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  • 1.
    Alverbratt, Catrin
    et al.
    University West, Department of Health Sciences, Specialist Nursing programme.
    Berlin, Johan
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Åström, Sture
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Kauffeldt, Anders
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    A New Working Method in Psychiatric Care: the impact of implementation2016In: International Journal of Public Administration, ISSN 0190-0692, E-ISSN 1532-4265, Vol. 40, no 3, p. 295-304Article in journal (Refereed)
    Abstract [en]

    An equal mix of organizational cultures is important for a successful implementation process. The aim of this study was to examine the implementation of a new working method in psychiatric hospital wards, representing different cultural characteristics. Descriptive quantitative data were collected at two hospitals (intervention and control). The results revealed one ward characterized by a mix of organizational cultures. This ward, compared with other intervention wards, showed the best results regarding patient assessed empowerment and participation. The result shows tentatively that organizational culture may have an impact on the implementation processes.

  • 2.
    Anberg Högeryd, Susanne M.
    et al.
    NU-sjukvården, Trollhättan.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Expert midwives’ experiences of security in their professional practice: I’m the captain of a jet2014In: International journal of Nursing and Midwifery, ISSN 2141-2456, Vol. 6, no 2, p. 16-23Article in journal (Refereed)
    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.

  • 3.
    Andersson, Ann-Christine
    et al.
    Jönköping University,The Jönköping Academy for Improvement of Health and Welfare, Jönköping.
    Ainalem, Ingrid
    Centre for Innovation and Improvement (CII), Region Skane, Malmo.
    Berg, Agneta
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. Kristianstad University, Kristianstad.
    Janlöv, Ann-Christin
    Kristianstad University, Kristianstad.
    Challenges to Improve Inter-Professional Care and Service Collaboration for People Living With Psychiatric Disabilities in Ordinary Housing.2016In: Quality Management in Health Care, ISSN 1063-8628, E-ISSN 1550-5154, Vol. 25, no 1, p. 44-52Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe health care- and social service professionals' experiences of a quality-improvement program implemented in the south of Sweden. The focus of the program was to develop inter-professional collaboration to improve care and service to people with psychiatric disabilities in ordinary housing. Focus group interviews and a thematic analysis were used. The result was captured as themes along steps in process. (I) Entering the quality-improvement program: Lack of information about the program, The challenge of getting started, and Approaching the resources reluctantly. (II) Doing the practice-based improvement work: Facing unprepared workplaces, and Doing twice the work. (III) Looking back-evaluation over 1 year: Balancing theoretical knowledge with practical training, and Considering profound knowledge as an integral part of work. The improvement process in clinical practice was found to be both time and energy consuming, yet worth the effort. The findings also indicate that collaboration across organizational boundaries was broadened, and the care and service delivery were improved.

  • 4.
    Andersson, Annika
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. Göteborgs universitet, Sahlgrenska Akademin, Institutionen för vårdvetenskap och hälsa .
    Berlin, Johan
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Organisering av en fingerad verklighet: Om övningar mellan blåljusorganisationer2013In: Nordiske organisasjonsstudier, ISSN 1501-8237, Vol. 15, no 3, p. 34-64Article in journal (Refereed)
    Abstract [en]

    This study aimed to elucidate exercise participants’ understanding of critical aspects of organizing and implementation of collaboration exercises with police, fire department and ambulance services. The focus is critical aspects in exercises that have, or are expected to have, bearing on the participants’ ability to learn. Collaboration exercises are used as a tool to reinforce and develop the preparedness for future incidents. The need for such exercises was usually advocated after critique to actions during largescale real-life incidents. The study had a qualitative approach and is based on phenomenographic analysis of interviews with participants from four exercises with different scenarios. The identified critical aspects of exercises were related to realism, acceptance for mistakes, exercise extent and aims and opportunities for joint discussions. The management of an accident can be described to a large extent depend on the organizations’ joint ability to adapt to the prevailing situation and to collaborate. For exercises to contribute to these abilities, they could benefit from shifting the focus to how to organize exercises that allow participants to test different decisions and actions, with less emphasis on the choice of scenario.

  • 5.
    Andersson, Ann-Sofi
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Rydell, Annelie
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Strategier som personer använder för att förbättra sömnen efter genomgången sömnskola i primärvården: En kvalitativ intervjustudie2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Studies show that sleep problems are common and the prevalence is increasing. Early detection and adequate help is important. Sleep school with cognitive behavior therapy (CBT) demonstrates good long-term effect, but few people with sleep problems gain access to these sleep schools. District nurses in primary care have the opportunity to provide support for sleep problems. Through increased knowledge of strategies that promote good sleep gives the district nurse better opportunities to support people with sleep problems. Aim: To describe what strategies people use to improve sleep after completing the sleep school. Method: The study has a qualitative approach in which semi-structured interviews were conducted with ten informants. The interview material were analysed by using a qualitative content analysis. Results: The analysis revealed three categories and eight subcategories which form the result of this study. Manages thoughts in a new way included three subcategories: to reform negative thoughts, to accept ones sleep and to dare reduce the sedatives. Exercising activities that promote sleep included two subcategories: to increase their physical activity and to perform relaxation exercises. Adapts the environment to promote sleep included three subcategories: to reduce sleep disturbing items, to adapt bedroom environment and to reduce caffeine intake and alcohol. Conclusion: The study shows that sleep school with CBT, according to the informants, gave the knowledge and tools to find strategies that helped them sleep better and feel more satisfied with their sleep. Increased training for primary care district nurses in sleep knowledge and CBT, creates better conditions for early and effective intervention

  • 6.
    Andersson Glemring, Annika
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Hurtig, Helena
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Motivationsfaktorer för fysisk aktivitet hos äldre2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund; antalet äldre i Sverige ökar och får en högre medellivslängd. En viktig förutsätt-ning för att bevara sin hälsa är att kunna röra på sig och att vara fysiskt aktiv. Distriktsskö-terskans förmåga att anpassa information, modeller och strategier till individens nivå och livs-värld har en avgörande betydelse för vårdarbetet.

    Syfte; syftet med arbetet var att identifiera faktorer som kan motivera den äldre människan till att vara fysiskt aktiv.

    Metod; en empirisk enkätstudie genomfördes på en motionsanläggning i en medelstor stad i västra Sverige. Studien riktade sig mot äldre personer fyllda 65 år och deltagandet var frivil-ligt. Enkäter placerades ut i styrketräningslokal och i badhus under fyra veckor. Datamateri-alet analyserades genom kvalitativ innehållsanalys.

    Resultat; enkäten besvarades av 73 personer mellan 65-97 år. Analysen resulterade i tre hu-vudkategorier och 16 underkategorier. Huvudkategorierna var; faktorer som motiverar den äldre till fysisk aktivitet, faktorer som motiverar den äldre till ökad fysisk aktivitet och hinder hos den äldre för fysisk aktivitet.

    Konklusion; i studien har vi funnit användbara motivationsfaktorer och även hinder för att den äldre människan ska vara fysiskt aktiv. Det visar på att det finns möjlighet att med enkla medel ge fysisk aktivitet en större plats i distriktssköterskans preventiva och behandlande arbete. Förslag på vidare forskning kan vara att driva projektarbete med de äldre på grupp-nivå.

  • 7.
    Andersson, Katarina
    et al.
    Sävelången Family Practitioner and Child Health Centre, Alingsås, Sweden.
    Shadloo, Mandana
    Rent-A-Nurse Centre, Uddevalla, Sweden.
    Rudolfsson, Gudrun
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Growing as a Human Being€”: Obese Adolescents' Experiences of the Changing Body2016In: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 31, no 1, p. e53-e62Article in journal (Refereed)
    Abstract [en]

    The aim of the presented study was to describe how obese adolescents experience themselves and their bodies and how their views changed as a result of participation in a weight loss program. A total of five adolescents were interviewed in this qualitative study. Data were analyzed by means of content analysis. One main theme emerged, “Growing as a human being”, which comprised four themes based on 13 sub-themes. Being part of a weight loss program was a time of transition that led not only to weight reduction but also to a higher level of well-being and a feeling of dignity.

  • 8.
    Andersson, Madeleine
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Ståhl, Sandra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Att stödja patienter med diabetes typ II till egenvård2015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes type II is a chronic disease and the most common form of diabetes. It is a metabolic disease that involves chronic hyper glycemia. The disease is a global health concern given the risks of developing complications and high mortality. To understandthe disease andknow whatself-caremeans is important to be able to manage the disease in an independent way. To get a good self-care the patient needs to be motivated and have a willingness to take responsibility for their own self-care.

    Aim:

    The purpose of this study was to describe how the district nurses support patients with diabetes type II to get self-care.

    Method: An inductive and qualitative study was set up. Twelve districts nurses were interviewed and a qualitative content analysis was chosen as the method of analysis for this study.

    Results: The results of the study resulted in six main categories; listening to see the person, support for change, conditions for a good self-care, individualizing information and cooperate for good self-care. And one main theme: Self-care- take control over your own life.

    Conclusion: The conclusion of the study's results describe that: to promote a good self-care requires that the district nurses create a good relationship with patients by seeing the patient as a whole with a personal responsibility for their health.

  • 9.
    Andersson, Oskar
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Rosengren, Jessica
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    God man i vården av personer med psykiska funktionsnedsättningar: En kvalitativ intervjustudie2015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Trustee is an actor who a specialist nurse in psychiatry may cooperate within the care of people with mental disabilities. Trustee works as a deputy to a person who himself cannot protect their own interests. Mental disability is a reason why trustee is held by the Swedish courts. There are no new measurements of how many people's with mental disabili-ties that have a trustee, but research shows that this insert is a common occurrence for these people. No previous research has been found which describe trustee's impact on the nursing care of people with mental disabilities.

    Aim:

    The aim of this study was to describe the specialist nurse in psychiatry experiences of a trustee in the care of people with mental disabilities in psychiatric outpatients.

    Method:

    The study was based on interviews with 10 specialist nurse in psychiatry, working in psychiatric outpatient. A qualitative content analysis was conducted.

    Results:

    In the present study the specialist nurse in psychiatry describe that trustee can be promoting in the care of people with mental disabilities. The nurses described that the trustee was a person who they could cooperate with and who also guarded the patient´s rights. Trus-tees could also be aggravating to the care when the cooperation was hampered by various fac-tors such as the trustee's personality and the patient opposed the insert.

    Conclusion:

    Trustee has an impact on the care of people with mental disabilities. There are opportunities for cooperation between the specialist nurse in psychiatry and the trustee that can promote a more full care of people with mental disabilities.

  • 10.
    Andersson, Viktoria
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Karlsson, Sara
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Distriktssköterskors upplevelser av att involvera närstående i omvårdnaden av patienter med diabetes typ 22015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background;

    Approximately four percent of women and six percent of men in the Swedish population is estimated to have diabetes, 80-90% of those with diabetes type 2. Family focused care is of great importance in families where one member is suffering from a chronic illness. A family-focused approach to diabetes care supports positive family function. Health professionals should spend more time and attention to non-clinical factors such as social support.

    Aim;

    To identify primary health care nurses´ experiences of involving family members in the care of patients with diabetes type 2.

    Methods;

    Data was collected by written narratives from ten primary health care nurses working with patients with diabetes type 2 and qualitative content analysis was used for analysis of data.

    Results;

    The result was based on the theme Intimate as enhanced cooperation partner in the meeting, with categories Intimate as resource and Intimate as obstacle. Intimate as resource was divided into subcategories Lifestyle changes as a joint project, The creation of knowledge and security, A different point and Facilitation of communication in language problems. Intimate as obstacles were divided into Intimate taking over, Private conversations substances and Family conflicts.

    Conclusions;

    To suffer from diabetes type 2 sets high demands on the daily life of the patient. Primary health care nurses experiencing intimate as a resource in nursing care. In some cases primary health care nurses has experienced intimate as an obstacle in the meeting.

  • 11.
    Antonsson, H
    et al.
    Umeå University, Department of Nursing.
    Åström, Sture
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Lundström, M
    Umeå University, Department of Nursing.
    Graneheim, U H
    Umeå University, Department of Nursing.
    Skilled interaction among professional carers in special accommodations for adult people with learning disabilities.2013In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 20, no 7, p. 576-583Article in journal (Refereed)
    Abstract [en]

    Communicative difficulties affect interactions between people with learning disabilities and their carers. Despite such difficulties, however, some carers seem to interact successfully with people who have limited ability to communicate verbally and exhibit challenging behaviour. This study aims to illuminate skilled interaction among carers working in special accommodations for people with learning disabilities. Interactions between 16 caregivers and 11 residents with learning disabilities were recorded on video. Verbal and non-verbal interaction skills among the carers were identified. Four caring situations with people with learning disabilities were chosen to illuminate skilled interaction. The transcribed text was subjected to qualitative content analysis and core stories were created. The results show that skilled interaction between the carers and the people with learning disabilities is based upon being confirming, sharing daily life experience, giving time and space, and using congruent and distinct language. In this paper we present examples that offer concrete suggestions of how to promote successful interaction and create meaning in the shared day-to-day life in special accommodations for people with learning disabilities.

  • 12.
    Askarian, Zahra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Sjuksköterskans erfarenhet av undervisning om egenvård hos utlandsfödda patienter som har astma2014Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Asthma disease is a public health problem. The incidence of asthma can vary depending on the patient's ethnicity. There is a risk for patients who have language difficulties with non-Swedish background that do not always tell you about the extent of their problems, and/or to express their symptoms differently and or do not complete their treatments or the recommendations given on self-care. The language barrier can make following self-care advice difficult, even compliance to taking their medicine in a correct fashion. The nurse's perception of the patient lived situation, knowledge and to see the patient as a whole, can increase the nurses' knowledge and compliance in giving relevant information to the patient which he/she understand. This will in turn strengthen the patient's capability to follow advice and complete their prescribed health care regime. Purpose with study was to describe the nurse’s experience of teaching on self-care in patients with non-Swedish background with asthma. The study is based on qualitative method. Sex nurses interviewed in this study January and February 2014 in Gutenberg in Sweden. Inductive qualitative content analysis is used. The Results of this study are presented in three categories: experience of communication on self-care, experience of patient's self-care and experience of follow-up patients. I believe that nurses with a better understanding of patient who have a non-Swedish background can achieve higher compliance from the asthma patient which in turn can lead to effective self-care outcomes

  • 13.
    Avellán, Maria
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Örtendahl, Linda
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Livskvalitet hos kvinnor med urininkontinens: En kvantitativ studie2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Urinary incontinence is a major health problem that affects many women. It usually affects quality of life in a negative manner which may cause suffering for the women. The purpose of this study was to investigate in what ways urinary incontinence had an impact on quality of life among women seeking help in primary health care. The method used was a quantitative non-experimental cross-sectional study. Data was collected from two different health centres in the region and totally 187 women were asked to participate in the study. A validated instrument, Incontinence and quality of life (ICIQ-UI-SF), was used for data collection and one additional question was constructed. In total 132 women (71 %) participated in the study. The result showed a median age of 75 years (range 36-94 years). Furthermore, the study showed that urinary incontinence had a greater negative impact on quality of life of the younger women compared to the older women. Frequency, quantity and severity of urinary incontinence had a great impact on the quality of life of the women. Fifty percent of the women had not been treated for the urinary incontinence. The treated women had a significantly lower average age. Urinary incontinence treatment did not have any significant impact on the quality of life of the women in the study. Worth noting was that treated younger women experienced significantly less quality of life compared to untreated younger women. Despite urinary incontinence treatment the women experience worse quality of life which could indicate that the women are under-treated. To be able to help women with urinary incontinence it is important that health care personnel are aware of how these women experience their quality of life.

  • 14.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Lötvall, Jan
    Krefting Research Centre, Institute of Medicine, Internal Medicine, Sahlgrenska Academy, University of Gothenburg.
    Cliffordson, Christina
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Lundgren, Jesper
    Department of Psychology, University of Gothenburg.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Self-efficacy and adherence as mediating factors between personality traits and health-related quality of life2013In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 22, no 3, p. 567-575Article in journal (Refereed)
    Abstract [en]

    Purpose Personality traits are rather stable dispositions inadulthood, while self-efficacy and adherence may bemodified through targeted interventions. Health-relatedquality of life (HRQL) serves as a vital outcome measure.The present aim was to explore the function of self-efficacyand adherence as mediators for the influencing effect ofpersonality traits on HRQL in people with chronic disease.Methods An epidemiological sample of 786 personscompleted questionnaires on personality, general self-efficacy,adherence behaviour and HRQL. Data were statisticallyanalysed using descriptive statistics, correlationanalyses and path models.Results Self-efficacy mediated the effect of Extraversionand Conscientiousness on mental HRQL. Neuroticism hada direct effect on both physical and mental HRQL.Adherence partially mediated the effect of both Agreeablenessand Conscientiousness on mental HRQL.Conclusions The mental HRQL in people scoring low onExtraversion or low on Conscientiousness could beimproved by strengthening general self-efficacy. Increasingadherence in people scoring low on Agreeableness orConscientiousness could improve their mental HRQL, butthe improvement was small and may be of lesser clinicalrelevance. These results argue for personalized interventionsintended to positively affect health outcomes inpeople with chronic disease.

  • 15.
    Bagger, Marie
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Johansson, Jenny
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Sjuksköterskans upplevelse av att vårda barn i hemmet2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    As a nurse working in community home care you should today have enough knowledge to provide patients in different stages of life with good and safe care. The number of children receiving care in their home is increasing. There are today no Swedish studies that focus on this topic. How is the nurses experience of provide care of children in their homes?

    Aim

    The aim of this study was to illuminate the nurse's experience of giving care to children in their homes.

    Method

    An interview study was made with eight nurses working in community home care in four different community's in the western of Sweden. The text from the interviews was analyzed through a qualitative content analysis.

    Result

    The analysis resulted in three categories, seven subcategories and one theme.

    The following categories emerged: To feel inadequate, To take notice of the particular family´s needs, To be committed. The theme that emerged was oppressive but .rewarding.

    Conclusion

    The nurses felt inadequate when it came to giving care to children in their homes. The main reason for this was the feeling of lack of knowledge and experience of giving care to children. The nurses experienced that the family had a big and important role when it came to giving care for children in their home and that a good cooperation with the family was important to be enable to give the best possible care to the child. The nurses experienced that it was important to be truly committed when working with children.

  • 16.
    Bergh, Anne-Louise
    et al.
    University of Borås.
    Friberg, Febe
    University of Stavanger.
    Persson, Eva
    Lund University.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Perpetuating ‘New Public Management’ at the expense of nurses’ patient education: a discourse analysis2015In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 22, no 3, p. 190-201Article in journal (Refereed)
    Abstract [en]

    This study aimed to explore the conditions for nurses’ daily patient education work by focusing on managers’ way of speaking about the patient education provided by nurses in hospital care. An explorative, qualitative design with a social constructionist perspective was used. Data were collected from three focus group interviews and analysed by means of critical discourse analysis. Discursive practice can be explained by the ideology of hegemony. Due to a heavy workload and lack of time, managers could ‘see’ neither their role as a supporter of the patient education provided by nurses, nor their role in the development of nurses’ pedagogical competence. They used organisational, financial, medical and legal reasons for explaining their failure to support nurses’ provision of patient education. The organisational discourse was an umbrella term for ‘things’ such as cost-effectiveness, which were prioritised over patient education. There is a need to remove managerial barriers to the professional development of nurses’ patient education. Managers should be responsible for ensuring and overseeing that nurses have the prerequisites necessary for providing patient education as well as for enabling continuous reflective dialogue and opportunities for learning in practice.

  • 17.
    Bergh, Madeleine
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Sjuksköterskans pedagogiska funktion och kompetens i mötet med närståeden2012In: Pedagogik inom vård och handledning / [ed] Pilhammar Andersson, Ewa, Lund: Studentlitteratur, 2012, 2., [rev.] uppl, , p. 172 s.p. 65-88Chapter in book (Other academic)
  • 18.
    Bergh, Madeleine
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Carlson, Elisabeth
    Malmö högskola. Fakulteten Hälsa och samhälle.
    Friberg, Febe
    Sahlgrenska akademin vid Göteborgs universitet.
    Gedda, Birgitta
    University West, Department of Nursing, Health and Culture.
    Häggström, Eva
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Pilhammar, Ewa
    Sahlgrenska akademin vid Göteborgs universitet.
    Pedagogik inom vård och handledning2012 (ed. 2., [rev.] uppl.)Book (Other academic)
  • 19.
    Bergman, Annika
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Våga välja lämna ifrån sig makten: att möjliggöra ökad delaktighet för patienter som behndlas med dialys2013Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 20.
    Bergqvist, Karin
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Johansson, Anders
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Att arbeta med tolk vid bedömningar: sjuksköterskors upplevelser av kvalitén2015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Studies show that when nurses are experiencing problems in the care of non-Swedish speaking patients, it is often due to obstacles in the communication. Studies also show that a prerequisite for adequate care is that there is a basis for a direct communication. Nurses perceive interpreters as an important link to the patient when they do not share a mutual language, the nurses perceive interpreters as a bridge in the conversation.

    Aim:

    The purpose of the study is to describe nurses' experiences of the quality of assessments done with the help of an interpreter.

    Method:

    The study was conducted through interviews with ten nurses, working at psychiatric clinics. Qualitative content analysis was used for the analysis, which resulted in five categories.

    Results:

    The analysis resulted in one theme: "it´s the interpreter who tells me and have not the feeling that the patient has" and five categories: "shades of the language", "conversation structure", "the interpreter's competence", "interpreting implementing" and "the interpreter's gender and origin". The nurses experience working with interpreters as a challenge. The difficulty of working with the help of an interpreter is that the nurse cannot see the spoken word in connection with the patient's body language. Communication through an interpreter also felt unnatural and the interpreter's participation is perceived as a filter.

    Conclusion:

    The quality of the assessments were not perceived as good with the interpreter as without, however, there was no risk to patient safety.

  • 21.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. Göteborgs universitet, Sahlgrenska akademin.
    Samverkansövningar: Om lärande och nytta2015 (ed. 1)Book (Other academic)
    Abstract [en]

    This study relates to collaboration exercises, with particular focus on the full-scale exercises between the police, rescue services and ambulance. To succeed in a complex situation, it requires that the personnel’s ability to collaborate across organisations be developed and refined.

    The overall aim of this study was to examine how collaboration is practised and how exercises lead to learning and usefulness. A research summary was initially done in this study. Based on that, a number of key concepts were developed that proved helpful when we followed the Swedish collaboration exercises through interviews and observations. The collected analysis has since been the basis for the design of a new exercise model, 3LC, three-level collaboration. It is based on the experiences we have had in studies of traditional exercises.

    The 3LC exercises that were conducted consisted of two practical sessions and three seminars. Each session was followed by an evaluative seminar with the aim that participants themselves would reflect and develop their patterns of behaviour. The two practical sessions were identical. It gave the participants the opportunity to rehearse and methodically try new approaches. The first exercise session was carried out according to the procedures that normally apply and govern the actions at an actual event. The second exercise session was preceded by a self-critical seminar where participants themselves identified what could be improved for the next exercise session.

    The research project was carried out from 2011 to 2014. A total of 19 collaboration exercises were studied, including 16 full-scale exercises. A total of 97 interviews and 125 hours of observation were carried out in this study. A questionnaire (CLU instrument) was developed, which was answered by 272 exercise participants.

    The study shows that collaborative sessions in the exercises contributed to the participants learning more and having greater usefulness from the exercises. 3LC exercises were perceived to enhance learning by 26 per cent and usefulness by 17 per cent, compared with traditional exercises. Collaborative exercises are benefitted when participants analyse their weaknesses themselves. Repetitive elements where participants try out alternative strategies improve preparedness prior to actual events.

  • 22.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Carlström, Eric D.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. Göteborgs universitet, Sahlgrenska Akademin, Institute of Health and Care Sciences.
    The Three-Level Collaboration Exercise: Impact of Learning and Usefulness2015In: Journal of Contingencies and Crisis Management, ISSN 0966-0879, E-ISSN 1468-5973, Vol. 23, no 4, p. 257-265Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to examine the emergency personnel’s perception of the effects of exercises, with regard to learning and usefulness. The exercises were quasi-experimental and constructed in such a way that employees from different organizations overlapped each other’s tasks. This was accomplished by: having asymmetries included in the scenarios, repeating exercise procedures and testing different strategies, which were discussed at joint seminars. The exercises were compared to a similar study, published in this journal, of nonquasi-experimental but merely traditional exercises. Surveys were distributed and collected from emergency personnel in connection with seven exercises. At the exercises, 94.3% of the personnel thought that the exercises had a focus on collaboration (traditional exercises, 75.6%).

  • 23.
    Björkqvist, Lena
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Klasson, Kristina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Att skapa trygghet: Distriktssköterskors erfarenheter av att vårda äldre personer i hemmet2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    That an older person feels safe when he or she is cared for in his/her home is of great importance to the quality of care. The aim of the study was to describe how district nurses provide security to older people who are cared for in their ordinary home. The study is based on nine interviews with district nurses. The study was analyzed using a qualitative content analysis. The analysis resulted in the theme: "To see the whole person behind the disease", which includes five subthemes: "To build trust and relationship", "To meet the person's needs", "To see and strengthen the patient's own resources", "To be with the patient" and "Being available, show competence and interest in the patient". The results revealed that district nurses felt that security was created by acknowledging the individuals who were cared for at home. Security was also created by showing an interest and commitment to the person. By being confident in their own profession conveyed trust to the patient. The conclusions drawn are that the district nurses have to face people as individuals and see each person and the person's needs and strengthen his/her resources.

  • 24.
    Blomgren, Annelie
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Engström Andreasson, Annika
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Sjuksköterskans strategier för att hjälpa patienten till en god egenvård: En kvalitativ innehållsanalys2015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    People with a chronic illness such as asthma / COPD (chronic obstructive pulmonary disease), diabetes and congestive heart failure/hypertension are now a days returning to home from hospital a lot earlier than before and therefore need more support, advice, and help from the primary care nurse to be able to manage the disease

    Aim:

    The aim of the study was to describe the nurse´s strategies in the meeting with the patient in order to create the best preconditions for a good self-care.

    Method:

    A qualitative study was set up. Eight nurses with specialist responsibility within the area of asthma / COPD (chronic obstructive pulmonary disease), diabetes or congestive heart failure/hypertension were interviewed. The interviews were analyzed according to a qualitative content analysis.

    Results:

    From the analyzed interview material four categories with each three sub-categories emerged. The four categories that appeared was: To be based on the patient´s needs, to see the whole individual, to reach the patient through means and to move forward when things does not work out as planned. Common for these four categories is the rule of the nurse guiding the patient in the realization of a good self-care.

    Conclusion:

    All nurses in the study stresses the importance of seeing and meeting the patient on his level, in order to be able to support, help and provide the tools needed for the realization of a good self-care.

  • 25.
    Boman, Åse
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Fathers involved in children with type 1 diabetes: finding the balance between disease control and health promotion2013Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background:

    Type I diabetes is a chronic disease that places great demands on the child and family. Parental involvement has been found to be essential for disease outcome. However, fathers’ involvement has been less studied, even though high paternal involvement has been correlated with less disease impact on the family and higher quality of life among adolescents.

    Aim: The overall aim of the study was to explore and analyze constructions of fathers’ involvement in their child’s everyday life with type 1 diabetes from an ecological and health promotion perspective. Four specific aims were applied: 1) explore and describe discourses in health care guidelines for children with type 1 diabetes in Nordic countries, focusing on parents' positioning (I), 2) analyze how Swedish pediatric diabetes teams perceived and discussed fathers’ involvement in the care of their child with type 1 diabetes, and to discuss how the teams’ attitudes toward the fathers’ involvement developed during a focus group process (II), 3) explore and discuss how fathers involved in caring for their child with type 1 diabetes experience support from their pediatric diabetes team in everyday life with their child (III), and 4) analyze how involved fathers to children with type 1 diabetes understand their involvement in their child’s daily life and to discuss their perceptions from a health promotion perspective (IV).

    Material and methods: A qualitative and inductive approach was applied. Data were collected and analyzed during 2010-2012. The sample consisted of three pediatric guidelines originating from Norway, Denmark and Sweden (I), three Swedish pediatric diabetes teams (PDTs) (II), and 11 (III) and 16 (IV) fathers of children with type 1 diabetes who scored high involvement on the Parental Responsibility Questionnaire. Data were collected through repeated focus group discussions with the PDTs (II), online focus group discussions (III) and individual interviews (III, IV) with the fathers. Three analysis methods were applied: analysis of discourses (I), Constructivist Grounded Theory (II, III) and content analysis (IV).

    Findings: The findings illuminated the complex interaction between the pediatric guidelines, the PDTs and the fathers. Fathers highly involved in their child’s daily life experienced different levels of tension between the general recommendations and their personal experiences of living with a child with type 1 diabetes (III). The fathers regarded their involvement in their child’s diabetes care as additional to their general parenting, and a fine balance was identified between a health promotion perspective and a controlling involvement. The common denominator between the highly involved fathers was their use of parental leave (IV). The PDTs initially perceived fathers’ involvement as gendered and balanced on the mother’s agement, but as focus was set on fathers’ engagement the PDTs increased their awareness of this and started to identify and encourage their engagement II). At the macro-level, parents’ voices were diminished in Nordic pediatric diabetes guidelines in favor of an expert discourse (I).

    Conclusions: Fathers’ involvement concerning a child with type 1diabetes is constructed in a complex way, based on an interaction between the fathers’ perceptions of their additional involvement and the support provided by the PDTs; the PDTs’ perceptions of the fathers’ involvement; and how parents/fathers are constructed in pediatric diabetes guidelines. In order to promote the health and well-being of children with type 1 diabetes, fathers’ involvement needs to be taken into account in the pediatric guidelines as well as in clinical practice. 

  • 26.
    Boman, Åse
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Bohlin, Margareta
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    Eklöf, Mats
    University of Gothenburg, Gothenburg.
    Forsander, Gun
    University of Gothenburg, Gothenburg.
    Törner, Marianne
    University of Gothenburg, Gothenburg.
    Conceptions of Diabetes and Diabetes Care in Young People With Minority Backgrounds.2015In: Qualitative health research, ISSN 1049-7323, Vol. 25, no 1, p. 5-15Article in journal (Refereed)
    Abstract [en]

    Adolescents with type 1 diabetes (T1DM) need stable self-care routines for good metabolic control to minimize future cardiovascular health complications. These routines are demanding, and might be particularly challenging in underprivileged groups. The aim of this study was to gain in-depth knowledge on the experience of adolescents with T1DM and a non-Swedish background regarding factors that might influence their ability to take care of themselves; in particular, factors that might influence diabetes management routines, their social situation, and the support they receive from caregivers. We interviewed 12 adolescents with T1DM and minority backgrounds. The results indicated resources and constraints in the adolescents' social context and in the health care organization. The adolescents developed conceptions that helped to explain and excuse their self-care failures, and their successes. These findings highlight the importance of integrating T1DM as part of the individual's personal prerequisites. We discuss implications for the organization of diabetes care for adolescents.

  • 27.
    Boman, Åse
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Borup, Ina
    Nordiska högskolan för folkhälsovetenskap NHV.
    Dahlborg-Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Povlsen, Lene
    Nordiska högskolan för folkhälsovetenskap.
    Swedish pediatric diabetes teams' perception of fathers' involvement: A Grounded Theory study2013In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 15, no 2, p. 179-185Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to analyze how Swedish pediatric diabetes teams perceived and discussed fathers' involvement in the care of their child with type 1 diabetes. It also aimed to discuss how the teams' attitudes towards the fathers' involvement developed during the data collection process. The Constructivist Grounded Theory design was used and data were collected during three repeated focus group discussions with three Swedish pediatric diabetes teams. The core category of the teams' perception of fathers' involvement emerged as: If dad attends, we are happy – if mom doesn't, we become concerned. Initially the teams balanced their perception of fathers' involvement on the mother's role as the primary caregiver. In connection with the teams' directed attention on fathers, in the focus group discussions, the teams' awareness of the importance of fathers increased. As a consequence, the team members began to encourage fathers' engagement in their child's care. We conclude that by increasing the teams' awareness of fathers as a health resource, an active health promotion perspective could be implemented in pediatric diabetes care.

  • 28.
    Boman, Åse
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Borup, Ina
    Nordic School of Public Health, Gothenburg.
    Povlsen, Lene
    Nordic School of Public Health, Gothenburg.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Parents' discursive resources: Analysis of discourses in Swedish, Danish and Norwegian health care guidelines for children with diabetes type 12012In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 26, no 2, p. 363-371Article in journal (Refereed)
    Abstract [en]

    The incidence of diabetes type 1 in children, the most common metabolic disorder in childhood, increases worldwide, with highest incidence in Scandinavia. Having diabetes means demands in everyday life, and the outcome of the child's treatment highly depends on parents' engagement and involvement. The aim of this study was to explore and describe discourses in health care guidelines for children with diabetes type 1, in Sweden, Norway and Denmark during 2007-2010, with a focus on how parents were positioned. As method a Foucauldian approach to discourse analysis was applied, and a six-stage model was used to perform the analysis. The findings shows a Medical, a Pedagogic and a Public Health discourse embedded in the hegemonic Expert discourse. The Expert discourse positioned parents as dependent on expert knowledge, as recipients of education, as valuable and responsible for their child's health through practicing medical skills. This positioning may place parents on a continuum from being deprived of their own initiatives to being invited to take an active part and could result in feelings of guilt and uncertainty, but also of security and significance. From this study we conclude that guidelines rooted in the Expert discourse may reduce opportunities for parents' voices to be heard and may overlook their knowledge. By broadening the selection of authors of the guidelines to include patients and all professionals in the team, new discourses could emerge and the parents' voice might be more prominent. © 2011 The Authors. Scandinavian Journal of Caring Sciences © 2011 Nordic College of Caring Science.

  • 29.
    Boman, Åse
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Povlsen, L.
    Nordic School of Public Health NHV, Gothenburg, Sweden.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Hanas, R.
    Norra Älvsborgs Länssjukhus Hospital Group, Uddevalla, Sweden.
    Borup, I.K.
    Nordic School of Public Health NHV, Gothenburg, Sweden.
    Fathers of Children With Type 1 Diabetes: Perceptions of a Father’s Involvement From a Health Promotion Perspective2014In: Journal of Family Nursing, ISSN 1074-8407, E-ISSN 1552-549X, Vol. 20, no 3, p. 337-354Article in journal (Refereed)
    Abstract [en]

    This study describes how fathers of children diagnosed with type 1 diabetes understand their involvement in their child’s daily life from a health promotion perspective. Sixteen Swedish fathers of children living with type 1 diabetes were interviewed. Manifest and latent content analysis was used to identify two themes: the inner core of the father’s general parental involvement and the additional involvement based on the child’s diabetes. The former was underpinned by the fathers’ prioritization of family life and the fathers being consciously involved in raising the child, and the latter by the fathers promoting and controlling the child’s health and promoting and enabling the child’s autonomy. The results highlight that the quality of the fathers’ involvement is essential in the management of a child’s chronic illness. It is important for pediatric diabetes health care professionals to assess the quality of fathers’ involvement to promote the child’s health. 

  • 30.
    Boman, Åse
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Povlsen, Lene
    Nordiska högskolan för folkhälsovetenskap.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Borup, Ina
    Nordiska högskolan för folkhälsovetenskap.
    Hanås, Ragnar
    Uddevalla Hospital.
    If dad comes, we are happy - if mom fails to appear, we become desperate: A Grounded Theory study of Swedish diabetes teams perecption of fathers’ involvement in their child's everyday life2011In: 4th International Research Seminar on SALUTOGENESIS and meeting of the IUP-GWG-SAL: May 30-31, 2011, University West, Trollhättan, Sweden, 2011, p. 1-12Conference paper (Refereed)
    Abstract [en]

    Background: Since parental involvement is essential to the outcome of diabetes type 1 treatment in childhood and high paternal engagement in everyday life promote the child's health, it is of value to explore how professionals, the diabetes teams (DT), perceive fathers' involvement in their child with diabetes type 1.

    Method: The study design was Constructivist Grounded Theory and data was collected by Repeated Focus Groups discussions with three Swedish pediatric diabetes teams, between May 2010 and January 2011.

    Results: The core category for the diabetes teams' perception of fathers' involvement was If dad comes, we are happy – if mom fails to appear, we become desperate. The core category relied on three subcategories. Societal and cultural context where DTs perceived fathers involvement as having specific properties and specific areas of responsibility, Balancing where the DTs balanced the father's involvement against the mother's engagement and Becoming aware where the DTs raised awareness of the fathers from being a indistinct parents-unit till to identify and appreciate the father's engagement.

    Conclusions: Perceiving fathers as equal caregivers, and becoming aware of fathers as a health resource, could support an active health promotion perspective in pediatric diabetes care. 

  • 31.
    Boman, Åse
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Povlsen, Lene
    Nordic School of Public Health NHV, Gothenburg.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Hanas, Ragnar
    Department of Pediatrics, NU Hospital Group, Uddevalla Hospital, Uddevalla.
    Borup, Ina
    Nordic School of Public Health NHV, Gothenburg.
    Fathers' encounter of support from paediatric diabetes teams: the tension between general recommendations and personal experience2013In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 21, no 3, p. 263-270Article in journal (Refereed)
    Abstract [en]

    The purpose of this grounded theory study was to explore and discuss how fathers involved in caring for a child with type 1 diabetes experienced support from Swedish paediatric diabetes teams (PDTs) in everyday life with their child. Eleven fathers of children with type 1 diabetes, living in Sweden and scoring high on involvement on the Parental Responsibility Questionnaire, participated. Data were collected from January 2011 to August 2011, initially through online focus group discussions in which 6 of 19 invited fathers participated. Due to high attrition, the data collection continued in eight individual interviews. A semi-structured interview guide was used, and the fathers were asked to share experiences of their PDT's support in everyday life with their child. A simultaneous and constant comparison approach to data collection and analysis allowed the core category to emerge: the tension between general recommendations and personal experience. This core category illuminates how the fathers experienced tension between managing their unique everyday life with their child and balancing this to meet their PDT's expectations with regard to blood glucose levels. The core category was supported by two categories: the tension between the fathers'and their PDT's knowledge, whereby fathers reported discrepancies between their PDT's medical knowledge and their own unique knowledge of their child; and the tension between the fathers'and their PDT's goals, whereby the fathers identified differences between the familys' and their PDT's goals. As a dimension of the core category, fathers felt trust or distrust in their PDT. We conclude that to achieve high-quality support for children with diabetes and to enhance their health and well-being, involved fathers' knowledge of their unique family situation needs to be integrated into the diabetes treatment.

  • 32.
    Boman, Åse
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Povlsen, Lene
    Nordic School of Public Health, Gothenburg.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Hanas, Ragnar
    Department of Pediatrics, NU Hospital Group, Uddevalla Hospital, Uddevalla.
    Borup, Ina
    Nordic School of Public Health NHV, Gothenburg.
    Fathers' involvement in their child's diabetes care - seen from a health promotion perspectiveIn: Journal of Family Nursing, ISSN 1074-8407, E-ISSN 1552-549XArticle in journal (Refereed)
  • 33.
    Brink, Eva
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Alsén, Pia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Cliffordson, Christina
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Validation of the Revised Illness Perception Questionnaire (IPQ-R) in a sample of persons recovering from myocardial infarction – the Swedish version.2011In: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 52, no 6, p. 573-579Article in journal (Refereed)
    Abstract [en]

    When people’s health is threatened, they generally develop illness perceptions to make sense of their illness. The Illness Perception Questionnaire (IPQ-R), developed by Moss-Morris et al (2002), has been widely used in many countries to measure such representations. However, since studies in this crucial research area are lacking in Sweden a Swedish version of IPQ-R was validated with a focus on the seven subscales: timeline acute/chronic, timeline cyclical, consequences, personal control, treatment control, illness coherence and emotional representations. Using confirmatory factor analysis, the aim of the present study was to validate the internal structure of the Swedish version in a sample of 202 persons (144 men and 58 women) who had been diagnosed with myocardial infarction four months earlier. Additionally, inter-correlations among the seven subscales and external concurrent validity were also investigated. The results of confirmatory factor analysis revealed that, in line with the English version of the IPQ-R, the specified seven-factor model had a satisfactory fit. One item was however not considered reliable and was therefore excluded from the instrument. The internal consistency (Cronbach’s alpha coefficients) and the inter-factor correlations were relatively similar to those reported in the validation study of the original English IPQ-R. In tests of concurrent validity, the seven IPQ-R subscales were, as hypothesized, mainly associated with external variables. To conclude, the Swedish version of the IPQ-R’s seven dimensions, with one item removed, (total 37 items) was found to be a reliable and valid measure of illness perception.

  • 34.
    Brink, Eva
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg.
    Skott, Carola
    University of Gothenburg, Institute of Health and Care Sciences.
    Caring about symptoms in person-centred care2013In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 3, no 8, p. 563-567Article in journal (Refereed)
    Abstract [en]

    In the present article, we emphasize the symptom experience perspective in person-centred care and discuss barriers to implementation of this approach. There are obstacles to overcome: the diversity of understandings of symptoms in clinical settings, the current biomedical discourse and the incompleteness of symptom research. Since the 19th century, the bio-medical perspective has been powerful in conceptualizing symptoms in terms of pathology and diagnosis. Many diagnoses conjure up preconceived notions about the persons receiving them. This perspective may influence person-centred care negatively. Yet symptoms often mean something beyond the diagnosis. Recognizing this discrepancy, it is crucial that we consider a perspective that starts from each person’s symptom experience, thus complementing the biomedical perspective. Using the notion caring about symptoms, we advocate a person-centred approach that includes a symptom experience perspective. This requires that health-care professionals be skilled in listening to patient narratives and acquire knowledge about how symptom experiences can be individually expressed and interpreted. Listening to symptom experiences may give insights into the personal meaning of illness as well as information about bodily and social restrictions caused by symptom distress. In this way, caring about symptoms will improve the prerequisites for establishing person-centred care planning.

  • 35.
    Brämberg, Elisabeth Björk
    et al.
    University of Gothenburg, The Sahlgrenska Academy, Institution of Health and Care Sciences,.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Määttä, Sylvia
    Centre for Gender Equal Care, Göteborg, .
    Lack of individualized perspective: A qualitative study of diabetes care for immigrants in Sweden2012In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 14, no 2, p. 244-249Article in journal (Refereed)
    Abstract [en]

    This study describes the care provided by a diabetes nurse specialist, and the care needs expressed by people with type 2 diabetes mellitus and an immigrant background. Clinical encounters between a diabetes nurse specialist and 10 people diagnosed with type 2 diabetes mellitus were observed and analyzed by means of qualitative content analysis. One theme, "the diabetes nurse specialist as the conductor of the visit", and four categories emerged from the findings, illustrating the power imbalance between the patients and the diabetes nurse specialist, as well as the lack of an individual perspective. Shifting from a medical perspective to one of openness towards the people's experiences provides a possibility for caregivers to empower patients suffering from type 2 diabetes mellitus. The medical perspective seemed to steer the visit towards curative activities. Thus, technique-centered care should be developed by including individualized care. © 2012 Blackwell Publishing Asia Pty Ltd.

  • 36.
    Brändström, Linnea
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Mazaz Pozveh, Nader
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Nurses experience of collaboration between community healthcare and psychiatric in-patient care: a Swedish study2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The aim of the study is to examine register nurses experiences of collaboration between community healthcare and psychiatric in- patient care.

    Background: Register nurses indicate a need of routines in collaboration between community health care and psychiatric inpatient care in the western Sweden region.

    Method: Qualitative content analyses of focus group interviews.

    Results: Register nurses experienced the healthcare communication program as a big obstacle in a developing process of a collaboration plan. The deficiencies in collaboration between the register nurses were due to poor knowledge about each group of nurses working tasks.

    Conclusion: The findings contribute an understanding of the barriers in collaboration between register nurses in the Community healthcare and Psychiatric in- patient care. That requires improvement from the nurse managers to contribute well function routines.

    Implications for Nursing Management: Nurse Managers need to develop a more structured collaboration plan between units to create a better collaboration in caring of the patient

  • 37.
    Brändström, Linnéa
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. Primary Health Care in Sollebrunn.
    Mazaz, Nader
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. The Psychiatric Clinic, Norra Älvsborg County Hospital, Trollhättan.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Nurse collaboration in community and psychiatric care: a Swedish study2015In: British Journal of Community Nursing, ISSN 1462-4753, E-ISSN 2052-2215, Vol. 20, no 6, p. 297-303Article in journal (Refereed)
    Abstract [en]

    Aim The aim of the study was to examine registered nurses’ (RNs) experiences of collaboration in the community health care and psychiatric inpatient care systems. Background RNs in one area in the west of Sweden have indicated the need for collaborative routines between the community health care and psychiatric inpatient care systems. Method Qualitative content analysis of focus group interviews. Results RNs felt the web-based health-care communication programme was a major obstacle to the development of a collaboration plan. The poor collaboration between RNs was due to the absence of knowledge about the duties of each nursing team. Conclusion The findings contribute to the understanding of the barriers to collaboration between RNs in community health care and psychiatric inpatient care, and highlight the need for nurse managers to ensure well-functioning routines.

  • 38.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Middle managers on the slide2012In: Leadership in Health Services, ISSN 1751-1879, E-ISSN 1751-1887, Vol. 25, no 2, p. 90-105Article in journal (Refereed)
    Abstract [en]

    Purpose

    – This article aims to examine middle managers in health care and how their role has changed in times of fiscal constraints. It seeks to focus particularly on how cost savings influence the position of middle managers in the organisation between governance and advocacy pressure.

    Design/methodology/approach

    – A total of 25 Swedish middle managers from public health care organisations during fiscal constraints were interviewed about what contributes to their positioning in the organisation.

    Findings

    – The loyalty of middle managers is tested in the "in between" role. Excessive loyalty, in any direction, can distance a middle manager from their expected position. In times of a weakening economy, middle managers are expected to be a tool that is used by the management to communicate savings, personnel reductions, redundancies and closures. This contributes to middle managers sliding out of their role in between.

    Practical implications

    – Middle managers' skills are within care itself. In times of cost savings, demands are placed on their ability to handle advanced management tasks. They need to gain a clearer insight into management control, understanding conflict management and leadership.

    Originality/value

    – The article explains not only why middle managers slide up (take on governance roles) and down (take on advocacy roles) in the organisation, which has been described previously. It also explains why middle managers slide out (abdicate responsibility) of the role between governance and advocacy during times of fiscal limitations.

  • 39.
    Carolusson, Anders
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Johansson, Catharina Tina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Att vara i stormens öga: psykiatrisjuksköterskors upplevelser av hot och våld2015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: To work as a specialist nurse in psychiatric outpatient care is a vulnerable profession. It has long been known that threats and violence against staff occur in psychiatry and addiction treatment, and the tendency to report probably has increased in recent years. Threats and violence is common in workplaces, more than 10 per cent of reported serious occupational accidents were caused by threats, violence and robbery.

    Aim: To highlight nurses' perception of threats and violence in the psychiatric outpatient care.

    Method: Inductive approach data were analyzed by qualitative content analysis. 10 interviews with psychiatric nurses in psychiatric outpatients care were performed.

    Results : From the analysis revealed a specific theme, Being in the eye of the storm and four supporting categories, lack of communication , abandonment and loneliness , powerlessness and fear as well as experience and reflection.

    Conclusion: Lack of communication can be a trigger to threats and violence. This is in many cases that the nurse for the doctor's action and give information. Nurses describing experiences of abandonment and loneliness in which lack of understanding from superiors and colleagues after a threatening event. The affected nurses are also affected by thoughts about the family's vulnerability which may lead to feelings of powerlessness and fear. The informants told us that they felt safer with time, the experience they acquired through professional life could be said to create safety awareness and developed intuition.

  • 40.
    Charalambous, Andreas
    et al.
    Cyprus University of Technology, Nursing, Limassol, Limassol, Cyprus.
    Radwin, Laurel
    Veteran Administration Medical Center, Manchester, New Hampshire, United States.
    Stolt, Minna
    University of Turku, Nursing, Turku, Finland, .
    Katajisto, Jouko
    University of Turku, Mathematics and Statistics, Turku, Finland.
    Berg, Agneta
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. Kristianstad University, Kristianstad.
    Lemonido, Chryssoula
    National and Kapodistrian University of Athens, Nursing, Athens, Greece,.
    Patiraki, Elisabeth
    National and Kapodistrian University of Athens, Nursing, Athens, Greece,.
    Sjovall, Katarina
    Lund University, Department of Health Sciences and Skåne University Hospital, Lund, Sweden.
    Suhonen, Riitta
    University of Turku, Nursing, Turku, Finland.
    Hospitalized Cancer Patients' Perceptions of Individualized Nursing Care in Four European Countries2015In: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 38, no 4S, article id 0-160Article in journal (Refereed)
    Abstract [en]

    As patients are different, only one way of delivering care is neither appropriate nor efficient. Care needs to be tailored according to individual characteristics in more general and extents to include individualized nursing care. Individualized care has a positive impact on patient outcomes and is therefore worth of studies and implementation in clinical practice. The aim of this study was to describe and compare hospitalized cancer patients' perceptions of individualized care, controlled by their socio-demographic characteristics, in four European countries. The quality of individualized nursing care was represented by hospitalized patients' perceptions of the (1) nurses' support of individuality and (2) receipt of individuality as measured by the two-part Individualized Care Scale (ICS). Patients' socio-demographic characteristicsincluded education, age, gender, type of hospital admission, previous hospitalization, and hospital length of stay. Data (n=599) were collected in Cyprus (n=150), Finland (n=158), Greece (n=150) and Sweden (n=141). Multivariate analysis of variance models were constructed. The main effect of country on perceptions of individualized care was analyzed using socio-demographic characteristics as covariates. The level of support of individuality was reported as moderate and receipt of individuality on care as good. The assessments were generally the highest by the respondents in Sweden and the lowest in Greece. Shortcomings in the individualized nursing care were found based on patients' assessments. This study revealed some between-country differences in patients' perceptions of care individualization, controlled by the sample characteristics, and allows the researcher to further analyze the possible reasons for these differences whether conceptual, differences due to the education, clinical practice or organization of nursing care and services

  • 41.
    Clausson, Eva K.
    et al.
    Kristianstad University, School of Health and Social Science.
    Berg, Agneta
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Janlöv, Ann-Christin
    Kristianstad University, School of Health and Social Science.
    Challenges of Documenting Schoolchildren’s Psychosocial Health: A Qualitative Study2015In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 31, no 3, p. 205-211Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to explore school nurses’ experience of challenges related to documenting schoolchildren’s psychosocial health in Sweden. Six focus group discussions were carried out. Areas for discussions included questions about situations, especially challenging to document as well as what constrains and/or facilitates documenting psychosocial health problem issues. Qualitative content analysis was used for interpreting the data. The analysis resulted in one overarching theme: having to do one’s duty and being afraid of doing wrong; and three subthemes: uncertainty related to one’s own ability, concerns related to future consequences, and strategies to handle the documentation. School nurses relying on their intuition and using a structured documentation model may increase the opportunities for a reliable documentation. To further develop their professional skills with regular, clinical supervision can be of great importance. This in turn may increase contributions to research and development for the benefit of schoolchildren’s psychosocial health.

  • 42.
    Dacau, Liliana
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Att utgå från patienten: "Distriktssköterskans hälsofrämjande arbete"2015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Health promotion is the main area of expertise and work field for district nurses, according to the description of their qualifications. Scientific research indicates that district nurses in primary health care, are not working with health promotion. The reason for this is that they find it too difficult to pursue health promotion in their daily work.

    Aim:

    To illustrate district nurses experiences of health promotion in primary health care.

    Method:

    Five district nurses in both public- and private primary health care have been interviewed using a semi structured interview guide. The interviews were analyzed according to qualitative content analysis.

    Results:

    District nurses health promotion are based on the patient's situation. The uses of motivational interviewing raise the question of life and have different support for health promotion. Time, prioritization of work and financial resources preclude the promotion of health.

    Conclusion:

    Despite obstacles, district nurses have a strong desire to work with health promotion. The mentality within primary health care regarding the significance of health promotion needs to change, to enable a health promotion perspective. The results from the study can strengthen the importance for an understanding of district nurses work. This contributes to an increased possibility for the patient to be given support to improve health.

  • 43.
    Dahlborg Lyckhage, Elisabeth
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Fredén, Lars
    University West, Department of Nursing, Health and Culture.
    Hassler, Sven
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Pennbrant, Sandra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Skyvell Nilsson, Maria
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Gränshinder: en kvalitativ och kvantitativ studie av samverkandesjukvård2014Report (Other academic)
    Abstract [en]

    The project "Health care interaction" among different care providers was introduced as a trial activity in the municipalities of Strömstad and Tanum in the spring of 2010. The aim of health care interaction is to provide citizens health care adapted to their specific need within shortest possible time frame; Is emergency care not needed, the aim is to avoid that the care seeker ends up in an emergency room at the hospital. In this study experiences from health care interaction is described with quantitative as well as qualitative data. Empirical data is based on available medical statistics, focus group interviews with nurses with long experience from pre-hospital emergency care and home health care, questionnaires data gathered from other health professionals involved in the activity, individual interviews with nurses and physicians at call centers for medical information, primary health care centers, home health care, pre-hospital health care and elderly care. The analysis of the data reveal opportunities and expectations among the personnel as well as their willingness to develop and improve the health care. It's also evident that the general impression among health care personnel is that increased interaction among health care providers improves the quality of the health care given. Health care interaction also contributes to improved opportunities for person-centered care with an increased degree of continuity and participation for the patient. The study also reveals that collaboration between colleagues promotes development of individual and collective knowledge. Conclusions drawn from the study is that the documentation and information system used in health care interaction needs to strengthen the participation of the care seekers as well as to improve in accessibility for the personnel involved. In order for health care interaction to evolve and develop through close follow-up and evaluation, a more transparent and uniform system for documentation is recommended. It's also concluded from the study that the call center for medical information (1177) as one of the major actors in the health care interaction program has the best potential to instigate an expansion and development of the health care interaction among care providers.

  • 44.
    Dahlborg Lyckhage, Elisabeth
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Gardvik, Anna
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Karlsson, Helena
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Törner Mulari, Jenny
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Young Women With Anorexia Nervosa2015In: SAGE Open, ISSN 2158-2440, E-ISSN 2158-2440, Vol. 5, no 1Article in journal (Refereed)
    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.

  • 45.
    Dahlborg Lyckhage, Elisabeth
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Lindahl, Berit
    University of Borås, Caring Sciences.
    Living in liminality-being simultaneously visible and invisible: caregivers' narratives of palliative care.2013In: Journal of social work in end-of-life & palliative care, ISSN 1552-4264, Vol. 9, no 4, p. 272-288Article in journal (Refereed)
    Abstract [en]

    Palliative care is an integral part of care and takes place in many settings-including the home, special accommodations, and hospitals. However, research shows that palliative care often ends with a death in the hospital due to the heavy burden on the primary caregiver. This study explores the meaning of being the primary caregiver of a close one who is terminally ill and is based on qualitative interviews with six primary caregivers of a terminally ill individual at home. The findings are discussed in the light of the theoretical concepts of liminality, lived body, and power. A potential impending risk exists of being abandoned when one is the primary caregiver to a close one who is terminally ill. This situation calls for professional caregivers to take responsibility and to respond to these, often unspoken, needs. This is particularly important concerning bodily care and the medical treatment regimen. In addition, when friends and relatives are absent, there is an ethical demand on professional caregivers to compensate for this lack and to compensate for this need. Palliative home care demands care that is person-centered-including the individual's history, family and loved ones, and individual strengths and weaknesses.

  • 46.
    Dahlborg Lyckhage, Elisabeth
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Pennbrant, Sandra
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Work-Integrated Learning: A Didactic Tool to Develop Praxis in Nurse Education2014In: Advances in Nursing Science, ISSN 0161-9268, E-ISSN 1550-5014, Vol. 37, no 1, p. 61-69Article in journal (Refereed)
    Abstract [en]

    Praxis is a concept that is both vague and overused in nursing science. Hence, a more stringent use of the concept praxis could help clarify the connections between theory and practice. The purpose of this theoretical article was to highlight the advantages of developing praxis in nursing education. By using praxis as a dialectic concept, nurse educators can make significant contributions to clinical practice by clarifying that theory and practice are perceived as 2 sides of same coin, leading to a move from "being in praxis" to "being of praxis," a way to develop the professionÊs autonomy. © 2014 Lippincott Williams and Wilkins.

  • 47.
    Dahlborg Lyckhage, Elisabeth
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Pennbrant, Sandra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Boman, Åse
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    "The Emperor's new clothes": discourse analysis on how the patient is constructed in the new Swedish Patient Act.2017In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 24, no 2, article id e12162Article in journal (Refereed)
    Abstract [en]

    The Swedish welfare debate increasingly focuses on market liberal notions and its healthcare perspective aims for more patient-centered care. This article examines the new Swedish Patient Act describing and analyzing how the patient is constructed in government documents. This study takes a Foucauldian discourse analysis approach following Willig's analysis guide. The act contains an entitlement discourse for patients and a requirement discourse for healthcare personnel. These two discourses are governed by a values-based healthcare discourse. Neo-liberal ideology, in the form of New Public Management discourse, focusing on the value of efficiency and competition, is given a hegemonic position as laws and regulations are used to strengthen it. The new Swedish Patient Act seems to further strengthen this development. The Act underlines the increased entitlement for patients, but it is not legally binding as it offers patients only indirect entitlement to influence and control their care. To safeguard the patient's entitlement under the Patient Act, healthcare personnel should be made aware of the contents of the Act, so that they can contribute to the creation of systems and working methods that facilitate respect of the Act's provisions in daily healthcare work.

  • 48.
    Dahlborg Lyckhage, Elisabeth
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Skyvell-Nilsson, Maria
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Pennbrant, Sandra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Prerequisites for person-centered care: As described by community care nurses2015In: Clinical Nursing Studies, ISSN 2324-7959, Vol. 3, no 1, p. 5-13Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe nurses’ experiences of person-centered care within an integrated care chain.

    Method: The study included four data sets: Two focus group interviews with a total of 22 nurses; an open questionnaire answered by 17 nurses; and individual follow-up interviews with 4 volunteers from among the 17 nurses. In total, 39 informants were included in this study. Qualitative content analysis was carried out to identify the latent content of the focus group and interview data, and the manifest content of the questionnaire data.

    Results: The results showed that learning about, from and with each other were prerequisites for achieving person-centered care. The ability to provide person-centered care was influenced by factors that could be related to both the organization and to the individual nurse. Important factors were organizational transparency and structure, leadership and collaboration between healthcare centers, partnership, sole caregiver attitudes and skills.

    Conclusion: In order to develop person-centered care, it is crucial that an integrated care chain feature a joint documentation system; efficient use of the resources allocated to the needs of the various healthcare centers; and a change of focus from the professional to the person seeking care.

  • 49.
    Dahlqvist, Julia
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Stalefors, Josefin
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    BVC-sjuksköterskors strategier i mötet med föräldrar som är tveksamma till barnvaccinationer2014Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Problem area: Sweden has a good vaccination coverage, but there are those parents who are worried and hesitant for vaccine and therefore choose not to vaccinate their children. The main goal of child health care is to contribute to as good health as possible for all children. The risks of childhood diseases is much higher than the risks vaccinations. Purpose: The aim of this study was to describe how nurses working in child health encounter parents who are reluctant to child vaccinations. Method: A study with a qualitative approach that was based on 12 semi structured interviews. The informants were nurses working in child welfare in the region of Västra Götaland. The interviews were analyzed using qualitative content analysis. Results: The results showed that it was important for the nurses to have a supportive role in the relation with the parents. This was demonstrated by an increased understanding and a safe and trusting relationship between parents and nurse. The nurses highlighted the importance of getting to know the parents so they felt more involved. The nurses shared knowledge by teaching, consulting and guiding the parents during the decision process for vaccinations. Conclusion: The study resulted in three categories: to be supportive, to be a conversation partner and to share knowledge. These are important strategies for nurses in the meeting with parents who are hesitant to child vaccinations.

  • 50.
    Dahlqvist, Julia
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Stalefors, Josefin
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Pennbrant, Sandra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Child health care nurses' strategies in meeting with parents who are hesitant to child vaccinations2014In: Clinical Nursing Studies, ISSN 2324-7959, Vol. 2, no 4, p. 47-59Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to describe how nurses in child health centres deal with parents who are hesitant to child vaccinations. Method: A study with a qualitative approach that was based on 12 semi-structured interviews. The informants were nurses working in child health centres in the Västra Götaland region. The interviews were analysed using qualitative content analysis. Results: The results identified six strategies for dealing with vaccine-hesitant parents: 1) using the family’s resources and knowledge to create a trusting relationship; 2) meetings with the same nurse; 3) open dialogue and active listening; 4) regular meetings between nurse and paediatrician; 5) nurse training on new vaccines and vaccination programme; and 6) nurse training on parents’ use of publicly available information. Conclusion: Nurses should get to know the vaccine-hesitant parents, by listening to them and understanding their point of view. Thereby, nurses establish a good relationship, inspire trust and actively involve the parents in the decision-making concerning the vaccination of their child. Nurses should not make vaccine-hesitant parents feel guilty about not wanting to vaccinate their child.

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