mdh.sePublikationer
Ändra sökning
Avgränsa sökresultatet
567891011 351 - 400 av 1281
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Träffar per sida
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sortering
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
Markera
Maxantalet träffar du kan exportera från sökgränssnittet är 250. Vid större uttag använd dig av utsökningar.
  • 351.
    Ewertsson, Mona
    et al.
    Univ Örebro, Örebro, Sweden.
    Allvin, Renee
    Univ Örebro, Örebro, Sweden.
    Holmström, Inger K.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Blomberg, Karin
    Univ Örebro, Örebro, Sweden.
    Walking the bridge: Nursing students' learning in clinical skill laboratories2015Ingår i: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 15, nr 4, s. 277-283Artikel i tidskrift (Refereegranskat)
    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.

  • 352.
    Ewertsson, Mona
    et al.
    Univ Orebro, Sweden.
    Gustafsson, Margareta
    Univ Orebro, Sweden.
    Blomberg, Karin
    Univ Orebro, Sweden.
    Holmström, Inger K.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. 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 study2015Ingår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 35, nr 12, s. 1169-1174Artikel i tidskrift (Refereegranskat)
    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.

  • 353.
    Fabian, Helena
    et al.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Institutet, Stockholm, Sweden .
    Rådestad, Ingela
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Waldenström, U.
    Karolinska Institutet, Stockholm, Sweden .
    Characteristics of primiparous women who are not reached by parental education classes after childbirth in Sweden2006Ingår i: Acta Paediatrica, ISSN 0803-5253, Vol. 95, nr 11, s. 1360-1369Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Parental education classes are part of the national child health promotion programme of the Swedish Child Health Clinics (CHC). Aim: To investigate attendance at parental education classes during the infant's first year, and to identify factors associated with non-attendance in primiparous women. Methods: Swedish-speaking women were recruited from 97% of all antenatal clinics in Sweden during 3 wk, evenly spread over 1 y from 1999 to 2000. Questionnaires were mailed in early pregnancy, and at 2 mo and 1 y after the birth. Two thousand, four hundred and forty women answered the main outcome question about class attendance asked in the third questionnaire, and 1076 of these were first-time mothers. Results: Seventy-eight per cent of the primiparas attended classes and 31% of the multiparas. Factors associated with non-attendance in primiparas were: native language other than Swedish, a low level of education, smoking during pregnancy, inconvenient timing of pregnancy, maternal hospital admission, and infant health problems. Three per cent of the primiparas did not attend classes either during pregnancy or after the birth, and this group seemed to constitute an even less privileged group.

  • 354.
    Fagerberg, I.
    et al.
    Department of Health Care Sciences, Ersta Sköndal University College, Stockholm, Sweden.
    Engström, Gabriella
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Care of the old: A matter of ethics, organization and relationships2012Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 7, artikel-id 9684Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The world stands on the threshold of a demographic revolution called global ageing. According to the World Health Organization (WHO), the population aged 60 and over is expected to increase from today's 650 million to an estimated 2 billion by 2050. Alongside demographic changes, dramatic changes can also be observed in older people's services. The shift has resulted in reduced government spending on caring for ill and frail older people in health care. Today, many governments have developed strategies to keep older people living well in their private home for as long as possible and have replaced long-term care institutions with residential homes. The aim of this study was to illuminate the meaning of caring for older people as experienced by health care students and professionals working in this field. Interviews were carried out with 17 women and one man, aged 21-65 years; six were Registered Nurses (RN), six were Enrolled Nurses (EN) and six were nursing students. The interviews were analyzed with a phenomenological hermeneutical approach and provided three themes and eight sub-themes: Ethical moral self with sub-themes "meeting the needs of the old", "pliability towards the old", and "difficulties in meeting aggressiveness"; Organizational and co-workers ethical moral actions with sub-themes, "co-workers who are offensive", and "supportive and non-supportive leaders": The relation with the old persons and their relatives with sub-themes "fellowship and closeness in the relation", "uncertainty and fear in the relation", and, "demands from the older persons' close relatives".

  • 355.
    Fahnehjelm, Kristina
    et al.
    Karolinska Institutet, Sweden.
    Dahl, Sara
    Karolinska Universitetssjukhuset, Sweden.
    Martin, Lene
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Ek, Ulla
    Stockholms Universitet, Sweden.
    Optic nerve hypoplasia in children and adolescents; prevalence, ocular characteristics and behavioural problems2014Ingår i: Acta Ophthalmologica, ISSN 1755-375X, E-ISSN 1755-3768, Vol. 92, nr 6, s. 563-570Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: To report prevalence, ocular characteristics and coexisting behavioural problems in children and adolescents with optic nerve hypoplasia (ONH), which is a common cause of visual impairment in children in western countries, often associated with neurological or endocrinological problems and where autism has been reported in severe cases with blindness. Methods: This is a population-based cross-sectional study of patients <20 years of age who had been diagnosed with ONH and lived in the county of Stockholm in December 2009. Ophthalmological assessments including fundus photographs with optic disc analyses were made. A questionnaire was used to screen for behaviour and development. Results: The prevalence of ONH in all living children <18 years of age in Stockholm was 17.3/100 000 with a prevalence of visual impairment (<0.3) of 3.9/100 000. In total, 66 patients, median age 9.3 years (0.6-19.4), 36 with bilateral and 30 with unilateral ONH, were included in the current study; 53 were re-examined clinically, group A, and 13 agreed to retrospective analyses of existing medical records, group B. Analyses of the optic discs were made in fundus photographs from 53 patients comparing a semi-automated (Retinal Size Tool) and a manual method (Zeki). There was a strong curvilinear correlation (rS = -0.91 p < 0.0001 for both eyes). Behavioural problems were more common (p < 0.05) in bilateral ONH. Conclusion: Opticnerve hypoplasia is a common ocular malformation with a prevalence of 17.3/100 000 children and adolescents <18 years of age in Stockholm. Unilateral ONH seems as common as bilateral. 

  • 356.
    Falk Johansson, Marcus
    et al.
    Högskolan Dalarna, Sweden.
    Marmstål Hammar, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Högskolan Dalarna.
    Summer Meranius, Martina
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Viktigt att anhörigvårdarna får stöd efter unika behov2019Ingår i: Dagens samhälle, ISSN 1652-6511, Vol. 19 septemberArtikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 357.
    Feldthusen, C.
    et al.
    University of Gothenburg, Sweden.
    Dean, Elizabeth
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. University of British Columbia, Vancouver, BC, Canada; .
    Forsblad-D'Elia, H.
    Umeå University, Umeå, Sweden.
    Mannerkorpi, K.
    University of Gothenburg, Sweden.
    Effects of person-centered physical therapy on fatigue-related variables in persons with rheumatoid arthritis: A randomized controlled trial2016Ingår i: Archives of Physical Medicine and Rehabilitation, ISSN 0003-9993, E-ISSN 1532-821X, Vol. 97, nr 1, s. 26-36Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective To examine effects of person-centered physical therapy on fatigue and related variables in persons with rheumatoid arthritis (RA). Design Randomized controlled trial. Setting Hospital outpatient rheumatology clinic. Participants Persons with RA aged 20 to 65 years (N=70): intervention group (n=36) and reference group (n=34). Interventions The 12-week intervention, with 6-month follow-up, focused on partnership between participant and physical therapist and tailored health-enhancing physical activity and balancing life activities. The reference group continued with regular activities; both groups received usual health care. Main Outcome Measures Primary outcome was general fatigue (visual analog scale). Secondary outcomes included multidimensional fatigue (Bristol Rheumatoid Arthritis Fatigue Multi-Dimensional Questionnaire) and fatigue-related variables (ie, disease, health, function). Results At posttest, general fatigue improved more in the intervention group than the reference group (P=.042). Improvement in median general fatigue reached minimal clinically important differences between and within groups at posttest and follow-up. Improvement was also observed for anxiety (P=.0099), and trends toward improvements were observed for most multidimensional aspects of fatigue (P=.023-.048), leg strength/endurance (P=.024), and physical activity (P=.023). Compared with the reference group at follow-up, the intervention group improvement was observed for leg strength/endurance (P=.001), and the trends toward improvements persisted for physical (P=.041) and living-related (P=.031) aspects of fatigue, physical activity (P=.019), anxiety (P=.015), self-rated health (P=.010), and self-efficacy (P=.046). Conclusions Person-centered physical therapy focused on health-enhancing physical activity and balancing life activities showed significant benefits on fatigue in persons with RA. 

  • 358.
    Flodström, Fridah
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Att inte ha något val: Kvinnors upplevelser av att leva med primär hjärntumör2018Självständigt arbete på grundnivå (högskoleexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Anhöriga till personer med hjärntumör upplever att livet förändras i samband med diagnos. Anhöriga som tar på sig vårdarrollen är ofta främmande inför vårdandet och behöver därför stöd och information från sjukvårdspersonal så att patienten kan få en optimerad vård. Sjuksköterskors upplevelser å andra sidan visar ett stort engagemang i att vårda patienter med cancer och en strävan efter att individanpassa vården. Metod: Kvalitativ innehållsanalys med manifest analysnivå. Analys av fyra bloggar. Syfte: Att beskriva kvinnors upplevelser av att leva med primär hjärntumör. Resultat: Resultatet består av tre huvudkategorier och sex underkategorier. Att genomgå en livsomvälvande omställning innefattade kampen om att acceptera sjukdomen samt livet ändrar riktning. Att uppleva maktlöshet innefattade kroppen förändras samt att leva i ovisshet. Upplevelsen av ett gott bemötande från omgivningen innefattade att uppskatta samhörighet samt vårdpersonalens betydelse för vården. Slutsats: Kvinnor med primär hjärntumör upplever att livet förändras markant efter diagnos men försöker ändå att behålla en positiv inställning. Vården upplevs bristfällig och att inte få behovet av vård tillgodosett leder till lidande hos kvinnorna.

  • 359.
    Flygare Wallén, Eva
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Cardiometabolic health in students and young adults with mild/moderate intellectual disabilities: Results from a longitudinal follow-up study and a school intervention2013Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Background

    Adults with intellectual disabilities (ID) develop the metabolic syndrome and cardiovascular disease morefrequently than individuals without ID. The knowledge about cardiometabolic risk factors in adolescentswith mild/moderate ID is scarce.

    Aims

    The aims were 1) to examine cardiometabolic health among adolescents with ID 2) to study the progressof cardiometabolic risk factors from adolescence to young adulthood among young adults with andwithout ID 3) to evaluate whether a health-promoting program in an upper secondary school for studentswith ID could reduce cardiometabolic risk factors 4) to evaluate whether the plate model pattern, inlayedin a specially designed lunch plate, increases vegetable intake.

    Material and Methods

    Sixty-six adolescents with mild/moderate ID, mean age 18.6y recruited from one upper secondary schoolfor students with ID (year 1-4) were investigated in a cross sectional study (Paper I). Controls were 90students without ID, mean age 17.8y, recruited from practical and theoretical programs at schools nearby.In the follow-up study five years later 35% (n=23) of the now young adults with ID and 33% (n =30)from the control group were re-investigated (Paper II). Measures were anthropometrics, blood pressure,DXA, fasting blood samples and a submaximal cardiovascular fitness test. The multifactorial schoolintervention was evaluated on last year students after two years of intervention (n = 11) and comparedwith their base-line data (Paper I) and with last year students in Paper I (Paper III). The special plate withthe plate model inlayed was evaluated in an observational study. The intervention group (n = 27) hadeaten on the special plate during school lunches for at least six months. The control group (n=62) wasrecruited from two other upper secondary schools for students with ID. Food intake was estimated fromvideo recordings and digital photos (Paper IV).

    Results

    Adolescents with ID had a higher prevalence and severity of cardiometabolic risk factors together withlow cardiovascular fitness compared to the control group. At follow-up as young adults (mean age 24.3)35% were classified as obese and 22% had developed the metabolic syndrome. Those without ID frompractical educational programs also developed cardiometabolic risk factors but they did not reach thesame level as the group with ID. After two years of school intervention cardiometabolic risk factors haddecreased and no one were obese. Evaluation of the special plate showed no difference in vegetableintake between intervention and control group. Eighty-eight percent ate ≥ 37.5% vegetables. Theintervention group chose food with a lower fat content and with more carbohydrates, had less plate wasteand took fewer portions.

    Conclusions

    Already during adolescence individuals with ID have more cardiometabolic risk factors than thosewithout ID and as young adults individuals with ID in this study has a cardiometabolic health andcardiovascular fitness similar to the Swedish middle-age population. Actions to promote healthy livinghabits during school hours including the use of the special plate were promising. This indicates that it isnot the ID condition itself but the effects ID has on the living conditions that causes the highcardiometabolic risk. Thus, the results in this thesis show that initiatives especially designed forindividuals with ID to promote healthier living habits are required and are likely to be effective.

  • 360.
    Flygare Wallén, Eva
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Müllersdorf, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Christensson, Kyllike
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Marcus, Claude
    Karolinska institutet.
    A school-based intervention associated with improvements in cardiometabolic risk profiles in young people with intellectual disabilities2013Ingår i: Journal of Intellectual Disabilities, ISSN 1744-6295, E-ISSN 1744-6309, Vol. 17, nr 1, s. 38-50Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study evaluates a multifactorial school-based intervention with the aim of decreasing cardiometabolic risk factors by means of a healthy lifestyle, primarily with daily physical activity and healthy food during school hours, at an upper secondary school for students with intellectual disabilities. The outcome is measured in terms of cardiometabolic risk factors and cardiovascular fitness, both known to increase the risk of future cardiovascular disease, type 2 diabetes and cancer. Two years of intervention resulted in a positive trend in several measured cardiometabolic risk factors, with no increase in fat mass. Cardiovascular fitness levels were unchanged. We conclude that a healthy school environment can contribute to a deceleration of both fat mass gain and loss of cardiovascular fitness.

  • 361.
    Folke, Mia
    et al.
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Brangefält, Lotta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Cernerud, Lars
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Framja fysisk aktivitet med LACTA och motiverande samtal2010Konferensbidrag (Refereegranskat)
  • 362.
    Folke, Mia
    et al.
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Brangefält, Lotta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    CERNERUD, LARS
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    PROMOTING PHYSICAL ACTIVITY OF NON-REGULARLY ACTIVE PERSONS: the use of workload at lactate threshold and motivating interviewing2010Ingår i: 3 rd International Congress on Physical Activity and Public Health, 2010Konferensbidrag (Refereegranskat)
  • 363.
    Forsberg, H. H.
    et al.
    Karolinska Institutet, Stockholm, Sweden.
    Athlin, T. M.
    Uppsala University, Uppsala, Sweden.
    von Thiele Schwarz, Ulrica
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Institutet, Stockholm, Sweden; Stockholm University, Stockholm, Sweden.
    Nurses' perceptions of multitasking in the emergency department: Effective, fun and unproblematic (at least for me) - a qualitative study2015Ingår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 23, nr 2, s. 59-64Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction: The aim was to understand how multitasking is experienced by registered nurses and how it relates to their everyday practice in the emergency department. Method: Interviews with open-ended questions were conducted with registered nurses (n = 9) working in one of two included emergency departments in Sweden. Data were analyzed using Schilling's structured model for qualitative content analysis. Results: Three core concepts related to multitasking emerged from the interviews: 'multitasking - an attractive prerequisite for ED care'; 'multitasking implies efficiency' and 'multitasking is not stressful'. From these core concepts an additional theme emerged: '. and does not cause errors - at least for me', related to patient safety. Discussion: This study shows how the patient load and the unreflected multitasking that follows relate to nurses' perceived efficiency and job satisfaction. It also shows that the relationship between multitasking and errors is perceived to be mediated by whom the actor is, and his or her level of experience. Findings from this study add value to the discourse on multitasking and the emergency department context, as few studies go beyond examining the quantitative aspect of interruptions and multitasking and how it is experienced by the staff in their everyday practice.

  • 364.
    Frank, Catharina
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Karolinska Institutet, Sweden.
    Takman, Christina
    Karolinska Institutet, Sweden.
    Nordgren, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala universitet.
    Social insurance administrative officers’ perceptions of their assignment and problematic issues in their work with heart failure clients in the sick-leave and rehabilitation process2015Ingår i: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588, Vol. 5, nr 2, s. 173-188Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This article explores social insurance administrative officers’ (AOs’) perceptions of the sick-leave process for heart failure clients. The work situation and the sick-leave process for people with heart failure tend to be complex and problematic. The problems are often caused by a lack of understanding from professionals, such as social insurance AOs. The study draws on two focus group interviews with social insurance AOs from two different social insurance agencies. The interviews were guided by an open approach, and analysis was performed on the interviews’ manifest content through a qualitative content analysis. The findings demonstrate that the AOs were concerned about the clients’ ability to return to work, but they were hindered in fulfilling their duties through insufficient collaboration with physicians and unclear sickness certificates. There seems to be a gap between the AOs’ assignment and their ability to make well-founded decisions about their clients’ ability to work. This can have consequences for the individual who lives with heart failure. In the sociopolitical agenda of Sweden, this can have consequences for the development of collaboration between AOs and the medical experts who provide the foundations for decisions about work ability of the client with heart failure.

  • 365.
    Frankler Eriksson, Jenny
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Mälardalens högskola.
    Tidig palliativ vård vid demenssjukdom: Litteraturstudie utifrån patienters perspektiv2020Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: I takt med att människor blir allt äldre ökar antalet insjuknande i demenssjukdom. Detta kommer att ställa ökat krav på samhället som ska omhänderta denna kategori av patienter. För att kunna ge evident vård behövs mer forskning om hur patienter upplever den vård som ges för att utifrån det anpassa och eventuellt förbättra för denna patientgrupp.

    Syfte: Att beskriva hemmavarande patienters upplevelse av att vårdas i den tidiga palliativa fasen vid demenssjukdom. 

    Metod: Systematisk litteraturstudie med kvalitativ ansats med beskrivande syntes.

    Resultat: Resultatet presenteras utifrån två teman ihop med fyra subteman. I dessa teman framkommer det att patienter med demenssjukdom uppskattar gemenskap med andra patienter med demenssjukdom och upplevelsen av trygghet som vårdpersonal ger. Betydelse av sysselsättning med olika former av aktiviteter är något som värdesätts av patienter med demenssjukdom. Upplevelse av förbättringar av hälsoresurser var genomgående i resultatet.

    Slutsats: Med hjälp av detta resultat skulle det kunna bidra till att anpassa vården kring patienter med demenssjukdom. Det är av vikt att samhället kan bistå med att stötta och vårda patienter med demenssjukdom och dess anhöriga då antalet patienter med demenssjukdom kommer att öka i framtiden.

  • 366. Fredén, Lars
    et al.
    Tillgren, Per
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Wall, Stig
    Umeå universitet, Sweden.
    Vilken inriktning och kvalitet har examensarbeten i svenska folkhälsovetenskapliga utbildningar?2017Ingår i: Socialmedicinsk tidskrift, ISSN 0037-833Xf, Vol. 94, nr 3, s. 293-300Artikel i tidskrift (Refereegranskat)
    Abstract [sv]

    Den andra nationella utvärderingen av samtliga 23 utbildningsprogram på kandidat-, magister- och masternivå i folkhälsovetenskap genomfördes 2011-2012. Här presenteras en översikt av de examensarbeten som utvärderingen baserades på. Det är 218 slumpmässigt utvalda uppsatser, 67 från kandidatnivå, 55 från magisternivå och 76 från mastersnivå. Högskoleverkets hårt reglerade format medgav inte någon innehållsmässig analys av hur folkhälsovetenskapen speglades i uppsatserna. Vi åtta i bedömargruppen var dock eniga om att vidga ramarna. Vår fördjupning kom att fokuseras på vilka tillämpningsområden som studenterna valde, vilka forskningsdesigner som tillämpades och hur kvaliteten bedömdes i relation till ämne, metod och fakultetsområde. Av de nio folkhälsovetenskapliga områden som förekommer i uppsatserna var de vanligaste Hälsofrämjande och Hälsans bestämningsfaktorer. Ämnesinnehåll och olika examensnivåer varierade stort mellan de olika lärosätena. En slutsats är att utbildningen i folkhälsovetenskap har svårigheter att balansera det flervetenskapliga med att nå ett fördjupat kunskapsinnehåll.

  • 367.
    Frennert, Susanne
    et al.
    KTH.
    Baudin, Katarina
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    The concept of welfare technology in Swedish municipal eldercareIngår i: Disability and Rehabilitation, ISSN 0963-8288Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: An ageing population presents a challenge for municipal eldercare in Sweden due to difficulties recruiting staff and there being a strained economy. A strategy involving welfare technology is presented as one such solution. An important group to carry out this strategy involves those who work with welfare technology in municipal eldercare. In this paper we describe their perception of welfare technology, and the challenges and opportunities they perceive in utilizing it.

    Methods: A self-administered online questionnaire was distributed to all Swedish municipalities and answered by 393 respondents. Analyses show that the respondents were representative of the different professions who work with welfare technology within municipal eldercare.

    Results: Welfare technology was perceived as being more reliable and safer than humans with regards to supervisions and reminders. The respondents acknowledged factors that slowed down the implementation of welfare technology in municipal eldercare organizations, such as resistance to change, lack of finances, lack of supporting evidence, lack of infrastructure, high staff turnover, difficulties with procurement and uncertainties about responsibility and laws.

    Conclusions: We found that the people who work with and make decisions about welfare technology in municipal eldercare organizations were generally very positive about the deployment and use of such technology, but there appear to be problems within municipal eldercare organizations to realize this vision. The lack of structured implementation processes and coherent evaluation models indicates inequality of the access to welfare technology and, as a result, even though Swedish eldercare is publicly funded, the availability of welfare technologies and their usage differ between municipalities.

    • IMPLICATIONS FOR REHABILITATION
    • The research findings show that implementing welfare technologies in municipal eldercare must include transformed working processes and long-term strategies or they may lead to conflicts of priorities or unstructured implementation processes.

    • Structured implementation processes and coherent evaluation models are needed for equality of access and availability of welfare technologies in municipal eldercare.

    • High staff turnover negatively affects the deployment of welfare technology and the root cause of high staff turnover needs to be addressed.

  • 368.
    Fritz, Johanna
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Implementation of a behavioural medicine approach in physiotherapy: Determinants, clinical behaviours, patient outcomes and the implementation process2020Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [sv]

    Forskning visar att ett beteendemedicinskt arbetssätt i fysioterapi ökar aktivitetsförmåga och minskar sjukskrivning hos patienter med långvarig smärta ifrån muskler och leder. Ett beteendemedicinskt arbetssätt innebär att fysioterapeuten systematiskt beaktar biopsykosociala faktorer av betydelse för patientens aktivitets- och delaktighetsförmåga. Aktiv patientmedverkan är centralt och beteendeförändringstekniker används för att stödja patientens beteendeförändring. Var sjunde patient på en vårdcentral söker för långvarig smärta ifrån muskler och leder. Primärvården behöver därför implementera det beteendemedicinska arbetssättet i fysioterapi. Dock är implementering av nya arbetssätt utmanande och det finns idag sparsamt med studier som handlar om effektiv implementering av ett beteendemedicinskt arbetssätt i fysioterapi. Det är därmed viktigt att öka kunskapen om hur man kan implementera ett beteendemedicinskt arbetssätt i fysioterapi, för att den rekommenderade behandlingen ska komma fler patienter tillgodo. Det övergripande syftet med avhandlingen var därför att utveckla och utvärdera metoder för att stödja implementering av ett beteendemedicinskt arbetssätt i fysioterapi för patienter med långvarig smärta ifrån muskler och leder.

    I studie I användes en kvalitativ flerfalldesign för att identifiera determinanter för användandet av ett beteendemedicinskt arbetssätt i fysioterapi. Ett implementeringsstöd utvecklades baserat på dessa determinanter, men också baserat på teoretiska antaganden för beteendeförändring och lärande. Implementeringsstödet testades i en kvasi-experimentell studie under sex månader och utvärderades med fokus på fysioterapeuters kliniska arbetssätt i studie II och effekter på patienters hälsa i studie III. I studie IV användes en mixad metod för processutvärdering av implementeringsstödet i syfte att förklara verkningsmekanismer. Sammanlagt deltog 28 fysioterapeuter, 159 patienter och tre chefer i projektet.

    Resultatet identifierade determinanter kopplade till fysioterapeuten, patienten och arbetsplatsen. Ett implementeringsstöd utvecklades baserat på dessa determinanter och antaganden från social kognitiv teori, konstruktivistiskt lärande och the Promoting Action on Research Implementation in Health Services (PARIHS)-ramverket. Implementeringsstödet bestod av handledning i klinik, kollegialt stöd, utbildningsmaterial, individuell målsättning, återkoppling på videoinspelade patientmöten, självmonitorering i dagbok, stimulering av chefsstöd och informationsblad för patienter. Fysioterapeuterna förändrade sitt arbetssätt omedelbart efter implementeringsperioden, men förändringarna vidmakthölls inte över tid. Patienterna som behandlades av dessa fysioterapeuter fick ingen ytterligare förbättring av sin hälsa jämfört med en kontrollgrupp. Fysioterapeuterna upplevde att handledningen i klinik, det kollegiala lärande, utbildningsmaterialet och den individuella målsättningen gav det mest betydelsefulla implementeringsstödet. En blandning av lärmetoder, en handlingsplan, bearbetning av erfarenheter, synergieffekter med tilltron till att använda det beteendemedicinska arbetssättet och yttre motivation identifierades som verkningsmekanismer för fysioterapeuternas förändrade arbetssätt.

    Denna avhandling bidrar till ökad förståelse för komplexiteten i vad som påverkar implementering av ett beteendemedicinskt arbetssätt i fysioterapi, samt identifiering av lovande metoder och dess verkningsmekanismer för att stödja implementeringen. Vidare belyses att olika mekanismer styr initiering och vidmakthållande av beteendeförändring vid implementering. Det är därför viktigt att implementeringsstödet fokuserar på båda faktorer för att det beteendemedicinska arbetssättet ska komma patienten tillgodo. Avhandlingen illustrerar också hur teoretiska perspektiv kan kombineras för att gynna implementering i fysioterapi.

  • 369.
    Fritz, Johanna
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Elvén, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Moberg, Johan
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Från klinikbesök till klinikhandledning: Om verksamhetsförlagd utbildning i fysioterapeutprogrammet vid Mälardalens Högskola2015Rapport (Övrigt vetenskapligt)
  • 370.
    Fritz, Johanna
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderbäck, Maja
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Sandborgh, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    The complexity of integrating a behavioral medicine approach into physiotherapy clinical practice2019Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 35, nr 12, s. 1182-1193Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction and Aim: The implementation of a behavioral medicine (BM) approach in physiotherapy is challenging, and studies regarding the determinants are sparse. Thus, the aim of this study was to explore determinants of applying a BM approach in physiotherapy for patients with persistent pain across the micro-, meso-, and macro-levels. Methods: A qualitative multiple-case study design was used. Data were collected from four cases through semi-structured interviews with physiotherapists (PTs), patients, and managers; observations of video-recorded treatment sessions; and reviews of local directives and regulations. Data were analyzed with inductive content analysis and cross-case analysis, followed by mapping to the domains of determinants at the micro-, meso-, and macro-levels within the Implementation of Change Model. Results: Similar determinants were found across the cases. At the micro-level, these determinants concerned the PTs’ ambivalence toward a BM approach, a biomedical focus, embarrassment asking about psychosocial factors, BM knowledge, skills for applying the approach, and self-awareness. Others concerned the patients’ role expectations of the PT, patients as active or passive agents in the treatment process, patients’ focus on biomedical aspects, and confidence in the PT. At the meso-level, support from managers and peers, allocation of time, and expectations from the organization were identified as determinants. No determinants were identified at the macro-level. Conclusion: The complexity of integrating a BM approach into physiotherapy clinical practice arises from multiple determinants functioning as both facilitators and barriers. By selecting strategies to address these determinants, the implementation of a BM approach could be supported.

  • 371.
    Fritz, Johanna
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Almqvist, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Wallin, Lars
    Högskolan Dalarna.
    Sandborgh, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Implementation of a behavioural medicine approach in physiotherapy – a process evaluation.2017Ingår i: World Confederation of Physical Therapy (WCPT) Congress, Cape Town, South Africa, 2-4 July, 2017., 2017Konferensbidrag (Refereegranskat)
    Abstract [en]

    Background: A behavioural medicine approach in physiotherapy for patients with persistent musculoskeletal pain is recommended based on evidence. The approach aims at an individually tailored treatment targeting motor behaviour, cognition, disability and active patient involvement. The behavioural medicine approach is complex and it is challenging in implementation to achieve clinically relevant behaviours in physiotherapy. Process evaluation is an essential part of designing and testing implementation interventions to improve the quality of the implementation. However, studies evaluating the implementation process of a behavioural medicine approach in physiotherapy are sparse.

    Purpose: To explore the implementation process of a behavioural medicine approach in physiotherapy.

    Methods: Qualitative and quantitative methods were used. 15 physiotherapists working in six primary health care units were consecutively included. A theory based implementation intervention was tailored to the participating individual physiotherapists. Active and multifaceted implementation strategies were used during a total of seven days spread over a six months implementation period. The main implementation strategies were external facilitation and peer-learning. Ten two-hours outreach sessions were offered to each unit. The physiotherapists were encouraged to use individual goal setting and video recordings of treatment sessions to facilitate feedback and reflection during the sessions with the external facilitator. Process data were collected using semi-structured interviews, self-reports of time allocation for different implementation strategies and documented individual goals. Qualitative content analysis and quantitative frequency scorings were used for data analyses.

    Results: In median the physiotherapists participated in 9 (3-10) out of 10 sessions with the external facilitator. Discussing clinical experiences of the behavioural medicine approach together with the external facilitator was perceived as valuable. These discussions stimulated reflection and problem solving, and was also experienced as a reminder for practicing skills in behavioural medicine. Video recordings of treatment sessions were used by ten of the physiotherapists at 17 out of 57 possible sessions. Video recordings were experienced as too complicated to use in relation to the gains. Lack of time was also considered as a barrier for using video recordings. Individual goal-setting from one session to the next with the external facilitator was frequently used by all the participants. Relevant skills for the goals were practiced in between the sessions. However, goal setting was not considered important by the physiotherapists. In median the physiotherapists spent 3.25 (0-9.5) hours for peer discussions. Peer discussions were a strategy that the physiotherapists wanted to continue with, even after the implementation intervention period. Even though the physiotherapists had permission from the manager to spend time on the implementation intervention, it was challenging for the physiotherapists to prioritize the implementation intervention before patient care.

    Conclusion(s): External facilitation and peer discussions were perceived as important strategies for stimulating practice of behavioural medicine skills in physiotherapy. Further, peer discussions could stimulate sustainability of the implementation. The physiotherapists needed support to use the designated time for the implementation.

    Implications: Quantitative and qualitative analyses of the implementation process is useful for understanding the mechanisms of impact for the implementation intervention, how outcomes were achieved and for future replications.

  • 372.
    Fritz, Johanna
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Wallin, Lars
    Almqvist, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Sandborgh, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    EXPERIENCES OF USING THE MEDICAL RESEARCH COUNCIL GUIDANCE FOR PROCESS EVALUATION2019Ingår i: Advances in Health Care Sciences Conferences, Karolinska Insitutet, Stockholm, 13-14 November, 2019., 2019Konferensbidrag (Refereegranskat)
  • 373.
    Fritz, Johanna
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Wallin, Lars
    Univ Dalarna, Falun, Sweden..
    Almqvist, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Sandborgh, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    THE EFFECT OF FACILITATION WHEN IMPLEMENTING A BEHAVIORAL MEDICINE APPROACH IN PHYSICAL THERAPY PRIMARY HEALTH CARE2018Ingår i: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 25, s. S38-S38Artikel i tidskrift (Övrigt vetenskapligt)
  • 374.
    Fritz, Johanna
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Wallin, Lars
    University of Dalarna, Falun- Sweden.
    Almqvist, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Sandborgh, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    The effect of facilitation when implementing a behavioral medicine approach in physical therapy primary health care2018Ingår i: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 25, nr Supplement 1Artikel i tidskrift (Refereegranskat)
  • 375.
    Fritz, Johanna
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Wallin, L.
    Dalarna University, Falun, Sweden.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Almqvist, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Sandborgh, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Implementation of a behavioral medicine approach in physiotherapy: A process evaluation of facilitation methods2019Ingår i: Implementation Science, ISSN 1748-5908, E-ISSN 1748-5908, Vol. 14, nr 1, artikel-id 94Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: In a quasi-experimental study, facilitation was used to support implementation of the behavioral medicine approach in physiotherapy. The facilitation consisted of an individually tailored multifaceted intervention including outreach visits, peer coaching, educational materials, individual goal-setting, video feedback, self-monitoring in a diary, manager support, and information leaflets to patients. A behavioral medicine approach implies a focus on health related behavior change. Clinical behavioral change was initiated but not maintained among the participating physiotherapists. To explain these findings, a deeper understanding of the implementation process is necessary. The aim was therefore to explore the impact mechanisms in the implementation of a behavioral medicine approach in physiotherapy by examining dose, reach, and participant experiences. Methods: An explorative mixed-methods design was used as a part of a quasi-experimental trial. Twenty four physiotherapists working in primary health care were included in the quasi-experimental trial, and all physiotherapists in the experimental group (n = 15) were included in the current study. A facilitation intervention based mainly on social cognitive theory was tested during a 6-month period. Data were collected during and after the implementation period by self-reports of time allocation regarding participation in different implementation methods, documentation of individual goals, ranking of the most important implementation methods, and semi-structured interviews. Descriptive statistical methods and inductive content analysis were used. Results: The physiotherapists participated most frequently in the following implementation methods: outreach visits, peer coaching, educational materials, and individual goal-setting. They also considered these methods to be the most important for implementation, contributing to support for learning, practice, memory, emotions, self-management, and time management. However, time management support from the manager was lacking. Conclusions: The findings indicate that different mechanisms govern the initiation and maintenance of clinical behavior change. The impact mechanisms for initiation of clinical behavior change refers to the use of externally initiated multiple methods, such as feedback on practice, time management, and extrinsic motivation. The lack of self-regulation capability, intrinsic motivation, and continued support after the implementation intervention period were interpreted as possible mechanisms for the failure of maintaining the behavioral change over time. 

  • 376.
    Fritz, Johanna
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Wallin, Lars
    Dalarna university, Sweden.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Almqvist, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Sandborgh, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Implementation of a behavioral medicine approach in physiotherapy: impact and sustainabilityIngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: To explore the effects on and sustainability of physiotherapists’ clinical behavior when using facilitation to support the implementation of a behavioral medicine approach in primary health care for patients with persistent musculoskeletal pain. Methods: A quasi-experimental pre-/post-test trial was conducted. Fifteen physiotherapists were included in the experimental group, and nine in the control group. Based on social cognitive theory and the Promoting Action on Research Implementation in Health Services framework, facilitation with multifaceted implementation methods was used during a six-month period. Clinical behaviors were investigated with a study-specific questionnaire, structured observations, self-reports and patient records. Descriptive and non-parametric statistical methods were used for analyzing differences over time and effect size. Results: A sustained increase in self-efficacy for applying the behavioral medicine approach was found. Clinical actions and verbal expressions changed significantly, and the effect size was large; however, changes were not sustained at follow-ups. The behavioral changes were mainly related to the goal setting, self-monitoring and functional behavioral analysis components. No changes in clinical behavior were found in the control group. Conclusion: Tailored multifaceted facilitation can support the implementation of a behavioral medicine approach in physiotherapy in primary health care, but more comprehensive actions targeting sustainability are needed.

  • 377.
    Frygner-Holm, Sara
    et al.
    Uppsala Univ, Dept Neurosci, BMC, Uppsala, Sweden..
    Asenlof, Pernilla
    Uppsala Univ, Dept Neurosci, BMC, Uppsala, Sweden..
    Ljungman, Gustaf
    Uppsala Univ, Dept Womens & Childrens Hlth, Akad Sjukhuset, Uppsala, Sweden..
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Physical therapists' experiences of learning and delivering a complex behavioral medicine intervention to adolescents with painIngår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The objective was to study physical therapists' (PTs') experiences of learning and delivering a complex intervention, a tailored behavioral medicine treatment (BMT) targeting adolescents with pain in primary care. Method: An explorative study with qualitative approach, using content analysis. Three primary care PTs delivering the treatments in a randomized controlled study were interviewed regarding their views on the BMT. Results: The participating PTs considered learning about and delivering the BMT as challenging but rewarding. The biopsychosocial approach, tailoring of the treatment and dialogues with parents were identified as key aspects of the BMT program. The process of formulating a functional behavioral analysis was perceived as strenuous. The supervision of the PTs throughout the study was regarded as crucial and necessary for learning about and providing tailored BMT. Conclusion: Learning about and delivering BMT targeting adolescents with persistent pain is fruitful but laborious and demanding according to three PTs experienced with treatment of pediatric pain in primary care. Extensive education and long periods of supervision seem to be crucial for success and safe delivery according to protocol.

  • 378.
    Frykman, M.
    et al.
    Karolinska Institutet, Stockholm, Sweden.
    Lundmark, R.
    Karolinska Institutet, Stockholm, Sweden.
    von Thiele Schwarz, Ulrica
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Institutet, Stockholm, Sweden.
    Villaume, K.
    Karolinska Institutet, Stockholm, Sweden.
    Hasson, H.
    Karolinska Institutet, Stockholm, Sweden.
    Line managers’ influence on employee usage of a web-based system for occupational health management2018Ingår i: International Journal of Workplace Health Management, ISSN 1753-8351, E-ISSN 1753-836X, Vol. 11, nr 4, s. 193-209Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: The purpose of this paper is to investigate line managers’ influence on employee usage of a web-based system for occupational health management. Design/methodology/approach: Questionnaires were used to measure line managers’ transformational leadership at baseline and their change-supportive managerial activities during weeks 16–52. Employee initial (weeks 16–52) and sustained (weeks 53–144) use of the web-based system was measured by extracting their frequency of logins to the system from electronic records. Data were collected from six white-collar organizations from 2011 through 2013. Mixed Poisson regressions were used to analyze the influence of transformational leadership and change-supportive managerial activities on employee usage. Findings: As predicted, line managers’ change-supportive activities influenced the employees’ initial and sustained use of the system. Line managers’ transformational leadership had no direct effect on employees’ use of the system, however transformational leadership was indirectly associated with employees’ initial and sustained use of the system through line managers’ change-supportive activities. Originality/value: The study adds to the understanding of the role line managers’ play during the implementation of occupational health interventions. The findings suggest that the line managers’ change-supportive activities directed toward the intervention are important for employees’ initial and sustained use of the system. The influence of transformational leadership was indirect, suggesting that line managers may need to direct their leadership behaviors toward the intervention to facilitate implementation. © 2018, Emerald Publishing Limited.

  • 379.
    Furingsten, L.
    et al.
    Dalarna University, Sweden .
    Sjögren, Reet
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Forsner, M.
    Dalarna University, Sweden .
    Ethical challenges when caring for dying children2015Ingår i: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 22, nr 2, s. 176-187Artikel i tidskrift (Refereegranskat)
  • 380.
    Furst, Henrik
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Under the Cover: The Creation, Production, and Reception of a Novel2017Ingår i: Cultural Sociology, ISSN 1749-9755, E-ISSN 1749-9763, Vol. 11, nr 4, s. 539-540Artikel, recension (Övrigt vetenskapligt)
  • 381.
    Fäldt, Johannes
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Kullberg, Christian
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Genusskapande processer i det sociala arbetets praktik2012Ingår i: Genus i socialt arbete, Malmö: Liber, 2012, 1Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 382.
    Fäldt, Johannes
    et al.
    Örebro universitet.
    Kullberg, Christian
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Implications of male and female same-gender dyads2012Ingår i: Journal of social service research, ISSN 0148-8376, E-ISSN 1540-7314, Vol. 38, nr 5, s. 712-726Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    A sample of 222 Swedish social services officers were surveyed in regard to their opinions on a fictitious case addressing the needs of a same-gender client. The 49-question survey was statistically analyzed through a comparison of female and male same-gender dyads. The findings suggest that gender is an important factor in assessment, and this seems to be influenced by the gender of the client, the gender of the assessor, and how the problem area or situation of the client is "gendered." Also, same-gender dyads tend to strengthen stereotypical expectations of men and women as clients and influence what forms of assistance are offered to the client. The male same-gender dyad tends to reduce the likelihood of assistance being offered, while the female same-gender dyad increased it. These results suggest that assessments are based upon stereotypical beliefs about men and women rather than being focused directly on individual differences and needs. Further research is recommended that incorporates a number of more refined "gendered" problem areas and situations and how these assessments can affect social work practice. 

  • 383.
    Fäldt, Johannes
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Kullberg, Christian
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Male social workers rationales in assessments of male and female clients – expressions of masculinities in ‘gender traditional’ and ‘non traditional’  topics2012Konferensbidrag (Refereegranskat)
  • 384.
    Fäldt, Johannes
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Kullberg, Christian
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Male social workers talk about male and female clients – a comparison of implicit and explicit conceptions of gender2011Konferensbidrag (Refereegranskat)
  • 385. Fängström, Karin
    et al.
    Sarkadi, Anna
    Smeds, Lisa
    Widarsson, Margareta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Åhman, Annika
    MÖDRAHÄLSOVÅRDENS DILEMMA: MEDICINSK ÖVERVAKNING ELLER STÖD UNDER GRAVIDITETEN PÅ FÖRÄLDRARNAS VILLKOR?2009Ingår i: FÖRÄLDRASTÖD I SVERIGE IDAG: VAD, NÄR OCH HUR? / [ed] Anna Sarkadi, 2009, s. 29-38Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 386.
    Fürst, Henrik
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Aspiring writers and appraisal devices under market uncertainty2018Ingår i: Acta Sociologica, ISSN 0001-6993, E-ISSN 1502-3869, Vol. 61, nr 4, s. 389-401Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aspiring artists are uncertain about how their work's quality will be evaluated by gatekeepers on artistic markets. Learning to evaluate the quality of one's work and its prospects on the artistic market is central to artistic careers, yet often overlooked in research. An analysis of 47 interviews with aspiring writers in Sweden shows that they use what in this article is coined appraisal devices to deal with this market uncertainty. Appraisal devices offer trusted and knowledgeable appraisals of their work's chances of success and failure on the artistic market. Appraisals from assessors become appraisal devices when assessors are trusted and seen as knowledgeable about how works are evaluated on the artistic market and are able to produce such evaluations. Appraisals from competitions become appraisal devices when the writer sees the evaluation as reflecting how the writer's work will be evaluated on the artistic market. In contrast to judgment devices, which take the perspective of cultural consumption, appraisal devices take the perspective of cultural production. Aspiring artists use appraisal devices to deal with the uncertainty of their chances of success on the artistic market.

  • 387.
    Gasumova, Nazakat
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Kubezova, Halima
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Att anpassa sitt liv: En litteraturstudie om att leva med tarmstomi2018Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 388.
    Gerdle, Björn
    et al.
    Linköpings ­universitet, Linköping, Sweden; Universitetssjukhuset, Linköping, Sweden.
    Stålnacke, Britt-Marie
    Umeå universitet, Umeå, Sweden; Norrlands universitetssjukhus, Umeå, Sweden.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Asenlöf, Pernilla
    Uppsala universitet, Uppsala, Sweden; Akademiska sjukhuset, Uppsala, Sweden.
    Multimodal rehabilitering vid smärta alltför lågt prioriterad2011Ingår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 108, nr 11, s. 580-581Artikel i tidskrift (Refereegranskat)
  • 389.
    Gerdle, Björn
    et al.
    Linköpings universitet; Universitetssjukhuset, Linköping.
    Stålnacke, Britt-Marie
    Umeå universitet; Norrlands universitetssjukhus, Umeå.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Åsenlöf, Pernilla
    Uppsala universitet.
    Indikation för multimodal rehabilitering vid långvarig smärta2011Rapport (Refereegranskat)
  • 390.
    Golsaeter, Marie
    et al.
    Futurum Acad Hlth & Care Reg Jonkoping Cty, Jonkoping, Sweden.;Jonkoping Univ, Sch Hlth Sci, CHILD Res Grp, Jonkoping, Sweden..
    Johansson, Lars-Olof
    Futurum Acad Hlth & Care Reg Jonkoping Cty, Jonkoping, Sweden..
    Harder, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    General practitioners' accounts of how to facilitate consultations with toddlers - an interview study2017Ingår i: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 35, nr 1, s. 3-9Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: To describe general practitioners' (GPs') accounts of how to facilitate consultations with children aged 1-2 years. Design: A qualitative study based on focus group interviews. Setting and subjects: Five focus group interviews were conducted with a total of 25 GPs at Swedish primary health care (PHC) centres. The GPs regularly invited toddlers to consultations. Result: The GPs' accounts of how to facilitate consultations with toddlers revealed descriptions of making efforts to instil confidence in the situation to enable the consultation. Toddlers in need of health care always visit the GP with adults such as their parents, guardians or other relatives. Therefore, the GP directs efforts towards the adults and the child more or less simultaneously, as they both need to rely on the GP. The GPs describe how they instil confidence in the adults by establishing a mutual understanding that the consultation is necessary to secure the child's health. Regarding the child, the GP instils confidence by establishing a relationship in order to approach the child and accomplish bodily examinations. Conclusion: The result shows that GPs' encounters with children in consultations are two-sided. The GP needs to conduct bodily examinations to secure the child's health and development, but to do so he/she needs to establish purposeful relationships with the adults and the child by instilling confidence. This indicates that establishing relationships in the consultation is significant, and a way to achieve a child-centred consultation.

  • 391.
    Golsäter, Marie
    et al.
    Hälsohögskolan Jönköping, Sweden.
    Enskär, Karin
    Hälsohögskolan Jönköping, Sweden.
    Harder, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Nurses´encounters with children in child and school health care: negotiated guidance within a given frame2014Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 28, nr 3, s. 591-599Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background:Throughout childhood, children take part in health visits according to a health-monitoring programme. The visits are aimed to promote the children’s development and health and to strengthen them to take own responsibility for their health. Nurses’ actions when encountering children at these visits are not explored to any great extent. Exploring nurses’ actions can facilitate their reflections on their actions towards children and thereby promote children’s involvement in such visits. Aim: The aim of this study was to explore nurses’ actions when encountering children at health visits. Method: A qualitative explorative design, based on 30 video recordings of health visits in child and school health care, was used in this study. These visits were ordinary real-life health visits. The data were subjected to qualitative content analysis. The right to conduct video recordings during health visits was approved by appropriate research ethics committees. Results: The findings show that nurses, in order to carry out the health visits, encounter children through negotiated guidance. This guidance is understood as the process through which the nurses reach agreement with the children, and is comprised of directed and pliable strategies. At one moment, the nurse can use a directed strategy to inform the child and at the next moment a pliable strategy to provide the child space within the given frame, the health-monitoring programme. By using these strategies intertwined, the nurse can provide the child space within the given frame and, at the same time, fulfil his/ her responsibility to promote children’s health and development. Conclusion: The results highlight nurses’ challenging and complex assignment of guiding children to promote their engagement in the health visits, thereby enabling the nurses to promote the children’s health and development according to the national health-monitoring programme.

  • 392.
    Graesner, Jan-Thorsten
    et al.
    Univ Hosp Schleswig Holstein, Inst Emergency Med, Kiel, Germany..
    Lefering, Rolf
    Univ Witten Herdecke, Cologne, Germany..
    Koster, Rudolph W.
    Acad Med Ctr, Amsterdam, Netherlands..
    Masterson, Siobhan
    Natl Univ Ireland Galway, Galway, Ireland..
    Boettiger, Bernd W.
    Univ Hosp Cologne, Cologne, Germany..
    Herlitz, Johan
    Univ Boras, Sahlgrenska Univ Hosp, Boras, Sweden..
    Wnent, Jan
    Univ Hosp Schleswig Holstein, Inst Emergency Med, Kiel, Germany..
    Tjelmeland, Ingvild B. M.
    Norwegian Natl Advisory Unit Prehosp Emergency Me, Oslo, Norway..
    Ortiz, Fernando Rosell
    Empresa Publ Emergencias Sanitarias, Almeria, Spain..
    Maurer, Holger
    Univ Hosp Schleswig Holstein, Dept Anaesthesiol & Intens Care Med, Campus Lubeck, Lubeck, Germany..
    Baubin, Michael
    Univ Innsbruck Hosp, Innsbruck, Austria..
    Mols, Pierre
    Univ Libre Bruxelles, Ctr Hosp Univ St Pierre, Brussels, Belgium..
    Hadzibegovic, Irzal
    Josip Juraj Strossmayer Univ, Med Fac Osijek, Osijek, Croatia..
    Ioannides, Marios
    Nicosia Gen Hosp, Nicosia, Cyprus..
    Skulec, Roman
    Emergency Med Serv Cent Bohemian Reg, Kladno, Czech Republic.;Univ JE Purkyne, Masaryk Hosp Usti Nad Labem, Usti Nad Labem, Czech Republic..
    Wissenberg, Mads
    Univ Copenhagen, Emergency Med Serv Copenhagen, Copenhagen, Denmark..
    Salo, Ari
    Univ Helsinki, Dept Emergency Med, Emergency Med Serv, Helsinki, Finland.;Helsinki Univ Hosp, Helsinki, Finland..
    Hubert, Herve
    Univ Lille, Lille, France..
    Nikolaous, Nikolaos I.
    Konstantopouleio Gen Hosp, Athens, Greece..
    Loczi, Gerda
    Hlth Care Centers Csongrad Cty Hodmezovasarhely M, Mako, Hungary..
    Svavarsdottir, Hildigunnur
    Univ Akureyri, Akureyri Hosp, Akureyri, Iceland..
    Semeraro, Federico
    AUSL Bologna, Osped Maggiore Carlo Alberto Pizzardi, Bologna, Italy..
    Wright, Peter J.
    Hlth Serv Execut Ballyshannon, Ballyshannon, Ireland..
    Clarens, Carlo
    Luxembourg Resuscitat Council, Luxembourg, Luxembourg..
    Pijls, Ruud
    Maastricht Univ, Maastricht, Netherlands..
    Cebula, Grzegorz
    Jagiellonian Univ, Krakow, Poland..
    Correia, Vitor Gouveia
    Univ Hosp Schleswig Holstein, Dept Anaesthesiol & Intens Care Med, Kiel, Germany.;Serv Emergencia Med Reg SEMER EMIR, Oporto, Portugal..
    Cimpoesu, Diana
    Univ Med & Pharm Gr T Popa, Iasi, Romania.;Univ Cty Hosp Sf Spiridon, Iasi, Romania..
    Raffay, Violetta
    Municipal Inst Emergency Med Novi Sad, Novi Sad, Serbia..
    Trenkler, Stefan
    Safarik Univ, Kosice, Slovakia..
    Markota, Andrej
    Univ Med Ctr Maribor, Maribor, Slovenia..
    Strömsöe, Anneli
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Burkart, Roman
    Fdn Ticino Cuore, Breganzona, Switzerland..
    Perkins, Gavin D.
    Univ Warwick, Coventry, W Midlands, England.;Heart England NHS Fdn Trust, Coventry, W Midlands, England..
    Bossaert, Leo L.
    Univ Antwerp, Dept Med & Hlth Sci, Antwerp, Belgium..
    EuReCa ONE-27 Nations, ONE Europe, ONE Registry A prospective one month analysis of out-of-hospital cardiac arrest outcomes in 27 countries in Europe (vol 105, pg 188, 2016)2016Ingår i: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 109, s. 145-146Artikel i tidskrift (Refereegranskat)
  • 393.
    Granlund, Mats
    et al.
    Jönköping university, Sweden.
    Almqvist, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lillvist, Anne
    Mälardalens högskola, Akademin för utbildning, kultur och kommunikation, Utbildningsvetenskap och Matematik.
    Lee, A.
    Ståhl, Ylva
    Jönköping university, Sweden.
    Children in need of special support - a functional approach2009Konferensbidrag (Refereegranskat)
  • 394.
    Granlund, Mats
    et al.
    Jönköping university.
    Björck-Åkesson, Eva
    Jönköping university.
    Almqvist, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lillvist, Anne
    Mälardalens högskola, Akademin för utbildning, kultur och kommunikation, Utbildningsvetenskap och Matematik.
    Sjöman, Madeleine
    Jönköping university.
    Patterns of participation and support in preschool settings for children with and without need for additional support.2014Konferensbidrag (Refereegranskat)
  • 395.
    Gransjön Craftman, A.
    et al.
    Sophiahemmet University, Stockholm, Sweden.
    Marmstål Hammar, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Institutet, Stockholm, Sweden.
    von Strauss, E.
    Stockholm University, Stockholm, Sweden.
    Hillerås, P.
    Sophiahemmet University, Stockholm, Sweden .
    Westerbotn, M.
    Sophiahemmet University, Stockholm, Sweden .
    Unlicensed personnel administering medications to older persons living at home: A challenge for social and care services2015Ingår i: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 10, nr 3, s. 201-210Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Administration of medication to care recipients is delegated to home-care assistants working in the municipal social care, alongside responsibility for providing personal assistance for older people. Home-care assistants have practical administration skills, but lack formal medical knowledge. Aim: The aim of this study was to explore how home-care assistants perceive administration of medication to older people living at home, as delegated to them in the context of social care. Methods: Four focus groups consisting of 19 home-care assistants were conducted. Data were analysed using qualitative content analysis. Results: According to home-care assistants, health and social care depends on delegation arrangements to function effectively, but in the first place it relieves a burden for district nurses. Even when the delegation had expired, administration of medication continued, placing the statutes of regulation in a subordinate position. There was low awareness among home-care assistants about the content of the statutes of delegation. Accepting delegation to administer medications has become an implicit prerequisite for social care work in the municipality. Conclusions: Accepting the delegation to administer medication was inevitable and routine. In practice, the regulating statute is made subordinate and consequently patient safety can be threatened. The organisation of health and social care relies on the delegation arrangement to meet the needs of a growing number of older home-care recipients. Implications for practice: This is a crucial task which management within both the healthcare professions and municipal social care needs to address, to bridge the gap between statutes and practice, to create arenas for mutual collaboration in the care recipients' best interest and to ensure patient safety. 

  • 396.
    Griberg, Fredrik
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Berglund, Alexander
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Hur konstruerar och utesluter arbetsgivare individer genom arbetsannonser?: En diskursanalys2019Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 397.
    Gross, A
    et al.
    McMaster University.
    Kaplan, F
    McMaster University.
    Huang, S
    McMaster University.
    Khan, M
    McMaster University.
    Santaguida, PL
    McMaster University.
    Carlesso, LC
    McMaster University.
    MacDermid, JC
    St. Joseph’s Health Centre, London, ON, Canada.
    Walton, DM
    University of Western Ontario, London, ON, Canada.
    Kenardy, J
    The University of Queensland.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Verhagen, A
    Erasmus Medical Centre, Utrecht, The Netherlands.
    Hartvigsen, J
    University of Southern Denmark.
    Psychological Care, Patient Education, Orthotics, Ergonomics and Prevention Strategies for Neck Pain: A Systematic Overview: Update as part of the ICON* Project.2013Ingår i: Open Orthopaedics Journal, ISSN 1874-3250, E-ISSN 1874-3250, Vol. 7, nr Suppl 4:M12, s. 530-561Artikel i tidskrift (Refereegranskat)
  • 398. Grände, Josefin
    et al.
    Lundberg, Lisa
    Stockholms universitet, Sweden.
    Eriksson, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    I arbete med våldsutsatta kvinnor: En handbok för yrkesverksamma2014 (uppl. 3)Bok (Övrig (populärvetenskap, debatt, mm))
  • 399.
    Gräsner, J.
    et al.
    University Hospital Schleswig-Holstein, Germany.
    Lefering, R.
    University Witten/Herdecke, Cologne, Germany.
    Koster, R.W.
    Academic Medical Center, Amsterdam, Netherlands.
    Masterson, S.
    National University of Ireland, Galway, Ireland.
    Böttiger, B.W.
    University Hospital of Cologne, Germany .
    Herlitz, J.
    University of Borås, Sahlgrenska University Hospital, Sweden.
    Wnent, J.
    University Hospital Schleswig-Holstein, Germany.
    Tjelmeland, I.B.N.
    Norwegian National Advisory Unit, Prehospital Emergency Medicine (NAKOS), Oslo, Norway.
    Ortiz, F.R.
    Empresa Pública de Emergencias Sanitarias, Almería, Spain.
    Maurer, H.
    University Hospital Schleswig-Holstein, Germany.
    Baubin, M.
    University Hospital Innsbruck, Austria.
    Mols, P.
    Université Libre de Bruxelles, Belgium .
    Hadžibegović, I.
    Josip Juraj Strossmayer University, Osijek, Croatia.
    Ioannides, M.
    Nicosia General Hospital, Cyprus.
    Škulec, R.
    J.E. Purkinje University, Masaryk Hospital Usti nad Labem, Czech Republic.
    Wissenberg, M.
    University of Copenhagen, Denmark.
    Salo, A.
    University of Helsinki, Helsinki University Hospital, Helsinki, Finland.
    Hubert, H.
    University of Lille, France.
    Nikolau, N.I.
    Konstantopouleio General Hospital, Athens, Greece.
    Lóczi, G.
    Health Care Centers, Csongrad County Hódmezővásárhely - Makó, Hungary.
    Svavarsdóttir, H.
    Akureyri Hospital/University of Akureyri, Iceland.
    Semeraro, F.
    Ospedale Maggiore “Carlo Alberto Pizzardi” AUSL Bologna, Italy.
    Wright, P.J.
    Health Service Executive Ballyshannon, Ireland.
    Clarens, C.
    Luxembourg Resuscitation Council, Luxembourg .
    Pijls, R.
    Maastricht University, Netherlands .
    Cebula, G.
    Jagiellonian University, Kraków, Poland.
    Correia, V.G.
    Serviço de Emergência Médica Regional - SEMER/EMIR, Portugal .
    Cimpoesu, D.
    University County Hospital Sf. Spiridon, Iaşi, Romania .
    Raffay, V.
    Municipal Institute for Emergency Medicine Novi Sad, Serbia.
    Trenkler, S.
    P.J.Safarik University, Kosice, Slovakia.
    Markota, A.
    University Medical Centre Maribor, Maribor, Slovenia.
    Strömsöe, Anneli
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Burkart, R.
    Fondazione Ticino Cuore, Breganzona, Switzerland.
    Perkins, G.D.
    University of Warwick, U.K.
    Bossaert, L.L.
    University of Antwerp, Belgium.
    EuReCa ONE-27 Nations, ONE Europe, ONE Registry: A prospective one month analysis of out-of-hospital cardiac arrest outcomes in 27 countries in Europe2016Ingår i: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 105, nr 1, s. 188-195Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    INTRODUCTION:

    The aim of the EuReCa ONE study was to determine the incidence, process, and outcome for out of hospital cardiac arrest (OHCA) throughout Europe.

    METHODS:

    This was an international, prospective, multi-centre one-month study. Patients who suffered an OHCA during October 2014 who were attended and/or treated by an Emergency Medical Service (EMS) were eligible for inclusion in the study. Data were extracted from national, regional or local registries.

    RESULTS:

    Data on 10,682 confirmed OHCAs from 248 regions in 27 countries, covering an estimated population of 174 million. In 7146 (66%) cases, CPR was started by a bystander or by the EMS. The incidence of CPR attempts ranged from 19.0 to 104.0 per 100,000 population per year. 1735 had ROSC on arrival at hospital (25.2%), Overall, 662/6414 (10.3%) in all cases with CPR attempted survived for at least 30 days or to hospital discharge.

    CONCLUSION:

    The results of EuReCa ONE highlight that OHCA is still a major public health problem accounting for a substantial number of deaths in Europe. EuReCa ONE very clearly demonstrates marked differences in the processes for data collection and reported outcomes following OHCA all over Europe. Using these data and analyses, different countries, regions, systems, and concepts can benchmark themselves and may learn from each other to further improve survival following one of our major health care events

  • 400.
    Guberman, Guido, I
    et al.
    McGill Univ, Dept Neurol & Neurosurg, 3801 Univ, Montreal, PQ H3A 2B4, Canada..
    Robitaille, Marie-Pier
    Univ Montreal, Grp Rech Inadaptat Psychosociale, Montreal, PQ, Canada..
    Larm, Peter
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Ptito, Alain
    McGill Univ, Dept Neurol & Neurosurg, 3801 Univ, Montreal, PQ H3A 2B4, Canada..
    Vitaro, Frank
    Univ Montreal, Grp Rech Inadaptat Psychosociale, Montreal, PQ, Canada..
    Tremblay, Richard E.
    Univ Montreal, Grp Rech Inadaptat Psychosociale, Montreal, PQ, Canada.;Univ Montreal, Dept Pediat, Montreal, PQ, Canada.;Univ Montreal, Dept Psychiat, Montreal, PQ, Canada.;Univ Coll Dublin, Sch Publ Hlth, Dublin, Ireland..
    Hodgins, Sheilagh
    Univ Montreal, Grp Rech Inadaptat Psychosociale, Montreal, PQ, Canada.;Univ Montreal, Ctr Rech, Inst Univ Sante Mentale Montreal, Dept Psychiat & Addictol, Montreal, PQ, Canada..
    A Prospective Study of Childhood Predictors of Traumatic Brain Injuries Sustained in Adolescence and AdulthoodIngår i: Canadian journal of psychiatry, ISSN 0706-7437, artikel-id UNSP 0706743719882171Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: Traumatic brain injuries (TBIs) are sustained by approximately 17% of males in the general population, many of whom subsequently present mental disorders, cognitive, and physical problems. Little is known about predictors of TBIs and how to prevent them. The present study aimed to determine whether inattention-hyperactivity and/or all externalizing problems presented by boys at age 10 predict subsequent TBIs to age 34 after taking account of previous TBIs and family social status (FSS). Method: 742 Canadian males were followed, prospectively, from age 6 to 34. Diagnoses of TBIs were extracted from health files, parents-reported sociodemographic and family characteristics at participants' age 6, and teachers-rated participants' behaviors at age 10. Separate logistic regression models predicted TBIs sustained from age 11 to 17 and from age 18 to 34. For each age period, two models were computed, one included previous TBIs, inattention-hyperactivity, FSS, and interaction terms, the second included previous TBIs, externalizing problems, FSS, and interaction terms. Results: In models that included inattention-hyperactivity, TBIs sustained from age 11 to 17 were predicted by age 10 inattention-hyperactivity (odds ratio [OR] = 1.46, 1.05 to 2.05) and by TBIs prior to age 11 (OR = 3.50, 1.48 to 8.24); TBIs sustained from age 18 to 34 were predicted by age 10 inattention-hyperactivity (OR = 1.31, 1.01 to 170). In models that included all externalizing problems, TBIs from age 11 to 17 were predicted by prior TBIs (OR = 3.66, 1.51 to 8.39); TBIs sustained from age 18 to 34 were predicted by age 10 externalizing problems (OR = 1.45, 1.12 to 1.86). Neither FSS nor interaction terms predicted TBIs in any of the models. Conclusions: Among males, using evidence-based treatments to reduce inattention-hyperactivity and externalizing problems among boys could, potentially, decrease the risk of TBIs to age 34. Further, boys who sustain TBIs in childhood require monitoring to prevent recurrence in adolescence.

567891011 351 - 400 av 1281
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf