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Harder, M., Andersson, S. & Golsäter, M. (2019). Child healthcare nurses’ encounters with parents whose child is overweight. Nordic journal of nursing research, 39, 152-158
Open this publication in new window or tab >>Child healthcare nurses’ encounters with parents whose child is overweight
2019 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 39, p. 152-158Article in journal (Refereed) Published
Abstract [en]

Nurses in the Swedish child healthcare system can make a difference by offering support to parents of children who areoverweight or at risk of becoming so. Still, research concerning these nurses’ clinical practice when encountering parents whosechild is overweight is inadequate. The aim of this study was to describe nurses’ clinical practice when encountering parents of anoverweight child. Data were collected through interviews with 10 nurses, and a content analysis approach was used. The nurses’clinical practice is described in relation to Olander’s theory: Individualising actions, Creating a dialogue, Documenting, andFocusing on normality. This study adds knowledge about nurses’ clinical practice in encounters with parents whose child isoverweight. Also, it adds information on how an issue in a specific care situation may contribute to further understanding anduse of an existing theory in caring science.

Keywords
child healthcare, child healthcare nurses, clinical practice, deductive content analysis, encountering parents, overweight child
National Category
Medical and Health Sciences Health Sciences Nursing
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-46052 (URN)10.1177/2057158519841315 (DOI)
Available from: 2019-11-15 Created: 2019-11-15 Last updated: 2019-12-13Bibliographically approved
Harder, M. & Söderbäck, M. (2019). ENCOUNTERING PARENTS ​IN THE PRIMARY HEALTH CARE CENTRE​ a balancing act between different perspectives and expectations. In: : . Paper presented at RCN International Nursing Research Conference 2019..
Open this publication in new window or tab >>ENCOUNTERING PARENTS ​IN THE PRIMARY HEALTH CARE CENTRE​ a balancing act between different perspectives and expectations
2019 (English)Conference paper, Oral presentation only (Refereed)
Abstract [en]

Background: Primary Healthcare Centers (PHC) are the first instance to seek care for patients who are not acutely ill. Children between 0-18 years account for 23 % of all doctor visits at PHC. These children rarely arrive by themselves; they are accompanied by parents or guardians. Thereby the health care professionals (HCP) need to relate to two individuals in the care situation. Parents are a resource for their child, and they should be given the opportunity to participate with the child in caring situations. The care relation influences the outcome of the encounter between parent, child and HCP. Aim: To describe HCP' reflections about the encounters with parents seeking care for their children at the PHC. Method: A qualitative content analysis with inductive approach was used. The analyzed material consists of HCP's reflections derived from a prior research project regarding children's involvement. Results: Encountering parents who seek care for their children at PHC means that HCP's in these care situations balance between different perspectives and expectations. This balance includes reflections that are described as: To have beliefs about parent's perceptions and expectations; To encounter parents and children as a unit and unique individuals and To guide parents. Conclusion: The prerequisite for district nurses to create a caring relationship with parents and children in a care situation involves understanding and encountering parents’ and children’s perspectives. A caring relationship benefits the care situation, the child's health and parent's trust in the HCP's. 

Keywords Care relation, Health Care Professionals, Parents, Primary Healthcare Center, Qualitative content analysis, Reflections

National Category
Nursing
Identifiers
urn:nbn:se:mdh:diva-46053 (URN)
Conference
RCN International Nursing Research Conference 2019.
Available from: 2019-11-15 Created: 2019-11-15 Last updated: 2019-12-17Bibliographically approved
Wahlström, E., Harder, M., Granlund, M., Holmström, I. K., Peter, L. & Golsäter, M. (2019). How culturally competent are Swedish school nurses? Relations between school nurses self-assessed cultural competence and demographic variables when encountering children of foreign origin. In: School nurses international, Stockholm, Sweden: . Paper presented at School nurses international, Stockholm, Sweden.
Open this publication in new window or tab >>How culturally competent are Swedish school nurses? Relations between school nurses self-assessed cultural competence and demographic variables when encountering children of foreign origin
Show others...
2019 (English)In: School nurses international, Stockholm, Sweden, 2019Conference paper, Poster (with or without abstract) (Refereed)
National Category
Nursing
Identifiers
urn:nbn:se:mdh:diva-45438 (URN)
Conference
School nurses international, Stockholm, Sweden
Available from: 2019-10-07 Created: 2019-10-07 Last updated: 2020-01-28Bibliographically approved
Wahlström, E., Golsäter, M. & Harder, M. (2019). The same but different: School nurses descriptions of preparing for health visits with children of foreign origin. In: Advances in health care sciences conference 2019, Karoliska Institutet, Stockholm, november 13-14, 2019.: . Paper presented at Advances in health care sciences conference 2019, Karoliska Institutet, Stockholm, november 13-14, 2019..
Open this publication in new window or tab >>The same but different: School nurses descriptions of preparing for health visits with children of foreign origin
2019 (English)In: Advances in health care sciences conference 2019, Karoliska Institutet, Stockholm, november 13-14, 2019., 2019Conference paper, Poster (with or without abstract) (Refereed)
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-45616 (URN)
Conference
Advances in health care sciences conference 2019, Karoliska Institutet, Stockholm, november 13-14, 2019.
Available from: 2019-10-22 Created: 2019-10-22 Last updated: 2019-12-17Bibliographically 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: 2019-10-24Bibliographically approved
Golsaeter, M., Johansson, L.-O. & Harder, M. (2017). General practitioners' accounts of how to facilitate consultations with toddlers - an interview study. Scandinavian Journal of Primary Health Care, 35(1), 3-9
Open this publication in new window or tab >>General practitioners' accounts of how to facilitate consultations with toddlers - an interview study
2017 (English)In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 35, no 1, p. 3-9Article in journal (Refereed) Published
Abstract [en]

Objective: To describe general practitioners' (GPs') accounts of how to facilitate consultations with children aged 1-2 years. Design: A qualitative study based on focus group interviews. Setting and subjects: Five focus group interviews were conducted with a total of 25 GPs at Swedish primary health care (PHC) centres. The GPs regularly invited toddlers to consultations. Result: The GPs' accounts of how to facilitate consultations with toddlers revealed descriptions of making efforts to instil confidence in the situation to enable the consultation. Toddlers in need of health care always visit the GP with adults such as their parents, guardians or other relatives. Therefore, the GP directs efforts towards the adults and the child more or less simultaneously, as they both need to rely on the GP. The GPs describe how they instil confidence in the adults by establishing a mutual understanding that the consultation is necessary to secure the child's health. Regarding the child, the GP instils confidence by establishing a relationship in order to approach the child and accomplish bodily examinations. Conclusion: The result shows that GPs' encounters with children in consultations are two-sided. The GP needs to conduct bodily examinations to secure the child's health and development, but to do so he/she needs to establish purposeful relationships with the adults and the child by instilling confidence. This indicates that establishing relationships in the consultation is significant, and a way to achieve a child-centred consultation.

Place, publisher, year, edition, pages
TAYLOR & FRANCIS LTD, 2017
Keywords
Children, consultation, focus group, general practitioner, qualitative study, general practice, Sweden
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-35127 (URN)10.1080/02813432.2017.1287518 (DOI)000396039600002 ()28277052 (PubMedID)2-s2.0-85014519793 (Scopus ID)
Available from: 2017-04-06 Created: 2017-04-06 Last updated: 2017-11-29Bibliographically approved
Harder, M., Enskar, K. & Golsater, M. (2017). Nurses' use of pliable and directed strategies when encountering children in child and school healthcare. Journal of Child Health Care, 21(1), 55-64
Open this publication in new window or tab >>Nurses' use of pliable and directed strategies when encountering children in child and school healthcare
2017 (English)In: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 21, no 1, p. 55-64Article in journal (Refereed) Published
Abstract [en]

Nurses in Swedish child and school healthcare need to balance their assignment of promoting children's health and development based on the national health-monitoring programme with their responsibility to consider each child's needs. In this balancing act, they encounter children through directed and pliable strategies to fulfil their professional obligations. The aim of this study was to analyse the extent to which nurses use different strategies when encountering children during their recurrent health visits throughout childhood. A quantitative descriptive content analysis was used to code 30 video recordings displaying nurses' encounters with children (3-16 years of age). A constructed observation protocol was used to identify the codes. The results show that nurses use pliable strategies (58%) and directed strategies (42%) in encounters with children. The action they use the most within the pliable strategy is encouraging (51%), while in the directed strategy, the action they use most is instructing (56%). That they primarily use these opposing actions can be understood as trying to synthesize their twofold assignment. However, they seem to act pliably to be able to fulfil their public function as dictated by the national health-monitoring programme, rather than to meet each child's needs.

National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-35174 (URN)10.1177/1367493516679014 (DOI)000397413600007 ()29156977 (PubMedID)2-s2.0-85034619053 (Scopus ID)
Available from: 2017-04-13 Created: 2017-04-13 Last updated: 2018-10-16Bibliographically approved
Harder, M., Christensson, K. & Söderbäck, M. (2015). Undergoing an immunization is effortlessly, manageable or difficult according to five-year-old children. Scandinavian Journal of Caring Sciences, 29(2), 268-276
Open this publication in new window or tab >>Undergoing an immunization is effortlessly, manageable or difficult according to five-year-old children
2015 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 29, no 2, p. 268-276Article in journal (Refereed) Published
Abstract [en]

Background: To prevent diseases among children they regularly undergo immunizations. Previous research show different approaches available to facilitate immunization-procedures for children to protect them from harm. To complement this research and provide care suited for children, research recognizing their perceptions of undergoing such a procedure is needed. Aim: The aim of this study was to describe 5-year-old children's perceptions of undergoing an immunization. Method: A phenomenographic approach and analysis was used to describe the children's (n = 21) various perceptions. The data-collection was accomplished directly after the immunization to grasp the children's immediate perceptions. Drawings and reflective talks were used as they are considered as suitable methods when involving young children in research. The right to conduct research with children was approved by the appropriate research ethics committee and also by each child and the parents. Results: The findings show that children's perceptions of an immunization-procedure may vary from effortlessly, to manageable or difficult. Regardless of how the child perceive the immunization-procedure each perception embrace the children's descriptions of actors and articles in the situation, their feelings in the situation and also their actions to deal with the immunization. Nevertheless, these descriptions vary according to how the children perceive the immunization as effortlessly, manageable or difficult. Conclusion: Children's and adults' perceptions of medical procedures may differ and children need guidance, time and space to deal with them. Recognizing children's perceptions of undergoing an immunization contributes to the promotion of their right to be involved in their own health care and towards the development of child-centred care. 

Keywords
Child health care, Children, Drawing, Immunization, Perceptions, Phenomenography, Reflection
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-27979 (URN)10.1111/scs.12160 (DOI)000354260700008 ()24974763 (PubMedID)2-s2.0-84928925315 (Scopus ID)
Available from: 2015-05-15 Created: 2015-05-15 Last updated: 2019-06-18Bibliographically approved
Ranheim, A., Söderbäck, M. & Harder, M. (2014). Facilitating young children's participation in health care situations. In: : . Paper presented at International Conference in Health, Social Welfare and Coproduction at Mälardalen University in Eskilstuna 9 - 10 th September, 2014.
Open this publication in new window or tab >>Facilitating young children's participation in health care situations
2014 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Facilitating young children’s participation in health care situations Background An initiative was given to perform a collaborative research project with health practices in Sörmland on facilitating young children’s participation in health care situations. Departing from workshop with healthcare professionals conveyed that it is an ambiguous challenge to be in care situations with children since each situation depends on its participants; the child, the parents and the professionals. These findings were used in reflective forums to integrate theory and practice to broaden the professionals’ awareness of the child’s perspective in care situations. The project is inspired by a clinical application research (CAR) design, where scientifically trained researchers work with health care professionals, building a team to exchange experiences related to data collection, interpretations and the applicability of the results.

The use of research involves a process of learning as well as engaging beliefs and actions, and these questions are foundational for the practice of clinical care. Such approach aims at facilitating the use of research in clinical practice, to reduce the eventual gap between theory and its practical application.

 

The overall aim of the project is to facilitate young children’s participation in their health care situations Method and Material The CAR design involves understanding, interpretation and application. This means reflecting on care situations and being confronted with assumptions from theoretical perspectives as well as training an openness and awareness in caring encounters. The team work is in a continued progress and will last during 2014. The data analysis will then proceed.

Result :Some preliminary result will be presented about the process and outcome of the clinical application research Clinical implications: This study may contribute to the stock of knowledge regarding the implementation of an interactive communicative device with the purpose to facilitate young children’s participation in their health care situations.

National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-27145 (URN)
Conference
International Conference in Health, Social Welfare and Coproduction at Mälardalen University in Eskilstuna 9 - 10 th September, 2014
Available from: 2014-12-19 Created: 2014-12-19 Last updated: 2017-09-27Bibliographically approved
Harder, M. (2014). Kommunikation med barn vid hälsobesök. In: Maja Söderbäck (Ed.), Kommunikation med barn och unga i vården: . Stockholm: Liber
Open this publication in new window or tab >>Kommunikation med barn vid hälsobesök
2014 (Swedish)In: Kommunikation med barn och unga i vården / [ed] Maja Söderbäck, Stockholm: Liber, 2014Chapter in book (Other academic)
Place, publisher, year, edition, pages
Stockholm: Liber, 2014
National Category
Nursing
Identifiers
urn:nbn:se:mdh:diva-24619 (URN)9789147114061 (ISBN)
Available from: 2014-03-11 Created: 2014-03-11 Last updated: 2014-10-03Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-1740-8072

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