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  • 1.
    Lundqvist, S.
    et al.
    Institute for Neuroscience and Physiology, Gothenburg University, Box 430, 405 30 Gothenburg (SWE); Child and Adolescent Psychiatric Clinic, Sahlgrenska University Hospital, 416 50 Gothenburg (SWE).
    Kerekes, Nora
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap. Centre for Holistic Psychiatry Research (CHoPy), 431 60 Molndal (SWE).
    The association between pain and psychiatric conditions in adolescents: The impact of gender and ADHD diagnosis2024Ingår i: European Journal of Psychiatry, Vol. 38, nr 1Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background and objectives: The relationship between pain and psychiatric conditions in children and adolescents has been understudied. This study aimed to investigate the influence of gender on the association between pain and psychiatric diagnoses, as well as the specific relationship between pain and attention deficit/hyperactivity disorder (ADHD), in a sample of adolescents from the general population. Additionally, the study explored whether pain frequency or intensity in individuals with ADHD was influenced by coexisting psychiatric disorders and ADHD medications. Methods: This cross-sectional study included 1608 conveniently sampled Swedish upper secondary school students aged 15–19 years. Data were collected at the end of 2020 using the electronic "Mental and Somatic Health without borders" survey. Results: A significant positive association (p < 0.001) was observed between pain frequency, intensity, and the presence of any psychiatric diagnosis. Female adolescents reported more frequent and intensive pain in the groups with or without any psychiatric diagnosis and in those with ADHD, however the presence of a psychiatric diagnosis had a comparatively lesser impact on pain frequency in females when compared to males. In adolescents with ADHD, pain frequency, but not intensity, showed a significant further increase. Moreover, the presence of coexisting depression and/or anxiety further heightened the association between pain frequency and ADHD. Notably, common ADHD medications did not have a significant impact on pain experiences. Headache emerged as the most prevalent type of pain across all groups of adolescents. Back pain specifically appeared as the next most common type of pain among adolescents with ADHD. Conclusion: The findings suggest a positive association between pain and the presence of psychiatric diagnoses, including ADHD, in adolescents. Gender modified this association. Back pain arised specifically coupled to ADHD. Common ADHD medications did not show a significant impact on pain experiences in this study. These results highlight the importance of a holistic approach to child and adolescent care. © 2023 The Author(s)

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    Artikel
  • 2.
    Salzmann-Erikson, Martin
    et al.
    Faculty of Health and Occupational Studies, Department of Caring Sciences, University of Gävle, Gävle (SWE).
    Eriksson, Henrik
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    A Mapping Review of Netnography in Nursing2023Ingår i: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, s. -14Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    People use the Web to seek health-related information and to discuss health issues with peers. Netnography, a qualitative research methodology, has gained the attention of researchers interested in people’s health and health issues. However, no previous reviews have accounted for how netnography is used in nursing research. The purpose of this mapping review was to generate a map of netnographic research in nursing. The search was conducted in PubMed, Academic Search Elite, the Cumulative Index to Nursing and Allied Health Literature, Medline, PsycINFO, Scopus, and Web of Science. Data were extracted from 53 original articles. The results show an increasing trend in published netnographies over time; 34% of the total sample was published in 2021. Of the total, 28% originated from Sweden, and 81% had used a covert approach. In studies in which the researchers used more participatory designs, the time spent on online forums ranged between 4 weeks and 20 months. Informed consent is found to be an issue in netnographic studies. We discuss the fact that nursing researchers have used netnography to address a wide range of research topics of concern and interest, from self-care support in an online forum for older adults to nursing students’ perspectives on effective pedagogy. In line with the digital transformation in society in general, we discuss the fact that netnography as a research methodology offers great opportunities for nurse researchers to monitor new spaces and places that presuppose online methodological knowledge.

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    fulltext
  • 3.
    Gustafsson, K.
    et al.
    Linköping University, Linköping (SWE); Ryhov County Hospital, Jönköping (SWE).
    Areskoug Josefsson, Kristina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap. Oslo Metropolitan University (NOR); Jönköping University (SWE).
    Eriksson, M.
    Region Jönköping County, Jönköping (SWE).
    Rolfson, O.
    University of Gothenburg, Sahlgrenska Academy, Gothenburg (SWE); Sahlgrenska University Hospital, Gothenburg (SWE).
    Kvist, J.
    Karolinska Institutet, Stockholm (SWE); Linköping University, Linköping (SWE).
    A Multifaceted Picture Of Patient Perspectives Of Health Care And Self-Management In Hip And Knee Osteoarthritis: Abstract2023Ingår i: Osteoarthritis and Cartilage, ISSN 1063-4584, E-ISSN 1522-9653, Vol. 31, s. S399-S399Artikel i tidskrift (Refereegranskat)
  • 4.
    Thapa, Dip Raj
    et al.
    Research on Citizen Centered Health, University of Skövde (Reacch US),Department of Nursing and Reproductive, Perinatal and Sexual Health, School of Health Sciences, University of Skövde, Skövde (SWE).
    Subedi, M.
    School of Public Health, Patan Academy of Health Sciences, GPO Box, Lalitpur, 26500, Nepal (NPL).
    Ekström-Bergström, Anette
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Areskoug Josefsson, Kristina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Krettek, Alexandra
    University of Skövde (SWE).
    A Qualitative Evaluation and Cross-Cultural Adaptation of the Short Form of the Sense of Coherence Scale (SOC-13) in Nepali2023Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Background

    Stronger Sense of Coherence (SOC) associates with better health, quality of life, and coping strategies. We translated and applied the SOC-13 questionnaire for the first time in Nepal. In this process we identified difficulties in response patterns. The findings necessitated further evaluation of the Nepali version of the questionnaire.

    Purpose of the study

    To qualitatively evaluate the SOC-13 questionnaire in Nepali for cross-cultural adaptation.

    Methods and Theory

    Nineteen registered nurses from Nepal were asked to respond to the SOC-13 questionnaire in Nepalese, in order to receive their thoughts and understanding of SOC-13, inspired by the “think-aloud” method. Transcribed materials were analyzed using a deductive approach through qualitative content analysis.

    Findings

    Participants described the questionnaire content as general and non-specific but easy to complete. The overall comprehensiveness and response alternatives were perceived as good, even if there were some items and response alternatives that were difficult to understand according to the nurses. Nurses’ interpretation of the SOC items in the translated version of the SOC-13 questionnaire in Nepali matched the original English version. Items that were experienced as difficult in the Nepali language were modified to increase their comprehensiveness by substituting with easier language.

    Conclusion

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

  • 5.
    Mazaheri, Monir
    et al.
    Sophiahemmet University (SWE).
    Eriksson, Henrik
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    An Intersectional Analysis of Health Inequalities and Vulnerabilities During the Covid-19 Pandemic2023Ingår i: Responsible Management of Shifts in Work Modes: Values for Post Pandemic Sustainability, Volume 2 / [ed] Kemi Ogunyemi, Adaora I. Onaga, Emerald Group Publishing Limited, 2023, s. 109-118Kapitel i bok, del av antologi (Refereegranskat)
    Abstract [en]

    This chapters discusses the power structures affecting access to healthcare and the quality of received care including factors like gender, ethnicity, social and economic status among others from an intersectional perspective. Structural changes are necessary to decrease the health inequalities and vulnerabilities during the pandemic. An intersectional approach helps to display the interactions of different power structures and social categories which put people at differential risk of infection and/or mortality of COVID-19. The intersectional approach should be used not only to understand the pandemic impact on people but also when planning the healthcare policies, care plans and support services.

  • 6.
    Hegge, Birgit
    et al.
    Fakultet for helsefag, VID vitenskapelige høgskole (NOR).
    Areskoug Josefsson, Kristina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap. Institutt for atferdsvitenskap, Oslo Met – Storbyuniversitet (NOR).
    Ansattes erfaring med uttrykt seksualitet i bofellesskap for personer med utviklingshemming: et komplekst tema2023Ingår i: Journal of Care Research, ISSN 2387-5976, E-ISSN 2387-5984, E-ISSN 2387-5984, Vol. 9, nr 1, s. 1-14Artikel i tidskrift (Refereegranskat)
    Abstract [no]

    Studien utforsker uttrykt seksualitet hos personer med utviklingshemming slik ansatte erfarer det fra miljøterapeutisk arbeid. Totalt 20 miljøterapeuter i et kommunalt bofellesskap deltok i refleksjoner individuelt og senere i grupper. Refleksjonene gjennomgikk en totrinnsanalyse basert på kvalitativ innholdsanalyse og resulterte i tre definerte temaer: 1) Når seksuelle uttrykk oppleves krenkende. 2) Det å komme til kort profesjonelt. 3) Arbeid med seksuelle temaer. Studien viser at miljøterapeuter opplevde manglende handlingskompetanse i møte med uttrykt seksualitet. Dette ble ytterligere utfordret av et fraværende system for veiledning, drøfting og kompetanseheving omkring seksuelle temaer. Systematikken som forventes i øvrig miljøterapeutisk arbeid, fantes ikke i arbeidet med seksualitet. Nødvendig tilrettelegging for å hjelpe beboere med å forstå kropp, behov eller utforskning synes å være vanskelig å få på plass. Samarbeid med kollegaer, beboere og deres nettverk utfordres av usikkerhet og manglende tydelighet. Dette handler om fag og etikk, men også om å ivareta beboernes seksuelle rettigheter.

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  • 7.
    Areskoug Josefsson, Kristina
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Lona, Irene
    Divisjon for utdanning og bibliotek, OsloMet – storbyuniversitetet (NOR).
    Lunde, Gerd Hilde
    Institutt for Atferdsvitenskap, OsloMet – storbyuniversitetet (NOR).
    Bedre lesing og forståelse av pensum med støtte av digital sosial annotering / Engl: Improved reading and understanding of the syllabus with the support of digital social annotation2023Ingår i: Norsk pedagogisk tidsskrift, ISSN 0029-2052, E-ISSN 1504-2987, Vol. 107, nr 3, s. 283-287Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Academic reading is a challenge for many students and there is therefore a need to explore opportunities to support students in reading scientific articles in English, and to understand the new knowledge in a Norwegian context and enable them to use the knowledge in their future professional practice. This article shows how a digital tool provides new opportunities for asynchronous interaction between students about subject content and syllabus, and how this can be used to promote academic reading, professional learning and at the same time increase student interaction.

  • 8.
    Olsson-Tall, Maivor
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Bedömning i samverkan vid psykossjukdom2023Ingår i: Samverkan i vården: från system till praktik / [ed] Annika Eklund & Christian Gadolin, Stockholm: Liber , 2023, 1., s. 152-172Kapitel i bok, del av antologi (Refereegranskat)
    Abstract [sv]

    Boken beskriver samverkan i hälso- och sjukvård ur olika perspektiv och ger verksamhetsnära exempel. Svensk hälso- och sjukvård har jämförelsevis goda resultat men brister i exempelvis kontinuitet och koordinering. Till följd av vårdens ökade specialisering behövs förmågan att samverka för en säker vård och ett effektivt utnyttjande av resurser...[Bokinfo]

  • 9.
    Kerekes, Nora
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Ekström-Bergström, AnetteHögskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Complementary Care to Promote Mental Health2023Samlingsverk (redaktörskap) (Refereegranskat)
    Ladda ner fulltext (pdf)
    Ebook
  • 10.
    Andersson, Anna
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Brink, Eva
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Yang Hansen, Kajsa
    Högskolan Väst, Institutionen för individ och samhälle, Avd för utbildningsvetenskap och språk. Department of Education and Special Education, Gothenburg University (SWE).
    Skyvell Nilsson, Maria
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Development and validation of experienced work-integrated learning instrument (E-WIL) using a sample of newly graduated registered nurses: A confirmatory factor analysis2023Ingår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 128, s. 105889-, artikel-id 105889Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    INTRODUCTION: Research indicates that newly graduated registered nurses struggle to develop practical skills and clinical understanding and to adapt to their professional role. To ensure quality of care and support new nurses, it is vital that this learning is elucidated and evaluated. Aim The aim was to develop and evaluate the psychometric properties of an instrument assessing work-integrated learning for newly graduated registered nurses, the Experienced Work-Integrated Learning (E-WIL) instrument.

    METHOD: The study utilized the methodology of a survey and a cross-sectional research design. The sample consisted of newly graduated registered nurses (n = 221) working at hospitals in western Sweden. The E-WIL instrument was validated using confirmatory factor analysis (CFA).

    RESULTS: The majority of the study participants were female, the average age was 28 years, and participants had an average of five months' experience in the profession. The results confirmed the construct validity of the global latent variable E-WIL, "Transforming previous notions and new contextual knowledge into practical meaning," including six dimensions representing work-integrated learning. The factor loadings between the final 29 indicators and the six factors ranged from 0.30 to 0.89, and between the latent factor and the six factors from 0.64 to 0.79. The indices of fit indicated satisfactory goodness-of-fit and good reliability in five dimensions with values ranging from α = 0.70 to 0.81, except for one dimension showing a slightly lower reliability, α = 0.63, due to the low item number. Confirmatory factor analysis also confirmed two second-order latent variables, "Personal mastering of professional roles" with 18 indicators, and "Adapting to organisational requirements" with 11 indicators. Both showed satisfactory goodness-of-fit, and factor loading between indicators and the latent variables ranged from 0.44 to 0.90 and from 0.37 to 0.81, respectively.

    CONCLUSION: The validity of the E-WIL instrument was confirmed. All three latent variables could be measured in their entirety, and all dimensions could be used separately for the assessment of work-integrated learning. The E-WIL instrument could be useful for healthcare organisations when the goal is to assess aspects of newly graduated registered nurses' learning and professional development.

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  • 11.
    Åhs, Jill W
    et al.
    Department of Health Sciences, Swedish Red Cross University , Huddinge (SWE); Division of Nursing , Department of Neurobiology, Care Sciences, and Society , Karolinska Institute, Huddinge (SWE).
    Ranheim, Albertine
    Division of Nursing , Department of Neurobiology, Care Sciences, and Society , Karolinska Institute, Huddinge (SWE).
    Mattelin, Erica
    Barnafrid, Swedish National Center on Violence Against Children , Department of Biomedical and Clinical Sciences, Linköping University, Linköping (SWE); Center for Social and Affective Neuroscience, Department of Biomedical and Clinical Sciences, Linköping University, Linköping (SWE).
    Eriksson, Henrik
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Mazaheri, Monir
    Division of Nursing , Department of Neurobiology, Care Sciences, and Society, Karolinska Institute, Huddinge (SWE); Department of Nursing Sciences , Sophiahemmet University , Stockholm (SWE).
    Distance in Distant Care: Qualitative Content Analysis of Providers’ Experiences in Tele–Mental Care2023Ingår i: Journal of Medical Internet Research, ISSN 1438-8871, E-ISSN 1438-8871, Vol. 25, artikel-id e38568Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction

    Tele–mental care is ubiquitous worldwide [1]. It is effective and even preferred by patients [2]. Yet, providers have expressed concerns that the technology limits conveying nonverbal cues [3,4] or impedes the therapeutic relationship [3,5]. These key aspects of communication and interpersonal connection in care could be described as types of distances, where spatial distance could prevent patient observation, and psychological distance may prevent effective interpersonal connection. Considering the growing use of tele–mental care and the relevance of these forms of distance for successful tele–mental care encounters, this study was conducted to explore these or other forms of “distance” that arise in providers’ descriptions of tele–mental care encounters.

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    Förlagets fulltext
  • 12.
    Löyttynen, Jenny
    et al.
    Department of Nursing, Umeå University, Umeå (SWE).
    Hällgren Graneheim, Ulla
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Hörnsten, Åsa
    Department of Nursing, Umeå University, Umeå (SWE).
    District Nurses' Experiences of Practice in Caring for People with Mental Ill-Health in Swedish Primary Care.2023Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, s. 1-10Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Mental ill-health is one of the greatest public health challenges in Sweden, and it is estimated that every third person seeking primary care in the country suffers from mental ill-health. Without proper treatment at an early stage, mental ill-health may lead to long-term illness and have a significant impact on functional ability. As district nurses are specialists in public health nursing, they have been pointed out as having a key role in the prevention and management of mental ill-health. The aim was to explore district nurses' practice in caring for people with mental ill-health within primary health care. Individual semi-structured interviews were conducted with district nurses (n = 18) and the transcribed text was subjected to qualitative content analysis. The result was formulated as several subthemes, eventually developed into three themes: Practicing within an organisation where traditional attitudes are impediments, Perceiving mental healthcare as not being an obvious part of district nursing, Working as fellow human beings rather than "professionals". The findings indicate that district nurses feel uncertainty in their practice in this area. Working independently with mental ill-health was not always considered socially acceptable among district nurses. Despite these challenges they tried to remain involved without becoming emotionally overwhelmed. They also strived to meet the needs of these patients with 'small things', that could be effective and a part of recovery-oriented practice, even if they might be defined as unprofessional, and their efficacy negated.

    Ladda ner fulltext (pdf)
    fulltext
  • 13.
    Dahlborg, Elisabeth
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Boman, Åse
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Eriksson, Henrik
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Tengelin, Ellinor
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Encircling discourses: A guide to critical discourse analysis in caring science2023Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim

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

    Design

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

    Analysis

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

    Conclusion

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

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  • 14.
    Åhs, Jill W.
    et al.
    Department of Health Sciences, Swedish Red Cross University, Huddinge (SWE).
    Ranheim, Albertine
    2 Department of Neurobiology, Care Sciences, and Society, Division of Nursing, Karolinska Institute, Huddinge (SWE).
    Eriksson, Henrik
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Mazaheri, Monir
    2 Department of Neurobiology, Care Sciences, and Society, Division of Nursing, Karolinska Institute, Huddinge (SWE), 4 Department of Nursing Science, Sophiahemmet University, Stockholm (SWE).
    Encountering suffering in digital care: a qualitative study of providers’ experiences in telemental health care2023Ingår i: BMC Health Services Research, E-ISSN 1472-6963, Vol. 23, nr 1, s. 1-8, artikel-id 418Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    Encountering patients who are suffering is common in health care, and particularly when providing mental health care. Telehealth technologies are increasingly used to provide mental health care, yet little is known about the experiences of providers when encountering patients who are suffering within remote care. The present study explored health care providers’ lived experiences of encountering patient suffering during telemental health care.

    Methods

    A qualitative phenomenological approach was used to uncover participants’ experiences. In-depth interviews were conducted with a purposive sample of physicians, psychologists, and therapists who used telemental health in varied clinical practices in Sweden. Data were analyzed using descriptive phenomenology.

    Results

    Telehealth care with patients who were suffering was experienced by providers as loose connections, both literally in compromised functioning of the technology and figuratively in a compromised ability connecting emotionally with patients. Providers’ lived experiences were explicated into the following aspects: insecurity in digital practice, inaccessibility of the armamentarium, and conviction in the value of telehealth care. Interpersonal connection between patient and provider is necessary. Worry and guilt arose for providers with fears that technology would not work, patient status was deteriorated, or the care needed could not be delivered. Providers overcame barriers in telehealth encounters, and expressed they perceived that patients appreciated the care received, and through it found relief.

    Conclusions

    This study brings an understanding of experiences in providing telemental care for patients who are suffering. Providers experience challenges in connecting with patients, and in accessing tools needed to enable reaching the goals of the caring encounter. Efforts to ensure functioning of technology, comfort with its use, and accessibility of tools might be some accommodations to support providers for successful and rewarding telehealth care encounters.

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  • 15. Hee Åker, Tone
    et al.
    Kårtveit, Heidi
    Areskoug Josefsson, Kristina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Erfaringer med innføring av et voldsforebyggende program for personer med utviklingshemming: Fagfellevurdert2023Ingår i: Psykologi i kommunen, s. 1-3Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [no]

    Forebygging av vold og overgrep er viktig fordi konsekvensene av å oppleve slike hendelser kan gi alvorlige helseproblemer. En viktig del av dette arbeidet er å lede endringsprosesser for å gi personer med utviklingshemming tilgang på effektive forebyggingsprogrammer. I denne kvalitative studien med mellomledere i ulike kommuner belyser vi deres erfaringer med å tilby og implementere VIP, et voldsforebyggende program for personer med utviklingshemming. Vi har analysert med en stegvis-deduktiv induktiv metode, og resultatene viser at ledelsesforankring er viktig for å kunne tilby og implementere VIP-kurset. Det er også viktig å ha et godt fagmiljø hvor det legges til rette for opplæring og utvikling, samtidig som man tilrettelegger kurset både innholdsmessig, praktisk og organisatorisk på en måte som ivaretar individuelle behov og likeverd.

  • 16.
    Godskesen, Tove
    et al.
    Marie Cederschiöld högskola, Stockholm (SWE); Uppsala universitet (SWE).
    Rejnö, Åsa
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Etik i samverkan2023Ingår i: Samverkan i vården: från system till praktik / [ed] Annika Eklund & Christian Gadolin, Stockholm: Liber , 2023, 1., s. 93-112Kapitel i bok, del av antologi (Refereegranskat)
    Abstract [sv]

    Boken beskriver samverkan i hälso- och sjukvård ur olika perspektiv och ger verksamhetsnära exempel. Svensk hälso- och sjukvård har jämförelsevis goda resultat men brister i exempelvis kontinuitet och koordinering. Till följd av vårdens ökade specialisering behövs förmågan att samverka för en säker vård och ett effektivt utnyttjande av resurser...[Bokinfo]

  • 17.
    Emilsson, Maria
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Karlsson, Christina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Svensson, Ann
    Högskolan Väst, Institutionen för ekonomi och it, Avd för informatik.
    Experiences of using surveillance cameras as a monitoring solution at nursing homes: The eldercare personnel's perspectives.2023Ingår i: BMC Health Services Research, E-ISSN 1472-6963, Vol. 23, nr 1, artikel-id 144Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: As the number of older people increases, so does the need for care. However, the workforce in eldercare cannot increase at the rate required to match the needs. Welfare technologies, such as surveillance cameras, can replace physical visits and be used at night to monitor older people in order to keep them safe, while not disturbing their sleep. The aim of the paper is to analyze obstacles and opportunities associated with implementation and use of surveillance cameras at nursing homes from the perspectives of the practitioners who use the technology, their working environment and the conditions of the older people with cognitive impairment who live in nursing homes.

    METHODS: Individual semi-structured interviews were conducted with the eldercare personnel at nursing homes to understand their experiences of implementation and use of surveillance cameras. The transcribed interviews were analyzed using qualitative content analysis. The consolidated criteria for reporting qualitative research (COREQ) was used as a guidance tool.

    RESULTS: The results show that the eldercare personnel experienced lack of adequate information, education and support related to using surveillance cameras. Several benefits are highlighted, such as better working environment and that the residents were not unnecessarily disturbed at night. However, the results also show that it is important to clarify that surveillance cameras cannot replace the human presence.

    CONCLUSIONS: The conclusions from this study are the importance of prerequisites for implementation, and that using surveillance cameras contributed to improvements in the working environment at night and created possibilities to maintain security and integrity for older people living in nursing homes.

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  • 18.
    Folkman, Anne Katrine
    et al.
    Universitetet i Stavanger/ OsloMet (NOR).
    Hee Åker, Tone
    Høgskulen på Vestlandet/ OsloMet (NOR).
    Areskoug Josefsson, Kristina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap. Oslomet (NOR); Jönköping University (SWE).
    Forhandlinger i samskapning og utvikling av digitale emner i høyere utdanning: Erfaringer fra en observasjonsstudie2023Ingår i: Nordisk tidsskrift for helseforskning, ISSN 1504-3614, E-ISSN 1891-2982, Vol. 19, s. 1-20Artikel i tidskrift (Refereegranskat)
    Abstract [no]

    Hensikten med denne artikkelen er å tilføre erfaring om samskaping fra et prosjekt i høyere utdanning, hvor målet var utvikling av digitale emner innen fagområdet seksuell helse. Observasjoner av prosjektmøter ble analysert i en tematisk analyse. Kjennetegn ved prosjektet som ledelsesforankret fremkom ved at det ble stilt forventninger til deltakere om at de skulle jobbe for felles mål i prosjektet. Resultatene viste at samskapingsprosessen var kjennetegnet av kompetanse-og informasjonsdeling mellom deltakerne. Prosessen var i tillegg preget av posisjonering, i den forstand at ulike faglige forutsetninger blant deltakerne gav grunnlag for gjentakende diskusjoner om forståelse og anvendelse av ulike teoretiske perspektiver og begreper. Faglige særinteresser og erfaringer påvirket ledelse og distribusjon av makt i samskaping både i prosjektledergruppemøtene og i referansegruppemøtene. Videre belyser resultater behov for åpen kommunikasjon, felles mål og klare forventninger til deltakelse. Resultatene tyder på at samskaping i utvikling av høyere utdanning kan være krevende for både ledelse og deltakere, men at det samtidig muligheter til å ivareta kunnskapsbasert kvalitetsutvikling i lys av behov i praksisfeltet

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  • 19.
    Svensson, Ann
    et al.
    Högskolan Väst, Institutionen för ekonomi och it, Avd för informatik.
    Gustavsson, Linn
    Högskolan Väst, Institutionen för ekonomi och it, Avdelningen för samhällsbyggnad och samhällsutveckling.
    Svenningsson, Irene
    Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE); Department of Primary Health Care, Region Västra Götaland, Gothenburg (SWE).
    Karlsson, Christina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Karlsson, Tina
    Primary Health Care, Färgelanda (SWE).
    Healthcare professionals learning when implementing a digital artefact identifying patients’ cognitive impairment2023Ingår i: Journal of Workplace Learning, Vol. 35, nr 6, s. 490-505Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    PurposeThis paper presents findings from a qualitative study of healthcare professionals’ practice, where learning is taking place when a digital artefact is implemented for identification of patients’ cognitive impairment. The use of digital artefacts is increasing in various workplaces, to include professionals in healthcare. This paper aims to explore the following research question: How is the professional learning unfolding in patient-based work when a digital artefact transforms the practice?

    Design/methodology/approachVarious data collection methods are used for this study, consisting of dialogue meetings, interviews and a reference-group meeting. Thematic analysis is used to inductively bring forth the themes of the collected data.

    FindingsProfessionals’ knowledge and experience are of vital importance in learning and changing work practices. Together with their ability to reflect on changes, their knowledge and experience constitute the prefiguration when the introduction of a digital application brings about indeterminacy in the work practice.Originality/valueThis paper makes a contribution to practice-based research as it consolidates previous research and identifies professionals knowledge and learning in a healthcare context. This can be used to further explore and advance the field, as well as to establish the evidence-based importance of transforming practices based on implementation of digital artefacts.

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  • 20.
    Salzmann-Erikson, Martin
    et al.
    Department of Caring Sciences, Faculty of Health and Occupational Studies, University of Gävle, Gävle (SWE).
    Eriksson, Henrik
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Hospital shoes and their owners: expressed team identity among healthcare staff by signs of their footwear2023Ingår i: International Journal of Fashion Design, Technology and Education, ISSN 1754-3266, s. 1-8Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Fashion is a way to express identity and affiliations with specific social networks, and sociocultural organisations of health care facilities are no exception. Employees in hospitals must adhere to strictly regulated dress code policies, albeit shoes are one of few markers that are not regulated.

    The aim of this study was to analyse the expressed team identity among healthcare staff by studying signs of personality traits they share with colleagues, as found in their choice of footwear. A total of 213 images of hospital footwear, posted on Instagram, were analysed utilising thematic content analysis.

    The results show that choice of footwear signals seven different personality traits: the anonymous, an understated conformist; the discreet standout, a subtle individualist; the doer on the move, an active and ready contributor; the naturist, a barefoot  enthusiast; the superior  tourist,  a  temporarily  elite  visitor;  the  outsider,  an unconventional maverick; and the legend, a battle-scarred veteran.

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  • 21.
    Svensson, Birgitta
    et al.
    Department of Cardiology, Pediatric Heart Center, Skåne University Hospital, Lund (SWE); Department of Clinical Sciences Lund, Pediatrics, Lund University, Lund (SWE).
    Liuba, Petru
    Department of Cardiology, Pediatric Heart Center, Skåne University Hospital, Lund (SWE); Department of Clinical Sciences Lund, Pediatrics, Lund University, Lund (SWE).
    Wennick, Anne
    Department of Care Science, Faculty of Health and Society, Malmö University, Malmö (SWE).
    Berghammer, Malin
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Department of Paediatrics, The Queen Silvia Children’s Hospital, Gothenburg (SWE).
    “I Dread the Heart Surgery but it Keeps My Child Alive”: Experiences of Parents of Children with Right Ventricular Outflow Tract Anomalies during the Assessment for Cardiac Reoperation2023Ingår i: Congenital Heart Disease, Vol. 18, nr 3, s. 349-359Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Parents of children with complex right ventricular outflow tract (RVOT) anomalies are con-fronted with their child’s need for heart surgery early in life and repeated reoperations later on. Preoperative assessment needs to be performed whenever an indication for reoperation is suspected. The aim was to illuminate the experiences of parents of children diagnosed with RVOT anomalies, in particular, how they experience their child’s heart disease and everyday life during the assessment and after the decision on whether to perform a reo-peration. Method: Individual interviews (n = 27) were conducted with nine parents on three occasions between 2014 and 2016 and analyzed using reflexive thematic analysis. Results: The analysis resulted in the following five main coexisting themes: The heart surgery keeps my child alive illuminates parents’ experiences during and after the assessment and emphasizes that heart surgery, although dreaded, is central for their child’s survival; Everyday struggles illuminates the different struggles parents had to face to ensure that their child would be in the best possible condition; the remaining three themes, Unconditional love, Trust in life, and Togetherness, illuminate the ways in which the parents gained inner strength and confidence in their everyday lives. Conclusion: Although the parents were grateful for the assessment and had learned to navigate among the fears it aroused, they experi-enced several distressing situations during the assessment process that should be addressed. By inviting both the parents and their child to participate in the child’s care, individualized support can take into account the needs of both parents and child. © 2023, Tech Science Press. All rights reserved.

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  • 22.
    Suutari, Anne-Marie
    et al.
    The Jönköping Academy for Improvement of Health and Welfare, School of Health and Welfare, Jönköping University, Jönköping (SWE); Department of Internal Medicine and Geriatrics, the Highland Hospital (Höglandssjukhuset), Region Jönköping County, Eksjö (SWE).
    Thor, Johan
    The Jönköping Academy for Improvement of Health and Welfare, School of Health and Welfare, Jönköping University, Jönköping (SWE).
    Nordin, Annika
    The Jönköping Academy for Improvement of Health and Welfare, Jönköping University, Jönköping (SWE).
    Areskoug Josefsson, Kristina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap. The Jönköping Academy for Improvement of Health and Welfare, Jönköping University, Jönköping (SWE)Department of Behavioral Science, Oslo Metropolitan University, Oslo (NOR).
    Improving heart failure care with an Experience-Based Co-Design approach: what matters to persons with heart failure and their family members?2023Ingår i: BMC Health Services Research, E-ISSN 1472-6963, Vol. 23, nr 1, s. 1-17, artikel-id 294Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    Heart failure is a chronic heart condition. Persons with heart failure often have limited physical capabil‑ity, cognitive impairments, and low health literacy. These challenges can be barriers to healthcare service co-design with family members and professionals. Experience-Based Co-Design is a participatory healthcare quality improve‑ment approach drawing on patients’, family members’ and professionals’ experiences to improve healthcare. The over‑all aim of this study was to use Experience-Based Co-Design to identify experiences of heart failure and its care in a Swedish cardiac care setting, and to understand how these experiences can translate into heart failure care improve‑ments for persons with heart failure and their families.

    Methods

    A convenience sample of 17 persons with heart failure and four family members participated in this single case study as a part of an improvement initiative within cardiac care. In line with Experienced-Based Co-Design meth‑odology, feld notes from observations of healthcare consultations, individual interviews and meeting minutes from stakeholders’ feedback events, were used to gather participants’ experiences of heart failure and its care. Refexive thematic analysis was used to develop themes from data.

    Results

    Twelve service touchpoints, organized within fve overarching themes emerged. The themes told a story about persons with heart failure and family members struggling in everyday life due to a poor quality of life, lack of support networks, and difculties understanding and applying information about heart failure and its care. To be recognized by professionals was reported to be a key to good quality care. Opportunities to be involved in healthcare varied, Further, participants’ experiences translated into proposed changes to heart failure care such as improved information about heart failure, continuity of care, improved relations, and communication, and being invited to be involved in healthcare.

    Conclusions

    Our study fndings ofer knowledge about experiences of life with heart failure and its care, trans‑lated into heart failure service touchpoints. Further research is warranted to explore how these touchpoints can be addressed to improve life and care for persons with heart failure and other chronic conditions

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  • 23. Viking, Tuija
    et al.
    Skyvell Nilsson, Maria
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Wernersson, Inga
    Högskolan Väst, Institutionen för individ och samhälle, Avd för utbildningsvetenskap och språk.
    Interprofessional learning through discussions of troubled sex/gender in mental health care: A case study2023Ingår i: Journal of Mental Health Training, Education and Practice, ISSN 1755-6228, E-ISSN 2042-8707Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose

    This study aims to investigate how aspects of the sex/gender were scrutinized in a team’s production of clinical guidelines for psychiatric compulsory care and what the implications were for the final guidelines and for interprofessional learning.

    Design/methodology/approach

    The study is a case study, where interviews were conducted and a narrative analysis was used.

    Findings

    The results reflected how sex/gender arose in a discussion about gender differences when using restraining belts. Furthermore, discussions are presented where profession-specific experiences and knowledge about sex/gender appeared to stimulate interprofessional learning. However, the team’s learning about the complexity of sex/gender resulted in guidelines that emphasized aspects of power and focused on the individual patient. Thus, discussions leading to analysis and learning related to gender paradoxically produced guidelines that were gender-neutral.

    Originality/value

    The study highlights the potential interprofessional learning in discussions of sex/gender and its complex relation in medicine.

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  • 24.
    Areskoug Josefsson, Kristina
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap. Oslo Metropolitan University, Oslo (NOR).
    Willems, Aron
    Oslo Metropolitan University, Oslo (NOR).
    Manglende kunnskap hos profesjonelle om seksuell helse er en trussel for folkehelsen: En av forutsetningene for god kunnskap hos personell om seksuell helse er at utdanningene tar sitt ansvar og inkluderer seksuell helse og reproduktiv helse og rettigheter i sine program : Debatt. Publicerat: Lørdag 24. juni 20232023Ingår i: Dagens MedisinArtikel i tidskrift (Övrigt vetenskapligt)
  • 25.
    Buckley, Sarah
    et al.
    Faculty of Medicine, The University of Queensland, Brisbane (AUS).
    Uvnäs-Moberg, Kerstin
    Swedish University of Agricultural Sciences, Uppsala (SWE).
    Pajalic, Zada
    Faculty for Health Sciences, VID Specialized University, Oslo (NOR).
    Luegmair, Karolina
    Institute for Health Care and Nursing Studies, Martin Luther University Halle-Wittenberg, Halle (DEU).
    Ekström-Bergström, Anette
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Dencker, Anna
    Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Göteborg (SWE).
    Massarotti, Claudia
    Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Genoa (ITA).
    Kotlowska, Alicja
    Department of Clinical and Experimental Endocrinology, Faculty of Health Sciences, Medical University of Gdańsk, Gdańsk (POL).
    Callaway, Leonie
    Faculty of Medicine, The University of Queensland, Brisbane (AUS).
    Morano, Sandra
    Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Genoa (ITA).
    Olza, Ibone
    European Institute of Perinatal Mental Health, Madrid (ESP).
    Magistretti, Claudia Meier
    Institute for Health Policies, Prevention and Health Promotion, Lucerne University of Applied Sciences and Arts, Luzern (CHE).
    Maternal and newborn plasma oxytocin levels in response to maternal synthetic oxytocin administration during labour, birth and postpartum: a systematic review with implications for the function of the oxytocinergic system2023Ingår i: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 23, nr 1, artikel-id 137Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

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

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

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

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

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  • 26.
    Eriksson, Monica
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Ekström-Bergström, Anette
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Arvidsson, Susann
    School of Health and Welfare Halmstad University (SWE).
    Jormfeldt, Henrika
    School of Health and Welfare Halmstad University (SWE).
    Thorstensson, Stina
    School of Health and Education University of Skövde (SWE).
    Åström, Ulrica
    School of Health and Welfare Halmstad University (SWE).
    Lundgren, Ingela
    Institute of Health and Care Sciences University of Gothenburg (SWE).
    Roxberg, Åsa
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. VID University Bergen (NOR) ; UiT Harstad (NOR).
    Meaning of wellness in caring science based on Rodgers's evolutionary concept analysis2023Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

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

    Aim

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

    Method

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

    Results

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

    Conclusion

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

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  • 27.
    Eriksson, Monica
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Ekström-Bergström, Anette
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Arvidsson, Susann
    School of Health and Welfare Halmstad University Halmstad (SWE).
    Jormfeldt, Henrika
    School of Health and Welfare Halmstad University Halmstad (SWE).
    Thorstensson, Stina
    School of Health and Education University of Skövde Skövde (SWE).
    Åström, Ulrica
    School of Health and Welfare Halmstad University Halmstad (SWE).
    Lundgren, Ingela
    Institute of Health and Care Sciences University of Gothenburg Gothenburg (SWE).
    Roxberg, Åsa
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. VID University Bergen Norway;UiT Harstad Harstad (NOR).
    Meaning of wellness in caring science based on Rodgers's evolutionary concept analysis2023Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, s. 1-15Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

    Aim

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

    Method

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

    Results

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

    Conclusion

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

    Ladda ner fulltext (pdf)
    Artikelns fulltext
  • 28.
    Areskoug Josefsson, Kristina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Meeting The Demands Of PhD Supervision By Changing Supervision Practice: A Supervisor's Reflection On Didactic Change2023Ingår i: Journal for New Generation Sciences, ISSN 1684-4998, Vol. 21, nr 1, s. 52-61Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This article presents a PhD supervisor's reflections on a didactic change in supervision. The change included adding digital collaborative supervision activities to meet expectations, demands, and prerequisites for PhD supervision. Small-scale changes in supervisor didactic practices, such as online monthly group meetings and online retreats, can be useful for the progress of PhD students and for improving the working situation for supervisors. Collaboration is a key feature that ensures shared responsibility, meaningful focus, and better use of both traditional and new supervision meetings and activities. Furthermore, PhD students appear to have positive outcomes regarding social life, academic belonging, academic skills, academic leadership, and academic friendship. The findings from this small, pragmatic quality improvement project provide useful insights for PhD supervision. Reflections on a supervisor's experience from a didactic change with digital, collaborative supervision can provide useful learning relevant to other PhD supervisors, PhD students, and graduate schools.

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  • 29.
    Vestgarden, Lisbeth Alnes
    et al.
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Box 1517, Aalesund 6025 (NOR).
    Dahlborg, Elisabeth
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Strunck, Jeanne
    Department of Culture and Learning, Faculty of Social Sciences and Humanities, Aalborg University, Kroghstraede 3, Aalborg 9220 (DNK).
    Aasen, Elin Margrethe
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Box 1517, Aalesund 6025 (NOR).
    Nurses' discursive construction of older adult immigrant patients in hospitals2023Ingår i: BMC Health Services Research, E-ISSN 1472-6963, Vol. 23, nr 1, s. 586-, artikel-id 586Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

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

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

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

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  • 30.
    Hedqvist, Ann-Therese
    et al.
    Linnaeus University, Kalmar; Region Kalmar, Västervik (SWE).
    Svensson, Ann
    Högskolan Väst, Institutionen för ekonomi och it, Avd för informatik.
    Larsson, Lena
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Nurses' experiences of person-centred care planning using video-conferencing.2023Ingår i: Nursing Open, E-ISSN 2054-1058, nr 3, s. 1163-1937Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: The aim was to illuminate how nurses experience person-centred care planning using video conferencing upon hospital discharge of frail older persons.

    DESIGN: Care planning via video conferencing requires collaboration, communication and information transfer between involved parties, both with regard to preparing and conducting meetings. Participation of involved parties is required to achieve a collaborative effort, but the responsibilities and roles of the involved professions are unclear, despite the existence of regulations.

    METHOD: A qualitative content analysis was conducted based on 11 individual semi-structured interviews with nurses from hospitals, municipalities and primary care in Sweden.

    RESULTS: This study provides valuable insights into challenges associated with care planning via video conferencing. The meeting format, that is video conferencing, is perceived as a barrier that makes the interaction challenging. Shortcomings in video technology make a person-centred approach difficult. The person-centred approach is also difficult for nurses to maintain when the older person or relatives are not involved in the planning.

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    fulltext
  • 31.
    Andersson, Jenny
    et al.
    Region Västra Götaland, Sahlgrenska University Hospital, Department of Medicine Geriatrics and Emergency Medicine/Östra, Gothenburg (SWE), Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Rejnö, Åsa
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Stroke unit, Department of Medicine, Skaraborg Hospital Skövde (SWE).
    Jakobsson, Sofie
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE), Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Hanson, Per-Olof
    Region Västra Götaland, Sahlgrenska University Hospital, Department of Medicine Geriatrics and Emergency Medicine/Östra, Gothenburg (SWE), Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Nielsen, Susanne
    Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, Gothenburg (SWE), Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Björck, Lena
    Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE), Region Västra Götaland, Sahlgrenska University Hospital, Department of Medicine Geriatrics and Emergency Medicine/Östra, Gothenburg (SWE).
    Patient´s description of onset stroke symptoms: Oral Presentations. ESOC 2023 Abstract Book2023Ingår i: European Stroke Journal, ISSN 2396-9873, Vol. 8, nr 2, s. 1-1, artikel-id suppl:ESOC2023Artikel i tidskrift (Refereegranskat)
    Ladda ner fulltext (pdf)
    Abstract book
  • 32.
    Schindele, Anna ChuChu
    et al.
    Faculty of Health and Society, Institution for Social Work, Centre for Sexology and Sexuality Studies, Malmö University, Malmö (SWE), Unit for Sexual Health and HIV Prevention, Department of Communicable Disease Control and Health Protection, The Public Health Agency of Sweden, Stockholm (SWE).
    Källberg, Henrik
    Unit for Analysis, Department of Public Health Analysis and Data Management, The Public Health Agency of Sweden, Stockholm (SWE).
    Areskoug Josefsson, Kristina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap. Department of Behavioural Science, Oslo Metropolitan University, Oslo (NOR).
    Lindroth, Malin
    Faculty of Health and Society, Institution for Social Work, Centre for Sxology and Sexuality Studies, Malmö University, Malmö (SWE); Department of Behavioural Science, Oslo Metropolitan University, Oslo (NOR).
    Perceived knowledge gained from school-based sexuality education: results from a national population-based survey among young people in Sweden2023Ingår i: Sexual Health, ISSN 1448-5028, E-ISSN 1449-8987, s. 1-11Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    School-based sexuality education is a core component of securing young people’s right to attain health equity regarding sexual and reproductive health and rights. This paper aims to explore how perceived knowledge (sufficient or insufficient) of taking care of one’s sexual health is associated with knowledge gained from school-based sexuality education and social determinants.

    Methods

    The data material is drawn from a population-based survey conducted in Sweden in 2015. The survey had 7755 respondents and a response rate of 26%. To explore the aim descriptive statistics and logistic regression models were used.

    Results

    Our results show that perceived insufficient knowledge from school-based sexuality education was associated with higher odds of reporting not being able to take care of one’s sexual health. The highest significant excess risk for insufficient knowledge was found among young people from sexual minorities.

    Conclusions

    Young people in Sweden do not have equal abilities to receive knowledge needed to take care of their sexual health and thus attain sexual health literacy. There is an unequal distribution of perceived knowledge, and LGBTQI+ youth particularly face barriers in using school-based sexuality education as a resource for sexual health literacy.

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    Förlagets fulltext
  • 33.
    Gustafsson, Kristin
    et al.
    Unit of Physiotherapy, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping (SWE); Department of Physiotherapy, Ryhov County Hospital, Jönköping (SWE).
    Areskoug Josefsson, Kristina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap. Department of Behavioral Sciences, Oslo Metropolitan University, Oslo (NOR); Jönköping Academy for Improvement of Health and Welfare, School of Health and Welfare, Jönköping University, Jönköping (SWE).
    Eriksson, Marit
    Futurum - the Academy for Health and Care, Region of Jönköping County, Jönköping (SWE).
    Rolfson, Ola
    Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE); Orthopaedics, Sahlgrenska University Hospital, Gothenburg (SWE).
    Kvist, Joanna
    Unit of Physiotherapy, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping (SWE); Stockholm Sports Trauma Research Center, Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm (SWE).
    Perspectives on health care and self-management of osteoarthritis among patients who desire surgery: A qualitative interview study2023Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, s. 1-11Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Expressing a desire for surgery before participating in first-line osteoarthritis (OA) interventions (patient education and exercise therapy) has been shown to contribute to poorer outcomes from the interventions, but we lack knowledge on how these patients reflect on health care and self-management of OA.

    Objectives: To explore and describe patients’ perspectives of health care and self-management of OA among those expressing a desire for surgery before participating in first-line OA interventions.

    Methods: Sixteen patients with hip or knee OA referred to participate in a standardized first-line OA intervention program in primary health care in Sweden were included in the study. We used individual semi-structured interviews to collect data, which were analyzed using inductive quali-tative content analysis.

    Results: One theme of meaning “A multifaceted picture of needs, expectations, and individual choices” and five categories were identified as perspectives from the participants regarding health care and self-management of OA: 1) lacking control and needing support; 2) standing alone in an unsupportive environment; 3) going with the flow; 4) having expectations; and 5) taking ownership.

    Conclusion: Patients who express a desire for surgery before participating in first-line interven-tions for OA are not a homogeneous group. They describe a broad range of perspectives on how they reason and reflect on health care and self-management of OA based on their own needs, expectations, and choices. Findings from this study strengthen insights on the importance of exploring the patient’s perspectives and individualizing OA interventions to achieve the lifestyle changes that first-line interventions strive to accomplish.

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    fulltext
  • 34.
    Sjöström, Thomas
    Högskolan Väst, Institutionen för hälsovetenskap. Campus Västervik.
    Platsens betydelse för lärande i primärvård på landsbygden: Digital vård och sociala rum2023Licentiatavhandling, monografi (Övrigt vetenskapligt)
    Abstract [sv]

    Denna studie belyser vårdprofessioners lärande när e-hälsoverktyg, digitala vårdtjänster som medger distanskontakt mellan patient och vårdgivare, ska komma till användning i en svensk primärvårds- och landsbygdskontext. I fokus står en vårdcentral på landsbygden, där de geografiska avstånden är längre, befolkningen äldre och den digitala infrastrukturen till viss del bristfällig. Studien beskriver och analyserar vårdprofessionernas lärande och användning av e-hälsotjänster och upplevelsen av e-hälsans potential och begränsningar utifrån den egna kontexten. I studien har förutom vårdprofessioner (läkare, sjuksköterskor, undersköterskor, medicinska sekreterare, verksamhetschef) även patienter 65 år och äldre intervjuats, då de utgör en central del i den beskrivna vårdmiljön och därmed också i vårdprofessionernas lärmiljö. Då kunskap om förutsättningarna för e-hälsa på landsbygden och vårdprofessionernas lärande utifrån denna landsbygdskontext fortfarande är bristfällig, är det relevant att belysa e-hälsa utifrån ett lärande- och landsbygdsperspektiv. Den forskningsansats och analysmetod som använts i studien är Charmaz artikulering av grundad teori, konstruktivistisk grundad teori (Charmaz, 2017, 2014, 2012, 2005, 2000), en uppsättning riktlinjer för empirinära, teorigenererande analys. Studiens resultat beskriver hur såväl e-hälsa som lärande är komplexa fenomen som behöver ses i sitt sammanhang. Medan e-hälsa beskrivits som en möjliggörare av platsoberoende vård, visar studien att det finns många platsberoende aspekter att ta hänsyn till för att tekniken ska komma till användning. I studien används begreppet handlingserbjudande (Gibson, 1979:; Billet, 2001a; 2001b) för att illustrera möjligheter till lärande givet platsens förutsättningar, något som ofta formuleras i relation till patienten: vad vårdprofessionerna upplever att patienten kan och vill. Då handlingserbjudandena inte alltid motiverar vårdprofessionerna att använda digitala vårdtjänster, såsom videomöte, får det en direkt effekt på lärandet. För att beskriva kontexten för lärandet och de handlingserbjudanden som står till buds används begreppet ”Tredje plats” (Oldenburg, 1991), en mötesplats som understödjer svaga ix band mellan individer på orten. Hälsocentralen har kommit att bli en uppskattad mötesplats för patienterna som upplever att det fysiska besöket understödjer social hälsa. Studien utmynnar i en modell som hjälper till att skapa förståelse för upplevda begränsningar med e-hälsa på den aktuella platsen, däribland hur föreställningar om det digitala ställs mot föreställningar om det sociala, synen på hälsocentralens roll och synen på vad som är en god och nära vård. Modellen kan dessutom bidra med förståelse för hur det kan se ut när e-hälsa implementeras på andra hälsocentraler på landsbygden.

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    Licentiat fulltext
  • 35.
    Fjetland, Kirsten Jæger
    et al.
    VID vitenskapelige høyskole (NOR).
    Areskoug Josefsson, Kristina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap. OsloMet – storbyuniversitetet (NOR); Jönköping University (SWE).
    Vikman, Miriam Dubland
    VID vitenskapelige høyskole (NOR).
    Folkman, Anne Katrine
    VID vitenskapelige høyskole (NOR); Universitetet i Stavanger (NOR).
    Praksisfellesskap i endring i norsk grunnskole?  / English: Expanding teachers’ community of practice? Exploring teachers’ experiences of interdisciplinary collaboration in Norway: Læreres erfaringer med tverrfaglig samarbeid om elevers faglige og sosiale mestring2023Ingår i: Nordisk tidsskrift for pedagogikk og kritikk, E-ISSN 2387-5739, Vol. 9Artikel i tidskrift (Refereegranskat)
    Abstract [no]

    Med bakgrunn i politiske og faglige føringer for styrket tverrfaglig samarbeid i skolen, var studiens hensikt å utforske læreres erfaringer forankret i et konkret endringsprosjekt hvor alle barne- og ungdomsskoler i en mellomstor norsk kommune utforsket samskapende prosesser for tverrfaglig samarbeid. Studiens mixed-methods-design omfattet nettskjema med kvantitative og kvalitative spørsmål knyttet til samarbeid om elevers faglige og sosiale mestring. Studiens resultat gir implikasjoner for videreutvikling av det nasjonale prosjektet Et lag rundt læreren. Resultatene synliggjør bredde i læreres samarbeidsrelasjoner, samt variasjon knyttet til fag- og kontaktlærers rolle og skolers varighet i prosjektet. Studiens resultat viser at økt tilstedeværelse og støtte fra pedagogisk-psykologisk tjeneste (PPT) og helsesykepleier i lærers skolehverdag og etablering av skolevise, tverrfaglige lag bidrar til praksisfellesskap med mer relevant støtte til elevers faglige og sosiale mestring. Studiens resultat drøftes i lys av systemteoretiske perspektiv. Tverrfaglig samarbeid utforskes som sosial støtte i læreres praksisfellesskap og som samskaping på systemnivå. Konklusjonen peker på utfordringer ved ulik tverrfaglig samarbeidspraksis mellom skoler og læreres meningsforhandlinger av prosjektets kunnskapsgrunnlag, noe som utfordrer ledelse av utviklingsarbeidet i prosjektet.

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    fulltext
  • 36.
    Sterner, Anders
    et al.
    aculty of Caring Sciences, Work Life and Social Welfare, University of Borås, Borås (SWE).
    Eklund, Annika
    Högskolan Väst, Institutionen för individ och samhälle, Avdelningen för psykologi, pedagogik och sociologi.
    Skyvell Nilsson, Maria
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Prepared to learn but unprepared for work: A cross sectional survey study exploring the preparedness, challenges, and needs of newly graduated nurses entering a hospital-based transition program2023Ingår i: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 72, s. 103782-103782, artikel-id 103782Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The study aims to investigate new graduate nurses the perceptions of educational preparedness, their challenges, and their expectations during their transition to hospital care and introduction to work. Background: Previous research has raised questions about new graduate nurses’ (NGNs) preparedness for work in the clinical setting, and transition programs have been implemented to smooth the transition process. Information about NGNs’ expectations of both transition programs and their introduction to work when first entering the nursing profession is scarce. Design: A cross-sectional survey design was used. Method: NGNs enrolled in a regional transition program in six hospitals were recruited from three-cohorts during September 2021, January 2022 and September 2022. After responding to a survey both a qualitative and quantitative approach was used when analyzing responses. Results: Quantitative and qualitative findings derived from 248 NGNs responses showed that 65% of the NGNs perceived that nursing education in general prepared them for clinical work, that they were prepared for and committed to workplace learning but require support from a well-designed transition program as well as from colleagues and managers in their ward unit. The conclusion is that the preparation provided by nursing education as well as organizational factors in the healthcare workplace influence new graduate nurses’ readiness for clinical work, the challenges they perceive, and their needs for learning and supp

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    fulltext
  • 37.
    Lundqvist, Sara
    et al.
    Institute for Neuroscience and Physiology, Gothenburg University, Gothenburg (SWE) Child and Adolescent Psychiatric Clinic, Sahlgrenska University Hospital, Gothenburg (SWE).
    Knez, Rajna
    Institute for Neuroscience and Physiology, Gothenburg University, Gothenburg (SWE); Department of Paediatrics, Skaraborg's Hospital, Skövde (SWE).
    Nagy, Karin
    Child and Adolescent Psychiatric Clinic, Sahlgrenska University Hospital, Gothenburg (SWE).
    Nasic, Salmir
    FoU Centrum, Skaraborgs Hospital, Skövde (SWE).
    Kerekes, Nora
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Kantzer, Anne-Katrin
    Department of Child and Adolescent Psychiatry, NU Hospital Group, Trollhättan (SWE).
    Prevalence of chronic pain in children and adolescents with psychiatric conditions.2023Ingår i: Paediatric & neonatal pain, ISSN 2637-3807, Vol. 5, nr 2, s. 50-56Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The prevalence of pain in children and adolescents with psychiatric conditions is rarely investigated. The aims of the current study were to (a) describe the prevalence of headaches and abdominal pain in children and adolescents with psychiatric conditions, (b) compare the prevalence of pain in children and adolescents with psychiatric conditions with that in the general population, and (c) investigate the associations between pain experience and different types of psychiatric diagnoses. Families with a child aged 6-15 years who had been referred to a child and adolescent psychiatry (CAP) clinic completed the Chronic Pain in Psychiatric Conditions questionnaire. Information about the child/adolescent's psychiatric diagnosis(es) was extracted from the CAP clinic's medical records. The children and adolescents included in the study were divided into diagnostic groups and compared. Their data were also compared with data of control subjects collected during a previous study of the general population. Abdominal pain was more common among girls with a psychiatric diagnosis (85%) than in the matched control population (62%, p = 0.031). Children and adolescents with neurodevelopmental diagnoses had a higher prevalence of abdominal pain than children and adolescents with other psychiatric diagnoses. Pain conditions in children and adolescents with a psychiatric diagnosis are common and must be addressed.

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    fulltext
  • 38.
    Eklund, Annika
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Gadolin, ChristianHögskolan Väst, Institutionen för ekonomi och it, Avd för företagsekonomi.
    Samverkan i vården: från system till praktik2023Samlingsverk (redaktörskap) (Refereegranskat)
    Abstract [sv]

    Boken beskriver samverkan i hälso- och sjukvård ur olika perspektiv och ger verksamhetsnära exempel. Svensk hälso- och sjukvård har jämförelsevis goda resultat men brister i exempelvis kontinuitet och koordinering. Till följd av vårdens ökade specialisering behövs förmågan att samverka för en säker vård och ett effektivt utnyttjande av resurser...[Bokinfo] 

  • 39.
    Åhlund, Kristina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Samverkan inom slutenvård: för bevarad fysisk funktion hos sköra äldre2023Ingår i: Samverkan i vården: från system till praktik / [ed] Annika Eklund & Christian Gadolin, Stockholm: Liber, 2023, 1., s. 132-151Kapitel i bok, del av antologi (Refereegranskat)
    Abstract [sv]

    Boken beskriver samverkan i hälso- och sjukvård ur olika perspektiv och ger verksamhetsnära exempel. Svensk hälso- och sjukvård har jämförelsevis goda resultat men brister i exempelvis kontinuitet och koordinering. Till följd av vårdens ökade specialisering behövs förmågan att samverka för en säker vård och ett effektivt utnyttjande av resurser...[Bokinfo]

  • 40.
    Eklund, Annika
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Samverkan som fenomen och i praktiken2023Ingår i: Samverkan i vården: från system till praktik / [ed] Annika Eklund & Christian Gadolin, Stockholm: Liber, 2023, 1., s. 12-33Kapitel i bok, del av antologi (Refereegranskat)
    Abstract [sv]

    Boken beskriver samverkan i hälso- och sjukvård ur olika perspektiv och ger verksamhetsnära exempel. Svensk hälso- och sjukvård har jämförelsevis goda resultat men brister i exempelvis kontinuitet och koordinering. Till följd av vårdens ökade specialisering behövs förmågan att samverka för en säker vård och ett effektivt utnyttjande av resurser...[Bokinfo]

  • 41.
    Sundberg, Fredrika
    et al.
    Research and Development Centre, Skaraborg Hospital Skövde, Region Västra Götaland (SWE); The School of Health Sciences, University of Skövde SWE).
    Dahlborg, Elisabeth
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Lindahl, Berit
    Department of Health Sciences and the Institute for Palliative Care Lund University and Region Skåne, HSC, Lund (SWE); Faculty of Caring Sciences, Work Life & Social Welfare, University of Borås (SWE).
    Spatial isolation and health during the Covid-19 pandemic: A critical discourse analysis2023Ingår i: Health and Place, Vol. 83, artikel-id 103080Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction

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

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

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    fulltext
  • 42. Eriksson, K.
    et al.
    Persson, H. C.
    Rejnö, Åsa
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Zelano, J.
    Stroke2023Ingår i: Teamarbete i neurologisk vård / [ed] Ozanne, Anneli, Zelano, Johan, Lund: Studentlitteratur , 2023, 1, s. 73-114Kapitel i bok, del av antologi (Refereegranskat)
    Abstract [sv]

    För god vård vid neurologiska sjukdomar behövs många gånger teamsjukvård av flera professioner – sjuksköterskor, läkare, fysio­terapeuter, arbetsterapeuter, logopeder, dietister, socionomer, psykologer, m.fl. Den här boken vill inspirera, ge stöd och förmedla kunskap kring hur teamarbete i neurologisk vård kan utföras och utvecklas...[Bokinfo]

  • 43.
    Rejnö, Åsa
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Bråndal, Anna
    Strokecenter Umeå, Norrlands universitetssjukhus; Umeå universitet (SWE).
    von Euler, Mia
    Universitetssjukhuset Örebro; Örebro universitet. (SWE).
    Pessah-Rasmussen, Hélène
    neurologi, rehabiliteringsmedicin, minnessjukdomar och geriatrik, Skånes universitetssjukhus (SWE).
    Strokerehabilitering ur ett vårdkedjeperspektiv2023Ingår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 120, artikel-id 23060Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [sv]

    Rehabilitation is a key aspect of the treatment of stroke patients, both acute and in later phases. The patients' needs varies between individuals and over time. Several skills and methods and different professionals working together in teams, as well as coordination along the entire chain of care, are required in order to meet those different needs. Early supported discharge, ESD, is recommended for patients with mild to moderate stroke. Stroke is a chronic disease requiring lifelong structured follow-up focusing not only on medical treatment but also on lifestyle, mental and physical well-being and activity and participation.

  • 44.
    Atthayasai, Jarutsri
    et al.
    School of Nursing, Rangsit University, Pathumthani 12000 (THA).
    Chatchumni, Manaporn
    School of Nursing, Rangsit University, Pathumthani 12000 (THA).
    Eriksson, Henrik
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Mazaheri, Monir
    Department of Nursing Sciences, Sophiahemmet University, 11486 Stockholm (SWE); Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 14152 Stockholm (SWE).
    Surgical Nurses’ Perceptions of Strategies to Enhance Pain Management Proficiency: A Qualitative Study2023Ingår i: Nursing Reports, ISSN 2039-439X, E-ISSN 2039-4403, Vol. 13, nr 2, s. 923-933Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    To describe surgical nurses’ strategies for enhancing their pain management proficiency.A qualitative design was used to conduct the study. The participants were forty surgical nurseswho had at least six years of nursing experience in caring for patients with pain. They responded toopen-ended questions based on a review of the policy documents concerning the main elements ofthe pain management programme to be implemented by surgical nurses. Three key themes emergedfrom the surgical nurses’ suggested strategies: partnering, disrupting, and becoming familiar withpain management competency concerns. Surgical nurses’ strategies in acute and chronic painmanagement nursing units included solving patients’ problems and promoting and enhancing painstrategies to address health challenges in organisations. The themes presented in the results includeenhancing pain management in nursing competencies. State-of-the-art healthcare technologies arebeing applied to pain management. Surgical nurses’ strategies should improve the quality of nursingcare, especially post-surgery recovery time. It is recommended to engage patients, their families, andmultidisciplinary care teams in other healthcare fields.

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  • 45.
    Svarstad Solberg, Ada
    et al.
    Fakultet for helsevitenskap, Oslomet – storbyuniversitetet (NOR).
    Stojiljkovic, Marko
    Fakultet for helsevitenskap, Oslomet – storbyuniversitetet (NOR).
    Areskoug Josefsson, Kristina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap. Fakultet for helsevitenskap, Oslomet – storbyuniversitetet (NOR).
    Sykepleierutdanningen må sikre kunnskap om seksuell helse2023Ingår i: Sykepleien Forskning, ISSN 1890-2936, E-ISSN 1891-2710, nr 90884, s. 1-8Artikel i tidskrift (Refereegranskat)
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  • 46.
    Meseguer-Beltrán, María
    et al.
    Insitute of Advanced Materials (INAM), University of Jaume I ; Faculty of Health Sciences, University of Jaume I (ESP).
    Sánchez-Sarasúa, Sandra
    Faculty of Health Sciences, University of Jaume I (ESP).
    Landry, Marc
    Marc Landry, University of Bordeaux, Bordeaux (FRA).
    Kerekes, Nora
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Sánchez-Pérez, Ana
    Insitute of Advanced Materials (INAM), University of Jaume I, (ESP), Faculty of Health Sciences, University of Jaume I (ESP).
    Targeting Neuroinflammation with Abscisic Acid Reduces Pain Sensitivity in Females and Hyperactivity in Males of an ADHD Mice Model2023Ingår i: Cells, E-ISSN 2073-4409, Vol. 12, nr 3, s. 465-486Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Attention deficit/hyperactivity disorder (ADHD) is a neurodevelopmental syndrome characterized by dopaminergic dysfunction. In this study, we aimed to demonstrate that there is a link between dopaminergic deficit and neuroinflammation that underlies ADHD symptoms. We used a validated ADHD mice model involving perinatal 6-OHDA lesions. The animals received abscisic acid (ABA), an anti-inflammatory phytohormone, at a concentration of 20 mg/L (drinking water) for one month. We tested a battery of behavior tests, learning and memory, anxiety, social interactions, and pain thresholds in female and male mice (control and lesioned, with or without ABA treatment). Postmortem, we analyzed microglia morphology and Ape1 expression in specific brain areas related to the descending pain inhibitory pathway. In females, the dopaminergic deficit increased pain sensitivity but not hyperactivity. In contrast, males displayed hyperactivity but showed no increased pain sensitivity. In females, pain sensitivity was associated with inflammatory microglia and lower Ape1 levels in the anterior cingulate cortex (ACC) and posterior insula cortex (IC). In addition, ABA treatment alleviated pain sensitivity concomitant with reduced inflammation and normalized APE1. In males, ABA reduced hyperactivity but had no significant effect on inflammation in these areas. This is the first study proving a sex-dependent association between dopamine dysfunction and inflammation in specific brain areas, hence leading to different behavioral outcomes in a mouse model of ADHD. These findings provide new clues for potential treatments for ADHD.

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  • 47.
    Petersen Hetland, Linda
    et al.
    Mestringsenheten i Sandnes kommune (NOR).
    Areskoug Josefsson, Kristina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap. Oslo Metropolitan University (NOR).
    Straume, Connie
    Stord DPS, Helse Fonna HF (NOR).
    Biringer, Eva
    Avdeling for forskning og innovasjon, Helse Fonna HF (NOR).
    "That’s how the light gets in": Studentenes evaluering av recoverykurs ved Jæren Recovery College2023Ingår i: Tidsskrift for psykisk helsearbeid, ISSN 1503-6707, E-ISSN 1504-3010, s. 210-221Artikel i tidskrift (Refereegranskat)
    Abstract [no]

    Jæren Recovery College tilbyr kurs der personer med utfordringer innen psykisk helse og/eller rus kan jobbe med egen recoveryprosess. Studien undersøkte i hvilken grad studentene ved Jæren Recovery College rapporterte tilfredshet med kurset de hadde deltatt på, og om det var sammenheng mellom ulike studentgrupper eller type kurs og rapportert nytte av kurset. Tverrsnittstudien er basert på data innsamlet 2019 til 2021 (N = 211). Studentene rapporterte høy grad av tilfredshet med kursene. De opplevde økt læring, økt forståelse og fellesskap. Våre funn samsvarer med annen forskning på recovery colleger internasjonalt og viser at recovery college også er relevant i norsk kontekst.

  • 48.
    Dahlberg, Maria
    et al.
    Faculty of Education and Welfare Studies, Health Sciences, Åbo Akademi University, Vaasa (FIN).
    Nordmyr, Johanna
    Faculty of Education and Welfare Studies, Health Sciences, Åbo Akademi University, Vaasa (FIN).
    Gunnarsdottir, Hrafnhildur
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Forsman, Anna K.
    Faculty of Education and Welfare Studies, Health Sciences, Åbo Akademi University, Vaasa (FIN).
    The Evidenced Effects of Early Childhood Interventions to Promote Mental Health and Parenting in the Nordic Countries: A Systematic Review2023Ingår i: International Journal of Mental Health Promotion, ISSN 1462-3730, E-ISSN 2049-8543, Vol. 25, nr 4, s. 505-537Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The first years of life and the family context are key to the promotion and protection of children’s health and well-being, emphasizing the need for interventions aimed to support families with young children. This review aimed to explore the effectiveness of early childhood interventions developed for promoting mental health and parenting among families with young children in the Nordic countries. Six electronic databases were systematically searched, and 20 articles covering 16 studies applying various quantitative and qualitative methods met the study inclusion criteria. The studied interventions were assessed as universal health-promoting interventions and health-promoting interventions with elements of prevention. Outcomes of interest encompassed mental health, related risk and protective factors among the parents and/or the children, or child-parent interaction. The results from studies applying statistical methods show significant improvements in parents’ self-efficacy, self-esteem, and parental satisfaction, while few improvements in parents’ social support or parental relationship were identified. Improvements in social support and parental relationships were however reported in qualitative studies. Most quantitative studies reporting on parents’ mental health problems and stress found a significant decrease, and qualitative studies highlighted experienced positive effects on mental health and well-being. The majority of studies reporting on children’s mental health and/or development as well as strengths and difficulties indicated a statistically significant positive development. No significant changes were however found for existing behaviora lproblems. The majority of studies examining parenting strategies and/or parent-child interaction found significant positive changes after the interventions. In sum, although findings are heterogeneous, early childhood interventions show various positive effects on the parenting and mental health of both children and their parents. The fact that different types of initiatives have been developed and implemented can be seen as an advantage, considering the varying needs and expectations of different families.

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  • 49.
    Svensson, Birgitta
    et al.
    Department of Cardiology, Pediatric Heart Center, Skåne University Hospital, Lund, Lund University, Lund, (SWE).
    Liuba, Petru
    Department of Cardiology, Pediatric Heart Center, Skåne University Hospital, Lund, Lund University, Lund, (SWE).
    Wennick, Anne
    Department of Care Science, Faculty of Health and Society, Malmö University, Malmö (SWE).
    Berghammer, Malin
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    "The only thing I wonder is when I will have surgery again": everyday life for children with right ventricle outflow tract anomalies during assessment for heart surgery2023Ingår i: Cardiology in the Young, ISSN 1047-9511, E-ISSN 1467-1107, Vol. 33, nr 3, s. 396-401Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Many children with complex right ventricle outflow tract anomalies such as Tetralogy of Fallot, common arterial trunk, and pulmonary atresia with ventricular septal defect require repeated heart surgeries early in life, but also later throughout their lifetime, thereby emphasising the importance of careful life-long follow-up. The need for repeated heart surgeries during childhood is recognised as a heavy burden on the child. Optimising the time point for re-intervention is important, since delaying re-intervention for these children can lead to complications such as ventricular arrhythmias, heart failure, and death. To this purpose, thorough pre-operative assessment (henceforth named as assessment) including clinical examination, echocardiography, MRI, and exercise test need to be performed whenever the indication for reoperation is suspected. It is likely to believe that children who are going through this kind of assessment that may lead to heart surgery need extra support. According to previous research, children with complex heart disease fear for the possibility of surgery and the thought of future repeated heart surgery is associated with anxiety. This might have an impact on children's everyday life and in research nowadays involving children with CHD, the focus has changed from survival to how these children experience their everyday life. Earlier studies have shown that they experience physical activities limitation and feelings of isolation, but no study has yet studied how children with right ventricle outflow tract anomalies experience their everyday life. To be able to provide support, studies are needed to explore how these children experience the period from assessment to decision, as well as the months thereafter. Therefore, the aim of this study was to explore how children diagnosed with complex right ventricle outflow tract anomalies experience their heart disease and their everyday life during the assessment and after the decision on whether to perform a new cardiac surgery.

  • 50.
    Skyvell Nilsson, Maria
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Gadolin, Christian
    Högskolan Väst, Institutionen för ekonomi och it, Avd för företagsekonomi.
    Larsman, Pernilla
    Department of Psychology University of Gothenburg, Gothenburg (SWE).
    Pousette, Anders
    Department of Psychology University of Gothenburg, Gothenburg (SWE); Occupational and Environmental Medicine, School of Public Health and Community Medicine Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Törner, Marianne
    Occupational and Environmental Medicine, School of Public Health and Community Medicine Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    The role of perceived organizational support for nurses' ability to handle and resolve ethical value conflicts: A mixed methods study2023Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To explore if and how nurses' perceived organizational support affects their ability to handle and resolve ethical value conflicts.

    Design: A mixed methods design with a longitudinal questionnaire survey and focus group interviews.

    Methods: A questionnaire survey in six hospitals in two Swedish regions provided data from 711 nurses responding twice (November–January 2019/2020 and November–January 2020/2021). A cross-lagged path model tested the mutual prospective influence between the organizational climate of perceived organizational support, frequency of ethical value conflicts, and resulting moral distress. Four focus group interviews were conducted with 21 strategically selected nurses (April–October 2021). Qualitative data collection and analysis were inspired by Grounded Theory.

    Results: A climate of perceived organizational support was empowering, contributing to role security. It prospectively decreased the frequency of ethical value conflicts but not the moral distress when conflicts did occur.

    Conclusion: It is important to facilitate the development of perceived organizational support among nurses, but also to reduce the occurrence of ethical value conflicts that the nurses cannot resolve.

    Implications for the Profession: By ensuring a shared care ideology, good interprofessional relations within the entire care organization, providing clear and supportive organizational structures, and utilizing competence adequately, healthcare managers can facilitate and support the development of perceived organizational support among nurses. Nurses who are empowered by perceived organizational support are stimulated by and take pride in their work and experience the work as meaningful and joyful.

    Impact: The study addressed the question of whether healthcare organizations could support nurses to resolving ethical value conflicts, and thus reduce moral distress. Perceived organizational support is related to factors such as ideological caring alignment and supportive organizational preconditions. This study contributes specific knowledge about how healthcare organizations can empower nurses to effectively resolve ethical value conflicts and thereby reduce their moral distress.

    Patient or Public Contribution: No patient or public contribution.

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