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Hedin, Gita
Publications (10 of 18) Show all publications
Hedin, G., Hagell, P., Norell-Clarke, A., Westergren, A. & Garmy, P. (2019). Adolescent´s experiences of sleep and electronic media use.. In: : . Paper presented at International Conference Health Conference, Oxford, 26-28 June..
Open this publication in new window or tab >>Adolescent´s experiences of sleep and electronic media use.
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2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Health Sciences
Identifiers
urn:nbn:se:hkr:diva-19305 (URN)
Conference
International Conference Health Conference, Oxford, 26-28 June.
Available from: 2019-05-15 Created: 2019-05-15 Last updated: 2019-05-15
Hedin, G., Hagell, P., Norell-Clarke, A., Westergren, A. & Garmy, P. (2019). Adolescent´s experiences of sleep and electronic media use.. In: : . Paper presented at Adolescens Health Initiative, Michigan, Detroit, 11-12 april..
Open this publication in new window or tab >>Adolescent´s experiences of sleep and electronic media use.
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2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract
National Category
Health Sciences
Identifiers
urn:nbn:se:hkr:diva-19301 (URN)
Conference
Adolescens Health Initiative, Michigan, Detroit, 11-12 april.
Available from: 2019-05-15 Created: 2019-05-15 Last updated: 2019-08-18
Westergren, A., Edfors, E., Norberg, E., Stubbendorff, A., Hedin, G., Wetterstrand, M. & Hagell, P. (2017). Long-term effects of a computer-based nutritional training program for inpatient hospital care. Journal of Evaluation In Clinical Practice, 23(4), 797-802
Open this publication in new window or tab >>Long-term effects of a computer-based nutritional training program for inpatient hospital care
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2017 (English)In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 23, no 4, p. 797-802Article in journal (Refereed) Published
Abstract [en]

Rationale

A previous short-term study showed that a computer-based training in eating and nutrition increased the probability for hospital inpatients at undernutrition (UN) risk to receive nutritional treatment and care without increasing overtreatment (providing nutritional treatment to those not at UN risk).

The aim of this study was to investigate if a computer-based training in eating and nutrition influences the precision in nutritional treatment and care in a longer-term perspective.

Method

A preintervention and postintervention study was conducted with a cross-sectional design at each time points (baseline and 7 months postintervention). Hospital inpatients > 18 years old at baseline (2013; n = 201) and follow-up (2014; n = 209) were included. A computer-based training was implemented during a period of 3 months with 297 (84%) participating registered nurses and nurse assistants. Undernutrition risk was screened for using the minimal eating observation and nutrition form-version II. Nutritional treatment and care was recorded using a standardized protocol.

Results

The share of patients at UN risk that received energy-dense food (+ 25.2%) and dietician consultations (+ 22.3%) increased between baseline and follow-up, while fewer received oral nutritional supplements (-18.9%). "Overtreatment" (providing nutritional treatment to those not at UN risk) did not change between baseline and follow-up.

Conclusion

The computer-based training increased the provision of energy-dense food and dietician consultations to patients at UN risk without increasing overtreatment of patients without UN risk.

Keywords
Education, health informatics, intervention, MEONF-II, nutritional treatment
National Category
Health Sciences
Identifiers
urn:nbn:se:hkr:diva-17109 (URN)10.1111/jep.12719 (DOI)000406299200016 ()28260233 (PubMedID)
Funder
Vårdal Foundation, 034
Available from: 2017-08-21 Created: 2017-08-21 Last updated: 2017-11-08Bibliographically approved
Hagell, P., Edfors, E., Hedin, G., Westergren, A. & Sjödahl Hammarlund, C. (2016). Group concept mapping for evaluation and development in nursing education. Nurse Education in Practice, 20, 147-153
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2016 (English)In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 20, p. 147-153Article in journal (Refereed) Published
Abstract [en]

The value of course evaluations has been debated since they frequently fail to capture the complexity of education and learning. Group Concept Mapping (GCM), a participant-centred mixed-method was explored as a tool for evaluation and development in nursing education and to better understand students' learning experiences, using data from a GCM-based evaluation of a research training assignment integrating clinical practice and research data collection within a Swedish university nursing program. Student nurses (n = 47) participated in a one-day GCM exercise. Focus group brainstorming regarding experiences from the assignment that the students considered important and instructive yielded 98 statements that were individually sorted based on their student-perceived relationships, and rated regarding their importance/instructiveness and need for development. Quantitative analysis of sort data produced a 2-dimensional map representing their conceptual relationships, and eight conceptual areas. Average cluster ratings were plotted relative to each other and provided a decision aid for development and planning by identifying areas (i.e., "Research methodology", "Patients' perspectives", and "Interviewer role") considered highly important/instructive and in high need for development. These experiences illustrate the use and potential of GCM as an interactive participant-centred approach to evaluation, planning and development in nursing and other higher health science educations.

National Category
Health Sciences Educational Sciences
Identifiers
urn:nbn:se:hkr:diva-15974 (URN)10.1016/j.nepr.2016.08.006 (DOI)000385322200021 ()27591400 (PubMedID)
Available from: 2016-09-14 Created: 2016-09-14 Last updated: 2017-08-15Bibliographically approved
Westergren, A., Edfors, E., Norberg, E., Stubbendorff, A., Hedin, G., Wetterstrand, M. & Hagell, P. (2016). Short-term effects of a computer-based nutritional nursing training program for inpatient hospital care. Journal of Evaluation In Clinical Practice, 22(5), 799-807
Open this publication in new window or tab >>Short-term effects of a computer-based nutritional nursing training program for inpatient hospital care
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2016 (English)In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 22, no 5, p. 799-807Article in journal (Refereed) Published
Abstract [en]

RATIONALE: This study aimed to explore whether a computer-based training in eating and nutrition for hospital nursing staff can influence the precision in nutritional treatment and care.

METHOD: A pre-intervention and post-intervention study was conducted with a cross-sectional design at each time point. The settings were one intervention (IH) and two control hospitals (CH1 and CH2). Hospital inpatients >18 years old at baseline (2012; n = 409) and follow-up (2014; n = 456) were included. The computer-based training was implemented during a period of 3 months in the IH with 297 (84%) participating registered nurses and nurse assistants. Nutritional risk was screened for using the Minimal Eating Observation and Nutrition Form. Nutritional treatment and care was recorded using a standardized protocol RESULTS: In the IH, there was an increase in the share of patients at UN risk that received energy-dense food (+16.7%) and dietician consultations (+17.3%) between baseline and follow-up, while fewer received feeding assistance (-16.2%). There was an increase in the share of patients at UN risk that received energy-dense food (+19.5%), a decrease in oral nutritional supplements (-30.5%) and food-registrations (-30.6%) in CH1, whereas there were no changes in CH2. 'Overtreatment' (providing nutritional treatment to those not at UN risk) was significantly higher in CH2 (52.7%) than in CH1 (14.3%) and in the IH (25.2%) at follow-up.

CONCLUSION: The computer-based training seemed to increase the probability for patients at UN risk in the IH to receive nutritional treatment without increasing overtreatment.

Keywords
MEONF-II, education, health informatics, intervention, nursing, nutritional treatment
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-15469 (URN)10.1111/jep.12545 (DOI)000383581000023 ()27133949 (PubMedID)
Funder
Vårdal Foundation, 034
Available from: 2016-05-30 Created: 2016-05-30 Last updated: 2017-08-18Bibliographically approved
Clausson, E. & Hedin, G. (2015). Evaluation of models for health supportive family conversation intended to turn a negative weight development in preschool children. In: : . Paper presented at Obesity Summit London, 14-15 April, 2015.
Open this publication in new window or tab >>Evaluation of models for health supportive family conversation intended to turn a negative weight development in preschool children
2015 (English)Conference paper, Published paper (Other academic)
Abstract [en]

Introduction: Obesity in children is a growing health problem in the world. In Sweden, 14-15 percent of 4-year-old children are overweight and 3 percent are obese. Prevention of overweight and obesity is most effective if started as early as possible. Studies have shown the need for involving the family since parents’/guardians’ attitudes and beliefs may be crucial for the development of the child's eating habits and have thus a key role in the preventive work regarding a healthy lifestyle for the children. In Sweden, the Child Health Service (CHS) comprises a comprehensive universal nurse-led CHS program with health surveillance directed to the children and their parents, including parental support. The CHS have the opportunity to pay attention to early development of overweight and implement measures that can contribute to a healthy lifestyle during childhood as well as adulthood. The need for evidence based methods/models to be used in combating child overweight and obesity is obvious. However, there is a lack of evidence based models to prevent the prevailing childhood obesity used by clinical active nurses.

Purpose: The overall purpose is to evaluate models for health supportive family conversations to families with preschool children with the intent to turn a negative weight development.

Method: The study has a longitudinal design with health supportive family conversations being evaluated both qualitatively and quantitatively. A strategic sample will be applied on CHS centers from different socioeconomic areas in the southern part of Sweden. The models that will be used are the Calgary Family Assessment Model (CFAM) and The Calgary Family Intervention Model (CFIM). The models have its their theoretical foundation in e.g. theories of systems, communication, and change. The study will have a naturalistic approach with a pre-posttest design in which nurses in CHS are trained in the model for health supportive family conversations. Supervision will be provided during the intervention. Children’s IsoBMI and The Lifestyle Behavior Checklist will be used as pre- and post-test and at the 12 month follow-up. Evaluation interviews will be held with the families and the nurses separately.

Preliminary results: A pilot interview showed that the health supportive family conversations led to increased knowledge and understanding about the family lifestyles related to the child obesity. Involvement of the family lead to a consciousness within the family about ingredients in sweet drinks and food. The fact that the CHS nurse was the one who conducted the conversations were of great importance, since the nurse was well known to the family.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-15223 (URN)
Conference
Obesity Summit London, 14-15 April, 2015
Available from: 2016-01-24 Created: 2016-01-24 Last updated: 2016-01-28Bibliographically approved
Westergren, A., Hedin, G. & Hagell, P. (2014). 10 år med forskargruppen PRO-CARE: jubileumsskrift. Kristianstad: Kristianstad University Press
Open this publication in new window or tab >>10 år med forskargruppen PRO-CARE: jubileumsskrift
2014 (Swedish)Report (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Kristianstad: Kristianstad University Press, 2014. p. 45
Series
PRO-CARE (Clinical Assessment Research & Education), ISSN 1654-1421 ; 40
National Category
Health Sciences
Identifiers
urn:nbn:se:hkr:diva-14602 (URN)
Available from: 2015-09-17 Created: 2015-09-17 Last updated: 2016-01-04Bibliographically approved
Westergren, A., Hagell, P. & Hedin, G. (2014). Smärta: en studie genomförd med hjälp från studenter i sjuksköterskeprogrammet. Kristianstad: Kristianstad University Press
Open this publication in new window or tab >>Smärta: en studie genomförd med hjälp från studenter i sjuksköterskeprogrammet
2014 (Swedish)Report (Other academic)
Abstract [sv]

Syfte: Syftet med studien var att undersöka förekomst och grad av smärta hos vårdtagare och att jämföra två metoder för skattning av smärta, verbal skattning av smärta samt skattning med hjälp av VAS (Visuell Analog Skala). Vidare är syftet att sjuksköterskestudenterna ska få träna sig med hjälp av olika bedömningsinstrument identifiera problem med smärta samt reflektera över Metod: Sjuksköterskestudenter från första och sista året i utbildningen genomförde skattningar på vårdtagare vid den praktikplats där de genomförde sin verksamhetsförlagda utbildning (VFU) på sjukhus eller i särskilda boenden (SB, här även inkluderat avancerad sjukvård i hemmet (ASIH)). Vårdtagare gav sitt informerade samtycke till att medverka i studien som genomfördes under en dag. Vårdtagarna fick skatta sin smärta med verbal skattning samt med VAS. Totalt ingick 1769 vårdtagare i studien varav 1432 var på sjukhus och 1337 i SB/ASIH. På sjukhus var 54.3% kvinnor och 45.7% män, inom SB/ASIH var fördelningen 63.8% respektive 35.9%.

Resultat: På sjukhus upplevde 48.4% av respondenterna sin grad av sjukdom som "svår" respektive 30.1% vid SB/ASIH. Vid sjukhus angav 27.8% någon form av smärta när den "var som värst", respektive 31.8% vid SB/ASIH. När smärtan "var som minst" var det 39.9% vid sjukhus som uppgav "ingen smärta" och inom SB/ASIH var det 43.1%. Vad gäller smärta "i genomsnitt" var det 22.1% som uppgav "ingen smärta" vid sjukhus, och 22.3% vid SB/ASIH.

Slutsats: Smärta var väldigt vanligt både på sjukhus och i SB/ASIH.

Place, publisher, year, edition, pages
Kristianstad: Kristianstad University Press, 2014
Series
PRO-CARE (Clinical Assessment Research & Education), ISSN 1654-1421 ; 41
Keywords
Sjukhus, smärtbedömning, smärtbehandling, studentmedverkan, särskilt boende, VAS-skala
National Category
Health Sciences
Identifiers
urn:nbn:se:hkr:diva-14601 (URN)
Available from: 2015-09-17 Created: 2015-09-17 Last updated: 2016-01-11Bibliographically approved
Westergren, A., Hedin, G. & Lindgren, E. (2013). Gångsvårigheter, tilltro till balansförmåga, fallrisk och relaterade faktorer på sjukhus och i särskilt boende: en studie genomförd med hjälp från studenter i sjuksköterskeprogrammet. Kristianstad: Kristianstad University Press
Open this publication in new window or tab >>Gångsvårigheter, tilltro till balansförmåga, fallrisk och relaterade faktorer på sjukhus och i särskilt boende: en studie genomförd med hjälp från studenter i sjuksköterskeprogrammet
2013 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Kristianstad: Kristianstad University Press, 2013. p. 27
Series
PRO-CARE (Clinical Assessment Research & Education), ISSN 1654-1421 ; 36
National Category
Health Sciences
Identifiers
urn:nbn:se:hkr:diva-14599 (URN)
Available from: 2015-09-17 Created: 2015-09-17 Last updated: 2016-01-18Bibliographically approved
Westergren, A., Edfors, E., Hedin, G. & Hagell, P. (2013). Improving nursing students research knowledge through participation in a study about nutrition, its associated factors and assessment. Journal of Nursing Education and Practice, 3(8), 50-58
Open this publication in new window or tab >>Improving nursing students research knowledge through participation in a study about nutrition, its associated factors and assessment
2013 (English)In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 3, no 8, p. 50-58Article in journal (Refereed) Published
Abstract [en]

Aims: The aims of this study were threefold: 1) to explore nursing students perceptions of knowledge development after participating in an actual research project; 2) to explore undernutrition and its relationship to other clinical factors; 3) to explore the user-friendliness of the Minimal Eating Observation and Nutrition Form (MEONF-II) in relation to dependency in Activities of Daily Living (ADL).

Methods: A pilot study (Study 1, S1) was conducted in October 2010, including 281 patients. After extending the research protocol a second data collection (S2) was conducted in March 2011, including 236 patients (total n=517). First and third year nursing students (n=188) collected the data, during one day of their clinical practice courses by assessing three patients each in hospitals or nursing homes. Students answered questions about their experiences from participating in the study. Patient related assessments included: MEONF-II; ADL dependency (S1 and S2); insomnia; low-spiritedness; and subjective health (S2). In addition, questions about the user-friendliness of MEONF-II were included (S1 and S2).

Results: Among the nursing students, 51% experienced that their knowledge about nutrition increased and 67% that their understanding for research increased by participating in the project. Out of the patients, 57% were women, 50% were almost independent, 27% had some dependency, 23% were almost totally dependent in ADL, and 48% were at moderate/ high undernutrition risk. In S2, 32% of patients had insomnia, and 46% experienced low-spiritedness. Dependency in 5-6 and 3-4 ADLs (OR, 2.439 and 2.057, respectively), compared to dependency in 0-2 ADLs, were the strongest predictors for undernutrition risk, followed by insomnia (OR 2.124). Nursing students experienced the MEONF-II as easy to understand (93%), easy to answer (94%) and relevant (94%), and the suggestions for measures to take in case of risk as relevant (95%), independent of the patients’ ADL status.

Conclusions: By participating in an actual research project nursing students gets an understanding for research and tools for working with quality improvements in their future role as professional nurses. Undernutrition, mental and physical factors constitute coexisting problems in need for further investigation. Nursing students perceive the MEONF-II as user-friendly, independent of patient ADL dependency.

Keywords
Work integrated learning, Undernutrition, MEONF-II, Insomnia, Activities of daily living
National Category
Health Sciences
Identifiers
urn:nbn:se:hkr:diva-10063 (URN)10.5430/jnep.v3n8p50 (DOI)
Available from: 2013-01-22 Created: 2013-01-22 Last updated: 2017-12-06Bibliographically approved
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