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  • 1.
    Choowong, Jiraporn
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Tillgren, Per
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderbäck, Maja
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Thai people living with tuberculosis and how they adhere to treatment: A grounded theory study2017Inngår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 19, nr 4, s. 436-443Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 2.
    Holmström, Inger
    Uppsala universitet, Sweden.
    Decision aid software programs in telenursing: Tot used as intended? Experiences of Swedish telenurses2007Inngår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 9, nr 1, s. 23-28Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Telenurses at call centers use decision aid software programs to offer triage recommendations and self-care advice to the general public. Decision aid programs are intended to support medical safety but were suggested by telenurses to be a hindrance to the dialogue. The aim of this study was to explore the use of decision aid software programs for telenursing, from the perspective of the users. A qualitative, descriptive approach was used. Twelve telenurses in Sweden were interviewed twice. The interviews were transcribed and analyzed thematically. Four themes were found: support for assessment but not for the decision; inconsistency between actual practice and the decision aid software; limited support for learning and information; and communication challenges and software programs. The software programs were a support for assessment, rather than decision-making, assuring the nurses that the relevant questions were asked. They were not fully adapted to current clinical practice, focusing mainly on acute conditions. Nurses worked to a large extent with self-care advice, often over-riding the recommendations made.

  • 3.
    Holmström, Inger
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala University, Uppsala, Sweden.
    Gustafsson, S.
    Heby Primary Health Care Center, Heby, Sweden.
    Wesström, J.
    Örsundsbro Primary Health Care Center, Örsundsbro, Sweden.
    Skoglund, Karin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Telephone nurses’ use of a decision support system: An observational study2019Inngår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 21, nr 4, s. 501-507Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Telephone nurses give advice and support and make assessments based on verbal communication only. Web-based decision support systems are often used to increase patient safety and make medically correct assessments. The aim of the present this study was to describe factors affecting the use of a decision support system and experiences with this system among telephone nurses in Swedish primary health care. Observations and semistructured interviews were conducted. Six registered nurses with at least 1 year of experience of telephone nursing participated. Field notes and interviews were analyzed by qualitative content analysis. The main findings of the present this study were factors that decrease the decision support system use or promote deviation from decision support system use, factors that are positive for decision support system use and the decision support system complicates the work. Underuse and deviations from decision support systems can be a safety risk, because decisions are based on too little information. Further research with observations of telephone nurses’ use of decision support systems is needed to develop both telephone nursing and decision support systems.

  • 4.
    Holmström, Inger K.
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Malardalen Univ, Sch Hlth Care & Social Welf, Hogskoleplan 1,Box 883, SE-72123 Vasteras, Sweden.;Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden..
    Bohlin, Sofia
    Uppsala Univ, Dept Surg Sci, Sect Vasc Surg, Uppsala, Sweden..
    Wanhainen, Anders
    Uppsala Univ, Dept Surg Sci, Sect Vasc Surg, Uppsala, Sweden..
    Bjorck, Martin
    Uppsala Univ, Dept Surg Sci, Sect Vasc Surg, Uppsala, Sweden..
    Frojd, Camilla
    Uppsala Univ, Dept Surg Sci, Sect Vasc Surg, Uppsala, Sweden..
    Swedish men and smoking: Views on screening-detected abdominal aortic aneurysm2019Inngår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 21, nr 1, s. 119-125Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Abdominal aortic aneurysms (AAA), most common among elderly male smokers, often show no symptoms before rupture. To facilitate better care and counselling targeted to smoking cessation for these patients, more knowledge is required about their views. Therefore, the aim of the present study was to describe the views on AAA and smoking among male smokers with screening-detected AAA. A qualitative approach with individual interviews with 16 men with screening-detected AAA was applied. Three had quit smoking by the time of the interviews. Thematic analysis was performed, and four themes emerged: (i) accepting the course of life; (ii) the elusive AAA: a disturbing experiencing or merely a minor inconvenience?; (iii) being in safe hands; and (iv) smoking as an unexpected topic of discussion. Most of the participants felt they were in "safe hands", although thoughts about death were also evoked. However, the information about smoking cessation was unexpected, and the relationship between AAA and smoking unclear. Presenting the connection between AAA and smoking in a clear manner and motivating smoking cessation in an individually-targeted way are important.

  • 5.
    Kaminsky, Elenor
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Roing, M.
    Uppsala University, Sweden.
    Björkman, Annica
    Uppsala University, Sweden.
    Holmström, Inger K.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala University, Sweden.
    Telephone nursing in Sweden: A narrative literature review2017Inngår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 19, nr 3, s. 278-286Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Telephone nursing services are expanding globally. Swedish Healthcare Direct is the largest healthcare provider in Sweden. This paper provides a comprehensive understanding of telephone nursing, as reflected by research on Swedish national telephone nursing, and discusses the findings in relation to international literature. A descriptive, mixed-studies literature review was conducted. Twenty-four articles from January 2003 to April 2015 were identified from PubMed, Scopus, and CINAHL, and included. The issues explored in this study are how telephone nursing is perceived by callers, telephone nurses, and managers, and what characterizes such calls. Callers value reassurance, support, respect and satisfaction and involvement in decisions can increase their adherence. The telephone nurses' perspective focused on problems and ethical dilemmas, communication, the decision support tool, and working tasks. The managers' perspective focused on nursing work goals and malpractice claims. Concerning call characteristics, authentic calls, incident reports, and threats to patient safety were considered. Telephone nursing seems safe, but gender can play a role in calls. Future research on caller access, equity, and efficiency, healthcare cost-effectiveness, distribution, and patient safety is needed.

  • 6.
    Lindh, M.
    et al.
    Ersta Sköndal University College, Stockholm, Sweden.
    Holmström, Inger K.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Institute, Stockholm, Sweden.
    Perseius, K. -I
    The Red Cross University College, Stockholm.
    Windahl, J.
    Örebro University, Örebro, Sweden.
    Enhancing adherence to infection control in Swedish community care: Factors of importance2016Inngår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 18, nr 3, s. 275-282Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Healthcare-associated infections are the most frequent adverse event in healthcare delivery worldwide. The theory of planned behavior has proven helpful in hospital hygiene interventions and might be useful in community care. This study explored how medically-responsible nurses in Swedish community care perceived and ranked the impact of factors related to the theory of planned behavior, the factors“ probability to change, enhancing the healthcare staff's adherence to infection control guidelines, and identified which theory of planned behavior subquestions should be focused on to enhance adherence to infection control. Medically-responsible nurses (n = 268) in Swedish communities answered a Web-based questionnaire regarding impact and probability to change theory of planned behavior factors in relation to infection control. Four theory of planned behavior factor constructs were found: (i) knowledge and encouragement from management; (ii) access and availability to materials and equipment, and interest among staff; (iii) influence by colleagues; and (iv) workload, and influence by patients and significant others. The theory of planned behavior factors are relevant for infection control in a home-like environment, and findings could be used as a basis for interventions enhancing hygiene in community care. 

  • 7.
    Sreyasak, Atcharawadee
    et al.
    Adultand Aging, Prachomklao College of Nursing,Phetchaburi Province, Thailand.
    Almqvist, Anna-Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Sridawruang, Chaweewan
    Boromarajonani College of Nursing Udon Thani, Udon Thani, Thailand.
    Häggström-Nordin, Elisabet
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Kvinnors och barns hälsa, Uppsala universitet.
    Parents’ experiences of their teenage children’s parenthood: An interview study2018Inngår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 20, nr 1, s. 39-45Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In this study, we described and analyzed parents’ experiences of teenage parenthood and the provision of support to their teenage children who had recently have become parents. A quali- tative method was used. In-depth interviews with 24 participants were conducted, all parents of teenage parents. Data were analyzed using content analysis; four themes and 11 subthemes were identified. The results show that parents’ norms and values were strongly influenced by their religious beliefs. The participants had mixed emotions and reactions to their teenage chil- dren’s parenthood. Also participants were sources of support to the teenage parents and assisted them in their transition to parenthood. However, the participants also expressed the importance that their teenage children continue their education and avoid repeated pregnan- cies. This study highlights how emotional, instrumental, and informational support provided by parents to their teenagers can assist the latter in their transition to parenthood. In their work with teenage parents, healthcare providers can benefit from teenage parent's own parents involvement and experiences. 

  • 8.
    Sriyasak, Atcharawadee
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Almqvist, Anna Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Sridawruang, C.
    Boromarajonani College of Nursing Udon Thani Thailand .
    Häggström-Nordin, Elisabet
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Father role: A comparison between teenage and adult first-time fathers in Thailand2015Inngår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 17, nr 3, s. 377-386Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In this study, we compared perceived father roles among teenage and adult first-time fathers in Thailand. The design was cross-sectional and comparative, and the sample involved 70 teenage and 70 adult fathers, whose children were 2-6 months old. The fathers were recruited from 32 primary healthcare centers in the western region of Thailand. Three validated, self-reported questionnaires with multiple-choice questions were used for data collection. Differences between the two groups were analyzed using χ2-test and the Mann-Whitney U-test. The results revealed differences between teenage and adult fathers concerning income, educational level, and intention to have a baby. The teenage father group had a lower sense of competence, and scored lower on childrearing behavior and father-child relationship than the adult father group. These findings provide healthcare professionals with increased knowledge and understanding of teenage fathers' needs in preparing for parenthood. Given that we now know the importance of positive father roles in children's lives, health authorities should be expected to provide resources to help support these fathers. © 2015 Wiley Publishing Asia Pty Ltd.

  • 9.
    Wahlström, Emmie
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Harder, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Granlund, M.
    Jönköping University, Jönköping, Sweden.
    Holmström, Inger K.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala University, Uppsala, Sweden.
    Peter, Larm
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Golsäter, M.
    Jönköping University, Jönköping, Sweden.
    School nurses' self‐assessed cultural competence when encountering children of foreign origin: A cross‐sectional studyInngår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose of this study was to investigate associations between school nurses' self-assessed cultural competence in health visits with children of foreign origin and demographic variables, by using a cross-sectional design. A Web-based questionnaire assessing cultural competence and demographic variables was distributed to a nationally representative sample (n = 816) of school nurses in Sweden. Data were analyzed using regression analysis. School nurses assessed themselves as culturally aware and moderately culturally competent, but not as culturally knowledgeable, culturally skilled, or comfortable in cultural encounters. Cultural competence was related to education in cultural diversity, how often nurses encounter children of foreign origin, and nurses' country of origin. In total, these variables explained 23.6% of the variation in school nurses' cultural competence. Because school nurses regard themselves as moderately culturally competent, a foundation for promoting children's health on equal terms in school health care exists. However, education in cultural diversity combined with other additional strategies is needed to further strengthen school nurses' cultural knowledge, skills, and comfort level in encounters with children of foreign origin.

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