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Lidell, Evy
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Publications (10 of 33) Show all publications
Einberg, E.-L., Lidell, E. & Clausson, E. K. (2015). Awareness of demands and unfairness and the importance of connectedness and security: Teenage girls’ lived experiences of their everyday lives. International Journal of Qualitative Studies on Health and Well-being, 10, Article ID 27653.
Open this publication in new window or tab >>Awareness of demands and unfairness and the importance of connectedness and security: Teenage girls’ lived experiences of their everyday lives
2015 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 10, article id 27653Article in journal (Refereed) Published
Abstract [en]

In recent years, a number of studies have demonstrated that stress and mental health problems have increased among adolescents and especially among girls, although little is still known concerning what girls experience in their everyday lives. The aim of this study was to describe the phenomenon of teenage girls’ everyday lives, as experienced by the girls themselves. A phenomenological approach of reflective lifeworld research was used, and the findings are based on eight qualitative interviews with girls aged 13–16 years. The essence of teenage girls’ everyday lives as experienced by the girls themselves can be described as consciousness regarding demands and unfairness and regarding the importance of connectedness and security. The girls are aware of the demands of appearance and success, and they are conscious of the gender differences in school and in the media that affect them. The girls are also conscious about the meaning of connectedness with friends and family, as well as the importance of the security of their confidence in friends and feeling safe where they stay. If teenage girls feel connected and secure, protective factors in the form of manageability and meaningfulness can act as a counterweight to the demands and unfairness of everyday life. For professionals who work with teenage girls, the results from this study can be important in their work to support these girls.

Keywords
Adolescents, everyday life, female, gender, lifeworld, phenomenology, sense of coherence
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-28738 (URN)10.3402/qhw.v10.27653 (DOI)000356439600001 ()26084273 (PubMedID)2-s2.0-84934995932 (Scopus ID)
Available from: 2015-06-23 Created: 2015-06-23 Last updated: 2018-03-22Bibliographically approved
Hildingh, C., Cunico, L., Lindgren, E.-C. -. & Lidell, E. (2015). Health promotion in nursing education: Attitudes among nurse students. Acta Biomedica, 86, 91-96
Open this publication in new window or tab >>Health promotion in nursing education: Attitudes among nurse students
2015 (English)In: Acta Biomedica, ISSN 0392-4203, Vol. 86, p. 91-96Article in journal (Refereed) Published
Abstract [en]

Background: The World Health Organization (WHO) European Strategy for Nursing and Midwifery has called for the explicit inclusion and application of health promotion in all nursing curricula. However, research indicates that there are deficiencies in nursing education regarding health promotion in both the theoretical and practical elements of education. Insight into the experiences of European nursing students’ attitudes, positive or negative, about working in health promotion may provide a clue whether health promotion will be regarded as an important task and to what extent it will have priority in different parts of Europe. Aim: The aim of this study was to compare Italian and Swedish nursing students’ attitudes towards health promotion practice on matriculation to nursing school and after a three-year nursing education, and to explore whether attitudes towards health promotion practice correlate with BMI and smoking. Method: The study involved students who started their nursing education in autumn 2009 (n =240). Data were collected via a questionnaire. Results: The results show that the Swedish students had a more positive stance on health promotion than Italian students did. After completion of a three-year nursing education programme, Italian students’ attitudes on health promotion had improved, while no such development was seen in Sweden. Further, no correlation between lifestyle issues and attitudes to health promotion was found. Conclusion: Health promotion in nursing education may have important influence on students’ attitudes and thereby on the quantity and quality of future health promotion practice. © Mattioli 1885.

Place, publisher, year, edition, pages
Fidenza: L'Ateneo Parmense, 2015
Keywords
Attitudes, Health promotion, Motivation, Nursing students, Student nurses, Article, body mass, comparative study, construct validity, controlled study, education program, female, human, Italian (citizen), lifestyle, male, motivation, nurse attitude, nursing education, questionnaire, reliability, smoking, Swedish citizen, adult, aged, health behavior, health personnel attitude, Italy, middle aged, nursing student, psychology, Sweden, Attitude of Health Personnel, Body Mass Index, Education, Nursing, Humans, Students, Nursing, Surveys and Questionnaires
National Category
Public Health, Global Health, Social Medicine and Epidemiology Pedagogy Nursing
Identifiers
urn:nbn:se:hh:diva-35493 (URN)26629663 (PubMedID)2-s2.0-84942236452 (Scopus ID)
Available from: 2017-11-28 Created: 2017-11-28 Last updated: 2017-11-28Bibliographically approved
Lidell, E., Höfer, S., Saner, H., Perk, J., Hildingh, C. & Oldridge, N. (2015). Health-related quality of life in European women following myocardial infarction: A cross-sectional study. European Journal of Cardiovascular Nursing, 14(4), 326-333
Open this publication in new window or tab >>Health-related quality of life in European women following myocardial infarction: A cross-sectional study
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2015 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 14, no 4, p. 326-333Article in journal (Refereed) Published
Abstract [en]

Background: Coronary heart disease is a major contributor to women’s health problems.

Design: Self-perceived social support, well-being and health-related quality of life (HRQL) were documented in the cross-sectional HeartQoL survey of European women one and six months after a myocardial infarction.

Methods: European women were recruited in 18 European countries and grouped into four geographical regions (Southern Europe, Northern Europe, Western Europe and Eastern Europe). Continuous socio-demographic variables and categorical variables were compared by age and region with ANOVA and χ2, respectively; multiple regression models were used to identify predictors of social support, well-being and HRQL.

Results: Women living in the Eastern European region rated social support, well-being and HRQL significantly lower than women in the other regions. Older women had lower physical HRQL scores than younger women. Eastern European women rated social support, well-being and HRQL significantly lower than women in the other regions. Prediction of the dependent variables (social support, well-being and HRQL) by socio-demographic factors varied by total group, in the older age group, and by region; body mass index and managerial responsibility were the most consistent significant predictors. © The European Society of Cardiology 2014.

Place, publisher, year, edition, pages
London, UK: Sage Publications, 2015
Keywords
Health-related quality of life, myocardial infarction, social support, well-being, women
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-27301 (URN)10.1177/1474515114535330 (DOI)000357949600007 ()24821717 (PubMedID)2-s2.0-84937043005 (Scopus ID)
Note

This work was supported by the Heart and Lung Association in Sweden. Grant number: E 088/10.

Available from: 2014-12-17 Created: 2014-12-17 Last updated: 2018-03-22Bibliographically approved
Karlsson, A.-K., Lidell, E. & Johansson, M. (2013). Health-care professionals' documentation of wellbeing in patients following open heart surgery: a content analysis of medical records. Journal of Nursing Management, 21(1), 112-120
Open this publication in new window or tab >>Health-care professionals' documentation of wellbeing in patients following open heart surgery: a content analysis of medical records
2013 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 21, no 1, p. 112-120Article in journal (Refereed) Published
Abstract [en]

Aim To explore health-care professionals' documentation of patient wellbeing in the first five months after open heart surgery. Background Open heart surgery (coronary artery bypass grafting or heart valve replacement) is an intervention aimed at relief of symptoms and increased wellbeing. It is a complex procedure with deep experiences encompassing physiological, psychological and social aspects. Health-care professionals' documentation of expressions of decreased wellbeing related to open heart surgery is an important basis for decisions and for the understanding of patients' overall health situation. Method Eighty medical records were examined by means of qualitative and quantitative methods in order to explore documentation of patient wellbeing at four points in time. The analysis was performed by content analysis and descriptive statistics. Results Documentation of physical wellbeing was dominant on all occasions, while psychological wellbeing was moderately well documented and social aspects of wellbeing were rarely documented. Conclusion The medical records did not adequately reflect the complexity of undergoing open heart surgery. Hence the holistic approach was not confirmed in health-care professionals' documentation. Implications for nursing management Managers need to support and work for a patient-centred approach in cardiac care, resulting in patient documentation that reflects patient wellbeing as a whole.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2013
Keywords
documentation, healthcare professionals, open heart surgery, wellbeing
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hh:diva-35456 (URN)10.1111/j.1365-2834.2012.01458.x (DOI)000313989600012 ()23339501 (PubMedID)2-s2.0-84872679951 (Scopus ID)
Available from: 2017-11-22 Created: 2017-11-22 Last updated: 2017-11-22Bibliographically approved
Wendt, E., Marklund, B., Lidell, E., Hildingh, C. & Westerstål, A. (2011). Possibilities for dialogue on sexuality and sexual abuse: Midwives' and clinicians' experiences. Midwifery, 27(4), 539-546
Open this publication in new window or tab >>Possibilities for dialogue on sexuality and sexual abuse: Midwives' and clinicians' experiences
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2011 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 27, no 4, p. 539-546Article in journal (Refereed) Published
Abstract [en]

Objective: To describe midwives’ and clinicians’ experiences of the possibilities and obstacles for dialogue with young women on sexuality and sexual abuse, focusing on the possibilities. Design: qualitative study with interview data analysed by qualitative content analysis. Setting: South-west Sweden. Participants: A purposive sample, consisting of 15 midwives, six gynaecologists and five general practitioners aged 30–65 years, was chosen in order to obtain as many different experiences as possible. The participants’ professional experiences varied, ranging from five to more than 35 years, and they were employed at youth clinics, primary health-care centres, gynaecology clinics, a specialist sexual medicine centre and antenatal care centres, situated in small and large cities. Findings: The participants described the respectful encounter that can be created when young women meet midwives and clinicians in the context of a gynaecological consultation. In this situation, there was a potential to strengthen women while attempting to improve their sexual health. Support from the organisation and the use of personal skills and assets were found to be promoting factors for dialogue. Lack of organisational support or communication skills and difficult emotions complicated the situation, which might, in turn, restrain midwives and clinicians from raising sexual issues. Implications for practice Increased knowledge, support and opportunities for reflection concerning dialogue regarding sexual issues might evoke the interest and intent of health professionals to approach these issues. Guidelines regarding dialogue about both sexuality and sexual abuse should be routine in health-care services.

Place, publisher, year, edition, pages
Edinburgh: Churchill Livingstone, 2011
Keywords
Dialogue, Possibilities, Sexual abuse, Sexuality
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-4754 (URN)10.1016/j.midw.2010.05.001 (DOI)000292912300023 ()20605062 (PubMedID)2-s2.0-79960356053 (Scopus ID)
Available from: 2010-06-15 Created: 2010-06-15 Last updated: 2018-03-23Bibliographically approved
Wendt, E. K., Lidell, E. A. S., Westerståhl, A. K. .., Marklund, B. R. .. & Hildingh, C. I. (2011). Young women's perceptions of being asked questions about sexuality and sexual abuse: a content analysis. Midwifery, 27(2), 250-256
Open this publication in new window or tab >>Young women's perceptions of being asked questions about sexuality and sexual abuse: a content analysis
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2011 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 27, no 2, p. 250-256Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: to describe young women's perceptions of being asked questions by midwives or doctors pertaining to sexuality and sexual abuse in connection with visits for gynaecological examination. DESIGN: a qualitative study. Data comprised responses to open-ended questions in a questionnaire and were analysed by qualitative content analysis. SETTING: a county in the south-west of Sweden. PARTICIPANTS: all of the 23-, 26- and 29-year-old women who attended eight midwife and youth centres for cervical screening during the period between March and July 2006 were invited to participate. The open-ended question about sexuality was answered by 413 women, and 409 women answered the question about sexual abuse, representing approximately 84% of the women who answered the questionnaire as a whole. FINDINGS: the data resulted in a total of eight categories and 31 codes, which showed the women's perceptions of being asked questions about sexuality and sexual abuse. Six of the categories dealt with why it was considered natural to be questioned. Health professionals can be trusted and questions can open up a dialogue as well as clarify the woman's situation. The context of a visit for a gynaecological examination is relevant and questions will make it possible for the professionals to strengthen the woman. Another reason was that sexuality is an essential part of life. Those women who felt that it would not feel natural to be asked questions about sexuality and sexual abuse considered that the context is wrong and that such questions will encroach on the woman's personal sphere. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: women's responses indicate that there are good reasons for midwives and doctors to raise questions about sexuality and sexual abuse when they meet young women. Taking opportunity to find those who have sexual problems and/or experience of sexual abuse could reduce the suffering of these women and lead to an economic gain to society. The provision of training and supervision for midwives and doctors is important to enhance the quality of conversations about sexual matters. In order to deal with such issues, it is necessary to have knowledge of sexual health, relationships and violence, as well as a professional stance and a good conversational technique.

Place, publisher, year, edition, pages
Amsterdam: Elsevier, 2011
Keywords
Dialogue, Sexual abuse, Sexuality, Young women
National Category
Social Sciences
Identifiers
urn:nbn:se:hh:diva-2914 (URN)10.1016/j.midw.2009.06.008 (DOI)000289071200022 ()19709790 (PubMedID)2-s2.0-79953199867 (Scopus ID)2082/3316 (Local ID)2082/3316 (Archive number)2082/3316 (OAI)
Available from: 2009-09-02 Created: 2009-09-02 Last updated: 2018-03-23Bibliographically approved
Karlsson, A.-K., Mattsson, B., Johansson, M. & Lidell, E. (2010). Well-being in patients and relatives after open-heart surgery from the perspective of health care professionals. Journal of Clinical Nursing, 19(5-6), 840-846
Open this publication in new window or tab >>Well-being in patients and relatives after open-heart surgery from the perspective of health care professionals
2010 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 19, no 5-6, p. 840-846Article in journal (Refereed) Published
Abstract [en]

Aim

The aim of this study was to explore how health care professionals perceive the well-being of patients and relatives following open-heart surgery.

Background

Open-heart surgery is an extraordinary life event associated with hope and fear among both patients and relatives, thus they require attention from health care professionals. Patients' short stay in hospital after surgery and the workload of health care professionals increase the risk that reduced well-being will be overlooked. Health care professionals need to become familiar with the signs of reduced well-being.

Design

The study has an observational design and was performed using a qualitative method.

Method

Health care professionals working with patients who have undergone open-heart surgery participated in focus group discussions. The data were analysed by means of content analysis. Results. Two categories emerged: signs of vulnerability and signs of insecurity. The latent meaning of the study was interpreted as awareness of an exposed position.

Conclusion

The health care professionals were aware of patients' and relatives' exposed position following open-heart surgery. Reduced well-being was communicated by bodily and emotional signs, which were captured using direct communication or intuition. Relevance to clinical practice. Developing the ability to recognise signs of reduced well-being is important for minimising the negative influences associated with open-heart surgery for patients and relatives. Increased awareness that both anger and avoidance can mask depression is important. Patients and their relatives, particularly younger ones, should be observed to ensure early detection of a life crisis provoked by the heart disease. Furthermore, staff should invite patients and their partners to talk about sexuality. Changes aimed at increasing patients' and relatives' well-being would be facilitated by interdisciplinary teamwork, 'reflection groups' for a greater exchange of knowledge and the implementation of a patient/family perspective. The latter would lead to greater interest in the relatives' situation and position in cardiac care.

Place, publisher, year, edition, pages
Oxford: Blackwell Publishing, 2010
Keywords
focus groups, health care professionals, nurses, nursing, open-heart surgery, well-being
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-18902 (URN)10.1111/j.1365-2702.2009.03017.x (DOI)000274622500029 ()20500327 (PubMedID)2-s2.0-77955759545 (Scopus ID)
Available from: 2012-06-26 Created: 2012-06-25 Last updated: 2018-03-22Bibliographically approved
Lidell, E., Axelsson, Å., Fridlund, B., Mårtensson, J. & Hildingh, C. (2009). A masters programme in cardiovascular nursing: a two-year-follow-up. Vård i Norden, 29(2), 48-49
Open this publication in new window or tab >>A masters programme in cardiovascular nursing: a two-year-follow-up
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2009 (English)In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 29, no 2, p. 48-49Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to evaluate professional development and promotion as well as whether the new competence was requested after completion of a one-year master programme (MP) in Cardiovascular (CV) nursing. In Sweden the first one-year MP within the CV area took place between 2003 and 2005 at Halmstad University with a follow-up in 2007. The sample consisted of seventeen former students who had completed the MP. A questionnaire was developed comprising twenty items grouped into three main sections. Most of the nurses stated that their knowledge was requested and that they had developed their professional attitude, skills and knowledge. Seven of the nurses had a new position and five of them had advanced in terms of leadership. In three cases, the master exam was critical for the employers’ decision. Six of the nurses who had a new post had obtained an increase in salary. In conclusion, the MP led to increased competence as well as improved career prospects. Information about the MP should be available at clinics, and collaboration between clinical practice and education is necessary in order to ensure relevant use of master educated nurses’ competence.

Place, publisher, year, edition, pages
København: Sjuksköterskornas samarbete i Norden (SSN), 2009
Keywords
competence, education
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-2793 (URN)2082/3195 (Local ID)2082/3195 (Archive number)2082/3195 (OAI)
Available from: 2009-08-14 Created: 2009-08-14 Last updated: 2018-03-23Bibliographically approved
Johansson, M., Karlsson, A.-K., Myredal, A. & Lidell, E. (2009). Arterial baroreflex dysfunction after coronary artery bypass grafting. Interactive Cardiovascular and Thoracic Surgery, 8, 426-430
Open this publication in new window or tab >>Arterial baroreflex dysfunction after coronary artery bypass grafting
2009 (English)In: Interactive Cardiovascular and Thoracic Surgery, ISSN 1569-9293, E-ISSN 1569-9285, Vol. 8, p. 426-430Article in journal (Refereed) Published
Abstract [en]

Although uncommon, the incidence of ventricular arrhythmia is high in certain subsets of patients after coronary artery bypass grafting. Arterial baroreflex dysfunction has been linked to increased risk of ventricular arrhythmia and sudden cardiac death. The aim of the current study was to explore arterial baroreflex function during the early recovery phase and up to five months after surgery. Electrocardiogram and beat-to-beat blood pressures were registered in patients (n=92) undergoing coronary artery bypass grafting five weeks and five months after surgery. Healthy subjects (n=31) were examined for comparison. The arterial baroreflex sensitivity and the baroreflex effectiveness index were calculated. The baroreflex sensitivity and the baroreflex effectiveness index were reduced by 36% and 64%, respectively (P<0.01 for both) in patients five weeks after coronary artery bypass grafting compared to healthy subjects (HS). Values increased during follow-up but the baroreflex effectiveness index remained reduced by 55% in patients compared to HS five months after cardiac surgery (P<0.01). Arterial baroreflex dysfunction prevails both early and long-term after coronary artery bypass grafting. Reduced modulation of cardiac parasympathetic nervous activity could contribute to the increased risk of ventricular arrhythmia observed during the early recovery phase after cardiac surgery.

Place, publisher, year, edition, pages
Oxford: Oxford University Press, 2009
Keywords
CABG, Arterial baroreflex function
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-2794 (URN)10.1510/icvts.2008.198747 (DOI)19144671 (PubMedID)2-s2.0-65249182603 (Scopus ID)2082/3196 (Local ID)2082/3196 (Archive number)2082/3196 (OAI)
Available from: 2009-08-14 Created: 2009-08-14 Last updated: 2018-03-23Bibliographically approved
Jensen, A. & Lidell, E. (2009). The influence of conscience in nursing. Nursing Ethics, 16(1), 31-42
Open this publication in new window or tab >>The influence of conscience in nursing
2009 (English)In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 16, no 1, p. 31-42Article in journal (Refereed) Published
Abstract [en]

The influence of conscience on nurses in terms of guilt has frequently been described but its impact on care has received less attention. The aim of this study was to describe nurses' conceptions of the influence of conscience on the provision of inpatient care. The study employed a phenomenographic approach and analysis method. Fifteen nurses from three hospitals in western Sweden were interviewed. The results showed that these nurses considered conscience to be an important factor in the exercise of their profession, as revealed by the descriptive categories: conscience as a driving force; conscience as a restricting factor; and conscience as a source of sensitivity. They perceived that conscience played a role in nursing actions involving patients and next of kin, and was an asset that guided them in their efforts to provide high quality care.

Place, publisher, year, edition, pages
London: Sage Publications, 2009
Keywords
Conscience, Nursing, Nursing acts, Phenomenography
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-2791 (URN)10.1177/0969733008097988 (DOI)000261947000005 ()19103689 (PubMedID)2-s2.0-62349136848 (Scopus ID)2082/3193 (Local ID)2082/3193 (Archive number)2082/3193 (OAI)
Available from: 2009-08-14 Created: 2009-08-14 Last updated: 2018-02-27Bibliographically approved
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