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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
Keyword
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
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
Carlsson, I.-M., Nygren, J. M. & Svedberg, P. (2018). Patient participation, a prequisite for care: A grounded theory study of healthcare professionals’ perceptions of what participation means in a paediatric care context. Nursing Open, 5(1), 45-52
Open this publication in new window or tab >>Patient participation, a prequisite for care: A grounded theory study of healthcare professionals’ perceptions of what participation means in a paediatric care context
2018 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 5, no 1, p. 45-52Article in journal (Refereed) Published
Abstract [en]

Aims

To explore healthcare professionals’ perceptions of what patient participation means in a paediatric care context.

Design

A qualitative explorative design with grounded theory.

Methods

Fifteen healthcare professionals who worked in paediatric care settings were either interviewed or asked open-ended questions in a survey, during December 2015–May 2016. Grounded theory was used as a method.

Results

The study results provide a theoretical conceptualization of what patient participation meant for healthcare professionals in paediatric care and how participation was enabled. The core category “participation a prerequisite for care” emerged as the main finding explaining the concept as ethical, practical and integrated in the care givers way of working. However, the concept was implicit in the organization. Four additional categories illustrated the healthcare professionals’ different strategies used to enhance patient participation; “meeting each child where the child is,” “building a relationship with the child,” “showing respect for each individual child” and “making the most of the moment.” © 2017 The Authors. Nursing Open published by John Wiley & Sons Ltd

Place, publisher, year, edition, pages
Chichester: Wiley-Blackwell Publishing Inc., 2018
Keyword
Children, grounded theory, healthcare professionals, patient participation, paediatric care
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-35150 (URN)10.1002/nop2.106 (DOI)
Projects
Hälsa och hållbar uppväxt
Note

Funding: This study was supported with partial funding from the Research Environment the Centre of Welfare, Health and Sports at Halmstad University.

Available from: 2017-10-05 Created: 2017-10-05 Last updated: 2018-01-19Bibliographically 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
Keyword
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
Wilhsson, M., Svedberg, P., Carlsson, I.-M., Högdin, S. & Nygren, J. (2017). Handling Demands of Success Among Girls and Boys in Primarly School: A Conceptual Model. Journal of School Nursing, 33(4), 316-325
Open this publication in new window or tab >>Handling Demands of Success Among Girls and Boys in Primarly School: A Conceptual Model
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2017 (English)In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 33, no 4, p. 316-325Article in journal (Refereed) Published
Abstract [en]

Stress among adolescents in Western societies is becoming an issue of increasing concern, and the global trend of adolescents’ health shows a gradual deterioration that is independent of national differences and increases with age. The aim of this study was to explore the main concern of adolescents and about how they cope with demands in everyday life. Participants were 14–16 years old, and data were collected from three sources. A constructivist grounded theory was used as a method for generating a model of the adolescents’ description of how they cope with demands in their everyday lives. The main concern described by participants in this study was to strive to be successful and to succeed in the present and throughout their lives. We conclude that differences between girls and boys, in terms of coping with demands in their everyday lives, are important to consider in the development of health promotion initiatives targeted at adolescents. © The Author(s) 2016

Place, publisher, year, edition, pages
Thousand Oaks, CA: Sage Publications, 2017
Keyword
adolescents, stress, coping, demand, gender, school nursing
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-31727 (URN)10.1177/1059840516654743 (DOI)000406074800009 ()27311316 (PubMedID)2-s2.0-85025177566 (Scopus ID)
Note

Funding: municipality of Halmstad, Länsförsäkringar Halland and Ljungbergska foundation

Available from: 2016-08-09 Created: 2016-08-09 Last updated: 2018-03-22Bibliographically approved
Sjöberg, C., Svedberg, P., Nygren, J. & Carlsson, I.-M. (2017). Participation in pediatric perioperative care: "what it means for parents". Journal of Clinical Nursing, 26(23-24), 4246-4254
Open this publication in new window or tab >>Participation in pediatric perioperative care: "what it means for parents"
2017 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 23-24, p. 4246-4254Article in journal (Refereed) Published
Abstract [en]

Aims and objectives: To explore what it means for parents to participate in their children's paediatric perioperative care.

Background: Allowing parents to participate in paediatric perioperative care can make a major difference for children in terms of their well-being, a decreased need for painkillers, fewer sleeping disorders and a more positive experience for both parties. The nurse anaesthetist should have a holistic view and develop a shared vision for the child, the parents and for themselves to perform successful paediatric perioperative care.

Design: Descriptive qualitative study.

Methods: The study was conducted in 2014. Data were collected in 20 narrative interviews with 15 mothers and five fathers who had experience of participating in their child's paediatric perioperative day surgery. The analysis was carried out with qualitative content analysis to describe the variations, differences and similarities in the experiences.

Results: The analysis revealed a main category that describes that parental participation in the context of paediatric perioperative care in day surgery meant 'having strength to participate despite an increased vulnerability'. Three generic categories with additional subcategories explained what was essential for the parents to be able to preserve this strength and participate in their child's care despite their increased vulnerability. The generic categories were named, 'gaining information about what will happen', 'being seen as a resource' and 'gaining access to the environment'.

Conclusion: Efforts should be made to improve parents' roles and opportunities to participate in paediatric perioperative care.

Relevance to clinical practice: Nurse anaesthetists have a crucial role in enabling parents' participation and need knowledge to develop strategies and nursing interventions that meet parents' needs. © 2017 John Wiley & Sons Ltd.

Place, publisher, year, edition, pages
Chichester: Wiley-Blackwell Publishing Inc., 2017
Keyword
Advanced Nursing, Anxiety, Child, Decision-making, Family-Centred care, Nurse-Patient Relationships, Parent, Preoperative, Qualitative Approaches
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-33585 (URN)10.1111/jocn.13747 (DOI)28152208 (PubMedID)2-s2.0-85016469835 (Scopus ID)
Projects
Hälsa och hållbar uppväxt
Note

Funding: Partial funding for the study came from Region Halland in Sweden.

Available from: 2017-03-20 Created: 2017-03-20 Last updated: 2017-12-01Bibliographically approved
Carlsson, I.-M., Berg, M., Adolfsson, A. & Sparud-Lundin, C. (2017). Reprioritizing life: A conceptual model of how women with type 1 diabetes deal with main concerns in early motherhood. International Journal of Qualitative Studies on Health and Well-being, 12(1), Article ID 1394147.
Open this publication in new window or tab >>Reprioritizing life: A conceptual model of how women with type 1 diabetes deal with main concerns in early motherhood
2017 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 12, no 1, article id 1394147Article in journal (Refereed) Published
Abstract [en]

Purpose: Becoming a mother is related to increased demands for women with type 1 diabetes mellitus, and more research is needed to identify their needs for support in everyday living. Thus, the aim of this study was to explore the main concerns in daily life in early motherhood for women with type 1 diabetes and how they deal with these concerns. Method: A grounded theory study was conducted in which 14 women with type 1 diabetes were interviewed individually 7 to 17 months after childbirth. Results: A conceptual model was identified with the core category “reprioritizing life”, and three related categories: adjusting to motherhood, taking command of the diabetes, and seeking like-minded women. Becoming a mother was a turning point towards a greater awareness and acceptance of prioritizing diabetes management and health, and thus, life. There was a gap in provision of diabetes care after birth and during the time of early motherhood compared with during pregnancy. Conclusions: Healthcare contacts already planned before delivery can promote person-centred care during the whole period from pregnancy to motherhood. Moreover, providing alternative sources for health information and peer support could improve the life situation during early motherhood. © 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2017
Keyword
Grounded theory, motherhood, type 1 diabetes mellitus, women’s health
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-35204 (URN)10.1080/17482631.2017.1394147 (DOI)29092688 (PubMedID)
Note

Funding: The Gothenburg Centre for Person-Centred Care (GPCC)

Available from: 2017-10-16 Created: 2017-10-16 Last updated: 2018-01-19Bibliographically approved
Sjöberg, C., Carlsson, I.-M., Svedberg, P., Källstrand Eriksson, J. & Nygren, J. M. (2017). Working for the Child's Best by Creating a Sheltered Place During Chemotherapy for Paediatric Leukaemia. Paper presented at 49th Congress of the International Society of Paediatric Oncology (SIOP), Washington, D.C., USA, October 12-15, 2017. Pediatric Blood & Cancer, 64, S400-S400
Open this publication in new window or tab >>Working for the Child's Best by Creating a Sheltered Place During Chemotherapy for Paediatric Leukaemia
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2017 (English)In: Pediatric Blood & Cancer, ISSN 1545-5009, E-ISSN 1545-5017, Vol. 64, p. S400-S400Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
Hoboken: John Wiley & Sons, 2017
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-35434 (URN)000408978204031 ()
Conference
49th Congress of the International Society of Paediatric Oncology (SIOP), Washington, D.C., USA, October 12-15, 2017
Available from: 2017-11-20 Created: 2017-11-20 Last updated: 2018-01-26Bibliographically approved
Carlsson, I.-M. (2016). Being in a safe and thus secure place, the core of the early labour: A secondary analysis in a Swedish context. International Journal of Qualitative Studies on Health and Well-being, 11, Article ID 30230.
Open this publication in new window or tab >>Being in a safe and thus secure place, the core of the early labour: A secondary analysis in a Swedish context
2016 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, article id 30230Article, review/survey (Refereed) Published
Abstract [en]

Background: Early labour is the very first phase of the labour process and is considered to be a period of time when no professional attendance is needed. However there is a high frequency of women who seek care at the delivery wards during this phase. When a woman is admitted to the delivery ward, one role for midwives is to determine whether the woman is in established labour or not. If the woman is assessed as being in early labour she will probably then be advised to return home. This recommendation is made due to past research that found that the longer a woman is in hospital the higher the risk for complications for her and her child. Women have described how this situation leaves them in a vulnerable situation where their preferences are not always met and where they are not always included in the decision-making process.

Aim: The aim of this study was to generate a theory based on where a woman chooses to be during the early labour process and to increase our understanding about how experiences can differ from place to place.

Methods: The method was a secondary analysis with grounded theory. The data used in the analysis was from two qualitative interview studies and 37 transcripts.

Conclusion: The findings revealed a substantive theory that women needed to be in a safe and thus secure place during early labour. This theory also describes the interplay between how women ascribed their meaning of childbirth as either a natural live event or a medical one, how this influenced where they wanted to be during early labour, and how that chosen place influenced their experiences of labour and birth.

Place, publisher, year, edition, pages
Järfälla: Co-Action Publishing, 2016
Keyword
Childbirth, early labour, grounded theory, health geography, safe place, secondary-analysis
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:hh:diva-30218 (URN)10.3402/qhw.v11.30230 (DOI)000396162800001 ()2-s2.0-84982685792 (Scopus ID)
Available from: 2016-01-21 Created: 2016-01-21 Last updated: 2018-03-22Bibliographically approved
Carlsson, I.-M. (2016). Delaktighet för barn och unga i hälso- och sjukvård: En realitet eller ett omöjligt uppdrag. In: : . Paper presented at Hållbar uppväxt, 26 oktober, 2016, Högskolan i Halmstad, Halmstad, Sverige.
Open this publication in new window or tab >>Delaktighet för barn och unga i hälso- och sjukvård: En realitet eller ett omöjligt uppdrag
2016 (Swedish)Conference paper, Oral presentation only (Other academic)
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-33787 (URN)
Conference
Hållbar uppväxt, 26 oktober, 2016, Högskolan i Halmstad, Halmstad, Sverige
Available from: 2017-05-05 Created: 2017-05-05 Last updated: 2017-05-19Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-8354-3382

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