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  • 251.
    Björklund, Margereth
    Kristianstad University, School of Health and Society.
    Health promotion and everyday living with head and neck cancer: a qualitative study2011Book (Other academic)
    Abstract [en]

    In society there is a growing awareness that a vital factor for patients with chronic diseases is how well they are able to function in their everyday lives. The aim was to reach a deeper understanding of living with head and neck cancer (HNC). Interviews were performed and critical incident technique, thematic and latent content, and interpretative descriptive analysis were used. Everyday living was expressed as living in captivity, in the sense that patients’ sometimes life-threatening symptoms were constant reminders of the disease. Patients struggled to find power and control from inner strength and other health resources, e.g. social networks, nature, hobbies, activity, and health professionals. Some patients were more vulnerable and felt lost and abandoned by health services, especially before and after treatment. A mutual working relationship during dialoguing and sensed co-operation and equality in encounters with competent health professionals could promote health and well-being. The findings highlight psychosocial rehabilitation in a patient-centred organisation when health professionals support patients’ inner strength and health resources.

  • 252.
    Björklund, Margereth
    Kristianstad University, School of Health and Society.
    Living with head and neck cancer: a health promotion perspective - a qualitative study2010Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background and aim: In society there is a growing awareness that a vital factor for patientswith chronic diseases, such as head and neck cancer (HNC), is how well they are able to function in their every day lives – a common, but often overlooked, public health issue. The overall aim of this thesis is to reach a deeper understanding of living with HNC and to identify the experiences that patients felt promoted their health and well-being. It also explores the patients' experiences of contact and care from health professionals and whether these encounters could increase their feelings of health and well-being; salutogenic approach.

    Methods: This thesis engages a qualitative data design. On three occasions, 35 purposivelyselected patients were interviewed (31 from Sweden and one from Denmark, Finland, Island, and Norway). The first study was conducted in the Nordic counties (I), and the remainingstudies were conducted in Sweden (II, III, IV). Interviews were performed on a single basis(I, II, III) and then repeated (IV). The individual, semi-structured qualitative interviews usedopen-ended questions (n=53). Three different forms of analyses were used: critical incident technique (I), thematic content analysis (II), latent content analysis (III), and interpretativedescriptive analysis (paper IV).

    Findings: Living with head and neck cancer was expressed as living in captivity, in the sensethat patients' sometimes life-threatening symptoms were constant reminders of the disease. The patients experienced a threat against identity and existence. Patients struggled to find power and control over everyday life, and if successful this appeared to offer them better health and well-being along with spiritual growth. The general understanding was that these patients had strong beliefs in the future despite living on a virtual rollercoaster. The patients went through a process of interplay of internal and external enabling that helped them acquire strength and feelings of better health and well-being. Consequently, they found power and control from inner strength and other health resources, e.g. social networks, nature, hobbies, activity, and health professionals. However, the findings also revealed the opposite; that some patients were more vulnerable and felt powerless and faced everyday life with emotional and existential loneliness. They were dependent on next of kin and health professionals. Having good interpersonal relationships and emotional support 24 hours a day from next of kin were crucial, as were health promoting contacts and care from health professionals. This health promoting contact and care built on working relationships with competent health professionals that were available, engaged, respectful, validating, and, above all experienced in the treatment phase. But many patients experienced not health promoting contact and care – and a sense of not being respected, or even believed. Added were the patients' experiences of inadequate coordination between phases of their lengthy illness trajectory. They felt lost and abandoned by health services, especially before and after treatment.

    Conclusions: Inner strength, good relationships with next of kin, nature, hobbies, andactivities could create strength and a sense of better health and well-being. Patients experienced a mutual working relationship during dialoguing and sensed co-operation and equality in encounters with competent health professionals. This could lead to enhanced power and control i.e. empowerment in a patient's everyday life. The findings highlight psychosocial rehabilitation in a patient-centred organisation when health professionals supportpatients' inner strength and health resources , and also offer long-term support to next of kin.Finally, this research suggests that if health professionals could gain a deeper understanding of the psychosocial, existential, social, and economic questions on patients' minds, they could better sense how patients feel and would be better equipped not only to offer greater support, but to raise their voices to improve health policy and health care for these patients. 

  • 253.
    Björklund, Margereth
    et al.
    Halmstad University.
    Fridlund, B.
    Halmstad University.
    Cancer patients' experiences of nurses' behaviour and health promotion activities: a critical incident analysis1999In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 8, no 4, p. 204-212Article in journal (Refereed)
    Abstract [en]

    Patients with head and neck cancer report several disease- and health-related problems before, during and a long time after completed treatment. Nurses have an important role in educating/supporting these patients about/through the disease and treatment so that they can attain well-being. This study describes the cancer patients' experiences of nurses' behaviour in terms of critical incidents after nurses had given them care to promote health. The study had a qualitative, descriptive design and the method used was the critical incident technique. Twenty-one informants from the Nordic countries diagnosed with head and neck cancer were strategically selected. It was explained to the informants what a critical incident implies before the interviews took place; this was defined as a major event of great importance, an incident, which the informants still remember, due to its great importance for the outcome of their health and well-being. The nurses' behaviour was examined, and critical incidents were involved in 208 cases-150 positive and 58 negative ones-the number of incidents varying between three and 20 per informant. The nurses' health promotion activities or lack of such activities based on the patients' disease, treatment and symptoms, consisted of informing and instructing the patients as well as enabling their participation. Personal consideration and the nurses' cognisance, knowledge, competence, solicitude, demeanour and statements of understanding were found to be important. Continuous health promotion nursing interventions were of considerable value for the majority of this group of cancer patients. Oncology nurses could reconfirm and update the care of head and neck cancer patients by including health promotion activities in individual care plans. By more frequent use of health promotion models, such as the empowerment model, the nurses could identify and focus on those individuals who needed to alter their life-style as well as tailor their approach towards these patient by setting goals for well-being and a healthy life-style.

  • 254.
    Björklund, Margereth
    et al.
    Kristianstad University, School of Health and Society.
    Sarvimäki, Anneli
    The Nordic School of Public Health, Gothenburg.
    Berg, Agneta
    Kristianstad University, School of Health and Society.
    Health promoting contacts as encountered by individuals with head and neck cancer2009In: Journal of Nursing and Healthcare of Chronic Illness, ISSN 1752-9816, Vol. 1, no 3, p. 261-268Article in journal (Refereed)
    Abstract [en]

    Aim. To describe the characteristics of health promoting contacts with health professionals as encountered by individuals with head and neck cancer. Background. Head and neck cancer has a profound and chronic impact on the individual's everyday life, e.g. physical problems that hinder speaking, breathing, eating and drinking. Furthermore, fear and uncertainty can lead to long-term psychological and psychosocial problems. The National Institute of Public Health in Sweden advocates that all care contacts should improve the quality of the individual's health. Design. A qualitative descriptive and explorative design was used. Eight participants were interviewed in the year 2005 and a qualitative thematic content analysis of the data was performed. Findings. Health promoting contacts were defined as contacts where health care professionals contribute positively to the well-being of individual patients. Characteristics include being available, engaged, respectful and validating. Three themes were identified: being believed in one's illness story; having a working relationship with health professionals and receiving individualised, tailored care. Conclusions. Health promoting contacts were experienced mainly during the treatment phase, when patients had daily contact with specific, qualified health professionals. Although the interview questions focused on health promoting contacts, nearly half of the contacts were experienced as not health promoting. Feelings of abandonment were particularly manifested before and after treatment. The starting point for achieving health promoting contact lies in understanding the patient's lifeworld in relation to health, illness and suffering and focusing on the individual's personal strengths and health resources. Relevance to clinical practice. The findings highlighted the importance of ensuring that patient interests and concerns are core considerations in health care. The participants viewed continuing individualised, tailored care and access to ear, nose and throat healthcare professionals as highly important.

  • 255.
    Björklund, Margereth
    et al.
    Kristianstad University, School of Health and Society.
    Sarvimäki, Anneli
    The Nordic School of Public Health, Gothenburg.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Health promotion and empowerment from the perspective of individuals living with head and neck cancer2008In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 12, no 1, p. 26-34Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to shed light on health promotion from the perspective of individuals living with head and neck cancer. Eight informants were interviewed and latent content analysis was used. Individuals living with head and neck cancer experienced many problems that had a negative impact on their health. One overarching main theme was demonstrated; the ability to regain control and empower oneself. Three themes emerged: (1) Being enabled by dialogue with one's inner self, including three sub-themes: transformed and improved self-esteem, recognising and embracing existentiality, and increased self-determination. (2) Being enabled by means of contact with a social network, including two sub-themes: emotional support and practical support. (3) Being enabled by means of contact with and a passion for the environment, including two sub-themes: nature, hobbies and activities. Empowerment, the goal of health promotion, was understood as an ongoing process, and the ability to promote health varied and was dependent on internal and external enabling of acting and doing. The interpretation of this ongoing process demonstrates interplay assisted by a dialogue with one's inner self, contact with a social network and a passion for the environment. Altogether, these findings may inspire nurses and other health care professionals to support the individual's empowerment process and pose non-pathology-oriented questions such as "what improves your health?" or "what makes you feel good?"

  • 256.
    Björklund, Margereth
    et al.
    Kristianstad University, School of Health and Society.
    Sarvimäki, Anneli
    The Nordic School of Public Health, Gothenburg.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Living with head and neck cancer: a profile of captivity2010In: Journal of Nursing and Healthcare of Chronic Illness, ISSN 1752-9816, E-ISSN 1752-9824, Vol. 2, no 1, p. 22-31Article in journal (Refereed)
    Abstract [en]

    Aim. To illuminate what it means to live with head and neck cancer.

    Background. Patients could experience head and neck cancer as more emotionally traumatic than other cancers because of visible disfigurement and its life-threatening impact on vital functions. This long-term illness often leads to lifestyle changes such as to physical function, work and everyday tasks, interpersonal relationships and social functioning.

    Design. This study used a qualitative and explorative longitudinal and prospective design with semi-structured interviews and open-ended questions. Twenty-one interviews were conducted with six participants with newly diagnosed or newly recurrent head and neck cancer. The analysis was descriptive and interpretive.

    Findings. The participants were living 'in captivity' in the sense that their symptoms were constant reminders of the disease. Our findings also revealed existential loneliness and spiritual growth, as interpreted within six themes: altered sense of affiliation; hostage of health care; locked up in a broken body, but with a free spirit; confined in a rogue body, forced dependency on others, and caught up in a permanent illness trajectory.

    Conclusions. Living with head and neck cancer involves emotional and existential vulnerability. The participants and their next of kin experienced insufficient support from health services and inadequate coordination between phases of their lengthy illness trajectory. These findings call for changes in oncological rehabilitation and management. Patient care must take a holistic view of everyone involved, centring on the individual and the promotion of health. A care coordinator could navigate between the individual patient needs and appropriate health services, hopefully with results that lessen the individual's emotional and existential confinement.

  • 257.
    Bladh, Emelie
    Kristianstad University, School of Health and Society.
    Chefers hälsofrämjande arbete och ledarskap för den psykosociala arbetsmiljön: en kvalitativ studie inom äldreomsorgen2015Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Psykosocial arbetsmiljö inom vård och omsorg påverkas mycket av stress, hög arbetsbelastning och alltför få anställda. Samtidigt påverkas arbetsmiljön av chefens hälsofrämjande arbete och ledarskap. Förutsättningarna för chefer inom äldreomsorg beskrivs ofta som negativa, vilket påverkar möjligheterna att kunna utföra det hälsofrämjande arbete och ledarskap som behövs för att skapa en hållbar psykosocial arbetsmiljö för de anställda.

    Syfte: Att undersöka hur chefer inom äldreomsorgen upplever arbetet med att utveckla den psykosociala arbetsmiljön och hur de använder sig av hälsofrämjande arbete och ledarskap i detta arbete.

    Metod: Data har samlats in i form av sju individuella intervjuer. Materialet transkriberades och en innehållsanalys utfördes för att få fram resultatet.

    Resultat: Cheferna upplever att det hälsofrämjande arbetet och ledarskapet är viktigt för att skapa en hållbar psykosocial arbetsmiljö. Cheferna använder sig bland annat av systematiskt arbetsmiljöarbete och de främjar en psykosocial arbetsmiljö genom att bemöta medarbetarnas behov och ger möjligheter till diskussion, reflektion och dialog. De använder sig också av ett situationsanpassat ledarskap. Resultatet visar bland annat att hälsofrämjande arbete och ledarskap samspelar med varandra samt att närvaro och kommunikation är viktiga faktorer för ett effektivt ledarskap och hälsofrämjande arbete.

    Slutsats: Cheferna anser att de har bra förutsättningar för att arbeta utvecklande med den psykosociala arbetsmiljön. Deras upplevelser och intresse för arbetsmiljöarbetet och dess utveckling samt användandet av deras hälsofrämjande arbete och ledarskap är viktigt för att skapa en hållbar psykosocial arbetsmiljö. Det är väsentligt att engagera medarbetarna och skapa dialoger och diskussioner i det hälsofrämjande arbetet samt ta hänsyn till närvaro och kommunikation i ledarskapet.

  • 258. Blankenau, I.
    et al.
    Dahlin-Ivanoff, S.
    Rothenberg, Elisabet
    Kristianstad University, Forskningsmiljön Mat, måltid, hälsa i 24-timmarsperspektivet. Kristianstad University, Resrarch environment Food and Meals in Everyday Life (MEAL). Kristianstad University, School of Education and Environment, Avdelningen för Humanvetenskap.
    A comparison of body height estimated by different proxy measures in Swedish older adults2012Conference paper (Refereed)
    Abstract [en]

    Approximately 40 per cent of older adults living at home are at risk of malnutrition. To detect this condition, body mass index is often used as a tool. The standard way of measuring body height is in a standing position. Height decreases with age and further, many older adults are not physically capable to undergo standing height measures. As height is one of the components in BMI it can be affected by body height decrease which in turn will affect the estimated prevalence of malnutrition risk. There are many different ways to estimate height by proxy measures. The aim of this study was to investigate whether proxy measurements could prove to be useful when estimating height in Swedish community-dwelling older adults. Home visits were made to 51 men and 51 women, who had participated in the randomized, single-blinded health-promoting intervention study, Elderly in the Risk Zone, living in the urban district Örgryte-Härlanda in Gothenburg, Sweden. Body weight, standing height, recumbent height, knee-height and demi-span was measured. An interview was also conducted, retrieving information regarding e.g. height around 20 years of age. T-test and Wilcoxon rank tests were performed and to further examine the results regression analyses and Bland & Altman-plots were conducted. The result showed that between 20 years of age to present age the men had decreased, in body height, on average 3,8 cm and the women 4,9 cm. In both the regression analysis and in the Bland & Altman plots, recumbent height and youth height seem to best conform to standing measured height. In the men, a negative correlation was found between the difference standing and knee-height measure of body height compared to mean values of the two measures in the Bland & Altman plots, though it was the only measurement that did not show any group mean statistical significant difference from standing height by t-test. No negative or positive correlation was seen in the women by the Bland & Altman plots. Demi-span gave an underestimation of body height in both genders. The present results show that body height seems to decrease with age and that besides standing, the best proxy measure is recumbent height otherwise that right knee-height could be used. Different height measurements could affect the BMI classification. Though we need to learn more about what affects the height decrease with age and what proxy measures are reliable. It would be desirable that a larger study would be conducted.

  • 259.
    Blid Nilsson, Tobias
    et al.
    Kristianstad University, School of Health and Society.
    Lindsjö, Marko
    Kristianstad University, School of Health and Society.
    Ett bipolärt liv: Erfarenheter av bipolär sjukdom2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Bipolar disorder is a chronic disease where the person experiencing manic and depressive episodes. During mania has the person an increased energy level, the thoughts flow and impaired reviewed. Depression is characterized by sadness and a gloomy mood. The purpose of this study was to describe the experience a person has to live with bipolar disorder. A narrative analysis was used. This is based on four autobiographies. The results showed that it can take a long time before getting diagnosed and therefore the appropriate treatment. While it is common that patients stop taking their medications because of side effects. People with bipolar disorder often feel anxiety before falling ill with manic or depressive episodes. Emotions such as worry and anxiety can be combined with depressive episodes lead to self-injury. For example, they cut themselves. Those who suffer from bipolar disorder can benefit greatly from their family as a safety-net. Even other people who are in a similar situation can be a great support.

  • 260.
    Blixt, Miranda
    et al.
    Kristianstad University, School of Health and Society.
    Brun, Sara
    Kristianstad University, School of Health and Society.
    Föräldrastöd och hälsa hos svenska femtonåringar2012Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    The health of human beings is affected by individual lifestyle factors but also by social, socioeconomic and cultural factors. Parents have the greatest responsibility for their children´s development and growth conditions. The aim of this study was to investigate the prevalence of perceived parental support among Swedish fifteen year olds, based upon the adolescents´ reported rate of verbal communication with their parents/step-parents, investigate the perceived health and how parents´ support relate to the adolescents´ perceived health. Data from the quantitative survey (n=3438) about health behavior in school-aged children, from the Swedish National Public Health Institute, were used to enable analysis and generalization of the result. The result showed that fifteen year olds that could talk to their parents/step-parents had parents that worked, a better family economy and a later alcohol debut. Furthermore, they were more physically active and liked school better. Adolescents with perceived parental involvement in school liked school better and also felt less stressed from their schoolwork. In the result and literature a good communication between child and parent/step-parent has showed to be important in several fields, which is brought up in the discussion. This verbal interaction in the home has an impact on how the child is affected by social values, the child´s own choice of lifestyle and it can also effect the child´s self-image positively. As a conclusion the result indicates the importance of society´s investment in parent-child support. Promoting interventions could prevent many of the psycho-social problems that cost the society a lot of money. It could also help the child to a safer socialization into society, which positively effects the child´s health.

  • 261.
    Blom, Lisbeth
    et al.
    Kristianstad University College, School of Health and Society.
    Jönsson, Anna-Lena
    Centralsjukhuset Kristianstad.
    Westergren, Albert
    Kristianstad University College, School of Health and Society.
    Vårdprogram minskar postoperativt illamående: en klinisk naturalistisk interventionsstudie2009Report (Other academic)
    Abstract [en]

    The demands on the healthcare staffs’ competence and performance are increasing. Evidence based nursing should be carried out with a scientific knowledge and approach in order to secure patients safety. The staff at a surgical clinic noticed that a great number of their patients suffered from nausea post operatively.

     

     

    *        Objectives: to evaluate the effects of the implementation of a programme for post surgical nausea, for patients that had elective surgery in the abdominal and intestinal areas.

     

    Method: The study had a quantitative, descriptive, pre- and post comparative design. A questionnaire was used at two occasions, before (the control-group) and after (the intervention-group) the implementation of a programme for post surgical nausea.

     

    Results: Significant differences were observed in that the intervention-group experienced fewer problems with nausea and vomiting post operatively in comparison to the control-group.

     

    Conclusions: The programme for post surgical nausea for patients with elective surgery in the abdominal and intestinal areas is effective in preventing post surgical nausea. This method for designing, implementing and evaluating a care programme can be used in other clinical settings. The programme for post surgical nausea can be used for other patients for whom post surgical nausea is a risk factor.

  • 262.
    Blom, Lisbeth
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön PRO-CARE.
    Westergren, Albert
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön PRO-CARE.
    SBAB: en modell för kommunikation mellan vårdpersonal - en klinisk interventionsstudie2012Report (Other academic)
    Abstract [sv]

    Bakgrund:

    Otydlig  kommunikation  mellan  vårdpersonal  är  en  vanlig bakomliggande  orsak  till  patientskador  inom  vården.  Varje  gång  som information ska överföras från en person till en annan riskerar den att bli förändrad på något sätt. Utan gemensam förståelse fås då ett otillräckligt underlag  för  att  t  ex  läkaren  ska  kunna  fatta  rationella  medicinska beslut   och   för   sjuksköterskan  att   göra   adekvata   omvårdnadsåtgärder.

    Syftet:

    Syftet var att utvärdera effekterna av införandet av SBAR – en modell för kommunikation mellan vårdpersonal.

    Metod:

    Studien har haft en kvantitativ, deskriptiv, jämförande pre- och postinterventions design. Metoden som har använts var enkät med strukturerade frågor. Enkäten har använts före och efter införandet av SBAR som modell för kommunikation mellan vårdpersonal. Öppna frågor (kommentarer till respektive fråga) i enkäten analyserades kvalitativt.

    Resultat:

    Vårdpersonalen ansåg i större utsträckning att det genom införandet av SBAR fanns en väl fungerande struktur för innehållet i den muntliga kommunikationen kring patientens tillstånd. Kvalitativa fynd presenteras under fyra teman såsom: Användning av SBAR som struktur, Tiden för rapportering, Patientsäkerhet och Personberoende.

    Slutsats:

    SBAR en modell för kommunikation mellan vårdpersonal är effektiv för att få en struktur på innehållet samt för patientsäkerheten vid rapportering av patienter. Den här använda metodiken för framtagande, implementering och utvärdering av modellen för kommunikation mellan vårdpersonal kan med fördel användas inom andra områden som är i behov av utveckling.

  • 263.
    Blomberg, Anders
    et al.
    Kristianstad University, School of Health and Society.
    Stefaniak, Sonya
    Kristianstad University, School of Health and Society.
    Sjuksköterskors upplevelser av etiska dilemman inom sluten psykiatrisk vård2013Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: All medical care performed in Sweden is optional, even in the psychiatric care. Although the care can sometimes be coercive by law and therefore against the patients will. When the nurse limits the autonomy of a patient by coercive measures the nurse may experience it as it ethically difficult even if it is for the best interest of the patient. Purpose: The purpose of the literature study is to highlight nurses experiences when performing coercive measures against patients with psycothic diseases in psychiatric closed care, from an ethical perspective. Method: A literature study with ten qualitative studies was processed and analyzed by the authors. From the analysis the authors were able to make categories out from the finds in most of the articles. Result: When performing coercive measures the nurses experienced ethical dilemmas. By relation, purpose and reflection the nurses experienced that the autonomy of the patients could be respected and treated better. Discussion: By using the categories from the result as a basis the ethical experiences of performing coercive measures were discussed. A main concept that described the relationship between nurse and patient was paternalism. The HSL and LPT- laws were discussed and put in conflict against eachother.

  • 264.
    Blomqvist, Kerstin
    Kristianstad University, School of Health and Society.
    Att känna igen och lindra smärta hos personer med demenssjukdom2011In: Att möta personer med demens / [ed] Anna-Karin Edberg, Lund: Studentlitteratur, 2011, 2, p. 271-285Chapter in book (Other academic)
  • 265.
    Blomqvist, Kerstin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Förutsättningar för personcentrerade möten2017In: Omvårdnad och äldre / [ed] Kerstin Blomqvist, Anna-Karin Edberg, Marie Ernsth Bravell, Helle Wijk, Lund: Studentlitteratur, 2017, p. 63-88Chapter in book (Other academic)
  • 266.
    Blomqvist, Kerstin
    Kristianstad University, School of Health and Society. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Helhetssyn – att binda samman, avgränsa och leda2010Report (Other academic)
  • 267.
    Blomqvist, Kerstin
    Kristianstad University, School of Health and Society.
    Helhetssyn – att binda samman,avgränsa och leda: rapport från en forskningscirkel om helhet och helhetssyn i omsorg, vård och rehabilitering av äldre2009Report (Other academic)
  • 268.
    Blomqvist, Kerstin
    Kristianstad University, Department of Health Sciences.
    Närsjukvård: vad innebär det i Region Skåne?2007In: FoU-tidningen, no 6, p. 7-8Article in journal (Other academic)
    Abstract [sv]

    I forskningsplattformens uppdrag ingick att följa och dokumentera närsjukvårdsutvecklingen i regionen. Som ett första steg i detta arbete intervjuades 97 medborgare, medarbetare och beslutsfattare om vad de lade in i begreppet närsjukvård. Avsikten var att ta reda på hur olika grupper såg på vad närsjukvård var eller borde vara. Ett vanligt svar bland framför allt medborgare och medarbetare var att de hade hört talas om närsjukvård men att termen var tvetydig, oklar och kunde förstås på olika sätt. I avsaknad av en klar definition försökte de förstå genom att associera till orden nära och sjukvård.

  • 269.
    Blomqvist, Kerstin
    Department of Nursing, Lund University.
    Older people in persistent pain: nursing and paramedical staff perceptions and pain management2003In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 41, no 6, p. 575-584Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Persistent pain is a common problem for older people. Knowledge about how nursing and paramedical staff perceive these people and what they do to relieve the pain seems scarce. AIM: To explore nursing and paramedical staff perceptions of older people in persistent pain and their day-to-day management of pain. METHODS: Interviews in Swedish with 52 nursing auxiliaries, Registered Nurses, physiotherapists and occupational therapists were collected from February to May 2000. The analysis was based on their stories (n = 150) about older people in persistent pain who received help in their own homes or in special accommodation. A typology of staff perceptions of pain in older people was developed. Activities to manage pain were examined using content analysis. RESULTS: Respondents perceived the pain as real, exaggerated, trivial, care-related, endured, concealed, self-caused or inarticulate. Older people perceived as exaggerating the pain, those with care-related and self-caused pain evoked frustration in the staff, while those perceived as enduring their pain evoked satisfaction. Various strategies to manage pain were used: no activity, medication, mediating contacts, distracting activities, physical therapies, mobility, work in a gentle way, rest or relieving pressure on body part, and communication concerning pain. The activities differed between the types, as well as between staff with different professional backgrounds. CONCLUSION: Care and treatment provided by staff should be based on older people's needs rather than on staff attitudes and preferences. The typology revealed that staff perceived older people in pain as a heterogeneous group and that their perceptions affected the pain-relieving activities that were offered. It seems urgent to address how to handle pain in older people who never complain and those who complain a great deal, as well as how to handle pain in people with impaired communicative ability. Reflective discussions on feelings related to different individuals are needed.

  • 270.
    Blomqvist, Kerstin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Personcentrerade resultat2017In: Omvårdnad & äldre / [ed] Kerstin Blomqvist, Anna-Karin Edberg, Marie Ernsth Bravell, Helle Wijk, Lund: Studentlitteratur, 2017, p. 91-94Chapter in book (Other academic)
  • 271.
    Blomqvist, Kerstin
    Kalmar läns landsting.
    Prioriteringar i vårdflöden för äldre: en förstudie2007Report (Other academic)
    Abstract [en]

    Background

    This report is the result of a limited project with the aim of examining priority setting in care for the elderly in which multiple care providers are involved. The main issues dealt with the kind of prioritizing that is done daily and the motivations or considerations that the priorities are based on. The health care services provided to the elderly are based on an organization’s or society’s motivations and values but can also be based on the individual care provider’s own comprehension. Before the relevance of selected services can be assessed we need insight into how priorities are set and on which values they are based, in other words, the priority setting process requires transparency. This pilot study is an attempt to penetrate the priority setting process and thereby function as a point of departure for continued studies of how elderly care can be provided –based on elderly people’s experience and wishes.

    Aim

    The aim of this pilot study is to obtain knowledge of what characterizes an elderly person’s path through the flow of care services, which decisions are made and on what grounds. Based on these questions, new areas are identified that require in-depth study and analysis in order to develop issues and methodologies for coming projects dealing with priority setting in the flow of care for the elderly from the user perspective.

    Method

    A strategic selection of eleven people, employed in both municipal and county council elderly care have been interviewed with the aid of hypothetical case descriptions. The interviews have been supplemented with questions such as if their own organization has any policy documents, guidelines or informal regulations (known by everyone but not in writing) for care and treatment of particular health conditions. Existing policy documents/guidelines have been collected and comprise part of the empirical material for the pilot study. Each interview has been analyzed using the method content analysis.

    Results

    The study showed that the priority setting described was seldom about choices between patient categories. Instead choices were described as being made between different forms of health care and between different rehabilitation efforts. The choices that were most often described were if the patient should be offered hospital care or care at home and if the patient should be offered rehabilitation in the form of training or rehabilitation, primarily, in the form of aids. The analysis showed that the decision was based on considerations related to the patient, personnel and/or the organization. In a normal case, the decision was based on a combination of these considerations. The pilot study provides a complex picture of the considerations personnel based their prioritizing on. One finding is that decisions on care and rehabilitation are not only based on factors related to the individual patient but also on factors related to personnel and the organization where the decision is made. The report recommends a general discussion about priority setting among personnel who work with elderly persons by examining how to apply the human dignity principle when, e.g. the elderly person’s social network is considered as a factor when prioritizing between training or not. The report recommends a discussion on the choice of gauge for assessing the effect of different treatments.

  • 272.
    Blomqvist, Kerstin
    Kristianstad University, Department of Health Sciences.
    Smärta hos personer med demens2007In: Jakobsson, Ulf (red), Långvarig smärta, Lund: Studentlitteratur , 2007, p. 107-118Chapter in book (Other academic)
  • 273.
    Blomqvist, Kerstin
    et al.
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Beck, Ingela
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.
    Personcentrerade processer2017In: Omvårdnad & äldre / [ed] Kerstin Blomqvist, Anna-Karin Edberg, Marie Ernsth Bravell, Helle Wijk, Lund: Studentlitteratur, 2017, p. 73-87Chapter in book (Other academic)
  • 274.
    Blomqvist, Kerstin
    et al.
    Department of Nursing, Lund University.
    Edberg, Anna-Karin
    Department of Nursing, Lund University.
    Living with persistent pain: experiences of older people receiving home care2002In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 40, no 3, p. 297-306Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Although the topic of pain among older people has received increasing interest, little is still known about how pain is experienced or handled by those who no longer manage independently but depend on professionals for help with daily living. Developing pain management for older people requires such knowledge. AIM: To explore sense of self, sense of pain, daily living with pain, sense of others and ways of handling pain in older people with persistent pain. METHODS: Interviews with 90 older people receiving home care from nursing auxiliaries in their own homes or in sheltered accommodation were collected from January to June 2000. A typology of older people in persistent pain was developed. Activities for handling pain were examined using content analysis. FINDINGS: Respondents' experiences of themselves and their pain varied. Two groups of older people, considered as 'competent and proud' and 'confident and serene', expressed satisfaction in spite of pain, while the groups 'misunderstood and disappointed' and 'resigned and sad' expressed dissatisfaction. The most common strategies used were medication, rest, mobility, distracting activities and talking about pain. Respondents chose strategies by balancing the advantages of the activities against the disadvantages these brought for their daily living. CONCLUSION: This study indicates that characteristics of the older people, such as their way of experiencing themselves, how pain affects their daily life and how they perceive effects and side-effects of pain management are areas that need to be identified when staff assess pain and plan pain management. Caring for older people in pain could be improved by listening to and believing their complaints, evaluating effects and side-effects from medications and nonpharmacological pain management and by emphasising the importance of common everyday activities such as mobility and distraction to relieve pain.

  • 275.
    Blomqvist, Kerstin
    et al.
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Edberg, Anna-KarinKristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.Ernsth Bravell, MarieJönköping University.Wijk, HelleGöteborgs universitet.
    Omvårdnad & äldre2017Collection (editor) (Other academic)
    Abstract [sv]

    Boken belyser äldre personers hälsa och ohälsa och bygger på sammanlagt 27 svenska forskares beskrivningar av det aktuella kunskapsläget. De flesta författare har sin utgångspunkt i omvårdnad, men bland författarna återfinns även företrädare för medicin, oral hälsa, kulturgeografi, filosofi, socialt arbete, gerontologi, medicinsk etik, arbetsterapi och fysioterapi.

    Omvårdnad & äldre vänder sig till sjuksköterskestudenter på såväl grund- som specialistutbildning, men även till kliniskt verksamma sjuksköterskor och andra yrkesgrupper inom fältet. År 2017 tilldelades boken Kurslitteraturprisets hederspris med följande motivering: ”För ett hhögaktuellt såväl i dag som under många år framöver. Andelen äldre ökar och många lever allt längre med långvariga sjukdomar. Detta ställer nya krav på sjuksköterskan och omvårdnaden. Boken är helt anpassad till dessa nya förutsättningar där de senaste forskningsresultaten kombineras med konkreta omvårdnadsåtgärder. Verket är mycket välskrivet, med den äldre personen ständigt i centrum.”eltäckande grundverk, som med gedigen vetenskaplig tyngd, avhandlar ett område som är högaktuellt såväl i dag som under många år framöver. Andelen äldre ökar och många lever allt längre med långvariga sjukdomar. Detta ställer nya krav på sjuksköterskan och omvårdnaden. Boken är helt anpassad till dessa nya förutsättningar där de senaste forskningsresultaten kombineras med konkreta omvårdnadsåtgärder. Verket är mycket välskrivet, med den äldre personen ständigt i centrum.”

  • 276.
    Blomqvist, Kerstin
    et al.
    Department of Nursing, University of Lund.
    Hallberg, Ingalill R.
    Department of Nursing, University of Lund.
    Managing pain in older persons who receive home-help for their daily living: perceptions by older persons and care providers2002In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 16, no 3, p. 319-328Article in journal (Refereed)
    Abstract [en]

    Pain is a common problem for older persons who need professional help for their daily living. In this study 94 older persons (75+) in persistent pain were compared with 52 care providers concerning the pain management methods they had used/administered during the previous week and how helpful they perceived these methods to be. Interviews were based on 16 items from the original version of the pain management inventory (PMI). Both groups perceived prescribed medication, rest and distraction as the most frequently utilized methods. Specific methods such as transcutaneous electrical nerve stimulation (TENS) or bracing/splinting or bandaging the affected body part were seldom employed, although most users perceived these methods as helpful. Care providers perceived most methods for managing pain as more effective than older persons did. The results imply that care providers need skills in a variety of pharmacological and nonpharmacological methods to manage pain and a need to evaluate effectiveness of the methods in a systematic way.

  • 277.
    Blomqvist, Kerstin
    et al.
    Centre for Caring Sciences, Lund University.
    Hallberg, Ingalill R.
    Centre for Caring Sciences, Lund University.
    Pain in older adults living in sheltered accommodation: agreement between assessments by older adults and staff1999In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 8, no 2, p. 159-169Article in journal (Refereed)
    Abstract [en]

    This study aimed to investigate the presence of pain, pain duration, localization(s), intensity, type and pharmacological treatment among older adults living in sheltered accommodation or receiving rehabilitation, as well as the agreement between pain assessments performed by staff and the older adults. Twenty-nine randomly selected older adults (65+ years) and the staff who looked after them participated in a structured interview based on standardized measures for pain assessment and physical, intellectual and communicative functions. Pain was found to be common, with a majority of participants experiencing it every day or all of the time. Nine out of 22 of the older adults in pain had no pain relief drugs at all. Agreement between assessments by the older adults and the staff was no higher than moderate and in general pain levels were underestimated. The findings indicate that older adults were at risk of undetected and untreated pain and the risk was even higher for those with speech difficulties. The provision of good nursing care for older adults in sheltered accommodation requires systematic routines for frequent pain assessments.

  • 278.
    Blomqvist, Kerstin
    et al.
    Department of Nursing, Unit for Caring Sciences, Lund University.
    Hallberg, Ingalill R.
    Department of Nursing, Unit for Caring Sciences, Lund University.
    Recognising pain in older adults living in sheltered accommodation: the views of nurses and older adults2001In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 38, no 3, p. 305-318Article in journal (Refereed)
    Abstract [en]

    Sixty-six randomly selected older adults and their contact nurses participated in interviews based on standardised assessments of pain and open-ended questions focusing how pain was expressed and recognised. The sample included older adults with normal as well as cognitively impaired function. Seventy-nine percent of older adults with normal cognition were often in pain. Contact nurses assessed pain in 57% of cognitively impaired older adults. The content in the statements showed that pain recognition was a communicative interactive process based on verbal and non-verbal expressions. The process comprised attempts to understand the cause and intention of the expression and to verify the presence of pain. Changes in mood, facial expressions and physiological responses were described less often by older adults than by their nurses. Contact nurses of cognitively impaired older adults judged immobility as the source of pain, that it was possible to see when the person was in pain and that pain was expressed by paralinguistic and body language more often than contact nurses of cognitively healthy older adults. Characteristics of nurses and older adults could facilitate or hinder pain recognition. The findings indicate a need for reflective discussions in the staff group focusing on how to perform systematic assessments of verbal and non-verbal expressions and of hindrances and facilitators for recognising pain in older adults.

  • 279.
    Blomqvist, Kerstin
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Petersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Vårdkedjans aktörer och organisering2014In: Omvårdnadens grunder: ansvar och utveckling / [ed] Anna Ehrneberg & Lars Wallin, Lund: Studentlitteratur, 2014, 2, p. 167-196Chapter in book (Other (popular science, discussion, etc.))
  • 280.
    Blomqvist, Kerstin
    et al.
    Kristianstad University, School of Health and Society.
    Theander, Eva
    Hässleholm Hospital.
    Mowide, Inger
    Hässleholm Hospital.
    Larsson, Veronica
    Hässleholm Hospital.
    What happens when you involve patients as experts?: a participatory action research project at a renal failure unit2010In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 17, no 4, p. 317-323Article in journal (Refereed)
    Abstract [en]

    Although there is a trend towards developing health care in a patient-centred direction, changes are usually planned by the professionals without involving the patients. This paper presents an ongoing participatory action research project where patients with chronic renal failure, nurses at a specialist renal failure unit, a hospital manager and a researcher worked together to develop patient-centred care. The project combined the expertise of patients in their own experiences of living with a chronic condition with the professional expertise of nurses, the manager and the researcher. As the workload on the unit was uneven, the development work needed to be low in intensity but long-term. Based on a number of dialogues in focus groups, four main development areas were identified; access to test results, prerequisites for postponing the progress of the illness, general awareness and understanding of living with chronic renal failure, and family-focused care. A number of changes have been planned or implemented, such as developing a prototype for a web-based feed-back system, expanding patient education to newly diagnosed patients, steering the nurses' role towards a guiding and family-focused function, and planning a digital story-telling workshop. Involving committed people who have the mandate to change practices were prerequisites for success.

  • 281.
    Bo Jansböl, Maja
    et al.
    Kristianstad University College, School of Health and Society.
    Bogdanski, Paulina
    Kristianstad University College, School of Health and Society.
    Äldre och sexualitet2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The aim of the study was to describe elderly patient’s experience of their sexuality and to describe challenges in the communication between nursing staff and older patients about sexual issues. Method: It was a systematic literature review. Result:The result showed that sexuality according to the elderly was more than intercourse, amongst others nearness and touching was also included. Sexuality gave a sense of wellness and it was always remaining. At the same time there was an experience that the sexual urge was diminishing or disappearing and it was more health issues than age per se that lead the importance of sexuality to diminish. Old age was experienced by both patient and nursing staff as a barrier to communicating about sexuality. The elderly felt that sexuality was private and was not to be discussed, and sexual problems caused the elderly to feel shame. Some nursing staff felt that it was normal when elderly did not have a sexual life, others felt that it was harder to raise the issue of sexuality with elderly than with younger people. Jean Watson nursing model was in the result discussion linked to the result. She says that sexuality is a basic need for humans and that nursing should be practiced from a holistic point of view.

  • 282.
    Bogs Struglics, Anna
    et al.
    Kristianstad University, School of Health and Society.
    Nilsson, Mimmi
    Kristianstad University, School of Health and Society.
    Närståendes upplevelser utav bemötandet med sjuksköterskor vid akut omhändertagande2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BACKGROUND: It is easy to forget the relatives when a situation requiring emergency treatment, when it is the patient who suffered that is in focus. Allowing related parties be involved in the care and the nurse to take the time to create a participatory and involve the relatives in care. AIM: The objective was to describe the experiences related parties of the nurse's response in an acute care. METHOD: The study was conducted as a general literature review of ten scientific articles with relevant content was selected. They were analyzed and created a profit. FINDINGS: The results are based on nine articles where four main categories presented with six subcategories. Our results demonstrate that the nurse's attitude was important in the field of emergency care. The need to meet the relatives, to participate in the care, get information and be seen was a comprehensive and important point in relation to responding's entirety. CONCLUSION: By being open as a nurse, communicate and see all the family with related parties as a unit can develop their profession. Related needs as much care as the patient and the nurse must never forget related while nursing.

  • 283.
    Bolejko, Anetta
    et al.
    Department of Health Sciences, Lund University.
    Brodersen, John
    Research Unit and Section for General Practice, Institute of Public Health, University of Copenhagen.
    Zackrisson, Sophia
    Department of Medical Imaging and Physiology, Skåne University Hospital Malmö.
    Wann-Hansson, Christine
    Faculty of Health and Society, Malmö University.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I. Kristianstad University, Research Environment PRO-CARE. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Psychometric properties of a Swedish version of the Consequences of Screening: Breast Cancer questionnaire2014In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 70, no 10, p. 2373-2388Article in journal (Refereed)
    Abstract [en]

    AIM: To evaluate the psychometric properties of a questionnaire addressing psychosocial consequences of false-positive mammographic screening.

    BACKGROUND: The Consequences of Screening - Breast Cancer and Lung Cancer questionnaires target psychosocial consequences of false-positive cancer screening. The Consequences of Screening - Breast Cancer questionnaire and ten items not considered lung cancer specific from the Lung Cancer questionnaire have been adapted for use in mammographic screening in Sweden, but remain psychometrically untested.

    DESIGN: Instrument development paper with psychometric cross-sectional and test-retest design.

    METHODS: Twelve scales of a Swedish questionnaire version were tested by the Rasch model and traditional psychometric methods. Women with false-positive (Group I, n = 640) and negative (Group II, n = 802) screening mammography responded to the study questionnaire and the Nottingham Health Profile during 2009-2011.

    RESULTS: Iterative analyses resulted in nine scales demonstrating Rasch model fit, but all scales exhibited poor targeting with relatively large floor effects. Corrected item-total correlations exceeded the recommended criterion. Score differences between Groups I and II and correlations with Nottingham Health Profile sections followed an expected pattern. Cronbach's α and test-retest reliability was acceptable for group-level assessments for ten and seven scales, respectively.

    CONCLUSIONS: Five scales (Sense of dejection, Anxiety, Behavioural, Sleep and Existential values) of the Swedish questionnaire version demonstrated the best psychometric properties. Other scales should be used more cautiously. Although filling an important gap, causes of concern were identified across scales. The questionnaire should therefore be considered for group-level assessments rather than for measurement of individual degrees of psychosocial consequences.

  • 284. Bolejko, Anetta
    et al.
    Sarvik, Cathrine
    Hagell, Peter
    Brinck, Anita
    Meeting patient information needs before magnetic resonance imaging: development and evaluation of an information booklet2008In: Journal of Radiology Nursing, ISSN 1546-0843, Vol. 27, no 3, p. 96-102Article in journal (Refereed)
    Abstract [en]

    The aim was to develop and evaluate a preparatory information booklet for adult patients undergoing magnetic resonance imaging (MRI). The booklet was developed based on pertinent literature and clinical experience. After ethical approval, it was then evaluated qualitatively in 10 people who had received the booklet before their first ever MRI scan. All patients expressed the need for written preparatory information and seven had experienced prescan anxiety and discomfort. Participants found the booklet informative and easily understood, and expressed appreciation related to procedural, behavioral, and sensory information. A few minor misunderstandings were revealed. The impressions by previously MRI-naive participants in this study indicate that the information booklet was successful in providing procedural, behavioral, and sensory information. Minor booklet modifications should provide means to circumvent current misunderstandings. The process used to develop and evaluate the information booklet for this study illustrates an easily implemented strategy to meet patients' needs for preparatory information in clinical practice.

  • 285.
    Bolejko, Anetta
    et al.
    Department of Health Sciences, Lund University.
    Wann-Hansson, Christine
    Department of Caring Sciences, Malmö University.
    Zackrisson, Sophia
    Diagnostic Centre of Imaging and Functional Medicine, Skåne University Hospital, Malmö.
    Brodersen, John
    Research Unit and Section for General Practice, Institute of Public Health, University of Copenhagen.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Adaptation to Swedish and further development of the ‘Consequences of Screening – Breast Cancer’ questionnaire: a multimethod study2013In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 27, no 2, p. 475-486Article in journal (Refereed)
    Abstract [en]

    Rationale:  Experiencing a false-positive screening mammography can cause considerable psychosocial distress. The Consequences of Screening – Breast Cancer questionnaire (COS-BC parts 1 and 2), recently developed in Denmark, is the only condition-specific questionnaire for measuring short- and long-term psychosocial consequences of false-positive mammographic screening. Additional studies are needed to further test the COS-BC before use across cultures. Furthermore, studies have suggested that the consequences of false-positive screening results are partly common across cancer screening settings, although this hypothesis remains largely untested.

    Objectives:  This study (i) assesses content validity of a Swedish version of the COS-BC, (ii) tests whether items expressing long-term consequences of false-positive lung cancer screening results are relevant in a breast cancer screening context and (iii) explores the usefulness of taking results from Rasch analyses of the source version as an aid in questionnaire translation and adaptation.

    Methods:  Following dual-panel translation, content validity was assessed through qualitative interviews with representatives of the target population and the content validity index (CVI). Item locations and Rasch model fit of the source questionnaires were considered in the translation and assessment process.

    Results:  The COS-BC items were generally found relevant and provided coverage of the target construct. Content validity was supported also for nine of 10 lung cancer screening items. Scale CVI values were ≥0.81. Previous Rasch data were useful in facilitating translation and assessing item content validity. The resulting Swedish version of the COS-BC parts 1 and 2 consists of 34 and 23 items, respectively.

    Conclusion:  This study illustrates the value of methodological triangulation and use of data from previous Rasch analyses in questionnaire translation and adaptation. We found support for the hypothesis that consequences of false-positive screening are common across cancer screening settings. Psychometric properties of the Swedish COS-BC remain to be established.

  • 286.
    Bolejko, Anetta
    et al.
    Lund University.
    Zackrisson, Sophia
    Skåne University Hospital Malmö.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I. Kristianstad University, Research Environment PRO-CARE. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Wann-Hansson, Christine
    Department of Caring Science, Malmö University.
    A roller coaster of emotions and sense: coping with the perceived psychosocial consequences of a false-positive screening mammography2014In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 23, no 13-13, p. 2053-2062Article in journal (Refereed)
    Abstract [en]

    Aims and objectives To explore coping with the perceived psychosocial consequences of a false-positive screening mammography. Background Mammographic screening has been found effective to decrease breast cancer (BC) mortality, yet there are adverse effects. Psychosocial consequences of false-positive mammographic screening have mainly been investigated from a population-based perspective. A call for qualitative studies to further explore these consequences has thus been postulated. To date, qualitative studies have elucidated women's experiences following their recall breast examinations, but their coping with perceived psychosocial consequences of a false-positive screening mammography has not yet been explored. Design An explorative qualitative study. Methods Face-to-face interviews were held with a purposive heterogeneous sample of 13 Swedish-speaking women with a false-positive screening mammography. The transcripts were analysed by the use of an inductive content analysis. Results Coping with the perceived psychosocial consequences of a false-positive screening mammography implied a roller coaster of emotion and sense. Women described how they imagined the worst and were in a state of uncertainty feeling threatened by a fatal disease. Conversely, they felt protected, surrounded by their families and being professionally taken care of, which together with perceived sisterhood and self-empowerment evoked strength and hope. Being aware of family responsibility became a crucial matter. Experiencing false-positive screening raised thoughts of thankfulness and reappraisal of life, although an ounce of BC anxiety remained. Consequently, gained awareness about BC screening and values in life surfaced. Conclusions Experiencing a false-positive screening mammography triggers agonising experiences evoking a variety of coping strategies. Provision of screening raises the issue of responsibility for an impact on psychosocial well-being among healthy women. Relevance to clinical practice Gained knowledge might provide a basis for interventions to prevent psychosocial consequences of false-positive mammographic screening and provide support for women with a potentially compromised ability to overcome such consequences.

  • 287.
    Bolmsjö, Ingrid
    et al.
    Department of Care Science, Faculty of Health and Society, Malmö University.
    Edberg, Anna-Karin
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Andersson, Petra Lilja
    The Swedish Institute for Health Sciences, Lund University.
    The use of drama to support reflection and understanding of the residents' situation in dementia care: a pilot study2014In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 9, no 3, p. 183-191Article in journal (Refereed)
    Abstract [en]

    Background.  One key aspect of person-centredness is striving to understand both the patients' experiences and behaviours from their perspective. These aspects are precisely those that staff in dementia care highlight as causing them most difficulty because the people in their care have major problems expressing themselves. There is thus a need to develop a method to help the staff to achieve interpretation through reflection.

    Aim.  The aim of this study was to explore the use of drama as a tool to support reflection among staff working in the residential care of people with dementia.

    Design.  A qualitative evaluation of a programme consisting of three drama sessions with staff working in residential care (n = 10 nurse assistants).

    Methods.  Data comprised observations and tape recordings of the sessions, the researchers' reflections after each session and a focus-group interview with the participants. The texts were analysed using qualitative content analysis.

    Results.  The analysis showed that: (i) the exercises stimulate reflection about daily caring practice; (ii) the participants must receive extensive information about the purpose of the sessions; (iii) the research team must secure the defined frames and conditions and have practical knowledge about caring for people with dementia and (iv) the management needs to be stable, committed and supportive.

    Conclusion.  Drama seems to be a valid tool to aid reflection, but several adjustments are needed concerning both the content of the sessions and the methodology. When designing a larger intervention study, it would be preferable to the sessions to be combined with staff support to effect changes in care provision resulting from their increased awareness of the residents' situation and experience.

    Implications for practice.  Our results showed that drama can be a means to enhance reflection among staff in residential care for people with dementia. Further research is however needed concerning the effects for the staff's situation and nursing care quality.

  • 288.
    Borg, Christel
    et al.
    Department of Nursing, Faculty of Medicine, Lund University.
    Hallberg, Ingalill R
    Department of Nursing, Faculty of Medicine, Lund University.
    Blomqvist, Kerstin
    Kristianstad University, Department of Health Sciences.
    Life satisfaction among older people (65+) with reduced self-care capacity: the relationship to social, health and financial aspects.2006In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 15, no 5, p. 607-18Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: This study aimed at investigating life satisfaction and its relation to living conditions, overall health, self-care capacity, feeling lonely, physical activities and financial resources among people (65+) with reduced self-care capacity. BACKGROUND: Knowledge about factors related to low life satisfaction among older people with reduced self-care capacity is sparse, although this is important in health care and nursing so that the care is adapted to their needs and perspective. Previous research has mainly focused on isolated aspects such as pain in relation to life satisfaction among older people in general and less among so those with reduced self-care capacity in general. DESIGN AND METHOD: A subsample of 522 persons was selected from a randomly selected cross-sectional survey using a modified form of the Older Americans' Resources Schedule and Life Satisfaction Index Z. RESULTS: The mean age in the total sample was 77.9; women (79.5) were significantly older than men (77.0). Low life satisfaction was found among women, as well as those living in special accommodations. Life Satisfaction Index Z was 15.3 (SD 5.6) in the total sample. Gender and living conditions did not explain life satisfaction whilst poor overall self-reported health and poor financial resources in relation to needs had the strongest explanatory value. Also of significant importance were loneliness, the degree of reduced self-care capacity and feeling worried. CONCLUSION: Life satisfaction in older people with reduced self-care capacity is determined by several factors, with social, physical, mental and financial aspects probably interacting with each other; especially feeling lonely, degree of self-care capacity, poor overall health, feeling worried and poor financial resources in relation to needs. These factors need to be considered in the care of these people to preserve or improve their life satisfaction. RELEVANCE TO CLINICAL PRACTICE: Nursing interventions in terms of preventive home visits, rehabilitation, health education directed towards physical, psychological, social and economic aspects of importance may help to preserve or improve life satisfaction for those with reduced self-care capacity.

  • 289.
    Borg, Viktor
    et al.
    Kristianstad University, School of Health and Society.
    Petersson, André
    Kristianstad University, School of Health and Society.
    Motivation till fysisk aktivitet: en kvalitativ intervjustudie bland fysiskt aktiva medarbetare på Saab i Linköping2015Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    In the background research shows that physical activity is essential for good health in the society and because of that the concept of motivation automatically becomes important. If the society want to focus on physical activity and increasing public health individuals needs to be motivated in a fair manner. The purpose of this study was to get an understanding of what motivates physically active employees at Saab in Linköping to be physically active, but also to understand why they are motivated. To answer the purpose we used Saab in Linköping as the arena because of their historically active health work. A qualitative interview study was used as the method of the study, with a targeted sample of physically active employees. The result, which is divided into one descriptive part and one part with traditional content analysis, shows that many factors affect an individual’s motivation for physical activity. Well-being, knowledge, process-oriented work and support from the social and physical environment proved to be important components for employee’s motivation for physical activity. It’s important that, already at an early age, creating conditions for individuals so they can motivate themselves to physical activity. The conditions should, based on the conclusions, be several factors that through a process generate well-being for individuals. 

  • 290.
    Borgkvist Nilsson, Pia
    et al.
    Kristianstad University, School of Health and Society.
    Nilsson, Elizabeth
    Kristianstad University, School of Health and Society.
    Närståendes upplevelser av sjuksköterskans bemötande vid akuta somatiska sjukdomstillstånd2014Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: När en familjemedlem blir akut sjuk påverkar det hela familjen, och denna upplevelse kan bli traumatisk för närstående. Det är då viktigt att bemötandet från sjuksköterskan under denna ansträngande period blir en positiv upplevelse för närstående. Syfte: Att beskriva närståendes upplevelser av sjuksköterskans bemötande vid akuta somatiska sjukdomstillstånd. Metod: Studien utfördes som en allmän litteraturstudie baserad på tio artiklar. Resultat: För att närstående skall uppleva bemötandet som positivt bör de få trygghet, bekräftelse samt känna delaktighet. Detta gör att närstående känner sig delaktiga i vården och upplever ett förtroende för sjuksköterskan. Diskussion: Genom att använda sig av KASASM teorin i praktiken kan sjuksköterskan få en förståelse för de närståendes upplevelser när en familjemedlem blir akut somatiskt sjuk. Sjuksköterskan förser närstående med information utan de behöver fråga om den, vilket gör de närstående delaktiga i vården och de förstår bättre vad som händer med familjemedlemmen. Slutsats: Livet förändras för närstående när en familjemedlem blir akut somatisk sjuk. Att bli delaktiga i vården av den sjuke familjemedlemmen är viktigt för de närstående eftersom sjuksköterskan lätt kan försumma behoven de har, och bara ägna sig åt att tillgodose familjemedlemmens omvårdnadsbehov.

  • 291.
    Borglin, Gunilla
    et al.
    Department of Nursing, Unit of Caring Sciences, Faculty of Medicine, Lund University.
    Edberg, Anna-Karin
    Department of Nursing, Unit of Caring Sciences, Faculty of Medicine, Lund University.
    Rahm Hallberg, Ingalill
    The Vårdal Institute, The Swedish Institute for Health Sciences, Lund University.
    The experience of quality of life among older people2005In: Journal of Aging Studies, ISSN 0890-4065, E-ISSN 1879-193X, Vol. 19, no 2, p. 201-220Article in journal (Refereed)
    Abstract [en]

    Although quality of life has been in the focus of attention for over a decade there are few studies available investigating, how the old and the oldest old experience their quality of life or what quality of life actually means for them? To illuminate this, eleven in-depth interviews were conducted with six women and five men (80+) living in their home. An interpretative hermeneutic phenomenological analysis revealed that quality of life in old age meant a preserved self and meaning in existence. Maintained self-image meant that the older people experienced a coherent life with an intact meaning. How quality of life was valued depended on the meaning the old people attached to the areas of importance as well as how they were evaluated. Additionally, areas not generally included when measuring quality of life became discernible. The meaning of home, how life was viewed, thoughts about death and dying, and telling ones story proved to be areas of importance for their perception of quality of life. Thus, indicating that older people's view of quality of life is more complex than some of today's most commonly used quality of life instruments capture and that quality of life assessment tools needs to measure beyond pure health indices. For nursing care the use of life review in everyday care, and an open way towards existential topics as well as a family oriented care along with preventive work helping people to remain in their own homes may enhance their experience of quality of life.

  • 292.
    Borglin, Gunilla
    et al.
    Lunds universitet.
    Hellström, Ylva
    Blekinge tekniska högskola.
    Hagberg, Bo
    Lunds universitet.
    Edberg, Anna-Karin
    Lunds universitet.
    Westergren, Albert
    Lunds universitet.
    Hallberg, Ingalill Rahm
    Lunds universitet.
    Psychometric testing of a quality of life scale among Swedish people 75 years and above in need of help with Activities of Daily Living or not2006In: Clinical Effectiveness in Nursing, ISSN 1361-9004, E-ISSN 1532-9275, Vol. 9, no Supplement 1, p. e25-e43Article in journal (Refereed)
    Abstract [en]

    Few Quality of Life (QoL) instruments in use today were originally developed for older populations (75+). Information on their validity and reliability in this age group is sparse. The current study investigated the psychometric properties of the Life Quality Gerontological Centre Scale (LGC), a general QoL instrument designed for use among older people. A further aim was to describe and compare QoL with gender and in people needing help with Activities of Daily Living and those not needing such help. A postal questionnaire surveyed 1093 people (mean age 82.7, SD 5.3). Principal component analysis revealed that LGC was reasonably stable as the construct-and cross validation more or less replicated the suggested QoL factors. The instrument differentiated between needing help and not and between men and women. LGC needs further development with respect to reliability, face and content validity but is potentially useful as a diagnostic or an outcome assessment after interventions among older people. Individuals in need of help and women had lower scores in several QoL areas and in total QoL scores compared to those not needing help and men. Older people’s QoL may be improved by interventions directed to areas beyond health and physical functioning. Men and women might also benefit from different interventions directed towards QoL.

  • 293.
    Borglin, Gunilla
    et al.
    Department of Health Sciences, Faculty of Medicine, Lund University.
    Jakobsson, Ulf
    Department of Health Sciences, Faculty of Medicine, Lund University.
    Edberg, Anna-Karin
    Department of Health Sciences, Faculty of Medicine, Lund University.
    Hallberg, Ingalill Rahm
    Department of Health Sciences, Faculty of Medicine, Lund University.
    Older people in Sweden with various degrees of present quality of life: their health, social support, everyday activities and sense of coherence.2006In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 14, no 2, p. 136-146Article in journal (Refereed)
    Abstract [en]

    Public health policies in most European countries are concerned with how to keep older people living independently with a qualitatively good life in the community as long as possible. However, knowledge about what may characterise those seemingly 'healthy' older people is sparse. The aim of the study was to investigate the characteristics of a sample of people (75+) reporting various degrees of Quality of Life (QoL) with respect to QoL in different areas, as well as self-rated health, health problems, social support, everyday activities and sense of coherence. A postal questionnaire was sent out in spring 2001 to a randomly selected population-based sample (n= 600) in the southern parts of Sweden. A two-step cluster analysis was performed (n= 385, mean age 84.6, SD = 5.7) with 'present QoL' as clustering attribute. Three groups were disclosed, classified as high, intermediate and low present QoL, of which 33.8% could be regarded being at risk of low QoL. Those with low present QoL (18.4%) were the oldest and most vulnerable, a majority were women with 'poor or bad' self-rated health, high frequencies of health problems, low total QoL, low social support and sense of coherence and less physically active. Those with high present QoL (47.8%) reported more 'excellent or good' self-rated health, physical activity, satisfactory social support and higher sense of coherence and total QoL than the other two groups. Those with intermediate present QoL (33.8%) had more of 'poor or bad' self-rated health, more health problems were less physically active, had lower total QoL and sense of coherence, and less social support than those with high present QoL. The sample seemed to reflect the ageing process in that the respondents were at different stages of ageing. However, the fact that the level of social support, sense of coherence and self-rated health followed the same curve as QoL may indicate that some are more vulnerable to low present QoL given the same health and these should be targeted in preventive programmes since they report low QoL.

  • 294. Borglin, Gunilla
    et al.
    Jakobsson, Ulf
    Edberg, Anna-Karin
    Department of Nursing, Faculty of Medicine, Lund University.
    Hallberg, Ingalill Rahm
    Self-reported health complaints and their prediction of overall and health-related quality of life among elderly people2005In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 42, no 2, p. 147-158Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To describe and compare self-reported health complaints, overall and health-related quality of life and to investigate how health complaints, age, gender, marital status, living and dwelling conditions and socio-economy predicted overall and health-related quality of life.

    DATA AND METHOD: A sample of 469 persons (aged 75-99) responded to a postal questionnaire. Multiple linear regression analysis was used to examine possible predictors.

    RESULT: Self-reported health complaints such as pain, fatigue and mobility impairment significantly predicted low overall and health-related quality life. Women had significantly lower overall and health-related quality of life than men, and a significantly higher degree of self-reported health complaints. The regression models had more similarities than differences, implying that the overall quality of life instrument were sensitive to physical influences only supposed to be detected by health-related quality of life instruments. Several of the health complaints predicting low quality of life are amenable for being relieved by nursing care. In the care of older people nurses need to assess for several health complaints simultaneously and be aware of their possible interaction when outlining interventions. Nurses are able to facilitate early detection of health complaints negatively affecting quality of life by implementing more pro-active preventive work as well as a higher degree of thorough and systematic assessments. It also seems important to consider that older woman's and men's needs for high quality of life may differ.

  • 295.
    Borgman, Sofie
    et al.
    Kristianstad University, Faculty of Health Science.
    Ericsson, Ida
    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.
    Smärta och depressiva symtom hos ungdomar: finns det ett samband?2019Conference paper (Refereed)
  • 296.
    Borgman, Sofie
    et al.
    Kristianstad University, Faculty of Health Science.
    Ericsson, Ida
    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.
    The relationship between reported pain and depressive symptoms among adolescents2018In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364Article in journal (Refereed)
    Abstract [en]

    Pain and depressive symptoms are common reasons for adolescents to contact the school nurse. The aim was to describe the prevalence of pain (headache, abdominal pain, and back pain) and depressive symptoms among adolescents and to examine whether there is an association between pain and depressive symptoms. This cross-sectional survey included students ( N = 639) in Sweden (median age: 16 years). Over half of the female participants (56%) and one third of male participants (33%) had weekly headaches, abdominal pain, or back pain. Almost every second girl (48%) and one in four boys (25%) had depressive symptoms (as measured by the Center for Epidemiological Studies Depression Scale, scores ≥ 16). There was a significant association between having pain (headache, abdominal pain, or back pain) and having depressive symptoms. It is of great importance for school nurses to adequately identify and treat the cause of pain and other factors contributing to depression.

  • 297.
    Borgqvist, Camilla
    et al.
    Kristianstad University, School of Health and Society.
    Cloov, Caroline
    Kristianstad University, School of Health and Society.
    Att leva med lungcancer i den palliativa fasen2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Lung cancer is the fifth most common form of cancer in Sweden, with a poor prognosis and it often leads to death. As there is no cure, palliative care is applied. This means that the patient should not have to suffer from pain and agonizing symptoms. There is no affect that either hastens or postpones death and death should be considered as a normal process. Purpose: The purpose was to describe patients' experiences with regard to living with lung cancer in the palliative stage. Method: The study was performed as a literature overview, based on empirical studies within the chosen subject. Research was done using Cinahl, PubMed and PsycInfo databases. The literature study was based on twelve critically reviewed studies, qualitative and quantitative, published in scientific magazines. Results: Physical, mental, existential and social experiences emerged from the results. Results are presented, inspired by Peter Strang's model about the meaning of using system control in palliative care was used in the presentation of the results. Discussion: The result was based on two elements. A finding was dyspnea and was experienced painful and was associated with anxiety and worry. The second finding was the experience of loss of various kinds.  

    Conclusion: Patients who are fatally ill and facing death have the right to be nursed in a caring, empathetic way by experienced people who understand their needs and can appreciate the rewarding to meet death.

  • 298.
    Borgström, Caisa
    et al.
    Kristianstad University, School of Health and Society.
    Robertsson, Frida
    Kristianstad University, School of Health and Society.
    Kvinnor som blivit våldsutsatta av en manlig partner: så upplever de vårdpersonalens bemötande2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Intimate partner violence (IPV) against women is a big public health problem and every year about 17 women die in Sweden as a consequence of this. When the women seek healthcare, there can be a unique opportunity to discover IPV. Aim: The aim was to describe how women subjected to IPV experience how they were handled by healthcare professionals (HCP). Method: An overview based on 14 scientific articles was made. Result: The women experienced that the HCP did not have the courage to question about IPV but they had positive experiences regarding that the HCP sat down and listened. The result also showed a lack of respect for the integrity and autonomy and that the HCP often only treated the injuries and forgot about their psychological well-being. Discussion: Four central findings were highlighted; the HCP do not have the courage to ask about IPV, positive handling regarding the HCP were presence and listened, the lack of respect and not to be taken seriously and that the psychological well-being was forgotten. Conclusion: Most of the women experienced that the HCP did not handle them in the way they wanted, which resulted in the women not getting the help they needed.

  • 299.
    Bosaeus, Ingvar
    et al.
    Sahlgrenska University Hospital, Gothenburg.
    Wilcox, Gisela
    Monash University, Clayton, Victoria, Australia.
    Rothenberg, Elisabet
    Kristianstad University, School of Education and Environment, Avdelningen för Praktisk-estetiska ämnen.
    Strauss, Boyd
    Monash University, Clayton, Victoria, Australia.
    Reply to Thibault & Genton2014In: Clinical Nutrition, ISSN 0261-5614, E-ISSN 1532-1983, Vol. 33, no 6, p. 1158-1159Article in journal (Other academic)
  • 300.
    Brandt, Maria
    et al.
    Kristianstad University, Research Platform for Collaboration for Health.
    Larsson, Anne-Lie
    Kristianstad University, Research Platform for Collaboration for Health.
    Beck, Ingela
    Kristianstad University, Research Platform for Collaboration for Health.
    Sjuksköterskors upplevelse av vad som främjar ett gott etiskt klimat inom hälso- och sjukvård av äldre2014Report (Other academic)
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