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Lindegård, A., Ellbin, S., Jonsdottir, I. H. & Dahlborg, E. (2024). Equitable Care for Patients Diagnosed with Stress-Related Exhaustion in Sweden: A Strategi Standing on Feet of Clay?. Journal of Psychosocial Rehabilitation and Mental Health
Open this publication in new window or tab >>Equitable Care for Patients Diagnosed with Stress-Related Exhaustion in Sweden: A Strategi Standing on Feet of Clay?
2024 (English)In: Journal of Psychosocial Rehabilitation and Mental Health, ISSN 2198-9834, E-ISSN 2198-963XArticle in journal (Refereed) Published
Abstract [en]

Patients diagnosed with stress induced exhaustion disorder (ED) often require long sick leave before returning to work. The aim of this study was to describe the experiences of physiotherapists and occupational therapists with respect to interprofessional collaboration and treatment strategies for patients diagnosed with ED. This study has an explorative qualitative design and was conducted as an interview study using a semi-structured question guide. All interviews were tape-recorded and transcribed verbatim. The interviews were conducted at 14 different rehabilitation centres with 12 physiotherapists and 3 occupational therapists. Six of these centres were run within the public sector and 9 were run by private suppliers. The informants had an average of 17 years of experience in their profession, with a range of 4–49 years. The interviews were analysed by means of qualitative inductive content analysis, where the manifest as well as the latent content became visual. The analysis resulted in an overall theme: Equitable care—a strategy on feet of clay, supported by three main categories (a) rehabilitation centres- an isolated island, (b) evidence-based treatments- under the radar (c) patient participation-a double-edged sword. The current organizational structure of rehabilitation centers within Swedish primary health care falls short in meeting the integrated and collaborative care requirements for patients with stress-related exhaustion disorder (ED). Furthermore, the absence of evidence-based treatments poses a challenge in devising personalized and appropriately timed treatment strategies. 

Place, publisher, year, edition, pages
Springer, 2024
Keywords
Stressrelated exhaustion, Rehabilitation, Treatment strategies, Teamwork, Individualised care
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-22664 (URN)10.1007/s40737-024-00437-9 (DOI)2-s2.0-85208124399 (Scopus ID)
Note

CC-BY 4.0

Available from: 2025-01-10 Created: 2025-01-10 Last updated: 2025-01-10
Castillo, I. A., Dahlborg, E., Arveklev Höglund, S. & Tengelin, E. (2024). Norm-Critical Teaching in Practice?: An Observational Study of a Campus-Based Clinical Learning Environment in Nursing Education. Journal of contemporary ethnography
Open this publication in new window or tab >>Norm-Critical Teaching in Practice?: An Observational Study of a Campus-Based Clinical Learning Environment in Nursing Education
2024 (English)In: Journal of contemporary ethnography, ISSN 0891-2416, E-ISSN 1552-5414Article in journal (Refereed) Published
Abstract [en]

Nursing education plays a pivotal role in shaping future nurse professionals who contribute to social justice and health equity. To achieve this goal, nursing teachers must employ effective learning strategies. One such strategy is norm-criticism, which promotes a critical reflection of the normative preconceptions that impact health equity. This study aimed to identify how nursing teachers approach norm-criticism during learning activities in a campus-based clinical learning environment with a norm-critical profile. Employing an ethnographic approach, we analyzed participant observational data using reflective thematic analysis. Our results revealed three overarching themes: “Teaching nursing disengaged from norm-criticism,” “Teaching norms and deflecting norm-criticism,” and “A hesitant norm-critical teaching.” This study concludes that the teachers did not have the tools or lacked knowledge in norm-critical teaching strategies, likely as consequence of inadequate faculty support and guidance. Ultimately, teachers should have access to norm-critical education and opportunities to learn how to carry out norm-critical teaching.

Place, publisher, year, edition, pages
Sage Publications, 2024
Keywords
campus-based clinical learning environment, health equity, norm-criticism, nursing teachers, participant observations
National Category
Nursing Social Sciences Interdisciplinary
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-22912 (URN)10.1177/08912416241305125 (DOI)001380933700001 ()2-s2.0-85212711430 (Scopus ID)
Note

CC-BY 4.0

Available from: 2025-01-17 Created: 2025-01-17 Last updated: 2025-01-17
Dahlborg, E. (2024). Ny bok vill utveckla vården i praktiken.
Open this publication in new window or tab >>Ny bok vill utveckla vården i praktiken
2024 (Swedish)Other (Other (popular science, discussion, etc.))
Abstract [sv]

Boken ”Omsorg i praksis” ger möjligheter att reflektera över hur vårdvetenskap kan användas inom olika områden. Förutom att ge kunskap om begreppen kan boken vara en drivkraft för att utveckla vården i praktiken.

Jag vill presentera en ny bok ”Omsorg i praksis” som kommit ut på Universitetsförlaget i Norge. www.universitetsforlaget.no

Idén till boken kom efter att ha genomfört doktorandkursen ”Concepts and epistemological perspective in ’Caring Science'” 2019 och 2021. Jag och två norska kollegor är redaktörer. Kursen planerades och genomfördes av Elin Aasen, Berit Lindahl och mig. Professor Kari Martinsen var gästföreläsare och hennes teorier utgjorde en betydelsefull grund för kursen.

Boken innehåller texter skrivna av doktorander och sjuksköterskor med magisterexamen och är skrivna på norska alternativt engelska. I boken är fokus på hur teoretiska begrepp inom vårdvetenskap kan användas i olika praktiker. Den första delen har fokus på teoretiska perspektiv och del 2 är indelad i fyra områden; omvårdnad i relation till hälso- och sjukvård, omvårdnad och teknologi, omvårdnad i mötet med sårbara personer, omvårdnad och pedagogik

Boken ger möjligheter att reflektera över hur vårdvetenskap kan användas inom olika områden. Förutom att ge kunskap om begreppen kan boken vara en drivkraft för att utveckla vården i praktiken.

Hoppas den kan vara till nöje eller nytta för några av er!

Series
Västpunkt; Hälsa och vetenskap
Keywords
omsorg, vård, teori, praktik
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-22934 (URN)
Note

Boken finns som pdf och är publicerad på Idun.no och ni når den via denna länk; https://www.idunn.no/doi/book/10.18261/9788215069234-24

Available from: 2025-01-20 Created: 2025-01-20 Last updated: 2025-01-21Bibliographically approved
Vestgarden, L. A., Dahlborg, E., Strunck, J. & Aasen, E. M. (2024). Older adult immigrants' experiences of being hospitalized: a qualitative study.. BMC Health Services Research, 24(1), Article ID 1381.
Open this publication in new window or tab >>Older adult immigrants' experiences of being hospitalized: a qualitative study.
2024 (English)In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 24, no 1, article id 1381Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Access to equal health services is a key issue in most European countries. In the coming years, immigrants will constitute an increasing proportion of older adults in Europe, and their need for healthcare services will likely increase. Healthcare services must prepare for such encounters to make them equitable. Older immigrants' hospitalization experiences require elucidation. Their patient experiences can provide important knowledge when the healthcare system is working toward equal and equitable healthcare services.

METHODS: This study employed an exploratory qualitative design. Data were collected through narrative interviews with a purposive sample of eight older adult immigrants, aged 61-79 years. Patient narratives were analyzed using thematic analysis with a reflexive approach, as outlined by Braun and Clarke.

RESULTS: The analysis created three themes that shed light on older adult immigrants' experiences as hospital patients. The themes conveyed experiences related to challenging involvement and interaction, notions of what an ideal patient should be like, and participants not feeling valued as a person.

CONCLUSION: The findings indicate that communication between healthcare professionals and older adult immigrant patients is deficient: older immigrants in this study did not make their voices heard nor were they invited to participate by healthcare professionals. This contributes to limited involvement in assessment, treatment, and care. The older immigrants felt that they were not valued nor met as unique individuals. The findings indicate that health policy goals regarding patient participation and person-centered care are not met when older immigrants are patients. Consequently, the experiences of older adult immigrants in this study indicate that equal health services are at risk.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2024
Keywords
Experiences, Hospitalized, Older adult immigrants, Patient, Qualitative research
National Category
Nursing Geriatrics International Migration and Ethnic Relations
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-22668 (URN)10.1186/s12913-024-11848-6 (DOI)001353714000004 ()39533289 (PubMedID)2-s2.0-85209355620 (Scopus ID)
Note

CC-BY 4.0

Available from: 2024-12-02 Created: 2024-12-02 Last updated: 2024-12-02
Ellbin, S., Lindegård, A., Jonsdottir, I. H. & Dahlborg, E. (2024). Psychologists' involvement in and experiences of treating patients with stress-related exhaustion in primary care.. BMC Primary Care, 25(1), Article ID 56.
Open this publication in new window or tab >>Psychologists' involvement in and experiences of treating patients with stress-related exhaustion in primary care.
2024 (English)In: BMC Primary Care, E-ISSN 2731-4553, Vol. 25, no 1, article id 56Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Primary health care is the setting for most patients with stress-related mental health problems. Good care processes are important for patients with stress-related mental health problems and the complex needs of these patients has become a challenge for primary care settings which is traditionally designed to manage acute episodes of one illness. The care process of these patients is thus interesting to investigate. The aim of this study was to explore psychologists´ involvement and experiences regarding the organisation of the care process and treatment of patients seeking care for stress-related exhaustion.

METHOD: Fifteen psychologists (14 women and 1 man, age range 27-72 years)c from fifteen different primary health care centres in the western part of Sweden, located in both rural and urban areas were included. Qualitative content analysis of individual semi-structured interviews was conducted.

RESULTS: The analysis resulted in eight subcategories within the two main categories studied illuminating psychologists' involvement and experiences regarding the organisation of the care process and challenges regarding treatment of patients seeking care for stress-related exhaustion.

CONCLUSION: The care process of patients with stress-related exhaustion is perceived to be ineffective and not congruent with the needs of the patients. A lack of holistic overview of the care process, a lack of collaboration and poor utilization of the health care professionals' competence leads to an unstructured process forcing the patients to be the carriers and coordinators of their own care.

Place, publisher, year, edition, pages
Springer Nature, 2024
Keywords
Burnout, Equal care, Exhaustion, Primary care, Psychologist
National Category
Health Sciences General Practice Psychology (excluding Applied Psychology)
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-21302 (URN)10.1186/s12875-024-02287-7 (DOI)001160547000002 ()38347454 (PubMedID)2-s2.0-85185136515 (Scopus ID)
Note

CC-BY 4.0

This study was financed by grants from the Swedish state under the agreement between the Swedish government and the county councils, the ALF agreement (ALFGBG-726011).

Available from: 2024-05-20 Created: 2024-05-20 Last updated: 2024-05-20
Dahlborg, E., Boman, Å., Eriksson, H. & Tengelin, E. (2023). Encircling discourses: A guide to critical discourse analysis in caring science. Scandinavian Journal of Caring Sciences, 38, 177-184
Open this publication in new window or tab >>Encircling discourses: A guide to critical discourse analysis in caring science
2023 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 38, p. 177-184Article in journal (Refereed) Published
Abstract [en]

Aim

The aim of this article was to introduce Fairclough's critical discourse analysis (CDA) in caring and nursing science, to provide a guide on how to perform such an analysis, and to describe the wider context of discourse epistemology.

Design

The article is designed as a methodological paper, including (a) epistemological roots of discourse analysis, (b) an overview of discourse analytical research within caring and nursing science which points out an increased trend, and (c) a guide to conducting a CDA.

Analysis

It is important that discourse analysis is available and accessible to nursing and caring researchers. Through the process of encircling discourses, valuable insight is given into fields that otherwise would be lost or would not be available.

Conclusion

Our summary stance is that discourse analysis as it is presented in this article is strongly advisable for use in nursing and caring sciences.

Keywords
caring science, critical discourse analysis nursing, discourse analysis, research methods, social construction
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-20612 (URN)10.1111/scs.13194 (DOI)001025442100001 ()37421160 (PubMedID)2-s2.0-85164575364 (Scopus ID)
Note

CC BY 4.0

Available from: 2023-08-21 Created: 2023-08-21 Last updated: 2024-05-29Bibliographically approved
Vestgarden, L. A., Dahlborg, E., Strunck, J. & Aasen, E. M. (2023). Nurses' discursive construction of older adult immigrant patients in hospitals. BMC Health Services Research, 23(1), Article ID 586.
Open this publication in new window or tab >>Nurses' discursive construction of older adult immigrant patients in hospitals
2023 (English)In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 23, no 1, article id 586Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The immigrant population across Europe is ageing rapidly. Nurses will likely encounter an increasing number of patients who are older adult immigrants. Moreover, access to and equal provision of healthcare is a key issue for several European countries. The relationship between nurses and patients is asymmetrical with unequal power relations; however, the way nurses construct the patient through language and discourse can help maintain or change the balance of power. Unequal power relations can affect access and be a hindrance to equal healthcare delivery. Hence, the aim of this study is to explore how older adult immigrants are discursively constructed as patients by nurses.

METHODS: An exploratory qualitative design was used. Data were collected through in-depth interviews with a purposive sample of eight nurses from two hospitals. The nurses' narratives were analysed using critical discourse analysis (CDA) as described by Fairclough.

RESULTS: The analysis identified an overarching, stable, and dominant discursive practice; 'The discourse of the other', with three interdiscursive practices: (1) 'The discourse on the immigrant patient versus an ideal patient'; (2) 'The expert discourse'; and (3) 'The discourse of adaption'. Older immigrant adults were constructed as 'othered' patients, they were different, alienated, and 'they' were not like 'us'.

CONCLUSION: The way nurses construct older adult immigrants as patients can be an obstacle to equitable health care. The discursive practice indicates a social practice in which paternalism overrides the patient's autonomy and generalization is more prevalent than a person-centred approach. Furthermore, the discursive practice points to a social practice wherein the nurses' norms form the basis for normal; normality is presumed and desirable. Older adult immigrants do not conform to these norms; hence, they are constructed as 'othered', have limited agency, and may be considered rather powerless as patients. However, there are some examples of negotiated power relations where more power is transferred to the patient. The discourse of adaptation refers to a social practice in which nurses challenge their own existing norms to best adapt a caring relationship to the patient's wishes.

Keywords
Critical discourse analysis, Nurse-patient relations, Nurses, Older adult immigrants, Patient constructions, Qualitative research
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-20138 (URN)10.1186/s12913-023-09590-6 (DOI)001002985400003 ()37286985 (PubMedID)2-s2.0-85161256131 (Scopus ID)
Note

CC BY 4.0

Available from: 2023-06-27 Created: 2023-06-27 Last updated: 2024-01-12Bibliographically approved
Aasen, E. M., Dahl, B. M., Ottesen, A. M., Strunck, J., Eriksson, H., Dahlborg, E., . . . Tengelin, E. (2023). Scandinavian Online Cancer Information as Expressions of Governmentality. Advances in Nursing Science, 46(3), 293-305
Open this publication in new window or tab >>Scandinavian Online Cancer Information as Expressions of Governmentality
Show others...
2023 (English)In: Advances in Nursing Science, ISSN 0161-9268, E-ISSN 1550-5014, Vol. 46, no 3, p. 293-305Article in journal (Refereed) Published
Abstract [en]

We compared online distributed information provided to patients with cancer in Scandinavian countries through the lens of governmentality. A secondary comparative qualitative analysis was conducted. Discourses in online patient information showed differences in governmentality techniques across the countries: Norway used a paternalist approach, Denmark an educative approach, and Sweden an individualistic approach and expected the patients to make the “right” decisions. Online information for patients with cancer in Denmark and Norway showed high professional and health care system involvement, whereas in Sweden, there was high patient involvement. There was almost no use of the person-centered approach among the online discourses

Place, publisher, year, edition, pages
Wolters Kluwer, 2023
Keywords
biopolitics, cancer, discourse, governmentality, nursing, online information, patient, person-centeredness, involvement, Scandinavia
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-19090 (URN)10.1097/ans.0000000000000436 (DOI)001041223200009 ()2-s2.0-85164580647 (Scopus ID)
Available from: 2022-08-31 Created: 2022-08-31 Last updated: 2024-04-09Bibliographically approved
Sundberg, F., Dahlborg, E. & Lindahl, B. (2023). Spatial isolation and health during the Covid-19 pandemic: A critical discourse analysis. Health and Place, 83, Article ID 103080.
Open this publication in new window or tab >>Spatial isolation and health during the Covid-19 pandemic: A critical discourse analysis
2023 (English)In: Health and Place, ISSN 1353-8292, E-ISSN 1873-2054, Vol. 83, article id 103080Article in journal (Refereed) Published
Abstract [en]

Introduction

In late 2019, the virus SARS-CoV-2, often called COVID-19, was detected in Wuhan, China. The World Health Organization (WHO, 2020) declared the spread of the virus a pandemic in March 2020 (Azoulay et al., 2020; Strålin et al., 2020; The Public Health Agency of Sweden, 2020; WHO, 2020), leading to the initiation of national lockdowns and strict restrictions in most countries.

By May 2022, more than 515 million confirmed cases of COVID-19, including more than six million deaths, had been reported to the WHO (2022). Much research from an epidemiological and medical perspective has been published. Reports in social media, television, radio news, and the daily press, have described the global situation. However, there is a lack of knowledge of how the media described people's everyday lives during this period. What ideologies regarding social identities, people's relations, actions, and economy, in ordinary life, are constructed in the media discourse? Fairclough (2015) defined the term “ideology” as a set of beliefs and attitudes, while hegemony is defined as the social struggle for power and dominance waged for certain ideologies to be influenced. According to Fairclough there is an ideological hegemony when connections among cultural ideas, norms, talk and material practice can be seen.

Keywords
COVID-19, Humans, Pandemics
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-20703 (URN)10.1016/j.healthplace.2023.103080 (DOI)001059478900001 ()37517382 (PubMedID)2-s2.0-85166232367 (Scopus ID)
Note

CC BY

This work was supported by funding from the Nordic College of Caring Science (NCCS https://www.nccs.nu/).

Available from: 2023-11-01 Created: 2023-11-01 Last updated: 2024-01-12Bibliographically approved
Castillo, I. A., Tengelin, E., Arveklev Höglund, S. & Dahlborg, E. (2023). When nursing education becomes political: Norm-critical perspectives in a campus-based clinical learning environment. Nursing Inquiry, 31(2), Article ID e12597.
Open this publication in new window or tab >>When nursing education becomes political: Norm-critical perspectives in a campus-based clinical learning environment
2023 (English)In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 31, no 2, article id e12597Article in journal (Refereed) Published
Abstract [en]

Nursing education is in the process of incorporating critical thinking, social justice, and health inequality perspectives into educational structures, aspiring to help nursing students develop into professional nurses prepared to provide equal care. Norm criticism is a pedagogical philosophy that promotes social justice. This qualitative case study aimed to gain an understanding of and elaborate on an educational development initiative in which norm criticism was incorporated into the composition of a new campus‐based clinical learning environment for nursing education. By analyzing documents and interviews with the help of reflexive thematic analysis three themes were generated: “Intention to educate beyondnursing education,” “Educating in alliance with society,” and “The educative ambiguity of the Clinical Learning Centre. ”The case study indicates that the incorporation of norm criticism into a campus‐based clinical learning environment may encourage nursing students to evolve social skills for nursing practice that support health equality within healthcare. By collaborating with society, nursing education can considerably improve its educational frameworks in alignment with societal demands. However, the inclusion of norm criticism in a setting such as a campus‐based clinical learning environment entails a clash with established institutionalized norms and being perceived as too proximate to politics.

Keywords
campus‐based clinical learning environment, health inequalities, norm criticism, norms, nursing education, politics, social skills
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-20679 (URN)10.1111/nin.12597 (DOI)001051743700001 ()37608629 (PubMedID)2-s2.0-85168579132 (Scopus ID)
Note

CC BY 4.0

Available from: 2023-09-06 Created: 2023-09-06 Last updated: 2024-05-29Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0003-3702-8202

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