hh.sePublications
Change search
Link to record
Permanent link

Direct link
Publications (10 of 43) Show all publications
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
Show others...
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
Aili, K., Nygren, J. M., Arvidsson, S., Olsson, M. & Jarfelt, M. (2022). Health Outcomes in Adult Survivors of Childhood All and Their Siblings – A National Long Term Follow Up. Paper presented at 54th Congress of the International Society of Paediatric Oncology (SIOP 2022), Barcelona, Spain, September 28 – October 1, 2022. Pediatric Blood & Cancer, 69(S5), S173-S173, Article ID e29952.
Open this publication in new window or tab >>Health Outcomes in Adult Survivors of Childhood All and Their Siblings – A National Long Term Follow Up
Show others...
2022 (English)In: Pediatric Blood & Cancer, ISSN 1545-5009, E-ISSN 1545-5017, Vol. 69, no S5, p. S173-S173, article id e29952Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
Hoboken, NJ: John Wiley & Sons, 2022
National Category
Pediatrics
Research subject
Health Innovation, IDC
Identifiers
urn:nbn:se:hh:diva-52253 (URN)10.1002/pbc.29952 (DOI)000859203900351 ()
Conference
54th Congress of the International Society of Paediatric Oncology (SIOP 2022), Barcelona, Spain, September 28 – October 1, 2022
Note

Meeting Abstract: EP051

Available from: 2023-12-15 Created: 2023-12-15 Last updated: 2023-12-18Bibliographically approved
Aili, K., Arvidsson, S., Olsson, M., Jarfelt, M. & Nygren, J. M. (2022). Health-related quality of life in adults treated for paediatric acute lymphoblastic leukaemia: a cross-sectional and longitudinal cohort study. BMJ Open, 12, Article ID e048325.
Open this publication in new window or tab >>Health-related quality of life in adults treated for paediatric acute lymphoblastic leukaemia: a cross-sectional and longitudinal cohort study
Show others...
2022 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 12, article id e048325Article in journal (Refereed) Published
Abstract [en]

Introduction: Acute lymphoblastic leukaemia (ALL) is the most common form of cancer in children. Although treatment methods have improved and resulted in significant improvement of survival and reduction in late effects and late mortality risk, the health-related quality of life (HRQOL) of survivors might be affected. To introduce new interventions in clinical practice with the potential to support positive HRQOL outcomes, more knowledge is needed on how HRQOL in this group is constructed and stimulated. The purpose of this study is to investigate how HRQOL is affected in adults treated for paediatric ALL, in a long-term perspective and possible factors influencing this relationship.

Methods and analysis: This cohort of young adult ALL survivors allows for investigations of factors influencing HRQOL outcomes on a national level. Eligible participants are obtained from the Swedish Childhood Cancer quality registry. Data collection includes both a follow-up of data collected in 2012 (n=224) and recruitment of new eligible participants to the cohort (n=601). The cohort will cover survivors of paediatric ALL, diagnosed between 1985 and 2007, at an age between 0 and 15 years. Data will be collected using validated, multidimensional, self-administered instruments, designed to measure HRQOL (SF-36), social support, sense of coherence and resilience.

Ethics and dissemination: The study will be carried out in accordance with the ethics permit obtained from the Swedish ethics review authority (Dnr 2019-05181). Dissemination of study results will take place through research articles and reports to the national patient organisation and the national network for consultancy nurses for this target group and to the working group for the Swedish national long-term care programme for childhood cancer. Results will also reach practical application within the follow-up clinic for adult childhood cancer survivors at Sahlgrenska Hospital in Gothenburg. © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Place, publisher, year, edition, pages
London: BMJ Publishing Group Ltd, 2022
Keywords
acute lymphoblastic leukaemia, cohort, health-related quality of life, HRQOL, paediatric
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hh:diva-46494 (URN)10.1136/bmjopen-2020-048325 (DOI)000741038800003 ()34996782 (PubMedID)2-s2.0-85123271468 (Scopus ID)
Funder
Swedish Research Council
Available from: 2022-03-21 Created: 2022-03-21 Last updated: 2023-08-28Bibliographically approved
Hjort-Telhede, E., Arvidsson, S. & Karlsson, S. (2022). Nursing staff’s experiences of how weighted blankets influence resident’s in nursing homes expressions of health. International Journal of Qualitative Studies on Health and Well-being, 17(1), Article ID 2009203.
Open this publication in new window or tab >>Nursing staff’s experiences of how weighted blankets influence resident’s in nursing homes expressions of health
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 2009203Article in journal (Refereed) Published
Abstract [en]

Purpose

The most common treatment for resident’s health problems is pharmacological. Little research has been done on how an intervention with a non-pharmacological method, such as a weighted blanket, Through the nursing staff view, we can learn how weighted blankets influence resident’s health in nursing homes. The aim of this study was to explore nursing staff’s experiences of how an intervention with weighted blankets influenced resident’s expressions of health.

Methods

The study had a descriptive qualitative design with semi-structured interviews with 20 nursing staff working in nursing homes, and an inductive content analysis was applied.

Results

The nursing staff expressed that the weighted blanket positively influenced resident’s health in the areas of sleep, physical activity, and psychological behaviour. The weighted blanket made them fall asleep faster, sleep was uninterrupted andthey felt more rested in the morning. The nursing staff observed an increased level of activity as the resident became more energetic . The nursing staff also experienced reduced negative psychological behaviours like anxiety and worrying.

Conclusion

This study indicated that the weighted blanket changed the health expression of resident in several crucial areas. Deep pressure treatment indicates an alternative health-improved treatment for resident in nursing homes. © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2022
Keywords
Experiences, health problem, non-pharmacological intervention, nursing home, nursing staff, older person, sleep problems, sleep-promoting, weighted blanket
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-46516 (URN)10.1080/17482631.2021.2009203 (DOI)000729997800001 ()34904541 (PubMedID)2-s2.0-85121288591 (Scopus ID)
Funder
Swedish Foundation for Strategic Research
Note

Funding: The Mondian AB, Halmstad University och SSF.

Available from: 2022-03-24 Created: 2022-03-24 Last updated: 2023-01-13Bibliographically approved
Hjort-Telhede, E., Arvidsson, S., Karlsson, S. & Ivarsson, A. (2022). Weighted Blankets’ Effect on the Health of Older People Living in Nursing Homes. Geriatrics, 7(4), Article ID 79.
Open this publication in new window or tab >>Weighted Blankets’ Effect on the Health of Older People Living in Nursing Homes
2022 (English)In: Geriatrics, E-ISSN 2308-3417, Vol. 7, no 4, article id 79Article in journal (Refereed) Published
Abstract [en]

Background: An increasingly aging population is a global phenomenon. While considered a positive step forward, vulnerability to age-related health problems increases along with the ageing population. The aim of the study was to investigate weighted blankets’ effect on health regarding quality of life (QoL), sleep, nutrition, cognition, activities of daily living ADL and medication in older people living in nursing homes. Methods: In total, 110 older people were involved in an intervention with weighted blankets, and 68 older people completed the intervention. Measures before and after were performed regarding quality of life; QoL-AD, EQ-VAS, sleep; MISS, nutrition; MNA, cognition; S -MMSE (ADL) and medication. Comparative statistical analyses were applied. Results: After intervention with weighted blankets, health in general, such as QoL, improved. Sleep also improved significantly, especially with respect to waking up during the night. Nutrition was enhanced, health as a cognitive ability improved, and medication in the psychoanaleptic group decreased. The effect size varied between small and large. Conclusions: A weighted blanket seems to be an effective and safe intervention for older people in nursing homes, as several improvements were made regarding the health of older people. © 2022 by the authors.

Place, publisher, year, edition, pages
Basel: MDPI, 2022
Keywords
health, nursing home, older people, weighted blanket
National Category
Geriatrics
Identifiers
urn:nbn:se:hh:diva-47990 (URN)10.3390/geriatrics7040079 (DOI)000847200100001 ()36005255 (PubMedID)2-s2.0-85136799592 (Scopus ID)
Note

Funding: Halmstad University 70% and Mondian AB 30%

Available from: 2022-08-31 Created: 2022-08-31 Last updated: 2022-09-19Bibliographically approved
Carlsson, I.-M., Arvidsson, S., Svedberg, P., Nygren, J. M., Viklund, Å., Birkeland, A.-L. & Larsson, I. (2021). Creating a communication space in the healthcare context: Children’s perspective of using the eHealth service, Sisom. Journal of Child Health Care, 25(1), 31-43
Open this publication in new window or tab >>Creating a communication space in the healthcare context: Children’s perspective of using the eHealth service, Sisom
Show others...
2021 (English)In: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 25, no 1, p. 31-43Article in journal (Refereed) Published
Abstract [en]

According to the United Nation’s Convention of the Rights of the Child, children have the right to participate in their own healthcare and make their opinions heard. The aim of this study was thus to explore the impact of using an eHealth service, Sisom, to gain the children’s perspectives during their healthcare appointments. Data were gathered through individual interviews with a purposeful sample of 16 children, aged 6–13 years old, treated for different diseases and using the eHealth service, Sisom, during their healthcare appointments. The interviews were analysed using a constructivist grounded theory. The results showed that using Sisom made children’s voice heard by creating a communication space in the healthcare setting. This meant that the children got involved in the communication, were acknowledged as an important person who could give the answers to questions and were given time. Implementing the use of Sisom is a way to make children’s needs and preferences explicitly visible for decision-making in practice and thereby supporting the further development of child-centred care in practice. © The Author(s) 2020.

Place, publisher, year, edition, pages
London: Sage Publications, 2021
Keywords
Child-centred care, communication, eHealth, grounded theory, implementation
National Category
Other Health Sciences
Identifiers
urn:nbn:se:hh:diva-42098 (URN)10.1177/1367493520904804 (DOI)000513315000001 ()32048874 (PubMedID)2-s2.0-85079373859 (Scopus ID)
Available from: 2020-05-27 Created: 2020-05-27 Last updated: 2021-02-23Bibliographically approved
Aili, K., Arvidsson, S. & Nygren, J. M. (2021). Health related quality of life and buffering factors in adult survivors of acute pediatric lymphoblastic leukemia and their siblings. Health and Quality of Life Outcomes, 19(1), Article ID 55.
Open this publication in new window or tab >>Health related quality of life and buffering factors in adult survivors of acute pediatric lymphoblastic leukemia and their siblings
2021 (English)In: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 19, no 1, article id 55Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The improvement in treatment of pediatric acute lymphatic leukemia (ALL) has introduced new challenges for pediatric oncology care in understanding and handling long-term treatment-related complications later in adult life. The aim of this study was to describe health related quality of life (HRQoL) and the relation to buffering factors among young adult (YA) pediatric ALL survivors and their siblings.

METHODS: This cross-sectional study was performed among 227 adults, treated for pediatric ALL in Sweden between 1985 and 1997 and their siblings (n = 70). Group means of HRQoL (SF-36) were compared between YA ALL survivors and the siblings, as well as to normative values from the general population. Self-efficacy (GSES) and social support (SS-13 subscale AVSI) was considering potential buffering factors for HRQoL and mental health. Associations between HRQoL and mental health respectively and self-efficacy and social support was analyzed.

RESULTS: The YA ALL survivors scored significantly lower on the HRQoL parameters general health (69.6 vs. 78.4, p = 0.004) and role emotional (77.1 vs. 88.1, p = 0.014), than the siblings. Further, they reported significantly lower general health (69.6 vs. 75.8), vitality (56.9 vs. 68.8), social functioning (84.5 vs. 88.6), role emotional (77.1 vs. 85.7) and mental health (71.3 vs. 80.9) compared with Swedish norms. Both YA ALL survivors and the siblings reported lower vitality and worse mental health than the general population. The HRQoL parameters, depression, stress and anxiety were all associated with both self-efficacy and social support among the YA ALL survivors. Among the siblings however, only general health, vitality, role emotional, mental health and depression were associated with social support, and only general health and mental health were associated with general self-efficacy.

CONCLUSION: The results from this study show that buffering factors, like social support and self-efficacy, may play an important role for psychosocial outcomes and HRQoL among YA ALL survivors later in life. The results suggest that this group could benefit from continuous support in adult life to handle consequences of their pediatric disease. © 2021, The Author(s).

Place, publisher, year, edition, pages
London: BioMed Central, 2021
National Category
Other Health Sciences
Identifiers
urn:nbn:se:hh:diva-44198 (URN)10.1186/s12955-021-01700-4 (DOI)000619639300001 ()33579311 (PubMedID)2-s2.0-85101050301 (Scopus ID)
Funder
Swedish Childhood Cancer FoundationSwedish Research Council
Note

Open access funding provided by Halmstad University. 

Available from: 2021-04-22 Created: 2021-04-22 Last updated: 2021-04-28Bibliographically approved
Gilljam, B.-M., Arvidsson, S., Nygren, J. M. & Svedberg, P. (2020). Child participation in health care (ChiPaC)—Development and psychometric evaluation of a self‐report instrument for children's participation in health care. Journal of Clinical Nursing, 29(1-2), 107-118
Open this publication in new window or tab >>Child participation in health care (ChiPaC)—Development and psychometric evaluation of a self‐report instrument for children's participation in health care
2020 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 29, no 1-2, p. 107-118Article in journal (Refereed) Published
Abstract [en]

Aims and objectives: To develop and evaluate the psychometric properties of a self‐report instrument measuring 6‐ to 12‐year‐old children's own experiences of participation in health care.

Background: Validated measures to evaluate children's participation in health care can play a critical role in strategic work towards supporting children's participation at an individual level and in working towards quality improvements at an organisational level. There are, however, no available instruments to achieve this.

Methods: An instrument development design was used, together with the TRIPOD checklist. Item construction was based on research about children's perspectives on participation in health care and Shier's model for participation. The face and content validity was evaluated by 14 healthy children, 9 paediatric nurses and 8 children with different diseases. The construct validity, internal consistency and stability reliability were evaluated based on data from 138 children visiting a paediatric clinic.

Results: The testing of the face and content validity resulted in an instrument with child‐friendly language, additional instructions and visual attractive presentation. The principle component analysis resulted in the four‐factor solution: “To be included,” “To trust professionals,” “To take control,” and “To understand information.” Internal consistency and intraclass correlation coefficients were acceptable.

Conclusion: We conclude that the child participation in health care (ChiPaC) instrument has adequate reliability and validity when used to evaluate children's participation in health care. The involvement of children in the development of ChiPaC resulted in a brief, colourful and user‐friendly instrument for use in paediatric health care.

Relevance to clinical practice: This new questionnaire, ChiPaC, is adapted for children between 6–12 years measuring participation in health care from a child perspective. ChiPaC can be used in the practical work of supporting individual children's participation in health care as well as in the strategical work towards quality improvements on an organisational level.

What does this paper contribute to the wider global clinical community?

  • The instrument provides a contribution for the practical implementation of the Convention on the Rights of the Child in health care.
  • The high degree of involvement of children in the development of the instrument resulted in a brief, colourful and user‐friendly instrument that can be used in paediatric health care.
  • The instrument can play a critical role in the practical work of supporting individual children's participation in health care as well as in the strategical work of quality improvement on an organisational level.
Place, publisher, year, edition, pages
Chichester: Wiley-Blackwell, 2020
Keywords
child, healthcare worker, instrument development, patient participation, questionnaire
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-40776 (URN)10.1111/jocn.15063 (DOI)000612733700011 ()31531995 (PubMedID)2-s2.0-85074055575 (Scopus ID)
Note

Funding: The Region Halland (grant number HALLAND‐631071), and the Linnéa and Josef Carlssons foundation (grant number 2016/12).

Available from: 2019-10-22 Created: 2019-10-22 Last updated: 2021-10-20Bibliographically approved
Gilljam, B.-M., Nygren, J. M., Svedberg, P. & Arvidsson, S. (2020). Impact of an Electronic Health Service on Child Participation in Pediatric Oncology Care: Quasiexperimental Study. Journal of Medical Internet Research, 22(7), Article ID e17673.
Open this publication in new window or tab >>Impact of an Electronic Health Service on Child Participation in Pediatric Oncology Care: Quasiexperimental Study
2020 (English)In: Journal of Medical Internet Research, E-ISSN 1438-8871, Vol. 22, no 7, article id e17673Article in journal (Refereed) Published
Abstract [en]

Background: There is a shortage of electronic Health (eHealth) services for children 6-12 years old, which promotes their participation in healthcare. Children with long-term diseases want to be more involved in their healthcare, and have the right to receive information, to be listened to, to express their opinions and to participate in decision-making in healthcare.

Objective: The aim of this study was to investigate children’s participation during appointments with pediatricians at pediatric oncology clinics, with or without the use of the eHealth service Sisom.

Method: A quasi-experimental design with mixed methods was used. Twenty-seven appointments with pediatricians for 14 children aged 6-12 years (mean 8.3) with a cancer diagnosis were filmed and analyzed. The intervention group consisted of children who used an eHealth service prior their appointments with pediatricians at a pediatric oncology clinic and the control group consisted of children during their appointments with pediatricians at four other pediatric oncology clinics. The data from the observations from the films were analyzed with quantitative and qualitative analysis. The quantitative analysis included manual calculations of how many times the pediatricians spoke directly to the children, of the proportion of the appointment time that the children were talking and their levels of participation. The qualitative analysis included directed content analysis included observations of the video films to assess the children´s levels of participation manifested themselves.

Results:  A greater proportion of what the pediatrician said in the intervention group was addressed to the child than occurred in the control group, but the proportion of the appointment time the children talked was almost the same for both the intervention and the control groups. The levels of participation corresponded to the first three levels of Shier´s participation model: Children were listened to, Children were supported to express their views and Children´s views were taken into account. The results showed an increased level of the children´s participation in the intervention group. Several codes were found about information, which did not fit into any of the existing categories, and a new category was thus formed: Children received information. Situations were also identified where children were actively excluded from participation; these were presented as negative codes.

Conclusions: This study shows that the eHealth service Sisom can increase children´s participation during appointments with healthcare professionals. Future research should focus on evaluating outcomes on individual and organizational levels and in different healthcare contexts. © The authors. All rights reserved

Place, publisher, year, edition, pages
Toronto: J M I R Publications, 2020
Keywords
Cancer, child care, communication, eHealth, patient participation
National Category
Pediatrics
Identifiers
urn:nbn:se:hh:diva-41605 (URN)10.2196/17673 (DOI)000575052200011 ()32720907 (PubMedID)2-s2.0-85088811412 (Scopus ID)
Note

Funder: Region Halland and the Center for Research on Welfare, Health, and Sport at Halmstad University.

Available from: 2020-02-05 Created: 2020-02-05 Last updated: 2024-01-17Bibliographically approved
Cuesta, M., Millberg German, L., Karlsson, S. & Arvidsson, S. (2020). Welfare technology, ethics and well-being: a qualitative study about the implementation of welfare technology within areas of social services in a Swedish municipality. International Journal of Qualitative Studies on Health and Well-being, 15(sup1), Article ID 1835138.
Open this publication in new window or tab >>Welfare technology, ethics and well-being: a qualitative study about the implementation of welfare technology within areas of social services in a Swedish municipality
2020 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 15, no sup1, article id 1835138Article in journal (Refereed) Published
Abstract [en]

Purpose: Digitalization and e-health have potential to generate good quality, equal health, well-being and to develop and strengthen individuals’ resources with the goal of increased independence and participation in society. The implementation of welfare technology requires knowledge of digitalization, as well as an awareness of its meaning in terms of ethical principles and ethical analysis. The purpose of this study was to describe ethical analysis concerning the implementation of welfare technology, in terms of both strategies and tools, within areas of social services in a Swedish municipality.

Method: We followed a working model that focused on increased knowledge and experience in the implementation of welfare technology from an ethical perspective. In the data collection were observations, a questionnaire with open-ended questions and focus group discussions used.

Results: The analysis showed that when welfare technology was introduced and implemented within the area of social services in a municipality, ethical awareness resulting from the conflicts between various interests and values had to be addressed.

Conclusions: The ethical analysis improved implementation of strategies and tools in terms of facts and values, and invisible underlying values to the concept of well-being. © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2020
Keywords
Ethical analysis, health spaces, welfare technology, well-being, working model
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-41125 (URN)10.1080/17482631.2020.1835138 (DOI)000588361500005 ()33103633 (PubMedID)2-s2.0-85094644984 (Scopus ID)
Available from: 2019-12-05 Created: 2019-12-05 Last updated: 2021-10-25Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-5647-086X

Search in DiVA

Show all publications