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Paulsson, Gun
Publications (10 of 19) Show all publications
Ziegert, K., Hallberg, U. & Paulsson, G. (2010). Book review: "Developing grounded theory. The second generation" [Review]. International Journal of Qualitative Studies on Health and Well-being, 5(2), 5058
Open this publication in new window or tab >>Book review: "Developing grounded theory. The second generation"
2010 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, Vol. 5, no 2, p. 5058-Article, book review (Other (popular science, discussion, etc.)) Published
Abstract [en]

Developing Grounded Theory. The Second Generation is a very useful and clarifying book arisen from a one-day symposium on advances in qualitative methods in Alberta, 2007. The conference was sponsored by the International Institute for Qualitative Methodology (IIQM). For the first time, the students of Barney Glaser and Anselm Strauss, “the second generation” of grounded theory researchers, met to discuss grounded theory and its developments. With the exception of Janice Morse, the authors of this book worked directly with Anselm Strauss and Barney Glaser. In this volume they provide a description of the history, principles and practice of the grounded theory methods.

Keywords
Book review, Developing Grounded Theory, Qualitative methods
National Category
Other Health Sciences
Identifiers
urn:nbn:se:hh:diva-4267 (URN)10.3402/qhw.v5i2.5058 (DOI)000281886700003 ()
Available from: 2010-04-13 Created: 2010-04-06 Last updated: 2018-03-23Bibliographically approved
Wårdh, I., Paulsson, G. & Fridlund, B. (2009). Nursing staff's understanding of oral health care for patients with cancer diagnoses: an intervention study. Journal of Clinical Nursing, 18(6), 799-806
Open this publication in new window or tab >>Nursing staff's understanding of oral health care for patients with cancer diagnoses: an intervention study
2009 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 18, no 6, p. 799-806Article in journal (Refereed) Published
Abstract [en]

Aims and objectives. The aim of this study was to evaluate long-lasting changes in the nursing staff's understanding of oral health care for cancer patients after an oral health care intervention. The study also assessed whether there were changes between registered nurses and auxiliary nurses. Background. The maintenance of good oral health care in cancer patients is essential for nutrition, recovery and wellbeing and requires the involvement of nursing staff. However, several studies reveal that the need to prioritize oral health care has not been made sufficiently clear. Methods. The nursing staff (registered nurses, n = 133 and auxiliary nurses, n = 109) on five wards at different hospitals providing cancer care took part in a four-hour oral healthcare training session, including the use of an oral assessment guide and answered a questionnaire initially and after this intervention. The data were statistically analyzed. Results. Several aspects of implementation opportunities improved, but they did not include attitudes to oral health care. Knowledge of oral diseases decreased, more for auxiliary nurses than for registered nurses. Conclusions. A four-hour oral health training session and subsequent activities improve the nursing staff's understanding of oral health care for patients with cancer diagnoses in some respects but not in terms of attitudes to oral health care or specific oral knowledge. Relevance to clinical practice. Oral healthcare education and training activities for nursing staff can produce some improvements in the understanding of oral health care for cancer patients but not in attitudes and specific oral knowledge. These areas must be covered during the basic education period or/and by a routine oral healthcare programme for nursing staff, probably including an oral healthcare standard.

Place, publisher, year, edition, pages
Oxford: Wiley-Blackwell, 2009
Keywords
Oral Health Care, Attitudes, Cancer Diagnosis, Knowledge, Nurses, Nursing Staff
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-1468 (URN)10.1111/j.1365-2702.2007.02051.x (DOI)000263338200004 ()18298505 (PubMedID)2-s2.0-60249098204 (Scopus ID)2082/1848 (Local ID)2082/1848 (Archive number)2082/1848 (OAI)
Available from: 2008-05-30 Created: 2008-05-30 Last updated: 2018-03-23Bibliographically approved
Folke, S., Paulsson, G., Fridlund, B. & Söderfeldt, B. (2009). The subjective meaning of xerostomia: an aggravating misery. International Journal of Qualitative Studies on Health and Well-being, 4(4), 245-255
Open this publication in new window or tab >>The subjective meaning of xerostomia: an aggravating misery
2009 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 4, no 4, p. 245-255Article in journal (Refereed) Published
Abstract [en]

Xerostomia, the subjective sensation of dry mouth, is associated with qualitative and quantitative changes of saliva. Poor health, certain medications and radiation therapy constitute major risk factors. To gain further understanding of this condition the present study explored the main concern of xerostomia expressed by affl icted adults. Qualitative interviews were conducted with 15 participants and analysed according to the grounded theory method. An aggravating misery was identi-fi ed as the core category, meaning that the main concern of xerostomia is its devastating and debilitating impact on multiple domains of well-being. Professional consultation, search for affi rmation and social withdrawal were strategies of management. The fi ndings reveal that xerostomia is not a trivial condition for those suffering. Oral impairment as well as physical and psychosocial consequences of xerostomia has a negative impact on quality of life. There is an obvious need to enhance professional competence to improve the compassion for and the support of individuals affl icted by xerostomia

Place, publisher, year, edition, pages
Järfälla: CoAction Publishing, 2009
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-5243 (URN)10.3109/17482620903189476 (DOI)000273358500006 ()2-s2.0-72449205478 (Scopus ID)
Available from: 2010-07-28 Created: 2010-07-28 Last updated: 2018-03-23Bibliographically approved
Folke, S., Fridlund, B. & Paulsson, G. (2009). Views of xerostomia among health care professionals: a qualitative study. Journal of Clinical Nursing, 18(6), 791-798
Open this publication in new window or tab >>Views of xerostomia among health care professionals: a qualitative study
2009 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 18, no 6, p. 791-798Article in journal (Refereed) Published
Abstract [en]

AIM:

To explore and describe views of xerostomia among health care professionals.

BACKGROUND:

Xerostomia (dry mouth) is caused by changes in quality and quantity of saliva due to poor health, certain drugs and radiation therapy. It is a common symptom, particularly among older people and has devastating consequences with regard to oral health and general well-being.

METHODS:

Data were obtained and categorised by interviewing 16 health care professionals. Qualitative content analysis was chosen as the method of analysis.

DESIGN: Qualitative.

RESULTS:

The latent content was formulated into a theme: xerostomia is a well-known problem, yet there is inadequate management of patients with xerostomia. The findings identified three categories expressing the manifest content: awareness of xerostomia, indifferent attitude and insufficient support.

CONCLUSIONS:

Although xerostomia was recognised as commonly occurring, it was considered to be an underestimated and an ignored problem. Proper attention to conditions of xerostomia and subsequent patient management were viewed as fragmentary and inadequate. Additional qualitative studies among patients with xerostomia would be desirable to gain further understanding of the problems with xerostomia, its professional recognition and management.

RELEVANCE TO CLINICAL PRACTICE:

A holistic view, positive professional attitudes and enhanced knowledge of xerostomia seem essential to augment collaboration among health care professionals and to improve compassion for and support of patients with xerostomia.

Place, publisher, year, edition, pages
Oxford: Blackwell Publishing, 2009
Keywords
content analysis, health care professionals, nurses, nursing, well-being, xerostomia
National Category
Social Sciences
Identifiers
urn:nbn:se:hh:diva-2896 (URN)10.1111/j.1365-2702.2008.02455.x (DOI)000263338200003 ()18803577 (PubMedID)2-s2.0-60249086417 (Scopus ID)2082/3298 (Local ID)2082/3298 (Archive number)2082/3298 (OAI)
Available from: 2009-08-31 Created: 2009-08-31 Last updated: 2018-03-23Bibliographically approved
Paulsson, G., Wårdh, I., Andersson, P. & Öhrn, K. (2008). Comparison of oral health assessments between nursing staff and patients on medical wards. European Journal of Cancer Care, 17(1), 49-55
Open this publication in new window or tab >>Comparison of oral health assessments between nursing staff and patients on medical wards
2008 (English)In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 17, no 1, p. 49-55Article in journal (Refereed) Published
Abstract [en]

The maintenance of good oral health is essential for nutrition, recovery and well-being. This requires the involvement of the nursing staff, especially in cases where oral care and any necessary dental treatment are vital to ensure medical treatment. The aim of this study was to evaluate the validity of oral assessments performed by nursing staff using the revised oral assessment guide (ROAG), using comparisons with patients' self-assessment of oral problems. When a comparison was made of how the staff and patients assessed their oral status, a high level of agreement was found. In these assessments, with the exception of oral mucosa and teeth, the percentage agreement was >80. The kappa coefficient revealed slight to moderate agreement. When there was a disagreement, the staff assessed the oral health as being significantly poorer than the patients did. In the present study, it was shown that few oral assessments performed by the nursing staff and patient disagreed. The ROAG may therefore be useful for the nursing staff to make the patients' oral health problems visible. © 2007 The Authors; Journal compilation © 2007 Blackwell Publishing Ltd.

Place, publisher, year, edition, pages
Oxford: Blackwell Publishing, 2008
Keywords
Cancer patients, Nursing care, Oral health, Oral assessment guide, Self-assessed oral health
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-1491 (URN)10.1111/j.1365-2354.2007.00802.x (DOI)000251859700008 ()18181891 (PubMedID)2-s2.0-37549000985 (Scopus ID)2082/1871 (Local ID)2082/1871 (Archive number)2082/1871 (OAI)
Available from: 2008-06-05 Created: 2008-06-05 Last updated: 2018-03-23Bibliographically approved
Paulsson, G. (2008). Fenomenografi. In: Monica Granskär & Birgitta Höglund-Nielsen (Ed.), Tillämpad kvalitativ forskning inom hälso- och sjukvård (pp. 73-84). Lund: Studentlitteratur
Open this publication in new window or tab >>Fenomenografi
2008 (Swedish)In: Tillämpad kvalitativ forskning inom hälso- och sjukvård / [ed] Monica Granskär & Birgitta Höglund-Nielsen, Lund: Studentlitteratur , 2008, p. 73-84Chapter in book (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Lund: Studentlitteratur, 2008
Keywords
Hälso- och sjukvård, Forskning, Metodik
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hh:diva-1544 (URN)2082/1924 (Local ID)978-91-44-00155-5 (ISBN)2082/1924 (Archive number)2082/1924 (OAI)
Available from: 2008-06-17 Created: 2008-06-17 Last updated: 2018-03-23Bibliographically approved
Paulsson, G. (2007). Munhälsa hos patienter med cancerdiagnos: en interventionsstudie av vårdpersonal och patienter. Socialmedicinsk Tidskrift, 84(3), 212-219
Open this publication in new window or tab >>Munhälsa hos patienter med cancerdiagnos: en interventionsstudie av vårdpersonal och patienter
2007 (Swedish)In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 84, no 3, p. 212-219Article in journal (Refereed) Published
Abstract [sv]

Patienter med cancerdiagnos är en speciell grupp där komplikationer, dels i samband med själva grundsjukdomen, dels i samband med de behandlingar patienten genomgår, påverkar munhälsan. Upprätthållandet av en god munhälsa är därför av största betydelse för både nutrition, tillfrisknande och välbefinnande. Munvård betraktas som en betydelsefull men eftersatt omvårdnadsåtgärd och överskuggas ofta av andra behov som upplevs som mer angelägna. Munhälsodokumentationen måste förbättras, men detta bör göras inom ramen för en generell förbättring av rutinerna runt omvårdnadsdokumentationen, vilken ofta uppvisar brister. 

Place, publisher, year, edition, pages
Stockholm: Socialmedicinsk tidskrift, 2007
Keywords
cancer patients, nursing care, oral assessment guide, self assessed oral health, Cancerpatienter, Munhygien, Munhälsa, Cancer, Tandhälsa, Odontologi, Tandvård, Förebyggande tandvård
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hh:diva-1526 (URN)2082/1906 (Local ID)2082/1906 (Archive number)2082/1906 (OAI)
Available from: 2008-06-13 Created: 2008-06-13 Last updated: 2018-03-23Bibliographically approved
Gavois, H., Paulsson, G. & Fridlund, B. (2006). Mental health professional support in families with a member suffering from severe mental illness: a grounded theory model. Scandinavian Journal of Caring Sciences, 20(1), 102-109
Open this publication in new window or tab >>Mental health professional support in families with a member suffering from severe mental illness: a grounded theory model
2006 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 20, no 1, p. 102-109Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to develop a model of mental health professional (MHP) support based on the needs of families with a member suffering from severe mental illness (SMI). Twelve family members were interviewed with the focus on their needs of support by MHP, then the interviews were analyzed according to the grounded theory method. The generated model of MHP support had two core categories: the family members’ process from crisis to recovery and their interaction with the MHP about mental health/illness and daily living of the person with SMI. Interaction based on ongoing contact between MHP and family members influenced the family members’ process from crisis towards recovery. Four MHP strategies – being present, listening, sharing and empowering – met the family members’ needs of support in the different stages of the crisis. Being present includes early contact, early information and protection by MHP at onset of illness or relapse. Listening includes assessing burden, maintaining contact and confirmation in daily living for the person with SMI. Sharing between MHP and family members includes co-ordination, open communication and security in daily living for the person with SMI. Finally, the MHP strategy empowering includes creating a context, counselling and encouraging development for the family members. The present model has a holistic approach and can be used as an overall guide for MHP support in clinical care of families of persons with SMI. For future studies, it is important to study the interaction of the family with SMI and the connection between hope, coping and empowerment.

Place, publisher, year, edition, pages
Oxford: Blackwell Publishing, 2006
Keywords
Family, Professional support, Schizophrenia, Severe mental illness, Social support
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-1444 (URN)10.1111/j.1471-6712.2006.00380.x (DOI)000235467600014 ()16489966 (PubMedID)2-s2.0-33645103731 (Scopus ID)2082/1824 (Local ID)2082/1824 (Archive number)2082/1824 (OAI)
Available from: 2008-05-24 Created: 2008-05-24 Last updated: 2018-03-23Bibliographically approved
Paulsson, G., Nederfors, T., Söderfeldt, B. & Fridlund, B. (2003). The effect of an oral health education program after three years. Special Care in Dentistry: managing special patients, settings, and situations, 23(2), 63-69
Open this publication in new window or tab >>The effect of an oral health education program after three years
2003 (English)In: Special Care in Dentistry: managing special patients, settings, and situations, ISSN 0275-1879, E-ISSN 1754-4505, Vol. 23, no 2, p. 63-69Article in journal (Refereed) Published
Abstract [en]

Three years after providing an oral health education program (OHEP) to nursing personnel, the authors analyzed the effect of the program on knowledge of the importance of oral health and on perception among the nurses of the possibility to implement oral care in patient care. The study was based on a cross-sectional survey of all nursing personnel (N = 2,901) in five municipalities in the Southwestern Sweden, of whom 950 had attended four one-hour lessons during an OHEP in 1996. The response rate to the survey questionnaire was 67% (1,930 subjects). Statistical analysis was performed by means of descriptive and analytical statistics. The program was shown to have an independent effect on the dependent variables "knowledge of oral health" and "assessment of implementation possibilities," This study has given further evidence of the feasibility of an educational program to improve both knowledge and implementation of oral health care. through interviews with 17 nursing personnel, selected by strategic sampling. Analysis of the transcribed interviews showed that there were four strategies, related to staff education, hospital resources, and leadership motivation. The strategies were grounded in data and emerged from the interaction between the two main categories: 'the valuation of the importance of oral health' and 'the behavior towards oral health maintenance'. They were characterized as the routine, theoretical, practical, and flexible strategies, with the latter considered ideal. As increased knowledge is one important part in enhancing the nursing personnel's ability to perform oral hygiene procedures, there is a need for education among nursing personnel, primarily among those using a routine strategy.

Place, publisher, year, edition, pages
New York: Wiley-Blackwell, 2003
Keywords
Health Promotion, Nursing Personnel, Oral Health Care
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-1550 (URN)10.1111/j.1754-4505.2003.tb00292.x (DOI)14620765 (PubMedID)2082/1930 (Local ID)2082/1930 (Archive number)2082/1930 (OAI)
Available from: 2008-06-17 Created: 2008-06-17 Last updated: 2018-03-23Bibliographically approved
Paulsson, G., Söderfeldt, B., Nederfors, T. & Fridlund, B. (2002). Nursing personnel's views on oral health from a health promotion perspective: a grounded theory analysis. Acta Odontologica Scandinavica, 60(1), 42-49
Open this publication in new window or tab >>Nursing personnel's views on oral health from a health promotion perspective: a grounded theory analysis
2002 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 60, no 1, p. 42-49Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to develop a model for how nursing personnel view oral health in general and the oral health of the care receivers in particular, applying a health promotion perspective and using grounded theory analysis. Data were collected through interviews with 17 nursing personnel, selected by strategic sampling. Analysis of the transcribed interviews showed that there were four strategies, related to staff education, hospital resources, and leadership motivation. The strategies were grounded in data and emerged from the interaction between the two main categories: 'the valuation of the importance of oral health' and 'the behavior towards oral health maintenance'. They were characterized as the routine, theoretical, practical, and flexible strategies, with the latter considered ideal. As increased knowledge is one important part in enhancing the nursing personnel's ability to perform oral hygiene procedures, there is a need for education among nursing personnel, primarily among those using a routine strategy.

Place, publisher, year, edition, pages
Oxford: Informa Healthcare, 2002
Keywords
Elderly, Grounded Theory, Health Promotion, Nursing Personnel, Oral Health Care
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-1552 (URN)10.1080/000163502753471998 (DOI)000173963500008 ()11902612 (PubMedID)2-s2.0-0036372743 (Scopus ID)2082/1932 (Local ID)2082/1932 (Archive number)2082/1932 (OAI)
Available from: 2008-06-17 Created: 2008-06-17 Last updated: 2018-03-23Bibliographically approved
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