Förmaksflimmer är en av de vanligast förekommande hjärtrytmrubbningarna och är associerat med ökad sekundär sjukdom i hjärtsvikt och stroke, nedsatt livskvalitet och depression. Behandling riktas in på symtomlindring, upprätthållandet av god livskvalitet, och förebyggande av sjukdomsförsämring. Genom anpassad information kan hälso- och sjukvårdspersonal stödja personen att återfå kontroll över situationen. Personcentrerat förhållningssätt kan hjälpa till att bygga en förtroendefull vårdrelation, där professionell vägledning och känslomässigt stöd kan öka förmågan att följa livsstilsförändringar och läkemedelsbehandlingar. Syftet med denna studie var att belysa personers erfarenheter av att leva med förmaksflimmer. Litteraturöversikt med en strukturerad sökning användes som metod. Litteraturöversikten inkluderade 15 vetenskapliga artiklar, varav 13 artiklar kom från sökningar i databaserna PubMed och SweMed+. Två artiklar inkluderades genom manuell sökning. Inkluderade resultatartiklar kvalitetsgranskades, klassificerades och analyserades med integrerad analys. Resultatet presenteras med tre huvudkategorier och under dessa framkom totalt 9 underkategorier. Resultatet visade att personer med förmaksflimmer hade generellt lägre skattad livskvalitet och välbefinnande jämfört med övrig befolkning. Emotionell stress kunde upplevas i samband med återkommande episoder och vid misslyckade behandlingar. Många hade svåra symtom som medförde till att de fick avbryta sina dagliga aktiviteter. De önskade att få sin vård i en familjär och trygg miljö med bekanta lokaler och hälso- och sjukvårdspersonal, vilket gav ett ökat förtroende till vården. Bristande information från sjukvården gjorde att det fanns en stor osäkerhet kring sjukdomen. Tydliga förklaringar om situationen ingav en känsla av komfort och kontroll och kunde främja till en god vårdrelation. Många försökte hitta strategier för att förebygga episoder av förmaksflimmer och att identifiera orsaker. Personer upplevde en större tilltro till livsstilsförändringar och egenvård för att kunna kontrollera sjukdomen jämfört med behandlingar och procedurer. Slutsatsen med denna litteraturöversikt är att personer med förmaksflimmer hade generellt lägre skattad livskvalitet och välbefinnande samt upplevde begränsningar i det dagliga livet. Många försökte hitta strategier till att förebygga och hantera episoder av förmaksflimmer, flera strategier medförde till en ond cirkel med negativa konsekvenser. Personer med förmaksflimmer ville ha information och behöver kunskap om sjukdomen. Det skulle kunna vara viktigt att hälso- och sjukvårdspersonal ser personen bakom sjukdomen, istället för att fokusera på diagnos och behandling. Utifrån personens egen berättelse kan hälso- och sjukvårdspersonal få en förståelse av personens egna erfarenheter, önskemål och behov. / Atrial fibrillation is one of the most common heart rhythm disorders and is associated with poor quality of life and depression, and increased risks of secondary disease such as heart failure or stroke. Treatment is focused on relieving symptoms, maintaining a good quality of life, and preventing disease progression. Healthcare professionals can assist the person to regain control of the situation through personalized information. A person-centred attitude can help build a trusting care relationship, where professional guidance and emotional support can increase the ability to follow lifestyle changes and drug treatments. The purpose of this study was to highlight people's experiences of living with atrial fibrillation. This Literature review used a method with a structured search. The literature review included 15 scientific articles, 13 articles came from searches in the PubMed and SweMed+ databases. Two articles were included by manual search. Included articles were quality reviewed, classified and analysed with an integrated analysis. The results were presented with three categories and under these a total of nine subcategories emerged. The results showed that people with atrial fibrillation had generally lower estimated quality of life and well-being compared to the general population. Emotional stress could be experienced in conjunction with recurring episodes or failed treatments. Many had severe symptoms that led to their daily activities being interrupted. They wanted to get their care in a familiar and comfortable environment with familiar premises and medical staff, which gave them increased confidence in the care. Lack of information from the healthcare system meant that there was great uncertainty about the disease. Clear explanations of the situation provided a sense of comfort and control, which could promote a good care relationship. Many tried to find strategies to prevent and identify causes for episodes of atrial fibrillation. People experienced greater confidence in lifestyle changes and self-care in order to control the disease, compared to treatments and procedures. The conclusion of this literature review is that people with atrial fibrillation generally had lower estimated quality of life and well-being, and experienced limitations in daily life. Many people tried to find strategies for preventing and managing episodes of atrial fibrillation, however, some strategies led to a vicious cycle with negative consequences. Persons with atrial fibrillation want information and need knowledge about the disease. It may be important that health care professionals see the person behind the disease, rather than focusing on diagnosis and treatment. Based on the person's own story, healthcare professionals can gain an understanding of the person's own experiences, wishes and needs.

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Over the last 40 years, the field of sport psychology has generated a growing body of literature on the coach-athlete relationship, driven by the recognition that the quality of this dyad can play an important role in an athlete's experiences in sport. Despite strong evidence suggesting that Self-Determination Theory (SDT) accurately reflects processes within this relationship, which promote or undermine intrinsic motivation, there is room to deepen contemporary understandings of coach-athlete dyads by assessing the role of athlete individual differences within this theory. Sixty-seven male athletes (ages 12-18) and 3 male coaches participated in the current study, which set out to cultivate a more nuanced understanding of coach-athlete relationships in a high-level youth athletic academy. Questionnaires measuring preferences for, and perceptions of, coaching behavior, psychological coping skills, psychological needs satisfaction, motivation, and burnout were administered at the beginning and end of the fall season. Results gleaned from correlations, multiple regressions and mediational analyses variably supported the study's main hypotheses. Processes consistent with SDT were evident, as a dimension of perceived coaching behavior predicted needs satisfaction, which in turn, predicted levels of motivation and burnout. Finally, and most importantly, results showed that athletes' psychological coping skills predicted their perceptions of coaching behavior, and outcomes related to needs satisfaction, motivation, and burnout. The current paper also discusses implications of these findings for research and applied practice in sport psychology, and provides recommendations for future avenues of study. / Kinesiology

A pretest-posttest experimental study was conducted on 35 music majors at Taylor University, using questionnaires to measure musical performance anxiety and musical performance quality. The study compared the effectiveness of two different treatments: 1) informal practice performance and 2) a coping skills seminar. Though the students attending the seminar averaged less anxiety after treatment, neither treatment was proven statistically to be effective in reducing the level of anxiety or enhancing musical performance quality. / Ed. D.

The purpose of this phenomenological study is to describe participants' experiences in a monitoring program for impaired nurses in Virginia, determine what beliefs and attitudes underscore the participants' abilities to cope with the program, and uncover what meaning is made of the experiences. In Virginia, health care providers are supported through the Virginia Health Practitioners' Monitoring Program (HPMP). Limited research exists concerning the lived experiences of substance use nurses who are participating in a state monitoring agency. Research focuses on how a nurse copes with personal and job-related stress and the use of peer support as an important aspect of recovery. This study helps to uncover what policies are effective and ineffective and serves as valuable feedback to ensure the success of monitoring programs, the recovery of substance use nurses, and the safety of the public. In this phenomenological study, five participants were solicited, four females and one male. Three out of the five participants were near completion of the HPMP experience. Two participants were relatively new (over one year) to HPMP. The study focused on three primary research questions: (1) What has been the lived experience of the participant in HPMP?; (2) What beliefs/attitudes are used by the participants to cope with the monitoring experience?; (3) What meaning do the participants give to their experiences in the HPMP? Initially, a pre-interview was held on the phone. Then, two interviews were conducted in the participants' hometowns spaced one week to ten days apart. The first interview centered around gathering a focused life history and on the details of the experience. The second interview afforded the opportunity for reflection on the meaning of the experience in HPMP. Data analysis began with an immersion into the descriptive words of the lived experience of each participant. Through the compilation of textural and structural descriptions, three themes emerged from the rich data. The findings indicated that the participants felt overwhelmed with the program's requirements. Participants found the use of coping skills helped them work through the overwhelming rules and regulations. Finally, participants discovered that with acceptance of the program came accountability. / Ph. D. / A message on a t-shirt read, “I’m a nurse…what’s your superpower? Our society admires and respects the nursing profession. Nurses provide a service that is vital to patient comfort and recovery. Because of this responsibility, nurses are often under a tremendous amount of pressure. For relief, some nurses may turn to substance abuse. The discovery that a nurse has a substance abuse problem may lead to a sense of shame and dishonor and negatively impact the nurse’s career. This study focused on the experiences of nurses who were seeking treatment for substance abuse through the Virginia Health Practitioner’s Monitoring Program. The purpose of this study was to describe the experiences of impaired nurses who had been part of the Virginia Health Practitioner’s Monitoring Program and to find which policies were successful and which were not. Five participants were selected for this study. Two participants were new to the program and three had almost completed it. Three primary research questions were used in the study that focused on what participants had experienced in the program, their attitudes toward the program, and what meaning they gave their experiences. A phone interview was followed by two face-to-face interviews in which participants answered the research questions. The researcher analyzed the data by becoming immersed in the interview transcripts while looking for commonalities. The researcher discovered three themes that emerged. First, participants felt overwhelmed by the program’s requirements. Secondly, they all used coping skills to help them work through the rules and regulations of the program. Finally, they learned accountability and acceptance.

There is little research on the coping strategies of direct support professional caregivers working with the intellectually disabled (ID) and developmentally disabled (DD). The study was guided by Lazarus and Folkman's (1984) theory of the transactional model of stress and coping. The purpose of this study was to assess whether there is a correlation among the independent variables of coping and personality characteristics with stress as the dependent variable. A convenience sample of 69 professional caregivers was used. Data were collected using the Ways of Coping Questionnaire, Perceived Stress Scale, NEO-FFI-3, and a demographic questionnaire. A correlational analysis was conducted to assess the variables. Findings revealed a moderate correlation between confrontive coping and stress while the coping styles of distancing, self-controlling, and seeking social support were weakly correlated with stress. Additional results were a strong correlation between neuroticism and stress and a moderate correlation between conscientiousness and stress. Furthermore, a multiple regression analysis was conducted to determine if neuroticism, conscientiousness, and extroversion could predict stress. The analysis indicated that the variance in stress was predicted by neuroticism. Recommendations for future research include using a larger sample size, controlling for selection bias, and examining which coping styles are more useful in coping with stressful situations. A longitudinal design to examine cause and effect is also recommended. This study provides insight into the way professional caregivers cope with stress and the results can be used to develop a screening tool.

Caring for a child with disabilities and special needs can be a challenging and arduous responsibility. Many parents are unprepared to cope with such event and encounter problems with their own health and psychological well- being. Conversely, when parents and families are empowered with appropriate tools and techniques they can overcome these difficult circumstances through the use of health coping strategies. This study will examine the use of coping strategies and the impact on parent’s psychological health. The literature review in this study will discuss coping practices, and the adverse affects on parent’s emotional welfare. The research was conducted with eight parents who participated in an audio-recording, face-to-face interview with open-ended questions. The data of this study was collected and examined by utilizing qualitative methods. Interview data was transcribed into written form to explore and identify common themes. Researcher used a qualitative approach to understand participant’s experiences. The study discovered four common themes: 1. Social support systems, 2. Family Dynamics, 3. Spirituality, and 4. Positive Thinking. The findings of this study may increase awareness and understanding of healthy coping strategies utilized by parents of children with special needs and how it may impact their psychological well-being. The research also addressed the limitations of the study, the significance of the study for social work and the future recommendations for the social work profession and future research.

The purpose of this study was to understand the role of resilience and protective factors (PFs) in the life of women who have experienced childhood maltreatment (CHM). A further purpose was to understand how women who faced CHM develop resilience, and how the proper use or misuse of PFs later affected their adult relationships, whether intimate, social, or familial. Resiliency theory was the theoretical foundation that informed the study. A qualitative methodology with an interpretative phenomenological analysis design was used in this study. Participants included 7 women who were recruited through social media support groups for adult survivors of child abuse. Participants were interviewed via telephone and Skype. Data from these interviews were analyzed and coded according to the interpretative, phenomenological method. Five main themes emerged, providing awareness as to the development of resilience and PFs as well as the role of resilience and the impact PFs have on relationships survivors entered as adults. The themes included: trauma results in resilience and healing through helping others; time and interventions heal perception of abuse; guarding trust to avoid hurt as the effects of CHM lasts a lifetime; support is key then and now; and the effects of CHM and protective factors affect healthy adolescent and adult relationships. The findings were compared with existing literature to recommend ways therapeutic practitioners and social service workers can provide early interventions for those exposed to CHM and help them move past the starting point of unpacking the trauma to the ending of point of sustaining healthy adult relationships.