Background: One of ten women in Sweden will at some point in her life get breast cancer. In today's society, more women than ever before suffer from breast cancer, but the chance of survival increases. As a nurse, it is important to have knowledge about the woman's experiences of breast cancer in order to provide as optimal and individualized care possible. Aim: The aim of the study was to elucidate how the woman experience the first time with breast cancer. Method: A literature-based method is used to bring out the woman´s experiences of getting breast cancer. The results of the studies were analyzed using a qualitative content analysis consists of five steps. The analysis resulted in four themes and twelve subthemes. Results: The results showed that the woman are in great need of support, feeling anxiety and fear, experiencing an altered self-image, and that treatment hinders. Conclusion: The conclusion showed that regardless of the situation, it was important for the woman that someone always was there for them as support. An important aspect was the need for information to reduce fear and anxiety. Breast cancer affecting the whole of the woman's lives and she strove to reclaim as much as possible of her previous life. This could be difficult because of fatigue and other major changes the woman experienced after the treatments, both physically and mentally.

Background: In Sweden about 19000 people fall victims of sudden death every year. This covers around 20% of all deaths. Relatives are those who are closest to the patient, regardless of the type of relationship. When a patient suddenly dies this affects the relatives and they can suffer from high risk of complicated grief reactions or crises. Being the nearest professional contact in these situations, the nurse has an important role in supporting and guiding the relatives. Aim: The aim of this literature review was to nominate the relatives' needs of support from the nurse when a loved person suddenly dies. Method: The literature review was based on seven articles with a quality approach. Results:The analysis resulted in four themes; "to be seen and confirmed", "information", "take farewell" and "follow-up ". To be able to give support both mentally and physically, it is important for the nurse to give proper attention to the relatives. The nurse supports according to individual circumstances, giving clear and concise information. With privacy, peace and quiet the nurse may create the conditions for a dignified farewell. Afterwards, when the shock phase subsides, many questions need to be answered and a follow-up meeting is important. Conclusion: As nurses we will meet with relatives of patients who have suddenly died. Our results are, however, useful in all types of care, not only in cases of sudden death. The nurse´s attention to the relatives is an important factor in health care. Knowledge about the benefits of taking care of relatives in a situation of sudden death is, currently insufficient. Knowledge of the reactions of relatives who are confronted with sudden death needs to be further explored and existing research needs to be conducted / implemented in health care.

<p>ABSTRACT</p><p><strong>Background:</strong> A diary often helps the critically ill patient better to understand her/his illness and fill gaps in memory regarding their experiences in the ICU. To date there appears to be a lack of research that specifically focuses on family members’ experiences of the use of a diary within the intensive care setting. <strong>Aim: </strong>The aim of the study was to explore how family members experienced a diary kept during their sick relative’s stay in the ICU. <strong>Methodology: </strong>A qualitative methodology and, in particular, a hermeneutic approach were deemed to be appropriate for the study. Eleven participants were interviewed relating to nine diaries. Collected data have been analysed using hermeneutic interpretation inspired by Gadamer. <strong>Findings:</strong> Family members experienced that the diary sustained strengthened and deepened the connection to their sick relative and confirmed the presence of family members at bedside. The diary worked as a forum for mutual exchange of information between nurses and family members which led to a feeling of being united with the nurses in understanding. This in turn created a sense of togetherness and the family members didn’t feel neglected. In addition the diary was experienced as an implied hope that the outcome of the ICU stay would be good<strong>, </strong>thereby lending strength to worried family members<strong>. Conclusion: </strong>The diary was experienced as a tool that enhanced family members’ wellbeing.</p>

Intercountry adoption, where children are born in one country and adopted by families in another country, has become an increasing global phenomenon (Scherman & Harré, 2004). As indicated by a review of the literature, the research in relation to intercountry adoptees provides contradictory findings in almost every area. However, since there is some evidence to suggest that a proportion of intercountry adoptees are at greater risk of developing mental health difficulties (Van Ijzendoorn & Juffer, 2006) further research, particularly in the UK, is required. As Anjudo (1988) posits, parents are their children‟s major reference group, and this research is therefore aimed at exploring the experience of parenting an intercountry adoptee. A qualitative approach, Interpretative Phenomenological Analysis (Smith, 1996) was chosen as the most suitable methodology. This approach aims to explore in detail how participants are making sense of their world, and the meanings that experiences hold for them. Semi-structured interviews were conducted with six participants who had accessed or were accessing support from a specialist Adoption and Fostering team. The analysis of the transcribed verbatim accounts yielded four super-ordinate themes; „the importance of resolve and tenacity‟, „blood versus water‟, „weathering the storm of parenthood‟ and „the complexity of cultivating a heritage‟. The results were consistent with some of the existing theoretical, research and clinical literature. Additionally they also provided some new areas for consideration such as the emotional difficulties in negotiating the process of intercountry adoption. Additionally, areas for future research were proposed. Due to the small sample size, implications and recommendations are considered tentatively and include (1) prospective intercountry adoptive parents would benefit from the provision of pre and post-adoption supportive groups, (2) intercountry adoptive families would benefit from greater availability of multi-disciplinary specialist teams to address their needs, (3) there is a role for cultural consultants to aid both adoptive parents and professionals in their work with intercountry adoptive families. Since the number of children internationally who need new families continues to increase it is important to continue to find improved ways to support intercountry adoptive families.

This study investigates the ways young people experience information. Having an understanding of what information means to young people is important for educators and library and information science (LIS) professionals if they are to develop information literacy skills in young people. To date the literature has revealed that scant attention has been paid to this area. This research study addresses a gap in the knowledge. The study used a phenomenographic research approach to elicit and describe the qualitatively different ways in which young people experienced information. A purposeful sample of forty one young people aged eleven to eighteen years participated in the study. The data, which were gathered through drawings and semi structured interviews, were subjected to a rigorous process of phenomenographic analysis. The outcome of phenomenographic analysis is an outcome space consisting of a finite set of categories of description which, with their relationships, explain the different ways people experience phenomena in the world. In this study six ways of experiencing information were identified: knowledge of sources of information; receiving information; process of finding information; store of unprocessed information; processing information; and use of information. The findings highlighted the fact that young people thought about information to a degree that has not always been acknowledged. In addition the findings challenged a number of commonly held assumptions, which have in the past invited criticism, for instance young people's attitude to ‘cutting and pasting' information and their poor evaluation of academic information. The findings also revealed a previously unrecognised type of information behaviour described in sub-category A of Category Two, ‘receiving information knowingly'. As a result of this research a more comprehensive picture of the way young people experience information to that currently available has been revealed, however the research also revealed the incompleteness of this picture and suggests the need for further research.

Type 1 diabetes is a condition which affects the lives of thousands of young people throughout the UK. Existing research has recognised the difficulties that adolescents have in managing their diabetes, and a large amount of research has focused on glycaemic control, and influential factors. This project attempted to establish what is known about young people’s experiences of living with type 1 diabetes, and to further develop this knowledge pertaining particularly to the school environment through qualitative research. Method A systematic review of the literature in relation to young people’s views of their life with type 1 diabetes was conducted and a synthesising thematic analysis was carried out. A qualitative research study was then carried out involving 7 adolescents aged 13-16 years who had a diagnosis of type 1 diabetes. Semi-structured interviews were carried out with the focus being on the young people’s experiences of type 1 diabetes within the school environment. Interview sessions were transcribed and Interpretative Phenomenological Analysis (IPA) was used to analyse the data. Results Five themes emerged from the systematic review. Analysis of the studies led to the emerging themes of: Normal/Different, Control/Management, Relationships, Health– care and Educational experiences. The articles revealed that the experiences of adolescents varied, and were frequently dependent upon the actions of others. Four major themes emerged from the analysis of the research study: Support, Knowledge and Understanding, Standing out, and Adjusting and Accepting. Discussion Systematic review of the articles revealed that the experiences of adolescents varied, and were frequently dependent upon the actions of others. A sense of normalcy was important, and the strict routine and activities of diabetes management impacted upon their ability to achieve it. The support of friends and family was valued, but could at times become overwhelming and educational and health professionals made a difference to their ability to successfully fit diabetes into their lives. The suggestions made by individuals within the studies were generally consistent, and have implications for healthcare providers, friends and families, and schools in relation to facilitating successful diabetic management. Many of the young people taking part in the present research study had encountered negative experiences within the school environment in relation to both peers and staff. However, they described elements of helpful practice and made suggestions for improvements that could be made within school to facilitate a more positive experience.

Bakgrund: Bröstcancer är den vanligaste cancerformen hos kvinnor och antalet bröstcancerfall ökar. En cancerdiagnos leder till många emotionella förändringar. Som vårdpersonal är det viktigt att ha vetskap och förståelse om patientens subjektiva upplevelser kring sin sjukdom för att kunna ge en god vård. Syfte: Syftet med litteraturstudien är att beskriva kvinnors upplevelser av att leva med bröstcancer. Metod: Databaserna PubMed och Cinahl användes i sökningen av artiklar. Resultaten i artiklarna har analyserats genom en analysmetod för kvalitativa studier och resultatet i litteraturstudien baseras på 14 vetenskapliga artiklar av kvalitativ ansats. Resultat: Kvinnorna upplevde negativa förändringar i deras vardagliga liv relaterat till sjukdomen både fysiskt, psykiskt och socialt. De upplevde en förändrad roll i familjen och som kvinna. Vilken och hur mycket information kvinnorna önskade få om sitt tillstånd varierade. Kvinnorna fick en ny syn på livet och de uppskattade livet mer än de gjorde innan sjukdomen. Slutsats: Kvinnorna upplevde många svårigheter i och med bröstcancersjukdomen och dessa upplevelser är viktiga att ha i beaktande i vårdandet av patienter med bröstcancer. / Background: Breast cancer is the most common cancer amongst women and the amount is increasing. Diagnosed by cancer leads to many emotional changes. To be a nurse it’s very important to be knowledge about the disease and to understand the patient’s experience during the cancer period in order to give good treatment. Objective: The purpose of this literature study is to describe women’s experiences on how to live with breast cancer. Method: The databases PubMed and Cinahl are used in the search of articles. The results have been analyzed through an analyzed method for qualitative studies and the result of the literature is based on 14 science articles of qualitative approach. Results: The women experienced negative changes in their everyday life related to the disease when it comes to physical, mental and social experiences. They experienced a change in their role both as a mother and as a women. Which and how much information the women wished to retain regarding their status varied. The women got a new outlook on life and they appreciated life more than they did before the disease. Conclusion: The women experienced many difficulties because of the breast cancer and these experiences are important to keep in mind when treating breast cancer diagnosed patient.

Background: More people than ever before are now seeking refuge from war and terror in other countries (UNHCR, 2016). This has as a consequence that the health care in many Western countries faces new patient categories which don’t speak the language and are culturally different from what health professionals are familiar with. Ethical considerations are important, since being misunderstood and not met with dignity or respect can cause care-related suffering. This may increase the suffering already experienced due to loss of security, family and friends. Aim: To illustrate refugees’ experiences in the contact with health care. Method: This is a literature-based, qualitative study. 15 articles were selected to investigate refugees’ experiences of health care. The analysis resulted in 2 themes, each containing 3 subthemes. Results: The main themes that emerged were: Feeling acknowledged and respected, and Overcoming language and cultural barriers. The result mainly reveals that language barriers are common, and that refugees consider it important to be seen as individuals, which is not always the case in health care. Conclusion: The challenge in caring for refugees as a nurse consists in ensuring there is a common understanding. While being aware of a patient’s history, it is also important to see the individual in a person-centered approach. / Att bryta upp från familj och allt man känner sig trygg med försätter människan i en utsatt position. Den vilsenhet detta medför skapar ett lidande. Som sjuksköterska är det viktigt att vara medveten om detta. Författarna till detta litteraturbaserade arbete har studerat 15 vetenskapliga artiklar där flyktingars perspektiv av olika vårdmöten står i fokus. Resultatet visar att flyktingar upplever språket som det största problemet i mötet, men att även deras kultur och religion spelar in i vad de tycker är en bra vård. I många fall känner flyktingar sig förbisedda eller diskriminerade. Detta har i många fall att göra med att de inte blir bemötta som individer utan ses som en del av en annan kultur. För att undvika problem med språkförbistringar är det att föredra att anlita tolk. Detta är emellertid inte helt problemfritt. Tolkar påverkar mötet på olika sätt beroende på vem patienten är. Studiens resultat visar att många flyktingar föredrar en tolk av samma kön. Det bidrar till att de lättare kan öppna upp sig och att intima situationer, exempelvis avklädning, inte blir så svåra att hantera. Samma förhållanden råder när det gäller kön på vårdpersonal. Att undersökas av någon av motsatt kön kräver att detta upplevs som ofrånkomligt och väl förankrat. De upplevelser som har med kultur och religion att göra varierar mellan flyktinggrupper och enskilda personer. De berör hur man vill bli bemött och behandlad. Det visar sig att patienterna i många fall är ovana vid ett personcentrerat förhållningssätt. Att utveckla ett sådant förhållningssätt är dock viktigt, eftersom brister i detta gör att flyktingarna känner sig diskriminerade och förbisedda. Det kan även leda till att de går miste om viktig information om sin sjukdom och rekommenderade behandling. Om sjuksköterskor tillämpar personcentrerad vård där patientberättelsen och partnerskap ligger till grund kan vårdlidande undvikas.

No description available.

Introduction: Inconsolable infant fussing and/or crying is a common reason for parent´s to seek help with professionals and is a cause of great stress within the family. Aim: To produce and evaluate a leaflet about infantile colic and elucidate how parents experienced their child’s colic period. Method: The study was based on a descriptive survey containing thirteen open questions assessing parents’ experiences of the colic period and the support from the Child Health Care (CHC) nurse. The questions also addressed the design and content of the leaflet. Ten mothers completed the survey and the results were analysed using qualitative content analysis. Results: The main theme found was; “The infantile colic overshadowed everything – and created feelings of insufficiency in the parenting role”. Seven categories were identified; Wessel’s definition of infantile colic agreed, Sleep- and breastfeeding experiences, Thought´s about the colic period, Strong emotions developed during the colic period, Coping strategies, Support and advice, Content in the information brochure.   Conclusion: Infantile colic effected the entire family, caused crisis and strong feelings such as powerlessness when nothing would calm or ease the baby´s cry. The feeling of being insufficient would create problems with the attachment to the baby. The CHC nurse should support the family members and strengthen them in their ability to cope with their baby´s cry. The leaflet “Infantile colic – the infant´s cry the first months in life” could reduce parents’ self-accusation and feelings of insufficiency. It could help parents´ attain a sense of control over the situation and encourage the development of a secure attachment. The leaflet will be corrected with advice of using a diary to elucidate the time of crying. It will also contain information about the risk of shaken baby syndrome.