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  • 1.
    Aarons, G. A.
    et al.
    University of California, United States.
    Seijo, C.
    University of California, United States.
    Green, A. E.
    University of California, United States.
    Moullin, J. C.
    Curtin University, Perth, Australia.
    Hasson, H.
    Karolinska Institutet, Stockholm, Sweden.
    von Thiele Schwarz, Ulrica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Karolinska Institutet, Stockholm, Sweden.
    James, S.
    University of Kassel, Kassel, Germany.
    Ehrhart, M. G.
    University of Central Florida, Orlando, Florida.
    Ducarroz, S.
    Université Claude Bernard, Lyon, France.
    Sevdalis, N.
    King's College London, UK.
    Willging, C.
    Behavioral Health Research Center of the Southwest, Albuquerque, United States.
    Fostering international collaboration in implementation science and research: A concept mapping exploratory study2019In: BMC Research Notes, ISSN 1756-0500, E-ISSN 1756-0500, Vol. 12, no 1, article id 778Article in journal (Refereed)
    Abstract [en]

    Objective: International collaboration in science has received increasing attention given emphases on relevance, generalizability, and impact of research. Implementation science (IS) is a growing discipline that aims to translate clinical research findings into health services. Research is needed to identify efficient and effective ways to foster international collaboration in IS. Concept-mapping (CM) was utilized with a targeted sample for preliminary exploration of fostering international collaboration. Concept-mapping is a mixed-method approach (qualitative/quantitative) particularly suited for identifying essential themes and action items to facilitate planning among diverse stakeholders. We sought to identify key factors likely to facilitate productive and rewarding international collaborations in implementation research. Results: We identified eleven dimensions: Strategic Planning; Practicality; Define Common Principles; Technological Tools for Collaboration; Funding; Disseminate Importance of Fostering International Collaboration in IS; Knowledge Sharing; Innovative & Adaptive Research; Training IS Researchers; Networking & Shared Identity; Facilitate Meetings. Strategic Planning and Funding were highest rated for importance and Strategic Planning and Networking and Shared Identity were rated most feasible to institute. Fostering international collaboration in IS can accelerate the efficiency, relevance, and generalizability of implementation research. Strategies should be developed and tested to improve international collaborations and engage junior and experienced investigators in collaborations advancing implementation science and practice. 

  • 2.
    Aarons, Gregory
    et al.
    Univ Calif San Diego, La Jolla, CA 92093 USA.;Child & Adolescent Serv Res Ctr, San Diego, CA USA..
    Green, Amy
    Univ Calif San Diego, La Jolla, CA 92093 USA..
    Moullin, Joanna
    Univ Calif San Diego, La Jolla, CA 92093 USA.;Univ Technol Sydney, Sydney, NSW, Australia..
    Ehrhart, Mark
    San Diego State Univ, San Diego, CA 92182 USA.;Univ Cent Florida, Orlando, FL 32816 USA..
    Ducarroz, Simon
    Ctr Reg Prevent Canc, Ctr Hygee, St Priest En Jarez, France..
    Sevdalis, Nick
    Kings Coll London, London, England..
    Hasson, Henna
    Karolinska Inst, Stockholm, Sweden.;Stockholm Cty Council, Ctr Epidemiol & Community Med, Stockholm, Sweden..
    von Thiele Schwarz, Ulrica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Karolinska Inst, Stockholm, Sweden.
    James, Sigrid
    Univ Kassel, Kassel, Germany..
    Willging, Cathleen
    Pacific Inst Res & Evaluat, Behav Hlth Res Ctr Southwest, Albuquerque, NM USA..
    Fostering international collaborations in implementation science2018In: Implementation Science, ISSN 1748-5908, E-ISSN 1748-5908, Vol. 13Article in journal (Other academic)
  • 3.
    Abdulahi Abdi, Saynab
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Mohamed Dirie, Adno
    Mälardalen University, School of Health, Care and Social Welfare.
    Personcentrerad vård: En studie om personcentrerad vård på akutsjukhus2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Personcentrerad vård ska prägla vården då det ingår som en av kärnkompetenserna en sjuksköterska bör ha. Patienter upplever att livs- och vårdkvalitén ökar när personcentrerad omvårdnad tillämpas i vården. Patienter känner sig mer sedda och uppskattar att bil lyssnade till. Detta brister ibland då patienter har erfarenheter av saknaden av personcentrerad omvårdnad på akutsjukhusen. Patienter och anhöriga har erfarenheter av att sjuksköterskor inte alltid är närvarande och att det inte ges tid. Syftet: Att skapa en överblick av sjuksköterskors erfarenheter av personcentrerad vård på akutsjukhus. Metod: En allmän litteraturöversikt genomfördes. 10 vårdvetenskapliga artiklar inkluderades i arbetet varav 9 artiklar var kvalitativa studier och 1 artikel var kvantitativ studie. Resultat: I resultatet presenteras likheter och skillnader i artiklarnas syften, metod och resultat. I likheter och skillnader av artiklarnas resultat identifierades fyra teman: vårdrelationer, delaktighet, brister och arbetsgruppen och arbetsrutinerna . Slutsats: Sjuksköterskor visade vilja att skapa vårdrelationer för att främja personcentrerad omvårdnad men hindrades av brist på kunskap, brist på tid som kan uppstå på akutsjukhus samt arbetsrutiner och arbetsgruppen. Sjuksköterskor erfor att kunskapsutbytet i arbetsgruppen samt relationer med patienter och anhöriga kunde främja och öka möjligheterna till att personcentrerad omvårdnad uppnåddes på akutsjukhusen.

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    personcentrerad vård
  • 4.
    Abdulla, Hana
    Mälardalen University, School of Health, Care and Social Welfare.
    FYSISK INAKTIVITET OCH STILLASITTANDE BLAND BARN OCH UNGA I GRUNDSKOLAN2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Children and youth inactivity and sedentary at school is increasing. This means that some of the students have a significant unhealthy lifestyle with physical inactivity, which in turn implies risks of suffering from various diseases, including obesity, type 2 diabetes and cardiovascular disease, all related to a sedentary lifestyle. To prevent illness, it is important that children and young people early get a positive attitude towards physical activity.

    The purpose of this study was to study the causes of child and adolescent physical inactivity in school, based on teachers 'and parents' perspectives.

    A qualitative research has been selected. To achieve the study objectives, the author has conducted seven semi-structured interviews, with an appropriate choice of five teachers and two parents with children in school. Data was analyzed with a manifest content analysis.

    The results show that teachers and parents felt that physical activity is a protective factor for children's health. There are several reasons for physical inactivity in students today, blah new technologies, various transportation facilities and family finances. Some measures that can reduce the physical inactivity, for example be to increase sports lesson 'time and by starting with children and young people's interest to make them feel joy in moving, which increases the interest in physical activity.

    The conclusion of this work is that children's movement is important for their health. Children and youth in elementary school in need of physical activity so that they feel good. Both schools and parents have a responsibility to promote children's physical activity so that they can preserve their health, before improving their learning ability, have more energy and to manage the school in a good way.

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  • 5.
    Abrahamsson, Caroline
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Jonsson, Eleonor
    Mälardalen University, School of Health, Care and Social Welfare.
    Samband mellan genetiska faktorer och korsbandsruptur - en litteraturöversikt.2011Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Personer med främre korsbandsruptur utgör en stor patientgrupp för en idrottsverksam sjukgymnast. Skadan är även vanlig hos hundar . Då hund och människa har likartad knäanatomi var det intressant att inkludera båda i samma studie. Alla bakomliggande faktorer till främre korsbandsruptur är inte helt utredda i dagsläget och detta gör det svårt att optimera preventiva åtgärder. En faktor som börjat utredas på senare år är den genetiska, dock inte i någon större utbredning. Syftet med denna uppsats var att sammanställa det aktuella kunskapsläget gällande ett eventuellt samband mellan genetiska faktorer och korsbandsruptur hos människa och hund. Detta studerades i en litteraturstudie, där data framför allt samlades in via vårdvetenskapliga och medicinska databaser. De 15 inkluderade artiklarna analyserades systematiskt genom hela processen och bevisvärde samt evidensstyrka värderades. Resultatet visar att det finns tydliga tecken på ett samband mellan genetiska faktorer och korsbandsruptur för människor. För hundar finns inte något tydligt samband. De granskade studierna visade ej signifikanta samband. Då det saknas studier med högt bevisvärde hos både människa och hund kan inte en stark slutsats dras. Därför behövs vidare forskning för att kunna bekräfta eller utesluta sambandet mellan genetiska faktorer och korsbandsruptur.

  • 6.
    Abrahamsson, Pia-Marie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Kron, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare.
    "Det känns som att man blir betraktad som en andra klassens medborgare”: Hur patienter med allvarlig psykisk ohälsa erfar den somatiska vården och psykiatrisjuksköterskans erfarenheter av ansvar för fysisk hälsa i psykiatrisk vård2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Tidigare forskning talar om förutfattade meningar, okunskap, rädsla m.m. hos somatisk vårdpersonal och om patienter som känner sig avskrivna från den somatiska vården med att det är den psykiska ohälsan som är orsak till de fysiska symtomen. Psykiatrins vårdpersonal upplever problem med att vårda den fysiska hälsan hos patienten, då deras specialitet är den psykiska hälsan.  Syftet med denna studie är att beskriva hur patienter med allvarlig psykisk ohälsa erfar den somatiska vården och psykiatrisjuksköterskans erfarenheter av ansvar relaterat till psykiatripatienternas fysiska hälsa. Studien bygger på nio semistrukturerade intervjuer, varav fem intervjuer med patienter och fyra intervjuer med psykiatrisjuksköterskor. Intervjuerna har analyserats utifrån en kvalitativ innehållsanalys. Resultatet visar att patienterna känner sig sedda som sin psykiska sjukdom och upplever sig inte vara lika mycket värda som övriga patienter i den somatiska sjukvården. Psykiatrisjuksköterskorna erfar att det finns många svårigheter både teoretiskt och praktiskt för dem att ta hand om patienternas fysiska hälsa. Slutsatsen är att fördomar upplevs som tyngande för patienterna och orsakar med tiden mer psykisk ohälsa och större risker för deras fysiska hälsa. För sjuksköterskan är det en konst att skilja på vilket som tillhör psykiatriska vårdens ansvar och vad som är ämnat för den somatiska vården.

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  • 7.
    Abu Eid, Anna
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Jonsson, Josefin
    Mälardalen University, School of Health, Care and Social Welfare.
    Förebyggande faktorer mot compassion fatigue: En allmän litteraturöversikt2019Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Tidigare forskning visar att vårdtyngden på sjukhusen ökar vilket leder till att vården blir påverkad, då sjuksköterskor anser att de inte vårdar etiskt och moraliskt rätt. Detta på grund av att det inte finns tillräckligt med tid att ge varje patient ”det lilla extra’’ och prioriteringar måste ske. Stressen hos sjuksköterskor ökar på grund av att prioriteringar är medvetna men inte självvalda, medvetenheten leder till att de arbetar på ett sätt sjuksköterskan själv anser är etiskt fel. Denna etiskt betingade stress leder till att kvaliteten på vården påverkas. Stressen kan leda till självanklagelser som “borde jag ha sprungit snabbare mellan patienterna”. På grund av bristfällig återhämtning försvinner krafterna till att ge en god vård. Syfte: Att belysa skyddsfaktorer som förebygger Compassion fatigue (CF) hos sjuksköterskor. Metod: Allmän litteraturöversikt. Där vårdvetenskapliga artiklar av kvalitativa, kvantitativa och mixad metod har använts. Resultat: Få stöd av sina kollegor, ledning och familjemedlemmar var viktiga faktorer för att förebygga CF. Kunskap hur sjuksköterskorna själva fungerar för att kunna minska sin stress, samt att känna compassion satisfaction var viktiga aspekter för att kunna förebygga CF. Slutsats: När sjuksköterskorna kände en mening med vårdandet kunde CF förebyggas.

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  • 8.
    Ackesten, Emmelie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Gustafsson, Marie
    Mälardalen University, School of Health, Care and Social Welfare.
    En begränsad vardag: En allmän litteraturöversikt om erfarenheter av att leva med diabetesfotsår2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 9.
    Adair, Brooke
    et al.
    Australian Catholic Univ, Sch Allied Hlth, Fitzroy, Vic 3065, Australia..
    Ullenhag, Anna
    Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden..
    Keen, Deb
    Griffith Univ, Autism Ctr Excellence, Mt Gravatt, Qld 4122, Australia..
    Granlund, Mats
    Jonkoping Univ, CHILD, Sch Hlth Sci, Jonkoping, Sweden..
    Imms, Christine
    Australian Catholic Univ, Sch Allied Hlth, Fitzroy, Vic 3065, Australia..
    The effect of interventions aimed at improving participation outcomes for children with disabilities: a systematic review2015In: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749, Vol. 57, no 12, p. 1093-1104Article, review/survey (Refereed)
    Abstract [en]

    AIM Enhancement of participation has been described as the ultimate outcome for health and educational interventions. The goal of this systematic review was to identify and critically appraise studies that aimed to improve the participation outcomes of children with disabilities. METHOD Nine databases that index literature from the fields of health, psychology, and education were searched to retrieve information on research conducted with children with disabilities aged between 5 years and 18 years. Articles were included if the author(s) reported that participation was an intended outcome of the intervention. The articles included were limited to those reporting high-level primary research, as defined by Australia's National Health and Medical Research Council evidence hierarchy guidelines. No restrictions were placed on the type of intervention being investigated. RESULTS Seven randomized controlled or pseudo-randomized studies were included. Only three of these studies identified participation as a primary outcome. Both individualized and group-based approaches to enhancing participation outcomes appeared to be effective. Studies of interventions with a primary focus on body function or activity level outcomes did not demonstrate an effect on participation outcomes. INTEPRETATION Few intervention studies have focused on participation as a primary outcome measure. Approaches using individually tailored education and mentoring programmes were found to enhance participation outcomes, while exercise programmes, where participation was a secondary outcome, generally demonstrated little effect.

  • 10.
    Adair, Brooke
    et al.
    Australian Catholic Univ, Ctr Disabil & Dev Res, Fitzroy, Vic, Australia..
    Ullenhag, Anna
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Rosenbaum, Peter
    McMaster Univ, Hamilton, ON, Canada..
    Granlund, Mats
    Jonkoping Univ, CHILD, SIDR, Sch Hlth Sci, Jonkoping, Sweden..
    Keen, Deb
    Griffith Univ, Autism Ctr Excellence, Mt Gravatt, Qld, Australia..
    Imms, Christine
    Australian Catholic Univ, Ctr Disabil & Dev Res, Fitzroy, Vic, Australia..
    Measures used to quantify participation in childhood disability and their alignment with the family of participation-related constructs: a systematic review2018In: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749, Vol. 60, no 11, p. 1101-1116Article, review/survey (Refereed)
    Abstract [en]

    AimWe aimed to identify measures used to assess the participation of disabled children and to map the measures' content to the family of participation-related constructs (fPRC) to inform future research and practice. MethodSix databases were searched to identify measures used to assess participation in health, psychology, and education research. Included studies involved children aged 0 to 18 years with a permanent impairment or developmental disability and reported use of a quantitative measure of participation. A second search sought relevant literature about each identified measure (including published manuals) to allow a comprehensive understanding of the measure. Measurement constructs of frequently reported measures were then mapped to the fPRC. ResultsFrom an initial yield of 32 767 articles, 578 reported one or more of 118 participation measures. Of these, 51 measures were reported in more than one article (our criterion) and were therefore eligible for mapping to the fPRC. Twenty-one measures quantified aspects of participation attendance, 10 quantified aspects of involvement as discrete scales, and four quantified attendance and involvement in a manner that could not be separated. InterpretationImproved understanding of participation and its related constructs is developing rapidly; thoughtful selection of measures in research is critical to further our knowledge base.

  • 11.
    Agemalm, Stina
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Thuvander, Frida
    Mälardalen University, School of Health, Care and Social Welfare.
    Sjuksköterskors upplevelser av att vårda palliativt: En litteraturstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patients who receive palliative care experience that they lose their independence through the disease and are frustrated that their body is not functioning as before. They also experience that their situation make them change their attitudes towards life. Several patients appreciate when healthcare professionals show genuine interest and the same patients have confidence in the healthcare system. Some patients experience that the healthcare professionals have no time and that their knowledge regarding their psychosocial problems is inadequate. Aim: The purpose is to describe nurses experience of nursing in palliative care. Method: Qualitative literature study with descriptive synthesis. Ten qualitative articles have been analyzed and is presented in the result. Results: After analysis, two themes were disclosed; Becoming enriched and Being challenged who described nurse’s experiences presented under five subthemes. Conclusion: Nurses perceived, among other things, that they were strengthened as a person and that they learned to re-prioritize and appreciate life. They also experienced grief over the fate of patients and it was common to take work home. Several of the nurses perceived that doctors did not give them support, others felt that their lack of experience contributed to the care worsening.

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  • 12. Agneta, Breitholtz
    et al.
    Snellman, Ingrid
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Ingegerd, Fagerberg
    Ersta Skondal Univ Coll, Stockholm, Sweden..
    Older persons self determination within municipal home care services2010In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 19, p. 142-142Article in journal (Other academic)
  • 13.
    Agnew, L.
    et al.
    University of Queensland, Brisbane, Australia .
    Johnston, V.
    University of Queensland, Brisbane, Australia .
    Ludvigsson, M. L.
    Linköping University, Linköping, Sweden; Rehab Väst, County Council of Östergötland, Sweden.
    Peterson, G.
    Linköping University, Linköping, Sweden; Linköping University, Linköping, Sweden.
    Overmeer, Thomas
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Johansson, G.
    Karolinska Institutet, Stockholm, Sweden.
    Peolsson, A.
    University of Queensland, Brisbane, Australia; Linköping University, Linköping, Sweden.
    Factors associated with work ability in patients with chronic whiplash-associated disorder grade II-III: A cross-sectional analysis2015In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 47, no 6, p. 546-551Article in journal (Refereed)
    Abstract [en]

    Objective: To investigate the factors related to self-perceived work ability in patients with chronic whiplash-associated disorder grades II-III. Design: Cross-sectional analysis. Patients: A total of 166 working age patients with chronic whiplash-associated disorder. Methods: A comprehensive survey collected data on work ability (using the Work Ability Index); demographic, psychosocial, personal, work- and condition-related factors. Forward, stepwise regression modelling was used to assess the factors related to work ability. Results: The proportion of patients in each work ability category were as follows: poor (12.7%); moderate (39.8%); good (38.5%); excellent (9%). Seven factors explained 65% (adjusted R2= 0.65, p < 0.01) of the variance in work ability. In descending order of strength of association, these factors are: greater neck disability due to pain; reduced self-rated health status and health-related quality of life; increased frequency of concentration problems; poor workplace satisfaction; lower self-efficacy for performing daily tasks; and greater work-related stress. Conclusion: Condition-specific and psychosocial factors are associated with self-perceived work ability of individuals with chronic whiplash-associated disorder.

  • 14.
    Ahl, Therese
    Mälardalen University, School of Health, Care and Social Welfare.
    Kinesiska universitetsstudenters uppfattningar om sexualundervisning för ungdomar i Kina2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Sexuality and reproduction are two central parts of human life and they are integrated into our personalities. It is therefore important to create a good foundation for sexual health and wellbeing from an early age. To see adolescents as “ready to act-individuals” and to make them more involved in open dialog discussions contributes to extended possibilities for creating and sustaining a healthy lifestyle. The school is therefore considered as an important arena for health promoting and preventive actions where most adolescents can be reached. An obligated nine years school based education was implemented in China 1986, and school based Sex education became obligated in 2002.

     

    The study aimed to examine Chinese university student’s perceptions of Sexeducation for adolescents (10-19 years) in China and needs for changes and ongoing tendencies of development. Qualitative studies were conducted with three Chinese university students and contact was taken with a key person in China whom translated material for this study alone.

     

    The result showed various constructions of school based Sexeducation in China and that its implementation and construction needs more support. It also showed a need for the development of influence and participation in the school based Sexeducation. A need for creating an improved communication between teachers and students was also expressed and a more salutogenic approach needs to be developed.

     

    Through collaboration with other countries, for example Sweden, can today’s open-minded process of change benefit even more.

     

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    FULLTEXT01
  • 15.
    Ahl, Therese
    Mälardalen University, School of Health, Care and Social Welfare.
    Sexual behavior among Chinese male and female medical university students in Chongqing, China2012Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Sexuality is one of the most fundamental values of life as it affects our behaviors, thoughts and emotions. Young people are an especially essential group for promoting sexual health as it is during adolescents the base for our sexuality is created. The aim of this study was to examine Chinese male and female medical university student’s knowledge and ideas of sexual behavior at Chongqing Medical University in Chongqing, China. An explorative quantitative survey study was conducted at place in Chongqing. The survey study’s result showed that ideas of sexual behavior were seem to be permissive and love-based, and also bi- and homosexuality to be mainly acceptable. The Internet, books and friends were seemed as important sources for knowledge whereas few believed to have received adequate knowledge from school. It was also seemed to be a major lack of knowledge regarding STD’s and how to protect yourself as “safe periods” was believed to be an important contraceptive method. The relationship between contraception and the protection against STD seems to be obscure.

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    Sexual behavior among Chinese male and female medical university students in Chongqing, China
  • 16.
    Ahlbäck, Maria
    Mälardalen University, School of Health, Care and Social Welfare.
    Hälsofrämjande arbete med levnadsvanor i landstinget Västmanland: - Upplevelser av att delta i "Kom i form gruppen"2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Healthy lifestyles are an important condition for creating a positive health and dietary habits, physical activity and stress are factors that affect health. As a result of recent changes in society people's lifestyles have changes through unhealthy diet, physical inactivity, and stress has increased. Changing lifestyles have affected public health, and to invest in these areas in public health work can provide significant health benefits. Västmanland County Council operates a project to promote healthy behavior. The project includes "Kom i form gruppen" which is a group that focuses on nutrition, physical activity and stress. The aim was to investigate participants' experiences of participation in "Kom i form gruppen" and if the participation has affected their lifestyles. To answer the purpose, a qualitative approach with interviews used. The result shows that the content of the meetings has not identified any new knowledge. Participation has provided awareness and motivation and appreciation of food habits have been affected varied between participants. The participants' exercise habits have been affected by regular exercise occasions and everyday physical activity. Effect of stress has not been made, but they try to think about to rush less. Lack of time and stress, however, perceived as an impediment to healthy living.

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    FULLTEXT01
  • 17.
    Ahlgren, Asa
    et al.
    Karolinska Institutet, Stockholm, Sweden.
    Bergroth, Alf
    Mid-Sweden University, Östersund, Sweden.
    Ekholm, Jan
    Mid-Sweden University, Östersund, Sweden.
    Work resumption or not after rehabilitation?: A descriptive study from six social insurance offices2004In: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 27, no 3, p. 171-180Article in journal (Refereed)
    Abstract [en]

    The objective of this study was to describe measures and outcomes of vocational rehabilitation at six local national insurance offices in the same county in Sweden. Data were collected from mainframe registers and other records at each office. There were great differences in sickness allowance, incapacity rate, selected rehabilitation measures and resuming work. The percentage of sick-listed people who received any rehabilitation measure differed from 1.2 to 8.7%. The gender distribution for the study population was 36% men and 64% women and the predominant diagnosis was musculoskeletal pain conditions, which was followed by psychiatric disorders. Outcomes varied from office B, which reported 58% fully fit after completed planned rehabilitation, to office C, which reported only 24% fully fit. The clear differences in outcome between the offices indicate that various rehabilitation measures differ in effectiveness. The rehabilitation measure 'investigation of working ability' was not linked to any great proportion of people resuming work, but showed a greater correspondence to full disability pension. There were also large differences in social and demographic factors in the different municipalities. The effect of these on the rehabilitation process requires further investigation.

  • 18.
    Ahlgren, Asa
    et al.
    Mälardalen University, School of Health, Care and Social Welfare. Mid Sweden University, Östersund, Sweden.
    Broman, Lisbet
    Karolinska Institutet, Stockholm, Sweden.
    Bergroth, Alf
    Mid Sweden University, Östersund, Sweden.
    Ekholm, Jan
    Mid Sweden University, Östersund, Sweden.
    Disability pension despite vocational rehabilitation?: A study from six social insurance offices of a county2005In: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 28, no 1, p. 33-42Article in journal (Refereed)
    Abstract [en]

    Many long-term sick-listed individuals move from vocational rehabilitation to pension, rather than reaching the goal of return to work. There is thus reason to consider whether rehabilitation resources are being used optimally. Individuals receiving disability pensions are consuming financial and personnel resources at the insurance offices and also consume a large amount of health care. The general objective of the study was to evaluate the proportion of individuals granted vocational rehabilitation but then obtaining temporary or permanent disability pensions. All persons receiving any kind of rehabilitation and attending one of six local national insurance offices in a county in Sweden in 1998 and 1999 were studied. A 2-year follow-up was carried out to assess changes in status among those who had received temporary disability pensions. Of all individuals receiving rehabilitation, 46.2% ended up with a disability pension allowance. In addition, a large portion of the temporary disability pensions was transformed to permanent disability pensions within 2 years. For clients with a temporary disability pension, the rate of resuming work was close to nil. Among rehabilitation measures, investigation showed the lowest figures of work resumption while job training showed the best outcome in this respect. The study concluded that a large portion of the financial and personnel resources allocated by the national insurance offices to rehabilitation resulted in disability pensions.

  • 19.
    Ahlm, Marielle
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Swärd, Anna
    Mälardalen University, School of Health, Care and Social Welfare.
    Vård i livets slutskede: Systematisk litteraturstudie om sjuksköterskors erfarenheter2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Vård i livets slutskede sker på på vårdavdelningar, i hemmet, inom primärvården, på hospice eller via hemtjänsten. I sitt dagliga arbete kommer allmänsjuksköterskor möta patienter som vårdas i livets slutskede. Den palliativa vårdfilosofin syftar till att lindra patienters lidande. Sjuksköterskor har den ledande rollen i omvårdnadsansvar för patienter. Syfte: Beskriva sjuksköterskors erfarenheter av att vårda patienter i livets slutskede. Metod: Kvalitativ ansats. Systematisk litteraturstudie med beskrivande syntes enligt Evans (2002). Resultat: Efter analysen framkom två teman och fem subteman. Tema 1) Otillräcklighet som inkluderar: Svårt att tillfredsställa behov och svårt att hålla personlig distans. Tema 2) Tillfredställelse som inkluderar: Meningsfullhet, stöd från teamet och förståelse. Slutsats: Sjuksköterskor erfar både positiva och negativa erfarenheter av att vårda patienter i livets slutskede. De positiva erfarenheterna framkommer när sjuksköterskor erfar sitt dagliga arbete som meningsfullt. De negativa erfarenheterna framkommer när sjuksköterskor erfar otillräcklighet. Relationen till patienter och dess anhöriga beskrivs som viktig för att höja vårdkvalitén. Relationen kan visa sig att medföra problem på sjuksköterskors personliga plan om de identifierar sig med vårdtagarna.

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  • 20.
    Ahlstedt, C.
    et al.
    Department of Public Health and Caring Sciences, Health Services Research, Uppsala University, Uppsala, Sweden.
    Eriksson Lindvall, C.
    Department of Business Studies Uppsala University, Uppsala, Sweden.
    Holmström, Inger K.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Department of Public Health and Caring Sciences, Health Services Research, Uppsala University, Uppsala, Sweden.
    Muntlin Athlin, Å.
    Department of Public Health and Caring Sciences, Health Services Research, Uppsala University, Uppsala, Sweden.
    What makes registered nurses remain in work?: An ethnographic study2019In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 89, p. 32-38Article in journal (Refereed)
    Abstract [en]

    Background: Registered nurses’ work-related stress, dissatisfaction and burnout are some of the problems in the healthcare and that negatively affect healthcare quality and patient care. A prerequisite for sustained high quality at work is that the registered nurses are motivated. High motivation has been proved to lead to better working results. The theory of inner work life describes the dynamic interplay between a person's perceptions, emotions and motivation and the three key factors for a good working life: nourishment, progress and catalysts. Objectives: The aim of the study was to explore registered nurses’ workday events in relation to inner work life theory, to better understand what influences registered nurses to remain in work. Design: A qualitative explorative study with an ethnographic approach. Methods: Participant observation over four months; in total 56 h with 479 events and 58 informal interviews during observation; all registered nurses employed at the unit (n = 10) were included. In addition, individual interviews were conducted after the observation period (n = 9). The dataset was analysed using thematic analysis and in the final step of the analysis the categories were reflected in relation to the three key factors in theory of inner work life. Results: Nourishment in a registered nurse context describes the work motivation created by the interpersonal support between colleagues. It was important to registered nurses that physicians and colleagues respected and trusted their knowledge in the daily work, and that they felt comfortable asking questions and supporting each other. Progress in the context of registered nurses’ work motivation was the feeling of moving forward with a mix of small wins and the perception of solving more complex challenges in daily work. It was also fundamental to the registered nurses’ development through new knowledge and learning during daily work. Catalysts, actions that directly facilitate the work, were highlighted as the possibility to work independently along with the opportunity to work together with other registered nurses. Conclusion: This study has a number of implications for future work and research on creating an attractive workplace for registered nurses. Working independently, with colleagues from the same profession, integrated with learning, visible progress, and receiving feedback from the work itself, contribute to work motivation. 

  • 21.
    Ahlström, Sara
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Janeslatt, G.
    Uppsala Univ, Dept Publ Hlth & Caring Sci, Disabil & Habilitat, Uppsala, Sweden..
    Almqvist, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    DEVELOPMENT AND EVALUATION OF A MODEL FOR INTERVENTION USING THE METHOD MY TIME AND TIME ASSITIVE DEVICES FOR CHILDREN WITH COGNITIVE DISABILITIES2019In: Journal of Intellectual Disability Research, ISSN 0964-2633, E-ISSN 1365-2788, Vol. 63, no 7, p. 776-776Article in journal (Refereed)
  • 22.
    Ahlzén, Amanda
    Mälardalen University, School of Health, Care and Social Welfare.
    Konflikten mellan arbetsliv och familjeliv: En kvalitativ studie om småbarnsföräldrars upplevelser av psykisk hälsa och balans i tillvaron2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Today's career choices and ambitions impose different demands on the individuals than in the past. In a labour market that demands flexibility and responsibility, the individuals are expected to be able to work almost anytime and from anywhere. These factors have contributed to an imbalance between work and family life that can trigger various forms of illness. In this study, I investigate how parents of young children perceive their mental health in relation to the balance between work and family life. This is achieved through a study that employs qualitative methods and data collection based on six individual semi-structured interviews, where the material is then analysed based on a manifest content analysis. The results show that today’s parents are well aware of the imbalance between their work and family life, and that this negatively affects their health in several ways, ranging from stress and anxiety to sleep problems and personal conflicts. To address this imbalance the parents creates routines, shared responsibilities at home, and allow personal time for leisure, in an attempt to create a form of control over this imbalance. The conclusion of this study is that parent’s experience that they have to have routines at work and family life, where the parents have lower demands on their own health.

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    Konflikten mellan arbetsliv och familjeliv
  • 23.
    Akhavan, Sharareh
    Karolinska Institutet, Stockholm.
    Female Immigrants’ Health and Working Conditions in Sweden2007In: The international journal of diversity in organisations, communities and nations, ISSN 1447-9583, Vol. 7, no 2, p. 275-286Article in journal (Refereed)
    Abstract [en]

    Sweden is one of the European countries that has successively changed from a mainly ethnically homogeneous society into a multi-ethnic society. In 2001, almost 20 per cent of the Swedish population was classified as immigrants, i.e., they were either born abroad and naturalized, of foreign nationality or born in Sweden with at least one parent who had been born abroad. Reports, statistics and research have shown that the health of female immigrants is worse than that of the total population and that the incidence of long-term sickness absence and early retirement is higher in this group. The overall aim of this article is to describe, understand and analyze factors that contribute to poor health among female immigrants in Sweden from the perspective of class, gender and ethnicity. Being unemployed, on sick leave or working in occupation with low income and low status are examples that are related to class position, gender and ethnicity. The main three aspects based on class are wage, professional status and female immigrants position in the hierarchical work organisation. Other factors are discrimination due to ethnicity and gender, unfavourable physical and psychosocial work environment and absence of opportunities for skills upgrade training. Experiences of rape, domestic violence, unanswered emotional and sexual needs and patriarchal culture are examples that are related to gender. And experiencing traumatic events (in pre-migration periods such as experiences of war, prison, etc. and in post-migration periods such as experiences of discrimination and racism) are examples that are related to ethnicity.

  • 24.
    Akhavan, Sharareh
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Patienters uppfattning om Vård på lika villkor2015In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 92, no 2, p. 189-199Article in journal (Refereed)
    Abstract [en]

    To find out the patients’ perceptions of the care and welfare services is important in order to develop the quality of care. The purpose of this study was to investigate the patients’ perspectives on care on equal terms and on their ideas about methods for a more equitable care. To achieve the purpose, qualitative methods were used in form of conducting interviews with patients’ and representatives of patient organizations. The results show that patients’ perceive that in order to achieve a more equitable care continuity, time during consultations, availability, communication and encounter should evolve and become better.

  • 25.
    Akhavan, Sharareh
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Promoting Equity in Primary Health Care2015In: Primary Health Care, ISSN 2167-1079, Vol. 5, no 216Article in journal (Refereed)
    Abstract [en]

    Equity in access to primary health care services is a central objective of the Swedish health care system. Yet, several reports have illustrated that disparities still exist in the primary health sector, and have increased since the beginning of the 1990s. This commentary analyzes and explains the reasons for continuing inequality in access to and utilization of primary health care services in a welfare system. Social and structural factors, communication, macro-sociological aspects and health care providers’ attitudes and perceptions are discussed as substantial contributors to inequality in access to and utilization of primary health care services. In conclusion, some intervention strategies for promoting more equitable primary health care are suggested.

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  • 26.
    Akhavan, Sharareh
    Högskolan i Skövde.
    Utvärdering av projektet ”Utlandsfödda kvinnor som doulor och kulturtolkar”2009Report (Other academic)
  • 27.
    Akhavan, Sharareh
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Vad sker med personalens inställning till Vård på lika villkor när verksamheterna deltar i Lärandeprojektet?2015In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 92, no 2, p. 176-188Article in journal (Refereed)
    Abstract [en]

    Equity in health and providing care on equal terms is one of the most important aspects of a welfare society. Several reports indicate that the health care services are not equal. The purpose of this study was to study health care providers’ perceptions on equitable care and their ideas about methods to achieve a more equitable care. An web survey was sent to health care providers whose unit were involved in the project "Care on equal terms" before and after the project period. The results show that health care providers perceived that the factors that influence clients’/ patients’ access to care on equal terms consists of: structural / organizational factors in the health care organization or in the society and clients’/ patients’ social situation.

  • 28.
    Akhavan, Sharareh
    et al.
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Aytar, Osman
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bogg, Lennart
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Blev det ett genombrott?: Utvärdering av det nationella lärandeprojektet – Vård på lika villkor2014Report (Other academic)
    Abstract [sv]

    Sjukvården i Sverige är i dag inte jämlik, har brister i tillgänglighet och erbjuds inte på likvärdiga villkor trots Hälso- och sjukvårdslagens mål om en god hälsa och en vård på lika villkor för hela befolkningen.

    För att bryta den pågående trenden och öka jämlikheten gjordes en överenskommelse mellan regeringen och SKL om lärandeprojektet Vård på lika villkor (under åren 2011–2014). Syftet med projektets har varit att inom socioekonomiskt resurssvaga bostadsområden öka jämlikheten i första linjens vård. Detta genom att testa, utveckla och identifiera effektiva arbetssätt och metoder vid sju primärvårdsverksamheter från fem landsting i Sverige.

    Mälardalens högskola, Akademin för hälsa, vård och välfärd, fick av SKL i uppdrag att svara för forskarstöd och att genomföra en utvärdering av de metoder och arbetssätt som utvecklades och testades i lärandeprojektet.

    Resultatet från den genomförda utvärderingen som belyser den genomförda processen, mål- och resultat samt hälsoekonomiska aspekter beskrivs närmare i denna rapport.

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    Blev det ett genombrott? Utvärdering av det nationella lärandeprojektet – Vård på lika villkor
  • 29.
    Akhavan, Sharareh
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Aytar, Osman
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bogg, Lennart
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Temaledare: Vård på lika villkor – Vad kan vi lära av Lärandeprojektet?2015In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 92, no 2, p. 103-106Article in journal (Other academic)
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  • 30.
    akhavan, sharareh
    et al.
    National Institute for Working Life, Stockholm, Sweden .
    Bildt, C
    National Institute for Working Life, Stockholm, Sweden .
    wamala, S
    Karolinska Institute, Stockholm, Sweden .
    The health of female Iranian immigrants in Sweden: A qualitative six-year follow-up study2007In: Health Care for Women International, ISSN 0739-9332, E-ISSN 1096-4665, Health Care for Women International, ISSN 0739-9332, Vol. 28, no 4, p. 339-359Article in journal (Refereed)
    Abstract [en]

    Immigration affects life and health in many different ways. The purpose of this study was to identify and analyze female Iranian immigrants' perception of various factors that influence their health over time. Data collection was based on semistructured interviews with 10 female Iranianimmigrants. Baseline interviews were conducted in 1996, with follow-up interviews in 2002. The results suggest that during the first decade after migration, female immigrants may overcome some health-related factors such as experiences of traumatic events. Other health determinants such as unemployment or experiences of discrimination and racism, however, were observed even two decades after migration.

  • 31.
    Akhavan, Sharareh
    et al.
    Mälardalen University, School of Health, Care and Social Welfare. National Institute for Working Life, Sweden.
    Bildt, C
    National Institute for Working Life, Sweden.
    Wamala, S
    National Institute for Working Life, Sweden.
    Work-related health factors among female immigrants in Sweden2007In: WORK – A Journal of Prevention, Assessment and Rehabilitation, ISSN 1051-9815, Vol. 28, no 2, p. 135-144Article in journal (Refereed)
    Abstract [en]

    Work-related health has been a focus of research since the rate of sickness-related absences began to increase in Sweden. The incidence of sickness-related absences and early retirement is higher among female immigrants than among others in the total population. This study is based on a questionnaire survey which was conducted in a municipality in Sweden. The study population consisted of 2 429 native and immigrant female employees. The aim was to study work-related health factors for female immigrants. The results of this study show that about 20% of female immigrants who participate in the survey have temporary employment while the proportion is 8% for native women. The perception of ethnic discrimination among female immigrants was three times as much as among native females. The results also show that 69% of female immigrants report having received no opportunity to discuss their wages with managers, in comparison to 63% of native females. About 40% of female immigrants and 35% of native women report that they do not get opportunities to upgrade their skills. Female immigrants over the age of 50 experience gender and ethnic discrimination and lack of access to skills training programs more often than younger immigrants. They also participate in health-care activities more often.

  • 32.
    Akhavan, Sharareh
    et al.
    National Institute for Working Life, Sweden.
    Bildt, C
    National Institute for Working Life, Sweden.
    Wamala, S
    National Institute for Working Life, Sweden.
    Work-related health factors among female immigrants in Sweden – A qualitative study on a sample of twenty workers.2006In: Italian Journal of Public Health, ISSN 1723-7807, E-ISSN 1723-7815, Italian Journal of Public Health, ISSN 1723-7807, Vol. 3, no 1, p. 60-67Article in journal (Refereed)
    Abstract [en]

    Aims: The purpose of this study was to explore work-related health factors amongst female immigrants in Sweden.

    Methods: Qualitative methods were used in order to get the broadest possible picture of female immigrants’ perceptions on work-related health factors. Semi-structured interviews were conducted with twenty female immigrants who worked in different departments of a municipality adjacent to a large city in Sweden. Most of the interviewed women came from the Middle East, Africa and Latin America, while some came from eastern and southern Europe as well as Finland. The women had lived in Sweden for 5-27 years. Content analysis, which is based on analysis by topic, was used to analyse the data.

    Results: Results from the interviews show that female immigrants perceived that work-related health is strongly associated with class. The three aspects of class that arose from this study were wage, professional status and their position within the organisations hierarchy. Other factors that were identified as being associated to work-related health were discrimination due to ethnicity and gender, unfavourable physical and psychosocial work environment and lack of training opportunities for upgrading their skills.

    Conclusions: The public health implications of the findings in this study suggest that measures that ought to be taken to improve female immigrants working conditions and health are primarily systematic efforts to counteract discrimination because of gender and ethnicity in areas such as wage setting and opportunities for skill up-grade training. This should result in improved employment opportunities for female immigrants, particularly those who work in low status and low-paid jobs.

  • 33.
    Akhavan, Sharareh
    et al.
    National Institute for Working Life, Stockholm, Sweden.
    Bildt, Carina
    National Institute for Working Life, Stockholm, Sweden.
    Franzen, Elsie
    Wamala, Sarah
    National Institute for Working Life, Stockholm, Sweden.
    Health in relation to unemployment and sick leave among immigrants in Sweden from a gender perspective2004In: Journal of Immigrant Health, Vol. 6, no 3, p. 103-118Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to analyze health in relation to unemployment and sick leave among immigrants from a gender perspective. Questionnaire, observations, and group discussions were used for data collection. The study group consisted of 60 unemployed persons with immigrant or refugee background, 30 women and 30 men. Slightly more than half of the participants considered theirhealth to be poor and experienced physical and/or mental disorders. The female participants in comparison to male participants experienced poorer health. The results show that there is a reciprocal influence between health, work, and migration. Immigration may cause poor health, which as a selection effect leads to unemployment and/or sick leave. Immigration may also bring about an inferior position in the labor market, which leads to poor health due to exposure effects. The influence on health is more marked for immigrant women than for immigrant men.

  • 34.
    Akhavan, Sharareh
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Client/patient perceptions of achieving equity in primary health care: a mixed methods study2015In: International Journal for Equity in Health, ISSN 1475-9276, E-ISSN 1475-9276, Vol. 14, no 1, p. 1-12, article id 196Article in journal (Refereed)
    Abstract [en]

    Abstract Introduction: To provide health care on equal terms has become a challenge for the health system. As the front line in health services, primary care has a key role to play in developing equitable health care, responsive to the needs of different population groups. Reducing inequalities in care has been a central and recurring theme in Swedish health reforms. The aim of this study is to describe and assess client/patient experiences and perceptions of care in four primary health care units (PHCUs) involved in Sweden's national Care on Equal Terms project. Methods: Mixed Method Research (MMR) was chosen to describe and assess client/patient experiences and perceptions of health care with regard to equity. There was a focus group discussion, and individual interviews with 21 clients/patients and three representatives of patient associations. Data from the Swedish National Patient Survey (NPS), conducted in 2011 and followed up in 2013, were also used. Results: The interview data were divided into two main categories and three subcategories. The first category "Perception of equitable health care" had two subcategories, namely "Health care providers' perceptions" and "Fairness and participation". The second category "To achieve more equitable health care" had four subcategories: "Encounter", "Access", "Interpreters and bilingual/diverse health care providers" and "Time pressure and continuity". Results from the NPS showed that two of the PHCUs improved in some aspects of patient perceived quality of care (PPQC) while two were not so successful. Conclusions: Clients/patients perceived health care providers' perceptions of their ethnic origin and mental health status as important for equitable health care. Discriminatory perceptions may lead to those in need of care refraining from seeking it. More equitable care means longer consultations, better accessibility in terms of longer opening hours, and ways of communicating other than just via voice mail. It also involves continuity in care and access to an interpreter if needed. Employing bilingual/diverse kinds of health providers is a way of providing more equitable primary health care.

  • 35.
    Akhavan, Sharareh
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Aytar, Osman
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bogg, Lennart
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Practice and Policy in Promoting Health and Equity –experiences from a national project in primary health care in Sweden2016Conference paper (Refereed)
    Abstract [en]

    Introduction: The Swedish Health Care Law requires the health system to provide good care on equal terms to all. However, several reports from different governmental agencies have revealed that health care is uneven in quality, lacking in accessibility, and not offered on equal terms to all people. Recent public health reports show that inequalities in health in the population have increased. To provide health care on equal terms has become a challenge for health care.

    In order to apply methods for developing practice and policy in promoting health and equity the Swedish Association of Local Authorities and Regions developed and implemented a national project entitled Care on Equal Terms. The project began in 2011 and was completed in 2014 at seven Primary Health Care Units (PHCUs) in five regions. The aim of this study was to evaluate the outcomes of this project.

    Methods: Based on a program theoretical approach an evaluation design was developed which included process, results and economical evaluation. In the data collection and analysis mixed methods were applied.

    Results: According to the process evaluation, seven different strategies were applied in the process to develop primary health care on equal terms. One of the key observations was that in order to achieve health on more equal terms, health care needs to be provided on unequal terms, i. e. more needs to be done to reach those who need more assistance to access health services. Health promotion was one of the applied strategies and it was the most common strategy at some of the health care centers with the aim of developing patients' knowledge, awareness and understanding about health, care and self-care. The results evaluation showed that the PHCUs staff identified structural and organizational factors in health care as important factors for developing health promotion and equity in access. The health economic evaluation showed that the costs for implementing the activities for an improved equity were limited. Yet the majority of the PHCUs thought that the detailed regulation of their financing and reporting requirements were a limitation in their work for improved equity. Four of five county councils have recently introduced a primary care provider payment system (ACG) which may not be supportive of efforts to improve equity in access.

    Conclusions: It is possible to develop and maintain practices that can contribute to more equitable care and increase health care personnel’s awareness about practice and policy in promoting health and equity.

  • 36.
    Akterhag, Andreas
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Leonardsson, Gustaf
    Mälardalen University, School of Health, Care and Social Welfare.
    Sjuksköterskans upplevelse av palliativ vård2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 37.
    Alayed, Abdulrahman S.
    et al.
    Sophiahemmet Högskola, Sweden.
    Lööf, Helena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Sophiahemmet Högskola, Sweden.
    Johansson, Unn-Britt
    Sophiahemmet Högskola, Sweden.
    Saudi Arabian ICU safety and nurses' attitudes2014In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 27, no 7, p. 581-593Article in journal (Refereed)
  • 38.
    Albinsson, Angelica
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Sundkvist, Anders
    Mälardalen University, School of Health, Care and Social Welfare.
    Att ha det modigaste modet: En fenomenografisk intervjustudie om vårdkultur utifrån distriktssköterskors uppfattningar2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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  • 39.
    Alex, Thelin
    Mälardalen University, School of Health, Care and Social Welfare.
    Att leva med dialys: En litteraturstudie om patienters förluster och begränsningar2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There is a large group of patients in Sweden that are treated due to their chronic renal failure.  Adequate kidney function is life essential and therefore dialysis will be initiated to compensate the kidneys deficiency among those patients. Haemodialysis is conducted at a dialysis clinic and patients go there for treatment 3 times a week in an average. Problem: For the individuals bound to dialysis it is likely that the treatment could lead to an obligate to adjust one’s life for the treatment. This adjustment could potentially create suffering due to limitations in life of the patient. Aim: The purpose was to create an overviewing understanding of patients’ experiences towards everyday life when treated with dialysis. Result: Patients undergoing dialysis experience that they are depending on other people. Patients expressed that they were restricted to a life where everything was experienced only through a patient perspective. Conclusions: Nursing recourses must be gathered against patient self-efficacy deficiency and motivation so that patient participates in care. Understanding patient’s experiences helps to identify self-efficacy deficiency. 

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    Att leva med dialys
  • 40.
    Alexanderson, H.
    et al.
    Karolinska Univ Hosp, Karolinska Inst, Dept Neurobiol Care Sci & Soc, KI Physiotherapy Clin, Stockholm, Sweden..
    Björklund, Annika
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems. Hälsopoolen Rehabil Clin, Stockholm, Sweden..
    Ottosson, C.
    Karolinska Univ Hosp, Rheumatol Clin, Stockholm, Sweden..
    Dastmalchi, M.
    Karolinska Inst, Rheumatol Unit, Stockholm, Sweden..
    Lundberg, I. E.
    Karolinska Inst, Rheumatol Unit, Stockholm, Sweden..
    FATIGUE IN ADULT IDIOPATHIC INFLAMMATORY MYOPATHIES2015In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 74, p. 106-106Article in journal (Other academic)
  • 41.
    alexandersson, jonathan
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    wiman, freddy
    Mälardalen University, School of Health, Care and Social Welfare.
    FYSIOTERAPEUTERS BESKRIVNING AV SITT ARBETE MED REHABILITERINGEN AV PATIENTER MED MEDIALA KOLLATERALLIGAMENT-SKADOR: En kvalitativ intervjustudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Injury to the Medial Collateral Ligament (MCL) are one of the most common knee injuries and mainly affect younger athletes. One of the physiotherapists' roles in rehabilitation is to look at the whole of the human being, which includes biomedical, psychological and social aspects, in order to ensure a good medical care. Purpose: To investigate how physiotherapists describe their work with rehabilitation of patients with MCL injuries. Method: The design of the study was a qualitative interview study, with an inductive approach. Data collected from six interviews of physiotherapists was analysed using a qualitative content analysis. An appropriate convenience sample was used in the selection of interviewees. Result / conclusion: The study's results consisted of four categories with two subcategories within each. The names of the categories were "Identifying need of and work with supporting biopsychosocial factors", "Adapting rehabilitation to the patient's possibilities regarding training and various activities", "Working with reducing fear, worry and increasing the patient’s confidence regarding their knees" and "Working with the patients' motivation". It was shown in the results that consideration was taken by the interviewees regarding the patient’s biomedical and psychosocial factors.

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    fulltext
  • 42.
    Ali Jalil, Sarour
    Mälardalen University, School of Health, Care and Social Welfare.
    SAMHÄLLS- OCH HÄLSOORIENTERING FÖR NYANLÄNDA, EN HÄLSOFRÄMJANDE INSATS: En kvalitativ studie kring samhälls-och hälsoorientering för nyanlända och dess olika sidor.2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Community and health orientation to immigrants is one of the health promotion efforts conducted across the country and is also statutory. Despite this, they do not hold the same quality in each county, which is required to give immigrants the same opportunities to integrate themselves in the new contest.

    Aim: The purpose of the study is to examine how sectors experience social and health information for immigrants and people with non-Nordic ancestry and the conditions for implementation of social and health information in the native language.

    Method: A qualitative method was used to answer the questions of the study. Qualitative semi-structured interviews were used. The sample consisted of ten interviewees and all respondents are sectors with different professions, that work with immigrant integration.

    Results: The results of the study show that existing social and health orientation is perceived to provide both opportunities and difficulties in terms of both perspectives, the actors working with it and immigrants participating. Continuous development, increased resources and needs-based efforts are needed for a successful community and health orientation that helps to promote health.

    Conclusion: The existing social and health orientation has two different perceived perspectives. The studied perspective was the sectors working with the orientation. Each perspective has different needs, experiences, and perceptions of the orientation. The study's findings showed that orientation in the native language will benefit and influence society as much as the individual, and that the conditions are positive despite the different levels of challenges that may be encountered.

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    fulltext
  • 43.
    Ali, Mona
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, Department of Caring and Public Health Sciences.
    Make Every Mother Count: Maternal mortality in Malawi, India and United Kingdom2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Objective: The aim of this thesis is to examine and compare the maternal mortality in three different countries; Malawi, India and United Kingdom, as well as highlighting the attributing factors and preventive steps that would reduce the maternal mortality in these countries. Methods and material: The studied design that was chosen is an ecological study which means to study the relationship between aggregated health data and exposing factors, for example a geographical area and time period. The reason of choosing this study can be seen in the relationship and the factors that contribute to maternal mortality in Malawi, India and the United Kingdom. In order to attain the objective of the thesis a variety of sources were utilized to find data, statistics and scientific articles concerning maternal mortality in all three countries.Results and conclusion: Maternal mortality is the highest in Malawi and India, while it is very low in the United Kingdom when compared with these two countries. The result shows among other things that the maternal mortality is mainly caused by direct causes both in Malawi and India and in the United Kingdom the maternal mortality is mainly from indirect causes. It is also shown that the maternal mortality in these countries have been changed over the years. It is also shown that preventive steps such as family planning, skilled attendance, obstetric emergency care and antenatal care can significantly reduce the maternal mortality rate.

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    FULLTEXT01
  • 44.
    Alinei, Kristina
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Beckius, Emelie
    ATT TILLSAMMANS STÖTTA PATIENTEN till ATT MÅNA OM SIG SJÄLV: Hur sjuksköterskor erfar möjligheter och utmaningar med personcentrerad vård inom psykiatrisk heldygnsvård2020Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Att anpassa vården enligt det personcentrerade arbetssättet är en pågående process både internationellt såväl som i Sverige. Implementeringsprojekt och olika former av personcentrerade åtgärder genomförs och är under ständig utveckling inom hälso- och sjukvården. Det framkommer i tidigare forskning att det inom psykiatrisk vård föreligger svårigheter att implementera personcentrerad vård och att det råder ett sjukdomsorienterat förhållningssätt. Patienten behöver få en mer aktiv roll i sin egen vård och därmed bli mer delaktig. Hur personen upplever och förstår sin psykiska ohälsa är av stor vikt. Det ligger även under sjuksköterskans ansvar att möjliggöra detta för patienten, men detta kan vara svårt och flera hinder kan tillkomma. Syfte: Att beskriva de möjligheter och utmaningar som sjuksköterskor kan erfara med personcentrerad vård inom den psykiatriska heldygnsvården. Metod: Studien har en kvalitativ design med induktiv ansats. Som datainsamlingsmetod användes fokusgruppsintervjuer, två grupper med totalt nio stycken deltagare. Data analyserades genom kvalitativ innehållsanalys. Resultat: Redovisas i fyra kategorier, åtta subkategorier samt ett tema. Temat som genomsyrar hela resultatet är att gemensamt stötta patienten till att måna om sig själv. Slutsatser: Det finns en vilja bland sjuksköterskor att arbeta mer personcentrerat och att göra patienterna mer delaktiga i sin vård. Resultatet visar att i den psykiatriska heldygnsvården fortfarande finns stora möjligheter att arbeta mer personcentrerat, vilket medför att de utmaningar som framkommer behöver omvandlas till och bli möjligheter.

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    fulltext
  • 45.
    Alkateb, Dhafar
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Larsson, Stina
    Mälardalen University, School of Health, Care and Social Welfare.
    Att vårda patienter med smärta: Sjuksköterskors upplevelser2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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    fulltext
  • 46.
    Alkenius, Amanda
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Johansson, Josefin
    Mälardalen University, School of Health, Care and Social Welfare.
    "Åldern tar ut sin rätt": En kvalitativ intervjustudie om äldre och fysisk aktivitet2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    The older population is increasing in numbers. Several biopsychosocial factors are assumed to impact the older population’s physical activity level. The physiotherapist works with health promotion for older people primarily by promoting physical activity.

    Aim:

    From a biopsychosocial perspective describe factors that the older population living at home perceive as relevant to their physical activity level. Further to describe how the older population perceive that a physiotherapist can support their physical activity.

    Method:

    A qualitative, semi-structured interview study with an inductive approach was used. A purposive, convenience sampling resulted in five participants ≥80 years. The material was interpreted with qualitative content analysis and sorted into categories and subcategories.

    Result:

    Seven categories emerged for factors influencing the participant’s physical activity level: thoughts and feelings, tiredness/ weakness, bodily limitation, aging, physical environment, everyday demands and social environment. Four categories described how a physiotherapist can support the physical activity of the participants: motivate to physical activity, perform physical activity with a physiotherapist, give suggestions on physical activity and help to improve the physical functional capacity.

    Conclusion:

    The participant’s stories about factors influencing their physical activity level can be linked to the biopsychosocial paradigm. The participants had some difficulties describing how they perceived that a physiotherapist can support their physical activity, but several suggestions emerged. Future research should mainly focus on older people’s perception of how a physiotherapist can support physical activity.

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    "Åldern tar ut sin rätt"
  • 47.
    Almqvist, Anna-Lena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Lassinantti, Kitty
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Social Work Practices for Young People with Complex Needs: An Integrative Review2018In: Child and Adolescent Social Work Journal, ISSN 0738-0151, E-ISSN 1573-2797, Vol. 35, no 3, p. 207-219Article, review/survey (Refereed)
    Abstract [en]

    The aim of this integrative review is to investigate research of social work practices for adolescents and young adults with complex needs. The research questions are: What are the major themes in studies of practices for young people with complex needs? How do studies suggest that complex needs can be met in ways that are beneficial for young people? A young person with complex needs is in this review defined as an adolescent or young adult who, due to mental ill-health in combination with different types of social vulnerabilities, is receiving assistance from multiple welfare services. Searches were conducted in seven databases. These searches resulted in a sample of 1677 records, published 2007-2016, which in the screening process were reduced to 24 publications, all peer-reviewed articles. The participants in the studies in the articles consisted of young people, parents and professionals from mainly Anglo-Saxon countries. The articles were analyzed with qualitative summative content analysis. Three empirically generated themes were found in studies of work practices targeting young people with complex needs: collaboration-, relationship- and empowerment-oriented practices. In conclusion, the practices contain a wide variety of features, but with the joint aim of acknowledging young people's needs. The results can be used by practitioners and policymakers to further the development of services for youth with mental ill-health and social vulnerabilities, who use multiple welfare services.

  • 48.
    Almqvist, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    Longitudinal paths of health related engagement of children with and without developmental delay2008In: Longitudinal paths of health related engagement of children with and without developmental delay: A person approach, 2008, Vol. 52, p. 684-684Conference paper (Other academic)
  • 49.
    Almqvist, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    Stability and change in children's engagement: A 3-year longitudinal study involving pre-school children with typical and atypical processes of engagement2011In: Stability and change in children's engagement: A 3-year longitudinal study involving pre-school children with typical and atypical processes of engagement / [ed] Guralnick, M., 2011Conference paper (Refereed)
  • 50.
    Almqvist, Lena
    et al.
    Mälardalen University, Department of Social Sciences.
    Eriksson, Lilly
    Mälardalen University, Department of Social Sciences.
    Granlund, Mats
    Mälardalen University, Department of Social Sciences.
    Delaktighet i skolaktiviteter: Ett systemteoretiskt perspektiv2004In: Delaktighetens språk, Studentlitteratur, Lund , 2004, p. 137-156Chapter in book (Refereed)
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