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  • 301.
    Elvén, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Hochwälder, Jacek
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Dean, Elizabeth
    University of British Columbia, Canada .
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    An innovative instrument to assess physiotherapists’ clinical reasoning focused on clients’ behaviour change: Its development and validation.2016In: Physiotherapy, ISSN 0031-9406, E-ISSN 1873-1465, Vol. 102, no s1, p. e155-e155Article in journal (Refereed)
  • 302.
    Elvén, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Hochwälder, Jacek
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Dean, Elizabeth
    University of British Columbia, Canada .
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Development of a model of Clinical Reasoning with focus on patients’ Activity-related Behaviour and Behaviour change.2013In: Abstrakt bok. Sjukgymnastdagarna 2-4 oktober 2013, 2013, p. 110-111Conference paper (Refereed)
  • 303.
    Elvén, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Hochwälder, Jacek
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Dean, Elizabeth
    University of British Columbia, Canada .
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Development of a tool for assessing physiotherapy students’ clinical reasoning with focus on patients’ behavioural change2013In: Nordic Advances in Health Care Sciences Research. November 13-14 2013 in Lund. Abstract book, 2013, p. 13-13Conference paper (Refereed)
  • 304.
    Elvén, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Hochwälder, Jacek
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Dean, Elizabeth
    University of British Columbia, Canada .
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Predictors of clinical reasoning focused on clients’ behavior change among physical therapy students2018In: Raisonnement Clinique 2018: Textes del la 4e Conférence Internationale de Montréal sur le Raisonnment Clinique. / [ed] Dyer, Joseph-Omer, 2018Conference paper (Refereed)
    Abstract [en]

    Although physical therapy students need to be well prepared to integrate strategies to effect health-related behavior change into their clinical reasoning, educators lack knowledge regarding which factors contribute to such competence. This study’s aim was to investigate the degree to which knowledge, cognitive, psychological and contextual factors as well as curriculum orientation influences students’ clinical reasoning focused on behavior change.

    151 physical therapy students in the final semester completed the web-based Reasoning 4 Change instrument (1). 61 students attended a physical therapy education program with a behavioral medicine approach. Hierarchical multiple regression analysis was used to investigate the degree to which curriculum orientation, self-rated knowledge, cognition, metacognition, attitudes, self-efficacy and contextual factors influence three outcomes of the clinical reasoning process, i.e., Input from Client, Functional Behavioral Analysis (FBA) and Strategies for Behavior Change (SBC).

    37% of the total variance in Input from Client was explained by all variables (p<.001), except contextual factors. Cognitive and metacognitive factors and attitudes were most important. Attending a physical therapy program with a behavioral medicine curriculum orientation was the only variable in the model that explained FBA (adjusted R2=.04;p<.05) and SBC (adjusted R2=.04;p<.01).

  • 305.
    Elvén, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Hochwälder, Jacek
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Dean, Elizabeth
    University of British Columbia, Canada .
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Predictors of Clinical Reasoning Using the Reasoning 4 Change Instrument With Physical Therapist Students2019In: Physical Therapy, ISSN 0031-9023, E-ISSN 1538-6724, Vol. 99, no 8, p. 964-976Article in journal (Refereed)
    Abstract [en]

    Although physical therapist students must be well prepared to integrate biopsychosocial and behavioral perspectives into their clinical reasoning, there is a lack of knowledge regarding factors that influence such competence. This study explored the associations among the independent variables-knowledge, cognition, metacognition, psychological factors, contextual factors, and curriculum orientation vis-a-vis behavioral medicine competencies-and the dependent variables-outcomes of input from client (IC), functional behavioral analysis (FBA), and strategies for behavior change (SBC) as levels in physical therapist students' clinical reasoning processes. This study used an exploratory cross-sectional design. The Reasoning 4 Change instrument was completed by 151 final-semester physical therapist students. Hierarchical multiple regression analyses for IC, FBA, and SBC were conducted. In the first step, curriculum orientation was inserted into the model; in the second step, self-rated knowledge, cognition, and metacognition; and in the third step, psychological factors. All independent variables except contextual factors explained 37% of the variance in the outcome of IC. Curriculum orientation explained 3%, cognitive and metacognitive factors an additional 22%, and attitudes another 15%. Variance in the outcomes of FBA and SBC were explained by curriculum orientation only (FBA change in R-2=0.04; SBC change in R-2=0.05). Higher scores of the dependent variables were associated with a curriculum having behavioral medicine competencies. The limitations of this study are that it was cross-sectional. Cognitive and metacognitive capabilities and skills and positive attitudes are important predictors of physical therapist students' clinical reasoning focused on behavior change at the IC level. Curricula with behavioral medicine competencies are associated with positive outcomes at all clinical reasoning levels.

  • 306.
    Emilson, C.
    et al.
    Uppsala Univ, Dept Neurosci, Uppsala, Sweden..
    Asenlof, P.
    Uppsala Univ, Dept Neurosci, Uppsala, Sweden..
    Pettersson, S.
    Karolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, Huddinge, Sweden.;Karolinska Univ Hosp, Dept Rheumatol, Stockholm, Sweden..
    Bergman, S.
    Res & Dev Ctr Spenshult, Halmstad, Sweden.;Univ Gothenburg, Sahlgrenska Acad, Inst Med, Dept Publ Hlth & Community Med, Gothenburg, Sweden..
    Sandborgh, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Martin, C.
    Uppsala Univ, Dept Neurosci, Uppsala, Sweden..
    Demmelmaier, I
    Uppsala Univ, Dept Neurosci, Uppsala, Sweden..
    PHYSICAL THERAPISTS' ASSESSMENTS, ANALYSES AND USE OF BEHAVIORAL CHANGE TECHNIQUES IN INITIAL CONSULTATIONS ON MUSCULOSKELETAL PAIN: DIRECT OBSERVATIONS IN PRIMARY HEALTH CARE2016In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 23, p. S187-S187Article in journal (Other academic)
  • 307.
    Emilson, C.
    et al.
    Department of Psychology, Uppsala University, Uppsala, Sweden.
    Demmelmaier, I.
    Department of Psychology, Uppsala University, Uppsala, Sweden.
    Bergman, S.
    Research and Development Center Spenshult, Halmstad, Sweden.
    Lindberg, P.
    Department of Psychology, Uppsala University, Uppsala, Sweden.
    Denison, Eva
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Åsenlöf, P.
    Department of Public Health, and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    A 10-year follow-up of tailored behavioural treatment and exercise-based physiotherapy for persistent musculoskeletal pain2017In: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 31, no 2, p. 186-196Article in journal (Refereed)
    Abstract [en]

    Objective: To study the long-term outcomes of two interventions targeting patients with sub-acute and persistent pain in a primary care physiotherapy setting. Design: A 10-year follow-up of a two-armed randomised controlled trial, initially including 97 participants. Interventions: Tailored behavioural medicine treatment, applied in a physiotherapy context (experimental condition), and exercise-based physiotherapy (control condition). Main measures: Pain-related disability was the primary outcome. The maximum pain intensity, pain control, fear of movement, sickness-related absence (register data) and perceived benefit and confidence in coping with future pain problems were the secondary outcomes. Results: Forty-three (44%) participants responded to the follow-up survey, 20 in the tailored behavioural medicine treatment group and 23 in the exercise-based physiotherapy group. The groups did not differ in terms of the change in the scores for the primary outcome (p=0.17) of pain-related disability between the experimental group (median: 2.5, Q1-Q3: -2.5-14.25), and the control group (median: 0, Q1-Q3: -5-6). Further, there were also no significant differences found for the secondary outcomes except for sickness-related absence, where the exercise-based physiotherapy group had more days of sickness-related absence three months before treatment (p= 0.02), and at the 10-year follow-up (p=0.03). Discussion: The beneficial effects favouring tailored behavioural medicine treatment that observed post-treatment and at the two-year follow-up were not maintained 10 years after treatment.

  • 308.
    Emilson, C.
    et al.
    Uppsala University, Uppsala, Sweden.
    Åsenlöf, P.
    Uppsala University, Uppsala, Sweden.
    Pettersson, S.
    Karolinska University, Sweden.
    Bergman, S.
    University of Gothenburg, Gothenburg, Sweden .
    Sandborgh, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Martin, C.
    Uppsala University, Uppsala, Sweden.
    Demmelmaier, I.
    Uppsala University, Uppsala, Sweden.
    Physical therapists' assessments, analyses and use of behavior change techniques in initial consultations on musculoskeletal pain: Direct observations in primary health care2016In: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 17, no 1, article id 316Article in journal (Refereed)
    Abstract [en]

    Background: Behavioral medicine (BM) treatment is recommended to be implemented for pain management in physical therapy. Its implementation requires physical therapists (PTs), who are skilled at performing functional behavioral analyses based on physical, psychological and behavioral assessments. The purpose of the current study was to explore and describe PTs' assessments, analyses and their use of behavioral change techniques (BCTs) in initial consultations with patients who seek primary health care due to musculoskeletal pain. Methods: A descriptive and explorative research design was applied, using data from video recordings of 12 primary health care PTs. A deductive analysis was performed, based on a specific protocol with definitions of PTs' assessment of physical and psychological prognostic factors (red and yellow flags, respectively), analysis of the clinical problem, and use of BCTs. An additional inductive analysis was performed to identify and describe the variation in the PTs' clinical practice. Results: Red and yellow flags were assessed in a majority of the cases. Analyses were mainly based on biomedical assessments and none of the PTs performed functional behavioral analyses. All of the PTs used BCTs, mainly instruction and information, to facilitate physical activity and improved posture. The four most clinically relevant cases were selected to illustrate the variation in the PTs' clinical practice. The results are based on 12 experienced primary health care PTs in Sweden, limiting the generalizability to similar populations and settings. Conclusion: Red and yellow flags were assessed by PTs in the current study, but their interpretation and integration of the findings in analyses and treatment were incomplete, indicating a need of further strategies to implement behavioral medicine in Swedish primary health care physical therapy. 

  • 309.
    Engquist, M.
    et al.
    Department of Orthopaedics, Ryhov Hospital, S-551 85 Jönköping.
    Löfgren, H.
    Neuro-orthopedic Center, Ryhov Hospital, Jönköping.
    Öberg, B.
    Linköping University.
    Holtz, A.
    ala University Hospital,.
    Peolsson, A.
    Linköping University.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Vavruch, L.
    Neuro-orthopedic Center, Ryhov Hospital.
    Lind, B.
    Department of Orthopaedics, Ryhov Hospital.
    Surgery versus nonsurgical treatment of cervical radiculopathy: A prospective, randomized study comparing surgery plus physiotherapy with physiotherapy alone with a 2-year follow-up2013In: Spine, ISSN 0362-2436, E-ISSN 1528-1159, Vol. 38, no 20, p. 1715-1722Article in journal (Refereed)
    Abstract [en]

    STUDY DESIGN.: Prospective randomized controlled trial. OBJECTIVE.: To study the outcome of anterior cervical decompression and fusion combined with a structured physiotherapy program compared with the same physiotherapy program alone for patients with cervical radiculopathy. SUMMARY OF BACKGROUND DATA.: Knowledge concerning the effects of interventions for patients with cervical radiculopathy is scarce due to a lack of randomized studies. METHODS.: Sixty-three patients were randomized to surgery with postoperative physiotherapy (n = 31) or physiotherapy alone (n = 32). The surgical group was treated with anterior cervical decompression and fusion. The physiotherapy program included general/specific exercises and pain-coping strategies. The outcome measures were disability (Neck Disability Index), neck and arm pain intensity (visual analogue scale), and the patient's global assessment. Patients were followed for 24 months. RESULTS.: The result from the repeated-measures analysis of variance showed no significant between-group difference for Neck Disability Index (P = 0.23). For neck pain intensity, the repeated-measures analysis of variance showed a significant between-group difference during the study period in favor of the surgical group (P = 0.039). For arm pain intensity, no significant between-group differences were found according to the repeated-measures analysis of variance (P = 0.580). Eighty-seven percent of the patients in the surgical group rated their symptoms as "better/much better" at the 12-month follow-up compared with 62% in the nonsurgical group (P < 0.05). At 24 months, the corresponding figures were 81% and 69% (P = 0.28). The difference was significant only at the 12-month follow-up in favor of the surgical group. Significant reduction in Neck Disability Index, neck pain, and arm pain compared with baseline was seen in both groups (P < 0.001). CONCLUSION.: In this prospective, randomized study of patients with cervical radiculopathy, it was shown that surgery with physiotherapy resulted in a more rapid improvement during the first postoperative year, with significantly greater improvement in neck pain and the patient's global assessment than physiotherapy alone, but the differences between the groups decreased after 2 years. Structured physiotherapy should be tried before surgery is chosen. Copyright © 2013 Lippincott Williams & Wilkins. Unauthorized reproduction of this article is prohibited.

  • 310.
    Engquist, Markus
    et al.
    Ryhov Hosp, Jönköping, Sweden..
    Lofgren, Hakan
    Ryhov Hosp, Jönköping, Sweden..
    Oberg, Birgitta
    Linköping Univ, Linköping, Sweden..
    Holtz, Anders
    Univ Uppsala Hosp, Uppsala, Sweden..
    Peolsson, Anneli
    Linköping Univ, Linköping, Sweden..
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Vavruch, Ludek
    Ryhov Hosp, Jönköping, Sweden..
    Lind, Bengt
    Univ Gothenburg, Gothenburg, Sweden..
    A 5-to 8-year randomized study on the treatment of cervical radiculopathy: anterior cervical decompression and fusion plus physiotherapy versus physiotherapy alone2017In: JOURNAL OF NEUROSURGERY-SPINE, ISSN 1547-5654, Vol. 26, no 1, p. 19-27Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE The aim of this study was to evaluate the 5- to 8-year outcome of anterior cervical decompression and fusion (ACDF) combined with a structured physiotherapy program as compared with that following the same physiotherapy program alone in patients with cervical radiculopathy. No previous prospective randomized studies with a follow-up of more than 2 years have compared outcomes of surgical versus nonsurgical intervention for cervical radiculopathy. METHODS Fifty-nine patients were randomized to ACDF surgery with postoperative physiotherapy (30 patients) or to structured physiotherapy alone (29 patients). The physiotherapy program included general and specific exercises as well as pain coping strategies. Outcome measures included neck disability (Neck Disability Index [NDI]), neck and arm pain intensity (visual analog scale [VAS]), health state (EQ-5D questionnaire), and a patient global assessment. Patients were followed up for 5-8 years. RESULTS After 5-8 years, the NDI was reduced by a mean score% of 21 (95% CI 14-28) in the surgical group and 11% (95% CI 4%-18%) in the nonsurgical group (p = 0.03). Neck pain was reduced by a mean score of 39 mm (95% CI 26-53 mm) compared with 19 mm (95% CI 7-30 mm; p = 0.01), and arm pain was reduced by a mean score of 33 mm (95% CI 18-49 mm) compared with 19 mm (95% CI 7-32 mm; p = 0.1), respectively. The EQ-5D had a mean respective increase of 0.29 (95% CI 0.13-0.45) compared with 0.14 (95% CI 0.01-0.27; p = 0.12). Ninety-three percent of patients in the surgical group rated their symptoms as "better" or "much better" compared with 62% in the nonsurgical group (p = 0.005). Both treatment groups experienced significant improvement over baseline for all outcome measures. CONCLUSIONS In this prospective randomized study of 5- to 8-year outcomes of surgical versus nonsurgical treatment in patients with cervical radiculopathy, ACDF combined with physiotherapy reduced neck disability and neck pain more effectively than physiotherapy alone. Self-rating by patients as regards treatment outcome was also superior in the surgery group. No significant differences were seen between the 2 patient groups as regards arm pain and health outcome.

  • 311.
    Engquist, Markus
    et al.
    Ryhov Hospital, Jönköping, Sweden.
    Löfgren, Håkan
    Ryhov Hospital, Jönköping, Sweden.
    Öberg, Birgitta
    Linkoping University, Linköping, Sweden.
    Holtz, Anders
    Uppsala University Hospital, Uppsala, Sweden.
    Peolsson, Anneli
    Linkoping University, Linköping, Sweden.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Vavruch, Ludek
    Spine Center Goteborg, Gothenburg, Sweden.
    Lind, Bengt
    Spine Center Goteborg, Gothenburg, Sweden.
    Factors affecting the outcome of surgical versus nonsurgical treatment of cervical radiculopathy: A randomized, controlled study2015In: Spine, ISSN 0362-2436, E-ISSN 1528-1159, Vol. 40, no 20, p. 1553-1563Article in journal (Refereed)
    Abstract [en]

    STUDY DESIGN: Prospective randomized controlled trial.

    OBJECTIVE: To analyze factors that may influence the outcome of anterior cervical decompression and fusion (ACDF) followed by physiotherapy versus physiotherapy alone for treatment of patients with cervical radiculopathy.

    SUMMARY OF BACKGROUND DATA: An understanding of patient-related factors affecting the outcome of ACDF is important for preoperative patient selection. No previous prospective, randomized study of treatment effect modifiers relating to outcome of ACDF compared with physiotherapy has been carried out.

    METHODS: Sixty patients with cervical radiculopathy were randomized to ACDF followed by physiotherapy or physiotherapy alone. Data for possible modifiers of treatment outcome at one year, such as sex, age, duration of pain, pain intensity, disability (Neck Disability Index, NDI), patient expectations of treatment, anxiety due to neck/arm pain, distress (Distress And Risk Assessment Method, DRAM), self efficacy (Self Efficacy Scale, SES) health status (EQ-5D) and MRI findings were collected. A multivariate analysis was performed to find treatment effect modifiers affecting the outcome regarding arm/ neck pain intensity and NDI.

    RESULTS: Factors that significantly altered the treatment effect between treatment groups in favor of surgery were: duration of neck pain < 12 months (p = 0.007), duration of arm pain < 12 months (p = 0.01) and female sex (p = 0.007) (outcome: arm pain), low EQ-5D index (outcome: neck pain, p = 0.02), high levels of anxiety due to neck/arm pain (outcome: neck pain, p = 0.02 and NDI, p = 0.02), low SES score (p = 0.05) and high DRAM score (p = 0.04). (outcome: NDI). No factors were found to be associated with better outcome with physiotherapy alone.

    CONCLUSIONS: In this prospective, randomized study of patients with cervical radiculopathy, short duration of pain, female sex, low health quality, high levels of anxiety due to neck/arm pain, low self efficacy and a high level of distress before treatment were associated with better outcome from surgery. No factors were found to be associated with better outcome from physiotherapy alone.

  • 312.
    Eriksson, H.
    et al.
    The Red Cross University College, Stockholm, Sweden.
    Christiansen, M.
    Karolinska Institutet, Stockholm, Sweden.
    Holmgren, Jessica
    Karolinska Institutet, Stockholm, Sweden.
    Engström, Annica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Salzmann-Erikson, M.
    University of Gävle, Gävle, Sweden.
    Nursing under the skin: A netnographic study of metaphors and meanings in nursing tattoos2014In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 21, no 4, p. 318-326Article in journal (Refereed)
    Abstract [en]

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

  • 313.
    Eriksson, Henrik
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Salzmann-Erikson, M.
    Dalarna University.
    Cyber nursing-Health 'experts' approaches in the post-modern era of virtual performances: A nethnography study2013In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 50, no 3, p. 335-344Article in journal (Refereed)
    Abstract [en]

    Background: The imperative to gather information online and to become an 'expert' by locating effective advice for oneself and others is a fairly new support phenomenon in relation to health advice. The creation of new positions for health 'experts' within the space of the Internet has been addressed as a cybernursing activity. A focused analysis of communication in health forums might give insight into the new roles that are available for health experts in cyberspace. Aim: The aim of this study is to describe approaches to being an 'expert' in lifestyle health choice forums on the Internet and to elaborate on the communicative performances that take place in the forums. Method: An archival and cross-sectional observational forum study was undertaken using principles for conducting ethnographic research online. 2640 pages of data from two health Internet forums were gathered and analyzed. Findings: The results reveal three distinctive types of experts that emerge in the forums: (1) those that build their expertise by creating a presence in the forum based on lengthy and frequent postings, (2) those who build a presence through reciprocal exchanges with individual posters with questions or concerns, and (3) those who build expertise around a " life long learning" perspective based on logic and reason. Discussion: The results suggest that experts not only co-exist in the forums, but more importantly they reinforce each others' positions. This effect is central; alongside one another, the posts of the three types of experts we identify constitute a whole for those seeking the forum for advice and support. Users are provided with strong opinions and advice, support and Socratic reasoning, and a problem-oriented approach. The Internet is now an integral part of everyday living, not least of which among those who seek and offer support in cyberspace. As such, cyber nursing has become an important activity to monitor, and formal health care professionals and nursing researchers must stay abreast of developments. © 2012 Elsevier Ltd.

  • 314.
    Eriksson, Henrik
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Salzmann-Erikson, Martin
    Oslo Univ Hosp.
    Supporting a caring fatherhood in cyberspace - an analysis of communication about caring within an online forum for fathers2013In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 27, no 1, p. 63-69Article in journal (Refereed)
    Abstract [en]

    Supporting a caring fatherhood in cyberspace an analysis of communication about caring within an online forum for fathers Background: Today's parents seek out social support on the Internet. A key motivation behind the choice to go online is the need for more experience based information. In recent years, new fathers have increasingly taken on an active parental role. Men's support for their caring activities for infants on the Internet needs attention. Aim: The aim was to describe communication about caring activities for infants among men who visited an Internet-based forum for fathers and elaborate on the dimensions of support available in the forum. Method: An archival and cross-sectional observational forum study was undertaken using principles for conducting ethnographic research online: nethnography. A total of 1203 pages of data from an Internet forum for fathers were gathered and analysed. Result: Support for a caring fatherhood in cyberspace can be understood as fathers' communicating encouragement, confirmation and advice. The findings show that important ways of providing support through the forum included a reciprocal sharing of concerns how to be a better father in relation to caring for an infant. Concerns for their child's well-being and shared feelings of joy and distress in everyday life were recurrent supportive themes in the communication. Information gained from contacting others in similar situations is one important reason for the fathers' use of the Internet. Discussion: Support offered in this kind of forum can be considered as a complement to formal support. Professionals can use it to provide choices for fathers who are developing themselves as caregivers without downplaying the parental support offered by formal health care regimes. Further research: Online support will probably be one of the main supporting strategies for fathers in Scandinavia. Caring and nursing researchers need to closely monitor support activities that develop, and over time, as these ill likely become an important source of support for people.

  • 315.
    Eriksson, Henrik
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sandberg, Jonas
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Hellström, Ingrid
    Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden.
    Experiences of long-term home care as an informal caregiver to a spouse: Gendered meanings in everyday life for female carers2013In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 8, no 2, p. 159-165Article in journal (Refereed)
    Abstract [en]

    Background. One of the most common circumstances in which a woman gradually steps into a long-term caregiver role at home involves caring for a spouse suffering from dementia. Little attention has been paid to examining the experiences and motivations of such caregivers from a feminist perspective. Methods. Twelve women, all of whom were informal caregivers to a partner suffering from dementia, were interviewed on the following themes: the home, their partner's disease, everyday life, their relationship and autonomy. The results of these interviews were analysed in relation to gender identity and social power structures using a feminist perspective. Results. The findings of this study show that the informants frequently reflected on their caregiving activities in terms of both general and heteronormative expectations. The results suggest that the process of heteropolarisation in these cases can be an understood as a consequence of both the spouse's illness and the resulting caring duties. Also, the results suggest that the act of caring leads to introspections concerning perceived 'shortcomings' as a caregiver. Finally, the results indicate that it is important to recognise when the need for support in day-to-day caring is downplayed. Conclusions. Women view their caregiving role and responsibilities as paramount; their other duties, including caring for themselves, are deemed less important. We stress that the intense commitment and responsibilities that women experience in their day-to-day caring must be acknowledged and that it is important for healthcare professionals to find mechanisms for providing choices for female caregivers without neglecting their moral concerns. Implications for practice. Female carers face difficulties in always living up to gendered standards and this need to be considered when evaluating policies and practices for family carers.

  • 316.
    Eriksson, Henrik
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sandberg, Jonas
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Holmgren, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Pringle, Keith
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    His Helping hands: Adult daughters’ perceptions of fathers with a caregiving responsibility2013In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, Vol. 16, no 2, p. 235-248Article in journal (Refereed)
    Abstract [en]

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

  • 317.
    Eriksson, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Användning av BRA - Barns rätt som anhöriga2018Report (Other academic)
  • 318.
    Eriksson, Maria
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Barn som upplever våld2014In: I arbete med våldsutsatta kvinnor: Handbok för yrkesverksamma / [ed] Josefin Grände, Lisa Lundberg, Maria Eriksson, Stockholm: Gothia Fortbildning , 2014, 3, p. 112-131Chapter in book (Other academic)
  • 319.
    Eriksson, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Barns rätt som anhöriga BRA: Utvärdering av ett utvecklingsarbete2014Report (Other academic)
    Abstract [sv]

    Rapporten redovisar iakttagelser och slutsatser om Allmänna Barnhusets utvecklingsarbete med namnet BRA – Barns Rätt som Anhöriga, och den modell för information, råd och stöd till anhöriga barn som arbetet resulterade i: BRA-modellen. Utvärderingsuppdragets fokus har legat på att skaffa en så bred bild som möjligt av BRA modellen, och att ta vara på synpunkter, tankar och förändringsförslag som kan bidra till att tydliggöra och förbättra modellen. Det empiriska underlaget består av basuppgifter om 46 av de 56 barn och unga som deltagit i BRA-samtal och läger, intervjuer med 8 av de deltagande barnen, intervjuer och samtal med 11 personer från de 3 pilotverksamheter som ingick i projektet, och samtal med de 2 projektledarna från Barnhuset.

    Utvecklingsarbetet prövade en modell med följande komponenter: barn och föräldrar får vid ett första samtal tillsammans information om de rättigheter som barnets anhörigskap medför. Barnet erbjuds sen 1-2 enskilda samtal. Om barnet önskar genomförs därefter ytterligare ett samtal tillsammans med föräldern. Efter de enskilda samtalen erbjuds barnet att träffa andra barn med liknande erfarenhet under ett läger en helg eller ett skollov.

    Utifrån uppgifter om deltagande barn och de insatser som genomförts kan man dra slutsatsen att det är två olika versioner av BRA som prövats i praktiken: ”fullständig-BRA” där modellen har i relativt hög grad prövats utifrån samtliga komponenter och ”mini-BRA” där BRA-insatsen framförallt har bestått av ett inledande informationssamtal och i vissa fall ytterligare ett individuellt samtal. Vidare har de olika versionerna av BRA riktats till delvis olika målgrupper, vilket betyder att BRA-modellen i sin helhet framförallt har prövats på tonårstjejer med erfarenhet av föräldrars psykiska ohälsa, medan yngre flickor och pojkar vars föräldrar har någon typ av somatisk problematik endast tagit del av mini-BRA. Det är endast barn från de verksamheter som åtminstone i några fall prövat fullständig-BRA som kommer till tals i intervjuerna. Sammantaget betyder detta att slutsatserna om hur modellen fungerar för yngre barn och barn till föräldrar med somatiska sjukdomar blir ganska osäkra.

    Såväl de intervjuade barnens utsagor som det samtalsledarna säger tyder på att när det gäller individdelen av BRA har målsättningarna uppfyllts i hög grad vad gäller att barnen har fått kunskap om sina rättigheter med anledning av förälderns fysiska sjukdom/psykiska störning/missbruk, att de har fått den information de behöver om sin förälders sjukdom/psykiska störning/missbruk, och att de har fått hjälp att uttrycka eventuellt behov av råd och stöd. Både barn och samtalsledare kommenterar också det pedagogiska redskap som används i samtalen och menar att det har varit viktigt och till stor hjälp. Det är dock inte lika tydligt att barnets behov av råd och stöd blivit synliggjort för föräldrar/närstående vuxna, eller att barnet eller familjen vid behov har länkats till personer/verksamheter som kan ge hjälp; råd, stöd, behandling, och så vidare. I synnerhet dessa frågor kan alltså behöva stå i fokus i fortsatt utvecklingsarbete. I och med de begränsningar som finns i materialet om och från de deltagande barnen går det inte att utifrån barnen uttala sig om det är några grupper barn som individdelen av BRA inte fungerar lika bra för. Piloternas tankar om eventuella begränsningar handlar framförallt om att BRA-modellen skulle behöva anpassas till barn med olika former av funktionsnedsättningar och kommunikationssvårigheter. Sammantaget framstår individdelen av modellen som mycket lovande och utifrån de intervjuer som rapporten bygger på kan man tolka det som att BRA-samtal kan stärka barns känsla av sammanhang.

    Målsättningarna för lägret verkar de ha uppfyllts i mycket hög grad när det gäller att stärka barnen genom att de får träffa andra i samma situation, uppleva gemenskap och dela erfarenheter, bli hörda och få uttrycka sina åsikter, samt att ha kul och lära sig mer om sina rättigheter. Det är mer oklart i vilken lägret bidragit till att barnen fått fler strategier att hantera vardagen som anhörig. De barn som deltagit i ett läger talar alla mycket positivt om den erfarenheten. Mer kritiska synpunkter från barnen handlar - vid sidan om att lägret varit lite för komprimerat tidsmässigt - framförallt om att lägerledarna behöver vara observanta på att det kan vara påfrestande känslomässigt för deltagarna att vara på läger. Ett inslag i lägerprogrammet är inspirerat av norska Forandringsfabrikkens deltagandemodell höringar och i den här delen får barnen möjlighet att som grupp förmedla erfarenheter, goda råd och förslag på förbättringar för anhöriga barn till politiker och beslutsfattare. Att döma av de barn som kommit till tals i intervjuerna var relationen till och utbytet med de andra barnen betydligt viktigare än detta mer barnpolitiska inslag. Barns rätt till att komma till tals också i ett vidare perspektiv verkar inte ha stått högst på agendan för de barn som deltog i lägret. Det kan bland annat ha att göra med att de inte träffat varandra tidigare utan etablerade sina relationer där och då.

    BRA är en modell som sätter barnets rättigheter i fokus. Arbetet bygger på barns delaktighet och förutsätter de vuxnas lyssnande. De barn som intervjuats bekräftar att det är viktigt att BRA-modellen har barnets rättigheter som utgångspunkt, och man kan tolka barnintervjuerna som att samtalsledarna i hög grad lyckats bidra till att barnen fått mer kunskap om sina rättigheter. Det som för många av pilotverksamhetens medlemmar har varit nytt med BRA-modellen är dels att insatsen riktar sig direkt till barnet och sedan just detta att arbetet utgår från barns rättigheter och delaktighet. Piloterna betonar att det är ett nytt perspektiv de har lärt sig att arbeta utifrån, som ifrågasätter vuxnas tolkningsföreträde. Även utgångspunkten i rätten till information ger ett annat arbetssätt och en mer lyssnande inställning, medan det ”vanliga” sättet att arbeta framstår som tydligare styrt av de professionella. Det kan dock vara en utmaning att arbeta utifrån barns delaktighet och egenmakt inom ramen för relationer som inte är jämlika utan i stället präglas av vuxnas överordning och barns beroende och underordning. En annan utmaning med att arbeta på det här sättet är att rättigheter kan framstå som något ganska abstrakt och att det kan vara svårt att ”översätta” så att det blir möjligt för barn att ta till sig kunskap om sina rättigheter. Ytterligare en utmaning är förknippad med ansatsen att lära barn något. En erfarenhet från pilotomgången är att medan det första individuella samtalet väldigt tydligt har fokus på det enskilda barnet, kan det vid det andra samtalet vara lätt att börja ”undervisa” om rättigheter, så att samtalets innehåll inte kommer lika mycket från barnen själva, och barnen får en lägre grad av delaktighet. Ytterligare en utmaning som piloterna lyfter fram är att det inte är givet att BRA-tanken om barns rättigheter och barns delaktighet också i ett vidare perspektiv får gehör i den egna organisationen eller hos andra samhällsinstanser.

    En analys av hinder och möjligheter när det gäller tillämpningen av modellen bekräftar väl känd kunskap om betydelsen av såväl organisatorisk förankring och beredskap som ledningsstöd vid implementeringen av nya metoder eller arbetssätt. Det blir också tydligt det kanske ställs särskilda krav på organisatorisk förberedelse om BRA-modellen ska implementeras inom verksamheter med vuxna som primär målgrupp. Det behöver också finnas en grundläggande kunskap i hela organisationen om anhöriga barn och deras rättigheter för att det ska bli möjligt att rekrytera barn till BRA-insatsen. Under utvecklingsarbetet var en utgångspunkt att BRA-modellen ska vara så grundläggande att även av personal som inte är särskilt inriktade på barn ska kunna använda den. Piloterna menar dock att även om modellen är tydlig och enkel ställer exempelvis BRA-samtal krav på den som leder samtalen, och den förutsätter viss vana och erfarenhet att luta sig mot. Den utbildning i modellen piloterna genomgått får genomgående högt betyg, liksom stödet i förberedelse och genomförande av lägren. Kritiska kommentarer handlar mer om olika besked under projektet gång om exempelvis rekrytering till lägret. Det faktum att BRA framställs som en modell kan också vara något av en utmaning för dem som ska omsätta den i praktik, och det ställer krav på handledning från Barnhusets sida. Detta eftersom en del professionella, inte minst inom socialtjänsten, är ovana vid att arbeta manualbaserat. En del piloter uttrycker exempelvis en osäkerhet om de måste följa anvisningarna ”till punkt och pricka” för att de ska genomföra ”riktiga” BRA-samtal. En fråga för det vidare arbetet med BRA är att tydliggöra instruktionen till BRA-samtal och diskutera hur strikt denna måste följas för att det ska vara fråga om just ”BRA: Barns Rätt som Anhöriga”.

    Helhetsbedömningen blir att detta är ett i många avseenden framgångsrikt utvecklingsarbete. Det material som ligger till grund för analysen tyder på att arbetet med BRA-samtal och läger lyckats uppfylla målsättningarna. Vidare har utvecklingsarbetet resulterat i en modell som framstår som lovande inte bara när det handlar om att informera anhöriga barn om deras rättigheter och kartlägga behov av vidare stöd, utan som även tycks kunna stärka barns känsla av sammanhang. När nu modellen är utvecklad blir det därför angeläget att på allvar pröva den i olika verksamheter, och att studera hur BRA modellen fungerar i jämförelse med andra metoder eller modeller för information och stöd till barn som anhöriga.

  • 320.
    Eriksson, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Children's perspectives: On violence and interventions to protect and support them2013Conference paper (Other academic)
  • 321.
    Eriksson, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Children’s voices, children’s agency and the development of knowledge about children exposed to intimate partner violence2016In: Interpersonal Violence: Differences and Connections / [ed] Marita Husso, Tuija Virkki, Marianne Notko, Helena Hirvonen, Jari Eilola, London: Routledge, 2016, 1, p. 140-152Chapter in book (Refereed)
    Abstract [en]

    In this chapter, I argue that children’s voices and perspectives constitute a very fruitful point of departure in knowledge development in the field of intimate partner violence (IPV). Furthermore, that research and practice need to draw on a “double view” on these children as both objects for adults’ care, protection and support, and as social actors with their own perspectives, preferences and agendas.

    First, I review the extent to which it is possible to identify current research on intimate partner violence focusing on children’s voices and children’s agency, and outline a typology of different kinds of research on children exposed to intimate partner violence, as well as the “double view” on children exposed to intimate partner violence.

    Second, I discuss three different empirical areas to illustrate the point about possible knowledge gains. The first area is children’s exposure to intimate partner violence, specifically children’s ways of tackling their situation and experiences. This part of the discussion includes elaborations of the concept of “witnessing” or exposure to IPV, the relationship between the effects of exposure and children’s creation of meaning, and children’s agency. The second area is risk assessment and it is argued that such assessments must include not just immediate danger (or perpetrator dangerousness) but also the long-term risk associated with emotional violence, retraumatization or undermining of recovery, as well as the child’s sense of security. The third area is the critical assessment of support and treatment interventions, including perspectives on children exposed to IPV as services users, and to what extent their service user perspectives are included in the development and evaluations of interventions.

  • 322.
    Eriksson, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Delmål 4: Mäns våld mot kvinnor ska upphöra2015In: Forskarrapporter till Jämställdhetsutredningen: SOU 2015:86 Betänkande av Jämställdhetsutredningen, Stockholm: Fritzes, 2015, p. 235-337Chapter in book (Other academic)
  • 323.
    Eriksson, Maria
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Deltagarnas röster om BRA modellen2014In: Barns rätt som anhöriga: Om att göra barn delaktiga / [ed] Åsa Lundström Mattsson, Stockholm: Allmänna Barnhuset , 2014, 1, p. 17-35Chapter in book (Other academic)
  • 324.
    Eriksson, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Domestic violence, family law proceedings, and children’s victimization at school2015Conference paper (Other academic)
    Abstract [en]

    Aim

    The paper   discusses what the practices of family law social workers and school staff   mean for children’s vulnerability and victimization at school (including   preschool).

    Background  

    While   there has been considerable discussion of issues about child protection and   the cooperation between school and social services in that context, studies   on the intersection between school and family law proceedings seem virtually   non-existent. This is also the case when it comes to family law proceedings,   school and different forms of childhood adversity.

    Methods

    The   analysis draws on a survey to 110 preschool managers and 110 school head   teachers in two counties in Sweden, as well as qualitative interviews with   school staff, individually or in groups (22 interviewees).

    Findings

    Victimizing practices range from staff   neglect of children’s possible fear due to previous exposure to violence, and   the invalidation of experiences of violence, to outright dangerousness as   when staff exposing children and their abused mothers to risks for further   violence. Not just the children who are the objects of a family law dispute   are subjected to victimising practices at school, but other children as well.   A key example is when children with disputing parents are subjected institutional   violence by social workers trying to enforce contact, and this is witnessed   by other children.

    Conclusion

    The pattern of victimizing practices can   be linked to institutional and professional hierarchies, as well as dominating   discourses in the domain of education constructing domestic violence as a   problem of order affecting the collective, rather than as a threat to the   rights of individual children.

     

  • 325.
    Eriksson, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Family law proceedings, intimate partner violence, and children’s victimizationat school2015Conference paper (Other academic)
    Abstract [en]

    Objectives

    What do practices of family law professionals and school staff mean for children’s vulnerability and victimization at school? While there has been considerable discussion of issues about child protection and the cooperation between school and social services in that context, studies on the intersection between school and family law proceedings seem virtually non-existent. This is also the case when it comes to family law proceedings, school and different forms of childhood adversity. The paper explores how family law proceedings in cases involving intimate partner violence impact on school and how school staff tackle the issue of violence and family law.

    Methods

    The empirical material consists of qualitative interviews with a sample of pre-school/school staff, individually or in groups, and a questionnaire to school head teachers and pre-school managers. In total 12 interviews were carried out with 22 interviewees from different staff categories. The questionnaire was sent out to 110 pre-schools and 110 schools in two Swedish counties (response rate 51 and 65 percent respectively). The analysis both concerns the children exposed to violence who are the objects of family law disputes, and the vulnerability of other children at school.

    Results

    The analysis shows that children’s victimization at school can be due to actions by court staff, family law social workers and school staff, in addition to actions by parents. The problematic practices range from actions with victimizing effects, such as the neglect of children’s possible fear due to previous experiences of violence, or the invalidation experiences of violence, to outright dangerousness as when leaving children and their mothers without protection. In the worst case scenario, these practices enable further violence, possibly even lethal violence. Further violence may also be witnessed by other children present at school.

    Conclusion

    The examples found in the data sets make it clear that it is not just the children who are the objects of a family law dispute that are subjected to victimizing practices at school, but other children as well. An issue raised by the analysis presented here is the question as to whether the concept of children “witnessing” violence as crime victims in their own right – well established in Swedish policy today - should be expanded to include also children who witness violence against their peers or their peers’ parents at school.

  • 326.
    Eriksson, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Maktordningars betydelse i val och upplägg av utvärderingar: Keynote vid 2015 års nationella utvärderingskonferens2015Conference paper (Other academic)
  • 327.
    Eriksson, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Mothers as a vulnerable group of women subjected to violence2014In: Social Dialogue. Free Magazine of the International Association of Schools of Social Work, ISSN 2221-352X, Vol. 3, no 8, p. 10-15Article in journal (Other academic)
    Abstract [en]

    Violence against women is a social problem that affects all groups of women in society. Although violence is a general problem in this sense, some groups of women are more vulnerable to violence and find themselves in a more difficult situation when subjected to it. Vulnerability can both be an issue of an increased risk for violence or specific forms of violence, and a lack of knowledge and inadequate responses to some women and their needs from practitioners. In policy debates and in the literature “special” forms of vulnerability are often discussed as issues of addiction, disability, ethnic minority or immigrant status, mental health problems, prostitution and trafficking, violence in same-sex relationships, or old age. This article argues that we also need to recognize the vulnerability of abused women who are also mothers, and critically explore how expectations on mothers and (good enough) motherhood may contribute to a special form of vulnerability.

  • 328.
    Eriksson, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Mänskliga rättigheter: en introduktion2015In: Hur mänskliga rättigheter, mäns våld mot kvinnor och våld mot barn beaktas i högre utbildning: Rapportering av ett regeringsuppdrag, Stockholm: Universitetskanslersämbetet , 2015, p. 5-8Chapter in book (Other academic)
  • 329.
    Eriksson, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Panel on men, masculinities, and violence2015Conference paper (Other academic)
  • 330.
    Eriksson, Maria
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Särskild sårbarhet: Våldsutsatta kvinnor och barn som upplever våld2014In: Våldsutsatta kvinnor: Samhällets ansvar / [ed] Gun Heimer, Annika Björck, Chrystal Kunosson, Lund: Studentlitteratur AB, 2014, 3, p. 73-96Chapter in book (Other academic)
  • 331.
    Eriksson, Maria
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Våld, familjerätt och barns utsatthet i förskola och skola2014In: Barnrätt: En antologi / [ed] Ann-Christin Cederborg och Wiweka Warnling-Nerep, Stockholm: Norstedts Juridik AB, 2014, 1, p. 157-174Chapter in book (Other academic)
  • 332.
    Eriksson, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Våld i ungas parrelationer2016In: Ungdomar, sexualitet och relationer / [ed] Elisabet Häggström-Nordin, Chris Magnussson, Lund: Studentlitteratur AB, 2016, 2, p. 159-172Chapter in book (Other academic)
  • 333.
    Eriksson, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bruno, Linnéa
    Uppsala universitet, Sweden.
    Näsman, Elisabet
    Uppsala universitet, Sweden.
    Förskolan och skolan som arena2015In: Barns röster om våld: Att lyssna, tolka och förstå / [ed] Maria Eriksson, Åsa Källström Cater, Elisabet Näsman, Malmö: Gleerups Utbildning AB, 2015, 2, p. 163-178Chapter in book (Other academic)
  • 334.
    Eriksson, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Dahlkild-Öhman, Gunilla
    Uppsala universitet.
    Risk och riskbedömningar i familjerättstvister2015In: Barns röster om våld: Att lyssna, tolka och förstå / [ed] Maria Eriksson, Åsa Källström Cater, Elisabet Näsman, Malmö: Gleerups Utbildning AB, 2015, 2, p. 125-144Chapter in book (Other academic)
  • 335.
    Eriksson, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Gottzén, Lucas
    Stockholms universitet, Sweden.
    Andersson Bruck, Kjerstin
    Örebro universitet, Sweden.
    Franzén, Anna
    Stockholms universitet, Sweden.
    Lindberg, Daniel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Utvärdering av Mentorer i våldsprevention: Slutrapport2018Report (Other academic)
  • 336.
    Eriksson, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Klingstedt, Marie-Louise
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Effektiva insatser för unga kvinnor som utsatts för sexuellt våld?: Resultat från en pilotstudie2015Conference paper (Other academic)
    Abstract [sv]

    Sedan 2002 bedriver Järva Ungdomsmottagning en gruppverksamhet kallad ”NOOR-grupper”. Målgruppen är unga kvinnor 15-22 år som utsatts för sexuellt våld och kommit ur den akuta krisfasen. Insatsen pågår i cirka 13 veckor och sätter våldet och dess konsekvenser i fokus. Detta är en gruppintervention med både bearbetande och pedagogiska inslag. Den presenteras å ena sidan inte som en traumabearbetande insats och det finns inte heller något uttalat inklusionskriterium att gruppdeltagarna ska ha uppvisat någon form av symptom på posttraumatisk stress, samtidigt som arbetet å andra sidan är tydligt influerat av traumateori.

    Papret presenterar de första resultaten från en pilotstudie av insatsen. Studien bygger på strukturerade underlag om situation, våldsutsatthet, psykisk ohälsa generellt och traumasymptom specifikt före och efter grupp samt sex månader efter avslutad grupp, samt på brukarvärderingar och behandlarbedömningar av insatsen och intervjuer med deltagarna 6 månader efter att gruppen avslutades. I studien ingår deltagare från tre olika grupper under perioden 2013 - 2014, totalt 15 unga kvinnor. För att ge kunskap om vilka av mottagningens brukare som rekryteras till grupperna har också bakgrundsdata inhämtats om nybesök under perioden augusti – december 2013. Totalt har data om bakgrund och våldsutsatthet inhämtats för 69 unga kvinnor.

    I presentationen ligger fokus dels på vilka unga kvinnor som gått i NOOR-grupp, sett i förhållande till den bredare gruppen unga kvinnor som kommer till Järva Ungdomsmottagning, dels vilka tecken på psykisk ohälsa och traumasymptom gruppdeltagarna uppvisar och hur dessa tecken förändras över tid.

    Resultaten bekräftar att NOOR-gruppen når en specifik del av Ungdomsmottagningens våldsutsatta brukare. De våldsutsatta kvinnor som deltar i NOOR-grupp har i hög grad svensk bakgrund och relationerna till förövarna är blandade, med ungefär hälften bekanta, medan de våldsutsatta unga kvinnor som inte deltar i NOOR-grupp i högre grad har utländsk bakgrund och förövaren är ofta någon i familjen.

    När det gäller tecken på psykisk ohälsa och trauma visade de unga kvinnornas självskattningar före gruppstart höga nivåer av besvär. I jämförelse med ett svenskt representativt ungdomsmaterial bestående av 2,305 kvinnor i åldrarna 17-23 år och ett material med diagnostiserade patientgrupper med kvinnor i olika åldrar från olika enheter i Sverige låg undersökningsgruppen högre när det gäller generella besvär och antalet symtom, både jämfört med normeringsgruppen och den diagnostiserade gruppen, även om måttet som indikerar djupet av upplevda problem var lägre (NOOR-deltagarna har fler symptom generellt, men inte så allvarliga). Av 11 deltagare där det finns kompletta data om traumasymptom före gruppstart indikerade självskattningarna från 9 av dem att de sannolikt led av posttraumatisk stress och hade ett behandlingsbehov.

    Analysen av förändring över tid visar bland annat att det går att se en tydligare förbättring när det gäller psykisk ohälsa generellt, än traumasymtom specifikt. Implikationerna av dessa resultat för fortsatt utvecklingsarbete diskuteras i presentationen.

  • 337.
    Eriksson, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Klingstedt, Marie-Louise
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Järva ungdomsmottagnings NOOR-grupper: En pilotstudie av en gruppverksamhet för unga kvinnor som utsatts för våldtäkt2016Report (Other academic)
  • 338.
    Eriksson, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Knezevic, Zlatana
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Näsman, Elisabet
    Röbäck de Souza, Karin
    Taking children exposed to intimate partner violence seriously?: Developments in BBIC from 2006 to 20152016Conference paper (Other academic)
    Abstract [en]

    To improve child protection investigations the framework for assessment ”BBIC – Barns Behov I Centrum” [Children’s needs in the centre] was introduced in Sweden just after the new millennium, with the first full training resource published in 2006. There is a lack of research in Sweden about child protection work in cases of intimate partner violence generally and as regards BBIC specifically. However, a number of different sources indicate that there is a need for improvement of the BBIC system when it comes to this group of children at risk. For example, the national inspections of the local authorities’ work with abused women and children exposed to intimate partner violence carried out so far point to serious problems in child protection practice. Since BBIC was introduced the system has been amended and revised several times. A major revision was carried out in 2015. An important question is what these revisions may mean for the handling of cases of intimate partner violence. The aim of the paper is to map and assess how the issue of children’s exposure to violence has been addressed in the different versions of BBIC between 2006 and 2015. Surveying training resources and other documents from the last decade, we outline how there has been a gradual and partial inclusion of the issue of children’s exposure to violence over time, and discuss to what extent these amendments constitute a shift in perspective and emphasis major enough to be likely to impact positively on practice.

  • 339.
    Eriksson, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Källsatröm Cater, ÅsaÖrebro universitet, Sweden.Näsman, ElisabetUppsala universitet, Sweden.
    Barns röster om våld: Att lyssna, tolka och förstå2015Collection (editor) (Other academic)
  • 340.
    Eriksson, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Näsman, Elisabet
    Uppsala universitet, Sweden.
    Vad barn säger om möten med professionella2015In: Barns röster om våld: Att lyssna, tolka och förstå / [ed] Maria Eriksson, Åsa Källström Cater, Elisabet Näsman, Malmö: Gleerups Utbildning AB, 2015, 2, p. 59-74Chapter in book (Other academic)
  • 341.
    Eriksson, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Röbäck de Souza, Karin
    Göteborgs universitet, Sweden.
    Notions of risk, risk assessment and children’streatment needs, and the implementation of systematic risk assessment: Paper presented at the symposium “Challenges in implementing evidence based support to children exposed to domestic violence”2015Conference paper (Other academic)
    Abstract [en]

    Aim

    The aim of the paper is to discuss how the implementation of a structured risk- and safety interview may be affected by professionals’ views on domestic violence and risks for children, risk assessment and children’s treatment needs, as well as previous knowledge and experiences of other assessment instruments/models.

    Background

    At present, there is ongoing work at a national level in Sweden to introduce evidence based methods in the field of domestic violence intervention. The paper draws on a recently completed research study in Sweden on the development of assessments of, and support interventions for, children subjected to violence, specifically the part of the project that aimed to implement a routine inquiry about parent reports on intimate partner violence and child abuse, and to try out a structured risk-/safety interview within social services and child and adolescent mental health units.

    Methods

    The empirical data consists of group interviews with professionals from 18 different units that participated in the project. Out of the 18 units, 17 are run by local governments, two of which are specialized domestic violence units, one a family assessment centre, three women’s refuges/safe houses, and 11 ordinary child welfare/social services. One of the units is a non-profit organization providing support for children exposed to domestic violence.

    Findings

    The professionals’ views on risk, risk assessment and children’s treatment needs when exposed to domestic violence are shaped by competing discourses on domestic violence, current in the Swedish national debate. There were some key differences in the way professionals working in the context of women’s refuges/safe houses and specialized domestic violence units managed to implement especially the structured risk-/safety interview, compared to the ordinary child welfare/social services. The extent to which professionals draw on a gendered discourse on domestic violence may account for some of these differences.

    Conclusion

    The findings illustrate the need for careful consideration of institutional, organisational, and cultural aspects when developing evidence based practice in the field of domestic violence, specifically how methods and models with support in research will fit – or not fit – with established professional traditions.

  • 342.
    Eriksson, Nadya Travina
    et al.
    Mälarsjukhuset Hospital, Eskilstuna, Sweden.
    Wiklund Gustin, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Blessed Alienation: The Christian Monastery as a Caring and Restorative Environment2014In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 24, no 2, p. 172-182Article in journal (Refereed)
    Abstract [en]

    Being mentally ill is often associated with experiencing alienation from society because sensations are not easily shared with others. Modern health care leads us to pose many questions. Some sufferers search and find their way to monasteries as they did centuries ago. We interviewed six persons staying in a monastery to understand the meaning of health and care in a monastic environment in contemporary Sweden. We analyzed the transcripts by means of a hermeneutic approach and discovered that the helping effect of the monastery was based on its contradictory/paradoxical structure that corresponded to the lifeworld of a person suffering from mental illness. The monastery was a place where one could be different but equal, and simultaneously provided freedom within boundaries, calmness and intensity, privacy and relations, demands and confirmation. This facilitated experiences of health and wholeness, necessary to manage the challenges of recovery.

  • 343.
    Eriksson, Susanne
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Hoppe, Magnus
    Mälardalen University, School of Business, Society and Engineering, Industrial Economics and Organisation.
    Entreprenörskap på HVV: ett pilotprojekt med bestående effekter i entreprenöriellt lärande2016In: Samproduktionens retorik och praktik – inom området hälsa och välfärd / [ed] Inger K. Holmström, Jonas Stier, Per Tillgren, Gunnel Östlund, Lund: Studentlitteratur AB, 2016, p. 111-128Chapter in book (Other academic)
    Abstract [sv]

    I det här kapitlet belyses samverkan från dimensionerna uppåt (med Tillväxtverket för att söka nya samverkansformer med högskoleaktörer), utåt (mellan projekt vid andra högskolor/universitet), inåt (mellan olika delar av akademin och olika delar av högskolan) och nedåt (mot studenter, vilket kom att utvecklas under projektets gång).

    Utgångspunkten för detta exempel på samverkan och samproduktion är ett treårigt pilotprojekt för att etablera entreprenörskap inom vård- och omsorgsutbildningar. Projektet startade 2012, pågick till och med 2014 och ingick i ett av Tillväxtverket finansierat pilotprogram tillsammans med fyra andra lärosäten (se Samverkan i projektet nedan). Pilotprojektet har dessutom identifierat tre samverkansinriktningar: explorerande samverkan (bygga ny kunskap tillsammans), expanderande samverkan (engagera fler i värdeskapande aktiviteter) och evolverande samverkan (ömsesidig kontinuerlig anpassning). I analysen och diskussionen återkommer denna kategorisering. Utöver detta diskuteras relationen mellan styrning och koordination samt hur skillnader i målsättningar bör påverka upplägget för samverkan och samproduktion.

  • 344.
    Erlandsson, Kerstin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Jinghede Nordvall, Cecilia
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Qualitative interviews with adolescents about "Friends-with-Benefits" relationships2013In: Public Health Nursing, ISSN 0737-1209, E-ISSN 1525-1446, Vol. 30, no 1, p. 47-57Article in journal (Refereed)
    Abstract [en]

    Objective: To describe the thoughts, reflections, and experiences of friends-with-benefits relationships among a group of Swedish adolescents. Design and Sample: A qualitative study with an explorative and descriptive design. Eight adolescents, aged 16-18, were interviewed. Measures: Individual in-depth interviews were undertaken. Data were analyzed using latent content analysis. Results: The informants involved themselves in Friends-with-benefits (FWB) relationships to find physical and psychological intimacy without any expectations or demands. FWB relationships were perceived to have more advantages when the partner was a close friend with whom an informant felt comfortable. There was ambivalence about the legitimacy of romantic feelings in an FWB relationship, although it was quite common. Sexual concurrency was common and often accepted. Sexual risk-taking behavior involving the use of alcohol and a lack of contraception was considered common in FWB relationships. Informants requested more education and support as regards their sexual behavior. Conclusions: FWB relationships were often initiated to find physical and psychological intimacy with no expectations or demands. Advantages such as sexual concurrency and no demands were central. A deeper understanding of how adolescents think and reason about sexuality and relationships can make a difference when working to improve young people's sexual and reproductive health.

  • 345.
    Ernesäter, A.
    et al.
    Faculty of Health and Occupational Studies, Caring Science University of Gavle, Sweden;Department of Public Health and Caring Sciences, Uppsala University, Health Services Research Uppsala, Sweden .
    Engström, M.
    Faculty of Health and Occupational Studies, Caring Science University of Gavle, Sweden;Department of Public Health and Caring Sciences, Uppsala University, Health Services Research Uppsala, Sweden .
    Winblad, U.
    Department of Public Health and Caring Sciences, Uppsala University, Health Services Research Uppsala, Sweden .
    Holmström, Inger K.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Department of Public Health and Caring Sciences, Uppsala University, Health Services Research Uppsala, Sweden .
    A comparison of calls subjected to a malpractice claim versus 'normal calls' within the Swedish Healthcare Direct: A case-control study2014In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 4, no 10, article id e005961Article in journal (Refereed)
    Abstract [en]

    Objectives: The purpose of this study is to compare communication patterns in calls subjected to a malpractice claim with matched controls. Setting: In many countries, telephone advice nursing is patients' first contact with healthcare. Telenurses' assessment of callers' symptoms and needs are based on verbal communication only, and problems with over-triage and under-triage have been reported. Participants: A total sample of all reported medical errors (n=33) during the period 2003-2010 within Swedish Healthcare Direct was retrieved. Corresponding calls were thereafter identified and collected as sound files from the manager in charge at the respective call centres. For technical reasons, calls from four of the cases were not possible to retrieve. For the present study, matched control calls (n=26) based on the patient's age, gender and main symptom presented by the caller were collected. Results: Male patients were in majority (n=16), and the most common reasons for calling were abdominal pain (n=10) and chest pain (n=5). There were statistically significant differences between the communication in the cases and controls: telenurses used fewer open-ended medical questions (p<0.001) in the cases compared to the control calls; callers provided telenurses with more medical information in the control calls compared to the cases (p=0.001); and telenurses used more facilitation and patient activation activities in the control calls (p=0.034), such as back-channel response (p=0.001), compared to the cases. Conclusions: The present study shows that telenurses in malpractice claimed calls used more closed-ended questioning compared to those in control calls, who used more open-ended questioning and back-channel response, which provided them with richer medical descriptions and more information from the caller. Hence, these communicative techniques are important in addition to solid medical and nursing competence and sound decision aid systems.

  • 346.
    Ernesäter, Annica
    et al.
    Högskolan i Gävle, Sweden.
    Engström, Maria
    Högskolan i Gävle, Sweden.
    Winblad, Ulrika
    Uppsala Universitet, Sweden.
    Ramqvist, Michael
    Linköpings universitet, Sweden.
    Holmström, Inger K.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Uppsala Universitet, Sweden.
    Telephone nurses' communication and response to callers' concern - a mixed method study2016In: Applied Nursing Research, ISSN 0897-1897, E-ISSN 1532-8201, ISSN 0897-1897, Vol. 29, p. 116-121Article in journal (Refereed)
    Abstract [en]

    Aims: The aim of this study was to describe telephone nurses' and callers' communication, investigate relationships within the dyad and explore telephone nurses' direct response to callers' expressions of concern 

    Background: Telephone nurses assessing callers' need of care is a rapidly growing service. Callers with expectations regarding level of care are challenging. 

    Method: RIAS and content analysis was performed on a criterion sampling of calls (N = 25) made by callers who received a recommendation from telephone nurses of a lower level of care than expected. 

    Results: Telephone nurses mainly ask close-ended questions, while open-ended questions are sparsely used. Relationships between callers' expressions of Concern and telephone nurses responding with Disapproval were found. Telephone nurses mainly responded to concern with close-ended medical questions while exploration of callers' reason for concern was sparse.

    Conclusion: Telephone nurses' reluctance to use open-ended questions and to follow up on callers' understanding might be a threat to concordance, and a potential threat to patient safety. 

  • 347.
    Escobar, Katherinne
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Amini, Yasmin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Patienters erfarenheter av att behandlas med parenteral nutrition i hemmet: En litteraturöversikt ur ett patientperspektiv2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Parenteral nutrition is used when patients cannot meet their daily nutritionalneeds and can lead to malnutrition. The treatment with parenteral nutrition can beadministered both in hospitals and in the home. Problem: To be administered parenteral nutrition in the home can mean new experiences. By gaining knowledge of patients' experiences of the treatment, these can help the healthcare staff to plan a good personcentered care. Aim: To make an overview of patients' experiences of being treated with parenteral nutrition in the home. Method: A general literature review with twelve articles, six articles with qualitative approach and six articles quantitative approach was analyzed. Result: In the analysis, three themes about the patient's experience emerged that were treated with parenteral nutrition in the home. The three themes that were developed were quality of life and mental impact, everyday life challenges and vitality and sleepConclusions: Treatment with parenteral nutrition in the home provides a number of positive experiences for the patients based on their quality of life while at the same timeposing challenges the patients needed to transgress. By providing information, conducting adialogue with the patient and their relatives, and striving for flexibility based on the patient'sneeds and life goals, a good person-centered care can be provided.

  • 348. Eto, Fabiola Naomi
    et al.
    Santos, RS
    Melo, ECP
    Harter Griep, Rosane
    Toivanen, Susanna
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Stockholm University, Dept of Publ Health Sciences, Stockholm, Sweden.
    958 Comparing two approaches to scoring allostatic load in brazilian civil servants: April 2018 Occupational and Environmental Medicine 75(Suppl 2):A309.1-A3092018In: Occupational and Environmental Medicine, 2018, Vol. 75(Suppl2), p. A309.1-a309.Conference paper (Refereed)
  • 349.
    Ewertsson, Mona
    et al.
    Univ Örebro, Örebro, Sweden.
    Allvin, Renee
    Univ Örebro, Örebro, Sweden.
    Holmström, Inger K.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Blomberg, Karin
    Univ Örebro, Örebro, Sweden.
    Walking the bridge: Nursing students' learning in clinical skill laboratories2015In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 15, no 4, p. 277-283Article in journal (Refereed)
    Abstract [en]

    Despite an increasing focus on simulation as a learning strategy in nursing education, there is limited evidence on the transfer of simulated skills into clinical practice. Therefore it's important to increase knowledge of how clinical skills laboratories (CSL) can optimize students' learning for development of professional knowledge and skills, necessary for quality nursing practice and for patient safety. Thus, the aim was to describe nursing students' experiences of learning in the CSL as a preparation for their clinical practice. Interviews with 16 students were analysed with content analysis. An overall theme was identified walking the bridge in which the CSL formed a bridge between the university and clinical settings, allowing students to integrate theory and practice and develop a reflective stance. The theme was based on categories: conditions for learning, strategies for learning, tension between learning in the skills laboratory and clinical settings, and development of professional and personal competence. The CSL prepared the students for clinical practice, but a negative tension between learning in CSL and clinical settings was experienced. However, this tension may create reflection. This provides a new perspective that can be used as a pedagogical approach to create opportunities for students to develop their critical thinking.

  • 350.
    Ewertsson, Mona
    et al.
    Univ Orebro, Sweden.
    Gustafsson, Margareta
    Univ Orebro, Sweden.
    Blomberg, Karin
    Univ Orebro, Sweden.
    Holmström, Inger K.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden.
    Allvin, Renee
    Univ Orebro, Sweden.
    Use of technical skills and medical devices among new registered nurses: A questionnaire study2015In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 35, no 12, p. 1169-1174Article in journal (Refereed)
    Abstract [en]

    Background: One comprehensive part of nursing practice is performing technical skills and handling of medical equipment. This might be challenging for new registered nurses (RNs) to do in patient-safe way. Objectives: The aim of this study was to describe and compare the extent to which new RNs perform various technical skills and handle medical devices in different settings, and to investigate their possibility for continued learning in this respect. A further aim was to describe their perceptions of incident reporting related to technical skills and medical devices. Design: A cross-sectional study with descriptive and comparative design. Participants: RNs who recently graduated from a nursing programme at three Swedish universities and had worked as a RN for up to 1 year were included in the study (n = 113, response rate 57%). Method: Data were collected by means of a postal questionnaire. Results: Half of the RNs reported that they performed several of the listed tasks every day or every week, regardless of workplace. These tasks were most frequently performed in surgical departments. The majority of the participants (76%) stated a need of continued practical training. However, less than half of them (48%) had access to a training environment. Several participants (43%) had been involved in incidents related to technical skills or medical devices, which were not always reported. Nearly a third of the participants (31%) did not use the existing guidelines when performing technical skills, and reflection on performance was uncommon. Conclusions: This study highlights the importance of shared responsibilities between nurse educators and health care employers to provide learning opportunities for new RNs in technical skills, to maintain patient safety. To increase the safety culture where nursing students and new RNs understand the importance of using evidence-based guidelines and taking a reflective approach in the performance of technical tasks is needed.

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