En gestaltning av individens erfarenhetsbaserade kunskap inom diabetesvården

The aim of this study is to form the experience-based knowledge of diabetics. The broader intent is to be able to transform this experience-based knowledge as an asset within caring. In this study, a theoretical contact for the empirical data is presented through phronesis, i.e. practical wisdom. Phronesis can be seen as the most suitable form of knowledge to be able to deepen the individual's understanding of experiencebased knowledge. For this research, hermeneutic phenomenology was chosen. Abductive reasoning was the method chosen to approach the data collected through repeated deep interviews with individuals with personal experience of diabetes and the use of insulin pumps. The abductive approach fascilitates a broader interpretation of the primary empirical results via a theory of philosophy of science, such as phronesis, the life-world and the negativity of the experience. The latent message of the empirical data is thereby also additionally highlighted. The synthesis reveals that experience-based knowledge arrives with time, it is personified and praxis-oriented, and before this time, the knowledge and security must be provided by the established care, by people close to the individual or by other external sources. The experience-based knowledge has strenghts and weaknesses. The knowledge is further categorized by the individual's ability to discern and make judgement. Additionally, the experience-based kowledge is a reflecting and action-based knowledge striving to improve the care provided. The experience-based knowledge held by the individual is potentially a great instrument towards improving general knowledge with possible practical applications within the diabetic care. Furthermost, in practical suggestions to fascilitate care. In generally applying knowledge gathered from the individual's experiental point of view, there are inherent risks. These risks could potentially be eliminated through the adoption of a concept where the established care could function as a quality guarantor. A concept taking into account the experiencebased knowledge as a source of information and knowledge in the care for diabetics. Co-created knowledge and understanding is a position found in both self-care and pump-treatment. It is also found through the optimal application of the experience-based knowledge of the individual as well as the knowledge found within the established care, in order to fascilitate well-being. This as expressed by the individual's phronesis-based knowledge.

Människans liv med sömnbesvär och hur människor med sömnbesvär upplever kognitiv beteendeterapi

Sleep disorders are a common health problem in western countries. Every third working age person suffers from sleep deprivation and that often leads to other health problems as well. One can end up in a vicious circle, which can further decrease mood and ability to function. The aim of this thesis is to illustrate how sleep deprivation affects the lives of working age population and to deepen our understanding of life with sleep deprivation. Study questions are: how does sleep deprivation affect a working age person’s life and what kind of experiences do people have about cognitive-behavioural therapy as a treatment to sleep disorders. Theoretical perspective is based on clinical nursing science theories and the humanist view of man, which sees human as an entity. The methodology used is phenomenological approach and data analysis is conducted by using Ricœur’s hermeneutic phenomenological interpretation method. The empirical part is divided into two different sections. The material of the study consists of interviews and surveys done by people who have experienced sleep deprivation or sleep disorders. Two interviewees talked about their lives with sleep disorders and there are 21 surveys conducted on people’s experiences on cognitive-behavioural therapy. The partakers in the two sections are different people. The results show that people with sleep disorders can end up in a vicious circle of sleep deprivation and in worst cases a sleep disorder can take charge of a person’s whole life. Sleep disorder can cause shame and fear of stigma. Nevertheless, someone suffering from a sleep disorder can find strength and solutions to control the difficult situation. This study proves that both nursing staff and other people have little information about difficulties in sleeping and awareness should be improved in clinical nursing. A health-care provider has an essential role in preventing someone ending up in a vicious circle of sleep deprivation and cognitive-behavioural therapy can contribute to good health. Reflection at the end of cognitive-behavioural sleep therapy course helps patients to continue their learning process. When someone is sleep deprived, it means that they have control over the situation, but when someone has a sleep disorder, that person does not have the strength to control the situation.