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  • 1951.
    Wikström, Ingegerd
    et al.
    Department of Rheumatology, Malmö University Hospital, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (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)2009In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 7, no 3, p. 178-193Article in journal (Refereed)
    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.

  • 1952.
    Wikström, Ingegerd
    et al.
    Department of Rheumatology, Malmö University Hospital, Sweden.
    Jacobsson, Lennart
    Department of Rheumatology, Malmö University Hospital, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    How people with rheumatoid arthritis perceive leisure activities: A qualitative study2005In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 3, no 2, p. 74-84Article in journal (Refereed)
    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.

  • 1953.
    Wilhsson, Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Ungdomars strävan mot att lyckas och nå framgång i livet – skolan som hälsofrämjande arena2016Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Aim: The overall aim of the dissertation was to gain greater knowledge about perspectives on adolescent´s health as a basis for developing actions to promote health in schools.

    Methods: Study I had a quantitative, descriptive cross-sectional design, in which the data was collected from 948 adolescent (11-15 years old) and analyzed with multivariate logistic regression. Study II had a qualitative, investigative design, in which the data was collected from 117 adolescent (14-17 years old) and analyzed with Grounded Theory methodology. Study III had a qualitative, descriptive design, in which the data was collected from 42 adolescent (14-16 years old) and analyzed with qualitative content analysis. Study IV had a qualitative, descriptive design, in which the data was collected from 27 stakeholders and analyzed with qualitative content analysis.

    Results: The adolescent aspire to make out and be successful both in the present and the future. This aspiration is experienced by the adolescent as a struggle about time, a struggle that they cope with by using various strategies to balance schoolwork and leisure. The girls’ aspiration is to achieve success in school in order to be independent in the future. Success, for the boys, entails being successful in one of their leisure activities such as sport, which demonstrates their physical strength. Success is of importance for the boys in the present, while on the other hand the girls view their success in a longer time perspective. The focus in health promotion should be aimed at supporting the adolescent´s sense of coherence, at strengthening their optimism early in their teenage years as well as making more visible the organizational and contextual structures and norms that affect the health and lifestyles of girls and boys.

    Conclusions: In summary, the dissertation shows that perspectives on adolescent’s health should be understood at different levels in society and include a gender perspective. Furthermore, factors that are important for adolescent’s lifestyle should be discussed from a salutogenic perspective and the health promotion performed in schools should develop actions that have contextual and gender-specific points of departure in order to enhance the health and lifestyles of girls and boys.

  • 1954.
    Wilhsson, Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Högdin, Sara
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Nygren, Jens
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Handling Demands of Success Among Girls and Boys in Primarly School: A Conceptual Model2017In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 33, no 4, p. 316-325Article in journal (Refereed)
    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

  • 1955.
    Wilhsson, Marie
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Svedberg, Petra
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Högdin, Sara
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Nygren, Jens
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Halmstad project – a participatory intervention to promote children's mental health2013In: 21st International Conference on Health Promoting Hospitals and Health Services: Abstract book, Copenhagen: WHO-CC , 2013, p. 123-123Conference paper (Other academic)
  • 1956.
    Wilhsson, Marie
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Svedberg, Petra
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Högdin, Sara
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Nygren, Jens
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Halmstadprojektet – en deltagarstyrd intervention för att främja barns psykiska hälsa2013Conference paper (Other academic)
  • 1957.
    Wilhsson, Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Högdin, Sara
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Nygren, Jens
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Handling demands on success among girls and boys in primarly school – a conceptual model2016Conference paper (Other academic)
    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.

  • 1958.
    Wilhsson, Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Högdin, Sara
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Nygren, Jens M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Girls and boys strategies to handle and cope with school-related stress2016In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 26, no Suppl. 1, p. 221-221Article in journal (Refereed)
    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.

  • 1959.
    Wilhsson, Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Högdin, Sara
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Nygren, Jens M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Strategies of Adolescent Girls and Boys for Coping With School-Related Stress2017In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 33, no 5, p. 374-382Article in journal (Refereed)
    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

  • 1960.
    Wilhsson, Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Nygren, Jens M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    A stakeholder perspective on adolescents' needs for support to cope with school-related stressManuscript (preprint) (Other academic)
    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.

  • 1961.
    Wiman, Virginia
    Halmstad University, School of Social and Health Sciences (HOS).
    Småföretagares upplevelser av företaget som en hälsofrämjande arena2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Workplace health promotion leads to better health, increased staff morale, higher productivity and reduced absenteeism. The leader­ship is very important for the health of the employees and the small business has the biggest need for health promotion because they have less access to occupational health service and often lack of knowledge and resources to manage health and safety problems. A qualitative approach was used and 10 managers in small business were interviewed to describe how managers in small business perceive the company as a health promotion arena for the employees. The informants were selected through a strategic selection and maximal variation was pursued. Collected data were analyzed using content analysis. The result is described in the main categories: sees the workplace as an arena, sees the opportunity to promote employees health and sees a need for external support. The overall theme of the result was; Health promotion leadership in order to perceive the company as a health promotion arena. The conclusions were that managers play a key role in workplace health promotion and that there is a need for external support for the managers. For development of healthy organiza­tions it is necessary with a comprehensive strategy in which employers, employees and society is pursuing the same goal.

  • 1962.
    Wiman, Virginia
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Lydell, Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Nyholm, Maria
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Views of the workplace as a health promotion arena among managers of small companies2016In: Health Education Journal, ISSN 0017-8969, E-ISSN 1748-8176, Vol. 75, no 8, p. 950-960Article in journal (Refereed)
    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

  • 1963.
    Wiman, Virginia
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Sport Health and Physical activity.
    Lydell, Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Sport Health and Physical activity. Region Halland, Halmstad, Sweden.
    Nyholm, Maria
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Sport Health and Physical activity.
    Workplace health promotion; views from managers of small companies2012In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 22, no Suppl. 2, p. 129-129Article in journal (Other academic)
    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.

  • 1964.
    Winberg, Birgitta
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (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 programme2002In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 1, no 2, p. 101-107Article in journal (Refereed)
    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.

  • 1965.
    Wingerstad, Stina
    et al.
    Halmstad University, School of Health and Welfare.
    Westerberg, Marie
    Halmstad University, School of Health and Welfare.
    Motiverande samtal i omvårdnaden av personer med ätstörningar: En bro till den terapeutiska alliansen2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    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. 

  • 1966.
    Winlöf, Linnea
    et al.
    Halmstad University, School of Health and Welfare.
    Cardmarker, Lovisa
    Halmstad University, School of Health and Welfare.
    Sjuksköterskans roll vid fysisk aktivitet på recept: En allmän litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Nurses has a significant role in health promotion efforts that can reduce public health problems, such as inactivity with a purpose to improve public health. Physical activity on prescription's a method of reducing inactivity and promoting physical activity, which is based on a patient-centered view, where communication and knowledge about motivation and behavioral change are important components. The aim of this literature study was to investigate the nurses' role in the physical activity of prescription. The result's based on 11 scientific articles, five qualitative and six quantitative, which featured in one main theme; Nurses role and barriers that exist. The subthemes that emerged were; Motivation, Participation, Time, Knowledge and Routines and also External Factors. The nurses' role is to regularly motivate physical activity and to involve patients, and also to protect and promote the health of all people. Lack of time, ignorance and lack of routines indicate great barriers to why nurses doesn't prescribe physical activity on prescription. Furthermore, the patients economy, accessibility, and societies resources for physical activity are highlighted. Nurses' motivational role and the application of physical activity on prescriptions, is something that should be highlighted and clarified in undergraduate nursing education. In addition, healthcare professionals should continue to point out that physical activity can be a complement to medicine.

  • 1967.
    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
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    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 Partners2016In: JMIR Research Protocols, ISSN 1929-0748, E-ISSN 1929-0748, Vol. 5, no 2, p. e60-, article id e60Article in journal (Refereed)
    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.

  • 1968.
    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 countries2015In: European Journal of Health Economics, ISSN 1618-7598, E-ISSN 1618-7601, Vol. 16, no 7, p. 689-707Article in journal (Refereed)
    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.

  • 1969.
    Wärnestål, Pontus
    et al.
    Halmstad University, School of Information Technology, Halmstad Embedded and Intelligent Systems Research (EIS), Man and Information technology laboratory (MI-lab).
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Lindberg, Susanne
    Halmstad University, School of Information Technology, Halmstad Embedded and Intelligent Systems Research (EIS), Man and Information technology laboratory (MI-lab).
    Nygren, Jens M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Effects of Using Child Personas in the Development of a Digital Peer Support Service for Childhood Cancer Survivors2017In: Journal of Medical Internet Research, ISSN 1438-8871, E-ISSN 1438-8871, Vol. 19, no 5, article id e161Article in journal (Refereed)
    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.

  • 1970.
    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) project2013In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 20, no 2, p. 118-126Article in journal (Refereed)
    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.

  • 1971.
    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 project2016In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 38, no 6, p. 528-534Article in journal (Refereed)
    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.

  • 1972.
    Wårdh, Inger
    et al.
    Dept of Gerodontology, Karolinska Institutet, Huddinge, Sweden.
    Paulsson, Gun
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (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 study2009In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 18, no 6, p. 799-806Article in journal (Refereed)
    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.

  • 1973.
    Yebio, Rahel
    et al.
    Halmstad University, School of Health and Welfare.
    Håkansson, Tania
    Halmstad University, School of Health and Welfare.
    Upplevelse av stigmatisering hos personer med schizofreni: En litteraturstudie2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    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. 

  • 1974.
    Ylve, Emelie
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Nilsson, Camilla
    Halmstad University, School of Social and Health Sciences (HOS).
    Att leva med bensår: Ur ett patientperspektiv2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Omkring 50 000 personer i Sverige besväras av svårläkta bensår. Bensår kan påverka livet på olika sätt och orsaka stort lidande. Syftet med denna litteraturstudie var att beskriva patienternas

    erfarenheter av att leva med bensår och den behandling och omvårdnad som gavs. Data samlades in genom sökning i databaser. Artiklarna lästes och jämfördes för att finna meningsbyggande innehåll. Resultatet visade att patienters erfarenheter av att leva med bensår kan ha en negativ påverkan på det dagliga livet. Förtroendet till sjuksköterskan ansågs spela en stor roll i omvårdnaden av bensår. Patienternas kunskap om sitt bensår varierade och patienterna hade även olika erfarenheter av att inte få tillräcklig med information om status på sitt sår. Patienter med bensår levde ett begränsat liv vilket innebar sociala förändringar och nedsatt rörlighet. Smärta var ett återkommande problem och upplevdes som olidlig och kunde påverka nattsömnen. Många patienters erfarenhet var att sjuksköterskorna inte tog deras smärta på allvar. Förtvivlan och missmod upplevdes av många, framförallt när såret inte läkte. Erfarenheter kring kontinuiteten vid såromläggningen var övervägande negativa. Många kände sig sårbara och missnöjda med omläggningarna då sjuksköterskan uppvisade bristfällig kunskap. Patienternas erfarenheter vid motivation inför kompressionsbehandling var varierande. Många visste hur viktig behandlingen var samtidigt framkom det negativa erfarenheter så som kliande lindor och svårt att finna passande skor. För att ge en god omvårdnad till personer med bensår är det viktigt att sjuksköterskor är lyhörda och har kunskaper om hur det är att leva med bensår.

  • 1975.
    Yström, Kajsa-Stina
    et al.
    Halmstad University, School of Health and Welfare.
    Svanmark Weiss, Marie
    Halmstad University, School of Health and Welfare.
    Rådgivande samtal i samband med alkoholproblematik ur ett patientperspektiv: En allmän litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Alcohol misuse is prevalent around the world and affects a great number of people. Early research shows that brief interventions are an effective method of treatment for persons when changing behaviors associated with alcohol misuse. Aim: The aim of the study was to describe patient’s experiences of counseling as used to treat alcohol misuse. Method: A general literature review with an inductive approach was based on eight scientific articles. In the result three different themes emerged: experiences of the care relationship, experiences of the counseling method and experiences of the counseling effect. Result: The literature review illustrates how patients with alcohol problems experience counseling. The theme experiences of the care relationship showed how important it was to feel understood by the interviewer and that there was trust and safety for the patient to dare to talk about the alcohol consumption. The theme experiences of the counseling method showed that the patients had shared opinions about counseling, but most of the patients experienced the counseling as helpful. The theme experiences of the counseling effect showed that the patients experienced that they gained more knowledge about how alcohol can affect different parts of their lives, and it gave motivation to limit their alcohol consumption. Conclusion: The patients experienced that the care relationship was important in counseling. The counseling was also compelled to have a purpose in order to be considered relevant by the patients.       

  • 1976.
    Zabalegui, Adelaida
    et al.
    Nursing Hospital Clínic de Barcelona, Spain.
    Hamers, Jan
    Care of Older People at Maastricht University, The Netherlands.
    Karlsson, Staffan
    Department of Health Sciences, Faculty of Medicine, Lund University, Sweden.
    Leino-Kilpi, Helena
    University of Turku, Finland & Hospital District of Southwest, Finland.
    Renom-Guiteras, Anna
    Witten/Herdecke University, Germany.
    Saks, Kai
    University of Tartu, Estonia.
    Soto, Maria
    Alzheimer Acute Care Unit, Gérontopôle Toulouse, Department of Geriatric Medicine University Hospital, France.
    Sutcliffe, Caroline
    Manchester University, UK.
    Cabrera, Esther
    School of Health Sciences at Fundació Tecnocampus Mataró-Maresme Tecnocampus, Spain.
    Best practices interventions to improve quality of care of people with dementia living at home2014In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 95, no 2, p. 175-184Article in journal (Refereed)
    Abstract [en]

    Objective: To identify effective interventions which improve quality of care for people with dementia (PwD) living at home.

    Methods: MEDLINE-(via PubMed), CINAHL, PsycINFO and ISI Web of Science databases were searched. Inclusion criteria: (1) randomized controlled trials; (2) published in English-language, peer-reviewed journals between 1990 and 2012; (3) evaluated strategies to improve quality of care for PwD cared at home; and (4) participants older than 65.

    Results: 23 studies met inclusion criteria. All the studies aimed to improve PwD quality of care and most of them focused on PwD caregivers. Psychoeducational programs are the most frequently assessed interventions and multicomponent interventions produced the most promising results.

    Conclusion: Due to the great variety of interventions describing specific samples and contexts, comparison of practice effectiveness is difficult. However, cognitive rehabilitation in PwD is effective when applied at an early stage of the disease. Case managers have demonstrated to reduce PwD institutionalization and the use of other community services. The studies were limited by sample heterogeneity, short follow-up or insufficiently detailed description.

    Practice implications: To improve PwD homecare, health professionals should educate and support caregivers. Before specific interventional recommendations can be made, further research addressing the limitations of current studies is needed.

    © 2014 Elsevier Ireland Ltd.

  • 1977.
    Zervas, Yannis
    et al.
    University of Athens, Greece.
    Stambulova, Natalia
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Physical activity and cognitive functioning1999In: Psychology for physical educators / [ed] Yves Vanden Auweele, Frank Bakker, Stuart Biddle, Marc Durand, Roland Seiler, Champaign, IL: Human Kinetics , 1999, p. 135-154Chapter in book (Other academic)
  • 1978.
    Ziegert, Kristina
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Changes and transitions of responsibility when next of kin becomes the caregivers2016Conference paper (Refereed)
    Abstract [en]

    Background

    In the ordinary everyday existence of individuals, life usually goes by without them reflecting on its fragility or their relationships. Individuals in a close relationship are united with each other in a mutual dependency and share memories from the past, perceptions of the present and dreams and hopes for the future. When one of them suddenly seriously ill and thereby assumes the role of seriously ill patient while the other takes on the role of close relative, their normal life is changed into an extraordinary situation. Everyday life can be complex when next of kin are preoccupied with taking responsibility of the care, which in turn lead to a changed life situation and restrictions in everyday life. The summary of the current knowledge highlighted the importance of understanding of next of kin´ coping approaches during responsibility for caring at home. 

    Aim and method

    This study explores the process of changes for next of kin´ in a care home for older relatives from the perspectives of the responsibility for caring. Data were collected using narrative interview with 8 next of kin’ at home. The following questions were asked: Please describe the changed situation you have gone through, when you having the difficult care situation and what did you do to cope with your situation? The individual interviews were nearly all transcribed verbatim, a few were listen to and taking notes during listening. The data set were analyzed by using thematic analysis.

    Findings and conclusion

    Four themes revealed from narrative interviews with the next of kin´. The four themes were: Sources of responsibility related to family interaction; Consequences of changes for everyday; Importance on maintaining their own conditions; Roles and relationships over time. Based on a synthesis of data the themes and basic transitions that emerged were termed “re-constructing roles and relationships”. This highlights the subtle and dynamic way of changes and reinforces the importance of understanding the transitions from multiple perspectives. The results of the study may encourage people to engage themselves in self-help activities and strengthen them to believe they are to care for each other.

  • 1979.
    Ziegert, Kristina
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Livet i skuggan av dialys: beskrivning av anhörigas vardag ; tema: välfärd och välbefinnande2007In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 84, no 3, p. 239-246Article in journal (Refereed)
  • 1980.
    Ziegert, Kristina
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Forsberg, Elenita
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    “The happiness with dancing give power to life”: Qualitative analysis of Dance for Parkinson with a salutogenic perspective2019In: The international fields of arts, health and wellbeing, 2019Conference paper (Refereed)
  • 1981.
    Ziegert, Kristina
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Forsberg, Elenita
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Kristén, Lars
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Klingvall-Arvidsson, Bodil
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Dansen gör skillnad – ”Jag kan trots sjukdomen Parkinson”2019In: M&STE : elektronisk tidskrift för konferensen Musik & samhälle, E-ISSN 2002–4622, no 6, p. 27-35Article in journal (Other academic)
  • 1982.
    Ziegert, Kristina
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI). Department of Medicine, Central Hospital Halmstad, S-301 85 Halmstad, Sweden.
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI). Department of Medicine, Linköping University, Linköping, Sweden .
    Conceptions of life situation among next-of-kin of haemodialysis patients2001In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 9, no 4, p. 231-239Article in journal (Refereed)
    Abstract [en]

    The presence of renal disease in a family is a strain on both the patient and the next-of-kin, affecting their life situations. Surprisingly, few studies dealing with the ways that the next-of-kin experience their situation are available. The aim of this study was to describe how the next-of-kin of haemodialysis patients conceive their life situation. Data were collected by interviewing 12 people who live with someone with dialysis-treated renal disease and analysed according to a qualitative method inspired by the phenomenographic approach. Six description categories of how the subjects construed their life situation emerged: a feeling of confinement; a feeling of social isolation; a feeling that the way of life has changed; a feeling of security in life; a feeling of a threatening future; and promoting health. The next-of-kin generally expressed a large degree of commitment to and concern for the sick person. In spite of their life situation having been dramatically changed, the next-of-kin described an ability to adapt. With the help of society the feelings of confinement and social isolation can be dispersed, enabling the next-of-kin to promote the health of the sick person. A suggestion for further research is to study what adaptation strategies next-of-kin use in their life situation.

  • 1983.
    Ziegert, Kristina
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Fridlund, Bengt
    School of Health Sciences and Social Work, Växjö University, Växjö, Sweden.
    Lidell, Evy
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Professional support for next of kin of patients receiving chronic haemodialysis treatment: a content analysis study of nursing documentation2007In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 16, no 2, p. 353-361Article in journal (Refereed)
    Abstract [en]

    Aim and objectives. The aim of this study was to examine the content of nursing documentation with a focus on professional support for next of kin (NoK) of patients receiving chronic haemodialysis treatment. Background. Professional support in nursing focuses on promotion, maintenance and restoration of health and prevention of illness. Design. The study had a descriptive design and qualitative content analysis was used to search for themes based on descriptions contained in the collected nursing documentation. Methods. The total number of nursing records of patients receiving chronic haemodialysis treatment (n = 50) for the 5-year period 1998–2002 was included. All nursing documentation was systematic in accordance with the VIPS-documentation model. Results. The professional support could be described within the framework of three themes: to explore NoK's supportive resources, to enable NoK' readiness in caring for the patient and to co-operate with NoK in the care of the patient in the home, captured by the core theme which described the professional support as a continuous process. Conclusions. Next of kin are a supportive resource in the nursing care of patients receiving chronic haemodialysis treatment and professional support for NoK focuses on planning their participation in the care of patients in the home. Relevance to clinical practice. Professional support for NoK should be documented in family focused nursing diagnoses, which would make it possible to search for different types of support. Future research might explore nurses' or NoK's views on carer support.

  • 1984.
    Ziegert, Kristina
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Hallberg, Ulrika
    Nordiska Högskolan för Folkhälsovetenskap.
    Paulsson, Gun
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Book review: "Developing grounded theory. The second generation"2010In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, Vol. 5, no 2, p. 5058-Article, book review (Other (popular science, discussion, etc.))
    Abstract [en]

    Developing Grounded Theory. The Second Generation is a very useful and clarifying book arisen from a one-day symposium on advances in qualitative methods in Alberta, 2007. The conference was sponsored by the International Institute for Qualitative Methodology (IIQM). For the first time, the students of Barney Glaser and Anselm Strauss, “the second generation” of grounded theory researchers, met to discuss grounded theory and its developments. With the exception of Janice Morse, the authors of this book worked directly with Anselm Strauss and Barney Glaser. In this volume they provide a description of the history, principles and practice of the grounded theory methods.

  • 1985.
    Ziegert, Kristina
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Högstedt, Benkt
    Dept. of Development and Research, Central Hospital, Halmstad, Sweden .
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Lidell, Evy
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Time distribution factors of hospital and home care among chronic haemodialysis patients2004In: EDTNA-ERCA journal, ISSN 1019-083X, Vol. 30, no 1, p. 19-22Article in journal (Refereed)
    Abstract [en]

    Today, many studies are available that focus on haemodialysis; however studies on the time distribution factor involved are lacking. It is therefore important to study the distribution of time, taking into account outpatient care, inpatient care and home care. The aim of the study was to chart over a five-year period, the time distribution factors of hospital care and home care among chronic haemodialysis patients. The design of the study was descriptive, and the data material was drawn from a patient register (N = 61). The data analysis was performed by means of both descriptive and inferential statistics.

  • 1986.
    Ziegert, Kristina
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Karlsson, Staffan
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Kristén, Lars
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    Ivarsson, Andreas
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    Dancing Together for Social Sustainability from a Life Course Perspective - Integrating Children and Senior Citizens in Action Research Project2019Conference paper (Refereed)
    Abstract [en]

    This project has its starting-point in dance project with children and senior citizens. Children and senior citizen have their own health challenges. The Swedish culture does not encourage intergenerational activities in organizations and communities. Intergenerational contacts are in many terms referred to within families, except certain environments such as the educational institutions. Especially, the intergenerational contacts between children and senior citizens are neglected as an important factor in promoting knowledge and health in society. It does not need to be questioned, that both knowledge and health contributes to the sustainability in society. If individuals from different generations have the opportunity to exercise physical activities together, it is likely that it generates positive values for social sustainability. Social constructivism combined with a life course perspective is the fundamental theoretical standpoint for this project.  We will explain the complex matter of how theses processes of “constructed realities” are accomplish before approaching the central ideas of social constructivism in relation to our project.

    The overall aim was to understand the knowledge of the social value of intergenerational physical activities, and how different age groups communicate their experiences in a life course perspective. There were many things we could learn in a life course perspective through activities among children and senior citizens, and how we could make use of this knowledge for implementations for social sustainability in general. This study included a three-stage process qualitative data from 48 stakeholders describing in individuals diaries about daily exercise, collected during one and a half year, with focus groups interviews with 24 children and 24 senior citizens. The third stage dancing activities was conducted, and follow up interviews with both participants. The thematic analysis was used emerge the results. We found a common joy for both children and senior citizens when performing the physical activities. Women believed physical activities improved their inclusion and social networks. The men found that the physical activities improved their wellbeing and health.

  • 1987.
    Ziegert, Kristina
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Pham, Lotta
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Ways of promoting health to patients with diabetes and chronic kidney disease from a nursing perspective in Vietnam: A phenomenographic study2016In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, article id 30722Article in journal (Refereed)
    Abstract [en]

    Health promotion plays an important role in the management of diabetes and chronic kidney disease, especially when the prevalence of the disease is rising in Vietnam. Nurses have been identified to be the front figure in health promotion; however, little is written about how nurses in Vietnam work with these issues. Therefore, the aim of this study was to describe nurses’ conceptions about how health is promoted, with special focus on physically activity, for patients with type 2 diabetes (T2DM) and/or end-stage renal disease (ESRD). Individual interviews were done with 25 nurses working at two major hospitals in Hanoi, Vietnam. A phenomenographic approach was used to analyse the interviews. Nurses described how creating positive relationships and supporting patients to take part in their social context promoted health. Health was also promoted by educating patients and relatives about health and disease and by supporting patients to be physically active. The findings indicate that the Vietnamese nursing knowledge about health promotion needs to be gathered, and health promotion needs to be further integrated in the education. Further research is necessary to examine patients’ knowledge and attitudes about health and the efficiency of various health-promoting strategies in the Vietnamese context. © 2016 L. Pham & K. Ziegert

  • 1988.
    Ziegert, Kristina
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Rämgård, Margareta
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Mapping family and social space in caring: a metamethod study2008In: Parallel presentations: International Journal of Qualitative Studies on Health and Well-being, Taylor&Francis , 2008, p. 29-29Conference paper (Refereed)
    Abstract [en]

    Social relations are about how we treat each other. They imply explicit and tacit knowledge, rules of behaviour, and values inherent in specific social spaces. When a family is struck by a life-threatening illness, the individual’s ‘‘life space’’ tends to shrink. This impacts the mutual relationships in the family, as well as the situation in the home. Therefore, there are obvious dialectics between spatial and social dimensions, when close relatives are afflicted by serious illness. This paper explores how research on homecare involves space in analysing social issues.Meta-method analysis was chosen, in order to extend the review format and analyse meta-questions. Meta-synthesis in different research areas and fora involved the examina- tion of a set of qualitative studies. Material was collected using the Cinahl, PubMed and Academic Search data- bases. These were supplemented by the Social Science Index, Sociological Abstract and Science Direct, to explore if aspects of care and space are treated in social science. The sample consisted of 38 articles, displaying a wide variety of methods. Findings suggest that in the fields of caring and sociological research, spatial factors are only implicitly described, and the dynamics of the social and spatial dialectics in home caring relationships seem to be rare. The concept of space in caring is found in a few studies in human geography. The observed absence of a spatial perspective in caring is problematic, since it neglects the fact that relationship and caring are situated in context.

  • 1989.
    Zingmark, Erika
    et al.
    Halmstad University, School of Health and Welfare.
    Wiklund, Ida
    Halmstad University, School of Health and Welfare.
    Förändrad kosthållning genom motiverande samtal: En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Unhealthy eating habits are a major problem that causes most diseases in Sweden today. Diet has a major impact on becoming ill and good healthcare is of high importance for av healthier population. Within healthcare Motivational Interviewing is used as a method to increase motivation to make a change. Aim: To describe the patient's experience and change following a MI-based dietary counseling performed by the nurse. Method: General literature study with content analysis. Result: The literature study is based on nine scientific articles that resulted in three main categories with respective subcategories. The result showed that MI counseling can help people change their diet with the help of motivation and support from the nurse, but it also showed barriers to the implementation of a change in diet. The result also took on the physical and cognitive changes that occurred after the MI interview with the nurse. Conclusion: To make a change, motivation is required. Motivation can be positively or negatively affected by various aspects such as the caregiver's implementation of the conversation and the patients own will to change. The result indicated that the patient's change is affected by the quality of the motivational interview.

  • 1990.
    Zlocki, Jakob
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Center for Sport and Health Science (CIHF).
    Johansson, Mattias
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Center for Sport and Health Science (CIHF).
    Mindfulness och dess effekt på uppmärksamhets- och perceptionsförmåga bland tävlingsinriktade idrottsutövare: En experimentell pilotstudie.: 2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to examine the effect of one 45 minute mindfulness session on: (1) Sustained attention abilities, (2) executive attention abilities, and (3) perceptual abilities. An experimental study was carried out on athletes (n = 48) who all met the specific requirements for being able to participate in this study. The results showed no significant difference in all three variables between the experiment group and the control group. In conclusion, the results and implications are discussed in relation to previous research, supported by theoretical frames of references. 

  • 1991.
    Zvizdic, Jasmina
    et al.
    Halmstad University.
    Öresjö, Maria
    Halmstad University.
    Sjuksköterskors erfarenhet kring vårdandet av patienter med akut förvirring2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Acute confusion is a cognitive impairment that occurs suddenly. Affected patients are for example perceived as agitated, restless and apathetic. Patients describe the experience of acute confusion as an abstract reality, this complicates the care process. The aim of this study was to describe nurses’ experience in the care of acutely confused patients. The method was a literature study with a systematic approach where the data processing was inspired by qualitative content analysis. The literature study shows that nurses who meet acute confused patients in wards may experience a lack of time and increased stress. The patient with acute confusion also affects other health careers and patients, requiring more resources in terms of monitoring and nurses with the right skill sets. Nurses are more focused on preserving the safety of the acutely confused patients than the person behind the acute confusion. Nurses’ attitudes towards the acutely confused patients are based on gaining control of the patients through various strategies. Unawareness of acute confusion is displayed by nurses’ inconsistency of the use of evidence-based knowledge. Prioritizing work is necessary to make the work more effective, it also helps the nurse to be at hand for all patients, although, managing and using time more effectively falls at the expense of the acutely confused patients. Good communication and awareness of the ageism that occurs is of importance so that the patients’ experiences become optimal and for reduction of suffering when in or after an acute confusion state.

  • 1992.
    Åhlander, Sofia
    et al.
    Halmstad University, School of Health and Welfare.
    Westerberg, Johanna
    Halmstad University, School of Health and Welfare.
    Med andras ögon: Hur pedagogik gestaltar sig i omvårdnad2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Human beings who are in need of caring in nursing requires pedagogical learning in the form of support from the nurse facing the issues and challenges they are receiving. How pedagogical learning is designed in different care situations is not yet sufficiently scientifically explored, making it important to map the problem of the lack of pedagogical learning in nursing. The aim was to identify what pedagogical learning is in nursing. The method is a literature review of 8 scientific articles that formed the basis for the result. The results showed six different sub-themes; pedagogical flaws, pedagogical innovation, the nurse, the patient's life-world, pedagogical mutuality and pedagogical care and who formed the main theme "With the eyes of others”. Pedagogic is one of the most important key aspects in nursing in order to initiate a proper care to the patient. In order to integrate pedagogy as part of the care process, more training, knowledge and research in pedagogy is needed and learning how unique nursing situations for the unique patient should be applied.

  • 1993.
    Åhsberg, Lina
    et al.
    Halmstad University, School of Health and Welfare. 1993.
    Ejdersand, Elin
    Halmstad University, School of Health and Welfare.
    Bergqvist, Lisa
    Halmstad University, School of Health and Welfare.
    ''Det är inte en resursfråga, det är en prioriteringsfråga'': En kvalitativ studie om förvaltningschefers upplevelser av förutsättningar för att bedriva ett hälsofrämjande ledarskap2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Det hälsofrämjande ledarskapet fokuserar på friskfaktorer genom att synliggöra och lyfta fram de styrkor som finns på arbetsplatsen. För att kunna skapa en hälsofrämjande arbetsplats behövs det kunskap om hälsofrämjande arbete hos ledarna, det behövs således förutsättningar för chefer att kunna bedriva ett hälsofrämjande ledarskap. Studiens syfte var att belysa hur förvaltningschefer i kommuner i Hallands län upplever förutsättningarna för att bedriva ett hälsofrämjande ledarskap. Den teoretiska referensramen utgår ifrån hälsopromotion med fokus på främjande, hälsofrämjande ledarskap och dess förutsättningar, krav-resursmodellen, kompetens och kompetensutveckling. Studien utgår ifrån ett hermeneutiskt synsätt där slutsatser dragits med induktiv ansats. Metoden i studien baserades på en kvalitativ ansats genom åtta semistrukturerade intervjuer. Studiens resultat har analyserats genom en konventionell innehållsanalys. Analysen resulterade i fyra kategorier: Arbetsform och förutsättningar för ett hälsofrämjande ledarskap som visade chefernas upplevelse av hälsofrämjande ledarskap. Goda möjligheter till stöd i det dagliga arbetet var såväl befintliga som önskvärda stödjande strukturer och resurser inom organisationen. Hanterbara arbetskrav i form av prioritering av resurser där cheferna förmedlade deras upplevda arbetskrav inom organisationen, vilka inte ansågs vara för höga. Vikten av att prioritera resurser och tid låg till grund för ett hälsofrämjande ledarskap. Slutligen var goda förutsättningar för kompetensutveckling och dagligt lärande vilket förekom på såväl individ som gruppnivå. Utifrån resultatet kan slutsatserna dras att cheferna upplevde att det fanns goda förutsättningar för att bedriva ett hälsofrämjande ledarskap i form av stöd, krav och resurser samt kompetensutveckling. Prioritering av resurserna låg till grund för chefernas förutsättningar för att bedriva ett hälsofrämjande ledarskap.

  • 1994.
    Åkerborg, Susanne
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Bousova, Lenka
    Halmstad University, School of Social and Health Sciences (HOS).
    Cronqvist, Linnea
    Halmstad University, School of Social and Health Sciences (HOS).
    Den skapande konstens betydelse vid psykisk ohälsa2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In today's information society with many impressions and activities people feel stressed. The mental illness is high and the Swedish health care system needs improvement for these patients. Art-making activities are still a relatively unknown area of nursing care. The purpose of this study was to illustrate how art-making activities can affect patients' mental illness and why art-making activities may be important in nursing care. The study was conducted as a literature review in which 15 scientific qualitative studies, quantitative studies and combined studies were included. Art-making can give patients a better mental health by expressing emotions such as fear, hope and strength. Art-making can relieve various symptoms such as pain, anxiety and loss of appetite. The personal development can be seen to increase by strengthening identity, meaningfulness and increased self-confidence. New coping strategies can be developed by focusing on art-making and increased well-being can be experienced as well as the long and short term. Art-making in the healthcare environment can result in an experience of a less clinical atmosphere and the social network is perceived to be strengthened by new relationships created in the context of art. Using art-making activities in nursing care can provide opportunities to relieve patients' traumatic experiences and feelings. An openness to new ideas, wider knowledge and use of evidence-based care can help nurses to promote patient health. More research in art-making linked to care is desirable, both nationally and internationally.

  • 1995.
    Åkerlund, Ejvor
    et al.
    Health Care Center, Varberg, Sweden.
    Odams, Eva
    Maternal Care Center, Varberg, Sweden.
    Larsson, Irene
    Health Care Center, Veddige, Sweden.
    Fridlund, Bengt
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Nipple necrosis after reduction mammaplasty: A case report1995In: International Journal of Rehabilitation and Health, ISSN 1068-9591, E-ISSN 1573-1537, Vol. 1, no 4, p. 285-289Article in journal (Refereed)
    Abstract [en]

    The aim of this case report was to describe a rare complication in the rehabilitative phase: nipple necrosis resulting from reduction mammaplasty. the patients in the two cases presented, having systemic disease, did not receive optimal treatment for the prevention of pyoderma gangraenosum; a plausible cause of the complication. Patients having systemic disease ought to undergo thorough examinations before submitting to any reduction mammaplasty. © 1995 Plenum Publishing Corporation.

  • 1996.
    Åkerström, Lisa
    Halmstad University, School of Health and Welfare.
    Trycksår hos barn på barnintensivvårdsavdelning: Sjuksköterskans förebyggande åtgärder2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Pressure ulcer is an injury caused by hospitalizations when sustained pressure over bony prominence or devices for a prolonged period of time pressure ulcer may appear. Critically ill infants and children admitted to the pediatric intensive care unit (PICU) are at risk of developing pressure ulcer. Patricia Benner’s nursing theory is used as theoretical guideline for this study. The aim of this study was to describe preventing measures against pressure ulcers performed by nurses for infants and children admitted at PICU.  A systematic literature review was conducted and three databases resulting in eleven articles. The result was presented in three categories: follow routines and guidelines, identify associated risk factors for pressure ulcer on patients in the PICU and also practical nursing and tools. The result of this study showed that pressure ulcer can be prevented with guidelines, education and tools. For some patients in the PICU pressure ulcer could not be prevented due to their clinical instability. Hospital staff and board should implement evidence basted pressure ulcer prevention measures. Further research concerning Swedish practice could be needed.  

  • 1997.
    Åkesson, Per
    Halmstad University, School of Social and Health Sciences (HOS).
    Att vara eller inte vara fysiskt aktiv bland medelålders män: En litteraturstudie2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Iakttagelser har dock visat en minskad grad av fysisk aktivitet hos befolkningen. Könsskillnader har visats vara en faktor, män och kvinnor har ibland olika motivationskällor till fysisk aktivitet. Syfte : Syftet med den här studien var att beskriva vad som motiverar medelålders män till fysisk aktivitet. Metod : Genom att ha en litteraturstudie som metod var målet att få en fördjupning av det nuvarande kunskapsområdet som berör syftet. Studien har inkluderat 15 stycken artiklar från databaserna: Cinahl, Pubmed, Sciverse och Academic search elite. Artiklarna lästes och genomgick en temaanalys. Resultat : Resultatet delades in i fem teman. Socioekonomi och psykosociala faktorer menar att socioekonomisk tillhörighet och till exempel socialt stöd är betydande faktorer. Närmiljön och dess tillgångar är styrande med tillgängliga parker, cykelbanor etcetera som visats stimulera mäns motionsvanor. Förhållandet till det manliga idealet menar bland annat att det finns förutfattade meningar om hur män ska bete sig och hur detta påverkar deras motivation till fysisk aktivitet. Möjligheter till fysisk aktivitet på arbetet och fritiden visade att ett tungt jobb minskar chansen till motion på fritiden. Vardagsmotion eller bekvämlighet är till stor del styrande av ekonomiska resurser samt om utvecklade cykel och promenadvägar som finns tillgängligt. Implikation: För att främja fysisk aktivitet hos medelålders män bör både yttre och inre faktorer tillgodoses. Mer företag bör överväga att införa hälsovård. Kanske viktigast att ge arbetare i låga socioekonomiska grupper exempelvis förmånliga priser på gymkort. Det rekommenderas upprätthållande av platser såsom cykelbanor och motionsspår, där fysisk aktivitet kan utövas. Åtgärder som riktar sig till att stärka mäns självförtroende och andra inre egenskaper som är viktiga för att främja motivation till fysisk aktivitet hos medelålders män.

  • 1998.
    Ålenius, Piamari
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Schagerlöv, Caroline
    Halmstad University, School of Social and Health Sciences (HOS).
    Det är det lilla som gör det stora: -hälsofrämjande åtgärder vid hypertoni2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Hypertension is common in today's society and is therefore considered to have become a national disease. An estimated 1.8 million of Sweden's adult population have hypertension. Hypertension accounts for about 13 percent of the total mortality in the world, and is seen as a risk factor for numerous cardiovascular diseases. Today there are international guidelines for the treatment of hypertension in, England and USA. However, there are no specific Swedish guidelines for treatment of hypertension. The purpose of this study was to elucidate how health interventions can influence blood pressure in people with hypertension. The results of this literature study are based on a review of 16 scientific articles which was based on literature review and order problem. The health-promoting interventions that can affect blood pressure in people with hypertension are highlighted in the results. Such interventions are weight loss, physical activity, diet, alcohol, smoking, stress and support. The effect of health promotion interventions has shown that lowering blood pressure can occur if lifestyle changes are implemented and carried out. A braking in the development of hypertension can lead to health-economic benefits to the community. National guidelines and care programs for the treatment of hypertension should be developed to a braking of hypertension to happen.

  • 1999.
    Årestedt, K.
    et al.
    Linnéuniversitetet, Sweden.
    Ågren, S. A. Susanna
    Linköping University, Dept Med & Hlth Sci, Linköping, Sweden .
    Flemme, Inger
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Moser, D. M. Bedbra
    Univ Kentucky, Coll Nursing, Lexington, KY 40506, USA.
    Strömberg, A. S. Anna
    Linköping Univ, Dept Med & Hlth Sci, Linköping, Sweden .
    Psychometric properties of the Swedish version of the Control Attitudes Scale (CAS) for patients with cardiac disease and their partners2010In: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 31, no Supplement 1, p. 230-230Article in journal (Other academic)
  • 2000.
    Öhlén, Joakim
    et al.
    Institute of Health and Care Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
    Berg, Linda
    Institute of Health and Care Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
    Björk Brämberg, E.
    Högskolan i Borås.
    Engström, Å.
    Luleå universitet.
    German Millberg, Lena
    Höglund, I.
    Högskolan i Borås.
    Jacobsson, C.
    Umeå universitet.
    Lepp, M.
    Göteborgs universitet.
    Lidén, E.
    Göteborgs universitet.
    Lindström, I.
    Göteborgs university.
    Petzäll, Kerstin
    Karlstads universitet, Avdelningen för omvårdnad.
    Söderberg, S.
    Luleå universitet.
    Wijk, H.
    Göteborgs universitet.
    Studenternas lärande som fokus för delat engagemang mellan universitet och klinisk praxis: en didaktisk modell för forskarutbildningsprojekt2012In: Advances in Health Sciences Education, ISSN 1382-4996, E-ISSN 1573-1677, Vol. 17, no 4, p. 471-487Article in journal (Refereed)
    Abstract [en]

    I ett akademiskt program kan genomförandet av ett forskarutbildningsprojekt vara ett betydande sätt att främja studentens lärande i evidens- och erfarenhetsbaserad praxis. I specialiserad sjuksköterskeutbildning, som genom den europeiska Bologna-processen skulle höjas till magisternivå, finns det ingen tradition att inkludera ett forskarutbildningsprojekt. Syftet var att utveckla en didaktisk modell för specialiserade sjuksköterskestudenters forskarutbildningsprojekt inom den andra högskolecykeln (magisternivå) och med ett specifikt fokus på att sköta delat engagemang mellan universitet och vårdinstitutioner. Denna studie förkroppsligar en deltagande handlingsforskning och teorigenererande design baserad på empiriskt praktiska tester. Det 3-åriga projektet omfattade fem svenska universitet och relaterade vårdinställningar. En serie aktiviteter genomfördes och ett antal datakällor säkrades. Konstant jämförande analys tillämpades. En didaktisk modell föreslås för forskarutbildningsprojekt inom specialiserad sjuksköterskeutbildning som syftar till att sköta delat engagemang mellan universitet och vårdinstitutioner. Fokus för modellen är studentinlärning för att förbereda eleverna för deltagande som specialiserade sjuksköterskor i klinisk kunskapsutveckling. Modellen är utvecklad för specialiserad sjuksköterskeutbildning, men den är generell och kan vara tillämplig på olika utbildningsprogram. Fokus för modellen är studentinlärning för att förbereda eleverna för deltagande som specialiserade sjuksköterskor i klinisk kunskapsutveckling. Modellen är utvecklad för specialiserad sjuksköterskeutbildning, men den är generell och kan vara tillämplig på olika utbildningsprogram. Fokus för modellen är studentinlärning för att förbereda eleverna för deltagande som specialiserade sjuksköterskor i klinisk kunskapsutveckling. Modellen är utvecklad för specialiserad sjuksköterskeutbildning, men den är generell och kan vara tillämplig på olika utbildningsprogram.

3738394041 1951 - 2000 of 2006
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