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  • 451.
    HANDZIC, ANISA
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    HAKIM, FARZAD
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    ERFARENHETER AV ATT LEVA MED HJÄRTSVIKT: Ur ett patientperspektiv2020Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 452.
    Hanpatchaiyakul, Kulnaree
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Boromarajonani College of Nursing Changwat Nonthaburi, Thailand.
    Barriers to alcohol addiction treatment in women and men experiencing alcohol addiction in a Thai context: Exploring lived experiences and healthcare providers’ perspectives2016Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Risky drinking behaviour can strongly influence the lives of individuals and families, including having negative effects on social welfare and health. The low rate of healthcare service use among people experiencing alcohol addiction is an important problem in Thai society.

    The overall aim of the study was to explore the barriers to alcohol treatments for people experiencing alcohol addiction. This thesis includes four qualitative studies that employed three different data collection methods. Individual interviews were used in studies I and II and were analysed with descriptive phenomenology. Focus group interviews were conducted in study III, and the Delphi method was applied in study IV. Both of the latter studies employed content analysis. Purposive sampling was applied to identify participants for the four studies, which included 13 men (study I) and 12 women (study II) experiencing alcohol addiction, 32 healthcare providers (study III) and 32 experts in the alcohol treatment field (study IV); the providers and experts were primarily nurses (study III and IV).

    The identified barriers at the individual level included the unawareness of alcohol addiction, gender differences in treatment and in society, the experienced stigma related to alcohol addiction and the lack of engagement in alcohol treatment. Barriers at the organizational level were related to healthcare providers’ agencies and engagement, vertical and horizontal collaborative practices within the hospital wards, and the collaboration with patients and their next of kin. Additionally, the struggle of handling the different sexes during treatment and the difficulties of using the required standard methods were described by the healthcare providers. At the structural level, the barriers were related to the patriarchal society, gender equity and the resources and funding from the Ministry of Public Health for improving the well-being and equal healthcare rights of people experiencing alcohol addiction in Thailand.

    In order to improve equal rights to health for people experiencing alcohol addiction in Thailand, knowledge of alcohol addiction, stigma and domestic violence related issues needs to be improved in the healthcare service system. Formal training and nurse educational programmes are needed to reach the theoretical and practical potential of nurses and of other healthcare providers working in alcohol addiction.

    Key words: alcohol addiction, gender perspective, lived experiences, alcohol dependency, focus- group interviews, Delphi study

  • 453.
    Hanpatchaiyakul, Kulnaree
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Eriksson, H
    Swedish Red Cross Univ Coll, Stockholm, Sweden.
    Kijsomporn, J
    Minist Publ Hlth, PIHWD, Nonthaburi, Thailand.
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Barriers to successful treatment of alcohol addiction perceived by healthcare professionals in Thailand: a Delphi study about obstacles and improvement suggestions2016Ingår i: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 9Artikel i tidskrift (Refereegranskat)
  • 454.
    Hanpatchaiyakul, Kulnaree
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Eriksson, H
    Swedish Red Cross Univ Coll, Stockholm, Sweden.
    Kijsomporn, J
    Minist Publ Hlth, PIHWD, Nonthaburi, Thailand.
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Healthcare providers' experiences of working with alcohol addiction treatment in Thailand2016Ingår i: Contemporary Nurse: health care across the lifespan, ISSN 1037-6178, E-ISSN 1839-3535, s. 59-73Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: The high prevalence of alcohol consumption, together with its associated health risk factors, has long-term negative impacts on both society and the economy in Thailand. Aim: The aim of this study was to explore the experiences of healthcare providers working with people experiencing alcohol addiction and the treatment programs in a Thai hospital. Methods: Qualitative study was applied in this study by conducting focus group interviews with 32 interdisciplinary healthcare providers, most of which were nurses. Content analysis was applied to analyze the verbatim-transcribed data. Findings: Two main topics emerged: (1) the collaborative practices related to alcohol treatment, and (2) the fit of the program, including how the treatment program functions. Obstacles were identified and formulated from several sub-categories. Conclusions: The findings included obstacles linked to the imported (Western) program and the patriarchal structure in Thai culture, which seem to intersect and reinforce each other.

  • 455.
    Hanpatchaiyakul, Kulnaree
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Eriksson, H
    Swedish Red Cross Univ Coll, Stockholm, Sweden.
    Kijsomporn, J
    Minist Publ Hlth, PIHWD, Nonthaburi, Thailand.
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lived experience of Thai women with alcohol addiction2016Manuskript (preprint) (Övrigt vetenskapligt)
    Abstract [en]

    Background: The high prevalence of alcohol consumption, together with its associated health risk factors, has long-term negative impacts on both society and the economy in Thailand. Aim: The aim of this study was to explore the experiences of healthcare providers working with people experiencing alcohol addiction and the treatment programs in a Thai hospital. Methods: Qualitative study was applied in this study by conducting focus group interviews with 32 interdisciplinary healthcare providers, most of which were nurses. Content analysis was applied to analyze the verbatim-transcribed data. Findings: Two main topics emerged: (1) the collaborative practices related to alcohol treatment, and (2) the fit of the program, including how the treatment program functions. Obstacles were identified and formulated from several sub-categories. Conclusions: The findings included obstacles linked to the imported (Western) program and the patriarchal structure in Thai culture, which seem to intersect and reinforce each other.

  • 456.
    Hanpatchaiyakul, Kulnaree
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Eriksson, Henrik
    The Swedish Redcross university College, Stockholm.
    Kijsompon, Jureerat
    Boromarajonani College of Nursing, Changwat Nonthaburi, Nonthaburi Thailand.
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lived experiences of Thai women with alcohol addiction2017Ingår i: Asian Nursing Research, ISSN 1976-1317, Vol. 11, nr 4, s. 304-310Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: This study explored the lived experiences of Thai women in relation to alcohol addiction in treatment. Methods: Twelve women aged 20 to 65 years, were participated. The participants were recruited from two special hospitals and one outpatient clinic in a general hospital. Descriptive phenomenology was applied to analyze the transcripts of the individual interviews. Result: The explored phenomenon of Thai women experiencing alcohol addiction included four essential aspects, (1) feeling inferior and worthless (2) feeling physically and emotionally hurt, (3) fearing physical deterioration and premature death, and (4) feeling superior and powerful. Through these different aspects of Thai women's lived experiences, the following essence was synthesized. The essence of the lived experience of alcohol addiction among the studied Thai women was ambivalence between feeling inferior and worthless and feeling superior and powerful when acting as a man. Drinking alcohol lessened life's difficulties and fears; for example, of violence, bodily demolition, premature death and marginalization from family and society. Conclusion: Thai women who experience alcohol addiction are treated with gender-related double standards when trying to undo gender traditional roles. Their marginalization from family and society deepens making them even more vulnerable to the positive side effects of alcohol drinking. 

  • 457.
    Hanpatchaiyakul, Kulnaree
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Eriksson, Henrik
    The Swedish Redcross university College, Stockholm.
    Kijsompon, Jureerat
    Basic concept of Nursing Practice Department, Boromarajonani College of Nursing Changwat Nonthaburi, Nonthaburi Thailand.
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Thai Men’s experiences of Alcohol Addiction and Treatment.2014Konferensbidrag (Refereegranskat)
  • 458.
    Hanpatchaiyakul, Kulnaree
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Eriksson, Henrik
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Kijsompon, Jureerat
    Ministry of Public Health, Nonthaburi, Thailand.
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Thai Men’s experiences of Alcohol Addiction and Treatment2014Ingår i: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 7, nr 1, s. Article number 23712-Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Men are overrepresented with regard to alcohol addiction and in terms of alcohol treatment worldwide. In Thailand, alcohol consumption continues to rise, but few of those afflicted with alcohol addiction attend alcohol treatment programs, even though there is universal care for all. No comprehensive studies have been done on men's experiences with addiction and alcohol treatment programs in Thailand.Objective: The aim of this study was to explore men's experiences in terms of the 'pros and cons of alcohol consumption' in order to identify the barriers that exist for Thai men with regard to alcohol addiction and the decision to stop drinking. Design: Purposive sampling was applied in the process of recruiting participants at an alcohol clinic in a hospital in Thailand. Thirteen men with alcohol addiction (aged 32-49 years) were willing to participate and were interviewed in thematic interviews. The analysis of the data was done with descriptive phenomenology. Results: Through men's descriptions, three clusters of experiences were found that were 'mending the body', 'drinking as payoff and doping related to work', and 'alcohol becoming a best friend' as ways of describing the development of addiction. Conclusions: The results highlight the importance of addressing concepts of masculinity and related hegemonic ideas in order to decrease the influence of the barriers that exist for Thai men with alcohol addiction with regard to entering treatment and to stop drinking. © 2014 Kulnaree Hanpatchaiyakul et al.

  • 459.
    Hanpatchaiyakul, Kulnaree
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Kijsomporn, Jureerat
    Praboromarajchanok Institute for Health Workforce Development .
    Eriksson, Henrik
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    The barriers in accessing alcohol treatment through clients' perspective2013Konferensbidrag (Refereegranskat)
  • 460.
    Hansen, Eric M.
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Håkansson Eklund, Jakob
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Hallen, Anna
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Bjurhager, Carmen
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Malardalen Univ, Psychol Studies, Vasteras, Sweden..
    Norrström, Emil
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Viman, Adam
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Stocks, Eric L.
    Univ Texas Tyler, Psychol, Tyler, USA..
    Does Feeling Empathy Lead to Compassion Fatigue or Compassion Satisfaction?: The Role of Time Perspective2018Ingår i: Journal of Psychology, ISSN 0022-3980, E-ISSN 1940-1019, Vol. 152, nr 8, s. 630-645Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Research has shown that feeling empathy sometimes leads to compassion fatigue and sometimes to compassion satisfaction. In three studies, participants recalled an instance when they felt empathy in order to assess the role time perspective plays in how empathizers perceive the consequences of empathy. Study 1 revealed that college students perceive empathy as having more negative consequences in the short term, but more positive consequences in the long term. Study 2 showed that service industry professionals perceive the consequences of feeling empathy for customers who felt bad as less negative, and the consequences of feeling empathy for people who felt good as less positive, in the long as opposed to the short term. Because Studies 1 and 2 confounded time perspective with event specificity a third study was conducted in which event specificity was held constant across time perspectives. The same pattern of results emerged. The results of these studies indicate that perceptions of the effects of feeling empathy, whether positive or negative, become less extreme over time. These findings shed light on the relation between empathy and compassion fatigue and satisfaction by suggesting that situations that initially are experienced as stressful can over time make the empathizer stronger.

  • 461.
    Harder, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Kommunikation med barn vid hälsobesök2014Ingår i: Kommunikation med barn och unga i vården / [ed] Maja Söderbäck, Stockholm: Liber, 2014Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 462.
    Harder, Maria
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Andersson, Sara
    Mälardalens högskola.
    Golsäter, Marie
    Jönköping University, Sweden.
    Child healthcare nurses’ encounters with parents whose child is overweight2019Ingår i: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 39, s. 152-158Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Nurses in the Swedish child healthcare system can make a difference by offering support to parents of children who areoverweight or at risk of becoming so. Still, research concerning these nurses’ clinical practice when encountering parents whosechild is overweight is inadequate. The aim of this study was to describe nurses’ clinical practice when encountering parents of anoverweight child. Data were collected through interviews with 10 nurses, and a content analysis approach was used. The nurses’clinical practice is described in relation to Olander’s theory: Individualising actions, Creating a dialogue, Documenting, andFocusing on normality. This study adds knowledge about nurses’ clinical practice in encounters with parents whose child isoverweight. Also, it adds information on how an issue in a specific care situation may contribute to further understanding anduse of an existing theory in caring science.

  • 463.
    Harder, Maria
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Christensson, K.
    Karolinska Institutet, Stockholm, Sweden.
    Söderbäck, Maja
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Undergoing an immunization is effortlessly, manageable or difficult according to five-year-old children2015Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 29, nr 2, s. 268-276Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: To prevent diseases among children they regularly undergo immunizations. Previous research show different approaches available to facilitate immunization-procedures for children to protect them from harm. To complement this research and provide care suited for children, research recognizing their perceptions of undergoing such a procedure is needed. Aim: The aim of this study was to describe 5-year-old children's perceptions of undergoing an immunization. Method: A phenomenographic approach and analysis was used to describe the children's (n = 21) various perceptions. The data-collection was accomplished directly after the immunization to grasp the children's immediate perceptions. Drawings and reflective talks were used as they are considered as suitable methods when involving young children in research. The right to conduct research with children was approved by the appropriate research ethics committee and also by each child and the parents. Results: The findings show that children's perceptions of an immunization-procedure may vary from effortlessly, to manageable or difficult. Regardless of how the child perceive the immunization-procedure each perception embrace the children's descriptions of actors and articles in the situation, their feelings in the situation and also their actions to deal with the immunization. Nevertheless, these descriptions vary according to how the children perceive the immunization as effortlessly, manageable or difficult. Conclusion: Children's and adults' perceptions of medical procedures may differ and children need guidance, time and space to deal with them. Recognizing children's perceptions of undergoing an immunization contributes to the promotion of their right to be involved in their own health care and towards the development of child-centred care. 

  • 464.
    Harder, Maria
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Christensson, Kyllike
    Kvinnor och Barns Hälsa, Karolinska Institutet.
    Söderbäck, Maja
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Preschool children's expression of participation in Primary Child Health Care2008Konferensbidrag (Refereegranskat)
    Abstract [en]

    Preschool children's expression of participation in primary child health care

    Introduction

    According to The Convention on the Rights of Child children have the right to have their voice heard and to participate in situations that involve them.

    Aim of the study

    The aim of this study was to explore and describe the expression of participation of 3-year old children during their annual primary health care visit.

    Methods

    The study employed qualitative research design using video-observation, and focused on the actions of twenty-nine 3-year olds in their interaction with the nurse. The varying expressions of the children were captured using hermeneutic analysis.

    Results

    The findings demonstrate how 3-year old children prepare themselves for particiaption prior to their health care visit. They arrange their bodies in different positions, ask questions, seek contact with their parent or are absorbed in their thoughts. The children then direct their attention towards the health care activity, by using bodily and/or spoken expressions they respond to the nurse´s invitations. When the children have replyed to the invitation they confirm them self. Findings also show children´s expressions of unpreparedness and reluctance in the health care situation.

    Conclusion / discussion

    Children’s participation occupies either all or part of the body and bodily expressions replace each other in a rapid progression. Children´s spoken expression strengthens their bodily expression.

    Practical relevance

    Studying pre-school children’s expressions in the child health care environment can contribute to promote their participation in their interaction with nursing staff.

    Research implications

    This research project will continue by studying the expression of perceived participation of children at 4 and 5,5 years of age during their annual primary health care visit.

    References

    Allmark, P. (2002). The ethics of research with children. Nurse researcher, 10 (2), 7-20.

    Bronfenbrenner, U. (1979). The ecology of Human Development. Cambridge, Mass. Harward university press.

    FA, Ministry for Foreign Affairs, (1989). The Convention on the Rights of the Child.

    Fraser, S., Lewis, V., Ding, S., Kellet, M. & Robinsson, C. (2004). Doing research with children and young people. London: Sage Publications.

    Hammersley, M. & Atkinson, P. (1995). Ethnography. Principles in Practice. London: Routledge

    Ministry for Health and Social Affairs. (2005). Mötet med barnet. Barnkompetens inom hälso-och sjukvården. 2005.031

    National Board of Health and Welfare. (1991). Allmänna råd från socialstyrelsen 1991:8. Hälsoundersökningar inom barnhälsovården. Stockholm: Allmänna förlaget.

    Schutz, A. (1967). The phenomenology of the Social World. Evanston: North-western Univ. Press.

  • 465.
    Harder, Maria
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Enskar, Karin
    Jönköping Univ, Sweden.
    Golsater, Marie
    Jönköping Cty Council, Jönköping, Sweden.
    Nurses' use of pliable and directed strategies when encountering children in child and school healthcare2017Ingår i: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 21, nr 1, s. 55-64Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Nurses in Swedish child and school healthcare need to balance their assignment of promoting children's health and development based on the national health-monitoring programme with their responsibility to consider each child's needs. In this balancing act, they encounter children through directed and pliable strategies to fulfil their professional obligations. The aim of this study was to analyse the extent to which nurses use different strategies when encountering children during their recurrent health visits throughout childhood. A quantitative descriptive content analysis was used to code 30 video recordings displaying nurses' encounters with children (3-16 years of age). A constructed observation protocol was used to identify the codes. The results show that nurses use pliable strategies (58%) and directed strategies (42%) in encounters with children. The action they use the most within the pliable strategy is encouraging (51%), while in the directed strategy, the action they use most is instructing (56%). That they primarily use these opposing actions can be understood as trying to synthesize their twofold assignment. However, they seem to act pliably to be able to fulfil their public function as dictated by the national health-monitoring programme, rather than to meet each child's needs.

  • 466.
    Harder, Maria
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Inst, S-10401 Stockholm, Sweden..
    Enskar, Karin
    Jonkoping Univ, Jonkoping, Sweden..
    Söderbäck, Maja
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    The Use of Drawings and Pictures as Participatory Methods to Encourage Children to Tell About Their Perceptions on a Specific Theme2010Ingår i: International Journal of Qualitative Methods, ISSN 1609-4069, E-ISSN 1609-4069, Vol. 9, nr 4, s. 401-401Artikel i tidskrift (Övrigt vetenskapligt)
  • 467.
    Harder, Maria
    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.
    ENCOUNTERING PARENTS ​IN THE PRIMARY HEALTH CARE CENTRE​ a balancing act between different perspectives and expectations2019Konferensbidrag (Refereegranskat)
    Abstract [en]

    Background: Primary Healthcare Centers (PHC) are the first instance to seek care for patients who are not acutely ill. Children between 0-18 years account for 23 % of all doctor visits at PHC. These children rarely arrive by themselves; they are accompanied by parents or guardians. Thereby the health care professionals (HCP) need to relate to two individuals in the care situation. Parents are a resource for their child, and they should be given the opportunity to participate with the child in caring situations. The care relation influences the outcome of the encounter between parent, child and HCP. Aim: To describe HCP' reflections about the encounters with parents seeking care for their children at the PHC. Method: A qualitative content analysis with inductive approach was used. The analyzed material consists of HCP's reflections derived from a prior research project regarding children's involvement. Results: Encountering parents who seek care for their children at PHC means that HCP's in these care situations balance between different perspectives and expectations. This balance includes reflections that are described as: To have beliefs about parent's perceptions and expectations; To encounter parents and children as a unit and unique individuals and To guide parents. Conclusion: The prerequisite for district nurses to create a caring relationship with parents and children in a care situation involves understanding and encountering parents’ and children’s perspectives. A caring relationship benefits the care situation, the child's health and parent's trust in the HCP's. 

    Keywords Care relation, Health Care Professionals, Parents, Primary Healthcare Center, Qualitative content analysis, Reflections

  • 468.
    Harder, Maria
    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.
    Ranheim, A.
    Department of Nursing, Institute of Neurobiology, Care and Society Karolinska Instiutet, Stockholm, Sweden.
    Health care professionals’ perspective on children’s participation in health care situations: encounters in mutuality and alienation2018Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 13, nr 1, artikel-id 1555421Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: Encounters between health care professionals, parents and children in health care services for children are complex as these encounters involve the various perspective and understanding of each person involved. The aim of the study is to describe health care professionals’ understanding of significant encounters with children and parents to uncover the meaning of participation. Method: A qualitative descriptive design was applied. The health care professionals’ narratives (n = 35) of their significant encounters with children were interpreted from the perspective of participation. A phenomenological-hermeneutical approach was used in the analysis. Results: The findings show children’s participation as a dynamic movement in mutuality and alienation which can vary within a situation or between different situations involving the same persons. The movement can occur in mutuality and or in alienation depending on what or towards whom the persons direct themselves. Understanding participation as a movement in health care situations is useful in supporting children’s opportunities to participate from their own perspective and deal with health care examinations. Conclusion: The outcome of a situation can never be predicted. Still, professionals can be aware of their actions in encounters with children.

  • 469.
    Harstäde, C. W.
    et al.
    Linnæus University.
    Roxberg, Åsa
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Linnæus University; Haraldsplass University College, Bergen, Norway .
    Brunt, D.
    Linnæus University.
    Andershed, B.
    Department of Nursing, Gjøvik University College, Norway; Ersta Sköndal University College.
    Next of Kin's experiences of shame in end-of-life care2014Ingår i: Journal of Hospice and Palliative Nursing, ISSN 1522-2179, E-ISSN 1539-0705, Vol. 16, nr 2, s. 86-92Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to gain a greater understanding of the experiences of shame of next of kin in end-of-life care. Seventeen next of kin who had lost a family member were interviewed. A method inspired by Gadamer's hermeneutic approach was used to interpret possible experiences of shame and to discuss these interpretations. The result showed that next of kin's experiences of shame are linked to their perception of the remaining time and are guided by views on morality and what is right and wrong. Shame can occur when the next of kin are involved and actually cause harm to the family member as well as in situations that are beyond their control. Shame can also involve actions that have nothing to do with what they have actually done but is instead a shame that is placed on them by others, for example, health professionals or relatives. Shame is interpreted as experiences of ignominy, humiliation, and disgrace. Second-order shame is also found. It is important that health professionals are aware of these experiences of unhealthy shame when they meet and support next of kin in end-of-life care.

  • 470.
    Hart, Angie
    et al.
    Brighton University, UK.
    Heaver, Becky
    Brighton University, UK.
    Brunnberg, Elinor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Sandberg, Anette
    Mälardalens högskola, Akademin för utbildning, kultur och kommunikation. Mälardalens högskola, Akademin för utbildning, kultur och kommunikation, Utbildningsvetenskap och Matematik.
    Macpherson, Hannah
    University of Brighton, UK.
    Coombe, Stephanie
    University of Brighton, UK.
    Kourkoutas, Elias
    University of Crete, Greece.
    RESILIENCE-BUILDING WITH DISABLED CHILDREN AND YOUNG PEOPLE: A REVIEW AND CRITIQUE OF THE ACADEMIC EVIDENCE BASE2014Ingår i: International Journal of Child, Youth and Family Studies, ISSN 1920-7298, Vol. 5, nr 3, s. 394-422Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this paper was to review published accounts of resilience-based approaches with and for disabled children and young people aged up to 25 years.  The review is part of a broader study looking more generally at resilience-based interventions with and for young people.  The authors attempt to summarise the approaches and techniques that might best support those children and young people who need them the most.  However, when compared to the number of evaluated resilience-based approaches to working with typically-developing children and young people, those including children and young people with complex needs are disappointingly lacking.  Of 830 retrieved references, 46 were relevant and 23 met the inclusion criteria and form the body of this review.  They covered a variety of intervention content, setting, and delivery, and diverse children and young people, making comparative evaluation prohibitive.  The difficulties in identifying suitable resilience-based interventions are discussed, together with the authors’ iterative approach, which was informed by realist review methodology for complex social interventions.  The review is set into a context of exclusion, an ableist mind-set and the political economy of research. It also provides recommendations for future research and practice development in this field.

  • 471.
    Hasenbring, M. I.
    et al.
    Ruhr-University of Bochum, Germany.
    Lundberg, M.
    University Hospital of Gothenburg, Sweden.
    Parker, R.
    University of Cape Town, South Africa.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Bolton, B.
    Mill ParkPort, Elizabeth, South Africa .
    Smeets, R. J. E. M.
    Maastricht University, Maastricht, Netherlands .
    Ljutov, A.
    Swiss Paraplegic-Centre, Nottwil, Switzerland .
    Simmonds, M. J.
    University of Texas, San Antonio, TX, United States .
    Pain, mind, and movement in musculoskeletal pain: Is physical activity always health-promoting or are there detrimental aspects?2015Ingår i: The Clinical Journal of Pain, ISSN 0749-8047, E-ISSN 1536-5409, Vol. 31, nr 2, s. 95-96Artikel i tidskrift (Övrigt vetenskapligt)
  • 472.
    Hasson, H.
    et al.
    Procome research group, Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, SE 171 77, Stockholm, Sweden.
    Nilsen, P.
    Department of Medical and Health Sciences, Division of Community Medicine, Linköping University, Linköping, Sweden.
    Augustsson, H.
    Procome research group, Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, SE 171 77, Stockholm, Sweden.
    Ingvarsson, S.
    Procome research group, Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, SE 171 77, Stockholm, Sweden.
    Korlén, S.
    Procome research group, Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, SE 171 77, Stockholm, Sweden.
    von Thiele Schwarz, Ulrica
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Procome research group, Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, SE 171 77, Stockholm, Sweden.
    To do or not to do - Balancing governance and professional autonomy to abandon low-value practices: A study protocol2019Ingår i: Implementation Science, ISSN 1748-5908, E-ISSN 1748-5908, Vol. 14, nr 1, artikel-id 70Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Many interventions used in health care lack evidence of effectiveness and may be unnecessary or even cause harm, and should therefore be de-implemented. Lists of such ineffective, low-value practices are common, but these lists have little chance of leading to improvements without sufficient knowledge regarding how de-implementation can be governed and carried out. However, decisions regarding de-implementation are not only a matter of scientific evidence; the puzzle is far more complex with political, economic, and relational interests play a role. This project aims at exploring the governance of de-implementation of low-value practices from the perspectives of national and regional governments and senior management at provider organizations. Methods: Theories of complexity science and organizational alignment are used, and interviews are conducted with stakeholders involved in the governance of low-value practice de-implementation, including national and regional governments (focusing on two contrasting regions in Sweden) and senior management at provider organizations. In addition, an ongoing process for governing de-implementation in accordance with current recommendations is followed over an 18-month period to explore how governance is conducted in practice. A framework for the governance of de-implementation and policy suggestions will be developed to guide de-implementation governance. Discussion: This study contributes to knowledge about the governance of de-implementation of low-value care practices. The study provides rich empirical data from multiple system levels regarding how de-implementation of low-value practices is currently governed. The study also makes a theoretical contribution by applying the theories of complexity and organizational alignment, which may provide generalizable knowledge about the interplay between stakeholders across system levels and how and why certain factors influence the governance of de-implementation. The project employs a solution-oriented perspective by developing a framework for de-implementation of low-value practices and suggesting practical strategies to improve the governance of de-implementation. The framework and strategies can thereafter be evaluated for validity and impact in future studies. 

  • 473.
    Hasson, Henna
    et al.
    Karolinska Inst, Dept Learning Informat Management & Eth, Med Management Ctr, Procome Res Grp, SE-17177 Stockholm, Sweden.;Stockholm Cty Council, Ctr Epidemiol & Community Med CES, Unit Implementat & Evaluat, SE-17129 Stockholm, Sweden..
    Nilsen, Per
    Linkoping Univ, Div Community Med, Dept Med & Hlth Sci, Linkoping, Sweden..
    Augustsson, Hanna
    Karolinska Inst, Dept Learning Informat Management & Eth, Med Management Ctr, Procome Res Grp, SE-17177 Stockholm, Sweden.;Stockholm Cty Council, Ctr Epidemiol & Community Med CES, Unit Implementat & Evaluat, SE-17129 Stockholm, Sweden..
    von Thiele Schwarz, Ulrica
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Inst, Stockholm.
    Empirical and conceptual investigation of de-implementation of low-value care from professional and health care system perspectives: a study protocol2018Ingår i: Implementation Science, ISSN 1748-5908, E-ISSN 1748-5908, Vol. 13, artikel-id 67Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: A considerable proportion of interventions provided to patients lacks evidence of their effectiveness This implies that patients may receive ineffective, unnecessary, or even harmful care Thus, in addition to implementing evidence based practices, there is also a need to abandon interventions that are not based on best evidence, i e, low value care However, research on de implementation is limited, and there is a lack of knowledge about how effective de implementation processes should be earned out The aim of this project is to explore the phenomenon of the de implementation of low value health care practices from the perspective of professionals and the health care system. Methods: Theories of habits and developmental learning in combination with theories of organizational alignment will be used The project's work will be conducted in five steps Step 1 is a scoping review of the literature, and Step 2 has an explorative design involving interviews with health care stakeholders Step 3 has a prospective design in which workplaces and professionals are shadowed during an ongoing de implementation In Step 4, a conceptual framework for de implementation will be developed based on the previous steps In Step 5, strategies for de implementation are identified using a co design approach. Discussion: This project contributes new knowledge to implementation science consisting of empirical data, a conceptual framework, and strategy suggestions on de implementation of low value care The professionals' perspectives will be highlighted, including insights into how they make decisions, handle de implementation in daily practice, and what consequences it has on their work Furthermore, the health care system perspective will be considered and new knowledge on how de implementation can be understood across health care system levels will be obtained The theories of habits and developmental learning can also offer insights into how context triggers and reinforces certain behaviors and how factors at the individual and the organizational levels interact The project employs a solution oriented perspective by developing a framework for de implementation of low value practices and suggesting practical strategies to improve de implementation processes at all levels of the health care system The framework and the strategies can thereafter be evaluated for their validity and impact in future studies.

  • 474.
    Hasson, Henna
    et al.
    Karolinska Inst, Dept Learning Informat Management & Eth, Med Management Ctr, Stockholm, Sweden.;Ctr Epidemiol & Community Med, Unit Implementat & Evaluat, Stockholm, Sweden..
    von Thiele Schwarz, Ulrica
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Inst, Dept Learning Informat Management & Eth, Med Management Ctr, Stockholm, Sweden..
    Tafvelin, Susanne
    Karolinska Inst, Dept Learning Informat Management & Eth, Med Management Ctr, Stockholm, Sweden.;Umea Univ, Umea, Sweden..
    Shared or different realities Self-other agreement on constructive and passive leadership and employee outcomes2020Ingår i: Leadership & Organization Development Journal, ISSN 0143-7739, E-ISSN 1472-5347, Vol. 41, nr 1, s. 37-51Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose The purpose of this paper is to explore the consequences of self-other agreement (SOA) between leaders and subordinates on constructive and passive leadership behaviors for employee well-being, performance and perception of learning climate. Design/methodology/approach Questionnaire ratings of 76 leaders and 211 subordinates in a forest industrial company on full-range leadership and subordinate ratings of well-being, work performance and learning climate have been used in this paper. The data were analyzed using polynomial regression with response surface analysis. Findings SOA on constructive leadership (transformational leadership and contingent reward) was related to subordinates' perception of a positive learning climate. SOA on passive leadership (management-by-exception passive) reduced subordinates' performance, while disagreement reduced their well-being. Originality/value The study demonstrates how SOA on leaders' constructive and passive leadership behaviors impacts employees' well-being, performance and work climate.

  • 475.
    Hedin, Eleonore
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Westerdahl, Malin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Upplevelser av rollstress hos beteendevetarstudenter på Mälardalens högskola2016Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Den rollstress som uppkommer i bristen på koppling mellan teori och praktik har varit underlag för studier av studenter på flera utbildningsprogram. Syftet med denna studie var att undersöka beteendevetarstudenter på Mälardalens högskola, med fokus på deras upplevelser av att utbildningen inte leder till en specifik yrkesroll. Kvalitativa semistrukturerade intervjuer utfördes med 15 beteendevetarstudenter. Analysens meningskoncentrering genererade tre teman, ambivalens och stärkt initiativförmåga upplevde 15 studenter och svårigheter att omsätta teorin i praktik uppfattades av 14 studenter. Ambivalensen gällde utbildningens bredd som både skapade möjligheter men samtidigt bidrog till en otydlighet inför framtida yrkesroller. Stärkt initiativförmåga handlade om att studenterna lärt sig skapa egna erfarenheter i brist på praktik. Svårigheter att omsätta teorin i praktiken gällde att de saknade kopplingen mellan studier och arbetsliv. Inför framtida studier uppmanas det att jämföra beteendevetarstudenter från andra högskolor där det finns praktik och jämföra resultatet för att se om praktiken tillför ytterligare färdigheter.

  • 476.
    Helin, Marie
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Hammarlund, Katarina
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    ”Någonstans i mitten”: En diskurspsykologisk och intersektionell studie av unga ”invandrartjejers” identitetsskapande.2014Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Syftet med uppsatsen är att se vad situationen att positioneras som “andra generationens invandrare” har för inverkan på identitetsskapandet hos unga kvinnor. Vi använder oss av ett diskurspsykologiskt och intersektionellt angreppssätt där vi vill synliggöra de identiteter, det vill säga de subjektspositioner de unga kvinnorna intar, tillskrivs och erbjuds i interaktionen. Med detta vill vi nå en ökad förståelse för och kunskap om vilka konsekvenser, möjligheter och/eller begränsningar denna position har för den enskilda individen. Vi ämnar synliggöra de processer som samverkar och påverkar de unga tjejernas identiteter. Det vi funnit är att det genom ett aktivt skillnadsskapande hos respondenterna konstrueras ett delat samhälle där en tolkningsrepertoar kring “vi” och “dem” används aktivt. Detta diskursiva sammanhang gör vissa subjektspositioner möjliga och andra omöjliga. De mest framträdande subjektspositionerna som framkommer av vår analys är “den stolta invandraren”, “den problemtyngda invandrartjejen” och den dubbla positionen som “svensk” och “icke-svensk”.

  • 477.
    Hellerstedt-Borjesson, Susanne
    et al.
    Uppsala Univ, Dept Publ Hlth & Caring Sci, Box 564, SE-75122 Uppsala, Sweden..
    Nordin, Karin
    Uppsala Univ, Dept Publ Hlth & Caring Sci, Box 564, SE-75122 Uppsala, Sweden..
    Fjallskog, Marie-Louise
    Uppsala Univ, Dept Radiol Oncol & Radiat Sci, Uppsala, Sweden..
    Holmström, Inger K.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala Univ, Dept Publ Hlth & Caring Sci, Box 564, SE-75122 Uppsala, Sweden.;Malardalen Univ, Sch Hlth Care & Social Welf, Vasteras, Sweden..
    Arving, Cecilia
    Uppsala Univ, Dept Publ Hlth & Caring Sci, Box 564, SE-75122 Uppsala, Sweden..
    Women Treated for Breast Cancer Experiences of Chemotherapy-Induced Pain Memories, Any Present Pain, and Future Reflections2016Ingår i: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 39, nr 6, s. 464-472Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Breast cancer survivors make up a growing population facing treatment that poses long-standing adverse effects including chemotherapy-related body function changes and/or pain. There is limited knowledge of patients' lived experiences of chemotherapy-induced pain (CHIP). Objective: The aim of this study was to explore CHIP and any long-standing pain experiences in the lifeworld of breast cancer survivors. Methods: Fifteen women participated in a follow-up interview a year after having experienced CHIP. They were interviewed from a lifeworld perspective; the interviews were analyzed through guided phenomenology reflection. Results: A past perspective: CHIP is often described in metaphors, leads to changes in a patient's lifeworld, and impacts lived time. The women become entirely dependent on others but at the same time feel isolated and alone. Existential pain was experienced as increased vulnerability. Present perspective: Pain engages same parts of the body, but at a lower intensity than during CHIP. The pain creates time awareness. Expected normality in relationships/daily life has not yet been achieved, and a painful existence emerges in-between health and illness. Future perspective: There are expectations of pain continuing, and there is insecurity regarding whom to turn to in such cases. A painful awareness emerges about one's own and others' fragile existence. Conclusions: Experiencing CHIP can impact the lifeworld of women with a history of breast cancer. After CHIP, there are continued experiences of pain that trigger insecurity about whether one is healthy. Implications for Practice: Cancer survivors would likely benefit from communication and information about and evaluation of CHIP.

  • 478.
    Hellerstedt-Börjesson, Susanne
    et al.
    Uppsala University, Sweden.
    Nordin, Karin
    Uppsala University, Sweden.
    Fjällskog, Marie-Louise
    Uppsala University, Sweden.
    Holmström, Inger K.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Arving, Cecilia
    Uppsala University, Sweden.
    Women with Breast Cancer: Experience of Chemotherapy-Induced Pain - Triangulation of Methods2015Ingår i: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 38, nr 1, s. 31-39Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Chemotherapy treatment for cancer diseases can cause body pain during adjuvant therapy. OBJECTIVE: The aim was to describe the perceived impact of adjuvant chemotherapy-induced pain (CHIP) on the daily lives of women with newly diagnosed breast cancer, using triangulation. METHOD: Fifty-seven women scheduled for chemotherapy in doses of 75 mg/m or greater of epirubicin and/or docetaxel participated. Twenty-two of these women registered pain with values of 4 or more on the visual analog scale on day 10 following chemotherapy. Of these 22, 16 participated in an interview and colored a printed body image. A qualitative thematic stepwise analysis of the interviews was performed. RESULTS: Chemotherapy-induced pain had a profound impact on daily life. Ten women reported the worst possible pain, with visual analog scale scores of 8 to 10. Three different categories crystallized: perception (A) of manageable pain, which allowed the women to maintain their daily lives; perception (B) of pain beyond imagination, whereby the impact of pain had become more complex; and perception (C) of crippling pain, challenging the women's confidence in survival. CONCLUSIONS: The findings highlight the inability to capture CHIP with 1 method only; it is thus necessary to use complimentary methods to capture pain. We found that pain had a considerable impact on daily life, with surprisingly high scores of perceived pain, findings that to date have been poorly investigated qualitatively. IMPLICATIONS FOR PRACTICE: Nurses need to (1) better identify, understand and treat CHIP, using instruments and protocols; and (2) provide improved communication about pain and pain management.

  • 479.
    Hellström, Charlotta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Västmanland County Hospital, Västerås, Sweden.
    Nilsson, K. W.
    Västmanland County Hospital, Västerås, Sweden.
    Leppert, J.
    Västmanland County Hospital, Västerås, Sweden.
    Åslund, C.
    Västmanland County Hospital, Västerås, Sweden.
    Effects of adolescent online gaming time and motives on depressive, musculoskeletal, and psychosomatic symptoms2015Ingår i: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 120, nr 4, s. 263-275Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim. To investigate whether adolescent online gaming time and the additive effect of gaming motives were associated with depressive, musculoskeletal, and psychosomatic symptoms. The hypothesis was that adolescents who engage in online gaming with escape motives and increased online gaming time have higher probability for depressive, musculoskeletal, and psychosomatic symptoms compared to adolescents with other online gaming motives and/or less online gaming time. Method. An anonymous and voluntary questionnaire was completed during class hours by 7,757 Swedish adolescents aged 13-18 years. The questionnaire included demographic background, gaming habits, and depressive, musculoskeletal, and psychosomatic symptoms. Results. It was found that increased online gaming time during weekdays increased the probability of having depressive, musculoskeletal, and psychosomatic symptoms. However, these relations with time spent gaming were further explained by online gaming motives. Weekday online gaming for more than five hours a day, in combination with escape motives, was associated with an increased probability of depressive symptoms (odds ratio (OR) 4.614, 95% CI 3.230-6.590), musculoskeletal symptoms (OR 2.494, 95% CI 1.598-3.892), and psychosomatic symptoms (OR 4.437, 95% CI 2.966-6.637). The probability of ill health decreased when gaming was for fun or had social motives. Conclusion. Excessive gaming time and escape motives were found to be associated with increased probability of ill health among adolescents. Gaming motives may identify gamers in need of support to reduce unhealthy gaming behaviour as well as identify individuals at risk for ill health.

  • 480.
    Hellström, Charlotta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala Univ, Sweden..
    Wagner, Philippe
    Uppsala Univ, Sweden.
    Nilsson, Kent W.
    Uppsala Univ, Sweden.
    Leppert, Jerzy
    Uppsala Univ, Sweden.
    Åslund, Cecilia
    Uppsala Univ, Sweden.
    Gambling frequency and symptoms of attention-deficit hyperactivity disorder in relation to problem gambling among Swedish adolescents: a population-based study2017Ingår i: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 122, nr 2, s. 119-126Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To investigate the associations between gambling frequency, attention-deficit hyperactivity disorder (ADHD) symptoms, and problem gambling among adolescent boys and girls. One hypothesis was that adolescents with increased ADHD symptoms have a higher frequency of gambling compared to adolescents with fewer ADHD symptoms. Method: A population-based sample of adolescents (aged 15-18 years) completed a questionnaire on demographics, gambling habits, ADHD symptoms, and problematic gambling; 1412 adolescents (from 4440 sampled) with gambling experience were included in the final sample Results: A zero-inflated negative binomial regression analysis revealed that increased ADHD symptoms, higher gambling frequency, and higher age were associated with lower odds for being non-susceptible to gambling problems. Moreover, gambling frequency interacted with ADHD symptoms in predicting probability of being non-susceptible to gambling problems. However, when analysing those already susceptible to problem gambling, ADHD symptoms did not modify the effect of gambling frequency on the expected magnitude of gambling problems. In susceptible individuals, problem gambling increased with both increased ADHD symptoms and increased gambling frequency, but the level of problems due to gambling frequency did not change depending on the ADHD symptom level. There was an interaction effect between sex and gambling frequency in relation to gambling problems. Conclusions: Adolescents with ADHD symptoms seem to be more sensitive to gambling, in terms of being susceptible to developing gambling problems. However, once susceptible, adolescents with ADHD symptoms are affected by gambling frequency similarly to other susceptible participants.

  • 481.
    Hellström, K.
    et al.
    Uppsala University, Sweden.
    Sandström, M.
    Uppsala University, Sweden.
    Heideken Wågert, Petra
    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.
    Thors Adolfsson, E.
    Primary Care, Central Hospital Ing., Västerås, Sweden.
    Johansson, Ann-Christin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Fall-related self-efficacy in instrumental activities of daily living is associated with falls in older community-living people2013Ingår i: Physical & Occupational Therapy in Geriatrics, ISSN 0270-3181, E-ISSN 1541-3152, Vol. 31, nr 2, s. 128-139Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction: The aim of this study was to identify fall risk factors in community-living people 75 years or older. Methods: From a random selection of 525 older adults, a total of 378 (72%) individuals participated in the study. Mean age was 81.7 years (range 75-101 years). A study-specific questionnaire including self-reported fall history for the past 6 months, the Falls-Efficacy Scale (Swedish version: FES(S)) and EuroQol 5 Dimensions (EQ5D) was used. Logistic regression analysis was conducted to find risk factors for falls. Results: The strongest significant predictor of falls was scoring low on FES(S) in instrumental activities of daily living (IADL), with an odds ratio of 7.89 (95% confidence interval 2.93-21.25). One fifth had experienced one or more falls during the past 6 months. Both fall-related self-efficacy and health-related quality of life were significantly lower among fallers. Conclusion: Our results imply that identifying community-living older adults with an increased risk of falling should include a measure of fall-related self-efficacy in IADL.

  • 482.
    Herz, Marcus
    et al.
    Malmö högskola.
    Kullberg, Christian
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Genusmedvetet socialt arbete2012Ingår i: Genus i socialt arbete / [ed] Kullberg, Christian., Herz, Marcus., Fäldt, Johannes., Wallroth, Veronica. & Skillmark, Mikael., Malmö: Liber, 2012, s. 72-100Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 483.
    Hjertberg, Christian
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Prevention av VAP: Omvårdnadsåtgärder och deras betydelse i att förebygga ventilator-associerad pneumoni.2018Självständigt arbete på avancerad nivå (yrkesexamen), 5 poäng / 7,5 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Ventilator-associerade pneumonier (VAP) är den vanligaste sjukhusförvärvade infektionen på en intensivvårdsavdelning. Den kan leda till förlängda vård- och ventilatortider för patienter som redan är sjuka. För att förhindra onödigt lidande hos patienter på intensivvårdsavdelningen så är det av stor vikt att förhindra uppkomsten av VAP. Syfte: Syftet är att beskriva omvårdnadsåtgärder och hur de kan användas för att förebygga förekomsten av ventilator-associerade pneumonier inom intensivvården. Metod: Metoden som användes var en kvantitativ litteraturöversikt. 5 stycken artiklar med kvantitativ design inkluderades i studien. Dessa hämtades från CINAHL Plus med Full Text. Resultat: I resultatet så kan det ses att implementeringen av omvårdnadsåtgärder i form av Care Bundles gav positiva resultat på förekomsten av VAP. Det gick även att se förbättringar inom vård- och ventilatortider. Genom tydliga riktlinjer och utbildningar så ökade sjuksköterskornas följsamhet till den preventiva behandlingen. Slutsats: Denna litteraturöversikt visar på att implementationen av Care Bundles bidrar till minskade fall av VAP. Detta rekommenderas för att minska på det onödiga lidandet hos patienter, minska sjuklighet men även bidra till mindre kostnader för sjukhuset. Examensarbetets omfattning är för litet för att kunna generalisera mot en hel population, genom en större studie så bör detta kunna uppnås.

  • 484.
    Hjorth, M.
    et al.
    Dept Med Sci, Med Sci, Falun, Sweden..
    Sjoberg, D.
    Kaminsky, Elenor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala Univ.
    Svanberg, A.
    Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden.;Hogskolan Dalarna, Sch Hlth Care & Social Welf, Falun, Sweden..
    Langenskiold, S.
    Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden..
    Rorsman, F.
    Uppsala Univ, Gastroenterol & Hepatol, Uppsala, Sweden..
    Nurse-led clinic for liver cirrhotic patients: Effects on health-related quality of life2018Ingår i: Journal of Hepatology, ISSN 0168-8278, E-ISSN 1600-0641, Vol. 68, s. S368-S368Artikel i tidskrift (Övrigt vetenskapligt)
  • 485.
    Hochwälder, Jacek
    Mälardalens högskola, Akademin för ekonomi, samhälle och teknik. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Sense of Coherence: Notes on Some Challenges for Future Research2019Ingår i: SAGE Open, ISSN 2158-2440, E-ISSN 2158-2440, Vol. 9, nr 2Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Antonovsky introduced the salutogenic model whose aim is to explain the origins of health and to describe how health can be promoted. Sense of coherence (SOC) is the core concept in the model and is defined as the degree of meaningfulness, comprehensibility, and manageability that people feel in their life. The aim of this article is to bring attention to some topics on SOC that need to be explored in future research. First, SOC and how it is measured are briefly described. Thereafter, there is a brief discussion of the following seven topics: (a) the dimensionality of the SOC scale, (b) SOC as the causal variable, (c) SOC as the outcome variable, (d) general SOC versus domain-specific SOC, (e) the concept of boundary in the measurement of SOC, (f) SOC as a continuous versus a dichotomized or trichotomized variable, and (g) the importance of relating SOC to salutogenic outcome measures. In conclusion, the salutogenic model, with its core concept of SOC, is an excellent guide for research on health and well-being, but there are still some parts of this model that deserve further theoretical and empirical attention. 

  • 486.
    Hochwälder, Jacek
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Test of Antonovsky's postulate: High sense of coherence helps people avoid negative life events2015Ingår i: Psychological Reports, ISSN 0033-2941, E-ISSN 1558-691X, Vol. 116, nr 2, s. 363-376Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study tested Antonovsky's postulate that a high sense of coherence (SOC) helps people avoid negative life events. It was assumed that negative life events that were uncontrollable would not show this effect, while those events that potentially could be controlled would show a significant relationship with SOC. 1,012 female nurses (M age = 46.9 yr.; SD = 8.9) participated in this longitudinal study and were divided into groups with low, moderate, and high SOC. Sixteen negative life events were categorized into uncontrollable and controllable events, with the controllable events divided into three sub-categories. Five one-way analyses of variance (ANOVAs) for independent measures followed up with post hoc tests were performed, with the number of experienced events in a given cat-egory by each participant (at Time 2) as the dependent variable and the three SOC groups (formed at Time 1) as the independent variable. The results indicated that the high SOC group reported fewer controllable negative life events, while there was no significant relationship between the SOC level and uncontrollable negative life events. The findings support the postulate in Antonovsky's model, with the distinction between controllable and uncontrollable negative life events.

  • 487.
    Hochwälder, Jacek
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Brucefors, Agneta Bergsten
    Karolinska Univ Hosp Huddinge, Stockholm CF Ctr, Stockholm, Sweden..
    Hjelte, Lena
    Karolinska Univ Hosp Huddinge, Stockholm CF Ctr, Stockholm, Sweden.;Karolinska Inst, Div Intervent & Implementat Res, Dept Publ Hlth, Stockholm, Sweden..
    Psychometric evaluation of the Swedish translation of the revised Cystic Fibrosis Questionnaire in adults2017Ingår i: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 122, nr 1, s. 61-66Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The CFQ-R is one of the most established disease-specific, health-related quality of life (HRQOL) measurements for patients with cystic fibrosis (CF). The aim was to evaluate the psychometric properties of the Swedish translation of CFQ-R in adults. Method: A total of 173 CF patients answered the CFQ-R. The CFQ-R was evaluated with regard to: (1) distributional properties; (2) reliability; and (3) construct validity. Results: The majority of scales were negatively skewed with ceiling effects. Eight of the 12 scales had satisfactory homogeneity; 10 of the 12 scales had satisfactory test-retest reliability. On many of the CFQ-R scales expected differences were observed when patients were divided regarding disease severity, nutritional status, age, and gender. Conclusion: Some weaknesses were detected, but overall the instrument has satisfactory psychometric properties.

  • 488.
    Hochwälder, Jacek
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Saied, Vanja
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    The relation between sense of coherence and daily hassles among university students2018Ingår i: HEALTH PSYCHOLOGY AND BEHAVIORAL MEDICINE, ISSN 2164-2850, Vol. 6, nr 1, s. 329-339Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Based on Antonovsky's salutogenic model, it was hypothesized that persons with a high sense of coherence (SOC), compared to persons with a low SOC, (1) experience fewer hassles and (2) experience hassles as less stressful. In addition to each of the two main hypotheses, gender differences and interaction between SOC and gender were also explored. Two hundred and fifty-eight female students (M-age = 23.77 years) and 136 male students (M-age = 24.02 years) participated in a survey where they responded to a questionnaire that was designed to measure some demographic variables, SOC and daily hassles. The data were analysed by two 3 (SOC-groups) x 2 (Gender) ANOVAs for independent measures, with frequency and intensity as dependent variables, followed up with Tukey's HSD post-hoc tests. The results confirmed both main hypotheses. In addition, the results showed no interaction between SOC and gender, no differences between female and male students with regard to the number of experienced hassles but that female students experienced the hassles more intensively. These findings further corroborated the two fundamental parts of Antonovsky's salutogenic model concerned with avoidance and appraisal of stressors.

  • 489.
    Holm, L.
    et al.
    Medical Product Agency, Uppsala, Sweden.
    Ekman, E.
    Skåne University Hospital, Lund, Sweden.
    Jorsäter Blomgren, Kerstin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Influence of age, sex and seriousness on reporting of adverse drug reactions in Sweden2017Ingår i: Pharmacoepidemiology and Drug Safety, ISSN 1053-8569, E-ISSN 1099-1557, Vol. 26, nr 3, s. 335-343Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: To investigate how reporting of adverse drug reactions (ADRs) among adults in Sweden is associated to age and sex, in addition to seriousness of the reaction and drug utilisation. Methods: Individual case safety reports (ICSRs) reported by healthcare professionals to the national pharmacovigilance database 2008–2011 were related to defined daily dose (DDD) in the Swedish Prescribed Drug Register (SPDR) for individual’s ≥20 years. Data were stratified into five age groups. Crude and adjusted (by age standardisation of prescribed drugs) reporting rate (RR) and reporting rate ratio was evaluated as well as impact of sex-dependent drugs. Results: Based on 9898 included ICSRs, the crude results show that overall RR was almost similar for both serious and non-serious reports and indicates highest RR in the youngest age group. Women had higher rates than men, with predominance for non-serious reports, contrary to men who had a higher RR of serious ones. Standardisation led partly to the same result, but age-related distribution was adjusted, with highest overall RR in the oldest age groups. Sex-dependent drugs had marginal impact on the results. Conclusion: Age and sex have impact on spontaneous reporting of ADRs. After adjusting for dispensed drugs and by standardisation of age-related differences in prescribed drugs, results indicate that healthcare professionals more frequently reported ADRs for the oldest individuals and for women. Serious reports were more frequently reported for men. 

  • 490.
    Holm, Maja
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Goliath, I.
    Karolinska Institutet, Stockholm, Sweden.
    Södlind, H.
    Palliative Care Unit, Solna Sundbyberg, Stockholm, Sweden.
    Alvariza, A.
    Ersta Sköndal University College, Stockholm, Sweden.
    Leading an intervention for family caregivers-a part of nursing in palliative care2017Ingår i: International Journal of Palliative Nursing, ISSN 1357-6321, E-ISSN 2052-286X, Vol. 23, nr 4, s. 166-172Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Professional leadership has been highlighted as an important part of successful intervention delivery. The aim of this study is to explore the narratives of nurses involved in leading a group intervention for family caregivers in palliative care. Nurses were interviewed about their experiences as group leaders in a psycho-educational group intervention, which was delivered at 10 specialised palliative home care settings, with the help of an intervention manual. Data were analysed with interpretive descriptive methodology. Three themes were identified in the analysis: embracing the leading role, developing qualities as a group leader, and professional and personal development. The results showed that the role as group leader initially was a challenge for the nurses, but that they gradually were able to develop the professional and personal skills that were required. The nurses believed that their profession was best suited to lead this kind of supportive intervention. 

  • 491.
    Holm, S
    et al.
    Uppsala Universitet, Sweden.
    Ljungman, G
    Uppsala Universitet, Sweden.
    Åsenlöf, P
    Uppsala Universitet, Sweden.
    Linton, S J
    Örebro Universitet, Sweden.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Treating youth in pain: Comparing tailored behavioural medicine treatment provided by physical therapists in primary care with physical exercises2016Ingår i: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 20, nr 4, s. 626-638Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: To study the efficacy of tailored behavioural medicine treatment within a physical therapy framework.

    METHODS: The study was a randomized controlled study (RCT): tailored behavioural medicine treatment (EXT) delivered by physical therapists (PTs) was compared with exercise-based treatment (CT). Thirty-two adolescents (mean age 14.3 years) with persistent pain participated. Data on pain-related disability and school attendance (primary outcomes), pain intensity, catastrophizing, fear of movement and self-efficacy were collected.

    RESULTS: The pain-related disability measured by the Functional Disability Inventory (FDI) resulted in mean score change of EXT = -18 and CT = -11, respectively. A significant change within both groups was found (EXT p = 0.003, CT p = 0.001), and a large effect size for FDI between the conditions was demonstrated (AUC of 0.77). For school attendance post-treatment, no difference was found between conditions. For secondary outcomes, a significant improvement in pain intensity and pain catastrophizing was found for the EXT and self-efficacy for the CT groups but no statistically significant difference between the two conditions was detected. Caution should be given to the small sample size, as it may affect the interpretation and generalizability of the results.

    CONCLUSION: In this study, differences between tailored behavioural medicine treatment delivered by PTs and exercise-based treatment could not be demonstrated, although the effect size was large. Patients who received either treatment demonstrated significant changes over time in pain-related disability. The low number of participants and suboptimal tailoring of the psychological components may partly explain the failure to demonstrate differences between groups, and future studies are warranted.

  • 492.
    Holm, Sara
    et al.
    Uppsala University.
    Ljungman, G.
    Uppsala University.
    Åsenlöf, P.
    Uppsala University.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    How children and adolescents in primary care cope with pain and the biopsychosocial factors that correlate with pain-related disability2013Ingår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 102, nr 10, s. 1021-1026Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To describe how children and adolescents cope with pain and to examine the biopsychosocial factors that correlate with pain-related disability (PRD) in a sample of primary care patients. Methods: This cross-sectional study included 133 patients, aged from eight to 16 years, who consulted primary care physiotherapy on a pain-related problem. Data were collected with the Functional Disability Inventory, the Pain Coping Questionnaire and a study-specific questionnaire. Linear multivariate regression analyses were applied to study the associations between PRD and (i) pain coping, (ii) individual-, pain-related and psychosocial variables. Results: Behavioural distraction, externalizing and catastrophizing explained 13% of the variance in PRD (regression model 1). In addition, pain intensity, worrying and the ability to reduce pain explained 21% of the variance in PRD (regression model 2). Conclusion: Variance in PRD was partly explained by pain intensity, worrying and ability to reduce pain and by behavioural distraction, externalizing and catastrophizing. Future prospective longitudinal studies are needed to identify possible additional variables explaining PRD, establish causality and the potential benefits of addressing these variables in interventions in primary care.

  • 493.
    Holm, Sara
    et al.
    Uppsala University, Uppsala, Sweden.
    Ljungman, Gustaf
    Uppsala University, Uppsala, Sweden.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala University, Uppsala, Sweden.
    Pain in children and adolescents in primary care: chronic and recurrent pain is common2012Ingår i: Acta Paediatrica, ISSN 1651-2227, Vol. 101, nr 12, s. 1246-1252Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim:  The aim of this study was to describe a paediatric primary care pain sample and examine associations between pain, health-related quality of life and disability. Methods:  The study design is descriptive and cross-sectional. One hundred and fifty-four consecutive children and adolescents between the ages of 8 and 16 seeking care for a pain-related conditions participated in this study. Pain characteristics, health-related quality of life and disability were investigated. Results:  Eighty-seven per cent of participants had a pain duration of 3 months or more, and almost half of the group studied had a pain duration of ≥ 12 months. The disability levels in the study group as a whole were low, with a mean FDI of 10.4 (SD 7.6). However, 35% of the study group had moderate disability levels and reported a mean FDI of 18.7 (SD 4.8). Single pain location was reported in 42%, whereas 58% had two or more pain locations. The children with multiple pain locations reported lower health-related quality of life and higher disability than children with single pain location. Conclusion:  Paediatric pain patients in primary care consist partly of patients only slightly influenced by pain and partly of patients for whom pain has a great impact on their lives.

  • 494.
    Holmberg, Elin
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Klemenjak, Stefani Febe
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Jag tar ledningen direkt: - En diskurspsykologisk studie om språkliga konstruktioner av kön i barnlitteratur2016Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Syftet med denna uppsats är att studera språkliga konstruktioner av kön i tio barnböcker publicerade de senaste fem åren. Som teoretiskt ramverk har vi utgått ifrån socialkonstruktionismen som diskursanalysen vilar på. Därtill har vi valt att utgå från ett genusperspektiv med en samling teoretiska begrepp som kan kopplas till detta. Vi har använt Yvonne Hirdmans teori om genussystemet och Judith Butlers teori om performativitet. Metoden vi valt att använda oss av är diskurspsykologi och vi har använt de analytiska begreppen subjektsposition, tolkningsrepertoar, faktakonstruktion och kategorisering för att studera vårt material. I resultatet kom vi fram till sex olika teman som innefattat tolkningsrepertoarer och subjektspositioner. Det första temat handlar om att pojkar konstrueras som rationella i relation till känslosamma flickor som behöver korrigeras. Det andra temat handlar om hur omhändertagande attribueras som feminint genusattribut. Det tredje temat belyser hur risktagande beteende konstrueras som maskulint genusattribut. Tema fyra visar hur män och pojkar konstrueras som handlingskraftiga medan flickor och kvinnor illustreras som passiva och beroende. Vårt femte tema handlar om hur könstillhörighet påverkar självförtroendet hos en karaktär och slutligen beskriver vi i det sjätte temat normbrytandets svårigheter. Sammanfattningsvis har vi sett tydliga exempel på traditionella könsdikotomier.

  • 495.
    Holmberg, Elin
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Klemenjak, Stefani Febe
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    ”Jag tar ledningen direkt”: En diskurspsykologisk studie om språkliga konstruktioner av kön i barnlitteratur2016Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Syftet med denna uppsats är att studera språkliga konstruktioner av kön i tio barnböcker publicerade de senaste fem åren. Som teoretiskt ramverk har vi utgått ifrån socialkonstruktionismen som diskursanalysen vilar på. Därtill har vi valt att utgå från ett genusperspektiv med en samling teoretiska begrepp som kan kopplas till detta. Vi har använt Yvonne Hirdmans teori om genussystemet och Judith Butlers teori om performativitet. Metoden vi valt att använda oss av är diskurspsykologi och vi har använt de analytiska begreppen subjektsposition, tolkningsrepertoar, faktakonstruktion och kategorisering för att studera vårt material. I resultatet kom vi fram till sex olika teman som innefattat tolkningsrepertoarer och subjektspositioner. Det första temat handlar om att pojkar konstrueras som rationella i relation till känslosamma flickor som behöver korrigeras. Det andra temat handlar om hur omhändertagande attribueras som feminint genusattribut. Det tredje temat belyser hur risktagande beteende konstrueras som maskulint genusattribut. Tema fyra visar hur män och pojkar konstrueras som handlingskraftiga medan flickor och kvinnor illustreras som passiva och beroende. Vårt femte tema handlar om hur könstillhörighet påverkar självförtroendet hos en karaktär och slutligen beskriver vi i det sjätte temat normbrytandets svårigheter. Sammanfattningsvis har vi sett tydliga exempel på traditionella könsdikotomier.   

  • 496.
    Holmberg, Mats
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Fagerberg, Ingegerd
    Wahlberg, Anna Carin
    Knowledge desired by EMS-managers of their ambulance clinicians2018Konferensbidrag (Refereegranskat)
  • 497.
    Holmberg, Mats
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala University, Uppsala, Sweden; Karolinska Institutet, Stockholm, Sweden.
    Fagerberg, Ingegerd
    Ersta Sköndal Bräcke University College, Stockholm, Sweden.
    Wahlberg, Anna Carin
    Karolinska Institutet, Stockholm, Sweden.
    The knowledge desired by emergency medical service managers of their ambulance clinicians - A modified Delphi study2017Ingår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 34, s. 23-28Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: The aim of the study was to identify the types of knowledge that Swedish Emergency Medical Service (EMS) managers considered desirable in their Ambulance Clinicians.

    BACKGROUND: Emergency medical service managers are responsible for organisational tasking and in this are dependent on the knowledge possessed by their ambulance clinicians. It would therefore be of value to explore EMS managers' approach to this knowledge.

    DESIGN: A modified Delphi method in three rounds.

    METHODS: In total thirty-six EMS managers participated, and twenty-four finished all three rounds. They were encouraged to rate each sub-category, and the ten with the highest mean were interdependently ranked in the final round.

    RESULTS: Five categories and twenty-six sub-categories emerged in the first round, covering knowledge related to; contextual aspects, medical and holistic assessments, formal education and organisational issues. Eventually, the sub-category 'Knowledge to assess the patient's situation from a holistic perspective' was the highest ranked, followed by 'Medical knowledge to assess and care for different diseases' and 'Knowledge to be able to care for critically ill patients'.

    CONCLUSIONS: Taken together the knowledge areas address essentially medical care, contextual aspects and nursing. The boundaries between these can sometimes be seen as elusive, calling for ambulance clinicians to balance these areas of knowledge.

  • 498.
    Holmström, Inger
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Från 1477 till 1177. Sjukvårdsrådgivning per telefon2015Ingår i: Annales Academiae Regiae Scientiarum Upsaliensis: Kungliga Vetenskapssamhällets i Uppsala årsbok, Kungliga Vetenskapssamhället i Uppsala , 2015, 40, s. 121-130Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 499.
    Holmström, Inger
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala University, Uppsala, Sweden.
    Gustafsson, S.
    Heby Primary Health Care Center, Heby, Sweden.
    Wesström, J.
    Örsundsbro Primary Health Care Center, Örsundsbro, Sweden.
    Skoglund, Karin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Telephone nurses’ use of a decision support system: An observational study2019Ingår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 21, nr 4, s. 501-507Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Telephone nurses give advice and support and make assessments based on verbal communication only. Web-based decision support systems are often used to increase patient safety and make medically correct assessments. The aim of the present this study was to describe factors affecting the use of a decision support system and experiences with this system among telephone nurses in Swedish primary health care. Observations and semistructured interviews were conducted. Six registered nurses with at least 1 year of experience of telephone nursing participated. Field notes and interviews were analyzed by qualitative content analysis. The main findings of the present this study were factors that decrease the decision support system use or promote deviation from decision support system use, factors that are positive for decision support system use and the decision support system complicates the work. Underuse and deviations from decision support systems can be a safety risk, because decisions are based on too little information. Further research with observations of telephone nurses’ use of decision support systems is needed to develop both telephone nursing and decision support systems.

  • 500.
    Holmström, Inger K.
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Malardalen Univ, Sch Hlth Care & Social Welf, Hogskoleplan 1,Box 883, SE-72123 Vasteras, Sweden.;Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden..
    Bohlin, Sofia
    Uppsala Univ, Dept Surg Sci, Sect Vasc Surg, Uppsala, Sweden..
    Wanhainen, Anders
    Uppsala Univ, Dept Surg Sci, Sect Vasc Surg, Uppsala, Sweden..
    Bjorck, Martin
    Uppsala Univ, Dept Surg Sci, Sect Vasc Surg, Uppsala, Sweden..
    Frojd, Camilla
    Uppsala Univ, Dept Surg Sci, Sect Vasc Surg, Uppsala, Sweden..
    Swedish men and smoking: Views on screening-detected abdominal aortic aneurysm2019Ingår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 21, nr 1, s. 119-125Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Abdominal aortic aneurysms (AAA), most common among elderly male smokers, often show no symptoms before rupture. To facilitate better care and counselling targeted to smoking cessation for these patients, more knowledge is required about their views. Therefore, the aim of the present study was to describe the views on AAA and smoking among male smokers with screening-detected AAA. A qualitative approach with individual interviews with 16 men with screening-detected AAA was applied. Three had quit smoking by the time of the interviews. Thematic analysis was performed, and four themes emerged: (i) accepting the course of life; (ii) the elusive AAA: a disturbing experiencing or merely a minor inconvenience?; (iii) being in safe hands; and (iv) smoking as an unexpected topic of discussion. Most of the participants felt they were in "safe hands", although thoughts about death were also evoked. However, the information about smoking cessation was unexpected, and the relationship between AAA and smoking unclear. Presenting the connection between AAA and smoking in a clear manner and motivating smoking cessation in an individually-targeted way are important.

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