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Göransson, C., Larsson, I. & Carlsson, I.-M. (2023). Art of connectedness: Value-creating care for older persons provided with toileting assistance and containment strategies—A critical interpretive synthesis. Journal of Clinical Nursing, 32(9-10), 1806-1820
Open this publication in new window or tab >>Art of connectedness: Value-creating care for older persons provided with toileting assistance and containment strategies—A critical interpretive synthesis
2023 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 32, no 9-10, p. 1806-1820Article in journal (Refereed) Published
Abstract [en]

Aims and objectives

The aim was to conduct a synthesis of the literature on value-creating care for older persons with incontinence provided with toileting assistance and containment strategies, from the perspectives of older persons and healthcare professionals.

Background

Incontinence is a health problem for many persons worldwide and the problem will increase as the global population ages. It can have a profound impact on a person's wellbeing, and assistance with toileting and containment strategies is common in home care settings and nursing homes.

Design

The design was a literature review with an iterative, reflexive and critical approach.

Methods

A critical interpretive synthesis was conducted. Ten papers published between 2011 and 2019 were analysed. The PRISMA -ScR Checklist was used in this review.

Results

Based on the findings, the conceptual construct ‘The art of connectedness’ was developed, built on co-created care, personalised care and reflective care between the older person and healthcare professionals. Co-created care is based on establishing a relationship, building trust and respecting preferences. Personalised care consists of meeting the person's needs, promoting comfort and maintaining self-determination. Reflective care entails showing empathy, upholding the person's dignity and developing professional competence.

Conclusions

Value-creating care consists conceptually of a connectedness that starts with co-creating the care together with the older person in a close relationship. Assistance is given and received based on the older person's individual needs and is highly valued by the older person as it helps them maintain self-determination. Reflective care is of importance for healthcare professionals.

Relevance for practice

The findings are hoped to enhance healthcare professionals’ understanding of how to improve the clinical encounter in nursing when providing assistance. They may also stimulate critical reflection among healthcare professionals on how to improve assistance to meet the older person's values. © 2022 The Authors. 

Place, publisher, year, edition, pages
Chichester: Wiley-Blackwell Publishing Inc., 2023
Keywords
co-created care, connectedness, continence, critical interpretive synthesis, older persons, personalised care, reflective care, relationships, toileting, value
National Category
Nursing
Research subject
Health Innovation, Information driven care
Identifiers
urn:nbn:se:hh:diva-46514 (URN)10.1111/jocn.16216 (DOI)000742861600001 ()35034383 (PubMedID)2-s2.0-85122729577 (Scopus ID)
Funder
Knowledge Foundation
Note

Funding: This study was supported by grants from the Knowledge Foundation, Essity Hygiene and Health AB and Halmstad University, all in Sweden.

Available from: 2022-03-23 Created: 2022-03-23 Last updated: 2023-06-21Bibliographically approved
Mirskaya, M., Isaksson, A., Lindgren, E.-C. & Carlsson, I.-M. (2023). Bearing the burden of spill-over effects: Living with a woman affected by symptomatic pelvic organ prolapse after vaginal birth - from a partner's perspective. Sexual & Reproductive HealthCare, 37, Article ID 100894.
Open this publication in new window or tab >>Bearing the burden of spill-over effects: Living with a woman affected by symptomatic pelvic organ prolapse after vaginal birth - from a partner's perspective
2023 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 37, article id 100894Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Symptomatic pelvic organ prolapse (sPOP) can have a negative impact on a woman's health. While research exists about the impact of sPOP on women, little is known about the effect on their partners. Therefore, this study aimed to explore, from the partner's perspective, what it means to live with a woman with symptomatic pelvic organ prolapse after vaginal birth. METHODS: A qualitative explorative design with a constructed grounded theory approach was taken to analyse the interviews of 13 partners who experienced living with a woman who had sPOP after vaginal birth. RESULTS: "The theory of bearing the burden of spill-over effects" was constructed based on a core category: "Facing a new restricted life", with related categories "Giving up valued activities"; "Struggling with added demands"; "Changing intimate behaviour" and "Redefining future family planning". The theory also contains factors constraining and enabling adjustment to the new reality. While the shortcomings of healthcare constrained the process of adjustment, getting competent treatment and the feeling of love for the family enabled it. CONCLUSION: This study demonstrated that women's sPOP had an apparently negative impact on partners' health behaviours, sexual health, relationship harmony, and psychological well-being. The partners indicated they were unprepared for post-birth adversities and distressed by the lack of treatment options. There is a need to develop prenatal information highlighting the potential risks of sPOP which may be accompanied by levator ani muscle injury, implement guidelines for the prevention and management of these conditions, and offer targeted support to partners if needed. Copyright © 2023 The Authors. Published by Elsevier B.V. All rights reserved.

Place, publisher, year, edition, pages
Oxford: Elsevier, 2023
Keywords
Levator injury, Partner’s perspective, Pelvic organ prolapse, Qualitative research, Sexual health, Vaginal birth
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:hh:diva-51671 (URN)10.1016/j.srhc.2023.100894 (DOI)001063743800001 ()37586304 (PubMedID)2-s2.0-85169848104 (Scopus ID)
Note

Funding: This study was financially supported by the Varbergs Sparbank through Sparbanksstiftelsen Varberg.

Available from: 2023-09-22 Created: 2023-09-22 Last updated: 2023-10-05Bibliographically approved
Lindgren, E.-C., Källstrand Eriksson, J., Alftberg, Å., Johansson, P., Kristén, L., Håman, L., . . . Carlsson, I.-M. (2023). Empowerment-Based Physical Activity Intervention for People with Advanced Dry Age-Related Macular Degeneration: Mixed-Methods Protocol. International Journal of Environmental Research and Public Health, 20(1), Article ID 643.
Open this publication in new window or tab >>Empowerment-Based Physical Activity Intervention for People with Advanced Dry Age-Related Macular Degeneration: Mixed-Methods Protocol
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2023 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 20, no 1, article id 643Article in journal (Refereed) Published
Abstract [en]

Age-related macular degeneration (AMD) is the most common cause of incurable visual impairment and impacts daily life. These impacts include loss of social activities, decreased functional independence, and reduced physical activity. This protocol aims to describe a prospective, mixed-methodology for studying a population with AMD before, during, and after an empowerment-based physical activity intervention (EPI). A study framework was also developed for EPI. The intervention will include 20 older individuals (age 65+ years) with AMD recruited in Sweden. The intervention period is six months and comprises adapted physical activity and social activities in a group twice a week and individual health coaching on three occasions. The quantitative pre-test and three follow-ups include physical functional tests, an accelerometer that monitors physical activity continuously for one week, and questionnaires. Individual and focus-group interviews and ethnographic observations will explore the experience of living with AMD and what it means to participate in the EPI for individuals with AMD. The chosen methodology offers a structured way for researchers to explore the experiences and factors that may provide insights into the potential of creative supervised, adapted physical activity in groups, health coaching, and socialising that are significant to enable well-being among older individuals with AMD. © 2022 by the authors.

Place, publisher, year, edition, pages
Basel: MDPI, 2023
Keywords
adapted physical activity, age-related macular degeneration, empowerment, intervention, mixed methods
National Category
Occupational Therapy
Identifiers
urn:nbn:se:hh:diva-49858 (URN)10.3390/ijerph20010643 (DOI)000908924400001 ()36612963 (PubMedID)2-s2.0-85145689643 (Scopus ID)
Available from: 2023-01-26 Created: 2023-01-26 Last updated: 2023-01-26Bibliographically approved
Blomqvist, M., Ivarsson, A., Carlsson, I.-M., Sandgren, A. & Jormfeldt, H. (2023). Relationship between Physical Activity and Health Outcomes in Persons with Psychotic Disorders after Participation in a 2-Year Individualized Lifestyle Intervention. Issues in Mental Health Nursing, 44(7), 629-638
Open this publication in new window or tab >>Relationship between Physical Activity and Health Outcomes in Persons with Psychotic Disorders after Participation in a 2-Year Individualized Lifestyle Intervention
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2023 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 44, no 7, p. 629-638Article in journal (Refereed) Published
Abstract [en]

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

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

Som manuskript i avhandling / As manuscript in thesis

Funding by Region of Halland, Sweden

Available from: 2020-01-09 Created: 2020-01-09 Last updated: 2023-11-21Bibliographically approved
Punzo, K., Skoglund, M., Carlsson, I.-M. & Jormfeldt, H. (2022). Experiences of an equine-assisted therapy intervention among children and adolescents with mental illness in Sweden - A nursing perspective. Issues in Mental Health Nursing, 43(12), 1080-1092
Open this publication in new window or tab >>Experiences of an equine-assisted therapy intervention among children and adolescents with mental illness in Sweden - A nursing perspective
2022 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 43, no 12, p. 1080-1092Article in journal (Refereed) Published
Abstract [en]

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

Place, publisher, year, edition, pages
Philadelphia, PA: Taylor & Francis, 2022
Keywords
affect, equine-assisted therapeutic intervention, personal recovery, schizophrenia, well-being
National Category
Nursing
Research subject
Health Innovation; Health Innovation
Identifiers
urn:nbn:se:hh:diva-48103 (URN)10.1080/01612840.2022.2126571 (DOI)000862912600001 ()36178465 (PubMedID)2-s2.0-85141083923 (Scopus ID)
Available from: 2022-09-20 Created: 2022-09-20 Last updated: 2023-02-15Bibliographically approved
Hansson, M., Dencker, A., Lundgren, I., Carlsson, I.-M., Eriksson, M. & Hensing, G. (2022). Job satisfaction in midwives and its association with organisational and psychosocial factors at work: a nation-wide, cross-sectional study. BMC Health Services Research, 22, Article ID 436.
Open this publication in new window or tab >>Job satisfaction in midwives and its association with organisational and psychosocial factors at work: a nation-wide, cross-sectional study
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2022 (English)In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 22, article id 436Article in journal (Refereed) Published
Abstract [en]

Background: Midwives report a challenging work environment globally, with high levels of burnout, insufficient work resources and low job satisfaction. The primary objective of this study was to identify factors in the organisational and psychosocial work environment associated with midwives’ job satisfaction. A secondary objective was to identify differences in how midwives assess the organisational and psychosocial work environment compared to Swedish benchmarks.

Methods: This nation-wide, cross-sectional web survey study analysed midwives’ assessment of their organisational and psychosocial work environment using the COPSOQ III instrument. A multivariable, bi-directional, stepwise linear regression was used to identify association with job satisfaction (N = 1747, 99.6% women). A conventional minimal important score difference (MID ± 5 as a noticeable difference with clinical importance) were used to compare midwives’ results with Swedish benchmarks.

Results: A multivariable regression model with 13 scales explained the variance in job satisfaction (R2 =.65). Five scales, possibilities for development, quality of work, role conflict, burnout and recognition, explained most of the variance in midwives’ job satisfaction (R2 =.63) and had β values ranging from.23 to.10. Midwives had adverse MID compared to Swedish benchmarks with higher difference in mean values regarding quantitative demands (8.3), work pace (6.0) emotional demand (20.6), role conflicts (7.9) and burnout (8.3). In addition, lower organisational justice (-6.4), self-rated health (-8.8), influence (-13.2) and recognition at work (-5.8). However, variation and meaning of work showed a beneficial difference in mean values with 7.9 and 13.7 respectively.

Conclusions: Midwives reported high levels of meaningfulness in their work, and meaningfulness was associated with job satisfaction. However, midwives also reported adversely high demands and a lack of influence and recognition at work and in addition, high role conflict and burnout compared to Swedish benchmarks. The lack of organisational resources are modifiable factors that can be taken into account when structural changes are made regarding organisation of care, management and resource allocation. Midwives are necessary to a high quality sexual, reproductive and perinatal health care. Future studies are needed to investigate if job satisfaction can be improved through professional recognition and development, and if this can reduce turnover in midwives. © 2022, The Author(s).

Place, publisher, year, edition, pages
London: BioMed Central, 2022
Keywords
COPSOQ III, Midwifery, Professional autonomy, Salutogenesis, Work environment, Work satisfaction
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:hh:diva-46746 (URN)10.1186/s12913-022-07852-3 (DOI)000777432700003 ()35366877 (PubMedID)2-s2.0-85127460134 (Scopus ID)
Note

Funding: Open access funding provided by University of Gothenburg.

Available from: 2022-05-04 Created: 2022-05-04 Last updated: 2022-09-15Bibliographically approved
Göransson, C., Larsson, I., Huige, N. & Carlsson, I.-M. (2022). Value-creating continence care for older persons. In: ICS 2022 Vienna Abstracts: . Paper presented at 52nd International Continence Society, Vienna, September 7-10, 2022.. Amsterdam: Elsevier
Open this publication in new window or tab >>Value-creating continence care for older persons
2022 (English)In: ICS 2022 Vienna Abstracts, Amsterdam: Elsevier, 2022Conference paper, Oral presentation with published abstract (Refereed)
Place, publisher, year, edition, pages
Amsterdam: Elsevier, 2022
Series
Continence, ISSN 2772-9737 ; Volume 2, Supplement 2
National Category
Nursing
Research subject
Health Innovation, Information driven care
Identifiers
urn:nbn:se:hh:diva-48529 (URN)10.1016/j.cont.2022.100273 (DOI)
Conference
52nd International Continence Society, Vienna, September 7-10, 2022.
Funder
Knowledge Foundation, 20200029
Available from: 2022-10-26 Created: 2022-10-26 Last updated: 2023-06-12Bibliographically approved
Malmström, N., Lydell, M. & Carlsson, I.-M. (2022). "Womanhood," a shared experience of participating in a lifestyle intervention with a focus on integration and physical activity to promote health among pregnant women: perspectives from pregnant women, midwives, and cultural interpreter doulas. International Journal of Qualitative Studies on Health and Well-being, 17(1), Article ID 2043527.
Open this publication in new window or tab >>"Womanhood," a shared experience of participating in a lifestyle intervention with a focus on integration and physical activity to promote health among pregnant women: perspectives from pregnant women, midwives, and cultural interpreter doulas
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 2043527Article in journal (Refereed) Published
Abstract [en]

Purpose: Migrating women, have an overall increased risk of adverse outcomes and poorer health during pregnancy and childbirth. In addition, they do not participate in planned antenatal care to the same extent as natives. These disparities among migrants and native pregnant women point to the need for interventions to improve equal health and care during pregnancy and childbirth. This study aimed to explore the experiences of participating in a lifestyle intervention, named “Dancing for birth,” focusing on integration and physical activity, from the perspectives of the participating pregnant women, midwives, and cultural interpreter doulas.

Method: Qualitative interviews were conducted from March 2019 to December 2020, with ten women who participated in a lifestyle intervention in Sweden: four pregnant women, three midwives, and three cultural interpreter doulas. Thematic analysis was used to analyse the data.

Results: The lifestyle intervention ”Dancing for birth” provided positive shared Health-promoting experiences among the participants with social inclusivness and a commitment to supporting each other. This seemed to encourage the sense of strength as a woman- a strengthboth for the individual woman and as a kind of women´s power.

Conclusions: Interventions targeting physical activity, social inclusiveness, and health literacy are of utmost importance in promoting positive pregnancy experiences and equal healthcare during pregnancy. Further research is needed on how to implement antenatal education that includes all women in society. © 2022 The Author(s).

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2022
Keywords
Doulas, foreign-born, integration, lifestyle intervention, physical activity, pregnancy, qualitative studies, reproductive health
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:hh:diva-46486 (URN)10.1080/17482631.2022.2043527 (DOI)000761730500001 ()35212612 (PubMedID)2-s2.0-85125550613 (Scopus ID)
Available from: 2022-03-18 Created: 2022-03-18 Last updated: 2022-03-18Bibliographically 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
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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
Hansson, M., Lundgren, I., Hensing, G., Dencker, A., Eriksson, M. & Carlsson, I.-M. (2021). Professional courage to create a pathway within midwives’ fields of work: a grounded theory study. BMC Health Services Research, 21(1)
Open this publication in new window or tab >>Professional courage to create a pathway within midwives’ fields of work: a grounded theory study
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2021 (English)In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 21, no 1Article in journal (Refereed) Published
Abstract [en]

Background: The theory of salutogenesis focuses on resources for health and health-promoting processes. In the context of midwives’ work, this is not well described despite the importance for occupational health and the intention to remain in the profession. In order to promote a healthy workplace, it is necessary to consider the facilitating conditions that contribute to a sustainable working life. Therefore, the aim of this study was to explore health-promoting facilitative conditions in the work situation on labour wards according to midwives. Methods: A constant comparative analysis was applied to face-to-face interviews with midwives that constituted the empirical material in this classical grounded theory study. Results: The substantive theory of Professional courage to create a pathway within midwives’ fields of work emerged as an explanation of the health-promoting facilitative conditions in midwives’ work situation. The theory consists of a four-stage process with prerequisite contextual conditions: visualising midwifery, organisational resources and a reflective and learning environment, that were needed to fulfil the midwives’ main concern a Feasibility of working as a midwife. This meant being able to work according to best-known midwifery theory and practice in each situation. Positive consequences of a fulfilled main concern were a professional identity and grounded knowledge that enabled the development of the resistant resource professional courage. The courage made it feasible for midwives to move freely on their pathway within the different fields of work extending between normal and medicalised birth and being autonomous and regulated. Conclusions: A professional courage was required to create a pathway within midwives’ fields of work, to move freely depending on what actions were needed in a particular work situation. Professional courage could be seen as a resistance resource, enabling midwives to become resilient when dealing with the unpredictable work situation. However, there are vital organisational preconditions that needed to be fulfilled for workplaces to become facilitative, organisational resources, visualising midwifery and a reflective environment. The theory can be used to foster health-promoting and sustainable work situations for midwives, which is possible if the organisational preconditions are met. This could be a key factor in retaining midwives in the profession. © 2021, The Author(s).

Place, publisher, year, edition, pages
London: BioMed Central, 2021
Keywords
Health promotion, Midwifery, Salutogenesis, Work situation
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:hh:diva-45823 (URN)10.1186/s12913-021-06311-9 (DOI)000638037500005 ()33827550 (PubMedID)2-s2.0-85103996909 (Scopus ID)
Available from: 2021-11-03 Created: 2021-11-03 Last updated: 2022-09-15Bibliographically approved
Projects
Hästunderstödd terapi; Halmstad University
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-8354-3382

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