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  • 1.
    Eriksson, Nadya Travina
    et al.
    Mälarsjukhuset Hospital, Eskilstuna, Sweden.
    Wiklund Gustin, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Blessed Alienation: The Christian Monastery as a Caring and Restorative Environment2014Inngår i: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 24, nr 2, s. 172-182Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Being mentally ill is often associated with experiencing alienation from society because sensations are not easily shared with others. Modern health care leads us to pose many questions. Some sufferers search and find their way to monasteries as they did centuries ago. We interviewed six persons staying in a monastery to understand the meaning of health and care in a monastic environment in contemporary Sweden. We analyzed the transcripts by means of a hermeneutic approach and discovered that the helping effect of the monastery was based on its contradictory/paradoxical structure that corresponded to the lifeworld of a person suffering from mental illness. The monastery was a place where one could be different but equal, and simultaneously provided freedom within boundaries, calmness and intensity, privacy and relations, demands and confirmation. This facilitated experiences of health and wholeness, necessary to manage the challenges of recovery.

  • 2.
    Harder, Maria
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Christensson, Kyllike
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Coyne, Imelda
    Trinity College Dublin, Ireland.
    Söderbäck, Maja
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Five-year-old Children's Tuning-in and Negotiation Staregies in an Immunization Situation2011Inngår i: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 21, nr 6, s. 818-829Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In this article, we have explored 5-year-old children's expressions when they as actors took part in an immunization situation in the Primary Child Health Care (PCHC) service in Sweden. Although children's health and development are the main concern in the PCHC service, their perspectives in such a setting have not been explored fully. To capture children's perspectives we used a hermeneutic design and video observations. The findings revealed children as competent and active participants, contributing to the construction of the PCHC situation in mutuality with the nurse and the parent. The conceptualization of children's expressions and actions revealed how they influenced and dealt with a PCHC situation by using strategies of tuning-in, affirmative negotiation, and delaying negotiation. Understanding children's actions will assist nurses to act with sensitivity when they encounter and support children.

  • 3.
    Johansson Sundler, Annelie
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Dahlberg, Karin
    University of Skövde.
    Ekenstam, Claes
    University of Gothenburg, Sweden.
    The Meaning of Close Relationships and Sexuality: Women's Well-Being Following a Myocardial Infarction2009Inngår i: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 19, nr 3, s. 375-387Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Relationships and sexuality following heart attack (MI) have been studied; nevertheless, little is known about the meaning of social support and relationships to health and well-being after an MI. To our knowledge, no qualitative studies have further investigated the phenomenon. In this study we explore the meaning of close relationships and sexuality to women's health and well-being following MI. Ten women were interviewed using a reflective lifeworld approach and phenomenological epistemology. The meaning of women's close relationships following an MI appears to be closely intertwined with their long-term health process; both health processes and the relationships are affected. Suffering after an MI can be compared to taking a fall in that close relationships can become a safety net. Close relationships and sexuality are integrated into their lived bodies, and in that way have profound influence in their lifeworld experiences. Not all close relationships are intimate; however, all close and meaningful relationships can provide power and strength to the women's health processes. At the same time, these relationships also appear to drain energy and cause suffering.

  • 4.
    Lövenmark, Annica
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    How Children of Parents With Dementia Can Make Their Subject Positions Understandable and MeaningfulInngår i: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The families of people diagnosed with dementia are commonly first-in-line caregivers. This can have a considerable effect on their lives, health, and relationships. However, few studies have focused on the children in such families. Therefore, the aim of this study was to describe how children, in their own narratives, construct themselves as subjects growing up and caring for a parent with dementia. The study applies discourse analysis. The findings show three subject positions: parent to your parent(s), orphan with parents, and time traveler stuck in time. There is a need to support these children, both as children and as young adults. More knowledge is necessary regarding the kind of support they might want or need. For health care professionals, it is important to know that it might not always be easy to ask for information or support as a child caring for a sick parent.

  • 5.
    Nordgren, Lena
    et al.
    Växjö University.
    Asp, Margareta
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Fagerberg, Ingegerd
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Living with moderate-severe chronic heart failure as a middle-aged person2007Inngår i: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 17, nr 1, s. 4-13Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In this article the authors describe a study focusing on middle-aged persons living with chronic heart failure (CHF), a group with which few studies have been conducted. They used the lifeworld perspective to focus on persons' lived experiences of the phenomenon, that is, living with moderate-severe CHF as a middle-aged person. They interviewed 7 middle-aged persons (4 men, 3 women; aged 38 to 65 years) and analyzed the data obtained using a phenomenological approach. The phenomenon's essence is described as a life situation characterized by a failing body, a life constantly under threat, a rapidly changing health condition, and an altered self-image, which implies that the persons live in a changed life situation. The essence was further illuminated by three meaning constituents: an ambiguity of the body, losing track of life, and balancing life. Knowledge from this study will help caregivers understand and support patients with this debilitating condition.

  • 6.
    Röing, M.
    et al.
    University of Uppsala, Uppsala, Sweden.
    Holmström, Inger K.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Larsson, J.
    University of Uppsala, Uppsala, Sweden.
    A Metasynthesis of Phenomenographic Articles on Understandings of Work Among Healthcare Professionals2018Inngår i: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 28, nr 2, s. 273-291Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Phenomenography is a qualitative research method based on the assumption that almost any phenomenon will be understood by a group of people in a limited number of ways. Our aim in this article was to identify the different ways work can be understood by healthcare professionals. In a world where the delivery of healthcare is continually changing, a metasynthesis of phenomenographic articles on healthcare professionals’ understandings can provide knowledge about the focus and meaning of work for these individuals today. Our metaethnographic synthesis of 14 selected phenomenographic articles identified five different ways of understanding work, ranging from a limited to an all the more comprehensive view on patients and their needs. This range of understandings reveals problem areas and challenges facing healthcare professionals today. The possibility exists as well that limited understandings of work may be negative consequences of current demands for efficiency and all the more limited healthcare resources. 

  • 7.
    Röing, Marta
    et al.
    Uppsala University, Sweden.
    Hirsch, JM
    Uppsala University, Sweden.
    Holmström, Inger
    Uppsala University, Sweden.
    Schuster, Marja
    University of Stockholm, Stockholm, Sweden .
    Making new meanings of being in the world after treatment for oral cancer.2009Inngår i: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 19, nr 8, s. 1076-1086Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    When the mouth is affected by cancer, difficulties in satisfying basic human needs such as eating, tasting, swallowing, and speaking might arise, and the existential significance of the mouth might become obvious. How does it feel to live with these difficulties? What does it mean to be a human being living with the consequences of oral cancer? Five patients with oral cancer were interviewed a median time of 4 years after the beginning of treatment. A hermeneutic research approach was used to understand, explain, and interpret the transcribed interviews and showed how the consequences of oral cancer affected the being-in-the-world of the participants in three ways: existing as oneself, existing in the eyes of others, and existing with others. Against the background of the philosophy of Martin Heidegger, these findings illuminate how essential the mouth is to a human being's identity and existence.

  • 8.
    Sellin, Linda
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Kumlin, Tomas
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Wallsten, Tuula
    Uppsala Univ, Cty Hosp, Clin Res Ctr, Vasteras, Sweden..
    Wiklund Gustin, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. UiT Archt Univ Norway, Narvik, Norway.
    Experiences of a Recovery-Oriented Caring Approach to Suicidal Behavior: A single-case study2019Inngår i: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 29, nr 14, s. 2084-2095Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Research considering the basis for mental health nurses wanting to enable recovery among people who suffer from suicidal behavior is sparse. The aim of this study is to explore and evaluate how a new recovery-oriented caring approach (ROCA) was experienced by a suicidal patient in a context of close relatives and nurses. A single-case study with a qual-quan mixed-method design was chosen. Participants were recruited from a psychiatric clinic in Sweden and consisted of one patient, one close relative to the patient, and three nurses. The results reveal that the ROCA enabled the patient to narrate, bear experiences of hopelessness, and ask for support, rather than view suicide as the only possible solution. ROCA has the potential to support patients, relatives, and nurses to develop a common language, considering the patient’s life situation and struggles and to use this as a source for the patient’s individual care planning.

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