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  • 351.
    Pajalic, Zada
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Skog, Therese
    Kostenheten Kristianstads kommun.
    Palmquist, Eva-Lott
    Kristianstads Kommun.
    Arvidsson, Andreas
    Osby kommun.
    Andersson, Pia
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön Oral Hälsa - Allmänhälsa - Livskvalitet.
    ”Munhälsa”: till dig som har matdistribution2013Annet (Annet (populærvitenskap, debatt, mm))
  • 352.
    Pajalic, Zada
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Skovdahl, Kirsti
    Hälsoakademin Örebro Universitet.
    Westergren, Albert
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.
    Persson, Lena
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    How the professionals can identify needs for improvement and improve food distribution service for the home-living elderly people in Sweden - an action research project2013Inngår i: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 3, nr 8, s. 29-40Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Making changes to municipal social care and service has been found to be challenging to realise and highly multifaceted. The aim of this study was to describe how the professionals can identify needs for improvement and improve Food Distribution (FD) service for the home-living elderly people in Sweden.

    Methods: This study is part of a larger project with an action research approach focusing on to municipal FD to older people living in their own home in Sweden. The professionals involved in FD invited the first author to assist them in this process. The study participants were comprised of the following groups: “The Identification focus group” that identified need for improvement of FD (n= 5); “The Action focus group” that planned and choose suitable ‘action’ for improvement (n=5); “The First Evaluation group” (n=4) that evaluated the content of planned improvement and finally “The Second Evaluation group” (n=29) that evaluated the changes following improvement. The data was gathered and analysed by Story Dialogue Method.

    Results: The need to update and increase the FD recipient’s knowledge in nutrition by sending them informative letters was found to be an important area to focus on. The information letters (n=1700) were distributed to the all FD recipients in six municipalities in southern Sweden during April 2011. The results were evaluated during May 2011. The overall general estimation was that the content of the letters indicated that this was a suitable method for gaining information to make a nutrition competence update. Following this, “The Action focus group” decided: firstly, to continue preparing and distributing information letters to all FD recipients to be sent out twice a year, and secondly: to make the information letters accessible on the websites of the six municipalities and county councils involved.

    Conclusions: This study showed that systematic work inspired by an action research approach with motivated and involved participants can be beneficial and a starting point for the process of change in municipal service and care practice. The major conclusion of the study was that systematic reflection over everyday practice can be the vehicle for the future change of practice. The research process and the findings have implications for nursing, care of the elderly and gerontology.

  • 353.
    Pajalic, Zada
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Westergren, Albert
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.
    Aktionsforskningens grunder2013Inngår i: Aktionsforskning i vård och omsorg: tillämpning och teori / [ed] Liselotte Jakobsson, Malmö: Gleerups Utbildning AB, 2013, s. 85-94Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 354.
    Pajalic, Zada
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Westergren, Albert
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.
    Matdistribution till äldre2013Inngår i: Aktionsforskning i vård och omsorg: tillämpning och teori / [ed] Liselotte Jakobsson, Malmö: Gleerups Utbildning AB , 2013, s. 13-32Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 355.
    Pajalic, Zada
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Linnaeus University Sweden and Oslo and Akershus University Norway.
    Westergren, Albert
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.
    Persson, Lena
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Skovdahl, Kirsti
    Hälsoakademin Örebro Universitet.
    Matdistribution från olika perspektiv - professioner, beslutsfattare och från äldre personer - en aktionsforskningsstudie2011Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 356.
    Palmquist, Eva-Lott
    et al.
    Kristianstads Kommun.
    Skog, Therese
    Region Skåne Hässleholm.
    Pajalic, Zada
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Till dig som har matdistribution: ”Bra mat vid förstoppning eller trög mage”2013Annet (Annet (populærvitenskap, debatt, mm))
  • 357.
    Papastavrou, Evridiki
    et al.
    Cyprus University of Technology.
    Acaroglu, Rengin
    Istanbul University.
    Sendir, Merdiye
    Istanbul University.
    Berg, Agneta
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Efstathiou, Georgios
    Ministry of Health, Cyprus.
    Idvall, Ewa
    Malmö University.
    Kalafati, Maria
    National and Kapodistrian University of Athens.
    Katajisto, Jouko
    University of Turku.
    Leino-Kilpi, Helena
    University of Turku.
    Lemonidou, Chryssoula
    National and Kapodistrian University of Athens.
    da Luz, Maria Deolinda Antunes
    Unidade de Investigaca˜o e Desenvolvimento em Enfermagem (UI&DE), Escola Superior de Enfermagem de Lisboa.
    Suhonen, Riitta
    University of Turku.
    The relationship between individualized care and the practice environment: an international study2015Inngår i: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 52, nr 1, s. 121-133Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Previous research studies have found that the better the quality of practice environments in hospitals, the better the outcomes for nurses and patients. Practice environment may influence nurses' ability to individualize care but the detailed relationship between individualized care and the professional practice environment has not been investigated widely. Some evidence exists about the association of practice environments with the level of individualization of nursing care, but this evidence is based on single national studies.

    OBJECTIVES: The aim of this study was to determine whether nurses' views of their professional practice environment associate with their views of the level of care individualization in seven countries.

    DESIGN: This study had an international, multisite, prospective, cross-sectional, exploratory survey design.

    SETTINGS: The study involved acute orthopedic and trauma surgical inpatient wards (n=91) in acute care hospitals (n=34) in seven countries, Cyprus, Finland, Greece, the State of Kansas, USA, Portugal, Sweden, and Turkey.

    PARTICIPANTS: Nurses (n=1163), registered or licensed practical, working in direct patient care, in orthopedic and trauma inpatient units in acute care hospitals in seven countries participated in the study.

    METHODS: Self-administered questionnaires, including two instruments, the Revised Professional Practice Environment and the Individualized Care Scale-Nurse (Individualized Care Scale-Nurse A and B) were used for data collection. Data were analyzed statistically using descriptive statistics, simultaneous multiple regression analysis, and generalized linear model.

    RESULTS: Two regression models were applied to assess the predictive validity of the Revised Professional Practice Environment on the Individualized Care Scale-Nurse-A and B. The results showed that elements of the professional practice environment were associated with care individualization. Internal work motivation, cultural sensitivity, control over practice, teamwork, and staff relationship with physicians were predictors of support (Individualized Care Scale-A) for and the delivery (Individualized Care Scale-B) of individualized care.

    CONCLUSIONS: The results of this study provide evidence that environment aspect could explain variations in care individualization. These findings support the assertion that individualized care needs to be understood in a broader context than the immediate nurse-patient relationship and that careful development of the care environment may be an effective way to improve care quality and outcomes.

  • 358.
    Papastavrou, Evridiki
    et al.
    Lecturer, Department of Nursing, School of Health Studies, Cyprus University of Technology, Limassol.
    Efstathiou, Georgios
    Lecturer, Department of Nursing, School of Health Studies, Cyprus University of Technology, Limassol.
    Acaroglu, Rengin
    Florence Nightingale School of Nursing, Istanbul University.
    Antunes da Luz, Maria Deolinda
    Nursing research and development Unity ui&de), Lisbon.
    Berg, Agneta
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Idvall, Ewa
    Faculty of Health and Society, Malmö University.
    Kalafati, Maria
    Faculty of Nursing, National and Kapodistrian University of Athens.
    Kanan, Nevin
    Florence Nightingale School of Nursing, Istanbul University.
    Katajisto, Jouko
    Department of Statistics, University of Turku.
    Leino-Kilpi, Helena
    Department of Nursing Science/Hospital District of Southwest Finland, University of Turku.
    Lemonidou, Chryssoula
    Faculty of Nursing, National and Kapodistrian University of Athens.
    Sendir, Merdiye
    Florence Nightingale School of Nursing, Istanbul University.
    Sousa, Valmi D.
    School of Nursing, The University of Kansas, Kansas City.
    Suhonen, Riitta
    Department of Nursing Science, University of Turku.
    A seven country comparison of nurses’ perceptions of their professional practise environment2012Inngår i: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 20, nr 2, s. 236-248Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aims  To describe and compare nurses’ perceptions of their professional practice environment in seven countries.

    Background  There is evidence of variation in the nursing professional practice environments internationally. These different work environments affect nurses’ ability to perform and are linked to differing nurse and patient outcomes.

    Methods  A descriptive, comparative survey was used to collect data from orthopaedic and trauma nurses (n = 1156) in Finland, Cyprus, Greece, Portugal, Sweden, Turkey and Kansas, USA using the 39-item Revised Professional Practice Environment instrument.

    Results  Differences were found between participants from the northern countries of Europe, Kansas, USA, and the Mediterranean countries regarding perceptions about control over practice. No between-country differences were reported in the internal work motivation among the nurses from any of the participating countries.

    Conclusions  Although between-country differences in nurses’ professional practice environment were found, difficulties related to demographic, cultural and health system differences and the way in which nursing is defined in each country need to be considered in the interpretation of the results.

    Implications for Nursing Management  The results support investment to improve nurse’s work environment, which is important for improving the quality of patient care, optimizing patient outcomes and developing the nursing workforce.

  • 359.
    Persson, Carina U
    et al.
    University of Gothenburg.
    Linder, Annika
    Physiotherapy Department NU-Hospital Group, Trollhättan/Uddevalla.
    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.
    Measurement properties of the Swedish modified version of the Postural Assessment Scale for Stroke Patients (SwePASS) using Rasch analysis2017Inngår i: European Journal of Physical and Rehabilitation Medicine, ISSN 1973-9087, E-ISSN 1973-9095, Vol. 53, nr 6, s. 848-855Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: A previous small-sample (n=150) Rasch analysis of the Swedish modified version of the Postural Assessment Scale for Stroke Patients (SwePASS) suggested problems regarding response categories and redundant items that need confirmation in larger samples with more severe strokes.

    AIM: To evaluate the measurement properties of the SwePASS in patients with acute stroke.

    DESIGN: A multicentre, cross-sectional study.

    SETTING: Two stroke units in Western Sweden.

    POPULATION: The study cohort included 250 consecutive inpatients undergoing rehabilitation after acute stroke.

    METHODS: The SwePASS assessments were performed once within the first four days after admission to the stroke units. The data were analysed according to the Rasch measurement model regarding targeting, model fit, reliability, response category function, local dependence and differential item functioning.

    RESULTS: Postural control of 250 patients (median age, 76.5 years) was assessed with the SwePASS within median of two days after admission to the stroke units. The SwePASS covered a continuum of different levels of postural control, but had suboptimal targeting with insufficient representation of lower and higher levels of postural control. The reliability was high, the item fit statistics were generally acceptable and there was no differential item functioning by sex, age and stroke localization. However, response categories did not function as expected for four of the 12 SwePASS items and five items exhibited local dependency.

    CONCLUSIONS: The SwePASS exhibited several promising measurement properties. To improve the scale, poor targeting, illogical response categories and local dependency should be addressed.

    CLINICAL REHABILITATION IMPACT: The SwePASS provides valuable clinical information regarding postural control in the acute phase after stroke.

  • 360.
    Persson, Henrik
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Gustavsson, Jacob
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Olson, Anders
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Andersson, Anders-Petter
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Design och datavetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    B.E.A.C.O.N. - Beacon Emits Audio from Color, Or Not2013Konferansepaper (Fagfellevurdert)
    Abstract [en]

    People who suffer from dementia are often isolated due to lack of ways of communication. In many cases verbal communication can be difficult to perform at all. We created Beacon with the goal to let people with dementia interact with a very simple and intuitive control interface to give them a means of non-verbal communication, and let them take control over the soundscapes that Beacon is capable of producing. In this paper we describe our concept Beacon, its physical form and how the design makes it possible for a person with dementia to control the software by moving around items of different colors and sizes on its surface to create synthesized and sampled sounds. We hope that Beacon will produce positive results among people with dementia, and that the interaction will be rewarding.

  • 361.
    Persson, Lena
    Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    Providing integrated health and social care for older persons: facing the challenges in Europe2004Konferansepaper (Fagfellevurdert)
  • 362.
    Persson, Lena
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Furenbäck, Ingela
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Samhällsvetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Jakobsson, Liselotte
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    A new model for dealing with patients who frequently arrive spontaneously at hospital emergency departments requiring health care: a pilot study2014Inngår i: International Journal of Nursing & Clinical Practices, Vol. 1, s. 103-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Patients who repeatedly seek care directly at hospital based somatic emergency

    departments take up a large proportion of health care resources, at the same time they appear to experience low satisfaction with the care they receive. The purposes of this pilot study were to describe: I) the development of a team model for taking care of frequent visitors to a somatic hospital based ED; II) Eventual changes, over six months, in costs and patients’ health care utilization related to pilot testing the model and III), the team’s experiences of implementing the model.

    Methods: A mixed method convergent parallel design was used.

    Results: The development of the model began as a top-down process and later on into a bottom-up approach once the inter-professional team became involved. The new model functioned as a support for all 12 patients included in the study and collectively their visits decreased by a total of 73 visits (55%).

    Conclusion: The inference quality description is that a management induced project may be accepted and actively applied when those involved experience freedom to structure the project. Increased communication between different professionals within the hospital and between different caregivers such as ED, primary health care and community social- and health-care, increases the possibility for the patients to be cared for in a sustainable and non-fragmented way.

  • 363.
    Persson, Lena
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Jakobsson, Liselotte
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    A new model for dealing with patients who frequently arrive spontaneously at hospital emergency departments requiring health care: a pilot study2014Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Patients who repeatedly seek care directly at hospital based somatic emergency departments take up a large proportion of health care resources, at the same time they appear to experience low satisfaction with the care they receive  The purposes of this pilot study were to describe: I) the development of a team model for taking care of frequent visitors to  a somatic hospital based  ED; II) Eventual changes, over six months, in costs and patients’ health care utilization related to pilot testing the model and III), the team’s experiences of  implementing the model. A mixed method convergent parallel design was used. The development of the model began as a top-down process and later on in the process into a bottom-up approach once the inter-professional team became involved. The new model functioned as a support for all 12 patients included in the study and collectively their visits decreased by a total of 55%. The inference quality description is that such a management induced project may be accepted and actively applied when those involved experience freedom to structure the project. The freedom of being able to structure the model led to steps being taken that were beyond the project’s original limitations.

  • 364.
    Persson, Lena
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Jakobsson, Liselotte
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Ekman, Ingrid
    Centralsjukhuset Kristianstad.
    Utvärdering av ett förändrat arbetssätt för omhändertagande av personer som upprepade gånger söker vård via akutmottagningen: rapport av en pilotstudie2014Rapport (Annet vitenskapelig)
  • 365.
    Persson, Lena
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Kvist, Ulf
    Centralsjukhuset i Kristianstad.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Jakobsson, Liselotte
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Framväxt av en forskningsplattform2013Inngår i: Aktionsforskning i vård och omsorg: tillämpning och teori / [ed] Liselotte Jakobsson, Malmö: Gleerups Utbildning AB , 2013, s. 173-180Kapittel i bok, del av antologi (Annet (populærvitenskap, debatt, mm))
  • 366.
    Persson, Lena
    et al.
    Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    Langius-Eklöf, Ann
    Research priorities for cancer care in a Swedish sample of health care professionals: Posterpresentation2007Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Background: In 2006 a Swedish network was established for PhDs with backgrounds in nursing and other health care sciences active in cancer care research. One of the main aims of the multiprofessional network is to initiate multicentre studies in this field. The issue of where the front line in cancer caring sciences is has been raised within the network as well as from funding agencies. One step towards identifying the front line is to seek opinions about research priorities among health care professionals. Since 1981 the Oncology Nursing Society (ONS) in USA, has conducted surveys about research priorities among cancer nurses. These studies have been of guidance for allocating resources to areas in need of more research. The aim of this study was to investigate research priorities for cancer caring sciences from Swedish health care professionals’ point of view.

    Materials and method: A convenience sample of 19 PhD-prepared professionals in cancer caring sciences and 40 nurses working in cancer care participated. A questionnaire consisting of 115 potential research topics from the ONS study was translated into Swedish. The Swedish version is composed of a verbal category scale with four response alternatives to grade the importance of each topic. The topics can be divided into seven areas; cancer symptom management, behavioural/psychosocial aspects, health services, cancer continuum of care, health promotion/prevention, special populations and communication/decision making.

    Results: The top 10 topics as rated by the respondents were evidence-based practice, palliative care, curative treatment/care, caregiver role, children/adolescents, quality of life, prevention of cancer, fatigue and patient outcome of cancer care. The two most important areas were cancer continuum of care and communication/decision making whereas the least important area was special cancer populations. The PhD-group rated significantly nursing workforce issues (p<0.01) less important and functional status changes (p<0.05) and rehabilitation (p<0.05) more important than did the nurses. The top 20 research priorities in the Swedish sample included 13 of the top 20 topics in the ONS study.

    Conclusion: This study is a first step towards exploring the front line in oncology caring sciences by establishing research priorities as viewed by researchers and cancer nurses. The next challenge will be to ask patients and their families about their opinions of research priorities in cancer care.

  • 367.
    Petersson, Pia
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Att göra abstrakta begrepp och komplexa situationer konkreta: en avhandling om deltagarbaserad aktionsforskning i svensk vård och omsorg2009Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    This dissertation covers the subject of how abstract concepts and complex situations can be concretized through research together with practitioners. The dissertation is based on four empirical studies. The researcher role, the practitioner participation and the methods for data collection and analysis have varied. In study I the concept ‘Närsjukvård’ was explored to understand how practitioners, managers and politicians in hospitals, primary health care and municipalities interpreted the concept. The researcher acted as consultant who collected data by interviews and questionnaires. Practitioners’ participation was limited. ‘Närsjukvård’ was interpreted as accessibility to hospital beds, accessibility to primary health care, collaboration between care providers and continuity and developed home care. Study II aimed to explore how people experienced leg ulcer care. The researcher acted as a consultant who performed the interviews and analysed the data. Although the informants experienced their encounters with the nurses as satisfying, the study illuminated low participation in the care and low practitioner involvement in issues about daily living with the leg ulcer. The findings were brought back to the informants and the practitioners. The project did not proceed towards development and change. In study III the aim was to explore the Swedish concept ‘trygghet’ by using stories from daily life. Four older women were interviewed and the Story Dialogue method was used together with assistant nurses and registered nurses who participated in data collection and analysis. Two themes emerged: Sense of Security and factors strengthening the Sense of Security. Together with the assistant nurses, areas for improvements were identified. Study IV aimed to explore the discharge planning situation in order to generate ideas for development. Members from a discharge planning network participated in the whole research process. Conditions for a successful coordinated discharge planning situation were a system including: the participation of the patient, the competence of the staff and the support from the organisation. The group arranged a workshop about communication and interdisciplinary collaboration. The findings resulted in a form with self-evaluation questions. In conclusion, this thesis illustrates that it is possible to clarify abstract concepts and complex situations together with practitioners. To do this successfully, sense making activities and to start from practitioners’ experiences and their own context are key factors. The studies illuminate that building trust, relationship and sense of participation are essential in health and social care in general and specifically in the participatory action research process.

  • 368.
    Petersson, Pia
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Samordnad vårdplanering2013Inngår i: Aktionsforskning i vård och omsorg: tillämpning och teori / [ed] Liselotte Jakobsson, Malmö: Gleerups Utbildning AB , 2013, s. 45-57Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 369.
    Petersson, Pia
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Samverkansprocesser kring närsjukvård: dilemman och möjligheter2007Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 370.
    Petersson, Pia
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Augustinsson, Sören
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Samhällsvetenskap. Högskolan Kristianstad, Forskningsmiljön Arbete i skolan (AiS).
    Coordinated care planning in public health care in Sweden2012Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    The objective of this paper is to describe, increase the understanding of, and contribute to a theoretical development of how to look at care planning in public health care in Sweden. By transferring some of the medical care from hospitals to a patient's actual home in the 1990s, valuable beds at hospitals were made available to other patients. Patients who have been properly medically treated at hospitals should be discharged from the hospital as soon as possible. This enables a transferral of aftercare to the patient's home or to a municipally organised living accommodation for e.g. the elderly. In order to make sure that patients receive continued care after their discharge from the hospital, Sweden introduced a law concerning co-ordinated care planning (SOSFS 2005:27). This law prescribed that professionals at hospitals should work together with the patient, close kin and caretaker representatives (primarily in the patient's municipal) in order to agree on the need for continued care. In practice this means that an assistance administrator (the person who makes decisions concerning municipal care efforts) a nurse from the municipal home health care system, a nurse from the hospital department at which the patient was admitted, alongside with the patient and his or her close kin should form a care planning team who meet in order to plan the continued need for care. Ultimately the doctors have formal responsibility. In addition to this law, there are agreements between the county council responsible for the medical care and municipals responsible for home health care, well prepared routines for practical approaches, as well as IT support making sure that information is properly transferred to safeguard the safety of the patient and smooth processes (Region Skåne 2011). Despite legislations, governing and control, there are a number of problems when it comes to actual co-ordinated care planning, why is that so? (Augustinsson 2010; Judge 2003; Czarniawska and Lindberg 2006; Lidén 2009; Lindström 2011). This was the basis of the research assignment, i.e. studying actual events behind co-ordinated care planning and developing theoretical models that may be of use to the care planning team. Rather than focusing on the research objective, we asked "What happens in the process of co-ordinated care planning?" This question formed the basis of ten semi-structured interviews with nurses working with co-ordinated care planning at a hospital. We focused on events, interpretations, experiences and emotions in order to follow up with questions that could offer more details on descriptions and analyses. At the introductory phase of the analysis of the transcribed interviews, we asked the following questions "What is going on here?" and "What do the natives [professionals] think they are up to?" From these analyses of the empirical material (interviews as well as documents) and previous theoretical viewpoints of researchers and their knowledge of the field, one overall question emerged: "What happens in the gap between formal structure such as legislations, routines and standardised procedures, and the informal meaning actual co-ordinated planning processes?" The empirical material also included observations of mutual meetings at the hospital between nurses working with co-ordinated planning. The empirical material, based on the answers to the questions above, have later been addressed from various theoretical aspects in order to open up and create new perspectives on events and new theoretical models. This approach means that neither empirical material nor theories are taken for granted. The conclusion of the study, albeit preliminary, is that too many routines and regulations in a co-operation will make professionals unable to see solutions found outside of the predetermined boundaries. The detail level of regulations may be such a problem. This has been frequently discussed and is a known phenomenon among researchers studying knowledge development, safety and quality in organisational work (Dreyfus and Dreyfus 2003; Weick 2009).

  • 371.
    Petersson, Pia
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Blomqvist, Kerstin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Sense of security: searching for its meaning by using stories: a participatory action research study in health and social care in Sweden2011Inngår i: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 6, nr 1, s. 25-32Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

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

  • 372.
    Petersson, Pia
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. 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.
    Rämgård, Margareta
    Malmö Högskola.
    Using participatory action research in the development of a model for health and social care planning in collaboration2014Konferansepaper (Fagfellevurdert)
  • 373.
    Petersson, Pia
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Johansson, Yvonne
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Kälström Olsson, Ingela
    Lindskov, Cecilia
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Samhällsvetenskap.
    Pajalic, Zada
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Linnaeus University Sweden and Oslo and Akershus University Norway.
    Romance versus reality: five doctoral students' experiences of Action Reserach in the health care system in Sweden2007Inngår i: Action reserach beyond borders and divides, 2007Konferansepaper (Fagfellevurdert)
  • 374.
    Petersson, Pia
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Lindskov, Cecilia
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Samhällsvetenskap.
    Aktionsforskning2012Inngår i: Vetenskaplig teori och metod: från idé till examination inom omvårdnad / [ed] Maria Henricson, Lund: Studentlitteratur, 2012, s. 289-1§302Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 375.
    Rahm, Henrik
    et al.
    Lunds universitet.
    Andersson, Magdalena
    Malmö Högskola.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    The collective voice: legitimation strategies in focus group discussion with nurses in municipal palliative care for older people in Sweden2014Inngår i: Communication & Medicine: An Interdisciplinary Journal of Healthcare, Ethics and Society, ISSN 1612-1783, E-ISSN 1613-3625, Vol. 11, nr 2, s. 167-177Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This paper explores focus group discussions of registered nurses in municipal palliative care for older people, using data collected by researchers with an interest in health sciences. The linguistically based discourse analyis builds on a combination of Bakhtinian notions of dialogicity, the Other and addressivity, the use of quotations, and also van Leeuwen’s framework for legitimation in discourse. The aim is to investigate strategies of addressing and legitimizing palliative care. Three types of narrative are discerned: the cautionary tale, fictionalization of professional experiences and the enactment of a fictive dialogue. The other professions involved (physicians, assistant nurses) are positioned as the Other as a means of legitimizing the perspectives of the registered nurses. As the patients and their next of kin are the objects of professional activities, the notion of the Third (connecting to the Other) is proposed. The objectification is a manifestation of commitment with routinized and professional distance to the patients.

  • 376.
    Rantzow, Veronica
    et al.
    Vocational Education Helsingborg.
    Andersson, Pia
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Oral hälsa och folkhälsovetenskap. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Forskningsmiljön Oral Hälsa - Allmänhälsa - Livskvalitet (OHAL). Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Lindmark, Ulrika
    Jönköping University.
    Occurrence of oral health problems and planned measures in dependent older people in nursing care2018Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIMS AND OBJECTIVE: The aim of the study was to describe oral health problems and planned measures in older people receiving nursing care.

    BACKGROUND: Poor oral health conditions have a negative impact on the quality of life of older people. Therefore, oral care is an important task in daily nursing activities.

    METHODS: Data were obtained from the web-based Swedish national quality register Senior Alert. Data regarding oral health status and planned measures in individuals ≥65 years from one county in Sweden between July 2014 and June 2015 were included. The Revised Oral Assessment Guide - the Jönköping (ROAG-J), was used routinely by nursing staff in nursing care facilities to measure oral health status.

    RESULTS: Oral assessments were made on 2567 individuals (65.7% women). The most common oral health problem was related to "Teeth" (43.0%), which indicates deficient oral hygiene and/or broken teeth. At least one measure was planned in all the participants. The most common planned measures were "Moistening of the mouth" (16.6%), followed by "Brushing - assistance or complete help" (13.5%).

    CONCLUSION: Oral health problems were common, and planned measures did not seem to be sufficient to address the identified problems. The results indicate that greater priority should be given to the oral health care of older people in nursing care.

    RELEVANCE TO CLINICAL PRACTICE: The study highlights the importance of not only identifying oral health problems but also having knowledge and strategies for oral health care. Collaboration is needed to support nurses in caring for the oral health care of older people in nursing homes. This article is protected by copyright. All rights reserved.

  • 377.
    Rifai, Elissa
    et al.
    Högskolan Kristianstad, Fakulteten för hälsovetenskap.
    Janlöv, Ann-Christin
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Garmy, Pernilla
    Högskolan Kristianstad, Fakulteten för hälsovetenskap, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO). Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Lund University.
    Public health nurses' experiences of using interpreters when meeting with Arabic-speaking first-time mothers2018Inngår i: Public Health Nursing, ISSN 0737-1209, E-ISSN 1525-1446Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVES: The aim of this study was to investigate public health nurses' experiences of using interpreters when meeting with Arabic-speaking first-time mothers.

    DESIGN AND SAMPLE: An inductive qualitative design was used. Individual interviews were conducted with Swedish public health nurses (n = 11) with experience of working in child health care with interpreters when meeting with Arabic-speaking first-time mothers.

    MEASURES: Data were analyzed using qualitative content analysis.

    RESULTS: The analysis of the interviews resulted in one overarching theme: Having to accept and learn to incorporate interpreters when meeting with Arabic-speaking first-time mothers. Three subthemes were identified: (a) enabling an understanding of the situation of the mothers; (b) contributing to a trustful relationship; and (c) creating disturbing elements in the dialogue.

    CONCLUSIONS: Using interpreters optimized the conversation between the public health nurse and the Arab-speaking first-time mother; however, the complexity of using interpreters was also apparent.

  • 378.
    Rolandsson, Sara
    et al.
    Lund University.
    Andersson Sjöland, Annika
    Lund University.
    Brune, Jan C.
    Lund University.
    Li, Hongzhe
    Lund University.
    Kassem, Moustapha
    University of Southern Denmark.
    Mertens, Fredrik
    Lund University.
    Westergren, Albert
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Eriksson, Leif
    Lund University.
    Hansson, Lennart
    Lund University.
    Skog, Ingrid
    Lund University.
    Bjermer, Leif
    Lund University.
    Scheding, Stefan
    Lund University.
    Westergren-Thorsson, Gunilla
    Lund University.
    Primary mesenchymal stem cells in human transplanted lungs are CD90/CD105 perivascularly located tissue-resident cells2014Inngår i: BMJ Open Respiratory Research, ISSN 2052-4439, Vol. 1, nr 1, s. e000027-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Mesenchymal stem cells (MSC) have not only been implicated in the development of lung diseases, but they have also been proposed as a future cell-based therapy for lung diseases. However, the cellular identity of the primary MSC in human lung tissues has not yet been reported. This study therefore aimed to identify and characterise the ‘bona fide’ MSC in human lungs and to investigate if the MSC numbers correlate with the development of bronchiolitis obliterans syndrome in lung-transplanted patients. METHODS: Primary lung MSC were directly isolated or culture-derived from central and peripheral transbronchial biopsies of lung-transplanted patients and evaluated using a comprehensive panel of in vitro and in vivo assays. RESULTS: Primary MSC were enriched in the CD90/CD105 mononuclear cell fraction with mesenchymal progenitor frequencies of up to four colony-forming units, fibroblast/100 cells. In situ staining of lung tissues revealed that CD90/CD105 MSCs were located perivascularly. MSC were tissue-resident and exclusively donor lung-derived even in biopsies obtained from patients as long as 16 years after transplantation. Culture-derived mesenchymal stromal cells showed typical in vitro MSC properties; however, xenotransplantation into non-obese diabetic/severe combined immunodeficient (NOD/SCID) mice showed that lung MSC readily differentiated into adipocytes and stromal tissues, but lacked significant in vivo bone formation. CONCLUSIONS: These data clearly demonstrate that primary MSC in human lung tissues are not only tissue resident but also tissue-specific. The identification and phenotypic characterisation of primary lung MSC is an important first step in identifying the role of MSC in normal lung physiology and pulmonary diseases.

  • 379.
    Rosqvist, Kristina
    et al.
    Lund University.
    Horne, Malcolm
    Australien.
    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.
    Iwarsson, Susanne
    Lund University.
    Nilsson, Maria H
    Lund University.
    Odin, Per
    Lund University.
    Levodopa effect and motor function in late stage Parkinson's disease2018Inngår i: Journal of Parkinson's Disease, ISSN 1877-7171, E-ISSN 1877-718X, Vol. 8, nr 1, s. 59-70Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: It is unclear to which degree Levodopa (L-dopa) remains effective also in the late stage of Parkinson's disease (PD) and to which degree motor fluctuations and dyskinesias remain a problem.

    OBJECTIVE: To assess responsiveness of motor symptomatology to L-dopa in a group of patients with late stage PD. Moreover, to investigate the extent to which motor fluctuations and dyskinesias occur.

    METHODS: Thirty PD patients in Hoehn and Yahr (HY) stages IV and V in "on" were included. L-dopa responsiveness was assessed with a standardized L-dopa test in the defined "off" and defined "on" states. Motor function was assessed by the Unified PD Rating Scale (UPDRS) III and timed tests. Motor fluctuations and dyskinesias were assessed by the UPDRS IV. The participants were further monitored for 10 days with a mobile movement-analyses-system, the Parkinson's Kinetigraph (PKG). The median (q1-q3) L-dopa equivalent daily dose (LEDD) was 799 (536-973) mg.

    RESULTS: The UPDRS III score improved with ≥15% in 15 (50%) and with ≥30% in six (20%) participants during the L-dopa test. The median (q1-q3) UPDRS III score in "off" was 46 (37-53) and in "on" 36 (28-46). Twenty-one (70%) of the participants reported either predictable or unpredictable "off" fluctuations (items 36-37). The prevalence of dyskinesias (item 32, duration of dyskinesias ≥1) was 47%. The PKG indicated that dyskinesias primarily were mild and that a majority had a pronounced "off" symptomatology, spending a large proportion of the day either asleep or very inactive.

    CONCLUSIONS: Half of a group of patients with late stage PD had an L-dopa response of ≥15% on the UPDRS III. According to the UPDRS IV, a majority of the patients had motor fluctuations and about half had dyskinesias, although the PKG results suggested that these were not very severe.

  • 380.
    Rosqvist, Kristina
    et al.
    Lund University.
    Horne, Malcolm
    Australien.
    Hagell, Peter
    Högskolan Kristianstad, Fakulteten för hälsovetenskap, 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.
    Iwarsson, Susanne
    Lund University.
    Nilsson, Maria
    Lund University.
    Odin, Per
    Lund University.
    Levodopa effect and motor function in late stage Parkinson’s disease2017Inngår i: Movement Disorders, 2017, Vol. 32, s. 915-916Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Objective: To assess responsiveness to Levodopa (L-dopa) in patients with late stage Parkinson’s disease (PD). Moreover, to investigate if the L-dopa effect is stable or whether motor fluctuations and dyskinesias are present.

    Background: A majority of PD patients treated with L-dopa develop motor complications, in many cases within a few years of treatment. It is unclear to which degree L-dopa remains effective also in the last stages and whether motor fluctuations and dyskinesias remain a problem.

    Methods: The study included 30 patients with PD in Hoehn and Yahr (HY) stages IV and V in “on” and/or having a substantial need of help with ADL (<50% Schwab and England Scale) and having been diagnosed with PD for =7 years. Nineteen were men, median age 83 and median PD duration 12 years. Nineteen were in HY stage IV and 11 in V. L-dopa responsiveness was assessed with an L-dopa test and motor evaluation according to a standardized protocol in the defined “off” and defined “on” state. Motor performance was assessed by the Unified PD Rating Scale (UPDRS) III and timed tests for gait and hand-arm. The participants were further evaluated with a mobile movement-analyses-system, the Parkinson’s Kinetigraph (PKG) for 10 days.

    Results: The number of participants with an improvement in UPDRS III during L-dopa test of =15% were 15 (50%) and of =30% were 6 (20%). The median UPDRS III score in “off” was 46 (q1-q3, 37-53) and in “on” 36 (28-46), with a median improvement of 15.5% (8-27%), p<0.001. There was a statistically significant effect in almost all variables; UPDRS III total score; speech (item 18); resting tremor (item 20); tremor (items 20, 21); rigidity (item 22); bradykinesia (items 23-26, 31); gait (item 29); axial signs (items 18, 19, 22, 27-30); dyskinesias (Clinical Dyskinesia Rating Scale); hand-arm movement; gait test and blood pressure. According to the UPDRS IV, 67% experienced predictable off-fluctuations, while 30% had unpredictable off-fluctuations. The prevalence of dyskinesias according to item 32 (duration of dyskinesias =1) of the UPDRS IV was 47%. According to the PKG registrations, some patients were experiencing significant motor fluctuations, though very few had significant dyskinesias.

    Conclusions: Half of a group of patients with late stage PD (HY IV-V in “on”) had a significant L-dopa response (=15% on the UPDRS III). According to the UPDRS IV, a majority of the patients still had motor fluctuations and about half had dyskinesias.

  • 381.
    Rosqvist, Kristina
    et al.
    Lund University.
    Odin, Per
    Lund University.
    Hagell, Peter
    Högskolan Kristianstad, Fakulteten för hälsovetenskap, 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.
    Iwarsson, Susanne
    Lund university.
    Nilsson, Maria
    Lund University.
    Storch, Alexander
    Dopaminergic effect on non-motor symptoms in late stage Parkinson's disease2018Inngår i: Journal of Parkinson's Disease, ISSN 1877-7171, E-ISSN 1877-718X, Vol. 8, nr 3, s. 409-420Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Non-motor symptoms (NMS) are common in late stage Parkinson's disease (PD), as the frequency and severity of most of these symptoms increase with advancing disease.

    OBJECTIVE: To assess effect of dopaminergic therapy on NMS in late stage PD and to investigate relationships between dopaminergic effect on NMS and on motor function.

    METHOD: Thirty PD patients in Hoehn and Yahr (HY) stages IV and V in "on" were included. Dopaminergic effect on non-motor symptomatology was assessed by the modified version of the Non-Motor Symptoms Scale (NMSS) in the "off" and the "on" state during a standardized L-dopa test, in parallel also assessing motor function.

    RESULTS: NMS were common and many of the symptoms occurred in >80% of the individuals. The highest NMSS scores were seen within the NMSS domains 3: mood/apathy and 7: urinary in both the "off" and the "on" state. There was a statistically significant (p <  0.001) improvement in the modified NMSS total score (median) from 79 in "off" to 64 in "on". There were statistically significant differences between the "off" and the "on" state for domains 2: sleep/fatigue, 3: mood/apathy, 5: attention/memory, 6: gastrointestinal and 7: urinary. The differences in the NMSS score between the "off" and the "on" state were in general larger for motor responders than for motor non-responders. In motor non-responders, differences of the NMSS score between the "off" and the "on" state were found for the total score, domain 3: mood/apathy and its item 11-flat moods.

    CONCLUSION: There is an effect of dopaminergic medication on NMS in late stage PD, to some extent also for those with a non-significant response on motor function during L-dopa test. It is therefore of importance to optimize dopaminergic therapy in order to give the most effective symptomatic treatment possible.

  • 382.
    Rämgård, Margareta
    et al.
    Högskolan i Malmö.
    Blomqvist, Kerstin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Petersson, Pia
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    Developing health and social care planning in collaboration2015Inngår i: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 29, nr 4, s. 354-358Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Collaboration between different professions in community care for older people is often both difficult and complex. In this project, a participatory action research (PAR) was conducted in order to support the professions involved in the care for older people to develop individualized health and social care plans. Cases from daily work were discussed in different professional groups over a period of one year. A key finding was that lack of knowledge regarding the other professions' field of expertise and their underlying professional culture and values was a barrier in their collaboration. However, as the continuous reflective dialogue process progressed, the participants began to reflect more about the importance of collaboration as a prerequisite to achieve the best possible care for the recipient. This process of reflection led to the often complex needs of the care recipients being given a more central position and thus care plans being better tailored to each person's needs.5

  • 383.
    Rämgård, Margareta
    et al.
    Malmö Högskola.
    Peterson, Pia
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Vården som system2017Inngår i: Omvårdnad & äldre / [ed] Kerstin Blomqvist, Anna-Karin Edberg, Marie Ernsth Bravell, Helle Wijk, Lund: Studentlitteratur, 2017, s. 553-564Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 384. Rämgård, Margareta
    et al.
    Petersson, Pia
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Blomqvist, Kerstin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Att vårda i blindo: om professioners samverkan inärsjukvården2012Rapport (Fagfellevurdert)
  • 385.
    Rönn Emsfors, Åsa
    et al.
    Central Hospital Kristianstad.
    Elgán, Carina
    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.
    Patients' experiences of nursing actions during intravitreal treatment for wet age-related macular degeneration2015Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Purpose: The aim was to identify and describe nursing actions performed by nursing staff in which patients with wet age-related macular degeneration (AMD) experience good nursing care.

    Method: An explorative and descriptive qualitative design based on the Critical incident technique (CIT) was used. A strategic sample of 16 patients, aged 61-87 years (eleven women and five men) with wet AMD who received intravitreal treatment were interviewed.

    Results: Two main areas of good nursing care was identified during intravitreal treatment Being perceived as an individual and Creating confidence during visits, each area contained two categories. The two categories in the area Being perceived as an individual were; acting respectfully and being engaged. Acting respectfully was perceived when the nursing staff had a benevolent attitude and answered questions kindly and polite. The patients considered to be seen as an individual when the nursing staff were available for conversation and were present. The two categories in the area Creating confidence during visits were; encourage participation and inspiring confidence. Encouraging participation was perceived when the nursing staff continuously provided information. The nursing staff created confidence and trust by keeping promises and being honest.

    Conclusion: The interaction in the encounter between patient and caregiver is fundamental for patients' experience of good nursing care. It emphasise the importance of personal centred care even though the time for each patient is limited and the nursing staff have a demanding schedule. It would be desirable with specific guidelines for care of patient who gets intravitreal treatment. Without specific guidelines makes it difficult to implement person centred care and more quality time would benefit the patient.

                                                                                                   

  • 386.
    Schmidt, Manuela
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Lunds universitet.
    Emerging roles of nurses working at psychiatric emergency rooms (PER)2017Konferansepaper (Annet vitenskapelig)
  • 387.
    Schmidt, Manuela
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Lund University.
    Frequent visitors at the psychiatric emergency room: a literature review2018Inngår i: Psychiatric quarterly, ISSN 0033-2720, E-ISSN 1573-6709, Vol. 89, nr 1, s. 11-32Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Frequent visitors at the psychiatric emergency room (PER) constitute a small subgroup of patients, yet they are responsible for a disproportionate number of visits and thus claim considerable resources. Their needs are often left unmet and their repetitive visits reflect their dissatisfaction as well as that of PERs' staff. Motivated by these dilemmas, this study systematically reviews the literature about frequent visitors at PER and seeks to answer two questions: What characterizes frequent visitors at PER in the literature? and What characterizes PER in the literature? Based on 29 studies, this paper offers answers to the two questions based on a strength weakness opportunities and threats (SWOT) analysis. The results of the review and subsequent analysis of the literature revealed the multiplicity and complexity of frequent visitors' characteristics and how they appear to converge. Commonalities were more difficult to identify in PER characteristics. In some cases, this happened because the characteristics were poorly described or were context specific. As a result, it was not easy to compare the studies on PER. Based on SWOT and the findings of the analysis, the paper proposes new venues of research and suggests how the field of mental health might develop by taking into account its opportunities and threats.

  • 388.
    Schmidt, Manuela
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Predictors of self-rated health and lifestyle behaviours in Swedish university students2012Inngår i: Global Journal of Health Science, ISSN 1916-9736, Vol. 4, nr 4Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Lifestyle behaviours are usually formed during youth or young adulthood which makes college students a particularly vulnerable group that easily can adopt unhealthy lifestyle behaviour. Aim: The aim of this cross-sectional study was to explore the influence of socio-demographic factors on Swedish university students’ lifestyle behaviours and self-rated health. Method: Data were collected from a convenience sample of 152 students using questionnaires consisting of a socio-demographic section followed by previously well-validated instruments. Data were analysed using descriptive statistics: t-tests, analysis of variance (ANOVA) and regression tests. Findings: The results of this study show that the lifestyle behaviours under study (physical activity, perceived stress and eating behaviours) as well as self-rated health can be predicted to a certain extent by socio-demographic factors such as gender, mother tongue and parents’ educational level. Male university students were shown to be physically more active than female students; the male students were less stressed and rated their overall health, fitness level and mental health higher. Female students were more prone to adopt unhealthy eating behaviours. Discussion: This study addresses gender differences and their influences on lifestyle behaviours; it provides both theoretical explanations for these differences as well as presents some practical implications of the findings.

  • 389.
    Schmidt, Manuela
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Social marketing and breastfeeding: a literature review2013Inngår i: Global Journal of Health Science, ISSN 1916-9736, E-ISSN 1916-9744, Vol. 5, nr 3, s. 82-94Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aims: Through the review of relevant literature this study illuminates the concepts of social marketing and breastfeeding. It specifically discusses the positioning of the link between social marketing and breastfeeding within different fields of study and develops a theoretical framework that tries to bridge the gap between those disciplines.

    Method: Various electronic databases were used and through systematic selection 11 scientific articles were identified that this literature review is based on.

    Results: The review indicates that the relationship between social marketing and breastfeeding is complex. There are indications that this relationship is being investigated within three distinct fields of research: psychology/education, public health and marketing. Depending on the research field the emphasis is put on either breastfeeding or social marketing as well as on the other concepts that were discovered to be of importance within this relationship. Namely, group and individual demography as well as behaviour were revealed to be important elements of the link between social marketing and breastfeeding.

    Conclusions: Based on the results this study concludes that a more multidimensional view on the relationship between the concepts under study is needed since the focus of previous studies is very one-sided and limited to just one element when all elements should be integrated equally.

  • 390.
    Schmidt, Manuela
    et al.
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle. Lund University.
    Ekstrand, Joakim
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Ekonomi och arbetsliv. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Bengtsson-Tops, Anita
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Clinical profiles and temporal patterns of psychiatric emergency room visitors in Sweden2018Inngår i: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 72, nr 3, s. 197-204Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIMS: To describe persons visiting the psychiatric emergency room (PER) in Sweden and to compare persons who frequently (PFV) and infrequently (PIFV) visit PERs in terms of group size, age, gender, PER location inside versus outside the home municipality, diagnosis (ICD 10), temporal patterns of visits and hospital admissions.

    METHODS: This register study included all visits to PERs in one Swedish county over 3 years, 2013-2015 (N = 67,031 visits). The study employed descriptive statistics as well as Chi-square tests combined with Bonferroni correction to compare PFV with PIFV.

    RESULTS: Of the total of 27,282 visitors, 2201 (8.1%) were identified as PFV (five or more visits within 12 months) and they accounted for 38.1% of the total visits. The study found differences between PFV and PIFV in gender, diagnostic profile, hospital admissions and temporal patterns. Differences were also detected with regard to distance between PERs and home municipalities. However, no age-related differences were found between the two groups.

    CONCLUSIONS: PFV and PIFV have different clinical profiles and temporal patterns. These results may be important when planning, developing and evaluating interventions targeting the needs of each group, which is in accordance with a person-centred approach. Such an approach might eventually result in fewer visits to PERs.

  • 391.
    Schmidt, Manuela
    et al.
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle. Lund University.
    Ekstrand, Joakim
    Högskolan Kristianstad, Fakulteten för ekonomi, Avdelningen för ekonomi. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Bengtsson-Tops, Anita
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Self-reported needs for care, support and treatment of persons who frequently visit psychiatric emergency rooms in Sweden2018Inngår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIM: To investigate self-reported needs for care, support and treatment among persons who frequently visit psychiatric emergency rooms (PERs).

    DESIGN: A cross-sectional design. Qualitative and quantitative data were collected using an interview-based manual. Qualitative data were analysed using content analysis, whereas quantitative data were analysed using descriptive, non-parametric statistical tests.

    RESULTS: Persons who frequently visit PERs self-reported unmet needs for care, support and treatment in life domains such as health, socialisation, daytime activities, and emotional and financial security.

    CONCLUSION: To meet the needs of persons who frequently visit PERs, close cooperation between concerned welfare actors should be implemented.

  • 392.
    Schmidt, Manuela
    et al.
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Lund University.
    Hansson, Erika
    Högskolan Kristianstad, Fakulteten för lärarutbildning, Avdelningen för psykologi.
    Doctoral students' well-being: a literature review2018Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 13, nr 1Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    PURPOSE: Doctoral student well-being is an important matter that shapes the well-being of academics throughout their careers. Given that well-being has been found to be closely related to employee productivity and efficiency, strategies associated with maintaining well-being during PhD studies might be crucial for higher education, its outcomes and-just as importantly-for a balanced life of PhD students.  Method: Based on 17 studies, this literature review critically assesses the literature on doctoral student well-being.  Results: Theoretical models, concepts of well-being, and methods applied are discussed, as are the results of the articles. The reviewed studies are then discussed based on a SWOT analysis addressing the strengths and weaknesses of the reviewed research as well as the identified opportunities and threats, which can be used as a basis for future research. Based on the review findings and the SWOT analysis, a multidimensional view of the well-being of doctoral students is proposed.  Conclusions: The study proposes a more student-centred approach to meeting doctoral students' needs, and the enhancement of doctoral student well-being in order, as a long-term goal, to improve academics' well-being and productivity.Doctoral student well-being is an important matter that shapes the well-being of academics throughout their careers. Given that well-being has been found to be closely related to employee productivity and efficiency, strategies associated with maintaining well-being during PhD studies might be crucial for higher education, its outcomes and-just as importantly-for a balanced life of PhD students. Based on 17 studies, this literature review critically assesses the literature on doctoral student well-being. Theoretical models, concepts of well-being, and methods applied are discussed, as are the results of the articles. The reviewed studies are then discussed based on a SWOT analysis addressing the strengths and weaknesses of the reviewed research as well as the identified opportunities and threats, which can be used as a basis for future research. Based on the review findings and the SWOT analysis, a multidimensional view of the well-being of doctoral students is proposed. The study proposes a more student-centred approach to meeting doctoral students' needs, and the enhancement of doctoral student well-being in order, as a long-term goal, to improve academics' well-being and productivity.

  • 393.
    Schön Persson, Sophie
    et al.
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Oral hälsa och folkhälsovetenskap.
    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.
    Nilsson, Petra
    Högskolan Kristianstad, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Blomqvist, Kerstin
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    How can workplace relationships improve health and create sustainable workplaces?2016Konferansepaper (Annet vitenskapelig)
  • 394.
    Schön Persson, Sophie
    et al.
    Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II.
    Blomqvist, Kerstin
    Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I.
    Nilsson Lindström, Petra
    Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II.
    The importance of responsibility in workplace health promotion2014Konferansepaper (Annet vitenskapelig)
  • 395.
    Schön Persson, Sophie
    et al.
    Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för folkhälsovetenskap. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Lund University.
    Lindström, Petra Nilsson
    Högskolan Kristianstad, Fakulteten för hälsovetenskap, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för folkhälsovetenskap.
    Pettersson, Pär
    Högskolan Kristianstad, Fakulteten för ekonomi, Avdelningen för arbetsliv.
    Andersson, Ingemar
    Högskolan Kristianstad, Fakulteten för hälsovetenskap, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för folkhälsovetenskap.
    Workplace relationships impact self-rated health: a survey of Swedish municipal health care employees2018Inngår i: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 60, nr 1, s. 85-94Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: The impact of positive social relationships on the health of municipal employees in the elder care sector in Sweden needs further examination.

    OBJECTIVE: To explore the association between health and relationships among elderly care employees using a salutogenic perspective.

    METHOD: Survey of all employees (n = 997) in special housing, home care and Disabled Support and Services in a Swedish municipality. The questionnaire, which had a salutogenic perspective, included information on self-rated health from the previously validated SHIS (Salutogenic Health Indicator Scale), psychosocial work environment and experiences, social climate, and health-promoting workplace relationships.

    RESULTS: The response rate was 69% . Results of a multivariable linear regression model showed four significant predictors of health: general work experiences, colleague belongingness and positive relationships with managers and care recipients. In another model, colleague belongingness was significantly related to satisfaction with care recipients, work, length of employment as well as general work experiences and relationships with managers.

    CONCLUSION: Strengthening of positive work relationships, not only between workmates but also with managers and care recipients, seems to be an essential area for employee health promotion. Colleague belongingness may be deepened by development of a positive work climate, including satisfactory work experiences, positive manager relationships and a stable work force.

  • 396.
    Schön Persson, Sophie
    et al.
    Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för folkhälsovetenskap. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Lund University.
    Nilsson Lindström, Petra
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för folkhälsovetenskap.
    Pettersson, Pär
    Nilsson, Marie
    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, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Resources for work-related well-being: a qualitative study about healthcare employees' experiences of relationships at work.2018Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIMS AND OBJECTIVES: The aim of this study was to explore municipal healthcare employees' experiences of relationships with care recipients and colleagues. The specific research questions were when do the relationships enhance well-being, and what prerequisites are needed for such relationships to occur?.

    BACKGROUND: Employees in health and social care for older people often depict their work in negative terms, and they often take a high number of sick leaves. Despite the heavy workload, other employees express well-being at work and highlight social relationships as one reason for this. However, a greater understanding of how these relationships can act as resources for workplace well-being is needed.

    DESIGN: The design of the study was qualitative and exploratory.

    METHODS: Qualitative interview studies were conducted with twenty-three healthcare employees in municipal healthcare. Thematic analysis was used to analyse the data.

    RESULTS: Two themes were identified as resources for promoting relationships between employees and care recipients or colleagues: (i) Being personal - a close interpersonal relationship to a care recipient - and (ii) Colleague belongingness - a sense of togetherness within the working group. Spending quality time together, providing long-term care and providing additional care were antecedents for a close interpersonal relationship with care recipients. Trust, mutual responsibility and cooperation were antecedents for a sense of togetherness within the working group.

    CONCLUSIONS: The findings provide an empirical base to raise awareness of relationships with care recipients and colleagues as health aspects. Relationships among employees in healthcare are vital resources that must be considered to create sustainable workplaces, and consequently improve the quality of care. This article is protected by copyright. All rights reserved.

  • 397.
    Simon, Gail
    et al.
    England.
    Kebbe, Lisen
    Kebbe & Sandström, Sweden.
    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.
    Vedeler, Anne Hedvig
    Norge.
    Creating dialogical pop-up installations in public spaces2017Inngår i: Murmurations: Journal of Transformative Systemic Practice,, ISSN 2516-0052, Vol. 1, nr 1, s. 1-17Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [sv]

    I denna artikel, reflekterar vi över tankar från vår forskning inifrån spontana dialogiska förlopp, studerade genom dialogiska pop-up installationer där vi själva deltar. Vi erbjuder ett kollage av anekdoter från våra yrkesverksamheter, från våra personliga liv och från de dialogiska installationerna. Dessa episoder ger nya infallsvinklar och kastar nytt ljus på teman och värderingar i vår  dagliga praktik. Genom vårt arbete på gatorna ser vi: i) att det kräver mod att göra något för och med människor; ii) att vi alltid är involverade i att skapa dialogiska rum; iii) hur vi byter ut planering mot förberedelse; iv) att dialoger alltid påverkas av och i sin tur påverkar kontexten; v) att skrivande i collageform och mixed media, gör det möjligt att experimentera med nya former och dela lite av mo(ve)ments från installationerna.

  • 398.
    Sjöberg, Marina
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Beck, Ingela
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Existentiell ensamhet -en utmaning i vården av sköra äldre presoner: äldre personers upplevelser2016Konferansepaper (Annet vitenskapelig)
  • 399.
    Sjöberg, Marina
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Beck, Ingela
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Rasmussen, Birgit H
    Lund University.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Being disconnected from life - meanings of existential loneliness as narrated by frail older people2017Konferansepaper (Annet vitenskapelig)
  • 400.
    Sjöberg, Marina
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Beck, Ingela
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Rasmussen, Birgit H
    Lund University.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Being disconnected from life: meanings of existential loneliness as narrated by frail older people2017Inngår i: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVES: This study illuminated the meanings of existential loneliness (EL) as narrated by frail older people.

    METHOD: Data were collected through individual narrative interviews with 23 people 76-101 years old receiving long-term care and services. A phenomenological hermeneutical analysis was performed, including a naïve reading and two structural analyses as a basis for a comprehensive understanding of EL.

    RESULT: Four themes were identified related to meanings of EL: (1) being trapped in a frail and deteriorating body; (2) being met with indifference; (3) having nobody to share life with; and (4) lacking purpose and meaning. These intertwined themes were synthesized into a comprehensive understanding of EL as 'being disconnected from life'.

    CONCLUSION: Illness and physical limitation affects access to the world. When being met with indifference and being unable to share one's thoughts and experiences of life with others, a sense of worthlessness is reinforced, triggering an experience of meaninglessness and EL, i.e. disconnection from life. It is urgent to develop support strategies that can be used by health care professionals to address older people in vulnerable situations, thereby facilitating connectedness.

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