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  • 101.
    Lindholm, Beata
    et al.
    Lund University.
    Nilsson, Maria
    Lund University.
    Hansson, Oskar
    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 Sjuksköterskeutbildningarna.
    External validation of a 3-step falls prediction model in mild Parkinson’s disease2016Ingår i: Journal of Neurology, ISSN 0340-5354, E-ISSN 1432-1459, Vol. 263, nr 12, s. 2462-2469Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The 3-Step Falls Prediction Model (3-step model) that include history of falls, history of freezing of gait and comfortable gait speed <1.1m/s was suggested as a clinical fall prediction tool in Parkinson’s disease (PD). We aimed to externally validate this model as well as to explore the value of additional predictors in 138 individuals with relatively mild PD. We found the discriminative ability of the 3–step model in identifying fallers to be comparable to previously studies (area under curve (AUC), 0.74; 95%CI, 0.65-0.84) and to be better than that of single predictors (AUC, 0.61-0.69). Extended analyses generated a new model for prediction of falls and near falls (AUC, 0.82; 95%CI, 0.75-0.89) including history of near falls, retropulsion according to the Nutt Retropulsion Test (NRT) and tandem gait (TG). This study confirms the value of the 3-step model as a clinical falls prediction tool in relatively mild PD and illustrates that it outperforms the use of single predictors. However, to improve future outcomes, further studies are needed to firmly establish a scoring system and risk categories based on this model. The influence of methodological aspects of data collection also needs to be scrutinized. A new model for prediction of falls and near falls, including history of near falls, TG and retropulsion (NRT) may be considered as an alternative to the 3-step model, but needs to be tested in additional samples before being recommended. Taken together, our observations provide important additions to the evidence base for clinical fall prediction in PD. 

  • 102.
    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 disease2016Ingår i: Nutritional neuroscience, ISSN 1028-415X, E-ISSN 1476-8305, Vol. 19, nr 1, s. 11-20Artikel i tidskrift (Refereegranskat)
    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.

  • 103.
    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 scale2016Ingår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 11, nr 10, artikel-id e0163931Artikel i tidskrift (Refereegranskat)
    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.

  • 104.
    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 scale2016Ingår i: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 25, nr Suppl. 1, s. 150-Artikel i tidskrift (Refereegranskat)
  • 105.
    Muthucumarana, Muditha
    et al.
    Högskolan Kristianstad, Fakulteten för hälsovetenskap. Department of Allied Health Sciences, Faculty of Medical Sciences, University of Sri Jayewardenepura.
    Samarasinghe, Kerstin
    Högskolan Kristianstad, Fakulteten för hälsovetenskap.
    Elgán, Carina
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Family caregivers’ experience of providing informal care for stroke survivors2018Konferensbidrag (Refereegranskat)
  • 106.
    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 delaktighet2017Samlingsverk (redaktörskap) (Övrigt vetenskapligt)
    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.

  • 107.
    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 reflection2017Ingår i: Education Research International, ISSN 2090-4002, E-ISSN 2090-4010, Vol. 2017, artikel-id 4851067Artikel i tidskrift (Refereegranskat)
    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.

  • 108.
    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 balance2017Ingår i: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 54, nr 4, s. 591-602Artikel i tidskrift (Refereegranskat)
    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.

  • 109.
    Nilsson, Petra
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II.
    Andersson, Ingemar H.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II.
    Ejlertsson, Göran
    Blomqvist, Kerstin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Optimizing employee health in lean healthcare processes: continuous survey processes as a tool2013Konferensbidrag (Refereegranskat)
  • 110.
    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 processes2017Konferensbidrag (Övrigt vetenskapligt)
  • 111.
    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 approach2017Ingår i: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 30, nr 7, s. 591-602Artikel i tidskrift (Refereegranskat)
    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.

  • 112.
    Ny, Pernilla
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Anemia in India2004Konferensbidrag (Refereegranskat)
  • 113.
    Ny, Pernilla
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Arabiskfödda pappors syn på mödra- och barnhälsovården2005Konferensbidrag (Övrig (populärvetenskap, debatt, mm))
  • 114.
    Ny, Pernilla
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Arabisktalande pappors syn på mödra- och barnhälsovården, och att bli pappa i Sverige2005Konferensbidrag (Refereegranskat)
  • 115.
    Ny, Pernilla
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Healthstatus of foreignborn women in Malmö, Sweden2003Konferensbidrag (Refereegranskat)
  • 116.
    Ny, Pernilla
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Maternity health care in Malmö in a multiethnic setting2004Konferensbidrag (Refereegranskat)
  • 117.
    Ny, Pernilla
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Men of Middle Eastern origin living in Sweden and their experiences of the Swedish maternal health care2007Konferensbidrag (Refereegranskat)
  • 118.
    Ny, Pernilla
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Middle Eastern mothers living in Sweden and their experiences of participating in the Swedish maternal health care and the involvement of their partner2007Konferensbidrag (Refereegranskat)
  • 119.
    Ny, Pernilla
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Pappor från Mellanöstern och deras syn på mödra- och barnahälsovården2005Konferensbidrag (Refereegranskat)
  • 120.
    Ny, Pernilla
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Utilisation by country of birth in a low-risk population2007Konferensbidrag (Refereegranskat)
  • 121.
    Ny, Pernilla
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Är det skillnad på utnyttjandet av mödrahälsovård i Malmö beroende på kvinnans födelseland?2006Konferensbidrag (Refereegranskat)
  • 122.
    Ny, Pernilla
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Är det skillnad på utnyttjandet av mödrahälsovård i Malmö beroende på kvinnans födelseland?2006Konferensbidrag (Refereegranskat)
  • 123.
    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 nutrition2018Ingår i: Ageing & Society, ISSN 0144-686X, E-ISSN 1469-1779, Vol. 38, nr 1, s. 83-107Artikel i tidskrift (Refereegranskat)
    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.

  • 124.
    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 (Övrigt vetenskapligt)
    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.

  • 125.
    Olsson, Viktoria
    et al.
    Högskolan Kristianstad, Sektionen för lärande och miljö, Avdelningen för Mat- och måltidsvetenskap. Högskolan Kristianstad, Forskningsmiljön Food and Meals in Everyday Life (MEAL).
    Nyberg, Maria
    Högskolan Kristianstad, Sektionen för lärande och miljö, Avdelningen för Mat- och måltidsvetenskap. Högskolan Kristianstad, Forskningsmiljön Food and Meals in Everyday Life (MEAL).
    Pajalic, Zada
    Linnéuniversitetet.
    Örtman, Gerd
    Linnéuniversitetet.
    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.
    Blucher, Anna
    Linnéuniversitetet.
    Andersson, Håkan
    Linnéuniversitetet.
    Wendin, Karin
    Högskolan Kristianstad, Sektionen för lärande och miljö, Avdelningen för Mat- och måltidsvetenskap. Högskolan Kristianstad, Forskningsmiljön Food and Meals in Everyday Life (MEAL).
    Designing meals for elderly with eating difficulties: a cooperative approach2014Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Approximately 15 % of the Scandinavian population aged 60 and above suffer from eating difficulties with malnutrition as a risk factor. In an effort to improve their possibilities of a healthy and independent living, we have chosen the strategy to develop nutritious and tasty food in combination with functional eating aids to be integrated in the everyday lives of elderly.

    This new, multi-disciplinary project concerns the design of meals for those who experience difficulties in transporting food from the plate to the mouth. The present paper, as part of the project, aims at presenting today’s knowledge of what home-living Scandinavian elderly with pre-oral eating difficulties experience as important factors concerning the meal. The review of peer-reviewed research publications will be complemented with in-depth interviews, surveys and observation studies. Data will be used in a co-designing process, where elderly are involved in developing meals and eating aids that support independence and integrity.

    For elderly in general it is well known that food and drink preferences are affected by past experiences. However, impaired appetite, taste and smell as well as eating difficulties require special adaptations of food and beverages. Serving popular dishes and using distinct flavours and presentations improves meal satisfaction. Elderly suffering from e.g. hand tremor or difficulties in gripping often develop strategies to remain independent, of which one may be to omit meal constituents affecting the sensory and nutritional quality of the meal. Furthermore, the eating situation among people with eating difficulties is often associated with guilt and shame, and social withdrawal is therefore a common scenario.

    Remaining independent in respect to eating is highly valued among elderly. By integrating various dimensions of the meal, including nutritional and sensory aspects, in the development of functional eating aids, the possibility of a healthy and independent living among elderly increases.

  • 126.
    Olsson, Yvonne
    et al.
    Lund University.
    Clarén, Lena
    Lund University.
    Alvariza, Anette
    Ersta Sköndal University College.
    Årestedt, Kristofer
    Ersta Sköndal University College.
    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.
    Health and social service access among family caregivers of people with Parkinson's disease2016Ingår i: Journal of Parkinson's Disease, ISSN 1877-7171, E-ISSN 1877-718X, Vol. 6, nr 3, s. 581-587Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Being a family caregiver for a person with Parkinson's disease (PD) can negatively impact health and wellbeing, but it appears less clear to what extent caregivers' health/social service needs are met.

    OBJECTIVE: We explored the extent to which PD family caregivers experience sufficient access to health/social services, as compared to age-matched controls; and the associations between this and demographic and health-related variables.

    METHODS: A cross-sectional survey of 66 PD family caregivers and 79 age-matched control subjects including the SF-36 health survey, the Nottingham Health Profile Sleep section (NHP-Sleep), and questions regarding contacts with various health/social related services and whether these were perceived as sufficient.

    RESULTS: People reporting insufficient access (n = 29) were more often PD family caregivers than controls (83% vs. 37%), did more often have a disease of their own (79% vs. 46%), and reported poorer health according to the SF-36 and the NHP-Sleep. Being a PD family caregiver (OR, 8.90), reporting more pain (OR, 1.02) and having an own disease (OR, 3.46) were independently associated with insufficient health/social service access.

    CONCLUSIONS: Our results imply that those in greatest need for health/social services (i.e., those with poorer health, an own disease, and who are PD family caregivers) are those whose health/social service needs are least met. Larger studies are needed for firmer conclusions and regarding how unmet health/social service needs impacts caregiver health and wellbeing. Health/social service providers should not only focus on patients but also consider their family members' needs.

  • 127.
    Orrung Wallin, Anneli
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Lund University.
    Jakobsson, Ulf
    Lund University.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Job strain and stress of conscience among nurse assistants working in residential care2015Ingår i: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 23, nr 3, s. 368-379Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim The aim was to investigate job strain and stress of conscience among nurse assistants working in residential care and to explore associations with personal and work-related aspects and health complaints. Background It is important to investigate job strain and stress of conscience, both for the well-being of the nurse assistants themselves and for the impact on the quality of care they provide. Method Questionnaires measuring job strain, stress of conscience, personal and work-related aspects and health complaints were completed by NAs (n = 225). Comparisons of high and low levels of job strain and stress of conscience and multiple linear regression analyses were performed. Result Organisational and environmental support and low education levels were associated with low levels of job strain and stress of conscience. Personalised care provision and leadership were related to stress of conscience and the caring climate was related to job strain. Conclusion There is a need for support from the managers and a supportive organisation for reducing nurse assistants work-related stress, which in turn can create a positive caring climate where the nurse assistants are able to provide high quality care. Implications for nursing management The managers' role is essential when designing supportive measures and implementing a value-system that can facilitate personalised care provision.

  • 128.
    Ottosson, Lena
    et al.
    Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Janlöv, Ann-Christin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Vägen till ett aktivt och hälsosamt liv: upplevelser och erfarenheter av vad som ger ett aktivt och hälsosamt åldrande bland personer i gruppen 60-74 år2015Rapport (Övrigt vetenskapligt)
    Abstract [sv]

    Bakgrund: Den äldre befolkningen ökar i Sverige och i nästan alla delar av världen, därförär det viktigt med kunskap om hur vi kan skapa goda förutsättningar för att bevara hälsanför människor, även i hög ålder. Investeringar i hälsosamt åldrande ökar livskvalitet för denenskilde, skapar ett hållbart samhälle och bidrar till minskade samhällskostnader.Syfte: Syftet var att undersöka upplevelser och erfarenheter av vad som ger ett aktivt ochhälsosamt åldrande för personer i åldrarna 60 -74 år i Kristianstad kommun.Metod: En empirisk intervjustudie med datainsamling i två fokusgrupper, med sammanlagt15 deltagare och kvalitativ innehållsanalys.Resultat: Genomgående tema i resultatet var tillgänglighet till närsamhället. För bevaradhälsa var självständighet centralt och påverkades av var man bor, tillgänglig service, möjlighetatt ta sig fram samt goda möten med tid för samtal. För ett aktivt liv var känslan avdelaktighet, känna sig behövd och föreningsaktivitet av stor vikt. En trygg ekonomi, åtkomliginformation, mötas av respekt och att våga gå ut var förutsättningar för att vara aktivoch delta i samhället.Slutsats: För att möta den åldrande befolkningens behov behöver samhället arbeta preventivtför att ge seniorer en bra miljö att leva i. Det finns idag mycket forskning om hur viska leva hälsosamt och förebygga sjukdom. Den stora utmaningen är att forma ett samhällesom är hållbart för framtiden, där vi alla kan leva ett långt och hälsosamt liv, ävensom senior.

  • 129.
    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 analysis2017Ingår i: European Journal of Physical and Rehabilitation Medicine, ISSN 1973-9087, E-ISSN 1973-9095, Vol. 53, nr 6, s. 848-855Artikel i tidskrift (Refereegranskat)
    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.

  • 130.
    Persson, Lena
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Jakobsson, Liselotte
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Implementing a new model for the care of people who repeatedly seek help through the emergency department2013Ingår i: Multidiciplinary teams and patient involvment, 2013Konferensbidrag (Refereegranskat)
  • 131.
    Persson, Martin
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Skåne University Hospital.
    Becker, Magnus
    Lund University.
    Conrad, Amy L.
    USA.
    Svensson, Henry
    Lund University.
    Female and male differences in academic achievement in individuals with cleft: a population-based register study2018Ingår i: The Cleft Palate-Craniofacial Journal, ISSN 1055-6656, E-ISSN 1545-1569, Vol. 55, nr 2, s. 196-203Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: The focus of this study was to determine if there is any significant difference in academic achievement for girls and boyswith a cleft compared to the general population of Swedish students at graduation from compulsory school.

    Design: A retrospective population-based study using data obtained from the Swedish Medical Birth Register that was linked to the Swedish School–Grade Register.Participants: Two hundred seventy girls and 241 boys with cleft palate (CP), 222 girls and 429 boys with cleft lip (CL), and 299 girls and 531 boys with cleft lip and palate (CLP) were compared with the compulsory school population comprising 609,397 girls and 640,007 boys.

    Main Outcome Measures: (1) Odds of receiving the lowest grade and reduced odds in receiving high grades in Mathematics, English, and Swedish. (2) grade point average (GPA).

    Results: In all 3 subject grades, for boys with cleft there was no difference when compared to the male population. Girls with cleft were similar to their peers with a few exceptions. Girls with CLP had lower Math grades, and girls with CP had lower Math, English, and Swedish grades. Girls with CP and CLP achieved a significantly lower GPA in comparison to the female population and boys with CP and CL achieved lower GPAs in comparison to the male population.

    Conclusions: This study indicates that educational outcomes for girls with cleft are more negatively affected than for boys with cleft.

  • 132.
    Ranasinghe, Lalanthi
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Parental experience of having a child with newly diagnosed T1DM2016Självständigt arbete på avancerad nivå (masterexamen), 20 poäng / 30 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: Diabetes Mellitus (DM) has become a common occurrence in Sri Lanka and there have been a remarkable escalates in number of children suffering from T1DM. Parents whose children have been diagnosed with Type 1 Diabetes Mellitus (TIDM) undergo profound psychological distress.

    Aim: To get a comprehensive understanding of parents´ experiences of having a child in Sri Lanka aged 0-14 years, with a newly diagnosed T1DM, in order to identify parental needs of support.

    Method: Explorative and descriptive design based on an inductive qualitative approach. Seventeen parents were interviewed who visited the Endocrinology clinic at a paediatric Hospital in SriLanka. Data was analysed through manifest and latent content analysis.

    Findings: The analysis consisted of one overriding theme “To lose one’s footing and striving to regain one’s balance” and four qualitative main categories of description “life is falling apart, changed life pattern, forced to cope and gaining control”, with respective sub categories, thus illustrating parental experiences of their child being diagnosed as T1DM.

    Conclusion: Parents having a child with a newly diagnosed T1DM undergo a Psycho-social transition in which they experienced anxiety, depression, frustration and fear. Family focused nursing will be necessity in order to focus on the family as a unit as the illness of the child affects all members of the family from a system perspective.

  • 133.
    Rosqvist, Kristina
    et al.
    Lund University.
    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.
    Odin, P.
    Lund University.
    Ekström, H.
    Lund University.
    Iwarsson, S.
    Lund University.
    Nilsson, M. H.
    Lund University.
    Factors associated with life satisfaction in Parkinson's disease2017Ingår i: Acta Neurologica Scandinavica, ISSN 0001-6314, E-ISSN 1600-0404, Vol. 136, nr 1, s. 64-71Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: To identify factors associated with life satisfaction (LS) in people with Parkinson's disease (PD), including a specific focus on those with late-stage PD.

    MATERIAL AND METHODS: The study included 251 persons with PD (median age 70 years; PD duration 8 years). Analyses involved the total sample and a subsample with late-stage PD, that is Hoehn and Yahr stages IV and V (n=62). LS was assessed with item 1 of the Life Satisfaction Questionnaire (LiSat-11). Simple logistic regression analyses were performed for both the total sample and for the subsample with late-stage PD. For the total sample, a multivariable logistic regression analysis was also performed.

    RESULTS: In the total sample, 12 of the 20 independent variables were significantly associated with LS: need of help with ADL; walking difficulties; number of non-motor symptoms (NMS); fatigue; depressive symptoms; general self-efficacy; motor symptoms; pain; PD severity; freezing episodes; gender (woman); and fluctuations. When controlling for age and gender in the multivariable logistic regression model, depressive symptoms were negatively associated with high LS and general self-efficacy was positively associated with high LS. In late-stage PD, simple logistic regression analyses (controlling for age and gender) identified the following factors as associated with LS: number of NMS, general self-efficacy, walking difficulties and fatigue.

    CONCLUSIONS: This study provides new knowledge on factors associated with LS in a PD sample, including those with late-stage PD. As the ultimate goal for PD care should be improvement in LS, the results have direct clinical implication.

  • 134.
    Rothenberg, Elisabet
    et al.
    Högskolan Kristianstad, Fakulteten för naturvetenskap, Forskningsmiljön Food and Meals in Everyday Life (MEAL). Högskolan Kristianstad, Fakulteten för naturvetenskap, Avdelningen för mat- och måltidsvetenskap.
    Wallin, Anneli Orrung
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Karolinska Institute .
    Forsberg, Sarah
    Högskolan Kristianstad, Sektionen för lärande och miljö, Avdelningen för Mat- och måltidsvetenskap. Högskolan Kristianstad, Fakulteten för naturvetenskap, Forskningsmiljön Food and Meals in Everyday Life (MEAL).
    Klädd i äldres fysiska vardagsutmaningar: vad kan man lära?2018Ingår i: Högskolepedagogisk debatt, ISSN 2000-9216, nr 2, s. 18-25Artikel i tidskrift (Övrigt vetenskapligt)
  • 135.
    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 system2017Ingår i: Omvårdnad & äldre / [ed] Kerstin Blomqvist, Anna-Karin Edberg, Marie Ernsth Bravell, Helle Wijk, Lund: Studentlitteratur, 2017, s. 553-564Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 136.
    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 degeneration2015Konferensbidrag (Övrigt vetenskapligt)
    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.

                                                                                                   

  • 137.
    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 review2018Ingår i: Psychiatric quarterly, ISSN 0033-2720, E-ISSN 1573-6709, Vol. 89, nr 1, s. 11-32Artikel i tidskrift (Refereegranskat)
    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.

  • 138.
    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 Sweden2018Ingår i: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 72, nr 3, s. 197-204Artikel i tidskrift (Refereegranskat)
    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.

  • 139.
    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?2016Konferensbidrag (Övrigt vetenskapligt)
  • 140.
    Schön Persson, Sophie
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II.
    Blomqvist, Kerstin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Nilsson, Petra
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II.
    The importance of responsibility in workplace health promotion2014Konferensbidrag (Refereegranskat)
  • 141.
    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 upplevelser2016Konferensbidrag (Övrigt vetenskapligt)
  • 142.
    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 people2017Konferensbidrag (Övrigt vetenskapligt)
  • 143.
    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 people2018Ingår i: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 22, nr 10, s. 1357-1364Artikel i tidskrift (Refereegranskat)
    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.

  • 144.
    Sjöberg, Marina
    et al.
    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, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Rasmussen, Birgit H
    Malmö universitet.
    Beck, Ingela
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Being acknowledged by others and bracketing negative thoughts and feelings: frail older people's narrations of how existential loneliness is eased.2019Ingår i: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 14, nr 1Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIMS AND OBJECTIVES: The aim of this study was to describe how EL was eased, as narrated by frail older people.

    BACKGROUND: Existential loneliness (EL) is an unavoidable part of the human condition. It is a complex phenomenon that has been described as disconnection from life. If EL is acknowledged in the care of older people, the experience of EL can be reduced.

    DESIGN: In this qualitative study, we used an exploratory and descriptive design.

    METHODS: The study was based on 22 narrative interviews with frail older people, 76 to 101 years old, who were receiving long-term care and services. We analysed the data using conventional content analysis.

    RESULTS: Being acknowledged by others, that is, being the focus of others' concern, eased the experience of EL, as did encountering intimacy and having meaningful exchanges of thoughts and feelings. Further, EL was pushed into the background and eased when participants could bracket negative thoughts and feelings, that is, when they could adjust and accept the present situation, view life in the rear-view mirror, be in contact with spiritual dimensions and withdraw and distract themselves.

    CONCLUSION: Existential loneliness can be eased by experiencing meaningful togetherness with others and oneself when something else comes to the forefront, pushing EL to the background. Frail older peoples' opportunities to ease EL may be facilitated by health care staff (HCS) providing person-centred care and create possibilities for solitary time and meaningful togetherness.

    IMPLICATIONS FOR PRACTICE: If frail older people's ongoing processes of adjusting and accepting their situation are understood and confirmed by people in their environment, for example, by nurses, family and friends, the experience of living a meaningful life can be supported, which, in turn, can ease EL.

  • 145.
    Sjödahl Hammarlund, Catharina
    et al.
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. 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 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.
    Fall risk and its associated factors among older adults without home help services in a Swedish municipality2016Ingår i: Journal of Community Health Nursing, ISSN 0737-0016, E-ISSN 1532-7655, Vol. 33, nr 4, s. 181-189Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    During preventive home visits, the purpose of this study was, to identify the prevalence of fall risk and any associated factors. Participants (n=1471) were cognitively sound community-dwelling older adults (≥ 70 years) without home-help service, living in a Swedish municipality. The Downton Fall Risk Index and nine single items were used. Tiredness/fatigue, age ≥ 80, inability to walk one hour, inability to climb stairs and worrying were significantly associated with fall risk. Preventive home visits incorporating fall risk screening proved valuable, providing information for interventions aimed at preventing falls, maintaining independence and facilitating health among community dwelling participants.

  • 146.
    Smith, Steve
    et al.
    Storbritannien.
    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.
    Saunders, Julia
    Storbritannien.
    Hagell, Peter
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Nutritional screening: a user-friendly tool adapted from Sweden2016Ingår i: British Journal of Nursing, ISSN 0966-0461, E-ISSN 2052-2819, Vol. 25, nr 4, s. 208-211Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Screening for undernutrition is highly important and may reduce morbidity and mortality. The Minimal Eating Observation and Nutrition Form Version II (MEONF-II) is a nutritional screening tool specifically developed for use by nurses. The authors describe the translation, performance and appropriateness of MEONF-II for the UK. Following translation from Swedish to British English, the user-friendliness and appropriateness of the British MEONF-II was tested by 29 registered nurses and final-year student nurses on 266 hospital inpatients. The new British MEONF-II was perceived as highly user-friendly and appropriate. Assessors found MEONF-II to compare favourably with other similar tools in terms of preference, usefulness and helpfulness in providing good nutritional care. Dependency in activities and poorer subjective health were associated with a higher risk of undernutrition. These findings support the appropriateness of the British MEONF-II version and suggest it may act as a user-friendly facilitator for good nutritional nursing care.

  • 147.
    Sollerhed, Ann-Christin
    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 Humaniora.
    Hedov, Gerth
    Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO). Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Physical activity among children with Down’s Syndrome2017Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Introduction, aim and theoretical framework

    About 150 children with Down Syndrome (DS) are born in Sweden every year. According to the Swedish National Sports Confederation, these children have the right to play sports and to be physically active like other children. Sports for children should be based on children’s own needs and circumstances and take into account of the variations in development. Children with DS have been shown to have low fitness, poor motor skills, very lo participation in sports activities and a high prevalence of overweight (Whitt-Glover et al, 2006). The aim of the study was to investigate sports habits and physical activity (PA) among children and adolescents with DS in the age 8-18 years in Sweden.

    Method

    Information was obtained by a questionnaire performed among families with children with DS, all information was given by the parents. Furthermore, new additional questions focusing on PA and sports participation, attitudes and living habits among both children and adults were included. The sample consisted of 310 children with DS and their families in Sweden. The statistics were carried out by using SPSS. Additional information on children’s PA was given in written narratives. The written information was analyzed with qualitative text analyses.

    Results

    Overall activity patterns among children with DS seemed to be quite similar to the patterns among other childre without disabilities. A polarized picture emerged in which some were very active and some were completely inactive. Relationships between parents’ own level of PA and children’s activity could be shown, as well as associations between parental involvement in the activities and children’s activity levels. The parents expressed the difficulties children with DS have to participate in sports together with other children. Three main areas could be identified as barriers. 1. Time consuming. The parents stated that it was much time consuming to organize opportunities fo children with DS to engage in sports activities in the family situation. 2. Characteristics of the children. The children are slow and sometimes difficult to motivate which take a lot of effort. They also have physical problems, for example poor motor skills, perceptual difficulties, poor movement planning which exclude participation in many activities. Some parents also indicated a lack of endurance capacity and rapid mood swings as additional factors that contributed to the difficulties. 3. Society and sports clubs. Parents stated that there were few possibilities for PA which are manageable for children with DS offered by the society and sport clubs. Parents didn’t experience any negative reactions from other children without disabilities or their parents when children with DS participated in sports activities with other children. However, they had a feeling that the children with DS slowed down th tempo for the whole group.

    Discussion and conclusions

    The results highlight the barriers that parents of children with DS experience as detrimental for how much PA children with DS can undertake and the effect that common characteristics associated with DS can have on main taining an active lifestyle. Society and sport clubs seem to have a small range of activities for children with DS.

  • 148.
    Stuhr-Olsson, Gunnel
    et al.
    Findus.
    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.
    Garpsäter, J
    Dietisternas Riksförbund för Geriatrisk och Gerontologisk Nutrition.
    De svälter i tysthet: ge oss fler dietister2016Ingår i: Aftonbladet, ISSN 1103-9000, nr 20 novemberArtikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 149.
    Suhonen, R.
    et al.
    Finland.
    Charalambous, A.
    Cypern.
    Berg, Agneta
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Katajisto, J.
    Finland.
    Lemonidou, C.
    Grekland.
    Patiraki, E.
    Grekland.
    Sjövall, K.
    Lund University.
    Stolt, M.
    Finland.
    Older cancer patients' perceptions of care guality - an international study2016Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, nr S1, s. 29-29Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Cancer is considered as chronic condition, especially in the older people. Prevalence of cancer is especially high in the Nordic countries and Mediterranean countries. People with cancer are a common patient group in the healthcare system.

    Introduction: User perspective, such as patient assessments of care and care quality are central in developing healthcare services. These assessments have a high value in time when there are reforms in social and healthcare services. One core principle in these reforms is patient-centeredness. Earlier studies have shown that older patients differ from other age-based patient groups in their assessments of care quality elements. They were reported to be more positive in their evaluations.

    Aim: The aim of this study was to analyse cancer patients’ perceptions of patient-centered quality and individuality in care and trust in nurses, and to compare these perceptions between patients in the working age and older people. The research questions were: To what extent cancer patients perceive their care is patient-centered quality care, individualised and do they trust in nurses? Are there differences between older cancer patients and those in working age in their perceptions of person-centered quality of care, individuality in care and trust in nurses?

    Materials and methods: The study employed a cross-sectional comparative survey design. Data were collected using questionnaires among hospitalised cancer patients (N = 876, n = 599, 68%) in four countries: Greece, Cyprus, Sweden and Finland. The following instruments were used: The Oncology Patients perceptions of the Quality of Nursing Care Scale (OPPQNCS), the Individualised care Scale (ICS-patient) and Trust in Nurses. The data were divided into two sub-samples based on age (cut point 65 years): Older patients (n = 209) and patients in the working age (n = 387). Data were analysed statistically using cross-tabulation and chi-square statistics, or paired samples t-test.

    Results: In this study cancer patients’ perceptions about individualization and coordination of care, support of individuality and perceived individuality in care were only moderate. Proficiency and responsiveness as part of care quality were reported well realised. Trust in nurses was strong. Older patients and those patients in the working age did not differ in their perceptions of either patient-centered quality of care, individualised care or trust in nurses.

    Conclusions: The results of this study point out topics that need development in order to provide individualised and patient-centered nursing care. Contradictory to many earlier study results, age was not associated with cancer patients’ assessment.

  • 150.
    Suhonen, R.
    et al.
    Finland.
    Charalambous, A.
    Cypern.
    Berg, Agneta
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Katajisto, J.
    Finland.
    Lemonidou, C.
    Grekland.
    Patiraki, E.
    Grekland.
    Sjövall, K.
    Lund University.
    Stolt, M.
    Finland.
    Radwin, L. E.
    USA.
    Hospitalised cancer patients' perceptions of individualised nursing care in four European countries2018Ingår i: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 27, nr 1Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to describe hospitalised cancer patients' perceptions of individualised care in four European countries and compare these perceptions using the patients' socio-demographic characteristics and the Individualized Care Scale. The patients' socio-demographic characteristics used were: education, age, gender, type of hospital admission, previous hospitalisation and hospital length of stay. The Individualized Care Scale has two parts (1) nurses' support of individuality and (2) patients' receipt of individuality. Data (n = 599) were collected in Cyprus (n = 150), Finland (n = 158), Greece (n = 150) and Sweden (n = 141). Multivariate analysis of variance models were constructed and differences in perceptions of individualised care were analysed using the patients' socio-demographic characteristics as covariates. The level of support for individuality and receipt of individualised care was reported as moderate and good respectively. Generally, the highest assessments were made by the Swedish respondents and the lowest by those in Greece. This study revealed some between-country differences in patients' perceptions of care individualisation. These differences, for example, conceptual, educational, based in clinical practice or in the health organisation, require further research. Enquiry into the individualised care perceptions of health care providers and the families of cancer patients would also be useful.

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