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  • 2901.
    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.

  • 2902.
    You, Liwen
    et al.
    Halmstad University, School of Information Technology, Halmstad Embedded and Intelligent Systems Research (EIS).
    Garwicz, Daniel
    Division of Hematology and Transfusion Medicine, Department of Laboratory Medicine, Lund University, Lund, Sweden.
    Rögnvaldsson, Thorsteinn
    Halmstad University, School of Information Technology, Halmstad Embedded and Intelligent Systems Research (EIS).
    Comprehensive Bioinformatic Analysis of the Specificity of Human Immunodeficiency Virus Type 1 Protease2005In: Journal of Virology, ISSN 0022-538X, E-ISSN 1098-5514, Vol. 79, no 19, p. 12477-12486Article in journal (Refereed)
    Abstract [en]

    Rapidly developing viral resistance to licensed human immunodeficiency virus type 1 (HIV-1) protease inhibitors is an increasing problem in the treatment of HIV-infected individuals and AIDS patients. A rational design of more effective protease inhibitors and discovery of potential biological substrates for the HIV-1 protease require accurate models for protease cleavage specificity. In this study, several popular bioinformatic machine learning methods, including support vector machines and artificial neural networks, were used to analyze the specificity of the HIV-1 protease. A new, extensive data set (746 peptides that have been experimentally tested for cleavage by the HIV-1 protease) was compiled, and the data were used to construct different classifiers that predicted whether the protease would cleave a given peptide substrate or not. The best predictor was a nonlinear predictor using two physicochemical parameters (hydrophobicity, or alternatively polarity, and size) for the amino acids, indicating that these properties are the key features recognized by the HIV-1 protease. The present in silico study provides new and important insights into the workings of the HIV-1 protease at the molecular level, supporting the recent hypothesis that the protease primarily recognizes a conformation rather than a specific amino acid sequence. Furthermore, we demonstrate that the presence of 1 to 2 lysine residues near the cleavage site of octameric peptide substrates seems to prevent cleavage efficiently, suggesting that this positively charged amino acid plays an important role in hindering the activity of the HIV-1 protease.

  • 2903.
    Yring, Helena
    Halmstad University, School of Health and Welfare.
    Träning, kost och hälsa: En explorativ studie kring tränings- och kostråd utifrån personliga tränares perspektiv2018Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Syftet är att beskriva och problematisera råd kring träning och kost som personliga tränare ger klienter och hur de tar sig uttryck utifrån ett genusteoretiskt perspektiv. Studien gjordes med fokusgruppsintervjuer, sju stycken, och urvalet bestod av 19 personliga tränare mellan 23-47 år, med varierande utbildningsbakgrund och yrkesverksamma år. Studien har en explorativ design och gjordes med en kvalitativ innehållsanalys med en abduktiv ansats. Resultatet visade att PT ger genusneutrala eller genusmärkta hälsoråd till klienter. Genusneutrala råd handlar om att hjälpa samtliga klienter, såväl kvinnor som män, till ett avslappnat förhållningssätt till träning och kost, effektivisera och prioritera träning och kost och att inta en ren och naturlig kost. De genusmärkta hälsoråden är genusspecifika genom att PT reagerar på kvinnors problematiska tränings- och kostbeteenden och ger konkreta råd till kvinnor för att häva dem, men agerar undvikande och ger inte råd vad gäller liknande beteenden hos män. Denna åtskillnad ger män och kvinnor olika möjligheter att främja sin hälsa och utveckla sin träning samt att mäns problematiska beteenden riskerar att inte uppmärksammas. 

  • 2904.
    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.       

  • 2905.
    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.

  • 2906.
    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)
  • 2907.
    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.

  • 2908.
    Ziegert, Kristina
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Everyday Life among Next of Kin of Haemodialysis Patients2005Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Everyday life can be complex when next of kin of haemodialysis patients are preoccupied with taking care of the patient and his/her health, which implies the difficulties and requirements needed. The general aim of this thesis was to explore and describe everyday life among next of kin of haemodialysis patients with focus on the life situation, health, time and professional support. Two perspectives of the thesis was applied: a holistic perspective on the everyday life of next of haemodialysis patient and a social perspective with focus on human communication and understanding of next of kin’s experience of everyday life. A qualitative descriptive and explorative design, comprising a phenomenographic and content analysis was used in Studies I-IV. The data collected in the studies consisted of interviews with next of kin to haemodialysis patient and analysis of professional support for next of kin to chronic haemodialysis patients in nursing documentation from two hospitals in Sweden. The experience of time in everyday life among next of kin of haemodialysis patients demonstrated that time for them is minimised and life space contracted. Next of kin experienced ambivalence towards their own health, especially in cases of patients’ spouses When next of kin of haemodialysis patient’s became involved in the patients’ care, they experienced arduousness in relation to their own health as well as less uninterrupted time for themselves in everyday life, and their life situation was characterised by confinement and social isolation. They were aware of the prognosis of renal disease and the fact that haemodialysis is a life-sustaining treatment, which forced them to live for the moment. The everyday life among the next of kin changed when the family became involved in the care, which in turn lead to a changed life situation and restrictions in everyday life. Lack of knowledge in nursing documentation of professional support revealed necessity of the readiness of next of kin. It is therefore important to be familiar with this in the nursing process, especially when the patient and their next of kin need support and attention in everyday life.

    Original papers not included.

  • 2909.
    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)
  • 2910.
    Ziegert, Kristina
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Maintaining families´well-being in everyday life2011In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 6, no 2, p. 7206-7211Article in journal (Refereed)
    Abstract [en]

    The aim of this paper is to discuss how everyday life changes for the family in the event of chronic illness or disability. It changes physically due to loss of body function and socially due to time and other constraints related to treatment or lack of mobility. Equally important, there is a psychological impact due to the uncertainty of the future. The article will explore how family participation can help to maintain well-being in everyday life. The family should therefore focus on their own needs as much as on the needs of the family members who are ill. In order to maintain well-being in everyday life, it is crucial for the family to create routines and spend time doing things that they enjoy. By doing this, the family will create a rhythm of well-being regardless of the critical family situation. Family members and professional caregivers also need to come together at the beginning and during the illness or disability event to discuss changes that could be made day-to-day for all those involved, thereby making for an easier transition into care giving.

  • 2911.
    Ziegert, Kristina
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Opportunities with integrated Cancer blog - a Swedish Pilot Project on Cancer Rehabilitation Process2013In: eHealth and Nursing: Innovation for the Future / [ed] Sheerin, F, Sermeus, W and Ehrenberg, A, 2013, p. 330-332Conference paper (Refereed)
  • 2912.
    Ziegert, Kristina
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Vård av anhörig: ett livsstilval med konsekvenser för hälsan2010In: Hälsa och livsstil: forskning och praktiska tillämpningar / [ed] Lillemor R-M Hallberg, Lund: Studentlitteratur , 2010, 1, p. 289-305Chapter in book (Other academic)
  • 2913.
    Ziegert, Kristina
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Ahlner Elmqvist, Marianne
    Department of Health Sciences, Lund University, Lund, Sweden.
    Johansson, Unn-Britt
    Karolinska Institutet, Stockholm, Sweden.
    Larsson, Maria
    Department of Nursing, Karlstad University, Karlstad, Sweden.
    Lilja Andersson, Petra
    Department of Health Sciences, Lund University, Lund, Sweden.
    How the Final Swedish Clinical Exam Prepares the Nursing Students for Their Future Challenges-Qualitative Analysis2014In: Creative Education, ISSN 2151-4755, E-ISSN 2151-4771, Vol. 5, no 21, p. 1887-1894Article in journal (Refereed)
    Abstract [en]

    The national clinical final examination (NCFE) plays an important role in order to measure the level of knowledge and performance of nursing students. Our findings indicate that the design of the NCFE is beneficial for the students’ clinical reasoning and problem solution in the caring situation. The aim of this study was to investigate the experiences of the NCFE from lecturers who corrected the written part examination. A further aim was to study the lectures and the RN during observation in the bedside part of the examination. The NCFE is divided into two parts: a theoretical (written) part and a practical (bedside) part. In nursing education it is essential to assess nursing competencies for the future professional role such as the assessment of clinical competence that has become central to evaluate what outcomes are assessed. In addition, it provides a valuable approach to measure the level of knowledge and performance of nursing students. Future development of the NCFE is necessary regarding the degree to which the examination meets learning objectives and educational results.

  • 2914.
    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)
  • 2915.
    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)
  • 2916.
    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.

  • 2917.
    Ziegert, Kristina
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    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).
    Health in everyday life among spouses of haemodialysis patients: a content analysis2006In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 20, no 2, p. 223-228Article in journal (Refereed)
    Abstract [en]

    Despite the fact that haemodialysis requires that spouses support and assist their partner during the treatment period, little attention has been focused on their health. The aim of this study was to explore experiences of health in everyday life among spouses of haemodialysis patients. The study had an explorative and descriptive design based on content analysis. Thirteen participants were interviewed in their home without the presence of the patient. The results show that arduousness was experienced when that spouses' everyday life was taken up by caring for the patient at the expense of his/her own health. Spouses exhibited stamina and neglected their own health when focusing on the patient and minimising their own condition. Independence in everyday life revealed that spouses who cared about themselves and looked after their own health experienced relaxation and happiness, which protected their health. Clinical interventions should include an assessment of the spouses' health and everyday life in order to plan the care to ensure that it is directed towards increasing their independence. Instruments need to be developed that assess when and how spouses experience the greatest sense of well-being, if they have scope for relaxation and recovery, and what type of support they require in their everyday life.

  • 2918.
    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.

  • 2919.
    Ziegert, Kristina
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    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 for dialysis as time to live": Experiences of time in everyday life of the Swedish next of kin of hemodialysis patients2009In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 11, no 1, p. 45-50Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to explore the content of time in everyday life as experienced by the next of kin of patients on hemodialysis in Sweden. Chronic renal disease often requires hemodialysis, which is a time-consuming treatment that makes it necessary to carefully plan everyday life and involves the next of kin to a large degree. This study used a descriptive design with a content analysis approach. The analysis of the data from the twenty interviews revealed the experiences of time in the everyday lives of the next of kin of a patient on hemodialysis. The content of time in everyday life can be described as follows: fragmented time, vacuous time, and uninterrupted time. The findings show how everyday life time for the next of kin is minimized and that the common life space is contracted. The next of kin must be provided with supervision in order to provide them with more of their own time in everyday life, which can benefit their health.

  • 2920.
    Ziegert, Kristina
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    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 in everyday life as experienced by next of kin of haemodialysis patientsManuscript (preprint) (Other academic)
    Abstract [en]

    Aim The aim of this study was to explore the content of time in everyday life as experienced by the next of kin of haemodialysis patients.

    Background Chronic renal disease often requires haemodialysis which is a time-consuming treatment that necessitates careful planning of everyday life and involves next of kin to a large degree. Next of kin's time can be severely restricted when his/her life is devoted to the needs of the haemodialysis patient.

    Method This study used explorative and descriptive design with a qualitative content analysis approach. Twenty next of kin selected purposive with the criterion of having at least one year of experience as a next of kin of a patient on haemodialysis.

    Results Analysis of data from the interviews revealed experiences of time in everyday lives of the next of kin of haemodialysis patients. Their experiences were reflected in the concepts fragmented time, vacuous time and uninterrupted time.

    Conclusion The experience of time in the everyday lives of next of kin of haemodialysis patients demonstrated that time for themselves was minimised and that common life space contracted. The next of kin were also aware of the prognosis of renal disease and the fact that haemodialysis was a life-sustaining treatment, which forced them to live in the present. They afforded wellness when they experienced a break from everyday live and could use their time for their own needs. Attention should be focused on time in the nurse's assessment of the next of kin's everyday life and whether or not next of kin have sufficient time required for the patient's care. There is need for further research that focuses on a generalisation of the fmdings by means of the development of instruments that can contribute assessment of time in everyday life among next of kin of chronically ill patients.

  • 2921.
    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.

  • 2922.
    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.

  • 2923.
    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.

  • 2924.
    Ziegert, Kristina
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Larsson, Glenn
    Region Halland, Halmstad, Sweden.
    Holmström, Madelaine
    Region Halland, Halmstad, Sweden.
    Follow up study of Assessment by Ambulance and Triage Classification (RETTS) in Electronic Health Records2015In: ACENDIO 2015: eHealth and Nursing: Knowledge for Patient Care / [ed] Fintan Sheerin, Walter Sermeus & Anna Ehrenberg, Dublin: Association for Common European Nursing Diagnoses, Interventions and Outcomes , 2015, p. 28-29Conference paper (Refereed)
    Abstract [en]

    Background: The ordinary process for the ambulance nurse is to give prehospital care and transport all patients to the emergency ward regardless of the patients’ medical conditions. The Ambulance organisation south of Sweden has introduced a model of prehospital care for all adult patients with different severities of illness.

    Aim: The main focus of the study is to give a faster prehospital assessment in collaboration with the ambulance nurse and primary health care. The secondary focus is to investigate the use of RETTS (Rapid Emergency Triage, and Treatment System) while writing the information regarding the patient. If the patient’s condition turns out to be level GREEN by RETTS, the ambulance nurse contact with the primary care physicians for a dialogue and together they decide which level of care is the most appropriate for the patient’s condition. There are three levels of care; 1. The patient is able to stay at home with supervision from the primary health care. 2. The ambulance transporting the patient to the primary health care unit for assessment. 3. The ambulance transport the patient to the emergency ward.

    Method: The study design was to exploratory interventions study. The data was conducted in all Electronic Health Records during August – September 2014 (N=67). The ambulance nurse assess patients from 18 years and older with (RETTS). There are three levels of care; 1. The patient is able to stay at home with supervision from the primary health care. 2. The ambulance transporting the patient to the primary health care unit for assessment. 3. The ambulance transport the patient to the emergency ward. The data was analyzed by a descriptive method conducted by statistics from the nurses while using the clinical support systems (RETTS) for decision-making.

    Results: Preliminary results will be presented with focus on clinical decision-making, clinical support systems by RETTS, and how ambulance nurse administrated their decision in Electronic Health Records.  

  • 2925.
    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

  • 2926.
    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.

  • 2927.
    Ziegert, Kristina
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Schjetlein, Anne-Marie
    Halmstad County Hospital, Halmstad, Sweden.
    Learning of simulated cardiac arrests in hospital environments to support performance of the multidisciplinary team2014Conference paper (Refereed)
    Abstract [en]

    Background: Survival after cardiac arrest in hospital environments has in various studies reported to be between 15-39%. In Swedish hospitals 30% of patients who suffer cardiac arrest survive to discharge. There are significant opportunities for improvement in cardiac arrests in hospitals, especially those on general wards. There are few studies of the multidisciplinary team performance regarding both technical and non-technical skills in simulated cardiac arrest on general wards.

    Summary of Work: The focus of this study was to observe the multidisciplinary team performance in simulated cardiac arrest on general wards to gain knowledge about existing methods and thus be able to identify areas for improvement. The study design was an exploratory observational study. There were 33 participants in a total of three wards. The simulated cardiac arrest was videotaped, and a patient simulator was used.

    Summary of Results: The results suggest that guidelines not always were adhered to cooperation. In the order for the guidelines to work in the multidisciplinary team, background knowledge is required. However, the team leader did not coordinated to the multidisciplinary team work, and did not use effective communication.

    Conclusions: Finally, the result suggested suboptimal performance regarding leadership and communication, which in turn affected resources and working environment. The opportunity with simulation is to train together in a situation without any risk for the patients.

    Take home Messages: Simulated cardiac arrests will give the opportunity to train the multidisciplinary team technical and non-technical skills.

     

  • 2928.
    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.

  • 2929.
    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. 

  • 2930.
    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.

  • 2931.
    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.

  • 2932.
    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.

  • 2933.
    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.

  • 2934.
    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.

  • 2935.
    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.  

  • 2936.
    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.

  • 2937.
    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.

  • 2938.
    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)
  • 2939.
    Årneby, Henrik
    Halmstad University, School of Business and Engineering (SET), Biological and Environmental Systems (BLESS).
    The acute effect of a foam rolling and a dynamic stretch warm-up routine on jumping performance2014Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background: Self-myofascial release is widely used by athletes but the scientific evidence of its supposedly positive effects is limited. This study was conducted to investigate the effects of foam rolling as a warm-up routine in comparison with a dynamic stretching routine and how it may affect the jumping performance among subjects familiar with weight training. Aim: The aim of this study was to investigate the acute effect of foam rolling vs. a standardized dynamic stretch warm-up routine on jumping performance. Method: Twelve subjects, mean (SD) age 25.1 (± 3.0) years, participated in a randomized, controlled, crossover study. All subjects completed a standardized foam rolling (FR) and a dynamic stretch (DS) warm-up routine on separate days of testing. Squat jump (SJ), counter movement jump (CMJ) and loaded counter movement jump (L-CMJ) all performed bilaterally and unilaterally were conducted to investigate the acute effect of the two warm-up routines. A dependent T-test was used to investigate differences between the warm-up routines. Results: A statistical significant difference in favor of the DS was found for SJ performed bilaterally among males (p = 0.009). The mean (SD) jumping height for SJ FR was 35.6 (± 4.7) cm and for SJ DS 37.9 (± 5.2) cm. The male group also improved more in L-CMJ performed on the right leg with an external load of 54kg after DS compared to FR. No other statistical significant differences were found between the two interventions. A near statistical significant difference was found for SJ performed bilaterally for the total sample (p = 0.057) also in favor of the DS. The mean (SD) jumping height for SJ FR was 29.3 (± 8.7) cm and for SJ DS 30.5 (± 9.9) cm. Conclusion: Findings from this study supports a dynamic stretch warm-up routine prior to performing high intensity bilateral plyometrics instead of a foam rolling warm-up routine. However the data was inconsistent and more research with larger sample sizes is needed to further investigate the possible effects of foam rolling as a warm-up routine on jumping performance performed both bilaterally and unilaterally.

  • 2940.
    Åsa, Augustsson
    Halmstad University, School of Social and Health Sciences (HOS).
    Kära Dagbok...: Dagbokens betydelse för patienten2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Vid sjuksköterskans omvårdnadsarbete ska fokus ligga i den enskilda patientens behov och önskningar och omvårdnaden skall vara individanpassad. Patienten skall vara delaktig och uppleva trygghet och respekt. Vid god omvårdnad måste sjuksköterskan utgå från den unika patientens behov, erfarenheter och upplevelser varpå kunskap om personen i fråga krävs. Dagboksanteckningar kan identifiera tillstånd och känslor hos patienten, vilket kan fångas upp av sjuksköterskan som i sin tur får ökad förståelse för den individuella patientens behov. Syftet med studien var att beskriva dagbokens betydelse ur patientens perspektiv. En litteraturstudie där resultatet baserades på tolv artiklar genomfördes. Resultatet belyser att dagböcker som företeelse kan identifiera känslor och tillstånd hos patienterna vilket kan hjälpa sjuksköterskan till ökad förståelse för den individuella patientens behov. Dagböckerna ökade patienternas medvetenhet om sin sjukdom eller tillstånd, vilket ledde till bättre följsamhet vid egenvård, symtomlindring och ökad delaktighet i vården. Detta kan ses som ett verktyg utifrån vilket sjuksköterskan planerar olika omvårdnadsåtgärder vilket bör uppmärksammas och utvecklas i omvårdnadsutbildningar. Dagbokens användningsområde bör expanderas och kommande forskning bör genomföras i syfte att utveckla dagbokens betydelse som ett effektivt omvårdnadsverktyg i dagliga rutiner.

  • 2941.
    Åsenlöf, Pernilla
    et al.
    Uppsala University, Uppsala, Sweden.
    Demmelmaier, Ingrid
    Uppsala University, Uppsala, Sweden.
    Emilson, Christina
    Uppsala University, Uppsala, Sweden.
    Pettersson, Susanne
    Uppsala University, Uppsala, Sweden.
    Bergman, Stefan
    Spenshult Centre for Rheumatic Disease, Oskarström, Sweden.
    Step-Up: An Innovative Stepped-Care Protocol for Tailored Behavioral Medicine Treatment in the Management of Musculoskeletal Pain in Primary Care2013In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 72, no Suppl. 3, p. A120-A120Article in journal (Refereed)
    Abstract [en]

    Background: Multimodal rehabilitation and tailored behavioral medicine treatments should be provided to patients suffering from persistent and activity limiting pain according to current state-of-science. There is also evidence that a minimal intervention including 'stay-active advice' can produce effects comparable to effects of comprehensive treatment packages. Nevertheless, there is a gap of knowledge regarding which individuals who benefit the most from which modalities of pain treatment, at what time point, and with the highest cost-effectiveness. Accordingly, we have set up an innovative stepped-care protocol for the management of musculoskeletal pain in primary care, which is evaluated in a randomized controlled trial.

    Objectives: The aim is to compare effects and cost-effectiveness of a stepped care model including advice and tailored behavioral medicine pain treatment (experimental condition) with a stepped care model including advice and physical exercises (comparison condition) for patients with low back and neck pain and/or widespread pain including fibromyalgia in primary care. A further aim is to characterize patients who benefit/do not benefit from the respective steps i.e. treatments varying in dose and content.

    Methods: A stratified randomized stepped care design is applied. Stratification is based on primary care center and psychological risk profile. A consecutive selection is performed at primary care centers in southern, central and northern Sweden. After having received a minimal intervention (step 1) comprising 'stay-active advice', participants scoring high on the Örebro Musculoskeletal Pain Questionnaire (ÖMPQ) according to preset criteria are randomly allocated to an eight-week treatment in step 2. The experimental condition includes supervised physical exercises integrated with either (a) graded activity, or (b) hierarchical graded exposure depending on psychological risk profile. The comparison condition includes supervised physical exercises irrespective of risk profile. Primary outcome is pain-related disability complemented with a comprehensive set of secondary outcomes adhering to the IMMPACT recommendations.

    Results: The stepped-care design will be presented including illustrations of conclusions possible to draw with this kind of innovative design.

    Conclusions: There is a call for stepped-care interventions within pain intervention research, particularly in the primary care setting. However, published studies are still lacking. This study will contribute to an important progression of behavioral medicine pain treatments by the way treatments are tailored in accordance with psychological risk profile. This will be discussed to stimulate research activities and collaboration within this area of research and clinical implementation.

  • 2942.
    Ödegård, Synnöve
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Hallberg, Lillemor
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Perceived potential risk factors in child care2004In: Journal of Health Organisation & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 18, no 1, p. 38-52Article in journal (Refereed)
    Abstract [en]

    This study is based on semi-structured interviews focusing on staff members’ opinions about potential risk factors that could threaten patient safety. The aim was to acquire more in-depth knowledge about the causes of patient injuries. The study, which was conducted at a children's hospital, has a qualitative approach that is influenced by the critical incident technique. A total of 28 persons were interviewed. Analysis of the data resulted in five qualitatively differentiated categories of potential risk factors: a large influx of patients, a lack of professional experience, a lack of inter-professional communication and cooperation, and deficiencies related to work hours and to the physical environment. The results reflect a complex picture where the risks, as described by the informants, can either alone or in concert directly or indirectly affect the individual in the practice of his or her profession or contribute to a mistake.

  • 2943.
    Öhlén, Joakim
    et al.
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Berg, Linda
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Björk Brämberg, Elisabeth
    School of Health Sciences, University of Borås, Borås, Sweden.
    Engström, Åsa
    Division of Nursing, Department of Health Science, Luleå University of Technology, Luleå, Sweden.
    German Millberg, Lena
    Faculty of Social and Life Sciences, Department of Nursing, Karlstad University, Karlstad, Sweden.
    Höglund, I.
    School of Health Sciences, University of Borås, Borås, Sweden.
    Jacobsson, C.
    Faculty of Medicine, Department of Nursing, Umeå University, Umeå, Sweden.
    Lepp, Margret
    Institute of Health and Care Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
    Lidén, Eva
    Institute of Health and Care Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
    Lindström, I.
    Institute of Health and Care Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
    Petzäll, Kerstin
    Faculty of Social and Life Sciences, Department of Nursing, Karlstad University, Karlstad, Sweden & Faculty of Medicine, Department of Nursing, Umeå University Umeå Sweden.
    Söderberg, S.
    Division of Nursing, Department of Health Science, Luleå University of Technology, Luleå, Sweden.
    Wijk, Helle
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Students’ learning as the focus for shared involvement between universities and clinical practice: a didactic model for postgraduate degree projects2012In: Advances in Health Sciences Education, ISSN 1382-4996, E-ISSN 1573-1677, Vol. 17, no 4, p. 471-487Article in journal (Refereed)
    Abstract [en]

    In an academic programme, completion of a postgraduate degree project could be a significant means of promoting student learning in evidence- and experience-based practice. In specialist nursing education, which through the European Bologna process would be raised to the master’s level, there is no tradition of including a postgraduate degree project. The aim was to develop a didactic model for specialist nursing students’ postgraduate degree projects within the second cycle of higher education (master’s level) and with a specific focus on nurturing shared involvement between universities and healthcare settings. This study embodies a participatory action research and theory-generating design founded on empirically practical try-outs. The 3-year project included five Swedish universities and related healthcare settings. A series of activities was performed and a number of data sources secured. Constant comparative analysis was applied. A didactic model is proposed for postgraduate degree projects in specialist nursing education aimed at nurturing shared involvement between universities and healthcare settings. The focus of the model is student learning in order to prepare the students for participation as specialist nurses in clinical knowledge development. The model is developed for the specialist nursing education, but it is general and could be applicable to various education programmes. © 2011 Springer Science+Business Media B.V.

  • 2944.
    Öijervall, Jörgen
    Halmstad University, School of Social and Health Sciences (HOS).
    Sjuksköterskors erfarenheter av verksamma faktorer i processorienterad omvårdnadshandledning i grupp, ett år efter avslutad sjuksköterskeutbildning: Nurses' experiences of the active factors in process-oriented clinical group supervision, one year after degree2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Processorienterad omvårdnadshandledning i grupp är ett stöd för studenter att utveckla sin förmåga att hantera komplexa vårdsituationer. Reflektionen har en central roll samt handledarens förhållningsätt. Den omvårdnadsteoretiska förankringen beskrivs som betydelsefull, men det finns beskrivningar att alla handledare inte använder omvårdnad som teoretisk grund. Studiens syfte var att beskriva sjuksköterskors erfarenheter av verksamma faktorer i processorienterad omvårdnadshandledning i grupp, ett år efter avslutad sjuksköterskeutbildning. Analysen har gjort med hjälp av kvalitativ innehållsanalys utifrån intervjuer med 18 sjuksköterskor presenteras i fyra kategorier: Handledarens karaktär, Handledningssessionens struktur, Pedagogiska metoder och Reflekterande kommunikation. Resultatet visar att handledarens personliga egenskaper har stor betydelse likaså vikten av att ha ett uppmuntrande förhållningssätt gentemot deltagarna. handledarens engagemang för att skapa trygghet, detta kan medföra att hanledaren kan bli en god rollmodell. En annan viktig faktor är att handledningssessionerna har en tydlig struktur, detta visar sig betydelsefullt för att skapa trygghet och att bibehålla fokus på problemställningarna. Resultatet beskriver olika pedagogiska strategier, såsom rollspel och att använda gruppen för att stödja lärprocesser.  Ytterligare en viktig faktor är att handledningen utgår från ett omvårdnadsteoretiskt perspektiv, då detta fungerar som en kompass i omvårdnadshandledningen. Vikten av ett omvårdnadsteoretiskt perspektiv beskrivs mer implicit i resultatet. Däremot beskrivs vikten av reflekterad kommunikation mer tydligt i materialet.  Reflekterad kommunikation bidrar till studenternas fördjupade kunskaper kring omvårdnadens praktiska genomförande. Ytterligare forskning bör fokuseras på hur det omvårdnadsteoretiska perspektivet kan belysas som en verksam faktor i omvårdnadshandledning

  • 2945.
    Öijervall, Jörgen
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Främjande faktorer för professionell utveckling i processorienterad omvårdnadshandledning i grupp: Sjuksköterskors erfarenheter ett år efter avslutad sjuksköterskeutbildning2013In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, no 1, p. 9-13Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe nurses' experiences of factors enhancing professional development trough process-oriented group super- vision, one year after completed nursing education. The objective of process-oriented group supervision in nursing care is to support students’ development of their ability to manage complex care situations. The attitude of the supervisor and the students’ willingness to reflect on them- selves have been described as playing key roles in process-oriented group supervision during nursing education. The link to nursing science has also been described as significant by several researchers, but some supervisors are not using nursing science as a foundation in group supervision for nurses. The analysis was completed using a qualitative content analysis method based on interviews with 18 nurses resulting in the general theme “Process oriented pedagogy” which is presented in three categories: Supervisor’s character, Pedagogical strategy and Reflective communication. The findings suggest that the supervisor's personal qualities in combination with an inspiring structure are impor- tant to promote the participants’ reflective communication during the group supervision sessions. Reflective communication supports the students’ development towards a deeper professional knowledge. Further research should focus on the use of nursing science as a foundation in clinical process-oriented group supervision.

  • 2946.
    Öijervall, Jörgen
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Promoting factors for professional development in process oriented group supervision. Nurses experiences one year after completed nursing degree2013In: Breaking Barriers 2013, 2013, p. 43-44Conference paper (Refereed)
    Abstract [en]

    The aim of this study was to describe nurses' experiences of factors enhancing professional development trough process-oriented group supervision, one year after completed nursing education. The objective of process-oriented group supervision in nursing care is to support students’ development of their ability to manage complex care situations. The attitude of the supervisor and the students’willingness to reflect on themselves have been described as playing key roles in process-oriented group supervision during nursing education. The link to nursing science has also been described as significant by several researchers, but some supervisors are not using nursing science as a foundation in group supervision for nurses. The analysis was completed using a qualitative content analysis method based on interviews with 18 nurses resulting in the general theme “Process oriented pedagogy” which is presented in three categories: Supervisor’s character, Pedagogical strategy and Reflective communication. The findings suggest that the supervisor's personal qualities in combination with an inspiring structure are important to promote the participants’ reflective ommunication during the group supervision sessions. Reflective communication supports the students’ development towards a deeper professional knowledge. Further research should focus on the use of nursing science as a foundation in clinical process-oriented group supervision.

  • 2947.
    Önnerfält, Jenny
    et al.
    Department of Paediatrics, Clinical Sciences Lund, Lund University, Lund, Sweden & Vårdalinstitutet, Swedish Institute for Health Sciences, Lund University, Lund, Sweden & Department of Paediatrics, Lund University, Lund, Sweden & Skåne University Hospital, Lund, Sweden.
    Erlandsson, Lena-Karin
    Vårdalinstitutet, Swedish Institute for Health Sciences, Lund University, Lund, Sweden & Department of Health Sciences, Faculty of medicine, Lund University, Lund, Sweden.
    Orban, Kristina
    Vårdalinstitutet, Swedish Institute for Health Sciences, Lund University, Lund, Sweden & Department of Health Sciences, Faculty of medicine, Lund University, Lund, Sweden.
    Broberg Olsson, Malin
    Vårdalinstitutet, Swedish Institute for Health Sciences, Lund University, Lund, Sweden & Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
    Thorngren-Jerneck, Kristina
    Department of Paediatrics, Clinical Sciences, Lund University, Lund, Sweden & Vårdalinstitutet, Swedish Institute for Health Sciences, Lund University, Lund, Sweden & Skåne University Hospital, Lund, Sweden.
    A family-based intervention targeting parents of preschool children with overweight and obesity: Conceptual framework and study design of LOOPS- Lund Overweight and Obesity Preschool Study2012In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 12, no 1, article id 879Article in journal (Refereed)
    Abstract [en]

    Background: As the rate of overweight among children is rising there is a need for evidence-based research that will clarify what the best interventional strategies to normalize weight development are. The overall aim of the Lund Overweight and Obesity Preschool Study (LOOPS) is to evaluate if a family-based intervention, targeting parents of preschool children with overweight and obesity, has a long-term positive effect on weight development of the children. The hypothesis is that preschool children with overweight and obesity, whose parents participate in a one-year intervention, both at completion of the one-year intervention and at long term follow up (2-, 3- and 5-years) will have reduced their BMI-for-age z-score.

    Methods/Design: The study is a randomized controlled trial, including overweight (n=160) and obese (n=80) children 4-6-years-old. The intervention is targeting the parents, who get general information about nutrition and exercise recommendations through a website and are invited to participate in a group intervention with the purpose of supporting them to accomplish preferred lifestyle changes, both in the short and long term. To evaluate the effect of various supports, the parents are randomized to different interventions with the main focus of: 1) supporting the parents in limit setting by emphasizing the importance of positive interactions between parents and children and 2) influencing the patterns of daily activities to induce alterations of everyday life that will lead to healthier lifestyle. The primary outcome variable, child BMI-for-age z-score will be measured at referral, inclusion, after 6 months, at the end of intervention and at 2-, 3- and 5-years post intervention. Secondary outcome variables, measured at inclusion and at the end of intervention, are child activity pattern, eating habits and biochemical markers as well as parent BMI, exercise habits, perception of health, experience of parenthood and level of parental stress.

    Discussion: The LOOPS project will provide valuable information on how to build effective interventions to influence an unhealthy weight development to prevent the negative long-term effects of childhood obesity.

    Trial registration: ClinicalTrials.gov NCT00916318

    © 2012 Önnerfält et al.; licensee BioMed Central Ltd.

  • 2948.
    Östberg, Anna-Lena
    et al.
    Karlstad University, Karlstad, Sweden.
    Nyholm, Maria
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Gullberg, Bo
    Lund University, Department of Clinical Sciences, Malmö, Sweden.
    Råstam, Lennart
    Lund University, Department of Clinical Sciences, Malmö, Sweden.
    Lindblad, Ulf
    Lund University, Department of Clinical Sciences, Malmö, Sweden.
    Tooth loss and obesity in a defined Swedish population2009In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 37, no 4, p. 427-433Article in journal (Refereed)
    Abstract [en]

    Aims: To explore the association between tooth loss and obesity in an adult Swedish population, and to investigate the influence of socioeconomy, life-style, and co-morbidity.

    Methods: A cross-sectional population health survey conducted in 2001-2005 in 2816 randomly selected Swedish men and women (age: 30-74 years; participation rate 76%). Main measures were; tooth loss: < 20 remaining teeth (self-reported), general obesity: BMI[≥]30 kg m-2, abdominal obesity: waist circumference > 88 in women and > 102 cm in men. Adjustments were made for socioeconomy, life-style, and co-morbidity.

    Results: 420 individuals (21.2%) had < 20 remaining teeth: 30-59 years 6.0%, 60-74 years 53.5%. Mean BMI was similar in men and women (26.9 kg m-2), however, both general and abdominal obesity was still more frequent among women (both p < 0.001). There was a significant interaction between age and tooth loss in the association with both general (p = 0.004) and abdominal obesity (p < 0.011) in men. In participants below 60 years of age, the association between tooth loss and general obesity (OR 2.17 [95% CI 1.51 - 3.12]) and abdominal obesity (2.23 [1.58 - 3.15]), respectively, was statistically significant independent of age and gender, and remained so also when accounting for differences in socioeconomy, life-style, and co-morbidity. There was no similar association in those 60 years or older. The findings in men and women were robust and concordant.

    Conclusions: Common mechanisms for oral health and obesity should be explored more also including longitudinal designs. The findings are important for targeting comprehensive interventions against obesity and tooth loss, especially among younger adults.

  • 2949.
    Österlind, Jane
    et al.
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden & Department of Palliative Care Research, Ersta Sköndal University College, Stockholm, Sweden.
    Hansebo, Görel
    Department of Palliative Care Research, Ersta Sköndal University College, Stockholm, Sweden.
    Andersson, Janicke
    Department of Social and Welfare Studies, Linköping University, Linköping, Sweden.
    Ternestedt, Britt-Marie
    Department of Palliative Care Research, Ersta Sköndal University College, Stockholm, Sweden.
    Hellström, Ingrid
    Department of Social and Welfare Studies, Linköping University, Linköping, Sweden.
    A discourse of silence: professional carers reasoning about death and dying in nursing homes2011In: Ageing & Society, ISSN 0144-686X, E-ISSN 1469-1779, Vol. 31, no 4, p. 529-544Article in journal (Refereed)
    Abstract [en]

    Nursing homes are a setting in which death and dying is common. How death and dying is articulated and the actions that take place in a nursing home constitute a discourse that guides the staff in their work. The aim of this study was to explore the discourse of death and dying in nursing homes from the perspective and understanding of the staff. The study draws on Foucault's discourse analysis. Data are from five focus-group discussions held with 28 staff of four different nursing homes in Sweden. The findings show that the discourse had three characteristics: (a) dying was silent and silenced, (b) emotions were pushed into the background, and (c) attentiveness to death arose after the moment of the elderly person's death. The structure of the discourse was characterised by a movement between two positions, avoiding and confronting death, the main focus being on avoidance. The articulation and practices of silence highlight a need to regard dying as a process that requires attention. One way to ensure appropriate attention could be to instil the philosophy of palliative care in nursing homes, including training and support for the staff in their work. The study demonstrates that nursing-home staff need more knowledge and support to enable them to feel that they do a good job.

  • 2950.
    Ørstavik, Kristin
    et al.
    Faculty of Medicine, University of Oslo.
    Namer, Barbara
    Department of Physiology and Experimental Pathophysiology, University of Erlangen/Nürnberg.
    Schmidt, Roland
    Department of Clinical Neurophysiology, University Hospital, Uppsala, Sweden.
    Schmelz, Martin
    Department of Anesthesiology Mannheim, University Heidelberg, Mannheim, Germany,.
    Hilliges, Marita
    Halmstad University, School of Business and Engineering (SET), Biological and Environmental Systems (BLESS).
    Weidner, Christian
    Department of Physiology and Experimental Pathophysiology, University of Erlangen/Nürnberg.
    Carr, Richard W.
    Department of Physiology and Experimental Pathophysiology, University of Erlangen/Nürnberg.
    Handwerker, Hermann
    Department of Physiology and Experimental Pathophysiology, University of Erlangen/Nürnberg.
    Jørum, Ellen
    Laboratory of Clinical Neurophysiology, Department of Neurology, Rikshospitalet-Radiumhospitalet Medical Center, Oslo, Norway.
    Torebjörk, H. Erik
    Department of Clinical Neurophysiology, University Hospital, Uppsala, Sweden.
    Abnormal Function of C-Fibers in Patients with Diabetic Neuropathy2006In: Journal of Neuroscience, ISSN 0270-6474, E-ISSN 1529-2401, Vol. 26, no 44, p. 11287-11294Article in journal (Refereed)
    Abstract [en]

    The mechanisms underlying the development of painful and nonpainful neuropathy associated with diabetes mellitus are unclear. We have obtained microneurographic recordings from unmyelinated fibers in eight patients with diabetes mellitus, five with painful neuropathy, and three with neuropathy without pain. All eight patients had large-fiber neuropathy, and seven patients had pathological thermal thresholds in their feet, indicating the involvement of small-caliber nerve fibers. A total of 163 C-fibers were recorded at knee level from the common peroneal nerve in the patients (36–67 years old), and these were compared with 77 C-fibers from healthy controls (41–64 years old). The ratio of mechano-responsive to mechano-insensitive nociceptors was ~2:1 in the healthy controls, whereas in the patients, it was 1:2. In patients, a fairly large percentage of characterized fibers (12.5% in nonpainful and 18.9% in painful neuropathy) resembled mechano-responsive nociceptors that had lost their mechanical and heat responsiveness. Such fibers were rarely encountered in age-matched controls (3.2%). Afferent fibers with spontaneous activity or mechanical sensitization were found in both patient groups. We conclude that small-fiber neuropathy in diabetes affects receptive properties of nociceptors that leads to an impairment of mechano-responsive nociceptors. Copyright © 2006 Society for Neuroscience

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