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  • 51.
    Karlsson, Staffan
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad. Lund University, Lund, Sweden.
    Fagerström, Cecilia
    Lund University, Lund, Sweden.
    Midlöv, Patrik
    Lund University, Lund, Sweden.
    Hallberg, Ingalill R
    Blekinge Institute of Technology, Karlskrona, Sweden & Blekinge Centre of Competence, Karlskrona, Sweden.
    Antipsychotic medication in relation to national directives in people with dementia in Sweden2017Inngår i: IAGG 2017 Abstract Book, Washington, DC: The Gerontological Society of America , 2017, s. 349-350Konferansepaper (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to explore trends in treatment with antipsychotic medication in Swedish dementia care as reported in the most recent empirical studies on the topic, and to relate these trends to directives and recommendations from national authorities.

    The study included two scoping review studies and two empirical studies. The scoping studies reviewed published data in electronic databases as well as Swedish recommendations and directives in the field.

    During the past decade, recommendations have been developed regarding antipsychotic medication in Sweden. These recommendations were generic at first, but have become increasingly specific and restrictive with time. The scoping review showed that treatment with antipsychotic drugs varied between 6% and 38%, and was higher in younger older persons and those with moderate cognitive impairment and living in nursing homes for people with dementia. A trend towards a decrease in antipsychotic use has been seen over the last 15 years. The empirical studies showed that the medication with antipsychotics decreased from 23.4% in 2001 to 11.5% in 2007, for older people in general as well as for older people with dementia. Among older people with dementia, 10% were utilizing antipsychotic medication, with no difference between those cared for at home and those in nursing homes.

    Directives from Swedish national authorities seem to have had an impact on antipsychotic medication for people with dementia. Treatment with antipsychotic medication has decreased, while other psychotropic medication has increased. National directives may possibly be even more effective, if applied in combination with systematic follow-ups.

  • 52.
    Karlsson, Staffan
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad. Lund University, Lund, Sweden.
    Hallberg, Ingalill R.
    Lund University, Lund, Sweden.
    Midlöv, Patrik
    Lund University, Lund, Sweden.
    Fagerström, Cecilia
    Blekinge Center of Competence, Karlskrona, Sweden & Linnaeus University, Kalmar, Sweden.
    The trends in treatment with antipsychotic medication in relation to national directives in people with dementia. Review in a Swedish context2017Inngår i: Capacity, Creativity and Ageing in Clinical Practice: Faculty of Psychiatry of Old Age Conference 2017, 2017, s. 36-36Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Background: Antipsychotic medication has been commonly used in dementia treatment despite various side effects, which differ for different drug generations. As there is no clear evidence for treatment with antipsychotic medication among older people with dementia, may a review of empirical studies and national directives be beneficial.

    Objectives: The aim of this study was to explore trends in treatment with antipsychotic medication in Swedish dementia care in nursing homes as reported in the most recent empirical studies on the topic, and to relate these trends to directives from the national authorities.

    Methods: The study included two scoping review studies based on searches of electronic databases as well as the Swedish directives in the field.

    Findings: During the past decade, directives have been developed for antipsychotic medication in Sweden. These directives were generic at first, but have become increasingly specific and restrictive with time. The scoping review showed that treatment with antipsychotic drugs varied between 6% and 38%, and was higher in younger older persons and in those with moderate cognitive impairment and living in nursing homes for people with dementia. A decreasing trend in antipsychotic use has been seen over the last 15 years.

    Conclusions: Directives from the authorities in Sweden may have had an impact on treatment with antipsychotic medication for people with dementia. Treatment with antipsychotic medication has decreased, while treatment with combinations of psychotropic medications is common. National directives may possibly be even more effective, if applied in combination with systematic follow-ups.

  • 53.
    Karlsson, Staffan
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad. Lund University, Lund, Sweden.
    Rahm Hallberg, Ingalill
    Lund University, Lund, Sweden.
    Midlöv, Patrik
    Lund University, Lund, Sweden.
    Fagerström, Cecilia
    Blekinge Centre of Competence, Karlskrona, Sweden & Linnaeus University, Kalmar, Sweden.
    Trends in treatment with antipsychotic medication in relation to national directives, in people with dementia - a review of the Swedish context2017Inngår i: BMC Psychiatry, ISSN 1471-244X, E-ISSN 1471-244X, Vol. 17, nr 1, artikkel-id 251Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    The aim of this study was to explore trends in treatment with antipsychotic medication in Swedish dementia care in nursing homes as reported in the most recent empirical studies on the topic, and to relate these trends to directives from the national authorities.

    Methods

    The study included two scoping review studies based on searches of electronic databases as well as the Swedish directives in the field.

    Results

    During the past decade, directives have been developed for antipsychotic medication in Sweden. These directives were generic at first, but have become increasingly specific and restrictive with time. The scoping review showed that treatment with antipsychotic drugs varied between 6% and 38%, and was higher in younger older persons and in those with moderate cognitive impairment and living in nursing homes for people with dementia. A decreasing trend in antipsychotic use has been seen over the last 15 years.

    Conclusions

    Directives from the authorities in Sweden may have had an impact on treatment with antipsychotic medication for people with dementia. Treatment with antipsychotic medication has decreased, while treatment with combinations of psychotropic medications is common. National directives may possibly be even more effective, if applied in combination with systematic follow-ups. © 2017 The Author(s).

  • 54.
    Keogh, Brian
    et al.
    Trinity College Dublin, Dublin, Ireland.
    Doyle, Louise
    Trinity College Dublin, Dublin, Ireland.
    Ellilä, Heikki
    University of Applied Science, Turku, Finland.
    Higgins, Agnes
    Trinity College Dublin, Dublin, Ireland.
    Jormfeldt, Henrika
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Lahti, Mari
    University of Applied Science, Turku, Finland.
    Meade, Oonagh
    University of Nottingham, Nottingham, United Kingdom.
    Sitvast, Jan
    University of Applied Sciences, Utrecht, The Netherlands.
    Skärsäter, Ingela
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Stickley, Theodor
    University of Nottingham, Nottingham, United Kingdom.
    Kilkku, Nina
    University of Applied Sciences, Tampere, Finland.
    Developing e-learning materials in mental health: the eMenthe Project2017Inngår i: Mental Health Practice, ISSN 1465-8720, E-ISSN 2047-895X, Vol. 20, nr 5, s. 36-37Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This article describes a European collaborative project that developed master’s degree level e-learning materials for mental health nurses. The e-learning materials are freely available online at www.ementhe.eu

  • 55.
    Keogh, Brian
    et al.
    Trinity College Dublin, Dublin, Ireland.
    Skärsäter, Ingela
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Doyle, Louise
    Trinity College Dublin, Dublin, Ireland.
    Ellilä, Heikki
    University of Applied Science Turku, Turku, Finland.
    Jormfeldt, Henrika
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Lahti, Mari
    University of Applied Science Turku, Turku, Finland.
    Higgins, Agnes
    Trinity College Dublin, Dublin, Ireland.
    Meade, Oonagh
    University of Nottingham, Nottingham, United Kingdom.
    Sitvast, Jan
    University of Applied Sciences HU, Utrecht, The Netherlands.
    Stickley, Theodor
    Tampere University of Applied Sciences, Tampere, Finland.
    Kilkku, Nina
    Tampere University of Applied Sciences, Tampere, Finland.
    Working with Families Affected by Mental Distress: Stakeholders' Perceptions of Mental Health Nurses Educational Needs2017Inngår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 38, nr 10, s. 822-828Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Family and informal caregivers provide a substantial amount of care and support to people who experience mental health problems. The aim of this study was to explore mental health nurses', students' and service users' perceptions of the knowledge, skills and attitudes that are required by mental health nurses to work with families and carers using a qualitative methodology. Three themes emerged from the data: Knowledge of the family and how mental distress affects the family; working with the family - support and education; and valuing the role of the family. The three themes demonstrate the complexity of preparing mental health nurses to work with families and carers, and the article offers recommendations about how this might be achieved. © 2017 Taylor & Francis Group, LLC

  • 56.
    Källstrand Eriksson, Jeanette
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Fall och fallskador bland äldre. Ett i-ögonfallande problem?2010Annet (Annet (populærvitenskap, debatt, mm))
  • 57.
    Lahti, M.
    et al.
    Health and Well-being, Turku University of Applied Science, Turku, Finland.
    Elliä, H.
    Health and Well-being, Turku University of Applied Science, Turku, Finland.
    Jormfeldt, Henrika
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Skärsäter, Ingela
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Doyle, L.
    School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.
    Higgins, A.
    School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.
    Keogh, B.
    School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.
    Meade, O.
    Faculty of Medicine & Health Sciences, School of Health Sciences, University of Nottingham, Nottingham, United Kingdom.
    Stickley, T.
    Faculty of Medicine & Health Sciences, School of Health Sciences, University of Nottingham, Nottingham, United Kingdom.
    Sitvast, J.
    Department of health care, University of Applied Sciences HU, Utrecht, Netherlands.
    Kilkku, N.
    School of health care and social services, Tampere University of Applied Sciences, Tampere, Finland.
    The required knowledge for lifespan mental health promotion and prevention for Master’s level mental health nurse education – the eMenthe project2018Inngår i: International Journal of Health Promotion and Education, ISSN 1463-5240, E-ISSN 2164-9545, Vol. 56, nr 3, s. 143-154Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In this study, we address the kind of knowledge that is required for Master’s level nurse education for lifespan mental health promotion and prevention. Data were collected through structured interviews (N = 109). The interviews were conducted across five European countries. The data were analysed using a thematic content analysis approach. The findings show that Master’s level nurse education needs knowledge related to lifespan issues. Needs were raised in several issues like importance of increasing skills and knowledge of mental health workers. We conclude that there is a need to emphasise the knowledge required for mental health promotion and prevention for Master’s level nursing education across Europe. © 2018 Institute of Health Promotion and Education.

  • 58.
    Larsson, Glenn
    et al.
    Department of Ambulance and Prehospital Care, Region Halland, Halmstad, Sweden & Department of Orthopaedics, Lund University, Lund, Sweden.
    Holmén, Anders
    Department of R&D, Region Halland, Halmstad, Sweden.
    Ziegert, Kristina
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Early prehospital assessment of non-urgent patients and outcomes at the appropriate level of care: A prospective exploratory study2017Inngår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 32, s. 45-49Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction: The Ambulance Organization of Sweden provides qualified medical assessment and treatment by ambulance nurses based on patient needs regarding appropriate levels of care. A new model for patients with non-urgent medical conditions has been introduced. The main objective of this study was to examine early prehospital assessment of non-urgent patients, and its impact on the choice of the appropriate level of care.

    Methods: The study design was a 1-year, prospective study, involving an ambulance district in southwestern Sweden with a population of 78,000. Eligible patients were from18 years of age, assessed as priority GREEN by Rapid Emergency Triage and Treatment System (RETTS). Ambulance nurses contacted primary care physicians on decisions on whether a patient should be transported to a primary healthcare unit or an A&E. Data was collected from electronic health records from April 2014 to July 2015. A comparison was made with a retrospective control group without consulting a physician concerning the appropriate level of care.

    Results: 394 patients were included, 184 in the intervention group, and 210 in the control group. There were statistically significant differences in favor of the study group (p < 0.001) regarding no transport, or transport and admission to an A&E. The groups did not differ significantly regarding transport to a primary care unit.

    Conclusion: This prehospital assessment model indicates a decrease in ambulance transports to an A&E and admissions to a hospital ward. Collaboration between ambulance nurses and primary physicians affects the decision for the appropriate level of care for patients with a non-urgent condition. © 2017 Elsevier Ltd

  • 59.
    Larsson, Ingrid
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Nurse-led Care and Patients as Partners Are Essential Aspects of the Future of Rheumatology Care2017Inngår i: Journal of Rheumatology, ISSN 0315-162X, E-ISSN 1499-2752, Vol. 44, nr 6, s. 720-722Artikkel i tidsskrift (Fagfellevurdert)
  • 60.
    Larsson, Ingrid
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad. Spenshult Research and Development Center, Halmstad, Sweden.
    Patients' conceptions of their own influence on good treatment response to biological therapy in chronic inflammatory arthritis2017Inngår i: Patient Preference and Adherence, ISSN 1177-889X, E-ISSN 1177-889X, Vol. 11, s. 1057-1067Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Biological therapies are common in the treatment of patients with chronic inflammatory arthritis (CIA). However, despite the fact that many patients respond well to their biological therapies, there are still a number of nonresponders. In order to design the best care for patients, it is important to understand how they conceive their own role in their treatment response.

    OBJECTIVE: To explore how patients with CIA conceive their own influence on a good treatment response to biological therapy.

    METHODS: This study had an exploratory and descriptive design with a phenomenographic approach. Interviews were conducted with 25 patients (11 women and 14 men) aged 17-79 years, with CIA who were undergoing biological therapy and who had low disease activity or were in remission.

    RESULTS: Patients with CIA undergoing biological therapy conceived their own influence on good treatment response in terms of adherence, physical activity, mental attitude, social support, and self-awareness. Adherence was described as the foundation for the patients' own influence on good treatment response. Physical activity, mental attitude, and social support reflected three essential ways of understanding patients' influence on good treatment response where the patients spoke about physical strength, mental strength, and social strength. Self-awareness reflected a comprehensive way of influencing good treatment response in which patients balanced their physical, mental, and social resources in partnership with health care professionals.

    CONCLUSION: Patients conceived that they had a responsibility for adhering to the treatment as well as achieving balance in life in order to ensure good treatment response. Self-awareness was essential for maintaining a good treatment response, and this reflected the patients' awareness of the complexity of living their lives with a chronic illness. © 2017 Larsson.

  • 61.
    Larsson, Ingrid
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Jormfeldt, Henrika
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Perspectives on power relations in human health and well-being2017Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 12, nr Suppl. 2, artikkel-id 1358581Artikkel i tidsskrift (Fagfellevurdert)
  • 62.
    Lethin, Connie
    et al.
    Lund University, Faculty of Medicine, Lund, Sweden.
    Renom Guiteras, Anna
    University of Witten/Herdecke, Witten, Germany.
    Zwakhalen, Sandra
    Department of Health Services Research, Maastricht University, Maastricht, Netherlands.
    Soto Martin, Maria
    Alzheimers disease Research and Clinical Centre in Toulouse, Toulouse, France.
    Saks, Kai
    Department of internal medicine, University of Tartu, Tartu, Estonia.
    Zabalegui, Adelaida
    Hospital Clínic de Barcelona, Barcelona, Spain.
    Nilsson, Christer
    Clinical Memory Research Unit, Department of Clinical Sciences, Lund, Sweden.
    Karlsson, Staffan
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad. Lund University, Faculty of Medicine, Lund, Sweden.
    Psychological well-being over time among informal caregivers caring for persons with dementia living at home2017Inngår i: IAGG 2017 Abstract Book, Washington, DC: The Gerontological Society of America , 2017, Vol. 1, s. 1381-1381Konferansepaper (Fagfellevurdert)
    Abstract [en]

    This study investigated informal caregivers’ psychologi- cal well-being and predicted increase in psychological well- being, when caring for persons with dementia (PwDs) living at home, related to caregiver, PwD and formal care (FC) factors. This was a cohort study, at baseline and follow-up in eight European countries. Caregivers included (n=1,223) were caring for PwDs aged ≥ 65 years living at home, in risk of being institutionalized. Data was collected using standard- ized instruments. Logistic regression analysis of factors asso- ciated with caregiver psychological well-being at baseline and 3 months later was performed. Factors associated with presence of caregiver psychological well-being at baseline were positive experience of caregiving, low caregiver burden, high quality of life (QoL) for caregivers, male gender of PwD, high QoL of PwD and few neuropsychiatric symptoms for the PwD. At follow-up, caregivers with increased psychologi- cal well-being experienced quality of care (QoC) higher and were more often using dementia speci c service. Predicting factors for caregivers’ increased psychological well-being were less caregiver burden, positive experience of caregiv- ing, less supervision of the PwD and higher caregiver QoL, if PwD were male, had higher QoL and less neuropsychiat- ric symptoms. Higher QoC predicted increased caregivers’ psychological well-being. It can be concluded that informal caregiving for PwDs living at home is a complex task. Our study showed that caregivers’ psychological well-being was associated with, among other things, less caregiver burden and higher QoL. Professionals should be aware of PwD neu- ropsychiatric symptoms that might affect caregivers’ psycho- logical well-being, and provide proper care and treatment for caregivers and PwDs.

  • 63.
    Linda, Fridén
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Patientens upplevelser av faktorer som stödjer förmågan till egenvård vid typ 2 diabetes2017Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [en]

    Typ 2 diabetes är en sjukdom som ökar med stora kostnader för samhället som följd. Sjukdomen kräver en förmåga till daglig egenvård för att hålla blodglukosnivåerna optimala och därmed minska riskerna för komplikationer. Sjuksköterskan har en betydande uppgift att guida patienter i hur de kan öka förmågan till egenvård. Syftet med studien var att beskriva faktorer som stödjer egenvården med utgångspunkt från patientens upplevelser. Metoden var en litteraturöversikt. I resultatet identifierades fem separata faktorer som patienter med typ 2 diabetes upplever stödjer förmågan till egenvård. De fem faktorerna var att skaffa kunskap, empowerment, motivation, patient-sjuksköterske relationen, och patientens sociala relationer utanför vården. Det identifierades också en sammanlänkande faktor som var delaktighet i egenvården. Delaktighet identifierades som en övergripande faktor som var betydande för en optimal förmåga till egenvård. Slutsatsen blev att resultatet kan användas av sjuksköterskor i arbetet med patienter med typ 2 diabetes för att fokusera på de faktorer som patienter upplever som stödjande faktorer till förmågan till egenvård.

  • 64.
    Lindberg, Susanne
    et al.
    Högskolan i Halmstad, Akademin för informationsteknologi, Halmstad Embedded and Intelligent Systems Research (EIS), Människa och Informationsteknologi (MI-lab).
    Jormfeldt, Henrika
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Bergquist, Magnus
    Högskolan i Halmstad, Akademin för informationsteknologi, Halmstad Embedded and Intelligent Systems Research (EIS), Människa och Informationsteknologi (MI-lab).
    Unlocking design potential: Design with people diagnosed with schizophrenia2019Inngår i: Informatics for Health and Social Care, ISSN 1753-8157, E-ISSN 1753-8165, Vol. 44, nr 1, s. 31-47Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    With the expansion of e-health systems to more diverse and heterogeneous contexts and user groups, it is increasingly important to include users in design. Designers recognize the benefits of user participation, but including users with lowered cognitive and social abilities can be difficult. This paper intends to answer how these users can participate in the design of e-health systems. We conducted a case study with stakeholder interviews and design workshops with users diagnosed with schizophrenia to identify and overcome the challenges for participation. From the stakeholder interviews, we identified challenges relating to social interaction, technical experience, cognitive ability, and loss of individuality. We designed workshops that addressed these challenges and identify five strategies for unlocking the design potential of the participants: (1) work together with concrete materials and examples; (2) maintain a positive focus; (3) accept all ideas; (4) maintain and require realism; and (5) use previous interaction. We conclude that, when supported appropriately, it is possible to involve people diagnosed with schizophrenia. We also highlight the difficulty for someone not self-experienced to understand contexts as challenging and sensitive as this, and thus the value of user participation.

  • 65.
    Lundström, Sofie
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Ahlström, Britt Hedman
    University West, Trollhättan, Sweden.
    Jormfeldt, Henrika
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Eriksson, Helena
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Skärsäter, Ingela
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    The Meaning of the Lived Experience of Lifestyle Changes for People with Severe Mental Illness2017Inngår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 38, nr 9, s. 717-725Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to elucidate the meaning of the lived experience of lifestyle changes as perceived by people with severe mental illness (SMI). People with SMI who have experience in managing lifestyle changes were interviewed (n = 10). The interviews were analyzed with a phenomenological hermeneutic approach. The findings reveal three themes: (1) struggling with inner and outer limitations, (2) on one's own but together with others and (3) longing for living a life in harmony. The meaning of lifestyle changes can be understood as a person's internal and external endeavors to make well-considered decisions about lifestyle changes. Support should focus on strengthening the person's self-efficacy and should be based on the person's experiences. © 2017 Taylor & Francis Group, LLC

  • 66.
    Lundström, Sofie
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Jormfeldt, Henrika
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Hedman Ahlström, Britt
    University West, Department of Health Sciences, Trollhättan, Sweden.
    Skärsäter, Ingela
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Health-related lifestyle and perceived health among people with severe mental illness: Gender differences and degree of sense of coherence2019Inngår i: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 33, nr 2, s. 182-188Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    People with severe mental illness (SMI) experience an increased risk of physical ill health and premature death, which appears to be partly related to unhealthy lifestyle habits. The aim of this study was to describe the distribution of health-related lifestyle habits and perceived health among people with severe mental illness. A further aim was to explore if there were any gender differences or differences based on degree of sense of coherence. The study adopted a cross-sectional design based on data from 65 people with SMI. The results show that degree of Sense of Coherence (SOC) does have relevance for perceived health and for dimensions of Quality of Life (QOL). Furthermore, among the participants with strong SOC, there were less daily smokers and they seemed to have less sedentary leisure time than those with low SOC. Men reported more anxiety/depression than women and women ate fruit more often than men, otherwise there were no gender differences. In comparison with the general population, people with SMI show a higher Body Mass Index are more sedentary, more often daily smokers, have lower SOC and perceive a lower QOL. This emphasizes the importance of health-promotion support that focuses on lifestyle changes, and support for strengthening SOC and QOL for people with SMI. © 2018 Elsevier Inc. All rights reserved

  • 67.
    Lydell, Marie
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Hildingh, Cathrine
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Söderbom, Arne
    Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap, Centrum för innovations-, entreprenörskaps- och lärandeforskning (CIEL).
    Ziegert, Kristina
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Future challenges for occupational health services can be prevented by proactive collaboration with the companies using the services: a participatory and reflection project2017Inngår i: Journal of Multidisciplinary Healthcare, ISSN 1178-2390, E-ISSN 1178-2390, Vol. 10, s. 217-225Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: There is clearly a need for research in the field of occupational health service (OHS) for applying new perspectives. Proactive collaboration is needed between the OHSs and the companies. The customers of the companies using the services should be able to safeguard themselves from the health problems caused by the work environment through proactive collaboration with the OHSs.

    Objective: The main purpose of this interdisciplinary study was to explore how the stakeholders reflected to create and agree on core values for future challenges in OHS, as seen from the perspectives of OHS professionals and customer companies.

    Methodology: An action research process was conducted. This study was divided into three phases. In phase I, the data were collected from interviews and diaries of interdisciplinary occupational health professionals (n=12). A focus group that sampled the eight managers of the customer companies was also included. In phase II, a questionnaire was developed with 24 questions focusing on examining the future challenges for OHS. The questionnaire was sent to customer companies (n=116). In phase III, a scoping review was undertaken.

    Results: Three categories emerged from the analysis: “Balancing complex situations” clarified the complexity regarding senior employees; “Working with a proactive approach” indicated the need for working with a new proactive approach supporting sustainable health; and “Collaborate internally and externally” showed good relationships between the customer and the OHS, which is a mutual responsibility to both the partners.

    Conclusion: The results outlined that it is necessary to take action to apply new proactive health promotions, with a focus on workplace health promotion. The results also indicated that interventions for senior employees are of importance. This study was done in collaboration with the stakeholders from the occupational health care service center and the managers from the customer companies. The use of a participatory research design, including close collaboration with the participants, allows the researchers to see the challenges.

     

  • 68.
    Malm, Karina
    et al.
    Lund University, Lund, Sweden; Spenshult Research and Development Center, Halmstad, Sweden; Rheumatology, Capio Movement, Halmstad, Sweden & FoU Spenshult, Halmstad, Sweden.
    Bergman, Stefan
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). Lund University, Lund, Sweden; Spenshult Research and Development Center, Halmstad, Sweden & The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Andersson, Maria LE
    Lund University, Lund, Sweden; Spenshult Research and Development Center, Halmstad, Sweden.
    Bremander, Ann
    Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap, Rydberglaboratoriet för tillämpad naturvetenskap (RLAS). Lund University, Lund, Sweden; Spenshult Research and Development Center, Halmstad, Sweden.
    Larsson, Ingrid
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad. Spenshult Research and Development Center, Halmstad, Sweden.
    Quality of life in patients with established rheumatoid arthritis: A phenomenographic study2017Inngår i: SAGE Open Medicine, E-ISSN 2050-3121, Vol. 5, artikkel-id 2050312117713647Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: Patients with rheumatoid arthritis perceive reduced quality of life in several domains, such as physical health, level of independence, environment and personal beliefs, compared with the healthy population. There is an increasing interest in quality of life in clinical and medical interventions. Few studies have explored patients' individual conceptions of quality of life, and interviews can thus complement quantitative studies. There is a need for a deeper understanding of the patients' experiences of quality of life, with regard to living with a long-term condition such as rheumatoid arthritis. The aim of this study was to explore the variation of ways in which patients with established rheumatoid arthritis understand the concept of quality of life.

    METHODS: The study had a qualitative design with a phenomenographic approach, which was used to describe variations in how individuals experience their quality of life. The study is based on interviews with 22 patients with established rheumatoid arthritis enrolled in the BARFOT (better anti-rheumatic pharmacotherapy) study.

    RESULTS: The concept of quality of life could be understood in three different ways: (1) independence in terms of physical functioning and personal finances, (2) empowerment in how to manage life and (3) participation as an experience of belonging in a social context.

    CONCLUSION: The different conceptions of quality of life reflect the complexity in the concept, including physical, psychological and social aspects. This complexity is important to have in mind when health professionals support patients in enhancing their quality of life. © The Author(s) 2017

  • 69.
    Mansell, Anna
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Jonasson, Eva
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Larvterapins påverkan vid behandling av kroniska bensår: Litteraturstudie2017Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Larvterapi är en alternativ behandlingsmetod i bensårsläkning. Sårläkning med larver har förekommit i mer än 70 år men vid antibiotikans introduktion minskades användandet av larvterapi. Då det idag finns problem med antibiotikaresistens introducerades larvterapi åter. Syftet med denna studie var att belysa hur larvterapi påverkar bensårsbehandlingen för patienter med kroniska bensår. Metod: En integrativ litteraturstudie genomfördes utifrån två kvalitativa och sju kvantitativa vetenskapliga artiklar.  Resultat: Det som belystes var fysiologisk påverkan av bensåret såsom debridering och läkning samt upplevelsen av larvterapi såsom smärta, obehagskänslor och lukt. Studien visade att debridering vid bensår med larvterapi gav bättre resultat än med hydrogelbehandling. Larverna debriderade såren från nekrotisk vävnad så att bensårens omfång minskade drastiskt. Anmärkningsvärt var att sex av nio studier nämnde att smärta upplevdes under behandlingsprocessen men att acceptansen av larvterapi som behandlingsform var över förväntan trots smärtan. En del patienter hade initialt en negativ inställning inför larvterapi men var villiga att prova behandlingsmetoden. Larvterapi kunde förbättra patienters välbefinnande och vid smärtförekomst gick behandlingsmetoden att genomföra med hjälp av information och smärtstillande läkemedel varvid den totala läkningstiden förkortades.

  • 70.
    Naraha, Mio
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Lönqvist, Pia
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Psykiatrisjuksköterskors erfarenheter av samarbete med närstående i psykiatrisk vård2018Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Närstående betraktas tillsammans med patienten att vara experter i patienternas livsomständigheter. Ett gott samarbete mellan psykiatrisjuksköterskan och närstående kan innebära flera fördelar för patienters mående. För att uppnå förbättrad samarbete med närstående är det av betydelse att få ta del av psykiatrisjuksköterskors erfarenheter av samarbete med närstående. Syfte: Syftet med pilotstudien var att belysa psykiatrisjuksköterskors erfarenheter av samarbete med närstående i psykiatrisk vård. Metod: Studien har en kvalitativ ansats. Data baseras på fyra intervjuer med psykiatrisjuksköterskor utifrån öppna frågor. Data har analyserats med kvalitativ innehållsanalys. Resultat: Studien resulterade i kategorierna: Möjligheter till samarbete, Ett väl fungerande samarbete och Utmaning till samarbete. Konklusion: Psykiatrisjuksköterskorna hade intresse för samarbete med närstående i psykiatrisk vård. Samarbete sågs som positivt i patientarbetet men var inte alltid möjligt att praktisera. Samarbete upplevdes underlätta patientarbetet och leda till förbättrad relation mellan närstående och patienten. Det fanns flera svårigheter som utgjordes som hinder till samarbete. För kvalitétsbättring krävs att verksamheten ger stöd i kompetenshöjning och har ett förhållningssätt som är riktad till samarbete med närstående. Resultatet kan ha betydelse i förbättringssyfte för att utveckla ett fungerande samarbete med närstående till patienter i den psykiatriska vården.

  • 71.
    Norell Pejner, Margaretha
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Brobeck, Elisabeth
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Couples in Need of Home Care Services: Experiences With Support From Care Professionals2018Inngår i: Home Health Care Management & Practice, ISSN 1084-8223, E-ISSN 1552-6739, Vol. 30, nr 3, s. 116-121Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Many older people desire to remain in their homes and be cared for by a family member, but this arrangement requires support from care professionals. The aim was to describe how couples in need of home care services experienced the received support from care professionals. A qualitative design with content analysis was used. Data were collected through diaries and focus groups consisting of eight couples between 65 and 80 years, and two registered nurses. The main findings are described by the following categories: Organizational adaptedWithholdingBeing in a gap, resulting in the theme Lack of professional support. Couples experienced shortcomings that were related to the organization, the care professionals, and the couples themselves. The theme Lack of professional support requires more knowledge. © The Author(s) 2018

  • 72.
    Nygren, Jens M.
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Lindberg, Susanne
    Högskolan i Halmstad, Akademin för informationsteknologi, Halmstad Embedded and Intelligent Systems Research (EIS).
    Wärnestål, Pontus
    Högskolan i Halmstad, Akademin för informationsteknologi, Halmstad Embedded and Intelligent Systems Research (EIS).
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Involving Children With Cancer in Health Promotive Research: A Case Study Describing Why, What, and How2017Inngår i: JMIR Research Protocols, ISSN 1929-0748, E-ISSN 1929-0748, Vol. 6, nr 2, artikkel-id e19Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Participatory research approaches have been introduced to meet end-users’ needs in the development of health promotion interventions among children. However, whereas children are increasingly involved as passive informants in particular parts of research, they are rarely involved as partners, equal to adult researchers, throughout the research process. This is especially prominent in the context of child health where the child is commonly considered to be vulnerable or when the research concerns sensitive situations. In these cases, researchers and gatekeepers to children’s involvement base their resistance to active involvement of children on potential adverse effects on the accuracy or quality of the research or on ethical or moral principles that participation might harm the child. Thus most research aimed at developing health promotion interventions for children in health care is primarily based on the involvement of parents, caregivers, and other stakeholders.

    Objective: The objective of this paper is to discuss reasons for involving children in health promotive research and to explore models for children’s participation in research as a basis for describing how researchers can use design methodology and participatory approaches to support the participation and contribution of children in a vulnerable context.

    Methods: We developed and applied a model for children's participation in research to the development of a digital peer support service for children cancer survivors. This guided the selection of appropriate research and design methodologies (such as interviews, focus groups, design sessions, and usability evaluation) for involving the children cancer survivors (8-12 years) in the design of a digital peer support service.

    Results: We present a model for what children’s participation in research means and describe how we practically implemented this model in a research project on children with cancer. This paper can inform researchers in their planning of strategies for children’s participation and ensure future development of health promotion interventions for children is based on their perspectives.

    Conclusions: Challenges in reaching a suitable degree of participation during a research project involve both creating opportunities for children to have genuine influence on the research process and organizing this involvement so that they feel they understand what they are involved in and why. To achieve this, it is essential to enable children to be involved in research over time to gain confidence in the researchers and to develop children’s abilities to make decisions throughout the research processes.

  • 73.
    Orellana Covarrubias, Michelle
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Wig, Emely
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Vårdrelationen mellan sjuksköterskan och patienten med anorexia nervosa: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Anorexia nervosa klassificeras som en ätstörning som går ut på en avsiktlig viktnedgång som beror på förändrad kroppsuppfattning. I vårdandet av AN är det av stor vikt att sjuksköterskan fokuserar på individen bakom ätstörningen och är stöttande. Sjuksköterskan spelar en stor roll i vårdrelationen till patienten.

    Syfte: Syftet var att beskriva sjuksköterskan och patienten med anorexia nervosa perspektiv på den terapeutiska vårdrelationen.

    Metod: En allmän litteraturöversikt. Data analyserades kvalitativt och kvalitetsgranskades. Efter kvalitetsgranskning användes nio artiklar till resultatet.

    Resultat: Resultat som framkom i studien var att en positiv terapeutisk vårdrelationen mellan sjuksköterska och patient kan vara avgörande för tillfrisknandet. De kategorier som framkom i resultatet var: vårdrelation, stöd och motivation, Sjuksköterskans delaktighet och negativ vårdrelation.

    Konklusion: Den terapeutisk vårdrelation var essentiell för patientens välmående och upplevelse av trygghet under behandling. Arbetar sjuksköterskan utifrån en terapeutisk utgångspunkt och att ge patienten stöd under behandling kan patienten uppleva motivation till att genomgå behandling.

  • 74.
    Rasmusson, Karin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Utarbeta och utvärdera en matris för bedömning av sjuksköterskestudentens kliniska resonemang: En pilotstudie2016Independent thesis Advanced level (degree of Master (One Year)), 20 poäng / 30 hpOppgave
    Abstract [sv]

    Sammanfattning

    Hälso-och sjukvården har i dag stora krav på att bedriva en god och säker vård samtidigt som befolkningens vårdbehov har blivit mer mångfasetterat. Det innebär att snabba beslut och patientsäkert omhändertagande kan vara avgörande för patientens välbefinnande. Kliniskt resonemang och kliniskt beslutsfattande är två begrepp som beskriver de kognitiva processer och strategier som sjuksköterskans använder för bedöma både omvårdnads-och medicinska behov. Studiens syfte var att utarbeta och utvärdera en matris för bedömning av sjuksköterskestudentens kliniska resonemang vid interprofessionella simuleringsövningar. En modell som beskriver sjuksköterskans kliniska resonemang användes som förlaga och inspiration när matrisen utarbetades. Bedömningsmatrisen består av åtta områden, där varje områdes graderats i fyra nivåer. Erfarna instruktörerna (n= 10) tillfrågades att ingå i en expertgrupp för att testa, bedöma och kommentera innehåll och utformning. Resultatet av instruktörernas bedömning redovisas med ett medianvärde medan kommentarerna finns i löpande text med citat. Det framkom av resultatet att instruktörerna upplevde att matrisen var relevant eller mycket relevant, men för att vissa område ska bli tydliga behöver instruktören be studenten att tänka högt. Ett område för vidare forskning kan vara att inkludera studenterna för att ta del av studenternas uppfattning om matrisen samt deras upplevelse av att bli bedömda.

     

     

     

     

  • 75.
    Rosenberg, David
    et al.
    Umeå University, Umeå, Sweden.
    Schön, Ulla-Karin
    Dalarna University, Falun, Sweden.
    Nyholm, Maria
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och idrott.
    Grim, Katarina
    Dalarna University, Falun, Sweden.
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsofrämjande processer. Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Shared decision making in community mental health services - an evaluation of three self-reporting instruments2017Inngår i: Journal of Mental Health, ISSN 0963-8237, E-ISSN 1360-0567, Vol. 26, nr 2, s. 142-149Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Despite the potential impact of shared decision making on users satisfaction with care and quality in health care decisions, there is a lack of knowledge and skills regarding how to work with shared decision making among health care providers.

    Aim: The aim of this study was to evaluate the psychometric properties of three instruments that measure varied dimensions of shared decision making, based on self-reports by clients, in a Swedish community mental health context.

    Method: The study sample consisted of 121 clients with experience of community mental health care, and involved in a wide range of decisions regarding both social support and treatment. The questionnaires were examined for face and content validity, internal consistency, test-retest reliability and construct validity.

    Results: The instruments displayed good face and content validity, satisfactory internal consistency and a moderate to good level of stability in test-retest reliability with fair to moderate construct correlations, in a sample of clients with serious mental illness and experience of community mental health services in Sweden.

    Conclusions: The questionnaires are considered to be relevant to the decision making process, user-friendly and appropriate in a Swedish community mental health care context. They functioned well in settings where non-medical decisions, regarding social and support services, are the primary focus. The use of instruments that measure various dimensions of the self-reported experience of clients, can be a key factor in developing knowledge of how best to implement shared decision making in mental health services. © Informa UK Limited, trading as Taylor & Francis Group.

  • 76.
    Rosenberg, David
    et al.
    Umeå University, Umeå, Sweden.
    Schön, Ulla-Karin
    Dalarna University, Falun, Sweden.
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Establishing a Recovery Orientation in Swedish Mental Health Services; From attitudes to instruments2015Inngår i: Closing the gap between research and policy in mental health: Book of abstracts / [ed] Fase20 S.L., Málaga: ENMESH , 2015, s. 114-114Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Introduction: Although there has been an emphasis on developing knowledge of recovery in Sweden, it is unclear to what extent this has been translated into a recovery orientation in the provision of mental health services. Educational initiatives focused primarily on changing attitudes have not produced concrete outcomes. Instruments that define the components of recovery as measurable dimensions of change may provide a framework for implementing recovery-oriented services.

    Aims: The aim of this study was to investigate whether the use of instruments which measure a recovery orientation in services could provide program level outcome indicators, that could point to concrete needs for change. An additional aim was to study the contribution of peer support workers to this process.

    Methods: Two internationally tested and validated instruments were distributed to 85 clients from 6 community mental health services targeting people with a diagnosis of psychosis in a municipality in Sweden. These focused on the recovery orientation of services (RSA) and the recovery orientation of relationships with the primary contact person (Inspire). An additional instrument (RKI) was distributed to all staff to assess their knowledge of recovery paradigms. Peer support workers participated in the translation, administration and reporting of results.

    Results: The instruments were translated to Swedish, tested and found to have acceptable psychometric properties. The reports pro-duced from these instruments highlighted specific areas for improvement which these user assessments had indicated. These included for example; opportunities to influence services and care plans, to receive support for activities outside of psychiatry, to have their strengths included in assessments and to have more access to experience-based knowledge. The peer support workers provided valuable support to the process and were additionally seen by the clinic staff as a valuable resource in future work.

    Conclusions: Instruments which measure a recovery orientation in mental health services can contribute to a focus on specific knowledge, attitudinal and skill gaps that service organisations can target in their quality development activities. In the present study, staff were more accepting of this feedback since it came directly from their clients and was collected and presented systematically.

  • 77.
    Schön, Ulla-Karin
    et al.
    Stockholm University, Stockholm, Sweden.
    Grim, Katarina
    Dalarna University, Falun, Sweden.
    Rosenberg, David
    Umeå University, Umeå, Sweden.
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Interactivity in Shared Decision Making in Swedish mental health services; A process evaluation of a tool to support user participation2017Inngår i: ENMESH: Groningen 2017: Abstractbook, 2017, s. 127-127Konferansepaper (Fagfellevurdert)
    Abstract [en]

    The purpose of the study was to explore aspects of implementing an SDM intervention which featured an interactive digital decision tool, designed for patients with severe mental illness using community mental health services in Sweden. A process evaluation design was selected in order to investigate actual obstacles and possibilities for a structured intervention to facilitate participation in decision making. The design utilized in the study (Moore et al. 2015) included collecting data focused on three identified evaluation components; Context, Implementation and Mechanism of impact.

    The results illustrate both facilitating factors and barriers to implementing SDM. Facilitating factors included staff assertions that SDM was most appropriate for formal decisions such as care planning, assessments and planning at admission and discharge from services. Another facilitating factor was the use of the digital decision tool, which enabled interactive communication between staff and users, thereby supporting the user to be informed and prepared in decisions.

    A contextual barrier was found to be the lack of a common agenda for concretely increasing user participation in the program. SDM was rather a voluntary activity shaped by each staff member in accordance with his or her judgment, experience and attitude. Another barrier concerned the decision making capacity of both staff and users. While staff sometimes felt that they did not have formal power regarding treatment planning decisions, they also expressed doubt as to the patient's willingness and ability to participate in decisions. Confidence in patients' decision-making capacity and their ability to integrate information was generally low.

  • 78.
    Sjöberg, Carina
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Carlsson, Ing-Marie
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Källstrand Eriksson, Jeanette
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Nygren, Jens M.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Working for the Child's Best by Creating a Sheltered Place During Chemotherapy for Paediatric Leukaemia2017Inngår i: Pediatric Blood & Cancer, ISSN 1545-5009, E-ISSN 1545-5017, Vol. 64, s. S400-S400Artikkel i tidsskrift (Annet vitenskapelig)
  • 79.
    Sjöberg, Carina
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). Region Halland, Halmstad, Sweden & Halmstad Hospital, Halmstad, Sweden.
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Nygren, Jens
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Carlsson, Ing-Marie
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Participation in pediatric perioperative care: "what it means for parents"2017Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, nr 23-24, s. 4246-4254Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aims and objectives: To explore what it means for parents to participate in their children's paediatric perioperative care.

    Background: Allowing parents to participate in paediatric perioperative care can make a major difference for children in terms of their well-being, a decreased need for painkillers, fewer sleeping disorders and a more positive experience for both parties. The nurse anaesthetist should have a holistic view and develop a shared vision for the child, the parents and for themselves to perform successful paediatric perioperative care.

    Design: Descriptive qualitative study.

    Methods: The study was conducted in 2014. Data were collected in 20 narrative interviews with 15 mothers and five fathers who had experience of participating in their child's paediatric perioperative day surgery. The analysis was carried out with qualitative content analysis to describe the variations, differences and similarities in the experiences.

    Results: The analysis revealed a main category that describes that parental participation in the context of paediatric perioperative care in day surgery meant 'having strength to participate despite an increased vulnerability'. Three generic categories with additional subcategories explained what was essential for the parents to be able to preserve this strength and participate in their child's care despite their increased vulnerability. The generic categories were named, 'gaining information about what will happen', 'being seen as a resource' and 'gaining access to the environment'.

    Conclusion: Efforts should be made to improve parents' roles and opportunities to participate in paediatric perioperative care.

    Relevance to clinical practice: Nurse anaesthetists have a crucial role in enabling parents' participation and need knowledge to develop strategies and nursing interventions that meet parents' needs. © 2017 John Wiley & Sons Ltd.

  • 80.
    Skärsäter, Ingela
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Keogh, Brian
    School of Nursing and Midwifery, Trinity College, Dublin, Ireland.
    Doyle, Louise
    School of Nursing and Midwifery, Trinity College, Dublin, Ireland.
    Ellilä, Heikki
    University of Applied Science Turku, Turku, Finland.
    Jormfeldt, Henrika
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Lahti, Mari
    School of Health Sciences, Faculty of Medicine & Health Sciences, University of Nottingham, Institute of Mental Health Building, Triumph Road, Innovation Park, United Kingdom.
    Higgins, Agnes
    Högskolan i Halmstad, Akademin för hälsa och välfärd.
    Meade, Oonagh
    School of Psychology, National University of Ireland, Galway, Ireland.
    Sitvast, Jan
    University of Applied Sciences HU, Utrecht, Netherlands.
    Stickley, Theodore
    School of Health Sciences, Faculty of Medicine & Health Sciences, University of Nottingham, Institute of Mental Health Building, Triumph Road, Innovation Park, United Kingdom.
    Kilkku, Nina
    Tampere University of Applied Sciences, Tampere, Finland.
    Advancing the knowledge, skills and attitudes of mental health nurses working with families and caregivers: A critical review of the literature2018Inngår i: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 32, s. 138-146Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    Involving and supporting the family members and caregivers of people with mental illness is essential to high-quality mental health services. However, literature suggests that there is a lack of engagement between family members and mental health nurses (MHNs). Lack of knowledge among MHNs is often cited as one of the main reasons for this lack of engagement. The aim of this review was to explore the knowledge, skills and attitudes that are required by MHNs to enable to them to work more effectively with families affected by mental illness. A literature based critical review was used to access and review 35 papers in order to extract concepts that could inform the design of eLearning materials to assist MHNs advance their knowledge in this area. Two overarching themes were identified; ‘Mental health problems and the family’ and ‘Working with the family’. From these themes, the knowledge, skills and attitudes required to work more effectively with families are described. The findings from this review provide a descriptive account of the knowledge skills and attitudes that are required for effective family work. In addition, the review provides an empirical foundation for education programmes in the area. © 2018 Elsevier Ltd

  • 81.
    Svedberg, Petra
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Morgan, Antony
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). Glasgow Caledonian University, Glasgow, United Kingdom.
    Nygren, Jens M.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Nyholm, Maria
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    The association between social capital on health quality of life among adolescents2017Inngår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 27, nr Suppl. 3, s. 365-365, artikkel-id ckx189.162Artikkel i tidsskrift (Fagfellevurdert)
  • 82.
    Svedberg, Petra
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Nygren, Jens M.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Hutton, Katrin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Nyholm, Maria
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och idrott.
    Self-reported objective and subjective indicators of socio-economic status and mental health between two adolescent age groups in Sweden2014Inngår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 24, nr Suppl. 2, s. 31-31Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Research has shown that socio-economic status (SES) contributes to the mental health of adolescents; however the causality of this effect is debated. SES among adolescents is methodologically difficult to assess and SES indicators differ between age groups. The aim of this study was to evaluate objective and subjective indicators of SES and their relation to mental health in two adolescent age groups.

    Methods: This is a cross-sectional study based on data collected by self- report questionnaires from 11-13 years old n = 457 (younger age group) and 14-16 years old n = 462 (older age group) adolescents at schools in a rural town in south western Sweden. The Family Affluence Scale (FAS) (high, medium, low) and Perceived Wealth (PW) (high, medium, low) were used as measurement for objective and subjective socio-economic wealth. The domain psychological functioning health from the Minneapolis Manchester Quality of Life instrument (MMQL-PF) (continuous variable) was used to measure self-rated mental health.

    Results: When measuring SES using the two different scales, the proportion of adolescents in the younger age group stating a low SES was 28.1% using FAS and 12.1% using PW. In the older age group the proportion was 21.4% in FAS and 15.5% in PW. There was a positive significant relation between PW and self-rated mental health in both age groups, by 0.112 (95% CI.0.024; 0.199) in the younger age group and by 0.140 (95% CI.0.051; 0.223) in the older age group. This relation was not seen regarding FAS.

    Conclusion: In the search for SES’ relation to mental health, different aspects of adolescents’ socio-economic conditions should be considered. In this study we suggest that the subjective experiences of adolescents regarding the wealth of the family might be a stronger indicator of SES influencing mental health. This might be taken into consideration when planning for public health interventions and effective prevention programs suited for adolescents with lower SES. 

    Key message:

    • In the search for SES’ relation to mental health, different aspects of adolescents’ socio-economic conditions should be considered.

    © The Author 2014

  • 83.
    Svedberg, Petra
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Schön, Ulla-Karin
    Dalarna University, Falun, Sweden.
    Grim, Katarina
    Karlstad University, Karlstad, Sweden.
    Rosenberg, David
    Umeå University, Umeå, Sweden.
    Measuring client’s experiences of shared decision making in psychiatric services2015Inngår i: Closing the gap between research and policy in mental health: Book of abstracts / [ed] Fase20 S.L., Málaga: ENMESH , 2015, s. 117-118Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Introduction: While increased democratization and user participation are strongly emphasized political and ideological goals within the entire healthcare sector, research-based knowledge about how to achieve these goals is limited, not least in the psychiatric field. Shared decision-making, SDM, is an internationally described method which seeks to increase users’ involvement in health care decisions. However, knowledge of SDM as a method is limited, and research has focused primarily on SDM in medical decisions in somatic care. Despite the potential impact of SDM on users satisfaction with care and the quality in health care decisions, there is a lack of competence and skills in how to work with SDM among health care providers. Validated measures of SDM can play a critical role in supporting healthcare providers to increase their knowledge and skills in order to promote patient participation in healthcare.

    Aims: This project intends to increase knowledge regarding how SDM can be effectively evaluated in psychiatric services in Sweden.

    Methods: The present study has a methodological design where the translated version of the instruments Dyadic option, SURE and CollaboRATE were psychometrically investigated. It was carried out in 2014 at 19 municipal social psychiatry units in Sweden. The study sample consisted of 105 clients in contact with these services and the criteria for inclusion were that the clients were over 18 years of age and had experience of a decision having been taken.

    Results: A Swedish version of Dyadic option, SURE and CollaboRATE are acceptable in terms of face and content validity, internal consistency and stability. The concurrent validity of Dyadic option was demonstrated with positive correlations with SURE and CollaboRATE. However, there was no correlation between SURE and CollaboRATE.

    Conclusions: In the presentation, the findings of the evaluation of the SDM process in psychiatric care will be discussed. Furthermore, we will also discuss how the use of instruments that measure SDM in psychiatric health care can provide a tool for contributing to a structured person-centered dialogue between clients and staff, as well as how evaluations of SDM can contribute to the quality of the decision and ensure informed consent.

  • 84.
    Söderström, Elenor
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Bonde, Sandi
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Humor och demens: En litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Med en allt äldre befolkning ökar insjuknandet i demenssjukdomar och allt tyder på en fortsatt kraftig ökning. Symtom som uppstår vid demens påverkar individen fysiskt, psykiskt och socialt. Det finns inget botemedel mot demenssjukdom men det finns läkemedel som lindrar symtom. Humor har visat sig vara användbart inom omvårdnaden för sjuksköterskor och patienter. Studiens syfte var att belysa humorns betydelse vid demenssjukdom, ur de demenssjukas, informella och formella vårdgivares perspektiv. Metoden som användes var en litteraturstudie där resultatet grundades på tolv resultatartiklar varav nio var kvalitativa och tre var kvantitativa. Resultatet visade på att humor i omvårdnad vid demens kan bevara vårdtagarens unika människovärde. Genom att stärka kommunikationen och relationen mellan demenssjuk och vårdare, främjas positiva känslor för både de med demens och deras vårdare, underlättar anpassningen till den nya situationen som demens innebär för de med demens och deras vårdare och lyfter fram det personliga och individuella. Sjuksköterskor och övrig vårdpersonal kan använda humor i omvårdnaden av patienter med demens. Det behövs dock ytterligare forskning inom området som kan ligga till grund för utbildning och användning av humor i vårdandet av personer med demenssjukdom. 

  • 85.
    Torsheim, Torbjørn
    et al.
    Department of Psychosocial Science, University of Bergen, Bergen, Norway.
    Nygren, Jens M.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Rasmussen, Mette
    National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.
    Arnarsson, Arsæll M.
    School of Humanities and Social Sciences, University of Akureyri, Akureyri, Iceland.
    Bendtsen, Pernille
    National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.
    Schnohr, Christina W.
    Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
    Nielsen, Line
    National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.
    Nyholm, Maria
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Social inequalities in self-rated health: A comparative cross-national study among 32,560 Nordic adolescents2018Inngår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, nr 1, s. 150-156Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIMS: We aimed to estimate the magnitude of socioeconomic inequality in self-rated health among Nordic adolescents (aged 11, 13 and 15 years) using the Family Affluence Scale (a composite measure of material assets) and perceived family wealth as indicators of socioeconomic status.

    METHODS: Data were collected from the Health Behaviour in School-aged Children (HBSC) survey in 2013-2014. A sample of 32,560 adolescents from Denmark, Norway, Finland, Iceland, Greenland and Sweden was included in the study. Age-adjusted regression analyses were used to estimate associations between fair or poor self-rated health and the ridit scores for family affluence and perceived wealth.

    RESULTS: The pooled relative index of inequality of 2.10 indicates that the risk of fair or poor health was about twice as high for young people with the lowest family affluence relative to those with the highest family affluence. The relative index of inequality for observed family affluence was highest in Denmark and lowest in Norway. For perceived family wealth, the pooled relative index of inequality of 3.99 indicates that the risk of fair or poor health was about four times as high for young people with the lowest perceived family wealth relative to those with the highest perceived family wealth. The relative index of inequality for perceived family wealth was highest in Iceland and lowest in Greenland.

    CONCLUSIONS: Social inequality in self-rated health among adolescents was found to be robust across subjective and objective indicators of family affluence in the Nordic welfare states. © Author(s) 2017

  • 86.
    Van der Elst, Kristien
    et al.
    University Hospitals Leuven, Leuven, Belgium.
    Bremander, Ann
    Lund University, Lund, Sweden.
    De Groef, Ann
    University Hospitals Leuven, Leuven, Belgium.
    Grønning, Kjerstin
    Norwegian University of Science and Technology, Trondheim, Norway.
    Larsson, Ingrid
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad. Spenshult Research and Development Center, Halmstad, Sweden.
    Mathijssen, Elke
    Sint Maartenskliniek, Nijmegen, Netherlands.
    Vriezekolk, Joke
    Sint Maartenskliniek, Nijmegen, Netherlands.
    Westhovens, René
    University Hospitals Leuven, Leuven, Belgium.
    van Eijk-Hustings, Yvonne
    Maastricht University Medical Center, Maastricht, Netherlands.
    European Qualitative Research Project on Patient-preferred Outcomes in Early Rheumatoid Arthritis (EQPERA): Rationale, Design and Methods of a Multi-country, Multi-center, Multi-language, Longitudinal Qualitative Study2017Inngår i: European Congress of Qualitative Inquiry: Abstracts, 2017, s. 117-117Konferansepaper (Fagfellevurdert)
    Abstract [en]

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

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

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

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

  • 87.
    Wilhsson, Marie
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsofrämjande processer.
    Carlsson, Ing-Marie
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsofrämjande processer.
    Högdin, Sara
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Nygren, Jens
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsofrämjande processer.
    Handling Demands of Success Among Girls and Boys in Primarly School: A Conceptual Model2017Inngår i: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 33, nr 4, s. 316-325Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 88.
    Wilhsson, Marie
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Högdin, Sara
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Nygren, Jens M.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Girls and boys strategies to handle and cope with school-related stress2016Inngår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 26, nr Suppl. 1, s. 221-221Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

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

    Methods

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

    Results

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

    Conclusions

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

    Key messages:

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

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

    © The Author 2016.

  • 89.
    Wilhsson, Marie
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Högdin, Sara
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Nygren, Jens M.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Strategies of Adolescent Girls and Boys for Coping With School-Related Stress2017Inngår i: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 33, nr 5, s. 374-382Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 90.
    Ziegert, Kristina
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Changes and transitions of responsibility when next of kin becomes the caregivers2016Konferansepaper (Fagfellevurdert)
    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.

  • 91.
    Ziegert, Kristina
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Forsberg, Elenita
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    “The happiness with dancing give power to life”: Qualitative analysis of Dance for Parkinson with a salutogenic perspective2019Inngår i: The international fields of arts, health and wellbeing, 2019Konferansepaper (Fagfellevurdert)
  • 92.
    Ziegert, Kristina
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Karlsson, Staffan
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Kristén, Lars
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och idrott.
    Ivarsson, Andreas
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och idrott.
    Dancing Together for Social Sustainability from a Life Course Perspective - Integrating Children and Senior Citizens in Action Research Project2019Konferansepaper (Fagfellevurdert)
    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.

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