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  • 1. Erlandsson, K.
    et al.
    Widarsson, Margareta
    SAMVÅRD på neonatalavdelning: en svårfångad process i nuet2000Inngår i: Jordemodern, ISSN 0021-7468, Vol. 10, s. 7-17Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 2. Fängström, Karin
    et al.
    Sarkadi, Anna
    Smeds, Lisa
    Widarsson, Margareta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Åhman, Annika
    MÖDRAHÄLSOVÅRDENS DILEMMA: MEDICINSK ÖVERVAKNING ELLER STÖD UNDER GRAVIDITETEN PÅ FÖRÄLDRARNAS VILLKOR?2009Inngår i: FÖRÄLDRASTÖD I SVERIGE IDAG: VAD, NÄR OCH HUR? / [ed] Anna Sarkadi, 2009, s. 29-38Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 3.
    Kerstis, Birgitta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Nohlert, E.
    Uppsala University, Västmanland County Hospital, Västerås.
    Öhrvik, J.
    Uppsala University, Västmanland County Hospital, Västerås.
    Widarsson, Margareta
    Uppsala University, Västmanland County Hospital, Västerås.
    Association between depressive symptoms and parental stress among mothers and fathers in early parenthood: A Swedish cohort study2016Inngår i: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 121, nr 1, s. 60-64Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: To determine whether there is an association between depressive symptoms and parental stress among mothers and fathers during early parenthood in Sweden. Methods: In this study, 401 mothers and 396 fathers (393 couples) were included; the Edinburgh Postnatal Depression Scale and the Sense of Coherence Scale were measured 3 months after childbirth, and the Swedish Parenthood Stress Questionnaire and the Sense of Coherence Scale after 18 months. Complete data for multivariable analysis were available for 264 mothers and 252 fathers. Results: The mothers estimated greater total depressive symptoms and parental stress than the fathers did. Both the mothers and the fathers had the greatest level of stress in the sub-area Role restriction. The mothers had the lowest level of stress in the sub-area Social isolation and the fathers in the sub-area Incompetence. The mothers perceived greater levels of stress than the fathers did in all sub-areas except for Social isolation, where the fathers perceived higher stress. There was an association between the parents depressive symptoms and parental stress. The parents own depressive symptoms at 3 months and sense of coherence and the partners parental stress at 18 months were positively associated with the parental stress at 18 months in univariable and multivariable analyses. Conclusions: Understanding the relationship between depressive symptoms and parental stress is important for health professionals so they can offer parents adequate support in early parenthood to optimize the conditions for raising a child. This knowledge should also be communicated to the parents. 

  • 4.
    Malmström, B.
    et al.
    Uppsala Univ, Vastmanland Cty Hosp, Vasteras, Sweden.
    Nohlert, E.
    Uppsala Univ, Vastmanland Cty Hosp, Vasteras, Sweden.
    Ewald, U.
    Uppsala Univ, Sweden.
    Widarsson, Margareta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Simulation-based team training improved the self-assessed ability of physicians, nurses and midwives to perform neonatal resuscitation2017Inngår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 106, nr 8, s. 1273-1279Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: The use of simulation-based team training in neonatal resuscitation has increased in Sweden during the last decade, but no formal evaluation of this training method has been performed. This study evaluated the effect of simulation-based team training on the self-assessed ability of personnel to perform neonatal resuscitation. Methods: We evaluated a full-day simulation-based team training course in neonatal resuscitation, by administering a questionnaire to 110 physicians, nurses and midwives before and after the training period. The questionnaire focused on four important domains: communication, leadership, confidence and technical skills. The study was carried out in Sweden from 2005 to 2007. Results: The response rate was 84%. Improvements in the participants self-assessed ability to perform neonatal resuscitation were seen in all four domains after training (p < 0.001). Professionally inexperienced personnel showed a significant improvement in the technical skills domain compared to experienced personnel (p = 0.001). No differences were seen between professions or time since training in any of the four domains. Personnel with less previous experience with neonatal resuscitation showed improved confidence (p = 0.007) and technical skills (p = 0.003). Conclusion: A full-day course on simulation-based team training with video-supported debriefing improved the participants' self-assessed ability to perform neonatal resuscitation.

  • 5.
    Widarsson, Margareta
    Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap.
    Journey from Pregnancy to Early Parenthood: Perceived Needs of Support, Fathers’ Involvement, Depressive Symptoms and Stress2015Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Aims: The overall aim was to describe the perceived needs for support and fathers’ involvement among expectant parents, and to examine depressive symptoms and parental stress in early parenthood among mothers and fathers.

    Methods: Two qualitative studies using focus groups and individual interviews, and three quantitative comparative studies using three questionnaires were conducted.

    Results: The expectant parents had different needs and suggestions for health-care improvement. One improvement of these was better involvement of expectant fathers, as fathers were described as the mothers’ best means of support and also had needs of their own. The fathers used different strategies to get involved during the pregnancy, but sometimes found it difficult to know what was expected of them. The mothers perceived more depressive symptoms and parental stress than the fathers. The mothers also perceived higher dyadic consensus than the fathers. Parents with depressive symptoms reported lower consensus than those without. There was a negative correlation between dyadic consensus and depressive symptoms in both mothers and fathers. Mothers perceived higher parental stress than fathers in the sub-areas ‘Incompetence regarding parenthood’, ‘Role restriction’, ‘Spouse relationship problems’, and ‘Health problems’, and overall. In contrast, fathers perceived higher stress than mothers in the sub-area ‘Social isolation’. Low education, lack of a role model and poor sense of coherence promoted more stress in mothers in the sub-areas ‘Social isolation’ and ‘Spouse relationship problems’, while lack of a role model and low sense of coherence promoted stress in fathers in the sub-area ‘Social isolation’.

    Conclusions and clinical implications: The expectant parents’ needs of support were not consistent with the support offered from health care services. These services need to become more client-centred, for example by offering customized individual support and peer support in groups. Further, they should also meet the needs of expectant fathers which can benefit the whole family. To promote parents’ health and family stability, health professionals should consider depressive symptoms and parental stress. They should also take gender norms into account so that parents become prepared for parenthood and get adequate support during early parenthood.

  • 6.
    Widarsson, Margareta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Asp, Margareta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Letterstål, Anna
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Institutet, Stockholm, Sweden.
    Källestedt Södersved, Marie Louise
    Uppsala University, Region Västmanland, Västerås, Sweden.
    Newly graduated swedish nurses’ inadequacy in developing professional competence2020Inngår i: Journal of Continuing Education in Nursing: Continuing Competence for the Future, ISSN 0022-0124, E-ISSN 1938-2472, Vol. 51, nr 2, s. 65-74Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: The learning process for student and recently graduated nurses during their transition to professional nursing is stressful and challenging. The aim of this study was to describe recent graduates’ experiences of developing professional competence in their basic nursing program and during their first year. Method: A qualitative descriptive design with an inductive approach based on interviews with 11 nurses, with a qualitative content analysis. Results: Recently graduated nurses experience shortages and struggle to develop their professional competence. They find that reflection is a fundamental tool in the process of professional competence development. The competence gap is not between theoretical and practical knowledge, but rather between the university and health care organizations. Conclusion: Focusing on the intertwining of theoretical and practical knowledge can bridge the gap between these two organizations and create a foundation for lifelong learning of professional competence. Creating opportunities for reflection is central to the learning process. 

  • 7.
    Widarsson, Margareta
    et al.
    Uppsala University, Uppsala, Sweden.
    Engström, G.
    Florida Atlantic University, United States.
    Tydén, T.
    Uppsala University, Uppsala, Sweden.
    Lundberg, P.
    Uppsala University, Uppsala, Sweden.
    Marmstål Hammar, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    'Paddling upstream': Fathers' involvement during pregnancy as described by expectant fathers and mothers2015Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, nr 7-8, s. 1059-1068Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aims and objectives: To describe the perspectives of expectant mothers and fathers on fathers' involvement during pregnancy. Background: Becoming a father is a major life event and paternal involvement during pregnancy has a positive influence on the family. However, research into both expectant mothers' and fathers' perspectives on fathers' involvement during pregnancy is relatively scarce. Design: A descriptive qualitative study was used. Methods: Thirty expectant parents (20 women and 10 men) were interviewed either as part of one of four focus groups or in an individual interview. Qualitative content analysis was performed on the interview transcripts. Results: A theme of 'Paddling upstream' emerged as an expression of the latent content of the interviews concerning perspectives on fathers' involvement. Five sub-themes described the manifest content: trying to participate, trying to be understanding, trying to learn, trying to be a calming influence and trying to find a balanced life. Expectant parents suggested several ways to improve fathers' involvement and to meet parents' need for shared involvement. Conclusion: Expectant mothers and fathers wanted the father to be more involved in the pregnancy. Although fathers attempted different strategies, they did not always perceive what was expected of them and encountered many barriers as they tried to navigate through this unique experience. The best support for the father was the mother. Expectant parents wanted their healthcare to include the father more thoroughly and to focus on the whole family. Relevance to clinical practice: Prenatal care professionals can overcome barriers that prevent paternal involvement. Although fathers are not able to engage in the pregnancy on the same level as the mother, we suggest that their specific needs also be recognised through an increased awareness of gender norms in healthcare.

  • 8.
    Widarsson, Margareta
    et al.
    Uppsala universitet, Sweden.
    Engström, Gabriella
    Uppsala universitet, Sweden.
    Berglund, Anders
    Uppsala universitet, Sweden.
    Tydén, Tanja
    Uppsala universitet, Sweden.
    Lundberg, Pranee
    Uppsala universitet, Sweden.
    Parental stress and dyadic consensus in early parenthood among mothers and fathers in Sweden2014Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 28, nr 4, s. 689-699Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Parental stress can negatively affect the parent-child relationship and reduce the well-being of the whole family. Family disagreement is associated with parental divorce and with psychological problems in children.

    AIMS: The aim was to examine perceived parental stress and draw comparisons among mothers and among fathers, in relation to educational level, parental experience, existence of a parental role model and sense of coherence. The aim was also to examine perceived dyadic consensus and its association with perceived parental stress within couples.

    METHODS: Questionnaires were completed by 320 mothers and 315 fathers at 1 week and 18 months post-partum. The Swedish Parenthood Stress Questionnaire, the Sense of Coherence Scale and the Dyadic Consensus Subscale were used.

    RESULTS: Low education, lack of a role model and poor sense of coherence promoted stress in mothers in the subareas social isolation and spouse relationship problems, while lack of a role model and poor sense of coherence promoted stress in fathers in the subarea social isolation. Furthermore, parental experiences promoted stress among mothers in the subarea incompetence while this was not seen among fathers. Mothers perceived a higher level of dyadic consensus than fathers in the items recreational activities, friends, aims and life goals, time spent together, and decisions regarding career and personal development. Household tasks was the only item where fathers perceived a higher level of dyadic consensus than mothers. Additionally, there were associations between perceived parental stress and dyadic consensus in several items and in the total score.

    CONCLUSIONS: To promote parents' health and family stability, health professionals should consider factors affecting stress and stress reactions, and take gender roles into account.

  • 9.
    Widarsson, Margareta
    et al.
    Uppsala University, Sweden.
    Engström, Gabriella
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Rosenblad, A.
    Uppsala University, Sweden.
    Kerstis, B.
    Uppsala University, Sweden.
    Edlund, B.
    Uppsala University, Sweden.
    Lundberg, P.
    Uppsala University, Sweden.
    Parental stress in early parenthood among mothers and fathers in Sweden2013Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 27, nr 4, s. 839-847Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Parental stress affects parenting behaviour and the quality of dyadic parent-child interactions. Mothers generally show higher parental stress than fathers. Aims: Our aims were to assess the perceived level of parental stress in early parenthood and examine the differences between mothers and fathers within couples in relation to their levels of education, parental experience, existence of a parental role model and sense of coherence. Methods: In total, 307 mothers and 301 fathers of 18-month-old children answered the Swedish Parenthood Stress Questionnaire (SPSQ); and 318 mothers and 311 fathers answered the Sense of Coherence (SOC-3) scale; 283 couples answered both the SPSQ and SOC-3. Results: Mothers perceived higher levels of stress than fathers in the sub-areas incompetence (p < 0.001), role restriction (p < 0.001), spouse relationship problems (p = 0.004) and health problems (p = 0.027), and in total (p = 0.001). In contrast, fathers perceived higher stress than mothers in the sub-area social isolation (p < 0.001). When the data were stratified with respect to education, parental experience, existence of a parental role model and sense of coherence, significant results were observed in some of these sub-areas. Conclusions: Mothers and fathers experience stress in different areas during their early parenthood. Healthcare professionals should be aware of the differences in stress that exist between mothers and fathers, so that parents can be adequately prepared for parenthood and avoid parental stress. 

  • 10. Widarsson, Margareta
    et al.
    Kerstis, Birgitta
    Sundquist, Kristina
    Engström, Gabriella
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Sarkadi, Anna
    Support Needs of Expectant Mothers and Fathers: A Qualitative Study2012Inngår i: The Journal of Perinatal Education,, ISSN 1058-1243, Vol. 21, nr 1, s. 36-44Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to describe expectant mothers' and fathers' perceived needs of support during pregnancy. Twenty-two women and 10 men were interviewed in four focus groups and 13 individual interviews. Systematic text condensation was performed to analyze the data. Parents described not only a broad spectrum of social support needs but also needs of psychological and physical support. They also requested to share their experiences with others. The foci of care and parents' needs of support are more harmonized with medical support than with psychological and emotional support. Mothers' needs were predominately addressed in the health services, but fathers often felt “invisible.“ Antenatal services may need to offer more customized individual support and emphasize peer support in groups; the challenge is to involve both parents through communication and encouragement so they can support each other. 

  • 11.
    Widarsson, Margareta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Nohlert, E.
    Centre for Clinical Research, Uppsala University Västmanland County Hospital, Sweden.
    Öhrvik, J.
    Uppsala Univ, Vastmanland Cty Hosp, Ctr Clin Res, Uppsala, Sweden; Department of Medicine, Karolinska Institutet, Sweden.
    Kerstis, Birgitta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Parental stress and depressive symptoms increase the risk of separation among parents with children less than 11 years of age in Sweden.2019Inngår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 47, s. 207-214Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aims: Parental separations have become more frequent in recent decades. In Western countries, about 25% of children experience parental separation. There is a need to explore the risk factors for separation to give children an optimal childhood. The objective of the present study was to examine parental stress and depressive symptoms during early parenthood and their association with parental separation. Methods: Four hundred and seven couples completed questionnaires on depressive symptoms for 3 months and parental stress for 18 months after childbirth. Total parental stress and five sub-areas were investigated. To study the separation rate, parents’ addresses were recorded 9 to 11 years after childbirth. Results: Twenty-nine percent of the parents were separated 9 to 11 years after childbirth. Separation was associated with depressive symptoms at 3 months (mothers p =.002, fathers p =.025) and total parental stress at 18 months after childbirth (mothers p =.010, fathers p =.005). The sub-areas of parental stress, Spouse relationship problems (mothers p = <.001, fathers p =.001) and fathers’ Social isolation (p =.005), were associated with separation. In multivariable regression analyses of the parents’ separation rate 9 to 11 years after childbirth, the only significant predictor was mothers’ Spouse relationship problems (p <.001). Conclusions: The knowledge that parental stress and depressive symptoms are risk factors for separation may simplify professional support for parents in early parenting. Courses for new and expectant parents can use this knowledge to increase parents’ awareness

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