No / Every year in England and Wales, 105,000 people sufferfrom uncontrolled cancer pain and are rarely offered community pharmacy medicine consultations (e.g. Medicines Use Reviews -MURs)[1]. Our aim was to examine how patients with cancer pain deal with their pain medication and to investigate their experiences of and attitudes towards community pharmacy.

The increasing presence of digital play experiences has become an undeniable part of many childrenâ s lives. These digital experiences have begun to rival traditional physical play. Even with the introduction of the Nintendo Wii digital and physical rarely cross paths. This masters thesis investigates the design of a play experience that embraces digital experience through the combination of handheld wireless technology and playground experiences. The combination of these elements aims to create a play experience that provides the physical and imaginative aspects of traditional play while utilizing the personal, communication, social, competitive, and graphical informational properties of wireless handheld devices. This thesis documents the research, conceptualization and final development of the Funky Bars and Whirly Bird playground pieces. / Master of Science

No / It's all long gone now...they've closed the shop on the corner of Athlone Street...it was a rough one with a pub on the corner...my dad ran it a long time ago...that time... Within the dominant biomedical discourse, late-life dementia is regarded as a pathological condition characterised by disorientation in time and space, word finding difficulties and 'problem behaviours' such as 'wandering' and 'repetitive questioning'. Once taken out of its biomedical straightjacket, however, dementia emerges as a condition which has much in common with the conscious projects of surrealist and situationist arts movements. This includes the subversion of the idea of time (and history) as linear, unidirectional progress. People diagnosed with dementia frequently state a desire to return (or indeed a fear of returning) to places from the past which no longer exist in physical space, but which remain real as remembered worlds and sources of nostalgia (literally 'the pain of returning'). These are also issues central to the field of psychogeography - an interdisciplinary approach to exploring the emotional and sensory impact of specific, particularly urban, locations. Informed by the work of poets such as Blake, Baudelaire, and Rimbaud, as theorised by, for example, Walter Benjamin and Guy Debord, psychogeography privileges undirected 'wandering' through its emphasis on concepts such as the flaneur, and the dérive (or 'drift'). In this paper, such concepts will be used as a way of exploring the spatio-temporal experiences of people with dementia, using extracts from film and narrative life stories.

Yes

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Yes / The Royal College of Midwives (RCM) reports that between 5–10% of newly qualified midwives (NQM) leave the profession in the UK within a year of registration, with similar losses reported internationally (RCM 2010). NQMs are in a position of vulnerability and are highly susceptible to workplace adversity that subsequently may affect their emotional well-being. This literature review explores the experiences of NQMs surrounding their emotional well-being within the first 12 months of transition. Following a thorough search and appraisal of the literature, four papers were reviewed. Two key themes were identified consisting of factors that challenge NQMs’ resilience causing negative emotional well-being, and factors that enhance resilience, promoting positive emotional well-being. The findings of this review demonstrate that there is a need for the consistent implementation of protective mechanisms such as structured preceptorship and supportive mentorship. Such interventions may improve physical and emotional well-being, increase retention and better prepare NQMs for the journey ahead; ultimately also improving quality of care for women and patient safety.

Bakgrund: Kommunikationssvårigheter uppstår när hjärnan skadas och beroende på skadans lokalisation kan symtom uppstå som afasi. I Sverige drabbades mellan 7000 och 10 000 personen av afasi år 2021. Kommunikation är en grundläggande förutsättning för en god omvårdnad. Därför är det i stor vikt att sjuksköterskor är pålästa och förstår vikten av kommunikation och olika kommunikationssätt under samtalet, för att kunna säkerställa en god omvårdnad samt främja personcentreradvård för patienter med afasi. Syfte: Att belysa sjuksköterskors erfarenheter av att kommunicera med patienter med afasi. Metod: En kvalitativ litteraturstudie baserad på tio vetenskapliga artiklar med kvalitativ ansats. Data analyserades utifrån Popenoes analysmetod i tre huvudsteg. Resultat: Tre huvudkategorier och sex underkategorier identifierades. Huvudkategorierna var:känslomässiga reaktioner, hinder i kommunikationen, förutsättningar för en effektiv kommunikation. Underkategorierna var: känslor av frustration och missnöjdhet, känslor av skuld och ansvar, tidspress, kunskapsbrist, tidens betydelse, strategier och metoder. Slutsats: Sjuksköterskor upplevde att kommunikationen med patienter med afasi är en stor utmaning. Detta innebär att sjuksköterskor upplevde känslor av frustration när de kommunicerade med patienter med afasi, eftersom både sjuksköterskor och patienter behövde tid för att kommunicera och att förstå varandra. Ytterligare bristande i kunskap om olika kommunikationshjälpmedel var en faktor som hindrade sjuksköterskor att ha en effektiv kommunikation med patienter med afasi. För att kunna kommunicera på ett effektivt sätt med patienter med afasi samt att främja personcentrerad vård krävs att sjuksköterskor avsätter tillräckligt med tid att sitta ner hos patienten, ökar sin kunskap om olika kommunikationsstrategier och metoder. / Background: Communication difficulties occurs when the brain is damaged and depending on the location of the injury, the symptoms occur and lead to aphasia. In Sweden, between 7,000 and 10,000 people were affected by aphasia in 2021. Communication is a basic competence for a good nursing care. That’s why it is important that nurses are well informed and understand the significance of communication and various communication methods during interactions between nurses and patients with aphasia. This is essential to ensure a good quality of health care and promote person- centred care for patients with aphasia. Aim: Is to illuminate nurses experience of communicating with patients with aphasia. Method: A qualitative literature study based on ten scientific qualitative articles. The data analysed using Popenoe analysing method in three main steps. Result: Three main categories and six subcategories were identified: The main categories were: Emotional reactions, obstacles in communication, opportunities for effective communication. The subcategories were: feeling of frustration and dissatisfaction, feeling of guilt and responsibility, time pressure, lack of knowledge, the importance of time, strategies and methods. Conclusion: Nurses experienced that communication with patients with aphasia was a great challenge. The findings showed that communication with this group of patients was frustrated because both, the nurse and the patient need time to communicate and understand each other’s messages. Lack of knowledge about different communication facilities was a factor that hindered communication with these patients. To communicate effectively with patients with aphasia and promote their individual care required from nurses to give enough time to sit with patient, increase their knowledge about different communication strategies and methods, and treat each patient as a unique individual with their own needs.

Bakgrund Patienter med schizofreni har ett högt och långvarigt behov av vård och insatser från samhället. Forskning visar att patienter med schizofreni upplever mindre välmående och att sjukdomen påverkar deras förmåga till att delta i aktiviteter vilket kan ge upphov till isolering och ekonomisk utsatthet. Enligt nationella riktlinjer ska vårdens insatser utformas och samordnas utifrån ett personcentrerat förhållningssätt för att öka patientens möjlighet till återhämtning och funktion i vardagen. Psykiatrisjuksköterskan har som ansvar att leda och samordna omvårdnaden i samråd med patienten. Syfte Syftet var att beskriva vilka erfarenheter patienter med schizofreni har av delaktighet inom den psykiatriska vården. Metod En litteraturöversikt med systematisk ansats genomfördes där studier med kvalitativa resultat inkluderades. Databaserna Cinahl Complete, Psyc INFO och Pubmed användes vid sökning. Sammanlagt 13 artiklar inkluderades och analyserades med Thomas och Hardens tematisk analys. Resultat Resultatet sammanställdes i två huvudteman med sex underteman. Hinder för delaktighet som första huvudtema med tillhörande fyra underteman: Att inte bli hörd, information och kunskap som förutsättning för delaktighet, sjukdomens påverkan på delaktighet, upplevelse av maktobalans. Det andra temat var delaktighetens positiva effekter med tillhörande två underteman: ökad följsamhet och ökat förtroende till vården. Slutsats Sjuksköterskan har en viktig roll i mötet med patienter, att bemöta dem med respekt och attlyssna till patienten för att skapa möjligheter för en holistisk vård. Genom ett gott bemötandefrämjas patientens delaktighet som leder till ökad följsamhet till behandling. Ökad följsamhetleder i sin tur till minskat lidande och förbättrad återhämtning för patienten. / Background Patients with schizophrenia have a high and long-term need for care and support from society. Research shows that patients with schizophrenia experience lower well-being and that the diseaseaffects their ability to participate in activities, which can lead to isolation and financial hardship. According to national guidelines, healthcare interventions should be designed and coordinated based on a person-centered approach to enhance the patient's chances of recovery and functioning in daily life. The psychiatric nurse is responsible for leading and coordinating care in consultation with the patient. Aim The aim was to describe the experiences of patients with schizophrenia regarding participation in psychiatric care. Methods A literature review with a systematic approach was conducted, including studies with qualitative results. The databases Cinahl Complete, PsycINFO, and PubMed were used for the search. A total of 13 articles were included and analyzed using Thomas and Harden's thematic analysis. Results The results were compiled into two main themes with six subthemes. The first main theme was Barriers to Participation with four associated subthemes: Not Being Heard, Information and Knowledge as Prerequisites for Participation, The Impact of the Illness on Participation, and The Experience of Power Imbalance. The second theme was The Positive Effects of Participation with two associated subthemes: Increased Adherence and Increased Trust in Healthcare. Conclusions The nurse plays a key role in meeting patients, treating them with respect, and listening to them to create opportunities for holistic care. Through good treatment, patient involvement is promoted, leading to increased adherence to treatment. Increased adherence, in turn, leads to reduced suffering and improved recovery for the patient.

Experiencing adversity during childhood can impact mental health throughout adolescence and into adulthood. Adverse childhood experiences (ACEs) are comprised of different types of abuse, neglect, and household dysfunction. Children who experience ACEs are more likely to display internalizing (e.g., depression) and externalizing (e.g., acting out) behavior problems in adolescence. Those with insecure attachment styles are more likely to have grown up in a disorganized, inconsistent environment and have an increased chance of experiencing ACEs. The current study examined the relationships among ACEs, depression, and parental attachment in emerging adult men, with parental attachment tested as the mediating factor. It was found that ACEs and parental attachment were able to predict depressive symptoms collectively. The findings suggested that using preventative measures, such as mental health resources for male children who have experienced ACEs and resources that foster secure attachments between caregiver and child, could deter depressive symptoms in emerging adult men.