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  • 1.
    Ahlborg, Mikael
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Nyholm, Maria
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Morgan, Antony
    Glasgow Caledonian University, Glasgow, United Kingdom.
    Nygren, Jens M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Socioeconomic inequalities in health among Swedish adolescents - adding the subjective perspective2017In: BMC Public Health, E-ISSN 1471-2458, Vol. 17, article id 838Article in journal (Refereed)
    Abstract [en]

    Background

    Socioeconomic inequalities in adolescent health predict future inequalities in adult health. Subjective measures of socioeconomic status (SES) may contribute with an increased understanding of these inequalities. The aim of this study was to investigate socioeconomic health inequalities using both a subjective and an objective measure of SES among Swedish adolescents.

    Method

    Cross-sectional HBSC-data from 2002 to 2014 was used with a total sample of 23,088 adolescents aged 11–15 years. Three measures of self-rated health (dependent variables) were assessed: multiple health complaints, life satisfaction and health perception. SES was measured objectively by the Family Affluence Scale (FAS) and subjectively by “perceived family wealth” (independent variables). The trend for health inequalities was investigated descriptively with independent t-tests and the relationship between independent and dependent variables was investigated with multiple logistic regression analysis. Gender, age and survey year was considered as possible confounders.

    Results

    Subjective SES was more strongly related to health outcomes than the objective measure (FAS). Also, the relation between FAS and health was weakened and even reversed (for multiple health complaints) when subjective SES was tested simultaneously in regression models (FAS OR: 1.03, CI: 1.00;1.06 and subjective SES OR: 0.66, CI: 0.63;0.68).

    Conclusions

    The level of socioeconomic inequalities in adolescent health varied depending on which measure that was used to define SES. When focusing on adolescents, the subjective appraisals of SES is important to consider because they seem to provide a stronger tool for identifying inequalities in health for this group. This finding is important for policy makers to consider given the persistence of health inequalities in Sweden and other high-income countries. ©  The Author(s). 2017

  • 2.
    Ahlbäck, Annie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Kvarnsäter, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    En av 36,7 miljoner: Att få en HIV diagnos2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Although HIV is a well-known disease and millions of people worldwide are affected, it is still one of the world's most stigmatized diseases. Stigmatization causes the disease to be associated with both prejudice and shame, affecting the people who suffer from the disease annually. The purpose of this qualitative literature study was to highlight patients' experiences of getting an HIV diagnosis. The results of the literature study were based on nine scientific articles that resulted in the following six themes: Experiences of shock, experiences of anger and guilt, experiences in fear of dying, experiences of difficulty whit disclosure to friends and family, experiences of acceptance, and experiences of the diagnosis as a positive turning point. In the results, it was clear that the diagnosis raised many strong emotions and that the people who are affected are in urgent need of assistance and support from healthcare professionals to handle the diagnosis. Hence, it is important that nurses get an insight into the experiences regarding an HIV diagnosis and receive more education in the subject so that the right information can be given.

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  • 3.
    Aili, Katarina
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport. Spenshult Research and Development Center, FoU Spenshult, Halmstad, Sweden & Karolinska Institutet, Stockholm, Sweden.
    Andersson, Maria L.E.
    Spenshult Research and Development Center, FoU Spenshult, Halmstad, Sweden & Lunds Universitet, Lund, Sweden.
    Bremander, Ann
    Spenshult Research and Development Center, FoU Spenshult, Halmstad, Sweden & Lunds Universitet, Lund, Sweden & University of Southern Denmark, Odense, Denmark & Syddansk Universitet, Graasten, Danmark.
    Haglund, Emma
    Halmstad University, School of Business, Innovation and Sustainability, The Rydberg Laboratory for Applied Sciences (RLAS). Spenshult Research and Development Center, FoU Spenshult, Halmstad, Sweden.
    Larsson, Ingrid
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing. Spenshult Research and Development Center, FoU Spenshult, Halmstad, Sweden.
    Bergman, Stefan
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Sleep problems and fatigue as predictorsfor the onset of chronic widespread painover a 5- and 18-year perspective2018In: BMC Musculoskeletal Disorders, E-ISSN 1471-2474, Vol. 19, no 1, p. 1-14Article in journal (Refereed)
    Abstract [en]

    Background: Previous research suggests that sleep problems may be an important predictor for chronic widespread pain (CWP). With this study we investigated both sleep problems and fatigue as predictors for the onset of CWP over a 5-year and an 18-year perspective in a population free from CWP at baseline.

    Methods: To get a more stable classification of CWP, we used a wash-out period, including only individuals who had not reported CWP at baseline (1998) and three years prior baseline (1995). In all, data from 1249 individuals entered the analyses for the 5-year follow-up and 791 entered for the 18-year follow-up. Difficulties initiating sleep, maintaining sleep, early morning awakening, non-restorative sleep and fatigue were investigated as predictors separately and simultaneously in binary logistic regression analyses.

    Results: The results showed that problems with initiating sleep, maintaining sleep, early awakening and non-restorative sleep predicted the onset of CWP over a 5-year (OR 1.85 to OR 2.27) and 18-year (OR 1.54 to OR 2.25) perspective irrespective of mental health (assessed by SF-36) at baseline. Also fatigue predicted the onset of CWP over the two-time perspectives (OR 3.70 and OR 2.36 respectively) when adjusting for mental health. Overall the effect of the sleep problems and fatigue on new onset CWP (over a 5-year perspective) was somewhat attenuated when adjusting for pain at baseline but remained significant for problems with early awakening, non-restorative sleep and fatigue. Problems with maintaining sleep predicted CWP 18 years later irrespective of mental health and number of pain regions (OR 1.72). Reporting simultaneous problems with all four aspects of sleep was associated with the onset of CWP over a five-year and 18-yearperspective, irrespective of age, gender, socio economy, mental health and pain at baseline. Sleep problems and fatigue predicted the onset of CWP five years later irrespective of each other.

    Conclusion: Sleep problems and fatigue were both important predictors for the onset of CWP over a five-year perspective. Sleep problems was a stronger predictor in a longer time-perspective. The results highlight the importance of the assessment of sleep quality and fatigue in the clinic. © The Author(s). 2018

  • 4.
    Aili, Katarina
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport. Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
    Arvidsson, Susann
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Nygren, Jens M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Health related quality of life and buffering factors in adult survivors of acute pediatric lymphoblastic leukemia and their siblings2021In: Health and Quality of Life Outcomes, E-ISSN 1477-7525, Vol. 19, no 1, article id 55Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The improvement in treatment of pediatric acute lymphatic leukemia (ALL) has introduced new challenges for pediatric oncology care in understanding and handling long-term treatment-related complications later in adult life. The aim of this study was to describe health related quality of life (HRQoL) and the relation to buffering factors among young adult (YA) pediatric ALL survivors and their siblings.

    METHODS: This cross-sectional study was performed among 227 adults, treated for pediatric ALL in Sweden between 1985 and 1997 and their siblings (n = 70). Group means of HRQoL (SF-36) were compared between YA ALL survivors and the siblings, as well as to normative values from the general population. Self-efficacy (GSES) and social support (SS-13 subscale AVSI) was considering potential buffering factors for HRQoL and mental health. Associations between HRQoL and mental health respectively and self-efficacy and social support was analyzed.

    RESULTS: The YA ALL survivors scored significantly lower on the HRQoL parameters general health (69.6 vs. 78.4, p = 0.004) and role emotional (77.1 vs. 88.1, p = 0.014), than the siblings. Further, they reported significantly lower general health (69.6 vs. 75.8), vitality (56.9 vs. 68.8), social functioning (84.5 vs. 88.6), role emotional (77.1 vs. 85.7) and mental health (71.3 vs. 80.9) compared with Swedish norms. Both YA ALL survivors and the siblings reported lower vitality and worse mental health than the general population. The HRQoL parameters, depression, stress and anxiety were all associated with both self-efficacy and social support among the YA ALL survivors. Among the siblings however, only general health, vitality, role emotional, mental health and depression were associated with social support, and only general health and mental health were associated with general self-efficacy.

    CONCLUSION: The results from this study show that buffering factors, like social support and self-efficacy, may play an important role for psychosocial outcomes and HRQoL among YA ALL survivors later in life. The results suggest that this group could benefit from continuous support in adult life to handle consequences of their pediatric disease. © 2021, The Author(s).

  • 5.
    Akerö, Emma
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Zetterström, Linda
    Halmstad University, School of Health and Welfare.
    Inblick i en annan livsvärld: Att belysa omvårdnadsåtgärder vid positiva symtom hos patienter med schizofreni.2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Schizophrenia is a complex disease including positive symptoms, such as for example delusions and auditory hallucinations. This group of patients can be difficult for nurses to reach. The condition entails patient exclusion and stigmatization, also an increased risk of suicide. People with schizophrenia have shown insufficient compliance in drug treatment, which in turn can negatively affect care. Previous research shows a need for increased knowledge to achieve better efficacy in the treatment of these patients. Therefore, the specific aim of this study is to illustrate the care activities in case of positive symptoms in schizophrenia. Four databases were searched and the searches resulted in 18 articles. The results showed that individualized care, based on the patient's life-world, is essential to reach the patient and thus to identify the most beneficial care activities. Patients with positive symptoms need support from nurses to find strategies to cope with these. With the support of this study, nurses can support patients to find these coping strategies. Behavior that is commonly considered destructive is not necessarily negative, it can also be a coping strategy for patients with positive symptoms in schizophrenia.

  • 6.
    Almqvist-Tangen, Gerd
    et al.
    Child Healthcare Team, Region Halland, Sweden & Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Arvidsson, Susann
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Alm, Bernt
    Child Healthcare Team, Region Halland, Sweden & Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Bergman, Stefan
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden & Research and Development Centre Spenshult, Halmstad, Sweden.
    Roswall, Josefine
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden & County Hospital, Region Halland, Halmstad, Sweden.
    Dahlgren, Jovanna
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Nevonen, Lauri
    Örebro University, Örebro, Sweden & Karolinska Institute, Stockholm, Sweden.
    What makes parents act and react? Parental views and considerations relating to ‘child health’ during infancy2017In: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 21, no 4, p. 415-423Article in journal (Refereed)
    Abstract [en]

    Lifestyle factors and behaviours are adopted very early in life and tend to persist throughout life. Considering that the parents are the primary gatekeepers for their child’s health, there is a need to gain more knowledge and deeper understanding about what causes parents to act and react in order for early preventive efforts to have any effect. The aim was to explore the parental views and considerations concerning ‘child health’ among parents with infants 8–10 months old. The sample was strategic and 16 parents (aged 23–41) were recruited from three child health centres in Sweden. Open-ended interviews were conducted and a qualitative, manifest content analysis approach was utilized. The parents described the subject ‘child health’ as a large, multifaceted concept. Three categories emerged during data analysis: developing a sixth sense, being affected by perceptions and believing health and ill health as a continuum. The parents perceived food and feeding issues as one of the most worrying aspects and a significant indicator of ‘child health’. In order to meet the parents on their turf, the ‘healthy health message’ conveyed needs to take the parental perspective into consideration rather than attempting to educate the parents from predetermined assumption, belief and values. © The Author(s) 2017

  • 7.
    Andersson, Melinda
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Hasani, Kaltrina
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Patienters upplevelser av att smärtbehandlas med opioider: Med fokus på långvarig smärta2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Opioids have become a common method of treatment for patients with chronic pain that contribute to adequate pain relif. Pain relief can lead to patients being exposed to opioid-induced risks that causes inadequate pain relief for the patients. The aim of the study was to highlight patients experiences of being treated with opioids for chronic pain. The literature review is based on a inductive approach and the results are based on 14 scientific articles, including seven qualitative articles and seven quantitative articles. A content analysis of the article was used which resulted in three different themes: The professional and social support, Impact on the body and mind and Will to overcome opioid-therapy. The result showed both positive and negative experiences among patients with chronic pain treated with opioids. Patients experienced the professional meeting as particularly significant because it gave them hope and support. Patients could however also experience prejudice and negative attitudes which contributed to inadequate care for the patients. The study suggests that nurses are in need of education and knowledge about opioids and their impact on the body to contribute with good patient education and good nursing care.

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  • 8.
    Antonsson, Maria
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Ving, Angelica
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Fri från cancer?: Patienters upplevelser av att leva med en rädsla för recidiv2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Fear of recurrence is a common issue among patients who have had cancer. It is important that the nurse has knowledge of how the fear of recurrence can affect healthin order to be able to support these patients in a satisfactory manner. The purpose of the literature study was to describe patients' experiences of the fear of recurrence after having cancer.Ten articles that matched the purpose of the study were reviewed and compiled. By condensing the content, the data processing revealed three categories that formed the result: Fear of recurrence is maintained by recurring reminders, fear of recurrence creates emotional and existential vulnerability andfear of recurrence affects the quality of life. In the results of the literature study, several factors were identified that triggered patients' fear of recurrence. These factors were follow-up visits, media, stories of other people's cancer and bodily changes. The result also showed patients' thoughts and feelings that gave them an emotional and existential vulnerability. The fear of recurrence greatly affected the patients' quality of life and had a negative impact on their health. It is of great importance that the nurse draws attention to factors in patients who can be associated with fear of recurrence and more research is needed on how the nurse can adequately support these patients.

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  • 9.
    Arvidsson, Susann
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Gilljam, Britt-Mari
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing. Region Halland, Halmstad, Sweden.
    Nygren, Jens
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Ruland, Cornelia Maria
    The Centre for Shared Decision Making and Collaborative Care Research (CSDM), Oslo University Hospital, Oslo, Norway & University of Oslo, Oslo, Norway.
    Nordby-Bøe, Trude
    The Centre for Shared Decision Making and Collaborative Care Research (CSDM), Oslo University Hospital, Oslo, Norway.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Redesign and Validation of Sisom, an Interactive Assessment and Communication Tool for Children With Cancer2016In: JMIR mhealth and uhealth, E-ISSN 2291-5222, Vol. 4, no 2, article id e76Article in journal (Refereed)
    Abstract [en]

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

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

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

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

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

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  • 10.
    Arvidsson, Susann
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Nylander, Maria
    Spenshult Research and Development Centre, Halmstad, Sweden & Swedish Rheumatism Association, Stockholm, Sweden.
    Bergman, Stefan
    Spenshult Research and Development Centre, Halmstad, Sweden & The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Callers´perceptions of their contact with a rheumatology telephone helpline2019In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 17, no 1, p. 105-112Article in journal (Refereed)
    Abstract [en]

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

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

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

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

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

  • 11.
    Baldauf, Sara
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Onken, Jennifer
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Sjuksköterskans stöd till anhöriga: En studie om anhörigas upplevelser av stöd inom intensivvård2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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  • 12.
    Bella, Donander
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Madeleine, Andersson
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Den obehagliga undersökningen: Kvinnors erfarenheter av gynekologiska undersökningar2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The purpose of the gynecological examination is to evaluate and promote reproductive health among women. The gynecological examination is divided into three different stages, where the first stage includes an examination of the external parts of the female genital organs. Thereafter an examination of the internal parts of the organ and the abdomen are performed. Aim: The aim of the study was to illuminate women’s experiences of the gynecological examination. Method: A general literature study was used, with the guidance of a simple version of content analysis. The literature study was conducted through structured information retrieval in three databases focusing on nursing research. After the information retrieval was completed, a review and analysis was conducted on chosen qualitative and quantitative articles for further compilation of the result.  Result: The result was allocated into the following main categories: (1) Experiences of discomfort associated with the gynecological examination and (2) Experiences of promotive factors related to the experience of the gynecological examination. Conclusion: It was demonstrated that many women experience the gynecological examination as discomforting, where feelings of anxiety, worry, fear, exposure, loss of control and mistrust illuminated some of the discomfort. The incidence of adequate information, a good approach and communication were some factors that contributed to the experience. Some women found the presence of a nurse during the examination as substantial. 

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  • 13.
    Berglund, Jenny
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Haraldsson, Caisa
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Högt tryck på hälsan: En metasyntes om hur glaukom påverkar livet2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Glaucoma is a progressive chronic disease that slowly decreases visual perception. In order to optimize and individualize the care to people living with glaucoma, the ophthalmic nurse needs to understand the impact glaucoma has on daily life. The aim of this metha-synthesis is to present a synthesis of current research concerning experiences of living with glaucoma. The results of this metha-synthesis indicates that the feelings and experiences of living with glaucoma are coherent internationally. Glaucoma has both an emotional impact and an effect of the perceived autonomy. The treatment and regularly contacts with healthcare providers disturbs daily life. In order to improve the perceived health, persons with glaucoma need knowledge, how to cope with the different dimensions of the disease and the treatment. If the ophthalmic nurse, more efficiently could identify the areas in need of care, health promoted, check-up intervals prolonged, and the costs of healthcare reduced. Further research is needed concerning what persons living with glaucoma would prefer the healthcare to focus on, as well as the socioeconomic impact of their preferences.

  • 14.
    Bialy, Adelajda
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Patienters upplevelser i samband med behandling med anti-VEGF injektionsbehandling i ögat: En systematisk litteraturstudie2021Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Age-related macular degeneration (AMD) is a chronic disease that leads to visual 

    impairment in the elderly population worldwide and is a major health problem. Wet AMD is a form of the disease that is treated with frequent intravitreal administration of anti-vascular endothelial growth factor (anti-VEGF). The purpose was to illuminate experiences of this treatment in patients with wet AMD and was conducted as a systematic search, review and analysis of available scientific research. The results from seven qualitative studies using semi-structured and in-depth, unstructured interviews showed that patients' experiences were to a greater extent about the deteriorating quality of life that accompanies diagnosis and treatment. The patients experienced anxiety and fear about an uncertain disease prognosis, treatment procedure, side effects, that the treatment affected everyday life, that they were a burden on the family, pain, the experience of the impact of knowledge on treatment, the experience of participation in their disease and treatment and the hope of preserving vision with the help of treatment. Further research would be needed to study experiences that strengthen patients' motivation to continue treatment, and if patients' perception of the information given in connection treatment is sufficient for patients to experience a sense of participation in their disease.

  • 15.
    Blixt, Angelica
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Marshall, Caroline
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Rutgersson, Liselott
    Halmstad University, School of Health and Welfare.
    Förändring, lärande och hälsa: En kvalitativ studie om hur medarbetare beskriver och uppfattar arbetet inom en kommunal enhet2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Change is a part of life, as is learning and health, which should reasonably mean that these processes affect each other. This study is about how employees within a municipal unit, whose main task is to work to promote health towards seniors, describe and experience these three processes based on their workplace context. Aim: The aim of the study was to examine from a health pedagogical perspective how the employees described change and learning at the unit and how they felt that these processes affected their health. Method: The study was based on a qualitative approach where four focus group interviews were used as a data collection method. The sample consisted of 12 employees who were interviewed in groups of four. The results were analyzed on the basis of a qualitative content analysis. Results: The employees described that today's seniors are more active and that the work requires digital competence and external monitoring. They also described that learning at the unit is promoted by cooperation and a permissive atmosphere. The employees felt that their health was promoted by everyone (organization, manager and employees) taking responsibility for a good working environment. Conclusion: The processes of change, learning and health place high demands on a sharply defined organizational structure and health-promoting leadership. Good relationships and strategies for dialogue and reflection are also important in managing change while at the same time promoting learning and health. 

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  • 16.
    Blomqvist, Marjut
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Health among people with psychotic disorders and effects of an individualized lifestyle intervention to promote health2020Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of the thesis was to increase knowledge of health among people with psychotic disorders such as schizophrenia and other long-term psychotic conditions. The aim was also to investigate health effects, in terms of clinical health outcomes and self-reported questionnaires, of atwo-year individualized lifestyle intervention implemented in psychiatric outpatient services involving cooperation with the municipal social psychiatry services. The motivation for the study was to generate new knowledge in order to be able to promote health in people with psychotic disorders and to improve the care and support provided for this target group. The thesis consists of four studies. A quantitative study (Study I), was conducted using a cross-sectional design to investigate the prevalence of overweight, obesity, risk of cardiovascular disease (CVD) and the relationships between self-rated salutogenic health, sense of coherence, CVD risk, and body mass index among people with psychoticdisorders (n=57). The study was conducted in four psychiatric outpatient services; questionnaires were completed by the participants and clinical health measurements were collected by the participant’s contact nurse at the psychiatric outpatient services. The participants showed a moderate/high risk of CVD, the mean for BMI was 31.9 (59.6% were obese) and 31.6% were overweight. The results did not reveal any relationships between the subjective and objective measuresof health indicating the need for both subjective and objective assessments of health in psychiatric care. In a qualitative study (Study II), data were collected with semi-structured interviews (n=16) andanalyzed with qualitative content analysis. The interviews resulted in an overall theme “Being regarded as a whole human being by self and others”, which showed the multidimensional nature of health and the issues that enable healthy living among people with severe mental illness. Three categories emerged: (i) everyday structure (ii), motivating life events and (iii) support from significant others. The results indicate that a person with severe mental illness needs to be encountered as a wholeperson if healthy living is to be enabled. In a quasi-experimental study (Study III), the potential effects of participation in the two-year lifestyle intervention (intervention group n=54 and control group (n=13) were investigated. The data were collected at baseline, after 12 months and after 24 months using the self-reported questionnaire the Salutogenic Health Indicator Scale (SHIS), the Hopkins Symptom Checklist (HSCL-25) and the National Public Health Survey. Measures of clinical healthoutcomes were conducted by the participant’s contact nurse at the psychiatric outpatient services. Multilevel modeling was used to test differences in changes over time. Significant changes were foundin physical activity, HbA1c and waist circumference after participation in individualized lifestyle intervention. The relationship between changes in physical activity, levels of salutogenic health and glycated hemoglobin (Hb1Ac) were investigated (n=54) in Study IV. The data were collected atbaseline, after 12 months and after 24 months using the self-reported questionnaires Salutogenic Health Indicator Scale (SHIS) and National Public Health Survey. Within-person changes in physical activity between baseline and at the end of the twenty-four-month intervention were calculated. Selfreported increased physical activity was positively associated with self-rated salutogenic health and negatively associated with level of HbA1c after participation in the intervention. The thesis shows that a well-founded assessment of general health needs must consider both the individual's subjective experiences and objective measurements in order to form a solid foundation for dialogue and shareddecision-making about essential care services. The results also show that it is possible to stimulate healthy behavioral changes with a two-year individualized lifestyle intervention and bring both subjectively and objectively measured health benefits for people with psychotic disorders. The importance of nurses in psychiatric care applying a holistic approach and integrating lifestyle interventions into daily person-centered psychiatric care in collaboration with other healthcare providers to facilitate changes towards a healthy lifestyle in persons with psychotic illness is emphasized in the thesis.

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  • 17.
    Blomqvist, Marjut
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Experiences of data collection issues in qualitative studies involving people diagnosed with schizophrenia2016In: Abstracts: Narrative Nursing: Nordic Conference Of Mental Health Nursing: 14-16 September 2016, 2016, p. 41-41Conference paper (Refereed)
    Abstract [en]

    Background: The viewpoint and special needs of individuals with severe mental illness are crucial for the development of mental health nursing. In-depth knowledge of the perspectives of people with schizophrenia is primarily established in dialogue with individuals with experience of the phenomenon investigated. Attaining trustworthiness in the findings in qualitative studies is of great importance and the interview approach used should assure trustworthiness in the data collection at different levels with regard to the perspectives of the individual, which is essential for developing nursing research and practice.

    Aim: The aim of the paper was to describe and discuss the issues related to data collection in qualitative studies involving people diagnosed with schizophrenia.

    Method: Six qualitative interview studies regarding experiences of different aspects of life among people diagnosed with schizophrenia were reflected on and discussed in terms of issues related to data collection involving people with severe mental illness such as schizophrenia (N=75).

    Results: The discussions that generated the results revealed three topics in qualitative studies involving individuals diagnosed with schizophrenia: 1) Selection of research context with respect to participants’ different aspects of life, 2) Sampling issues with regard to judgements of participants’ ability to contribute with information and 3) Choice of data collection methods to meet the aim of the enquiry.

    Conclusion: Three crucial areas in data collection in qualitative studies with individuals diagnosed with schizophrenia were revealed. Further studies regarding sampling procedures and analysis of collected data are needed to ensure trustworthiness of findings regarding interviews involving people with severe mental illness.

  • 18.
    Blomqvist, Marjut
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Sandgren, Anna
    Linneaus University, Växjö, Sweden.
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    How to facilitate healthy living described by persons with persistent psychiatric disorders in psychiatric out-patient settings – challenging health care professionals2016In: Abstracts: Narrative Nursing: Nordic Conference Of Mental Health Nursing: 14-16 September 2016, 2016, p. 13-13Conference paper (Refereed)
    Abstract [en]

    Background: Over the previous decades, scientific research has demonstrated that people with persistent mental illness like schizophrenia and other psychotic disorders have a reduced life expectancy and have a higher risk of being affected of preventable physical illnesses such as developing metabolic syndrome, cardiovascular disease and type 2 diabetes. Additionally it have made evident for lower quality of life as well. These risk factors make health promoting essential in the care providing and therefore it ́s important for the health professionals to have a deeper knowledge about the facilitating factors to healthy living described by persons themselves.

    Aim: The aim of this qualitative study was to describe the experiences of persons affected by persistent mental illness such as schizophrenia or other psychotic disorders what facilitates healthy living in their everyday life. The presentation has the focus on the facilitative factors applying health professionals when providing care for persons in psychiatric out-patient settings.

    Method: The study was carried out in three different psychiatric out-patient settings in the southern Sweden. The data was collected through qualitative interviews (N= 16) and analyses by qualitative, inductive approach abased on Granheim and Lundmans ́ conceptualization of content analysis.

    Results: First, it is essential for persons with persistent and severe mental illness that they get support to bring out their needs to healthier living by having a dialogue about the issues of healthy living in their everyday life. In this dialog they may also need support to reflect and find out their own motivating factors to healthier living. Additionally, in this dialogue it is important to be aware of that they will be regarded as a whole person and include many areas of life like daily structure and social life. The professionals should show a truly involvement and active interest to persons when increasing healthy living.

    Conclusion: Many persons with persistent mental illness need practical support in their everyday life to maintaining healthier living. This requires the close cooperation between psychiatric out-patient settings, the housing support professionals from municipalities and the social services.

  • 19.
    Blomqvist, Marjut
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Ivarsson, Andreas
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Sandgren, Anna
    Linnaeus University, Center for Collaborative Palliative Care , Department of Health and Caring Sciences, Växjö, Sweden.
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Health Risks among People with Severe Mental Illness in Psychiatric Outpatient Settings2018In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 39, no 7, p. 585-591Article in journal (Refereed)
    Abstract [en]

    Life expectancy is greatly reduced in patients with schizophrenia, and cardiovascular diseases are a leading cause of mortality. The aim of this cross-sectional study was to investigate the prevalence of overweight, obesity, and cardiovascular disease (CVD) risk and to investigate the relationships between self-rated health, sense of coherence, CVD risk, and body mass index (BMI) among people with severe mental illness (SMI) in psychiatric outpatient settings. Nearly 50% of the participants were exposed to moderate/high risk of CVD and over 50% were obese. The results showed no statistically relationships between the subjective and objective measures (Bayes factor <1) of health. The integration of physical health into clinical psychiatric nursing practice is vital. © 2018 Taylor & Francis Group, LLC

  • 20.
    Blomqvist, Marjut
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Experiences of methodological issues in qualitative studies involving people with severe mental illness such as schizophrenia2016In: Programme: Second Nordic Conference in Nursing Research, 2016, p. 60-60Conference paper (Refereed)
    Abstract [en]

    Background: The viewpoint and special needs of individuals with severe mental illness is crucial in development of mental health nursing. In-depth knowledge of the perspectives of people with severe mental illness is primarily established in dialog with individuals experienced in the phenomenon investigated. To reach trustworthiness of findings in qualitative studies is central and the interview approach used should assure trustworthiness in data collection regarding perspectives of the individual essential in developing nursing research and practice.

    Aim: The aim of the paper was to describe and discuss methodological issues related to research interviews involving people with severe and persistent mental illness.

    Method: Five qualitative interview studies regarding experiences of different aspects of life among people with severe mental illness were reflected and discussed regarding methodological issues related to the interview situation involving people with severe and persistent mental illness (N=51).

    Results: The discussions forming the results revealed three crucial topics in qualitative interview studies with individuals with severe mental illness. Use previous experiences of interactions with persons with mental disabilities with an open mind without prejudices. Balance the interviewee’s need of support and encouragement during the interview without manipulating contents of statements. Comprehend the essential meaning in the interviewee’s statements even when statements are short and narrow.

    Discussion: Three crucial topics in qualitative interview studies with individuals with severe mental illness were revealed. Further studies regarding sampling procedures and analysis of collected data are needed to ensure trustworthiness of findings regarding interviews involving people with severe mental illness.

  • 21.
    Blomqvist, Marjut
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Sandgren, Anna
    Linneaus University, Växjö, Sweden.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Enabling healthy living: Experiences of people with severe mental illness in psychiatric outpatient services2018In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 27, no 1, p. 236-246Article in journal (Refereed)
    Abstract [en]

    It is well known that people with severe mental illness have a reduced life expectancy and a greater risk of being affected by preventable physical illnesses such as metabolic syndrome, cardiovascular disease and type 2 diabetes. There are still, however, only a few published studies focusing on what enables healthy living for this group. This study thus aimed to describe what enables healthy living among people with severe mental illness in psychiatric outpatient services. The data were collected in qualitative interviews (n = 16) and content analysis was used to analyze the data. The interviews resulted in an overall theme "Being regarded as a whole human being by self and others", which showed the multidimensional nature of health and the issues that enable healthy living among people with severe mental illness. Three categories emerged: (i) everyday structure (ii), motivating life events and (iii) support from significant others. The results indicate that a person with severe mental illness needs to be encountered as a whole person if healthy living is to be enabled. Attaining healthy living requires collaboration between the providers of care, help and support. Health care organizations need to work together to develop and provide interventions to enable healthy living and to reduce poor physical health among people with severe mental illness. © 2017 Australian College of Mental Health Nurses Inc.

  • 22.
    Bogren, Emma
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Westberg, Johanna
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Distriktsköterskans erfarenhet av att bedöma hudutslag inom primärvården2021Independent thesis Advanced level (degree of Master (One Year)), 10 HE creditsStudent thesis
    Abstract [sv]

    Hudutslag ären vanlig kontaktorsak inom primärvården och därför möter distriktssköterskan dagligen patienter med olika typer av hudutslag. Hudutslag oavsett diagnos eller etiologi, drabbar stora delar av världens befolkning och kan påverka människors livskvalitet negativt. I rollen som distriktssköterska innebär det att självständigt kunna bedöma och undersöka hudutslag. Genom förskrivningsrätten har distriktssköterskan möjlighet att förskriva behandling och därmed lindra patientens besvär men också kontakt med andra professiner för att remittera vidare. Syfte: Syftet med studien är att belysa distriktssköterskors erfarenheter av att bedöma personer med hudutslag inom primärvården. Metod: En kvalitativ intervjustudie med åtta distriktssköterskor inom primärvården i Hallands län. Data analyserades med en manifest kvalitativ innehållsanalys med induktiv ansats. Resultat: Tre kategorier med fem subkategorier indentifierades; Regelbundna bedömningar, Organisatoriska förutsättningar, Erfarenhetens betydelse. Slutsats: Studien belyser distriktssköterskans erfarenhet av att bedöma hudutslag och utmärkande för studien är att det är den yrkesverksamma tiden som skapar erfarenheten samt vikten av teamarbete vid bedömningar. Samtliga distriktssköterskor upplever att hudbedömningar är komplexomvårdnad och önskar mer utbildning inom området. En förbättrad kunskap inom området kan leda till minskat vårdbehov då flera korrekta bedömningar utförs. 

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  • 23.
    Brantmark, Charlotte
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Palmqvist, Therese
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Sjuksköterskors erfarenhet av att arbeta med munhälsa och munvård i kommunal hälso- och sjukvård: En kvalitativ intervjustudie2020Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Physical and cognitive disabilities may affect patients’ ability to cope with oral health and increase the risk of suffering from illness in the mouth. Studies show that staff in municipality provided care have poor knowledge in oral health and that oral health is less prioritized than other nursing interventions. Registered Nurses (RN) have the ultimate responsibility for providing care but there are few studies that describe how nurses experience working with oral health. Aim: To examine the experience of RN’s with regards to oral health and oral care in municipal health care. Method: A qualitative content analysis with an inductive approach including one focus group discussion, with five RN’s participating, and seven patientual interviews. Results: Three categories were identified: Oral health promotes general health, Works with oral health when self-care deficit and Agents in the nursing system. Conclusion: The RN’s believed that oral health is self-evident and that it is important to safeguard the patient's self-care and integrity. When working in quality registers, the RN participation in oral health work increase, but they primarily work with oral health when a problem arises. Great focus was placed on oral health and oral care in palliative patients, but the work with oral health could be suffering in patients who to some extent manage themselves. To improve oral health, the study showed that there is a need for more education for health care workers providing municipality care and RN’s, there is also a need for better routines and better collaboration with the dental care.

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  • 24.
    Bökberg, Christina
    et al.
    Lund University, Lund, Sweden.
    Ahlström, Gerd
    Lund University, Lund, Sweden.
    Karlsson, Staffan
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing. Lund University, Lund, Sweden.
    Significance of quality of care for quality of life in persons with dementia at risk of nursing home admission: a cross-sectional study2017In: BMC Nursing, E-ISSN 1472-6955, Vol. 16, no 1, article id 39Article in journal (Refereed)
    Abstract [en]

    Background

    Quality of life in persons with dementia is, in large part, dependent on the quality of care they receive. Investigating both subjective and objective aspects of quality of care may reveal areas for improvement regarding their care, which information may ultimately enable persons with dementia to remain living in their own homes while maintaining quality of life. The aim of this study was to 1) describe self-reported quality of life in persons with dementia at risk of nursing home admission. 2) describe subjective and objective aspects of quality of care, 3) investigate the significance of quality of care for quality of life.

    Methods

    A cross-sectional interview study design was used, based on questionnaires about quality of life (QoL-AD) and different aspects of quality of care (CLINT and quality indicators). The sample consisted of 177 persons with dementia living in urban and rural areas in Skåne County, Sweden. Descriptive and comparative statistics (Mann-Whitney U-test) were used to analyse the data.

    Results

    Based upon Lawton’s conceptual framework for QoL in older people, persons with pain showed significantly lower quality of life in the dimensions behavioural competence (p = 0.026) and psychological wellbeing (p = 0.006) compared with those without pain. Satisfaction with care seemed to have a positive effect on quality of life. The overall quality of life was perceived high even though one-third of the persons with dementia had daily pain and had had a weight loss of ≥4% during the preceding year. Furthermore, 23% of the persons with dementia had fallen during the last month and 40% of them had sustained an injury when falling.

    Conclusion

    This study indicates need for improvements in home care and services for persons with dementia at risk for nursing home admission. Registered nurses are responsible for nursing interventions related to pain, patient safety, skin care, prevention of accidents, and malnutrition. Therefore, it is of great importance for nurses to have knowledge about areas that can be improved to be able to tailor interventions and thereby improve quality of care outcomes such as quality of life in persons with dementia living at home. © 2017 The Author(s).

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  • 25.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Att träda in i förlossningen: kvinnors tillit till sin egen förmåga att hantera förlossningen och deras upplevelse av det tidiga förlossningsarbetet2015Conference paper (Other academic)
  • 26.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Dagen då allt rasade samman: att bli anmäld som vårdpersonal2011Conference paper (Other (popular science, discussion, etc.))
  • 27.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Delaktighet för barn och unga i hälso- och sjukvård: En realitet eller ett omöjligt uppdrag2016Conference paper (Other academic)
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  • 28.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Födandets rum: förlossningsrummet2010Conference paper (Refereed)
    Abstract [en]

    Background: In Sweden, pregnant women are encouraged to remain at home until the active phase of labour. This recommendation is based on evidence, that women who seek care and are admitted in the latent phase of labour are subjected to more obstetric interventions and suffer more complications, than women who remain at home until the active phase of labour. The objective of this study was to obtain a deeper understanding of how women, who remain at home until the active phase of labour, experience the period from labour onset until admission to delivery ward.

    Method: In-depth interviews were conducted with nineteen women after they had given birth to their first child.

    A constructivist grounded theory method was used.

    Findings:Maintaining power” was identified as the core category, explaining the women’s experience of having enough power to deal with the situation, when labour started. Four related categories; “to share the experience with another”, “to listen to the rhythm of the body”, “to distract oneself” and” to be encased in a glass vessel”, explained how the women coped and thereby maintained power.

    Conclusions: The women in this study had a sense of power that was expressed as a driving

    force towards the birth, a bodily and mental strength linked to the conviction that they had the right to decide over their own bodies. This implies that women have the ability to make choices during the birth process that enable them to maintain their power.  The professionals need to be sensitive, supportive and respectful of women’s own preferences in the health care encounter, to promote the existing power throughout the birthing process.

  • 29.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Förlossningens latensfas2011Conference paper (Other academic)
  • 30.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Platsen och rummets betydelse i tidigt förlossningarbete2015Conference paper (Other (popular science, discussion, etc.))
  • 31.
    Carlsson, Ing-Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Berg, Marie
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden & Sahlgrenska University Hospital, Gothenburg, Sweden.
    Adolfsson, Annsofie
    Örebro University, Örebro, Sweden.
    Sparud-Lundin, Carina
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Reprioritizing life: A conceptual model of how women with type 1 diabetes deal with main concerns in early motherhood2017In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 12, no 1, article id 1394147Article in journal (Refereed)
    Abstract [en]

    Purpose: Becoming a mother is related to increased demands for women with type 1 diabetes mellitus, and more research is needed to identify their needs for support in everyday living. Thus, the aim of this study was to explore the main concerns in daily life in early motherhood for women with type 1 diabetes and how they deal with these concerns. Method: A grounded theory study was conducted in which 14 women with type 1 diabetes were interviewed individually 7 to 17 months after childbirth. Results: A conceptual model was identified with the core category “reprioritizing life”, and three related categories: adjusting to motherhood, taking command of the diabetes, and seeking like-minded women. Becoming a mother was a turning point towards a greater awareness and acceptance of prioritizing diabetes management and health, and thus, life. There was a gap in provision of diabetes care after birth and during the time of early motherhood compared with during pregnancy. Conclusions: Healthcare contacts already planned before delivery can promote person-centred care during the whole period from pregnancy to motherhood. Moreover, providing alternative sources for health information and peer support could improve the life situation during early motherhood. © 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group

  • 32.
    Carlsson, Ing-Marie
    et al.
    Länssjukhuset i Halmstad, Halmstad, Sverige.
    Hallberg, Lillemor
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Odberg-Pettersson, Karen
    Lunds universitet, Lund, Sverige.
    Kvinnor som söker vård i tidigt förlossningsskede och deras upplevelse av latensfasen2007In: Reproduktiv Hälsa, Stockholm: Svenska Barnmorskeförbundet , 2007, p. 21-21Conference paper (Refereed)
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  • 33.
    Condelius, Anna
    et al.
    Lund University, Lund, Sweden.
    Jakobsson, Ulf
    Lund University, Malmö, Sweden.
    Karlsson, Staffan
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing. Lund University, Lund, Sweden.
    Exploring the Implementation of Individual Care Plans in Relation to Characteristics of Staff2016In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 6, no 8, p. 582-590Article in journal (Refereed)
    Abstract [en]

    The aim was to explore the implementation of individual care plans in municipal elderly care in relation to characteristics of staff. Data regarding characteristics of staff were derived through a questionnaire distributed to all staff working in the care for older people, (N = 908, n = 245) in four municipalities in Sweden. The number of care plans established during a one-year period was collected through a contact person in each municipality. In total 47 individual care plans were es-tablished during the study year. Significantly more staff in the municipality that had the most number of established individual care plans agreed that there had been sufficient education (p = 0.017), sufficient time (p = 0.002) and routines established regarding individual care plans (p = 0.014) and had a significantly better job satisfaction (p = 0.001), compared to staff in the other municipalities. Implementation leaders may need to take the working conditions and the percep-tion of available resources among staff into consideration in the on-going process of implementing individual care plans.

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  • 34.
    Cuesta, Marta
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Millberg German, Lena
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Karlsson, Staffan
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Arvidsson, Susann
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Welfare technology, ethics and well-being: a qualitative study about the implementation of welfare technology within areas of social services in a Swedish municipality2020In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 15, no sup1, article id 1835138Article in journal (Refereed)
    Abstract [en]

    Purpose: Digitalization and e-health have potential to generate good quality, equal health, well-being and to develop and strengthen individuals’ resources with the goal of increased independence and participation in society. The implementation of welfare technology requires knowledge of digitalization, as well as an awareness of its meaning in terms of ethical principles and ethical analysis. The purpose of this study was to describe ethical analysis concerning the implementation of welfare technology, in terms of both strategies and tools, within areas of social services in a Swedish municipality.

    Method: We followed a working model that focused on increased knowledge and experience in the implementation of welfare technology from an ethical perspective. In the data collection were observations, a questionnaire with open-ended questions and focus group discussions used.

    Results: The analysis showed that when welfare technology was introduced and implemented within the area of social services in a municipality, ethical awareness resulting from the conflicts between various interests and values had to be addressed.

    Conclusions: The ethical analysis improved implementation of strategies and tools in terms of facts and values, and invisible underlying values to the concept of well-being. © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

  • 35.
    Doyle, Louise
    et al.
    Trinity College Dublin, Dublin, Ireland.
    Ellilä, Heikki
    Turku University of Applied Science, Turku, Finland.
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Lahti, Mari
    Turku University of Applied Science, Turku, Finland.
    Higgins, Agnes
    Trinity College Dublin, Dublin, Ireland.
    Keogh, Brian
    Trinity College Dublin, Dublin, Ireland.
    Meade, Oonagh
    University of Nottingham, Nottingham, United Kingdom.
    Sitvast, Jan
    Utrecht University of Applied Sciences, Utrecht, The Netherlands.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Stickley, Theodore
    University of Nottingham, Nottingham, United Kingdom.
    Kilkku, Nina
    Tampere University of Applied Sciences, Tampere, Finland.
    Preparing master-level mental health nurses to work within a wellness paradigm: Findings from the eMenthe project2018In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 27, no 2, p. 823-832Article in journal (Refereed)
    Abstract [en]

    Mental health promotion remains an important component of mental health nursing practice. Supporting wellness at both the individual and societal levels has been identified as one of the key tenets of mental health promotion. However, the prevailing biomedical paradigm of mental health education and practice has meant that many nurses have not been equipped to incorporate a wellness perspective into their mental health practice. In the present study, we report on an exploratory study which details the knowledge, skills, and attitudes required by master-level mental health nurses to practice within a wellness paradigm from the perspective of three groups of key stakeholders: (i) service users and family members (n = 23); (ii) experienced mental health nurses (n = 49); and (iii) master-level mental health nursing students (n = 37). The findings, which were reported from individual and focus group interviews across five European countries, suggested a need to reorientate mental health nursing education to include a focus on wellness and resilience to equip mental health nurses with the skills to work within a strengths-based, rather than a deficits-based, model of mental health practice. Key challenges to working within a wellness paradigm were identified as the prevailing dominance of the biomedical model of cause and treatment of mental health problems, which focusses on symptoms, rather than the holistic functioning of the individual, and positions the person as passive in the nurse-service user relationship. © 2017 Australian College of Mental Health Nurses Inc.

  • 36.
    Edelborg, Malin
    et al.
    Halmstad University, School of Health and Welfare.
    Lorentzon, Elvira
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Tilliten till sjuksköterskan – Är den tillräcklig?: En allmän litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Trust poses expectations that the nurse in his profession should be credible to all patients. Trust in nursing provides the potential for developing a relationship between nurse and patient in which the nurse has a greater opportunity to provide important information that can be crucial to the patient's health.

     Aim: To describe patients' experiences of trusting the nurse.

    Method: The study was conducted as a general literature review with systematic searches where the result is based on 10 scientific articles. Data processing resulted in four categories that highlight what the patient experiences is trusting the nurse; To be seen, to get time, to be respected and to be heard.

    Results: The result shows that the patient experiences trust when being seen, which can help the patient feel safe and feel involved in his or her own care. By getting time, the patient can feel that the nurse understands that trust can not be stressed. When the patient feels respected by the nurse, he experiences more equality, which makes the patient feel important. When the patient feels that they are heard, the relationship between them is deepened and the patient perceived that the relationship was mutual.

    Conclusion: Trust in the nurse may be the basis for the patient's perception of care. This can help the patient gain a clearer understanding of the nursing care performed by the nurse. Further research on the patient's experience of trust is important and could contribute to development in health care.

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  • 37.
    Engdahl, Patrik
    et al.
    Lund University, Lund, Sweden.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Bejerholm, Ulrika
    Lund University, Lund, Sweden.
    Acceptability of a digital return-to-work intervention for common mental disorders: a qualitative study on service user perspectives2021In: BMC Psychiatry, E-ISSN 1471-244X, Vol. 21, no 1, article id 384Article in journal (Refereed)
    Abstract [en]

    Background: There is an evident discrepancy between need and provision of evidence-based return-to-work (RTW) interventions in existing mental health services. Online dissemination of evidence-based interventions is presumed to reduce this gap. However, there is almost no knowledge available on perceived acceptability of digital RTW interventions among service users, which are factors that might influence the development and implementation of future interventions. The aim of this study was to develop knowledge of service user acceptability of mWorks, a proposed digital RTW solution.

    Methods: Participants (n = 18) with experience of common mental disorder and sick leave were recruited with a purposive snowball sampling method. Semi-structured interviews (n = 12) and one focus group interview (n = 6) were conducted. A deductive thematic analysis was performed according to the Theoretical Framework of Acceptability.

    Results: Digital RTW interventions were perceived as acceptable and aligned with participant value. Participants expressed positive attitudes toward having access to support, regardless of time and place. A certain ambiguity between a decline in social interactions and opportunities to RTW in a safe space was reported. Participants were confident in their ability to use digital RTW solutions, but reported the need to reduce stressful elements of using smartphones. Overly demanding digital solutions, i.e. ones requiring high cognitive effort, were described as burdensome.

    Conclusions: For digital RTW solutions to be acceptable, they need to complement traditional services by providing accessible and person-centred support throughout the RTW process. They should be designed to reduce the need for cognitive effort. Future research should explore how to balance user autonomy with other support components in digital interventions. © The Author(s). 2021

  • 38.
    Engdahl, Patrik
    et al.
    Lund University, Lund, Sweden.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Lexén, Annika
    Lund University, Lund, Sweden.
    Bejerholm, Ulrika
    Lund University, Lund, Sweden.
    Role of a Digital Return-To-Work Solution for Individuals With Common Mental Disorders: Qualitative Study of the Perspectives of Three Stakeholder Groups2020In: JMIR Formative Research, E-ISSN 2561-326X, Vol. 4, no 9, article id e15625Article in journal (Refereed)
    Abstract [en]

    Background: Although effective return-to-work (RTW) interventions are not widely available for individuals with common mental disorders on sick leave, there is potential for transforming such interventions into a digital solution in an effort to make them more widely available. However, little is currently known about the viewpoints of different stakeholder groups, which are critical for successful development and implementation of a digital RTW intervention in health care services.

    Objective: The aim of this study was to examine stakeholder groups’ perspectives on the role and legitimacy of a digital RTW solution called mWorks for individuals with common mental disorders who are on sick leave.

    Methods: A purposeful snowball sampling method was utilized to recruit respondents. Semistructured individual and focus group interviews were conducted for stakeholder groups of service users, RTW professionals, and influential managers regarding their experiences, needs, and preferences for mWorks. Content analysis generated themes and categories that constituted the main findings.

    Results: The legitimacy of a digital RTW solution was high among all stakeholder groups since such a tool was perceived to enable service users to take control over their RTW process. This was mainly a product of accessible support and promotion of service user decision making, which had the potential to empower service users. All respondents stressed the importance of fostering a positive user experience with usability and emphasis on service user resources and strengths, as opposed to various limitations and shortcomings. Stakeholder groups highlighted critical content to facilitate RTW, such as the need to clarify a back-to-work plan, accompanied by an accessible RTW network and strategies for handling mental health problems. Implementation challenges primarily involved influential managers’ concern of legislation incompatibility with innovative technology, and RTW professionals’ concern of the possibility that digital solutions may replace them to a certain extent.

    Conclusions: This formative research emphasizes the importance of shifting power from RTW professionals to service users. mWorks can play a role in mediating service user control over the RTW process, and thereby increase their empowerment. A digital RTW solution may facilitate the circumvention of implementation barriers associated with introducing evidence-based RTW interventions in a traditional RTW context. ©Patrik Engdahl, Petra Svedberg, Annika Lexén, Ulrika Bejerholm.

  • 39.
    Eriksson, Lotta
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Lundin, Paulina
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Taktil massage inom omvårdnad2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Touch is a central part of nursing for both the patient and the nurse. In case of disease condition, the need for physical contact increases, which makes the nurse’s physical proximity important. Tactile massage is a Swedish method that is included in the collective name soft massage and is used as a complementary treatment in Swedish health care. The purpose was to describe experiences of the tactile intervention tactile massage. A structured literature study was conducted with an inductive approach where ten articles were selected. In the result two main category emerged as Health which highlights the recipient's experiences of tactile massage, with the subcategories Feeling of a functioning body as well as getting Breathing space in suffering. The second main category Doing well can hurt illuminates experiences of tactile massage from the perspective of the tactile masseurs. The results show that the tactile massage works as an effective tool to relieve suffering in patients with varying health conditions. The conclusion was that more evidence is needed in the area to enable further implementation of the form of treatment in Swedish health care.

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  • 40.
    Forsberg, Elenita
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Bäcklund, Berit
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Hjort-Telhede, Eva
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Karlsson, Staffan
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Virtual patient cases for active student participation in nursing education2018In: Journal of Nursing & Care, ISSN 2167-1168, Vol. 7, p. 63-63Article in journal (Refereed)
    Abstract [en]

    A didactive method which promote a more active student participation (ASP), Virtual Patient (VP) cases  may be a valuable intervention. VP cases are defined as interactive computer simulations of real-life clinical scenarios for healthcare education. VP cases are excellent for training clinical reasoning skills.

    The aim of the study was to investigate utilization of VP cases for ASP in nursing education, regarding student’s learning experience.

    The design was an intervention study, 58 students in the third semester of six in the nursing program were included in the study. In 2016-2017, interventions have been conducted in the Human Biomedicine course with the purpose to develop a course concept that included didactic methods that promoted ASP. The students performed four VP cases individually at home. Before solving  the VP cases, the students had lectures in medicine science for example concerning chest organs diseases. In order to be a complement to that lecture the VP case was about chronic obstructive pulmonary disease. The lectures were followed up with seminars where the students were able to ask questions regarding conducted VP cases. After each performed VP case, the student answered a self -evaluation form with open ended questions.  Data was conducted using content analysis.

    The result showed that the students found the VP cases challenging and motivational. The VPs taught them to think wide and stimulated to search for more knowledge. Finally they thought it was a good way to test themselves and appreciated the direct feedback, lack of knowledge became visible at once. © 2018 OMICS International

  • 41.
    Forsberg, Elenita
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Bäcklund, Berit
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Hjort-Telhede, Eva
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Karlsson, Staffan
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Virtual Patient Cases for Active Student Participation in Nursing Education — Students’ Learning Experiences2019In: Creative Education, ISSN 2151-4755, E-ISSN 2151-4771, Vol. 10, no 7, p. 1475-1491Article in journal (Refereed)
    Abstract [en]

    Virtual Patient cases (VP cases) promote learning, teaching, and assessment of clinical reasoning and can stimulate and motivate active learning experiences in nursing education. The aim of the study was to investigate the use of VP cases for active student participation in nursing education regarding students’ learning experiences of clinical reasoning. After an intervention using VP cases in the graduate nursing program, 174 evaluation questionnaires were collected from the students. The questionnaire consisted of open-ended questions that covered students’ learning experiences using VP cases. Deductive content analysis was used with a focus on the students’ learning experiences. The results showed that the use of the VP cases provided a comprehensive view of the patient and encouraged the students to broaden their thinking and helped them in drawing conclusions and in structuring their problem-solving. The VP cases also stimulated their learning process and reflection. Their knowledge was challenged, and this motivated them to search for more knowledge that was then followed up in the VP cases. The students found that the VP cases provided support in translating theoretical knowledge into clinical reasoning, and they facilitated the application of theory in practice and encouraged the students to use their clinical reasoning. The VP cases allowed for self-evaluation, which was a motivating force and increased their awareness of their abilities for clinical reasoning. Learning experiences from VP cases seem to be applicable in higher education and seem especially useful in enabling nursing students to apply theory in their clinical practice. Experiential learning theory supports the learning experiences from VP cases in clinical reasoning. In addition, working with VP cases seems to promote active student participation. Copyright © 2019 by author(s) and Scientific Research Publishing Inc.

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  • 42.
    Forsberg, Elenita
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Rasmusson, Karin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Using academic reflection for examination in simulated environment2018In: Journal of Nursing & Care, ISSN 2167-1168, Vol. 7, p. 53-53Article in journal (Refereed)
    Abstract [en]

    In nursing education, in semester four of six, in the course of 10 weeks clinical practice the final individual exam has developed. The aim was to deepen the clinical reasoning and make it more visible. The aim was also to give the student the possibility to reflect on the learning objectives, to identify additional knowledge needs and progression, which is a kind of learning recommended by higher education in Sweden. The academic reflection should have a clear purpose and show evidence of learning. Such a reflection requires that the student can use theory from the education to describe, explain and discuss critical events and their importance to future professional practice.

     Two classes with 75 nursing students participated in the study. One pair of students conducted a complex scenario in simulated environment during one hour including feedback. Another pair observed the scenario for identifying clinical reasoning, patient safety and team work. Then the pairs changed roles. Afterwards the students were instructed to make an academic reflection on their learning and progression based on seven open questions in a learning platform survey. Qualitative content analysis was used for data analysis.

    Students expressed that the scenarios trained the ability to manage acute situations, team communication, plan and prioritize nursing actions and prepare for future profession.

    The students felt that it was an excellent form of examination as the academic reflection forced the student to be aware of individual strengths and weaknesses and on the basis of this identify lack of knowledge.© 2018 OMICS International

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  • 43.
    Fredin, Agnetha
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and nursing.
    Skolsköterskans arbete med elever med psykisk ohälsa: En intervjustudie2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Psykisk ohälsa ökar bland barn och unga i Sverige. Samtidigt som det är allt fler som inte uppnår godkända betyg i skolan. Det finns ett dubbelriktat samband mellan psykisk ohälsa och skolprestation. Skolsköterskans uppdrag är att stödja elevernas utveckling mot utbildningens mål samt verka för god hälsa. Syftet var att belysa skolsköterskans arbete med elevers psykiska ohälsa. Studien genomfördes som en kvalitativ intervjustudie med semistrukturerade frågor. Sex skolsköterskor från fyra kommuner intervjuades utifrån strategiskt urval. Intervjuerna har analyserats genom kvalitativ innehållsanalys. Resultatet i studien presenteras med ett övergripande tema; ”Skolsköterskan, en delvis outnyttjad resurs i arbetet med elever med psykisk ohälsa”. Kategorierna som framkom var; arbete med psykisk ohälsa tillhör skolsköterskans vardag, bedömning som grund för samverkan samt organisatoriska förutsättningar.Resultatet visade att skolsköterskorna dagligen arbetar med psykisk ohälsa. För att nå framgång i arbetet krävs organisatoriska förutsättningar. Resultatet belyser också hur skolsköterskans bedömning av elevens psykiska hälsa avgör det fortsatta handläggandet och samverkan. Idag saknas handlingsplan för psykisk ohälsa nationellt och förhoppningen är att studien kommer att få betydelse i det fortsatta arbete genom att belysa vad skolsköterskan utifrån sin profession kan göra.

    Ytterligare forskning behövs inom området psykisk ohälsa för att stödja skolsköterskans hälsofrämjande, förebyggande och åtgärdande arbete på individ-, grupp och organisationsnivå.

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  • 44.
    Frid, Linda
    et al.
    Halmstad University, School of Health and Welfare.
    Sander, Elin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Empati och empatisk fatigue: Sjuksköterskors erfarenhet2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Empathy is the foundation of person-centred care. In the nurses' core competencies and competence description it can be read that nurses must treat patients and their relatives with respect and empathy. Therefore, the nurses’ experience of empathy, as well as how empathy affects the professional role, needs to be further researched. Aim: The aim of this study was to describe nurses' experiences of empathy and empathic fatigue. Method: A literature study with an inductive approach was chosen to analyse 11 articles, that were included in the results. Result: From the analysis four main themes revealed as follows: understanding patients is based on feeling empathy, conditions that seem to enable or hinder empathy in nursing, relationship as a key factor for empathic care and the importance of emotional recovery from empathic fatigue. The result revealed that nurses had a hard time defining the term empathy. The nurses' experiences also revealed enablers or barriers for empathy. The empathic care is dependent on the nurses being allowed to create a relationship with patients and relatives, but when the balance is compromised, the nurse can be affected by empathic fatigue. Conclusion: It would benefit healthcare that further nursing research is conducted to investigate the role of empathy in relation to the nurse’s profession and the person-centred care. There is also a need to further define of the concept of empathy to ensure better understanding and use of empathic care.

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  • 45.
    Gabrielsson, Sebastian
    et al.
    Department of Health Sciences, Luleå University of Technology, Luleå, Sweden.
    Tuvesson, Hanna
    Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Wiklund Gustin, Lena
    School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden & Department of Health and Care Sciences, UIT/The Arctic University of Norway, Tromsø, Norway.
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Positioning Psychiatric and Mental Health Nursing as a Transformative Force in Health Care2020In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 41, no 11, p. 976-984Article in journal (Refereed)
    Abstract [en]

    From the perspective of psychiatric and mental health nurses in Sweden, this discussion paper aims to position psychiatric and mental health nursing as a transformative force contributing to enforcing person-centered values and practices in health care. We argue the potential impact of psychiatric and mental health nursing on service user health and recovery, nursing student education and values, and the organization and management of health care. Psychiatric and mental health nursing is discussed as a caring, reflective, and therapeutic practice that promotes recovery and health. Implications for nursing education, research, management, and practice are outlined. © 2020 The Author(s). Published with license by Taylor & Francis Group, LLC.

  • 46.
    Gavlik, Nikki
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Stockman, Jill
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Att leva med ett självskadebeteende2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Self-injurious behaviour is seen as a growing problem in today’s society and is most common among women. Self-injurious behaviour is also seen among the male population but on a smaller scale which is believed to be due to the fact that they have other ways of dealing with situations, thoughts and feelings. By having a person-centered approach where the nursing is based on each person, it can provide an increased understanding of the patient, which in turn can lead to a higher level of well-being. Aim: The aim of the study was to illustrate people’s experiences of living with a self-injurious behaviour. Method: The study was conducted as a general litterature study with an inductive approach. Result: The result was based on ten scientific articles where four themes emerged: triggering factors, society’s view of self-injurious behaviour, a way of coping with the emotions and the road to recovery. Conclusion: It appeared that people who injures themselves use self-injurious behaviour as a way of dealing with thoughts and feelings that they otherwise, did not know how to handle. Seeking help was a concern as there is a fear of other people's prejudice about self-injurious behaviour, which made them choose to hide their self-injurious behaviour from their surroundings. To be able to recover, it is important to have a good support and an understanding of why self-injurious behaviour has emerged together with an increased self-acceptance.  

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  • 47.
    Giselsson, Frida
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Larsson, Alexandra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Är råden från Socialstyrelsen avseende spädbarns sovmiljö tillräckliga?: Enkätstudie om BHV-sjuksköterskors rådgivningssituation kring nattsömnen2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nurses at child health service give advice from the Swedish National Board of Health and Welfare that infants under three months should sleep in its own cot. Many parents choose to bed share with their infant. Aim: The aim of the study was to investigate if the nurses at child health services find that the Swedish National Board of Health and Welfare´s advice and recommendations regarding night sleep in infants under three months are sufficient and whether and what advice they give regarding bed sharing. Method:A quantitative approach has been used. A survey was drafted and replied by nurses at child health care service (n=47) in south Sweden. Results: The results show that the nurses consider that bed sharing was common and that they often gave advice on how bed sharing can be safer. The nurses had different perceptions of what safe bed sharing is and what advice they provide. A quarter of the nurses consider the advice to be insufficient. Conclusion:Nurses at child health service give advice on how bed sharing can be safer even though this is not recommended in Sweden and that they provide different advice. This requires extended advice regarding infants sleep environment. 

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  • 48.
    Gondos, Viola
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Faktorer som bidrar till patientnöjdhet i samband med kataraktoperation2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    A cataract is a clouding oft he lens of the eye that leads to impaired vision. This condition remains one of the main causes of vision impairment worldwide. Cataract surgery is amongthe most common eye interventions all over the world. Patients often consider that the information they receive about the surgical procedure is inadequate. It is difficult to provide information about eye surgery. The aim of this integrative literature review was to highlight factors that contribute to patient satisfaction in cataract surgery. Data collection took place in databases such as CINAHL, PubMed and SienceDirect, which mainly contain scientific articles from the field of medicine and nursing. The study includes an analysis of ten articles. The literature review resulted in three categories of patient satisfaction: Information, Healthcare professionals`response and Safety. Many different factors that contribute to patient satisfaction. The most important factors are to get individual and patient information about cataract surgery, respectful and friendly encountering by the healthcare professionals and being able to feel safe. The result revealed even that the ophthalmic nurse has an important role in supporting and informing the patient in the context of cataract surgery. Ophthalmology nurses can encounter patients in a more professional manner if they understandpatients` experiences. In the education of ophthalmology nurses, the result of this  literature study should be able to be used, but it is recommended that greater studies be done on patient experience in cataract surgery in Sweden.

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  • 49.
    Grabovci, Mergime
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Sjuksköterskans upplevelse av akut omvårdnad av patienter med trauma2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Caring for patients in trauma situations is often emotionally stressful for both the nurse and the patients. Since nurses in the emergency care often deal with emotional reactions while al the focus must be on the patient, there is a great risk that the work situation will be unsustainable. The purpose of the literature study was to elucidate experiences of trauma care from nurse’s perspective. Method: The study was designed as a structured literature review with an inductive approach. The result was based on ten scientific articles and showed that nurses experiences of trauma care was difficult and stressful and usually led to various stress symptoms such as burnout, personal stress, posttraumatic stress syndrome and secondary traumatic stress. Conclusion: The nurses found it emotionally difficult to treat young trauma patients as well as relatives or colleagues’ relatives. The younger inexperienced nurses usually responded stronger to the trauma situations than the experienced nurses did. 

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    Sjuksköterskans upplevelse av akut omvårdnad av patienter med trauma
  • 50.
    Granberg, Johanna
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Kostens betydelse för fertiliteten hos kvinnor: En systematisk litteraturstudie2021Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Infertility is a disease of the reproductive system defined by the fact that a clinical pregnancy is not achieved after 12 months or more of regular unprotected intercourse. Around ten percent of the fertile couples worldwide suffer involuntary infertility. In about 30 % of the cases there is no explanation for infertility. Involuntary infertility can lead to long-term crises and mental illness. A good diet can lead to better health. Helping these patients could lead to better mental health and physical health and economic savings for society. Purpose: To highlight the impact of the diet for fertility. Method: A systematic review. Database search was made in CINAHL and PubMed that resulted in seven scientific articles. Result: Homemade food, Mediterranean diet, fruits & vegetables, diary, dietary fiber and unsaturated fats are promoting fertility. Sugar, fast food and saturated fat are unfavorable for fertility. Conclusion: Evidence has emerged that the diet is important for women's fertility. Implication: A study that would find that a particular diet would have an impact on fertility could be useful in diet counselling that could lead to less cases of  infertility and  savings for society. More research in this area is needed.

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