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  • 201.
    Musliu, Ermira
    et al.
    Kristianstad University, Faculty of Health Science.
    Vasic, Snezana
    Kristianstad University, Faculty of Health Science. Kristianstad Univ, Fac Hlth Sci, S-29188 Kristianstad, Sweden..
    Clausson, Eva
    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.
    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.
    School Nurses' experiences working with unaccompanied refugee children and adolescents: a qualitative study2019In: SAGE OPEN NURSING, ISSN 2377-9608, Vol. 5Article in journal (Refereed)
    Abstract [en]

    School nurses are one of the first health-care professionals to meet unaccompanied refugee children and adolescents and therefore have an important impact on health outcomes. The aim of this study was to describe school nurses' experiences working with unaccompanied refugee children and adolescents. Semistructured interviews were conducted with school nurses (n = 14) who worked with unaccompanied refugee children and adolescents. The interviews were analyzed via qualitative content analysis. The results fell into three themes: (a) knowledge of trauma-informed care, (b) knowledge of intercultural nursing, and (c) importance of self-awareness. School nurses require the development of tailor-made skills that focus on crisis, trauma, and cultural awareness to meet the complex needs associated with working with unaccompanied refugee children and adolescents.

  • 202.
    Musliu, Ermira
    et al.
    Kristianstad University, Faculty of Health Science.
    Vasic, Snezana
    Kristianstad University, Faculty of Health Science.
    Clausson, Eva
    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.
    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.
    Unaccompanied refugee children and adolescents: school nurses' experiences2019Conference paper (Refereed)
  • 203.
    Muthucumarana, Muditha
    et al.
    Kristianstad University, Faculty of Health Science. Department of Allied Health Sciences, Faculty of Medical Sciences, University of Sri Jayewardenepura.
    Samarasinghe, Kerstin
    Kristianstad University, Faculty of Health Science.
    Elgán, Carina
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. 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.
    Family caregivers’ experience of providing informal care for stroke survivors2018Conference paper (Refereed)
  • 204.
    Muthucumarana, Muditha W.
    Kristianstad University, Faculty of Health Science.
    Caring for stroke survivors: Experience of family caregivers in Sri Lanka2017Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Stroke is a life changing event for both stroke survivor and the family caregiver. After the acute care at the hospital, the stroke survivors are discharged with many disabilities and the family members are supposed to take care of them at home and continue treatment and rehabilitation. The new role of ‘informal caregiver’ give rise many problems and difficulties for them and in order to identify those, exploring their experience on providing informal care was needed. An explorative descriptive study with qualitative approach was conducted with the participation of 10 family caregivers who were providing informal care to their stroke survivors treated at the stroke unit of the National hospital Sri Lanka. Data were collected through in-depth interviews. Qualitative analysis of data, resulted in an overriding theme; ‘Caring with love, against all odds’ along with four main categories ‘Life alterations’, ‘Lack of resources’, ‘Compassionate care’ and ‘Coping strategies’. Increased workload, physical problems and restricted social life were highlighted within the life alterations and knowledge and financial deficits were the resources family caregivers mainly lacked. Findings of the study emphasized the importance of further assessments and strategies to address burning issues of stroke family caregivers in order to promote the health and well-being of both stroke survivors and their families.

  • 205.
    Nielsen, M
    et al.
    Danmark.
    Maribo, T
    Danmark.
    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.
    Melgaard, D
    Danmark.
    Associations between eating difficulties, nutritional status and activity of daily living in acute geriatric patients2018Conference paper (Other academic)
  • 206. Nielsen, M
    et al.
    Maribo, T
    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.
    Melgaard, D
    Associations between eating difficulties, nutritional status and activity of daily living in acute geriatric patients2018Conference paper (Refereed)
  • 207.
    Nielsen, Mie Marie
    et al.
    Danmark.
    Maribo, Thomas
    Danmark.
    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.
    Melgaard, Dorte
    Danmark.
    Associations between eating difficulties, nutritional status and activity of daily living in acute geriatric patients2018In: Clinical Nutrition ESPEN, ISSN 2405-4577, Vol. 25, p. 95-99Article in journal (Refereed)
    Abstract [en]

    Background & aims

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

    Methods

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

    Results

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

    Conclusions

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

  • 208.
    Nilsson, Helena
    et al.
    Specialisttandvården Region Halland .
    Berglund, Johan Sanmartin
    Blekinge Institute of Technology & Lund University.
    Renvert, Stefan
    Kristianstad University, Faculty of Health Science, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, Faculty of Health Science, Avdelningen för oral hälsa.
    Longitudinal evaluation of periodontitis and development of cognitive decline among older adults2018In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 45, no 10, p. 1142-1149Article in journal (Refereed)
    Abstract [en]

    AIM: to determine whether having periodontitis is associated with cognitive decline among older adults.

    MATERIAL AND METHODS: A prospective population study of older adults, Swedish National Study on Ageing and Care, (SNAC) provided repeated registrations of cognitive functions. Cognitive decline was defined as ≥ 3-points deterioration from a predetermined level at baseline, using the Mini-Mental State Examination (MMSE). Between 2001 and 2003, 715 individuals had a medical as well as a clinical and radiographic dental examination. The individuals were re-examined after 6 years. Periodontitis was defined as ≥ 4mm bone loss at ≥ 30% of tooth sites. Social variables were captured from questionnaires.

    RESULTS: The multivariate logistic regression analysis demonstrated a statistically significant association between prevalence of periodontitis and cognitive decline after adjustments of confounding factors of importance.

    CONCLUSIONS: A history of periodontitis may be of importance for cognitive functions among older adults. This article is protected by copyright. All rights reserved.

  • 209.
    Nilsson, Helena
    et al.
    Halland hospital.
    Sanmartin Berglund, Johan
    Lunds universitet & Blekinge tekniska högskola.
    Renvert, Stefan
    Kristianstad University, Faculty of Health Science, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, Faculty of Health Science, Avdelningen för oral hälsa. Irland, Blekinge tekniska högskola, USA, Kina.
    Longitudinal evaluation of periodontitis and tooth loss among older adults2019In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 46, p. 1041-1049Article in journal (Refereed)
    Abstract [en]

    AIM: To evaluate pattern of change in periodontal variables and tooth loss in a twelve-year follow-up study of older adults living in Sweden.

    METHODS: In a prospective population study of older adults, a clinical examination and radiographic dental examination were performed at baseline (2001-2003) and after 12 years (2013-2015). In 375 individuals, the number and proportion of sites with a distance ≥4 mm and ≥5 mm from cemento-enamel junction to the bone level, the number and proportion of teeth with pockets ≥5 mm and number of teeth lost were calculated. Dental caries was registered. Periodontitis was defined as having ≥2 sites with ≥5 mm distance from cemento-enamel junction to the marginal bone level and ≥1 tooth with pockets ≥5 mm.

    RESULTS: A diagnosis of periodontitis was evident in 39% of the individuals, and 23% of the individuals lost ≥3 teeth over the study period. The proportion of sites with ≥4 mm and ≥5 mm bone loss increased with age, while the proportion of teeth with pockets remained stable. Periodontitis was the strongest predictor for losing ≥3 teeth, OR 2.9 (p < .001) in the final model.

    CONCLUSIONS: Periodontitis is a risk factor for future tooth loss among older adults.

  • 210.
    Nilsson Lindström, Petra
    et al.
    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.
    Co-worker dialogue: a tool for health, personal development, and an empowering development culture in the workplace2018In: Society, health and vulnerability, E-ISSN 2002-1518, Vol. 9Article in journal (Refereed)
    Abstract [en]

    This study explores managers' perspective on how co-worker dialogue [CWD] can foster co-worker health and personal development, and contribute to an empowering development culture in the workplace. The interview study was performed at a hospital in Sweden. Seventeen hospital managers participated. The managers, both men and women, worked in different areas, and a majority had 30-40 co-workers. To uncover underlying pattern phenomena in the interview data, a six-step inductive qualitative thematic analysis was conducted. The findings present three themes, each highlighting different prerequisites for CWD to function as a resource for the co-workers and the workplace: (1) Utility; (2) Content, and (3) Implementation. The study provides suggestions for and problems of practical implications from the findings. To make the findings useful in other organizations, practical implications are presented and discussed in the light of workplace health promotion [WHP]. The CWD is not focusing on performance the way traditional PA does. The CWD is therefore an important complement to PA in annual co-worker meetings, to also highlight the co-worker perspective. If managers realize the value of working with both PA and CWD, opportunities for health, personal development, and an empowering development culture are created.

  • 211.
    Nilsson, Louise
    et al.
    Kristianstad University, Faculty of Health Science.
    Eriksson, Evelina
    Kristianstad University, Faculty of Health Science.
    ”Instagramvänligt vet väl alla vad det är?”: en kvalitativ studie om unga kvinnors förändrade uppväxtvillkor genom sociala medier ur ett folkhälsoperspektiv.2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The study’s background was based on the association between those who mainly used social media, young women between the ages of 16 and 25, were also the group that dominated in mental illness. Current research on why young women suffers from mental illness more than others is inadequate. Although, it is well-known that environments that young people integrates with growing up plays a significant role in youths mental health. Despite that young women spend at least 3 hours there daily, social media is not included as such environment. This motivated the study's purpose, to investigate young women's experiences about social media as an emerging environment in relation to their identity and health. Qualitative methodology enabled the collection of material through semistructured interviews in focus groups. The study found that young women perceive social media as an environment as realistic as any other environments they interact with growing up. The results of the study also describe the experiences of mental illness associated with social media, but that a high self-esteem serves as a protective factor. The conclusion explains whether there are determinants of health on social media, these should be considered as impactable provided they are discovered and documented. Therefore, future health work is proposed focusing on safe navigation for young people on social media. The conclusion demonstrates the importance of public health science research continuing in line with current social development, which in the study is understood to be digitized, in order not to lose valuable knowledge about what leads or interrupts courses against mental illness.

  • 212.
    Nilsson, Maria
    et al.
    Lund University.
    Jonasson, Stina
    Lund University.
    Lindholm, Beata
    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.
    Walking difficulties is the main contributor to fear of falling in people with Parkinson’s disease2017Conference paper (Refereed)
    Abstract [en]

    Fear of falling is more common and pronounced in people with Parkinson’s disease than in controls. We conducted a series of studies that used multivariable regression analyses to identify explanatory factors of fear of falling in people with Parkinson’s disease. Three independent samples were used. The first study (n=154) was a postal survey study that used well-established self-rating scales. The second study replicated the first one by using a clinical sample (n=104) and added unexplored motor aspects (e.g., gait speed, functional balance performance) as well as global cognition. The third clinical study (n=241) included independent variables that focused on personal (e.g. general self-efficacy) and environmental factors as well as Parkinson-related disabilities. In all three studies, walking difficulties was the strongest explanatory (60–68%) factor. The results imply that walking difficulties in daily life should be the primary target in order to reduce fear of falling in people with Parkinson’s disease.

  • 213.
    Ny, Pernilla
    et al.
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Khalaf, Atika
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Maternal health care in a multiethnic setting with examples from Sweden, Scandinavia, and Europe2019In: Handbook of healthcare in the Arab World / [ed] Ismail Laher, Springer, 2019, p. 1-16Chapter in book (Other academic)
    Abstract [en]

    Women immigrating with their children are a vulnerable group often exposed to ill health and a bad environment. In Europe, women from the Middle East have a complex situation, but immigrant women from low socioeconomic status backgrounds are at highest risk, also with regard to the perinatal period in life. In Sweden all women, independent of their immigrant status are offered free high-quality perinatal care performed by midwives free of charge and nearly 100% use this care, though differently than the nonmigrant population. Often care is sought late in pregnancy, and problems with regard to communication affects the situation as well as care-seeking patterns. However, experiences from families’ originating from the Middle East show their high trust in midwives in Sweden. This trust must be handled with care since it is a great challenge for the health-care organization in Sweden as well as in other countries to host large migrating population, reaching out and communicating in a satisfactory way.

  • 214.
    Olsson, Ann-Margreth E.
    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, School of Health and Society.
    Anhörig forskning: internationell militär insats2018In: Anhörigforskningen: Internationell Militär INsats / [ed] Invidzonen, 2018Conference paper (Other (popular science, discussion, etc.))
  • 215.
    Olsson, Ann-Margreth E.
    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, School of Health and Society.
    Anhörigforskning  i Sverige: soldaten och dennes anhöriga i samband med internationella militära insatser2018In: Anhörigforskning / [ed] Försvarsmakten, Stockholm, 2018Conference paper (Other academic)
  • 216.
    Olsson, Ann-Margreth E.
    Kristianstad University, School of Health and Society, Avdelningen för Ekonomi och arbetsliv. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO).
    Barnahus ur socialsekreterares perspektiv2018In: Barn i Barnahus / [ed] Maria Kläfverud, http://www.nfbo.org/nfbo2018/, 2018Conference paper (Other academic)
    Abstract [en]

    In this part-study of the main study "Children in Barnahus", the perspective of the child welfare caseworker/social worker is explored. A total of 56 child welfare caseworkers in the Swedish Child Welfare Services (CWS) have participated in the study. Sweden has a service- and family-oriented social welfare system focused on providing early and preventive measures for families with children. The main orientation is collaboration with the child and the family, to offer support and focus on efforts on voluntary basis. The participating child welfare caseworkers talked about Barnahus primarily as a place for consultation, coordination and consultation. In the context of Barnahus the child welfare caseworkers’ main orientation was to prevent that the involvement of and the child’s visit in Barnahus, makes it more difficult for the CWS to approach and collaborate with the child’s family in further investigation and assessments of what is in the best interest of the child.  The extent of their own (CWS’s) reporting of cases to the police, was questioned in view of the drama that Barnahus visits can become for involved children and the child's family. Is it in the best interest of the child to primarily be summoned to Barnahus; become interviewed by policemen; to wait, too often for a long time, before the person on suspicion is heard and even longer until the case is brought further, if there will be any further proceedings at all. In very few cases is started prosecution.  The child welfare caseworkers saw their main task in Barnahus to assess the child's immediate need of protection by watching and listening in a co-hearing room with video connection to the child participating in the forensic interview with the policeman. In the study is recommended that a routine become introduced to offer every child after the police interview, a conversation of with the child’s own child welfare caseworker. Children in Sweden have legal right to be involved in matters concerning the child. Here it is about the child's need and best interest, and the child should become consulted in the assessments, if the child wants to and has the capacity for this. The child has also legal rights to be informed and have the opportunity to express a view of his/her own in what is going on and on plans. Important that the child welfare caseworkers pay attention to well-being of the child both immediately after the visit at Barnahus and later on. When  custodians are suspected of the crime, they are not invited to Barnahus together with their child. After being heard at Barnahus, special measures might have to be taken for protection of the child. If not, the child might anyhow might need recovery support after suddenly becoming summoned to Barnahus and/or in meeting their parents again if they haven’t been at Barnahus. In order to enable this, the CWS has to organize the social work so that the child welfare caseworker who meet the child at Barnahus also continues to support and be the child’s own child welfare caseworkers further on.

     

  • 217.
    Olsson, Ann-Margreth E.
    Kristianstad University, School of Health and Society, Avdelningen för Ekonomi och arbetsliv. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Högskolan Kristianstad.
    Barnens röster. Om förälders deltagande i internationella militära insatser: i barnens perspektiv2019Report (Other academic)
    Abstract [sv]

    Under 2012–2017 har dialogisk deltagande aktionsforskning (DPAR) bedrivits tillsammans med svenska soldater, utlandsveteraner och deras familjer. De har berättat om hur de lyckats få hemmafronten att fungera och upprätthålla levande relationer i dialogiskt samarbete och med hjälp av många samtal hemmavid och på distans. I studien berättade 25 barn i dialogiska samtalsintervjuer om att leva med en förälder som ska delta i, deltar och som deltagit i internationell militär insats och om vilka strategier de använde sig av. Dessutom berättade barnens föräldrar, och i förekommande fall syskon, om hur de uppfattade hur barnen påverkas och hanterar situationen liksom hur de själva berördes och agerade. Resultatet visar att för att en soldat som förälder ska kunna lämna sitt barn under en längre tid, som utlandstjänstgöring innebär, rekommenderas

    •  Att barnet kontinuerligt har tillgång till den andre föräldern eller annan anknytningsperson, och att denne tar emot och får stöd så att uppdraget som anknytningsperson kan fullgöras framgångsrikt.

    •  Att barnets föräldrar utvecklar föräldraskap som också kan överbrygga avstånd skapar närhet på distans mellan barn och föräldern som är iväg som soldat. Innebär relationsarbete för den hemmavarande föräldern med påminnelse om den frånvarande förälderns existens och kärlek, påminnelser om att denne är på jobbet. Hemmavarande kan behöva underlätta distanskommunikationen mellan barn – föräldern/soldaten.

    •  Att barns och familjers nätverk mobiliseras till stöd för barnet och dennes familj.

    •  Att ta del av utbudet i Försvarsmaktens anhörigstöd som främst har en förebyggande inriktning.

    •  Att vuxna på förskola och skola informeras om föräldern deltagande i insats.

    •  Att den militära föräldern besöker på skolan, eventuellt i uniform, och informerar barnets kamrater om militära insatser, kan fungera bra i vissa skolor och sammanhang och för vissa barn, men behöver noga övervägas i samråd med skola och i familjen beaktande vad besöket och informationen senare Rapport V Barnens röster och perspektiv. Erfarenhe ter av att ha förälder iväg på mission och föräldraskap vid deltagande i internationella militära insatser PhD Ann-Margreth E. Olssonkan skapa mellan barnen och särskilt för det berörda barnets skolsituation på gott och ont. Lyssna också på det egna barnet.

    •  Barnet kan vilja ha och eftersträva att förskola och skola ska vara ”fredade zoner” där barnet inte vill påminnas om att föräldern deltar i utlandsmission

    •  Att eget nätverk vid behov kan förstärkas genom att inte vara rädd för att involvera med samhälleliga resurser som BVC, förskola och skola, samt Försvarsmaktens anhörigstöd. Deltagande barnfamiljer visar stor kapacitet och resiliens. Föräldrarna har barnets bästa i fokus och håller sitt föräldraskap levande både hemmavid och på distans. Berörda barn vänder sig främst till den hemmavarande föräldern för stöd och samtal, men också äldre syskon och några utvalda vänner. De äldre barnen, tonårsbarnen, tar på sig mer ansvar i hemmet vilket de upplever som god förberedelse för eget självständigt liv. Utan föräldern som arbetar som soldat närvarande, blir familjelivet mer firare och nya rutiner växer fram. För att känslomässigt hantera frånvaron/förlusten av fadern iväg på insats, använder barnen huvudsakligen kognitiva strategier som ”att inte tänka på”, ”tänka bort”, ”tänka hela vägen igenom”, ”tänka på annat positivt” och råder andra barn att göra detsamma.

  • 218.
    Olsson, Ann-Margreth E.
    Kristianstad University, School of Health and Society, Avdelningen för Ekonomi och arbetsliv. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO).
    Barns hälsa och delaktighet i barnavårdsutredningar i samband med Barn i Barnahus2018In: Barn i Barnahus / [ed] Maria Kläfverud, 2018Conference paper (Other academic)
    Abstract [sv]

    I denna delstudie av studien Barn i Barnahus har utforskats huruvida barns psykiska och fysiska hälsa utreds inom ramen för de BBIC-utredningar som socialsekreterarna genomför när barn misstänks vara utsatta för misshandel eller sexuella övergrepp, samt barns delaktighet i de sociala utredningarna. I studien har 32 socialsekreterare individuellt intervjuats om utredningsarbetet i samband med att aktuellt barn besökt Barnahus. Texterna i 108 BBIC-utredningar har innehållsmässigt analyserats. Resultatet i studien visar att för deltagande socialsekreterare innebär samrådsmöten på Barnahuset handledning och konsultation. Läkares inrådan blir styrande. Den kunskap som finns inom hälso- och sjukvården om de barn som socialtjänsten utreder, efterfrågas och tas i allt större utsträckning med i de sociala utredningarna. Att barn förhörts på Barnahus omnämns inte alltid i utredningarna och mycket sällan något mer om besöket på Barnahus. Samtal med barnet har hållit i 75 % av de sociala utredningarna oftast av utredande socialsekreterare. Samtalet kan ha hållits av behandlare inom nyinsatt familjebehandling. Barnets inställning till vad som utredningen visar och föreslår, har noterats i 52 % av utredningarna.  Vidare forskning behövs som följer utvecklingen av socialtjänstens utredningar avseende barnets fysiska och psykiska hälsa också satt i relation till barnets sociala situation samt avseende barnets delaktighet när utredningsarbetet kombineras med behandlingsinsatser.

  • 219.
    Olsson, Ann-Margreth E.
    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.
    Different stories lived and told in different perspectives of primary family members: from within in a military deployment cycle including periods of leave at home2019In: Military families / [ed] Rene Moelker and Maron Andres, Lissabon, 2019Conference paper (Refereed)
    Abstract [en]

    Deployed family members meet different responses from within their families in context of deployments. In a dialogical participatory action research study involving Swedish soldiers and their families, 110 adults and 25 children narrated about their experiences of being or living with a deployed family member. In use of systemic and narrative ideas in combination with Appreciative Inquiry, the study focused on how soldiers and their families manage socially and relationally before, during and after deployments. Areas in focus were emerging interplay and communication; support needed, developed and used; solutions; recommendations to other families and different family members. Dialogical interviews were conducted with the whole participating family and/or some of the family members. Twenty-nine of the families (n=59) were followed before, during and after deployment. Twelve families were also interviewed later on – three years after the last interview closely after the deployment. With ethical considerations, the interviews were recorded, transcribed verbatim and thematic analyzed by the researcher. Result of the study: Narratives in different perspectives (soldier, veteran, home-staying partner, child, parent, sibling and others) lived and told, exposing different responses to and understanding of the phases of the on-going deployment cycle including for Swedish soldiers two periods of leave at home.

  • 220.
    Olsson, Ann-Margreth E.
    Kristianstad University, School of Health and Society, Avdelningen för Ekonomi och arbetsliv. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO).
    Internationell militär insats ur familjeperspektiv: insatscykler med växlande responser2018Report (Other academic)
    Abstract [en]

    A dialogical participatory action research (DPAR) study has been conducted during2012-2017 with and about Swedish soldiers, veterans and their families, exploring theirexperiences of having a family member deployed abroad, how they manage sociallyand relationally, what support they need, develop and use including solutions of theirown and what they recommend to families with deployed family members. In thestudy participated all together 110 adults. There were 42 soldiers/veterans, 42 homestayingpartners, 21 parents of soldiers and 10 siblings (adults) of soldiers. Some of theparticipants have double connections, for example being a veteran and also a homestayingpartner. The study also includes 37 children of soldiers/veterans of whom 25participated in dialogical interviews of their own and in family interviews. Dialogicalparticipatory action research was conducted during 2012-2017 with and about Swedishsoldiers, veterans and their families, experiencing having a family member deployedabroad in areas of war and terror. It was explored how the families managed, whatsupport they needed as well as the capacity they themselves developed. The studycomprised 110 adult participants, of which 42 were soldiers/veterans, 42 partners,21 parents of soldiers, 10 siblings, and 37 children of soldiers/veterans. There wereparticipants having a double connection, for example being a veteran and a partner.Report III highlights how the division of carrying through a military deployment, intothe phases before, during and after deployment, is a strong simplification of whatunfolds and evolves for military families in the context of family member(s) being deployed.In the deployment cycle of responses here suggested, fourteen phases areincluded: (1) Prior to the mission; (2) The Mission; (3) Just before departure; (4) Departure;(5) Immediately after departure; (6) Before the first period of leave; (7) Duringthe first period of leave; (8) After the first and the second period of leave – in between;(9) During the second period of leave; (10) After the second period of leave; (11) Ending:Homecoming; (12) Returning; (13) Afterwards; (14) Later. This cycle is based ondeployments with a rotation period of six months and, according to the Rest and Recuperation(R&R) program of the Swedish Armed Forces, offering at least two periodsof leave including home trips for the soldiers. In the study is revealed that in the participatingmilitary families, the purpose of R&R is not primarily seen as rest and recoveryor recuperation for only the soldier but for the whole family, and also as relievingand strengthening the whole family in accomplishing the deployment together. Theconclusion is that the recurring periods of leave, R&R, a crucial for the implementationof the deployment and for maintaining living relationships and communication at a distance, both from the perspective of the soldier and the soldier's primary family.

  • 221.
    Olsson, Ann-Margreth E.
    Kristianstad University, School of Health and Society, Avdelningen för Ekonomi och arbetsliv. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO).
    Kommunikation, dialog och responser i familjer med soldater i internationell militär insats2018Report (Other academic)
    Abstract [sv]

    Dialogisk deltagande aktionsforskningsstudie har under åren 2012–2017 bedrivits omsvenska soldater, utlandsveteraner och deras familjer. Fokus i studien är sociala aspekteroch hur relationerna utvecklas mellan de anhöriga, vilket stöd de behöver inklusiveegna lösningar som de använder och rekommenderar för familjer när en familjemedlemtjänstgör som soldat i internationell militär insats. I studien har deltagit 110 vuxnavarav 42 soldater/utlandsveteraner, 42 hemmavarande partners, 21 föräldrar till soldatoch 10 vuxna syskon till soldat. Några deltagare har dubbel tillhörighet, t.ex. ärbåde utlandsveteran och hemmavarande partner. Dessutom ingår 37 barn till soldat/utlandsveteran varav 25 intervjuats i egna samtal och 12 deltagit och observerats vidfamiljesamtal. Totalt är 59 familjer representerade.I denna rapport fokuseras på den kommunikation som soldater och anhöriga har medvarandra samt de responser som familjerna samskapar när familjemedlem ger sig ivägoch deltar i insats utomlands. Genom olika strategier i kommunikationen kan de upprätthållakänslan av närhet till varandra också på avstånd. De håller varandra informeradeoch/eller bekräftar varandra känslomässigt. Olika strategier utvecklas om när,var, hur, vad och vem soldaten kontaktar och hur de anhöriga kommunicerar medvarandra. Hänsyn tas till säkerhet. Kontakt upprätthålls i telefonsamtal, privata mobiltelefoner,när så medges i insatsområdet, genom sociala medier kompletterat medpaketförsändelser och brev, samt i begränsad omfattning, videokamera indirekt (förinspelat)eller direkt (Skype). Studien visar att fungerande kommunikation, både teknologisktoch mellanmänskligt, har avgörande betydelse för utvecklingen i familjenoch för familjemedlemmarnas välmående och kapacitet. Soldatens rätt till integritetsskyddadoch regelbunden kommunikation bör säkras. Utbildning och träning i dialogiskasamtal, kan med fördel ingå i förberedelserna inför deltagande i insats såväl försoldat som anhöriga och dem tillsammans.

  • 222.
    Olsson, Ann-Margreth E.
    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, School of Health and Society.
    Rapport IV Det sociala och dialogiska anhorigstodet vid genomforande av internationella militära insatser – i den utvidgade familjens perspekiv inklusive soldaten som familjemedlem: Anhörigforskning om svenska soldater, veteraner och deras familjer i samband med internationell militar insats. Swedish Military Families.2019 (ed. 1)Book (Other academic)
    Abstract [en]

    During 2012–2017, Dialogue Participating Action Research (DPAR) was conducted to- gether with Swedish soldiers, veterans and their families. They narrated about how they, also at distance, managed to collaborate and by means of many dialogical conversations, managed the home front and to keep their relationships alive. Swedish soldiers have responsibility to inform and involve their families. The support of the soldier’s family is an important part to ensure the soldier to manage to combine to be a caring family member and a deployed soldier with focus on the commission. The Armed Forces organise the family support with local family support co-ordinators as a base; inviting to events such as family meetings; publishing family information and offering family support through agreements with idea-based organisations.The main object of idea-based organisations is the benefit of members. Here they are all run by and for soldiers, veterans and their families. The couples who participated in the education Preparation and Relationship Education/Enhancement Program (PREP) provided by the Swedish Soldiers' Home Association, recommend participation to others. The Invidzonen affiliate network offers flexible support to partners, children and parents of soldiers including support for soldiers in their role as relatives. Within the Family Zone, coaching support is developed for parents and children. The Swedish Veteran Federation (SVF) and the Swedish Military Comrades' Association (SMKR) mainly offer support to the soldier/veteran. The Swedish Armed Forces family support is characterized by an offer of support with a preventive and involving focus. The offer of support is recommended to be varied as needs and demands change over time within the deployment cycle and are different depending on whether you are a partner, child, parent or siblings of the soldier. Before the deployment, in phase of premission, introduction of early, the introduction of early family meetings is recommended to mobilize preparations also on the home front. The soldiers are recommended to invite to and organize personal family network meetings with information about the deployment and dialogues to reach agreements on communication and collaborative support strategies in context of the deployment. Further contact and mobilization of mutual support when needed. The family meetings arranged by the Swedish Armed Forces are recommended to be more dialogical. In addition to oneway information to the familymembers, the family members want and require meeting forms making it easier to ask questions and discuss current issues. They wish that the family meetings also offer opportunities to get to know the families of their own soldier's workmates, when this not previously has been arranged otherwise. In terms of content, it is important that the family meetings of the Swedish Armed Forces both inform about the military context AND about what you as a homestaying family member can expect before, during and after deployment including responses and reactions of your own, and how to act preventive, to manage and improve the emerging istuation

    The Swedish military family support has a complementary and mobilizing orientation. The support needs to be varied and in tune with the development of the family life of the soldiers - the changes of the modern families. The engaged idea-based member organizations, organized by and for members, can be assumed to have every chance of succeeding to compliance in the development of their members' needs and interests. The combination that the Swedish Armed Forces offers family support both under its own management with local family support coordinators as key persons, and in collaboration with idea-based member organizations, run by soldiers, veterans and / or their families, means that the supply can be adapted to what is in required and needed in time. Crucial and a basic view, is to see the soldier and the veteran also as a family member and in mutual collaboration with family members of the soldier’s extended primary family. This collaboration is making it possible for the soldier to participate and carry out military deployments far from home and to have a home to return to.

  • 223.
    Olsson, Ann-Margreth E.
    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, School of Health and Society.
    Responsive understanding from within conducting social investigations in social work2014In: Beyond Professional Monologue.: Rendering Oppressed Voices Audible in Reflexive Dialogial Practice and Research / [ed] Gail Simon, Stockholm: Royal Institute of Art, The 15th International Bakhtin conference , 2014Conference paper (Refereed)
    Abstract [en]
    1. Responsive understanding from within conducting social investigations in social work

      Ann-Margreth E. Olsson

      This is about an action research study exploring dialogical coaching in social work in Sweden. The clients, one another and others. The investigating social workers had traditionally been trained to seek neutral approach and external clarity (cf. Bakhtin, 1986). In the study the social workers started to invite the children to participate as partners in conducting the social investigations. This created increased mutual involvement in dialogical interplay. When the social workers addressed the children, inviting the children and their families into a mutually involving dialogical participation, exploring and inquiring about both the risks and the strengths of the responsive understanding (cf. Bakhtin, 1986, 1991, Shotter, 2004), that is, getting an understanding from within the family s perspective.

      In dialogical conversation it becomes easier for the social worker to be invited into the narratives of the child from within the child perspective when the child has been invited to participate and his/her requests about and choices in the participation are respected. Hearing the voice of the child, in the way the child chooses to speak, gives the social worker an idea of the of v of Bakhtin about how every unique speech experience is shaped and developed in continuous hem their own expression, their own evaluative tone, which we assimilate, rework, and re- Bakhtin, 1986 p. 89).

  • 224.
    Olsson, Ann-Margreth E.
    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.
    Swedish families' responses to military deployment2019In: The politics of military families: state, work organisations, and the rise of the negotiation household / [ed] Rene Moelker, Manon Andres, and Nina Rones, Routledge, 2019, p. 253-266Chapter in book (Refereed)
    Abstract [en]

    This study examines emergent responses in Swedish families when a family member working in the Swedish Armed Forces get deployed in an international military operation. A descriptive design encompassing eight years of dialogical participatory action research was used. During this period, 110 adults and 25 children participated in individual and/or group dialogical interviews. Qualitative content analysis was applied and emergent suggestions were subsequently validated in dialogues with participants. This eventually resulted in six ideal types of responses: Partnership; Supporting and mobilizing; Normalizing – ordinary life; Adjusting and negotiating; Emotional reacting; Suffering. The types, recognized by participating family members, including the soldiers, emerge as a matrix for the narrations of experiences and connected responses to the deployment. The Swedish families reject the notion that the general concept of military families captured ‘who we are’. We discuss the meaning of this in the context of organization (the Swedish Armed Forces) and society (family, government/politics).

  • 225.
    Olsson, Ann-Margreth E.
    et al.
    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, School of Health and Society. NATO – HFM RTG 258 The impact of military life on children from military families - HFM RTG 258 (Human Factors and Medicine, Research Task Group 258).
    Permatz, Maria
    Swedish Armed Forces.
    The framework of children’s well-being in Sweden including the children with a parent working as soldier or officer living in a so-called military family2017Report (Other academic)
  • 226.
    Olsson, Charlotte
    et al.
    Kristianstad University, Faculty of Health Science.
    Rydsten, Carina
    Kristianstad University, Faculty of Health Science.
    Blomqvist, Kerstin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Existentiell ensamhet bland äldre personer: volontärers uppfattningar2018Report (Other academic)
    Abstract [sv]

    Äldre personer med många sjukdomar och komplexa vård- och omsorgsbehov tillhören sårbar grupp i samhället. Ohälsan och olika utmanande situationer i livet som denäldre personen ställs inför kan leda till att den äldre personen blir mer medveten omsin existens och framkalla upplevelser av existentiell ensamhet. Ändå vet vi förhållandevislite om hur existentiell ensamhet upplevs och hur den kan upptäckas. Volontärerär en grupp som möter äldre personer och som skull kunna sitta inne med kunskapom existentiell ensamhet bland äldre. Syftet var därför att ta reda på hur volontäreruppfattar och beskriver äldre personers upplevelser av existentiell ensamhet. Studieningår i ett större forskningsprojekt, den så kallade LONE-studien där, förutom volontärer,även äldre personer, deras närstående och personal ingår. Den aktuella undersökningenhade en kvalitativ induktiv ansats och 25 volontärer har intervjuats i sexfokusgruppsamtal. Under intervjuerna har en temaguide använts och intervjuerna haranalyserats med kvalitativ innehållsanalys. Volontärernas beskrivningar av hur de uppfattaratt äldre personer upplever existentiell ensamhet resulterade i fem sub-teman:att känna sig betydelselös, avsaknad av tillhörighet och förankring, farhågor inför detokända, förlust av sitt tidigare jag samt en önskan om att skona och längtan efter attdela. Dessa fem sub-teman bildade tillsammans huvudtemat: Vilsenhet, längtan eftermening och efter någon som vågar träda in i min värld. Vår slutsats är att volontärersitter inne på viktig kunskap om upplevelser av existentiell ensamhet och om de existentiellafunderingar som äldre har och att volontärer har en viktig roll i vård- och omsorgsarbetegenom att tillgodose äldre personers behov av att möta medmänsklighetoch kunna dela sina tankar och upplevelser.

  • 227.
    Olsson Möller, U
    et al.
    Lund University.
    Stigmar, K
    Lund University.
    Beck, Ingela
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Lund University.
    Malmström, M
    Lund University.
    Rasmussen, B H
    Lund University.
    Bridging gaps in everyday life: a free-listing approach to explore the variety of activities performed by physiotherapists in specialized palliative care2018In: BMC Palliative Care, ISSN 1472-684X, E-ISSN 1472-684X, Vol. 17, no 1Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: A growing body of studies indicate benefits of physiotherapy for patients in palliative care, for symptom relief and wellbeing. Though physiotherapists are increasingly acknowledged as important members of palliative care teams, they are still an underutilized source and not fully recognized. The aim of this study was to explore the variety of activities described by physiotherapists in addressing the needs and problems of patients and their families in specialized palliative care settings.

    METHODS: Using a free-listing approach, ten physiotherapists working in eight specialized palliative care settings in Sweden described as precisely and in as much detail as possible different activities in which patients and their families were included (directly or indirectly) during 10 days. The statements were entered into NVivo and analysed using qualitative content analysis. Statements containing more than one activity were categorized per activity.

    RESULTS: In total, 264 statements, containing 504 varied activities, were coded into seven categories: Counteracting a declining physical function; Informing, guiding and educating; Observing, assessing and evaluating; Attending to signs and symptoms; Listening, talking with and understanding; Caring for basic needs; and Organizing, planning and coordinating. In practice, however, the activities were intrinsically interwoven. The activities showed how physiotherapists aimed, through care for the body, to address patients' physical, psychological, social and existential needs, counteracting the decline in a patient's physical function and wellbeing. The activities also revealed a great variation, in relation not only to what they did, but also to their holistic and inseparable nature with regard to why, how, when, where, with whom and for whom the activities were carried out, which points towards a well-adopted person-centred palliative care approach.

    CONCLUSIONS: The study provides hands-on descriptions of how person-centred palliative care is integrated in physiotherapists' everyday activities. Physiotherapists in specialized palliative care help patients and families to bridge the gap between their real and ideal everyday life with the aim to maximize security, autonomy and wellbeing. The concrete examples included can be used in understanding the contribution of physiotherapists to the palliative care team and inform future research interventions and outcomes.

  • 228.
    Olsson Möller, Ulrika
    et al.
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Kristianstad University, Faculty of Health Science, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Beck, Ingela
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Rydén, L
    Lund University.
    Malmström, M
    Lund University.
    A comprehensive approach to rehabilitation interventions following breast cancer treatment: a systematic review of systematic reviews2019In: BMC Cancer, ISSN 1471-2407, E-ISSN 1471-2407, Vol. 19, no 1Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Breast cancer (BC) is the most common type of cancer in women worldwide. Post-treatment, patients suffer from side effects and have various rehabilitation needs, which means that individualization is fundamental for optimal rehabilitation. This systematic review (SR) of SRs aims to evaluate the current evidence on rehabilitation interventions in female patients following BC treatment.

    METHODS: Full-text SRs published in English from 2009 were searched in Embase, PubMed, Cinahl Complete, PsycINFO, AMED, SCOPUS, and Cochrane Library.

    INCLUSION CRITERIA: SRs of randomized or non-randomized controlled trials investigating the effects of rehabilitation interventions in women following BC treatment. All outcomes were considered. Methodological quality was evaluated using the AMSTAR 2 tool and interrater agreement was evaluated. Out of 1269 citations retrieved, 37 SRs were included.

    RESULTS: Five rehabilitation areas were identified: exercise and physical activity (PA), complementary and alternative medicine (CAM), yoga, lymphoedema treatment, and psychosocial interventions. The most solid evidence was found in exercise/PA and yoga. Exercise interventions improved outcomes such as shoulder mobility, lymphoedema, pain, fatigue and quality of life (QoL). Effects of yoga were shown on QoL, anxiety, depression, sleep disturbance, fatigue and gastrointestinal symptoms. The effect of CAM was shown on nausea, pain, fatigue, anger and anxiety but these results need to be interpreted with caution because of low methodological quality in included studies in the SRs. Among the lymphoedema treatments, positive effects were seen for resistance training on volume reduction and muscle strength and psychosocial interventions such as cognitive behavioural therapy had positive effects on QoL, anxiety, depression and mood disturbance.

    CONCLUSIONS: This SR of SRs show solid positive effects of exercise/PA and yoga for women following BC treatment, and provides extended knowledge of the effects of CAM, yoga, lymphoedema treatment and psychosocial interventions. It is evident that more than one intervention could have positive effects on a specific symptom and that the effects depend not only on intervention type but also on how and when the intervention is provided. The results can be used as a foundation for individualized rehabilitation and aid health care professionals in meeting patients' individual needs and preferences.

    TRIAL REGISTRATION: PROSPERO ( CRD42017060912 ).

  • 229.
    Olsson, Rickard
    Kristianstad University, Faculty of Health Science.
    Orsak till återfall i kriminalitet: Ur ett kvinnligt perspektiv2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med uppsatsen är att belysa kvinnors situation efter frigivning. Vad är det som får kvinnor att återfalla i brott? Hur upplever kvinnor hinder och möjligheter efter avtjänat fängelsestraff? Suzanne Kordon och Anna Wetterqvists ”Gärningsmannen är en kvinna” och Ingrid Landers ”Den flygande maran”, är de studier och teorier kring kvinnor som hamnat snett i tillvaron som utgör basen för den teoretiska utgångspunkten jag har i min uppsats, social konstruktionism för att vara mer exakt. För att ge ytterligare förståelse av fenomenet har det presenterats en del litteratur från Erving Goffman. Mina sju respondenter är alla återfallsförbrytare, trots olika insatser har de återfallit i brott, enligt analysen står svaret att finna i att identifikationen som avvikande har rotat sig för starkt.

  • 230.
    Ottová-Jordan, Veronika
    et al.
    Tyskland.
    Smith, Otto R. F.
    Norge.
    Augustine, Lilly
    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 psykologi. Jönköping University, HLK.
    Gobina, Inese
    Lettland.
    Rathmann, Katharina
    Tyskland.
    Torsheim, Torbjørn
    Norge.
    Mazur, Joanna
    Polen.
    Välimaa, Raili
    Finland.
    Cavallo, Franco
    Italien.
    Jericek Klanscek, Helena
    Slovenien.
    Vollebergh, Wilma
    Nederländerna.
    Meilstrup, Charlotte
    Danmark.
    Richter, Matthias
    Tyskland.
    Moor, Irene
    Tyskland.
    Ravens-Sieberer, Ulrike
    Tyskland.
    Trends in health complaints from 2002 to 2010 in 34 countries and their association with health behaviours and social context factors at individual and macro-level2015In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 25, no 2, p. 83-89Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: This article describes trends and stability over time in health complaints in adolescents from 2002 to 2010 and investigates associations between health complaints, behavioural and social contextual factors at individual level and economic factors at macro-level.

    METHODS: Comprising N = 510 876 11-, 13- and 15-year-old children and adolescents in Europe, North America and Israel, data came from three survey cycles of the international Health Behaviour in School-aged Children (HBSC) study. Age- and gender-adjusted trends in health complaints were examined in each country by means of linear regression. By using the country as the random effects variable, we tested to what extent individual and contextual variables were associated with health complaints.

    RESULTS: Significant associations are stronger for individual level determinants (e.g. being bullied, smoking) than for determinants at macro-level (e.g. GDP, Gini), as can be seen by the small effect sizes (less than 5% for different trends). Health complaints are fairly stable over time in most countries, and no clear international trend in health complaints can be observed between 2002 and 2010. The most prominent stable determinants were being female, being bullied, school pressure and smoking.

    CONCLUSION: Factors associated with health complaints are more related to the proximal environment than to distal macro-level factors. This points towards intensifying targeted interventions, (e.g. for bullying) and also targeting specific risk groups. The comparably small effect size at country-level indicates that country-level factors have an impact on health and should not be ignored.

  • 231.
    Palén, Solita
    Kristianstad University, Faculty of Health Science.
    Självskattad hälsa och kroppsbildsuppfattning: - En kvantitativ studie av gymnasieungdomar2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Previous research in the subject body image has largely been based on a pathogenic perspective. The focus has been on eliminating causes of a negative body image, instead of trying to understand how factors that contribute to a positive body image can be promoted, which furthermore leads to health promoting behaviors. In contrast to previous research, the purpose of the present study was therefore to investigate whether there was a correlation between high school students' self-estimated health and body image from a salutogenic perspective. The study's method has been based on a quantitative survey that consisted of the validated measuring instruments Salutogenic Health Indicator Scale (SHIS) and Body appreciation scale 2 (BAS-2). SHIS measures health from a salutogenic perspective, while BAS-2 is used to measure an individual's body appreciation from a positive perspective, which is a significant part of an individual's body image. The study's results showed a positive correlation (r = 0.468) p = 0.001 between self-estimated health and body appreciation. Girls estimated their health significantly higher than boys (p = 0.003), with 95% certainty (CI = 1.590-7.853) and had a higher body appreciation than boys at a significant level (p = 0.001, 95% CI = 2,845-8,062). Conclusion: further research should study the subjective health in relation to body image from a salutogenic perspective, in order to generate knowledge regarding which factors that causes a correlation between health and body image.

  • 232.
    Pekkola, Sari
    Kristianstad University, Faculty of Health Science, Avdelningen för samhällsvetenskap.
    Att ”komma ihåg” eller ”glömma” Chile2018In: Historisk Tidskrift (S), ISSN 0345-469X, ISSN ISSN 0345-469X, no 1Article, book review (Other academic)
  • 233.
    Pekkola, Sari
    Kristianstad University, Faculty of Health Science, Avdelningen för samhällsvetenskap.
    Creating new spaces and new identities: prolonging Andean traditions and mobility of Bolivian diasporic communities2018 (ed. 1)Book (Other academic)
  • 234.
    Persson, Carina
    et al.
    University of Gothenburg.
    Linder, Annika
    Region Västra Götaland.
    Hagell, Peter
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Measurement properties of the Swedish modified version of the Postural Assessment Scale for Stroke Patients (SwePASS) using Rasch analysis2017Conference paper (Other academic)
  • 235.
    Persson, Denise
    et al.
    Kristianstad University, Faculty of Health Science.
    Seibel, Madeleine
    Kristianstad University, Faculty of Health Science.
    Att genomgå en hysterektomi med fokus på livskvalité: En kvalitativ litteraturstudie om kvinnors erfarenheter2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: En av tio kvinnor opererar bort sin livmoder i Sverige. Skälet till detta kan vara både maligna (icke godartade) och benigna (godartade) orsaker. Kvinnors livskvalité kan påverkas i samband med en hysterektomi, därför kan det vara viktigt att få lärdom hur kvinnors erfarenheter kan spegla livet i samband med en hysterektomi. Syfte: Att beskriva kvinnors erfarenheter av att genomgå en hysterektomi med fokus på livskvalité. Metod: En litteraturstudiemed kvalitativ ansats.Sökning via två databaser med fokus på omvårdnadsvetenskap. Resultatet bygger på 11 vetenskapliga artiklar. Resultatet granskades med hjälp av HKR:s granskningsmall och en textanalys användes för att analysera de vetenskapliga artiklarna. Resultat: Två huvudkategorier: Den stora förändringen och sexuella sfären. Fyra underkategorier: Klar och tydlig information behövdes för att känna ett lugn, beslutet var ofta grundat på myter och emotionella känslor, livet förändrades både fysiskt och psykiskt efter operationen och förbättrad relation och samlevnad efter genomförd operation. Diskussion: Utifrån trovärdighetsbegreppen tillförlitlighet, verifierbarhet, pålitlighet och överförbarhet diskuteras metoden i avsnittet metoddiskussion. Fyra huvudfynd gällande information, förändring, myter och kultur/etnisk skillnad presenteras i resultatdiskussionen. Begreppet livskvalité kopplas ihop i resultatdiskussionen med Bengt Brüldes teori om livskvalité. Ytterligare forskning inom området behövs för att skapa en bredare förståelse utifrån patientens perspektiv. 

  • 236.
    Persson, Emelie
    et al.
    Kristianstad University, Faculty of Health Science, Avdelningen för folkhälsovetenskap.
    Sörensen, Louise
    Kristianstad University, Faculty of Health Science.
    ”Det är en övningsarena för liten och stor”: en intervjustudie kring familjecentralers hälsofrämjande och förebyggande arbete.2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Authorities within the health care sector have a big responsibility for public health, where health promotive and preventive work methods applies to achieve a positive public health development. A big public health problem is obesity, which is a large contributing factor to lifestyle diseases that affects both adults and children. In Sweden statistic show that every fifth child is obese. An important arena is family centres which should work for guiding and supporting off families to a better health through informing the families about healthy habits. Purpose: Investigate how three family centres in southern Sweden work health promotive and preventive with families about obesity. Method: The study was performed with help from a qualitative method. Semi-structured interviews with twelve occupational professions got to represent the result. The interviews were transcribed and evaluated with a content analysis. Results: Make healthy living habits visible, guide and educate parents, different working methods, approach to the families were meaningful for the health promotive and preventive work at the family centres. The result also highlighted challenges and difficulties in the family centres work. Conclusion: The theory KASAM could be linked to the work of the family centres, as a sense of context could be important for the work with the families to perceive comprehensibility, manageability and meaningfulness. The visibility of people´s living habits is best done through a collaboration between several key players. The family centres work is important for the future public health, implementation of resources is therefore important.

  • 237.
    Persson, Linda
    Kristianstad University, Faculty of Health Science, Avdelningen för folkhälsovetenskap.
    Faktorer som påverkar medarbetares välbefinnande: en kvalitativ studie inom detaljhandeln2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Customer contact in retail has become increasingly psychological and emotionally demanding. A meeting between the employed and the customer is usually a friendly meeting and the customer are usually satisfied with the service. However, in recent times, situations of threats and violence, insecure employment and high workload have increased for retail workers which may cause the employees to experience negative stress and insecurity. Still, many remain and enjoy their work in retail.

    The purpose of the study is to identify factors that affect the psychosocial working environment in retail and employee health and well-being. Method: Data collection was done through two individual interviews and two group interviews.

    The results of the study show that community and support, clear and direct communication and influence in your work, experienced a positive impact on employee health and well-being. Lack of recovery, inadequate leadership and unclear delegation were a few factors that adversely affected employee health. Knowledge and understanding of the impact of the psychosocial work environment on both the profitability of the business and above all for the individual should be met. Knowledge and understanding can have a positive impact on national economi and the public health.

  • 238.
    Persson, Martin
    et al.
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Anastassov, Youri
    Khater, Regina
    Spataru, Radu
    Nobile, Francesca
    Skuladottir, Hildur
    Nilsen, Thomas
    Rumsey, Nichola
    Cutting edge training: upskilling health professionals in psychological care for patients undergoing appearance-altering procedures2018In: Journal of Aesthetic Nursing, Vol. 7, no 10, p. 522-529Article in journal (Refereed)
    Abstract [en]

    The number of patients undergoing appearance-altering procedures is increasing, whether they do so as treatment for an existing condition or as an elected cosmetic procedure. Consequently, many patients experience difficulties in coming to terms with changes to their looks, or may have unrealistic expectations of the outcomes and impacts of the treatment. Despite clear evidence that psychological factors play a significant part in many aspects of cosmetic surgery, patients often have very limited or even non-existent access to psychological input as part of their treatment. Therefore, a European Union-funded consortium initiated a survey of 66 healthcare professionals (HCPs) working in the medical aesthetics sector from Bulgaria, Italy, Norway and Romania with the aim of ascertaining their views on the need to enhance psychosocial care, the need for appropriate training and the willingness of HCPs in this sector to undertake this training if available. The results show that there is a pressing need to develop high quality, evidence-based, relevant vocational educational training for those specialising in the care of patients undergoing appearance-related surgery and associated treatments.

  • 239.
    Persson, Martin
    et al.
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Becker, M
    Lund university.
    Conrad, A L
    USA.
    Svensson, H
    Lund university.
    Female and male differences in academic achievement in individuals with cleft: a population-based register study2018In: Cleft Palate Craniofac J, Vol. 55, no 2, p. 196-203Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The focus of this study was to determine if there is any significant difference in academic achievement for girls and boys with 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.

  • 240.
    Persson, Sophie Schön
    et al.
    Kristianstad University, Faculty of Health Science.
    Lindström, Petra Nilsson
    Kristianstad University, Faculty of Health Science, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Faculty of Health Science, Avdelningen för folkhälsovetenskap.
    Pettersson, Pär
    Kristianstad University, Faculty of Business, Avdelningen för arbetsliv.
    Andersson, Ingemar
    Kristianstad University, Faculty of Health Science, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University.
    Blomqvist, Kerstin
    Kristianstad Univ, Fac Hlth Sci, Kristianstad, Sweden..
    Relationships between healthcare employees and managers as a resource for well-being at work2018In: Society, health and vulnerability, E-ISSN 2002-1518, Vol. 9, p. 1-9Article in journal (Refereed)
    Abstract [en]

    Relationships at work are important to the psychosocial work environment and may be resources for the employees' well-being. There is a need for a better understanding of what generate positive relationships at work. The aim of the study was to gain a better understanding of the relationship between employees and managers in municipal healthcare. A qualitative study with twenty-seven individual interviews was conducted with healthcare employees and managers in municipal healthcare. The relationship between manager and employees and its possible contribution to well-being was a key focus. A comparison and tentative analysis, inspired by hermeneutics, was used in order to analyse similarities and differences in employee and manager experiences. The findings revealed similarities as well as considerable differences between employees and managers in their experiences. Two themes emerged from the interpretation of the text: (i) Health-promoting relationships are characterized by asymmetry and by a manager that stands outside the group; and (ii) Health-promoting relationships are characterized by mutuality and symmetry and by a manager that is part of the group. The relationship between the employees and the managers are both a resource for doing a good job and a means for achieving belongingness at work. To highlight well-working aspects of relationships at work, may contribute to a better psychosocial work environment and, ultimately, the well-being among healthcare recipients.

  • 241.
    Petersson, Pia
    et al.
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    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.
    Haak, Maria
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Edberg, Anna-Karin
    Kristianstad University, Research Platform for Collaboration for Health.
    Developing a model that support preventive home visit for seniors – a collaborative development and research project2019Conference paper (Refereed)
  • 242.
    Petkovski, Jacquline
    et al.
    Kristianstad University, Faculty of Health Science.
    Thornqvist, Cornelia
    Kristianstad University, Faculty of Health Science.
    Sjuksköterskors möte med våldsutsatta kvinnor: En litteraturstudie om sjuksköterskors erfarenheter2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Våldsutsatta kvinnor söker sig vid flera tillfällen till hälso- och sjukvården för att få hjälp. Tidigare studier belyser att sjuksköterskor och hälso- och sjukvården brister i att tillgodose våldsutsatta kvinnors behov. Våld i nära relationer kan uttryckas på olika sätt såsom fysiskt, psykiskt, sexuellt och materiellt våld. Det uppkommer att det finns ett stort mörkertal på grund att många kvinnor inte väljer att anmäla våldet. Även en bristande jämlikhet mellan könen och att våld i nära relationer är tabubelagt i samhället belyses. Syfte: Syftet med studien var att belysa sjuksköterskors erfarenheter av mötet med kvinnor som utsätts för våld i nära relationer.Metod: Litteraturstudien har en kvalitativ ansats och är baserad på 12 vetenskapliga artiklar från databaserna PubMED och Cinahl complete. Artiklarna har analyserats genom en induktiv innehållsanalys med manifest metod. De vetenskapliga artiklarna granskades utifrån en granskningsmall för kvalitativa studier. Resultat: Från analysen uppkom det fem teman:“Sjuksköterskors erfarenheter av sina egna känslor i mötet”, “Sjuksköterskors erfarenheter om vad som försvårar mötet med våldsutsatta kvinnor “, “Sjuksköterskors erfarenheter av identifiering av våldet”, “Ett strategiskt möte med kvinnorna” och “Behovet av kunskapsutveckling”. Diskussion: Studiens centrala fynd var brister i egna resurser i form av förutfattade meningar samt rädsla osäkerhet och maktlöshet. Brister i verksamhetens resurser såsom brist på utbildning, tidsbrist, behov av vägledning för sjuksköterskor och patientutbildning. Brister i samhällets resurser bestående av brister mellan sjuksköterskor och andra yrkesbefattningar.

  • 243.
    Pieris, Lalitha
    et al.
    Sri Lanka.
    Sigera, Ponsuge Chathurani
    Sri Lanka.
    De Silva, Ambepitiyawaduge Pubudu
    Sri Lanka.
    Munasinghe, Sithum
    Sri Lanka.
    Rashan, Aasiyah
    Sri Lanka.
    Athapattu, Priyantha Lakmini
    Sri Lanka.
    Jayasinghe, Kosala Saroj Amarasiri
    Sri Lanka.
    Samarasinghe, Kerstin
    Kristianstad University, Faculty of Health Science.
    Beane, Abi
    Sri Lanka.
    Dondorp, Arjen M
    Thailand.
    Haniffa, Rashan
    Sri Lanka.
    Experiences of ICU survivors in a low middle income country- a multicenter study.2018In: BMC Anesthesiology, ISSN 1471-2253, E-ISSN 1471-2253, Vol. 18, no 1, article id 30Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Stressful patient experiences during the intensive care unit (ICU) stay is associated with reduced satisfaction in High Income Countries (HICs) but has not been explored in Lower and Middle Income Countries (LMICs). This study describes the recalled experiences, stress and satisfaction as perceived by survivors of ICUs in a LMIC.

    METHODS: This follow-up study was carried out in 32 state ICUs in Sri Lanka between July and December 2015.ICU survivors' experiences, stress factors encountered and level of satisfaction were collected 30 days after ICU discharge by a telephone questionnaire adapted from Granja and Wright.

    RESULTS: Of 1665 eligible ICU survivors, 23.3% died after ICU discharge, 49.1% were uncontactable and 438 (26.3%) patients were included in the study. Whilst 78.1% (n = 349) of patients remembered their admission to the hospital, only 42.3% (n = 189) could recall their admission to the ICU. The most frequently reported stressful experiences were: being bedridden (34.2%), pain (34.0%), general discomfort (31.7%), daily needle punctures (32.9%), family worries (33.6%), fear of dying and uncertainty in the future (25.8%). The majority of patients (376, 84.12%) found the atmosphere of the ICU to be friendly and calm. Overall, the patients found the level of health care received in the ICU to be "very satisfactory" (93.8%, n = 411) with none of the survivors stating they were either "dissatisfied" or "very dissatisfied".

    CONCLUSION: In common with HIC, survivors were very satisfied with their ICU care. In contrast to HIC settings, specific ICU experiences were frequently not recalled, but those remembered were reported as relatively stress-free. Stressful experiences, in common with HIC, were most frequently related to uncertainty about the future, dependency, family, and economic concerns.

  • 244.
    Pålsson, Anna
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Handledning och lärande utifrån personcentrerad pedagogik2018In: Högskolepedagogisk debatt, ISSN 2000-9216, no 2, p. 59-67Article in journal (Other academic)
  • 245.
    Pålsson, Anna
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Handledning och lärande, utifrån studentcentrerad pedagogik2018In: / [ed] Anna Pålsson, 2018Conference paper (Other (popular science, discussion, etc.))
  • 246.
    Rahr, Charlotta
    et al.
    Kristianstad University, Faculty of Health Science.
    Nilsson, Jenny
    Kristianstad University, Faculty of Health Science.
    Någon måste dö för att jag ska överleva: Patienters upplevelse av att vänta på organtransplantation2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: För många svårt sjuka patienter med organsvikt är organtransplantation deras enda chans till ett bättre och längre liv. Till följd av stora förändringar och framsteg har transplantationen utvecklats, men bristen på organ är global och beror på allmänhetens inställning. Förlorad kontroll är den mest centrala upplevelsen och upplevelsen av oförutsägbarhet och osäkerhet under väntetiden. Lagar och författningar som styr organdonation och organtransplantation ser olika ut i världen. Sverige har en samtyckeslag som betyder att personen är positivt inställd till donation, men närstående har vetorätt och kan motsätta sig ingreppet. Syfte: Syftet var att beskriva patienters upplevelse av att vänta på organtransplantation. Metod: En litteraturstudie med induktiv ansats som omfattas av tolv artiklar varav en kvantitativ. Databaserna Cinahl Complete och PubMed användes. Genom hela gransknings- och analysprocessen användes Polit och Becks niostegsmodell. Resultat: Fyra kategorier framkom: ”fysiska symtom”, ”den psykiska upplevelsen av att vänta”, ”copingstrategier” och ”sociala begränsningar”. Diskussion: Två huvudfynd framkom; det första beskriver fysiska symtom som genererar sociala begräsningar och det andra beskriver hur patienterna utvecklar copingstrategier, för att hantera den psykiska upplevelsen av att vänta. Dessa diskuteras med stöd från annan forskning och Antonovskys förhållningssätt KASAM.

  • 247.
    Rantala, Andreas
    et al.
    Lund University & Linneaus University.
    Behm, Lina
    Kristianstad University, Faculty of Health Science. Lund University.
    Rosén, Helena
    Lund University.
    Quality is in the eye of the beholder: a focus group study from the perspective of ambulance clinicians, physicians, and managers2019In: Healthcare (Basel, Switzerland), ISSN 2227-9032, Vol. 7, no 1Article in journal (Refereed)
    Abstract [en]

    Quality within all areas of healthcare should be systemically monitored and ensured. However, the definition of quality is complex and diverse. In the ambulance service (AS), quality has traditionally been defined as response time, but this measurement eliminates the possibility of addressing other characteristics of quality, such as the care provided. This study aimed to explore what constitutes quality in the context of the ambulance service as experienced by ambulance clinicians, physicians, and managers. A focus group study was conducted with 18 participants. The three focus groups were analyzed with the focus group method developed by Kreuger and Casey. The participants highlighted patient involvement, information and care, as well as adherence to policies, regulations, and their own standards as representing quality in the AS. This study demonstrates that quality is in the eye of the beholder. As quality seems to be viewed similarly by patients and ambulance clinicians, physicians, and managers, stakeholders should aim for a paradigm shift where patients' experience of the care is just as important as various time measures.

  • 248.
    Rantzow, Veronica
    et al.
    Vocational Education Helsingborg.
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Faculty of Health Science, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, Research Platform for Collaboration for Health.
    Lindmark, Ulrika
    Jönköping University.
    Occurrence of oral health problems and planned measures in dependent older people in nursing care2018In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 23-24, p. 4381-4389Article in journal (Refereed)
    Abstract [en]

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

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

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

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

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

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

  • 249.
    Rask, Marie
    et al.
    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. Linnaeus University.
    Swahnberg, Katarina
    Linnaeus University.
    Oscarsson, Marie
    Linnaeus University.
    Notification of an abnormal Pap smear result: an intervention study2018In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 28, no 2Article in journal (Refereed)
    Abstract [en]

    This study aims to assess whether notification of an abnormal Pap smear result via a phone call, delivered by a trained healthcare provider, has an effect on women's HRQoL, coping and awareness of HPV. For this intervention study, women were consecutively recruited from a women's health clinic in Sweden. Women in the intervention group (n = 113) were notified of their Pap smear result via a phone call by a trained healthcare provider, while those in the comparison group (n = 122) were notified via a standard letter. A questionnaire was used to collect data. The results found no significant differences between the groups for HRQoL. However, 42.5% of women in the intervention group versus 48.3% in the comparison group reported anxiety. Women in the intervention group were more satisfied with the manner in which they were notified of their abnormal result than those in the comparison group (92.0% vs. 67.2%; p < 0.001), more aware of HPV (71% vs. 50%; p = 0.001), and called healthcare services less often (10.6% vs. 18.0%; p = 0.113), no significance. In conclusion, notification of an abnormal Pap smear result via a phone call does not increase women's HRQoL or reduce their anxiety.

  • 250.
    Rask, Marie
    et al.
    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. Linnaeus University.
    Swahnberg, Katarina
    Oscarsson, Marie
    Swedish women's awareness of human papillomavirus, and health-related quality of life, anxiety, and depression after a notification of an abnormal Pap smear result: a cross-sectional study.2019In: European Journal of Cancer Prevention, ISSN 0959-8278, E-ISSN 1473-5709, Vol. 28, no 2, p. 96-101Article in journal (Refereed)
    Abstract [en]

    This study aims to assess (a) women's awareness of the human papillomavirus (HPV), (b) women's health-related quality of life (HRQoL) and levels of anxiety and depression symptoms, and (c) to compare the outcomes between women who are aware of the sexually transmitted nature of the HPV infection and women who are not. Swedish women who have been notified of an abnormal Pap smear result completed a questionnaire. This questionnaire consisted of sociodemographic characteristics, items on awareness of HPV, and how to cope with the Pap smear result and the instruments: the Functional Assessment of Chronic Illness Therapy - Cervical Dysplasia and the Hospital Anxiety and Depression Scale (HADS). Data were analyzed using descriptive statistics, Student's t-test, χ-tests, Fisher's exact test, the Mann-Whitney U-test, and Fisher-Freeman-Halton exact test. In total, 122 women participated. The women reported a median (quartile 1-quartile 3) score of 87.6 on the Functional Assessment of Chronic Illness Therapy - Cervical Dysplasia (81.8-107.0), compatible with a good HRQoL. The median (quartile 1-quartile 3) scores on HADS-anxiety and HADS-depression were 7.0 (4.0-10.0) and 3.0 (1.0-5.3), respectively; however, 48.4% of the women reported anxiety (compared with 20% in a normal population). There were no statistically significant differences in the median scores in any of the scales, including the prevalence of distress between the subgroups. Women with abnormal Pap smear results have a good HRQoL; they can become anxious, but not depressed. Awareness of HPV as a sexually transmitted infection is low, but being aware does not impact on women's HRQoL or on anxiety and depression.

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  • text
  • asciidoc
  • rtf