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Tengelin, E., Cliffordson, C., Dahlborg Lyckhage, E. & Berndtsson, I. (2019). Constructing the Norm-critical awareness scale: A scale for use in educational contexts promoting awareness of prejudice, discrimination, and marginalisation. Equality, Diversity and Inclusion
Open this publication in new window or tab >>Constructing the Norm-critical awareness scale: A scale for use in educational contexts promoting awareness of prejudice, discrimination, and marginalisation
2019 (English)In: Equality, Diversity and Inclusion, ISSN 2040-7149, E-ISSN 2040-7157Article in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose: Healthcare professionals' conscious or unconscious norms, values and attitudes have been identified as partial explanations of healthcare inequity. Norm criticism is an approach that questions what is generally accepted as "normal" in society, and it enables professionals to identify norms that might cause prejudice, discrimination and marginalisation. In order to assess norm-critical awareness, a measurement scale is needed. The purpose of this paper is to develop a scale for measuring norm-critical awareness. Design/methodology/approach: The scale-development process comprised a qualitative item-generating phase and a statistical reduction phase. The item pool was generated from key literature on norm criticism and was revised according to an expert panel, pilot studies and one "think aloud" session. To investigate the dimensionality and to reduce the number of items of the scale, confirmatory factor analysis was performed. Findings: The item-generation phase resulted in a 46-item scale comprising five theoretically derived dimensions revolving around function, consequences, identity, resistance and learning related to norms. The item-reduction phase resulted in an instrument consisting of five dimensions and 20 items. The analyses indicated that a summary score on the scale could be used to reflect the broad dimension of norm-critical awareness. Originality/value: The Norm-critical awareness scale comprises five theoretically derived dimensions and can be used as a summary score to indicate the level of norm-critical awareness in educational contexts. This knowledge is valuable for identifying areas in greater need of attention. © 2019, Emerald Publishing Limited.

Keywords
Equal opportunities, Health services, Higher education, Instrument development, Norm criticism, Social norms
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-13920 (URN)10.1108/EDI-10-2017-0222 (DOI)2-s2.0-85065662520 (Scopus ID)
Available from: 2019-06-05 Created: 2019-06-05 Last updated: 2019-07-25Bibliographically approved
Tengelin, E., Bülow, P. H., Berndtsson, I. & Dahlborg Lyckhage, E. (2019). Norm-Critical Potential in Undergraduate Nursing Education Curricula: A Document Analysis. Advances in Nursing Science, 42(2), E24-E37
Open this publication in new window or tab >>Norm-Critical Potential in Undergraduate Nursing Education Curricula: A Document Analysis
2019 (English)In: Advances in Nursing Science, ISSN 0161-9268, E-ISSN 1550-5014, Vol. 42, no 2, p. E24-E37Article in journal (Refereed) Published
Abstract [en]

The documents and literature that regulate nursing education are based on certain values and knowledge, and the underlying power in the curriculum raises the question of how health care professionals are molded during the course of their education. Norm criticism is a concept with its roots in critical pedagogy and gender and queer studies, emphasizing the origins as well as the consequences of marginalization, power, and knowledge of what is generally accepted as "normal" and "true." Norm criticism is used in this article to analyze the documents and literature underlying a nursing program in Sweden, which are shown to include a sometimes politically correct rhetoric, but one lacking a firm basis in social justice values.

Keywords
Health care professionals, norm criticism, Sweden, critical pedagogy
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-13026 (URN)10.1097/ANS.0000000000000228 (DOI)000474245800003 ()30325741 (PubMedID)2-s2.0-85064850195 (Scopus ID)
Available from: 2018-10-29 Created: 2018-10-29 Last updated: 2019-10-21Bibliographically approved
Emilsson, M., Berndtsson, I., Gustafsson, P. A., Horne, R. & Marteinsdottir, I. (2019). Reliability and validation of Swedish translation of Beliefs about Medication Specific (BMQ-Specific) and Brief Illness Perception Questionnaire (B-IPQ) for use in adolescents with attention-deficit hyperactivity disorder.. Nordic Journal of Psychiatry
Open this publication in new window or tab >>Reliability and validation of Swedish translation of Beliefs about Medication Specific (BMQ-Specific) and Brief Illness Perception Questionnaire (B-IPQ) for use in adolescents with attention-deficit hyperactivity disorder.
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2019 (English)In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725Article in journal (Refereed) Epub ahead of print
Abstract [en]

Objectives: The purpose of this study was to assess the reliability and validity of Swedish translations of the Beliefs about Medicines Questionnaire-Specific (BMQ-Specific) and Brief Illness Perception Questionnaire (B-IPQ) for use in adolescents with ADHD. Methods: Forward and backward translations of the BMQ-Specific and B-IPQ scales to Swedish were conducted and reviewed by adolescents with ADHD and professionals. The validity and reliability of both questionnaires were investigated in a cross-sectional study of 101 adolescents (13-17 years) on a long-term prescription of ADHD medication recruited from two child and adolescent psychiatric outpatient clinics in Sweden. Results: Regarding the BMQ-Specific, principal component analysis (PCA) loadings confirmed the previously defined components of Specific-Necessity and Specific-Concern. The PCA for B-IPQ revealed two components, the first one, B-IPQ Consequences, captured questions regarding perceptions of the implication of having ADHD (items 1, 2, 5, 6 and 8) and the second one, B-IPQ-Control, the perceptions of the capability to manage the ADHD disorder (items 3, 4 and 7). The Cronbach alpha coefficients for BMQ-Specific-Necessity scale was α = 0.80, for BMQ-Specific-Concern scale α = 0.75, B-IPQ Consequences α = 0.74 and for B-IPQ-Control α = 0.44. Conclusions: The present results prove the Swedish translation of BMQ-Specific and B-IPQ to be valid and reliable for utilization in adolescents with ADHD. The PCA confirmed the original components for BMQ-Specific and the recent findings of two main B-IPQ components describing emotional and cognitive implications versus the capability for self-care maintenance of ADHD.

Keywords
ADHD, adolescents, medication beliefs, perception, psychometric properties
National Category
Psychiatry
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science; Child and Youth studies
Identifiers
urn:nbn:se:hv:diva-14581 (URN)10.1080/08039488.2019.1674376 (DOI)000489278800001 ()31596161 (PubMedID)2-s2.0-8507402781 (Scopus ID)
Funder
Medical Research Council of Southeast Sweden (FORSS), FORSS-466211
Available from: 2019-10-14 Created: 2019-10-14 Last updated: 2019-11-05Bibliographically approved
Johansson, A.-C., Axelsson, M., Grankvist, G., Berndtsson, I. & Brink, E. (2018). Symptoms, Illness Perceptions, Self-Efficacy and Health-Related Quality of Life Following Colorectal Cancer Treatment. Open Journal of Nursing, 8(9), 591-604
Open this publication in new window or tab >>Symptoms, Illness Perceptions, Self-Efficacy and Health-Related Quality of Life Following Colorectal Cancer Treatment
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2018 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 8, no 9, p. 591-604Article in journal (Refereed) Published
Abstract [en]

Introduction: Lower health-related quality of life (HRQoL) is associated with fatigue, poor mental and poor gastrointestinal health during the first three months after colorectal cancer (CRC) treatment. Research indicates that maintaining usual activities has a positive impact on HRQoL after treatment for CRC. Illness perceptions have been associated with HRQoL in other cancer diseases, and self-efficacy has been associated with HRQoL in gastrointestinal cancer survivors. Our knowledge about illness perceptions and self-efficacy in relation to maintaining everyday activities and HRQoL following CRC treatment is incomplete. Aim: To explore associations between HRQoL, fatigue, mental health, gastrointestinal health, illness perceptions and self-efficacy in relation to maintaining everyday activities, three months after surgical CRC treatment. A further aim was to test the Maintain Function Scale in a CRC population. Method: The study was cross-sectional. Forty-six persons participated. Data were collected using questionnaires. Descriptive and analytical statistics were used. Results: Persons who were more fatigued, depressed, worried, and had more diarrhea were more likely to report lower HRQoL. Increased fatigue and diarrhea were associated with decreased HRQoL. Concerning illness perceptions, persons who reported negative emotions and negative consequences of CRC were more likely to report lower HRQoL. Persons scoring higher on self-efficacy were more likely to report higher HRQoL. Increased self-efficacy was associated with increased HRQoL. The Maintain Function Scale was suitable for assessing self-efficacy in relation to maintaining everyday activities. Conclusions: Nursing support to improve self-efficacy and illness perceptions and to minimize symptoms during recovery should have a favorable impact on HRQoL.

Keywords
Colorectal Cancer, Health-Related Quality of Life, Illness Perceptions, Recovery, Self-Efficacy
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-12949 (URN)10.4236/ojn.2018.89044 (DOI)
Available from: 2018-09-27 Created: 2018-09-27 Last updated: 2019-05-24Bibliographically approved
Alsen, P., Thörn, S., Nordqvist, L. & Berndtsson, I. (2016). Men’s Experience of Difficulties during First Year Following Myocardial Infarction: Not OnlyFatigue. Health, 8, 1654-1667
Open this publication in new window or tab >>Men’s Experience of Difficulties during First Year Following Myocardial Infarction: Not OnlyFatigue
2016 (English)In: Health, ISSN 1949-4998, Vol. 8, p. 1654-1667Article in journal (Refereed) Published
Abstract [en]

Recovery from a myocardial infarction (MI) can be a very difficult process and some patients are also stricken by fatigue. The aim of the study was to describe the difficulties experienced by men with fatigue during the first year following their MI. The study was conducted using qualitative content analysis of semi-structured interviews with nine men in working age (mean age: 55 years) with verified fatigue (≥12 of 20 on the Multidimensional Fatigue Scale with a mean of 17) one year after their MI. During the first year after the MI the men suffering from fatigue experienced various difficulties in terms of both themselves and the care received. The analysis generated three themes with difficulties described by the interviewed men. 1) Going through involuntary change: not recognizing their body and the inability to recognize themselves. 2) Lacking individualized care: To be denied satisfactory health care treatment and to be denied respectful treatment. 3) Not being seen in the light of the social context: The MI affects the whole family and caregivers do not pay attention to the family. In order to make both the patient and relatives feel secure and cared for, it is essential that caregivers be aware of the importance of providing individualized care over time with particular attention for the patient’s social context.

Place, publisher, year, edition, pages
Irvine. Calif.: Scientific Research Publishing, 2016
Keywords
Fatigue, Men, Myocardial Infarction
National Category
Nursing Public Health, Global Health, Social Medicine and Epidemiology
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-10418 (URN)10.4236/health.2016.815161 (DOI)
Available from: 2016-12-28 Created: 2016-12-28 Last updated: 2019-05-21Bibliographically approved
Nordqvist, L., Thorn, S., Alsén, P. & Berndtsson, I. (2015). Difficulties experienced by men during the first year after their myocardial infarction and fatigue. Paper presented at EuroHeartCare 2015. European Journal of Cardiovascular Nursing, 14(S1), S46-S46, Article ID 125.
Open this publication in new window or tab >>Difficulties experienced by men during the first year after their myocardial infarction and fatigue
2015 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 14, no S1, p. S46-S46, article id 125Article in journal, Meeting abstract (Refereed) Published
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-7889 (URN)10.1177/147451511557961 (DOI)000356411700083 ()
Conference
EuroHeartCare 2015
Available from: 2015-08-13 Created: 2015-08-13 Last updated: 2019-03-12Bibliographically approved
Johansson, A.-C. B., Axelsson, M., Berndtsson, I. & Brink, E. (2015). Self-Reorientation Following Colorectal Cancer Treatment: A Grounded Theory Study. Open Nursing Journal, 9, 25-32
Open this publication in new window or tab >>Self-Reorientation Following Colorectal Cancer Treatment: A Grounded Theory Study
2015 (English)In: Open Nursing Journal, ISSN 1874-4346, E-ISSN 1874-4346, Vol. 9, p. 25-32Article in journal (Refereed) Published
Abstract [en]

After colorectal cancer (CRC) treatment, people reorganize life in ways that are consistent with their understanding of the illness and their expectations for recovery. Incapacities and abilities that have been lost can initiate a need to reorient the self. To the best of our knowledge, no studies have explicitly focused on the concept of self-reorientation after CRC treatment. The aim of the present study was therefore to explore self-reorientation in the early recovery phase after CRC surgery. Grounded theory analysis was undertaken, using the method presented by Charmaz. The present results explained self-reorientation as the individual attempting to achieve congruence in self-perception. A congruent self-perception meant bringing together the perceived self and the self that was mirrored in the near environs. The results showed that societal beliefs and personal explanations are essential elements of self-reorientation, and that it is therefore important to make them visible.

Keywords
olorectal cancer, illness perception, recovery, self-perception, self-regulation, self-reorientatio
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-7892 (URN)10.2174/1874434601509010025 (DOI)26312124 (PubMedID)2-s2.0-84937775375 (Scopus ID)
Available from: 2015-08-13 Created: 2015-08-13 Last updated: 2017-12-04Bibliographically approved
Dahlborg Lyckhage, E., Gardvik, A., Karlsson, H., Törner Mulari, J. & Berndtsson, I. (2015). Young Women With Anorexia Nervosa. SAGE Open, 5(1)
Open this publication in new window or tab >>Young Women With Anorexia Nervosa
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2015 (English)In: SAGE Open, ISSN 2158-2440, E-ISSN 2158-2440, Vol. 5, no 1Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to describe how young women living with self-identified anorexia narrate about their lives by blogging. Thirteen Swedish blogs were chosen and analyzed by means of qualitative content analysis. The results described falling ill, the illness itself, and the path to recovery. Low self-esteem, depressed state of mind, and self-destructive behavior were typical signs at the start of the illness. The women’s lives were characterized by a need for controlling their body by tormenting it and by the illness demanding all their concentration and energy. The women suffered from the feeling of being a disappointment to their family members. The illness was like an enemy that had to be defeated with the help of family members, health care professionals, and by means of therapy. A turning point occurred when the women felt at their worst or had tired of the illness and could concentrate on something other than their body and the eating disorder. Suffering from self-identified anorexia was described as experiencing low self-esteem. The illness took all of the women’s time and energy. For a turning point to be reached, the women needed support from family, friends, and health care professionals, including the use of distractions.

National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-7626 (URN)10.1177/2158244015576549 (DOI)
Note

Published 17 March 2015

Available from: 2015-06-02 Created: 2015-05-30 Last updated: 2017-12-04Bibliographically approved
Pettersson, M., Gedda, B. & Berndtsson, I. (2014). Experiences of Screening for Abdominal Aortic Aneurysm: In and Out on Five Minutes. Health, 6, 1385-1395
Open this publication in new window or tab >>Experiences of Screening for Abdominal Aortic Aneurysm: In and Out on Five Minutes
2014 (English)In: Health, ISSN 1949-4998, E-ISSN 1949-5005, Vol. 6, p. 1385-1395Article in journal (Refereed) Published
Abstract [en]

Background: The purpose of AAA screening is to prevent rupture and mortality. Screening for life-threatening diseases is a double-edged sword. The aim of this study is to describe 65-year-old men's experiences of health related quality of life and anxiety after screening for Abdominal Aortic Aneurysm, and experiences of information and reasons for not participating. Methods: 368 men answered Short Form 36 (SF-36), and anxiety and depression scale (HAD). 72 telephone interviews were conducted with the participants and 77 with those who declined to take part in the screening programme. Results: The SF-36 domains of Physical Function and Role limitations due to emotional health problems were significantly better for men who had undergone screening compared to a matched population. Compared to non-smokers, smokers had lower values in the SF-36 domains of general health perceptions, social functioning, role limitations due to emotional health problems and mental health. 80% of patients did not experience any form of anxiety/panic in connection with the screening invitation. Of the men who did not participate, 56% stated that they would like to be screened or had already undergone the examination. Conclusion: The men who underwent the investigation were healthier in some of the SF-36 domains than the general population. The participants did not experience any great anxiety before the screening and despite the short duration of the examination.

Keywords
Abdominal Aortic Aneurysm, Nursing, Screening, Prevention
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-6330 (URN)10.4236/health.2014.612170 (DOI)
Available from: 2014-06-24 Created: 2014-06-24 Last updated: 2017-12-05Bibliographically approved
Anberg Högeryd, S. M., Berndtsson, I. & Dahlborg Lyckhage, E. (2014). Expert midwives’ experiences of security in their professional practice: I’m the captain of a jet. International Journal of Nursing and Midwifery, 6(2), 16-23
Open this publication in new window or tab >>Expert midwives’ experiences of security in their professional practice: I’m the captain of a jet
2014 (English)In: International Journal of Nursing and Midwifery, E-ISSN 2141-2456, Vol. 6, no 2, p. 16-23Article in journal (Refereed) Published
Abstract [en]

Obstetric units have become larger, with patients being knowledgeable and demanding. Also, established team works at maternity wards require that midwives are secure in their role. A descriptive study with a phenomenological approach was used. A maternity unit in a hospital located in Western Sweden was chosen. Five expert midwives with vast experience of obstetric care who worked in a maternity unit were interviewed. Data were collected by audio-taped interviews. The data were analysed by means of Giorgi’s phenomenological method. The results showed that security was constituted by an inherent sense of security as well as confidence in self and in life. Education and practical group training in the workplace provided theoretical knowledge and practical experience. Support for others in the working team and open communication also constituted security. Also, clear leadership, guidelines and routines provided a framework and had a positive effect on expert midwives’ sense of security. When security was absent, midwife became worried, the joy and harmony diminished. In order to ensure midwife security and ultimately safe patient care, it was important to allow time for rest, to reflect on and evaluate their work. Expert midwives can create the prerequisites for their professional security. Several constituents combine to shape midwives’ sense of professional security; an inherent sense of security, own knowledge and experience, team collaboration, visible and clear leadership.

Keywords
Expert clinicians, midwifery, phenomenology, professional practice, safety and qualitative studies
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-6221 (URN)10.5897/IJNM2013.0118 (DOI)
Available from: 2014-05-07 Created: 2014-05-07 Last updated: 2019-05-10Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-7182-511X

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