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Ekengren, J., Stambulova, N., Johnson, U., Carlsson, I.-M. & Ryba, T. (2020). Composite vignettes of Swedish male and female professional handball players’ career paths. Sport in Society: Cultures, Media, Politics, Commerce, 23(4), 595-612
Open this publication in new window or tab >>Composite vignettes of Swedish male and female professional handball players’ career paths
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2020 (English)In: Sport in Society: Cultures, Media, Politics, Commerce, ISSN 1743-0437, E-ISSN 1743-0445, Vol. 23, no 4, p. 595-612Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to describe gender-specific career paths of Swedish professional handball players. A reanalysis of Ekengren et al. (2018) career interviews with nine male and nine female players led to creating two composite vignettes using the athletes’ own words, accounted for typical features in the male and female players’ career paths. Seven themes were identified in the analysis of the men’s transcripts and eight themes derived from the women’s transcripts. Further, the themes of both vignettes were aligned with career stages described in our previous study (Ekengren et al. 2018). The male players’ vignette is interpreted as a performance narrative congruent with elite handball culture that promotes performance success and profitable professional contracts. The female players’ vignette is more holistic, embracing handball, studies, motherhood, and how they ought to be as Swedish women. Recommendations for future research are provided. © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group

Place, publisher, year, edition, pages
Abingdon: Routledge, 2020
Keywords
Career development, creative analytical practice, cultural praxis of athletes’ careers, gender, handball, vignettes
National Category
Health Sciences
Identifiers
urn:nbn:se:hh:diva-39272 (URN)10.1080/17430437.2019.1599201 (DOI)2-s2.0-85064667459 (Scopus ID)
Funder
Swedish National Centre for Research in Sports, F2015-0018
Note

Other funders: The Swedish Research Council for Sport Science, Swedish Handball Federation & Halmstad University

Available from: 2019-04-25 Created: 2019-04-25 Last updated: 2020-03-23Bibliographically approved
Carlsson, I.-M., Arvidsson, S., Svedberg, P., Nygren, J. M., Viklund, Å., Birkeland, A.-L. & Larsson, I. (2020). Creating a communication space in the healthcare context: Children’s perspective of using the eHealth service, Sisom. Journal of Child Health Care, 12
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
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2020 (English)In: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 12Article in journal (Refereed) Epub ahead of print
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, 2020
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)
Note

Number of pages: 13

Available from: 2020-05-27 Created: 2020-05-27 Last updated: 2020-05-28
Sjöberg, C., Carlsson, I.-M., Källstrand Eriksson, J., Svedberg, P. & Nygren, J. M. (2020). Creating a shielding place for children with leukaemia during sedation for intrathecal chemotherapy: A grounded theory study. European Journal of Oncology Nursing, 44, Article ID 101711.
Open this publication in new window or tab >>Creating a shielding place for children with leukaemia during sedation for intrathecal chemotherapy: A grounded theory study
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2020 (English)In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 44, article id 101711Article in journal (Refereed) Published
Abstract [en]

Purpose: Childhood cancer invades the child's daily life and has a strong influence on their living conditions and lifestyle. The treatment is an unpleasant experience and the children often perceive the treatment as worse than the actual disease. The aim of the present study was thus to explore the process of how healthcare professionals improved care for children undergoing sedation for intrathecal chemotherapy.

Method: A constructivist grounded theory approach was applied and qualitative interviews with paediatricians (n = 2), anaesthetists (n = 2), paediatric nurses (n = 3) and nurse anaesthetists (n = 5).

Results: The theory of creating a shielding place emerged and conceptualized the pattern of behavior of healthcare professionals throughout the procedure of sedation for intrathecal chemotherapy for pediatric leukaemia. The theory explains the core category ‘shielding’ and the process of how healthcare professionals developed strategies to resolve their main concern: a striving to reduce discomfort and suffering induced by the procedure and the treatment. These strategies, used throughout the procedure, were; de-dramatizing, de-exposing and minimizing trespassing.

Conclusions: The theory of creating a shielding place offers a greater understanding of how healthcare professionals included the child's perspective in their work and thereby enabled a more sensitive and supportive care that had an impact on both quality of care and patient safety. The results from the study contributes with theoretical knowledge that can be used for developing evidence-based care guidelines for the procedure of sedating a child with leukaemia for intrathecal chemotherapy. © 2019 Published by Elsevier Ltd.

Place, publisher, year, edition, pages
Oxford: Elsevier, 2020
Keywords
Caring, Chemotherapy, Children, Grounded theory, Healthcare professionals, Leukaemia, Person-centered care, Quality of care
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-41286 (URN)10.1016/j.ejon.2019.101711 (DOI)31884346 (PubMedID)2-s2.0-85076826444 (Scopus ID)
Funder
Swedish Childhood Cancer Foundation
Note

Other funding: Region Halland Sweden

Available from: 2019-12-20 Created: 2019-12-20 Last updated: 2020-03-03Bibliographically approved
Ekengren, J., Stambulova, N., Johnson, U. & Carlsson, I.-M. (2020). Exploring career experiences of Swedish professional handball players: Consolidating firsthand information into an empirical career model. International Journal of Sport and Exercise Psychology, 18(2), 156-175
Open this publication in new window or tab >>Exploring career experiences of Swedish professional handball players: Consolidating firsthand information into an empirical career model
2020 (English)In: International Journal of Sport and Exercise Psychology, ISSN 1612-197X, E-ISSN 1557-251X, Vol. 18, no 2, p. 156-175Article in journal (Refereed) Published
Abstract [en]

The study was aimed at developing the empirical career model of Swedish professional handball players by means of exploring their career experiences in athletic and non-athletic developments through the lens of the holistic athletic career model. Eighteen Swedish professional handball players (nine men and nine women), who had recently terminated or were finishing their careers took part in semi-structured interviews about their careers from the beginning to the end with an interest in both athletic and non-athletic developments. Thematic analysis initially focused on identifying the handball career structure (i.e. stages and sub-stages). Then, the interviews were analysed inductively to identify shared themes in the players’ experiences relevant to each career stage. These themes were incorporated in the relevant stages, and the empirical career model of Swedish professional handball players (further – the empirical model) was finalised. The empirical model describes careers of Swedish handball players as having four athletic stages – initiation, development (with three sub-stages), mastery (with four sub-stages), and discontinuation – complemented by players’ psychological, psychosocial, academic/vocational, and financial developments. Each stage is also aligned with age markers and contains themes describing players’ career experiences from the holistic perspective. The empirical model contributes to contextualised career research and serves as a basis for developing career-long psychological support services in Swedish handball including player/coach/parent education organised by the Swedish Handball Federation.© 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group

Place, publisher, year, edition, pages
New York: Taylor & Francis, 2020
Keywords
athletic career, empirical career model, handball, holistic developmental perspective
National Category
Applied Psychology
Identifiers
urn:nbn:se:hh:diva-37469 (URN)10.1080/1612197X.2018.1486872 (DOI)2-s2.0-85049138031 (Scopus ID)
Funder
Swedish National Centre for Research in Sports, F2015-0018
Note

Funding: the Swedish Research Council for Sport Science, Swedish Handball Federation, and Halmstad University.

Available from: 2018-07-03 Created: 2018-07-03 Last updated: 2020-03-31Bibliographically approved
Svedberg, P., Arvidsson, S., Larsson, I., Carlsson, I.-M. & Nygren, J. M. (2019). Barriers and Enablers Affecting Successful Implementation of the Electronic Health Service Sisom: Multicenter Study of Child Participation in Pediatric Care. Journal of Medical Internet Research, 21(11), 1-15, Article ID 14271.
Open this publication in new window or tab >>Barriers and Enablers Affecting Successful Implementation of the Electronic Health Service Sisom: Multicenter Study of Child Participation in Pediatric Care
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2019 (English)In: Journal of Medical Internet Research, ISSN 1438-8871, E-ISSN 1438-8871, Vol. 21, no 11, p. 1-15, article id 14271Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Children's participation in health care is one of the most important components in the management of their disease. Electronic health (eHealth) services that are adapted to the needs of children have the potential for restructuring how children and professionals work together. Therefore, a digital interactive assessment and communication tool, Sisom, was developed to give children aged between 6 and 12 years a voice in their own health care. However, the implementation of eHealth services such as Sisom in daily practice in pediatric health care is rarely investigated. OBJECTIVE: The aim of this study was to explore the process of implementing Sisom for children in pediatric care in Sweden. More specifically, the study aimed to (1) evaluate whether the implementation strategy was conducted as planned, (2) understand the barriers and facilitators of the implementation strategy in pediatric care settings, (3) gain insight into how professionals work with the specific intervention, and (4) gain insight into the usefulness and effects of the intervention from the professionals' perspectives. METHODS: A process evaluation design was used to study the implementation of Sisom at 4 pediatric care centers in Sweden. An extensive amount of qualitative and quantitative data was collected before, during, and after the intervention through self-report checklists, memos, and interviews with professionals. In total, 46 children, aged between 6 and 13 years, participated. The children used Sisom on two occasions during 6 months. When they used Sisom, a printed report formed the basis for a forthcoming dialogue between professionals, children, and their parents. RESULTS: To our knowledge, this is the first implementation study of an eHealth communication tool aimed at strengthening children's participation in pediatric health care. Key factors for successful implementation were alignment of the solution with the values and goals of the organization, health care professionals' beliefs in the usefulness and usability of the solution, and health care professionals' willingness to change their professional roles guided by the solution. CONCLUSIONS: The results from the study show that it is possible to restructure health care delivery toward a child-centered approach, if there is a willingness and preparedness in the organization to implement an eHealth solution with the aim of restructuring the way of working with children's participation. ©Petra Svedberg, Susann Arvidsson, Ingrid Larsson, Ing-Marie Carlsson, Jens M Nygren.

Place, publisher, year, edition, pages
Toronto: JMIR Publications, Inc., 2019
Keywords
children, eHealth, health care, quality improvement, diffusion of innovation, implementation science
National Category
Nursing Pediatrics Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hh:diva-41026 (URN)10.2196/14271 (DOI)000452782500038 ()31730040 (PubMedID)2-s2.0-85074656706 (Scopus ID)
Available from: 2019-11-24 Created: 2019-11-24 Last updated: 2020-02-14Bibliographically approved
Svedberg, P., Arvidsson, S., Larsson, I., Carlsson, I.-M. & Nygren, J. M. (2019). Barriers And Enablers for Successful Implementation of the eHealth Service Sisom for Improved Child Participation in Paediatric Care - A Multi-Centre Study. Paper presented at 51th Congress of the International Society of Paediatric Oncology (SIOP), Lyon, France, October 23-26, 2019. Pediatric Blood & Cancer, 66(S4), S122-S122, Article ID PPO18 SIOP19-1183.
Open this publication in new window or tab >>Barriers And Enablers for Successful Implementation of the eHealth Service Sisom for Improved Child Participation in Paediatric Care - A Multi-Centre Study
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2019 (English)In: Pediatric Blood & Cancer, ISSN 1545-5009, E-ISSN 1545-5017, Vol. 66, no S4, p. S122-S122, article id PPO18 SIOP19-1183Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Background/Objectives:

Participation in healthcare is one of the most important components in management of children’s disease. eHealth services that are adapted to the needs of children have the potential to reorganize how children and professionals work together. The digital interactive communication tool Sisom, was developed to give children in pediatric oncology care “a voice". However, the implementation of eHealth services, such as Sisom, in daily practice is rarely being investigated. The objective of this study was to explore the process and effects of implementing Sisom at four pediatric care centers in Sweden.

Design/Methods:

A process and effect evaluation design was used to investigate the implementation of Sisom in a clinical context at four pediatric care centers in Sweden. In total, 46 children, age 6- 13 years, participated and most of them had a cancer diagnosis. The children used Sisom at two occasions during 6 months. Following the use of Sisom, a printed report formed the basis for a forthcoming dialogue between professionals, children and their parents.

Results:

Key factors for successful implementation of Sisom was; i) alignment of the solution with values and goals of the organization, ii) professional’s beliefs in the usefulness and usability of the solution, and iii) professional’s willingness to apply changes in their professional roles promoted by the solution. Sisom directed healthcarecommunication from the parents’ voices toward the child’s voice and made children’s needs and preferences explicitly visible in decision-making.Sisom was experienced, by the children, as a user-friendly tool through which they could find ways to express themselves and share information with their parents and healthcare professionals.

Conclusions:

The results show how healthcare deliverycan be reorganized towards a child-centered approach, and the importance of implementing an eHealth service to support restructuring ofways of working with children’s participation to succeed with this.

Place, publisher, year, edition, pages
Hoboken, NJ: John Wiley & Sons, 2019
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hh:diva-40803 (URN)10.1002/pbc.27989 (DOI)000488458001098 ()31568621 (PubMedID)2-s2.0-85072767768 (Scopus ID)
Conference
51th Congress of the International Society of Paediatric Oncology (SIOP), Lyon, France, October 23-26, 2019
Available from: 2019-10-28 Created: 2019-10-28 Last updated: 2020-05-07Bibliographically approved
Blomqvist, M., Ivarsson, A., Carlsson, I.-M., Sandgren, A. & Jormfeldt, H. (2019). Health Effects of an Individualized Lifestyle Intervention for People with Psychotic Disorders in Psychiatric Outpatient Services: A Two Year Follow-Up. Issues in Mental Health Nursing, 40(10), 839-850
Open this publication in new window or tab >>Health Effects of an Individualized Lifestyle Intervention for People with Psychotic Disorders in Psychiatric Outpatient Services: A Two Year Follow-Up
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2019 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 40, no 10, p. 839-850Article in journal (Refereed) Published
Abstract [en]

People with psychotic disorders experience to a great extent avoidable physical illnesses and early mortality. The aim of the study was to investigate the potential effects for this group of participating in a lifestyle intervention. A multi-component nurse-led lifestyle intervention using quasi-experimental design was performed. Changes in biomedical and clinical measurements, self-reported health, symptoms of illness and health behavior were investigated. Multilevel modeling was used to statistically test differences in changes over time. Statistically significant changes were found in physical activity, HbA1c and waist circumference. A lifestyle intervention for people with severe mental illness can be beneficial for increasing physical activity. © 2019 Blomqvist et al. Published with license by Taylor & Francis Group, LLC.

Place, publisher, year, edition, pages
Philadelphia: Taylor & Francis, 2019
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hh:diva-40967 (URN)10.1080/01612840.2019.1642425 (DOI)000481062200001 ()2-s2.0-85070814991 (Scopus ID)
Note

Funders: 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: 2019-11-16 Created: 2019-11-16 Last updated: 2020-01-09Bibliographically approved
Mirskaya, M., Lindgren, E.-C. & Carlsson, I.-M. (2019). Online reported women’s experiences of symptomatic pelvic organ prolapse after vaginal birth. BMC Women's Health, 19, Article ID 129.
Open this publication in new window or tab >>Online reported women’s experiences of symptomatic pelvic organ prolapse after vaginal birth
2019 (English)In: BMC Women's Health, ISSN 1472-6874, E-ISSN 1472-6874, Vol. 19, article id 129Article in journal (Refereed) Published
Abstract [en]

Background: Pelvic organ prolapse (POP) is a major public health problem with a relative high lifetime risk of surgery. The main risk factor for developing POP is vaginal birth. Many women become symptomatic later in life and most of the existing research on symptomatic pelvic organ prolapse (sPOP) predominantly concentrates on the effects of the condition on postmenopausal women. However bothersome symptoms of POP can be reported as early as in women’s 20s and may occur shortly after vaginal birth. Limited studies provide an insight into daily life of fertile women with sPOP. Thus, we aimed to explore fertile women’s experiences of symptomatic pelvic organ (sPOP) after vaginal birth.

Methods: An inductive, text-driven approach was taken by selecting thread posts from an internet forum written by 33 Swedish fertile women who had experienced sPOP after vaginal birth.

Results: The overarching theme “being irreparably damaged” was identified as representing an experience of being disabled by sPOP after vaginal birth. The fertile women experienced that their lives were ruined because of physical and psychological limitations caused by this unexpected, unfamiliar and unexplained condition. Living with sPOP impinged on sexual health, restricted daily and sports activities and affected the women’s ability to fulfill everyday parental duties. This in turn compromised women’s psychological health. In addition, the negligence of healthcare professionals who tended to trivialize and normalize the symptoms led to the belief that there were no sustainable treatments and that women would have to live with bothersome symptoms of POP for rest of their lives.

Conclusions: This study found that sPOP had a significant negative impact on fertile women’s lives. The women indicated that they had not had the opportunity to voice their concerns and had not been taken seriously by healthcare professionals. It is of the utmost importance to acknowledge this problem and develop guidelines for prevention and management of sPOP to improve the quality of life for women. © Mirskaya, Lindgren & Carlsson. 2019

Place, publisher, year, edition, pages
London, UK: BioMed Central, 2019
Keywords
Fertile women, Pelvic organ prolapse, Pelvic organ prolapse symptoms, Psychological trauma, Qualitative research, Vaginal birth
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:hh:diva-40969 (URN)10.1186/s12905-019-0830-2 (DOI)000502814600001 ()31664987 (PubMedID)2-s2.0-85074336233 (Scopus ID)
Available from: 2019-11-16 Created: 2019-11-16 Last updated: 2020-01-31Bibliographically approved
Larsson, I., Svedberg, P., Arvidsson, S., Nygren, J. M. & Carlsson, I.-M. (2019). Parents’ experiences of an e-health intervention implemented in pediatric healthcare: a qualitative study. BMC Health Services Research, 19, Article ID 800.
Open this publication in new window or tab >>Parents’ experiences of an e-health intervention implemented in pediatric healthcare: a qualitative study
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2019 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 19, article id 800Article in journal (Refereed) Published
Abstract [en]

Background: The growing field of participation in healthcare has the potential to provide a number of benefits for children, patients, healthcare professionals and also the healthcare systems. According to the Convention on the Rights of the Child (UNCRC), children have the right to participate in their own healthcare and make their voice heard. Children’s opportunities for understanding their conditions, sharing their views and participating in decisions regarding their care depend on healthcare professionals but also on parents’ ability to communicate and include children. E-health solutions can remove barriers to children’s communication with healthcare professionals. The aim of this study was to explore parents’ perspectives on the outcomes of an e-health solution, Sisom, used by children during healthcare appointments.

Methods: The empirical data is based on interviews with 16 parents. In the present study constructivist, grounded theory was chosen as the method.

Results: The theory of enhancing participation, by orientating communication about healthcare towards the voice of the child instead of the parents, summarizes the process of how the outcome of Sisom for children lead to enhanced participation, by making the child the main actor and an agent in his/her own healthcare. The facilitators for achieving participation in Sisom were four interrelated outcomes; engaging, voice-guarding, raising awareness and integrity preserving. In addition to generating increased participation, it emerged that the use of Sisom also initiated a process, which was evident in all four subcategories that facilitated the child in coping with the experience of having an illness.

Conclusions: We conclude, that Sisom orientated communication about healthcare towards the voice of the child instead of the parents as well as including the child in the dialogue with the healthcare professional and thus increasing the child’s participation and human rights. © 2019 The Author(s)

Place, publisher, year, edition, pages
London, UK: BioMed Central, 2019
Keywords
Children, E-health intervention, Grounded theory, Parents, Participation
National Category
Other Health Sciences
Identifiers
urn:nbn:se:hh:diva-40879 (URN)10.1186/s12913-019-4643-7 (DOI)000499103100007 ()31690287 (PubMedID)2-s2.0-85074584965 (Scopus ID)
Funder
Swedish Childhood Cancer Foundation
Note

Other funder: Centre of Welfare, Health and Sports at Halmstad University.

Available from: 2019-11-08 Created: 2019-11-08 Last updated: 2020-01-31Bibliographically approved
Carlsson, I.-M., Larsson, I. & Jormfeldt, H. (2019). Place and space in relation to childbirth: a critical interpretive synthesis. International Journal of Qualitative Studies on Health and Well-being
Open this publication in new window or tab >>Place and space in relation to childbirth: a critical interpretive synthesis
2019 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631Article in journal (Refereed) Accepted
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-40968 (URN)10.1080/17482631.2019.1667143 (DOI)
Available from: 2019-11-16 Created: 2019-11-16 Last updated: 2020-05-12
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-8354-3382

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