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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 activities to support health and recovery among individuals diagnosed with schizophrenia in the context of mental health nursing: A systematic review. Issues in Mental Health Nursing
Open this publication in new window or tab >>Equine-assisted activities to support health and recovery among individuals diagnosed with schizophrenia in the context of mental health nursing: A systematic review
2018 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673Article in journal (Refereed) Epub ahead of print
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: 2018-06-21
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, 1-7
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, p. 1-7Article in journal (Refereed) In press
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)29446657 (PubMedID)2-s2.0-85042136613 (Scopus ID)
Available from: 2018-03-15 Created: 2018-03-15 Last updated: 2018-04-19
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
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
Carlsson, I.-M., Blomqvist, M. & Jormfeldt, H. (2017). Ethical and methodological issues in qualitative studies involving people with severe and persistent mental illness such as schizophrenia and other psychotic conditions: a critical review. International Journal of Qualitative Studies on Health and Well-being, 12(Sup. 2), Article ID 1368323.
Open this publication in new window or tab >>Ethical and methodological issues in qualitative studies involving people with severe and persistent mental illness such as schizophrenia and other psychotic conditions: a critical review
2017 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 12, no Sup. 2, article id 1368323Article in journal (Refereed) Published
Abstract [en]

Undertaking research studies in the field of mental health is essential in mental health nursing. Qualitative research methodologies enable human experiences to become visible and recognize the importance of lived experiences. This paper argues that involving people with schizophrenia in research is critical to promote their health and well-being. The quality of qualitative research needs scrutinizing according to methodological issues such as trustworthiness and ethical standards that are a fundamental part of qualitative research and nursing curricula. The aim of this study was to critically review recent qualitative studies involving people with severe and persistent mental illness such as schizophrenia and other psychotic conditions, regarding descriptions of ethical and methodological issues in data collection and analysis. A search for relevant papers was conducted in three electronic databases, in December 2016. Fifteen qualitative interview studies were included and reviewed regarding methodological issues related to ethics, and data collection and analysis. The results revealed insufficient descriptions of methodology regarding ethical considerations and issues related to recruitment and sampling in qualitative interview studies with individuals with severe mental illness, putting trustworthiness at risk despite detailed descriptions of data analysis. Knowledge from the perspective of individuals with their own experience of mental illness is essential. Issues regarding sampling and trustworthiness in qualitative studies involving people with severe mental illness are vital to counteract the stigmatization of mental illness.

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2017
Keywords
Critical review, ethical issues, mental health, schizophrenia, trustworthiness
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-35020 (URN)10.1080/17482631.2017.1368323 (DOI)28901217 (PubMedID)
Available from: 2017-09-19 Created: 2017-09-19 Last updated: 2017-09-19Bibliographically approved
Larsson, I. & Jormfeldt, H. (2017). Perspectives on power relations in human health and well-being. International Journal of Qualitative Studies on Health and Well-being, 12(Suppl. 2), Article ID 1358581.
Open this publication in new window or tab >>Perspectives on power relations in human health and well-being
2017 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 12, no Suppl. 2, article id 1358581Article in journal, Editorial material (Refereed) Published
Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2017
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hh:diva-34902 (URN)10.1080/17482631.2017.1358581 (DOI)000408681100001 ()28831852 (PubMedID)
Available from: 2017-09-08 Created: 2017-09-08 Last updated: 2018-03-23Bibliographically approved
Lundström, S., Ahlström, B. H., Jormfeldt, H., Eriksson, H. & Skärsäter, I. (2017). The Meaning of the Lived Experience of Lifestyle Changes for People with Severe Mental Illness. Issues in Mental Health Nursing, 38(9), 717-725
Open this publication in new window or tab >>The Meaning of the Lived Experience of Lifestyle Changes for People with Severe Mental Illness
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2017 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 38, no 9, p. 717-725Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to elucidate the meaning of the lived experience of lifestyle changes as perceived by people with severe mental illness (SMI). People with SMI who have experience in managing lifestyle changes were interviewed (n = 10). The interviews were analyzed with a phenomenological hermeneutic approach. The findings reveal three themes: (1) struggling with inner and outer limitations, (2) on one's own but together with others and (3) longing for living a life in harmony. The meaning of lifestyle changes can be understood as a person's internal and external endeavors to make well-considered decisions about lifestyle changes. Support should focus on strengthening the person's self-efficacy and should be based on the person's experiences. © 2017 Taylor & Francis Group, LLC

Place, publisher, year, edition, pages
Philadelphia, PA: Taylor & Francis, 2017
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-34905 (URN)10.1080/01612840.2017.1330909 (DOI)000413793800007 ()28613126 (PubMedID)2-s2.0-85020737557 (Scopus ID)
Available from: 2017-09-08 Created: 2017-09-08 Last updated: 2017-11-29Bibliographically approved
Lindberg, S., Jormfeldt, H. & Bergquist, M. (2017). Unlocking design potential: Design with people diagnosed with schizophrenia. Informatics for Health and Social Care
Open this publication in new window or tab >>Unlocking design potential: Design with people diagnosed with schizophrenia
2017 (English)In: Informatics for Health and Social Care, ISSN 1753-8157, E-ISSN 1753-8165Article in journal (Refereed) Epub ahead of print
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. © 2017 Taylor & Francis

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2017
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: 2018-03-08Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-9753-0988

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