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Larsson, I., Nyman, C., Svedberg, P., Nygren, J. M. & Carlsson, I.-M. (2018). Children and young people’s participation in developing interventions in health and well-being: a scoping review. BMC Health Services Research, 18(1), Article ID 507.
Open this publication in new window or tab >>Children and young people’s participation in developing interventions in health and well-being: a scoping review
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2018 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 18, no 1, article id 507Article, review/survey (Refereed) Published
Abstract [en]

Background: Greater interest is being shown in participatory approaches, especially in research on interventions that concern children and young people’s health and well-being. Although participatory approaches have user involvement in common, they differ in terms of the explicit guidance on how to actually involve and engage children and young people in health research. The aim of this scoping review was to systematically map recent research involving children and young people in the development of interventions targeting issues of health and well-being.

Methods: An interpretative scoping literature review based on: a scientific literature search in (health and social science) databases, reference lists, a manual search in key journals and contact with existing networks was conducted. A total of 4458 references were identified through the literature search, of which 41 studies published between 2000 and 2017 were included in the review. The target population was children and young people under 25 years old. Level of participation was categorized according to Shier’s Pathways to Participation Model.

Results: The review showed that participatory approaches were most often used in the development of interventions in school settings and in community and healthcare settings and on issues concerning support in lifestyle or in managing illness or disease. The level of participation varied from children and young people taking part just as active informants, through stages of greater participation both in quantitative and qualitative terms, to children and young people becoming an active agent involved as a co-researcher where the research process was shaped by views of a higher level of mutuality. Most of the studies were categorised at a medium level and only three studies were judged to involve the children and young people at the highest level.

Conclusions: This scoping review showed that work remains in enabling children and young people to influence the development of interventions targeting health and well-being. In relation to level of sustainability in the interventions, it is relevant that goals, strategies and processes are formulated by those who can gain from the interventions. Participatory approaches aiming for a higher level of participation where children and young people work together with the researchers in partnerships are thus warranted. © The Author(s). 2018

Place, publisher, year, edition, pages
London: BioMed Central, 2018
Keywords
Children, Intervention, Participatory approach, Scoping review, User involvement, Young people
National Category
Social Work
Identifiers
urn:nbn:se:hh:diva-37426 (URN)10.1186/s12913-018-3219-2 (DOI)29954392 (PubMedID)
Available from: 2018-06-30 Created: 2018-06-30 Last updated: 2018-07-02Bibliographically approved
Blomqvist, M., Sandgren, A., Carlsson, I.-M. & Jormfeldt, H. (2018). Enabling healthy living: Experiences of people with severe mental illness in psychiatric outpatient services. International Journal of Mental Health Nursing, 27(1), 236-246
Open this publication in new window or tab >>Enabling healthy living: Experiences of people with severe mental illness in psychiatric outpatient services
2018 (English)In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 27, no 1, p. 236-246Article in journal (Refereed) Published
Abstract [en]

It is well known that people with severe mental illness have a reduced life expectancy and a greater risk of being affected by preventable physical illnesses such as metabolic syndrome, cardiovascular disease and type 2 diabetes. There are still, however, only a few published studies focusing on what enables healthy living for this group. This study thus aimed to describe what enables healthy living among people with severe mental illness in psychiatric outpatient services. The data were collected in qualitative interviews (n = 16) and content analysis was used to analyze the data. The interviews resulted in an overall theme "Being regarded as a whole human being by self and others", which showed the multidimensional nature of health and the issues that enable healthy living among people with severe mental illness. Three categories emerged: (i) everyday structure (ii), motivating life events and (iii) support from significant others. The results indicate that a person with severe mental illness needs to be encountered as a whole person if healthy living is to be enabled. Attaining healthy living requires collaboration between the providers of care, help and support. Health care organizations need to work together to develop and provide interventions to enable healthy living and to reduce poor physical health among people with severe mental illness. © 2017 Australian College of Mental Health Nurses Inc.

Place, publisher, year, edition, pages
Richmond, VIC: Wiley-Blackwell Publishing Inc., 2018
Keywords
healthy living, mental health nursing, patient's experiences, qualitative content analysis, severe mental illness
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-33586 (URN)10.1111/inm.12313 (DOI)28160392 (PubMedID)2-s2.0-85013104680 (Scopus ID)
Note

Funding: The regional Council for Medical Health Care Research, County of Halland, Sweden and the regional Council for Medical Health Care Research, County of Kronoberg, Sweden.

Available from: 2017-03-20 Created: 2017-03-20 Last updated: 2018-01-19Bibliographically approved
Jormfeldt, H. & Carlsson, I.-M. (2018). Equine-assisted activities to support health and recovery among individuals diagnosed with schizophrenia in the context of mental health nursing: A systematic review. Issues in Mental Health Nursing
Open this publication in new window or tab >>Equine-assisted activities to support health and recovery among individuals diagnosed with schizophrenia in the context of mental health nursing: A systematic review
2018 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673Article in journal (Refereed) Epub ahead of print
Abstract [en]

Persons diagnosed with schizophrenia are not sufficiently offered health promotion interventions, notwithstanding their increased risk of bodily ill health. Physical activity is found to improve health and decrease psychiatric symptoms although, there is a challenge to motivate and increase physical activity in people with schizophrenia and innovative evidence-based treatment interventions are needed. The aim was to systematically review studies concerning equine assisted interventions among individuals diagnosed with schizophrenia. The findings of the six included articles indicate that therapeutic equine assisted interventions could be beneficial for individuals with severe mental illness such as schizophrenia or schizophrenia like disorders.

Place, publisher, year, edition, pages
Philadelphia: Taylor & Francis, 2018
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-37134 (URN)10.1080/01612840.2018.1440450 (DOI)29509053 (PubMedID)
Available from: 2018-06-18 Created: 2018-06-18 Last updated: 2018-06-21
Ekengren, J., Stambulova, N., Johnson, U. & Carlsson, I.-M. (2018). Exploring career experiences of Swedish professional handball players: Consolidating firsthand information into an empirical career model. International Journal of Sport and Exercise Psychology
Open this publication in new window or tab >>Exploring career experiences of Swedish professional handball players: Consolidating firsthand information into an empirical career model
2018 (English)In: International Journal of Sport and Exercise Psychology, ISSN 1612-197X, E-ISSN 1557-251XArticle in journal (Refereed) Epub ahead of print
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.

Place, publisher, year, edition, pages
New York: Taylor & Francis, 2018
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)
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: 2018-07-05
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
Keywords
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
Hansson, M., Lundgren, I., Hensing, G. & Carlsson, I.-M. (2018). Veiled midwifery in the baby factory: A grounded theory study. Women and Birth
Open this publication in new window or tab >>Veiled midwifery in the baby factory: A grounded theory study
2018 (English)In: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: Midwives' professional role has been changing drastically over time, from handling births in home settings to being part of a team in labour wards in hospitals. This demands a greater effort of interprofessional collaboration in childbirth care.

AIM: Explore midwives' work in a hospital-based labour ward from the perspectives of other professions, working in the same ward.

METHOD: Classical grounded theory, using a constant comparative analysis, was applied to focus group interviews with obstetricians, assistant nurses and managers to explore their views of midwifery work during childbirth.

FINDINGS: The substantive theory of 'veiled midwifery' emerged as an explanation of the social process between the professions in the 'baby factory' context. The other professionals perceive midwifery through a veil that filters the reality and only permits fragmentary images of the midwives' work. The main concern for the other professions was that the midwives were 'marching to own drum'. The midwives were perceived as both in dissonance with the baby factory, and therefore hard to control, or, alternatively more compliant with the prevailing rhythm. This caused an unpredictability and led to feelings of frustration and exclusion. Which in turn resulted in attempts to cooperate and gain access to the midwifery world, by using three unveiling strategies: Streamlining, Scrutinising and Collaborating admittance.

CONCLUSIONS: Findings provide a theoretical conceptualisation of a 'veiled midwifery 'that causes problems for the surrounding team. This generates a desire to streamline and control midwifery in order to increase interprofessional collaboration. © 2018 The Authors

Place, publisher, year, edition, pages
Amsterdam: Elsevier, 2018
Keywords
Assembly line, Interprofessional collaboration, Labour care, Midwifery, Work situation
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-37132 (URN)10.1016/j.wombi.2018.04.012 (DOI)29709432 (PubMedID)2-s2.0-85046151025 (Scopus ID)
Available from: 2018-06-18 Created: 2018-06-18 Last updated: 2018-06-21
Carlsson, I.-M., Blomqvist, M. & Jormfeldt, H. (2017). Ethical and methodological issues in qualitative studies involving people with severe and persistent mental illness such as schizophrenia and other psychotic conditions: a critical review. International Journal of Qualitative Studies on Health and Well-being, 12(Sup. 2), Article ID 1368323.
Open this publication in new window or tab >>Ethical and methodological issues in qualitative studies involving people with severe and persistent mental illness such as schizophrenia and other psychotic conditions: a critical review
2017 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 12, no Sup. 2, article id 1368323Article in journal (Refereed) Published
Abstract [en]

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

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2017
Keywords
Critical review, ethical issues, mental health, schizophrenia, trustworthiness
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-35020 (URN)10.1080/17482631.2017.1368323 (DOI)28901217 (PubMedID)
Available from: 2017-09-19 Created: 2017-09-19 Last updated: 2017-09-19Bibliographically approved
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
Keywords
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
Keywords
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
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-8354-3382

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