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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, 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 science2017In: Implementation Science, E-ISSN 1748-5908, Vol. 13Article in journal (Other academic)
  • 3. Abdella, R.
    et al.
    Kautiainen, Susanna
    Takkinen, H.M.
    Khan, W.
    Erkkola, M.
    Luukainen, P.
    Veijola, R.
    Simell, O.
    Knip, M.
    Virtanen, S.M.
    Relationship of duration of breastfeeding to childhood overweight at 3 years of age2012In: Obesity Facts, ISSN 1662-4025, E-ISSN 1662-4033, Vol. 5, no Suppl. 1, p. 247-247Article in journal (Other academic)
  • 4.
    Abdimaxmud, Nagaad
    Mälardalen University, School of Health, Care and Social Welfare.
    Elevhälsoteamets upplevelser av covid-19-pandemin: En kvalitativ intervjustudie2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 5.
    Abdu, Hasna Ibrahim
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Fungula, Natacha
    Mälardalen University, School of Health, Care and Social Welfare.
    MÅLTID OCH DEMENSSJUKDOM: Sjuksköterskors erfarenheter av att bevara nutrition2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 6.
    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
  • 7.
    Abdulkadir Abshir, Safiya
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Pettersson, Hanna
    Mälardalen University, School of Health, Care and Social Welfare.
    Att hitta motivation i vårdandet: En litteraturstudie utifrån sjuksköterskors erfarenheter2022Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Compassion energy can contribute to nurses' conditions to provide patientswith meaningful care based on a compassionate approach. Nurses' empathy towards patients can mean a risk of compassion fatigue in nurses, which can impair patient safety. Nurses'responsibility over their own health is of great importance to minimize nurses' intention to leave work and to protect patients from care injury. Aim: The aim of this study was to describe nurses’ experiences of finding motivation in caring. Method: Systematic literature study according to Evans with a basis of ten different qualitative health science articles. Result: The result consisted of two themes, experiences of meaningfulness and experience sof a safe working environment. Experiences of meaningfulness yielded two subthemes,finding joy and being able to help. Experiences of a safe working environment released two subthemes, receiving emotional support from colleagues and having the opportunity for development. Conclusion: Nurses were motivated in caring by finding joy when acommunity was formed in the workplace and that joy facilitated difficult situations in caring. Being able to give help to another person in need of help was considered the basis for caring.Receiving emotional support from colleagues contributed to a sense of security in caregivingand having the opportunity for development gave the nurses a deeper understanding and facilitated different situation in care.

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    Att hitta motivation i vårdandet
  • 8.
    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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  • 9.
    Abdulwasai, Kalid
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Det blir bara värre och värre..: En kvalitativ studie om kriminalvårdarnas arbetsmiljö inne på anstalten2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    A work can be a risk or a protection factor and the demands it puts on the employee can have different consequences. Work environment includes both physical and psychosocial work environment, the physical part is about noise, ventilation and light. The psychosocial work environment is about social support, influence and demands. Work environment is an important pillar in public health because people spend a lot of time in their work. The purpose of this study is to describe the prison guards experience their work environment. The Demand-Control-Support-model have been used in this study as theoretical perspective.

    To get the purpose answered, a qualitative method was done with a goal-directed selection where five prison guards were interviewed individually. All the interviews were semi-structured and recorded then transcribed, and afterwards analysed. The interview person who was interviewed are working in the same prison and have worked there for different amount of time.

    The results showed that the interview persons felt that the management put a high pressure even if they are short of staff and nothing has changed even if the staff remarks it. The psychosocial work environment for the interview persons was that the work is psychologically stressful because of the high demands from the management and even the daily threat from the inmates. But the interview persons felt that collaboration among the colleagues is so good that the job satisfaction increase.

    Keywords: Demand-Control-Support model, Prison guard, Qualitative method, Work environment.

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  • 10.
    Abdulwasai, Kalid
    Mälardalen University, School of Health, Care and Social Welfare.
    SOCIALA MEDIER OCH STRESS BLAND UNGDOMAR: En kvantitativ studie om användning av sociala medier och stress bland gymnasieelever2023Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background: Stress can have both positive and negative effects on the human body. Prolonged stress without recovery can lead to public health issues. The use of social media is increasing among young people. Even lot of use of social media can lead to serious consequences. The stress-vulnerability model has been applied to this study as a theoretical framework.

    Aim: The aim of the study was to study if there is a relationship between use of social media and stress among high school students. 

    Method: A quantitative study with a cross-sectional design was conducted among high school students. Convenience selection was used, with a response rate of 100 precent among 105 respondents. Spearman's rho correlation was used to analyze the relationship. Three research questions were formulated to answer the purpose of the study.

    Result: The majority of respondents use social media for at least three hours per day. Three out of four respondents experience daily stress. The study showed a weak positive correlation between social media use and stress.

    Conclusion: The study showed that almost all respondents use social media. The majority spent more than three hours per day on social media. The study also revealed a weak positive significant associations between social media and stress.

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  • 11.
    Abdulwasi, Aminna
    et al.
    Mälardalen University, School of Health, Care and Social Welfare. Akademin för hälsa, vård och välfärd (HVV).
    Sisay, Bintou
    Mälardalen University, School of Health, Care and Social Welfare. Akademin för hälsa, vård och välfärd (HVV).
    VÅRDMILJÖNS BETYDELSE FÖR PATIENTENS ÅTERHÄMTNING2022Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
  • 12.
    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.

  • 13.
    Abrahamsson, Marcus
    Mälardalen University, School of Health, Care and Social Welfare.
    Bemötande av anhöriga i samband med dödsfall: En litteraturöversikt över sjuksköterskors erfarenheter2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Som sjuksköterska är det mycket vanligt att bemöta anhöriga när en närstående har avlidit. Flera anhöriga känner sorg och chock efter dödsfallet, samt vittnar om bristande kunskap och kompetens om kommunikation och bemötandet hos vårdpersonalen. Flertalet anhöriga anser också att de blir dåligt bemötta av vårdpersonalen. Samtidigt har sjuksköterskor ett ansvar att ta hänsyn till de anhöriga enligt riktlinjer. Eftersom flera anhöriga vittnar om ett dåligt bemötande från vårdpersonalen verkar det vara värdefullt att få en djupare kunskap om hur sjuksköterskor bemöter anhöriga i samband med dödsfall. Syfte: Att skapa en översikt över sjuksköterskors erfarenheter av att bemöta anhöriga i samband med dödsfall. Metod: En litteraturöversikt bestående av elva artiklar. Åtta artiklar var kvalitativa, två var mixade och en var kvantitativ. Resultat: Artiklarnas syften, deltagare, datainsamlingsmetoder och resultat jämfördes. Det framkom tre olika teman genom analysen av artiklarnas resultat. Temana var, Att ha förutsättningar för att ge stöd till anhöriga vid dödsfall, Att ge stöd samt Att bilda relation med anhöriga. Slutsatser: Stödet till anhöriga ansågs delvis vara bristfälligt på grund av otillräcklig kompetens och utbildning hos sjuksköterskorna.

    Nyckelord: anhöriga, bemötande, dödsfall, erfarenheter, litteraturöversikt, sjuksköterska

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  • 14.
    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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  • 15.
    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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  • 16.
    Abukar Mohamed, Sadiyah
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Strömberg, Amina
    Mälardalen University, School of Health, Care and Social Welfare.
    Att vårda patienter vid livets slutskede: En allmän litteraturöversikt om sjuksköterskors erfarenheter2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Vård i livets slutskede handlar om att lindra lidande och öka patientens välbefinnande under sista tid i livet. I sjuksköterskans ansvarsområde ingår det att lindra lidande, främja hälsa och att verka för ett fridfullt och värdigt avslut för patienter. Tidigare forskning visade att patienter uppskattade sjuksköterskors goda omhändertagande och bemötande. Det framkom att patienter erfor att den terminala sjukdomen omkullkastar livet och det uppstod en förlust av kontroll och självbild. Syfte: Syftet var att översiktligt beskriva sjuksköterskors erfarenheter av att vårda patienter vid livets slutskede. Metod: En allmän litteraturöversikt tillämpades med sammanlagt elva vårdvetenskapliga artiklar, varav åtta var kvalitativa, två kvantitativa och en mixad metod. Resultat: Det identifierades fyra olika teman som besvarade sjuksköterskors erfarenheter av att vårda patienter i livets slutskede som var; Kommunikation och utmaningar i vårdandet, Sjuksköterskans behov av utbildning och kompetens, Betydelsen av ett tvärprofessionellt samarbete och slutligen Emotionell påfrestning. Slutsats: Sjuksköterskor erfor att en god kommunikation var grunden för en högkvalitativ vård i livets slutskede. Dock uppstod det kommunikationsutmaningar när patienter och närstående hade olika mål för vården. För att erbjuda säker och god vård där patienters behov tillgodosågs erfor sjuksköterskor behov av specialiserade kunskaper och färdigheter inom palliativ vård.

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    Att vård patienter vid livets slutskede: En allmän litteraturöversikt om sjuksköterskors erfarenheter
  • 17.
    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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  • 18.
    Ackesten, Emmelie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Linda, Toresäter
    Mälardalen University, School of Health, Care and Social Welfare.
    Anestesisjuksköterskors omsorgsfulla vårdande: Strategier för att lindra oro hos patienter inför anestesi2022Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Majoriteten av de patienter som skall genomgå anestesi uppvisar någon form av oro. Anestesisjuksköterskor ansvarar för att bemöta och lindra obehag samt lidande hos patienter i den preoperativa vården. Obehandlad oro orsakar onödigt lidande och kan leda till både kortsiktiga och långsiktiga konsekvenser för patienten såväl som samhället. Därför är det viktigt att anestesisjuksköterskor känner till strategier för att kunna bidraga till lindring hos patienter. Syfte: Syftet är att beskriva strategier för att lindra oro hos patienter inför anestesi. Metod: Systematisk integrerad litteraturöversikt av 23 artiklar enligt Whittemore och Knafl. Resultat: Att skapa trygghet är en viktig och central del i hanteringen av preoperativ oro. Individuellt anpassad information var en förutsättning för att skapa trygghet. Andra strategier som förekom var fysisk beröring, avledning, läkemedel, alternativa behandlingar, ibland enskilt men även i kombination. Slutsats: Examensarbetet presenterar möjliga strategier för anestesisjuksköterskor att använda sig av i mötet med patienter som är oroliga inför anestesi. Resultatet rangordnar inte vilken strategi som fungerar bäst utan ger ett utbud av alternativ till lindring. Strategierna som presenteras kan användas var och en för sig eller kombineras för att uppnå önskat resultat. 

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  • 19.
    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.

  • 20.
    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.

  • 21.
    Adbirahman, Fatma
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Melin, Madelein
    Mälardalen University, School of Health, Care and Social Welfare.
    Överviktiga gravida kvinnors erfarenheter av bemötandet på barnmorskemottagning: En kvalitativ webbaserad enkätundersökning2023Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Övervikt och fetma ökar risken för att drabbas av ohälsa och är en av de främsta orsakerna till sjukdom och förtidig död i Sverige. Gravida med övervikt eller fetma har ökat vid inskrivning till barnmorskemottagning. Det finns flertalet risker med att vara gravid och ha fetma både för den gravida och barnet. Barnmorskan har ett ansvar när det kommer till att informera om riskerna med fetma.

    Syfte: Att beskriva överviktiga gravida kvinnors erfarenheter av bemötandet på barnmorskemottagning.

    Metod: Kvalitativ metod med induktiv ansats. En webbenkät som besvarades av 36 gravida kvinnor med fetma. Enkätsvaren analyserades med innehållsanalys.

    Resultat: Tre kategorier och nio subkategorier utgjorde resultatet. Barnmorskors förhållningssätt varierade. Erfarenheterna av bemötandet var varierat. Kvinnorna önskade bli sedda som mer än vikten. Vidare var fetma ett känsligt ämne att ta upp.

    Slutsats: Ett behov av att bli sedd som alla andra framkom. Det ansågs även viktigt att barnmorskan inte bemötte den gravida på ett dömande sätt utan talade om fetma utan att lägga någon värdering vid ämnet. Erfarenheter av stigmatisering framkom. Barnmorskor behöver ytterligare kunskap för att kunna bemöta gravida kvinnor med fetma på ett bättre sätt.

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  • 22.
    Adeyemo, Egle
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Ivashova, Viktoriya
    Mälardalen University, School of Health, Care and Social Welfare.
    Att flytta till ett särskilt boende: En literaturstudie om äldres upplevelser2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 23.
    Adhikari, Shambhu P.
    et al.
    Kathmandu Univ, Sch Med Sci, Dept Physiotherapy, Dhulikhel, Nepal..
    Dev, Rubee
    San Yat Sen Univ, Global Hlth Inst, Sch Publ Hlth, Guanghou, Peoples R China..
    Sandborgh, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Alternatives to routinely used physiotherapy interventions for achieving maximum patients' benefits and minimising therapists' exposure in treatment of COVID-19 - a commentary2020In: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 22, no 6, p. 373-378Article in journal (Refereed)
    Abstract [en]

    The evidence and effectiveness of physiotherapy interventions in treatment of patients with confirmed or suspected coronavirus disease 2019 (COVID-19) is limited. Routinely used interventions in physiotherapy imply a very high risk for physiotherapists because the duration of direct contact with patients is quite long. Physiotherapy may need to be administered by weighing the benefit-risk ratio. Therefore, there is a critical and urgent need to adopt alternatives or modified forms of physiotherapy interventions. As the situation for management of COVID-19 in low-resource contexts could differ from that in high resource context, interventions need to be adapted to the available resources and technology in various settings. Tele-physiotherapy could be a viable option for patients who are in acute care in the hospital, in rehabilitation unit or under quarantine at home due to confirmed or suspected COVID-19. Modification in physiotherapy interventions and adjustment in intervention parameters may serve as an alternative strategy. This article describes alternatives to and/or modification of routinely used physiotherapy interventions for achieving maximum patients' benefits and minimising therapists' exposure in treatment of individuals with confirmed or suspected COVID-19.

  • 24.
    Afua Quaye, Angela
    et al.
    Lund University.
    Castor, Charlotte
    Lund University.
    Coyne, Imelda
    Trinity College, Dublin, Irland.
    Söderbäck, Maja
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kristensson Hallström, Inger
    Lund University.
    How are children’s best interests expressed during their hospital visit?: An observational study2021In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 30, no 23-24, p. 3644-3656Article in journal (Refereed)
    Abstract [en]

    Aims and objectives: To describe ways in which children's best interests were observed to be expressed in paediatric settings during their hospital visit. Background: The best interests of the child are embodied in national and international legal systems, although the definition remains problematic. The child's limited autonomy mandates duty bearers to have both a child perspective and the child's perspective when considering what the best interest of the child entails in care situations. Design: A qualitative descriptive study with overt, non-participant observations fulfilling the COREQ criteria. Methods: Thirty-two observations of interactions between children aged 2 to 17 years with both acute and chronic conditions, their parents and healthcare professionals were conducted at three paediatric hospitals in Sweden. Inductive and abductive reasoning were used in the content analysis of data, which followed the identification, coding, categorising and abstraction of observed patterns of the best interest of the child. Results: Findings reveal facilitating and obstructing factors for the child's best interests to be safeguarded in healthcare situations. Children were guided in or hindered from exercising their competence. The observations showed a variation in actions taken by both parents and healthcare professionals to safeguard the best interests of the child. Conclusions: Determining the best interest of the child requires a case-by-case basis, as it is context-dependent, situational, flexible and dependent on all actors involved and actual decisions made. Relevance to clinical practice: Healthcare professionals’ actions can facilitate or obstruct observed expressions of the child's best interest. It is essential to enhance healthcare professionals’ communication skills, knowledge awareness and continuing education about the rights of children receiving healthcare services. Reflections and discussions on how to protect the best interests of children may help healthcare professionals to uphold children's best interest in daily clinical practice.

  • 25.
    Agelii, M. Leu
    et al.
    Univ Gothenburg, Sahlgrenska Acad, Inst Med, Sect Epidemiol & Social Med, Gothenburg, Sweden..
    Lehtinen-Jacks, Susanna
    Univ Gothenburg, Sahlgrenska Acad, Inst Med, Sect Epidemiol & Social Med, Gothenburg, Sweden.;Univ Tampere, Fac Social Sci, Hlth Sci, Tampere, Finland..
    Zetterberg, H.
    Univ Gothenburg, Sahlgrenska Acad, Inst Neurosci & Physiol, Dept Psychiat & Neurochem, Gothenburg, Sweden.;Sahlgrens Univ Hosp, Clin Neurochem Lab, Molndal, Sweden.;UCL, Inst Neurol, Queen Sq, London, England..
    Sundh, V.
    Univ Gothenburg, Sahlgrenska Acad, Inst Med, Sect Epidemiol & Social Med, Gothenburg, Sweden..
    Bjorkelund, C.
    Univ Gothenburg, Inst Med, Sect Primary Hlth Care, Gothenburg, Sweden..
    Lissner, L.
    Univ Gothenburg, Sahlgrenska Acad, Inst Med, Sect Epidemiol & Social Med, Gothenburg, Sweden..
    Low vitamin D status in relation to cardiovascular disease and mortality in Swedish women - Effect of extended follow-up2017In: NMCD. Nutrition Metabolism and Cardiovascular Diseases, ISSN 0939-4753, E-ISSN 1590-3729, Vol. 27, no 12, p. 1143-1151Article in journal (Refereed)
    Abstract [en]

    Background and aims: The impact of vitamin D concentrations on subsequent cardiovascular disease (CVD) and overall mortality has been generally examined for periods under two decades. The magnitude of the association may depend on follow-up length. We aimed to investigate the relationship between baseline vitamin D and risk of total CVD, stroke and all-cause mortality over three decades of follow-up. Secondly, we aimed to assess how follow-up affects the associations. Methods and results: Concentrations of 25-hydroxyvitamin D (25D) were measured in a population-based sample of 1227 middle-aged women using serum collected at baseline and categorized into low (lowest 25D quartile) vs high 25D status (upper three 25D quartiles). Hazard ratio (HR) of the endpoints was estimated for low 25D. The impact of follow-up was examined in intermediary analyses where follow-up was interrupted up to four times, each time decreasing it by five years. There were 596 cardiovascular events and 635 participants died. During the first 17 years, the low 25D group experienced a 29% higher CVD risk and 3.3-fold higher stroke risk after accounting for confounders. Longer follow-up diminished significantly these risks and 25D status had no contribution at 32 years. For mortality, the decline over time was less dramatic, with HR = 1.96 (1.25; 3.08) at 17 years and HR = 1.42 (1.17; 1.72) at 37 years. Conclusion: Low 25D status increased the risk for all endpoints, but a lengthy follow-up diminished these risks towards the null. The impact of follow-up depends on the outcome. Future studies of 25D and disease should use repeated 25D assessments.

  • 26.
    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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  • 27. 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)
  • 28.
    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.

  • 29.
    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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  • 30.
    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
  • 31.
    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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  • 32.
    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.

  • 33.
    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.

  • 34.
    Ahlinder, Lovisa
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Widén, Emma
    Mälardalen University, School of Health, Care and Social Welfare.
    Följsamhet till knäkontrollsträning hos kvinnliga fotbollsspelare i Västmanland: En kvantitativ enkätstudie2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Främre korsbandsskador är en av de vanligaste och svåraste skadorna inom damfotboll. Det finns stark evidens för att skadeförebyggande knäkontrollsträning förebygger främre korsbandsskador om följsamheten till träningen är hög.

    Syfte: Syftet med studien är att undersöka kvinnliga fotbollsspelares följsamhet till knäkontrollsträning och om det finns ett samband mellan följsamhet och self-efficacy, upplevda fördelar, upplevda hinder, yttre påminnelser, upplevd sårbarhet samt upplevd allvarlighetsgrad. 

    Metod: En kvantitativ ansats med en icke-experimentell tvärsnittsdesign har använts för att besvara studiens syfte och frågeställningar. Ett ändamålsenligt urval har tillämpats och data samlades in genom en webbenkät där 73 besvarade enkäter inkom. En deskriptiv frekvensanalys och Spearman’s rangkorrelation användes för att analysera resultatet.

    Resultat: 58,9% av deltagarna utförde knäkontrollsträning >2 ggr/veckan och följer rekommendationerna för knäkontrollsträning. Det fanns ett lågt samband mellan knäkontrollsträning och upplevda hinder, self-efficacy och yttre påminnelser. Mellan resterande variabler, divisioner och knäkontrollsträning förelåg inget signifikant samband. 

    Slutsatser: Resultatet tyder på en högre följsamhet till knäkontrollsträning än vad tidigare studier påvisat, dock anses följsamheten fortfarande vara för låg. Resultatet visar även på inget eller lågt samband mellan knäkontrollsträning och de centrala begreppen i HBM. Vidare forskning bör göras på ett större antal deltagare, män och ur andra beteendemedicinska perspektiv. 

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  • 35.
    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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  • 36.
    Ahlqvist, Robyn
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Lanbro, Emelie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Att få stöd att växa: Unga vuxna patienters erfarenhet av delaktighet inom barn- och ungdomspsykiatrin2022Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Participation in healthcare is important, it’s written in laws. Previous research indicates that healthcare professionals and patients do not have the same view of the concept of participation. Highlighting the patient’s lived experiences of participation in child and adolescent psychiatry makes it visible what participation means for the patient. It can help to increase the knowledge of healthcare professionals and improve the care for patients. Aim: The purpose of the study is to describe what young adults experienced as participation during the period they themselves have been patients in child and adolescent psychiatry. Method: A qualitative design with inductive approach. Appropriate selection with 8 participants in the ages 18-20. The interviews were transcribed and analyzed with qualitative content analysis. Results: The result is written in four categories: to be confirmed, to get space, to understand oneself, to understand the context, these categories also received subcategories. The categories and subcategories formed a theme: to get support to grow. Conclusion: The concept of participation has many meanings. Being confirmed in the situation you are in and feeling confident becomes important in the relationship with the healthcare professional. A secure relationship promotes the patient’s participation in healthcare.

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  • 37.
    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. 

  • 38.
    Ahlstedt, Carina
    et al.
    Uppsala University, Dept of Public health & Caring Sciences, Sweden.
    Eriksson Lindvall, Carin
    Uppsala University, Dept of Business Studies, Sweden.
    Holmström, Inger
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Uppsala University, Dept of Public health & Caring Sciences, Sweden.
    Muntlin, Åsa
    Uppsala University, Dept of Public Health & Caring Sciences, and Dept of Medical Sciences, Sweden.
    Flourishing at work: Nurses' motivation through daily communication - an ethnographic approach2020In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 22, no 4, p. 1169-1176Article in journal (Refereed)
    Abstract [en]

    Shortage and turnover of registered nurses are worldwide challenges, and work motivation is one factor in retaining staff in the healthcare sector. The aim of this study was to explore registered nurses' motivation expressed in daily communication, using the basic needs in self‐determination theory as a framework. A secondary analysis of ethnographic data, collected through participant observations, informal interviews during observations, and individual interviews, was used. A total sample of all registered nurses employed at a hospital unit in Sweden (n = 10) participated. The data were analyzed thematically through the lens of the basic needs in self‐determination theory: autonomy, competence, and relatedness. Self‐regulation of learning, the possibilities to discuss work‐related challenges with colleagues, and having registered nurses lead dialogues with physicians were factors connected to autonomy. Having a registered nurse and physician solve problems together was a factor connected to competence. A sense of belonging and security in a permissive climate between registered nurses was connected to relatedness. This paper has implications for increased awareness of the three basic motivational needs, which could be used in the development of attractive workplaces.

  • 39.
    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)
  • 40.
    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
  • 41.
    Ahmadi, Fershta
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Laine, Helene
    Mälardalen University, School of Health, Care and Social Welfare.
    Att vårda patienter med demenssjukdom: - Ur ett sjuksköterskeperspektiv2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Det sker en ökning av personer med demenssjukdom vilket ökar kravet på vårdens som ges. Patienter och deras anhöriga erfar brister i vården, bland annat i den personcentrerade vården. Syfte: Syftet var att beskriva sjuksköterskors erfarenheter av att vårda patienter med demenssjukdom. Metod: Metoden och dataanalysen har utgått från Fribergs litteraturöversikt. Datainsamlingen gjordes genom att söka fram vårdvetenskapliga artiklar. Urvalet bestod av erfarenheter som legitimerade sjuksköterskor hade av att vårda patienter med demenssjukdom. Därefter kvalitetsgranskades varje artikel och sedan analyserades deras syfte, metod och resultat. Resultat: Resultatet indelades i följande tre teman; organisationens påverkan på vårdkvaliteten, vårdrelationens betydelse samt tolkning av patienters behov. Slutsats: Sjuksköterskor strävar efter att öka sin kunskap och etablera meningsfulla vårdrelationer, även om detta kan vara krävande. Tolkning av patienters behov utgjorde en central utmaning för sjuksköterskor. Organisationens aspekter kan skapa hinder för en personcentrerad vård, vilket understryker behovet av en stödjande organisation för att kunna implementera en vård av god kvalitet till patienter med demenssjukdom och deras anhöriga.

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  • 42.
    Ahmed, Ali
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Marian Roble, Ahmed
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    ÅTERHÄMTNING EFTER STROKE: En systematisk litteraturstudie2021Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Stroke är ett allvarligt medicinskt tillstånd där syretillförsel i hjärnan är hämmad på grund av blodpropp eller blödningar i hjärnan. Utöver funktionsnedsättningar som sjukdomen medför som rörelsebegräsningar, minnesförlust, förlamningar och kognitiva svårigheter upplever också patienter med stroke psykiska påfrestningar som depression, ångest, oro och känsla av uppgivenhet. Syfte: Att beskriva sjuksköterskors upplevelser av att stödja patienters återhämtning efter stroke. Metod: En systematisk litteraturstudie baserad på tio vårdvetenskapliga artiklar. Resultat: I resultat framkom två teman och sex tillhörande subteman där sjuksköterskors upplevelser av att stödja patienters återhämtning efter stroke belystes. I första temat: Organisatoriska förutsättningar med tillhörande subteman, mer kunskap behövs, att ha mer tid och att samarbeta i teamet. I andra temat: förutsättningar i vårdande med tillhörande subteman kommunikation betydelse, relation med patienter och relation med anhöriga. Slutsats: Tid respektive kunskapsbrist leder till hinder som gör att sjuksköterskor upplever begränsningar i deras arbete att stödja återhämtning på patienter med stroke. För att motverka dessa hinder och minska sjukdomens negativa påverkan behöver patienter mer tid och tydliga mål för snabbare återhämtning.

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  • 43. Ahnquist, Johanna
    et al.
    Fredlund, Peeter
    Wamala, S. P
    Is cumulative exposure to economic hardships more hazardous to women's health than men's?: A 16-year follow-up study of the Swedish Survey of Living Conditions2007In: Journal of Epidemiology and Community Health, ISSN 0143-005X, E-ISSN 1470-2738, Vol. 61, no 4, p. 331-336Article in journal (Refereed)
    Abstract [en]

    Background: Previous research has shown an association between cumulative economic hardships and various health outcomes. However, the cumulative effects of economic hardships in regard to gender differences have not been given enough attention. Methods: 1981 women and 1799 men were followed up over a period of 16 years (1981-1997), using data from the Swedish Survey of Living Conditions panel study. The temporal association between economic hardships and self-rated health, psychological distress and musculoskeletal disorders was analysed. Results: A dose-response effect on women's health was observed with increasing scores of cumulative exposure to financial stress but not with low income. Women exposed to financial stress at both T-1 and T-2 had an increased risk of 1.4-1.6 for all health measures compared with those who were not exposed. A similar consistent dose-response effect was not observed among men. Conclusions: There is a temporal relationship between cumulative economic hardships and health outcomes, and health effects differ by gender. Financial stress seems to be a stronger predictor of poor health outcomes than low income, particularly among women. Policies geared towards reducing health inequalities should recognise that long-term exposure to economic hardships damages health, and actions need to be taken with a gender perspective.

  • 44.
    Ahnquist, Johanna
    et al.
    Swedish Natl Inst Publ Hlth, Stockholm, Sweden.;Karolinska Inst, Stockholm, Sweden..
    Lindstrom, Martin
    Lund Univ, Malmo Univ Hosp, Dept Clin Sci, Lund, Sweden..
    Wamala, S. P
    Karolinska Inst, Stockholm, Sweden.;Stockholm Ctr Publ Hlth, Stockholm, Sweden..
    Institutional trust and alcohol consumption in Sweden: The Swedish National Public Health Survey 20062008In: BMC Public Health, E-ISSN 1471-2458, Vol. 8, article id 283Article in journal (Refereed)
    Abstract [en]

    Background: Trust as a measure of social capital has been documented to be associated with health. Mediating factors for this association are not well investigated. Harmful alcohol consumption is believed to be one of the mediating factors. We hypothesized that low social capital defined as low institutional trust is associated with harmful alcohol consumption. Methods: Data from the 2006 Swedish National Survey of Public Health were used for analyses. The total study population comprised a randomly selected representative sample of 26.305 men and 30.584 women aged 16-84 years. Harmful alcohol consumption was measured using a short version the Alcohol Use Disorders Identification Test (AUDIT), developed and recommended by the World Health Organisation. Low institutional trust was defined based on trust in ten main welfare institutions in Sweden. Results: Independent of age, country of birth and socioeconomic circumstances, low institutional trust was associated with increased likelihood of harmful alcohol consumption (OR (men) = 1.52, 95% CI 1.34-1.70) and (OR (women) = 1.50, 95% CI 1.35-1.66). This association was marginally altered after adjustment for interpersonal trust. Conclusion: Findings of the present study show that lack of trust in institutions is associated with increased likelihood of harmful alcohol consumption. We hope that findings in the present study will inspire similar studies in other contexts and contribute to more knowledge on the association between institutional trust and lifestyle patterns. This evidence may contribute to policies and strategies related to alcohol consumption.

  • 45.
    Ahnquist, Johanna
    et al.
    Karolinska Inst, Dept Publ Hlth Sci, Div Appl Publ Hlth, Stockholm, Sweden.;Swedish Natl Inst Publ Hlth, Ostersund, Sweden..
    Wamala, Sarah P.
    Karolinska Inst, Dept Publ Hlth Sci, Div Appl Publ Hlth, Stockholm, Sweden.;Swedish Natl Inst Publ Hlth, Ostersund, Sweden..
    Economic hardships in adulthood and mental health in Sweden. the Swedish National Public Health Survey 20092011In: BMC Public Health, E-ISSN 1471-2458, Vol. 11, article id 788Article in journal (Refereed)
    Abstract [en]

    Background: Possible accumulative effects of a combined economic hardship's measure, including both income and non-income related economic hardships measures, on mental health has not been well investigated. The aim of this paper was to investigate; (i) independent associations between multiple measures of economic hardships and mental health problems, and (ii) associations between a combined economic hardships measure and mental health problems. Methods: We analysed data from the 2009 Swedish National Survey of Public Health comprising a randomly selected representative national sample combined with a randomly selected supplementary sample from four county councils and three municipalities consisting of 23,153 men and 28,261 women aged 16-84 years. Mental health problems included; psychological distress (GHQ-12), severe anxiety and use of antidepressant medication. Economic hardship was measured by a combined economic hardships measure including low household income, inability to meet expenses and lacking cash reserves. Results: The results from multivariate adjusted (age, country of birth, educational level, occupational status, employment status, family status and long term illness) logistic regression analysis indicate that self-reported current economic difficulties (inability to pay for ordinary bills and lack of cash reserves), were significantly associated with both women's and men's mental health problems (all indicators), while low income was not. In addition, we found a statistically significant graded association between mental health problems and levels of economic hardships. Conclusions: The findings indicate that indicators of self-reported current economic difficulties seem to be more strongly associated with poor mental health outcomes than the more conventional measure low income. Furthermore, the likelihood of mental health problems differed significantly in a graded fashion in relation to levels of economic hardships.

  • 46.
    Ahnquist, Johanna
    et al.
    Karolinska Inst, Dept Publ Hlth Sci, S-83140 Stockholm, Sweden.;Swedish Natl Inst Publ Hlth, Ostersund, Sweden..
    Wamala, Sarah P.
    Karolinska Inst, Dept Publ Hlth Sci, S-83140 Stockholm, Sweden.;Swedish Natl Inst Publ Hlth, Ostersund, Sweden..
    Lindstrom, Martin
    Malmo Univ Hosp, Malmo, Sweden.;Lund Univ, CED, S-22100 Lund, Sweden..
    Social determinants of health - A question of social or economic capital?: Interaction effects of socioeconomic factors on health outcomes2012In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 74, no 6, p. 930-939Article in journal (Refereed)
    Abstract [en]

    Social structures and socioeconomic patterns are the major determinants of population health. However, very few previous studies have simultaneously analysed the "social" and the "economic" indicators when addressing social determinants of health. We focus on the relevance of economic and social capital as health determinants by analysing various indicators. The aim of this paper was to analyse independent associations, and interactions, of lack of economic capital (economic hardships) and social capital (social participation, interpersonal and political/institutional trust) on various health outcomes. Data was derived from the 2009 Swedish National Survey of Public Health, based on a randomly selected representative sample of 23,153 men and 28,261 women aged 16-84 year, with a participation rate of 53.8%. Economic hardships were measured by a combined economic hardships measure including low household income, inability to meet expenses and lacking cash reserves. Social capital was measured by social participation, interpersonal (horizontal) trust and political (vertical/institutional trust) trust in parliament. Health outcomes included; (i) self-rated health, (i) psychological distress (GHQ-12) and (iii) musculoskeletal disorders. Results from multivariate logistic regression show that both measures of economic capital and low social capital were significantly associated with poor health status, with only a few exceptions. Significant interactive effects measured as synergy index were observed between economic hardships and all various types of social capital. The synergy indices ranged from 1.4 to 2.3. The present study adds to the evidence that both economic hardships and social capital contribute to a range of different health outcomes. Furthermore, when combined they potentiate the risk of poor health. (C) 2012 Elsevier Ltd. All rights reserved.

  • 47.
    Ahnquist, Johanna
    et al.
    Swedish Natl Inst Publ Hlth, SE-83140 Ostersund, Sweden.;Karolinska Inst, Stockholm, Sweden..
    Wamala, Sarah P.
    Swedish Natl Inst Publ Hlth, SE-83140 Ostersund, Sweden.;Karolinska Inst, Stockholm, Sweden..
    Lindstrom, Martin
    Lund Univ, Malmo Univ Hosp, Dept Clin Sci, Lund, Sweden..
    What has trust in the health-care system got to do with psychological distress?: Analyses from the national Swedish survey of public health2010In: International Journal for Quality in Health Care, ISSN 1353-4505, E-ISSN 1464-3677, Vol. 22, no 4, p. 250-258Article in journal (Refereed)
    Abstract [en]

    Mental health disorders are a rapidly growing public health problem. Despite the fact that lack of trust in the health-care system is considered to be an important determinant of health, there is scarcity of empirical evidence demonstrating its associations with health outcomes. This is the first study which aims to evaluate the association between trust in the health-care system and psychological distress. Cross-sectional study. The association between trust in the health-care system and psychological distress was analysed with multiple logistic regression analysis adjusting for other factors. A randomly selected representative sample of women and men aged 16-84 years from the Swedish population who responded to the 2006 Swedish National Survey of Public Health. A total of 26 305 men and 30 584 women participated in the study. None. The main outcome measure was psychological distress measured by the General Health Questionnaire. Very low trust in health-care services was associated with an increased risk for psychological distress among men (odds ratio = 1.59, 95% confidence intervals 1.25-2.02) and among women (odds ratio = 1.83, 95% confidence intervals 1.47-2.27) after controlling for age, country of birth, socioeconomic circumstances, long-term illness and interpersonal trust. Our results suggest that health-care system mistrust is associated with an increased likelihood of psychological distress. Although causal relationships cannot be established, patient mistrust of health-care providers may have detrimental implications on health. Public health policies should include strategies aimed at increasing access to health-care services, where trust plays a substantial role.

  • 48.
    Ahrons, Louise
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Sigvardsson, Eleonor
    Mälardalen University, School of Health, Care and Social Welfare.
    SJUKSKÖTERSKORS ERFARENHETER AV PALLIATIV OMVÅRDNAD: En litteraturstudie2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background The goal of palliative care is to alleviate suffering, promote well-being and give patients an increased quality of life. The nurse has the overall responsibility to ensure that these parts are being followed. Previous research sheds light on patients’ and relatives’ experiences of palliative care, where a lot of deficiencies appears. Aim To describe nurses’ experiences of palliative care. Method Literature study with descriptive synthesis. Results The analysis revealed three themes and eight subthemes. The first theme, To experience emotional commitment, generated subthemes Meaning in the profession and Personal influence. The second theme, Obstacles to good palliative care, generated subthemes Lack of knowledge and the feeling of inadequacy and Deficiencies in the nursing work. The third theme, Opportunities for good palliative care, generated subthemesKnowledge in nursing, Collaboration in the nursing team and Supportive communication. Conclusion Nurses experienced obstacles in palliative care due to a lack of training in palliative care and a lack of communication with patients and their relatives. There was also a shortage of nurses, which led to a feeling of inadequacy in the profession. Patients and relatives considered that the nurses were caring and that the care was good, but also noticed shortcomings in communication and that the lack of time reduced the quality of care.

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  • 49.
    Aikomus, L.
    et al.
    TtM, Tampereen yliopisto Yhteiskuntatieteiden tiedekunta, 33014 Tampereen yliopisto, Finland.
    Lehtinen-Jacks, Susanna
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Nordquist, H.
    Helsingin yliopisto Terveysalan ja ensihoidon yksikkö, Pääskysentie 1, 48220 Kotka / Kansanterveystieteen osasto, PL 20, 00014 Helsingin yliopisto ja Valtiotieteellinen tiedekunta, PL 54, 00014 Helsingin yliopisto, Finland.
    Pietiläinen, O.
    Helsingin yliopisto, Kansanterveystieteen osasto, PL 20, 00014 Helsingin yliopisto, Finland.
    Mänty, M.
    Helsingin yliopisto / Vantaan kaupunki, Strategia ja tutkimus Kansanterveystieteen osasto, PL 20, 00014 Helsingin yliopisto / Asematie 7, 01300 Vantaa, Finland.
    Kouvonen, A.
    VTT, professori Helsingin yliopisto Valtiotieteellinen tiedekunta, PL 54, 00014 Helsingin yliopisto, Finland.
    Rahkonen, O.
    Helsingin yliopisto, Kansanterveystieteen osasto, PL 20, 00014 Helsingin yliopisto, Finland.
    Lallukka, T.
    Helsingin yliopisto Kansanterveystieteen osasto, PL 20, 00014 Helsingin yliopisto, Finland.
    Työn fyysisen kuormittavuuden yhteys fyysiseen toimintakykyyn alle 40-vuotiailla kunta-alan työntekijöillä [Associations between physically demanding work and physical functioning among municipal employees under 40 years of age]2021In: SOSIAALILÄÄKETIETEELLINEN AIKAKAUSLEHTI, ISSN 0355-5097, Vol. 58, p. 445-456Article in journal (Refereed)
    Abstract [en]

    Physically demanding work in middle-aged and ageing employees is associated with poor physical functioning. Also younger employees have limitations in their daily functioning, but there is no research on the associations between physically demanding work and physical functioning during early careers. This study investigated whether physically demanding work is associated with physical functioning in employees aged 18–39 years.  The data were collected in autumn 2017 from the City of Helsinki employees born in or after 1978 (n=11,459). Out of them, 5,111 responded online or via a mailed paper survey. We included those 4,585 (40% of all those invited) who had responded to all necessary questions for the present study. Physical functioning was assessed by the SF-36 questionnaire, and poor physical functioning was defined as the lowest quarter of the physical functioning score (PCS ≤48.80, total scale 1-100). Physical workload was determined with a multi-part question about factors related to work and the work environment, and the degree of perceived harm caused by them. The physical workload scores were divided into thirds. Logistic regression analysis was used to examine the associations between physically demanding work and physical functioning, while adjusting for health behaviours, sleep problems, body mass index, education and marital status.  Poor physical functioning was associated with physically moderately (OR 1.70, 95%CI 1.43-2.00) and highly (OR 3.56 [2.70-4.70]) demanding work. In addition, frequent sleep problems (OR 1.90 [1.67-2.22]), obesity (OR 1.89 [1.56-2.30]) and low education (OR 1.37 [1.10-1.71]) were associated with poor physical functioning.  Tackling physically demanding work may play a role in maintaining physical functioning (and subsequently) working capacity.

    Keywords: physical functioning, work load, young workers, health behaviour

  • 50.
    Ainfer, Hawri
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Qadri, Razia
    Mälardalen University, School of Health, Care and Social Welfare.
    Sjuksköterskors upplevelser av palliativ vård på sjukhus2021Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care is provided at the end of life when curative treatment is no longer possible. Due to the disease, the patient may lose his independence and freedom, which leads to life not functioning as before. The nurse's responsibility is to alleviate patients' suffering during the last period of life and to meet the needs of relatives. In order to promote the patient's quality of life, the nurse should also create a good relationship with the dying person and their relatives. The patient and relatives express that the nurse should take responsibility for communication, information and existential conversations in palliative care. Aim: To describe nurses' experiences of palliative care at the end of life stage in hospital. Method: The study is a systematic literature study with qualitative and descriptive synthesis. Results: After the data analysis, three themes emerged: barriers to providing good palliative care and emotional influences. These include sub-themes and describe nurses' experiences of palliative care. Conclusion: Lack of experience, knowledge and time prevents nurses from providing good palliative care. Communication, collaboration with colleagues, the patient and relatives, as well as emotional commitment and the opportunity for existential conversations were considered important in palliative care. Keywords: end of life, literature study, nurse’s experiences, palliative care, qualitative.

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