mdh.sePublications
Change search
Link to record
Permanent link

Direct link
BETA
Publications (10 of 65) Show all publications
Stålberg, A., Sandberg, A., Coyne, I., Larsson, T. B. & Söderbäck, M. (2019). Using an interactive communication tool in healthcare situations: Patterns in young children's use of participation cues. Journal of Child Health Care, Article ID UNSP 1367493518814928.
Open this publication in new window or tab >>Using an interactive communication tool in healthcare situations: Patterns in young children's use of participation cues
Show others...
2019 (English)In: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, article id UNSP 1367493518814928Article in journal (Refereed) Published
Abstract [en]

This study forms part of a larger project about developing and using interactive technology to facilitate young children's participation in healthcare situations. Children's participation in these situations improves their motivation and situated understanding. Likewise, their participation helps professionals to more fully understand the child's perspective. In the project, an interactive communication tool, that is, an application suitable for tablet use, was developed with children, aged three to five, in two clinical settings. When tested, the children's participation cues, identified from video recordings of healthcare situations, were understood as having curious, thoughtful or affirmative meanings. This study aimed to investigate the similarities and differences in the young children's use of participation cues when using an interactive communication tool in healthcare situations. A secondary analysis of the identified cues was performed focusing on age, setting and examination or procedure. In total, 2167 cues were identified representing either curious, thoughtful or affirmative cues. The curious cues were mainly used (66%), followed by thoughtful (28%) and affirmative (6%) cues. Differences in cue usage were seen in relation to the children's age and setting. Knowing how children may react to common healthcare procedures may help increase healthcare professionals' awareness of the need to support children in an individual and situational way.

Place, publisher, year, edition, pages
SAGE PUBLICATIONS LTD, 2019
Keywords
Children, cues, examinations, healthcare situations, health technology, participation
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-42988 (URN)10.1177/1367493518814928 (DOI)000454872400001 ()30606038 (PubMedID)2-s2.0-85059625836 (Scopus ID)
Available from: 2019-03-29 Created: 2019-03-29 Last updated: 2019-10-11Bibliographically approved
Coyne, I., Holmström, I. K. & Söderbäck, M. (2018). Centeredness in Healthcare: A Concept Synthesis of Family-centered Care, Person-centered Care and Child-centered Care. Journal of Pediatric Nursing: Nursing Care of Children and Families, 42, 45-56
Open this publication in new window or tab >>Centeredness in Healthcare: A Concept Synthesis of Family-centered Care, Person-centered Care and Child-centered Care
2018 (English)In: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 42, p. 45-56Article in journal (Refereed) Published
Abstract [en]

Background: Increasingly within healthcare, different kind of ‘centeredness’ are used to denote the focus of care which can create confusion for practitioners. Methods: A concept analysis was undertaken to identify the antecedents, attributes and relationship between family-, person-, and child-centered care. PubMed and CINAHL were searched from 2012 to 2017 and thirty-five papers were reviewed. Results: Both person- and child-centered care are focused on individuals, a symmetric relationship and the tailoring of care to individual needs while family- centered care is focused on the family as a unit of which the child is included. Person-centered care focuses on an adult person with autonomy, while the focus in child-centered care is the individual child as an own actor with rights but still close to a family. Conclusion: It appears at a conceptual level that the concepts of centeredness contain both similarities and differences. Finding ways to structure nursing and focus the care that respects a person's dignity and humanity is essential in healthcare and should be a major goal of health policy and health systems worldwide. Implications: The identification of the antecedents and attributes embedded in the concepts may help raise professionals’ awareness of the different foci and how this will influence one's practice. There is a need to recognize strengths and weaknesses of the centeredness in different settings and environments. Furthermore, it is important to know which approach to apply within different situations so that quality care is enabled for every person, child and family.

Place, publisher, year, edition, pages
W.B. Saunders, 2018
Keywords
Centeredness, Child-centered care, Concept analysis, Family-centered care, Person-centered care, adult, awareness, child, Cinahl, female, health care policy, human, human dignity, male, Medline, nursing, review, synthesis, systematic review
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-40292 (URN)10.1016/j.pedn.2018.07.001 (DOI)000444524700023 ()30219299 (PubMedID)2-s2.0-85049879186 (Scopus ID)
Available from: 2018-07-26 Created: 2018-07-26 Last updated: 2018-10-16Bibliographically approved
Stålberg, A., Sandberg, A. & Söderbäck, M. (2018). Child-centred Care: Health Professionals' Perceptions of What Aspects are Meaningful When Using Interactive Technology as a Facilitator in Healthcare Situations. Journal of Pediatric Nursing: Nursing Care of Children and Families, E10-E17
Open this publication in new window or tab >>Child-centred Care: Health Professionals' Perceptions of What Aspects are Meaningful When Using Interactive Technology as a Facilitator in Healthcare Situations
2018 (English)In: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, p. E10-E17Article in journal (Refereed) Published
Abstract [en]

Purpose: A prerequisite for child-centred care is children's participation, which in paediatrics can partly be enhanced by using interactive technology solutions, for instance tablet or smartphone-based applications. These applications, however, mainly target older children. In a research project, a tablet-based application, i.e. a communication tool, was developed, meant to facilitate young children's participation in healthcare situations. This study explored health professionals' perceptions of what aspects are meaningful when jointly using such an application in healthcare situations. 

Design/Methods: Using the critical incident technique, 18 qualitative, semi-structured interviews focusing on critical incidents were performed with four health professionals who had used the interactive communication tool together with children in various healthcare situations. The data were analysed according to inductive content analysis. 

Results: Results showed that the health professionals described the use of the tool as meaningful because it provided information that helped the children increase their participation, modify their understanding of the situations, and reduce their fear. The tool was also perceived to contribute to a common language between the children and the professionals, which improved their overall communication. 

Conclusion: The introduction of an interactive communication tool in healthcare situations seemed to be beneficial for both the children and the health professionals.

Practice Implications: An interactive communication tool, facilitating both verbal and non-verbal communication, can reinforce children's participation in healthcare situations and contribute to positive outcomes in the childprofessional relationship, as well as in the situation itself. 

National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-41516 (URN)10.1016/j.pedn.2018.07.006 (DOI)000450921100004 ()30056996 (PubMedID)2-s2.0-85050395270 (Scopus ID)
Available from: 2018-12-06 Created: 2018-12-06 Last updated: 2019-01-04Bibliographically approved
Rooth, H., Piuva, K., Forinder, U. & Söderbäck, M. (2018). Competent parents with natural children: Parent and child identities in manual-based parenting courses in Sweden. Childhood, 25(3), 369-384
Open this publication in new window or tab >>Competent parents with natural children: Parent and child identities in manual-based parenting courses in Sweden
2018 (English)In: Childhood, ISSN 0907-5682, E-ISSN 1461-7013, Vol. 25, no 3, p. 369-384Article in journal (Refereed) Published
Abstract [en]

This article analyses identity constructions in two manual-based universal parenting training programmes in Sweden, Connect (U) and All Children in Focus (ABC). The analysis was performed with discourse analysis of oral messages during parent training courses. The findings revealed that the parents' subject positions altered between troubled and good while the children's subject positions altered between ambiguous and natural in a confessional discourse of uncertainty and competence. Conclusively, pastoral power operated to support parental self-reflexivity and adult control in a process to improve parenting skills.

Place, publisher, year, edition, pages
SAGE PUBLICATIONS LTD, 2018
Keywords
Children, discourses of parenting training, parents, public health, social services, Sweden
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-40378 (URN)10.1177/0907568218759586 (DOI)000439350900008 ()2-s2.0-85043341300 (Scopus ID)
Available from: 2018-08-17 Created: 2018-08-17 Last updated: 2018-11-05Bibliographically approved
Harder, M., Söderbäck, M. & Ranheim, A. (2018). Health care professionals’ perspective on children’s participation in health care situations: encounters in mutuality and alienation. International Journal of Qualitative Studies on Health and Well-being, 13(1), Article ID 1555421.
Open this publication in new window or tab >>Health care professionals’ perspective on children’s participation in health care situations: encounters in mutuality and alienation
2018 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 13, no 1, article id 1555421Article in journal (Refereed) Published
Abstract [en]

Purpose: Encounters between health care professionals, parents and children in health care services for children are complex as these encounters involve the various perspective and understanding of each person involved. The aim of the study is to describe health care professionals’ understanding of significant encounters with children and parents to uncover the meaning of participation. Method: A qualitative descriptive design was applied. The health care professionals’ narratives (n = 35) of their significant encounters with children were interpreted from the perspective of participation. A phenomenological-hermeneutical approach was used in the analysis. Results: The findings show children’s participation as a dynamic movement in mutuality and alienation which can vary within a situation or between different situations involving the same persons. The movement can occur in mutuality and or in alienation depending on what or towards whom the persons direct themselves. Understanding participation as a movement in health care situations is useful in supporting children’s opportunities to participate from their own perspective and deal with health care examinations. Conclusion: The outcome of a situation can never be predicted. Still, professionals can be aware of their actions in encounters with children.

Place, publisher, year, edition, pages
Taylor and Francis Ltd., 2018
Keywords
Children, encounters, health care professional, health care situations, participation, phenomenological-hermeneutical approach, alienation, article, child, clinical article, female, health care personnel, human, male, narrative
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-42259 (URN)10.1080/17482631.2018.1555421 (DOI)000453916900001 ()30704374 (PubMedID)2-s2.0-85058927751 (Scopus ID)
Available from: 2019-01-03 Created: 2019-01-03 Last updated: 2019-06-18Bibliographically approved
Fritz, J., Söderbäck, M., Sandborgh, M. & Söderlund, A. (2018). The complexity of integrating a behavioral medicine approach into physiotherapy clinical practice. Physiotherapy Theory and Practice
Open this publication in new window or tab >>The complexity of integrating a behavioral medicine approach into physiotherapy clinical practice
2018 (English)In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040Article in journal (Refereed) Published
Abstract [en]

Introduction and Aim: The implementation of a behavioral medicine (BM) approach in physiotherapy is challenging, and studies regarding the determinants are sparse. Thus, the aim of this study was to explore determinants of applying a BM approach in physiotherapy for patients with persistent pain across the micro-, meso-, and macro-levels. Methods: A qualitative multiple-case study design was used. Data were collected from four cases through semi-structured interviews with physiotherapists (PTs), patients, and managers; observations of video-recorded treatment sessions; and reviews of local directives and regulations. Data were analyzed with inductive content analysis and cross-case analysis, followed by mapping to the domains of determinants at the micro-, meso-, and macro-levels within the Implementation of Change Model. Results: Similar determinants were found across the cases. At the micro-level, these determinants concerned the PTs’ ambivalence toward a BM approach, a biomedical focus, embarrassment asking about psychosocial factors, BM knowledge, skills for applying the approach, and self-awareness. Others concerned the patients’ role expectations of the PT, patients as active or passive agents in the treatment process, patients’ focus on biomedical aspects, and confidence in the PT. At the meso-level, support from managers and peers, allocation of time, and expectations from the organization were identified as determinants. No determinants were identified at the macro-level. Conclusion: The complexity of integrating a BM approach into physiotherapy clinical practice arises from multiple determinants functioning as both facilitators and barriers. By selecting strategies to address these determinants, the implementation of a BM approach could be supported.

Keywords
Behavioral medicine,  physiotherapy,  clinical practice,  determinant,  facilitator,  barrier
National Category
Medical and Health Sciences
Research subject
Physiotherapy
Identifiers
urn:nbn:se:mdh:diva-41172 (URN)10.1080/09593985.2018.1476996 (DOI)29847287 (PubMedID)2-s2.0-85047962277 (Scopus ID)
Funder
AFA Insurance, 12169
Available from: 2018-10-15 Created: 2018-10-15 Last updated: 2019-06-18Bibliographically approved
Rooth, H., Forinder, U., Söderbäck, M., Viitasara, E. & Piuva, K. (2018). Trusted and doubted: Discourses of parenting training in two Swedish official inquiries, 1947 and 2008. Scandinavian Journal of Public Health, 46(20_suppl), 59-65
Open this publication in new window or tab >>Trusted and doubted: Discourses of parenting training in two Swedish official inquiries, 1947 and 2008
Show others...
2018 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, no 20_suppl, p. 59-65Article in journal (Refereed) Published
Abstract [en]

Aim: The aim of this study was to analyse discourses of parenting training in official inquires in Sweden that explicitly deal with the bringing up of children and parental education and how the representations of the problems and their solutions affect parental subject positions in the early welfare state and at the onset of the 21st century. Method: We carried out a discourse analysis of two public inquiries of 1947 and 2008, drawing on theories about governmentality and power regimes. Tools from political discourse analysis were used to investigate the objectives of political discourse practices. Results: Both inquiries referred to a context of change and new life demands as a problem. Concerning suggestions for solutions, there were discrepancies in parents’ estimated need of expert knowledge and in descriptions of parental capacity. In a discourse of trust and doubt, the parents in 1947 were positioned as trusted welfare partners and secure raisers of future generations, and in 2008, as doubted adults, feared to be faltering in their child-rearing tasks. Conclusions: The analysis revealed how governmental problem descriptions, reasoning about causes and suggestions of solutions influenced parents’ subject positions in a discourse of trust and doubt, and made way for governmental interventions with universal parenting training in the 21st century. 

Place, publisher, year, edition, pages
SAGE Publications Ltd, 2018
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-38916 (URN)10.1177/1403494817747168 (DOI)000428758300009 ()29552973 (PubMedID)2-s2.0-85044128662 (Scopus ID)
Available from: 2018-04-05 Created: 2018-04-05 Last updated: 2019-06-18Bibliographically approved
Rooth, H., Forinder, U., Piuva, K. & Söderbäck, M. (2017). An Assessment of Two Parenting Training Manuals Used in Swedish Parenting Interventions. Children & society, 31(6), 510-522
Open this publication in new window or tab >>An Assessment of Two Parenting Training Manuals Used in Swedish Parenting Interventions
2017 (English)In: Children & society, ISSN 0951-0605, E-ISSN 1099-0860, Vol. 31, no 6, p. 510-522Article in journal (Refereed) Published
Abstract [en]

In Sweden, all parents of children aged 0–18 years are entitled to attend free parenting courses as part of a national strategy presented by the Government in 2009. This broad parental support welfare strategy is expected to fulfil the intentions of the UN Convention on the Rights of the Child. In this study, two parenting training manuals were analysed: the Canadian Connect program, based on attachment theory, and the Swedish ABC program, based on social learning theory. The results indicate that the manuals use strategies that can both hinder and support children's rights, regardless of rhetoric of children's best interests. © 2017 John Wiley & Sons Ltd and National Children's Bureau

Place, publisher, year, edition, pages
Blackwell Publishing Ltd, 2017
Keywords
children, children's rights, parenting, policy and practise, welfare, child, child parent relation, human, Social Learning Theory, theoretical model
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-38203 (URN)10.1111/chso.12220 (DOI)000412231600008 ()2-s2.0-85017356539 (Scopus ID)
Note

Export Date: 23 January 2018; Article; Correspondence Address: Rooth, H.; School of Health, Care and Social Welfare, Mälardalen UniversitySweden; email: hetty.rooth@mdh.se

Available from: 2018-01-23 Created: 2018-01-23 Last updated: 2019-10-01Bibliographically approved
Stålberg, A., Sandberg, A., Larsson, T. B., Imelda, C. & Söderbäck, M. (2017). Curious, Thoughtful and Affirmative – Young Children’s Meanings of Participation in Healthcare Situations when using an Interactive Communication Tool. Journal of Clinical Nursing, 27(1-2), 235-246
Open this publication in new window or tab >>Curious, Thoughtful and Affirmative – Young Children’s Meanings of Participation in Healthcare Situations when using an Interactive Communication Tool
Show others...
2017 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 1-2, p. 235-246Article in journal (Refereed) Published
National Category
Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-36447 (URN)10.1111/jocn.13878 (DOI)000418871000048 ()28514530 (PubMedID)2-s2.0-85041927697 (Scopus ID)
Available from: 2017-09-18 Created: 2017-09-18 Last updated: 2018-10-16Bibliographically approved
Choowong, J., Tillgren, P. & Söderbäck, M. (2017). Thai people living with tuberculosis and how they adhere to treatment: A grounded theory study. Nursing and Health Sciences, 19(4), 436-443
Open this publication in new window or tab >>Thai people living with tuberculosis and how they adhere to treatment: A grounded theory study
2017 (English)In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 19, no 4, p. 436-443Article in journal (Refereed) Published
Abstract [en]

To develop a conceptual framework of adherence to treatment among Thai people living with tuberculosis, a grounded theory approach was used. A purposive sample of 20 Thai people living with tuberculosis, aged from 23 to 85years, was interviewed. From the participants' perspective, a core category of social belonging was highlighted, with three categories of conditions connected: personal barriers, personal resilience, and social facilitation. Personal barriers encompassed fear of stigma, concealing the illness, and lack of knowledge and motivation to complete the treatment regime. Personal resilience encompassed positive thinking and self-awareness. Social facilitation encompassed the ease of access to health services, continuity in the health service's ability to choose a directly-observed therapy observer, and social support. This study contributes a deeper understanding of the perspective of Thai people living with tuberculosis with regards to adherence to tuberculosis treatment. It might improve how local healthcare workers provide tuberculosis care, and inspire them to tailor care to people living with tuberculosis in a local community to increase personal resilience and reduce stigma.

Place, publisher, year, edition, pages
WILEY, 2017
Keywords
adherence to treatment, conceptual framework, grounded theory, Thailand, tuberculosis, stigma
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-37620 (URN)10.1111/nhs.12362 (DOI)000418093100005 ()28719050 (PubMedID)2-s2.0-85025089217 (Scopus ID)
Available from: 2018-01-05 Created: 2018-01-05 Last updated: 2018-01-23Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-6163-9690

Search in DiVA

Show all publications