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  • 1.
    Axelsson, Malin
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Lötvall, Jan
    Krefting Research Center, Göteborgs universitet.
    Recent educational interventions for improvement of asthma medication adherence.2012Inngår i: Asia Pacific allergy, ISSN 2233-8276, Vol. 2, nr 1, s. 67-75Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Poor adherence to asthma medication treatment is a dilemma as it decreases the chance of achieving and maintaining a proper asthma control. Another dilemma is that there seems to be a small range of functional interventions that enhance adherence to long-term medication treatments. The aim was to review the last five years of published educational interventions for improving adherence to asthma medication. Through systematic database searches 20 articles were identified, which matched the inclusion criteria and described educational interventions to improve asthma self-management including adherence. The current review showed that addressing unintentional non-adherence in terms of incorrect inhaler technique by recurrent education improved the technique among many patients, but not among all. Phoning patients, as a means to remove medication beliefs as adherence barriers, seemed to be an effective educational strategy, shown as increased adherence. Involving patients in treatment decisions and individualising or tailoring educational support also seemed to have favourable effect on adherence. To conclude, addressing specific adherence barriers such as poor inhaler technique or medication beliefs could favour adherence. To change adherence behavior, the current review proposes that educational adherence support should be a collaborative effort between the patient and the health-care professional based on each individual patient's needs and patient factors, including elements such as personality traits.

  • 2.
    Berlin, Johan
    Högskolan Väst, Institutionen för individ och samhälle.
    Teamarbete: ett livsviktigt samspel2013Inngår i: Sjuksköterskans kärnkompetenser / [ed] Leksell, Janeth, Lepp, Margret, Stockholm: Liber, 2013, 1, s. 159-177Kapittel i bok, del av antologi (Fagfellevurdert)
  • 3.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Friberg, Febe
    Högskolan i Stavanger .
    Changing essay writing in undergraduate nursing education through action research: a Swedish example2013Inngår i: Nursing Education Perspectives, ISSN 1536-5026, E-ISSN 1943-4685, Vol. 34, nr 4, s. 226-232Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This article describes the development of literature-based models for bachelor degree essays in Swedish undergraduate nursing education. Students' experiences in a course with literature-based models for bachelor degree essays are discussed. The ever-growing body of nursing research and specialized and complex health care practices make great demands on nursing education in terms of preparing students to be both skilled practitioners and users of research. Teaching to help students understand evidence-based practice is a challenge for nursing education. Action research was used to generate knowledge of and practical solutions to problems in everyday locations. Six models were developed: concept analysis, contributing to evidence-based nursing by means of quantitative research, contributing to evidence-based nursing by means of qualitative research, discourse analysis, analysis of narratives, and literature review. Action research was found to be a relevant procedure for changing ways of working with literature-based, bachelor degree essays. The models that were developed increased students' confidence in writing essays and preparedness for the nursing role.

  • 4.
    Dåderman, Anna Maria
    et al.
    Karolinska Institutet, Stockholm University.
    Edman, Gunnar
    Department of Psychiatry, Research and Development, Danderyd’s Hospital, Danderyd, Sweden.
    Flunitrazepam abuse and personality characteristics inmale forensic psychiatric patients2001Inngår i: Psychiatry Research, ISSN 0165-1781, E-ISSN 1872-7123, Vol. 103, nr 1, s. 27-42Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Sixty male non-psychotic forensic psychiatric patients, aged 16-35 years, were studied after they completed their ordinary forensic psychiatric assessment (FPA). The prevalence of flunitrazepam (FZ) abuse was investigated by using both structured and in-depth interviews with the objective of studying the relationship between the abuse and personality traits. The patient’s characteristics, DSM-IV disorders, and actual sentences were obtained by studying their files. In order to obtain measures on their personality traits, self-report inventories were administered to the patients. Eighteen out of 60 patients were FZ abusers, but only 4 of them received a diagnosis related to the FZ abuse during the ordinary FPA. In almost all cases, however, indications of the FZ abuse were found in the files. No differences in personality traits were found between the groups. The frequency of previous admissions to an FPA and actual sentences of robbery, weapons offenses, narcotic-related offenses, and other crimes, such as theft, among the FZ abusers deviated significantly from forensic non-FZ abusers. Therefore, the FZ abuse per se might be more responsible for their tendency to commit crimes characterized by danger and thrill-seeking, such as robbery, weapons offences, and theft, than personality. The most important conclusion is that assessment of FZ abuse is needed in forensic psychiatry.

  • 5.
    Dåderman, Anna Maria
    et al.
    Department of Forensic Psychiatry, Stockholm; Stockholm University, Sweden.
    Fredriksson, Björn
    Department of Forensic Psychiatry, Stockholm, Sweden.
    Kristiansson, Marianne
    Department of Forensic Psychiatry, Stockholm, Sweden.
    Nilsson, Lars-Håkan
    Department of Forensic Psychiatry, Stockholm, Sweden.
    Lidberg, Lars
    Department of Forensic Psychiatry, Stockholm, Sweden.
    Violent behavior, impulsive decision-making, and anterograde amnesia while intoxicated with Flunitrazepam and alcohol or other drugs: A case study in forensic psychiatric patients2002Inngår i: The journal of the American Academy of Psychiatry and the Law, ISSN 1093-6793, E-ISSN 1943-3662, Vol. 30, nr 2, s. 238-251Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    It is known that many male juvenile delinquents commit violent crimes while intoxicated with flunitrazepam (FZ), often in combination with alcohol or other drugs. We have also noted the combined abuse of FZ with, for example, alcohol in male forensic psychiatric patients. Our objective was to study violent behavior, impulsive decision making, and amnesia in male forensic psychiatric patients who were intoxicated predominantly with FZ, to increase knowledge of the abuse of FZ in vulnerable subjects. We studied five forensic psychiatric patients, all of whom were assessed in 1998. All of the subjects reported earlier reactions to FZ, including hostility and anterograde amnesia. At the time of their crimes they were all intoxicated with FZ, often in combination with alcohol or other drugs, such as amphetamine or cannabis. In contrast to their behavior based on their ordinary psychological characteristics, their crimes were extremely violent, and the subjects lacked both the ability to think clearly and to have empathy with their victims. Our observations support the view that FZ abuse can lead to serious violent behavior in subjects characterized by vulnerable personality traits, and that this effect is confounded by the concurrent use of alcohol or other drugs. It is evident that FZ causes anterograde amnesia. Previous research and the results presented herein allow us to draw the following conclusion: on the basis of the neuropsychopharmacologic properties of FZ, legal decisions, such as declaring FZ an illegal drug, are needed in countries where it is now legal.

  • 6. Dåderman, Anna Maria
    et al.
    Lidberg, Lars
    Karolinska Institutet, Department of Forensic Psychiatry, University Hospital, Huddinge, Sweden.
    Flunitrazepam (Rohypnol) abuse in combination with alcohol causes premeditated, grievous violence in male juvenile offenders1999Inngår i: The journal of the American Academy of Psychiatry and the Law, ISSN 1093-6793, E-ISSN 1943-3662, Vol. 27, nr 1, s. 83-99Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study focuses on 19 juvenile offenders who were frequently intoxicated by flunitrazepam (FZ), almost exclusively under the brand name Rohypnol. Street names for Rohypnol tablets are Rophies, Ropies, Roofies, Ropes, Roches, Rochas, Rochas Dos, Rophs, Ropers, Ribs, R-25, Roach-2s, Trip and Fall, Remember All, Mind Erasers, Forget Pills, and the Date Rape Drug. An overdose of FZ gives an increased feeling of power and self-esteem, reduces fear and insecurity, and provides the belief that everything is possible. FZ is also associated with loss of episodic memory and with impulsive violence, particularly when combined with alcohol. The subjects were taken from a subpopulation of 47 male juvenile offenders from Swedish national correctional institutions. Background information for subjects was obtained by in-depth interviewing and personality inventories including the Zuckerman Sensation-Seeking Scales, the Eysenck Personality Questionnaire, and the Karolinska Scales of Personality. Data concerning previous criminal offenses was obtained from the Swedish National Police Board. Almost all of the FZ abusers had been previously sentenced for serious violent offenses. Our data suggest that FZ abused by psychiatrically vulnerable subjects (i.e., with high scores on boredom susceptibility and verbal aggression) poses a serious hazard both to the abusers as well as the community. Our results support the finding that FZ should be classified as a Schedule I drug (i.e., a drug similar to heavy narcotics).

  • 7.
    Dåderman, Anna Maria
    et al.
    Karolinska Institutet.
    Lidberg, Lars
    Relapse in violent crime in relation to cerebrospinal fluid monoamine metabolites (5-HIAA, HVA and HMPG) in male forensic psychiatric patients convicted of murder: a 16-year follow-up2002Inngår i: Acta Psychiatrica Scandinavica Supplementum, ISSN 0065-1591, E-ISSN 1600-5473, Vol. 412, nr 106, s. 71-74Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: Our purpose was to investigate if low levels of cerebrospinal fluid (CSF)monoamine metabolites of 5-HIAA, HVA and HMPG predict relapse in violent crimes. METHOD: Relapse in crime and level of CSF monoamine metabolites (5-HIAA, HVA and HMPG) was studied in a group of 29 murderers. The follow-up was 16 years. RESULTS: Fourteen of the 29 murderers were convicted of crime; nine of them committed violent crimes; one was convicted of a new murder. The differences in mean CSF monoamine metabolites were lower in subjects who relapsed into any type of crime, but only the difference in mean CSF HVA was statistically significant. CONCLUSION: The risk to commit new murder is very small in males who earlier have been convicted of murder. Low levels of CSF HVA is associated with an increased risk for relapse in any type of crime.

  • 8.
    Fossum, Mariann
    et al.
    Department of Health and Nursing Sciences, University of Adger.
    Söderhamn, Olle
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Cliffordson, Christina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för hälsa, kultur och pedagogik.
    Söderhamn, Ulrika
    Translation and testing of the Risk Assessment Pressure Ulcer Sore scale used among residents in Norwegian nursing homes2012Inngår i: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 2, nr 5, s. e001575-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: The purpose of this study was to translate and test the psychometric properties of the Norwegian language version of the Risk Assessment Pressure Sore (RAPS) scale.

    Background: Risk assessment scales for pressure ulcer (PU) prevention have become an aspect of quality improvement in healthcare, but their effectiveness depends on the reliability and validity of the scale.

    Methods: A convenience sample of 481 residents in 15 nursing homes in rural Norway was included between January and June 2007. The English-language version of the RAPS scale was translated into Norwegian, and this scale was used to collect the data, including a skin  examination. The number of PUs and grades were documented. Reliability was assessed in a small group of 26 residents and construct validity in the total study group.

    Results: Equivalence between two assessments regarding total scores of the RAPS scale was reflected in an intraclass correlation coefficient (ICC) of 0.95. Construct validity was supported, and the RAPS scale could define groups with expected low and high scores. Further evidence of construct validity was shown in a confirmatory factor analysis.

    Conclusion: The Norwegian version of the RAPS scale has shown sufficient psychometric properties to be considered a reliable and valid scale for identifying risk of PUs among nursing home residents. However, further testing is needed.

  • 9.
    Gellerstedt, Martin
    et al.
    Högskolan Väst, Institutionen för ekonomi och it, Avd för datavetenskap och informatik.
    Furberg, Bengt
    D¹²: diagnostik - en tolkningsfråga?2007Bok (Annet vitenskapelig)
  • 10.
    Hedberg, Pernilla
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Karlsson, Cecilia
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Upplevelsen av att leva med trycksår: En litteraturstudie2014Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

    Background Pressure ulcers is a common phenomenon in health care. Most nurses meet people who suffers from pressure wounds in their work life. Patient’s experiences are complex. It’s important for health care professionals to understand what it feels like and have the knowledge about the impact that pressure ulcers have on the patient’s daily life.

    Aim To describe patient’s experience of living with a pressure ulcer.

    Method The used method was a literature study based on qualitative articles. Ten scientific articles was selected, read, studied and analyzed according to Friberg’s (2006) analyzing model.

    Results The results contains four themes:" to live with constant pain", "changing processes", "loss of independence" and "to accept the life situation". Within these four themes 13 subthemes were created.

    Conclusion Pain experience means great suffering for the patient. Analgesics were found to not always be effective. Emotional changes injured person's self-image. Physical and mental limitations caused problems in daily life. In order to handle their situation, the patient needed more information about the healing process of the wound.

    Keywords Experience, pressure ulcer, qualitative analysis, quality of life, wound care.

  • 11. Hofsten, Kristina
    et al.
    Samuelson, Gösta
    Blåberg, Anette
    Laga babymaten själv: för barn upp till 1 1/2 år1997Bok (Annet (populærvitenskap, debatt, mm))
  • 12.
    Karlsson, Linda
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    Kivi, Sandra
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    ”Jag är inte arbetslös, jag är arbetsfri”.: En undersökning om hur en mindre grupp arbetslösa upplever en förändrad livssituation samt hur de hanterar denna2012Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Den stad vi bor och studerar i har under den senaste tiden drabbats av ett större företags konkurs. På grund av detta har fenomenet arbetslöshet känts väldigt aktuellt för oss. Syftet med denna kvalitativa studie är således att undersöka hur en mindre grupp arbetslösa människor upplever en förändrad livssituation samt hur de hanterar denna. I och med studiens syfte har vi valt att undersöka hur dessa människor mår och hur tillfreds de är med sina liv. Vi vill även undersöka på vilka vis de hanterar sin arbetslöshet. Vi har valt att göra detta genom att undersöka vilka copingstrategier de använder. Metoden vi använt för vår datainsamling är semistrukturerade intervjuer. Dessa har genomförts individuellt med 15 stycken respondenter. Respondenterna har varit arbetslösa mellan 1-12 månader. För att analysera vårt empiriska material valde vi att inspireras av en fenomenologisk ansats som innebär att söka essens i ett valt fenomen. Våra resultat visar att respondenterna använder sig utav olika copingstrategier för att hantera sin arbetslöshet. De mest utmärkande copingstrategierna har varit att de aktiverar sig för att må bra och att de omvärderar sin arbetslöshet till något positivt. Vårt resultat tyder på att en del av respondenterna mår väldigt dåligt och känner sig uppgivna. De känner sig stressade över sin livsituation och vill väldigt gärna börja arbeta igen. Resultatet tyder även på att en del av respondenterna mår bra och är tillfreds med sina liv. De väljer att se möjligheter med sin arbetslöshet och många funderar på att börja studera.

     

  • 13. Lidberg, Lars
    et al.
    Dåderman, Anna Maria
    Karolinska Institutet.
    Resurser saknas ännu för psykiskt störda kriminella: Fängelserna överfulla i Litauen1999Inngår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 96, nr 11, s. 1330-1334Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [sv]

    Fängelserna i Litauen är överfulla. Gulag-perioden ligger inte mer än 10 år tillbaka i tiden. Kriminaliteten har ökat. Psykiatrin lider av gamla lokaler och ter sig som hos oss på 1950-talet. Medicineringen däremot är modern.

  • 14.
    Nilsson, Lena A.
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för hälsa, kultur och pedagogik. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Herrman, Margaretha
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för hälsa, kultur och pedagogik.
    Co-generative learning at the frontline of elderly care: options for full-time work in the outermost reaches of the organisation2012Inngår i: International Journal of Educational Research and Technology, ISSN 0976-4089, Vol. 3, nr 2, s. 44-52Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [sv]

    The proportion of elderly in the population grows all over the world which means a great challenge providing qualified health care, care in nursing homes and community care for the elderly. Staff in the elder care is predominantly female workforce with auxiliary part time positions and short training. Care work is often, not recognized as heavy work in the same way as male-dominated working-class occupations. From the stand point of management, the employers, home care workers are situated outermost in the organization. From the care workers perspective, however, they are on the frontline. In Sweden, for a long period, quite a lot of pilot projects to provide full time work in home care and nursing homes have been carried out. The purpose of this study is to examine how home care workers consider opportunities to work full time. What benefits could be anticipated, what are the obstacles, how should working conditions and environmental be changed for the care workers to accept and cope with full time employments? Further what training would be needed and how should education be accomplished?

    The study has been conducted with round table workshops with two groups of women, employed as assistant nurses or as unskilled auxiliary nurses. They express a strong engagement for care work. They also express a perceived competence from their experience on the front line, both for the hands on work and for higher level skills, for example of assessment and advanced commitments. Further they are voicing a disappointment in the employer regarding organization, equipment and support.

    The conclusions are, there is need for dialogue and cogenerative learning between care workers, the employer and education providers, both as a way to meet the challenge the increasing proportion of elderly imposes, increasing the quality in care work and as a way to provide care workers with better working conditions.

  • 15.
    Nilsson, Thomas
    et al.
    Department of Forensic Psychiatry, Institute of Neuroscience and Physiology, University of Gothenburg, Centre for Ethics, Law and Mental Health, University of Gothenburg.
    Falk, Örjan
    Department of Forensic Psychiatry, Institute of Neuroscience and Physiology, University of Gothenburg, Centre for Ethics, Law and Mental Health, University of Gothenburg.
    Billstedt, Eva
    Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, University of Gothenburg.
    Kerekes, Nora
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Anckarsäter, Henrik
    Centre for Ethics, Law and Mental Health (CELAM), University of Gothenburg, Gothenburg, Sweden, Forensic psychiatry, Institute of Neuroscience and Physiology, University of Gothenburg, Ragarden, House 1, SU – East Hospital, SE-416 85 Gothenburg, Sweden, Department of Forensic Psychiatry, Institute of Neuroscience and Physiology, University of Gothenburg.
    Wallinius, Märta
    Child and Adolescent Psychiatry, Faculty of Medicine, Department of Clinical Sciences, Lund, Lund University, Lund, Sweden, Research and Development Unit, Regional Forensic Psychiatric Clinic, Växjö, Sweden.
    Hofvander, Björn
    Child and Adolescent Psychiatry, Faculty of Medicine, Department of Clinical Sciences, Lund, Lund University.
    Aggressive Antisocial Behaviors Are Related to Character Maturity in Young Swedish Violent Offenders Independent of ADHD2016Inngår i: Frontiers in Psychiatry, ISSN 1664-0640, E-ISSN 1664-0640, Vol. 7, nr NOV, s. 1-12, artikkel-id 185Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Antisocial personality and psychopathic traits have constantly been found to accompany criminal and aggressive behaviors, but little attention has been given to aspects of character maturity and its relation to such behaviors. The present study investigated (1) whether level of character maturity (low, medium, and high) is associated with amount of aggressive antisocial behaviors (AABs) and psychopathic traits in young men imprisoned for violent criminality, and (2) whether such an association is independent of coexisting attention-deficit hyperactivity disorder (ADHD). Methods: Swedish males (N =  270, aged 18–25) sentenced to prison for violent and/or sexual criminality in the western region of the Swedish Prison and Probation Service underwent a thorough clinical examination during their in carceration. Data on character maturity, as measured by the character dimensions Self-Directedness and Cooperativeness of the Temperament and Character Inventory, were available for n = 148 subjects and were used to divide these offenders into three groups with low, medium, and high character maturity. These groups were then compared for variables reflecting criminal history, a DSM-IV diagnosis of ADHD, conduct disorder (CD) and substance use disorders (SUD), aggressive behaviors, and psychopathic traits. Results: Character maturity was consistently associated with less AABs and psychopathic personality traits; the group with the highest character maturity showed: (i) a later age at on set of criminality, (ii) a smaller number of prior violent criminal acts, (iii) lower prevalence of ADHD, CD, and SUD, (iv) less self-rated and expert-rated aggressive behaviors, and (v) less psychopathic traits. The association between character maturity and aggressive behaviors/psychopathic personality traits remained even when ADHD was controlled for. The only exception was sexual criminality, where the group with the highest character maturity contained the largest amount of sexual offenders. Conclusion: Higher character maturity appeared to be a protective factor among young male violent offenders, associated with less AABs, suggesting that character maturity isa promising target for treatment interventions for this group of individuals.

  • 16. Rognum, Torleiv O. L.
    et al.
    Thid, Micael
    Eriksson, A
    Death investigations systems, Nordic Countries2005Inngår i: Encyclopedia of forensic and legal medicine 1-4., Oxford, UK.: Elsevier Academic Press , 2005, s. 128-133Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 17. Ströberg, Peter
    et al.
    Boman, Hans
    Gellerstedt, Martin
    Högskolan Väst, Institutionen för ekonomi och it, Avd för juridik, ekonomi, statistik och politik.
    Hedelin, Hans
    Relationships between lower urinary tract symptoms, the bother they induce and erectile dysfunction.2006Inngår i: Scandinavian Journal of Urology and Nephrology, ISSN 0036-5599, E-ISSN 1651-2065, Vol. 40, nr 4, s. 307-312Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: To study the relationships between lower urinary tract symptoms (LUTS), LUTS-induced bother, age and erectile dysfunction. MATERIAL AND METHODS: A survey consisting of two questionnaires, the International Prostate Symptom Score (IPSS) (reflecting LUTS) and the International Index of Erectile Function (IIEF)-5 (reflecting erectile function), together with instructions on how to perform timed micturition, was sent to 2000 randomly selected men (age range 60-70 years) living in the five counties surrounding our hospital. The IPSS questionnaire included a question concerning the degree of bother induced by LUTS. RESULTS: The survey was answered by 1096 men; after the exclusion of incomplete answers, 924 surveys were evaluated. Of these 924 men, 725 (78%) were sexually active and included in the analyses. The prevalence of moderate-to-severe LUTS (IPSS>or=8) was 45%. The prevalence of erectile dysfunction (ED), defined as an IIEF-5 score of

  • 18.
    Ståhlberg, Ola
    et al.
    National Board of Forensic Medicine, Department of Forensic Psychiatry, Gothenburg, Sweden, Centre for Ethics, Law and Mental Health (CELAM), University of Gothenburg, Gothenburg, Sweden.
    Boman, Sofia
    Swedish Prison and Probation Services, Gothenburg, Sweden.
    Robertsson, Christina
    Child and Adolescent Psychiatry, Stenungsund/Tjorn, Kungalvs Hospital, Sweden.
    Kerekes, Nora
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Anckarsäter, Henrik
    Centre for Ethics, Law and Mental Health (CELAM), University of Gothenburg, Gothenburg, Sweden, Forensic psychiatry, Institute of Neuroscience and Physiology, University of Gothenburg, Ragarden, House 1, SU – East Hospital, SE-416 85 Gothenburg, Sweden.
    Nilsson, Thomas
    Centre for Ethics, Law and Mental Health (CELAM), University of Gothenburg, Gothenburg, Sweden, Forensic psychiatry, Institute of Neuroscience and Physiology, University of Gothenburg, Ragarden, House 1, SU – East Hospital, SE-416 85 Gothenburg, Sweden.
    A 3-year follow-up study of Swedish youths committed to juvenile institutions: Frequent occurrence of criminality and health care use regardless of drug abuse2017Inngår i: International Journal of Law and Psychiatry, ISSN 0160-2527, E-ISSN 1873-6386, Vol. 50, s. 52-60Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This 3-year follow-up study compares background variables, extent of criminality and criminal recidivism in the form of all court convictions, the use of inpatient care, and number of early deaths in Swedish institutionalized adolescents (N = 100) with comorbid substance use disorders (SUD) and Attention-Deficit/Hyperactivity Disorder (ADHD) (n = 25) versus those with SUD but no ADHD (n = 30), and those without SUD (n = 45). In addition it aims to identify whether potential risk factors related to these groups are associated with persistence in violent criminality. Results showed almost no significant differences between the three diagnostic groups, but the SUD plus ADHD group displayed a somewhat more negative outcome with regard to criminality, and the non-SUD group stood out with very few drug related treatment episodes. However, the rate of criminal recidivism was strikingly high in all three groups, and the use of inpatient care as well as the number of untimely deaths recorded in the study population was dramatically increased compared to a age matched general population group. Finally, age at first conviction emerged as the only significant predictor of persistence in violent criminality with an AUC of .69 (CI (95%) .54–.84, p = .02). Regardless of whether SUD, with or without ADHD, is at hand or not, institutionalized adolescents describe a negative course with extensive criminality and frequent episodes of inpatient treatment, and thus requires a more effective treatment than present youth institutions seem to offer today. However, the few differences found between the three groups, do give some support that those with comorbid SUD and ADHD have the worst prognosis with regard to criminality, health, and untimely death, and as such are in need of even more extensive treatment interventions.

  • 19.
    Vallo Hult, Helena
    et al.
    Högskolan Väst, Institutionen för ekonomi och it, Avd för juridik, ekonomi, statistik och politik.
    Holmgren, Daniel
    Skaraborg’s Hospital, Skövde. University of Gothenburg, Sweden..
    Wekell, Per
    NU Hospital Group, Sweden. University of Gothenburg, Sweden.
    Gellerstedt, Martin
    Högskolan Väst, Institutionen för ekonomi och it, Avd för informatik.
    Co-designing a Digital Platform: Towards e-Health andContinuous Learning in General Paediatrics2017Inngår i: International Forum on Quality & Safety in Healthcare: 26-28 April 2017 ExCel London Conference Proceedings Igniting Collective Excellence, 2017Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Background

    The study is part of a paediatric CPD program in Western Sweden, involving researchers and practitioners with expertise in medicine, informatics, and pedagogy. Based on previous experiences, the program provides a strong learning environment with extensive collaboration and networking among participants, while it is hard to maintain the collegial network and continue to share knowledge and experiences. Research has shown that new information technologies have potential to create learning opportunities and support reflection, collaboration and workplace learning. However, due to a history of IT-related problems in healthcare, where (despite documented benefits) many eHealth initiatives have failed in practice, health professionals are often less supportive towards such technologies. The research question is: How can IT be used for continuous learning and what are the implications of participatory design for the introduction of eHealth for workplace learning and use in clinical context?

    Method

    Inspired by participatory action research (PAR), the program is designed to offer a learning environment in which participants develop their paediatric and educational practices, as well as improve IT skills and digital competence needed as per today and in the future. In this new program a digital learning platform is introduced with the intention to contribute to formal course objectives but also to function as support for informal learning, networking and knowledge sharing during and after the CPD program, thus promoting long-term continuity of the educational outcomes. During the two-year course, the participants will develop a digital platform together with a Ph.D. student, for paediatric practice, present, and future learning as well as a web-based learning environment.

    Outcome

    The benefits of this project, where the focus is on eHealth as support for continuous learning, is for healthcare providers and physicians to be able to meet the demands and challenges for the future medical profession. The originality is that the digital platform in use is developed by the participants, integrated into the course and daily work and that the primary focus of the platform is to support continuous learning. This research is still in an initial stage (2016-2018), and findings are tentative. The project is linked to patient benefit, health professionals’ workplace learning, and continuous training. Children, carers or family members are not directly involved in this project, but the CPD program is built up around patient cases and focus on patient outcomes, in terms of improved safety and quality of care of the child.

    Conclusion

    There are potential difficulties recruiting paediatric educators to the program. This is addressed by supporting the participants in their role as educators and experts in outpatient paediatrics as well as regarding how IT could support not only learning a new subject or training skills but also learning how to learn. In summary, this project highlights the importance of interdisciplinary and practice-based research for continuous improvement and quality in healthcare, especially due to new demands following the patient-centric care and new role of patients, and sheds light on both benefits and challenges of integrating IT and learning in daily clinical work

  • 20.
    Wilczek-Rużyczka, Ewa
    et al.
    Uniwersytet Jagielloński, Collegium Medicum, Kraków, Polska.
    Basinska, Beata A.
    Gdansk University of Technology, Faculty of Management and Economics, Poland.
    Dåderman, Anna Maria
    Högskolan Väst, Institutionen för individ och samhälle, Avd för psykologi och organisationsstudier.
    Jak pogodzić życie zawodowe i prywatne? – stres zawodowy i zaangażowanie a konflikt praca - dom wśród pielęgniarek [How to balance professional involvement with private life? – job-related stress and professional responsibilities in the light of the conflict between job and private life in the nursing  profession].2012Inngår i: Conference "Patient-friendly medicine", Warsaw, 19-20.05.2012: XX Jubilee Conference of Psychosomatic Medicine, Section of the Polish Medicine Association / [ed] Szewczyk, Leszek, 2012, s. 2-Konferansepaper (Fagfellevurdert)
    Abstract [pl]

    Wprowadzenie: Większość pielęgniarek to kobiety, które tradycyjnie często godzą profesjonalne obowiązki z życiem rodzinnym. Konflikt pomiędzy sferą prywatną i zawodową ma dwustronną naturę. Negatywny wpływ pracy na życie prywatne jest odnotowywany częściej niż relacja odwrotna (Greuters et al., 2003).

    Celem pracy była ocena konfliktu praca – dom i dom – praca na percepcję stresu zawodowego i zaangażowania w pracę. Wymagania zawodowe zdefiniowano jako przeciążenie pracą i konflikty interpersonalne (Spector & Jex, 1998). Zaangażowanie charakteryzowano jako wigor i poświęcenie (Schaufeli et al., 2002).

    Metody: Zastosowano następujące metody: Skala Konfliktu Interpersonalnego i Ilościowego Przeciążenia Pracą (Spector & Jex, 1998), Utrechtska Skala Zaangażowania w Pracę – wersja skrócona (Schaueli, Bakker, & Salanova, 2006), Skale Konflikt Praca – Rodzina i Rodzina Praca (Netemeyer, Boles, & McMurrian, 1996).

    W badaniu wzięło udział 98 pielęgniarek (średnia wieku 41 lat SD = 5,9) pracujące w zawodzie przeciętnie od 19 lat (zakres1,5 – 33). Większość byłą zamężna (85%), a ich partnerzy pracowali zawodowo (82%).

    Wyniki: Konflikt praca – rodzina był silniejszy niż konflikt rodzina – praca wśród badanych pielęgniarek. Negatywne oddziaływania pracy na życie prywatne, różnicuje percepcję stresu zawodowego (przeciążenie pracą i konflikty interpersonalne) i zaangażowania w pracę (wigor i poświęcenie).  Pielęgniarki, które odczuwały większy konflikt na linii dom – praca doświadczały większego konfliktu praca dom.

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