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  • 1.
    Ahmed, Mobyen Uddin
    et al.
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Begum, Shahina
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Kerstis, Birgitta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Petrovic, Nikola
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Sandborgh, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Third Eye: An Intelligent Assisting Aid for Visual Impairment Elderly2016Inngår i: Medicinteknikdagarna 2016 MTF, 2016Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Background Visually impaired older persons need support in daily activities, e.g. moving around inside the house; making and eating food and taking medicine independently. A system that simulates the environment based on both dynamic and static objects, identify obstacles, navigates and translates sensory information in voice would be valuable to support their daily activities. Today several sensors and camera-based systems are popular as ambient-assisted living tools for older adults. However, intelligent assisting aid (IAA) to support older individuals with a recently acquired visual impairment is limited. The proposed system ‘Third Eye’ focuses on the advanced research and development of an IAA to support older individuals with a recently acquired visual impairment. The main goal in this system is to provide a usable, feasible and cost-effective solution for older persons to support their daily activities using intelligent sensor based system. Method The system consists of the following five phases to meet several central challenges in developing IAA in such domain. • User-perspective, focuses on user-driven technical development, investigating needs of potential users. The study will have a participatory design with focus group interviews of lead users. • Sensor-based system, focuses on the identification obstacles based on ultrasounds and/or radio frequencies embedded in white-cane or weaker. • Camera-based system, focuses on image based information translation into voice embedded in white-cane or weaker or glasses. • System of systems, focuses on integration of above systems where knowledge is engineered and suitable representations are learned and reasoning for decisions are made [9]. • Experimental, focuses on usability and feasibility of the IAA, with idiographic and group studies Results The initial results have shown the necessity of the proposed AAI systems for older individuals with a recently acquired visual impairment. However, more extension work e.g., process and analyze the information and synthesize it with existing literature for developing the system is ongoing.

  • 2.
    Begum, Shahina
    et al.
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Kerstis, Birgitta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Barua, Shaibal
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Westerlund, Hanna
    Camanio Care AB, Sweden.
    Hjortsberg, Cecilia
    Västerås stad, Sweden.
    Food4You: A Personalized System for Adaptive Mealtime Situations for Elderly2017Inngår i: Medicinteknikdagarna 2017 MTD 2017, 2017Konferansepaper (Fagfellevurdert)
  • 3.
    Danielsson, Lena
    et al.
    Vastmanlands Sjukhus, Reg Vastmanland, Vasteras, Sweden..
    Lundstrom, Marie-Louise
    Vastmanlands Sjukhus, Reg Vastmanland, Vasteras, Sweden..
    Holmström, Inger K.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Kerstis, Birgitta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Anaesthetizing children-From a nurse anaesthetist's perspective-A qualitative study2018Inngår i: Nursing Open, E-ISSN 2054-1058, Vol. 5, nr 3, s. 393-399Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: The aim of this study was to describe nurse anaesthetists' experiences of encountering and caring for children in connection to anaesthesia. Design: Qualitative design. Methods: Sixteen written narratives based on eight nurse anaesthetists' experiences of meeting children was analysed using qualitative content analysis. Results: The overarching theme was: "anaesthetizing children is a complex caring situation, including interactions with the child and parents as well as ensuring patient safety, affected by the perioperative team and organizational prerequisites". The nurses stated that in their interaction with the family, their goal was to ensure that children and parents felt secure and calm. "Striving to work in confidence" underlined the team and organizational influences. Encountering children involves more than knowledge about technical equipment, procedures and drugs. Knowledge about children's development and fears and parents' needs are essential for an optimal caring situation. Organizations need to realize that extra time, skills and resources are needed to safely anaesthetize children.

  • 4.
    Danielsson, Lena
    et al.
    Region Västmanland, Sweden.
    Lundström, Louisa
    Region Västmanland, Sweden.
    Holmström, Inger K.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala universitet.
    Kerstis, Birgitta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Anaesthetizing children from a nurse anaethetist's perspective2019Inngår i: Barnveckan, Örebro, 2019Konferansepaper (Fagfellevurdert)
  • 5.
    Kerstis, Birgitta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Association between parental depressive symptoms and impaired bonding with the infant2016Konferansepaper (Fagfellevurdert)
  • 6.
    Kerstis, Birgitta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Father Group leaders' experiences of creating an arena for father support - A qualitative study2017Konferansepaper (Fagfellevurdert)
  • 7.
    Kerstis, Birgitta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Father Group leaders' experiences of creating an arena for father support - A qualitative study2019Konferansepaper (Fagfellevurdert)
  • 8.
    Kerstis, Birgitta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    When Life Ceases: Relatives’ ExperiencesWhen a Family Member Is ConfirmedBrain Dead and Becomes a Potential OrganDonor—A Literature Review2020Inngår i: SAGE Open Nursing, ISSN 2377-9608, Vol. 6, s. 1-15Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction: Most healthcare professionals rarely experience situations of a request for organ donation being made to thepatient’s family and need to have knowledge and understanding of the relatives’ experiences.Objective: To describe relatives’ experiences when a family member is confirmed brain dead and becomes a potentialorgan donor.Methods: A literature review and a thematic data analysis were undertaken, guided by the Preferred Reporting Items forSystematic Reviews and Meta-Analyses reporting process. A total of 18 papers, 15 qualitative and 3 quantitative, publishedfrom 2010 to 2019, were included. The electronic search was carried out in January 2019.Results: The overarching theme When life ceases emerged as a description of relatives’ experiences during the donationprocess, including five subthemes: cognitive dissonance and becoming overwhelmed with emotions, interacting with healthcareprofessionals, being in a complex decision-making process, the need for proximity and privacy, and feeling hope for thefuture. The relatives had different needs during the donation process. They were often in shock when the declaration ofbrain death was presented, and the donation request was made, which affected their ability to assimilate and understandinformation. They had difficulty understanding the concept of brain death. The healthcare professionals caring for the patienthad an impact on how the relatives felt after the donation process. Furthermore, relatives needed follow-up to processtheir loss.Conclusion: Caring science with an explicit relative perspective during the donor process is limited. The grief process isindividual for every relative, as the donation process affects relatives’ processing of their loss. We assert that intensive careunit nurses should be included when essential information is given, as they often work closest to the patient and her or hisfamily. Furthermore, the relatives need to be followed up afterwards, in order to have questions answered and to processthe grief, together with healthcare professionals who have insight into the hospital stay and the donation process.

  • 9.
    Kerstis, Birgitta
    et al.
    Uppsala University, Uppsala, Sweden.
    Aarts, C.
    Uppsala University, Uppsala, Sweden.
    Tillman, C.
    Uppsala University, Uppsala, Sweden.
    Persson, H.
    Uppsala University, Uppsala, Sweden.
    Engström, G.
    Florida Atlantic University, Boca Raton, FL, United States.
    Edlund, B.
    Uppsala University, Uppsala, Sweden.
    Öhrvik, J.
    Karolinska Institute, Stockholm, Sweden.
    Sylvén, D.
    Uppsala University, Uppsala, Sweden.
    Skalkidou, A.
    Uppsala University, Uppsala, Sweden.
    Association between parental depressive symptoms and impaired bonding with the infant.2016Inngår i: Archives of Women's Mental Health, ISSN 1434-1816, E-ISSN 1435-1102, Vol. 19, nr 1, s. 87-94Artikkel i tidsskrift (Fagfellevurdert)
  • 10.
    Kerstis, Birgitta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Aslund, Cecilia
    Uppsala Univ, Vastmanland Cty Hosp, Ctr Clin Res Vasteras, Vasteras, Sweden..
    Sonnby, Karin
    Uppsala Univ, Vastmanland Cty Hosp, Ctr Clin Res Vasteras, Vasteras, Sweden..
    More secure attachment to the father and the mother is associated with fewer depressive symptoms in adolescents2018Inngår i: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 123, nr 1, s. 62-67Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: To investigate whether more secure attachment to the father and the mother is associated with less depressive symptoms among adolescents, and to explore possible sex differences. Method: A population-based sample of adolescents completed a school-based survey assessing demographic data, attachment to father and mother, as well as depressive symptoms. Participation rate was 80% of the eligible population, and 3,988 adolescents (1,937 boys and 2,051 girls) had complete data for the analyses. Results: Paired samples t tests showed that participants rated their attachment to mothers as slightly more secure than their attachment to fathers (t = 15.94, P < 0.001; boys: t = 5.23, P < 0.001; girls: t = 16.16, P < 0.001). In linear regression analyses there was an association between the outcome, number of depressive symptoms, and more secure attachment to the mother for boys (B=-0.532; 95% confidence interval [CI] -0.656, -0.407, P < 0.001) and for girls (B = -0.623; 95% CI -0.730, -0.516, P < 0.001). Analogous results were found for more secure attachment to the father for boys (B = -0.499; 95% CI -0.608, -0.391, P < 0.001) and for girls (B = -0.494; 95% CI -0.586, -0.401, P < 0.001). Conclusions: Understanding the relationship between attachment to both father and mother and depressive symptoms in adolescent boys and girls is essential for further development of strategies for prevention and treatment of depression.

  • 11.
    Kerstis, Birgitta
    et al.
    Uppsala University, Uppsala, Sweden.
    Berglund, A.
    Uppsala University, Uppsala, Sweden.
    Engström, C.
    Florida Atlantic University, Boca Raton, United States.
    Edlund, B.
    Uppsala University, Uppsala, Sweden.
    Aarts, C.
    Uppsala University, Uppsala, Sweden.
    Sylvén, S.
    Uppsala University, Uppsala, Sweden.
    Depressive symptoms postpartum among parents are associated with marital separation: a Swedish cohort study2014Inngår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 42, nr 7, s. 660-668Artikkel i tidsskrift (Fagfellevurdert)
  • 12.
    Kerstis, Birgitta
    et al.
    Uppsala University, Sweden.
    Engström, Gabriella
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Sundquist, Kristina
    Lund University, Malmö, Sweden.
    Widarsson, Margareta
    Uppsala University, Sweden.
    Rosenblad, Andreas
    Uppsala University, Sweden.
    The association between perceived relationship discord at childbirth and parental postpartum depressive symptoms: a comparison of mothers and fathers in Sweden.2012Inngår i: Upsala Journal of Medical Sciences, Supplement, ISSN 0300-9726, Vol. 117, s. 430-438Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim. To examine whether mothers' and fathers' levels of perceived relationship discord at childbirth were associated with postpartum depressive symptoms when the child was 3 months old. Another aim was to examine parents' levels of self-reported depressive symptoms. The hypothesis was that parents with high levels of perceived relationship discord have higher levels of postpartum depressive symptoms than parents with low levels of perceived relationship discord. Method. One week after childbirth, 305 couples' perceived level of relationship discord was measured using the Dyadic Consensus Subscale (DCS) of the Dyadic Adjustment Scale (DAS). At 3 months postpartum, the same couples answered the Edinburgh Postnatal Depression Scale (EPDS) questionnaire. The relations between perceived level of relationship discord and postpartum depressive symptoms were analysed using standard non-parametric statistical methods. Results. The mothers and fathers partly differed regarding which areas of their relationship they perceived that they disagreed with their partners about. Furthermore, 16.5% of the mothers and 8.7% of the fathers reported postpartum depressive symptoms, and there was a moderate level of correlation between the DCS and EPDS scores. Conclusion. These results may be useful for professionals in antenatal care and child health centres as well as for family caregivers who need to be aware that mothers and fathers may have different views on relationship discord and of the high level of depressive symptoms in recent parents. Further research is needed to examine perceived relationship discord and the development of depressive symptoms postpartum over a longer term.

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  • 13.
    Kerstis, Birgitta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Kerstis, Birgitta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Attachment security to mother and father figures and association with bully/victim behaviour in a large adolescent sample2017Konferansepaper (Fagfellevurdert)
  • 14.
    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. 

  • 15.
    Kerstis, Birgitta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Wells, M.
    Karolinska Institute, Stockholm, Sweden.
    Andersson, E.
    Karolinska Institute, Stockholm, Sweden.
    Father group leaders' experience of creating an arena for father support: A qualitative study2018Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, nr 2, s. 943-950Artikkel i tidsskrift (Fagfellevurdert)
  • 16.
    Wells, M.B
    et al.
    Uppsala universitet, Sweden.
    Varga, G.
    Uppsala universitet, Sweden.
    Kerstis, Birgitta
    Uppsala universitet, Sweden.
    Sarkadi, A.
    Uppsala universitet, Sweden.
    Swedish child health nurses' views of early father involvement: a qualitative study2013Inngår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 102, nr 7, s. 755-761Artikkel i tidsskrift (Fagfellevurdert)
  • 17. 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. 

  • 18.
    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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