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  • 201.
    Jönsson, Julia
    et al.
    Lund University.
    Maltestam, Malin
    Lund University.
    Bengtsson-Tops, Anita
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Garmy, Pernilla
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO).
    School nurses’ experiences working with students with mental health problems: A qualitative study2017Inngår i: The Journal of School Nursing, ISSN 1546-8364Artikkel i tidsskrift (Fagfellevurdert)
  • 202.
    Khalaf, Atika
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.
    Westergren, Albert
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Berggren, Vanja
    Lund University.
    Ekblom, Örjan
    The Swedish School of Sport and Health Sciences, Stockholm.
    Al-Hazzaa, Hazzaa M.
    King Saud University, Riyadh.
    Prevalence and association of female weight status and dietary habits with sociodemographic factors: a cross-sectional study in Saudi Arabia2015Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 18, nr 5, s. 784-796Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: Research about the prevalence of underweight and overweight/obesity in the Saudi Arabian female population is limited. The aim of the present study was to examine the dietary habits and the prevalence of underweight and overweight/obesity and associated factors among female university students.

    DESIGN: A cross-sectional study.

    SETTING: A university centre for female students in south-western Saudi Arabia.

    SUBJECTS: The study involved 663 randomly selected female university students who self-reported their physical activities, nutritional habits and socio-economic factors. Multiple linear and logistic regression analyses were used to identify factors associated with the students' BMI, dietary variables, underweight and overweight/obesity.

    RESULTS: The majority of the university females were normal weight (56·9 %), but a high prevalence of underweight (19·2 %) and overweight/obesity (23·8 %) occurred. Social factors significantly associated with BMI were the presence of obese parents and siblings as well as physical activity levels, marital status, number of sisters, father's level of education and more frequent intake of French fries/potato chips (>3 times/week). Several variables were found to correlate with dietary habits, underweight and overweight/obesity. Of special interest is the association between the number of siblings and the participants' BMI and dietary intake in both negative and positive ways.

    CONCLUSIONS: The findings of this research have implications for health promotion and prevention of malnutrition among college-aged females. Health-care providers and policy makers need to involve the whole family when promoting females' physical activity. The study serves as an evidence-based background for planning and implementation of interventions targeting improvement of highly educated populations' nutritional habits.

  • 203.
    Khalaf, Atika
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Karolinska Institute.
    Westergren, Albert
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Berggren, Vanja
    Lund University.
    Ekblom, Örjan
    The Swedish School of Sport and Health Sciences.
    Hazzaa, A-H
    Saudi Arabia.
    Perceived and ideal body image in young women in South Western Saudi Arabia2015Inngår i: Journal of Obesity, Vol. 2015, s. 1-7-, artikkel-id 697163Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives. The aim of this study was to investigate perceived and ideal body image (BI) and associated factors among female university students in Saudi Arabia. Methods. This cross-sectional study included 663 university female students. Anthropometric measurements including weight, height, BMI, and BI perception (the 9-figure silhouette) were obtained. Descriptive and logistic regression analysis were conducted. Results. An agreement between actual, perceived, and ideal BI was found in 23% of the participants. Behavioral (activity levels), social (presence of obese parents and fathers’ level of education), and economic factors (households’ monthly income, number of cars in the household, and kind of residence) were positively and significantly associated with the desire to be thinner. Similarly, socioeconomic associations (number of sisters and number of cars in the household) correlated positively and significantly with the desire to be heavier. Conclusions. The whole family should rather be considered in interventions related to appearance concerns and BI discrepancies. Furthermore, campaigns targeting improvement of adolescents’ physical self-image should be a major priority of the public health sector.

  • 204.
    Khalaf, Atika
    et al.
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Westergren, Albert
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Berggren, Vanja
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Forskningsmiljön Mat, måltid, hälsa i 24-timmarsperspektivet. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Hazzaa, A-H
    Association of weight status and dietary habits with socio-demographic factors among university female students in Saudi Arabia2014Konferansepaper (Annet vitenskapelig)
  • 205.
    Khalaf, Atika
    et al.
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Karolinska Institute.
    Westergren, Albert
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Berggren, Vanja
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Forskningsmiljön Food and Meals in Everyday Life (MEAL). Karolinska Institute.
    Hazzaa, A-H
    Saudi Arabia.
    Discrepancies between actual, perceived and ideal body image among young female university students in southwestern Saudi Arabia2014Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Rationale: Body-shape preference is an important determinant of obesity and underweight, but studies on body image among females in the Arab region are, at most, scanty. The aim of this study was to describe the prevalence of underweight and overweight/obesity among Saudi Arabian female university students, and to investigate discrepancies between their actual, perceived and ideal body shape.

    Methods: This cross sectional study included 663  female students in a university centre in Saudi Arabia. Anthropometric measurements including weight, height, BMI and body image scale (9-figures silhouette) were used. A cross-tabulation was made between “warped self-image” against “subjective goal image”. Regression analysis was used to predict variables related to body image perception.

    Results: The participants had a mean age of 20.4 years (SD 1.5), 16% were underweight and 25% were over- weight/obese.Discrepancy in subjective goal image: 44% wished they were slimmer and 20% that they were heavier than what they perceived themselves. Thus, 36% were happy with their current body shape.Warped self-image: It was 16% that thought they were slimmer and 18% that they were heavier than what they actually were. Thus, in 61% of cases the perceived body image was in agreement with their actual body shape. Cross-tabulation showed that only 23% had an agreemen tbetween their actual, perceived and ideal body shape. Of all variables entered into the regression analysis, only BMI was able to predict how the subject perceives herself in the body image scale (R square = 0.676; p < 0.000). None of the variables entered was significant enough to predict how the subject wishes to look like.

    Conclusion: Discrepancies between actual, perceived and ideal body image is common among the Saudi Arabian female students and can possibly lead to eating disorders and increased  prevalence of underweight oroverweight/obesity.

  • 206.
    Kläfverud, Maria
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för samhällsvetenskap och integrerad hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO).
    Barn i barnahus: före, under och efter besök på barnahus -trygghetspersoner2015Konferansepaper (Annet vitenskapelig)
  • 207.
    Kläfverud, Maria
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för samhällsvetenskap och integrerad hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO).
    Children in Barnahus - an interdisciplinary research study from childen's perspective: children in Barnahus-before, during and after being in CH2014Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    When a parent is suspected for child abuse, the court in Sweden appoints a lawyer who can decide about the child’s participation in CH without parent’s knowledge or consent. The lawyer brings the child to CH. A familiar person, for example a teacher, accompanies the child. In the study children and their parents are interviewed about their experience and understanding of CH.

  • 208.
    Lamminsaari, Tero
    et al.
    Osby kommun.
    Peterson, Pia
    Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Uppsökande verksamhet i Osby kommun: Äldre personers perspektiv2016Rapport (Annet vitenskapelig)
    Abstract [sv]

    Syftet med denna studie var att beskriva äldres upplevelser och erfarenheter av uppsökandeverksamhet i Osby kommun. Förebyggande hälsoinsatser för äldre bedrivs iSverige med olika benämningar. I Osby kommun bedrivs de med benämning uppsökandeverksamhet. Uppsökande verksamhet med förebyggande insatser och råd kanstärka äldres egenvård och skjuta upp funktionsnedsättning samt förbättra den äldrepersonens välbefinnande och livskvalitet. Ur samhällsekonomiskt perspektiv kan uppsökandeverksamhet också minska kostnader för vård och omsorg på sikt.Metoden är en kvalitativ intervjuundersökning med öppna frågor. Studien genomfördesunder juni- november år 2015 och tio äldre personer intervjuades. Av dessa var detfem kvinnor och fem män. Intervjuerna analyserades enligt Graneheim och Lundmanskvalitativa innehållsanalys.I resultatet framkom två kategorier och sju subkategorier. Essenserna som hittadesfrån intervjuerna var: förväntningar, tillit i mötet, attityder till förändring, information,utförarens kompetens och personlighet, vikten av relation och kreativitet. Resultatetvisar tydligt att äldre upplever arbetet med uppsökande verksamhet värdefullt och villse detta arbete fortsätta.Denna studie ger utan tvekan stöd att utföra uppsökande verksamhet och uppsökandeverksamhet kan ses som en redskap för de äldre att skapa bra förutsättningar att bevarahälsan och ger möjlighet till ett aktivt och självständigt liv.

  • 209.
    Larsen, Anne
    et al.
    Karolinska Institutet.
    Broberger, Eva
    Karolinska Institutet.
    Petersson, Pia
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Complex caring needs without simple solutions: the experience of interprofessional collaboration among staff caring for older persons with multimorbidity at home care settings2017Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 31, nr 2, s. 342-350Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Older persons with multimorbidity being cared for at home often have complex needs which can´t be met by one player. Interprofessional collaboration is therefore considered necessary if care is to be organised according to the needs of the elderly. To achieve coherent healthcare, municipalities and regions need to develop this area.

    Aim: The aim of the study was to illustrate how various professionals belonging to homemaker services, home care services in municipality and Hospital-Based Home Care Services experience their collaboration in caring for older persons with multimorbidity.

    Method: Eleven informants took part in the study and individual interviewed. The material was analysed using a hermeneutic data analysis.

    Result: The result shows that collaboration between players contains various types of experiences which influence not only the staff who are involved in collaboration but also the result of the collaboration itself. The informants´ experience of collaboration was defined by trust and distrust and by security and insecurity. These influenced both the staff who were involved in collaboration and the result of collaboration itself.

    Conlusion: Complex situations could not be solved with simple models. Instead a flexible approach appears necessary with focus shifted from structures to interpersonal relations and interactions. Therefor the different professions have to work as a transprofessional team where close interactions, flexibility and improvisation is a key to success.   

    Relevance to clinical practice: A transprofessional approach to teamwork collaboration can blur professional boundaries and take the competence of all staff into account when home health care to older people with multimorbidity is to be provided by multiple caregivers. This is suggested as an approach with potential to provide high quality and safe care to a vulnerable population.

  • 210.
    Larsson, Helena
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I.
    Blomqvist, Kerstin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    From a diagnostic and particular approach to a person-centred approach: a development project2015Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, nr 3-4, s. 465-474Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aims and objectives

    To investigate changes over time in an interdisciplinary group that was engaged in development work regarding pain and pain assessment.

    Background

    The outcomes of nursing research do not always find their way to the daily care of patients. This is evident within, for instance, physical rehabilitation, where relieving patients' pain is a major challenge. To gain new understanding, develop and change, registered nurses have a great part in engaging their staff.

    Design

    A qualitative study using a participatory action research approach was used, and a hermeneutic analysis was conducted.

    Methods

    A group of three registered nurses, two assistant nurses and a physiotherapist took part in focus group sessions. This group was followed with seven repeated sessions during a period of five months from January 2010 until June 2010. A hermeneutic analysis was used.

    Results

    The participants changed their attitudes towards the patient in pain, their own caring role and the team's role towards a more person-centred care.

    Conclusions

    Participation and reflection were key aspects as means to transfer knowledge into action and establish change. The participants came to the sessions, shared actively their experiences and expressed pride in the work they accomplished. This can be seen as an expression of a need to share and a joy to be working together in a person-oriented development area. In addition, the approach seemed to contribute to increased job satisfaction.

    Relevance to clinical practice

    The participants expressed that their work resulted in a changed approach to pain and pain assessment in their daily practice at the ward. The participants were actively engaged in enhancing their work with pain and pain assessment in their own daily practice and in implementing research-based knowledge.

  • 211.
    Larsson, Helena
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Malmö University.
    Rämgard, Margareta
    Malmö University.
    Bolmsjö, Ingrid
    Malmo University.
    Older persons' existential loneliness, as interpreted by their significant others: an interview study2017Inngår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 17, nr 1Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: In order to better understand people in demanding medical situations, an awareness of existential concerns is important. Studies performed over the last twenty years conclude that when dying and death come closer, as in the case with older people who are stricken by infirmity and diseases, existential concerns will come to the fore. However, studies concerning experiences of existential loneliness (EL) are sparse and, in addition, there is no clear definition of EL. EL is described as a complex phenomenon and referred to as a condition of life, an experience, and a process of inner growth. Listening to someone who knows the older person well, as significant others often do, may be one way of learning more about EL. Methods: This study is part of a larger research project on EL, the LONE study, where EL is explored through interviews with frail older people, their significant others and health care professionals. The aim of this study was to explore frail older (> 75) persons' EL, as interpreted by their significant others. The study is qualitative and based on eighteen narrative interviews with nineteen significant others of older persons. The data was analysed using Hsieh and Shannon's conventional content analysis. Results: According to the interpretation of significant others, the older persons experience EL (1) when they are increasingly limited in body and space, (2) when they are in a process of disconnecting, and (3) when they are disconnected from the outside world. Conclusion: The result can be understood as if the frail older person is in a process of letting go of life. This process involves the body, in that the older person is increasingly limited in his/her physical abilities. The older person's long-term relationships are gradually lost, and finally the process entails the older person's increasingly withdrawing into him- or herself and turning off the outside world. The result of this study is consistent with previous research that has shown that EL is a complex phenomenon, but the implications of this research include a deepened understanding of EL. In addition, the study highlights the interpretations of significant others.

  • 212.
    Larsson, Helena
    et al.
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Malmö University.
    Rämgård, Margareta
    Malmö University.
    Bolmsjö, Ingrid
    Malmö University.
    Older persons' existential loneliness- as interpreted by their significant others: an interview study2017Konferansepaper (Annet vitenskapelig)
  • 213.
    Larsson, Jane
    et al.
    Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Wernram, Emma
    Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Andra vägar för att tillgodose barnets behov: en kvalitativ studie om kommuner som använder andra arbetsvertyg eller modeller än BBIC2013Rapport (Annet vitenskapelig)
    Abstract [sv]

    BBIC (Barns Behov I Centrum) är ett arbetsverktyg för utredning, dokumentation och uppföljning inom barnavårdsutredningar. Vi ville göra en studie angående BBIC och när vi fick reda på att endast fem utav Sveriges 290 kommuner inte hade implementerat verktyget ville vi undersöka varför. Vi ville studera orsakerna till varför det inte är implementerat och vad de använder sig av för verktyg istället. Vi genomförde två telefonintervjuer och upptäckte att de flesta av våra intervjupersoner är tveksamma till verktyget och hur man använder det i utredningar. Eftersom tre utav de fem kommunerna ligger i Dalarna valde vi att göra telefonintervjuer, även med de som ligger i Skåne. Vi valde detta eftersom vi ville att informanterna skulle kunna svara på frågorna under samma förutsättningar. I vårt resultat fann vi att bristen på pengar och resurser är en av anledningarna till att kommunerna ännu inte implementerat BBIC.

  • 214.
    Larsson, Lena
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Blomqvist, Kerstin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Har han det bra så har jag det bra: ett aktionsforskningsprojekt där ett närståendestöd planerades i samarbete med närstående till yngre personer med demenssjukdom2010Rapport (Annet vitenskapelig)
    Abstract [sv]

    Introduktion och rapportens uppläggning

    Det finns ett fåtal studier som har undersökt situationen för närstående till yngre personer med demenssjukdom. Dessa studier talar för att närstående som lever tillsammans med en person med demenssjukdom kommer att belastas allt tyngre och de kommer att behöva individuellt anpassat stöd för att orka med sin situation eftersom varje närståendevårdares situation är unik (Luscombe, Brodaty & Freeth, 1998, Jubb, Pollard & Chaston, 2003, Armstrong, 2003). Om närstående ska orka leva tillsammans med en partner som är demenssjuk behöver de erbjudas ett stöd som är utformat utifrån deras situation och behov. I Hälso- och sjukvårdprogrammet för Region Skåne betonas vikten av att lyfta fram yngre personer med demenssjukdom och deras närståendes situation ur ett regionperspektiv (Hälso- och sjukvårdsprogram, region Skåne, 2005). En studie där närstående själva får delta i att utforska hur ett närståendestöd bör utformas kan ge värdefull kunskap som kan bilda en bas för regionens planering av olika stödjande insatser. Syftet med denna studie var att i samarbete med närstående till personer vars demenssjukdom debuterat före 65 års ålder planera ett närståendestöd.

    Bakgrund till projektet

    Att få en demenssjukdom och att vara närstående till en person som utvecklar en demenssjukdom är en ny situation för alla inblandade. Vi vet ganska lite om hur närstående till yngre personer med en demenssjukdom upplever sin situation. För att undvika att bördan blir för stor för de närstående behövs olika samhälleliga insatser. För att öka kunskapen kring närståendes situation genomfördes fokusgruppsintervjuer med närstående till yngre personer som drabbats av demenssjukdom.

    Studiens genomförande och etiska överväganden

    Studien pågick mellan januari-april 2008 och genomfördes som ett deltagarbaserat aktionsforskningsprojekt där närstående till yngre personer med demens tillsammans med forskare samtalade om vilka problem närstående har att tackla samt gav förslag på hur ett närståendestöd skulle kunna utformas. Samtliga närstående var maka eller make till en person med demenssjukdom.

    Vad fokusgrupperna kom fram till

    Diskussionerna i fokusgrupperna omfattade tre faser; Tiden före diagnos – när man anar att allt inte står rätt till, Tiden i samband med och efter diagnos – bekräftelse på att det man anat var sant, Den sena fasen – när det blev ohållbart. Dessutom framkom att det fanns behov av en funktion som benämndes Lotsen. Namnet tillkom då fokusgrupperna signalerade ett behov av en lotsfunktion, en person som skulle kunna leda och lotsa närstående i vård- och omsorgsdjungeln.

    Vad hände sedan?

    Studien har lett till att en dagsjukvårdsenhet har startat ett projekt med avsikt att stödja relationen mellan yngre personer med demenssjukdom och deras närstående.

    Utvärderingsplaneringen och utvärderingen har utförts av studenter i sjuksköterskeprogrammet vid högskolan Kristianstad under handledning av forskare vid forskningsplattformen för Närsjukvård.

    Slutord

    Inom professionen tror man att man vet vilket stöd närstående behöver och min bestämda uppfattning var att närstående till yngre personer med demens framförallt behöver emotionellt stöd. Under studiens gång blev det dock tydligt för mig att det är omöjligt att ge stöd till närstående utan att samtidigt ta hänsyn till den sjukes behov och situation. Redan tidigt i sjukdomsförloppet behövs individuellt anpassat stöd som bör förändras i takt med sjukdomens fortskridande. Dessutom behövs en sammanhållande länk som kan lotsa vidare i processen och vara ett stöd både för den sjuke och närstående. Demenssjuksköterskan i kommunens hälso- och sjukvård skulle kunna fungera som den lots som efterfrågas. 

  • 215.
    Lethin, Connie
    et al.
    Lund University.
    Hallberg, Ingalill Rahm
    The Pufendorf Institute of Advanced Studies, Lund.
    Karlsson, Staffan
    Lund University.
    Janlöv, Ann-Christin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Family caregivers experiences of formal care when caring for persons with dementia through the process of the disease2016Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 30, nr 3, s. 526-534Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Family caregivers' experiences of formal care when caring for persons with dementia through the process of the disease is sparsely investigated.

    AIMS: To investigate family caregivers' experiences of formal care when caring for a person with dementia, through the stages of the disease.

    DESIGN: A qualitative approach with focus group interviews.

    METHODS: Four focus group interviews were conducted in October 2011 with 23 spouses and adult children of persons with dementia and analysed with content analysis.

    RESULTS: The participants' experiences of formal care when caring for a person with dementia were captured in the theme 'Family caregiving requires collaboration with formal care to get support adjusted to needs specific to the stages of dementia'. This can be broken down into the categories 'The dementia diagnosis - entry into formal care as a novice family caregiver', 'Needing expanded collaboration with formal care to continue care at home' and 'Being dependent on a nursing home and trying to maintain involvement'.

    CONCLUSION: Family caregiving requires collaboration with formal care to get support adjusted to the individual's needs, specific to the stages of dementia. Caregivers experience a transition process with three main turning points: the dementia diagnosis; when they realise increased need for formal care to continue caring at home; and when the person with dementia is moved into a nursing home. The interviewed caregivers experience formal care reactive to their needs and this often promoted unhealthy transitions. Formal care needs to be proactive and deliver available care and support early on in the dementia trajectory. Interventions should focus on facilitating a healthy transition for family caregivers through the trajectory of the dementia disease to ensure their well-being.

  • 216.
    Lilja Andersson, Petra
    et al.
    Lunds universitet.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Ethical aspects of undergoing a predictive testing for Huntington's disease2014Konferansepaper (Fagfellevurdert)
  • 217.
    Lilja Andersson, Petra
    et al.
    Department of Health Sciences, Lund University.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Swedish nursing students' experience of aspects important for their learning process and their ability to handle the complexity of the nursing degree program2012Inngår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 32, nr 4, s. 453-457Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of the study was to explore nursing students' experiences of aspects important for their learning process and their ability to handle the complexity of the nursing degree program. The study was longitudinal and qualitative based on interviews with nursing students, six women and two men aged 20-36, during their three years of education. In all, seven patterns were found embracing aspects of importance for the students' learning: Having a clear goal, being able to re-evaluate one's ideas, being acknowledged, when the abstract becomes tangible, using one's own experiences as a tool for learning, hovering between closeness and distance regarding one's future profession and handling theory and practice in relation to one another. The results show the importance of providing clinical courses, strongly connected to the theoretical parts of the program and to use reflection and experience-based learning in the nursing program.

  • 218.
    Lilja Andersson, Petra
    et al.
    Lund University.
    Juth, Niklas
    Karolinska Institute.
    Petersén, Åsa
    Lund University.
    Graff, Caroline
    Karolinska Institute.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Ethical aspects of undergoing a predictive genetic testing for Huntington’s disease2013Inngår i: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 20, nr 2, s. 189-199Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to describe the experiences of undergoing a presymptomatic genetic test for the hereditary and fatal Huntington’s disease, using a case study approach. The study was based on 18 interviews with a young woman and her husband from the decision to undergo the test, to receiving the results and trying to adapt to them, which were analysed using a life history approach. The findings show that the process of undergoing a presymptomatic test involves several closely connected ethical and medical questions, such as the reason for the test, the consequences of the test results and how health-care services can be developed to support people in this situation.

  • 219.
    Lilja Andersson, Petra
    et al.
    Lund University.
    Petersén, Åsa
    Lund University.
    Graff, Caroline
    Karolinska Institutet, Stockholm.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Ethical aspects of a predictive test for Huntington’s Disease: a long term perspective2016Inngår i: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 23, nr 5, s. 565-575Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: A predictive genetic test for Huntington’s disease can be used before any symptoms are apparent, but there is only sparse knowledge about the long-term consequences of a positive test result. Such knowledge is important in order to gain a deeper understanding of families’ experiences.

    Objectives: The aim of the study was to describe a young couple’s long-term experiences and the consequences of a predictive test for Huntington’s disease.

    Research design: A descriptive case study design was used with a longitudinal narrative life history approach.

    Participants and research context: The study was based on 18 interviews with a young couple, covering a period of 2.5 years; starting 6 months after the disclosure of the test results showing the woman to be a carrier of the gene causing Huntington’s disease.

    Ethical considerations: Even though the study was extremely sensitive, where potential harm constantly had to be balanced against the benefits, the couple had a strong wish to contribute to increased knowledge about people in their situation. The study was approved by the ethics committee.

    Findings: The results show that the long-term consequences were devastating for the family. This 3-year period was characterized by anxiety, repeated suicide attempts, financial difficulties and eventually divorce.

    Discussion: By offering a predictive test, the healthcare system has an ethical and moral responsibility. Once the test result is disclosed, the individual and the family cannot live without the knowledge it brings. Support is needed in a long-term perspective and should involve counselling concerning the families’ everyday life involving important decision-making, reorientation towards a new outlook of the future and the meaning of life.

    Conclusion: As health professionals, our ethical and moral responsibility thus embraces not only the phase in direct connection to the actual genetic test but also a commitment to provide support to help the family deal with the long-term consequences of the test.

  • 220.
    Lindh, Inga-Britt
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Etik- och omvårdnadshandledning: en röd tråd genom sjuksköterskeprogrammet2017Inngår i: Högskolepedagogisk debatt, ISSN 2000-9216, nr 1, s. 47-55Artikkel i tidsskrift (Annet vitenskapelig)
  • 221.
    Lindh, Inga-Britt
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Blomqvist, Kerstin
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Challenges faced in daily life by persons with type 2 diabetes: a meta-synthesis2018Inngår i: Chronic Illness, ISSN 1742-3953, E-ISSN 1745-9206Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives

    To derive improved understanding of the implicit meanings of challenges in daily life from the perspective of persons with type 2 diabetes.

    Methods

    A meta-synthesis was conducted with an interpretive and constructivist approach. Four databases were searched for articles published between 2007 and 2011, producing 37 articles for analysis. Van Deurzen's life world theory was applied as an analytic grid.

    Results

    Challenges in daily life with type 2 diabetes could be understood as living in a tension between opposing forces, implying a struggle with inevitable paradoxes: living in the present and for the future, trusting oneself while relying on others, and being normal while feeling changed and different.

    Discussion

    This synthesis adds knowledge to previous understanding of living with type 2 diabetes, revealing the complexity of daily life when struggling with a lifelong illness. Person-centred care could be used to understand what challenges diabetes may cause in family and working life and the ambivalent feelings the illness can lead to. Future research is needed to implement and evaluate a person-centred care in practice. Since new qualitative research is continuously added to this topic, metasyntheses should be undertaken regularly.

  • 222.
    Lindholm, Beata
    et al.
    Skåne University Hospital, Malmö.
    Hagell, Peter
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Hansson, Oskar
    Lund University.
    Nilsson, Maria H.
    Lund University.
    Factors associated with fear of falling in people with Parkinson’s disease2014Inngår i: BMC Neurology, ISSN 1471-2377, E-ISSN 1471-2377, Vol. 14, s. 19-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND:

    This study aimed to comprehensibly investigate potential contributing factors to fear of falling (FOF) among people with idiopathic Parkinson's disease (PD).

    METHODS:

    The study included 104 people with PD. Mean (SD) age and PD-duration were 68 (9.4) and 5 (4.2) years, respectively, and the participants' PD-symptoms were relatively mild. FOF (the dependent variable) was investigated with the Swedish version of the Falls Efficacy Scale, i.e. FES(S). The first multiple linear regression model replicated a previous study and independent variables targeted: walking difficulties in daily life; freezing of gait; dyskinesia; fatigue; need of help in daily activities; age; PD-duration; history of falls/near falls and pain. Model II included also the following clinically assessed variables: motor symptoms, cognitive functions, gait speed, dual-task difficulties and functional balance performance as well as reactive postural responses.

    RESULTS:

    Both regression models showed that the strongest contributing factor to FOF was walking difficulties, i.e. explaining 60% and 64% of the variance in FOF-scores, respectively. Other significant independent variables in both models were needing help from others in daily activities and fatigue. Functional balance was the only clinical variable contributing additional significant information to model I, increasing the explained variance from 66% to 73%.

    CONCLUSIONS:

    The results imply that one should primarily target walking difficulties in daily life in order to reduce FOF in people mildly affected by PD. This finding applies even when considering a broad variety of aspects not previously considered in PD-studies targeting FOF. Functional balance performance, dependence in daily activities, and fatigue were also independently associated with FOF, but to a lesser extent. Longitudinal studies are warranted to gain an increased understanding of predictors of FOF in PD and who is at risk of developing a FOF.

  • 223.
    Lindholm, Beata
    et al.
    Lund University.
    Hansson, Oskar
    Lund University.
    Hagell, Peter
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Nilsson, Maria
    Lund University.
    Prediction of falls and/or near falls by using tandem gait performance in people with mild Parkinson’s disease2015Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Objective: To investigate whether tandem gait test (TG) can predict future falls and/or near falls in people with Parkinson’s disease (PD).

    Background: People with PD have balance problems and an increased risk for falls. Although TG has been considered a predictor of falls, no PD-study has controlled results for demographic and disease-specific characteristics or included near falls when investigating falls prospectively.

    Methods: The study included 141 participants with PD (mean age and PD-duration, 68 and 4 years, respectively). Those >80 years of age, requiring support in standing or did not understand the instructions were excluded. TG includes taking 10 consecutive tandem steps along a straight line without walking aids and support, with eyes open. Performance was scored as follows: no side steps=0; one or more side steps=1; unable to take 4 consecutive steps=2. If TG was abnormal ("1 side steps) during the first attempt, a second trial was allowed and the best performance was registered. Anti-Parkinsonian medications were recorded from medical records. All assessments were conducted in the “on” condition. Participants thereafter registered all falls and near falls by using a diary for six months.

    Results: Mean score for UPDRS III was 14 (SD 8.0). The median (q1-q3) daily total levodopa equivalent (LDE) dose (mg) was 400 (286-600). Sixty-three participants (45%) experienced ≥1 fall and/or near fall. The median (q1-q3) TG score was 2 (1-2) for those that experienced falls and/or near falls and 0 (0-1) for those without any incidents. Logistic regression (controlling for age, gender, UPDRS III and daily LDE dose) showed that TG score 2 (OR, 5.40; 95% CI, 1.75-16.70; P=0.003) predicted falls and/or near falls. TG score 1 was not significant (OR, 2.24; 95% CI, 0.84-5.98; P=0.109). This model correctly classified 39/63 (62%) of individuals with falls and/or near falls and 64/78 (82%) of individuals without any incidence, and accounted for 32% of the variability between groups.

    Conclusions: The results suggest that TG may be able to predict a future fall and/or near fall in people with mild PD. Further studies using larger samples are needed for firmer conclusions and establishment of additional properties in relation to other assessments.

  • 224.
    Lindholm, Beata
    et al.
    Lund University.
    Nilsson, Maria H
    Lund University.
    Hansson, Oskar
    Lund University.
    Hagell, Peter
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    The clinical significance of 10-m walk test standardizations in Parkinson's disease2018Inngår i: Journal of Neurology, ISSN 0340-5354, E-ISSN 1432-1459Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: The 10-m walk test (10MWT) is a widely used measure of gait speed in Parkinson's disease (PD). However, it is unclear if different standardizations of its conduct impact test results.

    AIM OF THE STUDY: We examined the clinical significance of two aspects of the standardization of the 10MWT in mild PD: static vs. dynamic start, and a single vs. repeated trials. Implications for fall prediction were also explored.

    METHODS: 151 people with PD (mean age and PD duration, 68 and 4 years, respectively) completed the 10MWT in comfortable gait speed with static and dynamic start (two trials each), and gait speed (m/s) was recorded. Participants then registered all prospective falls for 6 months.

    RESULTS: Absolute mean differences between outcomes from the various test conditions ranged between 0.016 and 0.040 m/s (effect sizes, 0.06-0.14) with high levels of agreement (intra-class correlation coefficients, 0.932-0.987) and small standard errors of measurement (0.032-0.076 m/s). Receiver operating characteristic curves showed similar discriminate abilities for prediction of future falls across conditions (areas under curves, 0.70-0.73). Cut-off points were estimated at 1.1-1.2 m/s.

    CONCLUSIONS: Different 10MWT standardizations yield very similar results, suggesting that there is no practical need for an acceleration distance or repeated trials when conducting this test in mild PD.

  • 225.
    Lindskov, Cecilia
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Family centre practice and modernity: a qualitative study from Sweden2010Doktoravhandling, monografi (Annet vitenskapelig)
    Abstract [en]

    Family centres have become a common institution to promote health and wellbeingamong young children (0-6 years of age) and their parents in Sweden. Thecore of the work is usually based on both maternal and child health care, a preschooland social services, all located under the same roof in the local community.The family centre in this study, known as the "Family House", was the firstof its type to be built in the city of Kristianstad, Sweden.The overall aim of the thesis was to understand family centre practice throughprofessionals' and parents' perceptions of the Family House and its relationship to modernity.The study employed a qualitative design using phenomenography as method tocapture people's perceptions of the practice. The research also drew on the approachof action research, where participants and researchers co-generateknowledge through collaborative communicative processes. Data was generatedfrom semi-structured interviews conducted with nineteen professionals andsixteen individual parents. Dialogue sessions with the professionals of the studyhave been held in order that they and the researcher could enter into a dialoguebased on the findings of the interviews. Data was consequently also generatedfrom these meetings.The way the professionals perceived the practice of the Family House fell intothree categories, namely, as a professional service, the provision of an informalmeeting place for professionals and families with young children or as a broadcommunity-based centre. Parents' perceptions fell into four categories; as aprofessional reception to obtain expert guidance and support, a study circle andliving room to informally share experiences and socialising, and a playgroundfor children where children could interact and learn social skills.One core finding of this thesis is that family centre practice for those involvedcontained a balancing act between simple modern expertise to control the futureand late modern opportunities for self-realisation and reflexivity.Parents and professionals shared the responsibility for children's well-being andthe distinction between private and public was blurred since parents used theHouse as a social arena for developing personal relations. It was also an arenafor integration between Swedes and immigrants based on engagement for bothcultural diversity and similarity.

  • 226.
    Lindskov, Susanne
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Lunds universitet.
    Nutritionsstatus och viktförändring vid Parkinsons sjukdom2015Licentiatavhandling, med artikler (Annet vitenskapelig)
  • 227.
    Lindskov, Susanne
    et al.
    Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Censtralsjukhuset, Kristianstad.
    Hagell, Peter
    Lunds universitet.
    Westergren, Albert
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.
    Viktförändring - ett problem vid Parkinsons sjukdom2010Inngår i: I vården, ISSN 2000-4141, Vol. 1, nr 4, s. 24-26Artikkel i tidsskrift (Annet vitenskapelig)
  • 228.
    Lindskov, Susanne
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Sjoberg, Klas
    Lund University.
    Hagell, Peter
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Westergren, Albert
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Weight stability in Parkinson's disease2016Inngår i: Nutritional neuroscience, ISSN 1028-415X, E-ISSN 1476-8305, Vol. 19, nr 1, s. 11-20Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: Parkinson's disease (PD) has traditionally been associated with weight loss. However, recent studies have not found any evidence of underweight in PD. Nevertheless, few studies have addressed nutritional status changes over time in relation to other clinical PD features. Here, we explore changes in nutritional status and motor and non-motor PD features (including dopaminergic drug therapy) in PD patients after 1 year. Methods: Motor and non-motor PD features, dopaminergic drug therapy, under-nutrition and malnutrition risk, and anthropometric measures (BMI, handgrip strength, triceps skin-fold, mid-arm circumference, and mid-upper arm muscle circumference) were assessed at baseline and 1 year later among 65 people with PD. Results: Disability, PD motor symptoms, dysautonomia, and dopaminergic drug therapy increased. Underweight was uncommon both at baseline (n= 3) and follow-up (n = 2); malnutrition risk was common but stable (88 and 92%), whereas triceps skin-fold increased (P = 0.030); mid-upper arm muscle circumference decreased (P = 0.002); and the proportion of people with low handgrip strength (P = 0.012) increased. Correlations between nutritional variables and motor and non-motor PD features were absent to modest. Multiple linear regression analysis showed that baseline pupillomotor functioning was associated with decreased weight and BMI, and sleep with increased weight and BMI. In addition, increases in anxiety were associated with decreased weight, BMI, and triceps skin-fold. Discussion: During the PD course, there seems to be redistribution in body composition from muscle to fat. Studies are needed to identify possible explanations for the findings. This implies that malnutrition should be regularly screened to identify those at risk of developing reduced muscle mass and increased morbidity.

  • 229.
    Lindskov, Susanne
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Sjöberg, K.
    Lunds universitet.
    Westergren, Albert
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.
    Hagell, Peter
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Malnutrition risk in Parkinson's disease2014Inngår i: Journal of Aging Research & Clinical Practice, ISSN 2258-8094, Vol. 3, nr 2, s. 93-99Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Unintentional weight loss and undernutrition have been found common in  Parkinson’s disease but its relation to other disease aspects is unclear.

    Objectives: To explore nutritional status in relation to disease duration in Parkinson’s disease, as well as associations between nutritional status and motor and autonomic features.

    Design: Cross-sectional.

    Setting: South-Swedish outpatient Parkinson-clinic.

    Participants: Home-dwelling people with Parkinson’s disease (n=71), without significant cognitive impairment (mean age, 67.3 years; 56% men; mean disease duration, 6.3 years).

    Measurements: Parkinsonian motor symptoms, mobility, activity level, disability, dyskinesias, dysautonomia, under- and malnutrition risk screening (using MEONF II and MUST for undernutrition and SCREEN II for malnutrition) and anthropometric measures (BMI, handgrip strength, triceps skin-fold, mid-arm circumference and mid-upper arm muscle circumference) were recorded. The sample was divided into those with longer (n=34) and shorter disease duration (n=37) according to the median (5 years).

    Results: Longer disease duration was associated with more, disability, dyskinesias and dysautonomia than shorter duration (P ≤0.04). Mean (SD) body weight and BMI were 80.3 (16.3) kg and 28.1 (4.8) kg/m 2, respectively, and did not differ between duration groups (body weight, 80.9 vs. 79.6 kg; BMI, 28.0 vs. 28.3 kg/m 2; P≥0.738). There were no differences in other anthropometric measures between duration groups (P ≥0.300). BMI identified 4% and 62% as under- and overweight, respectively, and 4% exhibited  undernutrition risk, whereas 87% were at risk for malnutrition. Nutritional and motor/dysautonomic variables showed relatively weak correlations (r s, ≤ 0.33), but people with orthostatic hypotension had lower BMI (26.7 vs 29.2 kg/m 2; P=0.026) and lower handgrip strength (33.2 vs 41.6 kg; P=0.025) than those without orthostatic hypotension.

    Conclusion: Motor and autonomic features showed expected relationships with disease duration. In contrast to these observations, and to most previous reports on nutrition in PD, frequencies of underweight and undernutrition were low. However, malnutrition risk was high, emphasizing the need for regular clinical monitoring of nutritional status. The reasons for the preserved nutritional status have to be explored prospectively.

  • 230.
    Lindskov, Susanne
    et al.
    Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Sjöberg, Klas
    Westergren, Albert
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.
    Hagell, Peter
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.
    Weight loss in Parkinson´s disease?2013Konferansepaper (Fagfellevurdert)
  • 231.
    Lindskov, Susanne
    et al.
    Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Sjöberg, Klas
    Westergren, Albert
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.
    Hagell, Peter
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.
    Weight loss in Parkinson´s disease?2013Konferansepaper (Fagfellevurdert)
  • 232.
    Lu, Jun
    et al.
    Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Zhang, Song
    Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Chen, Eric
    Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    E-health web application framework and platform based on the cloud technology2013Rapport (Annet vitenskapelig)
  • 233.
    Lundqvist, Pia
    et al.
    Lund University.
    Kleberg, Agneta
    Karolinska University Hospital.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Larsson, Björn A.
    Karolinska University Hospital.
    Hellström-Westas, Lena
    Uppsala University.
    Norman, Elisabeth
    Skåne University Hospital, Lund.
    Development and psychometric properties of the Swedish ALPS-Neo pain and stress assessment scale for newborn infants2014Inngår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 103, nr 8, s. 833-839Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIM: To validate and evaluate the psychometric properties of the ALPS-Neo, a new pain assessment scale created for the continuous evaluation of pain and stress in preterm and sick term infants.

    METHODS: A unidimensional scale for continuous pain, Astrid Lindgren Children's Hospital Pain Scale (ALPS 1), was developed further to assess continuous pain and stress in infants treated in the neonatal intensive care unit (NICU). The pain scale includes observations of five behaviours. A manual was created, clarifying the scoring criteria. An internal and an external panel assessed face validity. Psychometric properties were evaluated in three different steps. Inter-rater reliability was estimated from video-based assessments (n = 625) using weighted kappa statistics (test I). Inter-rater reliability was further evaluated in test II (n = 125) and test III (n = 96) by real-time assessments using the intraclass correlation coefficient (ICC) and Cronbach's alpha.

    RESULTS: The final inter-rater reliability (test III) was assessed as good with ICC 0.91 for the total score and 0.62-0.81 for the five items. Cronbach's alpha showed 0.95 for the total score.

    CONCLUSION: ALPS-Neo is a new assessment tool for optimising the management of pain and stress in newborn infants in the NICU. It has proved easy to implement and user-friendly, permitting fast, reliable observations with high inter-rater reliability.

  • 234.
    Løvereide, Lise
    et al.
    Norge.
    Hagell, Peter
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Measuring life satisfaction in Parkinson's disease and healthy controls using the satisfaction with life scale2016Inngår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 11, nr 10, artikkel-id e0163931Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The 5-item Satisfaction With Life Scale (SWLS) was designed to measure general life satisfaction (LS). Here we examined the psychometric properties of the SWLS in a cohort of persons with Parkinson`s disease (PwPD) and age and gender matched individuals without PD. The SWLS was administered to PwPD and controls from the Norwegian ParkWest study at 5 and 7 years after the time of diagnosis. Data were analysed according to classical test theory (CTT) and Rasch measurement theory. CTT scaling assumptions for computation of a SWLS total score were met (corrected item-total correlations >0.58). The SWLS was reasonably well targeted to the sample and had good reliability (ordinal alpha, 0.92). The scale exhibited good fit to the Rasch model and successfully separated between 5 statistically distinct strata of people (levels of SWLS). The seven response categories did not work as intended and the scale may benefit from reduction to five response categories. There was no clinically significant differential item functioning. Separate analyses in PwPD and controls yielded very similar results to those from the pooled analysis. This study supports the SWLS as a valid instrument for measuring LS in PD and controls. However, Rasch analyses provided new insights into the performance and validity of the SWLS and identified areas for future revisions in order to further improve the scale.

  • 235.
    Løvereide, Lise
    et al.
    Norge.
    Larsen, Jan-Petter
    Norge.
    Hagell, Peter
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Measuring life satisfaction in people with Parkinson's disease and healthy controls using the satisfaction with life scale2016Inngår i: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 25, nr Suppl. 1, s. 150-Artikkel i tidsskrift (Fagfellevurdert)
  • 236.
    Martinsson, Ingrid
    et al.
    Blekinge Institute of Technology.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Janlöv, Ann-Christin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Growing old in a foreign context: older immigrants experience of the everyday life in nursing home2013Inngår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, nr 3, s. 34-38Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: The aim of the study was to illuminate older immigrants’ experiences of moving to a residential care facility.

     

    Background: Increased immigration will lead to a future increase in the number of older immigrants in residential care. In order to adjust nursing care to their needs it is important to acquire knowledge of their situation.

     

    Methods: Semi-structured interviews with seven immigrants living in residential care in Sweden were analysed using a qualitative manifest content analysis.

     

    Findings: Older immigrants’ experience of everyday life in residential care facilities was: Trying to adjust to relocation to residential care, Feeling alienated by communication difficulties, and Trying to stay connected by keeping ties to the origin and past, with internal variation seen as subcategories.

     

    Conclusion: Older immigrants, who move into residential care are vulnerable and experience a major transition as they move from a familiar social and cultural environment into a place mainly designed for older Swedes. There is a great risk that they will become alienated and highly dependent on their relatives if not nursing care interventions with specific focus on their needs are developed.

  • 237.
    Mårtensson, Carina
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    Söderfeldt, Björn
    Department of Oral Public Health, Faculty of Odontology, Malmö University.
    Axtelius, Björn
    Department of Oral Public Health, Faculty of Odontology, Malmö University.
    Andersson, Pia
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön Oral Hälsa - Allmänhälsa - Livskvalitet. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Expectations and satisfaction with care for periodontal specialist patients2013Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 71, nr 3-4, s. 799-806Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective. The aim of this study was to investigate expectations on and satisfaction with treatment among patients referred for comprehensive treatment to specialist clinics in periodontology and to explore factors associated with satisfaction in regression analysis.

    Materials and methods. Patients referred for comprehensive periodontal treatment were sampled for the study. The study was based on a questionnaire in a before-and-after design. The first questionnaire was sent to the patients before their first appointment at the specialist clinic. The second questionnaire was sent after  6 months. Three questions were used to measure expectations and four questions to measure satisfaction. The first questionnaire was sent to 273 patients with a response rate of 31% and the second questionnaire was sent to 85 patients with a response rate of 73%. In non-response analysis, no difference between respondents and non-respondents were detected as to age and gender.

    Results. Many of the patients viewed it as important or very important to have healthy teeth (98%) and improved well-being (93%) after periodontal treatment. More than 50% of the patients were satisfied with the relation to the caregiver. When measuring the satisfaction in general, 42% indicated the highest score on the summarized Dental Visit Satisfaction Scale. Having confidence (p ≤ 0.001) and a good relation (p = 0.001) to the caregiver indicated higher satisfaction.

    Conclusion. Having a good relation to the caregiver and having confidence in the caregiver seems to indicate satisfied patients receiving periodontal treatment at periodontal clinics.

  • 238.
    Mårtensson, Carina
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    Söderfeldt, C.
    Axtelius, B.
    Andersson, Pia
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön Oral Hälsa - Allmänhälsa - Livskvalitet. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Knowledge of periodontitis and self-perceived oral health: a survey of periodontal specialist patients2013Inngår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 37, nr 1, s. 49-58Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to investigate changes in knowledge of periodontal disease among patients referred to periodontal specialist clinics. A further aim was to investigate the patients' self- perceived oral health before the treatment. Patients referred to five specialist clinics in periodontology for comprehensive periodontal treatment were consecutive sampled. The study was based on a questionnaire in a before and after design. The first questionnaire was sent to the patients before visiting the specialist clinic and the second was sent after six months. Four questions were analysed, two to measure knowledge about periodontitis and two to measure the patients self- perceived oral health. The first questionnaire was sent by post to 273 patients with a response rate of 31%. The second questionnaire was sent to 85 patients with a response rate of 73%. The results of the study showed a statistically significant improvement of correct answers on the knowledge questions after six months was found for scaling (p = 0.006), X-ray examination (p = 0.001) and increased space between the teeth (p = 0.001). The most frequent self-perceived trouble from the mouth was bleeding gum (70%) and sensitive teeth (51%). In conclusion knowledge of periodontitis improved after visiting the specialist clinic of periodontology. Many of the patients experienced some problems of the mouth.

  • 239.
    Nielsen, Mie Marie
    et al.
    Danmark.
    Maribo, Thomas
    Danmark.
    Westergren, Albert
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Melgaard, Dorte
    Danmark.
    Associations between eating difficulties, nutritional status and activity of daily living in acute geriatric patients2018Inngår i: Clinical Nutrition ESPEN, ISSN 2405-4577Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background & aims

    Eating difficulties, having a poor nutritional status, and low activity of daily living are all prevalent issues in the geriatric population. The aim of this study was to explore associations between patients' eating difficulties, their nutritional status and their activity of daily living in patients aged 60 years or older who were admitted to an acute geriatric unit.

    Methods

    A cross-sectional study was conducted between March and September 2016 at the geriatric department of North Denmark Regional Hospital, Hjørring. The inclusion criteria were: ≥ 60years old and hospitalized for a minimum of 24 h. The patients' eating difficulties were assessed using the Minimal Eating Observational Form (MEOF-II), including observations related to ingestion, deglutition and energy/appetite. Eating difficulties were determined on the basis of one or more components of the MEOF-II. Poor nutritional status was defined as an age-specific low body mass index (BMI), <20 kg/m2 if < 70 years, or <22 kg/m2 if ≥ 70 years. Activity of daily living was assessed using the Barthel-100 Index and defined as low (<50) or high (≥50).

    Results

    A total of 297 geriatric patients were included; the mean age was 83.0 (7.7) years and 56.2% of the patients were female. The prevalence of eating difficulties was 55%. Geriatric patients with eating difficulties had a risk increase of 155% of having poor nutritional status (p = 0.003). Geriatric patients with eating difficulties had a risk increase of 60% of having low activity of daily living (p < 0.001).

    Conclusions

    Eating difficulties were highly prevalent in geriatric patients and were associated with poor nutritional status and reduced activity of daily living. The identification of eating difficulties may be important for nutritional interventions and maintenance or improvement of activities of daily living in the geriatric population

  • 240.
    Nilsson, Bo
    et al.
    Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO). Högskolan Kristianstad, Sektionen för lärande och miljö, Avdelningen för Pedagogik.
    Clausson, EvaHögskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO). Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Barnsliga sammanhang: forskning om barns och ungdomars hälsa, välbefinnande och delaktighet2017Collection/Antologi (Annet vitenskapelig)
    Abstract [sv]

    I forskningsmiljön Children’s and Young People’s Health in Social Context,CYPHiSCO, förenar forskare vid Högskolan Kristianstad sitt intresse för barns, tonåringars och unga vuxnas psykiska och fysiska hälsa, välbefinnande och delaktighet. I CYPHiSCO bedrivs både grundforskning om faktorer som står i samband med hälsa och tillämpad forskning såsom aktionsforskning eller utvärderingar av preventionsprogram. I denna bok har vi samlat några av forskningsmiljöns aktuella forskningsprojekt. Ett genomgående tema är hur barns och ungas delaktighet och handlingsutrymme utgör viktiga aspekter av deras hälsa och välbefinnande, något som i boken ses ur ett salutogentperspektiv.

  • 241.
    Nilsson, David
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Samhällsvetenskap.
    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.
    Soldater, veteraner och deras anhöriga: öppet seminarium med David Nilsson och Ann-Margreth Olsson2015Inngår i: Forskningsplattformen Hälsa i Samverkan. Öppet seminarium med David Nilsson och Ann-Margreth Olsson, Högskolan Kristianstad, Kristianstad, December 4th 2015: Soldater, veteraner och deras anhöriga / [ed] Professor Anna-Karin Edberg, 2015Konferansepaper (Annet vitenskapelig)
    Abstract [sv]

    David  Nilsson,  som  är  doktorand  inom  sociologi  och  inskriven  vid  Lunds  Universitet,     presenterar  delar  av  sitt  pågående  avhandlingsarbete  som  handlar  om  nära   anhörigas  berättelser  om  hur  det  är  att  vara  tillsammans  –  gift  eller  sammanboende  -­‐  med   någon  som  arbetar  inom  Försvarsmakten  och  som  deltar  i  militära  insatser  utomlands.  I   avhandlingen  fokuserar  David  på  utlandstjänstens  konsekvenser  för  den  hemmavarande   partnerns  personliga  och  sociala  liv.    

     Ann-­‐Margreth E.  Olsson,  som  är  lektor  i  socialt  arbete  och  en  av  David  handledare,   lägger särskilt  fokus  på  anhöriga  och  barn  och  det  stöd  de  kan  behöva  inom  hälso-­och  sjukvård,  socialtjänst,  skola, förskola och från Försvarsmaktens sida i form av anhörigssamordnare vid lokala regementen

  • 242.
    Nilsson, Marie
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Oral hälsa och folkhälsovetenskap. Högskolan Kristianstad, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Andersson, Ingemar
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Oral hälsa och folkhälsovetenskap. Högskolan Kristianstad, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Blomqvist, Kerstin
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Coexisting needs: paradoxes in collegial reflection—the development of a pragmatic method for reflection2017Inngår i: Education Research International, ISSN 2090-4002, E-ISSN 2090-4010, Vol. 2017, artikkel-id 4851067Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This paper addresses a feasibility study of a method for recurrent collegial reflection. A qualitative approach, using a participatory research design, was adopted. The collegial reflection was implemented in a school, in a middle-sized municipality in southern Sweden, with 21 teachers participating in the intervention. Data collection included digital recordings of collegial reflection, open questions by mail, and individual interviews. Findings indicated one major theme, paradoxes in the design of the collegial reflection, and three categories: wanting to decide and wanting to be guided; meeting each other as teachers and/or as persons; and looking for the safe and/or looking for the new. Before implementing the method in another context, management needs to appreciate these contradictory experiences, allow for voluntary participation, address participants’ expectations, and allocate time and tasks. This study implicates that collegial reflection may contribute to teachers’ professional development, and it is thereby relevant to teachers’ classroom practice and pupils’ learning. We conclude that, by creating a structure which supports teachers’ collegial reflection, the school may function as a supportive environment, which may contribute to teacher retention.

  • 243.
    Nilsson, Marie
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Oral hälsa och folkhälsovetenskap. Högskolan Kristianstad, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Blomqvist, Kerstin
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Andersson, Ingemar
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Oral hälsa och folkhälsovetenskap. Högskolan Kristianstad, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Salutogenic resources in relation to teachers' work-life balance2017Inngår i: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 54, nr 4, s. 591-602Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Experiencing work-life balance is considered a health promoting resource. To counter-balance the negative development of teachers' work situation, salutogenic resources need to be examined among teachers.

    OBJECTIVE: To examine resources related to teachers' experience of their work-life balance.

    METHODS: Using a cross-sectional design, a questionnaire was distributed to 455 teachers in compulsory schools in a Swedish community. A total of 338 teachers participated (74%). A multiple linear regression method was used for the analysis.

    RESULTS: Four variables in the regression model significantly explained work-life balance and were thereby possible resources: time experience at work; satisfaction with everyday life; self-rated health; and recovery. The strongest association with work-life balance was time experience at work. Except time experience at work, all were individual-related.

    CONCLUSIONS: This study highlights the importance of school management's support in reducing teachers' time pressure. It also emphasizes the need to address teachers' individual resources in relation to work-life balance. In order to support teachers' work-life balance, promote their well-being, and preventing teachers' attrition, we suggest that the school management would benefit from creating a work environment with strengthened resources.

  • 244.
    Nilsson, Marie
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    Ejlertsson, Göran
    Andersson, Ingemar
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II. Högskolan Kristianstad, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Blomqvist, Kerstin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Caring as a salutogenic aspect in teachers' lives2015Inngår i: Teaching and Teacher Education: An International Journal of Research and Studies, ISSN 0742-051X, E-ISSN 1879-2480, Vol. 46, s. 51-61Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This inquiry explored how a group of teachers experienced resources for their well-being, both at work and in their private lives. The findings indicate that caring, for others and for oneself, is central for teachers' well-being. Caring is manifested in being present in the moment, and in actions which promote the well-being of oneself and others. Implications from the findings suggest that both school administration and teacher education should pay special attention to the caring aspects of teaching, as they influence teachers' well-being and retention, as well as the pupils' learning. Health promotion interventions could benefit from these findings.

  • 245.
    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, s. 906-914Artikkel 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.

  • 246.
    Nilsson, Petra
    et al.
    Högskolan Kristianstad, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Oral hälsa och folkhälsovetenskap.
    Blomqvist, Kerstin
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    A key to success in workplace survey processes2017Konferansepaper (Annet vitenskapelig)
  • 247.
    Nilsson, Petra
    et al.
    Högskolan Kristianstad, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Oral hälsa och folkhälsovetenskap.
    Blomqvist, Kerstin
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Survey process quality: a question of healthcare manager approach2017Inngår i: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 30, nr 7, s. 591-602Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose

    The purpose of this paper is to explore how healthcare first-line managers think about and act regarding workplace survey processes.

    Design/methodology/approach

    This interview study was performed at a hospital in south Sweden. First-line healthcare managers ( n=24) volunteered. The analysis was inspired by phenomenography, which aims to describe the ways in which different people experience a phenomenon. The phenomenon was a workplace health promotion (WHP) survey processes.

    Findings

    Four main WHP survey process approaches were identified among the managers: as a possibility, as a competition, as a work task among others and as an imposition. For each, three common subcategories emerged; how managers: stated challenges and support from hospital management; described their own work group and collaboration with other managers; and expressed themselves and their situation in their roles as first-line managers.

    Practical implications

    Insights into how hospital management can understand their first-line managers' motivation for survey processes and practical suggestions and how managers can work proactively at organizational, group and individual level are presented. Originality/value Usually these studies focus on those who should respond to a survey; not those who should run the survey process. Focusing on managers and not co-workers can lead to more committed and empowered managers and thereby success in survey processes.

  • 248.
    Nyberg, Maria
    et al.
    Högskolan Kristianstad, Forskningsmiljön Food and Meals in Everyday Life (MEAL). Högskolan Kristianstad, Sektionen för lärande och miljö, Avdelningen för Mat- och måltidsvetenskap.
    Olsson, Viktoria
    Högskolan Kristianstad, Forskningsmiljön Food and Meals in Everyday Life (MEAL). Högskolan Kristianstad, Sektionen för lärande och miljö, Avdelningen för Humaniora.
    Örtman, Gerd
    Linnaeus University, Kalmar, Sweden.
    Pajalic, Zada
    Norge.
    Andersson, Håkan S.
    Linnaeus University, Kalmar.
    Blücher, Anna
    Linnaeus University, Kalmar.
    Lindborg, Ann-Louise
    Mälardalen University, Västerås.
    Wendin, Karin
    Högskolan Kristianstad, Forskningsmiljön Food and Meals in Everyday Life (MEAL). Högskolan Kristianstad, Sektionen för lärande och miljö, Avdelningen för Mat- och måltidsvetenskap.
    Westergren, Albert
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    The meal as a performance: food and meal practices beyond health and nutrition2018Inngår i: Ageing & Society, ISSN 0144-686X, E-ISSN 1469-1779, Vol. 38, nr 1, s. 83-107Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The proportion of elderly people in the population is increasing, presenting a number of new challenges in society. The purpose of this qualitative study was to investigate how elderly persons with motoric eating difficulties perceive and perform their food and meal practices in everyday life. By using Goffman's concept of performance as a theoretical framework together with Bourdieu's thinking on habitus, a deeper understanding of food and meal practices is obtained. Semi-structured interviews were conducted with 14 elderly people (aged between 67 and 87 years) and meal observations were carried out with 11 of these people. Participants were found to manage food and meal practices by continuously adjusting and adapting to the new conditions arising as a result of eating difficulties. This was displayed by conscious planning of what to eat and when, avoiding certain foods and beverages, using simple eating aids, but also withdrawing socially during the meals. All these adjustments were important in order to be able to demonstrate proper food and meal behaviour, to maintain the façade and to act according to the perceived norms. As well as being a pleasurable event, food and meals were also perceived in terms of being important for maintaining health and as ‘fuel’ where the main purpose is to sustain life. This was strongly connected to the social context and the ability to enjoy food and meals with family members and friends, which appeared to be particularly crucial due to the impending risk of failing the meal performance.

  • 249.
    Näslund, Andriette
    et al.
    Osby kommun.
    Peterson, Pia
    Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Förebyggande hembesök i Osby kommun: åtgärder äldre personer utfört efter hembesöket2016Rapport (Annet vitenskapelig)
    Abstract [sv]

    Samhället står inför förändringar som innebär att andelen personer över 65 år har ökatoch över tid även de närmsta åren kommer att öka. För att möta den ökande andelenäldre i samhället behövs förebyggande insatser. Ett sätt att arbeta förebyggande äratt göra hembesök som syftar till att bibehålla självständighet och god hälsa. Osbykommun har sedan 2006 arbetat förebyggande med att besöka 75 åringar i ordinärtboende. För att kunna utvärdera effekten av verksamheten i Osby behövs det kunskapom hur personerna förhåller sig till rekommendationer som ges och vilka åtgärder devidtar. Denna studie syftade till att undersöka vilka åtgärder äldre personer utfört efteratt de fått ett förebyggande hembesök. En kvantitativ ansats valdes för att utförastudien. Enkäter sändes ut till 147 personer som fått förebyggande hembesök under6 månader. Frågorna som ställdes handlade om säkerhet i hemmet, träning och rörelse,mat och måltider samt kontakter angående hälsa. Svarsfrekvens var 83 personervilket motsvarar 56%. Analyser av enkäten gjordes i analysverktyget SPSS utifrånsignifikansprövning enligt McNemar och logistisk regression. Statistik togs fram på hurmånga som utfört åtgärder innan besöket och hur åtgärderna ökade efter rekommendationernasom lämnats under samtalet. Resultatet visade att signifikans uppmättespå flera områden runt säkerhet i hemmet och träning och rörelse. Flera av de som fåttförebyggande hembesök utförde åtgärder efter besöket inom dessa områden. Majoritetenav de äldre rörde på sig aktivt efter besöket och flertalet genomförde åtgärdersom förbättrade säkerheten i hemmet. Ingen signifikans framkom i de logistiska regressionernamellan kön, ålder, ensam/sammanboende eller läge på bostaden och deberoende variablerna, det vill säga insatser gällande säkerhet i hemmet, träning ochrörelse, mat och måltider samt kontakter angående hälsa. Studien har ett litet urvalvilket gör det svårt att dra slutsatser utifrån de framkomna resultaten. På det antalindivider som besvarat enkäten framkom att samtalet hade effekt och att åtgärderutfördes efter de rekommendationer som gavs. Distriktssjuksköterskorna påverkar desom besökts till att bli delaktiga runt förändringar i sin vardag. Vidare behövs fler studierför att resultatet ytterligare ska kunna säkerställas.

  • 250.
    Olsson, Ann-Margreth E.
    Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO). Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Anhörig och Soldat: Soldatens motiv och anhörigas respons på beslut om internationell militär insats. Oro, saknad och längtan2018Bok (Annet vitenskapelig)
    Abstract [sv]

    Dialogisk deltagande aktionsforskning har i perioden 2012–2017 bedrivits om svenska soldater, utlandsveteraner och deras familjer. Fokus har varit relationella aspekter, hur det blir för dem som anhöriga, vilket stöd de behöver, liksom vilken kapacitet de utvecklar, när en familjemedlem åker iväg på internationell militär insats i områden med krig och terror. I studien har 110 vuxna varav 42 soldater/utlandsveteraner, 42 partners, 21 föräldrar till soldat, 10 syskon. Några deltagare har dubbel koppling, är exempelvis både veteran och partner. Dessutom har 37 barn till soldat/utlandsveteran deltagit och desto fler berättats om.

    Soldatens motivation konstrueras av soldaten i relation till och i interaktion med viktiga personer i soldatens familj, arbete och nätverk. Motivationen samskapas i något som kan ses som ett sammanflätat nätverk av önskningar och förhoppningar, förväntningar och krav som kommuniceras i interaktionen mellan personer i soldatens nätverk och flera olika kontexter som omger soldaten. Obalans i samspelet kan leda till att soldaten upplever längtan tillbaka till missionstillvarons sammanhang med förutsägbarhet i vad som förväntas av deltagarna, med arbetsuppgifter som känns meningsfulla. Utan denna värker ”missionsgiftet” och ”missionstarmen” suger hos utlandsveteranen till att delta i fler missioner.

    Familjemedlemmarna berättar om hur interaktionen inom familjen påverkats på gott och ont. Resultaten tyder på att ju mer soldaten förmår att involvera och förklara för sina anhöriga om vad som är på gång samt motivera sig själv och sina anhöriga att lyssna på och beakta varandras perspektiv, desto bättre förutsättningar för lyckad insats för såväl soldaten som de hemmavarande anhöriga. Här belyses även de känslor av saknad som de anhöriga berättar om som blir svåra att bära eftersom saknaden kombineras med oro för soldatens säkerhet och hur den egna förmågan hemmavid ska räcka till om något oönskat skulle hända. Avgörande I alla skeden och faser vid anhörigs deltagande i internationell militär insats, är att de anhöriga har goda förutsättningar och kommunikationsmedel för att kunna kommunicera som familj i relation till varandra. De känslor av saknad som de anhöriga berättar om, blir svåra att bära eftersom saknaden kombineras med oro för soldatens säkerhet och hur den egna förmågan hemmavid ska räcka till om något oönskat skulle hända. Tillsammans med familjerna behöver det militära systemet göra anpassningar och utveckla lösningar som gör att kombinationen arbete – familj underlättas för de försvarsanställda då de förväntas kunna utöva föräldraskap och anhörigskap på distans. Par och familjer kan komma att ha svårt att hålla isär vad som handlar om de yttre förhållandena och vad som handlar om deras inre processer och relationer. Detta kan förebyggas genom:

    1)     Att det militära systemet underlättar för soldaterna att upprätthålla relationell kontakt med sina anhöriga inklusive att underlätta att det kan ske på ett integritetsäkert sätt såväl under förberedelsetiden som under insatstiden.

    2)     att anhöriga tidigt informeras och erbjuds att bli insatta i vad den militära insatsen innebär och varför den görs; i vilka insatsförhållandena, inklusive arbets- och levnadsvillkor som väntar soldaten; vad som kan utvecklas under insatsen inklusive egna responser och de som kommer från andra i omgivningen. Tips kan ges om hur dessa kan förebyggas eller mötas.

    3)     att soldaten uppmuntras och erbjuds stöd i att förbereda och samtala med sina anhöriga i god tid före insats samt fortsättningsvis vid behov under och efter insats. Detta kan ske genom att närmaste befäl håller sig underrättad om utvecklingen därhemma för varje enskild underställd soldat i samband med internationell militär insats.

     

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