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  • 1.
    Ahlstav Mårtensson, Ulrica
    et al.
    Halmstad Hospital, Halmstad, Sweden.
    Erling-Hasselqvist, Nann
    Halmstad Hospital, Halmstad, Sweden.
    Boström, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Differences in pain and nausea in children operated on by Tonsillectomy or Tonsillotomy – a prospective follow-up study2012In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 69, no 4, p. 782-792Article in journal (Refereed)
    Abstract [en]

    Aim: To evaluate the differences in postoperative pain, nausea and time of discharge in children 3–12 years old after Tonsillectomy or Tonsillotomy at the postanaesthetic care unit, children’s ward and at home. 

    Background: Tonsillectomy involves risk of bleeding, severe postoperative pain and nausea. Tonsillotomy is a less invasive method with lower risk of bleeding, postoperative pain and nausea according to previous studies.

    Design: A prospective, comparative follow-up study design.

    Method: From December 2008–April 2009 following parental agreement, 87 children in the ages 3–12 undergoing Tonsillectomy or Tonsillotomy participated. Visual analogue scale was used for children’s pain and nausea reports.

    Result: Significantly, fewer children operated on by the Tonsillotomy reported postoperative pain ‡ 3 according to the visual analogue scale than children operated on by the Tonsillectomy at the postanaesthetic care unit and the children’s ward. A statistically significant difference of postoperative nausea was only present during the care at the postanaesthetic care unit and children’s ward with fewer Tonsillotomy children reporting nausea ‡ 3. The time of postoperative care was shorter among the Tonsillotomy children in both the postanaesthetic care unit and the children’s ward. Postoperative pain and pain related difficulties in eating after discharge was significantly more present among the Tonsillectomy children compared with the Tonsillotomy children.

    Conclusion: The results of our study showed duration of postoperative pain and nausea in both groups, but indicated that Tonsillotomy is a more favourable alternative than Tonsillectomy in children. © 2012 Blackwell Publishing Ltd.

  • 2.
    Ali, Lilas
    et al.
    Göteborgs universitet, Göteborg, Sverige.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Att använda internet vid datainsamling2017In: Vetenskaplig teori och metod: från idé till examination inom omvårdnad / [ed] Maria Henricson, Lund: Studentlitteratur AB, 2017, 2, p. 217-232Chapter in book (Refereed)
  • 3.
    Andersson, Linda
    et al.
    Halmstad University, School of Health and Welfare.
    Svensson, Anna
    Halmstad University, School of Health and Welfare.
    Livet förändras: Upplevelsen av att leva med kronisk obstruktiv lungsjukdom2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Kronisk obstruktiv lungsjukdom är en progressiv sjukdom som kännetecknas av kronisk luftvägsobstruktion. Den främsta orsaken till sjukdomen är rökning. Andra orsaker till sjukdomen kan vara luftföroreningar samt ärftlighet. Tidigare forskning visar att kronisk sjukdom innebär begränsningar som ger upplevelsen av förlust, vilket ger upphov till lidande. KOL leder till andnöd vilket ger begränsningar i livet. Andning är förknippat med liv och vid andnöd kan livet upplevas hotat. Personer som drabbas blir beroende av att ha kontakt med hälso- och sjukvården och i de senare stadierna av sjukdomen är även behovet av omvårdnad stort.  Syftet med studien var att beskriva upplevelsen av att leva med KOL. Litteraturstudien baserades på 15 vetenskapliga artiklar. Resultatet innefattade fyra teman: att uppleva andnöd; att uppleva sociala och personliga förändringar; att hantera livet med KOL; att leva med en självförvållad sjukdom. Livet med KOL präglades av känslor så som oro, ångest, förlust, begränsningar, skam och skuld. Livet för personer med KOL kan upplevas lättare att hantera om en ny mening med livet hittas. Bemötandet från hälso- och sjukvården spelar in på hur personer med KOL upplever sin sjukdom och genom förståelse för hur personer med KOL upplever sjukdomen kan ett gott bemötande från sjuksköterskan samt personcentrerad omvårdnad ges. Mer forskning behövs så att sjuksköterskan får ökad förståelse för hur det är att leva med KOL och därigenom ge bästa möjliga omvårdnad.

  • 4.
    Andersson, Matilda
    Halmstad University, School of Business, Engineering and Science.
    Analysis of Changes in Running Technique Between a Shod and Barefoot Running Condition.2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Lately, barefoot running has become popular and there is a debate on the pros and cons of barefoot running with regards to running injuries. Many factors are causing injuries and one of the factors discussed is the fact that we run in shoes. When we run in shoes the biomechanics of the running technique may and therefore be a possible cause to injury. Aim: The aim of the study was to assess how the foot strike pattern, angle of the knee and ankle joint at time of initial contact, as well as the step length changes between a shod and barefoot running condition in habitually shod runners when running in a pace equivalent to their running pace over ten kilometers. Method: Twenty-seven healthy runners (18 male, 9 female) were included in the study. The study took place at the fitness center of Halmstad University. Subjects ran on a treadmill, in an individual pace equivalent to their running pace over ten km, both in a shod and barefoot running condition. Two-dimensional analysis of the sagittal plane kinematics of the knee joint, ankle joint and foot position to horizontal, foot strike pattern and step length was done. Participants ran for ten minutes with shoes and for five minutes barefoot. Running technique was videotaped using an Iphone 6 camera and landmarks were marked with white tape to ease the analysis. Results: Changes in foot strike pattern was observed. When running barefoot 63% of the subjects adopted a non-heel strike pattern compared to 18.5% when shod (p=0.001). Knee flexion was increased at IC for the barefoot condition, with 164°±6 relative knee angle compared to 167°±6 when shod (p=0.001). Ankle angle at IC did not show a statistical significant difference between conditions (p=0.657). When barefoot the angle was 117°±8 compared to 115°±8 when shod. Foot angle to horizontal showed a flatter foot placement at IC with a less dorsiflexed foot for the barefoot condition (-4°±8) compared to shod (-12°±8), (p=0.001). Step length was decreased for the barefoot condition (0.82m ±0.15)   compared to shod (0.85m ±0.13), (p=0.008). Conclusion: Results are consistent with previous findings that barefoot running in some cases change the running technique with a flatter foot placement, an increased knee flexion at IC and a decreased step length. However, caution must be taken when habitually shod runners transition to barefoot running in regards to the biomechanical changes that may occur. To benefit from barefoot running a non-heel strike pattern is required. Further, the running technique may be the more important factor, regardless of wearing shoes or not.

  • 5.
    Arnarsson, Arsaell
    et al.
    University of Iceland, Reykjavik, Iceland.
    Nygren, Jens
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Nyholm, Maria
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Torsheim, Torbjorn
    University of Bergen, Bergen, Norway.
    Augustine, Lilly
    University of Kristianstad, Kristianstad, Sweden.
    Bjereld, Ylva
    University of Gothenburg, Gothenburg, Sweden.
    Markkanen, Ilona
    University of Jyväskylä, Jyväskylä, Finland.
    Schnohr, Christina w.
    University of Copenhagen, Copenhagen, Denmark.
    Rasmussen, Mette
    University of Southern Denmark, Odense, Denmark.
    Nielsen, Line
    University of Southern Denmark, Odense, Denmark.
    Bendtsen, Pernille
    University of Southern Denmark, Odense, Denmark.
    Cyberbullying and traditional bullying among Nordic adolescents and their impact on life satisfaction2019In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, p. 1-9Article in journal (Refereed)
    Abstract [en]

    Aims: The aim of this study was to investigate the prevalence of cybervictimization in the six Nordic countries and to assess its overlap with traditional bullying. A further aim was to examine potential associations between life satisfaction, on the one hand, and traditional bullying and cyberbullying on the other. Methods: Analyses were based on data from the 2013⁄2014 Health Behaviour in School-aged Children study. It included 32,210 boys and girls, aged 11, 13, and 15, living in the six Nordic countries. Results: The prevalence of cyberbullying by both pictures and by messages was around 2% in all the Nordic countries except Greenland. There it was considerably higher. The prevalence of being bullied in a traditional manner varied widely by country. For boys, this type of bullying was most frequent in the youngest age group and then decreased steadily in the older age groups. Girls were on average more likely to be cyberbullied. Cyberbullying was more common among 13- and 15-year-olds than 11-year-olds. Higher family affluence was unrelated to the risk of cyberbullying. However, it was related to traditional bullying and combined forms of bullying. Compared with intact families, cybervictimization was commoner among single-parent families and stepfamilies. Adjusting for age, gender, family affluence, and family structure, those subjected to cyberbullying had lower life satisfaction than those who were not bullied. Conclusions: We found relatively little overlap between cyberbullying and traditional bullying, indicating that the two may be separate phenomena stemming from different mechanisms, at least in the Nordic context.

  • 6.
    Berntsson, Ann-Charlott
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Larsson, Annika
    Halmstad University, School of Social and Health Sciences (HOS).
    Att vårda ett brustet hjärta: Kvinnors upplevelse av stöd vid akut hjärtsjukdom2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 7.
    Björk, Julia
    Halmstad University, School of Business, Engineering and Science.
    The effect of a weight lifting belt and the use of valsalva maneuver on power output and velocity in a squat2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A squat is a common exercise that is used in many areas of strength training and for different purposes and the literature is inconclusive when it comes to whether the weight lifting belt (WB) affects performance and/or is injury-preventing. The use of breathing techniques is common during heavy lifting and therefore the practice of the breathing teqnice; valsalva maneuver (VM) may be of interest to study and if this along with the WB can provide some advantages in power output and velocity. Aim: The specific aim of the study was to evaluate whether the velocity in the eccentric and the concentric phase of the squat, and the peak velocity in the concentric phases are affected in power output through the use of the VM when the subjects use or did not use a WB. Method: Fifteen subjects (10 men and 5 women) volunteered freely to participate and did a total of 12 squats divided in four different sets with three repetitions each on 75% of their self-reported one repetition maximum (1RM). The first two sets were either with or without WB and the third and fourth sets were either with or without the practice of the VM. The three conditions (with WB, with WB + VM and VA only) were compared to each other and to the control group (without any instructions and no WB) in terms of power output and velocity in the eccentric, concentric and peak velocity in the concentric phase of the squat. Result: There was no significant difference in power output when comparing the four different test conditions. The velocity in the eccentric, concentric and peak velocity in the concentric phase did not have a significant difference between the different test conditions. Conclusions: This study shows a different output compared to previous literature. The WB and the practice of VM did not affect the power output and velocity in a squat, alone or together. 

  • 8.
    Björk, Julia
    Halmstad University, School of Business, Engineering and Science.
    Upper- & lower body strength and its correlation to performance in swimming2018Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background: To learn how to swim with proper technique takes fairly large amount of time and practice to learn and anelite swimmer spends 6-7 days training for improving aerobic capacity, anaerobic capacity and strength training for energy saving technique. Freestyle is the fastest swimming style and is performed in many different distances, 50m is classified as a sprint and the 400m as a middle-distance. The research is inconclusive if there is a correlation in the lower body and the time in 50m and 400m and mostly in the middle distance which gives this study the importance reducing these uncertainties. Aim: The aim of this study was to determine the strength of the correlation between the upper- and lower body muscle strengthwith time in 50m and 400m freestyle and to analyze which of the variables of height, sex, upper- and lower body strength contribute to velocity in sprint and middle distance in competitive swimmers. Method:A total of 14 participants (3 men and 11 women) participated in the study. The participants were tested at three occasions. The first was to determine their three-repetition maximum (3RM) in the squat and lat-pulldown. The second occasion was the collection the time in 50m freestyle and the third was to collect the time in 400m freestyle. Relative strength (kg/kg BW; %) and absolute strength (kg) in 1RM was calculated and correlated with the time in 50m and 400m freestyle. Analysis was done to see which variables of height, sex, relative strength in the squat and lat-pulldown contribute the most to the time in freestyle. Result: The result show that there was a high correlation between the absolute strength in the squat and the time in 50m (r=-0.769) a moderate correlation in the absolute strength in lat-pulldown and the 50m freestyle sprint (r=-0.513). There was also a moderate correlation for the relative strength in the lat-pulldown and 50m freestyle (r=-0.599). The 400m correlate with the relative strength in both lat-pulldown(r=-0.563) and the squat (r=-0.555). The lat-pulldown contributed most to the time in 50m freestyle as well as the male sex. Conclusions: The absolute strength in the squat had a high correlation to the time in 50m freestyle swim. The 400m there was a moderate correlation to the relative strength in the squat and lat-pulldown showing that for the overall performance in middle-distance the relative strength has the advantage over absolute strength. The relative and absolute strength in upper body correlated to both 50m and 400m freestyle and could therefore strengthen the importance of upper body strength in sprint and middle distance as previous researchers has stated. The upper body strength is the best predictor of time in 50m.

  • 9.
    Bolse, Kärstin
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Thylen, Ingela
    Department of Medical and Health Sciences, Linköping University, Linköping Sweden.
    Strömberg, Anna
    Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Healthcare professionals' experiences of delivering care to patients with an implantable cardioverter defibrillator2012In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 12, no 4, p. 346-352Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: An implantable cardioverter defibrillator (ICD) is a technical device used in the treatment of ventricular arrhythmias. After an ICD implantation, the entire life situation of the patient their next of kin can be affected psychologically and socially. Healthcare professionals play a vital role in providing educational counselling, support and technical follow-up of the device, but little is known about their experiences.

    AIM: This paper describes the experiences of Swedish healthcare professionals in delivering care to patients with an ICD.

    METHODS: A qualitative, descriptive design based on a phenomenographic approach was used. Data were collected through interviews with 12 specialist ICD nurses and 12 physicians, representing 16 ICD implantation centres in Sweden.

    FINDINGS: Two descriptive categories comprising seven subcategories emerged. Striving to provide competent care comprised the subcategories: providing access to care, improving one's qualifications and individualising care. Striving to infuse confirmation incorporated the subcategories: promoting independence, providing existential support, mediating security and comprising needs of next of kin.

    CONCLUSIONS: The healthcare professionals described how they wished to develop the care further. Both nurses and physicians were consistent in wanting to provide competent and confirming care based on a holistic perspective with high accessibility to the ICD team. The findings describe how healthcare professionals strive to provide professional clinical care in order to give the patients tools to handle their life situation. They suggested that more structured education and counselling according to guidelines should be provided. They also highlighted the need to increase their own competence by improving their knowledge and skills.

  • 10.
    Boström, Barbro
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Sandh, Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Lundberg, Dag
    Halmstad University, School of Social and Health Sciences (HOS).
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS).
    Cancer patients' experiences of care related to pain management before and after palliative care referral2004In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 13, no 3, p. 238-245Article in journal (Refereed)
    Abstract [en]

    Pain is the main problem for patients with cancer referred to palliative care (PC). Pain management in PC requires a multidimensional approach. A questionnaire was used to determine cancer patients' experiences of care related to pain management, before and after being referred to PC, and to also discover possible correlations between pain control and other aspects of care. Seventy-five consecutive patients from two PC teams were included in the study. The patients had experienced a statistically significant (P < 0.01) improvement in care after being referred to PC, despite the fact that pain control had not been optimized. Patients' description of 'pain control' after being referred to PC had a statistically significant correlation with their 'feeling of security' and 'continuity of care' throughout the same period. The conclusion is that care provided in PC is vital to successful pain management. Pain control depends not only on analgesics but also on many other aspects of care provided by the nurse. Continuity of care and the opportunity to talk increases the patients' feeling of security, which is also of utmost importance to successful pain management.

  • 11.
    Boström, Barbro
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Sandh, Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Lundberg, Dag
    Halmstad University, School of Social and Health Sciences (HOS).
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS).
    Cancer-related pain in palliative care: patients' perceptions of pain management2004In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 45, no 4, p. 410-419Article in journal (Refereed)
    Abstract [en]

    Background: Pain is still a significant problem for many patients with cancer, despite numerous, clear and concise guidelines for the treatment of cancer-related pain. The impact of pain cognition on patients' experiences of cancer-related pain remains relatively unexplored. Aim: The aim of this study was to describe how patients with cancer-related pain in palliative care perceive the management of their pain. Method: Thirty patients were strategically selected for interviews with open-ended questions, designed to explore the pain and pain management related to their cancer. The interviews were analysed using a phenomenographic approach. Findings: Patients described 10 different perceptions of pain and pain management summarized in the three categories: communication, planning and trust. In terms of communication, patients expressed a need for an open and honest dialogue with health care professionals about all problems concerning pain. Patients expressed an urgent need for planning of their pain treatment including all caring activities around them. When they felt trust in the health care organization as a whole, and in nurses and physicians in particular, they described improved ability and willingness to participate in pain management. While the findings are limited to patients in palliative care, questions are raised about others with cancer-related pain without access to a palliative care team. Conclusion: The opportunity for patients to discuss pain and its treatment seems to have occurred late in the course of disease, mostly not until coming in contact with a palliative care team. They expressed a wish to be pain-free, or attain as much pain relief as possible, with as few side effects as possible.

  • 12.
    Bökberg, Christina
    et al.
    Lund University, Lund, Sweden.
    Ahlström, Gerd
    Lund University, Lund, Sweden.
    Karlsson, Staffan
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Lund University, Lund, Sweden.
    Utilisation of formal and informal care and services at home among persons with dementia: a cross-sectional study2018In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, no 2, p. 843-851Article in journal (Refereed)
    Abstract [en]

    Background

    The progression of dementia disease implies increasing needs for both informal and formal care and services but also risk of institutionalisation. To better adjust care and services in the phase preceding institutionalisation it is important to find out whether utilisation of formal and informal care and services is determined by increased needs and by who meets the needs.Aim

    The aim was to compare persons with dementia (65+) with different levels of cognitive impairment, regarding utilisation of formal and informal care and service at home.Methods

    The participants consisted of 177 persons with dementia ≥65 years old and at risk of nursing home admission, divided into groups according to their cognitive function. Structured interviews were conducted based on questionnaires about type and amount of formal and informal care utilised, as well as questions regarding cognitive impairment, dependency in activities of daily living (ADLs) and neuropsychiatric symptoms. To analyse the data, descriptive and comparative statistics were used.Results

    The findings revealed that the group with severe dementia used significantly more help with ADLs and supervision in terms of time (number of hours and days) provided by the informal caregiver, compared with the group with moderate dementia. Utilisation of formal care and services was highest in the group with the most severe cognitive impairments (Standardized Mini-Mental State Examination score of <9). The group with severe dementia were more dependent in ADLs and had more neuropsychiatric symptoms (hallucinations and motor disturbances). They were younger and more often cohabitated with the informal caregiver, compared with the group with moderate dementia.Conclusion

    This study shows that in the phase preceding institutionalisation the ADL and supervision needs due to progression of dementia appear to tend to be met first and foremost by the informal caregivers. © 2017 Nordic College of Caring Science.

  • 13.
    Caslsson, Cassandra
    et al.
    Halmstad University, School of Health and Welfare.
    Thyr, Lisanne
    Halmstad University, School of Health and Welfare.
    Jag är inte mitt sår!: Patienters upplevelser av att leva med svårläkta bensår2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Idag lider cirka 50 000 personer i Sverige av svårläkta bensår. Att leva med svårläkta bensår innebär en kronisk sjukdom där läkningsprocessen oftast är långvarig och sannolikheten att sår återkommer är hög. Sjukdomen påverkar flera delar av patienters liv och ytterligare kunskap behövs om hur tillståndet påverkar de drabbade. Syftet med studien var att belysa patienters upplevelser av att leva med svårläkta bensår. Studien genomfördes som en systematisk litteraturstudie där tio relevanta vetenskapliga artiklar valdes ut för analys. Resultatet visade att svårläkta bensår påverkade flera dimensioner av patienternas liv och sammanfattades under rubrikerna; Upplevelser av att leva med en kronisk sjukdom, Upplevelser av smärta, Upplevelser av utanförskap, Upplevelser av nedsatt fysisk förmåga, Upplevelser av lukt och vätska, och Upplevelser av relationen mellan patient – vårdpersonal. Resultatet diskuterades med utgångspunkt från de omvårdnadsvetenskapliga teorierna kring hälsa och lidande. En huvudsaklig slutsats var att sjuksköterskan bör ha ett holistiskt förhållningssätt i omvårdnaden där fokus ligger både på sårläkningsprocessen och på de emotionella konsekvenser som sjukdomen medför hos patienten. Genom att göra patienten delaktig i sin vård kan sjuksköterskan hjälpa patienten utstå det lidande som sjukdomen medför, samt uppleva livet som fortsatt meningsfullt. Det krävs vidare forskning inom området, samt ytterligare undervisning inom sjuksköterskeprogrammet, för att synliggöra vikten av en helhetssyn i omvårdnaden av patienter med svårläkta bensår.

  • 14.
    Claesson, Anna
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Ohlsson, Lena
    Halmstad University, School of Social and Health Sciences (HOS).
    Faktorer som påverkar sjuksköterskan som handledare2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The most important factors in a tutorial session are the pedagogic discussions and making sure that the students have adequate knowledge for the nurse case under study. However, the question is how the tutors experience their situation and what resources and support they consider to be of importance in order to meet the demands for an optimum tutorial service. The aim of this study was to study factors affecting the nurse in the role as a tutor. The method was a systematic literature review and final detailed analysis of 10 specially selected articles.

    The results showed that there are three different categories of problems. Category 1 includes obstacles within the nurse ward resulting in lack of time for nurses to perform tutorial activity. Category 2 problems are insufficient support from the health care unit, from the Nurse School, from colleagues or teachers. Category 3, finally, includes inadequate knowledge and experience from the tutor which may result in lack of acknowledgment. More studies on the nurse as a tutor and factors affecting the nurse in the tutorial role are needed. Many of the nurses on the health care units and wards are not feeling comfortable with the tutorial process, the support for the supervision being inadequate. Despite the increasing demands on the tutors during clinical education increases there are currently no national standards or guidelines that show what training is appropriate. Distinct demands and roles, deeply rooted in practical work, would be a god tool supporting the tutors in their teaching supervision.

    .

  • 15.
    Ekström, Lina
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Hansson, Frida
    Halmstad University, School of Social and Health Sciences (HOS).
    Beslut om övergången från kurativ till palliativ vård: Sjuksköterskors upplevelser och erfarenheter2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Nowadays, there are life-sustaining treatment that can prolong patients’ lives. This may make it difficult for medical personnel to set the limit for when the transition from curative to palliative care should be performed in institutional care. The purpose of the study was to describe the nurses’ experiences when a decision would be taken on when the patient went from curative to palliative care. In this study fifteen scientific articles were reviewed and analyzed. Four headlines emerged from the result: involvement, point in time, education/experience and feelings. One thing nurses had in common was that they thought that their opinion did not matter for the doctors about the transition from curative to palliative care, even though they spent more time with the patient and had a holistic point of view on the situation. The point in time was important in regards to when the decision was made and when the curative treatment was brought to an end. One difference between nurses was their experience and how secure they felt within their occupation. The nurses felt that it was difficult when there were not straight directives on how the treatment should be carried out. To be more secure in their jobs as nurses, there should be a higher level of education introduced throughout all of the health and medical care fields and there should be more research done about the patient’s experiences in their situation.

  • 16.
    Elmberg, Fanny
    Halmstad University, School of Business, Engineering and Science.
    Examination of serum leptin- and lipid levels and gender differences in a population with symptomatic knee osteoarthritis2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 17.
    Fluur, Christina
    et al.
    Department of Cardiology UHL, County Council of Östergötland, Linköping, Sweden.
    Bolse, Kärstin
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Strömberg, Anna
    Division of Nursing Sciences, Department of Medical and Health Sciences, Faculty of Health Sciences, Linköping University, Sweden.
    Thylen, Ingela
    Department of Cardiology, Linköping University Hospital, Linköping, Sweden.
    Patients' experiences of the implantable cardioverter defibrillator (ICD); with a focus on battery replacement and end-of-life issues2013In: Heart & Lung, ISSN 0147-9563, E-ISSN 1527-3288, Vol. 42, no 3, p. 202-207Article in journal (Refereed)
    Abstract [en]

    Background: ICD deactivation at end-of-life is technically uncomplicated. However, it may present a psychological challenge to healthcare professionals, patients, and next-of-kin. Objective: This study explored patients' experiences of complex issues of battery replacement and deactivation of the ICD. Methods: Semistructured interviews were administered to 37 medically stable ICD-recipients. Results: The ICD-recipients lived with an uncertain illness trajectory, but the majority had not reflected on battery replacement or elective ICD deactivation. Healthcare professionals had rarely discussed these issues with patients. However, this was consistent with the ICD-recipients' wishes. Many patients had misconceptions about the lifesaving capacity of the ICD and the majority stated that they would not choose to deactivate the ICD, even if they knew they were terminally ill, and it meant they would receive multiple shocks. Conclusion: The ICD-recipients tended not to think about end-of-life issues, which imply that many patients reach the final stages of life unaware of the option of ICD deactivation. © 2013 Elsevier Inc.

  • 18.
    Fluur, Christina
    et al.
    Department of Cardiology UHL, County Council of Östergötland, Linköping, Sweden.
    Bolse, Kärstin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Strömberg, Anna
    Division of Nursing Sciences, Department of Medicine and Health Sciences, Faculty of Health Sciences, Linköping University, Sweden.
    Thylen, Ingela
    Division of Nursing Sciences, Department of Medicine and Health Sciences, Faculty of Health Sciences, Linköping University, Sweden.
    Spouses’ reflections on Implantable Cardioverter Defibrillator treatment with focus on the future and the end-of-life: a qualitative content analysis2014In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 70, no 8, p. 1758-1769Article in journal (Refereed)
    Abstract [en]

    Aim. To explore future reflections of spouses living with an implantable cardioverter defibrillator recipient with focus on the end-of-life phase in an anticipated palliative phase.

    Background. A history of or risk for life-threatening arrhythmias may require an implantable cardioverter defibrillator. Despite the life-saving capacity of the device, eventually life will come to an end. As discussion about preferences of shock therapy at end-of-life phase seldom takes place in advance, the implantable cardioverter defibrillator recipients may face defibrillating shocks in the final weeks of their lives, adding to stress and anxiety in patients and their families.

    Design. Qualitative study with in-depth interviews analysed with a content analysis.

    Methods. Interviews were performed with 18 spouses of medically stable implantable cardioverter defibrillator recipients during 2011–2012.

    Results. The spouses described how they dealt with changes in life and an uncertain future following the implantable cardioverter defibrillator implantation. Six subcategories conceptualized the spouses' concerns: Aspiring for involvement; Managing an altered relationship; Being attentive to warning signs; Worries for deterioration in the partner's health; Waiting for the defibrillating shock; and Death is veiled in silence.

    Conclusion. Despite the partner's serious state of health; terminal illness or death and the role of the device was seldom discussed with healthcare professionals or the implantable cardioverter defibrillator recipient. Open and honest communication was requested as important to support coping with an unpredictable life situation and to reduce worries and uncertainty about the future and end-of-life. © 2013 John Wiley & Sons Ltd.

  • 19.
    Frandsen, Björn
    Halmstad University, School of Business and Engineering (SET), Biological and Environmental Systems (BLESS), Biomechanics and Biomedicine.
    Hip and trunk muscle electromyography differences between bilateral and unilateral bodyweight resistance exercises2013Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
  • 20.
    Gagner, Sandra
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Jägerstedt, Mika
    Halmstad University, School of Social and Health Sciences (HOS).
    Betydelsefull närhet och nödvändig distans: Sjuksköterskans professionella förhållningssätt inom palliativ vård2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Palliative care is an approach which has the main emphasis on the patient’s quality of life. It is characterized by a holistic view towards the patient’s physical, psychological, social and existential need. The nurse can work with palliative care in many different contexts, and to various degrees. Nonetheless, the nurse who conducts palliative care will always have a relation building function, and the relation between the nurse and the patient will have large impact of the patient’s perceived well-being. A nurse’s professional approach to palliative care is generally thought of as her taking on a compassionate role against her patients. The purpose of this paper was to describe the nurse’s experience of establishing and keeping a professional approach to her patients in palliative care. The study was conducted as a scientific literature review with a systematic gathering and scrutinizing of data. In total, eleven qualitative scientific articles were included in the review. Three main conclusions could be drawn. First, the nurses experienced that the relations within palliative care were characterized by closeness and emotional engagement. The close relationship between the nurse and her patients was regarded as being positive, although it constituted a risk of emotional overload. Second, it was found to be necessary for the nurse to maintain a professional distance to the patient to be able to separate work from private life. Third, many nurses identified a challenge of striking an appropriate balance between closeness and distance in order to be able to be personal without being private.

  • 21.
    Glud-Bergmark, Suzanne
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Bågenholm, Helena
    Halmstad University, School of Social and Health Sciences (HOS).
    Sjuksköterskors upplevelser av det motiverande samtalet som metod inom hälsofrämjande vård2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In health promotion should nurses encourage and support patients own resources and respect their autonomy to a lifestyle change. Studies showed that nurses experienced barriers and knowledge gaps in the work of health promotion as Motivational Interviewing and was not a priority to the same extent as the disease -oriented work. Purpose: was to describe nurse's experiences of the Motivational interviewing in health promotion oriented work. Method: A literature review was conducted with an inductive approach to answer the purpose. Searches were made in the databases PubMed, CINAHL and Academic Search Elite and a total of 16 articles were included that met the objective. Results: It was revealed five categories: Nurses experience of lifestyle changes  in the use  of Motivational Interviewing, opportunities and barriers in the use of Motivational Interviewing, education in the use of Motivational Interviewing, changed approach in the use of Motivational Interviewing and frustration at the use of Motivational interviewing.                                                                                                                                                   Conclusion: The nurse experienced Motivational interviewing as a useful method in health promotion. It needs more resources in terms of time for the training of Motivational Interviewing. Support from colleagues and the leadership was important in order to implement Motivational Interviewing in an organization. Further qualitative empirical studies of nurses and patients experiences of Motivational interviewing could provide more sustainable methods in health promotion.

  • 22.
    Grüneberger, Ann
    et al.
    Halmstad University, School of Health and Welfare.
    Tärnqvist, Anna
    Halmstad University, School of Health and Welfare.
    Upplevelse av hemgång dagen efter en knä- eller höftplastik: En intervjustudie2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Knee and hip arthroplasty are among the most common surgeries available today and have a great impact on the quality of life of the individual. Several care models have been developed for patients having had knee or hip arthroplasty, not only to address the cost of healthcare, but also to improve the quality of the care itself. However, more knowledge about a patients experience following surgery is required as the care is continually progressing. The purpose of this study was to document the experience of a patient following a knee or hip arthroplasty. We aim to document their experiences returning home from a specialized elective unit, their first day post operation, as well as the initial period of recovery. Phone call interviews were carried out with 12 patients, and analyzed according to qualitative content analysis with inductive approach. The results were divided into five main categories, each with their own sub-categories. The main categories were; the importance of the home environment, information from the hospital, the necessity of help, challenges of recovery and health promotion contact. The participants reported a positive experience returning home after the first postoperative day and were able to handle potential issues in an adequate manner; on their own, with support from informative documentation, with help from relatives or through contact with the hospital. The experience of returning home the first day post operation, after a knee or hip arthroplasty is considered comfortable.

  • 23.
    Gustafsson, Sofia
    et al.
    Halmstad University, School of Business and Engineering (SET), Biological and Environmental Systems (BLESS), Biomechanics and Biomedicine.
    Jeanette, Backholm
    Halmstad University, School of Business and Engineering (SET), Biological and Environmental Systems (BLESS), Biomechanics and Biomedicine.
    PÅVERKAR ÅLDER, KÖN OCH TRÄNINGSMÄNGD FMS?: En tvärsnittsstudie mellan Functional movement screen samt sf-36v2 Health survey2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Regelbunden fysisk aktivitet motverkar en rad fysiska och mentala sjukdomar. Hälsovinster av fysisk aktivitet är bland annat en högre funktionell muskulär- och kardiovaskulär kapacitet samt en högre livskvalitet. Stillasittande och inaktivitet kan leda till övervikt, kardiovaskulära sjukdomar, cancer, psykosociala problem och metaboliska sjukdomar.

    Mellan män och kvinnor finns fysiologiska skillnader som visar sig i kroppsstorlek och muskelmassa. Detta ger generellt sett kvinnor mer flexibel fysik medan män är fysiskt starkare.

    WHOs rekommendationer om daglig fysisk aktivitet är 150 min/vecka av moderat aerobisk träning eller 75 min mer ansträngande aerobisk träning. Styrketräning som involverar större muskelgrupper rekommenderas i åldrarna 18-64.  

    Till hjälp att undersöka hypotesen har två oberoende test används. En skriftlig enkät, SF-36v2 Health Survey, samt ett fysiskt test, Functional Movement Screen.

    I denna studie undersöks huruvida det finns ett samband mellan en ökad träningsmängd och ett högre FMS-resultat samt om en högre ålder ger lägre FMS-resultat, oavsett kön. Vi tror oss även se ett samband mellan högre FMS-poäng och ett högre uppskattat mentalt och fysiskt mående.

    Testpersonerna (N:30) som deltog i studien var arbetande eller studerande män (N:15) och kvinnor (N:15) i åldrarna 20-65år.

    FMS-resultaten visade ingen signifikant skillnad mellan kön eller stigande ålder. Däremot ser vi signifikanta skillnader mellan könen vid specifika styrke- eller rörlighetstester i FMS. Kvinnorna visar tydligt via resultaten att de generellt har en mer flexibel fysik medan männen är starkare.

    Som slutsats av denna studie kan vi konstatera att FMS som testmetod är könsneutralt och kan användas på blandade populationer. Detta ger testmetoden en bred användbarhet på just en blandad population.

    Fler studier krävs för att få fram normerande poängsättning om FMS skall användas på medelmotionären. 

  • 24.
    Hagel, Sofia
    et al.
    Department of Clinical Sciences in Lund, Section of Rheumatology & Orthopaedics, Lund University & Skane University Hospital, Lund, Sweden.
    Lindqvist, Elisabet
    Department of Clinical Sciences in Lund, Section of Rheumatology & Orthopaedics, Lund University & Skane University Hospital, Lund, Sweden.
    Petersson, Ingemar F
    Department of Clinical Sciences in Lund, Section of Rheumatology & Orthopaedics, Lund University & Skane University Hospital, Lund, Sweden.
    Meesters, Jorit J L
    Department of Rheumatology, Department of Physical Therapy, Leiden University Medical Center, Leiden, Netherlands & National Resource Center for Rehabilitation in Rheumatology, Diakonhjemmet Hospital, Oslo, Norway .
    Klokkerud, Mari
    National Resource Center for Rehabilitation in Rheumatology, Diakonhjemmet Hospital, Oslo, Norway .
    Aanerud, Gerd J
    National Resource Center for Rehabilitation in Rheumatology, Diakonhjemmet Hospital, Oslo, Norway .
    Stovgaard, Inger H
    King Christian Xth Hospital for Rheumatic Diseases, University of Southern Denmark, Gråsten, Denmark.
    Hørslev-Petersen, Kim
    King Christian Xth Hospital for Rheumatic Diseases, University of Southern Denmark, Gråsten, Denmark.
    Strömbeck, Britta
    Department of Clinical Sciences in Lund, Orthopaedics, Lund University, Lund, Sweden.
    Vliet Vlieland, Thea P M
    Department of Orthopaedics, Leiden University Medical Center, Leiden, Netherlands .
    Bremander, Ann
    Halmstad University, School of Business, Engineering and Science, Biological and Environmental Systems (BLESS). Department of Clinical Sciences Lund, Section of Rheumatology, Lund University, Lund, Sweden & School of Business and Engineering, Department of Exercise Physiology, Biomechanics and Health, Spenshult, Halmstad, Sweden.
    Which patients improve the most after arthritis rehabilitation? A study of predictors in patients with inflamatory arthritis in northern Europe, the STAR-ETIC collaboration2014In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 46, no 3, p. 250-257Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To study health-related quality of life (HRQoL) in arthritis rehabilitation performed by multidisciplinary teams in patients with chronic inflammatory arthritis. Predictors of change in health-related quality of life and the proportion of patients with clinical improvement were investigated.

    DESIGN: Multicentre prospective observational study in 4 European countries.

    METHODS: HRQoL was measured with the European Quality 5 Dimensions (EQ-5D) and the Short Form 36 Health Survey (SF-36) in 731 patients who underwent multidisciplinary rehabilitation. Potential predictors were physical functioning (Health Assessment Questionnaire (HAQ)), self-efficacy (Arthritis Self Efficacy Scale (ASES)), psychological health (Hopkins Symptom Check List (HSCL-25)), pain/fatigue (numeric rating scales (NRS)), age, sex, diagnosis, comorbidity, education, clinical setting and change of medication during rehabilitation. Analysis of covariance (ANCOVA) was used to assess for potential predictors and interactions. The minimal important differences for HRQoL were analysed.

    RESULTS: Reporting worse function (b 0.05, p = 0.01), less psychological well-being (b 0.09, p = 0.000), and experiencing more pain (b 0.03, p = 0.000) or fatigue (b 0.02, p = 0.000) at admission predicted improved HRQoL. Change in medication during rehabilitation (b 0.08, p = 0.013) was associated with greater improvement in HRQoL. These EQ-5D findings were supported by SF-36 findings. Positive minimal important differences were noted in 46% (EQ-5D) and 23-47% (SF-36 subscales) of the patients.

    CONCLUSION: Patients with more severe symptoms experienced the largest gain in HRQoL post-intervention. The results of this study are of value for selecting the right patients for rheumatological team rehabilitation. © 2014 The Authors

  • 25.
    Haglund, Emma
    et al.
    Halmstad University, School of Business, Engineering and Science, The Rydberg Laboratory for Applied Sciences (RLAS). Spenshult Research and Development Center, Halmstad, Sweden.
    Olsson, C.
    The Sahlgrenska Academy, University of Gothenburg, Gothenburg.
    Bremander, Ann
    Halmstad University, School of Business, Engineering and Science, The Rydberg Laboratory for Applied Sciences (RLAS).
    Bergman, Stefan
    Spenshult Research and Development Center, Halmstad, Sweden; The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden & Lund University, Lund, Sweden.
    Improving triage to appropriate treatment level by using a combination of screening tools in patients at risk of developing chronic back pain2017In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 76, no Suppl. 2, p. 1531-1532Article in journal (Refereed)
  • 26.
    Helvik, Anne-Sofie
    et al.
    Innlandet Hospital Trust, Division Tynset, Norway & Norwegian University of Science and Technology (NTNU), Trondheim, Norway & St. Olavs University Hospital, Trondheim, Norway.
    Iversen, Valentina Cabral
    St. Olavs University Hospital, Trondheim, Norway & Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
    Steiring, Randi
    Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
    Hallberg, Lillemor R-M
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    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-being2011In: 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)
    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.

  • 27.
    Hildingh, Cathrine
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Luepker, Russell V.
    Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis, MN, USA .
    Baigi, Amir
    Research and Development (R and D), Primary Health Care, Halland, Sweden.
    Lidell, Evy
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Stress, health complaints and self-confidence: a comparison between young adult women in Sweden and USA2006In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 20, no 2, p. 202-208Article in journal (Refereed)
    Abstract [en]

    Transition to adulthood is a period in life when women encounter conflicts, ambiguities and rapidly expanding roles that may be stressful and difficult to manage. The aim of this study was to compare stress in daily life, health complaints and self-confidence in 26-year old women in two different cultures. A health survey study was performed among Swedish women (n = 386) and American women (n = 201) living in urban areas at the West coast of Sweden and in Minnesota. Both Swedish and American women reported stress in their everyday life, with higher figures for the Americans. Overall health was rated lower by the Swedish women and they reported more health complaints such as headache, general tiredness, irritability, depression and sleeping disorders. There was a difference between groups in self-confidence with higher figures for excellent self-confidence among American women. However, low self-confidence was reported by more American than Swedish women. A good work situation predicted self-confidence in Swedish women and financial confidence in American women. Physical fitness was associated with self-confidence in both groups. Young women in both cultures experienced high level of stress but health related complaints were more common among Swedish women. High stress and health complaints must be taken seriously and interventions to support young women in the midst of transition to adulthood should contain stress reduction as well as empowerment performed in a more effective way than today in different health care settings and at place of work.

  • 28.
    Holmkvist, Christine
    et al.
    Halmstad University, School of Health and Welfare.
    Potocki, Isabella
    Halmstad University, School of Health and Welfare.
    Sund, Erica
    Halmstad University, School of Health and Welfare.
    Anestesisjuksköterskans erfarenheter av att utföra Rapid Sequence Induction (RSI) utifrån aktuell evidens2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Rapid Sequence Induction (RSI) är en induktionsstrategi   som används när det föreligger risk för aspiration. Metoden syftar till att   tiden från anestesiinduktion till säkrad luftväg blir så kort som möjlig.   Snabbverkande läkemedel ges i följd, patienten har höjd huvudända och   ventileras inte innan luftvägen är säkrad pga. risken för aspiration.   Krikoidtryck kan ingå i RSI och är en metod som kan minimera risken för   aspiration. Delar av RSI har under senare år ifrågasatts, framförallt är det   val av läkemedel och användandet av krikoidtryck som har diskuterats i   senaste forskning. Syftet med studien var att beskriva   anestesisjuksköterskans erfarenheter av att utföra RSI utifrån aktuell   evidens. Studien baseras på intervjuer av sex verksamma   anestesisjuksköterskor och analyserades med hjälp av kvalitativ   innehållsanalys. Resultatet visade att anestesisjuksköterskorna erfor att   utförandet av RSI varierade trots att gällande kliniks uppdaterade riktlinjer   bygger på senaste evidens. Anledningen till denna variation berodde bl.a. på   att anestesiläkarna i sina ordinationer frångick riktlinjerna. Även   anestesisjuksköterskornas vana och trygghet med ett specifikt läkemedel   påverkade deras sätt att utföra RSI.

    Vidare är det svårt att ta till sig ny kunskap och   implementera nya arbetssätt och rutiner. Trots uppdaterade riktlinjer enligt   senaste evidens fanns svårigheter att följa dessa hos gällande klinik.  Forskning och verksamhet bör inrikta sig på   hur man på bästa sätt implementerar ny kunskap.

  • 29.
    Holmqvist, Gärd
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Women's experiences of turning points and change through art therapy2015Conference paper (Other academic)
    Abstract [en]

    Women's experiences of turning points and change through art therapy 

    The aim of this study was to explore possible experiences of turning points and changes during individual art therapy. The question addressed was: how would you describe your experience of a turning point in the context of art therapy?

    Seventeen women who have attended art therapy were consecutively recruited from four different art therapists.  After group information the patients were asked to choose pictures they wanted to talk about during an individual interview. The images were photographed. Twelve woman described changes that can be viewed as a turning point and the other five described a more gradual unclear change.

  • 30.
    Holmqvist, Gärd
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Larsson, Ingrid
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Lundqvist Persson, Cristina
    Skaraborg Institute for Research and Development, Skövde, Sweden.
    Women’s experiences of change through art therapy2017In: Arts and Health, ISSN 1753-3015, E-ISSN 1753-3023, Vol. 9, no 3, p. 199-212Article in journal (Refereed)
    Abstract [en]

    Background: Art therapy is based on the conception that image making in a therapeutic context may facilitate processes of change.

    Methods: A semi-structured interview with focus on the image was conducted with 17 women in order to explore change, after which a qualitative content analysis was performed.

    Results: The women experienced internal change as a sudden, unexpected turning point or as a more gradual process, although some reported no internal change whatsoever. Five themes reflecting the women’s experiences of what was important for internal change emerged: Trust in the therapist, Belief in the method, Creative impulse, Meaning of the image and The art therapy process.

    Conclusions: Art therapy may contribute to change in the sense of moving from an inadequate to a healthier state. Even when art therapy does not lead to internal change it may be supportive and provide short-term help in everyday life.

    © 2016 Informa UK Limited, trading as Taylor & Francis Group

  • 31. Holmqvist, Gärd
    et al.
    Roxberg, Åsa
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). VID, Specialized University, Bergen, Norway.
    Larsson, Ingrid
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Lundqvist-Persson, Cristina
    Skaraborg Institute for Research and Development in Skövde, Skövde, Sweden.
    Expressions of vitality affects and basic affects during art therapy and their meaning for inner change2019In: International Journal of Art Therapy, ISSN 1745-4832, Vol. 24, no 1, p. 30-39Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe the occurrence of vitality affects and basic affects and to shed light on their importance in terms of patients’ inner change through art therapy. In an earlier study, where 17 women were interviewed about inner change through art therapy, a secondary deductive content analysis of images and statements was performed exploring the presence of vitality affects and basic affects. Nine of the 17 interviews contained clear descriptions of vitality affects and basic affects in the intersubjective communication between the patient and the therapist; these affects were also mirrored in the patients’ painted images. Three cases are used to illustrate the result and how affects are related to inner change. These three cases differ from each other in that they describe vitality affects either; arising from the art therapist’s empathetic verbal or non-verbal response, from a particular experience in nature, or from the interpreted symbolic language of the image. The common denominator identified as uniting the three cases was the intersubjective communication with the therapist. This study indicates that image making in art therapy gives rise to vitality affects and basic affects that contribute to inner change. It also indicates the importance of having trust in both the method and the art therapist. © 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group

  • 32.
    Hubertsson, Jenny
    et al.
    Clinical Sciences Lund, Lund University, Lund, Sweden.
    Petersson, Ingmar
    Clinical Sciences Lund, Lund University, Lund, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Thorstensson, Carina
    Clinical Sciences Lund, Lund University, Lund, Sweden.
    Sickness absence in musculoskeletal disorders: patients' experiences of interactions with the Social Insurance Agency and health care. A qualitative study2011In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 11, no 107Article in journal (Refereed)
    Abstract [en]

    Background:

    Sickness absence has represented a growing public health problem in many Western countries over the last decade. In Sweden disorders of the musculoskeletal system cause approximately one third of all sick leave. The Social Insurance Agency (SIA) and the health care system are important actors in handling the sickness absence process. The objective was to study how patients with personal experience of sickness absence due to musculoskeletal disorders perceived their contact with these actors and what they considered as obstructing or facilitating factors for recovery and return to work in this situation.

    Methods:

    In-depth interviews using open-ended questions were conducted with fifteen informants (aged 33-63, 11 women), all with experience of sickness absence due to musculoskeletal disorders and purposefully recruited to represent various backgrounds as regards diagnosis, length of sick leave and return to work. The interviews were audio-recorded, transcribed verbatim and analysed using content analysis.

    Results:

    The informants' perceived the interaction with the SIA and health care as ranging from coherent to fragmented. Being on sick leave was described as going through a process of adjustment in both private and working life. This process of adjustment was interactive and included not only the possibilities to adjust work demands and living conditions but also personal and emotional adjustment. The informants' experiences of fragmented interaction reflected a sense that their entire situation was not being taken into account. Coherent interaction was described as facilitating recovery and return to work, while fragmented interaction was described as obstructing this. The complex division of responsibilities within the Swedish rehabilitation system may hamper sickness absentees' possibilities of taking responsibility for their own rehabilitation.

    Conclusions:

    This study shows that people on sick leave considered the interaction with the SIA and health care as an important part of the rehabilitation process. The contact with these actors was perceived as affecting recovery and return to work. Working for a more coherent process of rehabilitation and offering professional guidance to patients on sick leave might have an empowering effect.

  • 33.
    Ivarsson, Andreas
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Johnson, Urban
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Design Issues in Pre-injury Research – A Note on Prediction and Experimental Design2013In: Abstracts of the ISSP 13th World Congress of Sport Psychology: July 21-26, 2013, Beijing Sport University, Beijing, China, Beijing, 2013, p. 40-40Conference paper (Refereed)
    Abstract [en]

    During the last three decades, increased attention has been devoted towards psychological variables influencing injury risk (Hackfort & Kleinert, 2007). Of these prediction studies, a majority have used prospective designs with one single measurement point and continuous injury recording over a number of weeks. In order to grasp the changes in those variables, the use of repeated measure designs with multiple measurement points is warranted. Obtaining data from multiple points will enable use of advanced statistics, such as latent growth curve analysis. Unlike regular analyses (e.g., ANOVAs), growth curve analyses focus on within-person change and how within-person changes in state variables could affect injury risk. Based on findings from injury prediction research, investigators have targeted such variables (e.g., daily hassles, coping) in experimental studies aimed at preventing injuries. A meta-analysis, covering seven experimental studies, showed most studies to be effective in decreasing the number of injuries in the experimental groups (overall Hedges g Effect size = .81; Tranaeus, Ivarsson & Johnson, submitted). Even if the experimental studies have used true or quasi-experimental designs, several methodological issues can be addressed. First, in most of the studies a number of different mental skills are included in the intervention approach leading to difficulties in differentiating which specific mental skills may be responsible for producing reductions in injury. Second, since most of the experimental studies conducted used no-attentional control groups (i.e., the participants in these groups will not be given a placebo treatment), it is likely that large effects could be explained by the Hawthorn effect. Third, in most studies, researchers discuss the importance of their results based on suggested cut-off criteria for the p-values and/or effect sizes (ES). This procedure could be addressed as a limitation since p-values and/or effect sizes do not indicate anything about the results’ clinical significance (e.g., Ivarsson, Andersen, Johnson & Lindwall, 2013). Also, the fact that non-adjusted ES, which were reported in all studies providing ES, are positively biased due to sampling error (Synder & Lawson, 1993) might have led to overestimation of the intervention effects. This presentation will (a) highlight the designs of previous prediction studies while focusing on advantages of longitudinal repeated-measure designs (b) discuss different experimental designs that have been used in injury prevention research and, (c) suggest methodological and statistical considerations for future research on injury prevention.

  • 34.
    Ivarsson, Tommy
    Halmstad University, School of Business and Engineering (SET), Biological and Environmental Systems (BLESS).
    A Comparison Between Foam Rolling and Dynamic Stretch on Throwing Velocity and Accuracy Among Male Handball Players2014Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    The monotonous and strenuous shoulder moving pattern during throwing may result in microtrauma and fibrous adhesions between the layers of fascia among athletes. In the last decade, self myofascial release (SMR) has gained good reputation as a way to treat these adhesions. However, there is limited data demonstrating the effects on upper body performance among athletes. PURPOSE: The purpose was to examine the effects from an acute bout of upper body SMR or from dynamic stretch (DS), on shoulder range of motion (ROM), throwing velocity and throwing accuracy. Also to examine correlations between shoulder ROM and throwing velocity/accuracy and between playing experience (PE) and changes in throwing velocity/accuracy and ROM. METHODS: 20 elite male handball players (age 20 ± 5 years, weight 84 ± 9 kg) were included in the study. The study had an experimental cross-over design in which participants first performed baseline measures. They also performed SMR and DS in two different trials. The trials were supervised and separated by 14 days. During SMR, the athletes performed a series of foam rolling exercises during two minutes for the muscles surrounding the shoulder joint. The same muscles were stretched for two minutes during the DS trial. Directly after foam rolling and DS, shoulder ROM, throwing velocity and throwing accuracy were measured using a gravity reference goniometer, radar gun and a high speed videocamera. ANOVA with repeated measures and t-tests were used to analyze differences between and within groups. RESULTS: There were no statistically significant differences in either shoulder ROM, throwing velocity or throwing accuracy between the three trials. There was a moderate correlation between shoulder extension and mean accuracy (r = 0.62; p = 0.004) after DS. When dividing the group into high and low experienced players, among the players in the PE-low group, the most experienced players elicited the greatest increase in peak throwing velocity after DS (r = 0.58; p = 0.10). Change in peak accuracy showed moderate but conflicting correlations after SMR (r = -0.53; p = 0.09) and DS (r = 0.50; p = 0.11) for the players in the PE-high group, indicating a better result after SMR. CONCLUSION: An acute bout of upperbody SMR does not affect ROM and does not improve throwing velocity or throwing accuracy compared to baseline or DS among elite male handball players. Nor could any correlation between ROM and throwing velocity or throwing accuracy be observed. The associations between PE and throwing performance was inconclusive. Further studies is needed to define if PE should be taken into consideration when using SMR or DS in order to improve throwing performance.

  • 35.
    Jenelin, Anna-Karin
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Tongnuson, Malin
    Halmstad University, School of Social and Health Sciences (HOS).
    Uppfattningar om en god död i en palliativ kontext: - med fokus på en förbättrad omvårdnad2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The palliative care aims to achieve a good and peaceful death. A good death has proven to be an unique and varied experience why the patient should have an opportunity to comment on his impending death. Research has pointed out that there are different perceptions of what a good death means, from the patients’, relatives’ and nursing staff perspectives. The purpose of this study was therefore to elucidate knowledge about perceptions of a good death, in order to improve nursing care in a palliative context. This literature review is based on 15 scientific articles. The results showed that there are common perceptions of a good death, but also differences that are important from a nursing perspective. A good death can be summarized as symptom control, autonomy, social relationships, self image, synthesis and consent. Foremost it was conversation about the existential dimension, which was missing from the patients’ perspective. From the relatives’ perspective it was more desirable with information about the dying process in order to prepare for their relatives’ death. Palliative care philosophy aims to give the patients a holistic approach, where the promotion of quality of life is the focus, despite the fact that death is imminent. Holistic care was also the approach which emerged as the main idea of a good death from the nursing staff perspective. A good death in a palliative context is a research area that needs to be investigated further, especially concerning to the different views obtained about a good death from different perspectives.

  • 36.
    Jermander Löfqvist, Sophia
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    van Meeningen, Mimmi
    Halmstad University, School of Social and Health Sciences (HOS).
    Kvinnors val för att uppnå ökat psykiskt välbefinnande efter mastektomi2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    För många kvinnor kan det vara en förlust att förlora det ena eller båda brösten. Detta kan leda till att kvinnornas upple-velse av den kvinnliga identitet förändras vilket även påver-kar kvinnornas psykiska välbefinnande. Kvinnors psykiska behov blir inte alltid tillgodosedda i hälso- och sjukvården. Syftet med studien var att belysa vad som påverkar kvinnor att uppnå ökat psykiskt välbefinnande efter mastektomi. En litteraturstudie genomfördes där 14 vetenskapliga artiklar bearbetades utifrån studiens syfte. Resultatet visade på att kvinnornas känsla av normalitet, helhet och kvinnlig identitet var känslor som kvinnorna ville uppnå genom sina val av bröstrekonstruktion eller användning av bröstprotes. I kvin-nornas beslutfattningsprocess framkom det att stöd från när-stående och sjuksköterska, delaktighet i behandling och in-formation var viktiga komponenter för att kvinnorna skulle uppnå högre psykiskt välbefinnande efter mastektomin. Det framkom i flera studier att kvinnor hade velat få mer infor-mation och träffa kvinnor som genomgått bröstrekonstruk-tion för att få råd och stöd. Det är viktigt som sjuksköterska att vara medveten om kvinnornas behov av stöd och att kun-na ge adekvat information som leder till att kvinnorna kan vara delaktiga i sin behandling och ta autonoma beslut. Mer forskning om protesanvändning behövs då det inte fanns mycket tillgängligt.

  • 37.
    Johansson, Gunvi
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Behavioral and Community Dentistry Institute of Odontology Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
    On Oral Health-Related Quality of Life in Swedish Young Adults2015Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Young adults in Sweden have grown up with dental care free of charge until the age of twenty. Their self-perceived oral health has been reported as being good, but rapid changes in society have led to a weaker economic situation for many young adults, which may influence their dental attendance and priorities concerning oral health and oral health care. The overall aim of this thesis was to explore the views of young adults on dental care, oral health and Oral Health-Related Quality of Life (OHRQoL).

    The thesis is based on four scientific papers which all apply a qualitative approach. In Paper I, the views of young adults on dental care were explored. Paper II investigated the views of young adults on their oral health and OHRQoL. In Paper III, measures of OHRQoL were described and analysed from a public health perspective, and in Paper IV, the views of young adults on the relevance of three measures of OHRQoL were explored. In Paper I, II, and IV, data collection was performed through qualitative interviews. The selection of informants was strategic with reference to age (21-29 years), sex and education. For Paper III, a literature search for OHRQoL measures was made in the PubMed database. The data in Paper I was analysed in accordance with the constant comparative method (inspired by Grounded Theory), and in Papers II, III and IV, qualitative content analysis was used.

    The results showed that young adults were satisfied with the dental care that they had received but reported specific views and demands on dental care (Paper I). They perceived their oral health as good, but an array of oral health problems was described (Paper II). The young adults’ perceived control of their OHRQoL depended on their future prospects of oral health, in relation to their perceptions of their past and present oral health. In Paper III, the search for measures of OHRQoL in the PubMed database generated 22 measures. The measures were analysed with regard to their theoretical framework and in relation to four principles of health promotion. Some elements of public health principles were found in all the measures, but most of them originated in disease-oriented theories. The occurrence of oral problems was reflected in young adults’ views on the measures of OHRQoL (Paper IV). The analysed measures were deemed to have both advantages and disadvantages but to be fairly equal.

    The conclusions are that young adults’ OHRQoL was dependent on their earlier experiences of dental care and their former and present oral health, as well as their future prospects regarding oral health. Elements of public health principles were present to a varying degree in all the measures of OHRQoL. Young adults regarded the frequently used measures of OHRQoL as being equal. The measures were mainly disease-oriented and no specific measures had been developed for young adults.

  • 38.
    Johansson, Gunvi
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Sport Health and Physical activity. Department of Periodontology and Oral Public Health, Faculty of Odontology, Malmö University, Malmö, Sweden.
    Söderfeldt, Björn
    Department of Periodontology and Oral Public Health, Faculty of Odontology, Malmö University, Malmö, Sweden.
    Östberg, Anna-Lena
    Deparment of Behavioural and Community Dentistry, Institution of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden & Public Dental Service, Region Västra Götaland, Borås, Sweden.
    Young adults' views on the relevance of three measures for oral health-related quality of life2015In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 13, no 3, p. 184-191Article in journal (Refereed)
    Abstract [en]

    Objective

    The aim of this study was to explore the views of young adults on the relevance of three measures of oral health-related quality of life (OHRQoL).

    Methods

    Sixteen young adults aged 21–29 years were interviewed. The selection was strategic with reference to age (21–25 years.; 26–30 years), sex and education (university degree; upper secondary school). The interview guide covered areas on the content and construction of the measures: The Oral Health Impact Profile (OHIP), the Oral Impacts on Daily Performances (OIDP) and the Oral Health-Related Quality of Life UK (OHRQoL-UK). The data were analysed using qualitative content analysis.

    Results

    A theme expressing the latent content was formulated during the data analysis: ‘young adults' own experiences were reflected in their views on the OHRQoL measures’; that is, the experiences of young adults of own oral problems and aspects that were found to be especially important for their age group influenced their view on the measures. The self-reported ability to understand and answer the questions varied and the perceived advantages and disadvantages were almost equally distributed among the three measures.

    Conclusions

    The OHIP, OIDP and OHRQoL-UK were evaluated as being equal by the young adults in this study, with regard both to their pros and cons. The clarity of the measures was regarded as the most important factor, while the length and assessment period were less significant.

    © 2014 John Wiley & Sons A/S.

  • 39.
    Johansson, Gunvi
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Sport Health and Physical activity. Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Östberg, Anna-Lena
    Public Dental Service, Region Västra Götaland, Borås, Sweden.
    Oral health-related quality of life in Swedish young adults2015In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 10, article id 27125Article in journal (Refereed)
    Abstract [en]

    The living conditions of young adults in Sweden have changed during the last decades due to the economic and employment situation in society. Although oral health is mainly considered to be good in this age group, their use of dental care has decreased and their priorities and opportunities regarding oral health are little known. The purpose of this study was to describe the views of Swedish young adults on their oral health and oral health-related quality of life (OHRQoL). The design of the study was qualitative, using content analysis. Sixteen young adults, aged 21-29 years, were interviewed. The findings from the interviews were summarized under the theme "Young adults reflected on their OHRQoL in a time perspective" consisting of three categories: "Past experiences, Present situation, and Future prospects." The OHRQoL of young adults is dependent not only on their own experiences of oral health during childhood and their received dental care but also on their present self-perceived oral health, oral health habits, and social life; together with their expectations of future oral health. The findings in this study indicate that the oral health awareness and needs of young adults, as well as their expectations of oral care, merit further follow-up. © 2015 G. Johansson & A.-L. Östberg.

  • 40.
    Johansson, Gunvi
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Sport Health and Physical activity. Department of Behavioural and Community Dentistry, Institution of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Östberg, Anna-Lena
    Department of Behavioural and Community Dentistry, Institution of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden & Public Dental Service, Region Västra Götaland, Borås, Sweden.
    Oral health-related quality of life in Swedish young adultsManuscript (preprint) (Other academic)
    Abstract [en]

    The living conditions of young adults in Sweden have changed during the last decades, due to the economic and employment situation in society. Although oral health is mainly considered to be good in this age group, their use of dental care has decreased and their priorities and opportunities regarding oral health are little known. The purpose of this study was to describe and explore the views of Swedish young adults on their oral health and oral health-related quality of life (OHRQoL). The design of the study was qualitative, using content analysis. Sixteen young adults, aged 21 to 29 years, were interviewed. The findings from the interviews were summarized under the theme “The perceived control of OHRQOL of young adults is dependent on their future prospects of oral health, in relation to their perceptions of past and present own oral health,” consisting of three categories: Past experience, Present situation and Future prospects. The OHRQoL of young adults is dependent on their experiences of own oral health during childhood and their received dental care, but also on their present self-perceived oral health, oral health habits and social life together with their expectations of future oral health. The findings in the study indicate that the oral health awareness and needs of young adults, as well as their expectations of oral care, merit further follow-up.

  • 41.
    Järpe, Eric
    Halmstad University, School of Information Technology, Halmstad Embedded and Intelligent Systems Research (EIS), CAISR - Center for Applied Intelligent Systems Research.
    Visit to care center Angeles Cobo Lopez, Alcaudete, Andalucia, Spain: A secondment within the REMIND project2019Report (Other (popular science, discussion, etc.))
  • 42.
    Karlsson, Peter
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). University of Gothenburg, Gothenburg, Sweden.
    Thorvaldsson, Valgeir
    University of Gothenburg, Gothenburg, Sweden.
    Skoog, Ingmar
    University of Gothenburg, Gothenburg, Sweden.
    Johansson, Boo
    University of Gothenburg, Gothenburg, Sweden.
    Birth cohort differences in cognitive aging: Secular trends in levels of functioning and rates of change over 30 years in a population-based Swedish sample2014Conference paper (Refereed)
    Abstract [en]

    Findings from several studies reveal that later born cohorts tend on average to perform better on most measurements of fluid cognitive abilities in later life as compared with earlier born cohorts measured at the same age (i.e. Flynn effects). This study investigate cohort differences in level of cognitive functioning and rate of decline in a representative sample drawn from the Gerontological and Geriatric Population Studies in Gothenburg (H70) including three birth cohorts born 1901/02, 1906/07 and 1930, and measured on tests of logical reasoning (Figure Logic) and spatial ability (Block Design), at ages 70, 75 and 79. Estimates from multiple-group latent growth curve models revealed, in accordance with previous studies, substantial cohort differences in level of performance were later born cohorts outperform earlier born. However, and somewhat surprisingly, later born cohorts also showed, on average, a steeper decline over the study period as compared with earlier born. Neither gender nor educational differences could account for the observed cohort trends. Potential explanations for these findings are further discussed in the context of neuropathology and cognitive reserve.

  • 43.
    Kilic, Ö.
    et al.
    Department of Orthopaedic Surgery, Academic Medical Center, University of Amsterdam, Amsterdam Movement Sciences, Amsterdam, Netherlands.
    Johnson, Urban
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    Kerkhoffs, G. M. M. J.
    Department of Orthopaedic Surgery, Academic Medical Center, University of Amsterdam, Amsterdam Movement Sciences, Amsterdam, Netherlands.
    Rosier, P.
    Royal Belgian Football Association, Brussels, Belgium.
    Gouttebarge, V.
    Department of Orthopaedic Surgery, Academic Medical Center, University of Amsterdam, Amsterdam Movement Sciences, Amsterdam, Netherlands.
    Exposure to physical and psychosocial stressors in relation to symptoms of common mental disorders among European professional football referees: A prospective cohort study2018In: BMJ Open Sport and Exercise Medicine, E-ISSN 2055-7647, Vol. 4, no 1, article id e000306Article in journal (Refereed)
    Abstract [en]

    Objectives The study aim was to explore the association of physical and psychosocial stressors (severe injuries, surgeries, recent life events, social support) with one-season onset of symptoms of common mental disorders (CMDs) among European professional football referees. Methods An observational prospective cohort study over a follow-up period of one season (2015-2016) was conducted among professional football referees from Belgium, Finland, France, Germany, Norway, Russia, Scotland and Sweden. Based on physical and psychosocial stressors as well as symptoms of CMD, an electronic questionnaire in English and French was set up and distributed by eight football federations involved. Results The prevalence of symptoms of CMD ranged from 5.9% for distress to 19.2% for eating disorders. A higher number of severe injuries and a lower degree of satisfaction about social support were significantly related to the occurrence of symptoms of CMD with an OR of 2.63 and an OR of 1.10, respectively. Conclusion A higher number of severe injuries and a lower degree on satisfaction about social support were found to be significantly associated with the onset of symptoms of CMD among European professional football referees. Referees suffering from severe injuries were nearly three times more likely to report symptoms of anxiety and depression. Referees who reported a low satisfaction of social support were significantly more likely to report symptoms of eating disorder. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved.

  • 44.
    Landgren, Ellen
    Halmstad University, School of Health and Welfare.
    Patienters erfarenheter av hälsa vid tidig reumatoid artrit2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Living with rheumatoid arthritis (RA) can cause pain and disability. RA can result in sick leave and increased medical costs. There is a lack of studies on experience of health among pa-tients with early RA. Aim To describe the experience of health for patients with early RA. Method Individual interviews with 20 patients diagnosed with RA less than one year ago, were analyzed with qualitative content analysis with inductive approach. The analysis resulted in eight subcatego-ries and four categories. Results Patients with early RA describe health gives freedom through inde-pendence and painlessness, health brings joy in spite of disease, health provides safety by being able to work and being able to participate in family life and health gives physical and mental strength. Conclusion Patients experienced that they could be healthy although they had a chronic disease and hoped to resume their health and lifestyle as it was prior to their diagnosis. Health was related to feelings of freedom, joy of life, security and power, important factors for managing eve-ryday life when changes occurred due to a chronic illness. Knowledge of the patient group’s experi-ence of health enables more targeted, person-centered interventions, which can help patients achieve better health and lifestyle.

  • 45.
    Larsson, Jonas
    et al.
    Halmstad University, School of Business, Engineering and Science, The Rydberg Laboratory for Applied Sciences (RLAS). Department of Medical Imaging and Physiology, Skåne University Hospital Department of Translational medicine, Lund University, Lund, Sweden.
    Engberg, Amanda
    Halmstad University, School of Business, Engineering and Science.
    Turnstedt, Max
    Halmstad University, School of Business, Engineering and Science.
    Dencker, Magnus
    Department of Medical Imaging and Physiology, Skåne University Hospital Department of Translational medicine, Lund University, Lund, Sweden.
    Bremander, Ann
    FoU Spenshult, Halmstad, Sweden.
    Olsson, M. Charlotte
    Halmstad University, School of Business, Engineering and Science, The Rydberg Laboratory for Applied Sciences (RLAS).
    Cardiovascular Effects of Load Carriage in Soldiers; A Pilot Study2019In: Book of Abstracts of the 24th Annual Congress of the European College of Sport Science – 3rd - 6th July 2019, Prague – Czech Republic / [ed] Bunc, V. & Tsolakidis, E., European College of Sport Science , 2019, p. 422-423Conference paper (Refereed)
    Abstract [en]

    Introduction: Previous studies have shown that risk of physical fatigue increases if prolonged average work intensity exceeds 50% of oxygen uptake (VO2). In order to avoid persistent fatigue in a work setting, it is important to conduct suitable work capacity analyses. In physically demanding jobs where wearing protective gear and/or external load is mandatory, monitoring of cardiovascular demands through heart rate (HR) is one way to track the workers’ relative effort.  There are limited studies examining effects of load carrying on cardiovascular capacity where it appears that VO2peak differ when soldiers and firefighters are tested with work-related equipment/clothing compared to light clothing. The aim of this pilot study was to investigate effects of load (combat gear) on HR, VO2 and muscle oxygen saturation (SmO2) compared to no load in soldiers during a graded treadmill protocol.

    Methods: Eight volunteer army soldiers (1 woman, 7 men) performed a graded treadmill test until exhaustion. All soldiers performed the test twice, once with light clothes and no load (NL) and once with added load, their personal combat gear (CG), with at least 48 h between sessions. The treadmill protocol stages included supine and standing positions, followed by marching speeds of 5.4 km/h and 8 km/h at 0 incline (all 5 min) immediately followed by a set marching speed of 8 km/h with a starting incline of 2 % increasing the incline 2 % every third minute until voluntary exhaustion. Measurements of HR, VO2 and SmO2 were collected continuously and the last 30 s of each stage were averaged and used for statistical analyses (paired t-tests).

    Results: The mean added load for all soldiers with CG was 16.8 ± 1.1 kg. All soldiers completed at least 6 stages (range 6-11 stages) with both NL and CG, where time to exhaustion with NL was longer (19.1 ± 3.2 min) compared to CG (9.1 ± 2.9 min; p <0.01). Submaximal HR and VO2 were both significantly higher with CG compared to NL (at absolute intensities) at all marching speeds all soldiers completed (5.4 km/h 0 % grade - 8 km/h 4% grade; all p<0.05). For SmO2, marching with CG compared to NL resulted in increased muscle oxygen utilization, at submaximal stages 8 km/h 0% -4% grade (all p<0.05). For values at maximal effort the CG had a significantly lower VO2peak (3.7 ± 0.5 L/min) compared to NL (4.1 ± 0.6 L/min, p <0.01), whereas there was no difference in HRpeak or the lowest value of SmO2 between CG (193.1 ± 7.2 bpm; 42.4 ± 30.3%) and NL (195.4 ± 8.9 bpm; 47.0 ± 29.2%).

    Conclusions: This pilot study suggests that assessment of aerobic capacity in soldiers should be conducted with combat gear to help determine their actual work capacity during combat and other load carrying tasks. These results suggest that if soldiers’ work performance is determined without added load it overestimates their aerobic capacity (VO2peak) in tasks wearing combat gear, which might lead to added fatigability and deleterious effect on performance.

  • 46.
    Lilja, Josefine L.
    et al.
    Gothenburg Univ, Dept Psychol, S-40530 Gothenburg, Sweden..
    Lundh, Lars-Gunnar
    Lund Univ, Dept Psychol, Lund, Sweden..
    Josefsson, Torbjörn
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    Falkenström, Fredrik
    Linkoping Univ, Dept Behav Sci & Learning, Linkoping, Sweden..
    Observing as an Essential Facet of Mindfulness: A Comparison of FFMQ Patterns in Meditating and Non-Meditating Individuals2013In: Mindfulness, ISSN 1868-8527, E-ISSN 1868-8535, Vol. 4, no 3, p. 203-212Article in journal (Refereed)
    Abstract [en]

    One of the most comprehensive measures of mindfulness is the Five Facet Mindfulness Questionnaire (FFMQ) with five factors-Observing, Describing, Acting with awareness, Non-judging, and Non-reactivity. Hierarchical confirmatory factor analyses, however, have suggested that only four of the FFMQ factors (i.e. all except Observing) were components of "an overall mindfulness construct"-which is puzzling because Observing represents a core aspect of all definitions of mindfulness. The purpose of the present study was to approach this problem by a person-oriented approach, focusing on patterns on the FFMQ scales, rather than linear associations between them. Data on the FFMQ were collected on 817 individuals. Cluster analysis according to the LICUR procedure was used to group these participants in 13 clusters, according to their profiles of scores on the five FFMQ scales. Of the participants, 325 were categorized as meditators and 317 as non-meditators. To test hypotheses about the relation between Observing and mindfulness (which we assumed should be higher among meditators), the meditators/non-meditators categorization was cross-tabulated with the FFMQ clusters. The results showed that all clusters in which meditators were over-represented had high scores on Observing, and all clusters in which meditators were under-represented had low scores on Observing-which supports the hypothesis that mindfulness is related to high levels of Observing. The relationship between Observing and Non-judging, however, was found to be more complex than expected. The results are discussed in terms of mindfulness seen as a multidimensional skill, which may develop differently in various subgroups of individuals.

  • 47.
    Lindberg, Susanne
    et al.
    Halmstad University, School of Information Technology, Halmstad Embedded and Intelligent Systems Research (EIS), Man and Information technology laboratory (MI-lab).
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Bergquist, Magnus
    Halmstad University, School of Information Technology, Halmstad Embedded and Intelligent Systems Research (EIS), Man and Information technology laboratory (MI-lab).
    Unlocking design potential: Design with people diagnosed with schizophrenia2019In: Informatics for Health and Social Care, ISSN 1753-8157, E-ISSN 1753-8165, Vol. 44, no 1, p. 31-47Article in journal (Refereed)
    Abstract [en]

    With the expansion of e-health systems to more diverse and heterogeneous contexts and user groups, it is increasingly important to include users in design. Designers recognize the benefits of user participation, but including users with lowered cognitive and social abilities can be difficult. This paper intends to answer how these users can participate in the design of e-health systems. We conducted a case study with stakeholder interviews and design workshops with users diagnosed with schizophrenia to identify and overcome the challenges for participation. From the stakeholder interviews, we identified challenges relating to social interaction, technical experience, cognitive ability, and loss of individuality. We designed workshops that addressed these challenges and identify five strategies for unlocking the design potential of the participants: (1) work together with concrete materials and examples; (2) maintain a positive focus; (3) accept all ideas; (4) maintain and require realism; and (5) use previous interaction. We conclude that, when supported appropriately, it is possible to involve people diagnosed with schizophrenia. We also highlight the difficulty for someone not self-experienced to understand contexts as challenging and sensitive as this, and thus the value of user participation.

  • 48.
    Lindvert, Malin
    Halmstad University, School of Business, Engineering and Science.
    Korrelation mellan sprinttid och vertikal hopphöjd hos ryttare2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    It has been shown that horse riding is a comprehensive exercise in which many of the body's muscle groups are activated. Horse riding can improve your coordination, strength, flexibility, balance, conditioning, posture and perception. The relationship between jump and sprint in explosive sports such as football, basketball and handball is well-studied. However, few studies have examined this relationship in sports where no explosively training is involved, such as horseback riding. 

    The aim of this study was to analyze the relationship between the sprint capacity of 5 and 20 meters and jump height in a countermovement jump and squat jump of riders. 

    In this study, 15 riders were analyzed and volunteered as test subjects, performed a predicted maximal 5 and 20-m sprints, vertical jump height by squat jumps (SJ), and countermovement jumps (CMJ). To analyze the relationship between SJ, CMJ, and 5 and 20 m sprinted, Spermans correlations of coefficient was used. Acorrelation between 0.3-0.49 was considered as moderate, all that is over this is a strong correlations and everything below is weak. 

    All jump was shown a strong negative linear correlation with sprint time of 5 to 20 m, SJ at 5 m rs = -0.69 , SJ at 20 m rs = -0.74 . The jump CMJ showed follow result at 5 m rs = -0.56 , CMJ at 20 m rs= -0.51 . The result of the strong negative linear correlation demonstrates that the higher the vertical jump height the rider has, the stronger is the relationship with sprint speed. 

    Vertical jump height and the correlation between vertical jump height and sprint at riders seem to be comparable to the correlation seen in athletes who exercise more explosive sports.

     

  • 49.
    Linge, Lotta
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Magical attachment: Children in magical relations with hospital clowns2012In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 7, p. 1-8, article id 11862Article in journal (Refereed)
    Abstract [en]

    The aim of the present study was to achieve a theoretical understanding of several different-age children´s experiences of magic relations with hospital clowns in the context of medical care, and to do so using psychological theory and a child perspective. The method used was qualitative and focused on nine children. The results showed that age was important to consider in better understanding how the children experienced the relation with the hospital clowns, how they described the magical aspects of the encounter and how they viewed the importance of clown encounters to their own well-being. The present theoreetical interpretation characterized the encounter with hospital clowns as a magical safe area, an intermediate area between fantasy and reality. The discussion presented a line of reasoning concerning a magical attachment between the child and the hospital clowns, stating that this attachment: a) comprised a temporary relation; b) gave anonymity; c) entailed reversed roles; and d) created an emotional experience of boundary-transcending opportunities.

  • 50.
    Lundberg, Karin
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Carlstein, Eva-Lena
    Halmstad University, School of Social and Health Sciences (HOS).
    Anestesisjuksköterskans metoder att förhindra hypotermi2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Hypothermia, a reduction of the body core temperature below 36°C, is an undesirable but common complication in the perioperative period. It is associated to a series adverse events that can cause discomfort to patients and result in increased health care costs. The difficulties involve a simple and effective way to prevent hypothermia and is an obstacle in the care and new products will develop over time. An important part of nurse anesthetists work is to maintain the patient´s body temperature as close to normal as possible. The aim of the literature study was to describe different methods that is appropriate for the nurse anesthetist to use to prevent hypothermia in adults in the perioperative process. In the results of the 18 articles different forms of methods were tested in order to maintain normal body temperature: cover the patient, raised room temperature, forced air warming, electric heating, fluid warming, warming with circulating hot water and radiant warming. Several methods were shown to be effective but the results were not conclusive. No system was demonstrated to be better than forced air warming. Further research is required to confirm the benefit and safety of the other active warming systems, but some may be in addition to current strategies.

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