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Hallberg, Lillemor
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Publications (10 of 56) Show all publications
Seylani, K., Karlsson, S., Rahm Hallberg, I., Mohammadi, E. & Negarandeh, R. (2016). Spirituality Among Iranian Nursing Students During Undergraduate Study. Nursing and Midwifery Studies, 5(3), Article ID e33044.
Open this publication in new window or tab >>Spirituality Among Iranian Nursing Students During Undergraduate Study
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2016 (English)In: Nursing and Midwifery Studies, ISSN 2322-1674, Vol. 5, no 3, article id e33044Article in journal (Refereed) Published
Abstract [en]

Background: Nursing students are expected to deliver holistic care in their upcoming career. Developing spirituality during nursing training is poorly understood.

Objectives: The current study aimed to explore the process of developing spirituality among Iranian nursing undergraduates.

Patients and Methods: The study employed Grounded theory approach and purposive sampling with maximum variation to select the participants among undergraduate nursing students in their fourth-year of study in the nursing school of Tehran University of Medical Sciences. Data were gathered through semi structured interviews with nineteen nursing students and one faculty member (n = 20). Corbin and Strauss approach was selected for data analysis.

Results: Data analysis revealed that developing spirituality during nursing education is an intuitive development including three stages: early frustration, intuitive development through hardship and seeking meaning and fulfilment. This process is influenced by educational/caring environment as well as role models.

Conclusions: Upbringing capable nurses to deliver spiritual care require supportive environment and influential role models to encourage students’ spiritual development. Developing spiritually may end in delivering spiritual care and provide nursing students with inner strength for better confrontation with serious situations common in their upcoming career.

Place, publisher, year, edition, pages
Tehran: Kowsar Corporation, 2016
Keywords
Spiritual Development, Nursing Students, Undergraduate Education, Grounded Theory
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-32239 (URN)10.17795/nmsjournal33044 (DOI)
Available from: 2016-10-20 Created: 2016-10-20 Last updated: 2018-03-23Bibliographically approved
Hallberg, L., Hakeberg, M. & Hallberg, U. (2012). Facing a moral dilemma - introducing a dental care insurance within the Public Dental Service. Swedish Dental Journal, 36(3), 149-156
Open this publication in new window or tab >>Facing a moral dilemma - introducing a dental care insurance within the Public Dental Service
2012 (English)In: Swedish Dental Journal, ISSN 0347-9994, Vol. 36, no 3, p. 149-156Article in journal (Refereed) Published
Abstract [en]

Through the reform entitled "Dental care insurance dental care at a fixed price", patients are offered a dental insurance, a capitation plan, that ensures that they can visit the dentist regularly during a period of three years at a fixed price per month (Frisktandvard). This insurance may be offered to all patients. The aim of this study was to generate a theory explaining the main concern for the staff at the public dental service when they have to introduce and advocate dental care insurance to patients. Interview data from 17 persons, representing different professions within the public dental service, were collected and analyzed simultaneously in line with guidelines for grounded theory. The results indicated that dentists/dental hygienists experienced several difficult standpoints concerning the implementation of the dental insurance, somewhat of a moral dilemma. The staff generally had a "cautiously positive attitude" to the forthcoming dental care insurance, but had perceptions how and when the patients should be offered the insurance and what that may mean to the clinic. The respondents reflected about the economic aspects for the clinic and how the oral health may be affected over time for the patients.

Place, publisher, year, edition, pages
Swedish dental journal, 2012
Keywords
Dental care insurance, qualitative method
National Category
Dentistry Otorhinolaryngology Public Health, Global Health, Social Medicine and Epidemiology Other Health Sciences
Identifiers
urn:nbn:se:hh:diva-35462 (URN)000327048900006 ()23230809 (PubMedID)2-s2.0-84868514559 (Scopus ID)
Available from: 2017-11-22 Created: 2017-11-22 Last updated: 2017-11-22Bibliographically approved
Helvik, A.-S., Iversen, V. C., Steiring, R. & Hallberg, L.-M. R. (2011). Calibrating and adjusting expectations in life: A grounded theory on how elderly persons with somatic health problems maintain control and balance in life and optimize well-being. International Journal of Qualitative Studies on Health and Well-being, 6(1), Article ID 6030.
Open this publication in new window or tab >>Calibrating and adjusting expectations in life: A grounded theory on how elderly persons with somatic health problems maintain control and balance in life and optimize well-being
2011 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 6, no 1, article id 6030Article in journal (Refereed) Published
Abstract [en]

Aim: This study aims at exploring the main concern for elderly individuals with somatic health problems and what they do to manage this.

Method: In total, 14 individuals (mean-74.2 years; range-68-86 years) of both gender including hospitalized and outpatient persons participated in the study. Open interviews were conducted and analyzed according to grounded theory, an inductive theory-generating method.

Results: The main concern for the elderly individuals with somatic health problems was identified as their striving to maintain control and balance in life. The analysis ended up in a substantive theory explaining how elderly individuals with somatic disease were calibrating and adjusting their expectations in life in order to adapt to their reduced energy level, health problems, and aging. By adjusting the expectations to their actual abilities, the elderly can maintain a sense of that they still have the control over their lives and create stability. The ongoing adjustment process is facilitated by different strategies and result despite lower expectations in subjective well-being. The facilitating strategies are utilizing the network of important others, enjoying cultural heritage, being occupied with interests, having a mission to fulfill, improving the situation by limiting boundaries and, finally, creating meaning in everyday life.

Conclusion: The main concern of the elderly with somatic health problems was to maintain control and balance in life. The emerging theory explains how elderly people with somatic health problems calibrate their expectations of life in order to adjust to reduced energy, health problems, and aging. This process is facilitated by different strategies and result despite lower expectation in subjective well-being. © 2011 A.-S. Helvik et al.

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2011
Keywords
Grounded theory, well-being, life expectations, social network, cultural heritage, meaning in life, coping
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-37506 (URN)10.3402/qhw.v6i1.6030 (DOI)21468299 (PubMedID)2-s2.0-84863429801 (Scopus ID)
Note

Funding: The research was funded in collaboration between The Norwegian Ministry of Health and Care Services, Innlandet Hospital Trust and Norwegian Nurses Organization.

Available from: 2018-07-11 Created: 2018-07-11 Last updated: 2018-07-11Bibliographically approved
Svenningsson, I., Hallberg, L.-M. R. & Gedda, B. (2011). Health care professionals meeting with individuals with Type 2 diabetes and obesity: Balancing coaching and caution. International Journal of Qualitative Studies on Health and Well-being, 6(2), Article ID 7129.
Open this publication in new window or tab >>Health care professionals meeting with individuals with Type 2 diabetes and obesity: Balancing coaching and caution
2011 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 6, no 2, article id 7129Article in journal (Refereed) Published
Abstract [en]

The burden of diabetes and obesity is increasing worldwide, indicating a need to find the best standard for diabetes care. The aim of this study was to generate a theory grounded in empirical data derived from a deeper understanding of health care professionals’ main concerns when they consult with individuals with diabetes and obesity and how they handle these concerns. Tape-recorded interviews were conducted with seven groups and three individual members of a diabetes team in an area of western Sweden. The grounded theory (GT) method was used to analyse the transcribed interviews. A core category, labelled Balancing coaching and caution and three categories (Coaching and supporting, Ambivalence and uncertainty, and Adjusting intentions) emerged. The core category and the three categories formed a substantive theory that explained and illuminated how health care professionals manage their main concern; their ambition to give professional individualised care; and find the right strategy for each individual with diabetes and obesity. The theory generated by this study can improve our understanding of how a lack of workable strategies limits caregivers’ abilities to reach their goals. It also helps identify the factors that contribute to the complexity of meetings between caregivers and individuals with diabetes. © 2011 I. Svenningsson et al.

Place, publisher, year, edition, pages
Oxfordshire: Taylor & Francis, 2011
Keywords
Care meeting, coaching, diabetes Type 2, grounded theory, health care professional, obesity
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-37504 (URN)10.3402/qhw.v6i2.7129 (DOI)21750687 (PubMedID)2-s2.0-84874951188 (Scopus ID)
Available from: 2018-07-11 Created: 2018-07-11 Last updated: 2018-07-11Bibliographically approved
Svensson, O. & Hallberg, L. (2011). Hunting for health, well-being, and quality of life. International Journal of Qualitative Studies on Health and Well-being, 6(2), Article ID 7137.
Open this publication in new window or tab >>Hunting for health, well-being, and quality of life
2011 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 6, no 2, article id 7137Article in journal (Refereed) Published
Abstract [en]

Health, well-being, quality of life, and lifestyle are central concepts within health science, although generally accepted definitions are still lacking. Lifestyle can either be seen as an independent variable and the cause of unhealthy behaviour or as a dependent variable, which is affected by conditions in the society. In the first case, the attention is directed on each individual case: maintaining or improving health requires changes in lifestyle and living habits. In this perspective, diet and physical activity are important features for health promotion. In the second case the attention is rather directed on structural conditions in society, for example the food industry, the lunches for children at school, and the "fast food" industry should be influenced to protect human health. The structural perspective has, so far, received restricted impact when it concerns prevention and promotion of health. Processes of individualisation in the society have to an increasing extent viewed health as an affair for the individual. The benefits of physical activity, healthy food and beverage, social support, and joy are documented scientifically. In general, the trend towards increasing responsibility for one's lifestyle and health is positive, but might reinforce the inequality in health. With an even harder climate in society there might be a risk that individual health projects undermine the solidarity and the will to accept costs for medical treatment and care for people who risk their health through an unhealthy and risk-taking lifestyle. However, we argue that peoples' well-being and quality of life presupposes a society that stands up for all people.

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2011
Keywords
Health, well-being, lifestyle, quality of life
National Category
Social Sciences Public Health, Global Health, Social Medicine and Epidemiology Health Care Service and Management, Health Policy and Services and Health Economy Medical Ethics
Identifiers
urn:nbn:se:hh:diva-18883 (URN)10.3402/qhw.v6i2.7137 (DOI)000290795000008 ()21629582 (PubMedID)2-s2.0-84874978404 (Scopus ID)
Available from: 2012-06-27 Created: 2012-06-25 Last updated: 2017-12-19Bibliographically approved
Bernson, J. M., Hallberg, L.-M. R. M., Elfstrom, M. L. & Hakeberg, M. (2011). 'Making dental care possible - a mutual affair'. A grounded theory relating to adult patients with dental fear and regular dental treatment. European Journal of Oral Sciences, 119(5), 373-380
Open this publication in new window or tab >>'Making dental care possible - a mutual affair'. A grounded theory relating to adult patients with dental fear and regular dental treatment
2011 (English)In: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 119, no 5, p. 373-380Article in journal (Refereed) Published
Abstract [en]

Dental fear is a common and widespread problem, which can cause severe stress. Even so, most patients with dental fear undergo regular dental treatment in spite of their fear and many enjoy good oral health. The aim of this study was to obtain a deeper understanding of how patients with dental fear manage to undergo dental treatment. Fourteen patients with dental fear, who undergo regular dental care, were interviewed. Qualitative analysis of the transcribed interviews was performed according to the principles of grounded theory. A conceptual framework was generated, and the main concern was identified as 'making dental care possible - a mutual affair'. Four additional categories explained how patients handled their dental fear and how dental care became possible. The strategies were labelled 'taking part in a mental wrestling match', 'trust-filled interaction with dental staff', 'striving for control' and 'seeking and/or receiving social support'. The results showed that making dental care possible for patients with dental fear is a mutual challenge that requires interplay between dental staff and patients, involving verbal and non-verbal communication reflecting respect, attention, and empathy. Moreover, a balance between nearness and distance and between professional and personal treatment is required.

Place, publisher, year, edition, pages
Copenhagen: Munksgaard Forlag, 2011
Keywords
coping behavior, dental anxiety, dental care, qualitative research
National Category
Dentistry Psychology
Identifiers
urn:nbn:se:hh:diva-18877 (URN)10.1111/j.1600-0722.2011.00845.x (DOI)000294808000007 ()21896054 (PubMedID)2-s2.0-80052546335 (Scopus ID)
Available from: 2012-06-27 Created: 2012-06-25 Last updated: 2018-03-22Bibliographically approved
Hallberg, L.-M. R. M. & Bergman, S. (2011). Minimizing the dysfunctional interplay between activity and recovery: A grounded theory on living with fibromyalgia. International Journal of Qualitative Studies on Health and Well-being, 6(2), Article ID 7057.
Open this publication in new window or tab >>Minimizing the dysfunctional interplay between activity and recovery: A grounded theory on living with fibromyalgia
2011 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 6, no 2, article id 7057Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to generate a substantive theory, based on interviews with women with fibromyalgia, explaining how they manage their main concerns in daily life. The study has an inductive approach in line with classic grounded theory (Glaser, 1992). Twenty-three women living in the southwest region of Sweden were interviewed in-depth about their daily living with fibromyalgia and problems related to this. Probing and follow-up questions were asked by the interviewers when relevant. The interviews were transcribed verbatim and consecutively analysed in line with guidelines for grounded theory. The results showed that the main concern for women with fibromyalgia was to reach a balance in daily life. This concern was resolved by them using different strategies aimed at minimizing the dysfunctional interplay between activity and recovery (core category). This imbalance includes that the women are forcing themselves to live a fast-paced life and thereby tax or exceed their physical and psychological abilities and limits. Generally, the fibromyalgia symptoms vary and are most often unpredictable to the women. Pain and fatigue are the most prominent symptoms. However, pain-free periods occur, often related to intense engagement in some activity, relaxation or joy, but mainly the "pain gaps" are unpredictable. To reach a balance in daily life and manage the dysfunctional interplay between activity and recovery the women use several strategies. They are avoiding unnecessary stress, utilizing good days, paying the price for allowing oneself too much activity, planning activities in advance, distracting oneself from the pain, engaging in alleviating physical activities, and ignoring pain sensations. Distracting from the pain seems to be an especially helpful strategy as it may lead to "pain gaps". This strategy, meaning to divert attention from the pain, is possible to learn, or improve, in health promoting courses based on principles of cognitive behavioural therapy (CBT). We suggest that such courses are offered in primary care for patients with fibromyalgia or other types of longstanding pain. The courses should be led by registered nurses or psychologists, who are experienced in CBT and have extensive knowledge about theories on longstanding pain, stress and coping. Such courses would increase well-being and quality of life in women suffering from fibromyalgia. © 2011 L. R.-M. Hallberg & S. Bergman.

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2011
Keywords
Grounded theory, fibromyalgia, females, pain gaps, activity, recovery, balance
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-37509 (URN)10.3402/qhw.v6i2.7057 (DOI)101256506 ()21687553 (PubMedID)2-s2.0-84867617434 (Scopus ID)
Note

Funding: This study was supported by a grant to professor Lillemor R.-M. Hallberg, Halmstad University, Sweden from The Swedish Rheumatism Association (Reumatikerfonden) and The Social Insurance Agency, Halland County (Försäkringskassan i Halland).

Available from: 2018-07-11 Created: 2018-07-11 Last updated: 2018-07-11Bibliographically approved
Josefsson, E., Lindsten, R. & Hallberg, L.-M. R. (2010). A qualitative study of the influence of poor dental aesthetics on the lives of young adults. Acta Odontologica Scandinavica, 68(1), 19-26
Open this publication in new window or tab >>A qualitative study of the influence of poor dental aesthetics on the lives of young adults
2010 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 68, no 1, p. 19-26Article in journal (Refereed) Published
Abstract [en]

Objective

Although many countries offer some publicly funded orthodontic treatment for children, not all conditions receive treatment and some adolescents enter adulthood with persisting poor dental aesthetics or malocclusions. The aim of this study was to generate a theory highlighting the main concerns of young adults, either native-born or of immigrant background, with poor dental aesthetics and the measures they adopt to manage their condition in everyday life.

Material and methods

A qualitative method, classic grounded theory, was applied in order to generate a substantive theory highlighting the main concerns and managing mechanisms of 13 strategically selected 19- and 20-year-olds with poor dental aesthetics. Open interviews were conducted with each participant, the topics covering different aspects of social and dental conditions.

Results

A core category and three conceptual categories were generated. The core category was labelled "Being under the pressure of social norms" and was related to categories explaining three different ways in which these young adults handle their main concern: (1) avoiding showing their teeth; (2) minimizing the importance of appearance; and (3) seeking orthodontic treatment. The theory offers the potential for improved understanding of young adults who, despite poor dental aesthetics, are managing well with life, and also of those who have not adjusted well.

Conclusions

In early adolescence it may be problematic to make decisions about orthodontic treatment. Undisclosed dental fear can be an important barrier. Some of the young adults in the present study would probably benefit from treatment.

Place, publisher, year, edition, pages
Amsterdam: Elsevier, 2010
Keywords
Dental asthetics, Importance of appearance, Orthodontic therapy in adolescence, Social norms
National Category
Dentistry
Identifiers
urn:nbn:se:hh:diva-4504 (URN)10.3109/00016350903281740 (DOI)000274406500003 ()20001640 (PubMedID)2-s2.0-72949099236 (Scopus ID)
Available from: 2010-06-01 Created: 2010-06-01 Last updated: 2018-03-23Bibliographically approved
Lindqvist, G. & Hallberg, L. (2010). 'Feelings of guilt due to self-inflicted disease': a grounded theory of suffering from Chronic Obstructive Pulmonary Disease (COPD). Journal of Health Psychology, 15(3), 456-466
Open this publication in new window or tab >>'Feelings of guilt due to self-inflicted disease': a grounded theory of suffering from Chronic Obstructive Pulmonary Disease (COPD)
2010 (English)In: Journal of Health Psychology, ISSN 1359-1053, E-ISSN 1461-7277, Vol. 15, no 3, p. 456-466Article in journal (Refereed) Published
Abstract [en]

The aim of this grounded theory study was to illuminate the main concern of people suffering from chronic obstructive pulmonary disease (COPD) and how they handle their everyday life. Data were collected through interviews with 23 people with COPD at different stages, from mild to severe. A substantive theory was generated showing that the main concern was feelings of guilt due to self-inflicted disease associated with smoking habits. This core category was related to five managing strategies termed making sense of existence, adjusting to bodily restrictions, surrendering to fate, making excuses for the smoking-related cause and creating compliance with daily medication.

Place, publisher, year, edition, pages
London: Sage Publications, 2010
Keywords
chronic obstructive disease, daily life, feelings of guilt, grounded theory, main concerns
National Category
Public Health, Global Health, Social Medicine and Epidemiology Psychology
Identifiers
urn:nbn:se:hh:diva-4503 (URN)10.1177/1359105309353646 (DOI)000276031500014 ()20348366 (PubMedID)2-s2.0-77950234442 (Scopus ID)
Available from: 2010-06-01 Created: 2010-06-01 Last updated: 2018-03-23Bibliographically approved
Hallberg, L.-M. R. (Ed.). (2010). Hälsa och livsstil: forskning och praktiska tillämpningar. Lund: Studentlitteratur
Open this publication in new window or tab >>Hälsa och livsstil: forskning och praktiska tillämpningar
2010 (Swedish)Collection (editor) (Refereed)
Place, publisher, year, edition, pages
Lund: Studentlitteratur, 2010. p. 358
Keywords
Häsa, Livsstilar
National Category
Health Sciences
Identifiers
urn:nbn:se:hh:diva-17650 (URN)978-91-44-05840-5 (ISBN)
Available from: 2012-05-11 Created: 2012-05-11 Last updated: 2018-03-22Bibliographically approved
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