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  • 151.
    Rosqvist, Kristina
    et al.
    Lund University.
    Odin, Per
    Lund University.
    Hagell, Peter
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, 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 disease2018In: Journal of Parkinson's Disease, ISSN 1877-7171, E-ISSN 1877-718X, Vol. 8, no 3, p. 409-420Article in journal (Refereed)
    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.

  • 152.
    Rothenberg, Elisabet
    et al.
    Kristianstad University, Faculty of Natural Science, Research Environment Food and Meals in Everyday Life (MEAL). Kristianstad University, Faculty of Natural Science, Avdelningen för mat- och måltidsvetenskap.
    Wallin, Anneli Orrung
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Karolinska Institute .
    Forsberg, Sarah
    Kristianstad University, School of Education and Environment, Avdelningen för Mat- och måltidsvetenskap. Kristianstad University, Faculty of Natural Science, Research Environment Food and Meals in Everyday Life (MEAL).
    Klädd i äldres fysiska vardagsutmaningar: vad kan man lära?2018In: Högskolepedagogisk debatt, ISSN 2000-9216, no 2, p. 18-25Article in journal (Other academic)
  • 153.
    Schmidt, Manuela
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Lunds universitet.
    The well-being of doctoral students: a literature review2018Conference paper (Other academic)
  • 154.
    Schmidt, Manuela
    et al.
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society. Lund University.
    Ekstrand, Joakim
    Kristianstad University, Faculty of Business, Avdelningen för ekonomi. Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Bengtsson-Tops, Anita
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Self-reported needs for care, support and treatment of persons who frequently visit psychiatric emergency rooms in Sweden2018In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 39, no 9, p. 738-745Article in journal (Refereed)
    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.

  • 155.
    Schmidt, Manuela
    et al.
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Lunds universitet.
    Garmy, Pernilla
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Stjernswärd, Sigrid
    Lunds universitet.
    Janlöv, Ann-Christin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Professionals' perspective on needs of persons who frequently use psychiatric emergency services2020In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673Article in journal (Refereed)
    Abstract [en]

    This study explores how professionals experience persons who frequently use psychiatric emergency services (PES) in terms of their needs in Sweden. The data comprise 19 semi-structured individual interviews and one focus group interview with healthcare professionals (i.e., assistant nurses, psychiatric nurses, intern physicians, and resident physicians), which are analyzed using qualitative content analysis. The overall findings suggest that persons who frequently use PES suffer from illness, unfavorable life circumstances, and inadequate care, which together emphasize the need for more sustainable support. The findings indicate that the professionals saw beyond illness-related needs and could also acknowledge patients' needs originating from social, existential, and care- and support-related aspects of life.

  • 156.
    Schmidt, Manuela
    et al.
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Lund University.
    Hansson, Erika
    Kristianstad University, Faculty of Education, Avdelningen för psykologi.
    Doctoral students' well-being: a literature review2018In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 13, no 1Article in journal (Refereed)
    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.

  • 157.
    Schmidt, Manuela
    et al.
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society. Lund University.
    Stjernswärd, Sigrid
    Lunds universitet.
    Garmy, Pernilla
    Kristianstad University, Faculty of Health Science, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Janlöv, Ann-Christin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Encounters with persons who frequently use psychiatric emergency services: healthcare professionals' views.2020In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 3Article in journal (Refereed)
    Abstract [en]

    Encounters and interactions between healthcare professionals and patients are central in healthcare services and delivery. Encountering persons who frequently use psychiatric emergency services (PES), a complex patient group in a complex context, may be particularly challenging for healthcare professionals. The aim of the study was to explore healthcare professionals' experiences of such encounters. Data were collected via individual interviews (N = 19) and a focus group interview with healthcare professionals consisting of psychiatric nurses, assistant nurses, and physicians. The data were analyzed with qualitative content analysis. This study focused on the latent content of the interview data to gain a rich understanding of the professionals' experiences of the encounters. Two themes were identified: "Nurturing the encounter with oneself and colleagues for continuous, professional improvement" and "Striving for a meaningful connection with the patient". The professionals experienced their encounters with persons who frequently use PES as caring, professional, and humane processes. Prerequisites to those encounters were knowing and understanding oneself, having self-acceptance and self-compassion, and working within person-centered cultures and care environments.

  • 158.
    Schön Persson, Sophie
    et al.
    Kristianstad University, Faculty of Health Science, Avdelningen för folkhälsovetenskap. Kristianstad University, Research Platform for Collaboration for Health. Lund University.
    Nilsson Lindström, Petra
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för folkhälsovetenskap.
    Pettersson, Pär
    Nilsson, Marie
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Faculty of Health Science, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Research Platform for Collaboration for Health.
    Blomqvist, Kerstin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Resources for work-related well-being: a qualitative study about healthcare employees' experiences of relationships at work.2018In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 23-24, p. 4302-4310Article in journal (Refereed)
    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.

  • 159.
    Scott, J. K.
    et al.
    England.
    Leary, S. D.
    England.
    Ness, A. R.
    England.
    Sandy, J. R.
    England.
    Persson, Martin
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Kilpatrick, N.
    England.
    Waylen, A. E.
    England.
    Perceptions of team members working in cleft services in the United Kingdom: a pilot study2015In: Cleft Palate Craniofac J, Vol. 52, no 1, p. e1-7Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Cleft care provision in the United Kingdom has been centralized over the past 15 years to improve outcomes for children born with cleft lip and palate. However, to date, there have been no investigations to examine how well these multidisciplinary teams are performing. METHODS: In this pilot study, a cross-sectional questionnaire surveyed members of all health care specialties working to provide cleft care in 11 services across the United Kingdom. Team members were asked to complete the Team Work Assessment (TWA) to investigate perceptions of team working in cleft services. The TWA comprises 55 items measuring seven constructs: team foundation, function, performance and skills, team climate and atmosphere, team leadership, and team identity; individual constructs were also aggregated to provide an overall TWA score. Items were measured using five-point Likert-type scales and were converted into percentage agreement for analysis. RESULTS: Responses were received from members of every cleft team. Ninety-nine of 138 cleft team questionnaires (71.7%) were returned and analyzed. The median (interquartile range) percentage of maximum possible score across teams was 75.5% (70.8, 88.2) for the sum of all items. Team performance and team identity were viewed most positively, with 82.0% (75.0, 88.2) and 88.4% (82.2, 91.4), respectively. Team foundation and leadership were viewed least positively with 79.0% (72.6, 84.6) and 76.6% (70.6, 85.4), respectively. CONCLUSIONS: Cleft team members perceive that their teams work well, but there are variations in response according to construct.

  • 160.
    Sjöberg, Marina
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.
    Edberg, Anna-Karin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Rasmussen, Birgit H
    Malmö universitet.
    Beck, Ingela
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, 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.2019In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 14, no 1Article in journal (Refereed)
    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.

  • 161.
    Sjödahl Hammarlund, Catharina
    et al.
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Lund University.
    Westergren, Albert
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Åström, Ingrid
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Edberg, Anna-Karin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Hagell, Peter
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    The Impact of Living with Parkinson’s Disease: Balancing within a Web of Needs and Demands2018In: Parkinson's Disease, ISSN 2090-8083, E-ISSN 2042-0080, Vol. 2018, article id 4598651Article in journal (Refereed)
    Abstract [en]

    This study explores the impact of living with Parkinson’s disease (PD). Nineteen persons (11 women) aged 55–84 diagnosed with PD 3–27 years ago participated. Data were collected through semistructured interviews, which were recorded, transcribed verbatim, and analysed by qualitative content analysis. Four categories represented the impact of living with PD: “Changed prerequisites for managing day-to-day demands,” “Loss of identity and dignity,” “Compromised social participation,” and “The use of practical and psychological strategies.” There was a shift from an internal to an external locus of control in managing, control, competence, relatedness, and autonomy. According to self-determination theory, a shift towards extrinsically motivated behaviours may occur when these basic needs are thwarted, leading to compensatory strategies or needs substitutes with negative consequences on health and well-being. We suggest a needs-based approach as an important starting point to better understand the consequences of living with PD and to explore the means for people with PD to acquire an improved quality of life on their own terms. In conclusion, our findings suggest for a shift in focus, from a biomedical to a needs-based approach to understand the impact of living with PD and facilitate more person-centred care and person-centred outcome measurement.

  • 162.
    Sollerhed, Ann-Christin
    et al.
    Kristianstad University, Faculty of Health Science, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, Faculty of Education, Avdelningen för humaniora.
    Hedov, Gerth
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Kristianstad University, Faculty of Health Science, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO).
    Fysisk aktivitet bland barn och ungdomar med Downs syndrom2019In: Barnsliga sammanhang: forskning ombarns och ungdomarsuppväxt och livsvillkor / [ed] Eva K. Clausson & Bo Nilsson, Kristianstad: Kristianstad University Press , 2019, p. 61-75Chapter in book (Other academic)
  • 163.
    Stiernman, Mia
    et al.
    Lund University.
    Maulina, Leva
    Latvia.
    Inta, Zepa
    Latvia.
    Jagomägi, Triin
    Estonia.
    Tanaskovic, Nenad
    Bosnia and Herzegovina .
    Velikova, Radost
    Bulgaria.
    Anastassov, Youri
    Bulgaria.
    Radojićić, Julija
    Serbia.
    Pesic, Zoran
    Serbia.
    Trifunović, Branislav
    Serbia.
    Drevensek, Martina
    Slovenia.
    Spataru, Radu
    Romania.
    Boljevic, Tanja
    Montenegro.
    Dimovska, Radmila
    Republic of Macedonia.
    Naumovski, Slave
    Republic of Macedonia .
    Rumsey, Nichola
    England.
    Zucchelli, Fabio
    England.
    Sharratt, Nicholas
    England.
    Argyrides, Mario
    Cyprus.
    Klintö, Kristina
    Lund University.
    Becker, Magnus
    Lund University.
    Persson, Martin
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Translation and pilot study of the cleft hearing appearance and speech questionnaire (CHASQ)2019In: European journal of plastic surgergy, ISSN 0930-343XArticle in journal (Refereed)
    Abstract [en]

    Background

    There has been a lack of a standardized protocol for collection of patient reported outcomes (PRO) and detection of and indication for psychological treatment in cleft care. The objectives of this paper was to translate Cleft Hearing Appearance and Speech Questionnaire (CHASQ) into eight European languages, to investigate whether levels of PRO in patients with cleft lip and/or cleft palate (CL/P) were comparable across countries and to investigate clinician experience of the instrument.

    Methods

    The PRO measure—CHASQ—was translated into Bulgarian, Estonian, Greek, Latvian, Macedonian, Romanian, Serbian and Swedish and implemented with patients in the respective countries. A focus group discussion was conducted to investigate health care professional experience on the use of CHASQ in their clinics. Data was analysed in accordance with the principles of thematic analysis.

    Results

    Analysis showed statistically significant differences between countries and groups of diagnosis in CHASQ scores. CHASQ helped clinicians gain patient information and informed on treatment decisions, broadened the clinicians’ role as caregivers and was perceived as short and easy to use. Limited time and resources in clinics were limitations in implementing the instrument.

    Conclusions

    Translation and utilization of CHASQ facilitated international comparison and cooperation. Linguistically, valid replicas of CHASQ are now available in many European languages. Results from this study show that CHASQ may be used for collection of PRO on patient satisfaction and to spark conversation between clinicians, patients and families.

    Level of evidence: Not rateable.

  • 164.
    Stiernman, Mia
    et al.
    Lund University.
    Österlind, Kerstin
    Skåne University Hospital.
    Becker, Magnus
    Lund University.
    Persson, Martin
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Parental and health care professional views on psychosocial and educational outcomes in patients with cleft lip and/or cleft palate2019In: European journal of plastic surgery, ISSN 0930-343X, E-ISSN 1435-0130, Vol. 42, no 4, p. 325-336Article in journal (Refereed)
    Abstract [en]

    Background

    Earlier research has investigated psychosocial and educational issues in populations of patients with cleft identifying several areas of concern. The objective of this study was to investigate current beliefs and knowledge about psychosocial and educational issues in parents and health care professionals (HCP) of children with cleft lip and/or palate (CL/P).

    Method

    Parents were interviewed concerning the view of society on people with visible differences, their child’s social life, educational progress, and information regarding psychosocial care. Interviews with HCPs concerned characteristics related with educational achievement, behavior, and social relationships. Fifteen parents of children 9 to 13 years of age with CL/P and 10 HCPs and were interviewed. Data from interviews was analyzed with thematic analysis.

    Results

    Eight children were reported to have emotional issues related to their cleft. Eleven parents, however, did not perceive that their child was treated differently in society. HCPs expressed concerns regarding for example coping with being different, low self-esteem, shyness, disadvantage on first impression, and acceptance of themselves. A majority of the HCPs did not think patient cognition and behavioral or physical development were specifically affected.

    Conclusions

    The results revealed that parent experience and views were diverse—from no specific problems related to the cleft, to both emotional and educational issues. The beliefs and level of knowledge in HCPs also varied. All HCPs, however, wished for more information and training regarding psychosocial issues.

  • 165.
    Sundström, Malin
    et al.
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Blomqvist, Kerstin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Edberg, Anna-Karin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Rämgård, Margareta
    Malmö Universitet.
    The context of care matters: older people’s existential loneliness from the perspective of healthcare professionals: a multiple case study2019In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 14, no 3Article in journal (Refereed)
    Abstract [en]

    AIM:

    To explore existential loneliness among older people in different healthcare contexts from the perspective of healthcare professionals.

    BACKGROUND:

    Professionals meet and care for older people in most care contexts and need to be prepared to address physical, psychological, social and existential needs. Addressing existential loneliness can be both challenging and meaningful for professionals and is often not prioritised in times of austerity.

    DESIGN:

    A multiple case study design was used.

    METHODS:

    Focus group interviews were conducted with healthcare professionals (n = 52) in home, residential, hospital and palliative care settings. The analysis was performed in two steps: firstly, a within-case analysis of each context was conducted, followed by a cross-case analysis.

    FINDINGS:

    Differences and similarities were observed among the care contexts, including for the origin of existential loneliness. In home care and residential care, the focus was on life, the present and the past, compared to hospital and palliative care, in which existential loneliness mainly related to the forthcoming death. The older person's home, as the place where home care or palliative care was received, helped preserve the older person's identity. In hospital and palliative care, as in institutional care, the place offered security, while in residential care, the place could make older people feel like strangers. Creating relationships was considered an important part of the professionals' role in all four care contexts, although this had different meanings, purposes and conditions.

    CONCLUSIONS:

    The context of care matters and influences how professionals view existential loneliness among older people and the opportunities they have to address existential loneliness.

    IMPLICATIONS FOR PRACTICE:

    Support for professionals must be tailored to their needs, their education levels and the context of care. Professionals need training and appropriate qualifications to address existential loneliness related to existential aspects of ageing and care.

  • 166.
    Sundström, Malin
    et al.
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Edberg, Anna-Karin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Rämgård, Margareta
    Malmö University.
    Blomqvist, Kerstin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Encountering existential loneliness among older people: perspectives of health care professionals2018In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 13, no 1Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Existential loneliness is part of being human that is little understood in health care, but, to provide good care to their older patients, professionals need to be able to meet their existential concerns. The aim of this study was to explore health care professionals' experiences of their encounters with older people they perceive to experience existential loneliness.

    METHOD: We conducted 11 focus groups with 61 health professionals working in home care, nursing home care, palliative care, primary care, hospital care, or pre-hospital care. Our deductive-inductive analytical approach used a theoretical framework based on the work of Emmy van Deurzen in the deductive phase and an interpretative approach in the inductive phase.

    RESULTS: The results show that professionals perceived existential loneliness to appear in various forms associated with barriers in their encounters, such as the older people's bodily limitations, demands and needs perceived as insatiable, personal shield of privacy, or fear and difficulty in encountering existential issues.

    CONCLUSION: Encountering existential loneliness affected the professionals and their feelings in various ways, but they generally found the experience both challenging and meaningful.

  • 167. Svensson, Carita
    et al.
    Edfors, Ellinor
    Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Kristianstad University, Research Platform for Collaboration for Health.
    Edberg, Anna-Karin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Sjuksköterskors upplevelser av faktorer som bidrar till närvaro i mötet med äldre personer2017Report (Other academic)
    Abstract [sv]

    Hur upplever sjuksköterskan mötet med den äldre personen inom kommunal vård ochomsorg? Ett sätt för sjuksköterskan att känna närvaro i mötet är genom att helhjärtatlyssna på den äldre när hen inbjuder till samtal om sina tankar eller om livshistorian.Sjuksköterskan kan genom mötet uppleva en högre mening med sitt arbete och få enmöjlighet att etablera en relation med den äldre. Att vårda äldre personer ställer högakrav på omvårdnaden där en helhetssyn med fokus på personcentrerad omvårdnadstår i centrum och kunskaper i äldre personers psykologiska och sociala åldrande kanhjälpa sjuksköterskan vara närvarande i mötet. Syftet var att beskriva sjuksköterskorsupplevelser av faktorer som bidrar till möjligheten att vara närvarande i mötet medäldre personer inom kommunal vård och omsorg. Nio intervjuer genomfördes medsjuksköterskor inom kommunal vård och omsorg. Intervjuerna analyserades med hjälpav kvalitativ innehållsanalys. Resultatet visade att sjuksköterskorna hade som sin främstaintention att prioritera mötet med vårdtagaren. Faktorer som bidrog till sjuksköterskornasmöjlighet till närvaro i mötet med äldre var relaterade till; (I) mötet i form avatt kunna bygga på en tidigare relation, att ha gemensamma beröringspunkter, att haen ömsesidig öppenhet och vilja att dela varandras glädje- och sorgeämnen (II) vårdtagareni form av att vårdtagaren har förtroende för sjuksköterskan, att vårdtagareninbjuder till samtal och vårdtagarens tillstånd (III) sjuksköterskan i form av kunskaperom vårdtagaren och betydelsen av att vara närvarande i mötet, personlig mognad ochsjälvkännedom, att vara genuint intresserad av vårdtagaren och visa respekt och attkunna hantera sina känslor, samt (IV) organisationen i form av att ha tid, att ha möjlighetatt prioritera mellan olika arbetsuppgifter, hur vårdarbetet fördelas och organiserasoch den kontext som sjuksköterskan befinner sig i. Resultatet visade att sjuksköterskornahade som intention att vara närvarande i mötet. Det var dock inte alltid så lättatt få tid till mötet på grund av tids- och/eller personalbrist, men även sjuksköterskanspersonliga mognad och erfarenhet hade betydelse för att kunna/våga vara närvarandei mötet. En positiv och stödjande arbetsledning samt ett nära samarbete med kollegersågs som viktiga resurser i det dagliga omvårdnadsarbetet.

  • 168.
    Törnquist Agosti, Madelaine
    et al.
    Kristianstad University, Faculty of Health Science, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Faculty of Health Science, Avdelningen för folkhälsovetenskap.
    Andersson, Ingemar
    Kristianstad University, Faculty of Health Science, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för folkhälsovetenskap.
    Bringsén, Åsa
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Faculty of Health Science, Avdelningen för folkhälsovetenskap.
    Janlöv, Ann-Christin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    "The importance of awareness, support and inner strength to balance everyday life": a qualitative study about women's experiences of a workplace health promotion program in human service organizations in Sweden2019In: BMC Women's Health, ISSN 1472-6874, E-ISSN 1472-6874, Vol. 19, no 1, article id 7Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: In many European countries, women have a higher sickness absence rate than men. Women also report higher levels of work-life conflict, which has a negative impact on women's self-perceived health. Interventions studies on work-life balance literature are scarce. This research adds knowledge about work-life balance by examining female employees' experiences of a newly developed intervention program, the BELE program (Balance in Everyday Life Empowerment program), aiming to enhance the work-life balance and wellbeing of female employees.

    METHODS: All participants in the BELE program were included in the sample (n = 55) of the study. The methods used for gathering data were focus group interviews (n = 8) and semi-structured individual interviews (n = 8). A qualitative content analysis was used for the analyses.

    RESULTS: The results showed that a majority of the participants experienced a process of change for enhancement of wellbeing and balance in their everyday life when taking part in the BELE program. In the analyses, three main themes emerged. Reflecting and strengthening inner resource, Trying to change everyday patterns and habits and Experiencing more balance and well-being.

    CONCLUSIONS: The results point out the importance of awareness and reflection on everyday life to promote work-life balance and wellbeing. The BELE program was described as a wakeup call to one's own life and as an enhancer of empowerment processes and equality in the homes. Moreover, the results showed the need for health education in the workplace focusing on both work and private life to enhance balance and wellbeing among female employees'. The findings indicate that it is important to work at individual and group levels in work-life balance interventions and not merely at the organizational level or in the workplace setting.

  • 169.
    Wagachchige Muthucumarana, Muditha
    et al.
    Sri Lanka.
    Samarasinghe, Kerstin
    Kristianstad University, Faculty of Health Science.
    Elgán, Carina
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Caring for stroke survivors: experiences of family caregivers in Sri Lanka – a qualitative study2018In: Topics in Stroke Rehabilitation, ISSN 1074-9357, E-ISSN 1945-5119, Vol. 25, no 6, p. 397-402Article in journal (Refereed)
    Abstract [en]

    BACKGROUND:

    Stroke is a life-changing event for both stroke survivors and their family caregivers. After receiving acute care at the hospital, family members are expected to take care of stroke survivors at home and to continue treatment and rehabilitation. The new role of "informal caregiver" is a challenge that creates many difficulties for family caregivers that are not explicit in the Sri Lankan context.

    OBJECTIVES:

    This study aimed at exploring family caregivers' experiences of providing informal care for dependent stroke survivors.

    METHODS:

    The sample was chosen by purposive sampling with a maximum variation by age, ethnicity, religion, educational level, relationship, and monthly income. Ten informal family caregivers to stroke survivors with hemiplegia who had been treated at the National Hospital of Sri Lanka participated in in-depth interviews analyzed using conventional content analysis.

    RESULTS:

    Qualitative content analysis of data resulted in an overriding theme, "Caring with love, against all odds," along with four categories, "Life alterations," "Lack of resources," "Compassionate care," and "Coping strategies." Although the increased workload, restricted social life, physical problems, and knowledge and financial deficits were challenging for the family caregivers, self-strength and supportive social networks helped them to compassionately care for their stroke survivor.

    CONCLUSIONS:

    The phenomenon of family caregivers providing informal care for stroke survivors was explicated as compassionate care, notwithstanding numerous difficulties. The findings motivate further research and strategies to minimize family caregivers' burden and facilitate the positive aspects of caregiving to promote the health and well-being of both stroke survivors and their families.

  • 170.
    Wendin, Karin
    et al.
    Kristianstad University, Faculty of Natural Science, Research Environment Food and Meals in Everyday Life (MEAL). Kristianstad University, Faculty of Natural Science, Avdelningen för mat- och måltidsvetenskap.
    Westergren, Albert
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Undernäring hos äldre med neurologisk sjukdom2019In: Neurologi i Sverige, ISSN 2000-8538, Vol. 2, no 19, p. 28-31Article in journal (Other academic)
    Abstract [sv]

    Maten och måltiderna är viktiga delar av våra liv. Det handlar om allt från hälsa och överlevnadtill social samvaro och kulturella aktiviteter. Vid sjukdom eller plötsliga förändringari livet ställs mycket på ända som kan ha en stor inverkan på vårt ätande och därmed på vårhälsa, vilket i sin tur kan leda till undernäring. Neurologiska sjuk domar och åldrande är vanligaorsaker till undernäring. I denna artikel ger professorerna Karin Wendin och AlbertWestergren, båda vid Högskolan Kristianstad, en översiktlig beskrivning av undernäring,vad det innebär att vara drabbad och vad man kan göra för att motverka undernäring.”Både åldrandet i sigoch neurologisk sjukdombidrar till minskadaktivitet och sannoliktminskad aptit.”

  • 171.
    Westergren, Albert
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Att upptäcka ätsvårigheter och undernäring2018Conference paper (Other academic)
  • 172.
    Westergren, Albert
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Bryt triaden ”muskelförlust-benskörhet-fallrisk” med nutrition och fysisk aktivitet2017In: OsteoporosNytt, no 2, p. 12-14Article in journal (Other (popular science, discussion, etc.))
  • 173.
    Westergren, Albert
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Forskningsplattformen för Hälsa i Samverkan2018Conference paper (Other (popular science, discussion, etc.))
  • 174.
    Westergren, Albert
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Hallå Där!2019In: Äldreomsorg, no 2, p. 51-Article in journal (Other (popular science, discussion, etc.))
  • 175.
    Westergren, Albert
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Han vill få vårdpersonal att prata om undernäring2019In: Tidningen Ä, ISSN 2001-1164, no 4, p. 33-33Article, book review (Other (popular science, discussion, etc.))
  • 176.
    Westergren, Albert
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Kunskapsunderlag för att minska risken för undernäring, särskilt hos äldre personer2017Report (Refereed)
  • 177.
    Westergren, Albert
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Maten och näringen är navet för kroppen och själen2018In: Bra liv för äldre: forskning ger nya möjligheter / [ed] Fysioterapeuterna, Sveriges Arbetsterapeuter och Svensk Sjuksköterskeförening, Stockholm: Fysioterapeuterna, Sveriges Arbetsterapeuter och Svensk Sjuksköterskeförening , 2018, p. 20-20Chapter in book (Other (popular science, discussion, etc.))
  • 178.
    Westergren, Albert
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Organisation och kompetensutveckling i arbetet mot undernäring2015Conference paper (Other (popular science, discussion, etc.))
  • 179.
    Westergren, Albert
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Preventiva hembesök till seniorer för ett hälsosamt och oberoende åldrande2018Conference paper (Other (popular science, discussion, etc.))
  • 180.
    Westergren, Albert
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Lunds universitet.
    The minimal eating observation form – version II (MEOF-II) revisited – validity and reliability2019In: Journal of Nursing Measurement, ISSN 1061-3749, E-ISSN 1945-7049, Vol. 27, no 3, p. 478-492Article in journal (Refereed)
    Abstract [en]

    Background and purpose: The Minimal Eating Observation Form-Version II (MEOF-II) is a screening and research tool for eating difficulties. Here we assess the psychometric properties of the tool. Methods: Cross-sectional MEOF-II data, n = 5,956 persons (nursing home residents [n = 3,087]; in-hospital patients [n = 1,490]; mean age 76.9; 61% women). Data was analyzed taking account of the dichotomous nature of item-level data, that is, based on tetrachoric correlations. Results: The MEOF-II items (n = 9) belonged to one higher order unidimensional factor (61.7% explained variance, omega 0.92), and three lower level factors, with three items each (92.9% explained variance, omega 0.83-0.88): deglutition; ingestion; and energy/appetite. Conclusion: The study provides support for the reliability and validity of the MEOF-II total scale and subscales, and the findings are in line with previous studies.

  • 181.
    Westergren, Albert
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Undernäring och fallrisk: ett folkhälsoproblem?2015Conference paper (Other academic)
  • 182.
    Westergren, Albert
    et al.
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Behm, Lina
    Kristianstad University, Faculty of Health Science, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). lina.behm@hkr.se .
    Lindhardt, Tove
    Lunds universitet & Danmark.
    Persson, Magnus
    Lunds universitet.
    Ahlström, Gerd
    Lunds universitet.
    Measuring next of kin's experience of participation in the care of older people in nursing homes2020In: PLoS ONE, E-ISSN 1932-6203, Vol. 15, no 1Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Lack of conceptual clarity and measurement methods have led to underdeveloped efforts to measure experience of participation in care by next of kin to older people in nursing homes.

    OBJECTIVE: We sought to assess the measurement properties of items aimed at operationalizing participation in care by next of kin, applied in nursing homes.

    METHODS: A total of 37 items operationalizing participation were administered via a questionnaire to 364 next of kin of older people in nursing homes. Measurement properties were tested with factor analysis and Rasch model analysis.

    RESULTS: The response rate to the questionnaire was 81% (n = 260). Missing responses per item varied between <0.5% and 10%. The 37 items were found to be two-dimensional, and 19 were deleted based on conceptual reasoning and Rasch model analysis. One dimension measured communication and trust (nine items, reliability 0.87) while the other measured collaboration in care (nine items, reliability 0.91). Items successfully operationalized a quantitative continuum from lower to higher degrees of participation, and were found to generally fit well with the Rasch model requirements, without disordered thresholds or differential item functioning. Total scores could be calculated based on the bifactor subscale structure (reliability 0.92). Older people (≥ 65 years) reported a higher degree of communication and trust and bifactor total scores than younger people (p < 0.05 in both cases). People with a specific contact person experienced a higher degree of participation in the two subscales and the bifactor total score (p < 0.05 in all three instances).

    CONCLUSION: Psychometric properties revealed satisfactory support for use, in nursing home settings, of the self-reported Next of Kin Participation in Care questionnaire, with a bifactor structure. Additional research is needed to evaluate the effectiveness of the scales' abilities to identify changes after intervention.

    TRIAL REGISTRATION: The KUPA project has Clinical Trials number NCT02708498.

  • 183.
    Westergren, Albert
    et al.
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Melgaard, Dorte
    Danmark.
    The Minimal Eating Observation Form – II (MEOF-II) Danish Version2019Conference paper (Refereed)
  • 184.
    Wijesiri, H S Maliga S K
    et al.
    Sri Lanka.
    Samarasinghe, Kerstin
    Kristianstad University, Faculty of Health Science.
    Edberg, Anna-Karin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Loneliness among older people living in care homes in Sri Lanka2019In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 14, no 4Article in journal (Refereed)
    Abstract [en]

    AIM AND OBJECTIVES: The aim of this study was to explore loneliness in older people (aged 65+) living in care homes in Colombo, Sri Lanka.

    BACKGROUND: Loneliness, defined as the subjective, unwelcome feeling of the lack or loss of companionship, is known to be associated with old age, especially among older people living in care homes. Although several studies have shown that loneliness is highly prevalent, we lack knowledge about older people's personal experience of loneliness when residing in a care home and the strategies that older people use by themselves on a day-to-day basis to alleviate loneliness.

    METHODS: The participants (n = 75) were randomly selected from three different types of care homes: governmental, non-governmental and private, and loneliness was screened using the Revised University of California-Los Angeles (R-UCLA) Loneliness Scale. The 15 participants with the highest score on the loneliness scale were purposively selected for individual interviews.

    RESULTS: The median loneliness score was 45 (range 20-80); no significant differences concerning loneliness were found between the care homes. No differences concerning loneliness were found for any demographic variable except marital status. Loneliness was experienced as coping with inner pain, which older people described as emotional suffering caused by feeling abandoned from the family network and fettered to the care home, anxious about their future and depressed. Participants managed their loneliness by accepting their loneliness, practising religion, staying in touch with family, engaging in daily activities and participating in social activities.

    CONCLUSION: Reliable and socio-culturally validated tools for screening loneliness and culturally applicable interventions targeting factors associated with loneliness are necessary in the care of older people residing in care homes. A person-centred approach involving family or significant others is recommended in clinical practice, and an increase in the number of nurses with specialist education in geriatric nursing seems urgent.

  • 185.
    Williamson, Heidi
    et al.
    England.
    Antonelli, Paolo
    Italien.
    Bringsén, Åsa
    Kristianstad University, Faculty of Health Science, Avdelningen för folkhälsovetenskap.
    Davies, Gareth
    Nederländerna.
    Dèttore, Davide
    Italien.
    Harcourt, Diana
    England.
    Hedin, Gita
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Jurgutis, Arnoldas
    Litauen.
    Stepukonis, Faustas
    Litauen.
    Tural, Ümit
    Turkiet.
    Yalçın, A.D.
    Turkiet.
    Persson, Martin
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Supporting patients with body dissatisfaction: a survey of the experiences and training needs of european multi-disciplinary healthcare professionals2018In: NursingPlus Open, Vol. 4, p. 8-13Article in journal (Refereed)
  • 186. Winzell, C
    et al.
    Pendrill, L
    Felin, A
    Melin, J
    Nilsson, E
    Westergren, Albert
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Hagqvist, Curt
    Comparisons require quality-assured measurement technology2019In: Rasch Measurement Transactions (RMT), ISSN 1051-0896, Vol. 32, no 3, p. 1721-1723Article in journal (Other (popular science, discussion, etc.))
  • 187.
    Winzell, Claes
    et al.
    Rise mätteknik.
    Pendrill, Leslie
    Rise mätteknik.
    Felin, Aslak
    Rise mätteknik.
    Melin, Jeanette
    Rise mätteknik.
    Nilsson, Evalill
    Linköpings universitet.
    Westergren, Albert
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Hagell, Peter
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Hagqvist, Curt
    Karlstads universitet.
    Jämförelser kräver kvalitetssäkrad mätteknik2019In: Dagens Medicin, debattArticle in journal (Other (popular science, discussion, etc.))
  • 188.
    Öhman, Helene
    et al.
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Esbjörnsson, Ann-Kristin
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    BHV-sjuksköterskans erfarenhet av att ge stöd gällande amning vid första hembesöket2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Att amma är förenat med betydande hälsovinster för både barn och mor ändå ses amningsfrekvensen sjunka i världen. För att lyckas med amning behöver familjen mycket stöd i ett tidigt skede efter hemkomsten från BB. Vid bristande stöd ses amningen avslutas tidigare än planerat. Tidigare studier har visat att många mödrar upplever bristande stöd relaterat till skiftande kunskaper hos BHV-sjuksköterskorna. Syfte: Syftet var att beskriva BHV-sjuksköterskors erfarenhet av att ge stöd till nyblivna mödrar gällande amning vid första hembesöket från barnhälsovården. Metod: En kvalitativ studie genomfördes med 16 semistrukturerade intervjuer. Både distriktsjuksköterskor och barnsjuksköterskor som arbetar i barnhälsovården deltog. Utifrån en kvalitativ innehållsanalys analyserades intervjuerna. Resultat: I resultatet framträdde ett övergripande tema: Att ett holistiskt förhållningssätt i mötet med mödrarna ger möjlighet att utforma ett individuellt stöd. Kategorierna som framträdde var skapa relationer, underlätta vid svårigheter samt förmedla trygghet utifrån kompetens. Slutsats: Resultatet i denna studie visar att för att BHV-sjuksköterskorna ska kunna känna sig trygga i sitt amningsstöd framkom tre viktiga aspekter: det första hembesöket, samarbetet mellan de olika instanserna som familjerna möter i samband med att bli föräldrar och tid för BHV-sjuksköterskor att utbyta erfarenheter med varandra. Studien visar också att attityder gällande amning i samhället påverkar BHV-sjuksköterskornas erfarenheter av att ge stöd vid amning.

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