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Widarsson, Margareta
Publications (10 of 30) Show all publications
Elfors, F. B., Widarsson, M. & Velandia, M. (2024). Midwives’ experiences of postpartum haemorrhage: A web-based survey in Sweden. Midwifery, 129, Article ID 103902.
Open this publication in new window or tab >>Midwives’ experiences of postpartum haemorrhage: A web-based survey in Sweden
2024 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 129, article id 103902Article in journal (Refereed) Published
Abstract [en]

Objective: The objective was to describe midwives’ experiences of postpartum haemorrhage (PPH) >1000 ml in connection with childbirth. Design: A qualitative web-based survey with open-ended questions was used and the results were analysed with content analysis. Setting: Participants were recruited through convenience sampling from a national Facebook group for midwives. Participants: The study sample included 24 midwives with varying work experience at different maternity units in Sweden, all of whom had experience of postpartum haemorrhage >1000 ml. Findings: The midwives described that the treatment of PPH is limited by a lack of cooperation, knowledge, and assistance, as well as by staff inexperience. They also described how a high-pressure work environment contributed to feelings of inadequacy. Good cooperation, team training, having colleagues present, embodied knowledge, and good working conditions, led to successful handling of such situations, which contributed to feeling at ease with what had happened. Key conclusions and implications for practice: Good working conditions related to external contextual factors such as total load and support, as well as internal factors such as self-efficacy, can help midwives manage PPH while providing patient-safe care and feeling confident in their ability and at ease with the events. Therefore, midwives need to be given opportunities for emotional support, education, and team-based training to maintain the quality of midwifery care and avoid negative long-term effects for both midwives and patients.

Place, publisher, year, edition, pages
Churchill Livingstone, 2024
Keywords
Childbirth, Cooperation, Midwifery, Qualitative study, Third-stage labour, Work environment
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-65152 (URN)10.1016/j.midw.2023.103902 (DOI)001135198900001 ()2-s2.0-85179433626 (Scopus ID)
Available from: 2023-12-21 Created: 2023-12-21 Last updated: 2024-01-17Bibliographically approved
Källestedt, M.-L. -., Asp, M., Letterstål, A. & Widarsson, M. (2023). When caring becomes an art - how clinical gaze are perceived to be developed. International Journal of Qualitative Studies on Health and Well-being, 18(1), Article ID 2156659.
Open this publication in new window or tab >>When caring becomes an art - how clinical gaze are perceived to be developed
2023 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 18, no 1, article id 2156659Article in journal (Refereed) Published
Abstract [en]

PURPOSE: This qualitative study describes nurses' experiences and perceptions of how they develop the clinical gaze. METHODS: This qualitative study used an inductive approach and content analysis to assess the experiences of newly graduated nurses, nurse managers, and nursing teachers. Nineteen interviews were conducted. To achieve credibility, the study followed the guidelines of the Consolidated Criteria for Reporting Qualitative research (COREQ). RESULTS: Two themes emerged: nurses' personal abilities and the learning culture. Learning culture was considered the foundation of the development of the clinical gaze. The clinical gaze was found to be developed in relationships with patients and when learning together with colleagues, in which the opportunities for reflection are central. To develop the clinical gaze, structures for learning activities, such as reflection, communication exercises, and simulation, are needed so that they become a natural part of daily work. This can also be achieved through supervision and skills training both at university and in a care context. CONCLUSIONS: Prerequisites for the development of the clinical gaze include physical presence with the patient combined with learning activities such as conscious reflection with others in a safe learning culture.

Place, publisher, year, edition, pages
NLM (Medline), 2023
Keywords
Clinical gaze, clinical skills, education, health care, learning, patient safety, professional competence, reflection, exercise, human, qualitative research, university, Humans, Universities
National Category
Medical and Health Sciences Nursing
Identifiers
urn:nbn:se:mdh:diva-61355 (URN)10.1080/17482631.2022.2156659 (DOI)000895411300001 ()36482509 (PubMedID)2-s2.0-85143567479 (Scopus ID)
Available from: 2022-12-21 Created: 2022-12-21 Last updated: 2023-05-17Bibliographically approved
Widarsson, M. & Kerstis, B. (2022). Barn i behov av neonatalvård. In: Gustafsson, Lena-Karin; Söderman, Mirkka (Ed.), Omvårdnad i hemmet vid komplexa vårdbehov: (pp. 161-188). Studentlitteratur AB
Open this publication in new window or tab >>Barn i behov av neonatalvård
2022 (Swedish)In: Omvårdnad i hemmet vid komplexa vårdbehov / [ed] Gustafsson, Lena-Karin; Söderman, Mirkka, Studentlitteratur AB, 2022, p. 161-188Chapter in book (Other academic)
Place, publisher, year, edition, pages
Studentlitteratur AB, 2022
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-60271 (URN)9789144144061 (ISBN)
Available from: 2022-10-18 Created: 2022-10-18 Last updated: 2022-10-18Bibliographically approved
Kerstis, B. & Widarsson, M. (2022). Barn med stort vårdbehov. In: Gustafsson, Lena-Karin; Söderman, Mirkka (Ed.), Omvårdnad i hemmet vid komplexa vårdbehov: (pp. 189-206). Studentlitteratur AB
Open this publication in new window or tab >>Barn med stort vårdbehov
2022 (Swedish)In: Omvårdnad i hemmet vid komplexa vårdbehov / [ed] Gustafsson, Lena-Karin; Söderman, Mirkka, Studentlitteratur AB, 2022, p. 189-206Chapter in book (Other academic)
Place, publisher, year, edition, pages
Studentlitteratur AB, 2022
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-60272 (URN)9789144144061 (ISBN)
Available from: 2022-10-18 Created: 2022-10-18 Last updated: 2022-10-18Bibliographically approved
Hess Engström, A., Bohm-Starke, N., Kullinger, M., Högberg, U., Buhrman, M., Skalkidou, A. & Widarsson, M. (2022). Experiences of internet-based treatment for vulvodynia: A qualitative study. Sexual & Reproductive HealthCare, 33, Article ID 100756.
Open this publication in new window or tab >>Experiences of internet-based treatment for vulvodynia: A qualitative study
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2022 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 33, article id 100756Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of this study was to describe women's experiences before, under, and after a guided internet-based intervention for vulvodynia. Methods: The design was qualitative, based on content analysis. Participants were women who had undergone guided internet-based treatment for vulvodynia based on acceptance and commitment therapy principles (n = 13). Data were collected through in-depth interviews approximately-one month after participants completed treatment. Results: The analysis revealed the women's experiences of internet-based treatment for vulvodynia. Three themes emerged: “dealing with pain alone,” which was related to experiences of living with vulvodynia before internet-based treatment; “finding new ways,” which described the experiences of undergoing an internet-based treatment for vulvodynia and “feeling empowered to take control,” referring to the experiences of living with vulvodynia after the internet-based treatment. The women described a long search for a diagnosis, revealing a negative experience of healthcare. The internet-based treatment helped them find new ways to manage vulvodynia, but difficulties with the treatment were also experienced. After the intervention, the women reported improvements in wellbeing and having better strategies to manage pain, but also stated that the treatment was insufficient to perceive changes in vulvar pain. Conclusions: The guided internet-based treatment program for vulvodynia based on acceptance and commitment therapy principles was perceived as credible, helpful to manage vulvodynia, and could serve as a complement to regular care. Questions regarding the need for more support and optimal length of treatment need to be further evaluated. 

Place, publisher, year, edition, pages
Elsevier, 2022
Keywords
Acceptance and commitment therapy, Internet-based intervention, Qualitative research, Vestibulodynia, Vulvodynia
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:mdh:diva-59613 (URN)10.1016/j.srhc.2022.100756 (DOI)000841967100001 ()2-s2.0-85134700257 (Scopus ID)
Available from: 2022-08-03 Created: 2022-08-03 Last updated: 2022-10-18Bibliographically approved
Gripewall, E., Kerstis, B., Bjorling, G., Fagerström, L., Mattson, J., Widarsson, M. & Nyholm, L. (2022). Intensive Care Nurses’ Experiences of Caring during the Organ Donor Process in Sweden – a Qualitative Study. International Journal of Caring Sciences, 15(2), 720-726
Open this publication in new window or tab >>Intensive Care Nurses’ Experiences of Caring during the Organ Donor Process in Sweden – a Qualitative Study
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2022 (English)In: International Journal of Caring Sciences, ISSN 1791-5201, E-ISSN 1792-037X, Vol. 15, no 2, p. 720-726Article in journal (Refereed) Published
Abstract [en]

Background: The organ donor process is challenging, not at least for intensive care nurses. The situation changesradically, from intensively working to save the patient’s life to instead caring for the donor patient’s organs so thatthose, in turn, can save another patient’s life. The donation process challenges nurses’ view on what dignifiedcaring at end-of-life entails. The inner core of caring comprises love, mercy and compassion. Dignified caring isrelated to treating the patient as a unique human being and respecting human value, rooted in the theory of caritativecaring that is the framework for this study.Aim: The aim was to illuminate intensive care nurses’ experiences of caring during the organ donor process, froma caring science perspective.Methodology: A descriptive research design including inductive qualitative content analysis of interviews withtwelve intensive care nurses in Sweden about their experiences of caring during the donor process.Results: The theme The complexity of caring during the organ donor process with two categories and fivesubcategories was generated. Intensive care nurses experienced caring during the donor process as being complexin relation to the potential donor patient and patient’s family as well as communication, teamwork andorganization. Caring affects not only the patient and families, but also the nurses and receivers of the donatedorgans. Intensive care nurses perceive the other’s life situation as if it were their own and recognize the importanceof shared humanity.Conclusion: The present study can increase knowledge from intensive care nurses and the caring team, in orderto provide better conditions such as the development of effective intervention strategies in the process of organdonor care as well as caring for the families and members of the team.

National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-60259 (URN)
Available from: 2022-10-18 Created: 2022-10-18 Last updated: 2022-10-18Bibliographically approved
Widarsson, M. (2022). Newly graduated nurses’ development of professional competence. In: : . Paper presented at 4th International Nordic College of Caring Science (NCCS) and European Academy of Caring Science (EACS) Conference CARING IN A CHANGING WORLD, Mälardalen University, Sweden, April 27th-28th 2022.
Open this publication in new window or tab >>Newly graduated nurses’ development of professional competence
2022 (English)Conference paper, Oral presentation only (Other academic)
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-60280 (URN)
Conference
4th International Nordic College of Caring Science (NCCS) and European Academy of Caring Science (EACS) Conference CARING IN A CHANGING WORLD, Mälardalen University, Sweden, April 27th-28th 2022
Available from: 2022-10-18 Created: 2022-10-18 Last updated: 2022-10-18Bibliographically approved
Letterstål, A., Kallestedt, M. L., Widarsson, M. & Asp, M. (2022). Nursing Faculties' Perceptions of Integrating Theory and Practice to Develop Professional Competence. Journal of Nursing Education, 61(5), 236-241
Open this publication in new window or tab >>Nursing Faculties' Perceptions of Integrating Theory and Practice to Develop Professional Competence
2022 (English)In: Journal of Nursing Education, ISSN 0148-4834, E-ISSN 1938-2421, Vol. 61, no 5, p. 236-241Article in journal (Refereed) Published
Abstract [en]

Background: Nursing faculties??? perceptions influence nursing education. This article describes how nursing faculty perceive nursing students??? development of professional competence by integrating theory and practice, and by examining how this context influences this integration. Method: With a phenomenographic approach, interviews were conducted with nine participants and analyzed into qualitatively different categories of description. Results: The integration of theoretical and practical knowledge is perceived as a challenge or as naturally intertwined in the entire education, focusing mainly on individual prerequisites for learning. Perceptions of a common mission create coherence for students. Evident learning structures are needed, and there is a perceived discrepancy between nurses??? competence and expectations in health care. Conclusion: If the theory and practice gap could be perceived as a driving force for continuous learning, it could become an incentive for closer collaboration by creating structures for competence development that include individuals, teams, and organizations. [J Nurs Educ. 2022;61(5):236-241.]

Keywords
NURSES, CARE, GAP, PHENOMENOGRAPHY, PHILOSOPHY, SIMULATION
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-58621 (URN)10.3928/01484834-20220303-05 (DOI)000799036500003 ()35522761 (PubMedID)2-s2.0-85146782858 (Scopus ID)
Available from: 2022-06-08 Created: 2022-06-08 Last updated: 2023-04-12Bibliographically approved
Kerstis, B. & Widarsson, M. (2022). Våld vid hälso- och sjukvård i hemmet. In: Gustafsson, Lena-Karin; Söderman, Mirkka (Ed.), Omvårdnad i hemmet vid komplexa vårdbehov: (pp. 85-104). Studentlitteratur AB
Open this publication in new window or tab >>Våld vid hälso- och sjukvård i hemmet
2022 (Swedish)In: Omvårdnad i hemmet vid komplexa vårdbehov / [ed] Gustafsson, Lena-Karin; Söderman, Mirkka, Studentlitteratur AB, 2022, p. 85-104Chapter in book (Other academic)
Place, publisher, year, edition, pages
Studentlitteratur AB, 2022
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-60269 (URN)9789144144061 (ISBN)
Available from: 2022-10-18 Created: 2022-10-18 Last updated: 2022-10-18Bibliographically approved
Kerstis, B., Richardsson, A., Stenström, A. & Widarsson, M. (2021). An Overview of Guidelines for Supplemental Feeding of Infants in Swedish Maternity Clinics. Nursing Reports (1), 95-104
Open this publication in new window or tab >>An Overview of Guidelines for Supplemental Feeding of Infants in Swedish Maternity Clinics
2021 (English)In: Nursing Reports, ISSN 2039-439X, E-ISSN 2039-4403, no 1, p. 95-104Article in journal (Refereed) Published
Abstract [en]

This study aims to describe the local guidelines for the supplemental feeding of infants of Swedish women’s clinics with maternity wards. Purposeful sampling was used during a four-week data collection time in 2019. Guidelines from 41 of the 43 Swedish women’s clinics with maternity wards were analysed using qualitative and quantitative content analysis. The information provided, and length of the guidelines varied widely in 38 guidelines. Feeding methods were included in 28 guidelines, but 10 provided no information about feeding methods. The most common feeding methods were cup feeding and feeding probes. Suggestions for supplemental feeding included infant formula (32), breast milk (27) and no suggestions (6). The methods to support breastfeeding were skin-to-skin contact (25), breastfeeding freely (22), a caring plan (18), extra supervision (3), optimising the caring environment (2), supplying a breast pump (1) and breastfeeding observation (1). Twenty-two guidelines included information about how long formula should be given and that the feeding should be phased out gradually. We conclude that a national guideline for the supplemental feeding of infants is needed to ensure equal best practice care for infant safety and the support of parents to increase the breastfeeding rate. More national guidelines are needed in general because it is easier to update only one set of guidelines.

Place, publisher, year, edition, pages
MDPI, 2021
Keywords
content analysis, guidelines, infants, maternity ward, supplemental feeding, Sweden
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:mdh:diva-53688 (URN)10.3390/nursrep11010010 (DOI)000635678800001 ()2-s2.0-85150289566 (Scopus ID)
Available from: 2021-03-23 Created: 2021-03-23 Last updated: 2023-04-13Bibliographically approved
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