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Fridén, L., Hultsjö, S., Lydell, M. & Jormfeldt, H. (2024). Experiences of a Therapeutic Equine-Assisted Group Intervention for People with Common Mental Disorders on Sick-Leave. Issues in Mental Health Nursing
Open this publication in new window or tab >>Experiences of a Therapeutic Equine-Assisted Group Intervention for People with Common Mental Disorders on Sick-Leave
2024 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673Article in journal (Refereed) Epub ahead of print
Abstract [en]

Common mental disorders such as anxiety, depression and stress-related disorders are increasing worldwide, resulting in long-term sick leave and lower quality of life. Traditional treatment is often insufficient to facilitate the recovery process, and the need for holistic interventions that enable successful recovery is evident. Equine-assisted interventions have shown promising results in health promotion among people with mental disorders, and further research is needed to implement them within the range of available care. The aim of the study is therefore to describe experiences of a therapeutic equine-assisted group intervention for people with common mental disorders on sick leave. The study has a descriptive qualitative design with an inductive approach. Ten participants with common mental disorders on sick leave were interviewed after participating in a 12-week equine-assisted intervention and the data were analysed with conventional content analysis. The analysis generated the overall theme “The equine-assisted group intervention facilitates recovery,” which summons the four categories “The environment of the horses contributes to relaxation and an ability to be in the present,” “The presence of the horses facilitates supportive relationships in the group,” “Interplay with the horses entails physical activity and bodily improvements” and “Emotional interactions with the horses strengthen inner power.” In conclusion, equine-assisted interventions have the potential to facilitate recovery for people with common mental disorders by providing relaxation, promoting the ability to be in the present, cultivating supportive relationships and providing physical activity and bodily improvements as well as emotional interactions that strengthen the participants’ inner power. © 2024 The Author(s). Published with license by Taylor & Francis Group, LLC.

Place, publisher, year, edition, pages
Philadelphia, PA: Taylor & Francis, 2024
National Category
Occupational Therapy
Identifiers
urn:nbn:se:hh:diva-52743 (URN)10.1080/01612840.2023.2301611 (DOI)001155136900001 ()38301175 (PubMedID)2-s2.0-85184270304 (Scopus ID)
Available from: 2024-02-23 Created: 2024-02-23 Last updated: 2024-02-23Bibliographically approved
Zetterström, L., Linde, M., Blomqvist, M. & Jormfeldt, H. (2023). Anxiety Communication Notes—A Tool to Facilitate Anxiety Management and Improve the Nurse–Patient Relationship in Mental Health Nursing. Issues in Mental Health Nursing, 44(9), 900-910
Open this publication in new window or tab >>Anxiety Communication Notes—A Tool to Facilitate Anxiety Management and Improve the Nurse–Patient Relationship in Mental Health Nursing
2023 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 44, no 9, p. 900-910Article in journal (Refereed) Published
Abstract [en]

Mental health care tends to be dominated by a biomedical perspective at the expense of a more recovery-oriented approach. Research on nurse-led interventions intended to strengthen the patient’s ability to manage anxiety is sparse in this context. The aim of this study was to describe nurses’ experiences of the use of anxiety communication notes in nursing patients experiencing anxiety in mental health inpatient care. Data were collected by interviewing twelve nurses working in two mental health inpatient care wards in southwestern Sweden. Semi-structured interviews were conducted, and qualitative content analysis was used to analyze the data. Findings showed that the use of anxiety communication notes was perceived to provide a nursing structure to foster the development and practice of adaptive anxiety management through a visual representation for mutual understanding of the patient’s anxiety pattern. The nurses could also use the anxiety communication notes to support nurse-patient communication and facilitate increased participation and empowerment in the patients’ anxiety management. © 2023 The Author(s). Published with license by Taylor & Francis Group, LLC.

Place, publisher, year, edition, pages
Philadelphia, PA: Taylor & Francis, 2023
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-52083 (URN)10.1080/01612840.2023.2251058 (DOI)001068095100001 ()37734062 (PubMedID)2-s2.0-85171733759 (Scopus ID)
Available from: 2023-11-21 Created: 2023-11-21 Last updated: 2023-11-21Bibliographically approved
Eriksson, M., Ekström‐Bergström, A., Arvidsson, S., Jormfeldt, H., Thorstensson, S., Åström, U., . . . Roxberg, Å. (2023). Meaning of wellness in caring science based on Rodgers's evolutionary concept analysis. Scandinavian Journal of Caring Sciences
Open this publication in new window or tab >>Meaning of wellness in caring science based on Rodgers's evolutionary concept analysis
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2023 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: Wellness is a holistic, multidimensional, and process-oriented property on a continuum. It has been used interchangeably with and is undifferentiated from concepts such as health and well-being without an in-depth clarification of its theoretical foundations and a reflection on its meaning. The concept of wellness is frequently used, but its definition remains unclear.

Aim: To conceptually and theoretically explore the concept of wellness to contribute to a deeper understanding in caring science.

Method: Rodgers' evolutionary concept analysis was applied to the theoretical investigation of data from publications of international origins. The focus was on antecedents, attributes, consequences, surrogate and related terms, and contextual references. A literature search was performed through a manual review of reference lists and an online search in CINAHL and PubMed via EBSCO, and in ProQuest. Abstracts were examined to identify relevant studies for further review. The inclusion criteria were peer-reviewed papers in English; papers published in scientific journals using the surrogate terms ‘wellness’, ‘health’, ‘health care’, and ‘health care and wellness’; and papers discussing and/or defining the concept of wellness. Twenty-six studies met the inclusion criteria.

Results: Based on the findings from this concept analysis, a definition of wellness was developed: ‘a holistic and multidimensional concept represented on a continuum of being well that goes beyond health’. Implications for nursing practice were correspondingly presented.

Conclusion: Wellness is defined as a holistic and comprehensive multidimensional concept represented on a continuum of being well, that goes beyond health. It calls attention by applying the salutogenic perspective to health promotion in caring science. It is strongly related to individual lifestyle and health behaviour and is frequently used interchangeably with health and well-being without an in-depth clarification of its theoretical foundation. © 2023 The Authors. Scandinavian Journal of Caring Sciences published by John Wiley & Sons Ltd on behalf of Nordic College of Caring Science.

Place, publisher, year, edition, pages
West Sussex: Wiley-Blackwell Publishing Inc., 2023
Keywords
caring science, health, health care, literature review, Rodgers' concept analysis, well-being, wellness
National Category
Health Sciences
Identifiers
urn:nbn:se:hh:diva-51349 (URN)10.1111/scs.13196 (DOI)001039595100001 ()37507842 (PubMedID)2-s2.0-85166424951 (Scopus ID)
Projects
VIS
Available from: 2023-08-09 Created: 2023-08-09 Last updated: 2023-10-05Bibliographically approved
Blomqvist, M., Ivarsson, A., Carlsson, I.-M., Sandgren, A. & Jormfeldt, H. (2023). Relationship between Physical Activity and Health Outcomes in Persons with Psychotic Disorders after Participation in a 2-Year Individualized Lifestyle Intervention. Issues in Mental Health Nursing, 44(7), 629-638
Open this publication in new window or tab >>Relationship between Physical Activity and Health Outcomes in Persons with Psychotic Disorders after Participation in a 2-Year Individualized Lifestyle Intervention
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2023 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 44, no 7, p. 629-638Article in journal (Refereed) Published
Abstract [en]

People with psychotic disorders have a significantly increased risk of physical diseases and excessive mortality rates. The aim of the study was to investigate relationships between changes in physical activity, levels of salutogenic health, and glycated hemoglobin among people with psychotic disorders after participation in an individualized lifestyle intervention. The results from analyses showed that self-reported increased physical activity was positively associated with the level of salutogenic health and negatively associated with the level of HbA1c on an individual level. The results indicate that coordinated, individualized, holistic and health-promoting nursing care is crucial to enabling enhanced lifestyle within this vulnerable target group. © 2023 The Author(s). Published with license by Taylor & Francis Group, LLC.

Place, publisher, year, edition, pages
Philadelphia, PA: Taylor & Francis, 2023
Keywords
Glycated hemoglobin (HbA1c), Lifestyle intervention, Mental health nursing, Physical activity, Psychotic disorders, Salutogenic Health Indicator Scale
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-41350 (URN)10.1080/01612840.2023.2212771 (DOI)001013517400001 ()37364236 (PubMedID)2-s2.0-85163005178 (Scopus ID)
Note

Som manuskript i avhandling / As manuscript in thesis

Funding by Region of Halland, Sweden

Available from: 2020-01-09 Created: 2020-01-09 Last updated: 2023-11-21Bibliographically approved
Cappelen, H., Ivarsson, A. & Jormfeldt, H. (2023). The Effects of an Equine-Assisted Therapeutic Intervention on Well-Being in Persons Diagnosed with Schizophrenia. A Pilot Study. Issues in Mental Health Nursing, 44(2), 104-111
Open this publication in new window or tab >>The Effects of an Equine-Assisted Therapeutic Intervention on Well-Being in Persons Diagnosed with Schizophrenia. A Pilot Study
2023 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 44, no 2, p. 104-111Article in journal (Refereed) Published
Abstract [en]

The process of personal recovery among persons diagnosed with schizophrenia may be facilitated through innovative health promotion interventions targeting multidimensional aspects of subjective well-being. The current pilot study aims to test the use of self-rated questionnaires as a means of evaluation of the effects of an equine-assisted intervention for persons diagnosed with schizophrenia. Twenty adults diagnosed with schizophrenia were offered a 12-week EAT intervention performed six times once every 14 days by a licenced mental health nurse. Two validated self-rated questionnaires, HSCL-25 and SHIS were used as outcome measurements at baseline and at post-treatment, additionally the self-rated questionnaire PANAS was completed twice a week starting one week before the 12 week - EAT intervention. Only six of the twenty participants managed to complete the validated questionnaires. Despite the low response rate of approximately 30 %, a significant difference was found between pre and post scores for positive affect and well-being. Effect sizes, ranging from small to large for pre-to-post treatment scores indicated less depression and anxiety, more positive affect, less negative affect, and reinforced well-being. Results suggest that EAT interventions may have beneficial effects among persons diagnosed with schizophrenia and that a varied range of research methods is needed to create a solid evidence base for EAT interventions intended for the target group. © 2023 The Author(s). Published with license by Taylor & Francis Group, LLC.

Place, publisher, year, edition, pages
Philadelphia, PA: Taylor & Francis, 2023
Keywords
affect, equine-assisted therapeutic intervention, personal recovery, schizophrenia, well-being
National Category
Psychiatry Nursing
Identifiers
urn:nbn:se:hh:diva-48628 (URN)10.1080/01612840.2022.2158408 (DOI)000920133900001 ()36649626 (PubMedID)2-s2.0-85146445394 (Scopus ID)
Projects
Hästunderstödd terapi och rehabilitering vid psykisk ohälsa. En longitudinell design
Note

The study was approved by the Regional Ethics Committee at Lund University, Sweden (Dnr  2017/709).

Available from: 2022-11-16 Created: 2022-11-16 Last updated: 2023-03-13Bibliographically approved
Berget, B., Jormfeldt, H. & Lidfors, L. (2022). Djurens betydelse för människans hälsa (1:1ed.). In: Å. Engström; P. Juuso; M. Liljegren; L. Lundmark Alfredsson (Ed.), Vård, omsorg och rehabilitering utomhus: teori, praktik och nya perspektiv (pp. 261-283). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Djurens betydelse för människans hälsa
2022 (Swedish)In: Vård, omsorg och rehabilitering utomhus: teori, praktik och nya perspektiv / [ed] Å. Engström; P. Juuso; M. Liljegren; L. Lundmark Alfredsson, Lund: Studentlitteratur AB, 2022, 1:1, p. 261-283Chapter in book (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2022 Edition: 1:1
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Health Innovation
Identifiers
urn:nbn:se:hh:diva-48704 (URN)978-91-44-14236-4 (ISBN)
Available from: 2022-11-29 Created: 2022-11-29 Last updated: 2022-11-30Bibliographically approved
Punzo, K., Skoglund, M., Carlsson, I.-M. & Jormfeldt, H. (2022). Experiences of an equine-assisted therapy intervention among children and adolescents with mental illness in Sweden - A nursing perspective. Issues in Mental Health Nursing, 43(12), 1080-1092
Open this publication in new window or tab >>Experiences of an equine-assisted therapy intervention among children and adolescents with mental illness in Sweden - A nursing perspective
2022 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 43, no 12, p. 1080-1092Article in journal (Refereed) Published
Abstract [en]

Mental illness among children and adolescents is increasing globally, and prescription of psychiatric drugs for children and adolescents with mental illness is increasing worldwide, including Sweden. Holistic health-promoting interventions have shown promising long-lasting significant health benefits in young individuals with mental illness, but holistic health-promoting mental health interventions are often disregarded due to a lack of systematic theory-based knowledge. Consequently, the lack of scientific knowledge thwarts implementation of equine-assisted therapy as an established intervention in mental health nursing for children and adolescents with mental illness. The purpose of the study was to better understand experiences of equine-assisted therapy among children and adolescents with mental illness. The study adopted an inductive approach and data was collected using photovoice methodology. Six young persons, 7–18 years of age, referred by a psychologist to the equine-assisted intervention due to mental health issues, were included in the study. Data was analyzed using qualitative content analysis. The results could be summarized by an overarching theme, a physical, emotional, and social milieu for growth, consisting of three subcategories: feeling relief from everyday stress and anxiety; nurturing self-esteem in a mutual friendship; and strengthening self-reliance through synchronized interplay. The results indicate that equine-assisted therapy has essential values closely related to the goals of mental health nursing. Further research should strive to attain even gender distribution in study samples and focus on how equine-assisted therapy could be thoroughly integrated into established nursing intervention for children and adolescents with mental illness. © 2022 the author(s). 

Place, publisher, year, edition, pages
Philadelphia, PA: Taylor & Francis, 2022
Keywords
affect, equine-assisted therapeutic intervention, personal recovery, schizophrenia, well-being
National Category
Nursing
Research subject
Health Innovation; Health Innovation
Identifiers
urn:nbn:se:hh:diva-48103 (URN)10.1080/01612840.2022.2126571 (DOI)000862912600001 ()36178465 (PubMedID)2-s2.0-85141083923 (Scopus ID)
Available from: 2022-09-20 Created: 2022-09-20 Last updated: 2023-02-15Bibliographically approved
Fridén, L., Hultsjö, S., Lydell, M. & Jormfeldt, H. (2022). Närståendes bidrag till professionellt lärande i en hästunderstödd intervention för personer med psykos. In: : . Paper presented at Häst och lärande - ett område under utveckling. Det Fjärde Nordiska Forskningsseminariet om Hästunderstödda lnsatser, Stall Kungsgården, Drottningholm, Sverige, 16-17 september, 2022.
Open this publication in new window or tab >>Närståendes bidrag till professionellt lärande i en hästunderstödd intervention för personer med psykos
2022 (Swedish)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Nursing Pedagogy
Research subject
Health Innovation
Identifiers
urn:nbn:se:hh:diva-48131 (URN)
Conference
Häst och lärande - ett område under utveckling. Det Fjärde Nordiska Forskningsseminariet om Hästunderstödda lnsatser, Stall Kungsgården, Drottningholm, Sverige, 16-17 september, 2022
Available from: 2022-09-22 Created: 2022-09-22 Last updated: 2023-12-13Bibliographically approved
Fridén, L., Hultsjö, S., Lydell, M. & Jormfeldt, H. (2022). Relatives’ experiences of an equine-assisted intervention for people with psychotic disorders. International Journal of Qualitative Studies on Health and Well-being, 17(1), Article ID 2087276.
Open this publication in new window or tab >>Relatives’ experiences of an equine-assisted intervention for people with psychotic disorders
2022 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 17, no 1, article id 2087276Article in journal (Refereed) Published
Abstract [en]

Purpose: The aim of this study was to describe relatives’ experiences of an equine-assisted intervention for people with psychotic disorders.

Methods: The study has a qualitative and descriptive design. Ten semi-structured interviews were performed with relatives of people with a psychotic disorder who had participated in an equine-assisted intervention. A conventional content analysis was used to analyse the data.

Result: The overall category “Being with the horses strengthens health capabilities” summarizes the four identified subcategories “The horses contribute to a context with a common focus”, “Interaction with the horses enhances self-confidence and motivation”, “The interplay with the horses nurtures positive emotions” and “Being with the horses encourages physical activity”.

Conclusions: The result of this study contributes to the growing body of research about the potential outcomes of equine-assisted interventions. The result also indicates that equine-assisted interventions may improve health capabilities among people with psychotic disorders. The generated knowledge may be useful in mental health services when developing equine-assisted interventions. © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2022
Keywords
Equine-assisted interventions, experiences, health capabilities, mental health, psychotic disorders, qualitative content analysis, relatives
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-48129 (URN)10.1080/17482631.2022.2087276 (DOI)000810771400001 ()35698741 (PubMedID)2-s2.0-85132082613 (Scopus ID)
Note

Funding: The Swedish Postcode Foundation

Available from: 2022-09-22 Created: 2022-09-22 Last updated: 2022-10-17Bibliographically approved
Hultsjö, S. & Jormfeldt, H. (2022). The Role of the Horse in an Equine-Assisted Group Intervention-as Conceptualized by Persons with Psychotic Conditions. Issues in Mental Health Nursing, 43(3), 201-208
Open this publication in new window or tab >>The Role of the Horse in an Equine-Assisted Group Intervention-as Conceptualized by Persons with Psychotic Conditions
2022 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 43, no 3, p. 201-208Article in journal (Refereed) Published
Abstract [en]

Adopting positive health interventions is necessary to promote self-image, improve well-being, support meaningful social interaction and reduce loneliness, with benefits for psychological and physical health for persons with psychotic conditions. Raised awareness of the potential benefits of involving horses in these kinds of interventions is warranted. Thus, the aim of this study was to explore the role of the horse in equine-assisted interventions (EAI) as conceptualized among persons with psychotic conditions. Interviews were conducted with eight persons with psychotic conditions who had participated in an EAI, and data were analyzed following conventional qualitative content analysis. The results illustrate how the horse united the group and facilitated personal maturity both at a group level and at a personal level. In the group the horse facilitated interaction and became a healthy and normal topic of discussion. The interaction between the horse and others helped the participants to become aware of and reflect on behaviors of oneself and of others. At an individual level, the horse helped to develop participants’ identities and growth by offer mutual friendship. With its size and calming way of being, the horse evoked a healing power among participants who identified characteristics of themselves in the horse. Through its clear body language and communication, the horse facilitated personal maturity and development among the participants that would not have occurred without the horse’s presence.  © 2021 Taylor & Francis Group, LLC.

Place, publisher, year, edition, pages
Philadelphia: Taylor & Francis, 2022
National Category
Health Sciences
Identifiers
urn:nbn:se:hh:diva-45618 (URN)10.1080/01612840.2021.1975332 (DOI)000697393600001 ()34543163 (PubMedID)2-s2.0-85115271034 (Scopus ID)
Note

Funding: Chalmers University of Technology, Gothenburg, Sweden

Available from: 2021-09-20 Created: 2021-09-20 Last updated: 2022-03-10Bibliographically approved
Projects
Hästunderstödd terapi; Halmstad University
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-9753-0988

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