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  • 1.
    Brobeck, Elisabeth
    et al.
    PhD Student, Department of Research, Development and Education, Hospital of Halland, Halmstad.
    Odencrants, Sigrid
    Örebro University, Örebro, Sweden.
    Bergh, Håkan
    GP, Department of Research, Development and Education, Hospital of Halland, Varberg, Sweden .
    Hildingh, Cathrine
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Health promotion practice and its implementation in Swedish health care2013Inngår i: International Nursing Review, ISSN 0020-8132, E-ISSN 1466-7657, Vol. 60, nr 3, s. 374-380Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction Health promotion practice is an important work assignment within the entire health and medical care sector. Nurses are important for the development and implementation of health promotion in clinical practice. Aim The aim was to describe how district nurses view health promotion practice and how it was implemented in clinical practice following a training initiative. Design The study has a descriptive design and a qualitative method. Methods The sample consisted of three focus groups with 16 participants. The interviews were conducted as a conversation with focus on the district nurses view of health promotion and its implementation in clinical practice. The data have been processed using manifest qualitative content analysis. Results Three categories, titled Training as motivation, Lack of grounding and Lack of scope were identified. The result demonstrated that training provides motivation, but also the importance of grounding in the organization and the need for scope in performing health promotion practice. Discussion Our results show that the training initiative has contributed positively to the district nurses' view of health promotion practice, but that they also feel that there are obstacles. The district nurses in our study suggest that health promotion practice should be more visible, and not something that is done when time permits. Conclusion The district nurses feel motivated and have an enthusiasm for health promotion practice but more time and resources are required to design successful health-promoting initiatives. Before implementing a major training initiative for healthcare personnel in health promotion, it is essential to examine whether the conditions for this exist in the organization

  • 2.
    Samarasinghe, Kerstin
    et al.
    Department of Health Sciences, Kristianstad University, Kristianstad.
    Fridlund, Bengt
    Division of Nursing, Department of Health Sciences, Lund University, Lund.
    Arvidsson, Barbro
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS).
    Primary Health Care Nurses’ conceptions of involuntarily migrated families’ health2006Inngår i: International Nursing Review, ISSN 0020-8132, E-ISSN 1466-7657, Vol. 53, nr 4, s. 301-307Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Involuntary migration and adaptation to a new cultural environment is known to be a factor of psychological stress. Primary Health Care Nurses (PHCNs) frequently interact with refugee families as migrant health needs are mainly managed within Primary Health Care. Aim: To describe the health of the involuntary migrated family in transition as conceptualized by Swedish PHCNs. Method: Thirty-four PHCNs from two municipalities in Sweden were interviewed and phenomenographical contextual analysis was used in analysing the data. Findings: Four family profiles were created, each epitomizing the health characteristics of a migrated family in transition: (1) a mentally distressed family wedged in the asylum-seeking process, (2) an insecure family with immigrant status, (3) a family with internal instability and segregated from society, and (4) a stable and well-functioning family integrated in society. Contextual socio-environmental stressors such as living in uncertainty awaiting asylum, having unprocessed traumas, change of family roles, attitudes of the host country and social segregation within society were found to be detrimental to the well-being of the family. Conclusion: Acceptance and a clear place in society as well as clearly defined family roles are crucial in facilitating a healthy transition for refugee families. Primary Health Care Nursing can facilitate this by adopting a family system perspective in strengthening the identity of the families and reducing the effects of socio-environmental stressors.

  • 3.
    Samarasinghe, Kerstin
    et al.
    School of Health and Society, Kristianstad University College, Kristianstad, Sweden.
    Fridlund, Bengt
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Arvidsson, Barbro
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). Faculty of Nursing Science, Gjövik University College, Gjövik, Norway.
    Primary health care nurses' promotion of involuntary migrant families' health2010Inngår i: International Nursing Review, ISSN 0020-8132, E-ISSN 1466-7657, Vol. 57, nr 2, s. 224-231Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Involuntary migrant families in cultural transition face a number of challenges to their health and to family cohesion. Primary health care nurses (PHCNs) therefore play a vital role in the assessment and promotion of their health.

    Aim: The aim of this study was to describe the promotion of health in involuntary migrant families in cultural transition as conceptualized by Swedish PHCNs.

    Method: Interviews were conducted with 34 strategically chosen PHCNs covering the entire range of the primary health care sector in two municipalities of Southern Sweden. A contextual approach with reference to phenomenography was used in interpreting the data.

    Findings: There are three qualitatively different descriptive categories epitomizing the characteristics of the PHCNs' promotion of health: (1) an ethnocentric approach promoting physical health of the individual, (2) an empathic approach promoting mental health of the individual in a family context, and (3) a holistic approach empowering the family to function well in everyday life.

    Conclusions: For nurses to promote involuntary migrant families'health in cultural transition, they need to adopt a holistic approach. Such an approach demands that nurses cooperate with other health care professionals and community authorities, and practise family-focused nursing; it also demands skills in intercultural communication paired with cultural self-awareness in interacting with these families. Adequate knowledge regarding these skills should therefore be included in the education of nurses, both at under- and at post-graduate level. © 2010 The Authors. Journal compilation © 2010 International Council of Nurses

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