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Thapa, R. D., Subedi, M., Ekström-Bergström, A., Areskoug Josefsson, K. & Krettek, A. (2023). A Qualitative Evaluation and Cross-Cultural Adaptation of the Short Form of the Sense of Coherence Scale (SOC-13) in Nepal. Kathmandu University Medical Journal, 21(2), 112-117
Åpne denne publikasjonen i ny fane eller vindu >>A Qualitative Evaluation and Cross-Cultural Adaptation of the Short Form of the Sense of Coherence Scale (SOC-13) in Nepal
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2023 (engelsk)Inngår i: Kathmandu University Medical Journal, ISSN 1812-2027, E-ISSN 1812-2078, Vol. 21, nr 2, s. 112-117Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background

Sense of Coherence (SOC) relates to an individual’s overall life orientation, and stronger SOC is associated with better health, quality of life, and coping strategies. When our research group used the SOC-13 questionnaire for the first time in Nepal, we identified difficulties in response patterns. The findings necessitated further evaluation of the Nepali version of the SOC-13 questionnaire.

Objective

To qualitatively evaluate the SOC-13 questionnaire in Nepali for cross-cultural adaptation.MethodNineteen nurses were interviewed. We used the methodological approach of “think aloud” to obtain a deeper understanding of the interferences of the scales. Transcribed materials were analyzed using a deductive approach through qualitative content analysis. The original translated version of the SOC-13 questionnaire in Nepali was modified by replacing words that were easier to understand.

Result

Participants found the questionnaire content general and non-specific but easy to complete. The nurses experienced that the meanings and sentences in some of the items and response alternatives were difficult to understand. However, the overall comprehensiveness of most items and response alternatives was perceived as good. Nurses’ interpretation of the SOC-items in the translated version of the SOC-13 questionnaire in Nepali matched the original English version. Items that were experienced as difficult in the Nepali language were modified to increase their comprehensiveness. Modified items and response alternatives had the same content as before, but some words and meanings were substituted with easier language.

Conclusion

The current revised version of SOC-13 in Nepali is valid and useful to explore individuals’ overall life orientation and their abilities to deal and cope with various life events in the Nepalese context.

Emneord
Health resources, Qualitative validation, Resources, Ralutogenesis, Sense of coherence
HSV kategori
Forskningsprogram
Arbetsintegrerat lärande; VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-21215 (URN)2-s2.0-85169839017 (Scopus ID)
Tilgjengelig fra: 2024-01-19 Laget: 2024-01-19 Sist oppdatert: 2024-04-09
Kerekes, N. & Ekström-Bergström, A. (Eds.). (2023). Complementary Care to Promote Mental Health. Frontiers Media S.A.
Åpne denne publikasjonen i ny fane eller vindu >>Complementary Care to Promote Mental Health
2023 (engelsk)Collection/Antologi (Fagfellevurdert)
sted, utgiver, år, opplag, sider
Frontiers Media S.A., 2023. s. 154
Emneord
mental health, health care
HSV kategori
Forskningsprogram
Arbetsintegrerat lärande; VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-21027 (URN)10.3389/978-2-8325-3974-3 (DOI)978-2-8325-3974-3 (ISBN)
Tilgjengelig fra: 2023-11-30 Laget: 2023-11-30 Sist oppdatert: 2024-01-12bibliografisk kontrollert
Buckley, S., Uvnäs-Moberg, K., Pajalic, Z., Luegmair, K., Ekström-Bergström, A., Dencker, A., . . . Magistretti, C. M. (2023). Maternal and newborn plasma oxytocin levels in response to maternal synthetic oxytocin administration during labour, birth and postpartum: a systematic review with implications for the function of the oxytocinergic system. BMC Pregnancy and Childbirth, 23(1), Article ID 137.
Åpne denne publikasjonen i ny fane eller vindu >>Maternal and newborn plasma oxytocin levels in response to maternal synthetic oxytocin administration during labour, birth and postpartum: a systematic review with implications for the function of the oxytocinergic system
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2023 (engelsk)Inngår i: BMC Pregnancy and Childbirth, E-ISSN 1471-2393, Vol. 23, nr 1, artikkel-id 137Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

BACKGROUND: The reproductive hormone oxytocin facilitates labour, birth and postpartum adaptations for women and newborns. Synthetic oxytocin is commonly given to induce or augment labour and to decrease postpartum bleeding.

AIM: To systematically review studies measuring plasma oxytocin levels in women and newborns following maternal administration of synthetic oxytocin during labour, birth and/or postpartum and to consider possible impacts on endogenous oxytocin and related systems.

METHODS: Systematic searches of PubMed, CINAHL, PsycInfo and Scopus databases followed PRISMA guidelines, including all peer-reviewed studies in languages understood by the authors. Thirty-five publications met inclusion criteria, including 1373 women and 148 newborns. Studies varied substantially in design and methodology, so classical meta-analysis was not possible. Therefore, results were categorized, analysed and summarised in text and tables.

RESULTS: Infusions of synthetic oxytocin increased maternal plasma oxytocin levels dose-dependently; doubling the infusion rate approximately doubled oxytocin levels. Infusions below 10 milliunits per minute (mU/min) did not raise maternal oxytocin above the range observed in physiological labour. At high intrapartum infusion rates (up to 32 mU/min) maternal plasma oxytocin reached 2-3 times physiological levels. Postpartum synthetic oxytocin regimens used comparatively higher doses with shorter duration compared to labour, giving greater but transient maternal oxytocin elevations. Total postpartum dose was comparable to total intrapartum dose following vaginal birth, but post-caesarean dosages were higher. Newborn oxytocin levels were higher in the umbilical artery vs. umbilical vein, and both were higher than maternal plasma levels, implying substantial fetal oxytocin production in labour. Newborn oxytocin levels were not further elevated following maternal intrapartum synthetic oxytocin, suggesting that synthetic oxytocin at clinical doses does not cross from mother to fetus.

CONCLUSIONS: Synthetic oxytocin infusion during labour increased maternal plasma oxytocin levels 2-3-fold at the highest doses and was not associated with neonatal plasma oxytocin elevations. Therefore, direct effects from synthetic oxytocin transfer to maternal brain or fetus are unlikely. However, infusions of synthetic oxytocin in labour change uterine contraction patterns. This may influence uterine blood flow and maternal autonomic nervous system activity, potentially harming the fetus and increasing maternal pain and stress.

Emneord
Augmentation of labour, Induction of labour, Maternal oxytocin, Newborn oxytocin, Oxytocin, Pitocin, Postpartum oxytocin, Synthetic oxytocin, Syntocinon
HSV kategori
Forskningsprogram
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap; Arbetsintegrerat lärande
Identifikatorer
urn:nbn:se:hv:diva-19811 (URN)10.1186/s12884-022-05221-w (DOI)000942807800004 ()36864410 (PubMedID)2-s2.0-85149265629 (Scopus ID)
Merknad

Open access funding provided by Swedish University of Agricultural Sciences. Some initial support for this research was provided by COST Action IS1405 BIRTH: https://www.cost.eu/actions/IS1405/ and more recently from COST Action CA18211 DEVOTION: https://www.ca18211.eu 

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License

Tilgjengelig fra: 2023-09-13 Laget: 2023-09-13 Sist oppdatert: 2024-01-18bibliografisk kontrollert
Eriksson, M., Ekström-Bergström, A., Arvidsson, S., Jormfeldt, H., Thorstensson, S., Åström, U., . . . Roxberg, Å. (2023). Meaning of wellness in caring science based on Rodgers's evolutionary concept analysis. Scandinavian Journal of Caring Sciences, 1-15
Åpne denne publikasjonen i ny fane eller vindu >>Meaning of wellness in caring science based on Rodgers's evolutionary concept analysis
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2023 (engelsk)Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, s. 1-15Artikkel i tidsskrift (Fagfellevurdert) Epub ahead of print
Abstract [en]

Wellness is a holistic, multidimensional, and process-oriented property on a continuum. It has been used interchangeably with and is undifferentiated from concepts such as health and well-being without an in-depth clarification of its theoretical foundations and a reflection on its meaning. The concept of wellness is frequently used, but its definition remains unclear.

Aim

To conceptually and theoretically explore the concept of wellness to contribute to a deeper understanding in caring science.

Method

Rodgers' evolutionary concept analysis was applied to the theoretical investigation of data from publications of international origins. The focus was on antecedents, attributes, consequences, surrogate and related terms, and contextual references. A literature search was performed through a manual review of reference lists and an online search in CINAHL and PubMed via EBSCO, and in ProQuest. Abstracts were examined to identify relevant studies for further review. The inclusion criteria were peer-reviewed papers in English; papers published in scientific journals using the surrogate terms ‘wellness’, ‘health’, ‘health care’, and ‘health care and wellness’; and papers discussing and/or defining the concept of wellness. Twenty-six studies met the inclusion criteria.

Results

Based on the findings from this concept analysis, a definition of wellness was developed: ‘a holistic and multidimensional concept represented on a continuum of being well that goes beyond health’. Implications for nursing practice were correspondingly presented.

Conclusion

Wellness is defined as a holistic and comprehensive multidimensional concept represented on a continuum of being well, that goes beyond health. It calls attention by applying the salutogenic perspective to health promotion in caring science. It is strongly related to individual lifestyle and health behaviour and is frequently used interchangeably with health and well-being without an in-depth clarification of its theoretical foundation.

Emneord
caring science, health, health care, literature review, Rodgers' concept analysis, well- being, wellness
HSV kategori
Forskningsprogram
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap; Arbetsintegrerat lärande; Arbetsintegrerat lärande
Identifikatorer
urn:nbn:se:hv:diva-21044 (URN)10.1111/scs.13196 (DOI)001039595100001001039595100001 ()37507842 (PubMedID)2-s2.0-85166424951 (Scopus ID)
Merknad

CC BY

Tilgjengelig fra: 2023-11-30 Laget: 2023-11-30 Sist oppdatert: 2024-01-18bibliografisk kontrollert
Truong, A., Winman, T., Ekström-Bergström, A. & Johansson, C. (2022). A Work-Integrated intervention in health and social care: Professionals´ experiences of joint education. In: International Conference on Work Integrated Learning: Abstract Book. Paper presented at WIL'22 International Conference on Work Integrated Learning, 7-9 December 2022, University West, Trollhättan, Sweden (pp. 97-98). Trollhättan: University West
Åpne denne publikasjonen i ny fane eller vindu >>A Work-Integrated intervention in health and social care: Professionals´ experiences of joint education
2022 (engelsk)Inngår i: International Conference on Work Integrated Learning: Abstract Book, Trollhättan: University West , 2022, s. 97-98Konferansepaper, Oral presentation with published abstract (Annet vitenskapelig)
Abstract [en]

Introduction:

Worldwide, educational interventions are carried out continuously as an ongoing activity linked to competence provision and development of the organization. In follow-up and evaluation of the interventions, the result, i.e., the effect of the intervention, has usually been the main concern whereas the mechanism behind the operation of the intervention is often obscured. The aim of this evaluation study is to contribute knowledge to the field of intervention research regarding aspects that should be considered in designing a learning-supportive educational intervention. Such knowledge would increase the likelihood that experiences generated from the intervention are implemented in the daily undertaking.

Accordingly, knowledge within intervention research increased significantly since the field expanded rapidly in the past decade. However, critical voices have been raised regarding aspects that are often overlooked in the field and highlighted the tendency that intervention studies frequently focus on the meth ods used to test the intervention whereas the rigor of intervention development and design has not received the attention it deserves. When it comes to educational intervention, concerning the aforementioned viewpoint, the process of learning cannot be lef t out. Studying learning processes and studies in designing education to support learners´ learning process is one of the main areas of interests in Work-Integrated Learning (WIL), particularly in the matter of learning in relation to working life, where the goal is to help the learners to integrate knowledge from education into practice. From the perspective of WIL, the social dimension has a certain influential effect on learning, which should be taken into account. A key word in this dimension is interaction. 

Nationally and internationally, within health care, recurring training, intraprofessional and/or interprofessional is given aiming to improve professionals' knowledge, attitudes, confidence levels and practices in care, in addition, to enhancing the collaboration to safeguard the patient safety and the quality-of-care. In Sweden, one area that has been debated and discussed regarding competence and knowledge scarcity among professionals and urged for measures to support competence provision, is health and social care for people with intellectual disabilities. In this context, the knowledge that can be applied in development and design of effective educational intervention appears to be almost zero. We are in the opinion that this knowledge gap should be a matter of concern and an area that needs to be explored.

Methods:

Data was gathered by way of semi structured interviews. Qualitative inductive analysis was applied using qualitative content analysis of Graneheim and Lundman.Totally, 24 individual interviews were conducted with the participating professionals. With guidance of the checklist COREQ, our ambition is to make the research process in this study as transparent as possible which further increases the replicability.

Results:

By exploring pa rticipants' experiences of the different components in an intervention with regard to their learning and knowledge development, both individual and of the group, in relation to their profession, finding answers to “what works” and “how it works”. Thereby gaining understanding and knowledge that can be applied in the design of future interventions and consequently, fill the existing knowledge gap.

Ethics:

Approval was obtained from the Swedish Ethical Review Authority, Dnr 35 517 for the project as whole. In addition, a supplemental application to phase two has made and is approved, on September 21, 2021, Dnr 2021-0460.

sted, utgiver, år, opplag, sider
Trollhättan: University West, 2022
Emneord
work integrated learning, professionals, intervention
HSV kategori
Forskningsprogram
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap; Arbetsintegrerat lärande
Identifikatorer
urn:nbn:se:hv:diva-19473 (URN)9789189325302 (ISBN)
Konferanse
WIL'22 International Conference on Work Integrated Learning, 7-9 December 2022, University West, Trollhättan, Sweden
Merknad

The general theme of the conference is: “WIL in the service of society”

Tilgjengelig fra: 2022-12-16 Laget: 2022-12-16 Sist oppdatert: 2024-01-19bibliografisk kontrollert
Truong, A., Johansson (Alverbratt), C., Ekström-Bergström, A. & Antonsson, H. (2022). Caring for Persons With Intellectual Disabilities and Challenging Behavior: Staff Experiences With a Web-Based Training Program. In: International Conference on Work Integrated Learning: Abstract Book. Paper presented at WIL'22 International Conference on Work Integrated Learning, 7-9 December 2022, University West, Trollhättan, Sweden (pp. 39-41). Trollhättan: University West
Åpne denne publikasjonen i ny fane eller vindu >>Caring for Persons With Intellectual Disabilities and Challenging Behavior: Staff Experiences With a Web-Based Training Program
2022 (engelsk)Inngår i: International Conference on Work Integrated Learning: Abstract Book, Trollhättan: University West , 2022, s. 39-41Konferansepaper, Oral presentation with published abstract (Annet vitenskapelig)
Abstract [en]

Background: The quality of care for persons with intellectual disabilities (ID) is affected by many factors, including the knowledge of the professionals. Educational training in, for example, general communication was identified as a priority issue among healthcare professionals working with persons with IDs, as it is the basis for a better understanding of the clients and their behavior, which can otherwise be perceived as problematic and challenging. Challenging behaviors (CB) have been reported by professionals as problems they frequently witness or experience and/or struggle to manage in the daily work. Yet they do not always have access to such training nor to the resources needed to practice skillful communication when supporting persons with IDs. In addition, challenges concerning the competence provision in the sector are likely to contribute to further deterioration of the situation.

Earlier research has shown that web-based training for staff within healthcare settings can generate good results. In addition to being able to participate during work hours, staff can also overcome access issues in the delivery of training. With this study, we hope to advance an existing web-based training program with the intention to move toward well-evaluated and proven training in order to contribute to competence provision in the context of health and social care.

Aim: To explore staff experiences with a web-based training program in relation to their professional care for persons with ID and CB. 

Methods: Staff working in residences for people with ID within municipal health and social care were offered the web-based training. In total 20 residences in a medium-size city in Sweden were included in this study. After completed training, fourteen semi-structured interviews were carried out with individual staff members to gather data regarding their experiences with web-based training in relation to their profession. The informants constituted of 11 women and 3 men, aged 27–55. Of the nine informants who had received upper secondary school education, five had specialized in the care of persons with IDs. More precisely, one informant had received higher vocational education, whereas the remaining four had received university education in the social sciences. The work experience with persons with IDs ranged from 8 to 30 years. The interviews were based on two open -ended questions: “What is your experience of attending the web-based training?” and “What do you think about the web-based training in relation to your daily work with persons with IDs and CB?” Follow-up questions were directed in such a way as to encourage the staff to freely share their experiences. 

This study has an inductive approach. The collected data were analyzed using qualitative content analysis as described by Graneheim and Lundman (2014). 

Results: The staff’s experiences with the web-based training program in relation to their professional care for persons with IDs and CB were presented as a single main theme: “Web-based training for staff initiates a workplace learning process by promoting reflections on and awareness of how to better care for persons with IDs and CB”. This theme contained three categories: “Web-based training provides freedom but also requires responsibility, both of which affect the learning outcome”, “The learning process contributes to generating insights about caring” and “The mutual impact of training and the opinions of staff about learning for the care of persons with IDs and CB”. These categories were based on eight sub-categories.

Overall, the staff claimed that they had gained novel insights into the profession and into the caring process for the clients. Opinions about clients and CB changed somewhat, and the staff was inspired to adopt new ways of working which ultimately benefited interactions with the client. At the same time, requests were made for additional group discussions, and the desire for better planning to enhance learning among the staff was expressed.

Discussion: In this study, web-based training seemed to have had a stimulating effect on workplace learning. Sharing self-reflections with group members in addition to individual study is essential for stimulating and consequently extracting knowledge from training. In the preparation of the training, close attention was paid to how to enable both individuals and social processes in learning but, judging from the results, further developments should focus on optimizing the effect of social interaction.

Additionally, organizational support appears to be relevant for improving learning outcomes. However, prior research has shown significant differences in perceived workplace learning support from different occupational groups. Higher-status occupations offer a workplace environment that is more conducive to learning than that of lower-status occupations.These aspects must be addressed and overcome to fully develop the competence provision and counteract potential negative consequences in terms of job satisfaction and well-being among professionals working with persons with IDs.

Conclusions and clinical implications: Our findings illustrate the complexity of providing staff training in the workplace through a web-based training program. Beyond the benefits of web-based training for workplace learning, some challenges also emerged. We conclude that web-based training, workplace organization, and individuals’ opinions each have an important impact on the learning outcome. To reach the best possible outcome, however, resources need to be invested in all three parts concurrently. This knowledge can contribute to the development of competence provision in municipal health and social care services more generally, where similar circumstances in terms of a notable downward trend in competence provision prevail, a pattern that could have negative impact on the welfare of the professionals.In addition to knowledge, cooperation in both healthcare and social services was also highlighted to improve care for persons with IDs and CB. In order to better meet their needs, professional teamwork is critically important. Hence, future research should investigate the views of other professionals e.g. nurses regarding education and competence development. This approach would enrich our knowledge and understanding of how the competence provision could be enhanced in this context to contribute to social sustainability in the sector. 

sted, utgiver, år, opplag, sider
Trollhättan: University West, 2022
Emneord
Health and social care service, Quality of care, Sustainable working life, Work -integrated learning.
HSV kategori
Forskningsprogram
Arbetsintegrerat lärande; VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-19546 (URN)9789189325302 (ISBN)
Konferanse
WIL'22 International Conference on Work Integrated Learning, 7-9 December 2022, University West, Trollhättan, Sweden
Merknad

The general theme of the conference is: “WIL in the service of society”

Tilgjengelig fra: 2023-01-12 Laget: 2023-01-12 Sist oppdatert: 2023-03-15bibliografisk kontrollert
Leinweber, J., Fontein-Kuipers, Y., Thomson, G., Karlsdottir, S. I., Nilsson, C., Ekström-Bergström, A., . . . Stramrood, C. (2022). Developing a woman-centered, inclusive definition of traumatic childbirth experiences: A discussion paper.. Birth, 49(4), 585-842
Åpne denne publikasjonen i ny fane eller vindu >>Developing a woman-centered, inclusive definition of traumatic childbirth experiences: A discussion paper.
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2022 (engelsk)Inngår i: Birth, ISSN 0730-7659, E-ISSN 1523-536X, Vol. 49, nr 4, s. 585-842Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

INTRODUCTION: Many women experience giving birth as traumatic. Although women's subjective experiences of trauma are considered the most important, currently there is no clear inclusive definition of a traumatic birth to help guide practice, education, and research.

AIM: To formulate a woman-centered, inclusive definition of a traumatic childbirth experience.

METHODS: After a rapid literature review, a five-step process was undertaken. First, a draft definition was created based on interdisciplinary experts' views. The definition was then discussed and reformulated with input from over 60 multidisciplinary clinicians and researchers during a perinatal mental health and birth trauma research meeting in Europe. A revised definition was then shared with consumer groups in eight countries to confirm its face validity and adjusted based on their feedback.

RESULTS: The stepwise process confirmed that a woman-centered and inclusive definition was important. The final definition was: "A traumatic childbirth experience refers to a woman's experience of interactions and/or events directly related to childbirth that caused overwhelming distressing emotions and reactions; leading to short and/ or long-term negative impacts on a woman's health and wellbeing."

CONCLUSIONS: This definition of a traumatic childbirth experience was developed through consultations with experts and consumer groups. The definition acknowledges that low-quality provider interactions and obstetric violence can traumatize individuals during childbirth. The women-centered and inclusive focus could help women to identify and validate their experiences of traumatic birth, offering benefits for practice, education, and research, as well as for policymaking and activism in the fields of perinatal mental health and respectful maternity care.

sted, utgiver, år, opplag, sider
John Wiley & Sons, 2022
Emneord
obstetric violence, post-traumatic stress disorder, postpartum, subjective, traumatic childbirth
HSV kategori
Forskningsprogram
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap; Arbetsintegrerat lärande
Identifikatorer
urn:nbn:se:hv:diva-18303 (URN)10.1111/birt.12634 (DOI)000780009200001 ()35403241 (PubMedID)2-s2.0-85127789534 (Scopus ID)
Tilgjengelig fra: 2022-09-23 Laget: 2022-09-23 Sist oppdatert: 2024-04-09
Leinweber, J., Fonstein-Kuipers, Y., Thomson, G., Karlsdottis, S., Nilsson, C., Ekström-Bergström, A., . . . Stramrod, C. (2022). Developing a woman-centred, inclusive definition of traumatic childbirth experiences. In: : . Paper presented at 21st International Normal Labour and Birth Research Conference Denmark – Aarhus 2022. September 12th to 14th 2022 (pp. 1-1).
Åpne denne publikasjonen i ny fane eller vindu >>Developing a woman-centred, inclusive definition of traumatic childbirth experiences
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2022 (engelsk)Konferansepaper, Oral presentation only (Annet vitenskapelig)
HSV kategori
Forskningsprogram
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap; Arbetsintegrerat lärande
Identifikatorer
urn:nbn:se:hv:diva-19446 (URN)
Konferanse
21st International Normal Labour and Birth Research Conference Denmark – Aarhus 2022. September 12th to 14th 2022
Tilgjengelig fra: 2022-12-06 Laget: 2022-12-06 Sist oppdatert: 2024-01-19bibliografisk kontrollert
Thapa, D. R., Subedi, M., Ekström-Bergström, A., Areskoug Josefsson, K. & Krettek, A. (2022). Facilitators for and barriers to nurses’ work-related health: a qualitative study. BMC Nursing, 21, Article ID 218.
Åpne denne publikasjonen i ny fane eller vindu >>Facilitators for and barriers to nurses’ work-related health: a qualitative study
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2022 (engelsk)Inngår i: BMC Nursing, E-ISSN 1472-6955, Vol. 21, artikkel-id 218Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background:

Work-related health problems, such as work stress, fatigue, and burnout constitute a global challenge within the nursing profession. Work-related health among nurses is not yet a prioritized phenomenon in Nepal. Health-promoting approaches to maintaining and sustaining nurses’ health are therefore essential. The aim of this study was to explore and thereby gain a deeper understanding of how nurses in Nepal’s hospitals experience their everyday work, with a focus on promoting and sustaining their work-related health.

Methods:

A qualitative design with semi-structured individual interviews were used. Nineteen registered nurses working at hospitals in Kathmandu Valley, Nepal, were individually interviewed between October 6 and December 5, 2018. Transcribed interviews were analyzed through thematic analysis.

Results:

Four main themes with belonging eight subthemes were constructed from the analysis: (1) “Sense of mean‑ingfulness and belongingness in work culture” with subthemes; “Open environment” and “Sharing attitude and coop‑erating for the entire team” (2) “Support and rewards from the management team” with subthemes; “Lacking manage‑rial support” and “Fair evaluation and job promotion opportunities”(3) “Workload and protection against work-related hazards” with subthemes; “Stressful and multitasking in workload” and “Lacking equipment for own health and caring”, and (4) “Motivation through opportunities and activities” with subthemes; “Employment benefts that motivate work”, and “Activities outside of work needed to recover”. These main themes and subthemes described nurses’ facilitators for and barriers to their work environment and health.

Conclusion:

Our study highlighted nurses’ experiences with facilitators and barriers to their work-related health. Nurses’ work-related health was positively afected by support from colleagues, managers, and the organization. Conversely, less support from managers, lack of equipment, and unfair judgment were barriers to nurses’ work-related health. This study adds new knowledge about nurses’ work-related health from the context of Nepal. Hospital organi‑zations and nursing managers in similar cultural and healthcare settings can apply the results of our study to develop strategies to promote and sustain nurses’ health and prevent work-related illness.

sted, utgiver, år, opplag, sider
Springer Nature, 2022
Emneord
Health promotion, Managerial support, Job resources, Nurses, Stress, Teamwork, Work environment, Work-related health
HSV kategori
Forskningsprogram
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-19247 (URN)10.1186/s12912-022-01003-z (DOI)000836600400001 ()2-s2.0-85135440648 (Scopus ID)
Forskningsfinansiär
Wilhelm och Martina Lundgrens Vetenskapsfond, 2017-1824Swedish Research Council, 2016-05682University of Skövde
Merknad

CC BY 4.0

Tilgjengelig fra: 2022-09-21 Laget: 2022-09-21 Sist oppdatert: 2024-04-09bibliografisk kontrollert
Thapa, D. R., Stengård, J., Ekström-Bergström, A., Areskoug Josefsson, K., Krettek, A. & Nyberg, A. (2022). Job demands, job resources, and health outcomes among nursing professionals in private and public healthcare sectors in Sweden: a prospective study. BMC Nursing, 21(1), Article ID 140.
Åpne denne publikasjonen i ny fane eller vindu >>Job demands, job resources, and health outcomes among nursing professionals in private and public healthcare sectors in Sweden: a prospective study
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2022 (engelsk)Inngår i: BMC Nursing, E-ISSN 1472-6955, Vol. 21, nr 1, artikkel-id 140Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background

Nursing professionals exhibit high prevalence of stress-related health problems. Job demands and job resources are parallel drivers of health and well-being among employees. Better job resources associate with better job satisfaction, job motivation and engagement even when job demands are high. To date, there is limited research which explores the association between job demands, job resources and health outcomes among nursing professionals in the Swedish context. The aim of this study was therefore to investigate Swedish nursing professionals’ job demands and job resources in relation to health outcomes, with comparisons between the private and public healthcare sectors. The specific research questions were as follows: (1) Are there differences between private and public healthcare regarding job demands, job resources, and health outcomes? and (2) Are there prospective associations between job demands and job resources in relation to health outcomes?

Methods

Data were drawn from the Swedish Longitudinal Occupational Survey of Health (SLOSH) 2016 and 2018, including 520 nurses and 544 assistant nurses working in the private and public healthcare sectors from 2016 (baseline). Data were analyzed using binary logistic regression.

Results

Nursing professionals reported higher threats, lower bullying, lower control, lower social support, and lower cohesion in the public healthcare units compared to the private healthcare units. The prospective analyses showed that job resources in terms of social support and rewards were associated with higher self-rated health and lower burnout. Cohesion was associated with higher self-rated health. Job demands in terms of psychological demands and job efforts were associated with lower self-rated health, higher burnout, and higher sickness absence, while emotional demands were associated with higher burnout.

Conclusions

Nursing professionals’ job resources are deficient in public healthcare units. Job resources are associated with positive health outcomes, whereas job demands are associated with negative health outcomes, among nursing professionals. Strengthening job resources among nursing professionals in the private and public healthcare sectors can promote and sustain their work-related health.

sted, utgiver, år, opplag, sider
Springer, 2022
Emneord
JD-R model Oc, cupational health, Demands, Resources, Healthcare, Employment sectors
HSV kategori
Forskningsprogram
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-18455 (URN)10.1186/s12912-022-00924-z (DOI)000806789700005 ()2-s2.0-85131327268 (Scopus ID)
Forskningsfinansiär
Forte, Swedish Research Council for Health, Working Life and Welfare, 2009-1758Swedish Research Council, 2013-0164University of Skövde
Merknad

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. 

Open access funding provided by University of Skövde. This work was supported by AFA Insurance (grant 150474), the Swedish Research Council for Health, Working Life and Welfare (FORTE) through the Stockholm Stress Center (grant 2009–1758), the Swedish Research Council (VR; grant 2013–0164 and 2013–01646) and the School of Health Sciences at the University of Skövde, Sweden. The funders had no role in the study design, data analysis, the preparation of the manuscript or decision to publish the manuscript.

Tilgjengelig fra: 2022-06-09 Laget: 2022-06-09 Sist oppdatert: 2024-04-09bibliografisk kontrollert
Organisasjoner
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0002-2261-0112