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  • 151.
    Rundqvist, Ewa
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    "Jag måste visa mig värdig. Vårdares berättelser om fullmakt till vårdande". Presentation med föredrag om egen forskning2004Ingår i: Nordic College of Caring Science’ (NCCS) konferens, 25-27 mars 2004., 2004Konferensbidrag (Refereegranskat)
  • 152.
    Rundqvist, Ewa
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Makt som fullmakt.: Ett vårdvetenskapligt perspektiv.2004Doktorsavhandling, monografi (Övrigt vetenskapligt)
    Abstract [en]

    Syftet med denna studie är att, ur ett vårdvetenskapligt perspektiv, fördjupa förståelsen och kunskapen om innebörden i begreppen och fenomenen makt och fullmakt. De övergripande frågorna för forskningen är: Vad är makt? Vad är fullmakt? Hur visar sig makt och fullmakt i vårdande kontext? Hur ska makt och fullmakt förstås som vårdvetenskapliga begrepp?

    Den övergripande forskningsansatsen är begreppsbestämning med hermeneutiskt närmelsesätt utifrån Erikssons modell. Förståelseprocessen följer Gadamers (1999) hermeneutik. Avhandlingen omfattar tre delstudier. En ontologisk bestämning av begreppens karaktär genomförs där hermeneutisk tolkning görs av texter i Gamla och Nya Testamentet i Bibeln. Begreppens pragmatiska drag utforskas med hjälp av vårdares skrivna berättelser om fullmakt och patienters skrivna berättelser om makt och fullmakt. Förutom forskningsöversikten av begreppen makt och fullmakt görs även en kvalitativ metaanalys med en synops av internationell vårdvetenskaplig forskning gällande begreppet och fenomenet empowerment.

    Den ontologiska bestämningen visar hur människans makt är fullmakt att i kärlek förvalta allt levande, sköta och vårda liv. För den som brukar fullmakten är tjänandet av medmänniskan syftet.

    Förståelsen av fullmaktens pragmatiska drag i vårdares berättelser uppenbarar hur tjänande är livgivande. Genom tjänande närmar sig vårdaren sitt egentliga uppdrag som människa - sin fullmakt att i kärlek förvalta liv. Vårdarens tjänande och hennes förmåga att se och bekräfta patientens annanhet skapar tillit och leder till dennes fullmakt. Vårdaren överger inte det ansvar som är förknippat med fullmakten. Vid utebliven fullmakt brukar vårdaren sin skapelsegivna fullmakt att lindra patientens lidande.

    Makt och fullmaktsbegreppens pragmatiska drag i patienters berättelser gestaltar hur vårdaren missbrukar sin makt om hon endast använder makthierarkins fullmakt, tar sig all makt och underlåter att bruka sin förmåga till kärleksfullt vårdande. Patienten känner sin existens hotad då vårdaren söker ta ifrån honom hans myndighet, han känner hemlöshet, förtvivlan och vanmakt. Patientens kamp för existensen och den absoluta värdigheten tar kraft från hans hälsoprocesser och lidandet blir outhärdligt.

    Patienten igenkänner sin livskraft vid mötet med en vårdare som använder sin fullmakt till lindring av hans lidande. Medlidandets kraft är stark och patientens värdighet återupprättas då han tjänar medpatienter eller vårdare. Avsikten med människans liv kan förstås som brukandet av den egna inre kraften. Kärleken.

  • 153.
    Rundqvist, Ewa
    et al.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Lindström, U.Å.
    Empowerment and Authorization - Who Provides and Who Receives?: A Qualitative Meta-study of Empowerment in Nursing research. A Caring Perspective.2005Ingår i: International Journal for Human Caring, Vol. 9, nr 4, s. 24-31Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The findings show how different conceptions of power occur within nursing science, differences that can be interpreted as different views of human beings and ethics. Among the advocates of empowerment in caring, there is a desire to eliminate the difference in power between nurse and patient The relationship between nurse and patient becomes mutual through the patient's participation in and responsibility for his/her own care. But from a caring science perspective, a caring relationship is not mutual since nurse and patient cannot change places due to being on different levels nor can responsibility be delegated from nurse to patient.

  • 154.
    Rådestad, Ingela
    et al.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Rubertsson, Christine
    Karolinska Institutet, Stockholm, Sweden .
    Ebeling, M.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Hildingsson, Ingegerd
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap. Karolinska Institutet, Stockholm, Sweden .
    What factors in early pregnancy indicate that the mother will be hit by her partner during the year after childbirth2004Ingår i: Birth, ISSN 0730-7659, Vol. 31, nr 2, s. 84-92Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: To be hit by one's intimate partner during the first year after childbirth may affect a woman's health and ability to take care of her newborn. The purpose of this study was to document the prevalence and indicators in early pregnancy of a woman being hit by her partner during the year after childbirth. METHOD: Information was collected by a postal questionnaire in early pregnancy and 12 months after childbirth from the approximately 5,550 women in Sweden who visited an antenatal care clinic for the first time during one of three chosen weeks in 1999 and 2000. RESULTS: Of the 3,266 recruited women, 2,563 returned the follow-up questionnaire. Being hit during the first year after childbirth was reported by 52 of the 2,563 (2%) women: 32 (61%) had been hit by their partner once, 12 (23%) twice, and 8 (15%) three or more times. Risk increased in women who were age 24 years or younger (3.9% had been hit), unmarried (7.1%), born in countries outside Europe (6.8%), with a partner born outside Europe (5.4%), had a low level of education (8.9%), and were unemployed (5.0%). In early pregnancy, women with back pain (4.0%), a chronic illness (4.1%), coital pain (6.1%), frequent depression-related symptoms (8.1%), stomach pain (3.8%), or a urinary tract problem (6.3%) were hit more often than others after childbirth. CONCLUSIONS: At least 2 percent of Swedish women giving birth in 2000 were hit by their partner during the year after childbirth. Using identified predictors during antenatal care may increase the likelihood of finding women at risk, thereby enhancing the possibility of interventions to prevent this crime and health hazard.

  • 155.
    Rådestad, Ingela
    et al.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Surkan, Pamela J.
    Steineck, Gunnar
    Cnattingius, Sven
    Onelov, Erik
    Dickman, Paul W.
    Long-term outcomes for mothers who have or have not held their stillborn baby2009Ingår i: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 25, nr 4, s. 422-429Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives: to investigate long-term outcomes of mothers who have or have not held their stillborn baby, and predictors of having held the baby. Design: postal questionnaires. Setting: a nation-wide cohort study of mothers who gave birth to a singleton stillborn baby in Sweden in 1991. Participants: 314 out of 380 women answered the questionnaire and 309 reported whether or not they had held their baby. Measurements: scales measuring anxiety, depression and well-being. Findings: 126 (68%) mothers of 185 babies stillborn after 37 gestational weeks had held their baby and 82 (68%) mothers of 120 babies stillborn at gestational weeks 28-37 had also done so. Compared with mothers who agreed completely with the statement that staff gave enough support to hold the baby, mothers who did not agree were less likely to have held their baby [relative risk (RR) 4.1; 95% confidence interval (CI) 2.7-6.1], and mothers with a low level of education were less Likely to have held their baby than mothers with a higher level of education (RR 2.2; 95% CI 1.3-3.8). Mothers who had not held their babies born after 37 gestational weeks had an increased risk of headache (RR 4.3; 95% CI 1.1-16.5), and they were less satisfied with their steep (RR 2.7; 95% CI 1.5-5.0). The increased risk of long-term outcomes associated with not holding, compared with holding, a stillborn baby were Less pronounced for women who gave birth at gestational week 28-37 compared with women who gave birth after 37 gestational weeks. Key conclusions: in this cohort, we found an overall beneficial effect of having held a stillborn baby born after 37 gestational weeks, whereas findings for having held a stillborn baby born at gestational weeks 28-37 are uncertain. The attitude of staff influenced whether or not the mother held her stillborn baby. Implications for practice: if the mother is guided by staff in a sensitive way to hold her stillborn term baby, the experience wit( possibly be beneficial for her in the long term. 

  • 156.
    Saltzmann-Eriksson, M.
    et al.
    Central Hospital, Västerås.
    Eriksson, Henrik
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Encountering Touch: a path to affinity in psychiatric care2005Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 26, nr 8, s. 843-852Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The idea of physical contact and touching in psychiatric care has, in many instances, been considered inappropriate. Psychiatry is often perceived as a verbal process and it has been generally believed that touching can provoke both aggressiveness and destructive manifestations of sexuality. However, recent research has suggested that touching can play an important role in psychiatric treatment once a caring relationship has been established. The aim of this study is to investigate the meaning of physical contact for patients who have been treated for psychosis. Through four in-depth interviews and a life-world analysis the results show that touching means to be in need, to yearn, and to belong. Furthermore, touching also communicates feelings between bodies and, as such, it can be a path through which one feels acknowledged as a human being. The results indicate that a feeling of affinity can originate through physical contact, which can be regarded as a driving force in the search to feel a sense of belonging to the community.

  • 157.
    Sandberf, Jonas
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Tolkningsprocessen i kvalitativa forskningstraditioner. Moderator2006Ingår i: Doktorand- och handledardagar –Nationella forskarskolan i vård och omsorg. Örebro universitet, 4-5 april, 2006., 2006Konferensbidrag (Övrig (populärvetenskap, debatt, mm))
  • 158.
    Sandberg, Håkan
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Den kliniska adjunkten på väg. En utvärdering.2005Rapport (Övrig (populärvetenskap, debatt, mm))
  • 159.
    Sandberg, Håkan
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Det goda teamet: Om teamarbete, arbetsklimat och samarbetshälsa2006Bok (Övrigt vetenskapligt)
  • 160.
    Sandberg, Håkan
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Feeling threatened in your job': care assistants' and auxiliary nurses' experiences of working in a nursing home'. Changing Professional Identities and Boundaries in Health and Social Care: European Perspectives.2006Ingår i: Report on a Symposium held at the University of the West of England, Faculty of Health and Social Care, Glenside Campus, Bristol Friday 22nd September 2006., 2006Konferensbidrag (Refereegranskat)
  • 161.
    Sandberg, Håkan
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    University Continuing Education as Teamwork: Three Case Studies2004Ingår i: Journal of Adult and Continuing Education, ISSN 1477-9714, E-ISSN 1479-7194, Vol. 10, nr 2, s. 114-134Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Previous work has identified a lack of focused research in the field of team working in university continuing education (UCE). However, teamwork could be seen as self-evident in UCE, in part because UCE is of interest to employees, employers, universities and society. The aim of this study is to describe teamwork in UCE at three universities in the UK. The main research question asks: ‘How can the organisation of UCE be described as “teamwork”?’ A case study strategy is applied for two reasons: first, this is an empirical study involving the examination of objects in their natural environment; and second, it describes a limited but complex situation entailing many relevant factors and hence multiple sources of information. There is a built-in expectation of divergence across cases, since the cases are selected to expose and analyse variation. The chosen research methods are a document study and an interview, based on the nature of the object in question, the research question being raised and the descriptive purpose of the study. The methodological frame of reference used in this study, the ‘Organisational Context’, deals with conditions as prerequisites, team processes, results of teamwork and feedback. The model is reciprocal and basic to the contextual analysis. It has been used in earlier work by Sandberg (e.g., 1997b), and could be discussed in terms of the ‘ecological’ frame of reference (Sundstromet al, 1990). The result shows that teamwork is present in many cases in UCE, but many common conditions function as obstacles to teamwork. For example, in many teams members are not permanent, furthermore, the academic system rewards individual achievement more than teamwork. The three cases in the study have significant similarities. The discussion points out that the actors in UCE have different perspectives beyond a common UCE-perspective. The difficulty in establishing the genuine teamwork necessary in UCE could be viewed as rooted in universities not having been originally created to meet the expectations of lifelong learning and continuing education.

  • 162.
    Sandberg, Jonas
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Feeling threatened in your job: care assistants' and auxiliary nurses' experiences of working in a nursing home2006Ingår i: Changing Professional Identities and Boundaries in Health and Social Care: European Perspectives, 2006Konferensbidrag (Övrigt vetenskapligt)
  • 163.
    Sandberg, Jonas
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Äldre människors livssituation och behov av vård och service. Moderator2006Ingår i: INSCOA Open conference. Mälardalens högskola, Västerås, 10 maj, 2006., 2006Konferensbidrag (Övrig (populärvetenskap, debatt, mm))
  • 164.
    Sandberg, Jonas
    et al.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Eriksson, Henrik
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Men as informal caregivers in late life2007Ingår i: FICCDAT-Festival of International Conferences on Caregiving, Disability, Ageing and Technology, 2007Konferensbidrag (Refereegranskat)
  • 165.
    Sandberg, Jonas
    et al.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Eriksson, Henrik
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    "The hard thing is the changes": The importance of continuity for older men caring for their wives2007Ingår i: Quality in Ageing, ISSN 1471-7794, Vol. 8, nr 2, s. 5-15Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
    Abstract [en]

    Few studies have been conducted into the contextual and relational aspects of male caregiving that include analysis by gender and family relationships. The aim was to gain understanding of the experience of older men as caregivers for an ill spouse. A narrative approach was adopted for this study. Interviews were conducted with three older men between 65 and 78 years, who had been caring for their wives for between one and 12 years. Two main categories emerged: taking on a new and unfamiliar role, and learning to live with the new role. The results also show how themen seek to maintain continuity in their relationships with the wives they are caring for. The findings can be understood in the light of a major life transition of how older men providing care for a spouse create new roles and how they cope with the changes in the marital relationship. A sense ofcontinuity in the process of caring is important for men to help them find the strength to continue as caregivers.

  • 166.
    Savolainen, Sari
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Att arbeta med social och emotionell träning i skolan: To work with social and emotional training in school2007Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats
    Abstract [sv]

    Syftet med uppsatsen är att belysa SET (social och emotionell träning), dess metod och hur den används i undervisningssammanhang och vad den enligt grundaren ger för resultat. Undersökningen utfördes på två olika grundskolor. Metoden för undersökningen blev intervjuer med två grundskolelärare, samt en biträdande rektor. Dessutom gjordes en textanalys av läromedlet Livsviktigt, samt en intervju med författaren. Resultatet som kom fram i intervjuerna och textanalysen, samt litteraturdelen visade att social och emotionell kompetens behövs i skolan. SET-metoden lyfter fram det viktiga värdegrundsarbetet som skolan strävar efter, det demokratiska samhället och alla människors lika värde. Det viktiga med undervisningen är kontinuitet, delaktighet, genomtänkt dialog och reflektion. För att det skall fungera i skolan krävs att det är integrerad med resten av skolarbetet, att ledningen stöttar lärarna, att alla strävar åt samma håll och att förhållningssättet genomsyrar hela verksamheten. Det kan finnas visst motstånd i lärarkåren, men i stort är de positiva. Stödet från ledningen är en förutsättning för att SET skall kunna bedrivas.

  • 167.
    Sejnelid, Josefin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Skolmåltidspersonalens upplevelser av att kunna påverka måltidssituationen2009Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Övervikt och fetma är ett av de mest omfattande folkhälsoproblemen i Sverige och det är en stor andel barn och unga som lever med detta problem. Då goda matvanor grundläggs i tidig ålder utgör skolmåltiden en betydelsefull roll för att upprätta hälsosamma matvanor. Faktorer i den fysiska matmiljön, såsom möblering, städning, dekorering, inredning, belysning samt ljudnivå påverkar elevernas upplevelse av måltidssituationen. Den psykiska miljön som innefattar både psykologiska och sociala faktorer, det vill säga servering av skolmaten, arbetskläder, matglädje, elevernas matintag samt möjligheterna för skolmåltidspersonalen att gå någon fortbildning är även av betydelse för måltidssituationen. Dessa faktorer har studerats i detta examensarbete som utförts på uppdrag av Region Halland och som syftade till att studera skolmåltidspersonalens upplevelser av att påverka måltidssituationen i skolan. En kvalitativ forskningsansats har tillämpats då avsikten var att studera skolmåltidspersonalens upplevelser och livsvärld. Intervjuer har genomförts på skolmåltidspersonal som varit köksansvariga i ett mottagningskök i Varbergs kommun. Resultatet tyder på att skolmåltidspersonalen kan påverka matmiljön gällande användandet av det som redan finns till förfogande. Brist på pengar uppges utgöra ett hinder för att kunna påverka måltidssituationen. Skolmåltidspersonalen kan inte påverka huvudkomponenten men däremot de tillbehör och komponenter som serveras därtill. Kunskaperna anses vara goda för att kunna påverka måltidssituationen, dock finns det önskemål om fortbildning på vissa områden.

  • 168.
    Stenwall, Ewa
    et al.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Sandberg, Jonas
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Jönhagen, Maria
    Karolinska Institutet, Stockholm, Sweden.
    Fagerberg, Ingegerd
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Encountering the older confused patient: professional carers' experiences2007Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, Vol. 21, nr 4, s. 515-522Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The study's rationale: Confusion is a common condition among older patients and often a fearful experience. Opinions vary as to how to communicate with and care for confused patients and professional carers often find the patients' situation almost as distressing as the patients' themselves do. Aims and objectives: The aim of this study was to describe professional carers' experiences of their encounters with older confused patients. Methodological design and justification: Data was collected from interviews with 10 professional carers working on a ward specializing in the care of older confused patients. A descriptive phenomenological research approach was used to gather knowledge of professional carers' experiences of encounters with older confused patients. Ethics issues and approval: A Regional Board of Research Ethics granted ethical permission for the study. The appropriate ethical principles were followed. The participants were contacted personally and received a letter providing information on the study. Written consent was requested before the interview. If needed, the participants were able to get in contact with the staff health service for a follow-up after the interview. Names or places have been changed in order to ensure confidentiality. Results: The encounter with the confused patient is experienced as an encounter with an unfamiliar person, where the patients' actions and words are unforeseeable and with a lack of immediate trust. The essential meaning is further illuminated by the meaning constituents: the unforeseeable encounter, always being on guard and using oneself as a tool. Relevance to clinical practice: This paper focuses on the importance of encouraging professional carers to pay attention to the complexity of the encounter with the confused patient, reflecting upon their own behaviour within these encounters and the importance of knowledge of the patient's preferred senses and life stories. Caring for confused patients involves a great responsibility where both the professional carers and the patients are vulnerable and exposed.

  • 169.
    Stjerna, M-L.
    et al.
    University of Stockholm.
    Olin Lauritzen, S.
    University of Stockholm.
    Tillgren, Per
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    ”Social thinking” and cultural images: Teenagers notions of tobacco use.2004Ingår i: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 59, nr 3, s. 573-583Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The health hazards of tobacco use are well-known, and it is considered particularly important to prevent tobacco use among teenagers. New generations of teenagers still start using tobacco. To develop a more profound understanding of tobacco use among teenagers, the purpose of this study is to explore representations of tobacco use, smoking as well as snuffing, at the age when young people often start using tobacco. Focus-group interviews were carried out with 14-15 year olds in two schools in the Stockholm area. The analysis reveals that teenagers are well informed about the health-hazards of tobacco use. At the same time they hold complex and conflicting ideas concerning the relationship between tobacco use, risk, the body and "human nature". At the most general level of "social thinking" there is a dynamic relation between the three main representations of tobacco use related to: (1) notions of risk, (2) "human nature" and; (3) society's efforts to discipline its citizens, which together can be seen as the social representation of tobacco use. These representations of tobacco use are discussed as related to the teenagers' identity-work and gender identities. 

  • 170. Strömberg, Helén
    et al.
    Eriksson, HenrikMälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Genusperspektiv på vård och omvårdnad2006Samlingsverk (redaktörskap) (Övrigt vetenskapligt)
    Abstract [en]

    Det finns en genusordning som värnar om att kvinnor och män har olika positioner och möjligheter i vård- och omvårdnadspraktiker. Utifrån pågående forskning är det angeläget att ifrågasätta hur maktstrukturer skapas och vidmakthålls samt vilka effekter detta får.

    Genusperspektiv på vård och omvårdnad presenterar olika genusperspektiv och problematiserar vårdandet, dess handlingar, relationer och processer samt hälso- och sjukvårdens institutioner ur dessa perspektiv. Författarna ger vedertagna tolkningar av hur genus formats, nya konkurrerande innebörder samt en ökad komplexitet om hur genus problematiseras i vård och omvårdnad.

    Boken vänder sig framför allt till universitets- och högskolestudenter både vid grund- och specialistutbildningar samt till kliniskt verksamma inom hälso- och sjukvården.

  • 171.
    Stödberg, Rosa
    et al.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Sunvisson, Helena
    Örebro University, Örebro, Sweden.
    Ahlström, Gerd
    Örebro University, Örebro, Sweden.
    Lived experience of significant others of persons with diabetes2007Ingår i: Journal of Clinical Nursing, Vol. 16, nr 7b, s. 215-222Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim. To elucidate the lived experience of being a significant other of a person withdiabetes.

    Background. A person’s illness has consequences not only for the affected. Despite an increasing number of studies on significant others, there have been few about the experience of being a significant other of a person with diabetes.

    Design. Phenomenological-hermeneutic approach.

    Method. Fifteen significant others of persons with diabetes were interviewed.

    The interviews were conversational, starting with an open question. They were audiotaped and transcribed verbatim. The texts were analysed and interpreted.

    Results. The meaning of the lived experienced as narrated by the significant others is presented by way of four major themes: living in concern about the other’s health, striving to be involved, experiencing confidence and handling the illness. Many significant others said that they lived a normal life and had come to accept diabetes as a normal part of life. At the same time, the significant

    others experienced sorrow when they saw the health of the person with diabetes deteriorate over time.

    Conclusions. Living near a person with diabetes meant being constantly attentive to how the person was feeling. The significant others wanted to be involved in the illness by the persons with diabetes and healthcare staff. They felt confidence

    both in the way the person with diabetes handled the illness and in the ongoing research about diabetes. The significant others had found ways to handle the illness but lacked support from healthcare staff.

    Relevance to Clinical Practice. Nurses need to provide support for significant others as well as good caring for the patients and this requires a profound understanding of significant others from their own perspective.

  • 172.
    Sundström, A.
    et al.
    University Hospital, Stockholm, Sweden .
    Blomgren, KB.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap. University Hospital, Stockholm, Sweden .
    Alfredsson, L.
    Karolinska Institutet, Stockholm, Sweden.
    Wiholm, B-E.
    University Hospital, Stockholm, Sweden .
    Acid – suppressing drugs and gastro-esophageal reflux disease as risk factors for acute pancreatitis – results from a Swedish Case-Control Study.2006Ingår i: Pharmacoepidemiology and Drug Safety, ISSN 1053-8569, E-ISSN 1099-1557, Vol. 15, nr 3, s. 141-9Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    PURPOSE: To study risk factors for acute pancreatitis, here with emphasis on gastro-intestinal diseases and their treatments. METHODS: Population based case-control study covering four areas in Sweden encompassing 2.2 million inhabitants. Included were 462 incident cases of acute pancreatitis aged 20-85 years, hospitalized from 1 January 1995-31 May 1998, and 1,781 unmatched controls randomly selected from the study base using a population register. Information was captured from medical records and structured telephone interviews. RESULTS: Current use of H(2) antagonists starting within 6 months of index-date was associated with acute pancreatitis with an adjusted OR of 4.9 (95% confidence interval (CI) 1.6-15), and current use of proton pump inhibitors (PPIs) with an adjusted OR of 3.2 (95%CI 1.4-7.4). For both drug classes, the ORs tended to be higher at higher doses. Gastritis/gastro-esophageal reflux disease (GERD) within the last 12 months not treated with PPIs or H(2)-antagonists and inflammatory bowel disease (IBD) not treated with anti-inflammatory or immunosuppressive drugs were associated with development of acute pancreatitis with adjusted odds ratios (OR) of 1.9 (95%CI 1.2-3.0) and 5.1 (95%CI 2.0-13) respectively. CONCLUSIONS: Current IBD without treatment and gastritis/GERD without treatment were found to be associated with increased risks to develop acute pancreatitis but the nature of the latter association needs to be further evaluated. On balance, we judge that the observed associations between current use of H(2)-antagonists and PPIs and increased risk of acute pancreatitis are unlikely to be explained by bias.

  • 173.
    Svensson, Roland
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap. Mälardalens högskola, Akademin för utbildning, kultur och kommunikation, Utbildningsvetenskap och Matematik.
    Att organisera lärande och innovationer.: Slutrapport från ett projekt för att reformera de psykoneurologiska internathemmen i Leningrads län.2006Rapport (Övrigt vetenskapligt)
  • 174.
    Söderbäck, Maja
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Families Participation in Paediatric care challenge nurses differently – Transcultural studies.2004Ingår i: 12th Biennial Conference of the workgroup of European Nurse Researchers. Lissabon, Portugal 5-8 October, 2004Konferensbidrag (Refereegranskat)
  • 175.
    Söderbäck, Maja
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Förhållandet teori och praktik inom omvårdnadsverksamhet: Att tillägna sig personlig yrkeskunskap och praktisk erfarenhet och konsekvenser för handledning under klinisk praktik inom sjuksköterskeutbildning1995Rapport (Övrig (populärvetenskap, debatt, mm))
  • 176.
    Söderbäck, Maja
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Lyssnar vi på barnen inom hälso- och sjukvården?: Barns bästa - Barns röst2005Ingår i: ’Quality of health for children’ NoSB 2005-10-04, 2005Konferensbidrag (Övrig (populärvetenskap, debatt, mm))
  • 177.
    Söderbäck, Maja
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Nurses' empowering of Parents in Pediatric settings: A conceptual analysis1996Rapport (Refereegranskat)
  • 178.
    Söderbäck, Maja
    et al.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Christensson, Kyllike
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Mozambican Nurses’ Beliefs and Practice regarding Family Involvement in Hospital Care.2007Ingår i: Royal college of Nursing of the United Kingdom Research Society: The 2007 International Nursing Research Conference, 2007Konferensbidrag (Refereegranskat)
    Abstract [en]

    This study describes nurses’ beliefs and practice regarding family involvement in the care of hospitalised children in Mozambique. Cultural circumstances influence nurses’ everyday practice that is shaped by community culture, organisational hospital culture, nursing culture with a personal view of generic care captured by traditions in families and a professional view of care learned through nursing training. Influences of the institutional culture of a workplace and values inherent in medical science complicate relations in health care settings. The social understanding within a specific workplace with its special characteristics implies that staff share beliefs and ideas as ‘common thinking,’ which then influences the way they understand and act in everyday situations. In order to address social-cultural conditions and shared thinking we investigated Mozambican nurses’ beliefs and practice regarding family involvement in the care of hospitalised children. Ethnographic fieldwork was used to explore nurses’ involvement of family members in their everyday work. The data production consisted of field descriptions from observations and interviews with 36 nurses. Qualitative content analysis was used. The findings show that nurses’ practice of family involvement reflects a society that is poor, hierarchical, family-oriented but at the same time still adaptive. Four themes were identified: family members’ presence in order to assist the nurses in the caring, nurses’ support and education of family members to be involved in the caring, nurses’ shielding of family members from family involvement and difficulties and conditional dilemmas in the nurses’ involvement of families. In conclusion the authors state that emphasising culturally congruent nursing care is necessary if Mozambican families’ way of life is to be accommodated. However, to empower family involvement, the nurses themselves need to be empowered. The desired opportunity for nurses to develop culturally congruent family involvement is also closely connected to community awareness and empowerment of children’s rights.

  • 179.
    Tillgren, Per
    et al.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Nohlert, E
    Johansson, P
    Helgason, A
    Tegelberg, Å
    Att sluta röka – en effektstudie av två rökavvänjningsprogram utförda inom Folktandvården, Landstinget Västmanland2007Rapport (Övrig (populärvetenskap, debatt, mm))
  • 180.
    Tillgren, Per
    et al.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Zetterquist (Carlsson), Susanne
    Erikson, Lina
    Haglund, Bo JA
    Fördjupad metodutveckling av nationella tobaksförebyggande strategier: en metautvärdering av regeringens Tobaksuppdrag 2002-20052005Rapport (Övrig (populärvetenskap, debatt, mm))
  • 181.
    Tjulin, Åsa
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Kommunal samverkan i folkhälsoarbete inom ett storstadslän2004Självständigt arbete på avancerad nivå (magisterexamen)Studentuppsats
  • 182.
    Trulsson, O.
    et al.
    Ullevåls University Hospital, Oslo, Norway.
    Rådestad, Ingela
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    The silent child -: Mother´s experiences before, during and after stillbirth2004Ingår i: Birth, ISSN 0730-7659, Vol. 31, nr 3, s. 189-195Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: The quality of care received by a woman who gives birth to a dead baby is crucial for her long-term well-being, and limiting the period between diagnosis of intrauterine death and induction of delivery decreases her anxiety risk. The primary objective of this study was to explore why induction of delivery for most women should not be delayed more than 24 hours from the diagnosis of intrauterine death. A secondary objective was to determine how the time between diagnosis and delivery should be spent. METHODS: Twelve women were interviewed about their experience before and during the diagnosis of their baby's death and the event of birth. Interviews took place 6 to 18 months after the delivery and were analyzed using a phenomenological methodology. RESULTS: Women experienced premonition, difficulty communicating their worry, cessation of verbal communication with staff, unreality and numbing, desire to get rid of the dead child immediately, going through childbirth, and total silence. Many women believed that they were not respected as a human being during the process of diagnosing the intrauterine death. Themes emerged indicating caregivers should not reduce to zero the time between diagnosis of intrauterine death and induction of delivery. Time may be needed to obtain medical information about the delivery and to prepare the woman for meeting with and saying goodbye to her long-awaited but now silent baby. CONCLUSION: The period between diagnosis of intrauterine death and induction of delivery may give health professionals a major opportunity to improve a woman's ability to cope with the event of stillbirth and prepare her to meet with her loved but now silent baby. Further clinical research can identify supportive mechanisms for parents, and sources of iatrogenic psychological trauma that should be eliminated.

  • 183. Tunedal, Ulla
    et al.
    Fagerberg, Ingegerd
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Sjuksköterska inom äldreomsorgen: - en utmaning2001Ingår i: Vård i Norden, ISSN 0107-4083, Vol. 21, nr 2, s. 27-32Artikel i tidskrift (Refereegranskat)
  • 184. Viljonen, C.T.
    et al.
    Kirsten, T.G.J.
    Haglund, B.J.A.
    Tillgren, Per
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Towards the Development of Indicators for Health Promoting Schools.2006Ingår i: The Health Promoting School: International Advances in Theory, Evaluation and Practice., Danmarks Pedagogiske Universtitets Forlag, Copenhagen. , 2006, s. 75-86Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 185.
    von Heideken Wågert, Petra
    et al.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap. Umeå University, Umeå, Sweden .
    Gustavsson, JM
    Umeå University, Umeå, Sweden .
    Kallin, K
    Umeå University, Umeå, Sweden .
    Nygren, B
    Umeå University, Umeå, Sweden .
    Lundman, B
    Umeå University, Umeå, Sweden .
    Norberg, A
    Umeå University, Umeå, Sweden .
    Gustafson, Y
    Umeå University, Umeå, Sweden .
    Health status in the oldest old. Age and sex differences in the Umeå 85+ Study.2006Ingår i: Aging Clinical and Experimental Research, ISSN 1670-2780, Vol. 18, nr 2, s. 116-26Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND AND AIMS: With an increasing population aged 85 years and over, the aim of this study was to describe health status and living conditions in the oldest old and to estimate age and sex differences in a Northern European population. METHODS: A population-based cross-sectional study, The Umeå 85+ Study, was carried out in the municipality of Umeå in northern Sweden. Out of 319 eligible participants aged 85, 90 and 95 years and over, 253 participated. Structured interviews and assessments were conducted with the participants in their homes, and data were also collected from relatives, caregivers and medical charts. Cognition was screened with the Mini-Mental State Examination (MMSE), depressive symptoms with the Geriatric Depression Scale-15 (GDS-15) and nutritional status with the Mini Nutritional Assessment (MNA). Activities of daily living (ADL) were assessed applying the Staircase of ADL (including Katz' Index of ADL) and morale with the Philadelphia Geriatric Center Morale Scale (PGCMS). Participants also rated their own health. RESULTS: Over half of the participants had hypertension, one out of four was depressed, and the same proportion had had a hip fracture; the mean number of drugs taken was 6.4+/-4.0. Younger participants had lower rates of diagnoses and prescribed drugs, and were less dependent in ADL and other functional variables; men had lower rates of diagnoses and reported symptoms. The majority of participants rated their general health and morale as good. CONCLUSIONS: There were large variations in social, medical and functional variables within and between age and sex groups. This northern population of the oldest old seems to have a very high prevalence of hypertension, depression, hip fractures, and many prescribed drugs.

  • 186.
    Waldenström, U.
    et al.
    Karolinska Institutet, Stockholm, Sweden.
    Hildingsson, Ingegerd
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Rubertsson, Christine
    Karolinska Institutet, Stockholm, Sweden.
    Rådestad, Ingela
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    A negative birth experience: prevalence and risk factors in a national sample2004Ingår i: Birth, ISSN 0730-7659, Vol. 31, nr 1, s. 17-27Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: A woman's dissatisfaction with the experience of labor and birth may affect her emotional well-being and willingness to have another baby. The aim of this study was to investigate the prevalence and risk factors of a negative birth experience in a national sample. METHODS: A longitudinal cohort study of 2541 women recruited from all antenatal clinics in Sweden during 3 weeks spread over 1 year was conducted. Data were collected by three questionnaires, which measured women's global experience of labor and birth 1 year after the birth, and obtained information on possible risk factors during pregnancy and 2 months after the birth. RESULTS: Seven percent of the women had a negative birth experience. The following risk factors were found: (1) factors related to unexpected medical problems, such as emergency operative delivery, induction, augmentation of labor, and infant transfer to neonatal care; (2) factors related to the woman's social life, such as unwanted pregnancy and lack of support from partner; (3) factors related to the woman's feelings during labor, such as pain and lack of control; and (4) factors that may be easier to influence by the caregivers, such as insufficient time allocated to the woman's own questions at antenatal checkups, lack of support during labor, and administration of obstetric analgesia. CONCLUSIONS: Many risk factors were related to unexpected medical problems and participants' social background. Of the established methods to improve women's birth experience, childbirth education and obstetric analgesia seemed to be less effective, whereas support in labor and listening to the woman's own issues may be underestimated

  • 187.
    Wallin, Emmie
    et al.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Jansson, Elisabeth
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Tillgren, Per
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Sustainable Development and Public Health – Could it be combined?2007Konferensbidrag (Refereegranskat)
    Abstract [en]

    Background: The WHO policy framework - Health for all in the 21st century – in the European region provides Health Promotion and thereby Public Health practitioners with an agenda that includes and highlights equity (health as a resource for all humans regardless of background), environmental aspects (influences peoples health and possibilities of being healthy) and economic aspects (the ability and possibility of making healthy choices). These dimensions are also the pillars of sustainable development. Besides these similarities the two concepts seems to cohere on several key points in their fundamental visions and strategies; long-term view, interdisciplinary collaboration, holistic approach including system thinking, democracy and participation etc. Although, are the concepts really coherent in their definitions and explanations of these visions and strategies?

    The objective is to study similarities and differences between the concepts of health promotion and sustainable development in Swedish national documents for public health and sustainable development between 1992 and 2006.

    Method: A systematic review of a strategically sample of governmental public health and sustainable development documents including a manifest content analysis to get an understanding of how health promotion and sustainable development as concepts are described.

    Expected results: Preliminary results indicate that the concepts have different approaches to a few of the similar key points, especially participation and democracy. The final results will help to clarify the relationship between the concepts of health promotion and sustainable development and will be presented at the conference.

  • 188.
    Weman, Karin
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Co-operation with family members : A challenge for registrated nurses in community elder care2005Licentiatavhandling, monografi (Övrigt vetenskapligt)
    Abstract [en]

    The overall aim of this thesis was to gain knowledge of how Registered Nurses (RN) are able to work together with family members of older people living in community elder care facilities.

    A questionnaire was distributed to all RNs (N= 314) with permanent appointments in community elder care in one province, and 67 percent (n = 210) answered after two reminders (I, II). The age of the participants was from 23 to 64 years and half of the participants worked in urban areas. About half of the participants had experience of work in elder care of five years or more.

    Study I focused on the RNs view of co-operation with family members of the old person and what influenced that co-operation. The working situation for RNs in community elder care showed that nearly half, 46 % of the RNs were not satisfied with their working situation. It was the nurses with more than five years of working experience that were unhappy with their working situation. The limited organisational and personnel resources influenced their ability to co-operate with the family members. The RNs expressed dissatisfaction and frustration when they could not spend enough time caring for the old people or communicating with their family members. The RNs believed that it was important for family members to show their involvement in the care of the old person. The results showed that cooperation would be more complicated if there was a conflict of interest between the RN and the family member. Furthermore, the RN pointed out the importance of family members taking care of the older person’s interest.

    Study II focused on what the RNs described as positive, negative or problematic in their cooperation with family members of old people. Content analysis was used in the analysis of the three open-ended questions. Three themes emerged from the answers of the three open-ended questions, namely Problems within the system, Interaction with families and Caring in nursing work. The co-operation between the RN and the family member was especially important when the old person was suffering from dementia. An exchange of information about the person before illness was especially important as it was then possible to provide better care and understanding for the old person.

    The development of community elder care will put increasing demands on the RNs in community elder care in the future and there is a need for further support and guidance. Her working situation involves both working alone and being a part of a team. Informal care giving is also expected to increase as the elder population increases and by that the registered nurse will be even more important in community elder care as more persons are dependent on her competence. Conclusions drawn imply that the RN in community elder care is dependent on the organization of elder care and the organization is dependent on RNs competence.

  • 189.
    Weman, Karin
    et al.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap. Karolinska Institutet, Stockholm, Sweden.
    Fagerberg, Ingegerd
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap. Karolinska Institutet, Stockholm, Sweden.
    Registered Nurses working together with family members of older people2006Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, Vol. 15, nr 3, s. 281-289Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim. The aim of the study was to reach a more profound understanding, through looking at nurses' working situation, of those factors that influence how nurses are able to work together with family members of older people living in nursing homes or similar facilities. Background. Working with the care of older people as a Registered Nurse provides a varied job with many challenges. Nurses have to co-operate with family members of those in community health care. Co-operation is important and necessary for all involved. Design. Nurses working in elder care in a geographically defined area received a questionnaire with three open-ended questions, on the difficulties and/or problems involved with working together with family members, and the positive or negative aspects of this co-operation. Methods. Analysis was carried out using the latent content analysis method. Results. Three themes, problems within the system, interaction with families and caring in nursing work, are presented with categories and their subcategories. The nurses wanted their superior to be a nurse so that their working situation would be better understood. Appreciation from their superior and family members was also a very important part of their work as nurses in community health care. The frequent changes and the lack of time in the work of elder care often put nurses under considerable psychological pressure. For the most part family members are a resource for the elder, but sometimes they will avoid contact, which will make co-operating difficult. Conclusion. Registered Nurses and family members are dependent on each other in their care of the elder. Relevance to clinical practice. More attention should be paid to the working situation of Registered Nurses in community health care, and their ability to work together with family members of older people.

  • 190.
    Weman, Karin
    et al.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap. Karolinska Institutet, Stockholm, Sweden.
    Kihlgren, M.
    Karolinska Institutet, Stockholm, Sweden.
    Fagerberg, Ingegerd
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap. Karolinska Institutet, Stockholm, Sweden.
    Older people living in nursing homes or other community care facilities: Registered Nurses´ views of their working situation and co-operation with family members2004Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, Vol. 13, nr 5, s. 617-626Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Little attention has been paid to Registered Nurses' working conditions and how they experience their working situation in community health care. The nurses' vocational background is of interest, as well as their apprehension about communicating and co-operating with the older persons' family members. AIMS AND OBJECTIVES: The aim of the study was to describe Registered Nurses' views of their working situation in community health care and of co-operation with family members of older people living in nursing homes or similar facilities. DESIGN: The study was carried out in a geographically defined area in the south of Sweden. A questionnaire was sent to all the Registered Nurses (n = 314) working within community health care of whom 210 Registered Nurses replied to the questionnaires. METHODS: Latent content analysis was used on the comments to six questions, in order to illuminate the statistical findings from the statements of the questions measured by the Likert scale. RESULTS: The results showed that almost half of the Registered Nurses working in care of older people are not satisfied with their working situation. The nurses with less than 5 years working experience find their working situation most stimulating. All of them expressed that it is important that there is co-operation between themselves and the family members and it was also considered important to develop models that could improve co-operation. Male nurses believed, to a lesser extent, that family members were a resource in caring, compared with female nurses; however, all male nurses stressed the importance of facilitating informal caregivers. Nurses with more than 5 years of working experience expressed that it was important that family members show engagement in caring for older people. Furthermore, they expressed that it was necessary that the family members took care of the older persons' interests. RELEVANCE TO CLINICAL PRACTICE: The findings that half of the Registered Nurses are dissatisfied with their working situation have relevance in clinical practice because of the risk of losing competent nurses in this area.

  • 191. Wenemark, M
    et al.
    Borgstedt Risberg, M
    Holmberg, T
    Noorlind Brage, H
    Nettelbladt, P
    Åkerlind, Ingemar
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Identification of risk groups concerning mental health by a regional population-based survey in Sweden2004Konferensbidrag (Refereegranskat)
  • 192.
    Wiklund, Lena
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    "A cognitive perspective on frequent attenders health and suffering"2005Konferensbidrag (Refereegranskat)
  • 193.
    Wiklund, Lena
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Different levels of interpretation in hermeneutic understanding2007Konferensbidrag (Refereegranskat)
    Abstract [en]

    This paper will focus a hermeneutic approach considering different levels of interpretations. The approach has its roots in Gadamer’s philosophy of understanding and is developed by Ödman and Söderlund. Within this tradition questions of meaning are central and linked to persons reciprocal interplay with the situation. Interpretations are made on three different levels; 1) rational interpretation, aiming at understanding persons’ motive for acting 2) structural interpretation focusing the contextual structure of which the research object is a part, 3) existential interpretation which focuses the existential world as the world of the text. Finally a synthesis of the whole is made which could be described in terms of appropriation of the texts meaning. Then the researcher’s and the object of interpretation’s horizons of meaning are merged in terms of a new understanding. The method will be illustrated using results from a study on experiences of living with addiction.

  • 194.
    Wiklund, Lena
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Kognitiv terapi med patienter som lider av personlighetsstörningar2006Ingår i: Psyche, ISSN 0283-3468, nr 4, s. 6-10Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 195.
    Wiklund, Lena
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Kognitivt förhållningssätt och vårdvetenskap – går de att förena?2005Ingår i: Psyche, ISSN 0283-3468, nr 2,, s. 14-18.Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 196.
    Wiklund, Lena
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Kognitivt förhållningssätt och vårdvetenskap -går de att förena?2005Ingår i: Journal of Nursing Theory, ISSN 1400-8033, Vol. 14, nr 3, s. 11-17Artikel i tidskrift (Refereegranskat)
  • 197.
    Wiklund, Lena
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Lidandet som kamp och drama2000Doktorsavhandling, monografi (Övrigt vetenskapligt)
    Abstract [en]

    Denna studie syftar till att via utformandet av en teoretisk modell nå ökad förståelse för hur människan erfar lidandet. Studien, som har en hermeneutisk ansats, fokuserar lidandet som drama och kamp, vilka beskrivs som lidandets form och substans.

    Data insamlades genom samtal med informanter från två kontext. Den ena informantgruppen som utgjordes av nio personer med drogrelaterade problem valdes med utgångspunkt i ett antagande om att missbruket härrör från ett livslidande. De övriga informanterna (nio stycken) söktes inom ett till det yttre kontrasterande kontext, de hjärtopererade patienternas. De texter dessa samtal genererade tolkades sedan med utgångspunkt i en hermeneutisk ansats, som hämtat metodologisk inspiration av Ricoeur och Helenius. Tolkningen ägde rum i flera steg och det meningsbärande söktes genom naiv tolkning, analys av textens struktur samt genom ett sökande efter alternativa tolkningar. Tolkningsprocessen resulterade en uppsättning teser vilka relaterades till undersökningens teoretiska perspektiv samt till en begreppsanalys av ’kamp’.

    Den teoretiska modellen tar fasta på lidandets kamp som en kamp mellan värdighet och skam, lust och olust. Denna kamp kan gestaltas i lidandets drama där människan på olika sätt söker lindring i lidandet. Detta kan ske genom att man försöker besegra lidandet, avtäcka det eller försonas med det. Ytterligare ett sätt att söka lindring är att ge upp lidandets kamp och resignera. I den teoretiska modellen gestaltas även hur människan kan förhålla sig till kampen på olika sätt beroende på vilket perspektiv hon har inför framtiden. Då människan uppfattar att framtiden präglas av ett hot om avskurenhet och död förhåller hon sig till livet på ett sådant sätt att lidandet dominerar. Om uppfattningen om framtiden präglas av liv och gemenskap kan hon förhålla sig till kampen som hälsa.

    När lidandet blir outhärdligt förlorar människan sin förankring i tiden. I och med att människan isoleras i nuet kan lidandet bemästras och begränsas till en konkret situation. För att en rörelse i hälsoprocesserna skall äga rum måste människan emellertid relatera till tiden. Relationen till en annan människa och skapandet av en lidandeberättelse innebär en möjlighet till förankring i tiden och därmed också till helande.

  • 198.
    Wiklund, Lena
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Meeting existential needs in caring for patients suffering from addiction. Muntlig presentation2006Konferensbidrag (Övrig (populärvetenskap, debatt, mm))
  • 199.
    Wiklund, Lena
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    "Och aldrig mötas de två" -en studie av 'vana patienters' lidande och deras möte med vården", Muntlig presentation2006Konferensbidrag (Övrig (populärvetenskap, debatt, mm))
  • 200.
    Wiklund, Lena
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Omsorgsvidenskab i klinisk praksis2005Bok (Övrigt vetenskapligt)
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