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  • 1151.
    Rödlund, Andreas
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    How are academic performance and school social capital related to Mental Health?: Findings from a comprehensive community-based cross-sectional school survey among adolescents in Sweden.2021Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Mental health problems are an important public health issue. However, in population studies, surveillance of the protective aspects of mental health has been somewhat overlooked in the public health community. Given this, the present thesis aimed to investigate whether academic performance, school social capital, and positive mental health are associated in a cross-sectional sample of 3880 adolescents from ninth grade in compulsory school (50.6%) and second grade in upper secondary school (49.4%). In total, the sample consisted of 51% females and 49% males. Using the well-validated instrument MCH-SF for well-being, the result revealed an association between academic performance (β=-.09, p=<.001), indicating that better academic performance was associated with higher levels of mental health. Further, all measured dimensions of school social capital revealed an association with mental health. The strongest association were found between the dimension of teacher support and mental health (β=.26, p=<.001). Next, the result showed a significant interaction effect from one dimension of school social capital, namely teacher support (β=-.03, p=<.05). Notably, more research in school social capital and determinants of teachers' work environment is valuable, as social capital formed by the relationship between teachers and students seemed highly important for adolescents' academic performance and mental health.

    Download full text (pdf)
    HOW ARE ACADEMIC PERFORMANCE AND SCHOOL SOCIAL CAPITAL RELATED TO MENTAL HEALTH? - Andreas Rödlund
  • 1152.
    Röing, M.
    et al.
    University of Uppsala, Sweden.
    Holmström, Inger K.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Malpractice claims in swedish telenursing: Lessons learned from interviews with telenurses and managers2015In: Nursing Research, ISSN 0029-6562, Vol. 64, no 1, p. 35-43Article in journal (Refereed)
    Abstract [en]

    Background: This study deals with serious malpractice claims within Swedish Healthcare Direct, the national telephone helpline in Sweden. At least 33 claims of malpractice have been filed since the service was created in 2003. Although a low number, consequences have been tragic. Research in Swedish telenursing on contributing systemic and organizational factors and consequences of malpractice claims is sparse. Objective: The objective was to explore the direct experience of telenurses' and call center managers' involvement in actual malpractice claimswith focus on factors that may have contributed to the claimsand on the consequences of the claims. Methods: Six telenurses and five managers agreed to participate in open-ended interviews. A directed content analysis approach was chosen to analyze the transcribed interview texts. Results: Stress, shiftwork, fatigue, multitasking, understaffing, and factors embedded in the system could have contributed to the malpractice claims. Safety management was treated locally, with no attempts at organizational reforms. Discussion: The solitary nature of the telenursing task emphasizes the importance of an organization, which works toward providing an environment where telenurses can feel safe and supported. This may require, in turn, a change in both organizational and professional attitudes toward safety and risk of error. The greatest hinder may be healthcare providers themselves. If the difficulties in recruiting participants for this study are any indication, reaching out to healthcare providers who remain silent may be the greatest challenge.

  • 1153.
    Röing, M.
    et al.
    University of Uppsala, Uppsala, Sweden.
    Holmström, Inger K.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Larsson, J.
    University of Uppsala, Uppsala, Sweden.
    A Metasynthesis of Phenomenographic Articles on Understandings of Work Among Healthcare Professionals2018In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 28, no 2, p. 273-291Article in journal (Refereed)
    Abstract [en]

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

  • 1154. Röing, Marta
    et al.
    Hederberg, Malin
    Holmström, Inger K.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    (Tele)health promotion in primary healthcare centers – an exploratory study.2014In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 3, no 34, p. 33-37Article in journal (Refereed)
  • 1155.
    Salzmann-Erikson, M.
    et al.
    Dalarna University, sWEDEN.
    Eriksson, Henrik
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Fathers sharing about early parental support in health-care: virtual discussions on an Internet forum2013In: Health and Social Care in the Community, ISSN 0966-0410, Vol. 21, no 4, p. 381-390Article in journal (Other academic)
    Abstract [en]

    Becoming a father is a life changing event and this transition is associated with various emotions. Educational activities aimed at new parents are important in healthcare parental support (HCPS). HCPS has been critiqued for its predominant focus on mothers, while the needs of fathers seem to have been downplayed. As a result, fathers often turn to Internet-based forums for support. As virtual discussions and mutual support among fathers take place in cyberspace, it is important to monitor these forums to observe the ways in which the fathers discuss HCPS. The aim of this study is to explore the ways in which new fathers visiting an Internet-based forum for fathers communicated their experiences of HCPS. A netnographic method consisting of six steps was used to gather and analyse the data. The findings show that fathers shared with one another their experiences of the attitudes expressed by HCPS workers as well as their own attitudes towards HCPS. The attitudes of HCPS workers that were directed towards the fathers were perceived as highly personal and individual, while fathers described their attitudes towards the HCPS in general terms, towards HCPS as a system. Overall, the fathers described HCPS as a valuable confirmatory support that eased their worries concerning sudden infant death syndrome (SIDS), colic, weight gain, fever and teething. Although the fathers expressed gratitude towards HCPS, they also shared their negative experiences, such as feeling invisible, disregarded and insulted. In fact, the twofold attitudes that exist in the relationship between the fathers and HCPS can act as a barrier rather than being a confirmatory support. We recommend that HCPS adopts a broader approach using more targeted and strategic didactic methods for supporting fathers in the growth of their own personal awareness, as such an approach would offer a competitive and professional alternative to the support offered in informal experience-based Internet forums. © 2013 Blackwell Publishing Ltd.

  • 1156.
    Salzmann-Erikson, M.
    et al.
    University of Gävle, Gävle, Sweden.
    Rydlo, Cecilia
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Wiklund Gustin, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. UiT-Norges Arktiske Univesitet, Norway.
    Getting to know the person behind the illness - the significance of interacting with patients hospitalised in forensic psychiatric settings2016In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 25, no 9-10, p. 1426-1434Article in journal (Refereed)
    Abstract [en]

    Aims and objectives: To describe what nurses want to accomplish in relationships with patients who are hospitalised in forensic psychiatric settings. Background: Relationships between staff and patients in forensic psychiatric settings should be grounded in trust and confidence, and the patients need opportunities for emotional reconciliation. However, relationships can be challenging for nurses, who sometimes distance themselves from patients' expressions of suffering. The role of forensic mental health nurses is nebulous, as are the prescriptives and the implementation of nursing practices. Design: Qualitative descriptive design. Methods: In-depth interviews with five nurses who all work in forensic psychiatric settings. Results: We present a descriptive analysis of what nurses want to accomplish in relationships with patients who are hospitalised in forensic psychiatric settings. The results are presented in two main categories: (1) getting to know the person behind the illness and (2) making a difference. Conclusion: Care in forensic psychiatry needs to shift towards a more long-term view of the role of nursing, focusing less on the traditional and stereotypical identity of the productive nurse and more on the care given when nurses slow down and take the time to see the patients as individuals. Establishing trusting relationships with patients in forensic psychiatric settings is viewed as a less oppressive way to control patients and guide them in directions that are preferable for the nurses and for the society. Relevance to clinical practice: Nurses may use simple strategies in their daily practice such as sitting on the sofa with patients to establish trust. We stress that nurses should abandon policing roles and custodial activities in favour of guiding principles that promote individual recovery, treatment and health-promoting care.

  • 1157.
    Salzmann-Erikson, Martin
    et al.
    Dalarna Univ, Vasteras, Sweden..
    Lutzen, Karl
    Dalarna Univ, Falun, Sweden..
    Ivarsson, Ann-Britt
    Örebro University, Sweden.
    Eriksson, Hans
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    INTENSIVE PSYCHIATRIC CARE2010In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 25Article in journal (Other academic)
  • 1158.
    Salzmann-Erikson, Martin
    et al.
    Dalarna Univ, Sch Hlth & Soc, Vasteras, Sweden.;Oslo Univ Hosp, Div Mental Hlth & Addict, Dept Acute Psychiat, Oslo, Norway.;Univ Orebro, Sch Hlth & Med Sci, Orebro, Sweden..
    Luzten, Karl
    Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden..
    Ivarsson, Ann-Britt
    Örebro University, Sweden.
    Eriksson, Hans
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    INTENSIVE PSYCHIATRY: CREATING, PRESERVING AND RESTORING STABILITY2012In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 27Article in journal (Other academic)
  • 1159.
    Samuels, Alecia
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. University of Pretoria, CAAC, South Africa.
    Granlund, Mats
    Jönköping university.
    Adair, Brooke
    Australian Catholic university, Australia.
    Raghavendra, Pammi
    Almqvist, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Dada, Shakila
    University of Pretoria, CAAC, South Africa.
    Longitudinal studies on change in activities and participation: A systematic review2017Conference paper (Refereed)
  • 1160.
    Sandberg, Anette
    et al.
    Mälardalen University, School of Education, Culture and Communication. Mälardalen University, School of Education, Culture and Communication, Educational Sciences and Mathematics.
    Söderbäck, Maja
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kommunikativ utveckling och miljöns betydelse2014In: Kommunikation med barn och unga i vården / [ed] Maja Söderbäck, Stockholm: Liber, 2014, p. 21-30Chapter in book (Refereed)
  • 1161.
    Sandberg, Håkan
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Forskningsbaserad studiehandledning: ett utvecklingsprojekt2016Other (Other (popular science, discussion, etc.))
    Abstract [sv]

    Vid Mälardalens högskola har sedan en tid det kontinuerliga arbetet med kvalitetsutveckling bl.a. inneburit en uppmärksamhet mot forskningsbasen i utbildningen. Frågan om forskningsbasen operationaliseras i detta projekt till en fråga om hur studiehandledningar i utbildningen kan tydliggöra utbildningens forskningsbas. Det har i föreliggande rapport varit nödvändigt med betydande avgränsningar, särskilt när det gäller frågan om val av perspektiv och teoretisk inplacering.

    Akademisering är som begrepp tydligt knutet till att den kunskap som utbildningen arbetar med är forskningsbaserad, dvs. att den bygger på en utbildning som utgår från en forskning som generellt sett är vedertagen och accepterad. Högskolelagen menar att en högskolemässig utbildning bl.a. innebär att kunna efterforska och fastställa värdet av kunskap och dess utveckling på en vetenskaplig nivå. Frågan om forskningsbas i högskolan är mycket ringa studerad, men studier av hur forskningsrapporter används i skolan visar att lärare rankar dessa lågt och istället litar på sin egen erfarenhet. En genomgång av pedagogiska perspektiv på lärande visar att det är möjligt att särskilja såväl utlärandet (teaching) som inlärandet (learning) med avseende på ”djup”. Att nå ett ”djup” i inlärningen är starkt beroende av en utbildning där forskningsbaserat kritiskt tänkande och hög egenaktivitet kommer studenten till del.

    Genom dessa teoretiska studier tillsammans med användandet av en datainsamling i form av s.k. critical friends, som studerat och kommenterat frågan om forskningsbas med fokus på studiehandledningar, dras i denna rapport ett antal slutsatser i form av implikationer för utbildningen på högskolan. Dessa implikationer berör såväl studiehandledningarna i sig som hela utbildningskontexten.

  • 1162.
    Sandberg, Håkan
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Lärande i arbete2017In: Pedagogik för sjuksköterskor / [ed] Håkan Sandberg, Lund: Studentlitteratur, 2017, 1, p. 317-335Chapter in book (Other academic)
  • 1163.
    Sandberg, Håkan
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Pedagogik för sjuksköterskor2017Collection (editor) (Other academic)
    Abstract [sv]

    De pedagogiska perspektiven i sjuksköterskans arbete har blivit allt viktigare. Kunskaper i pedagogik och didaktik är idag helt nödvändiga för natt patienter och närstående ska kunna mötas av god omvårdnad. Men pedagogiken är också central för studenters, handledares och yrkesverksamma sjuksköterskors utbildning och kompetensutveckling. Boken täcker de delar som studenter, handledare och yrkesverksamma behöver avseende pedagogik.

  • 1164.
    Sandberg, Håkan
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Pedagogiska perspektiv och teoretiska grunder2017In: Pedagogik för sjuksköterskor / [ed] Håkan Sandberg, Lund, 2017, 1, p. 73-109Chapter in book (Other academic)
  • 1165.
    Sandberg, Håkan
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sjuksköterska, patient och närstående2017In: Pedagogik för sjuksköterskor / [ed] Håkan Sandberg, Lund, 2017, 1, p. 253-294Chapter in book (Other academic)
  • 1166.
    Sandberg, Håkan
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sjuksköterskans samtal - professionalitet och medmänsklighet2014 (ed. 1)Book (Other (popular science, discussion, etc.))
    Abstract [sv]

    Föreliggande lärobok är en omfattande metaanalys av forskning och litteratur kring samtal i vården med sjuksöterskan i centrum. Boken tillför dessutom ny kunskap bl.a. genom den referensgrupp som kontinuerligt har kommenteat och exemplifierat texten.

  • 1167.
    Sandberg, Håkan
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Vårdpedagogik och kommunikation2021In: Kommunikation i vården / [ed] Lene Martin, Lund: - , 2021, 1, p. 289-315Chapter in book (Other academic)
    Abstract [sv]

    Kapitlet fokuserar lärande och kommunikation i vården. Vetenskapen om kunskap och lärande är pedagogik och följaktiligen är detta ett vårdpedagogiskt kapitel. Det första huvudavsnitteti kapitlet ger en introduktion till vårdpedagogik och kommunikationsteori. Nästa huvudavsnitt handlar om lärande och där behandlas lärandets innehåll, lärande genom kommunikation och vilka konsekvenser lärandet har, särskilt när det gäller vård och hälsa. Det tredje huvudavsnittet sammanfattar vad vårdpedagogisk kommunikation innebär och hur det kan diskuteras.

  • 1168.
    Sandberg, Håkan
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Berlin, JohanHögskolan Väst, Sweden.
    Team i vård, behandling och omsorg: erfarenheter och reflektioner2016Collection (editor) (Other academic)
  • 1169.
    Sandberg, Håkan
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Brantefors, Bo
    Landstinget Uppsala.
    Developing Swedish Family Centres: A Case Study 2010-20122013In: Developing Swedish Family Centres - A Case Study 2010-2012., 2013Conference paper (Refereed)
  • 1170.
    Sandberg, Håkan
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Carlström, Erik
    Göteborgs universitet.
    Susanne, Kvarnström
    Samverkan i team2021In: Omvårdnad på avancerad nivå: Kärnkompetenser inom sjuksköterskans specialistområden / [ed] Anna-Karin Edberg, Anna Ehrenberg, Helle Wijk, Joakim Öhlén, Lund: Studentlitteratur AB, 2021, 2, p. 139-174Chapter in book (Other academic)
  • 1171.
    Sandberg, Håkan
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Carlström, Erik
    Susanne, Kvarnström
    Specialistsjuksköterskan i teamet2021In: Omvårdnad på avancerad nivå: Kärnkompetenser inom sjuksköterskans specialistområden / [ed] Anna-Karin Edberg, Anna Ehrenberg, Helle Wijk, Joakim Öhlén, Lund: Studentlitteratur AB, 2021, 2, p. 175-188Chapter in book (Other academic)
  • 1172.
    Sandberg, Håkan
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Nygren, Ulrika Svea
    Uppsala Univ, Dept Publ Hlth & Caring Sci, BMC, Uppsala, Sweden; Uppsala Univ, Ctr Clin Res Sormland, Eskilstuna, Sweden.
    Tindberg, Ylva
    Uppsala Univ, Ctr Clin Res Sormland, Eskilstuna, Sweden; Uppsala Univ, Akad Sjukhuset, Dept Womens & Childrens Hlth, Uppsala, Sweden.
    Eriksson, Leif
    Uppsala Univ, Dept Publ Hlth & Caring Sci, BMC, Uppsala, Sweden.
    Larsson, Ulf
    Uppsala Univ, Ctr Clin Res Sormland, Eskilstuna, Sweden.
    Nordgren, Lena
    Uppsala Univ, Dept Publ Hlth & Caring Sci, BMC, Uppsala, Sweden; Uppsala Univ, Ctr Clin Res Sormland, Eskilstuna, Sweden.
    Healthcare professionals' perceptions about interprofessional teamwork: a national survey within Swedish child healthcare services2021In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 21, no 1, article id 265Article in journal (Refereed)
    Abstract [en]

    Background Globally, interprofessional teamwork is described as a key method to promote health and prevent illness in children, namely, to achieve the goals of Child Healthcare Services (CHS). However, how teamwork should be designed within CHS to achieve the goals is unclear. This study aimed to investigate healthcare professionals' perceptions about 1) taking part in interprofessional teamwork, 2) team characteristics, and 3) whether the perceptions were related to professional affiliation or workplace. Methods A national cross-sectional survey was conducted using a web-based study-specific questionnaire sent to all accessible nurses, physicians, and psychologists in Swedish CHS (n = 3552). The response rate was 31.5%. To identify possible associations, logistic regressions were conducted. Results Almost all respondents, 1096/1119 (97.9%), reported taking part in some type of interprofessional teamwork within the Swedish CHS. Among those, the most common was team-based visits (82.2%). It was perceived that performing team-based visits resulted in fulfilled goals, expertise exceeding individual team members' competences, provision of high-quality care, and meeting children's and families' needs, to a greater extent, than if not performing team-based visits. Correspondingly, working as a team in parental groups was perceived as resulting in fulfilled goals, meeting the needs of children and their families, and continuity within the team to a greater extent than if not working together in a team. Professional affiliation was associated with different perceptions and types of teamwork. Family Centers were positively associated with all types of teamwork as well as continuity within the team. Conclusions Healthcare professionals' perceptions about team characteristics were associated with professional affiliation, workplace, and type of teamwork (defined as team activities) within the CHS. Professionals within Swedish CHS, taking part in team-based visits and in interprofessional teamwork in parental groups, perceived that the team fulfilled its goals and met the needs of children and families to a greater extent than professionals not taking part in these types of teamwork. Professionals at Family Centers were more likely to work in teams in different ways. Knowledge about interprofessional teamwork for individuals and groups in Swedish CHS might also be valuable in other healthcare settings, dealing with complex needs.

  • 1173.
    Sandberg, Håkan
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Segring, Anita
    Sjuksköterskan och utveckling av vården2017In: Pedagogik för sjuksköterskor / [ed] Håkan Sandberg, Lund, 2017, 1, p. 113-150Chapter in book (Other academic)
  • 1174.
    Sandborgh, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Dean, Elizabeth
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. University of British Columbia , Vancouver , Canada.
    Denison, Eva
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Norwegian Institute of Public Health , Nydalen , Oslo , Norway.
    Elvén, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Fritz, Johanna
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    von Heideken Wågert, Petra
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Moberg, Johan
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Overmeer, Thomas
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Örebro University, Örebro, Sweden.
    Snöljung, Åsa
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Johansson, Ann-Christin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Integration of Behavioral Medicine Competencies into Physical Therapy Curriculum in an Exemplary Swedish Program: Rationale, Process and Ten-year Review2020In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 36, no 3, p. 365-377Article, review/survey (Refereed)
    Abstract [en]

    In 2004, Mälardalen University, Sweden, introduced a new undergraduate entry-level physiotherapy program. Program developers constructed the curriculum with behavioral medicine content that reflected the contemporary definition and values of the physiotherapy profession aligning it with current best practices, evidence, and the International Classification of Functioning, Disability, and Health (ICF). The new curriculum conceptualized movement and function as modifiable behaviors in that they reflect behavioral contingencies, perceptions, beliefs, and lifestyle factors as well as pathophysiology and environmental factors. The purpose of this article is to describe how one university accordingly structured its new curriculum and its review. We describe the rationale for the curriculum's behavioral medicinecontent and competencies, its development and implementation, challenges, long-term outcomes, and its related research enterprise. We conclude that physiotherapy practiced by our graduates augments that taught in other programs based on accreditation reviews. With their expanded practice scope, graduates are systematically practicing within the constructs of health and function conceptualized within the ICF. Our intent in sharing our experience is to exemplify one university's initiative to best prepare students with respect to maximizing physiotherapy outcomes as well as establish a dialogue regarding minimum standards of behavioral medicine competencies in physiotherapy education and practice.

  • 1175.
    Sandborgh, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Elvén, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    von Heideken Wågert, Petra
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Snöljung, Åsa
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    IMPLEMENTATION OF BEHAVIORAL MEDICINE IN A PHYSIOTHERAPY UNDERGRADUATE CURRICULUM STUDENT EVALUATIONS2018In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 25, p. S64-S65Article in journal (Other academic)
  • 1176.
    Sandborgh, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Johansson, Ann-Christin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    The relation between the fear-avoidance model and constructs from the social cognitive theory in acute WAD2016In: Pain Research & Management, ISSN 1203-6765, E-ISSN 1918-1523, Vol. 2016, article id 8281926Article in journal (Refereed)
    Abstract [en]

    In the fear-avoidance (FA) model social cognitive constructs could add to explaining the disabling process in whiplash associated disorder (WAD). The aim was to exemplify the possible input from Social Cognitive Theory on the FA model.Specifically the role of functional self-efficacy and perceived responses from a spouse/intimate partner was studied. A cross-sectional and correlational design was used. Data from 64 patients with acute WAD were used. Measures were pain intensity measured with a numerical rating scale, the Pain Disability Index, support, punishing responses, solicitous responses, and distracting responses subscales from the Multidimensional Pain Inventory, the Catastrophizing subscale from the Coping Strategies Questionnaire, the Tampa Scale of Kinesiophobia, and the Self-Efficacy Scale. Bivariate correlational, simple linear regression, and multiple regression analyses were used. In the statistical prediction models high pain intensity indicated high punishing responses, which indicated high catastrophizing. High catastrophizing indicated high fear of movement, which indicated low self-efficacy. Low self-efficacy indicated high disability, which indicated high pain intensity. All independent variables together explained 66.4% of the variance in pain disability, p < 0.001. Results suggest a possible link between one aspect of the social environment, perceived punishing responses from a spouse/intimate partner, pain intensity, and catastrophizing. Further, results support a mediating role of self-efficacy between fear of movement and disability in WAD.

  • 1177.
    Sandborgh, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderbäck, Maja
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Fritz, Johanna
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    The intention – action gap when using a behavioral medicine approach in physiotherapy for patients with persistent musculoskeletal pain.2017In: World Confederation of Physical Therapy (WCPT) Congress, Cape Town, South Africa, 2-4 July, 2017, 2017Conference paper (Refereed)
  • 1178.
    Sandmark, Helene
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Orka jobba till 65?2014Book (Other academic)
    Abstract [sv]

    Många kvinnor i Sverige närmar sig nu för första gången efter ett långt yrkesliv sin pensionering. De är den första generationen kvinnor i modern tid där de flesta har yrkesarbetat utanför hemmet under en längre period. De har mest jobbat inom vård, skola och omsorg. Undersköterska i äldreomsorg är ett av de allra vanligaste jobben i den här generationen. Det är en yrkesgrupp där arbetssjukdomar och arbetsolyckor är vanliga. Många slutar sina jobb långt före pensionen. En del stannar kvar i jobbet och det är några av de kvinnorna som har intervjuats. Vi ville veta hur de ser på sitt arbete och sitt arbetsliv, hur deras hälsa är och om de tror att de kommer att jobba till 65 år eller möjligen längre. Fokus har varit att i första hand ta reda på vad som är hälsofrämjande. Det är att ha ett salutogent perspektiv och då riktas fokus mot styrkor, resurser och faktorer som bidrar till en god hälsa och välbefinnande.

  • 1179.
    Sandmark, Helene
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sarvento-Håkansson, M
    Sundbyberg Rehab and Fysioterapi Center, Sundbyberg, Sweden.
    Franke, C
    PhysioMind, Nacka, Sweden.
    Akhavan, Sharareh
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    “I just kept running and running until I hit the wall"- Working men seeking care due to stress-related problems.2014In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 49, no 2, p. 297-306Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Stress problems are major public health problems.

    OBJECTIVE: To gain an increased understanding of howworking men seeking care due to minor metal dysfunctions related to stress recognize their symptoms, what triggers them, and how this impacts their everyday life.

    PARTICIPANTS: Fourteen men of working age, consecutively seeking care due to minor mental dysfunctions indicating stress problems, at two clinics in the Stockholm area in Sweden during 2009 and 2010.

    METHODS: A qualitative methodology was chosen, and interviews were performed and analyzed using qualitative content analysis.

    RESULTS: In the manifest content, categories such as difficulties in setting limits, low socialsupport, high work demands, and mental and physical dysfunctions were identified. Three themes finally emerged (latent content) and indicated that in this group of informants there are stressors both within the individual himself, in working life, and a lack of recovery.

    CONCLUSIONS: Based on our findings it would be possible to implement measures to prevent stress-related problems by promoting coping strategies on an individual level, encouraging social networks, and regular physical exercise. By implementing work policies and workplace modifications, and also providing individual support at the workplace, supervisors and human resources managers could prevent, or modify stress problems among employees.

  • 1180.
    Sandmark, Helene
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Mälardalens högskola.
    Smedberg, Åsa
    Stockholms universitet.
    Designing a Stress Management Program in a Swedish Setting2013Conference paper (Refereed)
  • 1181.
    Sandmark, Helene
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Smedberg, Åsa
    Institutionen för Data-och systemvetenskap, Stockholms universitet.
    Dynamic Stress Management: Self-Help through Holistic System Design2013In: User-Driven Healthcare: Concepts, Methodologies, Tools, and Applications / [ed] Smedberg Å, IGI Global , 2013, vol 3, p. 1469-1486Chapter in book (Refereed)
    Abstract [en]

    Different kinds of applications for self-help are available on the Internet today. Some aim to intervene with users' life patterns such as negative stress exposure. It is not always an easy task to manage stressful life situations and to develop and maintain healthy living. It involves learning how to balance perceived demands from working and personal life, and to question underlying thoughts and beliefs. E-health communities can assist in this process through continuous interactions between community members. However, previous studies have shown that combining knowledge of health experts and the experiences of peers can create a good synergy. The question is how these findings can be applied to the area of stress management. In this chapter, the authors present a web-based self-help system for stress management based on a holistic view of actors and their different types of support. The system offers the user information in the form of research and real life stories, practical exercises (both text- and video-based), and the opportunity to interact with health experts and peers, all in an integrated way.

  • 1182.
    Sandmark, Helene
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Smedberg, Åsa
    Stressmanagment 2.0: A Holistic Approach to Self-management Online2010Conference paper (Refereed)
    Abstract [en]

    The last years have put stress management on the agenda of healthcare. Intense lifestyles with job and domestic demands let people experience high levels of stress and to react strongly to different stressors. Long-term sickness and absence from work can be a consequence of too high stress exposure during a long period of time. This negative trend can be counteracted if we allow a combination of actions to support people who experience stressful lives. Different online programs are available for people with stress symptoms. However, there is a lack of conceptual understanding and a holistic approach to learning online for this group of people. In this article, we present a holistic and integrated approach to ‘stress management 2.0’ that considers several areas: stress management, self-management, informatics and continuous learning through communication and feedback. The approach is based on findings from previous research studies of web based solutions for learning new lifestyles, stress management and results from clinical trials. At the end of the article, we present some design principles to be used for developing systems in accordance with ‘stress management 2.0’ from a holistic view.

     

     

  • 1183.
    Sandström, Oxana
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Irklei Lloyd, Julia
    Mälardalen University, School of Health, Care and Social Welfare.
    NÄR LIVET TAR EN NY VÄNDNING: En litteraturstudie om upplevelser efter en stroke2017Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Stroke is one of the most common widespread diseases in Sweden and approximately 30 000 people suffers each year. The disease is a life-threatening experience and can lead to disabilities and affect the patient’s lifestyle. It can also affect the lives of the relatives who take care of their family member who has been diagnosed with a stroke. Aim: To describe patient’s experiences of living with the disabilities the first year after a stroke. Method: A systematic literature study of nursing research articles with qualitative approach according to Evans descriptive synthesis. Results: Experiences, which were identified in the result, were divided into two themes: Lost control of the body and regain control of their life. Based on the themes six sub-themes appeared: To be trapped, to be decrepit, to live with lost identity, to live with altered mood, to adapt to the disabilities and to experience hope. Conclusion: Living with disabilities after a stroke affect a patient’s body, mind and spirit, and lead to a new and different life. Nurses should pay attention to victim’s experiences of the disabilities and adapt the nursing accordingly. Being able to listen, provide support and use their knowledge in the treatment of patients after a stroke can improve the quality of healthcare.

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  • 1184.
    Santaliestra-Pasias, A. M.
    et al.
    Univ Zaragoza, GENUD Growth Exercise Nutr & Dev Res Grp, Zaragoza, Spain..
    Mouratidou, T.
    Univ Zaragoza, GENUD Growth Exercise Nutr & Dev Res Grp, Zaragoza, Spain..
    Huybrechts, I.
    Univ Ghent, B-9000 Ghent, Belgium. Int Agcy Res Canc, Dietary Exposure Assessment Grp DEX, F-69372 Lyon, France..
    Beghin, L.
    Univ Lille 2, Lille, France.;INSERM, F-59045 Lille, France..
    Cuenca-Garcia, M.
    Univ Granada, Granada, Spain..
    Castillo, M. J.
    Univ Granada, Granada, Spain..
    Galfo, M.
    Natl Res Inst Food & Nutr INRAN, Rome, Italy..
    Hallström, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Karolinska Inst, Huddinge, Sweden..
    Kafatos, A.
    Univ Crete, Iraklion, Greece..
    Manios, Y.
    Marcos, A.
    Molnar, D.
    Plada, M.
    Univ Crete, Iraklion, Greece..
    Pedrero-Chamizo, R.
    Widhalm, K.
    De Bourdeaudhuij, I.
    Univ Ghent, B-9000 Ghent, Belgium. Int Agcy Res Canc, Dietary Exposure Assessment Grp DEX, F-69372 Lyon, France..
    Moreno, L. A.
    Univ Zaragoza, GENUD Growth Exercise Nutr & Dev Res Grp, Zaragoza, Spain..
    STUDY TIME IS ASSOCIATED WITH DIETARY PATTERNS IN EUROPEAN ADOLESCENTS PARTICIPATING IN THE HELENA STUDY2013In: Annals of Nutrition and Metabolism, ISSN 0250-6807, E-ISSN 1421-9697, Vol. 63, p. 233-233Article in journal (Other academic)
  • 1185.
    Santaliestra-Pası´as, AM
    et al.
    GENUD (Growth, Exercise, Nutrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain.
    Mouratidou, T
    GENUD (Growth, Exercise, Nutrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain.
    Huybrechts, Inge
    Department of Public Health, Ghent University.
    Beghin, Laurent
    Université Lille, France.
    Cuenca-Garcia, Magdalena
    School of Medicine, University of Granada, Spain.
    Castillo, MJ
    Department of Medical Physiology, Faculty of Medicine, University of Granada, Granada, Spain.
    Galfo, M
    National Research Institute for Food and Nutrition (INRAN), Rome, Italy.
    Hallström, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kafatos, Anthony
    Preventive Medicine and Nutrition Clinic, Department of Social Medicine, School of Medicine, University of Crete, Greece.
    Manios, Yannis
    Department: Nutrition & Dietetics; Harokopio University Athens.
    Marcos, A
    munonutrition Research Group, Department of Metabolism and Nutrition, Instituto del Frı´o, Institute of Food Science and Technology an Nutrition.
    Molnar, Dénes
    University of Pecs, Pecs, Hungary.
    Plada, Maria
    Preventive Medicine & Nutrition Unit, University of Crete, Heraklion, Crete, Greece.
    Pedrero-Chamizo, R
    ImFINE Research Group Department of Health and Human Performance, Universidad Polite´cnica de Madrid, Madrid, Spain.
    Widhalm, Kurt
    Department of Pediatrics, Medical University of Vienna.
    De Bourdeaudhuij, Ilse
    Department of Public Health, University Hospital, Ghent.
    Moreno, Luis
    Escuela Universitaria de Ciencias de la Salud, Universidad de Zaragoza.
    Increased sedentary behaviour is associated with unhealthy dietary patterns in European adolescents participating in the HELENA study2014In: European Journal of Clinical Nutrition, ISSN 0954-3007, E-ISSN 1476-5640, Vol. 68, no 3, p. 300-308Article in journal (Refereed)
    Abstract [en]

    BACKGROUND/OBJECTIVES: To assess dietary patterns (DPs) in European adolescents and to examine their relationship with

    several indicators of sedentary behaviour.

    SUBJECTS/METHODS: A multinational cross-sectional study was carried out in 2202 adolescents (45.4% boys) aged 12.5–17.5 years. A self-reported questionnaire with information on sedentary behaviours, separately for weekdays and weekend days, and two non-consecutive 24 h-recalls were used. Principal component analysis was used to obtain DPs, and linear regression examined the association between DPs scores and sedentary behaviour.

    RESULTS: Four DPs for boys (‘plant based’, ‘snacking’, ‘breakfast’ and ‘health conscious’) and five DPs for girls (‘confectionary and snacking’, ‘plant based’, ‘breakfast’, ‘animal protein’ and ‘health conscious’) were obtained. Boys who spent 44 h/day watching television (TV) had lower adherence to the ‘plant based’, ‘breakfast’ and ‘health conscious’ DPs, and higher adherence to the ‘snacking’ DP. Higher computer use and internet use for recreational reason were associated with higher adherence to the ‘snacking’ DP. In girls, TV viewing and using internet for recreational reasons for 44 h/day was associated with higher adherence to the ‘confectionary and snacking’ and lower adherence with ‘health conscious’ DP. Also, studying between 2 and 4 h during weekend days was associated with lower adherence to the ‘snacking’ and with higher adherence to the ‘plant based’ and ‘breakfast’ DPs.

    CONCLUSION: Adolescents’ DPs are related with the time spent in several sedentary behaviours. Such findings may help to generate interventions focusing on decreasing unhealthy dietary habits and specific sedentary behaviours.

  • 1186.
    Saurí, J
    et al.
    Àrea de Rehabilitació NeuroPsicoSocial, Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la Universitat Autònoma de Barcelona, Badalona, Spain [2] Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain [3] Fundació Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Spain.
    Umaña, M C
    Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain [2] Unidad de Salud Mental, Hospital Universitario San Ignacio, Bogotá, Colombia..
    Chamarro, A
    Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain [2] Department of Basic Psychology, Faculty of Psychology, Universitat Autònoma de Barcelona, Bellaterra, Spain..
    Soler, M D
    Àrea de Rehabilitació NeuroPsicoSocial, Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la Universitat Autònoma de Barcelona, Badalona, Spain [2] Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain [3] Fundació Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Spain..
    Gilabert, A
    Àrea de Rehabilitació NeuroPsicoSocial, Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la Universitat Autònoma de Barcelona, Badalona, Spain [2] Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain [3] Fundació Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Spain..
    Elfström, Magnus
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Adaptation and validation of the spanish version of the Spinal Cord Lesion-related Coping Strategies Questionnaire (SCL CSQ-S).2014In: Spinal Cord, ISSN 1362-4393, E-ISSN 1476-5624, Vol. 52, no 11, p. 842-849Article in journal (Refereed)
    Abstract [en]

    CONCLUSION: The results of the study show some evidence for the robustness of the structure of SCL CSQ-S and show that the Spanish version of the questionnaire largely replicate previous results. Coping strategies, especially Acceptance, are related to adaptation to injury.

    STUDY DESIGN: Cross-sectional validation study.

    OBJECTIVES: To adapt the Spinal Cord Lesion-related Coping Strategies Questionnaire into the Spanish language (SCL CSQ-S) and to examine the relationship between coping strategies, global quality of life and psychological adaptation.

    SETTING: Data were collected through individuals with spinal cord injury (SCI) now living in the community who completed their routine follow-up assessment at the Institute Guttmann in Barcelona, Spain.

    METHODS: Forward and backward translation into Spanish of the English version of the questionnaire. Questionnaires of global Quality of Life, Community Integration, Coping, Depression, Anxiety and Functional Independence were administered to 349 adults with paraplegia and 162 adults with tetraplegia. Statistical analysis included confirmatory factor analysis and regression analysis.

    RESULTS: The factorial structure of the questionnaire was partly verified. The original correlated, three-factor model sufficiently fit the data obtained in this study: χ(2)(48)=109.46; P<0.001; Comparative Fit Index=0.96; Tucker-Lewis Index=0.96; Root Mean Square Error of Approximation=0.050 (0.038-0.062); Akaike information criterion=13.46. Items were found to be good indicators of their respective latent factors, showing adequate factorial charge ranges (between 0.41 and 0.75). The reliability coefficient (Cronbach's α) for the Acceptance subscale was 0.74, for Social reliance 0.76 and for Fighting spirit 0.69. Coping strategies as measured by SCL-CSQ-S contributed to the prediction of outcomes related to adaptation to disability.

  • 1187.
    Saxin, Andreas
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tomasevich, Maximiliano
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Compassion satisfaction i vårdandet av patienter inom palliativ vård: En empirisk studie ur sjuksköterskans perspektiv2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The Background: Nurses who work with palliative care can face pain and suffering from their patients on a daily basis. Despite that exposure for others pain these nurses still finds the strength to keep on with their work. Earlier research shows compassion fatigue as a risk when caring for patients in extreme situations while compassion satisfaction is a less researched phenomenon and seldom by itself. The aim was to describe what gives nurses the experience of compassion satisfaction in care for palliative patients. The method used was an inductive qualitative content analysis where data came from interviews. The result is presented in two categories; impact of internal recourses and impact of external recourses. These have three subcategories each; (1) to help the patients, (2) to have confidence, (3) an optimistic attitude, (1) to be shown appreciation, (2) to have support from the organization, and (3) having meaningful meetings. The conclusion is that these various factors work together to contribute to the experience of compassion satisfaction. Some nurses are mainly influenced by the positive relationship that exist between them and the patients. These relationships are based on empathy that exists between the nurse, the patients, relatives to the patients and colleagues. Organizational support in the form of time is also important in order to experience compassion satisfaction.

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  • 1188.
    Schmützer, Sofia
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sjuksköterskors och undersköterskors hälsa och livskvalité2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 1189.
    Sekhon, Mandeep
    et al.
    Kings Coll London, Fac Life Sci & Med, Sch Populat Hlth & Environm Sci, London SE1 1UL, England.
    White, Claire
    Kings Coll London, Fac Life Sci & Med, Sch Populat Hlth & Environm Sci, London SE1 1UL, England.
    Godfrey, Emma
    Kings Coll London, Fac Life Sci & Med, Sch Populat Hlth & Environm Sci, London SE1 1UL, England.
    Amirova, Aliya
    Kings Coll London, Fac Life Sci & Med, Sch Populat Hlth & Environm Sci, London SE1 1UL, England.
    Revenäs, Åsa
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Region Västmanland, Ortopedkliniken Västerås; Uppsala Univ, Ctr Clin Res, Reg Vastmanland, Uppsala, Sweden.
    King, Sinead
    Kings Coll London, Fac Life Sci & Med, Sch Populat Hlth & Environm Sci, London SE1 1UL, England.
    Pedro, Joshua
    Kings Coll London, Fac Life Sci & Med, Sch Populat Hlth & Environm Sci, London SE1 1UL, England.
    Quailey, Jamaal
    Kings Coll London, Fac Life Sci & Med, Sch Populat Hlth & Environm Sci, London SE1 1UL, England.
    Bearne, Lindsay
    Kings Coll London, Fac Life Sci & Med, Sch Populat Hlth & Environm Sci, London SE1 1UL, England.
    Effectiveness of web-based and mobile health interventions designed to enhance adherence to physical activity for people with inflammatory arthritis: a systematic review2021In: Rheumatology: Advances in Practice, E-ISSN 2514-1775, Vol. 5, no 1, article id rkab016Article, review/survey (Refereed)
    Abstract [en]

    The aim of this systematic review was to assess the evidence from randomized controlled trials (RCTs) and cohort studies for the effectiveness of digital interventions designed to enhance adherence to physical activity (PA) for people with inflammatory arthritis and describe the intervention content using established coding criteria. Methods. Six electronic databases were searched for published and unpublished studies. Independent data extraction and quality assessment (Cochrane risk of bias II or ROBINS-I) were conducted by two reviewers. The primary outcome was self-reported adherence to PA post-intervention. Secondary outcomes included self-reported adherence to PA at other time points, level of PA or engagement with intervention at any follow-up time point. Intervention content was assessed using the Consensus on Exercise Reporting Template and the Behaviour Change Techniques Taxonomy version 1. Results. From 11 136 citations, four moderate risk of bias studies (three RCTs and one cohort study) including 1160 participants with RA or JIA were identified. Owing to heterogeneity of outcomes, a narrative synthesis was conducted. Only one RCT reported a small between-group difference in adherence to PA [mean difference (95% CI) -0.46 (-0.82, -0.09)] in favour of the intervention. There were no between-group differences in any secondary outcomes. Interventions included between 3 and 11 behaviour change techniques but provided minimal information on exercise prescription. Conclusion. There is currently limited moderate-quality evidence available to provide confident evaluation of the effect of web-based and mobile health interventions on adherence to PA or level of PA post-intervention in people with inflammatory arthritis.

  • 1190.
    Selander, John
    et al.
    Mittuniversitetet, Sweden.
    Tjulin, Åsa
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Linköpings universitet, Sweden.
    Müssener, Ulrika
    Linköpings universitet, Sweden.
    Ekberg, Kerstin
    Linköpings universitet, Sweden.
    Contact with the workplace during long term sickness absence and worker expectations of return to work2015In: International Journal of Disability Mangement Research, ISSN 1833-8550, E-ISSN 1834-4887, Vol. 10Article in journal (Refereed)
    Abstract [en]

    Since long-term sickness absence constitutes a problem in most western countries, research that can facilitate return to work (RTW) is important. Today there is evidence that the social context at the workplace has a significant impact on return to work. The dual aims of the study was firstly to investigate the pattern and quality of contact between employees on long-term sick leave and different actors at the workplace, and secondly to investigate whether contacts with the workplace were associated with expectations regarding return to work. An explorative method and descriptive design was used for the first aim. For the second aim, the data was analysed in a multivariate logistic regression model. The results show that employees had frequent and, in most cases, appreciated contact with their supervisor and co-workers. Contact with other workplaceactors; that is, the occupational health unit, the union representative, and the human resources department, were less frequent. Employees who experienced the contact as supportive and constructive were far more positive and optimistic than others regarding return to work. It is concluded that supervisors and co-workers should be aware that they play a significant role in the return-to-work process, and that quality of contact is what matters.

  • 1191.
    Sellin, Linda
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    A personal-recovery-oriented caring approach to suicidality2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Persons who are subject to care due to suicidal thoughts and/or acts, are in a vulnerable situation, struggling with issues related to life and death as well as experiences of hopelessness and powerlessness. They may also experience themselves as a burden for their relatives. The relatives’ struggle for contributing to the loved person’s survival, can involve experiences of taking responsibility for things that are outside their control. Although research considering how suicidal persons and their relatives can be supported, when the person receives care in a psychiatric inpatient setting is sparse. There is also a need for research to form the basis for mental health nurses to enable caring interventions, with the potential of acknowledging the uniqueness of each individual person and their experiences. This thesis is based on a perspective of recovery as a process, where the persons experience themselves as capable of managing both challenges and possibilities in life and incorporate meaning into it. Experiences of being capable of managing problems in living are vital for this process. Thus, it is necessary to acknowledge the lifeworld as essential for personal recovery.

    The overall aim of this research  was to develop, introduce and evaluate a caring intervention, to support suicidal patients’ recovery and health, and to support patients’ and their relatives’ participation in the caring process. Considering the complexity of such a caring intervention and the importance of recognizing multiple aspects of the phenomenon (i.e., recovery in a suicidal crisis), this research was conducted from a lifeworld perspective based on phenomenological philosophy. Two studies with reflective lifeworld research approach (I, II), a Delphi study (III), and a single case study with QUAL>quan mixed methods research approach (IV) were conducted.

    The developed caring intervention is characterized by “communicative togetherness”. This means that the nurse and the patient together explore how the patient’s recovery can be supported, as a way for the patient to reconnect with self and important others, and thereby being strengthened when challenged by problems in living. It was also concluded that it is more appropriate to acknowledge this as a caring approach, rather than describe it as a specific caring intervention. The final description of the findings comprise a preliminary guide to a personal-recovery-oriented caring approach to suicidality (PROCATS). This description highlights six core aspects of the caring approach. The overall aim of the PROCATS is to support suicidal patients’ recovery and health processes, even at the very edge of life. Although the findings indicate that the caring approach has potential to support suicidal patients’ recovery as well as support their relatives’ participation, there is a need for further evaluation of the PROCATS in a wider context.

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  • 1192.
    Sellin, Linda
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    PROCATS: Återhämtning vid existensens rand2019In: Vårdande vid psykisk ohälsa: På avancerad nivå / [ed] Lena Wiklund Gustin, Studentlitteratur AB, 2019, 3, p. 523-541Chapter in book (Other academic)
  • 1193.
    Sellin, Linda
    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.
    Kumlin, Tomas
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Malardalen Univ, Sch Hlth Care & Social Welf, Box 883, S-72123 Vasteras, Sweden..
    Wallsten, Tuula
    Uppsala Univ, Cty Hosp, Clin Res Ctr, Vasteras, Sweden..
    Wiklund Gustin, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. UiT Archt Univ Norway, Dept Hlth & Care Sci, Campus Narvik, Narvik, Norway.
    To be present, share and nurture: a lifeworld phenomenological study of relatives' participation in the suicidal person's recovery2017In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 12, article id 1287985Article in journal (Refereed)
    Abstract [en]

    In today's health care, participation is acknowledged as important. However, there is limited research on how relatives of patients at risk of suicide experience their opportunities to participate in care during periods when their close ones are subject to inpatient care. The aim of this study was to describe the phenomenon of participation, as experienced by relatives of persons who are subject to inpatient psychiatric care due to a risk of suicide. The study was conducted through a reflective lifeworld research (RLR) approach, based on phenomenological philosophy. Eight relatives of patients receiving care from professionals in a psychiatric specialist health care context in Sweden participated in phenomenon-oriented interviews. Data were analysed to elucidate a meaning structure of the phenomenon. The findings show that the phenomenon of participation was more associated with patients' recovery processes than with the caring process, and means "being actively involved in a process in which the person regains the desire to live". The meaning of participation is further described by its meaning constituents: struggling for being able to be present for the person at risk of suicide, being able to share everyday life, and nurturing sources for vitality. These insights into the meaning of participation highlight the importance of allowing supportive relatives to be a part of the patient's life, while the person is cared for in an inpatient hospital setting. Thus, participation enables relatives to be acknowledged as resourceful human beings in the patient's recovery process, and thereby facilitates a sense of being able to manage and share life itself together with the person. This means that mental health nurses need to recognize individual variations of relatives' participation processes, and take on the responsibility of acknowledging relatives' lifeworlds.

  • 1194.
    Sellin, Linda
    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.
    Wallsten, Tuula
    Uppsala Universitet, Sweden.
    Wiklund Gustin, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. UiT, Norges Arktiske Universitet.
    Philosophical Grounding in a Reflective Lifeworld Research Approach: Where Is the Place for Description vs. Interpretation?2016In: International Journal of Qualitative Methods, E-ISSN 1609-4069, Vol. 15, no 1Article in journal (Refereed)
  • 1195.
    Sellin, Linda
    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.
    Wallsten, Tuula
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Uppsala University, Sweden.
    Wiklund Gustin, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. UiT-Norges Arktiske Universitet, Norway.
    Reconnecting with oneself while struggling between life and death: The phenomenon of recovery as experienced by persons at risk of suicide2017In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 26, no 2, p. 200-207Article in journal (Refereed)
    Abstract [en]

    The body of knowledge regarding health and recovery as experienced by patients at risk of suicide is limited. More research is needed into the meaning of recovery and what strengthens the desire to live. The aim of this study was to describe the phenomenon of recovery in a context of nursing care as experienced by persons at risk of suicide. In line with a reflective lifeworld research approach, 14 patients from a psychiatric clinic in Sweden participated in phenomenon-oriented interviews. Data were analyzed to describe the essence of the phenomenon. The results reveal that the phenomenon of recovery means ‘reconnecting with oneself while struggling between life and death’. Three meaning constituents emerged: being in an expressive space and giving voice to oneself, regaining dignity through nurturing connectedness, and finding a balance in the tension between life and death. In conclusion, the meaning of recovery is to experience the ability to manage one's own life. Professional caregivers need to acknowledge patients' lifeworlds, in a way that enable patients to experience themselves as capable of managing their own lives. Professional caregivers should also facilitate the involvement of supportive relatives.

  • 1196.
    Sellin, Linda
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kumlin, Tomas
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Wallsten, Tuula
    Uppsala Univ, Cty Hosp, Clin Res Ctr, Vasteras, Sweden..
    Wiklund Gustin, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. UiT Archt Univ Norway, Narvik, Norway.
    Caring for the suicidal person: A Delphi study of what characterizes a recovery-oriented caring approach2018In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 27, no 6, p. 1756-1766Article in journal (Refereed)
    Abstract [en]

    More research is needed for supporting mental health nurses in their caring for suicidal individuals. This study aimed to describe what characterizes a recovery‐oriented caring approach, and how this can be expressed through caring acts involving suicidal patients and their relatives. Delphi methodology was used, and research participants were recruited as experts by experience to explore a recovery‐oriented caring approach in a dialogical process between the experts and the researchers. The results highlight that it is important to acknowledge the view of the uniqueness of each person and reflected understanding of each individual person and experience. The results also reveal that a recovery‐oriented caring approach is characterized by a ‘communicative togetherness’. This communicative togetherness is associated with enabling a nurturing and caring space for suicidal patients to really express themselves and to reach for their own resources. The recovery‐oriented caring approach has thereby potential to facilitate a mutual understanding of the complexities of the patient's situation, and supports patients in influencing their care and regaining authority over their own lives. Accordingly, mental health nurses need to listen sensitively to what suicidal patients really say by acknowledging their lifeworlds and being open to individual variations of their recovery processes. This includes recognizing available and supportive relatives as capable of contributing to the patient's life project to continue living.

  • 1197.
    Sellin, Linda
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kumlin, Tomas
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Wallsten, Tuula
    Uppsala Univ, Cty Hosp, Clin Res Ctr, Vasteras, Sweden..
    Wiklund Gustin, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. UiT Archt Univ Norway, Narvik, Norway.
    Experiences of a Recovery-Oriented Caring Approach to Suicidal Behavior: A single-case study2019In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 29, no 14, p. 2084-2095Article in journal (Refereed)
    Abstract [en]

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

  • 1198.
    Sellin, Linda
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Wallsten, Tuula
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Martin, Lene
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Wiklund-Gustin, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Development of suicide prevention based on a lifeworld perspective2014In: HVV2014, Abstract Book, 2014, p. 44-44Conference paper (Refereed)
  • 1199.
    Sellin, Linda
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Wiklund Gustin, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    Samtal för återhämtning i livets ytterkanter2020In: Läkande samtal / [ed] Dahlberg, Karin, Stockholm: Liber, 2020, 1, p. 203-228Chapter in book (Other academic)
  • 1200.
    Silva-Costa, Aline
    et al.
    Federal University of Triangulo Mineiro, Minas Gerais, Brazil;.
    Lúcia, Rotenberg
    Oswaldo Cruz Institute, Fiocruz, Brazil.
    Toivanen, Susanna
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Stockholm University, Stockholm, Sweden.
    Nobre, Aline A.
    Oswaldo Cruz Foundation, Fiocruz, Brazil.
    Barreto, Sandhi Maria
    Federal University of Minas Gerais, Minas Gerais, Brazil.
    Schmidt, Maria Inês
    Federal University of Rio Grande do Sul, Brazil.
    Mendes da Fonseca, Maria De Jesus
    National School of Public Health, Oswaldo Cruz Foundation, ENSP/Fiocruz, Brazil.
    Härter Griep, Rosane
    Oswaldo Cruz Institute, Fiocruz, Brazil.
    Lifetime night work exposure and the risk of type 2 diabetes: results from the longitudinal study of adult health (ELSA-Brasil)2020In: Chronobiology International, ISSN 0742-0528, E-ISSN 1525-6073, Vol. 37, no 9-10, p. 1344-1347Article in journal (Refereed)
    Abstract [en]

    The aim of this research project was to test the effects of lifetime night work exposure on type 2 diabetes (T2DM) risk. The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) is a prospective cohort study of chronic conditions, such as diabetes and cardiovascular disease. The participants (N = 15105) were recruited (2008–2010) at five public universities and one research institute in six cities in Brazil. Participants from the first wave (2008–2010) were followed up for a mean of 3.8 years. Current analyses comprise 4671 women and 3965 men. Hazard ratios (HR) were estimated using Cox regression models. Crude T2DM incidence rates were 2.26 and 1.44 per 100 person-years, respectively, for women and men who reported ≥ 10 years’ working nights. In women, ≥ 10 years of night work was associated with a higher risk of T2DM (HR 1.46 [95% CI: 1.03; 2.08]), after adjusting for age, education, work hours, and BMI. The additional adjustment for physical activity attenuated the association (HR 1.36 [95% CI: 0.94; 1.96]). In men, the results were not statistically significant (HR = 0.65 [95% CI: 0.40; 1.07]). The findings indicate the effects of lifetime night work on T2DM incidence seem to be greater among women than men.

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