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  • 1.
    Bringsén, Åsa
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Oral hälsa och folkhälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Samhällsvetenskap.
    Andersson, Petra
    Kjell Arthursson, Frida
    Ejlertsson, Lina
    A health promoting leisure time for young teenage girls: results from a focusgroup study in Sweden2011Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Background

    An action research project was initiated in order to explore young teenage girls’ opinions of leisure time and activities and initiate health promoting activity groups for girls age 13-16 in two municipalities in the south of Swed

    Study design

    The project started with a focus group study that explored girls’ opinions about leisure time and activities.

    Sample size and composition

    A total of fifteen semi structured focusgroup interviews were conducted in February-April 2011. A total of 110 girls, age 13-16, were participating in the study. A combination of a purpose fold selection strategy and randomisation was used for facilitating transferability of the results.

    Analysis

    The results were analysed through a tape based qualitative content analysis that focused on the manifest content of the interviews.

    Results

    The findings showed that the girls wanted their leisure time to be characterised by a variety of different activities. Activities were often related to a combination of the social, physical and psychological dimension of health. The psychological dimension was associated with activity related positive experiences and emotions.Conclusions

    Health promoting activity groups needs to be implemented with support from all the three dimensions of health and characterised by a variety of different activities.

  • 2.
    Clausson, Eva K
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    Berg, Agneta
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Family Intervention Sessions: One Useful Tool for School Nurses to Improve Schoolgirl´s Mental Health2011Konferansepaper (Fagfellevurdert)
  • 3.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Att möta personer med demens2011Collection/Antologi (Annet vitenskapelig)
  • 4.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Att möta personer med demens2011Collection/Antologi (Annet vitenskapelig)
  • 5.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Omvårdnad vid kognitiv svikt2011Inngår i: Kognitiv medicin / [ed] Wahlund, Lara-Olof; Nilsson, Christer; Wallin, Anders, Stockholm: Norstedts Förlag, 2011, 418-429 s.Kapittel i bok, del av antologi (Annet (populærvitenskap, debatt, mm))
  • 6.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Personcentrerad omvårdnad2011Inngår i: Att möta personer med demens / [ed] Anna-Karin Edberg, Lund: Studentlitteratur, 2011, 2, 151-169 s.Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 7.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    På väg mot en personcentrerad demensvård2011Inngår i: Från äldreboende till medicinsk forskning / [ed] Frimurarstiftelsen, Stockholm: Konung Gustaf V:s och drottning Victorias frimurarestiftelse , 2011, 1Kapittel i bok, del av antologi (Annet (populærvitenskap, debatt, mm))
  • 8.
    Holst, Göran
    et al.
    Blekinge Institute of Technology, School of Health Sciences, Karlskrona.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Wellbeing among people with dementia and their next of kin over a period of 3 years2011Inngår i: Scandinavian Journal of Caring Sciences, Vol. 25, nr 3, 549-557 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Little is known about the dyadic experience over time of people with dementia and their next of kin. The aim of this study was to investigate the state of mind of people with dementia, their next of kin's experience of burden and satisfaction, and factors associated with these experiences over a 3-year period. The sample consisted of 32 people with dementia living at home with family caregivers in the south of Sweden. Data were collected during the period 2004-2007 and consisted of patients self reports (GDS), dementia nurse assessment (MMSE, Berger and ADL) and next-of-kin assessment (patient's state of mind and care provision). Data also consisted of next-of-kin's self reports concerning health, burden and satisfaction. The result showed that patients' state of mind was mainly positive at baseline but a deterioration was seen over time in the patient's mood and cognitive functioning together with an increase in ADL-dependency and suspected depression. Dependency in personal ADL entailed a higher risk of being in a negative state of mind. For next of kin the experience of burden increased while satisfaction decreased over the 3 years. The inter-relationship between the patients' mood and the caregiver's satisfaction and burden seems to get stronger over time. At baseline caregiver burden was mainly related to the next of kins' general health and to patient behaviours that were difficult to handle. During the progression of the disease caregiver satisfaction becomes increasingly related to patient state of mind and dependency. There is, however, a need for more research focusing on the specific inter-relational aspects as previous studies have mainly focused on either the situation for the person with dementia or on the caregiver.

  • 9.
    Jakobsson, Liselotte
    et al.
    Högskolan Kristianstad, Sektionen för lärande och miljö, Avdelningen för Humanvetenskap.
    Persson, Lena
    Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    Lundqvist, Pia
    Lund University.
    Life after prostatectomy2011Konferansepaper (Fagfellevurdert)
  • 10.
    Janlöv, Ann-Christin
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Rahm Hallberg, Ingalill
    Department of Health Sciences, Faculty of Medicine, Unit of Caring Sciences, Lund University.
    Petersson, Kerstin
    Department of Health Sciences, Faculty of Medicine, Unit of Caring Sciences, Lund University.
    Care managers' view of family influence on needs assessment of older people2011Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 25, nr 2, 243-252 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Research has shown that families experience poor involvement in needs assessment of older people while little is known about municipal care managers' views of family participation. The aim was to explore how municipal care managers view families' participation in and influence on needs assessment of older people receiving public home help. Individual interviews (n = 26) were conducted with care managers (n = 5) about their previously conducted needs assessments (n = 5-6). As a complement, a focus group interview with care managers (n = 9) from nine different municipalities was conducted. All interviews were analysed using a qualitative content analysis. The results revealed the overarching category, 'Having to establish boundaries towards family influence and at the same time use them as a resource', which encompassed five principal categories. How family participation was viewed and handled during the needs assessment process seemed determined by the way care managers set boundaries for their professional responsibility. Their views revealed both distancing and strengthening attitudes. The distancing attitude dominated, in particular towards family members who were not perceived as having any legal rights to be considered, even though their participation was an important resource. To follow legislation and municipal guidelines of allocation of public home help to avoid reprimands caused a need for self-protection. The care managers seemed pressed by demands from organizations and families, and in this competition, the family lost out. Adherence to organizational developed patterns of handling legislation and guidelines were prioritized. Because family members often are older and assist in providing care, family participation in the needs assessment of older help recipients needs further societal support.

  • 11.
    Johansson, Yvonne
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Tensions in the field of health care: knowledge networks and evidence-based practice: an action research approach2011Doktoravhandling, monografi (Annet vitenskapelig)
    Abstract [en]

    Empirically, this thesis has focused on nine research and development (R&D) networks set up to promote a professional approach to care and strengthen the collaboration between health care sectors in a Swedish health care setting. The research project was embedded in an action research approach intended to encourage network development by means of a dialogical process. The specific research question was: What are the actors‟ perceptions of knowledge networks and how might we account for the networks‟ evolution, role and ways of working? Bourdieu‟s concepts reproduction and symbolic violence were used as analytical tools and were chosen as a way of answering and explaining the empirical story line. Data was collected by use of a multi-method approach consisting of 39 interviews, observations, document review and reflexive notes. The intention was to elicit data that supported both network development and the theoretical explanation to come. It appeared that the networks concerned had several advantages, such as being a forum for internal dialogue and exchange of experiences. In addition, two main patterns emerged: Firstly, most of the participants within the networks were advocates of a linear top-down model of implementation of evidence-based knowledge into practice. Secondly, they experienced inertia in the transfer process. From the collaborative process undertaken it emerged that their linear top-down model of knowledge transfer seemed to be firmly rooted. Theoretically, the thesis contributes to an understanding of why the process of knowledge transfer was considered by the participants within the networks to be a sluggish process. The thesis also contributes to an explanation of why they adhered to the macro-discourse of evidence-based medicine at the expense of involving practitioners outside the networks in horizontal patterns of exchange. It is argued that the networks had a symbolic value and were also a product of and reproduced the evidence-based discourse and the prevailing structures within their field. This contrasted with the role of networks as arenas for generation of local knowledge in the network literature. A major challenge facing health care sectors is that of how to support practitioners in the incorporation of new practices resulting in actual changes.

  • 12.
    Nilsson, Petra
    et al.
    Högskolan Kristianstad, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    Andersson, H. Ingemar
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Ejlertsson, Göran
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Blomqvist, Kerstin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    How to make a workplace health promotion questionnaire process applicable, meaningful, and sustainable2011Inngår i: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 19, nr 7, 906-914 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background  In workplace health promotion, a questionnaire could be of great use. Unfortunately, fatigue regarding answering questionnaires has recently become greater than before. An action research approach could be a possible way of increasing employee participation.

    Aim  This study reports an attempt to explore key aspects for participation in, and commitment to, a workplace health promotion questionnaire process.

    Method  The study was conducted at two wards in a Swedish hospital. Data was collected during an action research process. Data were analysed with regard to a framework of questions.

    Findings  The three key aspects for participation in, and commitment to, a workplace health promotion questionnaire process were: an applicable questionnaire, a meaningful questionnaire process and a continuous and sustainable questionnaire process. A structure is presented as practical advice to managers, describing how such a process could be established to be applicable, meaningful and sustainable.

    Conclusion  This study has identified key aspects and prerequisites for questionnaire processes. The prerequisites – share decision-making, involve a core group and follow a structure – are discussed and proposed for managers and workgroups to consider in further workplace health promotion questionnaire processes.

    Implications for nursing management  The key aspects and prerequisites presented could provide a stimulating standpoint or advice, useful for planning and accomplishing workplace questionnaire processes.

  • 13.
    Olsson, Ann-Margreth E.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO).
    Familjer i turbulens: hur blir det sociala livet för soldater och deras familjer när soldaten ger sig iväg på utlandstjänstgöring i krigsförande områden? Då, nu och sén?2011Inngår i: The Joint Nordic Conference on Welfare and professionalism in Turbulent Times, Reykjavik: FORSA , 2011Konferansepaper (Annet vitenskapelig)
    Abstract [sv]

    Detta handlar om ett nytt forskningsprojekt inom ett område som tidigare varit helt okänt inom socialt arbete i Sverige. På initiativ av veteransoldaternas egen organisation Svenska Fredsbaskrarna startar Högskolan Kristianstad ett forsknings- och utvecklingsarbete i syfte att förbättra det sociala stödet till veteransoldater och deras familjer. Särskilt ska barnens situation och perspektiv beaktas.

    Vi vill inbjuda till dialogiska samtal och reflektioner i ämnet och knyta kontakter i framtida nätverk.

    Under de senaste åren har svenska soldater i allt större utsträckning kommit att delta i utlandstjänstgöring i krigförande områden. Genom hela människans historia har soldater återvänt från slagfält och upplevt sig vara förändrade och traumatiserade. I USA och andra länder har i olika historiska skeenden särskilda veteransjukhus och särskilda stödformer uppstått. I Sverige ska det ordinarie välfärdssystemet också omfatta och kunna möta veteransoldaterna och deras familjers behov. Detta projekt är ett led i att etablera forskning och utvecklingsarbete för att förbättra stödet till veteransoldater och deras familjer. Dels ska inom projektet undersökas de erfarenheter som veteransoldaterna och deras familjer har, dels  undersöka vilka erfarenheter som gjorts i andra länder, också historiskt. Projektet omfattar också aktionsforskning på både individuell och organisatorisk nivå. Soldaterna och deras familjer ska erbjudas delta i nätverksmöten och samtal före, under och efter soldatens tjänstgöringsperioder. På organisatorisk nivå kommer forskargruppen tillsammans med relevanta organisationer bilda nätverksgrupp. Syftet är att undersöka hur det sociala arbetet kan utvecklas för att förebygga, identifiera och hantera de konsekvenser utlandstjänstgöring i krigförande områden kan innebära för veteransoldater, deras familjer och berörda barn.

  • 14.
    Olsson, Ann-Margreth E.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO).
    Inviting partnership in social work and delta-reflecting teams in DPAR2011Inngår i: CARN Conference 2011: Bringing a different world into existence, 2011Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    This research study was done in the framework of a Professional Doctorate in Systemic Practice at KCCF, London, and the University of Bedfordshire, England. It was a study in how dialogical communication and collaboration could improve how social workers, listening to the children’s invitation, could make children’s and other client’s voices heard in social investigations. In all, 55 social workers participated in systemic coaching and this dialogical participatory action research (DPAR) study, conducted for five years in all.

    The research was conducted as an Appreciative Inquiry (AI) process emerging from within the intertwined and reflexively co-created joint actions emerging in two actions projects in where systemic coaching inspired social workers to invite children and other clients into dialogical collaboration called partnership.  In the study these processes became metaphorically talked about as going on cycling voyage tour riding in the peloton. In this dynamic flow of dialogical collaborative joint actions the participants, including the researcher, found the directions how to go on (with whom, when, where, how, with what and why) exploring and reflecting both in the actions during the ride and learning by doing in an ongoing flow of joint actions. Sometimes the peloton stopped for replenishments in the tour, reflecting on the progress and on the impact of the actions as well as the collaboration, exploring from different views and positions. The focus on dialogue developed the participants’ approach in relation to clients and one another and others.  The participating social workers’ awareness of the impact of their own contributions, and their own importance in relation to children and other clients, improved. The expressions listening ears and listening questions were invented, capturing how to place yourself completely at the other participants’ disposal, completely accessible in the mutual responsiveness in the moment. The systemic methods were reflexively influenced and adapted from within the relational dynamic of joint actions in the dialogical interplay, becoming living tools in both the social workers’ practice and the coaching researcher’s practice, facilitating learning-by-doing with methods and approach connected to AI.  One of the living tools was so called ‘reflecting teams’ emerging also into ‘delta-reflecting teams’­ with open narrating included.

     

  • 15.
    Olsson, Ann-Margreth E.
    Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO). Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Ekonomi.
    Listening to the voice of children: inviting to partnership in social work2011Inngår i: Challenging social responsibilities for child abuse and neglect, 2011Konferansepaper (Annet vitenskapelig)
  • 16.
    Olsson, Ann-Margreth E.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Samhällsvetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO).
    Listening to the voice of children: systemic dialogical coaching inviting to participation and partnership in social work2011Inngår i: The joint Nordic conference on welfare and professionalism in turbulent times, 2011Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    A study in and about systemic coaching in social work – systemic, and, as it unfolded, dialogical coaching (DC), with focus on what the conducted coaching brought forth, generated and created in the context of social work and for the members of the participating social welfare organisations, how the coaching inspired social workers to invite clients and especially children into partnership, making their voices heard, both in the written text and in the process of social investigations.

     

    The study was integral parts of commissions (and vice versa) of the County Administrative Board of Scania, Sweden, in my profession as systemic consultant and supervisor in Sweden. It was a study in how dialogical communication could improve how social workers, listening to the children’s invitation, could make children’s voices more heard in social investigations. In all, 55 social workers in seven municipalities participated in this dialogical participatory action research (DPAR) study, conducted for more than five years in all.

     

    The focus on communication and dialogue in the coaching changed and developed the participants’ approach in relation to clients and one another and others.  In the emerging awareness of how we reciprocally and reflexively co-create occurrences and outcomes, including who we become in relation to one another, the participating social workers’ awareness of the impact of their own contributions, and their own importance in relation to children and other clients, also improved. The expressions listening ears and listening questions were invented, capturing my, the coach’s, participation of placing myself completely at the other participants’ disposal, completely accessible in the mutual responsiveness in the moment – being here and now in the present. The systemic methods and techniques were reflexively influenced and adapted from within the relational dynamic of joint actions in the dialogical interplay, becoming living tools in both the social workers’ practice and mine as coach and researcher.

  • 17.
    Pajalic, Zada
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.
    Norberg, Erika
    Region Skåne CSK Kristianstad.
    Skog, Therese
    Region Skåne Hässleholm.
    Andersson, Kristina
    Kristianstads Kommun.
    Palmquist, Eva-Lott
    Kristianstads Kommun.
    Informationsbrev till matdistributionsmottagare2011Annet (Annet (populærvitenskap, debatt, mm))
  • 18.
    Pajalic, Zada
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Persson, Lena
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    Westergren, Albert
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.
    Skovdahl, Kirsti
    School of Health and Medical Sciences, Örebro University.
    Food distribution within a municipality from different perspectives – older people, decision makers and professionals: an action research study2011Konferansepaper (Fagfellevurdert)
    Abstract [en]

    The present research project is one of Action Research (AR) projects in a region in southern part of Sweden, Scania. All the AR projects originate as result of a decision on the highest political level. The decision was to do changes within the care service where collaboration between different care organisations should be advocated in aim to support and help care consumers. The care should be provided in more care consumer centred ways in which care consumers should be in the centre. These changes should emphasise public and care users’ involvement and participation in decisions around the treatment, service development and evaluation. The participatory service should be performed through a constructive dialogue between care users, health care professionals as a catalyst to common practice change.  The overall aim of the project was to explore FD to older people living alone in their own  homes from different perspectives: elderly as consumers, decision-makers and various professionals.  The specific aims were: 1)to explore various professionals’ experiences in relation to their involvement in food distribution in order to get a comprehensive understanding of the organisation, responsibilities and roles in the specific context (“bottom-up” perspective);

    2) to explore older people’s experiences of food distribution and their suggestions what they whish to change (“bottom-up” perspective); 3) to identify, suggest, implement and evaluate chosen actions issues together with various professionals and elderly people (“bottom-up” perspective); 4) the results from the studies 1-3 will be given as feedback to the decision-makers level and it will be start point for reflective reasoning by using Story Dialogue Method in aim to identify conditions for development of food distribution chain (“top-down” perspective).

     

    The short paper and presentation, on how to identify the practical issues involved and what can be done to create a receptive context for change, would fit in the fourth key theme of the congress.

  • 19.
    Pajalic, Zada
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Linnaeus University Sweden and Oslo and Akershus University Norway.
    Westergren, Albert
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.
    Persson, Lena
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Skovdahl, Kirsti
    Hälsoakademin Örebro Universitet.
    Matdistribution från olika perspektiv - professioner, beslutsfattare och från äldre personer - en aktionsforskningsstudie2011Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 20.
    Petersson, Pia
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Blomqvist, Kerstin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Sense of security: searching for its meaning by using stories: a participatory action research study in health and social care in Sweden2011Inngår i: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 6, nr 1, 25-32 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background. In Sweden, attempts to implement core values to ensure high quality health and social care for older people are given high priority and concepts such as security and dignity are often used. As concepts are abstract they are difficult to transform into practical work. 

    Aim: The aim of this study was to make sense of the Swedish concept ‘trygghet’ by using stories from daily life in a participatory action research project. Design: One group of six assistant nurses and one group of five registered nurses working in municipality participated in Story Dialogue Method and four older women were interviewed. Result: ‘Trygghet’ was found to be an internal sense – an intrinsic state based on faith and trust in oneself and others called security were situations Sense of security. External factors that strengthened Sense ofto be part of a community, to recognise and be familiar with things andand to use various kinds of aids. Conlusion and Relevance to Clinical Practice: A prerequisite for the professionals being able to support the care receivers adequately is that they have a sense of security themselves, and that they are allowed to operate in a system that facilitates for the care receivers to maintain trustworthy and reliable relations over time.

  • 21.
    Skovdahl, Kirsti
    et al.
    Örebro universitet.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Stöd för relationen: metoder för kommunikation och sinnesstimulering2011Inngår i: Att möta personer med demens / [ed] Anna-Karin Edberg, Lund: Studentlitteratur, 2011, 2, 323-344 s.Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 22.
    Suhonen, Riitta
    et al.
    Department of Nursing Science, University of Turku.
    Papastavrou, Evridike
    Department of Nursing, School of Health Sciences, Cyprus University of Technology, Limassol.
    Efstathiou, Georgios
    Department of Nursing, School of Health Sciences, Cyprus University of Technology, Limassol.
    Lemonidou, Chryssoula
    Faculty of Nursing, National and Kapodistrian University of Athens.
    Kalafati, Maria
    Faculty of Nursing, National and Kapodistrian University of Athens.
    da Luz, Maria Deolinda Antunes
    Unidade de Investigacão e Desenvolvimento em Enfermagem, Escola Superior de Enfermagem de Lisboa.
    Idvall, Ewa
    Faculty of Health and Society, Malmö University.
    Berg, Agneta
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Acaroglu, Rengin
    Florence Nightingale School of Nursing, Istanbul University.
    Sendir, Merdiye
    Florence Nightingale School of Nursing, Istanbul University.
    Kanan, Nevin
    Florence Nightingale School of Nursing, Istanbul University.
    Sousa, Valmi D.
    The University of Kansas School of Nursing, Kansas City.
    Katajisto, Jouko
    Department of Social Sciences, Statistics Unit, University of Turku.
    Välimäki, Maritta
    Department of Nursing Science/Hospital District of Southwest Finland, University of Turku.
    Leino-Kilpi, Helena
    Department of Nursing Science/Hospital District of Southwest Finland, University of Turku.
    Nurses' perceptions of individualized care: an international comparison2011Inngår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 67, nr 9, 1895-1907 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim. This paper is a report of a study of internationally-based differences in nurses' perceptions of individualized care in orthopaedic surgical in-patient wards. Background. Individualized care is valued in healthcare policy, practice and ethical statements as an indicator of care quality. However, nurses' assessments of individualized care are limited and comparative cross-cultural studies on individualized nursing care are lacking. Methods. A descriptive comparative survey was used to sample orthopaedic surgical nurses (n = 1163) working in 91 inpatient wards in 34 acute hospitals in Finland, Cyprus, Greece, Portugal, Sweden, Turkey and the United States of America. Data were collected between March and November 2009 using the Individualized Care Scale-Nurse and analysed using descriptive and inferential statistics. Results. Nurses in different countries perceived that they supported patients' individuality generally and provided individualized care during nursing activities. Although the highest scores were in support of patients' individuality in the clinical situation both through nursing provision and nurses' perceptions of individuality, there were between-country differences within these scores. Generally, the Greek and American nurses gave the highest scores and the Turkish, Cypriot and Portuguese nurses the lowest. Conclusions. Between-country differences found may be attributed to differing roles of nurses, care processes, healthcare systems and/or the ways nursing care is defined and organized. As this was the first time the Individualized Care Scale-Nurse was used in an international context, the results are formative and indicate the need to continue studies in this area.

  • 23.
    Werntoft, Elisabet
    et al.
    Department of Health Sciences, Division of Nursing, Lund University.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Lack of support structures in prioritization decision making concerning patients and resources: interviews with Swedish physicians2011Inngår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 39, nr 6, 627-633 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: To investigate physicians' experiences in relation to prioritization and financing in health care in order to gain a deeper understanding of the reasons behind their standpoints. Methods: Eighteen physicians, seven women and eleven men, aged 30 to 69 years were interviewed and the text was analyzed using an inductive approach, also described as conventional qualitative content analysis. Results: Experience of setting healthcare priorities and difficult decision making differed widely among the physicians and seemed to be related to the number of years in professional practice. Their view of how resources should be allocated between disciplines/patients showed that they wanted politicians to make the decisions, with support from medical professions. The overwhelming impression of their reasoning showed that they lacked support structures for their decision making and could be understood under the following categories: Prioritisation, easier in theory than in practice, and Increasing costs threaten the Swedish welfare model. Conclusions: The findings of this study highlight the importance of practical national guidelines concerning vertical prioritization, also as an important measure to make prioritization more distinct and transparent. The physicians further had a need for tools to increase patients' awareness of their health. The findings of this study also showed that an awareness of the actual costs involved might increase the responsibility among both physicians and patients. The physicians' lack of support structures implies an urgent need for practical national guidelines, especially concerning vertical prioritization. This will also make prioritization appear clear and transparent for citizens.

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