hh.sePublikasjoner
Endre søk
Begrens søket
3637383940 1901 - 1950 of 1981
RefereraExporteraLink til resultatlisten
Permanent link
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Treff pr side
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sortering
  • Standard (Relevans)
  • Forfatter A-Ø
  • Forfatter Ø-A
  • Tittel A-Ø
  • Tittel Ø-A
  • Type publikasjon A-Ø
  • Type publikasjon Ø-A
  • Eldste først
  • Nyeste først
  • Skapad (Eldste først)
  • Skapad (Nyeste først)
  • Senast uppdaterad (Eldste først)
  • Senast uppdaterad (Nyeste først)
  • Disputationsdatum (tidligste først)
  • Disputationsdatum (siste først)
  • Standard (Relevans)
  • Forfatter A-Ø
  • Forfatter Ø-A
  • Tittel A-Ø
  • Tittel Ø-A
  • Type publikasjon A-Ø
  • Type publikasjon Ø-A
  • Eldste først
  • Nyeste først
  • Skapad (Eldste først)
  • Skapad (Nyeste først)
  • Senast uppdaterad (Eldste først)
  • Senast uppdaterad (Nyeste først)
  • Disputationsdatum (tidligste først)
  • Disputationsdatum (siste først)
Merk
Maxantalet träffar du kan exportera från sökgränssnittet är 250. Vid större uttag använd dig av utsökningar.
  • 1901.
    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
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsofrämjande processer.
    Symptoms and Signs in Interpreting Gamma-hydroxybutyrate (GHB) Intoxication – An Explorative Study2014Inngår i: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, ISSN 1757-7241, E-ISSN 1757-7241, Vol. 22, artikkel-id 27Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 1902.
    Weman Josefsson, Karin
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Back, Jenny
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Motivational perspectives of a community based electric bike project in Sweden2018Inngår i: Abstract book for the ISBNPA 2018 Annual Meeting in Hong Kong, 2018, s. 134-135Konferansepaper (Fagfellevurdert)
    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.

  • 1903.
    Weman Josefsson, Karin
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Back, Jenny
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Motivational perspectives of a community based electric bike project in Sweden.2018Inngår i: Abstract book Advancing Behaviour Change Science. International Society of Behavioral Nutrition and Physical Activity. Hong kong, China, June 3-6, 2018., 2018Konferansepaper (Fagfellevurdert)
    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.

  • 1904.
    Weman Josefsson, Karin
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och idrott.
    Back, Jenny
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och idrott.
    Projekt elcyklist – ett motivationsperspektiv2017Inngår i: 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, s. 39-39Konferansepaper (Fagfellevurdert)
  • 1905.
    Weman Josefsson, Karin
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Back, Jenny
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    The value of motivational theory to influence active transport behaviors – a Swedish example2019Inngår i: The IAFOR Conference series 2019: Independence & Interdependence, Programme & Abstract Book, 2019, s. 107-107Konferansepaper (Fagfellevurdert)
    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.

  • 1906.
    Weman-Josefsson, Karin Anna
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    "e" som i engagemang?: Bilaga till etappen ”Framtidens friskvård, egenvård och jobbhälsa” inom Opinion Hälsa, april 20132013Rapport (Annet (populærvitenskap, debatt, mm))
  • 1907.
    Weman-Josefsson, Karin
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Idrott, hälsa och fysisk aktivitet.
    Jonsson, Linus
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Idrott, hälsa och fysisk aktivitet.
    Johansson, Gunnar
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Idrott, hälsa och fysisk aktivitet.
    FaR har stor utvecklingspotential2014Inngår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 111, nr CZ77Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 1908.
    Weman-Josefsson, Karin
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Wärnestål, Pontus
    Högskolan i Halmstad, Akademin för informationsteknologi, Halmstad Embedded and Intelligent Systems Research (EIS), Människa och Informationsteknologi (MI-lab).
    Johnson, Urban
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Halila, Fawzi
    Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap, Centrum för innovations-, entreprenörskaps- och lärandeforskning (CIEL).
    Wickström, Nicholas
    Högskolan i Halmstad, Akademin för informationsteknologi, Halmstad Embedded and Intelligent Systems Research (EIS), CAISR Centrum för tillämpade intelligenta system (IS-lab).
    An interdisciplinary project plan on Digital Innovations and Self-determined Exercise Motivation2013Konferansepaper (Annet vitenskapelig)
  • 1909.
    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
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Hildingh, Cathrine
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (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' experiences2011Inngår i: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 27, nr 4, s. 539-546Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 1910.
    Wennerholm, Anna-Pia
    et al.
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS).
    Jolfson, Annika
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS).
    Omvårdnadsforskningens integrering i det kliniska omvårdnadsarbetet - en systematisk  litteraturstudie2013Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Omvårdnadsforskningen har ökat i takt med att fler sjuksköterskor har en akademisk utbildning. Studier på området har fokuserat på i vilken omfattning sjuksköterskor använder sig av evidensbaserad forskning samt vilka barriärer som finns för användandet. Resultaten är entydiga om att det är svårt att integrera forskningsresultat i det kliniska arbetet. Följden av detta kan bli att kunskap inte når ut i det kliniska omvårdnadsarbetet. Syftet med litteraturstudien var att beskriva omvårdnadsforskningens integrering i det kliniska omvårdnadsarbetet. En systematisk litteraturstudie med integrativ metod genomfördes. I resultatet framkom olika möjligheter till integrering av forskning i klinisk verksamhet. Ett öppet klimat med gemensamma mål för integrering av omvårdnadsforskning samt ett tydligt ledarskap som ger resurser i form av ekonomi, utbildning och tid. För att integreringen av forskning i det kliniska arbetet ska öka behövs ett samarbete mellan universitet/ högskolor och klinisk verksamhet så att sjuksköterskor kan få det stöd som behövs för att utveckla den omvårdnad som ges till patienten. I litteraturen finns få empiriska studier i ämnet varför det vore av intresse att fortsätta utforska detta område.

  • 1911.
    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 perspective2013Inngår i: European Journal of Cancer, ISSN 0959-8049, E-ISSN 1879-0852, Vol. 49, nr Suppl. 2, s. S376-S377Artikkel i tidsskrift (Annet vitenskapelig)
  • 1912.
    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 care2013Inngår i: Journal of Hospice and Palliative Nursing, ISSN 1522-2179, E-ISSN 1539-0705, Vol. 15, nr 1, s. 33-40Artikkel i tidsskrift (Fagfellevurdert)
    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

  • 1913.
    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 Care2014Inngår i: Journal of Hospice and Palliative Nursing, ISSN 1522-2179, E-ISSN 1539-0705, Vol. 16, nr 2, s. 86-92Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 1914.
    Wern, Maria
    Högskolan i Halmstad, Akademin för hälsa och välfärd.
    Omvårdnadsansvarig sjuksköterskas arbetsuppgifter och kompetens2016Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [sv]

    I Sverige lades 121 671 barn in för sjukhusvård år 2014. Var och en av barnen var i behov av en sjuksköterska som var ansvarig för deras omvårdnad, en omvårdnadsansvarig sjuksköterska (OAS). Enligt svensk lagstiftning har alla rätt till en fast vårdkontakt om ett behov uppstår. Syftet med denna studie var att beskriva vilka arbetsuppgifter en omvårdnadsansvarig sjuksköterska inom barnsjukvården har samt vilken kompetens som barnsjuksköterskor anser vara viktig. För att uppnå syftet genomfördes intervjuer med barnsjuksköterskor. Det transkriberade materialet har bearbetats genom en kvalitativ innehållsanalys. Resultatet utmynnade i tre kategorier, vilka speglar de arbetsuppgifter som en OAS har: Kunskap, Teamarbete och Trygghet. De tre kategorierna innefattade arbetsuppgifter såsom att inneha kunskap om barnet, samordna och planera, att vara kontaktperson och att informera. Resultatet bidrar till att belysa en OAS’s arbetsuppgifter för att kunna sprida kunskap om dess roll.

  • 1915.
    Westergården, Malin
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd.
    Aili, Katarina
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). RandD Spenshult, Halmstad, Sweden & Karolinska Institutet, Unit of occupational medicine, Institute of Environmental Medicine, Stockholm, Sweden.
    Larsson, Ingrid
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (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 balancing2019Inngår i: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 78, nr Suppl 2, s. 1063-1064Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 1916. 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 poäng / 15 hpOppgave
    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.

  • 1917.
    Wetterholtz, Ingrid
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd.
    Nordblom, Ylva
    Högskolan i Halmstad, Akademin för hälsa och välfärd.
    Det glömda samtalet: En litteraturstudie om sjuksköterskans samtal kring sexuell hälsa.2016Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    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.

  • 1918.
    Wiberg, Alexandra
    Högskolan i Halmstad, Akademin för hälsa och välfärd.
    Football Fitness as an activity for healthpromotion among women: A mixed methodstudy2019Independent thesis Advanced level (degree of Master (One Year))Oppgave
    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 .

  • 1919.
    Wiberg, Alexandra
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd.
    Bergman, Daniel
    Högskolan i Halmstad, Akademin för hälsa och välfärd.
    RELATIONEN MELLAN AUTONOMISTÖD OCH FYSISK AKTIVITET: En kvantitativ studie baserad på elever i årskurs 92015Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    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.

  • 1920.
    Wiberg, Anna
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS).
    Stressrelaterad ohälsa hos föräldralösabarn och ungdomar i länder utanför Europa2011Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Introduktion: Det beräknas finnas 143 miljoner föräldralösa barnoch ungdomar i världen. Dessa barn och ungdomar har förlorat ett viktigt skyddi sitt liv. Det skydd en genetisk besläktad förälder förväntas ge är det bästaför att barnet eller ungdomen ska överleva.

    Syftet:Syftet med studien var att belysa faktorer som utlöser stressrelaterad ohälsa blandföräldralösa barn och ungdomar i länder utanför Europa.

    Metod: Studien är utförd som en litteraturstudie och baseras på 12vetenskapliga artiklar.

    Resultat:Totalt kunde tre teman urskiljas vilka var; omvårdnad, bevittnat våld och känslaav maktlöshet. Gemensamt för de tre teman är att de visade hur situationen ochhälsan är hos föräldralösa barn och ungdomar. Stress uppkom till exempel vid tillfällen när barneneller ungdomarna bevittnat en svår händelse som på något sätt förändrat deras livssituation.Negativa attityder från samhället gjorde det svårt för och barnen ochungdomarna att ha ett normalt liv.

    Implikation: Dennakunskap kan användas till att skapa stödjande miljöer för barnen ochungdomarna. Mer information tillberörda vårdnadshavare och organisationer angående hälsofrämjande insatser ärockså en lämplig åtgärd.

  • 1921.
    Widén, Louise
    et al.
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS).
    Andersson, Emma
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS).
    Den som inget frågar, får inget veta: Sjuksköterskors professionella möte med våldsutsatta kvinnor2011Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    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. 

  • 1922.
    Wieslander, Inger
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Cardiac rehabilitation in hospital and at home: a long-term study from the perspective of women who have suffered their first myocardial infarction2004Licentiatavhandling, med artikler (Annet vitenskapelig)
    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.

  • 1923.
    Wieslander, Inger
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Fridlund, Bengt
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Mårtensson, Jan
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Cardiac Rehabilitation Nurses’ Experiences of Factors Influencing Female Patients’ Recovery After Their First Myocardial Infarction2013Inngår i: European Journal of Cardiovascular Nursing, London: Sage Publications, 2013, Vol. 12, s. S77-S78Konferansepaper (Fagfellevurdert)
    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.

  • 1924.
    Wieslander, Inger
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Fridlund, Bengt
    School of Health Sciences, Jönköping University, Jönköping, Sweden Jönköping.
    Mårtensson, Jan
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Female patients' recovery after their first myocardial infarction2013Konferansepaper (Fagfellevurdert)
    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.

  • 1925.
    Wieslander, Inger
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Mårtensson, Jan
    Högskolan Jönköping, Jönköping, Sverige.
    Fridlund, Bengt
    Högskolan Jönköping, Jönköping, Sverige.
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Factors influencing female patients’ recovery after their first myocardial infarction as experienced by cardiac rehabilitation nurses2013Inngår i: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 3, nr 2, s. 230-240Artikkel i tidsskrift (Fagfellevurdert)
    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. 

  • 1926.
    Wieslander, Inger
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). Jönköping University, Jönköping, Sweden.
    Mårtensson, Jan
    Jönköping University, Jönköping, Sweden.
    Fridlund, Bengt
    Jönköping University, Jönköping, Sweden.
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsofrämjande processer.
    Women’s experiences of how their recovery process is promoted after a first myocardial infarction: Implications for cardiac rehabilitation care2016Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, artikkel-id 30633Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 1927.
    Wikander, Robert
    et al.
    Högskolan i Halmstad, Sektionen för ekonomi och teknik (SET), Bio- och miljösystemforskning (BLESS), Biomekanik och biomedicin.
    Augustsson, Johan
    Högskolan i Halmstad, Sektionen för ekonomi och teknik (SET), Bio- och miljösystemforskning (BLESS), Biomekanik och biomedicin.
    Kan ett nyutvecklat handledsstöd förbättra möjligheterna för funktionell träning av övre extremiteten för reumatiker?: En SEMG-studie2011Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    I en generell rehabiliteringsfas så är styrketräning en viktig del på grund av att muskelsvaghet kan bidra till nedsatt funktion och det leder till avvikande rörelsemönster. Begränsad range of motion (ROM) i övre extremiteten är en bidragande faktor till att individer inte kan utföra vardagliga aktiviteter. Flera studier har dokumenterat att patienter med reumatoid artrit (RA) har försämrad handfunktion på grund av nedsatt greppstyrka och inskränkningar i ROM.

    Funktionell träning är till för att stärka upp de svaga musklerna som orsakar obalansen eller smärtan samtidigt som kroppen blir rörligare. Genom att använda sig av vardagliga rörelser och implementera dem med träningen så görs träningen mer funktionell. Syftet med studien var att utveckla och utvärdera ett nytt handledsstöd för att öka möjligheterna till funktionell träning av övre extremiteterna för reumatiker.

    I studien deltog 27 kvinnor varav 8 stycken med diagnosen RA och 19 stycken friska. Medelåldern var 38år (20-73år). Muskelaktiviteten i m. trapezius och m. rhomboideus mättes med hjälp av ytelektromyografi (sEMG) under tre övningar för att jämföra skillnaderna mellan både RA och friska, samt med och utan framtagen produkt.

    Resultaten visade att det går att träna övre extremiteten utan behöva använda handens greppstyrka. Det var ingen signifikant skillnad i muskelaktivitet i m. trapezius och m. rhomboideus med eller utan produkt. Resultaten visade även att reumatisk muskulatur inte skiljer sig från frisk. Deltagarnas subjektiva uppfattning var mycket positiv där 24 av 27 deltagare upplevde det som enklare att genomföra övningen med produkten och 9 av 27 upplevde det enklare att fokusera på övningen.

    Studien har resulterat i ett nytt handledsstöd som möjliggör funktionell träning av m.trapezius och m.rhomboideus för reumatiker.

  • 1928.
    Wikström, Ingegerd
    et al.
    Department of Rheumatology, Malmö University Hospital, Sweden.
    Arvidsson, Barbro
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Nilsson, Käth
    Department of Rheumatology, Malmö University Hospital, Sweden.
    Roos, Ewa
    Department of Orthopaedics, Clinical Sciences, Lund University, Sweden.
    Jacobsson, Lennart
    Department of Rheumatology, Malmö University Hospital, Sweden.
    Reliability, validity and responsiveness of a new leisure index: The Patient-Specific Leisure Scale (PSLS)2009Inngår i: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 7, nr 3, s. 178-193Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives:

    To investigate the reliability, validity and responsiveness of a new Patient-Specific Leisure Scale (PSLS), constructed to identify goals and outcomes for individual patients with rheumatoid arthritis (RA).

    Methods:

    Forty-nine patients with RA were used to evaluate test-retest reliability, and 100 consecutive RA patients were used for construct validity. Twenty-five RA patients, commencing with treatment on tumour necrosis factor (TNF) inhibitors, were evaluated before the start and after three months of therapy, to test responsiveness. The most important leisure activity (as judged by the patients) was used when evaluating reliability and validity. The perceived difficulty with each activity was scored from 0 to 10 (0 = able to perform activity without difficulty, 10 = unable to perform activity).

    Results:

    Test-retest reliability indicated a good agreement (0.62-0.87) using weighted kappa. Construct validity was demonstrated by modest positive correlation between leisure activity and Health Assessment Questionnaire (HAQ) (rs = 0.27, p = 0.005) visual analogue scale (VAS) pain (rs = 0.28, p = 0.004) VAS global (rs = 0.22, p = 0.027), VAS fatigue (rs = 0.24, p = 0.013), joint index of 28 swollen joints (rs = 0.22, p = 0.027) and negative correlations with short-form-36 (SF-36) physical functioning (rs = -0.18, p = 0.008), bodily pain (rs = -0.31, p < 0.001), general health (rs = -0.23, p = 0.019), vitality (rs = -0.31, p < 0.001), social function (rs = -0.24, p = 0.016) and role-emotional (rs = -0.28, p = 0.005). Mean improvement for the most important leisure activity was 1.36, (p = 0.036, 95% confidence interval 0.10-2.62). Standardized response mean and effect size for the most important activity in PSLS was 1.05 and 0.72, respectively, and for HAQ 0.34 and 0.28, respectively.

    Conclusions:

    PSLS appears to be feasible, reliable, valid and responsive for measuring leisure activities in RA. It provides both an individual result which is useful in clinical work, and results at a group level.

  • 1929.
    Wikström, Ingegerd
    et al.
    Department of Rheumatology, Malmö University Hospital, Sweden.
    Jacobsson, Lennart
    Department of Rheumatology, Malmö University Hospital, Sweden.
    Arvidsson, Barbro
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    How people with rheumatoid arthritis perceive leisure activities: A qualitative study2005Inngår i: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 3, nr 2, s. 74-84Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: To explore how people with rheumatoid arthritis (RA) perceive leisure activities. METHOD: A phenomenographic approach using semi-structured interviews to explore the impact of RA on leisure pursuits was used. RESULTS: Three descriptive categories containing 11 conceptions emerged: (1) Experiencing constraints included four conceptions: seeing limitations, needing time, finding balance, being dependent. (2) Experiencing coherence included four conceptions: accepting feelings participating in a social context, being active, having insight. (3) Finding solutions included three conceptions: choosing, planning, and adapting. CONCLUSIONS: This study emphasizes the limited choices and problems people with RA had participating in leisure activities, as well as its impact on self-esteem.

  • 1930.
    Wilhsson, Marie
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Ungdomars strävan mot att lyckas och nå framgång i livet – skolan som hälsofrämjande arena2016Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [sv]

    Syfte: Avhandlingens övergripande syfte var att öka kunskapen om perspektiv på ungdomars hälsa som utgångspunkt för att utveckla hälsofrämjande insatser i skolan.

    Metod: Studie I hade en kvantitativ beskrivande tvärsnittsdesign. Datamaterialet inhämtades från 948 ungdomar (11-15 år) som analyserades med multivariat logistik regressionsanalys. Studie II hade en kvalitativ utforskande design. Datamaterialet inhämtades från 117 ungdomar (14-17 år) och analyserades med grundad teori. Studie III hade en kvalitativ beskrivande design. Datamatmaterialet inhämtades från 42 ungdomar (14-15 år) och analyserades med kvalitativ innehållsanalys. Studie IV hade en kvalitativ beskrivande design. Datamaterialet inhämtades från 27 intressenter och analyserades med kvalitativ innehållsanalys.

    Resultat: Ungdomarna strävar mot att lyckas och att bli framgångsrika i nuet och i framtiden. En strävan som för ungdomarna upplevs som en kamp om sin tid, en kamp som de hanterar genom att använda sig av olika strategier för att balansera skolarbete och fritid. Flickors strävan handlar om att nå framgång i skolan för att bli självständig i framtiden. För pojkarna innebär framgång att bli framgångsrika inom någon av sina fritidsaktiviteter så som sport, som visar deras fysiska styrka. Framgång i nuet är av betydelse för pojkarna till skillnad från flickorna som ser på sin framgång i ett längre perspektiv. Det hälsofrämjande arbetet bör inrikta sig på att stödja ungdomars känsla av sammanhang och stärka optimism redan tidigt i tonåren samt synliggöra organisatoriska och kontextuella strukturer och normer som påverkar flickors och pojkars hälsa och livsstil.

    Konklusion:Sammanfattningsvis visar avhandlingen att perspektiv på ungdomars hälsa bör förstås på olika nivåer i samhället och också inkluderar perspektiv på kön. Vidare bör faktorer som är av betydelse för ungdomars livsstil diskuteras utifrån ett salutogent perspektiv och det hälsofrämjande arbetet i skolan bör utveckla insatser med kontextuella och könsspecifika utgångspunkter för att främja flickors och pojkars hälsa och livsstil.

  • 1931.
    Wilhsson, Marie
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsofrämjande processer.
    Carlsson, Ing-Marie
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsofrämjande processer.
    Högdin, Sara
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Nygren, Jens
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsofrämjande processer.
    Handling Demands of Success Among Girls and Boys in Primarly School: A Conceptual Model2017Inngår i: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 33, nr 4, s. 316-325Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Stress among adolescents in Western societies is becoming an issue of increasing concern, and the global trend of adolescents’ health shows a gradual deterioration that is independent of national differences and increases with age. The aim of this study was to explore the main concern of adolescents and about how they cope with demands in everyday life. Participants were 14–16 years old, and data were collected from three sources. A constructivist grounded theory was used as a method for generating a model of the adolescents’ description of how they cope with demands in their everyday lives. The main concern described by participants in this study was to strive to be successful and to succeed in the present and throughout their lives. We conclude that differences between girls and boys, in terms of coping with demands in their everyday lives, are important to consider in the development of health promotion initiatives targeted at adolescents. © The Author(s) 2016

  • 1932.
    Wilhsson, Marie
    et al.
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Svedberg, Petra
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Högdin, Sara
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Nygren, Jens
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Halmstad project – a participatory intervention to promote children's mental health2013Inngår i: 21st International Conference on Health Promoting Hospitals and Health Services: Abstract book, Copenhagen: WHO-CC , 2013, s. 123-123Konferansepaper (Annet vitenskapelig)
  • 1933.
    Wilhsson, Marie
    et al.
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Svedberg, Petra
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Högdin, Sara
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Nygren, Jens
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Halmstadprojektet – en deltagarstyrd intervention för att främja barns psykiska hälsa2013Konferansepaper (Annet vitenskapelig)
  • 1934.
    Wilhsson, Marie
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsofrämjande processer.
    Högdin, Sara
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Nygren, Jens
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsofrämjande processer.
    Handling demands on success among girls and boys in primarly school – a conceptual model2016Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Background: Stress among adolescents in Western societies is becoming an issue of increasing concern and the global trend of adolescents’ health shows a gradual deterioration that is independent of national differences and increases with age. Research shows that many adolescents report high levels of stress, associated with a change in expectations about performance and an increased focus on school results.

    Purpose/methods: The aim of this study was to explore the main concern of adolescents to get a deeper knowledge on how they cope with demands in everyday life. Grounded theory was used as a method to generate a model.

    Results: The core category “striving to be successful and to succeed” explains participants’ main concern in their everyday lives as a continuous process aiming for success in the present and to succeed throughout their lives. The category is what the participants describe as a race against time and can be divided into the two conceptual categories “struggling with time” and “separating life into different worlds”, pronouncing how they struggle and cope with their main concern in order to obtain wellbeing. Our results show a difference between how girls and boys cope with their demands.

    Conclusions: We show that girls and boys used different strategies to cope with stress in their everyday life. The results are based on adolescent’s experiences and are therefore an important contribution for initiating interventions aimed at promoting adolescents mental health from a gender perspective.

  • 1935.
    Wilhsson, Marie
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Högdin, Sara
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Nygren, Jens M.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Girls and boys strategies to handle and cope with school-related stress2016Inngår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 26, nr Suppl. 1, s. 221-221Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    A trend of increased stress and deteriorating mental health of adolescents is a global challenge (Currier et al, 2012). Research shows that many adolescents report high levels of stress associated with an increased focus on school performance (Moknes et al, 2014). These demands generally have a stronger impact on girl’s health (Låftman & Modig, 2013) due to context and social construction of norms, values and beliefs about femininity and masculinity (Connell, 2002; Butler, 1999). The aim was to get a deeper understanding of girls and boys perceptions of how they handle demands and school-related stress.

    Methods

    This study has an explorative design and was analyzed by qualitative content analysis described by Graneheim and Lundman (2004). The participants were 42 adolescents 15 years old, interviewed in five focus groups, dived by gender from five randomly selected schools. Two additional gender mixed focus groups with 14 adolescents 15 years old, were recruited from two of the randomly selected schools.

    Results

    The results show that girls and boys handle school-related stress by using similar strategies, but in different ways. Girls express that they have to prioritize to deselect activities they use to do to handle demands from school, and boys prioritize their own activities to obtain strength to cope with demands. Girls often think about their future while boys more often live in present time, and don’t worry so much about the future. Girls receive social support and recovery from friends and family, while boys do various activities with their friends and family to get energy.

    Conclusions

    This study shows that girls and boys used different strategies to handle demand and school-related stress. The results are based on adolescent’s experiences and could therefore be an important foundation for interventions that promote adolescents capabilities to cope with increasing demands and to handle school-related stress.

    Key messages:

    • This study shows that girls and boys perceived and used different strategies to handle demand and school-related stress

    • The result is an important foundation for interventions that promote adolescents capabilities to cope with increasing demands and to handle school-related stress

    © The Author 2016.

  • 1936.
    Wilhsson, Marie
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Högdin, Sara
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Nygren, Jens M.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Strategies of Adolescent Girls and Boys for Coping With School-Related Stress2017Inngår i: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 33, nr 5, s. 374-382Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Stress among adolescents in Western societies is becoming an issue of increasing concern of adolescent’s health. The aim of this study was to gain greater knowledge about how girls and boys perceive and cope with school-related stress. Participants were 14- to 15-year-old adolescents from a medium-sized municipality in southern Sweden. The data were collected from focus group interviews. The data were subjected to qualitative content analysis. The findings show that adolescents ‘‘prioritizing the future or the present by making choices, finding their own private sphere to relax, and recovering with family and friends.’’ There were gender differences in how these strategies were used. The findings could be used for initiating and planning health promotion interventions in school with focus on supporting girls’ and boys’ equal terms to cope with school-related stress in present and for the future and to give equal condition for future studies and opportunities in life. © The Author(s) 2016

  • 1937.
    Wilhsson, Marie
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Nygren, Jens M.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    A stakeholder perspective on adolescents' needs for support to cope with school-related stressManuskript (preprint) (Annet vitenskapelig)
    Abstract [en]

    Background; Adolescents’ experiences of stress have increased in recent decades and is associated with an increase of psychosomatic symptoms and poorer academic achievement. Identification of ways to support adolescents’ handling of school related stress is a major challenge to promote their health and academic achievement. The purpose of this study was to describe the stakeholder’s perspectives on services that are needed for supporting adolescents in secondary school when coping with school-related stress.

    Methods; Representatives from the school health service and school management organization (n=23) from five secondary schools and parents (n=4) were recruited by snowball sampling. Interviews were analyzed by qualitative content analysis with an inductive approach.  

    Results; The study highlight different aspects of stakeholders’ perceptions of what is needed to support adolescents who experience school-related stress. Described are actions such as highlighting and changing organizational and contextual structures and developing the dialogue between the school and the home. Other described actions are to support adolescents’ abilities to plan and visualizing how time is used and to strengthen their adolescents’ belief in their own abilities.

    Conclusions; Our findings could be used in schools for developing interventions from a salutogenic approach to promote adolescents’ health in the present and for the future.

  • 1938.
    Wiman, Virginia
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS).
    Småföretagares upplevelser av företaget som en hälsofrämjande arena2011Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Hälsofrämjande insatser på arbetsplatsen leder till bättre hälsa, ökad arbetsmoral, högre produktivitet och minskad sjuk­frånvaro. Ledarskapet har stor betydelse för de anställdas hälsa och behovet av hälsofrämjande arbete är som störst på mindre företag eftersom de har begränsad tillgång till företagshälso­vård och ofta bristande kunskaper och resurser för att hantera arbetsmiljö­problem. En kvalitativ ansats användes och 10 chefer på små företag intervjuades för att beskriva hur chefer på små företag upplever företaget som en hälso­främjande arena för de anställda. Informanterna valdes via ett ändamåls­enligt urval och maximal variation eftersträvades. Insamlad data analys­erades med hjälp av innehålls­analys. Resultatet beskrivs i huvud­kategorierna: ser arbetsplatsen som en arena, ser möjlighet att främja medarbetarnas hälsa och ser behov av externt stöd. Det övergripande temat för resultatet var; Hälsofrämjande ledarskap för att företaget ska upplevas som en hälsofrämjande arena. Slutsatserna var att chefer har en nyckelroll i det hälsofrämjande arbetet på arbetsplatsen och att det finns ett behov av externt stöd för att stötta cheferna. För att utveckla hälsofrämjande arbets­platser behövs en samlad strategi där arbetsgivare, arbetstagare och samhället strävar mot samma mål.

  • 1939.
    Wiman, Virginia
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Lydell, Marie
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Nyholm, Maria
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Views of the workplace as a health promotion arena among managers of small companies2016Inngår i: Health Education Journal, ISSN 0017-8969, E-ISSN 1748-8176, Vol. 75, nr 8, s. 950-960Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction: Several studies have shown that workplace health promotion leads to better health, increased productivity, as well as reduced absenteeism and presenteeism among employees. The objective of this study was to describe how managers in small companies (10–19 employees) perceive their company as an arena for promoting employees’ health.

    Method: A sample of 10 managers (four women) was strategically selected. Semi-structured interviews were conducted with each person. Interviews were transcribed and analysed using qualitative content analysis. The analysis focused on both manifest and latent content.

    Results: Three main categories emerged from the analysis: the potential to promote employees’ health, responsibility as an employer and the need for external support. An arena for workplace health promotion is created when managers prioritise health at the workplace.

    Conclusion: Small companies often lack the knowledge and resources to manage health and safety problems and also have less access to occupational health services. This paper highlights the importance of the views of small company managers as resources for the development of health promotion. © 2016 by Health Education Journal

  • 1940.
    Wiman, Virginia
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Idrott, hälsa och fysisk aktivitet.
    Lydell, Marie
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Idrott, hälsa och fysisk aktivitet. Region Halland, Halmstad, Sweden.
    Nyholm, Maria
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Idrott, hälsa och fysisk aktivitet.
    Workplace health promotion; views from managers of small companies2012Inngår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 22, nr Suppl. 2, s. 129-129Artikkel i tidsskrift (Annet vitenskapelig)
    Abstract [en]

    Background: Workplace health promotion leads to better health, high morale, increased productivity and reduced absenteeism among employees. The role of leadership is vital when creating strategies for workplace health promotion. Small companies (less than 50 employees) have increased need for health promotion, as they often lack knowledge and resources to manage health and safety problems. Moreover, small companies have less access to occupational health service. The aim of this study was to describe how managers at small companies perceive their company as an arena for health promotion. 

    Methods: A sample of ten managers (four females) was strategically selected using maximal variation in terms of branch of industry. Semi-structured interviews were conducted. The interviews were transcribed and analyzed using qualitative content analysis. The analysis comprised of both manifest and latent content and triangulation between the authors was used. 

    Results: Three main categories emerged from the analysis; sees the workplace as a possible arena, sees the opportunity to promote employees health and sees a need for external support. More in-depth analysis resulted in six subcategories. The latent content of these categories is described by the theme; Health promotion leadership in order to perceive the company as a health promotion arena. A key factor for workplace health promotion was the manager´s view of health promotion as a beneficial factor for the company. Furthermore, the managers expressed that they could promote employees´ health by organizing health promotion activities and promote a positive psychosocial work environment. The findings showed a need for easily accessible external support to assist managers in their work with health promotion. It is essential that the external support contributes with inspiration and knowledge of health promotion activities, for example by highlighting good practice from other small companies. 

    Conclusions: Using the manager´s view about the workplace as an arena for promoting health can be a step towards strategies for implementing workplace health promotion. However, for the development of healthy organizations it is necessary to have a comprehensive strategy in which employers, employees and society is pursuing the same goal.

  • 1941.
    Winberg, Birgitta
    et al.
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS).
    Fridlund, Bengt
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS).
    Self-reported behavioural and medical changes in women after their first myocardial infarction: a 4-year comparison between participation and non-participation in a cardiac rehabilitation programme2002Inngår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 1, nr 2, s. 101-107Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Women's recovery following a myocardial infarction (MI) has not yet been studied in a thorough manner.

    AIM: Therefore, the aim of this study was to compare women's self-reported behavioural and medical changes, both in those women who voluntarily participated and those women who did not participate in a cardiac rehabilitation programme (CRP).

    METHODS: A non-randomised comparative study design, including pre- (baseline) and post-tests (1 and 4 years after), was implemented in 18 hospitals in Sweden. Consecutively chosen women suffering their first MI (N=240) completed a questionnaire regarding behavioural and medical factors.

    RESULTS: At baseline, significant differences existed between the groups regarding time stress (increased in the CRP group) and hypertension (increased in the non-CRP group). The behavioural factors improved, irrespective of CRP participation or not, with the exception of time stress, which was consistently high in the CRP group both 1- and 4-years after the MI. Regarding the medical factors, the significant difference in hypertension disappeared after 1 year. Four years after the MI, the CRP group reported significantly less rehospitalisation and more interventive cardiology compared to the non-CRP group.

    CONCLUSION: The women benefited from CRP participation in relation to medical factors, but not at all in relation to behavioural factors. Accordingly, randomised clinical trials are necessary to perform in order to determine the effects of a long-term individual-based supportive CRP, performed by well-educated healthcare professionals.

  • 1942.
    Wingerstad, Stina
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd.
    Westerberg, Marie
    Högskolan i Halmstad, Akademin för hälsa och välfärd.
    Motiverande samtal i omvårdnaden av personer med ätstörningar: En bro till den terapeutiska alliansen2016Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [en]

    Eating disorders are characterised as a sustaining disorder of eating and mainly affects young women. Previous research has found that lack of motivation and ambivalence complicates the recovery. From a caring perspective, motivation to change is important for recovery. The aim of the literature review was to illustrate motivational interviewing in the care of people with eating disorders. The study was performed as a literature review through structured searching with critical review of previous research. The literature review found associations between motivational interviewing and improved motivation in people with eating disorders. Motivational interviewing resulted in increased readiness for change and increased commitment in treatment. Motivational interviewing made it possible with openness, honesty and understanding between the nurse and the person with eating disorders; a therapeutic alliance was established. The study found that the therapeutic alliance entailed a mutual cooperation, in which the person found support to develop own resources for recovery. Research on motivational interviewing in the care of people with eating disorders is limited which leads to gaps in knowledge and indicates that further research is motivated. The study indicates that nurses need depth knowledge about eating disorders and motivational interviewing. 

  • 1943.
    Winlöf, Linnea
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd.
    Cardmarker, Lovisa
    Högskolan i Halmstad, Akademin för hälsa och välfärd.
    Sjuksköterskans roll vid fysisk aktivitet på recept: En allmän litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Sjuksköterskan har en betydande roll genom att vidta olika hälsofrämjande insatser som på olika sätt kan minska folkhälsoproblem såsom inaktivitet med syfte att förbättra folkhälsan. Fysisk aktivitet på recept är en metod för att minska stillasittande och främja fysisk aktivitet, vilken bygger på ett patientcentrerat synsätt, där samtalsmetodik och kunskap om motivation samt beteendeförändring är viktiga delar. Syftet med litteraturstudien var att undersöka vilken roll sjuksköterskan har vid fysisk aktivitet på recept. Resultatet är baserat på 11 vetenskapliga artiklar, fem kvalitativa och sex kvantitativa, vilka utmynnade i ett huvudtema; Sjuksköterskans roll och de hinder som finns. De subteman som framkom var; Motivation, Delaktighet, Tid, Kunskap och rutiner samt Externa faktorer. Sjuksköterskans roll är att regelbundet motivera till fysisk aktivitet och få patienten delaktig, samt att skydda och främja hälsa hos alla människor i världen. Tidsbrist, okunskap och bristande rutiner uppges var stora hinder till varför sjuksköterskan inte förskriver fysisk aktivitet på recept. Vidare belyses patientens ekonomi, tillgänglighet, samt samhällets resurser till fysisk aktivitet. Sjuksköterskans motiverande roll och tillämpningen av fysisk aktivitet på recept, är något som bör belysas och tydliggöras i den grundläggande sjuksköterskeutbildningen. Dessutom bör hälso- och sjukvårdspersonal fortsätta poängtera att fysisk aktivitet kan vara ett komplement till medicin. 

  • 1944.
    Winterling, Jeanette
    et al.
    Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden & Center of Haematology, Karolinska University Hospital, Stockholm, Sweden.
    Wiklander, Maria
    Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Micaux Obol, Claire
    Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden & Stress Rehabilitation Research, Department of Clinical Sciences Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
    Lampic, Claudia
    Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Eriksson, Lars E
    Medical Management Center, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden & Department of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden & School of Health Sciences, City University London, London, United Kingdom.
    Pelters, Britta
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och idrott.
    Wettergren, Lena
    Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Development of a Self-Help Web-Based Intervention Targeting Young Cancer Patients With Sexual Problems and Fertility Distress in Collaboration With Patient Research Partners2016Inngår i: JMIR Research Protocols, ISSN 1929-0748, E-ISSN 1929-0748, Vol. 5, nr 2, s. e60-, artikkel-id e60Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: The Internet should be suitable for delivery of interventions targeting young cancer patients. Young people are familiar with the technologies, and this patient group is small and geographically dispersed. Still, only few psycho-educational Web-based interventions are designed for this group. Young cancer patients consider reproductive health, including sexuality, an area of great importance and approximately 50% report sexual problems and fertility-related concerns following cancer treatment. Therefore, we set out to develop a self-help Web-based intervention, Fex-Can, to alleviate such problems. To improve its quality, we decided to involve patients and significant others as research partners. The first 18 months of our collaboration are described in this paper. The intervention will subsequently be tested in a feasibility study followed by a randomized controlled trial.

    Objective: The study aims to describe the development of a Web-based intervention in long-term collaboration with patient research partners (PRPs).

    Methods: Ten former cancer patients and two significant others participated in building the Web-based intervention, using a participatory design. The development process is described according to the design step in the holistic framework presented by van Gemert-Pijnen et al and evaluates the PRPs’ impact on the content, system, and service quality of the planned intervention.

    Results: The collaboration between the research group and the PRPs mainly took place in the form of 1-day meetings to develop the key components of the intervention: educational and behavior change content, multimedia (pictures, video vignettes, and audios), interactive online activities (eg, self-monitoring), and partial feedback support (discussion forum, tailored feedback from experts). The PRPs influenced the intervention’s content quality in several ways. By repeated feedback on prototypes, the information became more comprehensive, relevant, and understandable. The PRPs gave suggestions concerning the number of exercises and pointed out texts and pictures needing revision (eg, experienced as normative or stereotypical) to increase the persuasiveness of the program. The system quality was improved by PRPs’ feedback on design, technical malfunctions, and navigation on the website. Based on feedback about availability of professional support (technical problems and program content), the organization for support was clarified, which increased service quality. The PRPs also influenced the research project on an overall level by suggesting modifications of inclusion criteria for the RCT and by questioning the implementation plan.

    Conclusions: With suggestions and continuous feedback from PRPs, it was possible to develop a Web-based intervention with persuasive design, believed to be relevant and attractive for young persons with cancer who have sexual problems or fertility distress. In the next step, the intervention will be tested in a feasibility study, followed by an RCT to test the intervention’s effectiveness in reducing sexual problems and fertility distress.

  • 1945.
    Wubker, Ansgar
    et al.
    University of Witten/Herdecke, Essen, Germany & Rheinisch-Westfälisches Institut für Wirtschaftsforschung, Health Devision, Essen, Germany.
    Zwakhalen, Sandra
    Maastricht University, Maastricht, Netherlands.
    Challis, David
    The University of Manchester, Manchester, United Kingdom.
    Suhonen, Riita
    University of Turku, Department of Nursing Science, Turku, Finland.
    Karlsson, Staffan
    Lund University, The Swedish Institute of Health Sciences, Lund, Sweden.
    Zabalegui, Adelaida
    School of Health Sciences, Hospital Clínic de Barcelona, Mataró (Barcelona), Spain.
    Soto, Maria
    Gérontopôle de Toulouse, Department of Geriatric Medicine, University Hospital de Toulouse, Toulouse, France.
    Saks, Kai
    University of Tartu, Department of Internal Medicine, Tartu, Estonia.
    Sauerland, Dirk
    University of Witten/Herdecke, Department of Institutional Economics and Health Systems Management, Witten, Germany.
    Costs of care for people with dementia just before and after nursing home placement: primary data from eight European countries2015Inngår i: European Journal of Health Economics, ISSN 1618-7598, E-ISSN 1618-7601, Vol. 16, nr 7, s. 689-707Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Dementia is the most common cause of functional decline among elderly people and is associated with high costs of national healthcare in European countries. With increasing functional and cognitive decline, it is likely that many people suffering from dementia will receive institutional care in their lifetime. To delay entry to institutional care, many European countries invest in home and community based care services.

    Objectives: This study aimed to compare costs for people with dementia (PwD) at risk for institutionalization receiving professional home care (HC) with cost for PwD recently admitted to institutional long-term nursing care (ILTC) in eight European countries. Special emphasis was placed on differences in cost patterns across settings and countries, on the main predictors of costs and on a comprehensive assessment of costs from a societal perspective.

    Methods: Interviews using structured questionnaires were conducted with 2,014 people with dementia and their primary informal caregivers living at home or in an ILTC facility. Costs of care were assessed with the resource utilization in dementia instrument. Dementia severity was measured with the standardized mini mental state examination. ADL dependence was assessed using the Katz index, neuropsychiatric symptoms using the neuropsychiatric inventory (NPI) and comorbidities using the Charlson. Descriptive analysis and multivariate regression models were used to estimate mean costs in both settings. A log link generalized linear model assuming gamma distributed costs was applied to identify the most important cost drivers of dementia care.

    Results: In all countries costs for PwD in the HC setting were significantly lower in comparison to ILTC costs. On average ILTC costs amounted to 4,491 Euro per month and were 1.8 fold higher than HC costs (2,491 Euro). The relation of costs between settings ranged from 2.4 (Sweden) to 1.4 (UK). Costs in the ILTC setting were dominated by nursing home costs (on average 94 %). In the HC setting, informal care giving was the most important cost contributor (on average 52 %). In all countries costs in the HC setting increased strongly with disease severity. The most important predictor of cost was ADL independence in all countries, except Spain and France where NPI severity was the most important cost driver. A standard deviation increase in ADL independence translated on average into a cost decrease of about 22 %.

    Conclusion: Transition into ILTC seems to increase total costs of dementia care from a societal perspective. The prevention of long-term care placement might be cost reducing for European health systems. However, this conclusion depends on the country, on the valuation method for informal caregiving and on the degree of impairment.

  • 1946.
    Wärnestål, Pontus
    et al.
    Högskolan i Halmstad, Akademin för informationsteknologi, Halmstad Embedded and Intelligent Systems Research (EIS), Människa och Informationsteknologi (MI-lab).
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Lindberg, Susanne
    Högskolan i Halmstad, Akademin för informationsteknologi, Halmstad Embedded and Intelligent Systems Research (EIS), Människa och Informationsteknologi (MI-lab).
    Nygren, Jens M.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Effects of Using Child Personas in the Development of a Digital Peer Support Service for Childhood Cancer Survivors2017Inngår i: Journal of Medical Internet Research, ISSN 1438-8871, E-ISSN 1438-8871, Vol. 19, nr 5, artikkel-id e161Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Peer support services have the potential to support children who survive cancer by handling the physical, mental, and social challenges associated with survival and return to everyday life. Involving the children themselves in the design process allows for adapting services to authentic user behaviors and goals. As there are several challenges that put critical requirements on a user-centered design process, we developed a design method based on personas adapted to the particular needs of children that promotes health and handles a sensitive design context.

    OBJECTIVE: The purpose of this study was to evaluate the effects of using child personas in the development of a digital peer support service for childhood cancer survivors.

    METHODS: The user group's needs and behaviors were characterized based on cohort data and literature, focus group interviews with childhood cancer survivors (n=15, 8-12 years), stakeholder interviews with health care professionals and parents (n=13), user interviews, and observations. Data were interpreted and explained together with childhood cancer survivors (n=5) in three explorative design workshops and a validation workshop with children (n=7).

    RESULTS: We present findings and insights on how to codesign child personas in the context of developing digital peer support services with childhood cancer survivors. The work resulted in three primary personas that model the behaviors, attitudes, and goals of three user archetypes tailored for developing health-promoting services in this particular use context. Additionally, we also report on the effects of using these personas in the design of a digital peer support service called Give Me a Break.

    CONCLUSIONS: By applying our progressive steps of data collection and analysis, we arrive at authentic child-personas that were successfully used to design and develop health-promoting services for children in vulnerable life stages. The child-personas serve as effective collaboration and communication aids for both internal and external purposes.

  • 1947.
    Wästberg, Birgitta
    et al.
    Department of Health Sciences, Division of Occupational Therapy and Gerontology, Lund University, Lund, Sweden.
    Erlandsson, Lena-Karin
    Department of Health Sciences, Division of Occupational Therapy and Gerontology, Lund University, Lund, Sweden.
    Eklund, Mona
    Department of Health Sciences, Division of Occupational Therapy and Gerontology, Lund University, Lund, Sweden.
    Client perceptions of a work rehabilitation programme for women: The Redesigning Daily Occupations (ReDO) project2013Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 20, nr 2, s. 118-126Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: The Redesigning Daily Occupations programme (ReDO) is a Swedish work rehabilitation programme for women on sick leave due to stress-related disorders. The aim of the study was to investigate the participants' perceptions of taking part in the work rehabilitation programme. Methods: Seven of the 38 women who completed ReDO were interviewed during and after the programme. The interviews were analysed by manifest and latent content analysis. Results: The informants were satisfied with the content of the programme and the support they received in the programme and when returning to work. The women thought they had become more aware of what they did during a day and how they performed their daily activities, which helped them to change their ways of performing them. The result highlighted different parts of their rehabilitation process which constituted four sub-themes: "Perceptions of the ReDO", "The intrinsic process", "Person-related changes", and "Perceptions of returning to work", and formed the core theme "Critical parts of the rehabilitation process". Conclusions: The findings may not be generalized to other settings and future research should further investigate work rehabilitation for the target group. © 2013 Informa Healthcare.

  • 1948.
    Wästberg, Birgitta
    et al.
    Department of Health Sciences, Lund University, Lund, Sweden & Skåne University Hospital, Malmö-Lund, Lund, Sweden.
    Erlandsson, Lena-Karin
    Department of Health Sciences, Lund University, Lund, Sweden.
    Eklund, Mona
    Department of Health Sciences, Lund University, Lund, Sweden.
    Women's perceived work environment after stress-related rehabilitation: Experiences from the ReDO project2016Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 38, nr 6, s. 528-534Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: The study aimed to investigate (a) if womens perceptions of their work environment changed during a 16-week rehabilitation period and at a 12-month follow-up; (b) whether such changes were related to outcomes in terms of return to work, well-being and valued occupations. Methods: Eighty-four gainfully employed women on sick-leave due to stress-related disorders responded to instruments assessing perceptions of the work environment, well-being (self-esteem, self-mastery, quality of life, perceived stress, self-rated health) and perceived occupational value. Data about return to work were collected from registers. Non-parametric statistics were used. Results: The increase in the womens ratings of their work environmentwas non-significant between baseline and completed rehabilitation but was statistically significant between baseline and the 12-month follow-up. No relationships were found between changes in perceptions of the work environment and outcomes after the rehabilitation. At the follow-up, however, there were associations between perceived work environment changes in a positive direction and return to work; improved self-esteem, self-mastery, quality of life, perceived occupational value and self-rated health; and reduced stress. Conclusion: It seems important to consider the work environment in rehabilitation for stress-related problems, and a follow-up appears warranted to detect changes and associations not visible immediately after rehabilitation.Implications for RehabilitationWork environmentPerceptions of the work environment seem important for return to work, although other factors are likely to contribute as well.Perceptions of the work environment are associated with several aspects of well-being.When developing rehabilitation interventions a focus on the clients' perceptions of their work environment seems vital. © 2015 Informa UK Ltd.

  • 1949.
    Wårdh, Inger
    et al.
    Dept of Gerodontology, Karolinska Institutet, Huddinge, Sweden.
    Paulsson, Gun
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Fridlund, Bengt
    Department of Health Sciences and Statistical, School of Health Sciences and Social Work, Växjö University, Växjö, Sweden.
    Nursing staff's understanding of oral health care for patients with cancer diagnoses: an intervention study2009Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 18, nr 6, s. 799-806Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 1950.
    Yebio, Rahel
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd.
    Håkansson, Tania
    Högskolan i Halmstad, Akademin för hälsa och välfärd.
    Upplevelse av stigmatisering hos personer med schizofreni: En litteraturstudie2016Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Schizofreni är den åttonde ledande orsaken till ohälsa hos medelålders samt yngre människor. Människor som diagnostiserats med schizofreni riskerar att utsättas för stigmatisering, främst när det gäller vänskapsrelationer, i familjesammanhang, på arbetsmarknaden och i parrelationer Syfte: Syftet med studien var att beskriva upplevelse av stigmatisering hos människor med schizofreni. Metod: Systematisk litteraturstudie. Resultat: Stigma har negativ påverkan på sociala funktioner, arbete, intima relationer och även medicinsk följsamhet. Även inom sjukvården upplever människor med schizofreni sig stigmatiserade. Personer med schizofreni behöver stöd i form av socialt nätverk för att bättre kunna hantera diskriminering. Konklusion: Inre

    stigma begränsar personer med schizofreni från att skaffa familj, söka jobb och leder till isolation. KBT har visat sig ha positiv effekt i arbetet med att reducera inre stigma hos personer med schizofreni. Fortsatt forskning behövs för att mer specificerat visa hur psykiatrisjuksköterskan skall hjälpa personer med schizofreni att hantera stigmatisering samt motverka stigmatisering i samhället. 

3637383940 1901 - 1950 of 1981
RefereraExporteraLink til resultatlisten
Permanent link
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf