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Lundström, S., Jormfeldt, H., Hedman Ahlström, B. & Skärsäter, I. (2019). Health-related lifestyle and perceived health among people with severe mental illness: Gender differences and degree of sense of coherence. Archives of Psychiatric Nursing, 33(2), 182-188
Open this publication in new window or tab >>Health-related lifestyle and perceived health among people with severe mental illness: Gender differences and degree of sense of coherence
2019 (English)In: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 33, no 2, p. 182-188Article in journal (Refereed) Published
Abstract [en]

People with severe mental illness (SMI) experience an increased risk of physical ill health and premature death, which appears to be partly related to unhealthy lifestyle habits. The aim of this study was to describe the distribution of health-related lifestyle habits and perceived health among people with severe mental illness. A further aim was to explore if there were any gender differences or differences based on degree of sense of coherence. The study adopted a cross-sectional design based on data from 65 people with SMI. The results show that degree of Sense of Coherence (SOC) does have relevance for perceived health and for dimensions of Quality of Life (QOL). Furthermore, among the participants with strong SOC, there were less daily smokers and they seemed to have less sedentary leisure time than those with low SOC. Men reported more anxiety/depression than women and women ate fruit more often than men, otherwise there were no gender differences. In comparison with the general population, people with SMI show a higher Body Mass Index are more sedentary, more often daily smokers, have lower SOC and perceive a lower QOL. This emphasizes the importance of health-promotion support that focuses on lifestyle changes, and support for strengthening SOC and QOL for people with SMI. © 2018 Elsevier Inc. All rights reserved

Place, publisher, year, edition, pages
Maryland Heights, Missoury: Saunders Elsevier, 2019
Keywords
Health, Lifestyle, Sense of Coherence, Severe mental illness, Quality of Life
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-39481 (URN)10.1016/j.apnu.2018.12.002 (DOI)000466833600008 ()30927988 (PubMedID)
Available from: 2019-05-27 Created: 2019-05-27 Last updated: 2019-05-29Bibliographically approved
Lindberg, S., Jormfeldt, H. & Bergquist, M. (2019). Unlocking design potential: Design with people diagnosed with schizophrenia. Informatics for Health and Social Care, 44(1), 31-47
Open this publication in new window or tab >>Unlocking design potential: Design with people diagnosed with schizophrenia
2019 (English)In: Informatics for Health and Social Care, ISSN 1753-8157, E-ISSN 1753-8165, Vol. 44, no 1, p. 31-47Article in journal (Refereed) Published
Abstract [en]

With the expansion of e-health systems to more diverse and heterogeneous contexts and user groups, it is increasingly important to include users in design. Designers recognize the benefits of user participation, but including users with lowered cognitive and social abilities can be difficult. This paper intends to answer how these users can participate in the design of e-health systems. We conducted a case study with stakeholder interviews and design workshops with users diagnosed with schizophrenia to identify and overcome the challenges for participation. From the stakeholder interviews, we identified challenges relating to social interaction, technical experience, cognitive ability, and loss of individuality. We designed workshops that addressed these challenges and identify five strategies for unlocking the design potential of the participants: (1) work together with concrete materials and examples; (2) maintain a positive focus; (3) accept all ideas; (4) maintain and require realism; and (5) use previous interaction. We conclude that, when supported appropriately, it is possible to involve people diagnosed with schizophrenia. We also highlight the difficulty for someone not self-experienced to understand contexts as challenging and sensitive as this, and thus the value of user participation.

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2019
Keywords
Case study, design, participation, schizophrenia, strategy
National Category
Interaction Technologies Other Medical Sciences not elsewhere specified
Identifiers
urn:nbn:se:hh:diva-34901 (URN)10.1080/17538157.2017.1363762 (DOI)28853962 (PubMedID)2-s2.0-85028544974 (Scopus ID)
Available from: 2017-09-08 Created: 2017-09-08 Last updated: 2019-01-25Bibliographically approved
Skärsäter, I., Keogh, B., Doyle, L., Ellilä, H., Jormfeldt, H., Lahti, M., . . . Kilkku, N. (2018). Advancing the knowledge, skills and attitudes of mental health nurses working with families and caregivers: A critical review of the literature. Nurse Education in Practice, 32, 138-146
Open this publication in new window or tab >>Advancing the knowledge, skills and attitudes of mental health nurses working with families and caregivers: A critical review of the literature
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2018 (English)In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 32, p. 138-146Article, review/survey (Refereed) Published
Abstract [en]

Involving and supporting the family members and caregivers of people with mental illness is essential to high-quality mental health services. However, literature suggests that there is a lack of engagement between family members and mental health nurses (MHNs). Lack of knowledge among MHNs is often cited as one of the main reasons for this lack of engagement. The aim of this review was to explore the knowledge, skills and attitudes that are required by MHNs to enable to them to work more effectively with families affected by mental illness. A literature based critical review was used to access and review 35 papers in order to extract concepts that could inform the design of eLearning materials to assist MHNs advance their knowledge in this area. Two overarching themes were identified; ‘Mental health problems and the family’ and ‘Working with the family’. From these themes, the knowledge, skills and attitudes required to work more effectively with families are described. The findings from this review provide a descriptive account of the knowledge skills and attitudes that are required for effective family work. In addition, the review provides an empirical foundation for education programmes in the area. © 2018 Elsevier Ltd

Place, publisher, year, edition, pages
Amsterdam: Elsevier, 2018
Keywords
Caregivers, Family, Health Knowledge, Attitudes, Practice, Humans, Mental Disorders, Psychiatric Nursing
National Category
Nursing Medical Ethics Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hh:diva-38737 (URN)10.1016/j.nepr.2018.07.002 (DOI)000447570600024 ()2-s2.0-85049647108 (Scopus ID)
Available from: 2019-01-09 Created: 2019-01-09 Last updated: 2019-02-11Bibliographically approved
Blomqvist, M., Sandgren, A., Carlsson, I.-M. & Jormfeldt, H. (2018). Enabling healthy living: Experiences of people with severe mental illness in psychiatric outpatient services. International Journal of Mental Health Nursing, 27(1), 236-246
Open this publication in new window or tab >>Enabling healthy living: Experiences of people with severe mental illness in psychiatric outpatient services
2018 (English)In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 27, no 1, p. 236-246Article in journal (Refereed) Published
Abstract [en]

It is well known that people with severe mental illness have a reduced life expectancy and a greater risk of being affected by preventable physical illnesses such as metabolic syndrome, cardiovascular disease and type 2 diabetes. There are still, however, only a few published studies focusing on what enables healthy living for this group. This study thus aimed to describe what enables healthy living among people with severe mental illness in psychiatric outpatient services. The data were collected in qualitative interviews (n = 16) and content analysis was used to analyze the data. The interviews resulted in an overall theme "Being regarded as a whole human being by self and others", which showed the multidimensional nature of health and the issues that enable healthy living among people with severe mental illness. Three categories emerged: (i) everyday structure (ii), motivating life events and (iii) support from significant others. The results indicate that a person with severe mental illness needs to be encountered as a whole person if healthy living is to be enabled. Attaining healthy living requires collaboration between the providers of care, help and support. Health care organizations need to work together to develop and provide interventions to enable healthy living and to reduce poor physical health among people with severe mental illness. © 2017 Australian College of Mental Health Nurses Inc.

Place, publisher, year, edition, pages
Richmond, VIC: Wiley-Blackwell Publishing Inc., 2018
Keywords
healthy living, mental health nursing, patient's experiences, qualitative content analysis, severe mental illness
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-33586 (URN)10.1111/inm.12313 (DOI)28160392 (PubMedID)2-s2.0-85013104680 (Scopus ID)
Note

Funding: The regional Council for Medical Health Care Research, County of Halland, Sweden and the regional Council for Medical Health Care Research, County of Kronoberg, Sweden.

Available from: 2017-03-20 Created: 2017-03-20 Last updated: 2018-01-19Bibliographically approved
Jormfeldt, H. & Carlsson, I.-M. (2018). Equine-Assisted Therapeutic Interventions Among Individuals Diagnosed With Schizophrenia. A Systematic Review. Issues in Mental Health Nursing, 39(8), 647-656
Open this publication in new window or tab >>Equine-Assisted Therapeutic Interventions Among Individuals Diagnosed With Schizophrenia. A Systematic Review
2018 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 39, no 8, p. 647-656Article in journal (Refereed) Published
Abstract [en]

Persons diagnosed with schizophrenia are not sufficiently offered health promotion interventions, notwithstanding their increased risk of bodily ill health. Physical activity is found to improve health and decrease psychiatric symptoms although, there is a challenge to motivate and increase physical activity in people with schizophrenia and innovative evidence-based treatment interventions are needed. The aim was to systematically review studies concerning equine assisted interventions among individuals diagnosed with schizophrenia. The findings of the six included articles indicate that therapeutic equine assisted interventions could be beneficial for individuals with severe mental illness such as schizophrenia or schizophrenia like disorders.

Place, publisher, year, edition, pages
Philadelphia: Taylor & Francis, 2018
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-37134 (URN)10.1080/01612840.2018.1440450 (DOI)29509053 (PubMedID)
Available from: 2018-06-18 Created: 2018-06-18 Last updated: 2019-02-05Bibliographically approved
Blomqvist, M., Ivarsson, A., Carlsson, I.-M., Sandgren, A. & Jormfeldt, H. (2018). Health Risks among People with Severe Mental Illness in Psychiatric Outpatient Settings. Issues in Mental Health Nursing, 39(7), 585-591
Open this publication in new window or tab >>Health Risks among People with Severe Mental Illness in Psychiatric Outpatient Settings
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2018 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 39, no 7, p. 585-591Article in journal (Refereed) Published
Abstract [en]

Life expectancy is greatly reduced in patients with schizophrenia, and cardiovascular diseases are a leading cause of mortality. The aim of this cross-sectional study was to investigate the prevalence of overweight, obesity, and cardiovascular disease (CVD) risk and to investigate the relationships between self-rated health, sense of coherence, CVD risk, and body mass index (BMI) among people with severe mental illness (SMI) in psychiatric outpatient settings. Nearly 50% of the participants were exposed to moderate/high risk of CVD and over 50% were obese. The results showed no statistically relationships between the subjective and objective measures (Bayes factor <1) of health. The integration of physical health into clinical psychiatric nursing practice is vital. © 2018 Taylor & Francis Group, LLC

Place, publisher, year, edition, pages
Philadelphia: Taylor & Francis, 2018
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hh:diva-36441 (URN)10.1080/01612840.2017.1422200 (DOI)000445651800007 ()29446657 (PubMedID)2-s2.0-85042136613 (Scopus ID)
Note

Funding: the regional Council for Medical Health Care Research, County of Halland, Sweden and the regional Council for Medical Health Care Research, County of Kronoberg, Sweden.

Available from: 2018-03-15 Created: 2018-03-15 Last updated: 2018-12-17Bibliographically approved
Jormfeldt, H., Doyle, L., Ellilä, H., Lahti, M., Higgins, A., Keogh, B., . . . Kilkku, N. (2018). Master’s level mental health nursing competencies, a prerequisite for equal health among service users in mental health care. International Journal of Qualitative Studies on Health and Well-being, 13(S1), Article ID 1502013.
Open this publication in new window or tab >>Master’s level mental health nursing competencies, a prerequisite for equal health among service users in mental health care
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2018 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 13, no S1, article id 1502013Article in journal (Refereed) Published
Abstract [en]

Purpose: This discussion paper aims to explore the need of a clarified definition of master’s level mental health nursing competencies in terms of knowledge, skills and attitudes in a European context. Mental health service users have, in spite of their right to equal overall health, higher rates of physical illness and are more likely to experience premature death than the general population. Implementation of a holistic concept of health comprising mental, physical and social aspects of health in mental health services has previously proved to be challenging. Methods: Master’s level mental health nursing competencies in recent literature are discussed and illuminated in terms of knowledge, skills and attitudes in order to enable the promotion of equal overall health among service users in mental health services. Results: The discussion show contents, values and utility of master’s level mental health nursing competencies in mental health services and contribute to reduced role ambiguity by distinguishing master’s level responsibilities from undergraduate nursing tasks and obligations of other professionals in mental health care. Conclusion: This discussion paper shapes implications for developments in master’s level mental health nursing education curricula. © 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2018
Keywords
Holistic health, “master’s level mental health nursing competencies”, mental health care, physical health
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hh:diva-37711 (URN)10.1080/17482631.2018.1502013 (DOI)30067476 (PubMedID)2-s2.0-85050919511 (Scopus ID)
Note

Funding: This work was supported by the European Commission [European Commission  (2013-3403)/Life-long learning programme].

Available from: 2018-08-15 Created: 2018-08-15 Last updated: 2018-08-16Bibliographically approved
Doyle, L., Ellilä, H., Jormfeldt, H., Lahti, M., Higgins, A., Keogh, B., . . . Kilkku, N. (2018). Preparing master-level mental health nurses to work within a wellness paradigm: Findings from the eMenthe project. International Journal of Mental Health Nursing, 27(2), 823-832
Open this publication in new window or tab >>Preparing master-level mental health nurses to work within a wellness paradigm: Findings from the eMenthe project
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2018 (English)In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 27, no 2, p. 823-832Article in journal (Refereed) Published
Abstract [en]

Mental health promotion remains an important component of mental health nursing practice. Supporting wellness at both the individual and societal levels has been identified as one of the key tenets of mental health promotion. However, the prevailing biomedical paradigm of mental health education and practice has meant that many nurses have not been equipped to incorporate a wellness perspective into their mental health practice. In the present study, we report on an exploratory study which details the knowledge, skills, and attitudes required by master-level mental health nurses to practice within a wellness paradigm from the perspective of three groups of key stakeholders: (i) service users and family members (n = 23); (ii) experienced mental health nurses (n = 49); and (iii) master-level mental health nursing students (n = 37). The findings, which were reported from individual and focus group interviews across five European countries, suggested a need to reorientate mental health nursing education to include a focus on wellness and resilience to equip mental health nurses with the skills to work within a strengths-based, rather than a deficits-based, model of mental health practice. Key challenges to working within a wellness paradigm were identified as the prevailing dominance of the biomedical model of cause and treatment of mental health problems, which focusses on symptoms, rather than the holistic functioning of the individual, and positions the person as passive in the nurse-service user relationship. © 2017 Australian College of Mental Health Nurses Inc.

Place, publisher, year, edition, pages
Richmond, VIC: Wiley-Blackwell, 2018
Keywords
e-learning, mental health promotion, nurse education, wellness
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-34904 (URN)10.1111/inm.12370 (DOI)28786212 (PubMedID)
Note

Funding: European Commission/Lifelong Learning Programme

Available from: 2017-09-08 Created: 2017-09-08 Last updated: 2018-04-03Bibliographically approved
Lahti, M., Elliä, H., Jormfeldt, H., Skärsäter, I., Doyle, L., Higgins, A., . . . Kilkku, N. (2018). The required knowledge for lifespan mental health promotion and prevention for Master’s level mental health nurse education – the eMenthe project. International Journal of Health Promotion and Education, 56(3), 143-154
Open this publication in new window or tab >>The required knowledge for lifespan mental health promotion and prevention for Master’s level mental health nurse education – the eMenthe project
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2018 (English)In: International Journal of Health Promotion and Education, ISSN 1463-5240, E-ISSN 2164-9545, Vol. 56, no 3, p. 143-154Article in journal (Refereed) Published
Abstract [en]

In this study, we address the kind of knowledge that is required for Master’s level nurse education for lifespan mental health promotion and prevention. Data were collected through structured interviews (N = 109). The interviews were conducted across five European countries. The data were analysed using a thematic content analysis approach. The findings show that Master’s level nurse education needs knowledge related to lifespan issues. Needs were raised in several issues like importance of increasing skills and knowledge of mental health workers. We conclude that there is a need to emphasise the knowledge required for mental health promotion and prevention for Master’s level nursing education across Europe. © 2018 Institute of Health Promotion and Education.

Place, publisher, year, edition, pages
Abingdon: Routledge, 2018
Keywords
article, content analysis, Europe, human, human experiment, lifespan, major clinical study, mental health service, nursing education, skill, structured interview
National Category
Public Health, Global Health, Social Medicine and Epidemiology Pedagogy Work Sciences
Identifiers
urn:nbn:se:hh:diva-38711 (URN)10.1080/14635240.2018.1431953 (DOI)000432278900003 ()2-s2.0-85041590563 (Scopus ID)
Available from: 2019-01-08 Created: 2019-01-08 Last updated: 2019-01-08Bibliographically approved
Keogh, B., Doyle, L., Ellilä, H., Higgins, A., Jormfeldt, H., Lahti, M., . . . Kilkku, N. (2017). Developing e-learning materials in mental health: the eMenthe Project. Mental Health Practice, 20(5), 36-37
Open this publication in new window or tab >>Developing e-learning materials in mental health: the eMenthe Project
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2017 (English)In: Mental Health Practice, ISSN 1465-8720, E-ISSN 2047-895X, Vol. 20, no 5, p. 36-37Article in journal (Refereed) Published
Abstract [en]

This article describes a European collaborative project that developed master’s degree level e-learning materials for mental health nurses. The e-learning materials are freely available online at www.ementhe.eu

Place, publisher, year, edition, pages
Harrow: Royal College of Nursing (RCNi), 2017
Keywords
education, international collaboration, mental health, recovery
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-34906 (URN)10.7748/mhp.2017.e1208 (DOI)
Projects
eMenthe
Available from: 2017-09-08 Created: 2017-09-08 Last updated: 2018-03-23Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-9753-0988

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