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Wieslander, Inger
Publications (10 of 10) Show all publications
Wieslander, I., Mårtensson, J., Fridlund, B. & Svedberg, P. (2016). Women’s experiences of how their recovery process is promoted after a first myocardial infarction: Implications for cardiac rehabilitation care. International Journal of Qualitative Studies on Health and Well-being, 11, Article ID 30633.
Open this publication in new window or tab >>Women’s experiences of how their recovery process is promoted after a first myocardial infarction: Implications for cardiac rehabilitation care
2016 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, article id 30633Article in journal (Refereed) Published
Abstract [en]

Background: A rapid improvement in the care of myocardial infarction (MI) in the emergency services has been witnessed in recent years. There is, however, a lack of understanding of the factors involved in a successful recovery process, after the initial stages of emergency care among patients, and in particular those who are women. Both preventive and promotive perspectives should be taken into consideration for facilitating the recovery process of women after a MI.

Aim: To explore how women’s recovery processes are promoted after a first MI.

Methods: A qualitative content analysis was used.

Findings: The women’s recovery process is a multidirectional process with a desire to develop and approach a new perspective on life. The women’s possibility to approach new perspectives on life incorporates how they handle the three dimensions: behaviour, that is, women’s acting and engaging in various activities; social, that is, how women receive and give support in their social environment; and psychological, that is, their way of thinking, reflecting, and appreciating life.

Conclusions: The personal recovery of women is a multidirectional process with a desire to develop and approach a new perspective on life. It is important for cardiac rehabilitation nurses to not only focus on lifestyle changes and social support but also on working actively with the women’s inner strength in order to promote the recovery of the women.

Place, publisher, year, edition, pages
Jäfälla: Co-Action Publishing, 2016
Keywords
myocardial infarction, promotion, qualitative content analysis, recovery process, women
National Category
Nursing Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:hh:diva-30732 (URN)10.3402/qhw.v11.30633 (DOI)000396164600001 ()2-s2.0-84982698563 (Scopus ID)
Note

This study was supported by research grants from The Swedish Heart-Lung Foundation, The Swedish Heart and Lung Association, and The Swedish Society of Nursing.

Available from: 2016-04-12 Created: 2016-04-12 Last updated: 2018-03-22Bibliographically approved
Wieslander, I., Fridlund, B., Mårtensson, J. & Svedberg, P. (2013). Cardiac Rehabilitation Nurses’ Experiences of Factors Influencing Female Patients’ Recovery After Their First Myocardial Infarction. In: European Journal of Cardiovascular Nursing: . Paper presented at EuroHeartCare 2013 Congress, Glasgow, United Kingdom, March 22-23, 2013 (pp. S77-S78). London: Sage Publications, 12
Open this publication in new window or tab >>Cardiac Rehabilitation Nurses’ Experiences of Factors Influencing Female Patients’ Recovery After Their First Myocardial Infarction
2013 (English)In: European Journal of Cardiovascular Nursing, London: Sage Publications, 2013, Vol. 12, p. S77-S78Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Introduction

Secondary prevention care after a Myocardial Infarction (MI) has not improved during the last 15 years at the same rate as acute MI care. One reason could be that research and health care focus more on treatment, symptoms and risk factors and not on the individuals’ perceptions of the recovery process after an MI. Most previous research focuses on recovery from the women’s and their partners’ point of view. Since cardiac rehabilitation nurses meet many women after MI, their experiences of the women’s recovery process may be an important complement perspective.

Purpose

The aim was to explore cardiac rehabilitation nurses’ experiences of factors influencing female patients’ recovery after their first MI.

Method

The study was conducted using qualitative content analysis. Twenty cardiac rehabilitation nurses were interviewed and the study was carried out at 10 hospitals in Sweden.

Conclusions

Cardiac rehabilitation nurses experienced that women’s recovery after an MI was influenced by factors that were both related to their own individual as well as by their surroundings factors. The underlying meaning of women´s recovery is characterized as the transition process to the recovery to health.

Place, publisher, year, edition, pages
London: Sage Publications, 2013
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-21913 (URN)000328735000150 ()
Conference
EuroHeartCare 2013 Congress, Glasgow, United Kingdom, March 22-23, 2013
Note

Vol. 12, Suppl. 1, Abstract 204

Available from: 2013-05-06 Created: 2013-04-30 Last updated: 2018-07-09Bibliographically approved
Wieslander, I., Mårtensson, J., Fridlund, B. & Svedberg, P. (2013). Factors influencing female patients’ recovery after their first myocardial infarction as experienced by cardiac rehabilitation nurses. Open Journal of Nursing, 3(2), 230-240
Open this publication in new window or tab >>Factors influencing female patients’ recovery after their first myocardial infarction as experienced by cardiac rehabilitation nurses
2013 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 3, no 2, p. 230-240Article in journal (Refereed) Published
Abstract [en]

Background: In the developed part of the world, coro- nary heart disease is the major cause of death and is one of the leading causes of disease burden. In Swe- den, more than 30,000 people per year are affected by myocardial infarction and out of these approximately 40% are women. Nearly 70% of the women survive and after a myocardial infarction a recovery process follows. Today’s health care focuses more on treat- ment, symptoms and risk factors than on the indi- viduals’ perceptions of the recovery process. Aim: To explore cardiac rehabilitation nurses’ experiences of factors influencing female patients’ recovery after their first myocardial infarction. Methods: Twenty cardiac rehabilitation nurses were interviewed. The study was conducted using qualitative content analy- sis. Results: The cardiac rehabilitation nurses experi- enced that women’s recovery after a first myocardial infarction was influenced whether they had a suppor- tive context, their ability to cope with the stresses of life, if they wanted to be involved in their own per- sonal care and how they related to themselves. Con- clusions: Women’s recovery after a myocardial in- farction was influenced by factors related to sur- roundings as well as own individual factors. The un- derlying meaning of women’s recovery can be de- scribed as the transition process of a recovery to health. Our findings suggest that a focus on person- centered nursing would be beneficial in order to promote the every woman’s personal and unique re- covery after a myocardial infarction. Finally, the car- diac rehabilitation nurses’ experiences of factors influencing male patients’ recovery after their first myo- cardial infarction should be important to investigate. 

Place, publisher, year, edition, pages
Irvine, CA: Scientific Research Publishing, 2013
Keywords
Cardiac Rehabilitation Nurses; Myocardial Infarction; Recovery; Transition Process; Women
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-24101 (URN)10.4236/ojn.2013.32032 (DOI)
Available from: 2013-12-06 Created: 2013-12-06 Last updated: 2018-03-22Bibliographically approved
Wieslander, I., Fridlund, B., Mårtensson, J. & Svedberg, P. (2013). Female patients' recovery after their first myocardial infarction. In: : . Paper presented at Svenska Kardiovaskulära Vårmötet, Göteborg, Sverige, 17-19 april, 2013.
Open this publication in new window or tab >>Female patients' recovery after their first myocardial infarction
2013 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Introduction

Secondary prevention care after a Myocardial Infarction (MI) has not improved during the last 15 years at the same rate as acute MI care. One reason could be that research and health care focus more on treatment, symptoms and risk factors and not on the individuals’ perceptions of the recovery process after an MI. Most previous research focuses on recovery from the women’s and their partners’ point of view. Since cardiac rehabilitation nurses meet many women after MI, their experiences of the women’s recovery process may be an important complement perspective.

Purpose

The aim was to explore cardiac rehabilitation nurses’ experiences of factors influencing female patients’ recovery after their first MI.

Method

The study was conducted using qualitative content analysis. Twenty cardiac rehabilitation nurses were interviewed and the study was carried out at 10 hospitals in Sweden.

Conclusions

Cardiac rehabilitation nurses experienced that women’s recovery after an MI was influenced by factors that were both related to their own individual as well as by their surroundings factors. The underlying meaning of women´s recovery is characterized as the transition process to the recovery to health.

National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-21788 (URN)
Conference
Svenska Kardiovaskulära Vårmötet, Göteborg, Sverige, 17-19 april, 2013
Available from: 2013-04-23 Created: 2013-04-23 Last updated: 2018-03-22Bibliographically approved
Kristofferzon, M.-L., Johansson, I., Brännström, M., Arenhall, E., Baigi, A., Brunt, D., . . . Ivarsson, B. (2010). Evaluation of a Swedish version of the Watts Sexual Function Questionnaire (WSFQ) in persons with heart disease: a pilot study. European Journal of Cardiovascular Nursing, 9(3), 168-174
Open this publication in new window or tab >>Evaluation of a Swedish version of the Watts Sexual Function Questionnaire (WSFQ) in persons with heart disease: a pilot study
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2010 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 9, no 3, p. 168-174Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: As part of preparation for a Swedish multicentre study, exploring sexual and married life in patients with myocardial infarction and their partners, a Swedish validated instrument was required.

AIMS: The aim of this pilot study was to evaluate the validity and reliability of a Swedish version of the Watts Sexual Function Questionnaire (WSFQ) among persons with a heart disease.

METHODS: A convenience sample of 79 persons (47 men and 32 women) living with a heart disease was recruited from the members of the National Association of Heart and Lung Patients. They completed a Swedish version of the WSFQ on two occasions.

RESULTS: Two separate factor analyses each revealed a two-factor structure on both occasions: "Sexual appetite" and "Sexual expectations" with gender-neutral questions and "Sexual sensitiveness" and "Sexual ability" with gender-specific questions. Cronbach's alpha coefficients ranged from 0.48 to 0.86 and test-retest values for all but one question exceeded 0.70.

CONCLUSIONS: The Swedish version of the WSFQ showed good validity and stability and acceptable internal homogeneity. Extended evaluations of the questionnaire are recommended.

Place, publisher, year, edition, pages
Amsterdam: Elsevier, 2010
Keywords
Heart disease, Reliability, Validity, Watts Sexual Function Questionnaire
National Category
Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:hh:diva-4839 (URN)10.1016/j.ejcnurse.2009.12.004 (DOI)000281487200006 ()20071238 (PubMedID)2-s2.0-73549094217 (Scopus ID)
Available from: 2010-06-17 Created: 2010-06-17 Last updated: 2018-03-23Bibliographically approved
Rask, M., Malm, D., Kristofferzon, M. L., Roxberg, Å., Svedberg, P., Arenhall, E., . . . Benzein, E. G. (2010). Validity and reliability of a Swedish version of the Relationship Assessment Scale (RAS): a pilot study. Canadian journal of cardiovascular nursing, 20(1), 16-21
Open this publication in new window or tab >>Validity and reliability of a Swedish version of the Relationship Assessment Scale (RAS): a pilot study
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2010 (English)In: Canadian journal of cardiovascular nursing, ISSN 0843-6096, Vol. 20, no 1, p. 16-21Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: There is a need for a short and easily administered scale, in the Swedish language, for assessing partner relationships in the health care of persons with cardiac disease. PURPOSE: To establish the reliability and validity of the Swedish version of the Relationship Assessment Scale (RAS). DESIGN: The present pilot study has a methodological design. FINDINGS: Content validity has been tested for relevance, clarity and readability. The scale was tested for construct validity with explorative factor analysis. The reliability was tested by internal consistency and test-retest analysis. The result showed a two-factor solution, which does not correspond to the original proposed one-factor solution. The factor analyses revealed two quite distinct factors of RAS, labelled "Relationship built on expectations and satisfaction of needs" and "Relationship built on love and devotion". CONCLUSIONS: The scale has satisfactory psychometric properties in terms of content validity, construct validity, homogeneity and stability in a population of persons with cardiac disease. Wider evaluations of the RAS for other populations and settings are recommended.

Place, publisher, year, edition, pages
Ottawa: Canadian Council of Cardiovascular Nurses, 2010
Keywords
aged, article, attitude to health, factorial analysis, female, heart infarction, human, language, male, marriage, methodology, middle aged, nursing assessment, nursing evaluation research, pilot study, principal component analysis, psychological aspect, psychometry, questionnaire, satisfaction, spouse, standard, validation study, attitude to health, factor analysis, statistical, myocardial infarction, personal satisfaction, pilot projects, psychometrics, translating
National Category
Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:hh:diva-4841 (URN)20301858 (PubMedID)2-s2.0-77950464474 (Scopus ID)
Available from: 2010-06-17 Created: 2010-06-17 Last updated: 2018-03-23Bibliographically approved
Wieslander, I., Baigi, A., Turesson, C. & Fridlund, B. (2005). Women's social support and social network after their first myocardial infarction: a 4-year follow-up with focus on cardiac rehabilitation. European Journal of Cardiovascular Nursing, 4(4), 278-285
Open this publication in new window or tab >>Women's social support and social network after their first myocardial infarction: a 4-year follow-up with focus on cardiac rehabilitation
2005 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 4, no 4, p. 278-285Article in journal (Refereed) Published
Abstract [en]

Background: Knowledge about women's recovery following a myocardial infarction (MI) with focus on how their social support and network change over time as a result of participation in a cardiac rehabilitation programme (CRP) is not well established. Aim: The aim of this study was to describe and compare social support and network changes over a 4-year period in women with a first MI, based on socio-demographic and situational data. Method: A longitudinal, comparative study with a non-randomised design including pre- and post-tests (1 and 4 years after MI) was carried out in 18 hospitals in Sweden. Consecutively chosen women (N = 240) answered a questionnaire on the subject of social support and network. Results: The women who participated in a CRP were mainly dependent upon professional support during the first year after MI (p < 0.0001), while those who declined to participate in a CRP needed professional support throughout the whole 4-year period (p = 0.001). Participation in CRP was dependent on the women's age, those under 60 years (p = 0.050). Conclusion: There is a need to develop CRPs that are specifically designed for women based ontheir age and family relationships. Nurses' training programmes should place greater emphasis on cardiac rehabilitation from the perspective of women with focus on professional support. © 2005 European Society of Cardiology. Published by Elsevier B.V. All rights reserved.

Place, publisher, year, edition, pages
Elsevier, 2005
Keywords
Cardiac rehabilitation programme, Coronary heart disease, Myocardial infarction, Social support and network, Women
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-538 (URN)10.1016/j.ejcnurse.2005.06.004 (DOI)16332505 (PubMedID)2-s2.0-28444454956 (Scopus ID)2082/879 (Local ID)2082/879 (Archive number)2082/879 (OAI)
Available from: 2007-02-22 Created: 2007-02-22 Last updated: 2018-03-23Bibliographically approved
Wieslander, I. (2004). Cardiac rehabilitation in hospital and at home: a long-term study from the perspective of women who have suffered their first myocardial infarction. (Licentiate dissertation). Linköping: Linköping University
Open this publication in new window or tab >>Cardiac rehabilitation in hospital and at home: a long-term study from the perspective of women who have suffered their first myocardial infarction
2004 (English)Licentiate thesis, comprehensive summary (Other academic)
Abstract [en]

The general aim of this licentiate thesis was to describe and compare, from a longitudinal perspective, the extent of cardiac rehabilitation efforts as well as changes in social support and social network in women who have suffered their first myocardial infarction (MI). The studies had a descriptive, comparative and longitudinal design. Data were collected from healthcare professionals at 18 acute hospitals, who on two occasions answered a questionnaire dealing with cardiac rehabilitation efforts. From these 18 hospitals, 240 women who had suffered a first MI were consecutively chosen to answer a questionnaire on three occasions on the subject of social support and social network. Descriptive and inferential statistics were used to analyse data over time. The result showed that patients with different ischaemic heart disease diagnoses and their next-of-kin were offered different cardiac rehabilitation programmes (CRPs). None of the hospitals offered a CRP that was specifically designed for women. The women experienced that the extent of general support, support from relatives, and professional support changed positively over time. The women who participated in a CRP reported less need for professional support over time compared to non participants. This licentiate thesis provides knowledge about social support and social network that can be used to develop CROPs based on the special needs of women with MI and their relatives.

Place, publisher, year, edition, pages
Linköping: Linköping University, 2004. p. 52
Series
Linköping studies in health sciences. Thesis, ISSN 1100-6013 ; 68
Keywords
Myocardial infarction, Social support, Social network, Cardiac rehabilitation programme, Coronary heart disease, women
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-540 (URN)2082/881 (Local ID)91-7373-845-X (ISBN)2082/881 (Archive number)2082/881 (OAI)
Available from: 2007-02-22 Created: 2007-02-22 Last updated: 2018-03-23Bibliographically approved
Wieslander, I. & Fridlund, B. (2001). Cardiac rehabilitation efforts for patients with ischaemic heart disease - a 5-year comparative review in five counties in western Sweden. Coronary Health Care, 5(1), 16-24
Open this publication in new window or tab >>Cardiac rehabilitation efforts for patients with ischaemic heart disease - a 5-year comparative review in five counties in western Sweden
2001 (English)In: Coronary Health Care, ISSN 1362-3265, E-ISSN 1532-2025, Vol. 5, no 1, p. 16-24Article in journal (Refereed) Published
Abstract [en]

Today’s cardiac rehabilitation programmes are multiphase and interdisciplinary. The aim of the study was to compare different cardiac rehabilitation approaches available to patients with ischaemic heart disease and their next-of-kin during a 5-year period in five counties in Western Sweden. Questionnaires were answered on two occasions, in 1993 and 1998, dealing with the cardiac rehabilitation organization, the target groups invited, rehabilitation efforts, and the health-care professionals involved in the cardiac rehabilitation. The results show that patients with myocardial infarction and their next-of-kin were offered a well-functioning cardiac rehabilitation, both in 1993 and in 1998, at the university, county and district county hospitals. For patients who had undergone bypass surgery and their next-of-kin, cardiac rehabilitation was only available to a lesser extent. Patients with angina pectoris and their next-of-kin had the least possibility of receiving cardiac rehabilitation during the 5-year period. No cardiac rehabilitation programmes were specially designed for women, and an age limit existed in some cases. The most developed cardiac rehabilitation effort was the stress management education. The health-care professionals most frequently included in the cardiac rehabilitation teams at the university and district hospitals were dieticians, cardiologists, physiotherapists and nurses, both in 1993 and in 1998. The corresponding health-care professionals at the county hospitals were cardiologists, social workers, clergymen, physiotherapists and nurses. A research implication can be to identify who the next-of-kin are, what their experiences are of participating in a cardiac rehabilitation programme and how important they are to these patients.

Place, publisher, year, edition, pages
Edinburgh: Churchill Livingstone, 2001
Keywords
age, angina pectoris, article, bypass surgery, clergy, clinical practice, comparative study, controlled study, female, health care availability, health care delivery, health care organization, health care personnel, health care quality, health program, heart infarction, heart rehabilitation, human, ischemic heart disease, kinesiotherapy, male, medical research, nurse, patient counseling, patient education, physiotherapist, public hospital, questionnaire, sex difference, social support, social worker, stress, Sweden, treatment planning, university hospital
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-20119 (URN)10.1054/chec.2000.0106 (DOI)2-s2.0-0034749918 (Scopus ID)
Available from: 2012-12-14 Created: 2012-12-14 Last updated: 2018-03-22Bibliographically approved
Wahlin, U., Wieslander, I. & Fridlund, B. (1995). Loving care in the ambulance service. Intensive & Critical Care Nursing, 11(6), 306-313
Open this publication in new window or tab >>Loving care in the ambulance service
1995 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 11, no 6, p. 306-313Article in journal (Refereed) Published
Abstract [en]

The ambulance service should offer good care signified by humane and individual treatment of the patients, based on love to our fellow man. The aim of this study was to find out how loving care was practised in one ambulance service. The method for the study was the critical incident technique. Twelve paramedics, the majority of whom are qualified nurses, took part in the study; they were asked to describe, in writing, critical incidents in which they had acted with loving care. The paramedics’ writings disclosed their ability to do their job with loving care, bearing on their cognizance, solicitude and empathy. On the whole, subject cognizance, the ability to judge and treat based upon the monitored symptoms of the patients, was apparent. In the main, subject solicitude loving care was shown through humbleness, consideration, closeness and being in rapport, and generally subject empathy, the paramedic’s empathic capacity and his knowledge about man’s behaviour in a crisis, became evident. From a clinical standpoint the study shows the importance of the paramedics possessing professional skill. As a contribution to science the study adds to continued research based upon descriptions made by other groups of personnel about the phenomenon to be studied; namely, loving care. © 1995 Pearson Professional Ltd.

Place, publisher, year, edition, pages
London: Churchill Livingstone, 1995
Keywords
Adult, ambulance, article, emergency health service, empathy, female, health personnel attitude, human, human relation, love, male, middle aged, nursing methodology research, organization and management, psychological aspect, questionnaire, rescue personnel, Adult, Ambulances, Attitude of Health Personnel, Emergency Medical Services, Emergency Medical Technicians, Empathy, Female, Humans, Love, Male, Middle Aged, Nursing Methodology Research, Professional-Patient Relations, Questionnaires
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-37652 (URN)10.1016/S0964-3397(95)80308-4 (DOI)2-s2.0-0029449902 (Scopus ID)
Available from: 2018-07-20 Created: 2018-07-20 Last updated: 2018-07-20Bibliographically approved
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