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  • 1.
    Aryuwat, Pimwalunn
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Asp, Margareta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Lövenmark [Åberg] [Engström], Annica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Radabutr, Matanee
    Praboromarajchanok Institute, Boromarajonani College of Nursing Changwat Nonthaburi The Ministry of Public Health Nonthaburi Thailand.
    Holmgren, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    An integrative review of resilience among nursing students in the context of nursing education2022In: Nursing Open, E-ISSN 2054-1058Article in journal (Refereed)
    Abstract [en]

    This integrative review aimed to examine empirical research on resilience among nursing students in the context of nursing education. Resilience helps nursing students handle challenges, such as changing learning styles and experiencing their first clinical practice.DesignAn integrative review.MethodsThe search terms focused on resilience and health in nursing students and nursing education. The database used in this review were CINAHL Plus, PubMed and MEDLINE. The Mixed Methods Appraisal Tool appraised the studies' quality.

    ResultsThis study explored 52 records and revealed three current research focuses related to nursing students' resilience: (1) the concept and description of resilience, (2) the characteristics affecting resilience and (3) the mediating role of resilience in maintaining holistic health. Recommendations include adding a resilience topic to the nursing curriculum, providing resilience enhancement programs, examining the relationship between resilience and holistic health and exploring the influence of resilience about global health crises.

    Public Contribution Resilience among nursing students plays a vital role in helping them to overcome adversities during their nursing education. Additionally, after graduation, nursing students can continue contributing to society as resilient Registered Nurses in the future.

  • 2.
    Aryuwat, Pimwalunn
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Holmgren, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Asp, Margareta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Lövenmark [Åberg] [Engström], Annica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Radabutr, Matanee
    Boromarajonani College of Nursing, Changwat Nonthaburi, Faculty of Nursing, Praboromarajchanok Institute, Nonthaburi 11000, Thailand.
    Sandborgh, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Factors Associated with Resilience among Thai Nursing Students in the Context of Clinical Education: A Cross-sectional Study2024In: Education Sciences, E-ISSN 2227-7102, Vol. 14, no 1, article id 78Article in journal (Refereed)
    Abstract [en]

    Resilience aids nursing students in dealing with adversities during their nursing education. This study examined the relationship between nursing students’ resilience and relevant variables in the context of clinical education. Methods: A cross-sectional study was conducted to collect data from 319 undergraduate nursing students in Northeast Thailand. The Connor–Davidson Resilience Scale, the Multidimensional Scale of Perceived Social Support, the Learning Experience Scale or the Personal Responsibility Orientation to Self-Direction in Learning Scale, and the Stressors in Nursing Students scale were administered. A multiple regression analysis was performed for factors presumed to be associated with resilience. Results reported that Thai nursing students’ average resilience score was 71.79 ± 16.33. Multiple regression analysis indicated factors associated with resilience, in which social support (β = 0.354, p < 0.001, 95%CI: 0.240 to 0.469) and self-directed learning (β = 0.787, p < 0.001, 95%CI: 0.606 to 0.968) showed a positive association, while stress (β = −0.083, p = 0.025, 95%CI: −0.083 to −0.006) had a negative association. The final model accounted for 43.4% of the variance in the resilience score. In conclusion, self-directed learning, social support, and perceived stress among nursing students during clinical education are associated with their resilience.

  • 3.
    Aryuwat, Pimwalunn
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Holmgren, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Asp, Margareta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Radabutr, Matanee
    Boromarajonani College of Nursing, Changwat Nonthaburi, Faculty of Nursing, Praboromarajchanok Institute, Nonthaburi 11000, Thailand.
    Lövenmark [Åberg] [Engström], Annica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Experiences of Nursing Students Regarding Challenges and Support for Resilience during Clinical Education: A Qualitative Study2024In: Nursing Reports, ISSN 2039-439X, p. 1604-1620Article in journal (Refereed)
    Abstract [en]

    Nursing students require resilience to navigate the complexities of clinical practice. This characteristic is essential for managing demanding workloads, unpredictable patient situations, and emotional stressors while maintaining performance and well-being. Fostering resilience helps students develop the capacity to adapt to adversity, overcome setbacks, and remain committed to providing high-quality patient care. This qualitative study explores the challenges and supports influencing nursing students’ resilience during clinical education. Interviews with 28 Thai nursing students revealed two key themes: the “experience of vulnerability” and the “experience of meaningfulness”. The sub-themes of vulnerability included “navigating uncertainty”, “transcending professional struggles”, and “being exposed to diverse encounters”. The sub-themes of meaningfulness focused on restoring strength through social interactions and engaging in positive transformation. This study highlights the need for comprehensive support systems that address personal and professional vulnerabilities. Integrating caring theory principles could further enhance resilience by emphasizing compassionate care and fostering student empathy. This suggests that instructors and stakeholders can significantly impact student well-being by creating supportive environments built on collaboration, empathy, and mentorship, all of which are aligned with caring theory.

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  • 4.
    Aryuwat, Pimwalunn
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Boromarajonani College of Nursing Udonthani, Faculty of Nursing, Praboromarajchanok Institute, Thailand.
    Holmgren, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Asp, Margareta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Radabutr, Matanee
    Boromarajonani College of Nursing, Changwat Nonthaburi, Faculty of Nursing, Praboromarajchanok Institute, Thailand.
    Lövenmark [Åberg] [Engström], Annica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Promoting Resilience in Nursing Students regarding Challenges and Support Strategies in Clinical Education - A Qualitative Study of Nursing Instructors' Experiences in ThailandManuscript (preprint) (Other academic)
    Abstract [en]

    This qualitative study explored nursing instructors' experiences in promoting resilience among nursing students during clinical education. Using focus group interviews with 27 instructors from four nursing colleges in Thailand, the study aimed to explore nursing instructors’ experiences of promoting resilience among nursing students during clinical education. Data were analyzed using Braun and Clarke's inductive thematic analysis approach, guided by the Unitary Caring Science Resilience-Building Model. Two main themes emerged: (1) Challenges to Nursing Students' Resilience and (2) Support Strategies for Enhancing Resilience. Challenges included bridging theory and practice, upholding confidence in clinical skills, adapting to new clinical environments, and managing expectations. Support strategies encompassed providing comprehensive preparation, fostering open communication, implementing peer support systems, and utilizing reflective practice. The findings highlight the complex interplay of factors affecting nursing students' resilience and the multifaceted approaches instructors use to support it. The study underscores the need for a holistic approach to nursing education that addresses both clinical competence and psychological well-being. Implications include curriculum redesign to bridge the theory-practice gap, enhanced instructor training in mentorship and resilience-building, implementation of comprehensive student support systems, and integration of technology to support learning and resilience. This research contributes to the understanding of resilience in nursing education and offers insights for developing evidence-based strategies to better prepare future healthcare professionals for the challenges of modern healthcare environments.

  • 5.
    Eriksson, Henrik
    et al.
    The Red Cross University College, Stockholm, Sweden.
    Christiansen, Mats
    Karolinska Institutet, Stockholm, Sweden.
    Holmgren, Jessica
    Karolinska Institutet, Stockholm, Sweden.
    Engström, Annica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Salzmann-Erikson, Martin
    University of Gävle, Gävle, Sweden.
    Nursing under the skin: A netnographic study of metaphors and meanings in nursing tattoos2014In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 21, no 4, p. 318-326Article in journal (Refereed)
    Abstract [en]

    The aims of this study were to present themes in nursing motifs as depicted in tattoos and to describe how it reflects upon nursing in popular culture as well as within professional nursing culture. An archival and cross-sectional observational study was conducted online to search for images of nursing tattoos that were freely available, by utilizing the netnographic methodology. The 400 images were analyzed in a process that consisted of four analytical steps focusing on metaphors and meanings in the tattoos. The findings present four themes: angels of mercy and domination; hegemonic nursing technology; embodying the corps; and nurses within the belly of the monster. The tattoos serve as a mirror of popular culture and the professional culture of nurses and nursing practice within the context of body art. Body art policy statements have been included in nursing personnel dress code policies. Usually these policies prohibit tattoos that are sexist, symbolize sex or could contribute and reproduce racial oppression. The results show that the tattoos can be interpreted according to several layers of meanings in relation to such policies. We therefore stress that this is an area highly relevant for further analyses in nursing research.

  • 6.
    Eriksson, Henrik
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sandberg, Jonas
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Holmgren, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Pringle, Keith
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    His Helping hands: Adult daughters’ perceptions of fathers with a caregiving responsibility2013In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, Vol. 16, no 2, p. 235-248Article in journal (Refereed)
    Abstract [en]

    Women's position as informal carers has been taken for granted in social policy and social professions, while relatively few discussions have elaborated on caring as a later life activity for men and the impact on family care. This study explores the processes connected to informal caregiving in later life through the position of adult daughters of older fathers engaged with long-term caregiving responsibilities for a partner. A sample of eight daughters, with fathers having primary caregiving responsibility for their ill partners was recruited and in-depth interviews were carried out and analysed according to qualitative procedures. The daughters' descriptions of their relationships with their fathers show that being an older man who engages in caring can have a positive outcome on relations. Even if some of the daughters have doubts about their fathers “masculine authenticity”, all of them appear to cherish “his helping hands” as a carer and closer more intimate relationships with their fathers. Caring for an old and frail spouse may potentially present alternative ways of being a man beyond traditional ‘male activities’ and that caring might also sometimes involve a re-construction of gender identities. It is suggested that social work professionals may use a gendered understanding to assess and work strategically with daughters and other family members who support caring fathers.

  • 7.
    Holmgren, Jessica
    Mälardalen University, School of Health, Care and Social Welfare. Röda Korsets Högskola, Hälsovetenskapliga institutionen, Sweden.
    A Visual Analysis on How the Physical Environment Conditions Relatives' Involvement in Nursing Homes2017In: SAGE Open, E-ISSN 2158-2440, Vol. 7, no 4, p. 1-10Article in journal (Refereed)
    Abstract [en]

    This study seeks to describe how the composition of the physical care environment conditions relatives' involvement in nursing home institutions. It is well known that the physical care environment in institutions has a significant impact on the well-being of residents and the work satisfaction of nursing staff. Less explored is how physical care environmental factors are related to the involvement of relatives in nursing homes. A visual analysis of 52 photographs from three nursing homes in Sweden shows how the physical environment acts to condition the involvement of relatives through the use of design, information displays, and cultural symbols. Although various aspects of the physical environment promoted participation of relatives, that engagement was based on certain limited concepts of involvement. This suggests that other conceptual frameworks of involvement in nursing homes are possible, and that these might encourage other aspects of involvement from the relatives of nursing home residents.

  • 8.
    Holmgren, Jessica
    Röda Korsets Högskola, Avdelningen Vård och Omvårdnad, Sweden.
    Anhörigas delaktighet vid äldreboenden: ett möjligheternas projekt?2017Conference paper (Other (popular science, discussion, etc.))
  • 9.
    Holmgren, Jessica
    Karolinska Institutet, Institutionen för neurobiologi, vårdvetenskap och samhälle, Sweden.
    Conditions for relatives' involvement in nursing homes2015Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of this thesis was to describe and analyse how the involvement of relatives is conditioned in nursing homes from different critical perspectives. Gender perspectives, discourse analysis and intersectional theory are applied, based on social constructionist ontology. The thesis comprises three qualitative papers and data are based on ethnographically-focused fieldwork in three municipal nursing homes in the form of formal/informal interviews, participating observations and the analysis of documents.

    Based on gender perspectives, the routines and reasonings among nursing staff were studied and thematically analysed in relation to how these conditioned the involvement of relatives in the daily caring activities (I). In the second study (II), the nursing staff were interviewed in groups to describe, discursively analyse and identify the biopolitical meaning in the "involvement discourse" that was collectively constructed in the speech of the nursing staff concerning the involvement of relatives. In the last study (III), interviews with relatives were thematically analysed in the context of intersectional theory about their involvement in the nursing homes.

    The findings show that the conditions for relatives’ involvement were dynamic and constantly in re-negotiation, but also conservative and inflexible. This placed relatives in both privileged and unprivileged social positions in the nursing homes, which were relevant for their involvement. The relatives were considered to be "visitors", which conditioned the characteristics and levels of involvement in the care of the residents and was linked to gendered notions of the division of labor, both within the groups of relatives and between nursing staff and relatives (I). The involvement of relatives was conditioned by the biopolitics of an "involvement discourse" that prevailed in the nursing homes. This built upon family-oriented rhetorics and metaphors that upheld and legitimised notions about relatives. The relatives were considered to be members of the "old" family in relation to the "new" family represented by the nursing staff (II). The relatives described how they were positioned in a betweenship, squeezed between different competing social musts from the older family members, the nursing homes as institutions and the nursing staff (III).

    Inverting the prevailing picture of the involvement of relatives would make it possible to consider the nursing staff as pedagogical, professional and caring "visitors" in the nursing homes for the benefit of the residents and their relatives. This could be achieved through a constructive change management which emphasises the learning of nursing staff, their responsibility and the emotions of relatives, along with a focus on alternative notions of involvement, where relatives are included in the development of quality of care in Swedish nursing homes.

  • 10.
    Holmgren, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Röda Korsets Högskola, Avdelningen Vård och Omvårdnad, Sweden.
    Global Nursing: Educating future nurses for tomorrow’s nursing care needs2017In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 37, no 3, p. 172-174Article in journal (Other academic)
    Abstract [en]

    The world has witnessed the most comprehensive refugee diaspora of modern history. Sweden has been one of the countriesthat has welcomed people and given them refuge. Refugees are in need of quality nursing care that is provided by professionaland knowledgeable registered nurses. However, taking into account this global mobility and the resulting shift in demographiccharacteristics, nurses need to be particularly competent in relation to addressing global issues. The question is, are futurenurses educated with enough relevant knowledge and skills to be able to meet tomorrow’s nursing care needs? The SwedishRed Cross University College (SRCUC) has contributed to the global discourse in several aspects, not least those elementsrelated to the International Red Cross tradition and its basic humanitarian principles. We would like to share the stipulateddefinition that guides our subject profile area: global nursing. To answer the question that first concerned the SRCUC, wepreviously had conducted a traditional undergraduate nursing education that needed to be updated in relation to what is nowhappening globally. By developing and promoting the relevant knowledge and skills in global nursing, we believe that futurenurses will be prepared to accommodate tomorrow’s nursing care needs.

  • 11.
    Holmgren, Jessica
    Röda Korsets Högskola, Avdelningen Vård och Omvårdnad, Sweden.
    Humanitarian nursing in an EBOLA viral haemorrhagic fever outbreak: Before, during and after deployment2016Conference paper (Refereed)
    Abstract [en]

    Background: In February 2014, the first Ebola Virus Disease (EVD) case in West Africa was confirmed in the Republic of Guinea. It then quickly spread to neighbouring countries, and became the largest Ebola outbreak ever. By March 2016, there was reported 28,639 cases of EVD and 11,316 deaths worldwide. As the largest humanitarian network in the world, the International Federation of Red Cross and Red Crescent Societies (IFRC) played an active role in stopping the spread of the deadly virus. IFRC also provided psychosocial support to affected families, and assisted in the management of dead bodies. Previous research concerning the Ebola outbreak has focused on practical guidance, such as protective equipment, protective behaviours infection control and emergency management. Very few studies have focused on health care staff’s own experiences from caring for these patients under very extreme conditions. Nurses play a key role in global disaster response at disaster centers, nevertheless, they are often not prepared for the challenges they are facing and what nursing skills that are required by nurses who are first responders to a disaster situation.

    Objectives: To investigate how returnee nursing staff experienced their deployment before, during and after having worked at an Ebola Treatment Center (ETC) during an acute viral haemorrhagic fever (VHF) outbreak, and to supply knowledge on how to better prepare health care staff for future VHF outbreaks.

    Design: A cross-sectional approach.

    Participants: Nurses having returned after working with Ebola patients at an ETC in Kenema, Sierra Leone, during 2014 and 2015.

    Measurements: Data were collected through a self-administered questionnaire via mail covering aspects of pre-deployment training, personal health and stress management, leadership styles and knowledge transfer, socio-cultural exposure, and attitudes from others when returning home.

    Results: Before employment, there is a need for practical exercises specific for the task, and information adapted to the mission. Further, information to family and colleagues can be deepen. During employment, the participants are in need of interpersonal contacts, team work and strong dynamics. After deployment there is a need for mental health support and hands-on coping strategies.

    Conclusions: Participants stressed the importance of mental health support combined with psychosocial care after deployment. There is also a need for more specific practical training. An active dialogue and communication with colleagues were perceived as primordial, and information given to family and colleagues was relevant but not sufficient.

  • 12.
    Holmgren, Jessica
    Karolinska Institutet, Sweden.
    Postkoloniala blickar på konstruktionen av ”den Andre"2014In: Vårdvetenskap och postmodernitet: en introduktion / [ed] Henrik Eriksson, Lund: Studentlitteratur , 2014, 1, p. 113-144Chapter in book (Other academic)
  • 13.
    Holmgren, Jessica
    Röda Korsets Högskola, Avdelningen Vård och Omvårdnad, Sweden.
    The voluntary arena - diversity, identity and glocal challenges within Swedish volunteering activities2016Conference paper (Other academic)
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  • 14.
    Holmgren, Jessica
    et al.
    Karolinska Institutet, Stockholm, Sweden.
    Emami, Azita
    Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
    Eriksson, Lars E.
    Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
    Eriksson, Henrik
    Röda Korsets Högskola, Sweden.
    Being perceived as a ‘visitor’ in the nursing staff’s working arena: the involvement of relatives in daily caring activities in nursing homes in an urban community in Sweden2013In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 27, no 3, p. 677-685Article in journal (Refereed)
    Abstract [en]

    Background

    It is both complex and difficult for relatives when a loved one moves into a nursing home and many relatives are not prepared for the realities these new situations entail. Little attention has been paid to scrutinising the involvement of relatives in patient care, particularly in relation to the structures and routines of nursing homes or to the staff's reasoning concerning their involvement.

    Aim

    To describe, from a gender perspective, how nursing staff's routines and reasoning act to condition the involvement of relatives in nursing homes.

    Methods

    Focused ethnographic fieldwork was conducted in a medium-sized urban community in central Sweden in three different nursing homes.

    Results

    The nursing staff assigns a certain code of conduct to all relatives they perceived as ‘visitors’ in their working arena. This code of conduct was related to the routines and subcultures existing among the nursing staff and stemmed from a division of labour; the underlying concept of ‘visitor’ predetermined the potential for relatives' involvement. This involvement is explicitly related to the general gendered characteristics that exist in the nursing staff's perception of the relatives.

    Discussion

    The study's limitations are primarily concerned with shortcomings associated with a research presence during the fieldwork. The discussion focuses on the dimensions of power structures observed in the nursing home routines and the staff's reasoning based on their gendered assumptions. We argue that it is important to develop mechanisms that provide opportunities for nursing staff in elderly care to reflect on these structures without downplaying the excellent care they provide. We stress the importance of further exploring these issues concerning relatives and their involvement in nursing homes to facilitate the transition from informal caregiver to ‘visitor’.

  • 15.
    Holmgren, Jessica
    et al.
    Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Emami, Azita
    Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Eriksson, Lars E
    Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Eriksson, Henrik
    Röda Korsets Högskola, Sweden.
    Intersectional perspectives on family involvement in nursing home care: rethinking relatives' position as a betweenship2014In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 21, no 3, p. 227-237Article in journal (Refereed)
    Abstract [en]

    This study seeks to understand, in the context of intersectional theory, the roles of family members in nursing home care. The unique social locus at which each person sits is the result of the intersection of gender, status, ethnicity and class; it is situational, shifting with the context of every encounter. A content analysis of 15 qualitative interviews with relatives of nursing home residents in Sweden was used to gain a perspective on the relationships between relatives and residents, relatives and the nursing home as an institution, and relatives and the nursing home staff. We sought to understand these relationships in terms of gendered notions of the family and the residents, which are handed down from generation to generation and thus condition who and how relatives should be involved in care, and the ways in which relationships change as care moves from home to nursing home. It requires knowledge and awareness that the nursing home culture is based on intersectional power structures in order for relatives to be involved in nursing home care in alternative and individual ways.

  • 16.
    Holmgren, Jessica
    et al.
    Röda Korsets Högskola, Sweden.
    Emami, Azita
    University of Washington, USA.
    Eriksson, Lars E.
    Karolinska Institutet, Sweden.
    Eriksson, Henrik
    Röda Korsets Högskola, Sweden.
    Replicating the Family: The Biopolitics of Involvement Discourses Concerning Relatives in Nursing Home Institutions2014In: Aporia: The Nursing Journal, ISSN 1918-1345, Vol. 6, no 4, p. 19-29Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe the biopolitics of involvement discourses articulated by nursing staff concerning relatives in nursing home institutions, using a Foucault-inspired discourse analytical approach. Previous research has described how relatives have not been involved in nursing homes on their own terms. This is partly due to a lack of communication and knowledge, but it is also a consequence of an unclear organizational structure. Results from a discourse analysis of six focus group interviews with nursing staff show that the "involvement discourse" in nursing homes can be described as a "new" vs "old" family rhetoric. This rhetoric can be said to uphold, legitimize and provide different subject positions for both nursing staff and relatives concerning the conditions for involvement in nursing homes. As part of a "project of possibility" in elderly care, it may be possible to adopt a critical pedagogical approach among nursing staff in order to educate, strengthen and support them in reflecting on their professional norming and how it conditions the involvement of relatives.

  • 17. Holmgren, Jessica
    et al.
    Eriksson, Henrik
    Mälardalen University, School of Health, Care and Social Welfare.
    I princip men aldrig mer...: Sjuksköterskors resonemang kring omvårdnadsforskning och forskningsanvädning2009In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 29, no 3, p. 4-7Article in journal (Refereed)
    Abstract [en]

    ABSTRACT

    Aim: The aim was to describe how a group of nurses in clinical practice perceived nursing research and research utilization.

    Background: Swedish nurses are expected to implement results of nursing research in nursing action. Previous research shows however variousdifficulties in the utilization of research, due to shortcomings in education, absence of methods in clinical settings and lack of support fromsupervisors. However, the perception of clinical nurses regarding nursing research and research utilization is important to gain more understanding.

    Methods: A qualitative description was adopted. Nine clinical nurses were interviewed and the transcripts analyzed according to given methodological steps.

    Findings: The result shows that the nurses have a «in principle» attitude towards nursing research and research utilization. In general termsnurses perceive nursing research as important and significant, but due to anecdotic experiences it is not important just for them and in their specific nursing practice.

    Conclusions: We argue that this «in principal» perception has a relevance when the question of research utilization is addressed. In nursing professions everyone

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  • 18.
    Holmgren, Jessica
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Eriksson, Henrik
    Section for Health Promotion and Care Sciences, University West, Trollhättan, Sweden.
    Towards a global nursing curriculum for the 21st century: Rethinking health through the lens of a sustainability paradigm – a contemporary issue2023In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 43, no 3-4Article in journal (Refereed)
    Abstract [en]

    Nursing education has historically been designed in harmony with societal development. However, the world is becoming increasingly complex, and we face ongoing global challenges. A new, progressive step towards a global nursing curriculum is needed. This development is anticipated, and nursing students often request knowledge and perspectives that will prepare them to care in a sustainable way. To provide this and ensure equal health, intersectional perspectives must be at the foundation of future caring activities. There is thus a societal shift that makes it necessary to take a decisive step towards rethinking health through the lens of a sustainability paradigm.

  • 19.
    Holmgren, Jessica
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen, Sweden.
    Eriksson, Henrik
    Röda Korsets Högskola, Hälsovetenskapliga institutionen, Sweden.
    Tegnestedt, Charlotta
    Röda Korsets Högskola, Hälsovetenskapliga institutionen, Sweden.
    Global nursing as visualised on the internet: a netnographic analysis of the emerging global paradigm in nursing2018In: Contemporary Nurse: health care across the lifespan, ISSN 1037-6178, E-ISSN 1839-3535, Vol. 54, no 4-5, p. 443-455Article in journal (Refereed)
    Abstract [en]

    Background: Positioned to face increasing issues relating to the growing and aging population, ill health, climate change, natural disasters, and humanitarian crises, nurses play a crucial role in responding to the challenges of globalisation. With nurses rising to meet these challenges, the term ‘global nursing’ has been coined. Given the ongoing proliferation of the term, it seems relevant to explore the key relationship of the concepts of ‘global’ and ‘nursing’ within the milieus provided through the internet.

    Aim: To describe how global nursing as a concept is visualised in images on the internet.

    Method: A cross-sectional observational design based on netnographic methodology was conducted. By searching the term ‘global nursing’ in the Google search engine, a total of 973 images illustrating ‘global nursing’ were collected and stored on one specific search occasion. The inclusion of data covered all regions but no other search limits.

    Results: The results show that global nursing, first and foremost, is visualised as an academic discourse, as a nursing activity, and as an approach to target sustainability. Further, the results also highlight that global nursing has manifested as a Western discourse, targeting students with access to resources and a humanitarian interest. Conclusion: By paying attention to global nursing as it is presented in this study, it has been possible to provide valuable insights about colonial boundaries in the nursing discourse relating to globality. Based on these results, we stress that the nursing paradigm would benefit from a greater postcolonial awareness and some reflexivity connected with the global issues that nurses are facing.

    Impact statement: Global nursing is paradoxically visualised as something distant, connected to ideas of ‘otherness’, and of not belonging to the Western nursing community

  • 20.
    Holmgren, Jessica
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen, Sweden.
    Kraft, Mia
    Röda Korsets Högskola, Hälsovetenskapliga institutionen, Sweden.
    A global nursing framework in the Swedish Red Cross undergraduate nursing program2018In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 38, no 3, p. 167-174Article in journal (Refereed)
    Abstract [en]

    Alongside a globalized world and a demographic shift in Sweden, future nurses must provide globally significant nursing care based on relevant knowledges and skills. To contribute to the global nursing discourse, this article aims to describe the process undertaken in developing and implementing a global nursing approach and curriculum in the Swedish Red Cross undergraduate nursing program. A comprehensive process of educational change was carried out, targeting both faculty and students with various academic activities. The new global-oriented curriculum was evaluated positively by nursing students, and a definition of global nursing was disseminated among educators. Nursing students at the Swedish Red Cross University College are now encouraged to advocate for vulnerable persons in need of healthcare services and to counteract inequalities and social injustice in sustainable ways. It is suggested that a global nursing framework is what is required when educating nurses to meet tomorrow’s nursing care needs.

  • 21.
    Holmgren, Jessica
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen, Sweden.
    Paillard-Borg, Stéphanie
    Röda Korsets Högskola, Hälsovetenskapliga institutionen, Sweden.
    Saaristo, Panu
    The International Federation of the Red Cross and Red Crescent Societies (IFRC), Geneva, Switzerland.
    von Strauss, Eva
    Röda Korsets Högskola, Hälsovetenskapliga institutionen, Sweden.
    Nurses’ experiences of health concerns, teamwork, leadership and knowledge transfer during an Ebola outbreak in West Africa2019In: Nursing Open, E-ISSN 2054-1058, Vol. 6, no 3, p. 824-833Article in journal (Refereed)
  • 22.
    Holmgren, Jessica
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen, Sweden.
    Tegnestedt, Charlotta
    Röda Korsets Högskola, Hälsovetenskapliga institutionen, Sweden.
    Rodriguez, Marita
    Svenska Röda Korset, Sweden.
    Frivillighetens arena: Frivilligas erfarenheter av mångfald, identitet och glokala utmaningar inom svensk frivilligverksamhet2019Report (Other academic)
    Abstract [sv]

    Bakgrund I mitten på 2010-talet befann sig runt 65 miljoner människor på flykt runt om i världen på grund av krig, katastrofer och väpnade konflikter. Många människor flydde för sina liv och sökte skydd och fristad i Europa och Sverige. På lokal nivå anlitades ofta rödakorskretsar i det humanitära bemötandet och omhändertagandet av dessa människor. Delvis var detta en ny situation och erfarenhet för frivilligarbetare. Syfte Syftet med forskningsprojektet var att undersöka hur frivilliga beskriver och resonerar kring lokala och globala utmaningar relaterade till demografiska förändringar, med fokus på personer som är på flykt och är i behov av humanitära frivilliginsatser. Metod Data har samlats in via fokusgruppsintervjuer i tre olika kretsar i Mellansverige. Intervjuerna genomfördes på tre olika nivåer i varje krets, med frivilliga, frivilligledare och kretsstyrelse. Resultat De transkriberade intervjuerna analyserades tematiskt och följande teman identifierades; Erfarenheter från flyktingströmmen 2015, Kärnan i frivilligt arbete inom Svenska Röda Korset, Förvalta och bevara, men också tänka nytt, Tredje sektorns betydelse och frivillighet under ansvar, Tankar framåt och fortsatt arbete i rödakorskretsarna. Slutsatser och framåtblickar Några paradoxer och framtida utmaningar identifierades. Utmaningarna tycks ligga i att kunna överbrygga och tänka ”både och” i stället för ”antingen eller” vad gäller frivilligas traditionella villkor i relation till vad som kan utvecklas, i en tid där frivilligverksamhet kommer att få en alltmer betydande roll i det svenska samhället.

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  • 23.
    Paillard-Borg, Stéphanie
    et al.
    Röda Korsets Högskola, Avdelningen Medicin och Folkhälsa, Sweden.
    Holmgren, Jessica
    Röda Korsets Högskola, Avdelningen Vård och Omvårdnad, Sweden.
    Immigration, Women, and Japan—A Leap Ahead and a Step Behind: A Qualitative Journalistic Approach2016In: SAGE Open, E-ISSN 2158-2440, Vol. 6, no 2, p. 1-7, article id 2158244016673129Article in journal (Refereed)
    Abstract [en]

    Japan has become a super-aged society, facing demographic challenges resulting in societal and economic consequences. In its political structural reform, the Japanese government presented the urgency to consider the increase in labor mobility that includes the issues of immigration and female employment, both domestic and foreign. The aim of this study was to explore, from a Japanese woman’s perspective, the intertwined issues of immigration. An in-depth interview was performed and analyzed by content analysis with a methodological departure in qualitative journalistic interviewing. The case was a Japanese woman with a unique profile. The results of this study, family permanency and group cohesiveness, can contribute to understand the potential interdependency between the roles, within the Japanese society, of foreign female domestic workers and Japanese women. In conclusion, it appears that the pivotal role of women in the Japanese society and the global feminization of migration challenge Japanese social consistency.

  • 24.
    Paillard-Borg, Stéphanie
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen, Sweden.
    Holmgren, Jessica
    Röda Korsets Högskola, Hälsovetenskapliga institutionen, Sweden.
    Saaristo, P.
    International Federation of Red Cross and Red Crescent Societies, Geneva, Switzerland.
    von Strauss, Eva
    Röda Korsets Högskola, Hälsovetenskapliga institutionen, Sweden.
    Heroes and pariahs: Nurses in a viral haemorrhagic fever outbreak2017In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 27, no S3, p. 319-319Article in journal (Other academic)
  • 25.
    Paillard-Borg, Stéphanie
    et al.
    The Swedish Red Cross University College, Huddinge, Sweden.
    Holmgren, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. The Swedish Red Cross University College, Huddinge, Sweden.
    Saaristo, Panu
    International Federation of Red Cross and Red Crescent Societies (IFRC), Geneva, Switzerland.
    von Strauss, Eva
    International Federation of Red Cross and Red Crescent Societies (IFRC), Geneva, Switzerland.
    Nurses in an Ebola Viral Hemorrhagic Fever Outbreak: Facing and Preparing for Psychosocial Challenges2020In: SAGE Open, E-ISSN 2158-2440, Vol. 10, no 2, article id 2158244020920658Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to describe the psychosocial experience of the International Federation of Red Cross and Red Crescent Societies’ nurses upon their return from deployment at an Ebola Treatment Center during an Ebola virus disease outbreak in Kenema, Sierra Leone, between 2014 and 2015. The following three psychosocial aspects related to pre-, during, and postdeployment were explored: stress management, sociocultural exposure, and attitudes from others. This is a descriptive qualitative study with a cross-sectional design. Questionnaires were administered to 50 nurses, of which 44 responded. Eight themes were identified in relation to the three psychosocial aspects of interest: professional- and self-confidence, pragmatism, wellness activities, human contact, cultural competency, professionalism, pariah, and/or hero. One of the most important findings in this article relates to the essential mental health support pre- and during deployment with an emphasis upon return when the risk of isolation and stigmatization is greater. In conclusion, more research is needed about the psychosocial challenges met by nurses to prepare and support them as increasing threat of emerging infectious diseases puts pressure on global health systems.

  • 26.
    Sandberg, Jonas
    et al.
    Department of Health Care Sciences, Ersta Sköndal University College, Stockholm, Sweden.
    Eriksson, Henrik
    Mälardalen University, School of Health, Care and Social Welfare.
    Holmgren, Jessica
    Sörmland County Council, Eskilstuna, Sweden.
    Pringle, Keith
    Department of Applied Social Sciences, London Metropolitan University, United Kingdom.
    Keeping the family balance: adult daughters’ perspectives on roles and strategies when supporting caring fathers2009In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, Vol. 12, no 2, p. 233-245Article in journal (Refereed)
    Abstract [en]

    The Scandinavian countries represent a progressive approach to gender equality and transitions of traditional gender roles but little attention has been paid to gender equality in old age and how normative constructions of gender intersect in the lives of family carers. The aim of this study was to understand how adult daughters experience their roles and strategies when supporting fathers caring for an ill mother. A sample of eight daughters shared their experiences through in-depth interviews. The findings show that the daughters provide substantial and crucial effort and are intimately involved in the caring for their father and the sole contributors towards the emotional support of their fathers. They tend to devote a lot of energy towards picturing their family as 'normal' in terms of the family members adopting traditional roles and activities inside as well as outside the family context. In conclusion, the lack of understanding about gender as a 'norm producer' is something that needs to be further elaborated upon in order for professionals to encounter norm-breaking behaviours. The daughters' position as family carers is often assumed and taken for granted since the intersecting structures that impact on the situations of the daughters are largely invisible.

  • 27.
    Skoglund, Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Åhlman, Ebba
    The intensive care unit, Västmanland hospital,Västerås, Sweden.
    Mallin, Sofia
    The intensive care unit, Mälar hospital,Eskilstuna, Sweden.
    Holmgren, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Intensive care nurses' experiences of caring for patients during the COVID-19 pandemic based on an analysis of blog posts2023In: Nursing in Critical Care, ISSN 1362-1017, E-ISSN 1478-5153Article in journal (Refereed)
    Abstract [en]

    Background

    In 2019, coronavirus disease 2019 (COVID-19) broke out worldwide, leading to a pandemic. Studies have shown that COVID-19 patients in intensive care units (ICUs) require more nursing care than other patients. ICU nurses who care for patients with COVID-19 have shown signs of psychological and physical strain.AimThe aim of this study was to illuminate ICU nurses' experiences of caring for patients with COVID-19 in ICUs during the first wave of the pandemic.DesignA qualitative, descriptive and inductive approach was used.

    Method

    A total of 70 blog posts from 13 bloggers in the United States, Great Britain, Finland and Sweden were analysed using qualitative inductive manifest content analysis.

    Results

    The results reveal an overall theme: ‘An overturned existence under extreme conditions’. Furthermore, three categories—‘the virus caused changes in work and private lives’, ‘unreasonable demands’, and to hold on to caring ideals thanks to the support of others’—and seven subcategories were identified.

    Conclusion

    Caring for patients with COVID-19 during the first wave of the pandemic was demanding because of a lack of knowledge about the disease and the severity of the illness. This led to ICU nurses experiencing extreme conditions that affected various aspects of their lives. Support from colleagues and teamwork were revealed to be particularly important for how nurses dealt with the demands of working during a pandemic, as was sufficient recovery time between work shifts.

    Relevance to Clinical Practice

    Work in ICUs was challenging and demanding, even before the pandemic. This study contributes to an understanding of the complex work environment that existed in hospitals during the first wave of the COVID-19 pandemic. The knowledge obtained from this study can be used to revise working conditions and identify health interventions for ICU nurses.

  • 28.
    Skoglund, Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Mälardalen University.
    Åhlman, Ebba
    Region Västmanland.
    Mallin, Sofia
    Region Sörmland.
    Holmgren, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Using blogs to describe Intensive Care nurses’ experiences of caring for patients in the COVID-19 pandemic.2023Conference paper (Refereed)
    Abstract [en]

    Using blogs to describe Intensive Care nurses’ experiences of caring for patients in the COVID-19 pandemic.

    Background: In 2019, coronavirus disease 2019 (COVID-19) broke out worldwide, causing a pandemic. Research shows that patients with COVID-19 in intensive care units (ICUs) require more nursing care than other patients in ICU. The ICU nurses who care for these patients have shown signs of psychological and physical strain and experienced a lower sense of work satisfaction and feelings of helplessness. Analysis of blog posts has been conducted, to illuminate ICU nurses’ experiences of caring for patients with COVID-19.

    Method: To acquire a deeper understanding of ICU nurses’ experiences of caring for patients with COVID-19 during the first wave of the pandemic, analyzing text from ICU nurses’ blog posts was suitable.

    Seventy blog posts from 13 bloggers in the United States, Great Britain, Finland, and Sweden were analyzed using a manifest qualitative content analysis.

    Results: The results revealed an overall theme: “An overturned existence under extreme conditions.” Furthermore, three categories – “The virus caused changes in work and private life,” “Unreasonable demands,” and “To hold on to caring ideals thanks to the support of others”, were identified.

    Conclusion: Collecting data through blogs makes it possible to obtain information from a wide geographic area at almost no cost. Based on the overwhelming situation at ICUs, during the pandemic, analyzing blogposts was suitable to catch ICU nurses experiences without taking any time or focus from the participants during their work.

    Caring for patients with COVID-19 during the first wave of the pandemic was demanding, and support from colleagues and teamwork were important.

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  • 29.
    van Eggermont Arwidson, Charlotta
    et al.
    Karolinska institutet, Sweden.
    Holmgren, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Gottberg, Kristina
    Karolinska institutet, Sweden.
    Tinghög, Petter
    Karolinska institutet, Sweden.
    Eriksson, Henrik
    University West, Sweden.
    Living a frozen life: a qualitative study on asylum seekers’ experiences and care practices at accommodation centers in Sweden2022In: Conflict and Health, E-ISSN 1752-1505, Vol. 16, no 1, article id 47Article in journal (Refereed)
    Abstract [en]

    Background: Forced migrants fleeing conflict and violence face a high risk of mental health problems due to experi-ences before displacement, perilous journeys, and conditions in the new host societies. Asylum seekers seem to bein particularly vulnerable situations, indicated by higher prevalence rates of mental health problems compared toresettled refugees. Asylum seekers’ mental health is highly influenced by the conditions they face in host countrieswhile awaiting a decision on their case. In Sweden, 40% of asylum seekers reside in state-provided accommodationcenters during the asylum process. Collective accommodation centers for asylum seekers have been said to imposerestrictive social conditions and to be associated with poorer mental health outcomes than other housing forms (e.g.,self-organized housing). However, there seems to be a scarcity of qualitative studies exploring the experiences ofasylum seekers in different contexts. The aim of this study was therefore to explore the experiences of asylum seekersand how they manage their mental wellbeing while living at accommodation centers in Sweden.Methods: Fourteen semi-structured interviews with asylum seekers were conducted at two accommodation centersin Sweden. Participants were recruited using purposeful sampling and represented a diverse group of asylum seekersregarding age, background, and gender. The data was analyzed using content analysis.Results: Three overarching categories were identified; 1) Frozen life, 2) Constant worrying and “overthinking”, and3) Distractions and peer support. Participants experienced a state of being that could be characterized as a frozenlife, which was associated with intense feelings of psychological distress, mostly described as manifesting itself inconsuming patterns of ruminative thoughts, for instance overthinking and constant worrying. However, despite highlevels of distress, participants demonstrated agency in managing negative mental health outcomes through self-carepractices, peer support, and the development of care practices in caring for others in need.Conclusion: This study offers new insights into the everyday challenges that asylum seekers at accommodationcenters face. Furthermore, it offers valuable observations of how asylum seekers at accommodation centers copethrough self-care practices, peer support, and care practices in caring for peers in need. In order to enable sustainableand empowering support, mental health and psychosocial support services must identify and address both chal-lenges and strengths, be grounded in the lived reality of asylum seekers, and build on existing resources. Moreover,further policy work needs to be done to enable faster asylum processes.

  • 30.
    van Eggermont Arwidson, Charlotta
    et al.
    Karolinska Institutet, Stockholm, Sweden.
    Holmgren, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tinghög, Petter
    Swedish Red Cross University, Huddinge, Sweden.
    Eriksson, Henrik
    University West, Trollhättan, Sweden.
    Gottberg, Kristina
    Karolinska Institutet, Stockholm, Sweden.
    (Over)crowded house: exploring asylum seekers’ experiences of the COVID-19 pandemic while living at accommodation centers in Sweden2024In: BMC Public Health, E-ISSN 1471-2458, Vol. 24, no 1, article id 622Article in journal (Refereed)
    Abstract [en]

    Background

    The COVID-19 pandemic has made visible the scale of health disparities in society, highlighting how the distribution of infection and deaths differs between population subgroups within countries. Asylum seekers represent a potentially vulnerable group; early in the pandemic, concerns were raised about their housing situation, usually involving overcrowded, camp-like accommodations, and the effects of COVID-19 in relation to this. Hence, this study aimed to explore asylum seekers’ experiences of the COVID-19 pandemic while living at accommodation centers.

    Methods

    In this qualitative study, 14 semi-structured interviews were conducted with asylum seekers at two accommodation centers in Sweden. Participants represented a diverse group of asylum seekers in regard to age, educational background, and gender. Data were analyzed using qualitative content analysis.

    Results

    Experiences related to COVID-19 were highly dependent on the living situation at the accommodation centers and the experience of feeling unsafe in shared spaces. This was enhanced by the experiences of a challenging mix of COVID-19 messages where different understandings of COVID-19 and related measures existed, together with a feeling of loss of control and safety in shared rooms. Additionally, participants felt more isolated from the outside society and missed prior social activities. Adding to this experience of isolation was an increasing mistrust regarding the authorities’ pandemic response.

    Conclusion

    This study highlights the importance of understanding the specific challenges and vulnerabilities of asylum seekers at accommodation centers during the pandemic, shaped by their housing situation and legal status. The findings underscore the need for context-specific support, holistic disease prevention approaches, and tailored health communication strategies using diverse formats. Additionally, the findings emphasize the crucial need to identify and mobilize existing community resources in planning and implementing pandemic control measures. Furthermore, the study emphasizes governmental responsibility in providing secure housing, and to address long-term vulnerabilities beyond pandemics.

  • 31.
    von Strauss, Eva
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen, Sweden.
    Paillard-Borg, Stéphanie
    Röda Korsets Högskola, Hälsovetenskapliga institutionen, Sweden.
    Holmgren, Jessica
    Röda Korsets Högskola, Hälsovetenskapliga institutionen, Sweden.
    Saaristo, Panu
    International Federation of Red Cross and Red Crescent Societies (IFRC), Geneva, Switzerland.
    Global nursing in an Ebola viral haemorrhagic fever outbreak: before, during and after deployment2017In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 10, no 1, article id 1371427Article in journal (Refereed)
    Abstract [en]

    Background: Nurses are on the forefront and play a key role in global disaster responses. Nevertheless, they are often not prepared for the challenges they are facing and research is scarce regarding the nursing skills required for first responders during a disaster situation.Objectives: To investigate how returnee nursing staff experienced deployment before, during and after having worked for the Red Cross at an Ebola Treatment Center in Kenema, West Africa, and to supply knowledge on how to better prepare and support staff for viral haemorrhagic fever outbreaks.Methods: A descriptive, cross-sectional approach. Questionnaires were administered to nurses having worked with patients suffering from Ebola in 2014 and 2015. Data collection covered aspects of pre-, during and post-deployment on clinical training, personal health, stress management, leadership styles, socio-cultural exposure and knowledge transfer, as well as attitudes from others. Data was analysed using both quantitative and qualitative methods.Results: Response-rate was 88%: forty-four nurses from 15 different countries outside West Africa answered the questionnaire. The respondents identified the following needs for improvement: increased mental health and psychosocial support and hands-on coping strategies with focus on pre- and post-deployment; more pre-deployment task-oriented clinical training; and workload reduction, as exhaustion is a risk for safety.Conclusions: This study supplies knowledge on how to better prepare health care staff for future viral haemorrhagic fever outbreaks and other disasters. Participants were satisfied with their pre-deployment physical health preparation, whereas they stressed the importance of mental health support combined with psychosocial support after deployment. Furthermore, additional pre-clinical training was requested.

  • 32.
    Wongsala, Manothai
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Rosendahl, Sirpa
    University of Skövde.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Manasatchakun, Pornpun
    Boromarajonani College of Nursing Chaingmai, Thailand.
    Holmgren, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Experiences of lifestyle changes among Thai older adults six months after applying the Plan-Do-Study-Act (PDSA) cycle2024In: BMC Geriatrics, E-ISSN 1471-2318, Vol. 4, article id 902Article in journal (Refereed)
    Abstract [en]

    Background

    Thai older adults are valuable resources in their society. The Thai health service system is challenged when it comes to ensuring that older Thai adults can continue to live healthy and independent lives in society. It is of great value to support independence and improve older people’s active ageing. Promoting lifestyle changes by applying the Plan-Do-Study-Act cycle (PDSA cycle), at group meetings in a municipality context, is a way of focusing on active ageing. This study aims to describe older adults´ experiences of lifestyle change six months after finishing group meetings applying the PDSA cycle.

    Methods

    A qualitative approach with individual interviews and a qualitative content analysis were used with 12 Thai older adults who participated in the meetings applying the PDSA cycle.

    Results

    Six months after finishing applying the PDSA cycle, some older adults kept their individual goals and were influenced by their family surroundings. They also formulated additional goals. Three categories and six sub-categories emerged: Keeping individual goals, influenced by the surroundings, and formulation of additional goals were the overall categories.

    Conclusions

    These Thai older adults showed that they had the ability to make lifestyle changes with the support of the PDSA cycle, but not all maintained their planned activities after six months. The question is how healthcare professionals and the surroundings, may further support and motivate these people to maintain these changes based on their own preferences in a sustainable way.

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