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  • 51.
    Førland, Georg
    et al.
    Høgskulen på Vestlandet, Avdeling for helsefag, Haugesund, Norway.
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Silén, Charlotte
    Karolinska Institutet, Institutionen för Lärande, Informatik, Management och Etik, Stockholm, Sweden.
    Ringsberg, Karin C.
    Göteborgs Universitet, Institutionen för Vårdvetenskap og Hälsa, Sahlgrenska Akademin,Göteborg, Sweden.
    Sense of Coherence: learning to live with chronic illness through health education2018In: Health Education Journal, ISSN 0017-8969, E-ISSN 1748-8176, Vol. 77, no 1, p. 96-108Article in journal (Refereed)
    Abstract [en]

    Objective: This study examines people's experiences of how to live with a chronic disease, their learning needs and their reasons for participating in a health education programme. The aim of the study was to examine if and how a Sense of Coherence (SOC) might guide an understanding of learning processes inhealth education. Methods: This study has a qualitative study design with data collected through five group interviews. Interviews were analysed using qualitative content analysis to identify principal categories of response. Directed content analysis was then used to reference the categories emerging in the first step to the study's theoretical framework. Results: Three main categories were found: (1) the ability to cope with daily life, (2) assets for a better lifeboth in the present and for the future, and (3) the need for knowledge. A synthesis of empirical findings with reference to the first stage of analysis, the three main aspects of learning, and the three dimensions of a SOC revealed that a SOC may be useful in guiding an understanding of learning processes in health education asa life-oriented mastering resource. Conclusion: SOC offers a useful framework for informing health education. Research is needed to deepen an understanding of how salutogenic theory can strengthen the development of health education programmes and understanding of participants' learning

  • 52.
    Førland, Georg
    et al.
    Karolinska Institutet, Department of Learning, Informatics, Management and Ethics, Stockholm, Sweden.
    Silén, Charlotte
    Karolinska Institutet, Department of Learning, Informatics, Management and Ethics, Stockholm, Sweden.
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Ringsberg, Karin C
    University of Gothenburg, Department of Health and Care Sciences, Gothenburg, Sweden.
    Searching and dealing, confirmation and feeling: Participants’ approaches to learning in a Health Education setting2017In: Health Education Journal, ISSN 0017-8969, E-ISSN 1748-8176, Vol. 76, no 3, p. 326-336Article in journal (Refereed)
    Abstract [en]

    Objective: Health care is far from reaching the goal of people being part of their own care, and research is lacking on how to understand their perspective. This study explores people's intentions with the act of learning before attending a health education programme at a Learning and Mastery Centre (LMC) in Norway. The aim of this study was to understand participants' learning strategies for learning about their own health care in a health education setting.Methods: Data were collected through five group interviews and analysed using qualitative content analysis.Results: Findings revealed that participants' intentions of how and what to learn were influenced by their life experiences and interactions with the health care system. Three main categories of experience emerged: (1) sharing experiences, (2) second opinion and (3) capturing the news, brought together under the comprehensive theme: searching and dealing, confirmation and feeling, which reflects the underlying meaning of the categories.Conclusion: Results encourage us to see learning as an active construction process underpinned by health literacy, including both people's competencies and the health care system. If LMCs and similar health education initiatives are to make an important contribution to improving people's health literacy, significant attention should be given in the planning and implementation of initiatives

  • 53.
    Gao, Han
    et al.
    Jinzhou Medical University, College of Nursing, Jinzhou City, Liaoning Province, China..
    Söderhamn, Ulrika
    University of Agder, Center for Caring Research-Southern Norway, Faculty of Health and Sport Sciences, Kristiansand, Norway..
    Cliffordson, Christina
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Guo, Lina
    Jinzhou Medical University, College of Nursing, Jinzhou City, Liaoning Province, China..
    Guo, Qiyun
    Jinzhou Medical University, College of Nursing, Jinzhou City, Liaoning Province, China..
    Liu, Kun
    Jinzhou Medical University, College of Nursing, Jinzhou City, Liaoning Province, China..
    Reliability and validity of the Chinese version of the Self-care Ability Scale for the Elderly2017In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 23-24, p. 4489-4497Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To translate the Self-care Ability Scale for the Elderly into Simplified Chinese, and to test the Chinese version of the scale regarding its reliability and validity among older people.

    BACKGROUND: Self-care is an important topic in nursing. When assessing older people's self-care ability, it is essential that a reliable and valid instrument is used.

    DESIGN: This study employed across-sectional design.

    METHODS: We translated the English version of the Self-care Ability Scale for the Elderly into Simplified Chinese according to Brislin's translation guidelines, and carried out a questionnaire survey among 610 older people, including both community-dwelling people and hospital patients, in Jinzhou City, People's Republic of China. Eighty participants completed the instrument twice for test-retest reliability. Data analyses were performed using SPSS 17.0 and Mplus, version 5 to assess reliability and validity.

    RESULTS: A Cronbach's alpha coefficient of 0.89 and statistically significant item-to-total correlations showed evidence of homogeneity. An intra-class correlation coefficient of 0.99 for the test-retest between total scores and intra-class correlation coefficients between 0.87 and 0.99 for the test-retest scores of each item explained the almost perfect test-retest reliability noted in this study. Content validity was found to be good, and a three-factor model was obtained in an exploratory factor analysis, (explaining a variance of 57%), and modified in a confirmatory factor analysis (χ(2) =261.559, df=98, RMSEA=0.074; SRMR=0.059), which reflected an acceptable construct validity.

    CONCLUSIONS: This study shows that the Chinese version of the Self-care Ability Scale for the Elderly has sufficient psychometric properties for assessing self-care ability among older people in China.

    RELEVANCE FOR PRACTICE: A reliable and valid instrument is available to assess the self-care ability of older Chinese people. This article is protected by copyright. All rights reserved.

  • 54.
    Gren, Elin
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Karlsson, Anna
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Känsla av sammanhang hos intagna som arbetar med lantbruksdjur2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background. In the United States and other countrys, farm animals are used for rehabilitation purposes in different prison-based programs. In Swedish prisons, farm animals are only used as an occupation for the inmates, without any therapeutic or rehabilitation purposes. Aim The aim of the study was to examine if there was a change in the inmates sence of coherence during the institution´s stay and to study the effect of the work with farm animals on the inmates’ sence of coherence. Method The method used in the study was of quantitative approach with an quasi-experimental design. At the start and at the end of a 6-12 weeks-period in three selected low security prisons in Sweden, 81 male inmates` sence of coherence was measured by a self-rated instrument that assesses aspects of comprehensibility, manageability, meaningfulness. Results The result of this study showed an general increase of sense of coherence on the inmates during the institution´s stay. The farm animal group had an positive increase in the subscale comprehensibility and in the KASAM total scale. Between group analyses shown no significant differences. The proportion of inmates with increased KASAM was dubble as many in the group who worked with farm animals, compared to those not working with farm animals. Conclusion Occupation of inmates increases their sence of coherence, while work with farm animals as occupation has a specific and stronger effect on inmates’ sence of coherence than other occupation possibilities within the prison environment.

  • 55.
    Grönlund, Emelie
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Vinqvist, Stephanie
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Vad är det som prasslar?": En kvalitativ studie om stressrelaterad psykisk ohälsa iarbetslivet2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Purpose and issues: The purpose of the study was to examine, from a salutogenic perspective, professionals' perceptions and work experiences of detecting early signals on stress in working life and how they can be managed. The questions to be answered are: I)What are the expressions of mental illness in working life today? II) How can the individual discover early warning signals on stress? III) What strategies can the individual apply to promote his/her ability to cope with stress? IV) What is considered to be a health promotionfor the different system levels? Methods: The study design is qualitative inspired by the phenomenographic approach. Semistructured interviews were used for collecting data. Results: Four main categories emerged - Borderless work, Early warning signals of stress, Managing stress, Working in a health promotion manner. Eight subcategories were found –An individualistic society, Demands and achievements, Underlying causes, An unsustainable situation, The individual's own choices, Individual- and group level, Organizational level and environmental- and societal level. Conclusion: Symptoms such as fatigue, anxious and insomnia are warning signals of stress. Working in a health promotion manner in early stages is a success factor mentioned by the respondents. It is important to be responsive to early symptoms and underlying causes, that is, to examine "what is the rustle".

  • 56.
    Gustafsson, Sofie
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Kamperin Wallin, Niclas
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    "Går du till jobbet på morgonen har du ju ingen aning om vad som händer under dagen": Enhetschefers upplevelse av arbetsmiljön inom socialförvaltningen2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the study was to catch unit managers' experience of the working environment for workers within social services. Also, the aim of the study was to examine how come the number of sickness absence is high, and what it takes to improve the situation. The interest comes from the Swedish Work Environment Authority, who from the desire of the government regarding the high amount of sickness absence, designed work environment regulations. The sample group of the study have been unit managers from social service, in the areas of care and support and support and services for the disabled. The methodology of the study has been qualitative, with an inspiration of a phenomenological approach. The empirical data collected, consist of 10 recorded semi-structured interviews. The questions have been open to capture respondents' personal experiences and thoughts. The interviews have been transcribed and analyzed, and finally resulted in four themes; Demands and decisions, the weight of unit managers, learning and private life.

    The study results in that high workload in social management is a fact. Demands varies between every patient, and the workers experiences the demands differently. The workload is high for the unit managers as well. Which results in that the unit managers can't be as supporting as desired. Learning is shown in thus study to be an important aspect to handle the work and its duties. Something that all the unit managers experiences to be a contributing factor of the sickness absence, is the private life of the workers which is located outside of the work environment.

  • 57.
    Gustafsson, Sofie
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Kamperin Wallin, Niclas
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    "Går du till jobbet på morgonen har du ju ingen aning om vad som händer under dagen": Enhetschefers upplevelse av arbetsmiljön inom socialförvaltningen2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the study was to catch unit managers' experience of the working environment for workers within social services. Also, the aim of the study was to examine how come the number of sickness absence is high, and what it takes to improve the situation. The interest comes from the Swedish Work Environment Authority, who from the desire of the government regarding the high amount of sickness absence, designed work environment regulations.

    The sample group of the study have been unit managers from social service, in the areas of care and support and support and services for the disabled. The methodology of the study has been qualitative, with an inspiration of a phenomenological approach. The empirical data collected, consist of 10 recorded semi-structured interviews. The questions have been open to capture respondents' personal experiences and thoughts. The interviews have been transcribed and analyzed, and finally resulted in four themes; Demands and decisions, the weight of unit managers, learning and private life.

    The study results in that high workload in social management is a fact. Demands varies between every patient, and the workers experiences the demands differently. The workload is high for the unit managers as well. Which results in that the unit managers can't be as supporting as desired. Learning is shown in thus study to be an important aspect to handle the work and its duties. Something that all the unit managers experiences to be a contributing factor of the sickness absence, is the private life of the workers which is located outside of the work environment.

  • 58.
    Hansson, Anders
    et al.
    University Health Care Research Centre, Region Örebro County; Örebro University, School of Medical Sciences, Sweden; University of Gothenburg, Academy of Sahlgrenska, Institute of Medicine, Sweden.
    Svensson, Ann
    University West, School of Business, Economics and IT, Divison of Informatics.
    Hedman Ahlström, Britt
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Larsson, Lena G.
    University of Gothenburg, Academy of Sahlgrenska, Institute of Medicine, Sweden.
    Forsman, Berit
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Alsén, Pia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Flawed communications: Health professionals’ experience of collaboration in the care of frail elderly patients2018In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, no 7, p. 680-689Article in journal (Refereed)
    Abstract [en]

    Aims: Frail elderly patients who have multiple illnesses do not fare well in modern health care systems, mainly due to a lack of care planning and flawed communication between health professionals in different care organisations. This is especially noticeable when patients are discharged from hospital. The aim of this study was to explore health care professionals’ experience of obstacles and opportunities for collaboration. Methods: Health professionals were invited to participate in three focus groups, each consisting of a hospital physician, a primary care physician, a hospital nurse, a primary care nurse, a municipal home care nurse or an assistant officer, a physical or occupational therapist and a patient or a family member representative. These individual people were then asked to discuss the obstacles and opportunities for communication between themselves and with the patients and their relatives when presented with the case report of a fictitious patient. Content analysis was used to identify categories. Results: Several obstacles were identified for effective communication and care planning: insufficient communication with patients and relatives; delayed collaboration between care-givers; the lack of an adequate responsible person for care planning; and resources not being distributed according to the actual needs of patients. The absence of an overarching responsibility for the patient, beyond organisational borders, was a recurring theme. These obstacles could also be seen as opportunities. Conclusions: Obstacles for collaboration were found on three levels: societal, organisational and individual. As health care professionals are well aware of the problems and also see solutions, management for health care should support employees’ own initiatives for changes that are of benefit in the care of frail elderly patients with multiple illnesses.

  • 59.
    Hansson, Carolina
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Zackrisson, Mikaela
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Musik i äldreomsorgen: Äldreomsorgspersonalens uppfattningar om lärande av musikaktiviteter2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study was to investigate how healthcare professionals perceive the importance of music as part of care in elderly care. The study has been inspired by the phenomenographic methodology aimed at detecting variations in caregivers' perceptions of music in elderly care. The data collection methods used in this study are participatory observations conducted during a music activity, as well as semi-structured interviews with caregivers. The analysis has been conducted based on a phenomenographic analysis model and has resulted in three descriptive categories:functional ability, emotions and learning together with associated subcategories. The result shows that music can improve old people´s memory, mobility and affect their mood. Music in elderly care can also increase the well-being and quality of life of elderly people, as well as contribute to the learning of staff that can increase the quality of care for the elderly.

  • 60.
    Haraldsson, Julia
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Wallin, Millan
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Personalens kompetens inom HVB hem för ensamkommande flyktingbarn2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Unaccompanied minors are children who travel or enter a host country alone or separated from their parents. Working with this group of children requires a high level of competence to make sure that the care they are receving is of good quality.

    Aim The aim of this study is to describe staff competence in designated residential centres for unaccompanied minors seeking asylum.

    Method The used method is of quantitative design utilizing an anonymous Internet based survey.

    Results The results show that the personal working with asylum seeking children generally has education combined with a considerably low level of experience. Majority of participants expressed the need of further education.

    Conclusion While earlier reports suggested that personal working with asylum seeking children in Sweden has low competence, our results show that today most of the personal has higher education however still only one-two years of experience.

  • 61.
    Haraldsson, Katarina
    et al.
    Department of Research and Development, Region Halland, Halmstad, Sweden.
    Isaksson, Pernilla
    Regional Office, Region Halland, Halmstad, Sweden.
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    "Happy when they arrive, happy when they go home": Focusing on promoting children's mental health creates a sense of trust at preschools2017In: Early years, ISSN 0957-5146, E-ISSN 1472-4421, Vol. 37, no 4, p. 386-399Article in journal (Refereed)
    Abstract [en]

    A need for research on young children’s mental health has been identified. Moreover, there is a need to enhance teachers’ skills regarding health promotion work in preschool. The aim of the study is to examine the impact of a specific course on mental health promotion among Swedish preschool teachers. Data were gathered through interviews and documentation. A qualitative content analysis was used. Three categories: ‘attention’, ‘belonging’ and ‘personal growth’ – and six subcategories emerged from the analysis. The latent content of these categories is described in the theme: ‘Increased awareness, in thoughts and actions, of promoting mental health may create a sense of trust at preschools’. The results show that a specific course to promote mental health enhanced the teachers’ awareness of mental health which improved their work with children. This contributed to the development of a sense of trust at preschools, which is important to children’s mental health.

  • 62.
    Hassler, Sven
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    MiniMili2017Report (Other academic)
  • 63.
    Hassler, Sven
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    The bidirectional agency in therapeutic alliance: an investigation of the relational resources between a social worker and a client in social work with young people that use drugs2016In: Nordic Youth Research Symposium: Youth Moves – Voices – Spaces – Subjectivities, Trollhättan: Högskolan Väst , 2016, p. 124-124Conference paper (Refereed)
    Abstract [en]

    Although the therapeutic effect of the alliance between the social worker and the client is widely recognized, the knowledge on what actually constitutes a successful alliance is limited. The factors at stake are mostly referred to as common factors and include the ability of the social worker to be warm, personal, caring and devoted towards the client. With a bidirectional perspective on the construct of agency Ester Goh (2015) among others has shown that the relationship between the social worker and the client could be regarded as a resource for therapeutic success that enable the client to bean active agent in the process in his or her process of change. The aim of this study is to increase the understanding of what resources a successful relationship between a socialworker and a young client carries in the respect of enabling agentic behavior in the young client. Method In a collaboration with a drug prevention program in the municipality of Ale in the south-western part of Sweden, young clients in the age between 14 and 18 will be interviewed together with their social worker regarding their mutual relationship. Rather than addressing the social issues, the interview will focus on the relationship as such in search for the narratives of the nature of their relationship. Each paired interview will be followed up by individual interviews with the social worker and the young client respectively. Expected results The study is expected to expand the knowledge on how social workers establish functional relationship with young clients, relationships that in turn represents an important resource for the voice of the young client in his or her own process of change.

  • 64.
    Hassler, Sven
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Kullgren, Carina
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences. University West, Department of Health Sciences, Section for health promotion and care sciences.
    Eriksson, Monica
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Winroth, Jan
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Herrman, Margaretha
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Wallin, Mona
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Health promotive perspectives on sustainability: A review of the theoretical and conceptual premises for processes of organizational development and change2015Conference paper (Refereed)
  • 65.
    Hast, Michaela
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Efter suicid: efterlevandes erfarenheter av att mista en närstående till följd av suicid2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Suicide is a global health problem. It is the cause of numerous people's death and leaves many suicide survivors with grief. The grief after suicide is hard to manage and suicide survivors often have a great need of support.

    Aim: The aim of this study was to describe suicide survivors experiences of losing a next of kin, due to suicide.

    Method: A literature-based study that was based on research findings from 15 qualitative studies.

    Results: The result is presented in three themes and eight subthemes. The themes, in this study, were emotionally overwhelmed, shame and blaming aswell as life goes on.

    Conclusion: Losing a next of kin through suicide is a tragic and traumatic experience. The result shows that suicide survivors go through a difficult grieving process, that they often have a need of support to manage. A better understanding of suicide survivors experiences may lead to improved support, which can reduce the consequences for suicide survivors, after the suicide of a next of kin.

  • 66.
    Hedin, Sandra
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Tedfelt, Madeleine
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Hur talas det om arbetsglädje?: arbetsglädje; ett sätt att möta framtida utmaningar i arbetslivet?!2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This study lifts the problem of today's work as something that has an effect on health. Today's work is currently characterized by flexibility and new working conditions, which can contribute to increase opportunities for the individual, while research shows that it may also contribute to a new type of illness as psychosomatic disorders. The health care has a problem to adapt to the current situation and to handle the new type of illnesses. To meet the new work conditions and to deal with problems there is a need for a new way to work with health. The focus in this study is to develop the psychosocial work environment and to use a promotive way to work with the health as a key to solve the problems. A research topic within the promotive way to work with health and seen as a health factor at the work place is happiness at work.

    Happiness at work is also a complex topic that is relatively unexplored and therefore our study aimed to contribute to increase the understanding of the topic. The purpose of the study was to contribute to a better understanding of happiness at work. To do this, we have studied recurring ways to talk about happiness at work and how these relate to each other. The best way to get a better understanding of the topic happiness at work, we used semi-structured interviews as a source for the empirical material. The focus for this study was to analyze recurring ways to talk about happiness at work and how the recurring ways related to each other. Therefore the study has a discourse analytical approach.

    The recurring ways of talking about the topic and how the respondents describes happiness at work will be presented by using quotes from the interviews. The factors that were described as a contribution to happiness at work and what constantly reappeared in the result were the meaning of the colleagues and the obligations at work. Underlying the work obligation there were found various and recurring ways in how the respondents described this factor. They described that what is important for the factor work obligation is challenge and progress at work, distinct ambitions, flexibility and feedback. When the respondents talked about the colleague as a factor they described the social colleague and the competent colleague as important factors to increase happiness at work. The recurring way to talk about happiness at work and how the factors relate to each other is as a final presented in the result.

  • 67.
    Hedman Ahlström, Britt
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level. University West, Department of Health Sciences, Section for health promotion and care sciences.
    Wentz, Elisabet
    Gillbergcentrum, Göteborgs universitet.
    Focus on Every-day Life: Internet-based Support and Coaching for Young Adults with Neuropsychiatric Disorders  - A Chat-log Analysis2012In: Programme and Abstract Book Horatio: 2nd European Festival of Psychiatric nursing - in Stockholm 2012: Vision, Knowledge and Practice in Psychiatric and Mental Health Nursing. 20-23 September, Stockholm, Sweden / [ed] Patrik Dahlqvist Jönsson, 2012Conference paper (Refereed)
    Abstract [en]

    BackgroundFew studies conducting qualitative research regarding treatment, daily living, and need of support for young adults with neuropsychiatric disorders such as ADHD, autism spectrum conditions, and Tourette’s disorder have been published. The objective of this study is to describe how young adults with neuropsychiatric disorders function and manage their everyday life based on chat log analysis. MethodsThis study is part of a larger intervention project, NP Young Coaching, a structured internet-based support and coaching program for young adults with neuropsychiatric disorders. Twelve young adults between age 15 and 25 years were included in the study. They received coaching during eight weeks over the internet (chat and e-mail) twice a week. The texts composed in the chat sessions constituted the data for the analysis, and the 12 chat logs consisted of 445 pages. Qualitative content analysis was conducted in NVivo 9. The text was divided into meaning units. All the meaning units were labelled with codes which were compared regarding differences and similarities, and thereafter sorted into subthemes and themes.ResultsTwo themes became visible: ‘ways of functioning in everyday life’ with the subthemes; ‘difficult things’, ‘stress and rest’ and ‘when feelings and thoughts are a concern’, and the theme ‘ways of managing everyday life’ with the subthemes; ‘decide and carry out’ and ‘making choices for life’. The young adults described their ways of functioning which showed that they were dealing with difficult things such as being treated unfairly, feeling offended by teachers and peers and being undeservedly accused for behaving egoistically.They also experienced hard words from teasing siblings, friends and parents, which was a source of sorrow. The young adults described that their feelings of stress were caused by being too busy and feeling too unfocused in social situations. Tiredness was the starting point of feeling stressed and leading to guilt for not getting things done. The young adults were drained of energy and had serious sleeping problems. Feelings and thoughts were a concern when they were dissatisfied with the body, felt obsessive, and anxious. Feelings of discomfort were described as a consequence of losing control in personal emotional downturns. Ways of managing everyday life included decisions to plan and following those plans. To enable that, control was important as well as managing time. The young adults made choices for life and wanted to succeed. They had high expectations of themselves, and strove for high scores and described distinct ideas about what would be their future profession. ConclusionsThis study led to a more in-depth knowledge about these young adults’ everyday lives through support and coaching over the Internet, and showed their ability to use the chat for expressing what every-day life meant to them. The implications of the findings are that by using e-coaching for this population, new opportunities are available for health care professionals to acknowledge these young adults’ problems, and online coaching could facilitate the contact between the young adult and the medical and healthcare service.

  • 68.
    Herrman, Margaretha 
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Arbetsintegrerat lärande för kvalitetsutveckling i hemtjänstarbete2014Conference paper (Other academic)
  • 69.
    Herrman, Margaretha 
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Att organisera kulturaktiviteter över verksamhetsgränser: Följeforskning/utvärdering av projekt med kultur som hälsofrämjande verktyg2014Conference paper (Other academic)
  • 70.
    Herrman, Margaretha 
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Föreställningar och attityder till åldrande2013Conference paper (Other academic)
  • 71.
    Herrman, Margaretha 
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Medborgarskap2013Conference paper (Other academic)
  • 72.
    Herrman, Margaretha 
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Musik hela livet2014Conference paper (Other academic)
  • 73.
    Herrman, Margaretha 
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Äldre finns dom?: Om föreställningar och attityder till äldre/åldrande där film utgör exempel.2012Conference paper (Other academic)
  • 74.
    Herrman, Margaretha 
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Johansson Bunting, Leona
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    Johanson, Marita
    Learning for Film Production2012Conference paper (Other academic)
  • 75.
    Herrman, Margaretha
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Kullgren, Carina
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    "Vi är här nu!": Mobilisering och självorganisering bland flyktingar på Restad Gård2018Report (Other academic)
    Abstract [en]

    Unusually many refugees have arrived in Sweden during the 2010s, only in 2015 did 163,000 refugees seeking for asylum. Many came because of the war in Syria that has been taking place since 2011, but during the period many people have been forced to flee war, violence and natural disasters from a number of other countries as well. A large part of the newly arrived were placed in refugee facilities while waiting for decision of residence permit. Restad Gård, just outside the city Vänersborg, in the west part of Sweden, is one of the biggest refugee facilities in the country. This study is about the situation for the newly arrived refugees at the facility, and especially about the self-organization a group of refugees started under the name Support Group. Initially, the reason for the self-organization was to solve several acute needs and problems at the facility, later on it was developed to a new model for including refugees into the new community, and to involve themselves in the process.

    The purpose of the study was to investigate how self-organization among asylum-seekers in the asylum facility was experienced to affect the inclusion process in the new country. Through group interviews and individual interviews we have mainly focused on the asylum-seekers' own experiences of how their activities influenced the inclusion process and relationships with other residents and actors with which they interacted. The asylum-seekers own stories, which are rarely heard, are here given a necessary space. We have also asked for experience among other involved actors, and we highlight relevant media submissions as well as authorities' actions on the matter. It was also our ambition to provide a relatively detailed description of the process during the period in question, 2013-2017, in order to document it. Other topics discussed during the interviews were how the asylum-seekers were received in the new country; how they experienced their time at the facility; how the self-organization started and developed; how collaborations with other actors arose and worked; which their goals with the self-organization were; and if they think they succeed to achieve these. The media material partly reflects how the group communicated its activities outwardly, and partly how local press represented and commented on them. Material from the authorities depicts some of the more formal conditions for the asylum seekers work and how this partially changed over time.

    The study shows that work on self-organization has made a difference for the situation of asylum-seekers in several ways; they have created many activities at the asylum facility, which reduced the risk of insomnia, passivation and mental ill health during the often long waiting period; opportunities for preparing and qualifying for an inclusion process have been improved; found methods to quickly bring people into internship and work; people's identities, solidarity and control of their own situation have been strengthened; the image of refugees as passive victims and aid recipients has been partially challenged; many constructive collaborations withother actors have been established and they have created a common voice for the group capable to claim their own needs and wishes.

    At the same time, it appears that perceived differences between groups of asylum-seekers sometimes prevent the possibility of reaching all asylum-seekers, and they often have difficulties with being recognised as equal, competent and full-fledged partners as conceptions about "the other" as dependent, passive and beneficiaries dominate, which tend to worsen when they, by other actors, are perceived as competitors for the money that is searchable for inclusion work.

    If self-organization among asylum seekers will have the opportunity to continue to develop into new inclusion methods, it might contribute to mobilizing the group's resources and thereby a faster and smoother inclusion process. Central to this is that practical aspects of inclusion - such as work and living, housing, language and education – should be related to ideas about identification and inhesion if newcomers social and cultural position are about to change. Crucial for success is also how authorities and other citizens will respond to, providing space for and utilize the constructive power created by the self-organization.

  • 76.
    Herrman, Margaretha
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Nilsson, Lena A.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences. University West, Department of Health Sciences, Section for health promotion and care sciences.
    Attitudes to Ageing and Elderly Care: Film Stories as Mirror or Creator of Norms2015In: International Journal of Humanities Social Sciences and Education (IJHSSE), ISSN 2349-0373, Vol. 2, no 10, p. 55-66Article in journal (Refereed)
    Abstract [en]

    Research on representations of older people in popular culture shows that this group is awarded limited space and often assigned negative images. How older people are represented in film stories reflects general notions of ageing, which may have consequences for the design and quality of elderly care. In this study, cultural studies and gerontological research are used for interpretation of feature films to discuss how standards on age and ageing are created and maintained. Contemporary films with older starring characters are analysed. Ageism is visible in the films, which may contribute to negative views of old age. Older people have, or are perceived to have, impairments and extensive care needs. They are in some ways treated as minors. The older characters display resistance and ambitions to control their lives. There is a challenge to redefine prevailing age norms and meet increasing demands for care of older people.

  • 77.
    Herrman, Margaretha
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Nilsson, Lena A.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences. University West, Department of Health Sciences, Section for health promotion and care sciences.
    Dialog och cogenerativt lärande som kompetensutvecklingsmöjlighet2012In: VILÄR-konferens, 2012Conference paper (Refereed)
    Abstract [sv]

    Andelen äldre i befolkningen ökar, vilket innebär en utmaning för olika aktörer när det gäller att kunna ge äldre vård och omsorg med hög kvalitet och med hänsyn tagen till skilda individuella sociala och kulturella behov. Allt fler hjälpbehövande personer i befolkningen, inom ramen för begränsade ekonomiska och personella resurser, är en utmaning samtidigt som kommande grupper av äldre förväntas ställa andra och alltmer individualiserade krav.

    Den personal som arbetar inom vård- och omsorgsarbete är främst kvinnor. De flesta är deltidsanställda med korta utbildningar. Vård- och omsorgsarbete innebär ofta ett fysiskt och psykiskt tungt arbete, vilket synliggörs i socialförsäkringsstatistik vad gäller korttids- som långtidsfrånvaro. Ett sätt att möta framtida omsorgsbehov och omsorgens arbetsvillkor är via utbildning och kompetensutveckling.

    Vilka kvaliteter och kompetenser är nödvändiga för att möta dagens och morgondagens äldregrupper? Hur ska utbildningskrav formuleras? Hur ska omsorgen utformas som arbetsplats och vilka kvaliteter bör omsorgsgivaren representera? Sådana frågor formuleras och besvaras ofta via utredningar iscensatta och genomförda av tjänstemän på centrala positioner. Vi har valt att sätta fokus på hur den personal som idag bedriver omsorgsarbete för äldre, resonerar om sina erfarenheter av arbetets kvaliteter och de möjligheter de kan se vad gäller att lära för omsorgsarbete som i arbetet.

    Vi har genomfört en pilotstudie i form av work shops med två grupper kvinnor anställda som undersköterskor och biträden. Syftet var att undersöka vård- och omsorgspersonals överväganden när det gäller förutsättningar för att arbeta heltid. Respondenterna har uttryckt hinder och möjligheter för heltidsarbete, utbildningsbehov och formulerat hur den goda arbetsplatsen bör utformas för att möjliggöra hög kvalitet.

    Vår slutsats är att det finns interna kompetensutvecklingsmöjligheter som kan formuleras som behov av dialog och cogenerativt lärande mellan vårdpersonal, arbetsgivare och utbildningsanordnare som sätt att möta utmaningen att ge god omsorgskvalitet och förbättrade arbetsvillkor.

  • 78.
    Herrman, Margaretha 
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Nilsson, Lena A.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Lärande samverkan: ett interaktivt forskningsprojekt i hemtjänsten2016In: ViLär 2016, konferens 8-9 december 2016, Vänersborg / [ed] Kristina Johansson, 2016Conference paper (Other academic)
  • 79.
    Herrman, Margaretha
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Nilsson, Lena A.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Med hemtjänsten som medforskare2017In: Äldre i centrum, ISSN 1653-3585, no 2, p. 40-45Article in journal (Other academic)
  • 80.
    Herrman, Margaretha 
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Nilsson, Lena A.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Spelfilm som ett normkritiskt diskussionsunderlag i utbildning: attityder till åldrande och äldre2014Conference paper (Other academic)
  • 81.
    Herrman, Margaretha
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Nilsson, Lena A.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Äldreomsorgens nationella värdegrund: reflektioner över äldre brukares nöjdhet och hemtjänstens villkor2016Report (Other academic)
    Abstract [sv]

    Denna rapport handlar om ett värdegrundsarbete och är ett resultat av ett utvecklingsarbete som bedrivits i samverkan mellan personal i ett hemtjänstdistrikt i Trollhättan och två forskare vid Högskolan Väst. Texten är,där inget annat anges, författad av undersköterskor och vårdbiträden, enskilt eller i grupp. Rapporten inleds med en bakgrund där hemtjänstpersonalen beskriver sitt arbete och hur det är organiserat. Därefter gör de en genomgång av den av Socialstyrelsen fastställda värdegrunden för äldreomsorg som visar vilka etiska värden och normer som ska ligga till grund för en verksamhet. Denna del följs av personalens beskrivning av arbetsprocessen och om samtal om hur forskning går till, forskningsetik, intervjuer, analys och rapportskrivande. Det övergripande syftet med projektet som helhet är att ta tillvara brukares synpunkter och personalens kunskaper och erfarenheter för att utveckla och öka kvaliteten i hemtjänstarbetet. För att undersöka brukarnas uppfattning om värdegrundsarbetet har personalen intervjuat nitton av sina brukare. Resultatet av brukarnas synpunkter redovisas tillsammans med respektive värdegrundsbegrepp. För att ge en inblick i hemtjänstens komplexa arbete har personalen också skrivit ett antal korta berättelser. Dessa illustrerar vardagliga situationer och personalens reflektioner över relationer och arbetsinnehåll. Rapporten avslutas med forskarnas tankar om processarbetet. Rapporten vänder sig till politiker,brukare, tjänstemän, närstående, chefer, intresserade av vård- och omsorgsyrken och personal inom olika verksamheter för att de ska få en insyn ihemtjänstarbetet.

  • 82.
    Herrman, Margaretha 
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Nilsson, Lena A.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Wahlström, Emmie
    Mälardalens högskola.
    Cultural activities for the elderly: project, organizational development or innovation for the future?2014Conference paper (Other academic)
  • 83.
    Herrman, Margaretha
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Nilsson, Lena A.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences. University West, Department of Health Sciences, Section for health promotion and care sciences.
    Wahlström, Emmie
    Lärande som verksamhetsutveckling i projektorienterat arbete med äldre?2013Conference paper (Other academic)
    Abstract [sv]

    Organisationer är i ständig förändring och man stävar kontinuerligt efter utveckling. Utvecklingsarbete har ofta ekonomiska perspektiv där effektivitet och produktivitet är i fokus. I föreliggande studie är intresset att studera pedagogiska perspektiv och att fokus läggs på dynamiska interpersonella resurser, skapade av människor, snarare än att diskutera de ekonomiska styrningsprinciperna (Nonaka & Toyama 2007). Hur gemensamma värderingar kan realiseras i en projektorganisation, genom delaktighet och lärande är vad vi vill undersöka. Det studerade objektet är ett projekt som skapades utifrån att Vänersborgs kommun under 2011/2012 ansökte och beviljades medel från Statens kulturråd för ”Kultur för äldre” för åren 2012/2013. Det övergripande målet med projektet är att stärka äldres livskvalitet genom att kommunens alla äldre oavsett boendeform ges möjlighet att delta i olika former av kulturaktiviteter. Iscensättandet av ”Kultur för äldre” uppmärksammar flera samtida problemområden – äldres möjligheter till delaktighet, förhållningssätt till äldre, åldersöverskridande aktiviteter, inkludering, interprofessionell samverkan, lärande organisationer etc.

    ”Kultur för äldre” är ett projekt som är unikt i sitt slag och arbetet har en verksamhetsövergripande ambition där kultursektorn, förskola, musikskola och äldreomsorgen samverkar för ett gemensamt mål: att förbättra äldre kommuninvånares livskvalitet. Projektet utmärks av ett interprofessionellt arbetssätt där olika delprojekt kräver samarbete mellan olika parter. Sett i perspektiv av att samverkan sker i relationella processer ställer vi frågor som:

    Vilka förståelser finns för förändringsbehov på kollektiv och individuell nivå?

    Vilka värderingar, vilken former av delaktighet synliggörs i projektet?

    Vilka mellanmänskliga påverkans- och förändringsprocesser synliggörs i projektet?

    Metod: Vi har använt etnografiska metoder som intervjuer med projektledare, verksamhetschefer och personal inom de olika sektorerna, samt observationer av verksamhetsövergripande möten (ledningsgrupper). Materialet består av drygt tjugo intervjuer, dokumentärfilm och skriftligt material. 

     

     

  • 84.
    Herrman, Margaretha
    et al.
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Wahlström, Emmie
    Mälardalens högskola.
    Nilsson, Lena A.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences. University West, Department of Health Sciences, Section for health promotion and care sciences.
    Winroth, Jan
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    "Det är roligt när de kommer och spelar och sjunger": Kulturprojekt för äldre - ett utvecklingsarbete?2014Report (Other academic)
  • 85.
    Herrman, Margaretha
    et al.
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Wahlström, Emmie
    Mälardalens högskola.
    Nilsson, Lena A.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences. University West, Department of Health Sciences, Section for health promotion and care sciences.
    Winroth, Jan
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Resultatsammanställning avseende: Organisering och implementering av kulturaktiviteter i syfte att främja den jämlika hälsan bland äldre2014Report (Other (popular science, discussion, etc.))
  • 86.
    Hinders, Sandra
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    "... det kanske är medicin för dem att få komma hit när de har en dålig dag?": En tolkande fenomenologisk studie om hälsofrämjande upplevelser  och erfarenheter i ett arbetsintegrerande socialt företag2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to examine how experiences in a work integrative social enterprise can promote health for the employees and what significance this may have for business development in the organization and for the society. Interpretative phenomenological analysis (IPA) has been used as the approach and method in the study and data has been collected through participatory observations and interviews. The result shows that the solidarity in the enterprise is one of the most significant factors for the wellbeing of the employees. It also shows that the work integrative social enterprise serves as a supportive environment because the work is characterized by empowerment and participation. This is reflected in the fact that employees have the opportunity to learn and develop at their own pace, that there is room for mistakes that they are able to learn from and also that it is an accepting environment where one believes that every employee is doing the best they can during their workshifts. Work-integrated learning takes place in the meeting between the employees and the business. The development of knowledge through work in the company shows that the conditions for learning exist but it is up to every employee what they learn and how they acquire new knowledge. The learning that arises from the activities differs depending on the employees different backgrounds and experiences from life it self as well as their work experiences and also the different conditions they have for learning. The fact that learning processes arise in the business and that employees create new knowledge is beyond doubt, but it is on a very individual basis. Through constant learning, the competence increases among employees, enabling the business to develop. A conclusion that can be drawn from this study is that work integrative social enterprises like this one promotes health in different ways for the employees, and in turn contributes to a more socially sustainable society with reduced social exclusion.

  • 87.
    Hjalmarsson, Marie
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Kullgren, Carina
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences. University West, Department of Health Sciences, Section for health promotion and care sciences.
    Hur svårt kan det vara?: Jämställdhet i måleribranschen2012Report (Other academic)
    Abstract [en]

    The painting trade is dominated by men, both concerning numbers and with regards to how the job as a painter is supposed to be performed. There doesn't have to be a problem with the actual performance of the job. But on the other hand problems arise when gender coded traditions hinder the necessary improvement of the trade and affect the working conditions for painters of all kinds. In daily work situations, men as well as women need to relate to the masculine norms of the trade. They all do it in different ways, consciously and subconsciously. But things are changing. The profession and the trade are in the middle of a transformation where traditional conceptions of gender are challenged. The number of educated female painters is increasing, and they have difficulties finding their place in the trade. There is no fast and simple solution of this gender equality problem, but there are methods available for how serious gender equality interventions can be carried out. Above all the problem demands interruptions of old patterns of thought and behaviour in order to make a change. This text presents results from an ethnographic study of the painting trade and shows how established patterns are defended as well as questioned in the daily work. The aim of the study is to understand how working conditions, competence and know-how, work organisation and division of labour, and management attitudes are related to conceptions of masculinity and femininity.

  • 88.
    Hjalmarsson, Marie
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Kullgren, Carina
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences. University West, Department of Health Sciences, Section for health promotion and care sciences.
    Masculiinost pod voprosom: sdvigi vprofessionalisme rabotnikov i menedhjerov v shvedskoy maljarnoy otrasli2013In: Sposoby byt' muhjchinoy: Transformatchii masculinnosti VXXI veke / [ed] Tartakovskaya I. (ed.), Moscow: Zvenja , 2013, p. 32-59Chapter in book (Refereed)
  • 89.
    Holgersson, Ann
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Lundgren Nilsson, Emma
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Närståendes upplevelser vid bipolär sjukdom i familjen: En kvalitativ litteraturbaserad studie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Bipolar disorder is defined as a serious mental illness that also has a huge impact on family members. They suffer the same consequences as the sick person and their own health may suffer severely. Lack of knowledge and awareness in the community concerning mental illness could be stigmatizing as deviations from the norm occur. It creates anxiety, fear, guilt and shame. Aim: The purpose of the study was to describe the family's experiences of bipolar disorder in the family Method: A literature-based study based on seven qualitative studies Results: The result shows that relatives are experiencing a deterioration of both their mental and physical health when they become informal caregivers. The feeling of always being one step behind as the course of the disease goes through a vicious circle of events is always present because it dominates the whole of their lives. Many family members feel neglected by the lack of support, and to not be recognized by the health service as an important component in the patient's quality of life is a mystery. Conclusion: When bipolar disorder affects a family member, the whole family suffer not just the afflicted individual. Relatives feel they sacrifice their whole life for the sufferer and as a result their health is also affected. Professional health care professionals need to work together with the related parties in order to provide the best possible care for the sick, and it is vital they regard relatives as an important resource in the health care system.

  • 90.
    Holmström, Rickard
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Möta självskadande Personer: Vårdpersonals erfarenheter2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Previous research indicates the importance of good treatment in the care of the self-harming persons. Self-harming is today not classified as its own diagnosis which problematizes the understanding of the behavior. It emerged in earlier research that self-harming persons may experience dissatisfaction with the care given to them by healthcare professionals.

    This study aimed to describe healthcare professionals' experience of meeting persons who self-harm in adult psychiatric inpatient care.

    This study used a qualitative method to go about this by interviewing six healthcare professionals working in an in-patient unit. Data was gathered using unstructured interviews that allowed for further questions when interesting themes arose. The method of analysis of the data was manifest content analysis which showed 2 main categories, each with 3 subcategories.

    The first category that emerged was, Understanding with subcategories, Dangerous behavior, Self-harm as a tool and The narrative meaning. The other category that emerged was Too care for better or worse, with subcategories, Caring and treatment, Frustrating caring and Different approaches by staff.

    The results showed that the nursing staffs understanding of self harm were mostly consistent with current research's understanding of self harm. The results also showed that healthcare professionals understood the importance of good treatment in the care of the self-harming persons. The result showed, however, that the treatment and care of the self-harming persons were made complicated by factors such as frustration among healthcare professionals and the different approaches to rules and structure in the healthcare context.

  • 91. Hovey, D.
    et al.
    Lindstedt, M.
    Zettergren, A.
    Jonsson, L.
    Johansson, A.
    Melke, J.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Anckarsäter, Henrik
    Centre for Ethics, Law and Mental Health (CELAM), University of Gothenburg, Gothenburg, Sweden, Forensic psychiatry, Institute of Neuroscience and Physiology, University of Gothenburg, Ragarden, House 1, SU – East Hospital, SE-416 85 Gothenburg, Sweden, Department of Forensic Psychiatry, Institute of Neuroscience and Physiology, University of Gothenburg.
    Lichtenstein, P.
    Lundström, S.
    Westberg, L.
    Antisocial behavior and polymorphisms in the oxytocin receptor gene: findings in two independent samples2016In: Molecular Psychiatry, ISSN 1359-4184, E-ISSN 1476-5578, Vol. 21, no July, p. 983-988Article in journal (Refereed)
    Abstract [en]

    The quantitative genetic contribution to antisocial behavior is well established, but few, if any, genetic variants are established as risk factors. Emerging evidence suggests that the neuropeptide oxytocin (OXT) may modulate interpersonal aggression. We here investigated whether single-nucleotide polymorphisms (SNPs) in the OXT receptor gene (OXTR) are associated with the expression of antisocial behavior. A discovery sample, including both sexes, was drawn from the Child and Adolescent Twin Study in Sweden (CATSS; n=2372), and a sample from the Twin Study of Child and Adolescent Development (TCHAD; n=1232) was used for replication. Eight SNPs in OXTR, selected on previous associations with social and antisocial behavior, were genotyped in the participants of CATSS. Significant polymorphisms were subsequently genotyped in TCHAD for replication. Participants completed self-assessment questionnaires—Life History of Aggression (LHA; available only in CATSS), and Self-Reported Delinquency (SRD; available in both samples)—designed to capture antisocial behavior as continuous traits. In the discovery sample, the rs7632287 AA genotype was associated with higher frequency of antisocial behavior in boys, and this was then replicated in the second sample. In particular, overt aggression (directly targeting another individual) was strongly associated with this genotype in boys (P=6.2 × 10−7 in the discovery sample). Meta-analysis of the results for antisocial behavior from both samples yielded P=2.5 × 10−5. Furthermore, an association between rs4564970 and LHA (P=0.00013) survived correction in the discovery sample, but there was no association with the SRD in the replication sample. We conclude that the rs7632287 and rs4564970 polymorphisms in OXTR may independently influence antisocial behavior in adolescent boys. Further replication of our results will be crucial to understanding how aberrant social behavior arises, and would support the OXT receptor as one potential target in the treatment of aggressive antisocial behavior.

  • 92.
    Höglund, Emma
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Korhonen, Elin
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Risker för psykisk ohälsa hos manliga intagna inom fängelsemiljön: en litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness in prisons is more frequent than in the rest of society. Inmates in Sweden who serve a prison sentence are mainly men and they account for 94% of all prison interns. Previous studies have shown that the prison environment and lack of psychiatric care are two major contributing factors to the fact that mental illness is common among inmates.

    Aim: The aim of this study is to describe the risks of mental illness for male prisoners within the prison environment.

    Method: The method used was a literature study. Material from six qualitative articles has been analyzed and compiled.

    Results: The result that emerged from the literature study showed two themes and these were: no longer being part of the world around and adapting to the macho culture. Subthemes to these were: isolated from the outside world, lost control and self-determination, lack of social support, the requirement to prove strong and forced change of identity.

    Conclusion: Attention should be paid to the risks of mental illness within the prison environment in order to increase knowledge and develop the work with inmates in male prisons.

  • 93.
    Hökstrand, Johanna
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Melin, Gabriella
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Personcentrerad vård - Rutin eller paradigmskifte?: En hermeneutisk studie av en förändringsprocess med fokus på lärande2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study is to examine how the implementation of person-centered care affects the healthcare professionals opportunity for learning. The study approach is a qualitative method, and the analysis of the data is examined with a hermeneutic interpretation. The interpretation of the phenomenon that revolves around person- centered care can therefore create deeper understanding, which gives a holistic point of view by relating the results to a bigger perspective. In this candidate essay interview was performed with the healthcare professionals on a local hospital within Sweden. Further on observations of three study groups was conducted where there were representatives who were in charge of the implementation of person-centered care at selected hospital around the region. The selection of interviews and observations was homogeneous, in the sense of gender and personal opinions about person-centered care.

    In the interpretation of the data ten categories and four themes were created to answer to the aim of this study. The theme "The gap" has two categories: "distinction theory and practice" and "where is the reflection". While the theme "Paradox" has the categories: "as you sow, so shall you reap" and "participation". The theme "The way there" has three categories: "culture", "how we learn" and "resistance". The last theme "My roll and my responsibility" has the categories: "what is expected of me", "questioning of work boundaries" and "assistant nurse and the story". The results of the interviews showed that the healthcare professionals were learning thru their practical actions. While there representatives from the study groups were focused on that the implementation of person-centered care was supposed to be carried out thru a reflective approach.

  • 94.
    Ilio, Maria
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    "För mig är det viktigt med lärande i skolan om man ska kunna bli något i framtiden ...": En studie om några unga killar i en förort till Göteborg, med fokus på deras uppfattningar av villkor och förutsättningar för lärande i skolan2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    My study is about young boys' perception of the importance of learning in school. My chosen topic can be related to my interest for youth's conditions in segregated suburbs. Young boys in the suburb are a subject that occurs a lot in the media, and usually it's a negative picture that is highlighted. My preconceptions of the young, the suburbs and learning, is partly because I once lived in a suburbs for a few years, and that I have attended a school that is located where I was living.

    The purpose of the study is about some young boys living in a suburb in Gothenburg, with focus on their perception of the conditions for learning in school. The school that has been chosen for the study is located in one of Gothenburg's suburbs. My study is inspired by a qualitative method and by a hermeneutic approach. I have chosen in this study to use interviews, where a semi- structured interview guide has been prepared. For this study, eight boys at aged 14-15 years have been interviewed. The theoretical starting points for the study are learning and motivation, teacher role, the individual way of thinking, participation and influence, health, and sense of coherence. The results of the study shows some of young boys' different perspectives and approaches to learning at school. Some of the respondents show a positive attitude towards school, and some experience a negative attitude towards the school.

  • 95.
    Ingves, Wilhelm
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Jönsson, Linnéa
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Psykisk hälsa efter avslutad elitidrottskarriär: en litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Between 10 to 15 percent of all former elite athletes experience mental illness after their career has ended. The consensus concept environment is an important part of healthcare science. For a former elite athlete the persons around the individual are a large part of their environment. Family, friends, old teammates and coaches are examples of people who affect the environment and health of an former elite athlete.

    Aim: The aim of the study is to describe mental health in athletes after ending an elite sports career.

    Method: The method used was a literature review and the analyze was made from Friberg model.

    Result: The result consists of two themes, strengthening transition and personal understanding, and four sub themes, the importance of social support, planned retirement, athletic identity and attitude to their achievement.

    Conclusion: A person with a supporting family tend in greater occurrence to succeed positively in their new career. A well-planned ending is also a contributory for former athletes mental health.

  • 96.
    Jedenius, Lovisa
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Sundquist, Emelia
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Kvinnor med missbruksproblematik och deras upplevelser av behandling och återhämtning.2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Women with drug addiction are an exposed group. More evidence knowledge is required about women´s special needs to be able to improve and develop the care. Aim: The aim was to describe the experiences of drug treatment among women with addiction problems and to describe what promotes and impends recovery. Method: The used method is a literature study, based on 13 qualitative articles. Results: Three theme emerged in the result; to have supporting relationships, to find a new identity and to be seen as whole person. The findings show that most women with addiction problems need supporting relationships from professionals, family and other women with similar experiences. The findings also showed that most of the women had a desire to find a new identity outside their drug abuse and that every women wanted to be met as a whole person. Conclusion: In conclusion, the importance for a person centered care for women with addiction problems needs to be highlighted. To be able to recover, the women need to get support from healthcare professionals in order to find their own strategies to develop their relationships and their new identities.

  • 97.
    Johansson, Ann-Caroline
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level. University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden.
    Brink, Eva
    University West, Department of Health Sciences. University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden.
    Cliffordson, Christina
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Axelsson, Malin
    Malmö University, Department of Care Science, Faculty of Health and Society, Malmö.
    The function of fatigue and illness perceptions as mediators between self-efficacy and health-related quality of life during the first year after surgery in persons treated for colorectal cancer.2018In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 7-8, p. E1537-E1548Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: The aim of the present study was twofold: 1) to measure changes in health-related quality of life (HRQoL), two dimensions of illness perceptions (i.e., consequences and emotional representations), fatigue and self-efficacy in persons treated for CRC during the first year after surgical treatment, and 2) to study how fatigue, illness perceptions and self-efficacy measured at 3 months affect HRQoL at 12 months post-surgery.

    BACKGROUND: There are fluctuations in HRQoL during the first year after treatment for colorectal cancer (CRC), and fatigue may negatively influence HRQoL. Illness perceptions (consequences and emotional representations) and self-efficacy have been shown to be associated with HRQoL in other cancer diagnoses. Concerning CRC, there is a lack of knowledge concerning how illness perceptions and self-efficacy change during recovery, and how these variables and fatigue at 3 months relate to HRQoL at 12 months.

    DESIGN: A prospective longitudinal design.

    METHODS: Thirty-nine persons surgically treated for colorectal cancer, of whom 17 had a colostoma, participated. HRQoL, fatigue, illness perceptions and self-efficacy were assessed using QLQ-C30, the Revised Illness Perception Questionnaire and the Maintain Function Scale. Descriptive and analytical statistics were used.

    RESULTS: No changes were reported in levels of HRQoL, fatigue, or illness perceptions. Self-efficacy was lower at 12 months compared to 3 months. Fatigue and one dimension of illness perceptions mediated the effect of self-efficacy at 3 months on HRQoL at 12 months.

    CONCLUSION: Persons treated for CRC who have lower self-efficacy 3 months post-surgery are inclined to have more negative illness perceptions concerning emotions and to experience more fatigue.

    RELEVANCE TO CLINICAL PRACTICE: Nurses need to support persons with fatigue and negative illness perceptions concerning emotions and to bolster their self-efficacy, i.e., carry out follow-up consultations focusing on illness management, symptoms, emotions and information on ways to increase self-efficacy. This article is protected by copyright. All rights reserved.

  • 98.
    Johansson, Hanna
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Rakovic, Anastasija
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Mannen bakom våldet: Riskfaktorer hos män som utövar våld mot kvinnor2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Intimate partner violence is a complex and established problem that has consequences for both individuals and the society at large. Often the violence can escalate, becoming accepted by the perpetrator and the victim through a process of normalization. Through different explanatory models, we are offered a variety of theoretical perspectives through which violence can be understood.

    The aim of the study was to identify risk factors in intimate partner violence, particularly in cases with male aggression against their female partners.

    A literature review was formulated based on nine quantitative articles and two qualitative articles. The databases used were Cinahl and psycINFO. The data analysis was carried out according to a three-step model and the quality of the articles was reviewed with a quality assessment tool.

    The result consisted of two main categories "The violent man" and "A society dominated by men" which were divided into four subcategories each. The result showed that there are risk factors at an individual as well as a societal level for men's violence against women. Substance abuse was the most significant risk factor. Other risk factors that were presented throughout the study were different personal characteristics, impulse control disorder, experiences of domestic violence during childhood, mental illness and embedded notions of traditional gender roles.

    In order to understand the complexity of men's use of violence against women, the problem needs to be explored with the use of different perspectives and managed at both an individual and a societal level. Risk assessment can only be carried out using a holistic perspective in order to identify which factors influence intimate partner violence in men. This study contributes to deeper knowledge in regards to men's violence against women and can give caregivers insight in identifying risk factors and preventing violent male behavior.

  • 99.
    Johansson, Johanna
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Lidström, Sofia
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    "We are human beings, we are doing something, not just waiting to get that permission": En kvalitativ studie om flyktingars upplevelser av delaktighet i en stödgrupp2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to, through interviews with refugees, create an image of a support group’s function and what it means to be a member, also how participation in the group is perceived to impact the integration process, regarding learning, empowerment and social capital. The examination is located at Restad gårds refugee camp in Vänersborg, and the Support group and their members are in focus. The study for this paper was formed by a qualitative objective and 16 interviews constitute the base for the results. Since the aim of this study was to catch the participators' perceptions, we chose a phenomenology approach. The result showed that participation in the Support group contribute to an increase of social capital amongst the members – partly through new social networks, both in the camp and outside, but also through an increase of social support within the group. An increase of empowerment is found, since the members have gained the feeling that they can influence their own situation. This is another profit from participation in the group. The result further shows that different forms of learning has occurred. The members in the Support group have partly been able to gain new skills, to applicate their own competence, but also got the opportunity to situate their knowledge to the new context they have gotten into. This have given them different forms of life experience. All of these elements have led to a perception of increased integration, and also of better health amongst the members of the Support group at Restad gård.

  • 100.
    Johansson, Marielle
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Johansson, Emma
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Gymnasieelevers upplevda stress: och hur den påverkas av relationen till lärarna2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to examine perceived stress among high school students, and if their experienced relations to the teachers had any effect. A qualitative method where the approach was inspired by phenomenology has been chosen, and interviews with 18 respondents from different high schools in Region Västra Götaland constitute the basis for the results of this study. The results showed that many high school students are stressed, and the symptoms that they reported were for example lack of control, anxiety, resignation, tension, sleeping problems, difficulties in concentration and short-term thinking. The main causes to their perceived stress were lack of time, lots of self-responsibility, high demands, bad routines and bad planning. The teachers had a large impact in the experienced stress among the high school students, and their social relations were an important influential factor for the student's health and learning capacity. The results also showed that high school students believes that efforts which aims to preventing stress in schools are needed, because so many students are stressed in today's society.

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