers of communication and knowledge exchange, women could be empowered in relation to their physical health after childbirth to manage their urinary symptoms. Empowerment for women, therefore, with regard to postnatal urinary symptoms means being able to believe that looking after the pelvic floor is normal rather than accepting urinary symptoms after childbirth as inevitable.

Magister Artium - MA / Osteoarthritis (OA) is the major cause of pain and disability in the elderly, as well as people younger than the age of 45. Research reported the importance of conservative management of OA in the early stages, as it has proved to be effective in slowing down the progression of the disease, as well as reducing the secondary effects of decreased functional ability and disability. Early referral could assist with effective pain management, decrease in disease progression and increase in functional ability and quality of life. Therefore, the overall aim of the study was to establish a profile of patients with OA, as well as to explore the perceptions and experiences of health professionals regarding the conservative management of OA at a tertiary hospital in Nigeria. The study employed a sequential exploratory mixed method approach, using a retrospective and exploratory study design for the quantitative and qualitative phases respectively. Data was collected from one hundred and thirty-five medical records of patients with OA, meeting the inclusion criteria of the study, and admitted at the University of Calabar Teaching Hospital (UCTH) from 1 January 2012 to 31 December 2016. The patient sample was predominantly female (n=80; 93%), with a mean age of 51.85 years old (SD=13.73). Thirteen (13) health professionals, eight (8) physiotherapists and five (5) orthopedic surgeons participated in the interviews. The Statistical Package for Social Sciences (SPSS) version 24 was used to analyse quantitative data. Inferential and descriptive statistics were used to describe the results in terms of frequencies, percentages, means and standard deviation. Alpha level was set at 5%. Audio-taped qualitative data was transcribed verbatim, and analysed using categories and themes.

Orientador: Ana Cláudia Bortolozzi Maia / Banca: Paulo Rennes Marçal Ribeiro / Banca: Alessandra de Andrade Lopes / Resumo: O processo histórico e social construiu modelos de masculinidade e feminilidade que culminam em padrões e normas a serem seguidas pelos indivíduos em suas interações sociais. Nas últimas décadas estudos fundamentados nas discussões originadas no movimento feminista têm investigado a forma como as instituições sociais, incluindo aí a medicina e as demais ciências da saúde, estabeleceram ao longo da história padrões de masculinidade e feminilidade, nutrindo o discurso sexista presente no senso comum e nas ciências. Papéis sociais são atribuídos aos gêneros especificando limites rígidos de comportamento e de controle social. A noção da predisposição feminina a distúrbios físicos e emocionais gerou especulações dentro de vertentes acadêmicas culminando na criação de especialidades médicas que prevenissem o adoecimento feminino; o masculino permeado por noções de resistência e força se tornou sinônimo de corpo saudável, ratificando a dominação masculina e o papel político e econômico dos homens. Estudos indicam que as relações de gênero influenciam negativamente sobre os cuidados com a saúde. Como objetivo de estudo esta pesquisa buscou investigar, por meio de entrevistas semi-estruturadas e análise de conteúdo, as concepções sobre gênero e suas relações no cuidado com a saúde nos relatos de 11 profissionais da sáude. Os resultados obtidos indicam que para os entrevistados as características tidas como de gênero são determinadas por fatores biológicos e sociais e irão influenciar na forma como homens e mulheres lidam com a sua saúde e doença. De acordo com os resultados há uma diferença significativa na interação com homens e mulheres sendo que as interações profissionais com o público feminino são entendidas como mais satisfatórias. Para os participantes a formação profissional não... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The historical and social process has built models of masculinity and femininity that culminate in standards and norms to be followed by individuals in their social interactions. In recent decades studies based on the discussions that originated in the feminist movement have been investigating how social institutions, including medicine and other health sciences, have established standards of masculinity and femininity throughout the history, nurturing this sexist discourse on common sense and sciences. Social roles are assigned to the genera specifying rigid boundaries of behavior and social control. The notion of the female predisposition to physical and emotional disorders has prompted speculation within academic strands culminating in the creation of specialized medical illness that would prevent the female, the male permeated by notions of endurance and strength has become synonymous of a healthy body, confirming the male domination and the economic and political role of men. Studies indicate that gender relations influence negatively on health care. This research concerned to study and investigate through semi-structured interviews and content analysis, conceptions of gender and its relationship to health care in reports of 11 health professionals. The results obtained indicate that for the interviewed subjects that the regarded characteristics of gender are determined by biological and social factors and will influence the way men and women deal with their health and disease. According to the results there is a significant difference in interaction with men and women being the professional interactions with the female audience perceived as more satisfactory. For the participants the professional background did not address gender issues and strategies to cope with the demands male and female were learned in professional... (Complete abstract click electronic access below) / Mestre

Aims: Eating disorder recovery is often supported by caregivers and mental health professionals. This research portfolio focuses on the experiences of supporting someone with an eating disorder from the perspective of the caregivers and also mental health professionals. The aims of this research portfolio are: Firstly, to systematically review the published qualitative literature relating to the experiences of caregivers supporting someone during eating disorder treatment; and secondly, to investigate the factors which may contribute to burnout, the factors which may protect against burnout and ways of managing work related stress for healthcare professionals who work in an eating disorder service. Method: A systematic review and meta-synthesis of caregiver experiences with eating disorder treatment was conducted. Searches identified 1927 studies of which 12 met the inclusion criteria for the study. Quality assessment revealed a number of strengths and also some limitations of the studies. For the research study ten healthcare professionals were interviewed on their experiences of supporting people with an eating disorder and ways of managing work related stress/burnout in this role. Interpretative Phenomenological Analysis was used to analyse the data. Results: Five major themes were identified from the systematic review: “access to treatment”, “key features of treatment”, “support for the caregiver”, “encounters with health care professionals” and “the future – hopes and fears”. The research study identified seven super-ordinate themes: “Dealing with Client Physical Health Risks”, “Working to Different Goals from the Client”, “Awareness of own Eating Patterns”, “Personal Accomplishment”, “Working Together as a Team”, “Working with Caregivers” and “Ways of Managing Work Related Stress”. Conclusions: The systematic review highlighted a number of clinical implications including the importance to caregivers of early intervention, the provision of practical, tailored information, support for the caregiver, the need for caregivers and professionals to work collaboratively and the importance of instilling hope in caregivers. The research study highlights potential contributors to burnout in eating disorder services as well as positive or protective factors to burnout. It also highlights ways of managing burnout through ensuring a work-life balance, utilising self-care strategies, self-reflection and realising recovery is not 'all or nothing'.

There is a discrepancy between the life expectancy of men and women of approximately two and a half years (Taylor Nelson Sofres 2014). This suggests that women are likely to spend a period of time in the latter years of their life living alone. It is anticipated that this will lead to a unique experience of later life for women, which to date has received little attention. This study is concerned with exploring the experience of living alone for 11 women aged 70-80 years from the South East of England. A particular emphasis is placed upon the experience of being an older woman, the activities that they engage in when they are at home alone, and the environment of home as a place for occupational engagement. Influenced by interpretive phenomenology and feminist principles, this study focuses on capturing the lived experiences of the 11 women in their own images and words. To achieve this, the methods of unstructured interviews and photo-elicitation are used. The women in this study describe a predominantly positive experience of living alone in later life. They value being busy, engage in a range of meaningful activities, and maintain their independence in everyday life. They provide compelling evidence that later life is a time for self-growth and development. This appears to link to the decline in the gender related roles and occupations which are expected of them in later life. This indicates that it is essential to provide bespoke support to older women that focuses on prevention of future decline but in a way that values their ongoing abilities.

It is estimated that one in five Australians are affected by a mental disorder, and the associated burden of living with a mental illness will become one of the greatest health care issues during the next 20 years. Since the 1960s, the care of people with mental disorders has been transferred to community settings including to rural areas of Australia through the process of deinstitutionalisation. However, research on young adults living with a mental illness in rural communities is limited, and the multidimensional experience of this group of young adults has not been previously explored. This study, guided by grounded theory methodology, explored young adults' experience of living with a mental illness in rural Western Australia. This thesis presents the findings of interviews with nine participants aged between 18 and 30 and places the findings within the context of relevant scientific literature. The constant comparative method used in grounded theory analysis identified that the basic social psychological problem experienced by all participants was "being shut out". The problem of being shut out consisted of two aspects: "being excluded" and "withdrawing from society". In order to manage the problem of being shut out, participants engaged in the basic social psychological process of "seeking normality". In seeking normality participants moved from a state of being shut out to one whereby they sought to take part in ordinary social activities taken for granted by other members of society. The process of seeking normality consisted of three phases: "floundering", "taking charge", and "moving forward. Phase one of the process occurred primarily in the period prior to experiencing a turning point, which changed the participants' willingness to take control of their life and to take effective steps in reducing their isolation. / Participants' experience of being shut out was not related to the duration of their illness but to their experience of seeking normality and the three conditions identified as influencing that experience. The findings, while supporting existing scientific literature, also present a new insight into young adults' experience of living with a mental illness in rural Western Australia. The findings of this study highlight the importance of health professionals' understanding young adults' experience of being shut out and to incorporate the increased knowledge and understanding into their clinical practice. Finally, the findings have implications on public education, healthcare services and healthcare policy in relation to young adults living with a mental illness.

Bakgrund: Studier visar att smärta är vanligt förekommande hos äldre personer som bor på särskilt boende. Dock kan det vara svårupptäckt speciellt hos personer med demenssjukdom som har svårt att uttrycka sig genom ord. Demens är ett samlingsnamn på olika symtom som beror på att hjärnans funktion är skadad. Sjukdomen kan ge minnessvårigheter, språkliga svårigheter samt påverkan på beteendet. Syfte: Syftet med litteraturstudien var att belysa hur vårdpersonalen kan identifiera smärta hos personer med demenssjukdom som har svårt att uttrycka sig genom ord. Metod: Studien genomfördes som en litteraturöversikt med ett systematiskt arbetssätt. Datainsamlingen genomfördes i databaserna PubMed och PsycINFO samt genom manuella sökningar. Resultat: Resultatet visade att smärta kan identifieras hos personer med demenssjukdom genom bland annat att iaktta ansiktsuttryck, kroppsspråk, lyssna på ljud samt genom beteendeförändringar. Det visade sig att vårdpersonalen hade bristande kunskaper om smärtbedömning. En god relation till personen är en viktig utgångspunkt för att kunna identifiera smärta samt att ha kännedom om personens vanor och beteende. Slutsats: Kunskap, utbildning samt kontinuitet bland vårdpersonalen är viktiga aspekter vid identifiering av smärta. Samarbete mellan yrkesgrupperna underlättar även identifieringen av smärta. / Background: Studies show that pain is common among elderly persons living in special accommodations. However, it can be hard to detect in individuals with dementia who have difficulty expressing themselves by words. Dementia is a generic term for various symptoms attributable to damaged brain function. The disease can cause memory difficulties, language difficulties and an impact on behavior. Aim: The purpose of this study was to highlight how health professionals can identify pain in people with dementia who have difficulty expressing themselves by words. Method: The study was conducted as a literature review with a systematic approach. Data collection was conducted in PubMed and PsycINFO and by manual searches. Findings: The results showed that pain can be identified in people with dementia by among other things observing facial expressions, body language, listening to sounds as well as behavioral changes. It was found that caregivers had insufficient knowledge about pain assessment. A good relationship with the person is an important starting point for the identification of pain and to have knowledge about the person's habits and behavior. Conclusion: Knowledge, education and continuity of healthcare staff are important aspects in the identification process of pain. Cooperation between professional healthcare staff groups can also facilitate the identification of pain.

There seems to be a gap in previous literature where economists and social scientists do not focus on factors driving emigration of health professionals between developed coun-tries. Although, there is a lot of literature that discusses emigration of health profession-als from developing towards developed countries, there are few previous studies of health professional emigration between developed to developed countries. This paper examines and analyzes factors which might be of importance in determining the direc-tion of emigration of health professionals between developed countries. The concept of health professionals in our study contains people with more than 3 years of education within the health and social welfare sector, not referring to any particular occupation such as nurses, doctors, dentist etc; or whether they are specialized in any area. This pa-per analyses factors that affect emigration of Swedish health professionals, using eco-nomic and social variables in a structured regression model. The results indicate that the percentage of Swedish health professionals is directly affected by factors of destination countries such as geographical proximity, GDP(PPP) per capita, income tax rate and co-workers encouraging development.