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  • 151.
    Arvidsson, Barbro
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Hedelin, Birgitta
    Institutt for sykepleie, Högskolan i Gjøvik, Norge.
    Johansson, Inger
    Institutionen för Hälsa och Vård, Karlstads Universitet, Karlstad.
    Uppsatsarbete på kandidatnivå inom omvårdnad: peer-review som kvalitetssäkring2006In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 26, no 1, p. 56-59Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to describe degree projects on a bachelor level in nursing where peer review was used as quality assurance. Two student groups, 45 nursing students and seven registered nurses, participated. This case study describes quality assurance through collaboration between examiners. The results are focused on students´, supervisors´ and examiners` experiences during the degree process from the examiners perspective. Time disposal and criteria for a passing grade constituted factors associated with obstacles for students as well for supervisors and examiners. Peer review between two universities created opportunities for increasing awareness and validation of the quality of degree project and increased reliability for the examiner’s assessment. The study highlighted the need for collaboration between supervisors and examiners throughout the work process with student’s degree project. A model of group supervision e.g. with eight students, two supervisors and one examiner with regularly utilisation of peer-review for quality assurance is a further development to reach quality assurance in a degree project.

  • 152.
    Arvidsson, Barbro
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Löfgren, H.
    Department of Educational and Psychological Research, School of Education, Malmö University, Malmö, Sweden .
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Psychiatric nurses' conceptions of how a group supervision programme in nursing care influences their professional competence: a 4-year follow-up study2001In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 9, no 3, p. 161-171Article in journal (Refereed)
    Abstract [en]

    AIM: The aim of the study was to describe, after 4 years, psychiatric nurses' conceptions of how a 2-year group supervision programme within nursing care had influenced their professional competence.

    BACKGROUND: The intention of group supervision in nursing care is to understand nurses' experiences within real care settings and to structure these in a professional and personal context.

    METHODS: Ten psychiatric nurses participated in a 2-year group supervision programme. They were interviewed 4 years after the group supervision was ended. Data were analysed according to the phenomenographic method.

    FINDINGS: Six description categories emerged: a feeling of job satisfaction; gaining knowledge and competence; gaining a sense of security in nursing situations; a feeling of personal development; realizing the value of supervision; and a sense of professional solidarity.

    CONCLUSIONS: The findings of the 4-year follow-up showed that a group supervision programme in nursing care had lasting influences on the psychiatric nurses' professional competence in the form of a pronounced professional identity and an integrated nursing care perspective. Group supervision contributes to maintaining the strength and energy needed to carry on working, which makes continuing supervision necessary.

    IMPLICATIONS: An important research implication could be to investigate the type of knowledge that ought to be developed within group supervision in nursing care.

    © 2001 Blackwell Science Ltd.

  • 153.
    Arvidsson, Barbro
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Löfgren, H.
    Department of Educational and Psychological Research, School of Education, Malmö University, Malmö, Sweden.
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Psychiatric nurses' conceptions of how group supervision in nursing care influences their professional competence2000In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 8, no 3, p. 175-185Article in journal (Refereed)
    Abstract [en]

    AIM: The aim of the study was to describe, after 1 and 2 years respectively, psychiatric nurses' conceptions of how group supervision within nursing care influenced their professional competence.

    BACKGROUND: The intention of group supervision in nursing care is to understand nurses' experiences within real care settings and to structure these in a professional and personal context.

    THE STUDY: Ten psychiatric nurses participated in the group supervision. They were interviewed on two occasions: after 1 and 2 years, respectively.

    FINDINGS: The data analysis was influenced by the phenomenographic approach and provided four description categories: a feeling of job satisfaction; acquiring knowledge and competence; gaining a sense of security in nursing situations; and a feeling of personal development.

    CONCLUSIONS: In supervision, practice and theory are integrated, resulting in enhanced nursing competence among the participants. Supervision should be an integrated part of nursing work and regarded as a means of quality assurance. A long-term follow-up could give valuable proof that group supervision in nursing care has a lasting effect on nurses' professional competence.

  • 154.
    Arvidsson, Barbro
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Petersson, Ann
    Department of Research and Development, Spenshult Hospital, Halmstad, Sweden.
    Nilsson, Inger
    Department of Research and Development, Spenshult Hospital, Halmstad, Sweden.
    Andersson, Britt I.
    Department of Research and Development, Spenshult Hospital, Halmstad, Sweden.
    Petersson, Ingemar F.
    Department of Research and Development, Spenshult Hospital, Halmstad, Sweden.
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    A nurse-led rheumatology clinic’s impact on empowering patients with rheumatoid arthritis: A qualitative study2006In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 8, no 3, p. 133-139Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe a nurse-led rheumatology clinic’s impact on empowering patients with rheumatoid arthritis (RA). Rheumatoid arthritis is a chronic, inflammatory disease that attacks many joints, causing considerable functional restrictions for patients. Consequently, these patients are dependent on a wide variety of health-care services. A descriptive, qualitative design inspired by phenomenography was chosen. The conceptions were collected through interviews with 16 strategically selected patients with RA. Three descriptive categories comprising eight conceptions emerged: teaching (gaining insight and receiving information), regular review (receiving security, realizing regularity, and achieving accessibility), and attention (getting a holistic assessment, receiving coordinated care, and getting sufficient time). A nurse-led rheumatology clinic can be a source for empowering patients with RA to adopt new stances to alternative actions and achieve a higher level of faith in their own abilities.

  • 155.
    Arvidsson, Barbro
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Skärsäter, IngelaHögskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Psykiatrisk omvårdnad: att stödja hälsofrämjande processer2006Collection (editor) (Other (popular science, discussion, etc.))
    Abstract [sv]

    oken, den första i sitt slag, har ett hälsofrämjande förhållningssätt både vad gäller att förhindra att psykisk ohälsa uppstår och att förhålla sig till personer som i någon mening drabbats av psykisk ohälsa. Syftet är att locka fram hälsofrämjande processer, att hitta hälsan i det sjuka. Författarna beskriver den vårdande insatsen, mötet och relationen mellan vårdare och patient/vårdtagare. Boken belyser också betydelsen av att övriga sociala relationer fungerar, såväl inom familjen som i övriga samhällslivet.

    (Beskrivning från förlaget)

  • 156.
    Arvidsson, Barbro
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Skärsäter, Ingela
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Baigi, Amir
    The Sahlgrenska Academy at Göteborg University, Department of Primary Health Care, Göteborg, Sweden.
    Fridlund, Bengt
    The Sahlgrenska Academy at Göteborg University, Department of Primary Health Care, Göteborg, Sweden.
    The development of a questionnaire for evaluating process-oriented group supervision during nursing education2008In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 8, no 2, p. 88-93Article in journal (Refereed)
    Abstract [en]

    The benefits of process-oriented group supervision are difficult to evaluate, as the validity and reliability of the existing instruments have been questioned. The aim was to develop and test the psychometric properties of a questionnaire in order to evaluate the effects of process-oriented group supervision on nursing students during their three-year nursing education. A 55-item Process-oriented Group Supervision Questionnaire (PGSQ) with a developmental design was formulated on the basis of a literature review and the expectations of nursing students who participated in a three-year nursing education programme (N = 176). Construct validity and internal consistency reliability were tested at the end of each study year: year 1 (T1), year 2 (T2), and year 3 (T3) by means of exploratory factor analysis and Cronbach’s coefficient. An adequate explorative factor analysis (principal component analysis, varimax rotation) with an Eigenvalue >1.0 and factor loadings >0.40, reduced the questionnaire to 18 items comprising three factors labelled educative, supportive and developmental, which explained 60.2% at T1, 71.8% at T2, and 69.3% at T3 of the total cumulative variance. The corresponding Cronbach’s coefficient figures were 0.89 (T1), 0.94 (T2) and 0.93 (T3). The 18-item PGSQ is considered to be a short and useful tool due to its satisfactory validity and reliability figures.

  • 157.
    Arvidsson, Barbro
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Skärsäter, Ingela
    The Sahlgrenska Academy at Göteborg University, Institute of Health and Care Science, Göteborg, Sweden.
    Fridlund, Bengt
    School of Health Sciences and Social Work, Växjö University, Sweden.
    Svensson, Marie-Louise
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Baigi, Amir
    The Sahlgrenska Academy at Göteborg University, Department of Primary Health Care, Göteborg, Sweden.
    Effects of process-oriented group supervision as reported by nursing students: a pilot study2008In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 28, no 1, p. 26-29Article in journal (Refereed)
    Abstract [en]

    One method to ensure that nursing students are better prepared for their future professional role can be to offer them process-oriented group supervision. The aim of this prospective, longitudinal pilot study was to evaluate the effects of a process-oriented group supervision programme (PGSP) comprising educational, supportive and developmental areas based on reports by nursing students undergoing a 3-year nursing education. The students (N=61) evaluated their experiences of the PGSP by means of a questionnaire, which they filled in after each study year. An independent t-test was conducted to compare the educational, supportive, and developmental areas after the first (2002), second (2003) and third year (2004) as well as over the whole 3-year study period. The result showed no significant difference in scores in the educational area. However, there was a significant increase in the supportive area (p=.03) over the 3-year period, which was especially noticeable during the first year (p=.013). There was also an increase in the developmental area over the 3-year period (p=.021) as well as during the first year (p=.024). Thus, PGSP seems to develop nursing students in their professional identity and personal growth. However, as this was a pilot study, a research implication is to perform a large-scale study over a longer period of time.

  • 158.
    Arvidsson, Barbro
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Skärsäter, Ingela
    The Sahlgrenska Academy at Göteborg University, Institute of Health and Care Science, Göteborg, Sweden.
    Öijervall, Jörgen
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Fridlund, Bengt
    School of Health Sciences and Social Work, Växjö University, Växjö, Sweden.
    Process-oriented group supervision implemented during nursing education: nurses’ conceptions 1 year after their nursing degree2008In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 16, no 7, p. 868-875Article in journal (Refereed)
    Abstract [en]

    AIM: To describe the variation in how nurses conceive process-oriented group supervision, implemented during nursing education, 1 year after their nursing degree. BACKGROUND: Process-oriented group supervision can be an effective support system for helping nursing students and nurses to reflect on their activities. METHODS: A descriptive qualitative design was chosen for the study. Conceptions were collected through interviews with 18 strategically selected Swedish nurses in 2005. RESULTS: Three descriptive categories comprising seven conceptions were emerged. Supportive actions comprised: a sense of security, belonging and encouragement. Learning actions involved: sharing and reflecting while developmental actions described: enabling professional identity and facilitating personal development. CONCLUSIONS: Process-oriented group supervision has a lasting influence on nurses' development. The possibility to reflect over new stances during nursing education was a prerequisite for the provision of high-quality care. Process-oriented group supervision can make an important contribution to nursing education. IMPLICATIONS: for Nursing Management Process-oriented group supervision provides nurses with the strength to achieve resilience to stress in their work. It may lead to autonomy as well as clarity in the nurse's professional function. This indicates the need for nurse managers to organize reflective group supervision as an integral part of the nurse's work.

  • 159.
    Arvidsson, Ellinor
    et al.
    Halmstad University, School of Health and Welfare.
    Karisaar, Alicia
    Halmstad University, School of Health and Welfare.
    Sjuksköterskors attityder gentemot patienter med alkoholberoendeproblematik: En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In Sweden alcohol is consumed by people of all ages and by different social economic groups. Around 320 000 individuals in the Swedish society suffers from an alcoholrelated problem. Alcohol is considered as a legal substance and it is most common that nurses' at some point in their career will meet a patient who suffers from a    alcohol-related disease. The aim of this study was to investigate nurses' attitudes towards patients with alcohol-related problems. The study was conducted as a literature study. The result of the study is based on eight articles which was analyzed and processed. From this process three different categories emerged and founded the result: Nurses' attitudes: negative, neutral and positive, Nurses' attitudes regarding the right to receive care towards patients with alcohol-related problems and How education can affect nurses' attitudes towards patients with alcohol-related problems There was existing negative, neutral and positive attitudes among the nurses'. The nurses' experiences was the main consideration that contributed to the attitudes. Regardless the attitude, the nurses' opinions were that patients with alcohol-related problems had the right to demand care and to be treated. To achieve more positive attitudes among the nurses', they need more education about the subject alcoholrelated problems.

  • 160.
    Arvidsson, Jessica
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Sysselsättning och social rättvisa: En nationell registerstudie om 12 269 unga vuxna med intellektuell funktionsnedsättning2016Doctoral thesis, comprehensive summary (Other academic)
    Abstract [sv]

    Kunskapen om övergången mellan gymnasiesärskola och arbetsliv för unga vuxna med intellektuell funktionsnedsättning är begränsad. Varken välfärds- eller forskarsamhället har kunskap om vilken typ av sysselsättning som före detta elever i den svenska gymnasieskolan har efter skoltiden.

    Huvudsyftet med denna sammanläggningsavhandling är tredelat: att (a) öka kunskapen om vilka typer av sysselsättning som personer med intellektuell funktionsnedsättning har efter avslutad gymnasiesärskola, att (b) åskådliggöra mönster och faktorer (kön, förfluten tid sedan examen, utbildningsprogram, boendekommun samt föräldrarnas födelseland och utbildningsnivå) som kan bidra till skillnader vad gäller typ av sysselsättning, samt att (c) skapa ett nationellt register som möjliggör kvantitativa analyser, longitudinella studier och utgör underlag för kvalitativa fördjupande studier av efter(sär)gymnasial sysselsättning. Avhandlingen innehåller fyra artiklar och en ramberättelse.

    Ett nationellt register, Halmstad University Register on Pupils with Intellectual Disability (HURPID) skapades utifrån information i slutbetygen från 12 269 tidigare elever i gymnasiesärskolan. Slutbetyg är allmänna handlingar som begärdes från kommunerna. HURPID samkördes med två nationella register: Longitudinell Integrationsdatabas för Sjukförsäkrings- och Arbetsmarknadsstudier (LISA) och LSS-registret som innehåller information om insatser som beviljats enligt lag (1993:387) om stöd och service till vissa funktionshindrade. Avhandlingen bygger på tvärsnittsstudier vilka ger en ögonblicksbild av den efter(sär)gymnasiala sysselsättningen under 2011 bland de personer som gått ut mellan 2001-2011. Frekvensanalyser användes för att beskriva studiepopulationens karaktäristika. Korstabeller och Pearson´s chi2-test användes för att analysera skillnader avseende typ av sysselsättning mellan olika grupper i studiepopulationen. Sambandet mellan avhandlingens beroende och oberoende variabler undersöktes med bivariata och multivariata logistiska regressionsanalyser.

    Analyserna visar att den största andelen (47%) av de unga har sin sysselsättning inom daglig verksamhet, 22,4% har ett förvärvsarbete, de flesta med någon form av lönesubvention; och 6,6% studerar. En betydande andel (24%) betecknas vara "någon annanstans" (inte i någon av de andra tre sysselsättningstyperna). Andelen unga vuxna i daglig verksamhet är lägre än förväntat och andelen som har ett förvärvsarbete är högre än förväntat. En oväntat stor andel tillhör kategorin "någon annanstans" och har inte daglig verksamhet, inte ett förvärvsarabete och studerar inte.

    Kön, typ av utbildningsprogram, hur lång tid som förflutit sedan examen, boendekommun och föräldrarnas utbildningsnivå samt geografiska härkomst är alla faktorer som påverkar vilken typ av sysselsättning som unga vuxna med intellektuell funktionsnedsättning har. Män som har gått ett nationellt program i gymnasiesärskolan och som tog examen mellan 2001-2006 är de som har störst sannolikhet för att ha ett förvärvsarbete. Personernas boendekommun har en viss oberoende effekt på typ av efter(sär)gymnasial sysselsättning och den totalt sett låga andelen flyttar i populationen antas förstärka betydelsen av vilken kommun de bor i. Unga vars föräldrar är lågutbildade har mer sannolikt ett förvärvsarbete eller tillhör kategorin "någon annanstans". De vars föräldrar är högutbildade har mer sannolikt en sysselsättning inom daglig verksamhet eller studerar (exempelvis på Komvux eller folkhögskola). De unga vars föräldrar är födda i ett utom-europeiskt land är med större sannolikhet studerande eller personer som tillhör kategorin "någon annanstans".

    Avhandlingens huvudresultat diskuteras i förhållande till ett teoretiskt ramverk om social rättvisa. Betydelsen av samhällets ansvar att främja alla medborgares möjlighet att vara och göra vad de har anledning att värdesätta betonas. Ett samhälle som främjar social rättvisa måste stödja människors möjligheter att oavsett funktionsförmåga kunna välja sysselsättning. Såväl den offentliga som den privata sektorn behöver tydligare betrakta personer med intellektuell funktionsnedsättning som en viktig resurs i samhället och på arbetsmarknaden; se dem som personer med förmågor som riskerar att döljas bakom kategorier, fördomar och föråldrade strukturer.

  • 161.
    Arvidsson, Jessica
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Särskolan - och sen?2012In: Den 13:e forsknings- och utvecklingskonferensen HAB 2012, Örebro 17-19 april 2012: Fånga framtiden - möjligheter och hinder för ökad aktivitet och delaktighet, Örebro: Habiliteringens forskningscentrum, Habilitering och Hjälpmedel, Örebro läns landsting , 2012, p. 19-20Conference paper (Refereed)
    Abstract [sv]

    BAKGRUND: De senaste 20 årens utveckling med mer än en fördubbling av antalet elever i särskolan, höjda krav på arbetsmarknaden och en ökning av antalet personer som kategoriseras som funktionshindrade är troligen några av faktorerna bakom den kraftigt ökade efterfrågan på bl.a. daglig verksamhet (LSS). Tendensen verkar vara att många går direkt från gymnasiesärskolan till daglig verksamhet och därmed riskerar att isoleras i en roll som ”omsorgstagare”. Inlåsningseffekten i daglig verksamhet är betydande. Endast ett fåtal individer som beviljats daglig verksamhet bedöms gå vidare i någon form av anställning på arbetsmarknaden.

    Bristen på kunskap om livet efter gymnasiesärskolan, är betydande och den tidigare forskningen på området är mycket begränsad. Detta gäller särskilt systematisk kunskap om arbetsmarknaden och intellektuella funktionshinder. Som exempel kan nämnas att det idag inte finns några statistiska uppgifter kring hur stor andel av de som tar studenten från gymnasiesärskolan som sedan går vidare till daglig verksamhet respektive lönearbete. Vi känner inte heller närmare till vad som händer med de unga med gymnasiesärskolebakgrund som väljer bort den dagliga verksamheten till förmån för att försöka etablera sig den reguljära arbetsmarknaden. Dessutom saknas kunskap kring de framgångsfaktorer som leder till att personer med gymnasiesärskolebakgrund kan ta sig in, och bli kvar, på densamma.

    SYFTE: Att öka kunskaperna om övergången mellan skola och arbetsliv för personer med gymnasiesärskolebakgrund med särskilt fokus på faktorer som stärker deras position på arbetsmarknaden och möjliggör en anställning. 

    METOD: Delstudie ett är kvantitativ och baseras på registerstudier i två olika register (LSS och LISA). Genom en statistisk kartläggning belyses situationen för samtliga elever som gick ut gymnasiesärskolan mellan åren 2001 och 2011. Avhandlingen byggs upp av totalt två till tre delstudier där den inledande studiens resultat blir avgörande för följande delstudiers antal, omfattning och inriktning. Dessutom planeras longitudinella uppföljningar av populationen vart femte år. Uppskattningsvis kommer den första delstudien att omfatta drygt 17 000 personer.

    RESULTAT: Datainsamlingen i den första delstudien i forskningsprojektet ”Särskolan – och sen?” påbörjades i september 2011. Vi tidpunkten för konferensen HAB 2012 kommer de första resultaten i delstudie ett att kunna presenteras: hur stor andel av de elever som har gått ut gymnasiesärskolan i Sverige mellan 2001-2011 som finns i daglig verksamhet, hur många som har arbete, ev. skillnader mellan olika regioner och kommuner, ev. skillnader mellan könen etc.

    SLUTSATS: I samband med HAB 2012 kommer slutsatser från den första delstudien att presenteras.

  • 162.
    Arvidsson, Jessica
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Staland Nyman, Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Widén, Stephen
    Örebro universitet, Örebro, Sverige.
    Tideman, Magnus
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Efter(sär)gymnasial sysselsättning för unga vuxna med intellektuell funktionsnedsättning - betydelsen av föräldrars utbildningsnivå och födelseland.2016In: Socialvetenskaplig tidskrift, ISSN 1104-1420Article in journal (Other academic)
  • 163.
    Arvidsson, Jessica
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Staland Nyman, Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Widén, Stephen
    Örebro universitet, Örebro, Sverige.
    Tideman, Magnus
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Sysselsättning för unga vuxna med intellektuell funktionsnedsättning – boendegeografiska skillnader2016In: Tidsskrift for velferdsforskning, ISSN 0809-2052, E-ISSN 2464-3076, Vol. 19, no 3, p. 241-260Article in journal (Refereed)
    Abstract [en]

    In countries with highly decentralized welfare services, disparities between municipalities and regions can be expected. The article analyzes whether, and in that case, how, the type of post-school occupation among graduates from Swedish upper secondary school for pupils with intellectual disability (USSID) varies depending on the municipality or geographic region the former pupils live in. The analyses are based on data from a unique national database that includes 12,269 pupils who graduated from USSID between 2001 and 2011. Results show that municipality of residence has an independent effect on the type of post-USSID occupation. Moreover, the total percentages of relocations in the studied population are low.

    The authors conclude that the geographical variations identified in other parts of the Swedish welfare system also apply partly to post-USSID occupations. The article discusses whether municipal and regional affiliation is of particular significance for pupils from USSID, because of their low propensity to relocate.

  • 164.
    Arvidsson, Jessica
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Staland-Nyman, Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Widén, Stephen
    Institutionen för hälsovetenskap och medicin, Institutet för handikappvetenskap, Örebro universitet, Örebro, Sverige.
    Tideman, Magnus
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Intersectional perspectives on post-school occupation among young adults with intellectual disabilities in Sweden2016In: Journal of Intellectual Disability Research, ISSN 0964-2633, E-ISSN 1365-2788, Vol. 60, no 7-8, p. 771-771Article in journal (Refereed)
    Abstract [en]

    Aim: This study explores and analyses, from an intersectional perspective, the association between parents’ country of birth as well as their level of education and their children's type of occupation after graduating from Swedish upper secondary school for pupils with intellectual disabilities (ID).

    Method: This is a quantitative study based on three registers (HURPID, LSS, LISA). The analyses are based on logistic regression, interaction analysis and chi-square tests. The sample size was 12,269.

    Results: Children of less-educated parents tend to have paid employment and children of highly educated parents tend to participate in disability day programs. Parents’ country of birth and level of education affect the former pupils’ post-school occupation in different ways. The association between parents’ country of birth and former pupils’ occupation is modified by parents’ level of education.

    Conclusions: Knowledge and awareness of different background conditions among children graduating from upper secondary school for pupils with ID need to increase.

  • 165.
    Arvidsson, Jessica
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Tideman, Magnus
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    I stort sett nöjda, men...: Brukarnas erfarenheter och framtida bedömningar av LSS-insatserna i Laholms kommun2007Report (Other academic)
    Abstract [sv]

    Under hösten 2006 har Högskolan i Halmstad, på uppdrag av Laholms kommun, genomfört en brukarundersökning bland de kommuninvånare som tar del av insatser enligt lagen (1993:387) om stöd och service till vissa funktionshindrade (LSS). De totalt 183 brukarna som oktober 2006 hade LSS-insatser har getts möjligheten att besvara en enkät som berör fler områden av den dagliga tillvaron i Laholms kommun. Undersökningen har både syftat till att ge en nulägesbeskrivning samt en bild av önskningar och farhågor inför framtiden med avseende på de verksamheter som bedrivs på LSS-området i kommunen.

    Den grundläggande och viktigaste poängen med undersökningen är att belysa brukarnas egna upplevelser, erfarenheter och önskningar. En version av enkäten skickades ut till barn och ungdomar under 21 år och en annan sändes till vuxna över 22 år. Huvudresultaten i undersökningen presenteras nedan.

    • Av de totalt 183 utskickade enkäterna inkom 117 svar, vilket ger en total svarsfrekvens på 64 %.

    • Av dem som besvarat enkäterna är 53,4 % kvinnor/flickor och 46,6 % män/pojkar. Vid en uppdelning mellan barn/ungdomar och vuxna ser könsfördelningen ut enligt följande: Barn/ungdom: Flickor: 43,3 %, Pojkar: 56,7 % Vuxna: Kvinnor: 57 %, Män 43 %

    • Respondenternas erfarenheter och upplevelser av innehållet och utformningen av de insatser som man tar del av är över lag positiva. Detsamma gäller den hjälp och det bemötande man fått från flera olika personalkategorier samt det allmänna stödet och servicen i kommunen.

    • Kritiken som framkommer i enkätsvaren gäller främst brister i olika former av information. Kritiken berör både den faktiska förekomsten av information i allmänhet samt innehållet och omfånget av densamma i synnerhet. Kritik framkom även kring de otillräckliga insatser som några ansåg sig ha samt om den avstannade utveckling och snålhet som vissa av respondenterna anser råda i kommunen.

    • Särskilt i enkätsvaren från barn och ungdomar tecknas en bild av en relativt utbredd ensamhetsproblematik i kommunen. Hela 44,4 % i ålderskategorin 0-21 år säger att man inte har några vänner som man träffar och att man för det mesta är ensam.

    • De närmaste 5-10 åren behöver barnen och ungdomarna insatser som man inte tar del av idag. Detta gäller särskilt insatserna daglig verksamhet och boende för vuxna. Bland önskemålen inför framtiden återfinns små gruppbostäder, egna lägenheter och kooperativa boenden.

    • De närmaste 5-10 åren behöver de vuxna brukarna insatser inom de insatser som man tar del av idag. Man vill helt enkelt ha mer av de insatser som man har idag. Önskemålen gäller såväl boende som sysselsättning och övriga insatser.

  • 166.
    Arvidsson, Jessica
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Tideman, Magnus
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Särskolan - och sen då?2015In: Intra, ISSN 1102-4143, Vol. 25, no 3, p. 26-27Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Vad händer efter gymnasiet för elever som gått ut gymnasiesärskolan? En unik studie från högskolan i Halmstad har kartlagt de fd eleverna och resultatet visar att uppfattningen om att eleverna per automatik hänvisas till daglig verksamhet inte stämmer.

  • 167.
    Arvidsson, Jessica
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Tideman, Magnus
    Widén, Stephen
    Institutionen för hälsovetenskap och medicin, Örebro universitet, Örebro, Sweden.
    Upper secondary school – and then?2012In: Journal of Intellectual Disability Research, ISSN 0964-2633, E-ISSN 1365-2788, Vol. 56, no 7-8, p. 709-709Article in journal (Refereed)
    Abstract [en]

    AIM: The purpose of the study is to increase the knowledge about the transition from school to working life for pupils with intellectual disabilities. In addition the purpose is to identify factors which may play a role in strengthen their position on the labor market.

    METHOD: The first study is quantitative and based on the cross classification of a newly created register combined with two Swedish national registers. The statistical identification highlights the situation of all students who left upper secondary school for pupils with intellectual disabilities, during the period 2001-2011. The first study includes more than 17 000 people with intellectual disabilities.

    RESULTS AND CONCLUSIONS: At the time for the conference we will be able to present descriptive data for e.g. how many individuals who have passed upper secondary school between 2001-2011, how many who are in the daily activity programs and how many who have ordinary jobs outside daily activity. We will also be able to describe the situation based on factors such as differences between regions and municipalities, between the sexes, and between different upper secondary school programs, etc.

  • 168.
    Arvidsson, Jessica
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Widén, Stephen
    Örebro University, Örebro, Sweden.
    Staland Nyman, Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Tideman, Magnus
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Post-School Destination—A Study of Women and Men With Intellectual Disability and the Gender-Segregated Swedish Labor Market2016In: Journal of Policy and Practice in Intellectual Disabilities, ISSN 1741-1122, E-ISSN 1741-1130, Vol. 13, no 3, p. 217-226Article in journal (Refereed)
    Abstract [en]

    Knowledge about people with intellectual disability (ID) and their connections to the labor market is scarce. The aim of this study was to describe and analyze the entry into and representation in the Swedish labor market for people with ID, discussed with a special focus on the gender perspective. This study included 2,745 individuals (30% women and 70% men) who graduated from Swedish upper secondary schools for pupils with intellectual disability (USSID) in the 2000s, and who were defined as employees in 2011. Graduation data from 2001 to 2011 were analyzed in relation to employment data from 2011 and adjusted for gender, graduation year, and educational program. Results show that men who attended a national USSID program and graduated between 2001 and 2006 were the most likely group to have a job. The authors conclude that the gender differences in the Swedish labor market are more clearly pronounced among women and men with ID in relation to employment rate, wage levels, and professions than in the general population. Education, welfare-services, and interventions specifically targeted to meet the needs of people with ID have to develop in more gender-sensitive ways. © 2016 International Association for the Scientific Study of Intellectual and Developmental Disabilities and Wiley Periodicals, Inc.

  • 169.
    Arvidsson, Jessica
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Widén, Stephen
    Örebro University, Örebro, Sweden.
    Tideman, Magnus
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    New labour market - old gender roles: working life after school for young adults with intellectual disability in Sweden2014In: JARID: Journal of applied research in intellectual disabilities, ISSN 1360-2322, E-ISSN 1468-3148, Vol. 27, no 4, p. 373-373Article in journal (Refereed)
    Abstract [en]

    Aim: Taking a gender perspective, this study explores and analyzes the labour market situation for 2745 gainfully employed men and women with an educational background in the Swedish upper secondary school for pupils with intellectual disability (ID).

    Method: This quantitative register study is based on the cross-classification of a newly created register and a two additional Swedish national registers. The analyses are based on logistic regression and chi-square tests.

    Results: Those who are employed after upper secondary school for pupils with ID are 70.8% men and 29.2% women. Both the road to work and the situation at work differs between men and women. Small private companies are the main employers in general, and for women the public sector is also a major employer. Men and women are mainly employed in traditionally “male” and “female” occupations. Also, salary levels and additional support from the welfare system differs between the sexes and within the different educational programs.

    Conclusion: Traditional gender roles of the labour market are clearly manifested among the people included in the study. Questions about the gender structure of the Swedish labour market and the impact of educational background on wage labour will be discussed.

  • 170.
    Arvidsson, Jessica
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Widén, Stephen
    Institution of Health and Medicine, Swedish Institute for Disability Research, Örebro University, Örebro, Sweden.
    Tideman, Magnus
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Post-school options for young adults with intellectual disabilities in Sweden2015In: Research and Practice in Intellectual and Developmental Disabilities, ISSN 2329-7018, Vol. 2, no 2, p. 180-193Article in journal (Refereed)
    Abstract [en]

    The aim of this article is to examine life after school for young adults with intellectual disabilities in Sweden. It identifies a snapshot of the post-school destination in 2011 of students of Swedish Upper Secondary Schools for Pupils with Intellectual Disability (Special Secondary Schools), who graduated between 2001 and 2011. This national registry study used personal identification numbers to link data for about 12,269 former students in the Halmstad University Register on Pupils with Intellectual Disability with data about labour market participation and service provision under the Swedish disability legislation (Swedish LSS Act, 1994). Results showed that the largest proportion (47%) of former students participated in disability day programs, known as “daily activities”; 22.4% were employed, most with some type of wage subsidy; and 6.6% participated in various types of further education programs. A sizeable group (24%) were described as being “elsewhere”, not engaged in employment, education, or disability day programs. The type of post-school occupation is associated with gender, the type of educational program undertaken at secondary school, and age. The authors found a high risk of young people with intellectual disabilities falling through safety-net welfare or post-school participation provisions. Even in a country such as Sweden, which has comprehensive post-school programs, almost a quarter of young adults with intellectual disabilities were socially excluded, without education, disability day programs, or employment. © 2015 Australasian Society for Intellectual Disability

  • 171.
    Arvidsson, Jessica
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Widén, Stephen
    Institutionen för hälsovetenskap och medicin, Örebro Universitet, Örebro, Sverige.
    Tideman, Magnus
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Upper secondary school – and then?: About young adults with an educational background in the upper secondary special school and the transition to work2013In: NNDR2013 – 12th Research Conference Nordic Network of Disability Research: May 30–31, 2013 in Turku, Finland: Abstract Book, Turku: Finnish Society for Disability Research , 2013, p. 17-17Conference paper (Refereed)
    Abstract [en]

    The aim of this ongoing study is to identify and analyze former pupils ́ relationship to the labor market after the graduation from the Swedish upper secondary school for pupils with intellectual disabilities. The study includes 10,517 former pupils who graduated between 2001-2010 and describes the former pupils ́ relation to the labor market as it was in 2010. The study is based on the cross classification of a newly created register combined with two Swedish national registers from Statistics Sweden and the Swedish National Board of Health and Welfare. One of the preliminary results from this study is that the assumption, presented in media as well as in previous research that the majority of the current pupils are going directly from school to the municipal or private organized daily activities do not seem to match reality. Our results indicate that 48% of the total population were in daily activities in 2010 and 20% of the total population were defined as “in paid work” during the same year and the actual picture of what the former pupils do after they have graduated from upper secondary school for pupils with intellectual disabilities is much more complex than the assumed. Analyses on the current data that are carried out at the moment will be presented at the NNDR-conference.

  • 172.
    Arvidsson, Martin
    et al.
    Halmstad University, School of Health and Welfare.
    Karlsson, Caroline
    Halmstad University, School of Health and Welfare.
    Socialpsykologi och hållbar utveckling: I främjandet av arbetet med hållbar utveckling och spridningen av ekologisk medvetenhet2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Institutions are be/e/ing urged today to bring in sustainable development as part of the education, which is the foundation for this thesis purpose. University of Halmstad established in year 2013, the Sustainable Development Committee where one of the goals is to make students and staff aware of the work. We as students have never been in contact with the concept and from there have an interest in what social psychology can contribute to the expansion of sustainable development in an institution. The essay is based on a qualitative study based on empirical material collected from interviews with members of the Commission for Sustainable Development in an institution of higher learning. The purpose of the study is to seek an understanding of the barriers and opportunities that may arise in the implementation of guidelines for sustainable development at a higher education institution. The study gives an overview of some of the barriers and opportunities that arise in its implementation. The main focus lies in the basis of our social psychological knowledge to understand the ecological importance of communication, both through text and humans and between humans. We believe that it is the communication that is the basis for coordination of actions. The thesis theoretical emphasis is found in Niklas Luhmnnas system theory, Dorothy Smiths institutional ethnography and Johan Asplunds theory of ”social responsiveness”. The results show that coordination locally is partially affected by translocal coordination and interpretation, and understanding has a significant impact on the coordination of efforts to promote ecological awareness.

  • 173.
    Arvidsson, Susann
    et al.
    Department of Research and Development, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Fridlund, Bengt
    School of Health Sciences and Social Work, Växjö University, Växjö, Sweden.
    Bergman, Stefan
    Department of Research and Development, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden.
    Chronic musculoskeletal pain and sleep disturbances as predictors for lower vitality measured by the short form 36 (SF-36) - A eight-year follow up study2006In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 65, no Suppl. 2, p. 656-656Article in journal (Other academic)
    Abstract [en]

    Background: Subjects with chronic musculoskeletal pain or sleep disturbances have been shown to have a poor healthstatus as measured by the SF-36 health survey. Fatigue is commonly reported by subjects with chronic musculoskeletal pain and sleep disturbances. There is little known about the temporal relationship between chronic pain, sleep disturbances and changes of vitality.

    Objectives: The aim of this study was to evaluate the predictive value of chronic musculoskeletal pain and sleep disturbances with regard to changes in vitality as measured by SF-36 over an eight year period.

    Method: An eight year follow up of 2 425 subjects aged 20-74 from the general population that in 1995 answered the same postal questionnaire. The questionnaire assessed chronic musculoskeletal pain, sleep disturbances, and included the SF-36 health survey. Pain was considered "chronic" if persistent for three months or more. Sleep disturbances assessed were difficulty in falling asleep, frequent awakenings, early awakenings and not feeling rested. Main outcome measure was change of vitality as measured by SF-36 in those that at baseline reported vitality over the median value. Statistical analyses were done with use of logistic regression. Besides the studied variables, the logistic regression analyses also controlled for gender, age, socio-economic group, and the use of analgesics and sleeping pills.

    Results: At baseline 1212 subjects reported a vitality score on SF-36 above the median score of 75. There were 943 subjects (78%) responding at the eight-year follow up. Chronic pain at baseline predicted (OR=1,64, 95% CI 1,14-2,36%, p=0,01) worsening of vitality over time. Loss of vitality was also predicted by moderate problems with falling asleep (OR=2,17, 95% CI 1,31-3,60%, p<0,01), and problems with not feeling rested (moderate problems OR=2,08, 95% CI 1,23-3,50%, p=0,01, and major problems OR=4,76, 95% CI 1,53-14,78%, p=0,01).

    Conclusion: Loss of vitality in SF-36 over an eight-year period was predicted by chronic musculoskeletal pain, problems with falling asleep and problems with not feeling rested. Problems with frequent awakenings and early awakenings did not predict lower value of vitality over an eight-year period. It could thus be important to attend to sleeping problems and especially the feeling of not being rested in subjects with chronic musculoskeletal pain.

  • 174.
    Arvidsson, Susann
    et al.
    FoU Centrum, Spenshult, Halmstad, Sverige & Hälsohögskolan, Jönköping, Sverige.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Fridlund, Bengt
    Hälsohögskolan, Jönköping, Sverige.
    Bergman, Stefan
    FoU Centrum, Spenshult, Halmstad, Sverige.
    Factors promoting health-related quality of life in patients with rheumatic diseases 12 months after rehabilitation2010In: Svenska Läkaresällskapets Riksstämma 2010: Program: Reumatologi, 2010, p. 3-3Conference paper (Refereed)
    Abstract [en]

    Rheumatic diseases have significant adverse impact on the individual from physical, mental and social aspects, resulting in a low estimation of health-related quality of life (HRQL). Patients with rheumatoid arthritis who receive a multi-disciplinary team-based care in a rheumatology clinic could get improved HRQL. Several factors can be supposed to promote health in patients with rheumatic diseases and in health-promoting work within the clinical practice it would be valuable to identify health factors that affect HRQL in a positive direction.

    This is a longitudinal cohort study in 185 patients with rheumatic diseases with test one week and 12 months after rehabilitation on a Swedish rheumatology clinic. HRQL was assessed by SF-36 together with suggested health factors (chronic musculoskeletal pain, sleep quality, food habits, exercise habits, leisure habits, sexual lust, sense of coherence (SOC), social support and socio-demographic variables). The association between SF-36 subscales and suggested health factors were estimated by OR and 95 % CI calculated by multivariable logistic regressions.

    Factors predicting better outcome in HRQL in one or several SF-36 subscales were being of younger ages or middle-ages, feeling painless, having good sleep structure, feeling rested after sleep, doing low effort of exercise more than twice a week, having strong SOC, having emotional support and practical assistance, having higher educational level, and having working capacity. The most important factors were having strong SOC, feeling rested after sleep, having working capacity, being of younger ages or middle-ages, and having no/small problem with sleep structure.

    The most important factors promoting HRQL in patients with rheumatic diseases 12 months after rehabilitation were having strong SOC, feeling rested after sleep, having working capacity, being of younger ages or middle-ages, and having no/small problem with sleep structure. These health factors are important to address in clinical work with rheumatic diseases to optimise treatment strategies.

  • 175.
    Arvidsson, Susann
    et al.
    Research and Development Centre Spenshult, Spenshult hospital for rheumatic diseases, Oskarström, Sweden & School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Gjøvik University College, Faculty of Nursing Science, Gjøvik, Norway.
    Fridlund, Bengt
    School of Health Sciences & Social Work, Växjö University, Växjö, Sweden & School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Bergman, Stefan
    Research and Development Centre Spenshult, Spenshult hospital for rheumatic diseases, Oskarström, Sweden.
    Factors promoting health-related quality of life in people with rheumatic diseases: a 12 month longitudinal study2011In: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 12, article id 102Article in journal (Refereed)
    Abstract [en]

    Background: Rheumatic diseases have a significant adverse impact on the individual from physical, mental and social aspects, resulting in a low health-related quality of life (HRQL). There is a lack of longitudinal studies on HRQL in people with rheumatic diseases that focus on factors promoting HRQL instead of risk factors. The aim of this study was to investigate the associations between suggested health promoting factors at baseline and outcome in HRQL at a 12 month follow-up in people with rheumatic diseases.

    Methods: A longitudinal cohort study was conducted in 185 individuals with rheumatic diseases with questionnaires one week and 12 months after rehabilitation in a Swedish rheumatology clinic. HRQL was assessed by SF-36 together with suggested health factors. The associations between SF-36 subscales and the health factors were analysed by multivariable logistic regressions.

    Results: Factors predicting better outcome in HRQL in one or several SF-36 subscales were being younger or middle-aged, feeling painless, having good sleep structure, feeling rested after sleep, performing low effort of exercise more than twice per week, having strong sense of coherence (SOC), emotional support and practical assistance, higher educational level and work capacity. The most important factors were having strong SOC, feeling rested after sleep, having work capacity, being younger or middle-aged, and having good sleep structure.

    Conclusions: This study identified several factors that promoted a good outcome in HRQL to people with rheumatic diseases. These health factors could be important to address in clinical work with rheumatic diseases in order to optimise treatment strategies. © 2011 Arvidsson et al; licensee BioMed Central Ltd.

  • 176.
    Arvidsson, Susann
    et al.
    Research and Development Centre, Spenshult hospital for rheumatic diseases, Oskarström, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Fridlund, Bengt
    School of Health Sciences and Social Work, Växjö University, Växjö, Sweden.
    Bergman, Stefan
    Research and Development Centre, Spenshult hospital for rheumatic diseases, Oskarström, Sweden.
    Feeling rested predicts good health in subjects with and without chronic musculoskeletal pain2008In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 67, no Suppl. II, p. 552-552Article in journal (Refereed)
    Abstract [en]

    Background: Musculoskeletal pain is a public health problem and a common cause for people to seek health care. It has also been shown that people with musculoskeletal pain estimates their health-related quality of life very low compared to a pain free population. Earlier studies have primarily looked at risk factors and there are little known about health predicting factors in a general population.

    Objectives: To investigate the associations between suggested health factors and health-related quality of life at baseline and in an eight-year follow up in subjects with and without chronic musculoskeletal pain.

    Methods: A longitudinal study in a Swedish general population (N=1 849) with a postal questionnaire at baseline 1995 and at a follow up 2003. Subjects were divided into two groups, according to their response about chronic musculoskeletal pain at baseline. Health-related quality of life was assessed by the SF-36 together with suggested health factors. The associations between the dependent variables (SF-36 subscales) and the independent variables (i.e. the suggested health factors; socioeconomic status, immigrant status, emotional support, regularly exercise, sleep structure, feeling rested, smoking and alcohol habits) were estimated by OR and 95% CI calculated by multivariable logistic regressions, with adjustment for all health factors, age, sex and baseline SF-36 values.

    Results: The most consistent finding for subjects with and without chronic musculoskeletal pain at baseline and in the eight-year follow up was a statistical significant (p<0.05) better health outcome in SF-36 subscales for subjects that were feeling rested at baseline. At baseline feeling rested was associated with having a health status better than the mean score in seven SF-36 subscales for both subjects with chronic pain (OR 1.5 (95% CI 1.0-2.3) – OR 4.4 (95% CI 2.9-6.6)) and subjects without chronic pain (OR 2.6 (95% CI 1.6-4.1) – OR 4.4 (95% CI 3.0-6.5)). At the follow up feeling rested predicted a better outcome in five subscales for subjects with chronic pain (OR 1.6 (95% CI 1.0-2.4) – OR 2.2 (95% CI 1.4-3.6)) and in six subscales for subjects without chronic pain (OR 1.6 (95% CI 1.0-2.5) – OR 2.7 (95% CI 1.8-4.1)). Other factors that in some aspects predicted a better outcome were belonging to higher socioeconomic group, being an inborn Swede, having emotional support, having good sleep structure, never being or being a former smoker, and regularly drinking alcohol.

    Conclusion: ''Feeling rested'' was the most consistent factor predicting a good health outcome, both in subjects with and without chronic musculoskeletal pain, and should be attended to in health promotion work. Emotional support, sleep structure, smoking and alcoholic habits also appears to be important health factors to take into account.

  • 177.
    Arvidsson, Susann
    et al.
    Research and Development Centre, Spenshult hospital for rheumatic diseases, Oskarström, Sweden & School of Health Sciences and Social Work, Växjö University, Växjö, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Gjøvik University College, Faculty of Nursing Science, Gjøvik, Norway.
    Fridlund, Bengt
    School of Health Sciences and Social Work, Växjö University, Växjö, Sweden.
    Bergman, Stefan
    Research and Development Centre, Spenshult hospital for rheumatic diseases, Oskarström, Sweden.
    Feeling rested predicts good health in subjects with and without chronic musculoskeletal pain2008Conference paper (Refereed)
  • 178.
    Arvidsson, Susann
    et al.
    Research and Development Centre, Spenshult hospital for rheumatic diseases, Oskarström, Sweden & School of Health Sciences & Social Work, Växjö University, Växjö, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Gjøvik University College, Faculty of Nursing Science, Gjøvik, Norway.
    Fridlund, Bengt
    School of Health Sciences & Social Work, Växjö University, Växjö, Sweden & School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Bergman, Stefan
    Research and Development Centre, Spenshult hospital for rheumatic diseases, Oskarström, Sweden.
    Health predicting factors in a general population over an eight-year period in subjects with and without chronic musculoskeletal pain2008In: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 6, article id 98Article in journal (Refereed)
    Abstract [en]

    Background: Many factors are proposed to be associated with health-related quality of life. Knowledge of health factors associated to development of a good health-related quality of life could be of use in clinical practice and public health work. The aim of this study was to investigate the associations between suggested health factors and health-related quality of life at baseline and in an eight-year follow up in subjects with and without chronic musculoskeletal pain in a cohort from a general population.

    Methods: The study was designed as a longitudinal study in a Swedish general population (N = 1 849) with a postal questionnaire at baseline 1995 and at follow up 2003. Subjects were divided into two groups, according to their response about chronic musculoskeletal pain at baseline. Health-related quality of life was assessed by the SF-36 together with suggested health factors. The associations between SF-36 subscales and suggested health factors were estimated by OR and 95% CI calculated by multivariable logistic regressions, with adjustment for all health factors, age, sex and baseline SF-36 values.

    Results: Although subjects without chronic musculoskeletal pain reported better health-related quality of life than subjects with chronic pain, similar health factors were found to be associated to higher scores in SF-36 at baseline and predicted a better outcome in the eight-year follow up. The most consistent finding was a better health outcome in the eight-year follow up for subjects that were feeling rested after sleep. Other factors that in some aspects predicted a better outcome were belonging to higher socioeconomic group, being a native Swede, having emotional support, having good sleep structure, never being or being a former smoker, and regularly drinking alcohol.

    Conclusion: The most important health factor in subjects with and without chronic musculoskeletal pain was feeling rested after sleep, but also emotional support, sleep structure, smoking and alcoholic habits appears to be important components. These health factors could be important to address in clinical work with painful musculoskeletal disorders. Since several health factors are common in both subjects with and without pain there could be a common strategy to be formed in public health programmes.

  • 179.
    Arvidsson, Susann
    et al.
    Development Centre, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden & School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Bergman, Stefan
    Development Centre, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Research and Development Centre, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden & Faculty of Health Care and Nursing, Gjøvik University College, Gjøvik, Norway.
    Fridlund, Bengt
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Bengtsson-Tops, Anita
    School of Health Sciences and Social Work, Växjö University, Växjö, Sweden.
    Experiences of health-promoting self-care in people living with rheumatic diseases2011In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 67, no 6, p. 1264-1272Article in journal (Refereed)
    Abstract [en]

    Aim: This paper is a report of a study that explores and describes the meaning of the phenomenon of health-promoting self-care as experienced by people living with rheumatic diseases.

    Background: People with rheumatic diseases estimate health status as low and health belief and health status influence self-care behaviours. Several self-care behaviours are used in the efforts to mitigate the diseases.

    Method: The study had a descriptive phenomenological approach based on a reflective life-world perspective. Data were gathered in 2007 by unstructured open-ended interviews with 12 individuals living with rheumatic diseases.

    Findings: The meaning of health-promoting self-care as experienced by people living with rheumatic diseases was that self-care takes place against a background of continual hope and belief to influence health in positive ways. Self-care was a way of life and implied being ready to understand and respond to signals from the body. Three inter-related constituents elucidated their experiences: dialogue, power struggle and choice. Self-care was experienced as dialogues with the body and with the immediate environment. In order to respond to signals from the body, power struggles were required to be entered into when fighting the diseases. Choices were required to be made and things that were beneficial for the body were prioritized.

    Conclusion: In this study, the meaning of health-promoting self-care as experienced by people living with rheumatic diseases was that self-care was a way of life. This meant to be ready to understand and respond to signals from the body. Self-care required dialogues, power struggles and choices. © 2011 Blackwell Publishing Ltd.

  • 180.
    Arvidsson, Susann
    et al.
    Research and Development Centre, Spenshult hospital for rheumatic diseases, Oskarström, Sweden.
    Bergman, Stefan
    Research and Development Centre, Spenshult hospital for rheumatic diseases, Oskarström, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Fridlund, Bengt
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Bengtsson-Tops, Anita
    School of Health Sciences & Social Work, Växjö University, Växjö, Sweden.
    People with Rheumatic Diseases Experiences of Health-Promoting Self-Care2010In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 69, no Suppl. 3, p. 743-743Article in journal (Refereed)
    Abstract [en]

    Background: People with rheumatic diseases estimate their health status low. The health status and health belief are influencing the choice of self-care behaviours. Self-care behaviours are common and could prevent loss of valued life activities and health. Little is known of how people with rheumatic diseases experience self-care.

    Objectives: To describe people with rheumatic diseases experiences of health-promoting self-care.

    Methods: The study had a phenomenological approach based on a reflective life-world perspective. Data were gathered by unstructured and open-ended interviews with 12 individuals with various diagnoses of rheumatic diseases.

    Results: For people with rheumatic diseases, self-care was a way of life and implied being ready at all times to understand and respond to signals from the lived body. Self-care was experienced as an internal dialogue within the lived body but also as an external dialogue with the immediate environment. Self-care could also be described as a power struggle where the individuals strived and forced themselves to fight the diseases and its concrete consequences. The self-care also required that choices were made. Crucial for the choices were trust in oneself and belief in one's own ability to chosen health-promoting self-care. The individual prioritised self-care that was experienced as a beneficial and/or a reward for the lived body.

    Conclusion: People with rheumatic diseases experienced self-care as a way of life and that it meant to be ready at all times to understand and respond to signals that the lived body sends out. Self-care required dialogue, power struggle and choice. This knowledge ads to a fuller understanding of factors that from a patient perspective are important for health when living with a chronic rheumatic disease.

    Disclosure of Interest: None declared

  • 181.
    Arvidsson, Susann
    et al.
    Research and Development Centre, Spenshult hospital for rheumatic diseases, Oskarström, Sweden & School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Bergman, Stefan
    Research and Development Centre, Spenshult hospital for rheumatic diseases, Oskarström, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Research and Development Centre, Spenshult hospital for rheumatic diseases, Oskarström, Sweden & Faculty of Health Care and Nursing, Gjøvik University College, Gjøvik, Norway.
    Fridlund, Bengt
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Bengtsson-Tops, Anita
    School of Health Sciences & Social Work, Växjö University, Växjö, Sweden.
    People with Rheumatic Diseases Experiences of Health-Promoting Self-Care2010In: QMSH 10: 6th Nordic Interdisciplinary Conference on Qualitative Methods in the Service of Health: May 2-4, 2010 • Uppsala, Sweden: Program and Abstracts, Uppsala: Uppsala universitet, 2010, p. 67-67Conference paper (Refereed)
  • 182.
    Arvidsson, Susann
    et al.
    FoU Centrum, Spenshult, Halmstad, Sverige & Hälsohögskolan, Jönköping, Sverige.
    Bergman, Stefan
    FoU Centrum, Spenshult, Halmstad, Sverige.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Gjøvik University College, Gjøvik, Norge.
    Fridlund, Bengt
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Bengtsson-Tops, Anita
    School of Health Sciences & Social Work, Växjö University, Växjö, Sweden.
    Upplevelse av hälsobefrämjande egenvård vid reumatisk sjukdom2009Conference paper (Refereed)
    Abstract [en]

    Bakgrund

    Personer med reumatiska sjukdomar skattar sitt hälsostatus lågt. Hälsostatus och tron på den egna förmågan att kunna påverka hälsan påverkar i sin tur valet av egenvårdsbeteenden. Egenvårdsbeteenden är vanliga och kan förhindra försämrad hälsa och förlust av värdefull fysisk och psykisk aktivitet. Kunskaperna är små om hur personer med reumatiska sjukdomar upplever att utföra egenvård. Syftet är därmed att beskriva hur personer med reumatiska sjukdomar erfar att utföra egenvård för att nå hälsa.

    Metod

    Studien har en kvalitativ design med en fenomenlogisk ansats och en livsvärldsteoretisk grund. Data har samlats in genom ostrukturerade och öppna intervjuer med 12 personer med olika diagnostiserade reumatiska sjukdomar.

    Resultat

    Personer med reumatiska sjukdomar upplever att egenvård är ett sätt att leva och att det innebär att ständigt vara redo för att förstå och reagera på signaler från den levda kroppen. Egenvård upplevs som en inre dialog inom den levda kroppen, men också en yttre dialog med närmiljön. Egenvård beskrivs också som en maktkamp där personen strävar efter och tvingar sig att kämpa mot sjukdomen och dess konkreta konsekvenser. Egenvården kräver också att val görs. Avgörande för valet är att personen har tillit till sig själv och tror på sin egen förmåga att välja hälsobefrämjande egenvård. Personer med reumatiska sjukdomar prioriterar egenvård som upplevs som positiv och/eller ger en belöning till den levda kroppen.

    Sammanfattning

    Personer med reumatiska sjukdomar upplever egenvård som ett sätt att leva och det innebär att vara i beredskap för att förstå och reagera på signaler som den levda kroppen sänder ut. Egenvård kräver dialog, maktkamp och val. Denna kunskap bidrar till en mer fullständig förståelse av faktorer som från ett patientperspektiv är viktiga för hälsan vid kronisk reumatisk sjukdom.

  • 183.
    Arvidsson, Susann
    et al.
    Research and Development Centre, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden.
    Bergman, Stefan
    Research and Development Centre, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Research and Development Centre, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden & Faculty of Health Care and Nursing, Gjøvik University College, Gjøvik, Norway.
    Fridlund, Bengt
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Tingström, Pia
    The Faculty of Health Sciences, Linköping University, Linköping, Sweden.
    Effects of a self-care promoting problem-based learning programme in people with rheumatic diseases: a randomized controlled study2013In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 69, no 7, p. 1500-1514Article in journal (Refereed)
    Abstract [en]

    Aim: To evaluate the effects of a self-care promoting problem-based learning programme for people with rheumatic diseases in terms of health-related quality of life, empowerment, and self-care ability.

    Background: Individuals with rheumatoid arthritis express a great need for education and support in adapting to the disease, but the average qualities of studies about patient education interventions are not high. There is no evidence of long-term benefits of patient education.

    Design: Randomized controlled trial.

    Methods: A randomized controlled design was selected with test at baseline, 1-week and 6-month post-interventions after completed the 1-year programme. The tests consisted of validity and reliability tested instruments. The participants were randomly assigned in spring 2009 to either the experimental group (n = 54) or the control group (n = 148). The programme was running alongside the standard care the participants received at a rheumatology unit. Parametric and non-parametric tests were used in the analyses.

    Results: The participants in the experimental group had statistically significant stronger empowerment after participation in the self-care promoting problem-based learning programme compared with the control group, at the 6-month post-intervention. Approximately, two-thirds of the participants in the experimental group stated that they had implemented lifestyle changes due to the programme.

    Conclusion: The self-care promoting problem-based learning programme enabled people with rheumatic diseases to improve their empowerment compared with the control group. It is important to continue to develop problem-based learning in patient education to find the very best way to use this pedagogical method in rheumatology care. © 2012 Blackwell Publishing Ltd.

  • 184.
    Arvidsson, Susann
    et al.
    FoU Centrum, Spenshult, Halmstad, Sverige & Hälsohögskolan, Jönköping, Sverige.
    Bergman, Stefan
    FoU Centrum, Spenshult, Halmstad, Sverige.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Gjøvik University College, Gjøvik, Norge.
    Fridlund, Bengt
    Hälsohögskolan, Jönköping, Sverige.
    Tingström, Pia
    Linköpings universitet, Linköping, Sverige.
    Psychometric Properties of the Swedish Rheumatic Disease Empowerment Scale, SWE-RES-232010In: Svenska Läkaresällskapets Riksstämma 2010: Program: Reumatologi, 2010, p. 3-3Conference paper (Refereed)
    Abstract [en]

    Empowerment is a central concept in a patient-focused rheumatology care. WHO describes empowerment as a process in which the person receives more control over decisions and actions that affect the own life and health. Today there is no Swedish empowerment instrument for rheumatic diseases created or transl[...]

    The already existing questionnaire, Swedish Diabetes Empowerment Scale (SWE-DES-23), was adapted for use in patients with rheumatic diseases by exchanging the word diabetes with rheumatic disease in all the questions. No items were added or removed. The adapted questionnaire was called SWE-RES-23. In 2009, 260 patients with rheumatic diseases from a rheumatology unit in the southwest of Sweden completed the questionnaire.

    In order to establish discriminant validity, a question about self-perceived health from SF-36 was used in addition to SWE-RES-23.

    Construct validity was tested by using exploratory factor analysis. In order to determine unidimensionality of the empowerment subscales, inter-item correlations were calculated. Internal consistency reliability was tested by the use of the Cronbach-α coefficient.

    The exploratory factor analysis resulted in five factors (empowerment subscales) with Eigenvalues >1 explaining 64.1% of the variance. The five empowerment subscales were: Goal achievement and overcoming barriers to goal achievement, Self-awareness, Managing stress, Assessing dissatisfaction and readiness to change, and Support for caring. The Cronbach-α values ranged from 0.59 to 0.91 and for the total score 0.92. All inter-item correlations were significant. Patients with very good and good self-reported health scored significantly higher on three empowerment subscales (Goal achievement, Self-awareness and Managing stress). The same patterns were seen in the other two empowerment subscales (Readiness to change and Support for change), but did not reach significance.

    The SWE-RES-23 was a first step in developing a questionnaire for assessment of empowerment of patients with rheumatic diseases. The questionnaire possesses acceptable validity and reliability. To fully validate the SWE-RES-23 further studies are needed, but the instrument is even now possible to use in empowerment education programmes for patients with rheumatic diseases.

  • 185.
    Arvidsson, Susann
    et al.
    Research and Development Centre, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden.
    Bergman, Stefan
    Research and Development Centre, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Fridlund, Bengt
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Tingström, Pia
    Faculty of Health Sciences, Linköping University, Linköping, Sweden.
    Psychometric Properties of the Swedish Rheumatic Disease Empowerment Scale, SWE-RES-232012In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 10, no 2, p. 101-109Article in journal (Refereed)
    Abstract [en]

    Introduction. Empowerment is a central concept in both rheumatology and diabetes care. A Swedish empower- ment instrument for patients with rheumatic diseases has not been created before now. The aim of the present study was to determine the psychometric properties of the Swedish Rheumatic Disease Empowerment Scale, SWE-RES-23, such as construct validity, internal consistency reliability, inter-item correlations and discriminant validity.

    Methods. The already existing instrument, the Swedish Diabetes Empowerment Scale (SWE-DES-23), was adapted for use in patients with rheumatic diseases. The adapted instrument was called the SWE-RES-23. In 2009, 260 patients with rheumatic diseases from a rheumatology unit in Sweden completed the instrument. Construct validity was tested by using exploratory factor analysis. Internal consistency reliability was tested by the use of Cronbach’s a-coefficient. In order to determine unidimensionality of the empowerment subscales, inter-item correlations were calculated. To establish discrim- inant validity, an item about self-perceived health from the Short Form (SF) 36 was used in addition to the SWE-RES-23.

    Results. The exploratory factor analysis resulted in five factors (empowerment subscales) with eigenvalues >1, explaining 64.1% of the total variance: Goal achievement and overcoming barriers to goal achievement; Self- knowledge; Managing stress; Assessing dissatisfaction and readiness to change; and Support for caring. Cronbach’s a values ranged from 0.59 to 0.91, and the value for the total score was 0.92.

    Conclusion. The results support the possibility of adapting the SWE-DES-23 for use in patients with rheumatic diseases. The SWE-RES-23 shows acceptable psychometric properties, in terms of construct validity and internal consistency reliability. To validate the SWE-RES-23 fully, further studies are needed, with a focus on test-retest correlations. Copyright © 2012 John Wiley & Sons, Ltd.

  • 186.
    Arvidsson, Susann
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Gilljam, Britt-Mari
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing. Region Halland, Halmstad, Sweden.
    Nygren, Jens
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Ruland, Cornelia Maria
    The Centre for Shared Decision Making and Collaborative Care Research (CSDM), Oslo University Hospital, Oslo, Norway & University of Oslo, Oslo, Norway.
    Nordby-Bøe, Trude
    The Centre for Shared Decision Making and Collaborative Care Research (CSDM), Oslo University Hospital, Oslo, Norway.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Redesign and Validation of Sisom, an Interactive Assessment and Communication Tool for Children With Cancer2016In: JMIR mhealth and uhealth, E-ISSN 2291-5222, Vol. 4, no 2, article id e76Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Children with cancer undergo intensive and long treatment periods that expose them and their families to a number of difficult physical, mental, and social challenges. Empowering children by actively involving them in their care can help them to cope with these challenges. It can, however, be difficult for children to be involved and talk about their illness experiences in a "traditional" conversation with health care professionals, especially for younger children. Sisom (Norwegian acronym "Si det som det er" or "Tell it how it is") is an interactive computer-based assessment and communication tool to give children (aged 6-12 years) with cancer a "voice" in their care. Because of technological advances and widespread use of mobile devices Sisom had to be redesigned to better meet the needs of children of today.

    OBJECTIVE: To redesign Sisom for use on mobile devices and to validate and adapt it for use in a Swedish population of children with cancer.

    METHODS: A user-experience design was used. Content adaptation included forward-backward translation by Swedish and Norwegian translators. Healthy children (n=5), children with experiences of cancer treatment (n=5) and their parents (n=5), and pediatric nurses (n=2) were then involved in culturally adapting Sisom to the Swedish context. The iterative low- and high-fidelity evaluation was supported by a think aloud method, semistructured interviews, and drawings to capture children's views of Sisom. The redesign and evaluation continued until no further changes or improvements were identified by the participants or the researchers.

    RESULTS: Children, parents, and pediatric nurses offered many suggestions for improvements to the original version in terms of content, aesthetics, and usability of Sisom. The most significant change that emerged through user input was a modification that entailed not using problem-focused statements in the assessment items. The parents and pediatric nurses considered the revised assessment items to be general and less diagnosis specific. The evaluation of aesthetics resulted in brighter colors and more positive and exciting details in the animations. The evaluation of usability included improvements of the verbal instructions on how to navigate in Sisom 2, and also that the answers to assessmentitems in Sisom 2 should be saved to provide the children with the option to pause and to continue answering the remaining assessment items at a later stage.

    CONCLUSIONS: Overall, this paper describes the process of using user-experience design with children in order to redesign and validate an interactive assessment and communication tool and how the outcomes of this process resulted in a new version, Sisom 2. All participants confirmed the usability and qualities of using the final version. Future research should be directed toward the implementation of Sisom 2 in clinical practice and to evaluate outcomes from individual and organizational levels.

  • 187.
    Arvidsson, Susann
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Nylander, Maria
    Spenshult Research and Development Centre, Halmstad, Sweden & Swedish Rheumatism Association, Stockholm, Sweden.
    Bergman, Stefan
    Spenshult Research and Development Centre, Halmstad, Sweden & The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Callers´perceptions of their contact with a rheumatology telephone helpline2019In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 17, no 1, p. 105-112Article in journal (Refereed)
    Abstract [en]

    Background: Telephone helplines are useful for improving patients' access to healthcare services and reducing the need for frequent face‐to‐face contact with healthcare professionals. Little is known about how people who phone a helpline perceive the encounter.

    Objectives: The aims of the present study were to describe the variation in how callers perceive their encounter with a rheumatology telephone helpline.

    Methods: The  study  had  a  descriptive,  qualitative  design  and  used  a phenomenographic approach, comprising 27 semi‐structured telephone interviews with callers to Rheuma Direct, a rheumatology telephone helpline with specially trained nurses. The callers comprised 22 women and five men, aged 22–89 years (mean 54 years).

    Results: The callers phoned Rheuma Direct when they had problems obtaining answers to questions on the internet or from healthcare professionals. Three descriptive categories emerged: constructive dialogue, specialized competence and applicability. The callers perceived that it was a constructive dialogue when they were able to discuss their concerns with someone, received emotional support, felt reassured and were satisfied with the information provided. They perceived specialized competence when the nurses were experienced and skilful, the advice provided complemented previously received information and when they had more knowledge after the call. The callers perceived that Rheuma Direct had applicability because it was easy to access and they could make different choices before, during and after the telephone call. 

    Conclusions: Callers to a rheumatology telephone helpline perceived it as a valuable complement to other sources of information, and felt that it could provide them with the tools to manage their disease better, as well as future contacts with healthcare professionals. © 2018 The Authors Musculoskeletal Care published by John Wiley & Sons Ltd.

  • 188.
    Arvidsson, Susann
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Spenshult Research and Development Centre, Halmstad, Sweden.
    Nylander, Maria
    Spenshult Research and Development Centre, Halmstad, Sweden.
    Bergman, Stefan
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Spenshult Research and Development Centre, Halmstad, Sweden & The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    People's perceptions of their phone call with rheuma directly, a rheumatic diseases helpline2017In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 76, no Suppl. 2, p. 1544-1545, article id AB1238-HPRArticle in journal (Refereed)
    Abstract [en]

    Background Information on rheumatic diseases is often complex to understand or scary, and additional support is often necessary. Rheuma Directly (RD) is a helpline with specially trained nurses on rheumatic diseases, funded by the Swedish Rheumatism Association and Spenshult Research and Development Centre. Little is known of how people calling a helpline perceive the contact.

    Objectives To describe the variation in how people perceive the contact with the helpline RD.

    Methods The study had a descriptive, qualitative design with a phenomenographic approach and was carried out by means of 27 semi-structured telephone interviews. The informants were 22 female and 5 men, and their ages ranged from 22 to 89 years (mean 54 years).

    Results The informants called RD when they had problems getting answers to their questions through the Internet or from healthcare professionals. Three different description categories emerged: Specific competence, Constructive dialogue, and Applicability. The informants' perceived Specific competence when the nurses were knowledgeable, the call was complementary to previously received information and when the informants had greater knowledge after the contact with RD. They perceived that it was a Constructive dialogue when they got someone to discuss with, a “sounding board”, and perceived emotional support, felt reassured and were satisfied with the answer. The informants perceived Applicability because RD was available and they could make different choices according to their own desire; before (how and when they would contact RD), during (what to tell and what question they would ask) and after (how and what they would do after the contact with RD).

    Conclusions People calling RD perceived that the telephone call with the nurses meant meeting specific competence, gaining constructive dialogue and that the helpline was applicable. This knowledge ad to a fuller understanding of factors that from a caller's perspective, are important when calling a helpline with specially trained nurses on rheumatic diseases. © 2017, Published by the BMJ Publishing Group Limited.

  • 189.
    Arvsäter, Elin
    et al.
    Halmstad University, School of Health and Welfare.
    Erhardtsen, Lise
    Halmstad University, School of Health and Welfare.
    Ungas psykiska ohälsa: En kvalitativ undersökning om elevhälsans arbete med ungas psykiska ohälsa ur elevhälsans perspektiv.2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Antalet unga som drabbas och lider av psykisk ohälsa har den senaste tiden ökat avsevärt. Unga är en målgrupp som tidigt bör fångas upp för att minska den dramatiskt stigande siffran. Skolan har en viktig roll för det främjande arbetet och därför ligger det arbete elevhälsan gör i stort fokus. Elevhälsan är en yrkesgrupp som verkar inom skolverksamheten för att hjälpa skolans elever att uppnå välmående och utveckling. Studiens syfte är därmed att öka kunskapen om det elevvårdande arbetet med unga genom att undersöka hur representanter från elevhälsan erfarar ökningen av psykisk ohälsa unga. Det syftar även till en ökad kunskap i arbetet för att förebygga och identifiera psykisk ohälsa hos eleverna.

    En kvalitativ metod har använts där sju semistrukturerade intervjuer med nio respondenter har givit empiri till studien. Respondenterna är yrkesverksamma inom elevhälsan för gymnasieskolor i en kommun i sydvästra Sverige. Av en tematisk analys har materialets analyseras där teman och subteman skapades för att finna ett mönster. Resultatet av studien gav kunskap om elevhälsans perspektiv och arbetssätt kring problemet psykisk ohälsa hos unga. Studiens resultat visar på orsaker till den psykiska ohälsan ur elevhälsans perspektiv. Orsakerna var tydliga för elevhälsan då de definieras med dålig sömn, stress, familjeproblematik och prestationskrav. Detta är orsaker som är svåra för ungdomarna själva att koppla till sin psykiska ohälsa enligt elevhälsan. Detta visar också på elevhälsans viktiga roll i skolverksamheten för att kunna identifiera och fånga upp dessa ungdomar. En slutsats som studien tar är att det kan finnas flera bakomliggande orsaker till ungas psykiska ohälsa och att det inte finns några strikta riktlinjer för hur det förebyggande och hälsofrämjande arbetet ska utföras.

  • 190.
    Ask, Stephanie
    et al.
    Halmstad University, School of Health and Welfare.
    Edberg, Josefin
    Halmstad University, School of Health and Welfare.
    När sjuksköterskan bär samvetet på sina axlar: En litteraturstudie om samvetsstress2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In the nurse's work, care is given to patients where emotional strain become visible to the nurse. When the demands become larger than the nurse can manage while he or she is susceptible to other people's feelings, stress of conscience occurs. The aim of the study was to explore stress of conscience in the nurse. The method in this study was a general literature study that included 12 result articles. The result resulted in three themes: contributing factors, health effects and preventive factors. The result demonstrated that an insufficient working environment and bad conscience are factors that generate stress of conscience and that nurses have different tendency to be affected by stress of conscience, depending on their background and their experiences. Stress of conscience can be prevented by getting support from home, support from the organization and from colleagues, but also through the opportunity of reflection. The nurse which are affected by stress of conscience will have consequences that affect his/her private life which eventually can lead to burnout. Present research on stress of conscience is insufficient. Increased knowledge and additional research on the subject is required to lessen this relatively unexplored health problem.

  • 191.
    Askenvind, Malin
    et al.
    Halmstad University, School of Health and Welfare.
    Petersson, Charlotte
    Halmstad University, School of Health and Welfare.
    Fysisk aktivitet i omvårdnad för patienter med depression2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Depression is a psychiatric condition that increases all over the world. Depression can be diagnosed as mild, moderate and severe. Physical activity (pa) is a movement that concerns the skeletal muscles. Previous research shows that the daily recommendation for pa in depression should last at least 30 minutes. Lately it has been shown both international and national that pa is far more noted in the steps of treatment of depression. Aim: The purpose of the study was to describe physical activity in nursing in depression. Method: Systematic searches were made in databases for nursing research and resulted in 11 scientific articles analyzed by inspiration from content analysis. Results: The analysis of the 11 results articles identified three main themes: Prerequisites for physical activity, Effects of physical activity, Experience of physical activity. It was found in 10 of the 11 results articles that physical activity had a positive effect on depression. Support from another was an important part in the process for the patients with depression. Conclusion: The study's conclusion shows that stronger knowledge support is needed through research on pa in depression. Knowledge support can promote more evidence in the nursing process and thus reduce patient suffering in depression. 

  • 192.
    Asker-Arnason, Lena
    et al.
    Lund Univ, Dept Logoped Phoniatr & Audiol, Lund, Sweden..
    Akerlund, Viktoria
    Lund Univ, Dept Logoped Phoniatr & Audiol, Lund, Sweden..
    Skoglund, Cecilia
    Helsingborg Hosp, Dept Logoped, Helsingborg, Sweden..
    Ek-Lagergren, Ingela
    Lund Univ, Dept Logoped Phoniatr & Audiol, Lund, Sweden..
    Wengelin, Åsa
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Sahlen, Birgitta
    Lund Univ, Lund, Sweden..
    Spoken and Written Narratives in Swedish Children and Adolescents With Hearing Impairment2012In: Communication Disorders Quarterly, ISSN 1525-7401, E-ISSN 1538-4837, Vol. 33, no 3, p. 131-145Article in journal (Refereed)
    Abstract [en]

    Twenty 10-to 18-year-old children and adolescents with varying degrees of hearing impairment (HI) and hearing aids (HA), ranging from mild-moderate to severe, produced picture-elicited narratives in a spoken and written version. Their performance was compared to that of 63 normally hearing (NH) peers within the same age span. The participants with HI and NH showed similar patterns regarding intragroup correlations between corresponding measures of spoken and written narratives. However, the participants with HI had significantly less diverse language than the NH group. The participants with poorer hearing (higher best ear hearing level [BEHL]) produced spoken and written narratives comprising more content words and they also produced written narratives that were less lexically diverse than the participants with better hearing (lower BEHL). The difference as to lexical skills emphasizes the importance of focusing on these skills in the group of children with HI. However, the results give support for a quite optimistic view on the development of narration in children with HI with HA, at least for picture-elicited narratives.

  • 193.
    Aspe Carlsson, Madelene
    Halmstad University, School of Health and Welfare.
    Comparison of cortisol concentrations between three different conditions during the recovery from physical activity amongst the elderly: a randomised controlled cross-over study2019Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background

    It is estimated that around the year 2050 people over 60 years will double, and it is essential to investigate how to promote healthier lifestyles for the elderly. Exposure to the natural environment and green exercise have demonstrated health benefits, such as positive association on the perceived general health, well-being and decreased cortisol concentrations. Theories have suggested that nature is beneficial to recover in after stressors due to the characteristics of nature. Some characteristics of nature provided with added relaxations such as lush plants or open spaces and could increase the recovery. Today, people still react to stressors and stimulate the body's stress systems the same way they did during the stone age, and therefore, when people recover in nature, hormones decrease and the ability to recover increases. Therefore, the overall aim of the study was to investigate potential cortisol concentrations in three different conditions (indoor, outdoor and simulated outdoor) after a stress response from physical activity to identify health-promoting behaviours and health factors.

    Method

    The study was part of the HERO project, and the method was based on a randomised controlled cross-over design. The participants were recruited from local gyms using a purposive selection, and 48 elderly (male n = 21; women n = 27), between 66 to 80 years old participated. All participants performed three separate modified Astrand submaximal tests with 120 minutes of recovery after physical activity in three different environments (indoor, outdoor and simulated outdoor) in a randomised order. The biomarker cortisol was collected with blood samples during each test and analysed at baseline, immediately after the finished test, 60 minutes and 120 minutes after recovery. Bayesian repeated measures analysis of variance (R-ANOVA) were used as a statistical test in the analysis and were performed in JASP. The result was further interpreted by applying Ulrich’s theory of nature’s restorative effect and a health promotion perspective.

    Result

    All participants completed all experimental tests in each condition. The result supported the alternative hypothesis in outdoor exposure (BF10 = 7.257), indicating a decrease in cortisol concentrations over time, at baseline and after 120 minutes of recovery (BF10 = 3.363), and immediately after finished test and after 120 minutes of recovery (BF10 = 2.699). There were no statistically differences over time in cortisol levels in indoor (BF10 = 0.452) or simulated outdoor (BF10 = 0.150). Between indoor, outdoor and simulated outdoor, no differences in cortisol levels at baseline (BF10 = 0.279), T1 (BF10 = 0.189), T2 (BF10 = 0.097) or T3 (BF10 = 0.198) were found.

    Conclusion

    The finding in the present study supports the hypothesis that outdoor exposure appears to decrease cortisol concentrations over time and provide with additional positive health effects, which could not be observed in an indoor or simulated outdoor environment. Therefore, the outdoors is suggested to be a favourable environment for the elderly to perform and recover after a stress response from physical activity. The result can partially be explained by Ulrich’s theory which states nature as a favourable environment to recover in. How society and other areas such as healthcare and city planning could use the outdoor environment to promote physical activity in the elderly, and for the long term, improve public health, is essential to discuss further.

  • 194.
    Asplid, Matilda
    et al.
    Halmstad University, School of Health and Welfare.
    Becerra Ponce, Gabriela
    Halmstad University, School of Health and Welfare.
    Becerra Ponce, Paula
    Halmstad University, School of Health and Welfare.
    Att leva med en smittsam blodsjukdom2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Human immunodeficiency virus (HIV), hepatitis b and c are contagious blood diseases that exists worldwide. These three diseases are considered to be generally dangerous and as a notifiable disease. Living with a contagious blood disease can be stressful to patients both physically and mentally. The purpose of this literature study was to describe patients' experience of living with contagious blood diseases. The study is a general literature study, where qualitative research was used to produce the result. The result consists of three themes and seven different subthemes. That resulted in the creation of three themes: fear, the feeling of being unseen and the feeling of being seen. Living with a contagious blood disease can be stressful to a patient. There is a great fear for the consequence of the disease. Getting social support from relatives and their social environment has a major impact on the patient's life. The lack of social support can make the patient avoid social contact. Patients’ take alternative means such as alcohol, drugs and the patient can develop depression. As a formal caregiver it is important to see the person behind the infection, as the patient experience the meeting with formal caregivers as negative. The formal caregivers are afraid of the disease and to be infected. The patient feels judged and chooses to avoid treatment.

  • 195.
    Astell, Mimi
    et al.
    Halmstad University, School of Health and Welfare.
    Truedsson, Henrik
    Halmstad University, School of Health and Welfare.
    Individers upplevelser av att leva med urostomi: En litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    An individual that undergoes urostomy surgery is put under a lot of stress, since the individual loses control of a basic need. Both pre- and postoperative care is crucial in order for the individuals to prepare for their new life situation after the surgery. It is important that nurses possess knowledge of care of urostomy in order to be able to teach good self-care. This can lower the risk of complications and it gives the “individual” the opportunity to rediscover independence. Purpose: The aim of the literature study was to highlight the experience of individuals living with urostomy. Method: The study was done in the form of a general literature study were scientific articles were systematically reviewed. Result: The result is based on six scientific articles that resulted in three categories: The importance of the support, The effect on self-image and changed life situation. The individuals experienced that support from both family and friends as well as from healthcare personnel was of importance. The urostomy had an effect on body-image both physically and mentally. It was difficult to choose clothing since the urostomy was in the way. A change in self-esteem was also affected by the body-image and it was mentally stressful to look at yourself in the mirror. The fear of leakage restricted the life of many and obstructed individuals from performing every day activities. Because of the urostomy both the social and sex life was affected.

  • 196.
    Auat, Hevi
    et al.
    Halmstad University, School of Health and Welfare.
    Salihu, Rajmonda
    Halmstad University, School of Health and Welfare.
    Att arbeta med ensamkommande flyktingbarn: En kvalitativ studie ur ett personalperspektiv på HVB-hem2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study is to investigate what kind of support unaccompanied children needs when arriving in Sweden, according to the staff that is receiving unaccompanied asylum seeking children in Sweden. The method is qualitative and is based on interviews and previous research. The result shows that the main subjects who were of interest from the interviews are elementary need, the support offered, security, “parental gestalt”, education, leisure, obstacles in the work.

    All the interviewees describe young people's needs very different when it differs from person to person. The support children receive is the most important factor that unaccompanied children need to be developed and get a better and safer life. The results show that the staff is aware of all the knowledge needed to be a good role model and a supportive adult in children's lives. It was clear how vital the relationship with the unaccompanied children is to be able to work. The staff believes that in most HVB homes they try to create and become a good family. Within each HVB home created some kind of family structure where you go into different roles such as mother's role. Some of the staff did not have a "family matter" has been a good friend relationship with these children. The group is very different and there are different personalities, among them, which is very good according to the staff. Emerged during the interviews was that the children feel at home in the school where one follows a certain pattern, one with classmates creates community that lead to these children perceiving them as family. Even the food that is assigned to the school every day gives a sense of security that someone cares about their well-being. The staff points out how important it is for these children to create a network of contacts outside the HVB home and be physical active. By organizing various activities to try to get kids to participate and socialize with other people.

    Obstacles in the work: The staff believes that they encounter conflicts of everyday life and simultaneously try to solve it smoothly. One pretty big obstacle in the work is communication due to lack of language knowledge.

  • 197.
    Augustsson, Anton
    et al.
    Halmstad University, School of Health and Welfare.
    Svensson, Filiph
    Halmstad University, School of Health and Welfare.
    En Byråkrati i kris: En kvalitativ undersökning av en socialförvaltnings arbete med ökningen av ensamkommande barn och unga hösten 20152016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Due to on going wars and conflicts in the world, the number of people seeking asylum in other countries has increased. Including a large group of unaccompanied minors which is described as ”children who left their country without their parents or a significant other”. In 2015, nearly 35,000 unaccompanied children arrived in Sweden seeking asylum, whereupon the majority arrived in the last months of the year. The large number resulted in an extreme pressure upon the Swedish municipalities, to successfully receive all unaccompanied children. And fulfill their organizational mission according to the Swedish legislation.

    Therefore the purpose of the study is to establish a deeper understanding of how a social service, organizationally handled an increase in the number of unaccompanied children. A qualitative method was used, consisting semi-structured interviews with nine respondents from or related to the social services. The data of the study were analyzed using a thematic analysis, meaning a search for patterns to create themes and subthemes.

    The results of the study show that the increase number of unaccompanied minors were experienced and had to be handled as a crisis. The bureaucratic structure of the social service became problematic and constituted an obstacle in the efforts to receive the unaccompanied children. Including a difficulty to follow existing laws and regulations. To resolve the situation the social service had to be flexible and creative in their approach to receive the children.

    One conclusion is that a bureaucratic structure is not suitable in a dynamic environment that demands quick decisions and flexibility. Another conclusion is that the effort of the staff has been crucial, resolving the crisis.

  • 198.
    Axelsson, Linnea
    et al.
    Halmstad University, School of Health and Welfare.
    Engström, Emilia
    Halmstad University, School of Health and Welfare.
    Göransson Blomberg, Hilda
    Halmstad University, School of Health and Welfare.
    "Min kultur och din kultur": En kvalitativ studie om vägen till ett mångkulturellt och inkluderande samhälle2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Studien utgår från en utbildning kring idrotts- och föreningsliv riktad till SFI-studerande i en svensk stad och syftar till att utforska hur ett utbildningsprojekt kan bidra till inkludering och empowerment för målgruppen. För att skapa förståelse kring ämnet undersöktes forskning som bland annat belyser inkludering i en samhällskontext i relation till idrottsrörelsen. Studiens valda teorier genomsyrar metoden i enlighet med deduktion. Metoden bygger på fokusgruppsintervjuer med sammanlagt tolv personer där en semistrukturerad intervjumall användes och datan som framkom har bearbetats grundligt genom kvalitativ analys. Tolkningen har skett med hjälp av Cultural theory of learning och empowerment samt en modell som problematiserar inkludering och integration i samhället. Datan från intervjuerna delades in i två huvudkategorier och fyra subkategorier för att kunna analyseras och tolkas och resultatet visar att inkluderingsprocessen kan delas upp i konkreta och komplexa utsagor. Resultatet pekar vidare på att deltagarna i studien har upplevt utbildningen som stärkande och den har givit dem trygghet och empowerment, samt hjälpt dem att inkluderas i samhället genom att de ökat sin förståelse och respekt för sin omvärld. Det visar också att deltagarna önskar ett större utrymme att skapa goda relationer och kulturella möten snarare än enkelriktad undervisning om svensk kultur med underförstådda krav på anpassning. Detta skulle stärka deras empowerment i lärandet och i samhället och göra inkluderingsprocessen enklare och mer effektiv. Projektet kan också med fördel i framtiden anknytas till kreativa uttrycksformer, för att tillfredsställa olika behov som yttrar sig inom gruppen som utgör objektet i studien.

  • 199.
    Axelsson, Liza
    et al.
    Halmstad University, School of Health and Welfare.
    Söderblom, Sara
    Halmstad University, School of Health and Welfare.
    Upplevelsen av att leva med schizofreni2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Schizophrenia is a mental illness where the person’s experience of the disease is an important basis for nursing care. To improve the care, more knowledge is required about the experience of living with schizophrenia. The aim of the study was to describe the experience of living with the mental illness schizophrenia. The study was conducted as a literature study. The literature search was done systematically, resulting in 14 scientific articles that shaped the outcome of the study. A content analysis was conducted, which resulted in three categories: alienation, losses and valuable life. The results showed that people with schizophrenia feel loneliness and alienation. The disease also contributed to huge losses of life. Despite setbacks several factors that could lead to a meaningful life was revealed. To create good caring, people with schizophrenia felt that health professionals need to show respect, listen and give space. Increased knowledge about the disease is recommended to reduce the stigma of schizophrenia. Further research on how health professionals should behave against people with schizophrenia is requested.

  • 200.
    Axelsson, Pia
    et al.
    Halmstad University, School of Health and Welfare.
    Rajkovic, Charlott
    Halmstad University, School of Health and Welfare.
    Peer learning under specialistsjuksköterskeutbildningen inom intensivvård: - ett handledarperspektiv2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Peer learning is a precepting method that clarifies the link between theoretical knowledge and practical skills, and at the same time enables more students to be offered placement for clinical education. Therefore, it would be of interest to explore if the precepting strategy can be appropriate in the postgraduate nursing education in critical care. The purpose of the study was to explore peer learning as a precepting method in the postgraduate nursing education in critical care in preceptors’ point of view. The study was conducted by a focus group interview with a descriptive design with an inductive approach and data was analysed with manifest content analysis. The study revealed six categories and four subcategories. The interaction between the students was considered to develop the ability of communication and cooperation. The students could build on their former knowledge, considered as equals, and went from an inhibitive role as students. The patient and the relatives were not perceived to resent the student reasoning, they rather expressed they learned from it. The unique way to preserve students' knowledge and skills led to an early development of their already existing knowledge. The early training in communication and cooperation can be considered beneficial because deficiencies in these areas generate the most common incidents in healthcare today. The conclusion is that peer learning can be applied as a precepting method in the postgraduate nursing education in critical care. Further research of peer learning in postgraduate nursing educations is needed and also how the patient and family members experience the students' reasoning, are of great interest.

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