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Bakgrund: Hjärtsvikt är en sjukdom som påverkar cirka 64 miljoner människor i världen. Hjärtsvikt kan visa sig med eller utan symtom och är en stor anledning till inläggning på sjukhus. För att personer ska kunna leva med sin hjärtsvikt används både medicinsk och icke-medicinsk behandling, det vill säga egenvårdsåtgärder för symtomlindring. Syfte: att beskriva personers erfarenheter av egenvård vid hjärtsvikt. Metod: litteraturöversikt med kvalitativ metod med en induktiv ansats genomfördes baserad på tolv vetenskapliga artiklar tagna från CINAHL och Medline. Artiklarna analyserades med hjälp av Fribergs (2022) innehållsanalys. Resultat: Det framkom tre huvudteman med subteman. Behov av socialt stöd (stöd från vårdpersonal och stöd från relationer), fysiska svårigheter (att hantera det dagliga livet och den fysiska påverkan) och psykiska svårigheter (att vara självständighet och att lära känna sin sjukdom). Slutsats: Personernas erfarenheter skiljer sig gentemot varandra. Den gemensamma nämnaren är den sociala interaktionen, hur stödet av omgivningen påverkar personens motivation. Det är viktigt med den personcentrerade vården för att hjälpa personerna med hjärtsvikt med deras besvär och utmaningar i vardagen gällande egenvårdsåtgärder. / Background: Heart failure is a disease that affects approximately 64 million people worldwide. Heart failure can manifest with or without symptoms and is a major cause of hospital admissions. Both medical and non-medical treatments, such as self-care measures for symptom relief, are used to help individuals live with their heart failure. Purpose: To describe individuals' experiences of self-care in heart failure. Method: A literature review using a qualitative method with an inductive approach was conducted, based on twelve scholarly articles retrieved from CINAHL and Medline. The articles were analyzed using Friberg's (2022) content analysis. Results: Three main categories with subcategories emerged. These were the need for social support (support from healthcare professionals and support from relationships), physical difficulties (managing daily life and physical impact), and psychological difficulties (maintaining independence and understanding one's illness). Conclusion: Individuals' experiences vary, but a common theme is the importance of social interaction and how support from their environment influences their motivation. Person-centered care is crucial in assisting individuals with heart failure in managing their symptoms and daily challenges related to self-care measures.

This qualitative phenomenological study considered the experience of a clinician working with victims and survivors of human sex trafficking and their families. In the overwhelming majority of cases, family members were not involved in the clinical treatment of human sex trafficking survivors. The clinicians primarily worked with the individual client. The data from phone interviews was analyzed using thematic analysis, which resulted in the following themes emerging: vulnerability to secondary trauma, impact on the clinician's life, and self-care strategies and resources. The work with human sex trafficking survivors impacted the clinicians' personal, family, and professional lives. Limitations, clinical implications, and suggestions for future research are discussed. / Master of Science

No / Lymphoedema secondary to cancer is a relatively neglected and under-researched condition. Few studies report people's experiences of care and treatment provision when living with the condition. Current practice focuses on the physical treatment yet psychosocial needs often remain unmet. A previous study examining the patient perspective identified the theme of being 'abandoned by medicine'. Perceived lack of support may result in a delayed adaptation and acceptance of this long-term condition and can significantly impact on psychological well-being. We explore this emerging theme alongside others in order to provide a guide to action for improvements for patient benefit. The central aim was to explore women's views of their care and treatment following a diagnosis with lymphoedema secondary to cancer. This forms part of a larger study aimed at assessing appropriate screening tools to measure psychosocial distress. Methods: A mixed-methods approach was used for the main study. Here we report the qualitative component, derived from in-depth semi-structured interviews conducted in the homes of the participants (n = 14) and focus group discussions (n = 15). In addition, qualitative comments from questionnaire data from a large-scale postal survey are included (n = 104). Findings: Participants identified considerable deficiencies in health care workers' knowledge and awareness of lymphoedema, which subsequently impacted on the patients' needs for information, support and understanding. Access to appropriate treatment was patchy and problems were identified with the process of obtaining compression garments, massage and other sources of help. Although lymphoedema is a long-term disfiguring condition, and much is known about how this impacts on patients' emotional well-being, little attention was paid by health professionals to potential psychosocial consequences. In essence women had to become experts of their own condition and cope as best as they could. We provide recommendations to improve service delivery and address these unmet needs.

The Infant and Early Child Mental Health (IECMH) workforce is essential in improving the lives of vulnerable children and families. IECMH practitioners are exposed to challenging emotional experiences which increases their risk of internalizing disorders, burnout, and emotion regulation difficulties, especially in the time of COVID-19. Thus, it is important to identify possible interventions to increase provider wellness in the face of taxing work. The construct of self-care offers a promising area of study as a possible intervention point. However, current operationalizations of self-care have been limited and have emphasized behavioral components rather than cognitive components (e.g., beliefs) pertinent to self-care. This two-part study created and tested the psychometric properties of a novel measure, Self-care Belief and Behavior Questionnaire, in two different samples (e.g., a college sample and IECMH workforce sample). Additionally, this study determined the impact of self-care on professional quality of life and wellbeing outcomes. Exploratory and confirmatory factor results from Study 1 showed that the measure had 3 factors (e.g., self-care behavior, worthiness related to self-care, negative perceptions of self-care) with the first factor of self-care behavior meeting convergent, divergent and concurrent validity standards. These psychometric results were replicated in Study 2 and hierarchical regression results showed that self-care beliefs impact one’s engagement in practicing self-care. Further, self-care behavior impacted professional quality of life and wellbeing for IECMH workers. Self-care is a multi-faceted concept that involves beliefs, thoughts about the self and actual behaviors. Future research should determine the role of organizational support in providing an infrastructure that allows the exploration and education of self-care across system and individual levels.