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  • 201.
    Arvidsson, Susann
    et al.
    Research and Development Centre, Spenshult hospital for rheumatic diseases, Oskarström, Sweden & School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Bergman, Stefan
    Research and Development Centre, Spenshult hospital for rheumatic diseases, Oskarström, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Research and Development Centre, Spenshult hospital for rheumatic diseases, Oskarström, Sweden & Faculty of Health Care and Nursing, Gjøvik University College, Gjøvik, Norway.
    Fridlund, Bengt
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Bengtsson-Tops, Anita
    School of Health Sciences & Social Work, Växjö University, Växjö, Sweden.
    People with Rheumatic Diseases Experiences of Health-Promoting Self-Care2010In: QMSH 10: 6th Nordic Interdisciplinary Conference on Qualitative Methods in the Service of Health: May 2-4, 2010 • Uppsala, Sweden: Program and Abstracts, Uppsala: Uppsala universitet, 2010, p. 67-67Conference paper (Refereed)
  • 202.
    Arvidsson, Susann
    et al.
    FoU Centrum, Spenshult, Halmstad, Sverige & Hälsohögskolan, Jönköping, Sverige.
    Bergman, Stefan
    FoU Centrum, Spenshult, Halmstad, Sverige.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Gjøvik University College, Gjøvik, Norge.
    Fridlund, Bengt
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Bengtsson-Tops, Anita
    School of Health Sciences & Social Work, Växjö University, Växjö, Sweden.
    Upplevelse av hälsobefrämjande egenvård vid reumatisk sjukdom2009Conference paper (Refereed)
    Abstract [en]

    Bakgrund

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

    Metod

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

    Resultat

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

    Sammanfattning

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

  • 203.
    Arvidsson, Susann
    et al.
    Research and Development Centre, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden.
    Bergman, Stefan
    Research and Development Centre, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Research and Development Centre, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden & Faculty of Health Care and Nursing, Gjøvik University College, Gjøvik, Norway.
    Fridlund, Bengt
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Tingström, Pia
    The Faculty of Health Sciences, Linköping University, Linköping, Sweden.
    Effects of a self-care promoting problem-based learning programme in people with rheumatic diseases: a randomized controlled study2013In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 69, no 7, p. 1500-1514Article in journal (Refereed)
    Abstract [en]

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

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

    Design: Randomized controlled trial.

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

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

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

  • 204.
    Arvidsson, Susann
    et al.
    FoU Centrum, Spenshult, Halmstad, Sverige & Hälsohögskolan, Jönköping, Sverige.
    Bergman, Stefan
    FoU Centrum, Spenshult, Halmstad, Sverige.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Gjøvik University College, Gjøvik, Norge.
    Fridlund, Bengt
    Hälsohögskolan, Jönköping, Sverige.
    Tingström, Pia
    Linköpings universitet, Linköping, Sverige.
    Psychometric Properties of the Swedish Rheumatic Disease Empowerment Scale, SWE-RES-232010In: Svenska Läkaresällskapets Riksstämma 2010: Program: Reumatologi, 2010, p. 3-3Conference paper (Refereed)
    Abstract [en]

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

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

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

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

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

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

  • 205.
    Arvidsson, Susann
    et al.
    Research and Development Centre, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden.
    Bergman, Stefan
    Research and Development Centre, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Fridlund, Bengt
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Tingström, Pia
    Faculty of Health Sciences, Linköping University, Linköping, Sweden.
    Psychometric Properties of the Swedish Rheumatic Disease Empowerment Scale, SWE-RES-232012In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 10, no 2, p. 101-109Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 206.
    Arvidsson, Susann
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Gilljam, Britt-Mari
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing. Region Halland, Halmstad, Sweden.
    Nygren, Jens
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Ruland, Cornelia Maria
    The Centre for Shared Decision Making and Collaborative Care Research (CSDM), Oslo University Hospital, Oslo, Norway & University of Oslo, Oslo, Norway.
    Nordby-Bøe, Trude
    The Centre for Shared Decision Making and Collaborative Care Research (CSDM), Oslo University Hospital, Oslo, Norway.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Redesign and Validation of Sisom, an Interactive Assessment and Communication Tool for Children With Cancer2016In: JMIR mhealth and uhealth, E-ISSN 2291-5222, Vol. 4, no 2, article id e76Article in journal (Refereed)
    Abstract [en]

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

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

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

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

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

  • 207.
    Arvidsson, Susann
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Nylander, Maria
    Spenshult Research and Development Centre, Halmstad, Sweden & Swedish Rheumatism Association, Stockholm, Sweden.
    Bergman, Stefan
    Spenshult Research and Development Centre, Halmstad, Sweden & The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Callers´perceptions of their contact with a rheumatology telephone helpline2019In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 17, no 1, p. 105-112Article in journal (Refereed)
    Abstract [en]

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

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

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

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

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

  • 208.
    Arvidsson, Susann
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Spenshult Research and Development Centre, Halmstad, Sweden.
    Nylander, Maria
    Spenshult Research and Development Centre, Halmstad, Sweden.
    Bergman, Stefan
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Spenshult Research and Development Centre, Halmstad, Sweden & The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    People's perceptions of their phone call with rheuma directly, a rheumatic diseases helpline2017In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 76, no Suppl. 2, p. 1544-1545, article id AB1238-HPRArticle in journal (Refereed)
    Abstract [en]

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

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

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

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

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

  • 209.
    Arvsäter, Elin
    et al.
    Halmstad University, School of Health and Welfare.
    Erhardtsen, Lise
    Halmstad University, School of Health and Welfare.
    Ungas psykiska ohälsa: En kvalitativ undersökning om elevhälsans arbete med ungas psykiska ohälsa ur elevhälsans perspektiv.2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

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

  • 210.
    Ask, Stephanie
    et al.
    Halmstad University, School of Health and Welfare.
    Edberg, Josefin
    Halmstad University, School of Health and Welfare.
    När sjuksköterskan bär samvetet på sina axlar: En litteraturstudie om samvetsstress2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 211.
    Askenvind, Malin
    et al.
    Halmstad University, School of Health and Welfare.
    Petersson, Charlotte
    Halmstad University, School of Health and Welfare.
    Fysisk aktivitet i omvårdnad för patienter med depression2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 212.
    Asker-Arnason, Lena
    et al.
    Lund Univ, Dept Logoped Phoniatr & Audiol, Lund, Sweden..
    Akerlund, Viktoria
    Lund Univ, Dept Logoped Phoniatr & Audiol, Lund, Sweden..
    Skoglund, Cecilia
    Helsingborg Hosp, Dept Logoped, Helsingborg, Sweden..
    Ek-Lagergren, Ingela
    Lund Univ, Dept Logoped Phoniatr & Audiol, Lund, Sweden..
    Wengelin, Åsa
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Sahlen, Birgitta
    Lund Univ, Lund, Sweden..
    Spoken and Written Narratives in Swedish Children and Adolescents With Hearing Impairment2012In: Communication Disorders Quarterly, ISSN 1525-7401, E-ISSN 1538-4837, Vol. 33, no 3, p. 131-145Article in journal (Refereed)
    Abstract [en]

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

  • 213.
    Aspe Carlsson, Madelene
    Halmstad University, School of Health and Welfare.
    Comparison of cortisol concentrations between three different conditions during the recovery from physical activity amongst the elderly: a randomised controlled cross-over study2019Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background

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

    Method

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

    Result

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

    Conclusion

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

  • 214.
    Asplid, Matilda
    et al.
    Halmstad University, School of Health and Welfare.
    Becerra Ponce, Gabriela
    Halmstad University, School of Health and Welfare.
    Becerra Ponce, Paula
    Halmstad University, School of Health and Welfare.
    Att leva med en smittsam blodsjukdom2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 215.
    Astell, Mimi
    et al.
    Halmstad University, School of Health and Welfare.
    Truedsson, Henrik
    Halmstad University, School of Health and Welfare.
    Individers upplevelser av att leva med urostomi: En litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 216.
    Attåsen, Hanna
    Halmstad University, School of Health and Welfare.
    Tillsammans för naturen: En multimodal kritisk diskursanalys av Fjällrävens vår- och sommarkatalog från 2019.2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med denna studie var att studera vilka föreställningar som speglas i Fjällrävens produktkatalog och vilka diskurser samt myter som används i kommunikationen av dessa. Således var studiens syfte att skapa en ökad förståelse inom strategisk hållbarhetskommunikation.

    Studien tar avstamp i en multimodal kritisk diskursanalys som är genomförd på företaget Fjällrävens produktkatalog för vår/sommar 2019. Materialet består av artiklar relaterade till hållbar utveckling med tillhörande bilder. Studiens resultat visar på att de analyserade texterna och bilderna förstärker myten om att människan är ett med naturen samtidigt som bilderna visar på en oproblematisk natur. Detta stärker komplexiteten som finns kring hållbarhetsbegreppet trots att företaget visar på en tendens att vilja öppna en dialog med sina konsumenter om hur man ska hantera vissa hållbarhetsfrågor. Resultaten indikerar även på en överrepresentation av den miljömässiga dimensionen som är en av tre dimensioner inom hållbar utveckling.

  • 217.
    Auat, Hevi
    et al.
    Halmstad University, School of Health and Welfare.
    Salihu, Rajmonda
    Halmstad University, School of Health and Welfare.
    Att arbeta med ensamkommande flyktingbarn: En kvalitativ studie ur ett personalperspektiv på HVB-hem2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

  • 218.
    Augustsson, Anton
    et al.
    Halmstad University, School of Health and Welfare.
    Svensson, Filiph
    Halmstad University, School of Health and Welfare.
    En Byråkrati i kris: En kvalitativ undersökning av en socialförvaltnings arbete med ökningen av ensamkommande barn och unga hösten 20152016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

  • 219.
    Axelsson, Linnea
    et al.
    Halmstad University, School of Health and Welfare.
    Engström, Emilia
    Halmstad University, School of Health and Welfare.
    Göransson Blomberg, Hilda
    Halmstad University, School of Health and Welfare.
    "Min kultur och din kultur": En kvalitativ studie om vägen till ett mångkulturellt och inkluderande samhälle2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

  • 220.
    Axelsson, Liza
    et al.
    Halmstad University, School of Health and Welfare.
    Söderblom, Sara
    Halmstad University, School of Health and Welfare.
    Upplevelsen av att leva med schizofreni2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 221.
    Axelsson, Pia
    et al.
    Halmstad University, School of Health and Welfare.
    Rajkovic, Charlott
    Halmstad University, School of Health and Welfare.
    Peer learning under specialistsjuksköterskeutbildningen inom intensivvård: - ett handledarperspektiv2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 222.
    Axelsson, Åsa B.
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Zettergren, Margaretha
    Institute of Nursing, Faculty of Health Caring Sciences, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
    Axelsson, Christer
    Institute of Nursing, Faculty of Health Caring Sciences, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
    Good and bad experiences of family presence during acute care and resuscitation. What makes the difference?2005In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 4, no 2, p. 161-169Article in journal (Refereed)
    Abstract [en]

    Background:

    Family presence (FP) in the resuscitation room is still controversial, and its appropriateness for patient and family has been discussed. We examined both positive and negative experiences in order to establish the reasons for the difference.

    Aim:

    The aim of the present literature review was to describe patients', relatives' and staff's opinions and experiences of FP during invasive procedures and resuscitation.

    Method:

    12 original papers, published between January 1995 and February 2003, were reviewed. Most patients and relatives agreed that they had positive experiences of FP. They described how FP enhanced the feeling of support and connectedness within the family. Family members believed that FP helped them in their grieving process. Most staff members without FP experience felt that FP would increase the risk of psychological distress for the family. Those who had participated in an FP programme believed that FP was not only beneficial for the family but also for staff.

    Conclusion:

    Family presence during resuscitation and acute care has the potential to enhance the care of the patient and to benefit everyone involved. However, implementation of FP during resuscitation must take account of potential problems.

  • 223.
    Axesol, Anita
    et al.
    Halmstad University, School of Health and Welfare.
    Rudin, Sofie
    Halmstad University, School of Health and Welfare.
    Synfältsinskränkningar och bilkörning2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 224.
    Axesol Greis, Anita
    et al.
    Halmstad University, School of Health and Welfare.
    Rudin, Sofie
    Halmstad University, School of Health and Welfare.
    Personers erfarenhet av besök vid sjuksköterskeledd ögonmottagning2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: People struck by glaucoma or diabetes shall be offered examination on a regular basis. Nurseled clinic is a measure to cope with the demand. The purpose of the study was to analyze people’s experience of a nurse-led clinic within ophthalmology. Method: Cross sectional study with quantified approach and consecutive selection. During one month, 187 participants who visited the clinic for control of diabetic and glaucoma responded to a survey. Six questions modified from the Swedish National Patient Survey were used. The data was collected in a digital format directly after the visit. Questionnaire responses were on a non parametric ordinal scale with responses between 1, no, not at all to 5 yes, I agree. Result: Median and mode showed 5 and the total mean value showed 4,96. There was no difference in the experience related to age, diagnosis, type of visit and vision impairment. Conclusion: Visitors to a nurseled ophthalmology clinic experienced the clinic to be carried out personcentered. The questionnaire was inquired targeted in personcentered care and was agreed by the majority.

  • 225.
    Back, Jenny
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    Mechanisms of Exercise Dependence – A person centred approach to study the predictiveability of anxiety, obsessive passion and appearance orientation on exercise dependence2017In: Sport Psychology: Linking theory to practice / [ed] Gangyan, S., Cruz, J., & Jaenes, J.C., 2017, p. 537-538Conference paper (Refereed)
    Abstract [en]

    Exercise dependence is a maladaptive pattern of exercise with a craving for physical activity that results in extreme exercise that may generate mental health problems such as anxiety and depression. Previous research suggests that individuals with certain personality traits are more prone to develop exercise dependence. However, research on personality traits and exercise dependence is still limited. In the current study, predictive abilities of anxiety, obsessive passion and appearance orientation on exercise dependence were investigated. A longitudinal design was adopted to investigate if personality related factors could predict exercise dependence. The sample consisted of 206 regular exercisers (100 males and 106 females) from various exercise groups, sport clubs and sport science classes in Sweden (Mage = 28,5 years; SD = 9,97). The LPA (Latent Profile Analysis) showed that a model with two profiles provided best fit to the data, and that profile belonging at T1 could predict measures of exercise dependence at T2. Profile 1: “high risk exercisers” reported significantly higher levels of exercise dependence, anxiety, obsessive passion and appearance orientation compared to Profile 2: “low risk exercisers”. This study highlights factors that may characterize people who develop exercise dependence. High-risk exercisers are obsessively passionate about their training and exercise may function as a tool to cope with anxiety. If the individual for some reason is prevented from training, feelings of anxiety and guilt are often experienced. Furthermore, these individuals tend to be self-conscious about how they look and appear to other people. To them, exercise may also work as a way to achieve body ideals. The results of the current study suggest plausible mechanisms of why exercise behaviours become unhealthy and uncontrollable for some exercisers whereas others manage to remain healthy.

  • 226.
    Back, Jenny
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and sports.
    Profiles of Exercise Dependence – A person centred approach to study potential mechanisms2016Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
  • 227.
    Back, Jenny
    Halmstad University, School of Health and Welfare.
    TRÄNINGSBEROENDE - EN SAMBANDSSTUDIEAV POTENTIELLA MEKAN ISMER2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Studiens syfte var att studera träningsberoende i relation till ångest, depression, självkritik, passion, kroppstillfredsställelse och idrottsidentitet samt skillnader avseende dessa faktorer mellan individer med och utan träningsberoende. Vidare undersöktes om dessa faktorer kunde predicera träningsberoende. Datainsamling skedde via webbenkät. I studien deltog 124 individer, 62 män och 62 kvinnor. Enligt resultat på EDS-R kategoriserades 15 som träningsberoende, 100 som symptomatiska och 9 som icke träningsberoende. Resultatet visade signifikanta samband mellan träningsberoende, grad av träning, ångest, jämförande och internaliserad självkritik, harmonisk och tvångsmässig passion, AO samt idrottsidentitet. Vidare fanns skillnader mellan träningsberoende och icke träningsberoende gällande GLTEQ, regelbundenhet av fysisk aktivitet, genomsnittlig längd på träningspass, idrottslig ambitionsnivå, ångest, jämförande och internaliserad självkritik, tvångsmässig passion samt idrottsidentitet. Regressionsanalys visade att träningsmängd mätt i GLTEQ, genomsnittlig längd på träningspass, ångest, internaliserad självkritik, harmonisk och tvångsmässig passion förklarade 42 % av variansen hos variabeln träningsberoende. Sammantaget indikerade studiens resultat att träningsmängd, ångest, självkritik och passion kan vara mekanismer som är särskilt viktiga att beakta för att upptäcka, förebygga och behandla träningsberoende. Resultatet kan anses användbart exempelvis för idrottsföreningar, hälso- och träningsinstitutioner som sannolikt kommer i kontakt med träningsberoende individer. För dem kan studiens resultat ge kunskap som kan bidra till förståelse för vad träningsberoende är, hur individer i riskzonen kan upptäckas samt möjliga vägar till förebyggande och behandling. 

  • 228.
    Back, Jenny
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    Who becomes exercise dependent? Exploring psychological risk factors for exercise dependence through a person centred approach2017In: Proceedings of the Nordic Sport Science Conference – ‘The Double-Edged Sword of Sport: Health Promotion Versus Unhealthy Environments’ / [ed] Hertting, K. & Johnson, U., Halmstad: Halmstad University Press, 2017, p. 65-66Conference paper (Refereed)
  • 229.
    Backe, Marita
    et al.
    Department of Medicine, Halmstad County Hospital, Halmstad, Sweden.
    Larsson, Kerstin
    Department of Medicine, Halmstad County Hospital, Halmstad, Sweden.
    Fridlund, Bengt
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Primary Health Care, Göteborg University, Göteborg, Sweden.
    Patients’ conceptions of their life situation within the first week after a stroke event: A qualitative analysis1996In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 12, no 5, p. 285-294Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to find out how stroke patients conceived their life situation within the first week of the acute care phase as seen from the nurses’ viewpoint. Six patients were interviewed within 3 weeks from their first stroke, using questions based on a holistic philosophy and analysed with the phenomonographic approach. Two main categories emerged from the results: the feeling of unreality and the awareness of a changed role in life, together with six subcategories; feeling of a changed perception of the body; feeling of being confused; loss of capability; awareness of confined life space; the importance of support and encouragement; and the will to look for new opportunities. The study concludes that the body change resulting from a stroke leads to both physical and psychological trauma, in which the psychological crisis can be very deep and best described as a personal catastrophe. The patient’s capability to receive and understand information becomes blocked, which influences both the nurse and the patient’s next of kin with regard to their care of the patient. Conversations with the patient must be frequent so that the acute care can be evaluated and agreement reached between the patient’s wishes and the nurses’ objectives. The results indicate the significance of intervention programmes based on crisis theory within the first week of a stroke event.

  • 230.
    Backlund, Åsa
    et al.
    Institutionen för socialt arbete, Stockholms universitet, Stockholm, Sverige.
    Högdin, Sara
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Skolan som arena för integration?: Begrepp, perspektiv och dilemman2017In: Skolsocialt arbete: Skolan som plats för och del i det sociala arbetet / [ed] Åsa Backlund, Sara Högdin & Ylva Spånberger Weitz, Malmö: Gleerups Utbildning AB, 2017, p. 125-135Chapter in book (Refereed)
  • 231.
    Backlund, Åsa
    et al.
    Institutionen för socialt arbete, Stockholms universitet, Stockholm, Sverige.
    Högdin, Sara
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Spånberger Weitz, Ylva
    FoU-Nordväst & Institutionen för socialt arbete, Stockholms universitet, Stockholm, Sverige.
    Skolsocialt arbete – en introduktion2017In: Skolsocialt arbete: Skolan som plats för och del i det sociala arbetet / [ed] Åsa Backlund, Sara Högdin & Ylva Spånberger Weitz, Malmö: Gleerups Utbildning AB, 2017, p. 15-20Chapter in book (Refereed)
  • 232.
    Backlund, Åsa
    et al.
    Institutionen för socialt arbete, Stockholms universitet, Stockholm, Sverige.
    Högdin, Sara
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Spånberger Weitz, Ylva
    FoU-Nordväst & Institutionen för socialt arbete, Stockholms universitet, Stockholm, Sverige.
    Socialt arbete i skolan – uppgifter, perspektiv och dilemman2017In: Skolsocialt arbete: Skolan som plats för och del i det sociala arbetet / [ed] Åsa Backlund, Sara Högdin & Ylva Spånberger Weitz, Malmö: Gleerups Utbildning AB, 2017, p. 221-230Chapter in book (Refereed)
  • 233.
    Backman, Ellen
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Ätutveckling hos barn – en gemensam utmaning för barn och dess vårdnadshavare2016In: Små & stora nyheter, ISSN 1400-4186, no maj, p. 10-11Article in journal (Other (popular science, discussion, etc.))
  • 234.
    Backman, Ellen
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Regional Habilitation Centre, Region Halland, Kungsbacka, Sweden.
    Granlund, Mats
    CHILD Research group, SIDR, School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Karlsson, Ann-Kristin
    Department of Research and Development, Region Halland, Halmstad, Sweden.
    Documentation of everyday life and health carefollowing gastrostomy tube placement in children: a content analysis of medical records.2019In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165Article in journal (Refereed)
    Abstract [en]

    Background: Everyday routines play a vital role in child functioning and development. This study explored health professionals’ documentation of everyday life and health care during the first year following gastrostomy tube placement in children and the content of intervention goals. Methods: The medical records of 39 children (median age 38 months, min–max: 15–192) in one region of Sweden were analysed. A content analysis approach was used with an inductive qualitative analysis supplemented by a deductive, quantitative analysis of documented intervention goals following the ICF-CY. Results: One overall theme, “Seeking a balance”, captured the view of life with a gastrostomy and the health care provided. Two categories, “Striving for physical health” and “Depicting everyday life” with seven sub-categories, captured the key aspects of the documentation. Twenty-one children (54%) had intervention goals related to the gastrostomy, and these goals primarily focused on the ICF-CY component “Body functions”. Conclusions: To some extent the medical records reflected different dimensions of everyday life, but the intervention goals clearly focused on bodily aspects. Understanding how health care for children using a gastrostomy is documented and planned by applying an ecocultural framework adds a valuable perspective and can contribute to family-centred interventions for children using a gastrostomy.Implications for Rehabilitation There is a need for increased awareness in healthcare professionals for a more consistent and holistic healthcare approach in the management of children with gastrostomy tube feeding. This study suggests that an expanded focus on children’s participation in everyday mealtimes and in the healthcare follow-up of gastrostomy tube feeding is important in enhancing the intervention outcome. Multidisciplinary teams with a shared bio-psycho-social understanding of health would contribute to a situation in which the everyday lives of households adapt to living with gastrostomy. Routine care for children with gastrostomy should follow a checklist combining crucial physiological aspects of gastrostomy tube feeding with seemingly mundane family functions in order to achieve a successful gastrostomy tube feeding intervention.  © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

  • 235.
    Backman, Ellen
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Regional Habilitation Center, Region Halland, Kungsbacka, Sweden.
    Karlsson, Ann-Kristin
    Department of Research and Development, Region Halland, Halmstad, Sweden.
    Sjögreen, Lotta
    Mun-H-Center Orofacial Resource Center for Rare Diseases, Public Dental Service, Gothenburg, Sweden.
    Gastrostomy tube feeding in children with developmental or acquired disorders: A longitudinal comparison on health care provision, and eating outcomes four years after gastrostomy2018In: Nutrition in clinical practice, ISSN 0884-5336, Vol. 33, no 4, p. 576-583Article in journal (Refereed)
    Abstract [en]

    Background: Studies on long‐term feeding and eating outcomes in children requiring gastrostomy tube feeding (GT) are scarce. The aim of this study was to describe children with developmental or acquired disorders receiving GT and to compare longitudinal eating and feeding outcomes. A secondary aim was to explore healthcare provision related to eating and feeding.

    Methods: This retrospective cohort study reviewed medical records of children in 1 administrative region of Sweden with GT placement between 2005 and 2012. Patient demographics, primary diagnoses, age at GT placement, and professional healthcare contacts prior to and after GT placement were recorded and compared. Feeding and eating outcomes were assessed 4 years after GT placement.

    Results: The medical records of 51 children, 28 boys and 23 girls, were analyzed and grouped according to “acquired” (n = 13) or “developmental” (n = 38) primary diagnoses. At 4 years after GT placement, 67% were still using GT. Only 6 of 37 (16%) children with developmental disorders transferred to eating all orally, as opposed to 10 of 11 (91%) children with acquired disorders. Children with developmental disorders were younger at the time of GT placement and displayed a longer duration of GT activity when compared with children with acquired disorders.

    Conclusions: This study demonstrates a clear difference between children with developmental or acquired disorders in duration of GT activity and age at GT placement. The study further shows that healthcare provided to children with GT is in some cases multidisciplinary, but primarily focuses on feeding rather than eating.

  • 236.
    Backman, Ellen
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Region Halland, Halmstad, Sweden.
    Karlsson, Ann-Kristin
    Department of Research and Development, Region Halland, Halmstad, Sweden.
    Sjögreen, Lotta
    Mun-H-Center Orofacial Resource Center for Rare diseases, Gothenburg, Sweden.
    The use of gastrostomy in Swedish children – indications, and trends between 2005 and 20152017Conference paper (Refereed)
    Abstract [en]

    Children with complex medical needs requiring nutritional support are growing in number. This presentation will add new knowledge regarding gastrostomy in children by reporting primary diagnosis, and indications for the use of gastrostomy. Furthermore, the presentation will discuss and analyse data evolution trends from 2005 to 2015 in Sweden.

    Methods: The first part of the study used national statistics to provide a broad picture of gastrostomy use in Swedish children. The second part applied a retrospective observational study design, reviewing medical charts in order to obtain an in-depth picture of the children in need for gastrostomy, and its use in a five-year perspective.

    Results: The number of gastrostomy cases recorded in the national database was 3 946, 53% male, and 47% female. The distribution of age groups was: 0-4 years: 61% , 5-9 years: 17%, 10-14 years: 12%, and 15-19: years 10%.  When observing trends on a national level, the number of children receiving gastrostomy increased in average by 13% per year. Changes in the separate age groups were analysed. An increase was noted for children aged 0-4 years and for children aged 5-9 years. In the age groups 10-14 years and 15-19 years, there was no progressive increase. The results from the national statistics database will be discussed in relation to the medical chart-analyses of 75 children receiving gastrostomy in one Swedish administrative region between 2005 and 2015. 

    Conclusions: As in many parts of Europe, the number of children in need for gastrostomy is also growing in Sweden, with the youngest children seeming to be the group increasing most.

    Clinical implications: Nutritional support in Sweden is publicly financed, therefore these findings may be useful when planning both monetary and human resources in meeting the future challenges of paediatric health care.

  • 237.
    Backman, Linn
    et al.
    Halmstad University, School of Health and Welfare.
    Kleveland, Therese
    Halmstad University, School of Health and Welfare.
    Wetterlöv, Malin
    Halmstad University, School of Health and Welfare.
    Jag älskar mitt jobb men...: Aspekter i sjuksköterskors arbetsmiljö som påverkar omvårdnadskvalitén2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    By findingoutwhich aspectsofnurseworkenvironmentthatmayaffect the qualityofcarenursescanhavegreateropportunity to design their ideal work situation and ultimatelyprovide the best possiblecare. The aimofthisstudywas to investigateaspectsofnurses' workenvironmentthataffectcarequality. The result is based on 20 scientificarticles: bothqualitative and quantitative design. The results show thatifnursesexperience a goodworkingenvironmentthisimprovesnurses' and patients' assessmentofcarequality. Workload has a criticalimpact on the qualityofcare. Nursesareforced to set prioritiesdue to timeconstraints and a heavyworkload, thisnegativelyaffects patients and results in increasedcosts ofcare. Being part of a well-functioning team withgoodcommunicationimprovesnurses' jobsatisfaction. A leadershouldtakenurses' opinions seriously and ensureenoughqualifiedstaff. Salary, careeropportunities, skillsdevelopment, and nurse representation at decision-makinglevelsareseen as importantaspects to raise the profession's status and jobsatisfaction. Implication for further research on the subjectcould be interventional studies thatattempt to improve the revealedaspectsof the workenvironment. Decision-makers, patients and their relatives understandingof the qualityofcarerelated to nurses' workenvironmentare alsoneeded to clearlydescribe the subject.

  • 238.
    Baigi, Amir
    et al.
    FoU-enheten, Primärvården Halland.
    Bergh, Håkan
    FoU-enheten, Primärvården Halland.
    Haraldsson, Katarina
    FoU-enheten, Primärvården Halland.
    Lindgren, Eva-Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Lydell, Marie
    FoU-enheten, Primärvården Halland.
    Månsson, Jörgen
    FoU-enheten, Primärvården Halland.
    Wendt, Eva
    FoU-enheten, Primärvården Halland.
    Hälsa på lika villkor? Hallands resultat från en nationell folkhälsoenkät2005Book (Other academic)
    Abstract [sv]

    N/A

  • 239.
    Baigi, Amir
    et al.
    R and D Unit, Primary Health Care, Halland County Council, Falkenberg, Sweden.
    Bering, Charlotte
    Department of Medicine, Visby Hospital, Visby, Sweden.
    Hildingh, Cathrine
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Almerud, Sofia
    School of Health Sciences and Social Work, Växjö University, Växjö, Sweden.
    Non-attendees' attitudes to the design of a cardiac rehabilitation programme focused on information of risk factors and professional involvement2009In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 8, no 1, p. 62-66Article in journal (Refereed)
    Abstract [en]

    Background: Enhancing the accuracy of the content of cardiac rehabilitation programmes (CRPs) and providing the mediators preferred by patients can increase attendance rates in line with secondary prevention goals. The aim of this study was therefore to explore non-attendees' attitudes to the design of a CRP focused on information of risk factors and professional involvement. Method: Consecutive patients with coronary heart disease (n = 100) who declined to participate in a CRP answered a questionnaire focusing on patients' attitudes to risk factors and cardiac rehabilitation. Results: Non-attendees considered that information of hypertension and information of sedentary lifestyle constituted the most important content of a CRP. Physicians, nurses and social workers were considered the most suitable professional categories. Females preferred nurses when discussing smoking issues while males preferred physicians. More males compared to females preferred occupational therapists for dealing with stress, physicians for depression and social workers for social isolation. Conclusions: Non-attendees' attitudes are similar to those of attendees and quite traditional in that they favour physician or nurse-led activities. There is a difference in attitude between male and female.

  • 240.
    Baigi, Amir
    et al.
    Department of Primary Health Care, Göteborg University, Göteborg.
    Hildingh, Cathrine
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Virdhall, Helen
    Lund University Hospital, Lund, Sweden.
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Sense of coherence as well as social support and network as perceived by patients with a suspected or manifest myocardial infarction: a short-term follow-up study2008In: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 22, no 7, p. 646-652Article in journal (Refereed)
    Abstract [en]

    Objective:

    To compare sense of coherence as well as social support and network as perceived by ischaemic heart disease patients at baseline and two weeks post-discharge in terms of age, sex, educational and marital status.

    Design:

    Multicentre study with a prospective short-term follow-up design.

    Setting:

    A university hospital, a central hospital and a district hospital in southern Sweden.

    Subjects:

    Consecutive sample of 246 patients with a suspect or manifest myocardial infarction.

    Main measures:

    The Lubben Social Network Scale (LSNS-R), the Medical Outcome Study (MOS) Social Support Survey and the Sense of Coherence Scale were included in a self-administered questionnaire and answered twice, together with sociodemographic variables.

    Results:

    Bivariate analyses indicated changes in social support (practical support increased in men and decreased in women; both P= 0.003) and social network (family network increased among >65 year olds; P= 0.001, men; P= 0.013, and women; P= 0.033, those with a low; P=0.017, and intermediate; P= 0.033, educational level, as well as those cohabiting; P= 0.0001), but did not reveal any difference in sense of coherence.

    Conclusions:

    Sociodemographic variables have no influence on sense of coherence but do affect social support (i.e. practical support and social network, family). Ischaemic heart disease patients' short stay in hospital implies that the network outside the hospital has to assume responsibility, but at the same time it is important for health care professionals to have sufficient knowledge to be able to support the specific needs of patients and their family members.

  • 241.
    Baigi, Amir
    et al.
    Primary Health Care Research and Development Unit, Halland County Council, Falkenberg, Sweden.
    Marklund, Bertil
    Department of Primary Health Care, Göteborg University, Göteborg, Sweden.
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    The association between socio-economic status and chest pain, focusing on self-rated health in a primary health care area of Sweden2001In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 11, no 4, p. 420-424Article in journal (Refereed)
    Abstract [en]

    Study objective: The study objective was to determine, first, the association between men's and women's chest pain and their socio-economic status (occupation, smoking) and, secondly, the association between their socio-economic status and self-rated health, in a primary health care area. Design and setting: A population-based cross-sectional survey was made in a primary health care area of Sweden. Primarily based on occupation according to Swedish standards, 4,238 men and women were divided into two socio-economic groups; blue-collar and white-collar workers. Methods: Odds ratios with 95% Cl were calculated by multivariate logistic regression, controlling for the variable age as confounding factor. Student's t-test was used to compare self-rated health, and the chi (2)-test to determine any difference in smoking habits between the two groups. Main results: Both male and female blue-collar workers showed significantly more chest pain when excited than white-collar workers. In six of eight health indices, they also reported significantly worse self-rated health than the white-collar workers. Conclusions: These findings show that there are socio-economic inequalities in self-reported chest pain. Furthermore, socio-economic status has a major influence on self-rated health, acting across the working life of both sexes.

  • 242.
    Baldauf, Sara
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Onken, Jennifer
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Sjuksköterskans stöd till anhöriga: En studie om anhörigas upplevelser av stöd inom intensivvård2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The attention and support given to family members at the Intensive Care Unit can sometimes be limited due to that the nurses often focus on the patient's needs and forget about family members needs. Since nurses meet family members on a daily basis it is important for them to know what family members find supportive. The condition of patients at the intensive care unit is often critical and family members need support to cope, understand and adapt to the situation. The aim of the study was to highlight family members´ experiences of support from nurses at the intensive care unit. A structured literature review was conducted in which 10 articles with both qualitative and quantitative design underwent thematic analysis. The analysis gave four categories: Trust and reliance, Presence and participation, Comfort and empathy and Availability and continuity. To sum up; family members at the Intensive Care Unit have a great need of support. Family members are in general satisfied with the support, but there is need for more research in what kind of support they require and how family members experience the support.

  • 243.
    Bamba, Djeneba
    et al.
    Halmstad University, School of Health and Welfare.
    Persson, Josefine
    Halmstad University, School of Health and Welfare.
    Bariatrisk kirurgi - Livet efter operationen2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Obesity is today a chronic disease that represents a major health challenge both internationally and nationally. The obesity occurrence has globally almost tripled since 1975. For patients with severe obesity, lifestyle changes, diets and physical activity are not effective methods, nor do they provide sustainable results. Today, bariatric surgery has become a well-established method and is now considered a standard treatment. Purpose: To describe patients' experiences after bariatric surgery. Method: A general literature study has been conducted. Eleven scientific articles were analyzed for searches in three nursing databases. Result: Four categories emerged; Experiences of a changed relationship to food, experiences of a changed body and identity, experiences of a changed social interaction and the significance of support and experiences of health and illness. Conclusions: The experiences after bariatric surgery varied between patients and affected both physical and mental aspects of life. Even though the new body gave opportunities for increased physical ability, patients still experienced difficulties in embracing the new identity. The support was found to be essential to maintain the achieved weight loss. It is vital that the nurse is familiar with the patients’ situation in order to provide adequate support and make the patient feel familiar and confirmed. 

  • 244.
    Banemark, Anna
    et al.
    Halmstad University, School of Health and Welfare.
    Eliasson, Pernilla
    Halmstad University, School of Health and Welfare.
    Hidradenitis suppurativas påverkan på livet: En allmän litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Hidradenitis suppurativa är en kronisk hudsjukdom som drabbar ca 1-4% av befolkningen. Trots att sjukdomssymtomen varit kända sedan mitten av 1800-talet är patofysiologin ännu inte klarlagd och patientgruppen är svårbehandlad. Syfte: Syftet var att undersöka hur livet påverkas av att leva med hidradenitis suppurativa. 

    Metod: Ansatsen som användes var allmän litteraturöversikt. Kvalitativa och kvantitativa artiklar valdes ut inom ämnet och analyserades för att sedan utgöra grunden i studien. Resultat: Resultatet delades in i följande kategorier: fysiska symtom, psykiska konsekvenser samt betydelsen av stöd. Att leva med hidradenitis suppurativa medför ett lidande som påverkar livskvaliteten i varierande omfattning. Prevalensen för psykiska sjukdomar är större hos patienter med hidradenitis suppurativa och de fysiska symtomen orsakar extensiva besvär som vidare kan leda till låg självkänsla och isolering. Slutsatser: Studiens resultat synliggör att det finns kunskapsluckor kring bemötande, omvårdnad och behandling av patienter med HS och många patienter lider av smärtproblematik relaterat till sjukdomen. På grund av de ofta omfattande fysiska symtomen hamnar den psykiska hälsan i skymundan och kan orsaka extensiva nedsättningar i patienternas liv. Behov av stöd från såväl närstående och sjukvård är en önskvärd tillgång för patienter med HS, som på grund av bristande kunskap i dagsläget inte tillräckligt tillgodoses. Med ökad kunskap om sjukdomsbilden blir sjuksköterskan bättre rustad att ge en hälsofrämjande och personcentrerad vård ur ett holistiskt perspektiv. 

  • 245.
    Barnes, Colin
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Barker, Clare
    University of Birmingham, UK.
    Book reviews: Arguing about disability: philosophical perspectives2010In: Disability & Society, ISSN 0968-7599, E-ISSN 1360-0508, Vol. 25, no 1, p. 123-127Article, book review (Refereed)
  • 246.
    Barnes, Colin
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Sheldon, Alison
    Centre for Disability Studies, School of Sociology and Social Policy, The University of Leeds, Leeds, UK.
    Disability, Politics and Poverty in a Majority World Context2010In: Disability & Society, ISSN 0968-7599, E-ISSN 1360-0508, Vol. 25, no 7, p. 771-782Article in journal (Refereed)
    Abstract [en]

    This paper argues that the spread of free market economics throughout the world has generated unprecedented inequalities within and between nation states. This has led to the systematic exclusion of people with perceived impairments from the mainstream of economic and community life in almost all societies, the generation of an international disabled people’s movement, and their demand for legal frameworks with which to address the multiple deprivations encountered by people viewed as ‘disabled’. It is argued that the poverty and exclusion encountered by disabled people and other oppressed groups in all societies will not be eliminated without fundamental structural change at the international level

  • 247.
    Barow, Thomas
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Die Entwicklung einer inklusiven Schule – das Beispiel Essunga, Schweden2013Conference paper (Refereed)
    Abstract [de]

    Informelles und formelles Lernen betrifft nicht nur die Schülerinnen und Schüler im Unterricht, sondern auch die Schule als lernendes System. In dem Symposiums-Beitrag wird die Schulentwicklungsarbeit in der schwedischen Gemeinde Essunga dargestellt und analysiert. In den dortigen Schulen konnten unterdurchschnittliche Leistungen in nationalen Rankings innerhalb weniger Jahre in Toppositionen gewandelt werden. Die Ausführungen basieren auf einer schwedischen Studie (Persson/Persson 2012), in der pädagogisches und administratives Personal, Schülerinnen und Schüler sowie Eltern zu den Wandlungen in Essunga interviewt wurden; zudem wurden teilnehmende Beobachtungen durchgeführt. Die Untersuchung ist an Ludwik Flecks wissenschaftstheoretische Überlegungen zur Ergänzung, Erweiterung und Umwandlung von Denkstilen angelehnt (Fleck 2012). Kennzeichnend für die Veränderungsprozesse in Essunga waren insbesondere die Auflösung gesonderter Fördergruppen, eine autoritative pädagogische Leitung und auf wissenschaftlichen Erkenntnissen aufbauende Lehrerfortbildungen. In der Fallstudie wird unterstrichen, dass Inklusion und hohe Leistungsfähigkeit keinen Widerspruch darstellen, sondern sich ergänzen.

  • 248.
    Barow, Thomas
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Inklusive Bildung im schwedischen Bildungssystem auf der kommunalen Ebene: Chancen, Spannungen, Hindernisse2014Conference paper (Other academic)
  • 249.
    Barow, Thomas
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Inklusive Bildung in Kenia zwischen politischer Rhetorik und pädagogischer Realität2013In: Sonderpädagogische Förderung heute, ISSN 1866-9344, Vol. 58, no 3, p. 262-273Article in journal (Refereed)
    Abstract [en]

    The paper presents and discusses the discrepancies between the declared education policy and everyday implementation of inclusive education in Kenya. On the policy level orientation towards the aim of inclusion can be observed. However, this concept of inclusion is fragmented and rooted in a deficit-oriented model of disability. On the level of educational practice major problems in realisation of inclusion exist. These can be explained by lack of acceptance and prejudices, unadjusted didactics, and practical difficulties such as lack of resources and over-crowded classrooms. Considering this situation, the improvement of education opportunities and life chances of persons with disability in Kenya forms an enormous challenge.

  • 250.
    Barow, Thomas
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Lernen im Schatten der Gymnasialreform in Schweden2013Conference paper (Refereed)
    Abstract [de]

    In den letzten Jahren hat sich das schwedische Bildungswesen grundlegend gewandelt. So wurde 2011 eine Gymnasialreform durchgeführt, die unter anderem striktere Aufnahmekriterien vorsieht. Zugleich wurden fünf Einführungsprogramme implementiert, die Schülern den Übergang in ein Nationales Programm oder in den Arbeitsmarkt ermöglichen sollen. Im Beitrag wird deutlich, dass die Schülerzahl in speziellen Programmen zunimmt, ohne dass bislang eine verbesserte Eingliederung in den Arbeitsmarkt zu erkennen ist.

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