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  • 1901.
    Van der Elst, Kristien
    et al.
    University Hospitals Leuven, Leuven, Belgium.
    Bremander, Ann
    Lund University, Lund, Sweden.
    De Groef, Ann
    University Hospitals Leuven, Leuven, Belgium.
    Grønning, Kjerstin
    Norwegian University of Science and Technology, Trondheim, Norway.
    Larsson, Ingrid
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing. Spenshult Research and Development Center, Halmstad, Sweden.
    Mathijssen, Elke
    Sint Maartenskliniek, Nijmegen, Netherlands.
    Vriezekolk, Joke
    Sint Maartenskliniek, Nijmegen, Netherlands.
    Westhovens, René
    University Hospitals Leuven, Leuven, Belgium.
    van Eijk-Hustings, Yvonne
    Maastricht University Medical Center, Maastricht, Netherlands.
    European Qualitative Research Project on Patient-preferred Outcomes in Early Rheumatoid Arthritis (EQPERA): Rationale, Design and Methods of a Multi-country, Multi-center, Multi-language, Longitudinal Qualitative Study2017In: European Congress of Qualitative Inquiry: Abstracts, 2017, p. 117-117Conference paper (Refereed)
    Abstract [en]

    Background: A successful medical outcome is no guarantee for patient perception of treatment success. Unraveling the patient’s perspective on outcome preferences is therefore crucial to deliver patient-centered, high-quality chronic illness care. Furthermore, the earliest stage of a chronic disease, such as in Rheumatoid Arthritis (RA), can be considered as a critical phase in the patient pathway for achieving optimal long-term outcomes. A Belgian qualitative study provided a first glimpse on what matters most to patients with recently diagnosed RA (1). However, there was a need for an international data set to better understand this complex phenomenon being studied, and to investigate whether the Belgian findings could be transferred to contexts with different national healthcare systems, practices and values. To this end, EQPERA –European Qualitative research collaboration on Patient-preferred outcomes in Early Rheumatoid Arthritis– was founded.

    Objectives: The overall research objective of EQPERA is to unravel longitudinally preferences for treatment and health outcomes among patients with early RA across Belgium, the Netherlands, Sweden and Norway, placing findings in a context broader than Belgium. Furthermore, EQPERA aims to add to qualitative methodology research.

    Methods: EQPERA applies a qualitative, explorative, longitudinal research design, which was developed in collaboration with patient research partners and the patient perspective in mind. In each country, a purposive sample of patients with early RA will be individually interviewed between 3-6 months after start of the initial RA treatment and subsequently, the same participants will be invited to take part in a focus group about 1 year after RA treatment initiation. Interviews will be analyzed using the constant comparison method as described in Qualitative Analysis Guide of Leuven. The longitudinal analysis will be guided by Saldaña’s steps for analyzing change through time in longitudinal qualitative research. To study the multinational findings, we will carry out a meta-synthesis of all locally gathered and interpreted data. The local research teams will independently employ a qualitative study, while the project leader will monitor the research as it unfolds and evolves. Moreover, to support consistency in data collection and the inter-coder reliability across countries, we will implement a detailed research protocol, a structured cultural translation and validation process of the interview guides, data collection templates, a quality assurance reporting tool and specific training sessions.

    Added value: Our innovative, qualitative, longitudinal research design goes beyond the abilities of the frequently used cross-sectional designs in qualitative research. A European research context allows to uncover subtle cultural differences in patient-preferred outcomes across more or less similar organized countries. This project is thus a first step in gathering widely applicable findings in a research area where evidence-based knowledge is lacking, yet, highly needed to tailor care processes and optimize patient outcomes. Various data management strategies are applied to ensure quality and trustworthiness of our findings, and to promote a smooth European collaboration.

  • 1902.
    Van der Elst, Kristien
    et al.
    University Hospitals Leuven, Leuven, Belgium.
    Bremander, Ann
    Spenshult Research and Development Center, Spenshult Hospital, Halmstad, Sweden.
    De Groef, Ann
    University Hospitals Leuven, Leuven, Belgium.
    Larsson, Ingrid
    Spenshult Research and Development Center, Spenshult Hospital, Halmstad, Sweden.
    Mathijssen, Elke
    Sint-Maartenskliniek, Nijmegen, Netherlands.
    Vriezekolk, Joke
    Sint-Maartenskliniek, Nijmegen, Netherlands.
    Westhovens, Renee
    University Hospitals Leuven, Leuven, Belgium.
    van Eijk-Hustings, Yvonne
    Maastricht University Medical Center, Maastricht, Netherlands.
    European Qualitative Research Project on Patient-preferred Outcomes in Early Rheumatoid Arthritis (EQPERA): Rationale, Design and Methods of a Multi-country, Multi-center, Multi-language, Longitudinal Qualitative Study2017In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 76, no Suppl. 2, p. 1488-1489Article in journal (Refereed)
    Abstract [en]

    Background: Ample studies exist on outcome assessment from the patient perspective in Rheumatoid Arthritis (RA), but little is known about health and treatment preferences of recently diagnosed patients, and how these evolve over time. A Belgian qualitative study has set the scene (1), but knowledge on cross-cultural nuances in patient-preferred outcomes is lacking. To this end, EQPERA – European Qualitative research collaboration on Patient-preferred outcomes in Early Rheumatoid Arthritis– was founded.

    Objectives: EQPERA aims to unravel longitudinally preferences for treatment and health outcomes among patients with early RA across Belgium, the Netherlands and Sweden. To yield sound results, specific preparations for this cross-country qualitative study are reported here.

    Methods: Several steps have been undertaken to ensure trustworthiness of findings and consistency across countries in sampling, interviewing, analysis and project management: a detailed research protocol has been written; the interview guides have been translated following a structured forward-backward linguistic validation process; templates for data collection and a quality assurance reporting tool have been developed; and local staff has been trained and supervised by the project leader in implementing the study protocol. Each country will document changes with sufficient detail in their research logbook.

    Results: EQPERA will be a qualitative, explorative, longitudinal study with active involvement of patient researchers. In each country, a purposive sample of patients with early RA will be individually interviewed 3–6 months after start of the initial RA treatment and subsequently, the same participants will be invited back to take part in a focus group 12–18 months after RA treatment initiation. Data collection and analysis will be independently conducted by the local research teams in their native language. The local teams will analyze their interview data using the constant comparison method as detailed in Qualitative analysis guide of Leuven, after which Saldana's guiding questions will be adopted for analyzing change over time. Afterwards, a meta-synthesis of all locally gathered and interpreted data will be conducted to explore and describe patterns, similarities and differences across countries.

    Conclusions: This European project is a first step in gathering contextual findings on patient-preferred outcomes in early RA. Such knowledge is of crucial importance for tailoring therapeutic approaches in a timely and meaningful way. Our innovative, qualitative, longitudinal research design goes beyond the abilities of the frequently used cross-sectional designs in qualitative research. Large, multi-national qualitative projects are scarce in rheumatology research, thus applied data management and quality assurance strategies could be of interest to other researchers. © 2017, BMJ Publishing Group Limited

  • 1903.
    Vancura, Jeanette
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Sandström, Malin
    Halmstad University, School of Social and Health Sciences (HOS).
    Preventivt omvårdnadsarbete inom riskområdet trycksår: En registerstudie utifrån kvalitetsregistret Senior Alert2014Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Pressure ulcers are common and cause both suffering for patients and high costs for the health care services. To prevent the occurrence of pressure ulcers, it is important to find patients at risk and do the preventive care. This can be done based on The National Registry Senior Alert which focus is on preventive care of elderly over 65 years. The registry includes measurements of the risk of pressure ulcers, planned actions and evaluation of the inserted measures. The purpose of this study was to examine the coverage and what preventive actions that was planned and registered in Senior Alert. A data collection was performed during 2013 and included all patients 75 years or older, at a medical clinic, in western Sweden, recorded with increased risk of developing pressure ulcers. The material was analyzed quantitatively. The results showed that the coverage of registration was 61.8% and that 22.7 % had increased risk for developing pressure ulcers. On average 5.84 (± 2.72 ) actions were planned per patient. Most frequent actions were in nutrition. There was a weak correlation between the number of planned actions and Modified Norton-score (MNS-score). The results of this study showed that further work to increase the coverage is required and that more individualized measures are needed.         

  • 1904.
    Verbeek, Hilde
    et al.
    Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Maastricht University, the Netherlands.
    Meyer, Gabriele
    School of Nursing Science, Faculty of Health, Witten/Herdecke University, Germany & Institut für Gesundheits- und Pflegewissenschaft, Medizinische Fakultät, Martin-Luther-University Halle-Wittenberg, Germany.
    Challis, David
    Personal Social Services Research Unit, Faculty of Medical and Human Sciences, University of Manchester, UK.
    Zabalegui, Adelaida
    Fundacíó Privada Clinic per la Recerca Biomedica, Hospital Clinic of Barcelona, Spain.
    Soto, Maria
    Geriatrics Department, INSERM U 1027, Toulouse University Hospital, France.
    Saks, Kai
    Department of Internal Medicine, University of Tartu, Estonia.
    Leino-Kilpi, Helena
    Department of Nursing Science, Faculty of Medicine, University of Turku, University Hospital Turku, Finland.
    Karlsson, Staffan
    Department of Health Sciences, Faculty of Medicine, Lund University, Sweden.
    Hamers, Jan
    Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Maastricht University, the Netherlands.
    Inter-country exploration of factors associated with admission to long-term institutional dementia care: evidence from the RightTimePlaceCare study2015In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 71, no 6, p. 1338-1350Article in journal (Refereed)
    Abstract [en]

    Aim: To explore inter-country variation of factors associated with institutionalization of people with dementia.

    Background: There is an urgent need for evidence on whether factors associated with admission to institutional dementia care are applicable across healthcare systems, as increasing evidence suggests that these factors could be country-specific.

    Design: A prospective cohort study.

    Method: Primary data were collected in eight European countries, at baseline and after 3 months follow-up (November 2010–April 2012). The sample included 2014 dyads of people with dementia and their informal caregivers; 791 patients were recently institutionalized, 1223 patients lived at home and were at risk of institutionalization. Associations between care setting (institution vs. home) and factors shown to influence institutionalization (e.g. cognition, independence in activities of daily life, behaviour) were studied.

    Results: Considerable differences were found between the eight countries in characteristics of people with dementia who had been recently admitted to ILTC. However, caregiver burden appeared the most consistent factor associated with institutionalization in all analyses. Indications for the importance of independence in activities of daily life were found as well, although country differences may be more prominent for this factor.

    Conclusion: Evidence was found for two common factors, crucial in the process of institutionalization across countries: caregiver burden and independency in activities of daily life. However, this study also suggests that admission to institutional dementia care is context-specific, as wide variation exists in factors associated with institutionalization across countries. Tailored best-practice strategies are needed to reflect variations in response to these needs. 

    © 2015 John Wiley & Sons Ltd.

  • 1905.
    Verdin, Linn
    et al.
    Halmstad University.
    Johansson, Frida
    Halmstad University.
    Medias påverkan på unga flickors kroppsuppfattning2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Den psykiska ohälsan hos unga flickor har ökat drastiskt och förändringar i miljöer där ungdomar befinner sig kan vara en anledning till denna ökning. Media har stor inverkan på människor då vi dagligen exponeras i form av internet, sociala medier, TV och press. I dagens samhälle ligger stort fokus på hälsa och kroppsförändring vilket måga ungdomar vill sträva efter. Syfte: Att undersöka medias beskrivning av rådande kroppsideal och dess påverkan på unga flickor i åldern 13-25 år. Metod:  Detta var en litteraturstudie med tematisk metod och databaserna som användes för att hitta artiklar var PubMed och Psycinfo. Utefter de resultaten som hittades framkom tre teman. Resultat: Medias tunna kroppsideal kan bidra till att unga flickor får sämre självkänsla och ångest och kan leda till depression och ätstörningar. Kroppsuppfattningen visade sig vara sämst under tonåren och att jämföra sig med andra och känna press från omgivningen var ett vanligt förekommande. Att förändra sitt utseende för att uppå de ideal som media skapar genom plastikkirurgi, diet eller träning är idag många ungdomars lösning för att få passa in. Fyra teman framkom i resultatet: Felaktig kroppsuppfattning, Press att förändra, Påverkar självkänslan och Försämrat välbefinnande. Implikation: Att informera om hälsa i skolorna hade kunnat vara   en åtgärd men även fortsatt forskning inom området behövs för att i framtiden hitta lösningar på problemet.

  • 1906.
    Verikas, Antanas
    et al.
    Halmstad University, School of Information Technology, Halmstad Embedded and Intelligent Systems Research (EIS), CAISR - Center for Applied Intelligent Systems Research. Kaunas University of Technology, Kaunas, Lithuania.
    Parker, James
    Halmstad University, School of Business, Engineering and Science, The Rydberg Laboratory for Applied Sciences (RLAS).
    Bacauskiene, Marija
    Kaunas University of Technology, Kaunas, Lithuania.
    Olsson, M. Charlotte
    Halmstad University, School of Business, Engineering and Science, The Rydberg Laboratory for Applied Sciences (RLAS).
    Exploring relations between EMG and biomechanical data recorded during a golf swing2017In: Expert systems with applications, ISSN 0957-4174, E-ISSN 1873-6793, Vol. 88, p. 109-117Article in journal (Refereed)
    Abstract [en]

    Exploring relations between patterns of peak rotational speed of thorax, pelvis and arm, and patterns of EMG signals recorded from eight muscle regions of forearms and shoulders during the golf swing is the main objective of this article. The linear canonical correlation analysis, allowing studying relations between sets of variables, was the main technique applied. To get deeper insights, linear and nonlinear random forests-based prediction models relating a single output variable, e.g. a thorax peak rotational speed, with a set of input variables, e.g. an average intensity of EMG signals were used. The experimental investigations using data from 16 golfers revealed statistically significant relations between sets of input and output variables. A strong direct linear relation was observed between lin- ear combinations of EMG averages and peak rotational speeds. The coefficient of determination values R2 = 0 . 958 and R2 = 0 . 943 obtained on unseen data by the random forest models designed to predict peak rotational speed of thorax and pelvis , indicate high modelling accuracy. However, predictions of peak rotational speed of arm were less accurate. This was expected, since peak rotational speed of arm played a minor role in the linear combination of peak speeds. The most important muscles to predict peak rotational speed of the body parts were identified. The investigations have shown that the canon- ical correlation analysis is a promising tool for studying relations between sets of biomechanical and EMG data. Better understanding of these relations will lead to guidelines concerning muscle engagement and coordination of thorax, pelvis and arms during a golf swing and will help golf coaches in providing substantiated advices. ©2017 Elsevier Ltd. All rights reserved.

  • 1907.
    Verikas, Antanas
    et al.
    Halmstad University, School of Information Technology, Halmstad Embedded and Intelligent Systems Research (EIS), CAISR - Center for Applied Intelligent Systems Research. Kaunas University of Technology, Kaunas, Lithuania.
    Vaiciukynas, Evaldas
    Kaunas University of Technology, Kaunas, Lithuania.
    Gelzinis, Adas
    Kaunas University of Technology, Kaunas, Lithuania.
    Parker, James
    Halmstad University, School of Business, Engineering and Science, Biological and Environmental Systems (BLESS).
    Olsson, M. Charlotte
    Halmstad University, School of Business, Engineering and Science, Biological and Environmental Systems (BLESS).
    Electromyographic Patterns during Golf Swing: Activation Sequence Profiling and Prediction of Shot Effectiveness2016In: Sensors, ISSN 1424-8220, E-ISSN 1424-8220, Vol. 16, no 4, article id 592Article in journal (Refereed)
    Abstract [en]

    This study analyzes muscle activity, recorded in an eight-channel electromyographic (EMG) signal stream, during the golf swing using a 7-iron club and exploits information extracted from EMG dynamics to predict the success of the resulting shot. Muscles of the arm and shoulder on both the left and right sides, namely flexor carpi radialis, extensor digitorum communis, rhomboideus and trapezius, are considered for 15 golf players (∼5 shots each). The method using Gaussian filtering is outlined for EMG onset time estimation in each channel and activation sequence profiling. Shots of each player revealed a persistent pattern of muscle activation. Profiles were plotted and insights with respect to player effectiveness were provided. Inspection of EMG dynamics revealed a pair of highest peaks in each channel as the hallmark of golf swing, and a custom application of peak detection for automatic extraction of swing segment was introduced. Various EMG features, encompassing 22 feature sets, were constructed. Feature sets were used individually and also in decision-level fusion for the prediction of shot effectiveness. The prediction of the target attribute, such as club head speed or ball carry distance, was investigated using random forest as the learner in detection and regression tasks. Detection evaluates the personal effectiveness of a shot with respect to the player-specific average, whereas regression estimates the value of target attribute, using EMG features as predictors. Fusion after decision optimization provided the best results: the equal error rate in detection was 24.3% for the speed and 31.7% for the distance; the mean absolute percentage error in regression was 3.2% for the speed and 6.4% for the distance. Proposed EMG feature sets were found to be useful, especially when used in combination. Rankings of feature sets indicated statistics for muscle activity in both the left and right body sides, correlation-based analysis of EMG dynamics and features derived from the properties of two highest peaks as important predictors of personal shot effectiveness. Activation sequence profiles helped in analyzing muscle orchestration during golf shot, exposing a specific avalanche pattern, but data from more players are needed for stronger conclusions. Results demonstrate that information arising from an EMG signal stream is useful for predicting golf shot success, in terms of club head speed and ball carry distance, with acceptable accuracy. Surface EMG data, collected with a goal to automatically evaluate golf player’s performance, enables wearable computing in the field of ambient intelligence and has potential to enhance exercising of a long carry distance drive.

  • 1908.
    Vilhelmsson, Samuel
    Halmstad University, School of Health and Welfare.
    Ett nyktrare liv: En litteraturöversikt om motivation hos alkoholberoende individer2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The consequences of an extensive alcohol consumption are impaired health and adversely affect the individual social context. Alcohol dependent individuals constitute a large group in society who often experiences major suffering and causes large costs.

    Aim: To identify the motivational factors that are important for alcohol dependent individuals in order to reduce their alcohol consumption and improve their health.

    Methods: The method used was a literature review. Thirteen scientific articles were examined with content analysis.

    Results: The result showed a profound suffering among the individuals and that alcohol dominated their mind. Reliable healthcare staff who were available and without pointers took the individual seriously contributed alongside a supportive personal network to give the individuals the opportunity to regain and maintain control over their life.

    Conclusion: The motivational factors that were most important for the alcohol dependent individuals were a good therapeutic contact with healthcare professionals based on respect free from prejudices and indebtedness. The individuals' supportive social networks were also vital for the level of motivation. Further research on the subject area should be based on a person-centered perspective as the individual often has a high level of knowledge about their own conditions, methods and goals.

  • 1909.
    Vinblad, Elin
    et al.
    Child and Youth Rehabilitation Services, Region Skåne, Kristianstad, Sweden.
    Larsson, Ingrid
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Lönn, Maria
    Region Halland, Halmstad, Sweden.
    Olsson, Emma
    Falkenbergs Municipality, Falkenberg, Sweden.
    Nygren, Jens M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Development of a Digital Decision Support Tool to Aid Participation of Children With Disabilities in Pediatric Rehabilitation Services: Explorative Qualitative Study2019In: JMIR Formative Research, Vol. 3, no 4, article id 14493Article in journal (Refereed)
    Abstract [en]

    Background: Building a health care system in accordance with the rule of law requires child-centered care, where children and young people, regardless of ability, are allowed to participate in visits with their health care professionals. As part of an overall project focusing on developing and implementing a digital decision support tool to increase the participation of children with disabilities in pediatric rehabilitation, this study brings new knowledge as to how this specific patient group views participation.

    Objective: The aim of this formative study was to explore the experiences of children and young people with disabilities concerning increasing their participation in the pediatric rehabilitation services.

    Methods: The formative study had an explorative design, based on a latent qualitative content analysis with an inductive approach. Interviews were conducted with 20 children (6-17 years) and 8 young people (19-30 years) with disabilities about their experiences of participation in pediatric rehabilitation services.

    Results: A total of 3 categories emerged reflecting the participants’ possibilities of participation in the pediatric rehabilitation services: to feel involved, to feel independent, and to work in partnership. To feel involved meant being listened to and being connected, to feel independent meant being admitted and being enabled, and to work in partnership meant being supported and being able to entrust others with the decision making. With the overall theme moving toward empowerment of children in pediatric rehabilitation, a true feeling of participation can be experienced.

    Conclusions: The views of children and young people with disabilities are that children should be given the prerequisites for empowerment by being allowed to feel involved and independent as well as to work in partnership to experience true participation in the pediatric rehabilitation services. This finding is essential in the design of a digital decision support tool based on the children’s needs and perspectives. © Elin Vinblad, Ingrid Larsson, Maria Lönn, Emma Olsson, Jens M Nygren, Petra Svedberg. Originally published in JMIR Formative Research (http://formative.jmir.org), 02.10.2019

  • 1910.
    Vinblad, Elin
    et al.
    Child and Youth Rehabilitation Services, Region Skåne, Kristianstad, Sweden.
    Larsson, Ingrid
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Lönn, Maria
    Region Halland, Halmstad, Sweden.
    Olsson, Emma
    Falkenberg Municipality, Falkenberg, Sweden.
    Nygren, Jens M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Development of a Digital Decision Support Tool to Aid Participationof Children With Disabilities in Pediatric Rehabilitation Services: Explorative Qualitative Study2019In: JMIR Formative Research, E-ISSN 2561-326X, Vol. 3, no 4, article id e14493Article in journal (Refereed)
    Abstract [en]

    Background: Building a health care system in accordance with the rule of law requires child-centered care, where children andyoung people, regardless of ability, are allowed to participate in visits with their health care professionals. As part of an overallproject focusing on developing and implementing a digital decision support tool to increase the participation of children withdisabilities in pediatric rehabilitation, this study brings new knowledge as to how this specific patient group views participation.

    Objective: The aim of this formative study was to explore the experiences of children and young people with disabilities concerning increasing their participation in the pediatric rehabilitation services.

    Methods: The formative study had an explorative design, based on a latent qualitative content analysis with an inductive approach. Interviews were conducted with 20 children (6-17 years) and 8 young people (19-30 years) with disabilities about their experiences of participation in pediatric rehabilitation services.

    Results: A total of 3 categories emerged reflecting the participants’ possibilities of participation in the pediatric rehabilitation services: to feel involved, to feel independent, and to work in partnership. To feel involved meant being listened to and being connected, to feel independent meant being admitted and being enabled, and to work in partnership meant being supported andbeing able to entrust others with the decision making. With the overall theme moving toward empowerment of children in pediatric rehabilitation, a true feeling of participation can be experienced.

    Conclusions: The views of children and young people with disabilities are that children should be given the prerequisites for empowerment by being allowed to feel involved and independent as well as to work in partnership to experience true participation in the pediatric rehabilitation services. This finding is essential in the design of a digital decision support tool based on the children’s needs and perspectives. © Elin Vinblad, Ingrid Larsson, Maria Lönn, Emma Olsson, Jens M Nygren, Petra Svedberg.

  • 1911.
    Vinblad, Elin
    et al.
    The Child and Youth Rehabilitation Service, Region Skåne, Kristianstad och Hässleholm, Sweden.
    Nygren, Jens M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Karsson, Caroline
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Teleman, Britta
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Larsson, Ingrid
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Parents’ expectations of a digital decision support tool for children with disabilities in pediatric rehabilitation – a qualitative study2019In: 31st EACD Conference, 2019Conference paper (Refereed)
    Abstract [en]

    Introduction: Children with disabilities usually have an extensive need for support from their parents in communication with healthcare professionals in pediatric rehabilitation. The aim of this study was to explore parents’ expectations of a digital communication and decision making tool for children with disabilities in pediatric rehabilitation.

    Patients and methods: The study had a descriptive design with a qualitative content analysis approach. Interviews were conducted with 17 parents (aged 31-62 years, 13 mothers and 4 fathers) to children with intellectual disabilities, physical disabilities or autism spectrum disorders. Results: Three categories emerged reflecting parents’ expectation of how to increase participation in rehabilitation by using a digital communication and decision tool: 1) the children will become more confident with a higher self-esteem if they easily can express themselves and their inner thoughts 2) the children will respond more honestly without considering what their parents or healthcare professionals expect to hear 3) the children will become more independent if they have a possibility to be involved and understand decisions in their own rehabilitation.

    Conclusion: The parents highlighted the importance of self-esteem as prerequisites to increase participation in rehabilitation for their children with disabilities, which they believed could be achieved by using a digital tool. A digital communication and decision making tool would strengthen the children’s voices in their own rehabilitation. This result constitutes therefore a basis in the development of a forthcoming digital communication and decision making tool, with the main objective to increase participation, for children with disabilities.

  • 1912.
    Vinblad, Elin
    et al.
    The Child and Youth Rehabilitation Service, Region Skåne, Kristianstad & Hässleholm, Sweden.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Nygren, Jens M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Lönn, Maria
    Psychiatric Clinic, Region Halland, Halmstad, Sweden.
    Olsson, Elin
    Falkenberg Municipality, Falkenberg, Sweden.
    Larsson, Ingrid
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Children and young people’s experiences of participation in pediatric rehabilitation: a qualitative study2019In: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749, Vol. 61, no S2Article in journal (Refereed)
    Abstract [en]

    Introduction: Creating a healthcare system of justice requires a child-centered care where children and young people, regardless of disability, are allowed to participate in their own rehabilitation. The aim of this study was to explore children and young people’s experiences of participation in pediatric rehabilitation.

    Patients and methods: The study had a descriptive design with a qualitative content analysis approach. Interviews were conducted with 20 children (6-17 years old, 9 girls and 11 boys) and 8 young people (18-30 years old, 6 women and 2 men) with intellectual disabilities, physical disabilities or autism spectrum disorders.

    Results: Three categories emerged that reflected children and young people’s experiences of participation in pediatric rehabilitation: to be included; to be empowered; and to feel supported. To be included meant that children and young people are respected, listened to and involved in shared decision-making. To be empowered comprised autonomy, responsibility and understanding as essential aspects for participation. To feel supported meant that children and young people described their parents as facilitators for enabling participation by supporting communication and being a bridge between child and professionals.

    Conclusion: To increase participation, children need support in communication with the healthcare professionals in a way that they feel respected, empowered and able to be included in decisions concerning their own pediatric rehabilitation. This result constitutes an important step in the development of a forthcoming digital communication and decision tool, with the main objective to increase participation, for children with disabilities.

  • 1913.
    Von Bothmer, Margareta
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS).
    Promoting a tobacco-free generation: who is responsible for what?2001In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 10, no 6, p. 784-792Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to investigate how adolescents, parents and school staff look upon different agents' responsibilities in relation to the goal 'a tobacco-free generation'. This study was part of a larger study and used a descriptive, cross-sectional three-group design with questionnaires as the means of data collection. The sample comprised 216 pupils in grade five (11 years old) and 225 pupils in grade eight (14 years old) in a south-western county in Sweden, 293 of their parents and 119 school staff (headteachers, teachers, school nurses). All respondents agreed that adults should take a clear stand against adolescent tobacco use. The adolescents ranked their parents as the number one source of tobacco information, while pupils, parents, teachers and headmasters ranked school nurses at the bottom rank, The teaching at school focused on risks from tobacco use. The non-smoking norm at school was viewed differently by pupils, parents and school staff. The actions of family, school and society reflect the norms and these do influence adolescent smoking. The conclusion was that the responsibility to promote a tobacco-free generation was viewed differently by the categories involved in this study. The adolescents put the responsibility mainly on parents, while parents put it on the school, and the school staff on special health educators. Both parents and school staff need to recognize their importance in creating a non-smoking culture. To contribute to the creation of a non-smoking generation, school nurses should abandon their passive role in health promotion, as shown in this study, and instead engage in encouraging pupils, parents and teachers to remain or become tobacco-free.

  • 1914.
    von Bothmer, Margareta
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Primary Health Care, Göteborg University, Göteborg, Sweden.
    Fridlund, Bengt
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Primary Health Care, Göteborg University, Göteborg, Sweden.
    Promoting a tobacco-free generation: Who is responsible for what?2001In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 10, no 6, p. 784-792Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to investigate how adolescents, parents and school staff look upon different agents' responsibilities in relation to the goal 'a tobacco-free generation'. 

    This study was part of a larger study and used a descriptive, cross-sectional three-group design with questionnaires as the means of data collection. The sample comprised 216 pupils in grade five (11 years old) and 225 pupils in grade eight (14 years old) in a south-western county in Sweden, 293 of their parents and 119 school staff (headteachers, teachers, school nurses). 

    All respondents agreed that adults should take a clear stand against adolescent tobacco use. The adolescents ranked their parents as the number one source of tobacco information, while pupils, parents, teachers and headmasters ranked school nurses at the bottom rank, The teaching at school focused on risks from tobacco use. The non-smoking norm at school was viewed differently by pupils, parents and school staff. The actions of family, school and society reflect the norms and these do influence adolescent smoking. 

    The conclusion was that the responsibility to promote a tobacco-free generation was viewed differently by the categories involved in this study. The adolescents put the responsibility mainly on parents, while parents put it on the school, and the school staff on special health educators. Both parents and school staff need to recognize their importance in creating a non-smoking culture. To contribute to the creation of a non-smoking generation, school nurses should abandon their passive role in health promotion, as shown in this study, and instead engage in encouraging pupils, parents and teachers to remain or become tobacco-free. © 2001 Blackwell Science Ltd.

  • 1915.
    von Bothmer, Margareta
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Rudebeck, Carl-Edvard
    Linköpings universitet, Hälsouniversitetet.
    Understanding the meaning of smoking behaviour through the philosophy of Merleau-Ponty2003In: Theoria : journal of nursing theory, ISSN 1400-8033, Vol. 12, no 2, p. 5-12Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to explore the meaning of smoking behaviour by applying the philosophy of Merleau-Ponty. Behaviour is a result of body-mind reacting on its world and is always intentional. The meaning of smoking behaviour is discussed in relation to body and space, formation of body image and identity, and learning of a habit. A habit is entrenched at the bodily level and in order to change the habit, the person has to re-identify herself at the bodily level as well as at the cognitive and emotional levels. It is suggested that the philosophy of Merleau-Ponty could be used in practice and research to improve smoking prevention and cessation strategies.

  • 1916.
    Vu, Dellila
    et al.
    Halmstad University, School of Health and Welfare.
    Johansson, Linnea
    Halmstad University, School of Health and Welfare.
    Sjuksköterskors attityd till patienter med HIV och AIDS2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Human immunodeficiency virus (HIV) leads to Acquired Immunodeficiency Syndrome (AIDS) a fatal disease. Thirty-seven million people in the world have been affected by the virus. Only in Sweden 6500 people are suffering from HIV/AIDS. Research show that nurse ́s attitudes towards patients with HIV/AIDS are affecting their care to these patients. The aim of this study was to illuminate nurse’s attitudes against patients with HIV/AIDS and factors that determined these attitudes. The study was conducted as a literature study. Thirteen articles that highlighted nurse’s attitudes to patients with HIV/AIDS were applied to the result. All the articles were analyzed and from that three themes emerged during data processing. The themes were: positive attitudes, negative attitudes and the importance of knowledge. The results showed that nurses have both positive and negative attitudes towards patients with HIV/AIDS. A crucial factor affecting nurses' attitude to patients with HIV/AIDS was their lack of knowledge. Therefore it is necessary to increase nurse’s knowledge about HIV / AIDS. 

  • 1917.
    Vujic, Aleksandra
    et al.
    Halmstad University, School of Health and Welfare.
    Freij, Nicole
    Halmstad University, School of Health and Welfare.
    Fysisk aktivitet vid bipolär sjukdom2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The prevalence of bipolar disorder is estimated to be 1,5 % of the world's population and this patient group have a higher risk to be affected of welfare diseases such as metabolic syndrome, diabetic and cardiovascular diseases. The primary treatment of bipolar disorder are psychopharmacologic drugs. Aim: The aim of this study was to describe physical activity among adults with bipolar disorder. Result: Categories that appeared were: Health effects of physical activity, Experience of physical activity and Motivation for physical activity. First category showed that regularly performed physical activity reduced the episodes of mania and depression. Second category showed that preferred activities were of rhythmic and monotone nature like running, cycling, walking or swimming. Third category showed that a confiding relationship between the patient and their registered nurse were of importance during depressive episodes, functioned as support for daily routines and motivate for physical activity. Conclusion: Physical activity reduces symptoms and improve both physical and mental health. Physical activity should be a manifested treatment in nursing and education of its effect should be given to both nurse-students and registered nurses. More research is required about how physical activity affect treatment and the occurrence of welfare diseases in a long-term perspective.

  • 1918.
    Vukojevic, Slavica
    Halmstad University, School of Social and Health Sciences (HOS).
    Möjligheter och hinder med framtidsarbetet "Morgondagens idrott": Ur kontaktpersonernas synvinkel2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med denna studie är att beskriva deltagandeidrottsföreningars redogörelser kring framtidsarbetet inomframtidsgrupperna i projektet ”Morgondagens idrott” utifrån ettlärande perspektiv. Detta med hjälp av frågeställningen: vilkamöjligheter respektive hinder upplevde kontaktpersonerna att detvarit med framtids- och utvecklingsarbetet i derasidrottsföreningar? Studien är intressant då ingen tidigare forskningpå detta projekt finns tillgängligt. Studien genomfördes med hjälpav en kvalitativ totalundersökning. Resultatet av intervjuerna visaratt möjligheter som kontaktpersonerna såg var meningsfullhet,stöd, framtidstänk, rekrytering och utbildning. Hindrena varekonomi, ledarrekrytering och genomförande.

  • 1919.
    Vårhammar, Annelie
    Halmstad University, School of Business, Engineering and Science.
    Is there canine distemper virus in the Antarctic seal populations?2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The highly contagious canine distemper virus (CDV) has caused many so called epizootics, i.e. widespread transmissions of severe diseases in animal populations. Antibodies to CDV have been found several times in the northern hemisphere, but only once in the 1980’s in the phocid seal populations on the remote continent of Antarctica. This raises the question of whether the virus is enzootic or if it has been eliminated from the seal populations, which brings forth this study with serological testing on recently sampled seals. In this study, samples of 49 crabeater seals (Lobodon carcinophagus), 49 Weddell seals (Leptonychotes weddellii) and 14 Ross seals (Ommatophoca rossii) from two separate expeditions with the Swedish icebreaker Oden in year 2008/2009 and 2010/2011 were tested for antibodies to CDV using enzyme-linked immunosorbent assay (ELISA). The ELISA was repeated three times on the same samples but unexpectedly showed inconsistent results. Statistical analysis revealed that there were significant differences in titre values between the three trials in all three species. The results must therefore be considered unreliable for the purpose of estimating antibody prevalence and should be discarded. The inconsistency could be explained by the ELISA kit being designed for dogs. Thus, the present study is valuable as a pilot study and shows that ELISA tests on seals developed for dogs should be treated with caution and that the samples need to be re-tested with other methods, preferably by using a virus neutralization test. The present study reviews the preceding literature concerning the prevalence of antibodies against CDV in the Antarctic seals, and also displays how the results of a future re-testing can be used to assess the susceptibility of a future outbreak of CDV in the seals of Antarctica.

  • 1920.
    Wadell, Katheleen
    et al.
    Institute of Nursing, The Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
    Skärsäter, Ingela
    The Vårdal Institute Göteborg, The Swedish Institute for Health Sciences, and Psychiatric Services, Halland, Sweden.
    Nurses' experiences of caring for patients with a dual diagnosis of depression and alcohol abuse in a general psychiatric setting2007In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 28, no 10, p. 1125-1140Article in journal (Refereed)
    Abstract [en]

    The aim of this study is to describe mental psychiatric health nurses' experiences of caring for persons with the dual disorders of major depression and alcohol abuse. The study was conducted in 2003 on three psychiatric wards located in two general hospitals in Sweden. The study group comprised 11 registered nurses with experience of caring for patients with dual disorders. The data were analyzed by means of qualitative content analysis. The findings revealed three categories: Enabling a good level of cooperation with patients; Facilitating continued care and treatment; and Understanding barriers to cooperation with patients. Building a trusting relationship in order to enable cooperation with patients was the basis for continued care and treatment. The nurses needed more training and multidisciplinary knowledge in order to meet the particular clinical needs of this patient group. Nurses have an important obligation to utilize the best available evidence, including research findings and other scientific sources.

  • 1921.
    Wahlin, Ulla
    et al.
    Falkenberg Ambulance Service, Falkenberg, Sweden.
    Wieslander, Inger
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Fridlund, Bengt
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Loving care in the ambulance service1995In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 11, no 6, p. 306-313Article in journal (Refereed)
    Abstract [en]

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

  • 1922.
    Wallgren Andersson, Caroline
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Norman, Katarina
    Halmstad University, School of Social and Health Sciences (HOS).
    Stenkvist, Malgorzata
    Halmstad University, School of Social and Health Sciences (HOS).
    Sjuksköterskans roll i undervisning: Kunskap och insikt kan leda till livsstilsförändring hos patienten2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Unhealthy lifestyle habits increase the risk of illness and death. Cardiovascular disease, cancer and type-2 diabetes are examples of diseases that can be avoided by making positive lifestyle changes. An important part of the nurse's job is to teach patients how they can change their lifestyle and take responsibility for their own self-care. The purpose of this study was to highlight the nurse's role in patient education with a focus on lifestyle changes. The study was done in the form of a literature review in which the basis for the results consisted of 11 scientific articles. The result showed that the nurse's assessment of the patient's need for knowledge was an important part of the teaching process. Factors of importance for the teaching results were information and the selection of appropriate methodology and model. The nurse's pedagogical approach was another factor that influenced their teaching. The study shows that nurses need to adjust their role based on the patient's needs. It has also been found that there are deficiencies in the nurse's competence in terms of pedagogical and didactic skills. By expanding patient education for nursing and prioritize it in health care, there are profits to be made from both a patient perspective and socioeconomically. More scientific research is needed in the subject of how the practices of planning and implementation of patient education can be improved.

  • 1923.
    Wallstedt-Paulsson, Eva
    et al.
    Department of Heath Sciences, Division of Occupational Therapy, Lund University, Lund, Sweden.
    Erlandsson, Lena-Karin
    Department of Heath Sciences, Division of Occupational Therapy, Lund University, Lund, Sweden.
    Eklund, Mona
    Department of Heath Sciences, Division of Occupational Therapy, Lund University, Lund, Sweden.
    Client experiences in work rehabilitation in Sweden: a one-year follow-up study2007In: Occupational Therapy International, ISSN 0966-7903, E-ISSN 1557-0703, Vol. 14, no 1, p. 28-41Article in journal (Refereed)
    Abstract [en]

    This study, carried out in a work rehabilitation unit in Sweden, investigated how clients perceived their work experiences after a one-year follow up. A semi-structured interview was administered to 14 former clients and a content analysis was applied. Seven categories were derived from the results: 'Expectations of the rehabilitation process'; 'Social relationships'; 'Client influences on the rehabilitation process'; 'Occupations engaged in during the rehabilitation programme'; 'Perceived outcome'; 'Current occupations'; and 'Future aspirations'. The dominating expectations were to find a job, with an overall desire for change. The social relationships with the staff and other clients were of great importance. The positive outcome of the rehabilitation was described as feeling better or having new skills. The perceived negative outcome was that the rehabilitation programme had not turned out as the client expected. The clients reported varying daily occupations after the rehabilitation experience and a majority were contented and optimistic about their future. The main conclusions of the study are that when planning a work rehabilitation programme, efforts have to be made to examine clients' interests and skills, and to develop a dialogue between clients and staff. Further research is needed to evaluate the work rehabilitation experience from the clients' perspective. Copyright © 2007 John Wiley & Sons, Ltd.

  • 1924.
    Warrén Stomberg, Margareta
    et al.
    Gothenburg University, Sahlgrenska Academy, the Institute of Health and Care Sciences, Gothenburg, Sweden.
    Knudsen, Kai
    Department of Anaesthesia and Intensive Care, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Stomberg, Henrik
    Police Department in Örebro County, Örebro, Sweden.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Symptoms and Signs in Interpreting Gamma-hydroxybutyrate (GHB) Intoxication – An Explorative Study2014In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, ISSN 1757-7241, E-ISSN 1757-7241, Vol. 22, article id 27Article in journal (Refereed)
    Abstract [en]

    Background

    Acute poisoning with gamma-hydroxybutyrate (GHB) has been a serious medical and social problem in different parts of the world including Sweden. GHB is a drug of abuse which acts primarily as central nervous system (CNS) depressants. GHB has serious toxicity, although many young users do not recognise GHB as a dangerous drug. The aim of this pilot study was to explore how symptoms with risk of failure in vital functions would be valued among professionals that encounter GHB intoxication in the emergency phase.

    Methods

    A web-based survey focusing on the assessment of vital clinical signs for possible GHB intoxication using a numeric scale was carried out during April and May 2011. The participants, n 105, are all professionals who encounter GHB intoxicated in the emergency phase, but have different levels of training in GHB intoxication, mainly Registered Nurses (RNs) in southwest Sweden, employed in pre-hospital or emergency departments at somatic and most psychiatric health care facilities, as well as police officers who in their work come into contact with drug users. Responses in the survey were scored according to risk of GHB intoxication with serious failure of vital functions. The score value was then referred to a so-called evidence based priority (EBP) scale and analysed using descriptive statistics and Fisher's exact test.

    Results

    Cardiac arrest, coma, hypoxia, general convulsions, slow respiratory and heart rate and pale skin are symptoms with the highest risk of serious failure in vital physical functions and were predominantly recognised as such.

    Conclusion

    Despite the professionals' different levels of training in GHB intoxication, all of them were relatively well aware of and in accordance regarding the most risky symptoms. The interpretation score for the less risky symptoms and signs of GHB intoxication varied depending on their degree of training. The results should be viewed cautiously, as the size of the professional groups and their general knowledge of critical symptoms of GHB poisoning varied. © 2014 Stomberg et al.; licensee BioMed Central Ltd.

  • 1925.
    Weman Josefsson, Karin
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Back, Jenny
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Motivational perspectives of a community based electric bike project in Sweden2018In: Abstract book for the ISBNPA 2018 Annual Meeting in Hong Kong, 2018, p. 134-135Conference paper (Refereed)
    Abstract [en]

    Objective

    A community in Sweden runs a project aiming to stimulate citizens to choose active transport to reduce city car traffic, emissions and noise; and to promote residents' health by increased physical activity. Citizens can borrow an electric bike providing electric assistance when pedaling (pedelec) for free for three months to “try and feel”, and are then offered to buy the bike after this period to a reduced price. The project has engaged approximately 500 participants over three years (2015-2017) distributed in three groups per year. Drawing from self-determination theory, the purpose of this study was to examine underlying motives for choosing to use the pedelec above passive transport (car, bus) during and after the three month period.  

     Methods

    Semi-structured interviews were performed with eight informants who had participated in the project during 2014-2016. These will be complemented with another 8-10 interviews from the 2017 participant groups. Qualitative content analysis was used to explore and describe attitudes, behaviors, goals and barriers regarding informants’ motives to physical activity in general, as well as specifically directed towards using pedelecs. The interviews were complemented with quantitative measures in two of the groups from 2017 before, during and after participation (N=19).

     Results

    Analyses revealed four main themes of motivation. The informants chose the pedelec as a means of transport for health reasons (regular exercise), for economic reasons (avoid having two cars, reducing gasoline and parking costs), for environmental reasons (to reduce environmental impact) and for personal values (related to exercise identity and/or environmental-friendly). Those who used the pedelec regularly felt that their fitness improved and that they had more energy in everyday life. Participants also felt that the pedelec facilitated cycling to a larger extent, and in addition to using it for transport for work or school, they also used it for shopping and leisure activities.

     Conclusions

    The step from passive to active transport might be challenging, but a pedelec might facilitate such a transition and reduce perceived behavioral barriers. This study could shed some light on how community interventions can be designed to facilitate autonomous motivation towards more sustainable transport behaviors.

  • 1926.
    Weman Josefsson, Karin
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Back, Jenny
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Motivational perspectives of a community based electric bike project in Sweden.2018In: Abstract book Advancing Behaviour Change Science. International Society of Behavioral Nutrition and Physical Activity. Hong kong, China, June 3-6, 2018., 2018Conference paper (Refereed)
    Abstract [en]

    Objective

    A community in Sweden runs a project aiming to stimulate citizens to choose active transport to reduce city car traffic, emissions and noise; and to promote residents' health by increased physical activity. Citizens can borrow an electric bike providing electric assistance when pedaling (pedelec) for free for three months to “try and feel”, and are then offered to buy the bike after this period to a reduced price. The project has engaged approximately 500 participants over three years (2015-2017) distributed in three groups per year. Drawing from self-determination theory, the purpose of this study was to examine underlying motives for choosing to use the pedelec above passive transport (car, bus) during and after the three month period.  

     

    Methods

    Semi-structured interviews were performed with eight informants who had participated in the project during 2014-2016. These will be complemented with another 8-10 interviews from the 2017 participant groups. Qualitative content analysis was used to explore and describe attitudes, behaviors, goals and barriers regarding informants’ motives to physical activity in general, as well as specifically directed towards using pedelecs. The interviews were complemented with quantitative measures in two of the groups from 2017 before, during and after participation (N=19).

     

    Results

    Analyses revealed four main themes of motivation. The informants chose the pedelec as a means of transport for health reasons (regular exercise), for economic reasons (avoid having two cars, reducing gasoline and parking costs), for environmental reasons (to reduce environmental impact) and for personal values (related to exercise identity and/or environmental-friendly). Those who used the pedelec regularly felt that their fitness improved and that they had more energy in everyday life. Participants also felt that the pedelec facilitated cycling to a larger extent, and in addition to using it for transport for work or school, they also used it for shopping and leisure activities. 

    Conclusions

    The step from passive to active transport might be challenging, but a pedelec might facilitate such a transition and reduce perceived behavioral barriers. This study could shed some light on how community interventions can be designed to facilitate autonomous motivation towards more sustainable transport behaviors.

  • 1927.
    Weman Josefsson, Karin
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    Back, Jenny
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    Projekt elcyklist – ett motivationsperspektiv2017In: Proceedings of the Nordic Sport Science Conference – ‘The Double-Edged Sword of Sport: Health Promotion Versus Unhealthy Environments’ / [ed] Krister Hertting & Urban Johnson, Halmstad: Halmstad University Press, 2017, p. 39-39Conference paper (Refereed)
  • 1928.
    Weman Josefsson, Karin
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Back, Jenny
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    The value of motivational theory to influence active transport behaviors – a Swedish example2019In: The IAFOR Conference series 2019: Independence & Interdependence, Programme & Abstract Book, 2019, p. 107-107Conference paper (Refereed)
    Abstract [en]

    Cycle commuting have been shown to promote major health effects, studies showing as much as 41% lower overall mortality compared to car or collective transport (Celis-Morales et al 2017). Yet, for many of us, there are significant behavioral barriers in changing our transport behavior. On the positive note, studies have shown that bikes providing electric assistance when pedaling (pedelecs) also have positive effects on cardiovascular health and helps people meet physical activity recommendations. It is possible that pedelecs could facilitate active transport by reducing some perceived behavioral barriers by enhancing autonomous motivation in line with self-determination theory (SDT).   The overall purpose was to examine underlying motives for using the pedelec above passive transport (car, bus). Semi-structured interviews (N=14) were used to study motivational aspects of participation in a community based pedelec project. Qualitative content analysis revealed that motives to choose the pedelec was health reasons (regular exercise), economic reasons (e.g. avoid having two cars), environmental reasons (to reduce environmental impact) and personal values (e.g. related to exercise identity).   These four motivational themes can be related to the tenets of SDT and the significance of autonomous motivation for behavioral regulation. The step from passive to active transport might be challenging, but facilitating use of pedelecs and appropriate communication policy might facilitate such a transition. Application of SDT and addressing the motivational themes found in this study could shed some light on motivational drives for active transport and inform community interventions and policies design to adopt sustainable transport behaviors.

  • 1929.
    Weman-Josefsson, Karin Anna
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    "e" som i engagemang?: Bilaga till etappen ”Framtidens friskvård, egenvård och jobbhälsa” inom Opinion Hälsa, april 20132013Report (Other (popular science, discussion, etc.))
  • 1930.
    Weman-Josefsson, Karin
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Sport Health and Physical activity.
    Jonsson, Linus
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Sport Health and Physical activity.
    Johansson, Gunnar
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Sport Health and Physical activity.
    FaR har stor utvecklingspotential2014In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 111, no CZ77Article in journal (Other (popular science, discussion, etc.))
  • 1931.
    Weman-Josefsson, Karin
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Wärnestål, Pontus
    Halmstad University, School of Information Technology, Halmstad Embedded and Intelligent Systems Research (EIS), Man and Information technology laboratory (MI-lab).
    Johnson, Urban
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Halila, Fawzi
    Halmstad University, School of Business, Engineering and Science, Centre for Innovation, Entrepreneurship and Learning Research (CIEL).
    Wickström, Nicholas
    Halmstad University, School of Information Technology, Halmstad Embedded and Intelligent Systems Research (EIS), CAISR - Center for Applied Intelligent Systems Research.
    An interdisciplinary project plan on Digital Innovations and Self-determined Exercise Motivation2013Conference paper (Other academic)
  • 1932.
    Wendt, Eva
    et al.
    Research and Development Unit, Primary Health Care, Falkenberg, Sweden.
    Marklund, Bertil
    Research and Development Unit, Primary Health Care, Falkenberg, Sweden.
    Lidell, Evy
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Hildingh, Cathrine
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Westerstål, Anna
    Department of Public Health and Community Medicine, University of Gothenburg, Göteborg, Sweden.
    Possibilities for dialogue on sexuality and sexual abuse: Midwives' and clinicians' experiences2011In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 27, no 4, p. 539-546Article in journal (Refereed)
    Abstract [en]

    Objective: To describe midwives’ and clinicians’ experiences of the possibilities and obstacles for dialogue with young women on sexuality and sexual abuse, focusing on the possibilities. Design: qualitative study with interview data analysed by qualitative content analysis. Setting: South-west Sweden. Participants: A purposive sample, consisting of 15 midwives, six gynaecologists and five general practitioners aged 30–65 years, was chosen in order to obtain as many different experiences as possible. The participants’ professional experiences varied, ranging from five to more than 35 years, and they were employed at youth clinics, primary health-care centres, gynaecology clinics, a specialist sexual medicine centre and antenatal care centres, situated in small and large cities. Findings: The participants described the respectful encounter that can be created when young women meet midwives and clinicians in the context of a gynaecological consultation. In this situation, there was a potential to strengthen women while attempting to improve their sexual health. Support from the organisation and the use of personal skills and assets were found to be promoting factors for dialogue. Lack of organisational support or communication skills and difficult emotions complicated the situation, which might, in turn, restrain midwives and clinicians from raising sexual issues. Implications for practice Increased knowledge, support and opportunities for reflection concerning dialogue regarding sexual issues might evoke the interest and intent of health professionals to approach these issues. Guidelines regarding dialogue about both sexuality and sexual abuse should be routine in health-care services.

  • 1933.
    Wennerholm, Anna-Pia
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Jolfson, Annika
    Halmstad University, School of Social and Health Sciences (HOS).
    Omvårdnadsforskningens integrering i det kliniska omvårdnadsarbetet - en systematisk  litteraturstudie2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Nursing research has increased as more nurses have a university education. Studies in this area have focused on the extent to which nurses use evidence-based research as well as the barriers that exist for their use. The results are clear that it is difficult to integrate research findings into clinical practice. The consequence of this may be that knowledge does not reach the clinical nursing practice. The purpose of this study was to describe nursing research integration in clinical nursing. A systematic study with integrative approach was implemented. The result shows various possibilities for the integration of research into clinical practice. An open climate with common goals for the integration of nursing research and clear leadership that provides resources in terms of finance, education and time. For the integration of research into clinical practice will increase the need for collaboration between universities / colleges and clinical practice so that nurses can get the support needed to develop the care given to the patient. In the literature, there are few empirical studies on the subject why it would be of interest to continue exploring this area.

  • 1934.
    Werkander Harstäde, Carina
    et al.
    Linnaeus University, Växjö, Sweden.
    Andershed, Birgitta
    Ersta Sköndal University College, Stockholm, Sweden.
    Brunt, David
    Linnaeus University, Växjö, Sweden.
    Roxberg, Åsa
    Linnaeus University, Växjö, Sweden.
    Guilt and shame in end of life care – the next of kin's perspective2013In: European Journal of Cancer, ISSN 0959-8049, E-ISSN 1879-0852, Vol. 49, no Suppl. 2, p. S376-S377Article in journal (Other academic)
  • 1935.
    Werkander Harstäde, Carina
    et al.
    Karolinska Institute, Stockholm, Sweden; Gotland University College, Visby, Sweden & Linnaeus University, Växjö, Sweden.
    Andershed, Birgitta
    Gjøvik University College, Gjøvik, Norway & Ersta Sköndal University College, Stockholm, Sweden.
    Roxberg, Åsa
    Linnaeus University, Växjö, Sweden & Haraldsplass University College, Bergen, Norway.
    Brunt, David
    Linnaeus University, Växjö, Sweden.
    Feelings of guilt – Experiences of next-of-kin in end-of-life care2013In: Journal of Hospice and Palliative Nursing, ISSN 1522-2179, E-ISSN 1539-0705, Vol. 15, no 1, p. 33-40Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to gain a greater understanding of the experiences of guilt of the next-of-kin in end-of-life care. Seventeen next-of-kin who had lost a loved one were interviewed with a focus on possible experiences of guilt. A Gadamerian-based hermeneutic approach to interpret these experiences was used. The interpretation showed that next-of-kin’s experiences of guilt emanated from a situation where the next-of-kin had a moral view on what was the right thing to do, it could also originate from a wish to do the best possible for the dying person out of love for this person. The situation could also involve both these aspects.  The way in which the situation was handled, could, if the next-of-kin felt that s/he did not fulfill her/his commitments, omitted or neglected the dying person or was the cause of something, lead to experiences of guilt. The situation of being next-of-kin in end-of-life care is complex and demanding, something that health professionals are and should be aware of. Acknowledgement of experiences of guilt can help the next-of-kin in their adaptation to the end-of-life situation as a whole and maybe also give useful tools to support next-of-kin through bereavement. © 2013 The Hospice and Palliative Nurses Association

  • 1936.
    Werkander Harstäde, Carina
    et al.
    Linnaeus University, Växjö, Sweden.
    Roxberg, Åsa
    Linnaeus University, Växjö, Sweden.
    Brunt, David
    Linnaeus University, Växjö, Sweden.
    Andershed, Birgitta
    Gjøvik University College, Gjøvik, Norway & Ersta Sköndal University College, Stockholm, Sweden.
    Next of Kin's Experiences of Shame in End-of-Life Care2014In: Journal of Hospice and Palliative Nursing, ISSN 1522-2179, E-ISSN 1539-0705, Vol. 16, no 2, p. 86-92Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to gain a greater understanding of the experiences of shame of next of kin in end-of-life care. Seventeen next of kin who had lost a family member were interviewed. A method inspired by Gadamer's hermeneutic approach was used to interpret possible experiences of shame and to discuss these interpretations. The result showed that next of kin's experiences of shame are linked to their perception of the remaining time and are guided by views on morality and what is right and wrong. Shame can occur when the next of kin are involved and actually cause harm to the family member as well as in situations that are beyond their control. Shame can also involve actions that have nothing to do with what they have actually done but is instead a shame that is placed on them by others, for example, health professionals or relatives. Shame is interpreted as experiences of ignominy, humiliation, and disgrace. Second-order shame is also found. It is important that health professionals are aware of these experiences of unhealthy shame when they meet and support next of kin in end-of-life care. © 2014 by The Hospice and Palliative Nurses Association.

  • 1937.
    Wern, Maria
    Halmstad University, School of Health and Welfare.
    Omvårdnadsansvarig sjuksköterskas arbetsuppgifter och kompetens2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In Sweden 121 671 children were admitted to hospital care in 2014.  Each and every one of them needed a nurse responsible for their care, a primary nurse (PN). According to Swedish law, everyone has the right to a steady care taker if there is a need. The aim of this study was to describe what work assignments a PN within pediatric care has, and what competencies pediatric nurses consider important. Interviews with pediatric nurses were carried out to achieve this. The transcribed material has been worked at through a qualitative content analysis resulting in three categories that reflect a PN work assignments; Knowledge, Team work and Security. These three categories include work assignments such as: knowledge about the child, coordinate and planning, to be a patient confidant, and to educate. The results contribute to and elucidate a primary nurse’s work assignments and help spread knowledge about their role.

  • 1938.
    Westergården, Malin
    et al.
    Halmstad University, School of Health and Welfare.
    Aili, Katarina
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). RandD Spenshult, Halmstad, Sweden & Karolinska Institutet, Unit of occupational medicine, Institute of Environmental Medicine, Stockholm, Sweden.
    Larsson, Ingrid
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). RandD Spenshult, Halmstad, Sweden.
    Living every-day life in the shadow of pain or live every-day life with the pain in the shadow – A constant balancing2019In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 78, no Suppl 2, p. 1063-1064Article in journal (Refereed)
    Abstract [en]

    Background: Approximately 10% of the population report chronic widespread pain (CWP), the condition is more common in women than in men. Long-term pain is a public health problem. For most women, the pain interferes with many aspects of every-day life and implies large consequences. Thus, knowledge about how to facilitate life for these women is important.

    Objectives: To explore women’s experiences of how CWP influence their daily life

    Methods: The study has a latent qualitative content analysis design 1 . Individual interviews were conducted in 19 women 45-67 of age, who had reported CWP in a survey 2016. CWP was defined according to the 1990 ACR criteria for fibromyalgia. Pain that had lasted for more than three months, during the last 12 months, was considered chronic. A latent qualitative content analysis was used to analyze the main questions “Can you describe your experiences of living with CWP?” and “How do the CWP influence your life today?” The interviews were recorded, transcribed verbatim and coded into eight subcategories and three categories; represent the manifest content, and a latent theme exploring the interpreted content of women’s experiences of how CWP influence their every-day life.

    Results: The interviewed women expressed a life with CWP as “Living every-day life in the shadow of pain or live every-day life with the pain in the shadow” including three categories; the experience of alienation, limitations and plasticity. 1) The experiences of alienation appeared in the subcategories; suspicion and loneliness. Suspicion meant a feeling of not be taken seriously by healthcare and authorities and loneliness meant not being able to participate in social contexts. 2) The experiences of limitations in daily life includes the subcategories; barriers, stress, and dependence of other people. Barriers meant that fatigue limits the activities in every-day life, stress that constitutes limitations in life and dependence on other people’ support. 3) The experiences of plasticity referred to the subcategories resignation, adjustment and resistance. Resignation meant refraining from activities that could affect the pain, such as gardening, walking and dancing. Adjustment were manifested by making the best of the situation, and resistance meant to resist letting the pain set the terms, to give the pain a fight.

    Conclusion: Women with CWP have to deal with their physical, mental, social and spiritual environment in every-day life. They express a constant balancing in their life between mastering the pain in order to continue living as normal, and allowing the pain to set the terms, i.e. living every-day life in the shadow of pain or live every-day life with the pain in the shadow. Healthcare professionals may consider supporting the patients in finding their individual counterweight to manage life in order to reach better treatment outcome. © Westergården, Aili & Larsson 2019. No commercial re-use. See rights and permissions. Published by BMJ.

  • 1939. Westlund, Linett
    et al.
    Zakrisson, Clara
    Ett närmast omöjligt arbete: Sjuksköterskans upplevelse av ohälsa relaterat till stress på arbetsplatsen2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Stress är ett begrepp som har ökat i användning den senaste tiden och är en allvarlig psykisk och fysisk åkomma där sjuksköterskor är den yrkesgrupp som drabbas mest av ohälsa på arbetsplatsen. Arbetsrelaterad stress hos sjuksköterskan uppkommer av höga krav i kombination med bristande känsla av kontroll vilket kan orsaka en psykisk ohälsa som kan resultera i ångest och depression. Det påverkar sjuksköterskans prestationsförmåga som drabbar organisationen negativt då vårdskador och dödligheten hos patienter ökar. Syftet med litteraturstudien var att beskriva sjuksköterskans upplevelse av stress på arbetsplatsen relaterat till ohälsa. Studien baserades på 13 vetenskapliga artiklar som svarade mot syftet. Resultatet innefattade tre huvudkategorier; upplevelser av mänskliga faktorer, upplevelser av organisatoriska faktorer och upplevelsen av den egna ohälsan, samt nio underkategorier. Sjuksköterskans upplevelse av stress skapades av bristande kunskap, hög arbetsbelastning, kollegiala konflikter, oregelbundna arbetstider och emotionell utmattning. Den höga arbetsbelastningen inkluderade stor patientvolym, korta vårdtider och den administrativa delen som tog mycket av den patientcentrerade tiden. Arbetstiderna ansågs vara ett stressmoment då övertid som orsakande brist på återhämtning var vanligt förekommande. För att stressen ska kunna reduceras är det av vikt att uppmärksamma mer personalresurser, mindre patientgrupper, längre upplärningstid för de nyutbildade och mer ledarskapsutbildningar till handledare. Forskningen som finns tillgänglig måste nå fram till organisationen för att åtgärder ska sättas in så att sjuksköterskorna vill stanna kvar inom professionen.

  • 1940.
    Wetterholtz, Ingrid
    et al.
    Halmstad University, School of Health and Welfare.
    Nordblom, Ylva
    Halmstad University, School of Health and Welfare.
    Det glömda samtalet: En litteraturstudie om sjuksköterskans samtal kring sexuell hälsa.2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Sexuell hälsa är ett område inom omvårdnad som kan vara utmanande och kan ställa

    krav på att bemötandet bör ske utifrån patientens förutsättningar. Välbefinnande och

    sexuell hälsa ingår som komponenter i holistisk omvårdnad men det är endast hälften

    av sjuksköterskorna som känner sig trygga att ta upp ämnet. Syftet med

    litteraturstudien var att beskriva hindrande och främjande faktorer som kan påverka

    huruvida sjuksköterskan samtalar om sexuell hälsa med patienten. Vetenskapliga

    artiklar samlades in genom strukturerade sökningar i databaser utifrån studiens syfte

    och resulterade i tio artiklar som bearbetades. Resultatet beskrivs i tre olika teman,

    kunskap, attityder och arbetsmiljö. Resultatet visar att sjuksköterskor uppger att de

    har kunskap om hur olika sjukdomar eller behandlingar kan påverka sexuell hälsa

    men över häften av sjuksköterskorna gav ingen information eller rådgivning i ämnet.

    Hindrande faktorer som framkom, var brist på kunskap om hur ämnet skall tas upp,

    samt attityder, rutiner, tidsbrist och brist på avskilt utrymme. Främjande faktorer var

    utbildning, erfarenhet, rutiner, möjligheten till kontinuitet mellan sjuksköterskan och

    patienten samt att patienten för ämnet på tal. Litteraturstudiens resultat tyder på att

    fortsatt omvårdnadsforskning behövs om hur patienten upplever problem med sexuell

    hälsa, till följd av sjukdom och behandling, samt om omhändertagandet i vården.

  • 1941.
    Wiberg, Alexandra
    Halmstad University, School of Health and Welfare.
    Football Fitness as an activity for healthpromotion among women: A mixed methodstudy2019Independent thesis Advanced level (degree of Master (One Year))Student thesis
    Abstract [sv]

    Bakgrund: Tidigare forskning visade attd 23 % vuxna och 81% av tonåringar över hela världen inte uppfyllede rekommendationerna för fysisk aktivitet 2010. Fysisk inaktivitet är relaterat till ökad risk för sämre hälsa och att drabbas av livsstilssjukdomar. Fotboll Fitness är ett relativt nytt koncept av organiserad fysisk aktivitet med måttlig och hög intensitet. Träningsformen kombinerar styrka och kondition som passar alla åldrar och könstillhörighet oavsett tidigare fotbollserfarenheter eller fysisk förmåga. Att vara en del av en grupp och etablera sociala relationer har visats vara relaterat till förbättrat välbefinnande samt var en av huvudfaktorerna till deltagande. Syftet med studien var därför att undersöka om deltagande i Fotboll Fitness var relaterat till positiva förändringar av psykisk hälsa och välbefinnande samt att sträva efter att utforska och skap en förståelse för kvinnors erfarenheter av deltagandet.

     Metod: Kvinnorna (N=18) i åldern 15 till 54 år medverkade i en 6 veckors intervention, 2 träningspass i veckan, á 90 minuter. Följande inklusionskriterier användes för att genomföra urvalet: (1) bör var mindre fysisk aktiva än 150 minuter i veckan, (2) hade inte spelat organiserad fotboll under de 10 senaste åren och (3) var inte kliniskt diagnostiserade med psykisk ohälsa. Studien genomfördes med en mixad metod genom en experimentell design som involverade tre tidpunkter för att mäta kvinnors upplevda välbefinnande, aktuella fysiska funktioner, socialt kapital och om deltagande i Fotboll Fitness upplevdes som meningsfullt. Vidare genomfördes fokusgruppsintervjuer efter avslutad intervention. Kvantitativ data analyserades genom Bayesian repeated measures analysis of variance (R-ANOVA) och ett one pair sample t-test användes som statistiska tester i analysen och utfördes i JASP. Kvalitativ data analyserades genom en kvalitativ innehållsanalys med en induktiv ansats.

    Resultat: Resultatet av den kvantitativa analysen visade att Fotboll Fitness hade en positiv inverkan på kvinnors välbefinnande (BF10=3659.057), och sociala kapital (BF10=831.785) över tid. Vidare visade resultatet att kvinnor som deltog upplevde att det var meningsfullt att delta i Fotboll Fitness (BF10=2.570e+6). Analysen visade stöd för nollhypotesen gällande att Fotboll Fitness ska ge effekt på kvinnors nuvarande upplevda vardagsfunktioner (BF10=.0576). Det kvalitativa resultatet visade att kvinnor upplevde trygghet, gemenskap, tillfredsställelse och glädje under deltagandet vilket skapade ett mervärde för kvinnor utan tidigare erfarenheter av fotboll.

    Slutsats: Resultatet från föreliggande studie stödjer hypotesen om att Fotboll Fitness bidrar till positiva förändringar av psykisk hälsa och välbefinnande. Kvinnorna som deltog i studien upplevde trygghet, gemenskap, tillfredsställelse och glädje i deltagandet vilket är faktorer som bidrar till en ökad hälsa och ett ökat välbefinnande. Resultatet från studien visade att kvinnorna värdesatte gruppträning där de fick möjlighet att skapa sociala relationer i samband med träningen och att det var positivt med en inkluderande tränare och grupp som skapade en trygg miljö. Dessa faktorer bidrog till att kvinnor som deltog upplevde att deltagandet i Fotboll Fitness tillförde ett mervärde vilket indikerar att ytterligare studier bör undersöka sambandet mellan Fotboll Fitness och livstilsprediktorer .

  • 1942.
    Wiberg, Alexandra
    et al.
    Halmstad University, School of Health and Welfare.
    Bergman, Daniel
    Halmstad University, School of Health and Welfare.
    RELATIONEN MELLAN AUTONOMISTÖD OCH FYSISK AKTIVITET: En kvantitativ studie baserad på elever i årskurs 92015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of the study was to examine, in a population of ninth grade high-school students,whether autonomy support from parents and the fulfilment of basic psychological needspredicted participation in physical activity both in leisure time and in PE classes. Based onprevious research we hypothesised that autonomy support would have an indirect effect onparticipation in physical activity in leisure time and school sports through the psychologicalbasic needs.The study involved 193 students from ninth grade in the Swedish school system.Mediation analyses were performed to investigate the stated hypotheses. The results showedthat a positive indirect effect from autonomy support on participation in physical activity inleisure time through psychological basic needs. Further there was no statistically significantcorrelation between autonomy support, basic needs and participation in PE classes.Based on this study we concluded that autonomy supports as well as the psychologicalbasic needs are two important factors to focus on to get high-school students to be physicallyactive.

  • 1943.
    Wiberg, Anna
    Halmstad University, School of Social and Health Sciences (HOS).
    Stressrelaterad ohälsa hos föräldralösabarn och ungdomar i länder utanför Europa2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: There are 143 million orphans and adolescentsaround the world today. They have lost an important protection in their lives. The protection a genetic parent is expected to provide is the best for the child or adolescent to survive.Purpose:The purpose of this study was to illuminate factors thattrigger stress-related illness among orphans in countries outside Europe.Method:This paper is performed as a literature study and it isbased upon 12 scientific articles.Results:A total of three themes are presented which were; Care,witnessed violence and the feeling of powerlessness. Common to the three themes is that they showed how the situation and health is of orphaned children and adolescents. Stress occurred for example at times when they had witnessed a serious incident which changed their life situation.They experienced negative attitudes from society which made it difficult for the orphaned children and adolescents to have a normal life.Implication:This knowledge can be used to create a supportiveenvironment for the children and adolescents. More information to guardians and concerned organizations about health promotion is also an appropriate measure. 

  • 1944.
    Widén, Louise
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Andersson, Emma
    Halmstad University, School of Social and Health Sciences (HOS).
    Den som inget frågar, får inget veta: Sjuksköterskors professionella möte med våldsutsatta kvinnor2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Våld mot kvinnor är ett stort problem i dagens samhälle. Våldet har stora effekter på kvinnors hälsa och sjukvården har ett optimalt läge i att upptäcka och hjälpa kvinnorna ur våldssituationen. Sjuksköterskan är ofta den första inom vården som möter kvinnorna. Möten med våldsutsatta kvinnor omges av utmaningar för sjuksköterskan både på ett professionellt och personligt plan. Syftet med studien var att belysa bemötande och omhändertagande av våldsutsatta kvinnor ur ett sjuksköterskeperspektiv. Utifrån analys av 12 vetenskapliga artiklar framkom fyra faktorer som arbetets resultat bygger på. För att sjuksköterskor skall vårda våldsutsatta kvinnor på ett optimalt vis behövs kunskap om våld, ett bra förhållningssätt gentemot patienten, god hantering av egna känslor samt förståelse av miljöns betydelse. Samtliga faktorer har ett stort samband med varandra och är grundläggande för sjuksköterskor i mötet med våldsutsatta kvinnor. Pågående forskning inriktas på att fördjupa kunskap och insatsmetoder för organisationer och myndigheter i bekämpandet av våld. Grundutbildningen för sjuksköterskor borde inkludera undervisning om våld i närarelation och förbereda sjuksköterskor för att kunna hantera den emotionella press som kan uppstå i mötet med våldsdrabbade kvinnor. 

  • 1945.
    Wieslander, Inger
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Cardiac rehabilitation in hospital and at home: a long-term study from the perspective of women who have suffered their first myocardial infarction2004Licentiate thesis, comprehensive summary (Other academic)
    Abstract [en]

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

  • 1946.
    Wieslander, Inger
    et al.
    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.
    Mårtensson, Jan
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Cardiac Rehabilitation Nurses’ Experiences of Factors Influencing Female Patients’ Recovery After Their First Myocardial Infarction2013In: European Journal of Cardiovascular Nursing, London: Sage Publications, 2013, Vol. 12, p. S77-S78Conference paper (Refereed)
    Abstract [en]

    Introduction

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

    Purpose

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

    Method

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

    Conclusions

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

  • 1947.
    Wieslander, Inger
    et al.
    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 Jönköping.
    Mårtensson, Jan
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Female patients' recovery after their first myocardial infarction2013Conference paper (Refereed)
    Abstract [en]

    Introduction

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

    Purpose

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

    Method

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

    Conclusions

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

  • 1948.
    Wieslander, Inger
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Mårtensson, Jan
    Högskolan Jönköping, Jönköping, Sverige.
    Fridlund, Bengt
    Högskolan Jönköping, Jönköping, Sverige.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Factors influencing female patients’ recovery after their first myocardial infarction as experienced by cardiac rehabilitation nurses2013In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 3, no 2, p. 230-240Article in journal (Refereed)
    Abstract [en]

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

  • 1949.
    Wieslander, Inger
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Jönköping University, Jönköping, Sweden.
    Mårtensson, Jan
    Jönköping University, Jönköping, Sweden.
    Fridlund, Bengt
    Jönköping University, Jönköping, Sweden.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Women’s experiences of how their recovery process is promoted after a first myocardial infarction: Implications for cardiac rehabilitation care2016In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, article id 30633Article in journal (Refereed)
    Abstract [en]

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

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

    Methods: A qualitative content analysis was used.

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

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

  • 1950.
    Wikander, Robert
    et al.
    Halmstad University, School of Business and Engineering (SET), Biological and Environmental Systems (BLESS), Biomechanics and Biomedicine.
    Augustsson, Johan
    Halmstad University, School of Business and Engineering (SET), Biological and Environmental Systems (BLESS), Biomechanics and Biomedicine.
    Kan ett nyutvecklat handledsstöd förbättra möjligheterna för funktionell träning av övre extremiteten för reumatiker?: En SEMG-studie2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In a general rehabilitation phase weight training is an important part because of muscle weakness may contribute lower functional ability and could lead to decreasing movement patterns. Limited range of motion (ROM) in the upper extremity is a contributing factor to individuals unable to perform everyday activities. Several studies have documented that patients with rheumatoid arthritis (RA) have impaired hand function due to reduced grip strength and limitations in ROM. Functional training is designed to strengthen the weak muscles that cause imbalance or pain while your body becomes more mobile. Using everyday movements and implement them with training will make the training more functional. The purpose of this study was to develop and evaluate a new wrist support that increases the possibilities to functional training of upper extremities for rheumatoid arthritis patients.

    The study involved 27 women, 8 were diagnosed with RA and 19 healthy subjects. The average age was 38 year (20-73year). Muscle activity in m. trapezius and m. rhomboideus was measured using surface electromyography (sEMG) in three exercises to compare the differences between both RA and healthy, and with and without a developed product.

    The results showed that it was possible to perform functional training of upper extremities without using the hand grip strength. There were no significant differences in muscle activity in m. trapezius and m. rhomboideii with or without the product. The results also showed that rheumatic muscles are not different from healthy muscles. The participants' subjective opinions were very positive there 24 of 27 participants found it easier to carry out the exercise

    with the product and 9 of 27 felt it was easier to focus on exercise.

    The study resulted in a new wrist support that allows functional training of m.trapezius and m.rhomboideus for patients with rheumatoid arthritis.

363738394041 1901 - 1950 of 2006
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