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  • 1.
    Abrahamsson, Agneta
    et al.
    Kristianstad University, Department of Health Sciences.
    Lindskov, Cecilia
    Kristianstad University, Department of Health Sciences.
    Berg, Agneta
    Kristianstad University, Department of Health Sciences.
    Darin, Marianne
    Jörnrud, Carina
    Lennartsson, Ingela
    Mattson, Stina
    Sigurdsson, Marie
    Särnblad, Pia
    Tillawi, Ulrica
    Familjehuset Näsby: en utvärdering för utveckling2007Report (Other (popular science, discussion, etc.))
  • 2.
    Benzein, Eva
    et al.
    Department of Health and Behavioural Sciences, Kalmar University.
    Berg, Agneta
    Kristianstad University, Department of Health Sciences.
    The Swedish version of Herth Hope Index: an instrument in palliative care2003In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 17, no 4, p. 409-415Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to assess the reliability and validity of the Swedish version (HHI-S) of the Herth Hope Index (HHI), developed by K. Herth. The HHI-S is a 12-item Likert scale, arranged with scores from 1 to 4, where 1 is 'strongly disagree' and 4 is 'strongly agree'. The HHI-S together with the Miller Hope Scale (TMHS) and Beck's Hopelessness Scale (HS-S) were distributed to 85 adults, 40 patients with cancer in palliative care and 45 family members to patients with cancer in palliative care, recruited from four different in- and out-patient oncology clinics. The result showed an internal consistency alpha coefficient of 0.88 for the HHI-S. Concurrent criterion-related validity was assessed by correlating the HHI-S with the TMHS (r = 0.82) and the discriminant validity was assessed by correlating the HHI-S with the HS-S (r = −0.69). A varimax-rotated principal component factor analysis was performed and identified two factors; reconciliation with life situation and religiosity. Although the instrument shows sound reliability and validity, it should be used with care in clinical palliative care settings, because of linguistic, conceptual and cultural difficulties when transferring the instrument into Swedish. The result demands the work of developing an instrument measuring hope, based in the Swedish culture.

  • 3.
    Benzein, Eva
    et al.
    Department of Health and Behavioural Sciences, Kalmar University.
    Berg, Agneta C.
    Kristianstad University, Department of Health Sciences.
    The level of and relation between hope, hopelessness and fatigue in patients and family members in palliative care2005In: Palliative Medicine: A Multiprofessional Journal, ISSN 0269-2163, E-ISSN 1477-030X, Vol. 19, no 3, p. 234-240Article in journal (Refereed)
    Abstract [en]

    Hope, hopelessness and fatigue are important experiences for patients and family members in palliative care. The aim of the study was to describe the level of and relation between hope, hopelessness and fatigue in patients and family members in palliative care. Eighty-five participants completed the Herth Hope Index, Beck's Hopelessness Scale and rated their level of fatigue from none to severe. The level of hope proved to be significantly lower among the family members than among the patients. For the family members, correlations were found between hope and age (–0.358*), fatigue and hope (–0.439*), hopelessness and age (0.484**), age and fatigue (0.403**) and between hope and hopelessness (–0.723**). For the patients, correlations were found between age and hopelessness (0.555**) and between hopelessness and hope (–0.580**). Efforts to increase the experience of hope and decrease hopelessness and fatigue must include not only the patient but also the family members. (*=P<0.5, **=P<0.01).

  • 4.
    Benzein, Eva
    et al.
    School of Human Sciences, Kalmar University.
    Johansson, Pauline
    School of Human Sciences, Kalmar University.
    Årestedt, Kristofer Franzén
    School of Human Sciences, Kalmar University.
    Berg, Agneta
    Kristianstad University, Department of Health Sciences.
    Saveman, Britt-Inger
    School of Human Sciences, Kalmar University.
    Families' importance in nursing care: nurses' attitudes - an instrument development2008In: Journal of Family Nursing, ISSN 1074-8407, E-ISSN 1552-549X, Vol. 14, no 1, p. 97-117Article in journal (Refereed)
    Abstract [en]

    This article describes the development and testing of a research instrument, Families' Importance in Nursing Care-Nurses' Attitudes (FINC-NA), designed to measure nurses' attitudes about the importance of involving families in nursing care. The instrument was inductively developed from a literature review and tested with a sample of Swedish nurses. An item-total correlation and a first principal component analysis were used to validate the final instrument, including a second principal component analysis to analyze dimensionality, and Cronbach's alpha was used to estimate internal consistency. The instrument consists of 26 items and reveals four factors: families as a resource in nursing care, family as a conversational partner, family as a burden, and family as its own resource. Cronbach's alpha was 0.88 for the total instrument and 0.69 to 0.80 for the subscales. The instrument requires further testing with other nurse populations.

  • 5.
    Berg, Agneta
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Clausson, Eva K.
    Kristianstad University, School of Health and Society.
    Yrkesmässig handledning för skolsköterskor2012In: Skolsköterskans hälsofrämjande arbete / [ed] Eva K Clausson och Siv Morberg, Lund: Studentlitteratur, 2012, p. 205-219Chapter in book (Other academic)
  • 6.
    Berg, Agneta
    et al.
    Kristianstad University, School of Health and Society. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Clausson, Eva K.
    Kristianstad University, School of Health and Society.
    Bökberg, Christina
    Division of Nursing, Faculty of Medicine, Lund University.
    Secondhand smoking in Swedish municipal home nursing: a qualitative pilot study2012In: Public Health Nursing, ISSN 0737-1209, E-ISSN 1525-1446, Vol. 29, no 6, p. 525-533Article in journal (Refereed)
    Abstract [en]

    Objective

    The purpose of this study was to explore licensed practical nurses’ (LPNs’) views of being exposed to secondhand smoke in municipal home nursing care.

    Design and sample

    Using a qualitative approach, data were collected through three focus group interviews with 15 LPNs, smokers, and nonsmokers. Qualitative content analysis was used to interpret the interview text.

    Results

    Exposure to secondhand smoke during working hours, which presents a risk to the health and wellbeing of the LPNs, is a consequence of placing the interests of the smoking care recipients first and the employers’ reluctance to take action on behalf of the LPNs. These factors prompted LPNs to propose solutions aimed at resolving a major dilemma in routine home nursing care.

    Conclusions

    A combination of actions, particularly by managers, is required to improve the working environment for LPNs while concurrently respecting the care recipients’ right to take decisions in their own homes.

  • 7.
    Berg, Agneta
    et al.
    Lunds University, Centre of Caring Sciences.
    Hallberg, Ingalill R.
    Lunds University, Centre of Caring Sciences.
    Effects from systematic clinical supervision on psychiatric nurses' sense of coherence, creativity, work related strain and job satisfaction: a pre-post design1999In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 6, no 5, p. 371-381Article in journal (Refereed)
    Abstract [en]

    There are few investigations of the type and the outcome of interventions aimed at supporting nurses caring for psychiatric patients. Therefore a prepost–test design study was used in which 22 psychiatric nurses, on a general psychiatric ward were examined before, during and after one year of systematic clinical supervision combined with supervised documented, planned, individualized care. The methods used were the Sense of Coherence scale (SOC), the Creative Climate Questionnaire (CCQ), the Work-Related Strain Inventory and 34 statements from the Satisfaction with Nursing Care and Work Questionnaire (SNCW). In addition 14 statements were developed to evaluate the nurses' view of the effects from clinical supervision. The baseline values for the CCQ indicated a stagnant organization and a high score in the conflict dimension indicated personal and emotional tensions within the organization. The intervention led to a significantly increased creative and innovative climate in the dimensions for trust, idea time and reduced conflicts. However, the organizational climate remained stagnant. The nurses' view of the effects from clinical supervision also increased significantly. There were no significant changes in the nurses' SNCW, WRSI or SOC score. The result of the correlation analysis indicated that a strong sense of coherence was related to low work-related strain but not to unsatisfactory working conditions/milieu. The results gave some support to the idea that systematic clinical supervision and supervised nursing care plans constitute one type of support strategy that improves creativity and the organizational climate. It may, not, however, buffer for interpersonal problems. Further research is required to explore the need for and effects of various support systems depending on the circumstances in the organization.

  • 8.
    Berg, Agneta
    et al.
    The Department of Nursing, Lund University.
    Hallberg R., Ingalill
    The Department of Nursing, Lund University.
    Psychiatric nurses' lived experiences of working with in-patient care on a general team psychiatric ward2000In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 7, no 4, p. 323-333Article in journal (Refereed)
    Abstract [en]

    To reveal the meaning of being a nurse working with inpatient care on a team psychiatric ward in Sweden, 22 psychiatric nurses were interviewed and the transcribed texts were analysed by means of latent content analysis. Three themes emerged from the analysis: developing a working relationship with the patient in everyday caregiving; encountering and handling the unforseeable in daily living; and struggling with professional independence and dependency. Developing a working relationship with the patient in everyday caregiving meant that the nurse–patient relationship was the foundation of the caregiving and included being with, as well as doing for, and with, the patient. Four different approaches in daily caregiving were revealed: networking, teaching, containing and protecting. The nurses' approaches in the nurse–patient relationship alternated between being an 'expert' and a 'collaborator'. Encountering and handling unforeseeable situations meant that the nurses were exposed to and had to be prepared for unpredictable situations where they were on their own, handling sometimes strong emotional reactions and relying on their own ability to act. Struggling with professional independence and dependency meant that the nurses seemed to lack professional confidence, although they had many responsibilities, but also less authority to decide about overall care planning. Contextual aspects such as organizational hindrance, unsatisfactory work-environment and co-operation difficulties were illuminated. The result indicates the need for a stable and predictable organizational structure if nurses are to manage the demanding nurse–patient relationships that everyday caregiving requires. A question highlighted by this study is whether multidisciplinary team organization has been effectively developed in Sweden, as uncertainty about the roles and responsibilities of nurses was apparent.

  • 9.
    Berg, Agneta
    et al.
    Department of Nursing, Lund University.
    Hallberg R., Ingalill
    Department of Nursing, Lund University.
    The meaning and significance of clinical group supervision and supervised individually planned nursing care as narrated by nurses' on a general team psychiatric ward2000In: Australian and New Zealand Journal of Mental Health Nursing, ISSN 1324-3780, E-ISSN 1440-0979, Vol. 9, no 3, p. 110-127Article in journal (Refereed)
    Abstract [en]

    By interviewing 22 psychiatric nurses, the present study aimed to reveal the meaning and significance of systematic clinical group supervision and supervised individually planned nursing care, using latent content analysis. The interpreted meaning was 'confronting the complexity of ongoing life in daily nursing care' and the interpreted significance was 'strengthening the foundation for nursing care'. Reflection on action and confirmation seemed to be core components in the process of clinical supervision. Focusing on the relational and task aspects in nursing care within a group approach may have contributed to the positive experiences of development that occurred.

  • 10.
    Berg, Agneta
    et al.
    Centre of Caring Sciences, Lund University.
    Hallberg R, Ingalill
    Centre of Caring Sciences, Lund University.
    Norberg, Astrid
    Department of Nursing, Umeå University.
    Nurses' reflections about dementia care, the patients, the care and themselves in their daily caregiving1998In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 35, no 5, p. 271-282Article in journal (Refereed)
    Abstract [en]

    In this study the aim was, through interviews, to disclose 13 nurses personal knowledge about the patients, themselves, and care provision, using a phenomenological-hermeneutic analysing method. Caring for people with severe dementia meant an intertwined life world emanating from making and doing together and the delicate interpretative work that the care provision required. The intertwined life world consisted of the interaction between the nurses and the patients separate lives, their common life and the environment, culminating in mutual dependency. Making together signifies the relationship being based on the nurses knowledge and skills as nurses i.e. the task they had to perform. Doing together signifies the relationship being based on the oneness of the nurses and the patients with severe dementia as ordinary human beings. The delicate interpretation process required, to adapt care to the individual patient, was based on knowledge about the patients personality, life history and disease progression in combination with the nurses interpretation of the current situation. The nurses searched for meaning and that, in turn, meant that the patients inner world was determined by the nurses and thus the patient was seen as being in their hands. It seems important to further understand the human aspects of both the nurse and the patient and to examine this dynamic, ongoing, vulnerable interpretation process, critically, in order to achieve high quality nursing care for the patients with severe dementia, and an experience of well-being in nurses everyday working lives.

  • 11.
    Berg, Agneta
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Idvall, Ewa
    Faculty of Health and Society, Malmö University.
    Katajisto, Jouko
    University of Turku, Department of Mathematics and Statistics.
    Suhonen, Riitta
    University of Turku, Department of Nursing Science.
    A comparison between orthopaedic nurses’ and patients’ perception of individualised care2012In: International Journal of Orthopaedic and Trauma Nursing, ISSN 1878-1241, E-ISSN 1878-1292, Vol. 16, no 3, p. 136-146Article in journal (Refereed)
    Abstract [en]

    This exploratory study compares orthopaedic nurses’ perceptions of individualised nursing care with previously published orthopaedic patients’ perceptions. Orthopaedic nurses (N = 243) from one university, two central and two county hospitals working within in-patient care were surveyed using the Individualised Care Scale-Nurse (ICS-Nurse) in 2009 (response rate 74%, n = 180). The data were analysed using both descriptive and inferential statistics. About 60% of the nurses stated that it was very important that the care provided is individualised in comparison with 86% of the patients as previously reported (p-value <0.001). The highest rated assessment of individualised care was the clinical situation and the lowest the personal life situation which is in line with the patients’ experiences. This result demonstrates the need of managers in healthcare organisations to redouble their efforts in the implementation of individualised care by investigating nurses’ contemporary beliefs about, and forces that hinder the provision of individualised nursing care.

  • 12.
    Berg, Agneta
    et al.
    Kristianstad University, Department of Health Sciences.
    Kisthinios, Marianne
    Department of Health and Society, Malmö University.
    Are supervisors using theoretical perspectives in their work?: a descriptive survey among Swedish-approved clinical supervisors2007In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 15, no 8, p. 853-861Article in journal (Refereed)
    Abstract [en]

    Aim The aim of the study was to explore the theoretical perspectives in use by approved clinical nursing supervisors in Sweden.

    Background. For the time being, we know little of the theoretical perspectives in use on a daily basis by the clinical nursing supervisors in Sweden.

    Methods. A questionnaire (n = 49) and follow-up telephone interviews (n = 14) were used. Data analysis was made by descriptive statistics and qualitative content analysis.

    Results. The result from the questionnaire showed that the supervisors often used and combined different theoretical perspectives with origins in nursing, education and psychology. Surprisingly, one-fourth of the respondents did not state any nursing theoretical perspective in use during clinical nursing supervision. The result from the interviews revealed that the theory of Katie Eriksson (1987) was the most commonly used nursing perspective.

    Conclusion. As the overall aim for clinical nursing supervision is to improve nursing for the patient/family, the supervisor's competence in nursing is essential. Given this fact, and that only three-quarters of the approved clinical nursing supervisors stated a use of theoretical nursing perspective when supervising, there is obviously a need for further investigations in this area. In addition, there is also a need for approved Swedish clinical nursing supervisors, to further become aware of the theoretical perspective in use that supports their clinical nursing supervision. Clinical nursing supervision is a multifaceted activity that needs to be supported by different nursing theoretical perspectives including physical, emotional, intellectual, spiritual as well as socio-cultural aspects.

  • 13.
    Berg, Agneta
    et al.
    Kristianstad University, School of Health and Society.
    Rask, Marie
    Kristianstad University, School of Health and Society.
    Patienternas syn på individualiserad vård på en ortopedisk klinik2008Report (Other academic)
    Abstract [sv]

    Samhället ställer ökade krav på uppföljning av hälso- och sjukvårdens kvalitet. Individualiserad vård anges som något av det mest centrala i vården och omvårdnaden av patienten (ICN, 2006) och betonas i olika policy- och kvalitetsdokument både nationellt och internationellt (Nilsson, 2005, OECD, 2004). I närsjukvårdsprofileringen och utvecklingen som redovisats för Nordöstra Skåne betonas att vården skall utgå från patientens behov (Region Skåne, 2003) och innefatta utveckling av nya vård- och behandlingsformer där patienten och närstående står i fokus. Behovet av vård och omvårdnad och dess utförande varierar då en patient blir inlagd på sjukhus och det är viktigt att beakta att patienten och dennes närstående kan känna sig sårbara och utsatta (Hälso- och Sjukvårdsrapporten från 2001). Utvärderingar som belyser ett helhetsperspektiv på vårdtagarna är viktiga och måste innehålla både medicinska- och omvårdnadsdata. I föreliggande rapport är det det omvårdnadsperspektivet som står i centrum.

  • 14.
    Berg, Agneta
    et al.
    Kristianstad University, Department of Health Sciences.
    Suhonen, Riita
    Health Care District, Forssa.
    Idvall, Ewa
    Kalmar County Hospital Council.
    A survey of orthopaedic patients' assessment of care using the Individualised Care Scale2007In: Journal of Orthopaedic Nursing, ISSN 1361-3111, E-ISSN 1873-4839, Vol. 11, no 3-4, p. 185-193Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to describe orthopaedic patients’ assessments of howindividuality in patient carewas supported during specific nursing interventions and how that individuality was perceived during hospitalisation. Orthopaedic inpatients (370) fromtwo central county and two county hospitals in Sweden were surveyed using the Individualised Care Scale (ICS) during 2004/2005, (response rate 74% n = 274). The data were analysed using both descriptive and inferential statistics. Eighty-six percent of the respondents stated that it was very important to be treated as an individual or unique person and 59% experienced this type of care. The lowest rated assessments concerned the personal life situation and the highest were concerned with the clinical situation and the decisional control over care. This analysis of patient assessments of individualised nursing care can be used to implement changes to individualise care processes in orthopaedic wards. This will be useful in the evaluation of health care quality improvement, planning and personnel management.

  • 15.
    Berg, Agneta
    et al.
    Lund University, Centre of Caring Sciences.
    Welander Hansson, Ulla
    HälsoSam, Eslöv.
    Dementia care nurses experiences of systematic clinical group supervision and supervised individually planned nursing care2000In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 8, no 6, p. 357-368Article in journal (Refereed)
    Abstract [en]

    AimTo reveal 13 nurses' experiences of systematic clinical group supervision and supervised individually planned nursing care, while working with people suffering from severe dementia.

    BackgroundClinical supervision is a major issue in nursing, however empirical knowledge of the subject is limited. Nurse's narrations about their experiences may extend the knowledge available and serve as a basis for creating models of support systems for nurses in their care provision.

    MethodsOpen-ended interviews were performed and the text was analysed through content analysis. A questionnaire was used to evaluate the views of the effects of clinical supervision.

    FindingsTwo main themes were found. Confirmed uniqueness included two sub-themes: confirming the nurses as a person and as a professional and confirming the patient as a unique human being. Consolidated sense of community included three sub-themes: closer relationship between the nurses, changed organization of nursing care and improved individualizing in routines of nursing care. The questionnaire result showed improvements in co-operation and in providing professional nursing care and personal development.

    ConclusionInterventions to improve working conditions for the nurses and care quality for the patients may well focus the core process, i.e. feedback and support for the nurse–patient interaction and person-orientated nursing care, taking into account the constellation and conditions of the group.

  • 16.
    Berg, Agneta
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Care Research and Development Unit, Kristianstad College for Health Professions.
    Welander Hansson, Ulla
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Hallberg R, Ingalill
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Nurses' creativity, tedium and burnout during 1 year of clinical supervision and implementation of individually planned nursing care: comparisons between a ward for severely demented patients and a similar control ward1994In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 20, no 4, p. 742-749Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to study creativity and innovative climate, tedium and burnout among the nurses on two wards during 1 year of systematic clinic supervision combined with the implementation of individualized care on an experimental ward (EW) for severely demented patients, as compared with a similar control ward (CW) EW nurses had systematic clinic supervision and each patient had his/her nursing care carefully planned, documented and evaluated The intervention was evaluated by means of the Creative Climate Questionnaire, Burnout Measure and the Maslach Burnout Inventory Creativity and innovative climate improved significantly among the EW nurses (n= 19) in eight out of 10 factors during the year of intervention while there was no change on the control ward (n= 20) Tedium and burnout decreased significantly among the EW nurses while no change was seen in this respect among the CW nurses It seems reasonable to assume that systematic clinical supervision and individualized planned care decreases the negative outcome of stress caused by the psychological burden imposed by nursing care It also increases nurses' creativity, which, in turn, may benefit patient care The findings of this study point to the necessity for a support system that focuses on the work itself, i e the nursing care Individualized planned care and systematic clinical supervision may offer this kind of support.

  • 17.
    Björklund, Margereth
    et al.
    Kristianstad University, School of Health and Society.
    Sarvimäki, Anneli
    The Nordic School of Public Health, Gothenburg.
    Berg, Agneta
    Kristianstad University, School of Health and Society.
    Health promoting contacts as encountered by individuals with head and neck cancer2009In: Journal of Nursing and Healthcare of Chronic Illness, ISSN 1752-9816, Vol. 1, no 3, p. 261-268Article in journal (Refereed)
    Abstract [en]

    Aim. To describe the characteristics of health promoting contacts with health professionals as encountered by individuals with head and neck cancer. Background. Head and neck cancer has a profound and chronic impact on the individual's everyday life, e.g. physical problems that hinder speaking, breathing, eating and drinking. Furthermore, fear and uncertainty can lead to long-term psychological and psychosocial problems. The National Institute of Public Health in Sweden advocates that all care contacts should improve the quality of the individual's health. Design. A qualitative descriptive and explorative design was used. Eight participants were interviewed in the year 2005 and a qualitative thematic content analysis of the data was performed. Findings. Health promoting contacts were defined as contacts where health care professionals contribute positively to the well-being of individual patients. Characteristics include being available, engaged, respectful and validating. Three themes were identified: being believed in one's illness story; having a working relationship with health professionals and receiving individualised, tailored care. Conclusions. Health promoting contacts were experienced mainly during the treatment phase, when patients had daily contact with specific, qualified health professionals. Although the interview questions focused on health promoting contacts, nearly half of the contacts were experienced as not health promoting. Feelings of abandonment were particularly manifested before and after treatment. The starting point for achieving health promoting contact lies in understanding the patient's lifeworld in relation to health, illness and suffering and focusing on the individual's personal strengths and health resources. Relevance to clinical practice. The findings highlighted the importance of ensuring that patient interests and concerns are core considerations in health care. The participants viewed continuing individualised, tailored care and access to ear, nose and throat healthcare professionals as highly important.

  • 18.
    Björklund, Margereth
    et al.
    Kristianstad University, School of Health and Society.
    Sarvimäki, Anneli
    The Nordic School of Public Health, Gothenburg.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Health promotion and empowerment from the perspective of individuals living with head and neck cancer2008In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 12, no 1, p. 26-34Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to shed light on health promotion from the perspective of individuals living with head and neck cancer. Eight informants were interviewed and latent content analysis was used. Individuals living with head and neck cancer experienced many problems that had a negative impact on their health. One overarching main theme was demonstrated; the ability to regain control and empower oneself. Three themes emerged: (1) Being enabled by dialogue with one's inner self, including three sub-themes: transformed and improved self-esteem, recognising and embracing existentiality, and increased self-determination. (2) Being enabled by means of contact with a social network, including two sub-themes: emotional support and practical support. (3) Being enabled by means of contact with and a passion for the environment, including two sub-themes: nature, hobbies and activities. Empowerment, the goal of health promotion, was understood as an ongoing process, and the ability to promote health varied and was dependent on internal and external enabling of acting and doing. The interpretation of this ongoing process demonstrates interplay assisted by a dialogue with one's inner self, contact with a social network and a passion for the environment. Altogether, these findings may inspire nurses and other health care professionals to support the individual's empowerment process and pose non-pathology-oriented questions such as "what improves your health?" or "what makes you feel good?"

  • 19.
    Björklund, Margereth
    et al.
    Kristianstad University, School of Health and Society.
    Sarvimäki, Anneli
    The Nordic School of Public Health, Gothenburg.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Living with head and neck cancer: a profile of captivity2010In: Journal of Nursing and Healthcare of Chronic Illness, ISSN 1752-9816, E-ISSN 1752-9824, Vol. 2, no 1, p. 22-31Article in journal (Refereed)
    Abstract [en]

    Aim. To illuminate what it means to live with head and neck cancer.

    Background. Patients could experience head and neck cancer as more emotionally traumatic than other cancers because of visible disfigurement and its life-threatening impact on vital functions. This long-term illness often leads to lifestyle changes such as to physical function, work and everyday tasks, interpersonal relationships and social functioning.

    Design. This study used a qualitative and explorative longitudinal and prospective design with semi-structured interviews and open-ended questions. Twenty-one interviews were conducted with six participants with newly diagnosed or newly recurrent head and neck cancer. The analysis was descriptive and interpretive.

    Findings. The participants were living 'in captivity' in the sense that their symptoms were constant reminders of the disease. Our findings also revealed existential loneliness and spiritual growth, as interpreted within six themes: altered sense of affiliation; hostage of health care; locked up in a broken body, but with a free spirit; confined in a rogue body, forced dependency on others, and caught up in a permanent illness trajectory.

    Conclusions. Living with head and neck cancer involves emotional and existential vulnerability. The participants and their next of kin experienced insufficient support from health services and inadequate coordination between phases of their lengthy illness trajectory. These findings call for changes in oncological rehabilitation and management. Patient care must take a holistic view of everyone involved, centring on the individual and the promotion of health. A care coordinator could navigate between the individual patient needs and appropriate health services, hopefully with results that lessen the individual's emotional and existential confinement.

  • 20.
    Charalambous, Andreas
    et al.
    Cypern.
    Radwin, Laurel
    USA.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.
    Sjovall, Katarina
    Lund University.
    Patiraki, Elisabeth
    Grekland.
    Lemonidou, Chryssoula
    Grekland.
    Katajisto, Jouko
    Finland.
    Suhonen, Riitta
    Finland.
    An international study of hospitalized cancer patients' health status, nursing care quality, perceived individuality in care and trust in nurses: a path analysis2016In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 61, p. 176-186Article in journal (Refereed)
    Abstract [en]

    Background: Providing high quality nursing care for patients with malignancies is complex and driven by many factors. Many of the associations between nursing care quality, trust, health status and individualized care remain obscure. Objective: To empirically test a model of association linking hospitalized cancer patients' health status, nursing care quality, perceived individuality in care and trust in nurses. Design: A cross-sectional, exploratory and correlational study design was used. Settings: This multi-site study was conducted in cancer care clinics, in-patient wards of five tertiary care hospitals in Cyprus, Finland, Greece and Sweden. Sample: Out of 876 hospitalized patients with a confirmed histopathological diagnosis of cancer approached to participate in the study in consecutive order, 599 (response rate 68%) agreed to participate and the data from 590 were used for path analysis. Methods: Data were collected in 2012-2013 with the Individualized Care Scale-Patient (ICS-Patient), the Oncology Patients' Perceptions of Quality Nursing Care Scale (OPPQNCS), the Euro-Qol (EQ-5D-3L) and the Trust in Nurses Scale. Data were analysed statistically using descriptive and inferential statistics. Mplus version 7.11 was used to determine the best Trust model with path analysis. Results: Although the model fit indices suggested that the hypothesized model did not perfectly to the data, a slightly modified model which includes the reciprocal path between individualized care and nursing care quality demonstrated a good fit. Conclusion: A model of trust in nurses was" developed. Health status, individualized care, and nursing care quality were found to be associated with trust. The model highlights the complexity of caring for cancer patients. Trust in nurses is influenced by the provision of individualized care. Generating and promoting trust requires interventions, which promote nursing care quality, individuality and patients' health status. (C) 2016 Elsevier Ltd. All rights reserved.

  • 21.
    Clausson, Eva
    et al.
    Kristianstad University, School of Health and Society.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Dokumentation av skolbarns psykosociala hälsa: en utmaning för svenska skolsköterskor. Poster presenterad vid Andra Nordiska Konferensen i Familjefokuserad Omvårdnad, Kalmar 18-19 maj, 20062006Conference paper (Other academic)
    Abstract [sv]

    Resultatet visar på betydelsen av att utveckla dokumentationen i skolhälsovårdsjournalen till såväl struktur som innehåll och med särskild betoning på den psykosociala hälsan. Resultatet visar även på betydelsen av att utveckla metoder och pröva modeller för att förbättra organisation och samverkan.

  • 22.
    Clausson, Eva
    et al.
    Kristianstad University, Department of Health Sciences.
    Berg, Agneta
    Kristianstad University, Department of Health Sciences.
    Family intervention sessions: one useful way to improve schoolchildren's mental health2008In: Journal of Family Nursing, ISSN 1074-8407, E-ISSN 1552-549X, Vol. 14, no 3, p. 289-313Article in journal (Refereed)
    Abstract [en]

    This study examines the effectiveness of therapeutic conversations with families (through family sessions) in alleviating health complaints among adolescent girls in a school setting. Four girls with recurrent, subjective health complaints and their families were included in the study. Three sessions were held with each family, using genograms, ecomaps, interventive questions, and other family nursing interventions; practicing school nurses were also present. A therapeutic letter was sent to each family at the end of the sessions. The Strengths and Difficulties Questionnaire was used as a pre- and posttest measure. Evaluative interviews were carried out with the families and with school nurses. The families reported feeling relief and described positive affective, behavioral, and cognitive changes as a consequence of the interventions. The school nurses experienced the family sessions as time-saving and easy-to-use tools in their work. Involving the family when schoolchildren's recurrent mental health problems are addressed may reduce future suffering.

  • 23.
    Clausson, Eva K
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Family Intervention Sessions: One Useful Tool for School Nurses to Improve Schoolgirl´s Mental Health2011Conference paper (Refereed)
  • 24.
    Clausson, Eva K.
    et al.
    Kristianstad University, School of Health and Society.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    School nurses – facilitating and constraining beliefs in documenting schoolchildren’s mental health. Oral presentation at Tredje nordiska konferensen i familjefokuserad omvårdnad, 2010, Kalmar2010Conference paper (Other academic)
  • 25.
    Clausson, Eva K.
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO).
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Platform for Collaboration for Health. Högskolan Väst.
    Janlöv, Ann-Christin
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Platform for Collaboration for Health.
    Challenges of documenting schoolchildren's psychosocial health: a qualitative study2015In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 31, no 3, p. 205-211Article in journal (Refereed)
    Abstract [en]

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

     

     

  • 26.
    Clausson, Eva K.
    et al.
    Kristianstad University, School of Health and Society.
    Köhler, L.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Documenting schoolchildren’s mental and social health: a challenging issue for school nurses. Oral presentation at The Universality of School Nursing: The Privilege of Caring for the World’s Children”, 2009, Monmouth University, West Long Branch, New Jersey, USA2009Conference paper (Other academic)
  • 27.
    Clausson, Eva K.
    et al.
    Kristianstad University, Department of Health Sciences.
    Köhler, Lennart
    Nordic School of Public Health, Göteborg.
    Berg, Agneta
    Kristianstad University, Department of Health Sciences.
    Ethical challenges for school nurses in documenting schoolchildren's health2008In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 15, no 1, p. 40-51Article in journal (Refereed)
    Abstract [en]

    This study explored Swedish school nurses' experiences of school health record documentation. Fifty per cent of a representative sample of Swedish school nurses (n = 129) reported difficulties with documenting mental and social health problems in family relationships, schoolchildren's behaviour, and school situations. Ethical considerations concerning fears of misinterpretation and practical barriers to documentation were expressed as reasons for their worries. Mental and social ill health is an increasing and often dominating problem among schoolchildren, thus proper documentation is a basic issue, both for individuals and for the population as a whole. School nurses obviously need professional guidance regarding documentation and ethical challenges. Systematic effort should be directed towards recognition and support of these nurses' unique opportunities to consider, follow and promote all aspects of schoolchildren's health.

  • 28.
    Clausson, Eva K.
    et al.
    Kristianstad University, Department of Health Sciences.
    Köhler, Lennart
    Nordic School of Public Health, Göteborg.
    Berg, Agneta
    Kristianstad University, Department of Health Sciences.
    Schoolchildren's health as judged by Swedish school nurses: a national survey2008In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 36, no 7, p. 690-697Article in journal (Refereed)
    Abstract [en]

    AIMS: To use school nurses' knowledge and experience for a better understanding of schoolchildren's health problems and their association to socioeconomic background and gender. METHODS: Mail questionnaires were sent to a nationally representative, random sample of Swedish school nurses (n=129). The questionnaire included structured and open-ended questions asking for school nurses' judgement of schoolchildren's health status; changes over the previous two years; estimation of schoolchildren's most common reasons for consulting the school nurse; and estimation of factors influencing schoolchildren's health. RESULTS: Swedish school nurses judged schoolchildren's mental health to have deteriorated during the previous two years with increasing health complaints, especially among girls and in disadvantaged housing areas. Disturbed family relations were considered as one important explanatory factor. Girls were more inclined to consult school nurses with subjective health complaints. Boys more often consulted the nurses with physical injuries. CONCLUSIONS: School nurses work closely with the children and meet them continuously during the school age period. They have a genuine knowledge of schoolchildren's health, which should be used even more, both in research and practice. The results may be applicable in other countries with similarly organized school health systems.

  • 29.
    Clausson, Eva
    et al.
    Kristianstad University, Department of Health Sciences.
    Petersson, Kerstin
    Lund University, Department of Nursing, Faculty of Medicine.
    Berg, Agneta
    Kristianstad University, Department of Health Sciences.
    School nurses' view of schoochildren's health and their attitudes to document it in the school health record: a pilot study2003In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 17, no 4, p. 392-398Article in journal (Refereed)
    Abstract [en]

    This study highlights school nurses' view of schoolchildren's health and their attitude to document it in the school health records. A strategic sample of 12 school nurses was interviewed. The interviews were semistructured and analysed with qualitative content analysis. The findings showed that the school nurses' viewed schoolchildren as physical healthy although they called attention to growing problems related to a changed lifestyle. Psychosocial ill-health was however increasing and the most common reason for visiting the school nurse was psychosomatic expressions. According to the nurses' descriptions, health was related to the individual, the school and the family situation. The family situation was mentioned as one of the most important factors of schoolchildren's health. The nurses described no problem to document schoolchildren's physical health. Ethical consideration, tradition, lack of time and the structure of the record were however factors that were said to hinder the documentation of the psychosocial health. In order to promote, protect and recover schoolchildren's health, more research is needed about how beliefs, experience, ethical consideration and resources influence the school nurse's daily work with schoolchildren's health.

  • 30.
    Erlingsson, Christen L.
    et al.
    Department of Health and Behavioural Sciences, University of Kalmar.
    Saveman, Britt-Inger
    Department of Health and Behavioural Sciences, University of Kalmar.
    Berg, Agneta C.
    Department of Health and Behavioural Sciences, University of Kalmar.
    Perception of elder abuse in Sweden: voices of older persons2005In: Brief Treatment and Crisis Intervention, ISSN 1474-3310, E-ISSN 1474-3329, Vol. 5, no 2, p. 213-227Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to explore the perceptions of elder abuse held by older persons in Sweden. Six focus group interviews were conducted. Through qualitative content analysis, the text revealed four themes: causes of elder abuse, conceptions of elder abuse, consequences of elder abuse, and coping with elder abuse. Changing society and families, as well as individual determinants, were believed to be causes of elder abuse. The main conception of elder abuse was that of robbery or assault, and the main consequence was fear. Coping with abuse included individual strategies and improvements in society. Issues of age discrimination were intrinsic in the findings. Gender differences were evident in the group dynamics. Nurses and other health care personnel need to be aware of what older persons believe to be the cause of elder abuse and what they consider abusive. Awareness of the results of this study can help in refining interview and assessment techniques and in designing training manuals.

  • 31.
    Garmy, Pernilla
    et al.
    Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Platform for Collaboration for Health.
    Clausson, Eva
    Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II.
    A qualitative study exploring adolescents’ experiences with a school-based mental health program2015In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 15, article id 1074Article in journal (Refereed)
    Abstract [en]

    Background: Supporting positive mental health development in adolescents is a major public health concern worldwide. Although several school-based programs aimed at preventing depression have been launched, it is crucial to evaluate these programs and to obtain feedback from participating adolescents. This study aimed to explore adolescents’ experiences with a School-based cognitive-behavioral depression prevention program. Methods: Eighty-nine adolescents aged 13–15 years were divided into 12 focus groups. The focus group interviews were analyzed using qualitative content analysis. Results: Three categories and eight subcategories were found to be related to the experience of the school-based program. The first category, intrapersonal strategies, consisted of the subcategories of directed thinking, improved self-confidence, stress management, and positive activities. The second category, interpersonal awareness, consisted of the subcategories of trusting the group and considering others. The third category, structural constraints, consisted of the subcategories of negative framing and emphasis on performance. Conclusions: The school-based mental health program was perceived as beneficial and meaningful on both individual and group levels, but students expressed a desire for a more health-promoting approach.

  • 32.
    Garmy, Pernilla
    et al.
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Lund University.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.
    Clausson, Eva
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, Research Platform for Collaboration for Health.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health.
    Jakobsson, Ulf
    Lund University.
    Psychometric analysis of the Salutogenic Health Indicator Scale (SHIS) in adolescents2017In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 45, no 3, p. 253-259Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to test the psychometric properties of the Salutogenic Health Indicator Scale (SHIS) in an adolescent population. Methods: The investigation was performed among Swedish students aged 13–15 years (n = 817; 58% girls). The SHIS was assessed for respondent acceptability, and its psychometric properties were evaluated according to classical test theory (regarding unidimensionality, targeting, reliability, and external construct validity). Results: The adolescents found it easy to complete the questionnaire, which was completed in an average of 4 minutes. Exploratory factor analysis, which is based on polychoric correlations, identified one factor, supporting the instrument’s unidimensionality. Floor/ceiling effects were ⩽ 3.3%. Reliability estimates yielded a Cronbach’s alpha value of 0.93; the test–retest reliability (n = 50; 2-week interval) coefficients were 0.89 for the total SHIS score and 0.52–0.79 for item scores. Spearman correlations with other variables were based on a priori expectations (self-rated general health, 0.595; depressive symptoms, −0.773; anxiety, −0.577; and sleep problems, 0.519). Conclusions: Our observations support both the acceptability and the psychometric properties of the SHIS as a brief, unidimensional assessment tool for salutogenic health in adolescents. Further studies using modern test theory are needed to better understand the measurement properties of the SHIS, including the functioning of its response categories and its comparability between adolescents and adults.

  • 33.
    Garmy, Pernilla
    et al.
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Lunds universitet.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.
    Clausson, Eva
    Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health.
    Jakobsson, Ulf
    Lunds universitet.
    Salutogent frågeformulär för ungdomar2017Conference paper (Other academic)
    Abstract [sv]

    Våra observationer stöder både acceptansen och de psykometriska egenskaperna för SHIS som ett kort, en-dimensionellt frågeformulär för att mäta salutogen hälsa hos ungdomar.

  • 34.
    Garmy, Pernilla
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO).
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Clausson, Eva K.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO).
    Att leda ett skolbaserat program för att förebygga depressiva symptom hos ungdomar: DISA-ledares erfarenheter2014Conference paper (Other academic)
  • 35.
    Garmy, Pernilla
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO).
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Clausson, Eva K.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO).
    Supporting positive mental health development in adolescents with a group cognitive intervention2014In: British Journal of School Nursing, ISSN 1752-2803, E-ISSN 2052-2827, Vol. 9, no 1, p. 24-29Article in journal (Refereed)
    Abstract [en]

    Background: Supporting positive mental health development in adolescents is an important school health concern, but there is a need to investigate the suitability of the interventions used.

    Aim: The aim is to investigate the experiences of school health professionals in conducting a universal school-based programme aimed at preventing depressive symptoms in adolescents.

    Methods: Twenty-two school health professionals participated in four focus groups. The interviews were analysed using qualitative content analysis.

    Findings: The overall theme identified in the study consists of 'striking a balance between strictly following the manual and meeting the students' needs'. Three subthemes emerged: 'doing good and sowing seeds for the future', working with insufficient tools, and 'personal development as a professional and as an individual'.

    Conclusions: School health professionals conducting the programme found it valuable in a school setting, but considered support from the school administration essential.

  • 36.
    Garmy, Pernilla
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Clausson, Eva
    Kristianstad University, School of Health and Society.
    Jacobsson, Ulf
    Centrum för primärvårdsforskning, Lunds Universitet.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Kartläggning av DISA – ett skol­baserat program för att förebygga depression hos ungdomar. Poster presenterad vid Riksföreningen för skolsköterskors kongress, april 2012, Stockholm2012Conference paper (Other academic)
    Abstract [sv]

    Depression och annan psykisk ohälsa hos ungdomar skapar stort lidande hos den enskilde och dess närstående, och har också ett samband med lägre studieresultat och ökade kostnader för samhället. Det är därför viktigt att undersöka om skolbaserade insatser för att förebygga depression har effekt.

  • 37.
    Garmy, Pernilla
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO).
    Jakobsson, Ulf
    Lunds universitet.
    Steen Carlsson, Katarina
    Lunds universitet.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Platform for Collaboration for Health.
    Clausson, Eva K.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, Research Platform for Collaboration for Health.
    Att förebygga depressiva symptom hos ungdomar: en pilotstudie2014Conference paper (Other academic)
  • 38.
    Garmy, Pernilla
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO).
    Jakobsson, Ulf
    Lunds universitet.
    Steen Carlsson, Katarina
    Lunds universitet.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Clausson, Eva K.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO).
    Att förebygga depressiva symtom hos ungdomar: en pilotstudie2014Conference paper (Other academic)
    Abstract [sv]

    Bakgrund: Att främja välmående och psykisk hälsa hos barn och ungdomar är en viktig uppgift för samhället. Psykisk ohälsa, t ex depression och ångest, innebär en försämrad livskvalitet som kan försvåra barnets kognitiva, sociala och känslomässiga funktioner. Att främja en positiv utveckling och förebygga barns och ungas psykiska ohälsa innebär både ett minskat individuellt lidande och minskade samhällskostnader. Förutsättningen är dock att förebyggande åtgärder är effektiva ur såväl hälsomässiga som ekonomiska perspektiv.

    Syfte: Att utvärdera det skolbaserade programmet Disa som syftar till att förebygga depressiva symptom hos ungdomar.

    Metod:

    Studien, som har en kvasiexperimentell design, inkluderade pre-test, post-test och ett-års-uppföljning samt en illustrativ beräkning av interventionens implementeringskostnader. I studien deltog 62 elever i årskurs 8, samt 7 Disa-ledare.

     

    Resultat: En majoritet av eleverna och samtliga ledare var nöjda med interventionen. Eleverna, både flickorna och pojkarna, skattade sina depressiva symtom signifikant lägre efter kursen, och för flickorna bestod denna effekt vid ett-års-uppföljningen. Implementeringskostnaderna för de första två åren var cirka 2000 kr per elev.

    Slutsats: Positiva resultat av det skolbaserade programmet Disa påvisades, särskilt för flickor. Flera elever tyckte att de fått ett nytt sätt att tänka, och att stämningen förbättrades i klassen.  

     

    Svar på frågan “Vad tyckte du om Disa-kursen?”

    ”Mycket bra! Bättre stämning i klassen efter det! Mysigt!” – Flicka

    ”Helt okej, märkte ingen skillnad efter. Mådde i och för sig inte dåligt innan heller.” – Flicka

    ”Den har varit bra, man har fått ett nytt sätt att tänka på.” – Flicka

    ”Intressant och gav perspektiv” – Pojke

    ”Tråkigt” - Pojke

     

    ”Bra att få tips hur man kan undvika negativa tankar snabbt!” – Pojke

  • 39.
    Garmy, Pernilla
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO).
    Jakobsson, Ulf
    Center for Primary Health Care Research, Faculty of Medicine, Lund University.
    Steen Carlsson, Katarina
    Lund University.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Platform for Collaboration for Health.
    Clausson, Eva K.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO).
    Evaluation of a school-based program aimed at preventing depressive symptoms in adolescents2015In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 31, no 2, p. 117-125Article in journal (Refereed)
    Abstract [sv]

    The aim of this pilot study was to evaluate the implementation of a universal school-based cognitive behavioral program whose target is to prevent depressive symptoms in adolescents. The study had a quasi-experimental design with pretest, posttest, and a 1-year follow-up and provides an illustrative calculation for the implementation costs of the intervention. Sixty-two students (aged 14) and seven tutors participated. A majority of the students and all of the tutors were satisfied with the intervention. The students, both females and males, rated their depressed symptoms as significantly lower after the course; and for the females, this was maintained 1-year postintervention. The implementation costs for the initial 2 years were about US$300 per student. Positive effects of a universal school-based cognitive behavioral intervention aiming at preventing depressive symptoms in adolescents were found, especially among females.

  • 40. Hallberg R., Ingalill
    et al.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Arlehamn, Leni
    The parallel process in clinical supervision with a schizophrenic client1994In: Perspectives in psychiatric care, ISSN 0031-5990, E-ISSN 1744-6163, Vol. 30, no 2, p. 26-32Article in journal (Refereed)
    Abstract [en]

    The authors analyze a male nurse's account of how he experienced his interaction with a female schizophrenic client during sessions of systematic clinical supervision. Notes taken during 15 sessions were analyzed by means of open coding. The analysis revealed the importance of being aware of the parallel process that occurs among the client, the primary nurse, and the unit staff.

  • 41.
    Holm, Anne Lise
    et al.
    Department of Nursing Education, Stord/Haugesund University College, Helse-Fonna, Haugesund.
    Berg, Agneta
    Kristianstad University, School of Health and Society.
    Severinsson, Elisabeth
    Families and Children's Health, Faculty of Health Sciences, Vestfold Univesity College, Tönsberg.
    Longing for reconciliation: a challenge for women with borderline personality disorder2009In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 30, no 9, p. 560-568Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to explore the way in which traumatic childhood experiences influenced the daily life of women with Borderline Personality Disorder (BPD). An explorative design comprising in-depth interviews and a qualitative content analysis was used. The findings revealed one main theme—Longing for Reconciliation—comprising two themes: (1) Living with a sense of shame and guilt and (2) Struggling to be released from a sense of being trapped. Longing for reconciliation influenced the women's daily life as well as their search for the meaning of traumatic childhood experiences. New meaning can emerge through change, forgiveness, and reconciliation, thus helping women with BPD overcome their struggle and gain the insight and strength to look into their secret knowledge. Meaning can emerge and help them to develop an empathic understanding of themselves in the context of past and present relationships.

  • 42.
    Idvall, Ewa
    et al.
    Kalmar County Council and Department of Medical and Health Sciences, Linköping University.
    Berg, Agneta
    Kristianstad University, Department of Health Sciences.
    Patient assessment of postoperative pain management: orthopaedic patients compared to other surgical patients2008In: Journal of Orthopaedic Nursing, ISSN 1361-3111, E-ISSN 1873-4839, Vol. 12, no 1, p. 35-40Article in journal (Refereed)
    Abstract [en]

    We used a 14-item patient questionnaire, Strategic and Clinical Quality Indicators in Postoperative Pain Management, to describe how orthopaedic patients assessed the quality of care they received. The patients highest and lowest assessments were compared to assessments by other groups of surgical patients as reported in studies being published. Our study included 300 inpatients from four different orthopaedic wards in two county councils in Sweden. Patients answered a questionnaire on the day of discharge. The response rate was 74%, and 44% of the respondents were male. Elective surgery was the main reason for admission, and the mean length of stay was 7.3 days. One of the items rated highest was that pain relief was given quickly when requested. A literature review showed that this item also received a high rating in other studies using the same patient questionnaire. The item rated lowest concerned the regular use of a pain assessment instrument, which also received a low rating from patient groups other than the orthopaedics in this study. In conclusion, we found that orthopaedic patients and other groups of surgical patients gave similar assessments concerning the highest and lowest assessments of postoperative pain management. Nevertheless, further improvement is needed.

  • 43.
    Idvall, Ewa
    et al.
    Faculty of Health and Society, Malmö University.
    Berg, Agneta
    Kristianstad University, School of Health and Society. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Katajisto, Jouko
    University of Turku, Department of Mathematics and Statistics, Turku.
    Acaroglu, Rengin
    Istanbul University, Florence Nightingale School of Nursing, Istanbul.
    da Luz, Maria Deolinda Antunes
    Nursing research and development Unity (ui&de), Lisboa.
    Efstathiou, Georgios
    Cyprus University of Technology, Department of Nursing, School of Health Sciences, Limassol.
    Kalafati, Maria
    National and Kapodistrian University of Athens, Faculty of Nursing, Athens.
    Kanan, Nevin
    Istanbul University, Florence Nightingale School of Nursing, Istanbul.
    Leino-Kilpi, Helena
    University of Turku, Department of Nursing Science, Hospital District of Southwest Finland, Turku.
    Lemonidou, Chryssoula
    National and Kapodistrian University of Athens, Faculty of Nursing, Athens.
    Papastavrou, Evridiki
    Cyprus University of Technology, Department of Nursing, School of Health Science, Limassol.
    Sendir, Merdiye
    Istanbul University, Florence Nightingale School of Nursing, Istanbul.
    Suhonen, Riitta
    University of Turku, Department of Nursing Science, Turku.
    Nurses’ sociodemographic background and assessments of individualized care2012In: Journal of Nursing Scholarship, ISSN 1527-6546, E-ISSN 1547-5069, Vol. 44, no 3, p. 284-293Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to explore the association between nurses’ characteristics (educational level, country, work title, gender, type of work, age, and length of working experience) and their assessments of individualized care. Design: A cross-sectional comparative survey using questionnaires was employed to sample nurses from seven countries. Methods: Data were collected from orthopedic and trauma nurses from Cyprus, Finland, Greece, Portugal, Sweden, Turkey, and the United States (N= 1,163, response rate 70%) using the Individualized Care Scale-Nurse (ICS-Nurse) and a sociodemographic questionnaire in 2008. Data were analyzed using descriptive statistics and general linear models. Results: When compared with practical nurses, registered nurses, length of working experience, and the country of the nurses were associated with assessments of the support of patient individuality in specific nursing activities (ICS-A-Nurse) and country assessments of individuality in the care provided (ICS-B-Nurse). The background and experience within nursing teams together with the country affect the delivery of individualized care. Conclusions: Overall, our findings suggest that nurses’ personal attributes have important effects on their assessments of individualized nursing care that will be useful when making context-dependent recruitment decisions. Clinical Relevance: The characteristics of nurses contribute to the care delivered in healthcare organizations. Recognition of these nurse-related factors may help nurse leaders in the development and management of clinical practice.

  • 44.
    Janlöv, Ann-Christin
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.
    Ainalem, Ingrid
    Region Skåne.
    Andersson, Ann-Christine
    Jönköping University.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.
    An improvement program as a way to intensify inter-professional collaboration in the community for people with mental disabilities: a follow-up2016In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 37, no 12, p. 885-893Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to follow up inter-professional experiences of improvement work one year after a completed CII improvement program aiming at improve health care and social services for people with mental disabilities living in ordinary housing. This study was performed with a qualitative descriptive approach which employed six focus group interviews followed by a thematic analysis. The results revealed four themes; Self-awareness and insights; Behavior and actions in daily practice; Organizational cultures and subcultures; and Organizational practices, using Ken Wilbers' integral theory of four quadrants of realities as a holistic frame in the discussion.

  • 45.
    Janlöv, Ann-Christin
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    The nurses’ voice of working in a newly established community based 24-hour support center for people with psychiatric disabilities2013In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 3, no 2, p. 195-201Article in journal (Refereed)
    Abstract [en]

    This study explores the perceptions of a small group of nurses working at a newly established 24-hour community-based service enter (SC) for users with psychiatric disability using a qualitative approach. Since the mental health reform in Sweden in 1995 where the communities (in Sweden called municipalities) were given the responsibility to establish service and support to people with severe psychiatric disabilities, they have struggled in finding suitable forms of these kinds of areas. In 2010, this led to the creation and development of a new center aiming to provide services and support based on the expressed needs of people with physchiatric disability in a community located in southern Sweden. During 2011, a total of three group interviews were performed to capture the employed nurses’ perceptions of this newly established SC. The interview texts were analyzed by way of qualitative content analysis. A first reading of the interview texts revealed that the nurses’ perceptions of the service center were unwaveringly positive but that their beliefs about who the specific target group were differed. The main finding was summarized by the theme: Making a difference—on an individual, professional, and organizational level. The sub themes were: 24-hour availability, unclear assignment, and preventing mental illness. The findings indicate a need for a community round-the-clock service center in this Swedish community and a more clear definition of the target group.

  • 46.
    Janlöv, Ann-Christin
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad Univ, Hlth & Social Sci, Elmetorpsvagen 15, S-29188 Kristianstad, Sweden..
    Granskar, Monica
    Kristianstad University.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Challenges highlighted during peer supervision by mental health nurses and social workers recently trained as case managers in Sweden2015In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 36, no 10, p. 809-816Article in journal (Refereed)
    Abstract [en]

    This study looked at 13 mental health nurses and social workers who were recently trained as case managers (CMs) and the work-related challenges they faced in community mental health services. Data were collected during ten peer supervisions sessions. Participants expressed pride and enthusiasm about their new function as CMs, but they also acknowledged that their new position meant they had to confront existing systems and posed several challenges, including organizational hindrances, economic prerequisites, nominated administrators, role function, and model fidelity. We conclude that the existing organizations seemed to be unprepared to hold and facilitate more person-centered approaches, such as designating CMs. The model fidelity is important, but has to be flexible according to clients' daily state.

  • 47.
    Janlöv, Ann-Christin
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Persson, Irene
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    The lived experience of a 24-hour support center for persons with psychiatric disabilities: making me feel almost like an ordinary person2014In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 4, no 1, p. 42-50Article in journal (Refereed)
    Abstract [en]

    This study illuminates nine psychiatric disabled persons’ lived experience of a newly established community-based service center open around the clock. This new 24-hour support center (SC) was established in 2011 in a Swedish community to better match and facilitate the disabled persons’ needs. In order to illuminate the disabled person’s experiences individual interview was performed. A phenomenological-hermeneutical method inspired by Paul Ricoeur was used to interpret the texts. After a naive reading, a structural analysis revealed two themes: 1), becoming aware of myself as a person, and 2) having a lifeline and belongingness. The comprehensive understanding was interpreted as meaning “Making me feel almost like an ordinary person”, which incorporated the person’s past with their present together with a direction for the future and hope for a more fulfilling life.

  • 48.
    Lindh, Inga-Britt
    et al.
    Kristianstad University, School of Health and Society.
    Barbosa da Silva, Antonio
    Ansgar College and Theological Seminary, Norway.
    Berg, Agneta
    Kristianstad University, School of Health and Society.
    Severinsson, Elisabeth
    Vestfold University College, Norway.
    Courage and nursing practice: a theoretical analysis2010In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 17, no 5, p. 551-565Article in journal (Refereed)
    Abstract [en]

    This article aims to deepen the understanding of courage through a theoretical analysis of classical philosophers’ work and a review of published and unpublished empirical research on courage in nursing. The authors sought answers to questions regarding how courage is understood from a philosophical viewpoint and how it is expressed in nursing actions. Four aspects were identified as relevant to a deeper understanding of courage in nursing practice: courage as an ontological concept, a moral virtue, a property of an ethical act, and a creative capacity. The literature review shed light on the complexity of the concept of courage and revealed some lack of clarity in its use. Consequently, if courage is to be used consciously to influence nurses’ ethical actions it seems important to recognize its specific features. The results suggest it is imperative to foster courage among nurses and student nurses to prepare them for ethical, creative action and further the development of professional nursing practices.

  • 49.
    Lindh, Inga-Britt
    et al.
    Kristianstad University, Department of Health Sciences.
    Severinsson, Elisabeth
    Nordic School of Public Health, Göteborg.
    Berg, Agneta
    Kristianstad University, Department of Health Sciences.
    Exploring student nurses' reflections on moral responsibility in practice2008In: Reflective Practice, ISSN 1462-3943, E-ISSN 1470-1103, Vol. 9, no 4, p. 437-448Article in journal (Refereed)
    Abstract [en]

    Student nurses are faced with a demand for moral responsibility during their clinical education. In order to gain an understanding of how they reflect on the phenomenon of moral responsibility in nursing practice, repeated focus group interviews were conducted. Fourteen student nurses in their final year of the three year baccalaureate programme in nursing were interviewed during their final placement. The interpretive content analysis disclosed the manifestations of moral responsibility as being available for the patient, shielding the patient and being confronted with the voice of conscience. The findings highlighted the importance of space given to ethical reflection on a regular basis as a joint activity. This included by both student nurses and professionals.

  • 50.
    Lindh, Inga-Britt
    et al.
    Kristianstad University, Department of Health Sciences.
    Severinsson, Elisabeth
    University of Stavanger.
    Berg, Agneta
    Kristianstad University, Department of Health Sciences.
    Moral responsibility: a relational way of being2007In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 14, no 2, p. 129-140Article in journal (Refereed)
    Abstract [en]

    This article reports a study exploring the meaning of the complex phenomenon of moral responsibility in nursing practice. Each of three focus groups with a total of 14 student nurses were conducted twice to gather their views on moral responsibility in nursing practice. The data were analysed by qualitative thematic content analysis. Moral responsibility was interpreted as a relational way of being, which involved guidance by one's inner compass composed of ideals, values and knowledge that translate into a striving to do good. It was concluded that, if student nurses are to continue striving to do good in a way that respects themselves and other people, it is important that they do not feel forced to compromise their values. Instead they should be given space and encouragement in their endeavours to do good in a relational way that advances nursing as a moral practice.

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