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  • 301.
    Lindskov, Cecilia
    Kristianstad University, School of Health and Society. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Family centre practice and modernity: a qualitative study from Sweden2010Doctoral thesis, monograph (Other academic)
    Abstract [en]

    Family centres have become a common institution to promote health and wellbeingamong young children (0-6 years of age) and their parents in Sweden. Thecore of the work is usually based on both maternal and child health care, a preschooland social services, all located under the same roof in the local community.The family centre in this study, known as the "Family House", was the firstof its type to be built in the city of Kristianstad, Sweden.The overall aim of the thesis was to understand family centre practice throughprofessionals' and parents' perceptions of the Family House and its relationship to modernity.The study employed a qualitative design using phenomenography as method tocapture people's perceptions of the practice. The research also drew on the approachof action research, where participants and researchers co-generateknowledge through collaborative communicative processes. Data was generatedfrom semi-structured interviews conducted with nineteen professionals andsixteen individual parents. Dialogue sessions with the professionals of the studyhave been held in order that they and the researcher could enter into a dialoguebased on the findings of the interviews. Data was consequently also generatedfrom these meetings.The way the professionals perceived the practice of the Family House fell intothree categories, namely, as a professional service, the provision of an informalmeeting place for professionals and families with young children or as a broadcommunity-based centre. Parents' perceptions fell into four categories; as aprofessional reception to obtain expert guidance and support, a study circle andliving room to informally share experiences and socialising, and a playgroundfor children where children could interact and learn social skills.One core finding of this thesis is that family centre practice for those involvedcontained a balancing act between simple modern expertise to control the futureand late modern opportunities for self-realisation and reflexivity.Parents and professionals shared the responsibility for children's well-being andthe distinction between private and public was blurred since parents used theHouse as a social arena for developing personal relations. It was also an arenafor integration between Swedes and immigrants based on engagement for bothcultural diversity and similarity.

  • 302.
    Lindskov, Susanne
    Kristianstad University, School of Health and Society. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Lunds universitet.
    Nutritionsstatus och viktförändring vid Parkinsons sjukdom2015Licentiate thesis, comprehensive summary (Other academic)
  • 303.
    Lindskov, Susanne
    et al.
    Kristianstad University, Forskningsplattformen Hälsa i samverkan. Censtralsjukhuset, Kristianstad.
    Hagell, Peter
    Lunds universitet.
    Westergren, Albert
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Viktförändring - ett problem vid Parkinsons sjukdom2010In: I vården, ISSN 2000-4141, Vol. 1, no 4, p. 24-26Article in journal (Other academic)
  • 304.
    Lindskov, Susanne
    et al.
    Kristianstad University, School of Health and Society. Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health.
    Sjoberg, Klas
    Lund University.
    Hagell, Peter
    Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I. Kristianstad University, Research Platform for Collaboration for Health.
    Westergren, Albert
    Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.
    Weight stability in Parkinson's disease2016In: Nutritional neuroscience, ISSN 1028-415X, E-ISSN 1476-8305, Vol. 19, no 1, p. 11-20Article in journal (Refereed)
    Abstract [en]

    Objectives: Parkinson's disease (PD) has traditionally been associated with weight loss. However, recent studies have not found any evidence of underweight in PD. Nevertheless, few studies have addressed nutritional status changes over time in relation to other clinical PD features. Here, we explore changes in nutritional status and motor and non-motor PD features (including dopaminergic drug therapy) in PD patients after 1 year. Methods: Motor and non-motor PD features, dopaminergic drug therapy, under-nutrition and malnutrition risk, and anthropometric measures (BMI, handgrip strength, triceps skin-fold, mid-arm circumference, and mid-upper arm muscle circumference) were assessed at baseline and 1 year later among 65 people with PD. Results: Disability, PD motor symptoms, dysautonomia, and dopaminergic drug therapy increased. Underweight was uncommon both at baseline (n= 3) and follow-up (n = 2); malnutrition risk was common but stable (88 and 92%), whereas triceps skin-fold increased (P = 0.030); mid-upper arm muscle circumference decreased (P = 0.002); and the proportion of people with low handgrip strength (P = 0.012) increased. Correlations between nutritional variables and motor and non-motor PD features were absent to modest. Multiple linear regression analysis showed that baseline pupillomotor functioning was associated with decreased weight and BMI, and sleep with increased weight and BMI. In addition, increases in anxiety were associated with decreased weight, BMI, and triceps skin-fold. Discussion: During the PD course, there seems to be redistribution in body composition from muscle to fat. Studies are needed to identify possible explanations for the findings. This implies that malnutrition should be regularly screened to identify those at risk of developing reduced muscle mass and increased morbidity.

  • 305.
    Lindskov, Susanne
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Environment PRO-CARE. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Sjöberg, K.
    Lunds universitet.
    Westergren, Albert
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I. Kristianstad University, Research Environment PRO-CARE.
    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.
    Malnutrition risk in Parkinson's disease2014In: Journal of Aging Research & Clinical Practice, ISSN 2258-8094, Vol. 3, no 2, p. 93-99Article in journal (Refereed)
    Abstract [en]

    Background: Unintentional weight loss and undernutrition have been found common in  Parkinson’s disease but its relation to other disease aspects is unclear.

    Objectives: To explore nutritional status in relation to disease duration in Parkinson’s disease, as well as associations between nutritional status and motor and autonomic features.

    Design: Cross-sectional.

    Setting: South-Swedish outpatient Parkinson-clinic.

    Participants: Home-dwelling people with Parkinson’s disease (n=71), without significant cognitive impairment (mean age, 67.3 years; 56% men; mean disease duration, 6.3 years).

    Measurements: Parkinsonian motor symptoms, mobility, activity level, disability, dyskinesias, dysautonomia, under- and malnutrition risk screening (using MEONF II and MUST for undernutrition and SCREEN II for malnutrition) and anthropometric measures (BMI, handgrip strength, triceps skin-fold, mid-arm circumference and mid-upper arm muscle circumference) were recorded. The sample was divided into those with longer (n=34) and shorter disease duration (n=37) according to the median (5 years).

    Results: Longer disease duration was associated with more, disability, dyskinesias and dysautonomia than shorter duration (P ≤0.04). Mean (SD) body weight and BMI were 80.3 (16.3) kg and 28.1 (4.8) kg/m 2, respectively, and did not differ between duration groups (body weight, 80.9 vs. 79.6 kg; BMI, 28.0 vs. 28.3 kg/m 2; P≥0.738). There were no differences in other anthropometric measures between duration groups (P ≥0.300). BMI identified 4% and 62% as under- and overweight, respectively, and 4% exhibited  undernutrition risk, whereas 87% were at risk for malnutrition. Nutritional and motor/dysautonomic variables showed relatively weak correlations (r s, ≤ 0.33), but people with orthostatic hypotension had lower BMI (26.7 vs 29.2 kg/m 2; P=0.026) and lower handgrip strength (33.2 vs 41.6 kg; P=0.025) than those without orthostatic hypotension.

    Conclusion: Motor and autonomic features showed expected relationships with disease duration. In contrast to these observations, and to most previous reports on nutrition in PD, frequencies of underweight and undernutrition were low. However, malnutrition risk was high, emphasizing the need for regular clinical monitoring of nutritional status. The reasons for the preserved nutritional status have to be explored prospectively.

  • 306.
    Lindskov, Susanne
    et al.
    Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Sjöberg, Klas
    Westergren, Albert
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Weight loss in Parkinson´s disease?2013Conference paper (Refereed)
  • 307.
    Lindskov, Susanne
    et al.
    Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Sjöberg, Klas
    Westergren, Albert
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Weight loss in Parkinson´s disease?2013Conference paper (Refereed)
  • 308.
    Lindström, Petra Nilsson
    et al.
    Kristianstad University, Faculty of Health Science, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Faculty of Health Science, Avdelningen för folkhälsovetenskap.
    Ejlertsson, Göran
    Kristianstad University, Faculty of Health Science, Avdelningen för folkhälsovetenskap.
    Andersson, Ingemar
    Kristianstad University, Faculty of Health Science, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för folkhälsovetenskap.
    Bringsén, Åsa
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Faculty of Health Science, Avdelningen för folkhälsovetenskap.
    Evaluating the usability of two salutogenic instruments on health and work experience, using cognitive interviewing2018In: Journal of Workplace Behavioral Health, ISSN 1555-5240, E-ISSN 1555-5259, Vol. 33, no 3-4, p. 241-259Article in journal (Refereed)
    Abstract [en]

    Workplace surveys are used in workplace health promotion as a basis for improvements at the workplace. But there is lack of psychometrically and qualitatively validated work-health related instruments with a salutogenic approach. The purpose of this study was, therefore, to evaluate the two instruments, the Salutogenic Health Indicator Scale and the Work Experience Measurement Scale, among staff of different professions in a healthcare setting. These instruments were evaluated with cognitive interviews conducted at a hospital in Sweden. The respondents were purposefully selected from various criteria such as profession, age, and sex (N = 14). The respondents read the items aloud and then spoke about how they experienced the items. A deductive (partly inductive) content analysis was done from Tourangeau's four concepts of respondent actions: comprehension, retrieval, judgment, and response. Two main categories emerged: (1) interpreting and (2) responding, and an additional six subcategories: difficulty, essence, direction, keywords, strategy, and alternatives. The results showed strengths and weaknesses of the instruments. The results were discussed from various validity aspects: face validity, content validity, and user validity. The validity aspects were connected to concepts of respondent actions as well as to questionnaire and respondent factors for motivation.

  • 309.
    Lu, Jun
    et al.
    Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Zhang, Song
    Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Chen, Eric
    Kristianstad University, Forskningsplattformen Hälsa i samverkan. Kristianstad University, School of Health and Society.
    E-health web application framework and platform based on the cloud technology2013Report (Other academic)
  • 310.
    Lundin, Susanne
    et al.
    Kristianstad University, Faculty of Health Science.
    Nagy, Sebastian
    Kristianstad University, Faculty of Health Science.
    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.
    Nilsson, Marie
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Faculty of Health Science, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Research Platform for Collaboration for Health.
    Sömnproblem bland cancerpatienter i palliativ vård2019In: Sömn och hälsa, ISSN 2003-234X, no 1, p. 46-56Article in journal (Other academic)
  • 311.
    Lundqvist, Pia
    et al.
    Lund University.
    Kleberg, Agneta
    Karolinska University Hospital.
    Edberg, Anna-Karin
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Larsson, Björn A.
    Karolinska University Hospital.
    Hellström-Westas, Lena
    Uppsala University.
    Norman, Elisabeth
    Skåne University Hospital, Lund.
    Development and psychometric properties of the Swedish ALPS-Neo pain and stress assessment scale for newborn infants2014In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 103, no 8, p. 833-839Article in journal (Refereed)
    Abstract [en]

    AIM: To validate and evaluate the psychometric properties of the ALPS-Neo, a new pain assessment scale created for the continuous evaluation of pain and stress in preterm and sick term infants.

    METHODS: A unidimensional scale for continuous pain, Astrid Lindgren Children's Hospital Pain Scale (ALPS 1), was developed further to assess continuous pain and stress in infants treated in the neonatal intensive care unit (NICU). The pain scale includes observations of five behaviours. A manual was created, clarifying the scoring criteria. An internal and an external panel assessed face validity. Psychometric properties were evaluated in three different steps. Inter-rater reliability was estimated from video-based assessments (n = 625) using weighted kappa statistics (test I). Inter-rater reliability was further evaluated in test II (n = 125) and test III (n = 96) by real-time assessments using the intraclass correlation coefficient (ICC) and Cronbach's alpha.

    RESULTS: The final inter-rater reliability (test III) was assessed as good with ICC 0.91 for the total score and 0.62-0.81 for the five items. Cronbach's alpha showed 0.95 for the total score.

    CONCLUSION: ALPS-Neo is a new assessment tool for optimising the management of pain and stress in newborn infants in the NICU. It has proved easy to implement and user-friendly, permitting fast, reliable observations with high inter-rater reliability.

  • 312.
    Løvereide, Lise
    et al.
    Norge.
    Hagell, Peter
    Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Measuring life satisfaction in Parkinson's disease and healthy controls using the satisfaction with life scale2016In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 11, no 10, article id e0163931Article in journal (Refereed)
    Abstract [en]

    The 5-item Satisfaction With Life Scale (SWLS) was designed to measure general life satisfaction (LS). Here we examined the psychometric properties of the SWLS in a cohort of persons with Parkinson`s disease (PwPD) and age and gender matched individuals without PD. The SWLS was administered to PwPD and controls from the Norwegian ParkWest study at 5 and 7 years after the time of diagnosis. Data were analysed according to classical test theory (CTT) and Rasch measurement theory. CTT scaling assumptions for computation of a SWLS total score were met (corrected item-total correlations >0.58). The SWLS was reasonably well targeted to the sample and had good reliability (ordinal alpha, 0.92). The scale exhibited good fit to the Rasch model and successfully separated between 5 statistically distinct strata of people (levels of SWLS). The seven response categories did not work as intended and the scale may benefit from reduction to five response categories. There was no clinically significant differential item functioning. Separate analyses in PwPD and controls yielded very similar results to those from the pooled analysis. This study supports the SWLS as a valid instrument for measuring LS in PD and controls. However, Rasch analyses provided new insights into the performance and validity of the SWLS and identified areas for future revisions in order to further improve the scale.

  • 313.
    Løvereide, Lise
    et al.
    Norge.
    Larsen, Jan-Petter
    Norge.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health.
    Measuring life satisfaction in people with Parkinson's disease and healthy controls using the satisfaction with life scale2016In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 25, no Suppl. 1, p. 150-Article in journal (Refereed)
  • 314.
    Maria, Kläfverud
    Kristianstad University, School of Health and Society, Avdelningen för samhällsvetenskap och integrerad hälsovetenskap. 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).
    Förväntningar på barn och trygghetspersoner i samband med barnahusbesök2018Conference paper (Other academic)
    Abstract [sv]

    Målgruppen för barnahus är barn som misstänks ha varit utsatta för brott såsom barnmisshandel och sexuella övergrepp. Barn kan besöka barnahus tillsammans med sina föräldrar. Om vårdnadshavaren, eller någon närstående till denne, är misstänkt kan barn hämtas till förhör utan vårdnadshavares vetskap eller samtycke. Barnet följs då av en trygg person som barnet känner från exempelvis förskolan eller skolan. Studien inkluderar både besök med och utan föräldrar. Fokus här är på skeenden i samband barnahusbesök. Empirin består främst av intervjuer med barn, trygghetspersoner och föräldrar. När barn besöker barnahus finns olika förväntningar förknippade med olika platser och tidpunkter. Ibland kan förväntningarna vara motstridiga i förhållande till varandra, exempelvis huruvida barnet ska berätta eller inte. När barnet förflyttar sig till barnahus och inom barnahus förändras förväntningarna. Barnet ska först tillsammans med en känd och trygg vuxen följa med till barnahuset som kan vara en ny plats för barnet. Senare förväntas barnet ensamt följa med polisen för att aktivt bidra i ett polisförhör. Förväntningarna på den tilltänkte trygghetspersonen förändras då denne förflyttar sig från förskola/skola till barnahus. I vardagen kan denne ha mycket att säga till om angående hur barnets tillvaro ska te sig. När den tilltänkte trygghetspersonen följer med ett barn till barnahus förändras dennes roll och uppdrag, även i relation till barnet. Trygghetspersonen förväntas där följa med och förmedla trygghet till barnet. Vid sidan om barnet blir trygghetspersonen besökare på barnahuset. Om barnet inte bedöms vara i behov av omedelbart skydd återvänder barnet efter besöket till förskolan, skolan eller hem. När barn och trygghetspersoner återvänder efter barnahusbesök återgår vardagen till det vanliga.

  • 315. Marktorp, Caroline
    et al.
    Lindskov, Susanne
    Norberg, Erika
    Westergren, Albert
    Kristianstad University, School of Health and Society. 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.
    Tenghagen Moberg, Carina
    Mat, medicin och sväljsvårigheter vid Parkinsons sjukdom2017Other (Other academic)
  • 316.
    Martinsson, Anna
    et al.
    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.
    Petersson, Pia
    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.
    Health related resources among older persons that receive preventive home visits – implications for further recommendations on health promotion2019Conference paper (Refereed)
  • 317.
    Martinsson, Anna
    et al.
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Kristianstad University, Research Platform for Collaboration for Health. Lunds universitet.
    Westergren, Albert
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Peterson, Pia
    Kristianstad University, Research Platform for Collaboration for Health. 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.
    Haak, Maria
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Kristianstad University, Research Platform for Collaboration for Health.
    Health related resources among older persons that receive preventive home visits: implications for further recommendations on health promotion2019Conference paper (Other academic)
    Abstract [en]

    In the sustainable development goals for 2030 the emphasis is on health promotion to enable healthy lives and wellbeing for all. Health promotion from an individual perspective focus on enabling the person to take control and improve health, by focusing on positive health related resources. Health promotion can be applied to older persons during a preventive home visit (PHV). Most of the studies made on PHVs to older persons have focused on risk factors. Suggestions for improvement of the PHV would be to add recommendations that promote health related resources, not only look at risk factors. In order to develop health promotion for older persons there is a need for research about positive health related resources. Therefore this study aim for exploring health related resources that could be found among older persons that have received a PHV.

    Methods: A cross-sectional study design was used including older persons age ≥75 years old, living in their own homes, and that had received PHV. Data were collected during a period of nine months, in two municipalities in the south of Sweden. Questions covered wellbeing, nutrition, physical health, functional ability, housing and economy. Binary logistic regression was used to analyse data.

    Results: In total 625 older persons were included in the study, 55.4 % were women, mean age was 80.6 (standard deviation 2.2 years). Preliminary results indicate that following factors are significantly associated with good general health (adjusting for age and gender): being able to do things that make one feel valuable, satisfied with existence, physically active several times per week, having no physical problems to participate in social activities, not feeling sad, not having reduced energy and not having reduced endurance.

    Conclusion: This results indicate that it can be of importance to pay attention to some specific health related resources when giving health promotion advices during the PHV.  

  • 318.
    Martinsson, Ingrid
    et al.
    Blekinge Institute of Technology.
    Edberg, Anna-Karin
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Janlöv, Ann-Christin
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Growing old in a foreign context: older immigrants experience of the everyday life in nursing home2013In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, no 3, p. 34-38Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of the study was to illuminate older immigrants’ experiences of moving to a residential care facility.

     

    Background: Increased immigration will lead to a future increase in the number of older immigrants in residential care. In order to adjust nursing care to their needs it is important to acquire knowledge of their situation.

     

    Methods: Semi-structured interviews with seven immigrants living in residential care in Sweden were analysed using a qualitative manifest content analysis.

     

    Findings: Older immigrants’ experience of everyday life in residential care facilities was: Trying to adjust to relocation to residential care, Feeling alienated by communication difficulties, and Trying to stay connected by keeping ties to the origin and past, with internal variation seen as subcategories.

     

    Conclusion: Older immigrants, who move into residential care are vulnerable and experience a major transition as they move from a familiar social and cultural environment into a place mainly designed for older Swedes. There is a great risk that they will become alienated and highly dependent on their relatives if not nursing care interventions with specific focus on their needs are developed.

  • 319.
    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.

  • 320.
    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)
  • 321.
    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)
  • 322.
    Mårtensson, Carina
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Söderfeldt, Björn
    Department of Oral Public Health, Faculty of Odontology, Malmö University.
    Axtelius, Björn
    Department of Oral Public Health, Faculty of Odontology, Malmö University.
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Oral Hälsa - Allmänhälsa - Livskvalitet. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Expectations and satisfaction with care for periodontal specialist patients2013In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 71, no 3-4, p. 799-806Article in journal (Refereed)
    Abstract [en]

    Objective. The aim of this study was to investigate expectations on and satisfaction with treatment among patients referred for comprehensive treatment to specialist clinics in periodontology and to explore factors associated with satisfaction in regression analysis.

    Materials and methods. Patients referred for comprehensive periodontal treatment were sampled for the study. The study was based on a questionnaire in a before-and-after design. The first questionnaire was sent to the patients before their first appointment at the specialist clinic. The second questionnaire was sent after  6 months. Three questions were used to measure expectations and four questions to measure satisfaction. The first questionnaire was sent to 273 patients with a response rate of 31% and the second questionnaire was sent to 85 patients with a response rate of 73%. In non-response analysis, no difference between respondents and non-respondents were detected as to age and gender.

    Results. Many of the patients viewed it as important or very important to have healthy teeth (98%) and improved well-being (93%) after periodontal treatment. More than 50% of the patients were satisfied with the relation to the caregiver. When measuring the satisfaction in general, 42% indicated the highest score on the summarized Dental Visit Satisfaction Scale. Having confidence (p ≤ 0.001) and a good relation (p = 0.001) to the caregiver indicated higher satisfaction.

    Conclusion. Having a good relation to the caregiver and having confidence in the caregiver seems to indicate satisfied patients receiving periodontal treatment at periodontal clinics.

  • 323.
    Mårtensson, Carina
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Söderfeldt, C.
    Axtelius, B.
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Oral Hälsa - Allmänhälsa - Livskvalitet. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Knowledge of periodontitis and self-perceived oral health: a survey of periodontal specialist patients2013In: Swedish Dental Journal, ISSN 0347-9994, Vol. 37, no 1, p. 49-58Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to investigate changes in knowledge of periodontal disease among patients referred to periodontal specialist clinics. A further aim was to investigate the patients' self- perceived oral health before the treatment. Patients referred to five specialist clinics in periodontology for comprehensive periodontal treatment were consecutive sampled. The study was based on a questionnaire in a before and after design. The first questionnaire was sent to the patients before visiting the specialist clinic and the second was sent after six months. Four questions were analysed, two to measure knowledge about periodontitis and two to measure the patients self- perceived oral health. The first questionnaire was sent by post to 273 patients with a response rate of 31%. The second questionnaire was sent to 85 patients with a response rate of 73%. The results of the study showed a statistically significant improvement of correct answers on the knowledge questions after six months was found for scaling (p = 0.006), X-ray examination (p = 0.001) and increased space between the teeth (p = 0.001). The most frequent self-perceived trouble from the mouth was bleeding gum (70%) and sensitive teeth (51%). In conclusion knowledge of periodontitis improved after visiting the specialist clinic of periodontology. Many of the patients experienced some problems of the mouth.

  • 324.
    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)
  • 325. 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)
  • 326.
    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

  • 327.
    Nilsson, Bo
    et al.
    Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, School of Education and Environment, Avdelningen för Pedagogik.
    Clausson, EvaKristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, Research Platform for Collaboration for Health.
    Barnsliga sammanhang: forskning om barns och ungdomars hälsa, välbefinnande och delaktighet2017Collection (editor) (Other academic)
    Abstract [sv]

    I forskningsmiljön Children’s and Young People’s Health in Social Context,CYPHiSCO, förenar forskare vid Högskolan Kristianstad sitt intresse för barns, tonåringars och unga vuxnas psykiska och fysiska hälsa, välbefinnande och delaktighet. I CYPHiSCO bedrivs både grundforskning om faktorer som står i samband med hälsa och tillämpad forskning såsom aktionsforskning eller utvärderingar av preventionsprogram. I denna bok har vi samlat några av forskningsmiljöns aktuella forskningsprojekt. Ett genomgående tema är hur barns och ungas delaktighet och handlingsutrymme utgör viktiga aspekter av deras hälsa och välbefinnande, något som i boken ses ur ett salutogentperspektiv.

  • 328.
    Nilsson, David
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Samhällsvetenskap.
    Olsson, Ann-Margreth E.
    Kristianstad University, 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, Avdelningen för Ekonomi.
    Soldater, veteraner och deras anhöriga: öppet seminarium med David Nilsson och Ann-Margreth Olsson2015In: Forskningsplattformen Hälsa i Samverkan. Öppet seminarium med David Nilsson och Ann-Margreth Olsson, Högskolan Kristianstad, Kristianstad, December 4th 2015: Soldater, veteraner och deras anhöriga / [ed] Professor Anna-Karin Edberg, 2015Conference paper (Other academic)
    Abstract [sv]

    David  Nilsson,  som  är  doktorand  inom  sociologi  och  inskriven  vid  Lunds  Universitet,     presenterar  delar  av  sitt  pågående  avhandlingsarbete  som  handlar  om  nära   anhörigas  berättelser  om  hur  det  är  att  vara  tillsammans  –  gift  eller  sammanboende  -­‐  med   någon  som  arbetar  inom  Försvarsmakten  och  som  deltar  i  militära  insatser  utomlands.  I   avhandlingen  fokuserar  David  på  utlandstjänstens  konsekvenser  för  den  hemmavarande   partnerns  personliga  och  sociala  liv.    

     Ann-­‐Margreth E.  Olsson,  som  är  lektor  i  socialt  arbete  och  en  av  David  handledare,   lägger särskilt  fokus  på  anhöriga  och  barn  och  det  stöd  de  kan  behöva  inom  hälso-­och  sjukvård,  socialtjänst,  skola, förskola och från Försvarsmaktens sida i form av anhörigssamordnare vid lokala regementen

  • 329.
    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.

  • 330.
    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.

  • 331.
    Nilsson, Marie
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Research Platform for Collaboration for Health.
    Andersson, Ingemar
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Research Platform for Collaboration for Health.
    Blomqvist, Kerstin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Coexisting needs: paradoxes in collegial reflection—the development of a pragmatic method for reflection2017In: Education Research International, ISSN 2090-4002, E-ISSN 2090-4010, Vol. 2017, article id 4851067Article in journal (Refereed)
    Abstract [en]

    This paper addresses a feasibility study of a method for recurrent collegial reflection. A qualitative approach, using a participatory research design, was adopted. The collegial reflection was implemented in a school, in a middle-sized municipality in southern Sweden, with 21 teachers participating in the intervention. Data collection included digital recordings of collegial reflection, open questions by mail, and individual interviews. Findings indicated one major theme, paradoxes in the design of the collegial reflection, and three categories: wanting to decide and wanting to be guided; meeting each other as teachers and/or as persons; and looking for the safe and/or looking for the new. Before implementing the method in another context, management needs to appreciate these contradictory experiences, allow for voluntary participation, address participants’ expectations, and allocate time and tasks. This study implicates that collegial reflection may contribute to teachers’ professional development, and it is thereby relevant to teachers’ classroom practice and pupils’ learning. We conclude that, by creating a structure which supports teachers’ collegial reflection, the school may function as a supportive environment, which may contribute to teacher retention.

  • 332.
    Nilsson, Marie
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Blomqvist, Kerstin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Andersson, Ingemar
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Research Platform for Collaboration for Health.
    Salutogenic resources in relation to teachers' work-life balance2017In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 54, no 4, p. 591-602Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Experiencing work-life balance is considered a health promoting resource. To counter-balance the negative development of teachers' work situation, salutogenic resources need to be examined among teachers.

    OBJECTIVE: To examine resources related to teachers' experience of their work-life balance.

    METHODS: Using a cross-sectional design, a questionnaire was distributed to 455 teachers in compulsory schools in a Swedish community. A total of 338 teachers participated (74%). A multiple linear regression method was used for the analysis.

    RESULTS: Four variables in the regression model significantly explained work-life balance and were thereby possible resources: time experience at work; satisfaction with everyday life; self-rated health; and recovery. The strongest association with work-life balance was time experience at work. Except time experience at work, all were individual-related.

    CONCLUSIONS: This study highlights the importance of school management's support in reducing teachers' time pressure. It also emphasizes the need to address teachers' individual resources in relation to work-life balance. In order to support teachers' work-life balance, promote their well-being, and preventing teachers' attrition, we suggest that the school management would benefit from creating a work environment with strengthened resources.

  • 333.
    Nilsson, Marie
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Ejlertsson, Göran
    Andersson, Ingemar
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Research Platform for Collaboration for Health.
    Blomqvist, Kerstin
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I. Kristianstad University, Research Platform for Collaboration for Health.
    Caring as a salutogenic aspect in teachers' lives2015In: Teaching and Teacher Education: An International Journal of Research and Studies, ISSN 0742-051X, E-ISSN 1879-2480, Vol. 46, p. 51-61Article in journal (Refereed)
    Abstract [en]

    This inquiry explored how a group of teachers experienced resources for their well-being, both at work and in their private lives. The findings indicate that caring, for others and for oneself, is central for teachers' well-being. Caring is manifested in being present in the moment, and in actions which promote the well-being of oneself and others. Implications from the findings suggest that both school administration and teacher education should pay special attention to the caring aspects of teaching, as they influence teachers' well-being and retention, as well as the pupils' learning. Health promotion interventions could benefit from these findings.

  • 334.
    Nilsson, Petra
    et al.
    Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Andersson, H. Ingemar
    Kristianstad University, School of Health and Society.
    Ejlertsson, Göran
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Blomqvist, Kerstin
    Kristianstad University, School of Health and Society. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    How to make a workplace health promotion questionnaire process applicable, meaningful, and sustainable2011In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 19, no 7, p. 906-914Article in journal (Refereed)
    Abstract [en]

    Background  In workplace health promotion, a questionnaire could be of great use. Unfortunately, fatigue regarding answering questionnaires has recently become greater than before. An action research approach could be a possible way of increasing employee participation.

    Aim  This study reports an attempt to explore key aspects for participation in, and commitment to, a workplace health promotion questionnaire process.

    Method  The study was conducted at two wards in a Swedish hospital. Data was collected during an action research process. Data were analysed with regard to a framework of questions.

    Findings  The three key aspects for participation in, and commitment to, a workplace health promotion questionnaire process were: an applicable questionnaire, a meaningful questionnaire process and a continuous and sustainable questionnaire process. A structure is presented as practical advice to managers, describing how such a process could be established to be applicable, meaningful and sustainable.

    Conclusion  This study has identified key aspects and prerequisites for questionnaire processes. The prerequisites – share decision-making, involve a core group and follow a structure – are discussed and proposed for managers and workgroups to consider in further workplace health promotion questionnaire processes.

    Implications for nursing management  The key aspects and prerequisites presented could provide a stimulating standpoint or advice, useful for planning and accomplishing workplace questionnaire processes.

  • 335.
    Nilsson, Petra
    et al.
    Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap.
    Blomqvist, Kerstin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    A key to success in workplace survey processes2017Conference paper (Other academic)
  • 336.
    Nilsson, Petra
    et al.
    Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap.
    Blomqvist, Kerstin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Survey process quality: a question of healthcare manager approach2017In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 30, no 7, p. 591-602Article in journal (Refereed)
    Abstract [en]

    Purpose

    The purpose of this paper is to explore how healthcare first-line managers think about and act regarding workplace survey processes.

    Design/methodology/approach

    This interview study was performed at a hospital in south Sweden. First-line healthcare managers ( n=24) volunteered. The analysis was inspired by phenomenography, which aims to describe the ways in which different people experience a phenomenon. The phenomenon was a workplace health promotion (WHP) survey processes.

    Findings

    Four main WHP survey process approaches were identified among the managers: as a possibility, as a competition, as a work task among others and as an imposition. For each, three common subcategories emerged; how managers: stated challenges and support from hospital management; described their own work group and collaboration with other managers; and expressed themselves and their situation in their roles as first-line managers.

    Practical implications

    Insights into how hospital management can understand their first-line managers' motivation for survey processes and practical suggestions and how managers can work proactively at organizational, group and individual level are presented. Originality/value Usually these studies focus on those who should respond to a survey; not those who should run the survey process. Focusing on managers and not co-workers can lead to more committed and empowered managers and thereby success in survey processes.

  • 337.
    Nyberg, Maria
    et al.
    Kristianstad University, Research Environment Food and Meals in Everyday Life (MEAL). Kristianstad University, School of Education and Environment, Avdelningen för Mat- och måltidsvetenskap.
    Olsson, Viktoria
    Kristianstad University, Research Environment Food and Meals in Everyday Life (MEAL). Kristianstad University, School of Education and Environment, Avdelningen för Humaniora.
    Örtman, Gerd
    Linnaeus University, Kalmar, Sweden.
    Pajalic, Zada
    Norge.
    Andersson, Håkan S.
    Linnaeus University, Kalmar.
    Blücher, Anna
    Linnaeus University, Kalmar.
    Lindborg, Ann-Louise
    Mälardalen University, Västerås.
    Wendin, Karin
    Kristianstad University, Research Environment Food and Meals in Everyday Life (MEAL). Kristianstad University, School of Education and Environment, Avdelningen för Mat- och måltidsvetenskap.
    Westergren, Albert
    Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.
    The meal as a performance: food and meal practices beyond health and nutrition2018In: Ageing & Society, ISSN 0144-686X, E-ISSN 1469-1779, Vol. 38, no 1, p. 83-107Article in journal (Refereed)
    Abstract [en]

    The proportion of elderly people in the population is increasing, presenting a number of new challenges in society. The purpose of this qualitative study was to investigate how elderly persons with motoric eating difficulties perceive and perform their food and meal practices in everyday life. By using Goffman's concept of performance as a theoretical framework together with Bourdieu's thinking on habitus, a deeper understanding of food and meal practices is obtained. Semi-structured interviews were conducted with 14 elderly people (aged between 67 and 87 years) and meal observations were carried out with 11 of these people. Participants were found to manage food and meal practices by continuously adjusting and adapting to the new conditions arising as a result of eating difficulties. This was displayed by conscious planning of what to eat and when, avoiding certain foods and beverages, using simple eating aids, but also withdrawing socially during the meals. All these adjustments were important in order to be able to demonstrate proper food and meal behaviour, to maintain the façade and to act according to the perceived norms. As well as being a pleasurable event, food and meals were also perceived in terms of being important for maintaining health and as ‘fuel’ where the main purpose is to sustain life. This was strongly connected to the social context and the ability to enjoy food and meals with family members and friends, which appeared to be particularly crucial due to the impending risk of failing the meal performance.

  • 338.
    Näslund, Andriette
    et al.
    Osby kommun.
    Peterson, Pia
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Förebyggande hembesök i Osby kommun: åtgärder äldre personer utfört efter hembesöket2016Report (Other academic)
    Abstract [sv]

    Samhället står inför förändringar som innebär att andelen personer över 65 år har ökatoch över tid även de närmsta åren kommer att öka. För att möta den ökande andelenäldre i samhället behövs förebyggande insatser. Ett sätt att arbeta förebyggande äratt göra hembesök som syftar till att bibehålla självständighet och god hälsa. Osbykommun har sedan 2006 arbetat förebyggande med att besöka 75 åringar i ordinärtboende. För att kunna utvärdera effekten av verksamheten i Osby behövs det kunskapom hur personerna förhåller sig till rekommendationer som ges och vilka åtgärder devidtar. Denna studie syftade till att undersöka vilka åtgärder äldre personer utfört efteratt de fått ett förebyggande hembesök. En kvantitativ ansats valdes för att utförastudien. Enkäter sändes ut till 147 personer som fått förebyggande hembesök under6 månader. Frågorna som ställdes handlade om säkerhet i hemmet, träning och rörelse,mat och måltider samt kontakter angående hälsa. Svarsfrekvens var 83 personervilket motsvarar 56%. Analyser av enkäten gjordes i analysverktyget SPSS utifrånsignifikansprövning enligt McNemar och logistisk regression. Statistik togs fram på hurmånga som utfört åtgärder innan besöket och hur åtgärderna ökade efter rekommendationernasom lämnats under samtalet. Resultatet visade att signifikans uppmättespå flera områden runt säkerhet i hemmet och träning och rörelse. Flera av de som fåttförebyggande hembesök utförde åtgärder efter besöket inom dessa områden. Majoritetenav de äldre rörde på sig aktivt efter besöket och flertalet genomförde åtgärdersom förbättrade säkerheten i hemmet. Ingen signifikans framkom i de logistiska regressionernamellan kön, ålder, ensam/sammanboende eller läge på bostaden och deberoende variablerna, det vill säga insatser gällande säkerhet i hemmet, träning ochrörelse, mat och måltider samt kontakter angående hälsa. Studien har ett litet urvalvilket gör det svårt att dra slutsatser utifrån de framkomna resultaten. På det antalindivider som besvarat enkäten framkom att samtalet hade effekt och att åtgärderutfördes efter de rekommendationer som gavs. Distriktssjuksköterskorna påverkar desom besökts till att bli delaktiga runt förändringar i sin vardag. Vidare behövs fler studierför att resultatet ytterligare ska kunna säkerställas.

  • 339.
    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.))
  • 340.
    Olsson, Ann-Margreth E.
    Kristianstad University, 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 och Soldat: Soldatens motiv och anhörigas respons på beslut om internationell militär insats. Oro, saknad och längtan2018Book (Other academic)
    Abstract [en]

    Dialogical participatory action research was conducted during 2012-2017 with and about Swedish soldiers, veterans and their families, experiencing having a family member deployed abroad in areas of war and terror. It was explored how the families managed, what support they needed as well as the capacity they themselves developed. The study comprised 110 adult participants, of which 42 were soldiers/veterans, 42 partners, 21 parents of soldiers, 10 siblings.  There were participants having a double connection, for example being a veteran and a partner. Also 37 children of soldiers/veteran have particpated and even more been told about.

     

    In this report focuses on the soldier's motivation and adds the relational aspect.  The soldier’s motivation emerges as designed by the soldier in relation to and in interaction with significant others in the soldier's family, military work and network. The motivation is joint in something that can be seen as an interlinked network of wishes and hopes, expectations and demands communicated in the interaction between people in the soldier's network and several different contexts surrounding the soldier. Unbalance in the interaction can lead to a soldier longing for the context of the deployment with predictability as to what is expected of the participants, with tasks that feel meaningful. Without this, the “poison of mission " and "mission guts" sucks the veterans into becoming deployed again.

     

    Family members report on how the interaction within the family has become influenced for better or worse. The results indicate that the more the soldiers are able to involve their families and explain for them about what is going on as well as motivate themselves to listen and pay attention to each other's perspectives, the better conditions for successful deployment both for the soldiers and the families. There are narrations about relatives having deep feelings of loss and how these feelings become harder to bear when combined with concerns for the soldier's safety and continued capacity to manage at home if something undesirable happens. Crucial in all stages and phases is the access to good means of communication and enough opportunities for communication in relation to each other. Together with the families, the military system needs to make adjustments and develop solutions that make the combination work - family easier for soldiers expected to be able to fulfill parenting and be a member of his/her family at distance. In this couples and families may experience difficulties to distinguish external circumstances from concerns stemming from their inner processes and relationships. This can be prevented by:

     

    1) The military system facilitating troops maintenance of relational contact with their families and relatives, advising on forms that allow this to proceed an integrity-proof manner, both during pre-deployment and deployment.2) Families and relatives become informed early in the process and invited to become more familiar with the purpose and goals of military initiatives, specifics of the commission and the conditions of the deployment, including working and living conditions awaiting the soldier, and, what can be expected to emerge during the deployment including families’ and family-members’ own responses as well as from others in the environment. This could include tips on how these issues can be prevented, approached and resolved.3) That the soldier is encouraged and offered support in preparing and communicating with his family and relatives before action, in good time, as well as when necessary during and after the event. Each commanding officer is suggested to keep him/herself informed about the development of the home front of each subordinated soldier in context of deployment.

  • 341.
    Olsson, Ann-Margreth E.
    Kristianstad University, School of Health and Society, Avdelningen för Samhällsvetenskap. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, Research Platform for Collaboration for Health.
    Anhörigforskning - Högskolan Kristianstad2012In: Försvarsmaktens seminarium för lokala anhörigsamordnare / [ed] Emma Wiik och Diana Samuelsson, FMHRC, 2012Conference paper (Other (popular science, discussion, etc.))
  • 342.
    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)
  • 343.
    Olsson, Ann-Margreth E.
    Kristianstad University, 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, Avdelningen för Ekonomi.
    Barn i Barnahus – ur socialsekreterares perspektiv: intervjuer med socialsekreterare2015In: Barn i Barnahus – tvärvetenskaplig studie ur barnperspektiv, Barnahuset Nordöstra Skåne och Högskolan Kristianstad, Kristianstad, 24 april 2015 / [ed] Ingela Bernholtz, 2015Conference paper (Other academic)
  • 344.
    Olsson, Ann-Margreth E.
    Kristianstad University, 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.
    Barn i Barnahus: en främmande fågel i Socialtjänstens Service- och Familjesystem2017Book (Other academic)
    Abstract [sv]

    Barnahus en främmande fågel från länder med socialt risk- och skyddssystem. I dessa länder, som USA, kan det bli så att när utsatta barns behov upptäcks, behövs ingripande insatser och skydd av barnet. I Sverige används ett service- och familjeinriktat system där inriktningen är  strukturella och allmänna insatser för alla barnfamiljer samt tidiga och förebyggande insatser till barnfamiljer vid behov. Socialtjänstens huvudinriktning är samarbete, erbjudande i insatser och frivilligt förändringsarbete. Både vuxna och barn berättar om Barnahus med fokus på att genomföra förhör med barn. Genom detta blir Barnahus till en parentes som passerar revyn före socialtjänstens egentliga utredning då samarbete med barn och barnets familj intensifieras. Socialsekreterarna ser Barnahus främst som en plats för samråd, samordning och konsultation. Socialsekreterarnas huvudsakliga orientering är att avvärja att Barnahus ska leda till att vidare samarbete med föräldrarna omöjliggörs eller dramatiskt försämras. Omfattningen av polisanmälningar ifrågasätts med hänvisning till att socialtjänsten erbjuder andra alternativa metoder att inleda utredning och stöd. Barnahus ifrågasätts också för den dramatik det kan innebära för barn. Blir det till barnets bästa; hämtning, förhör, lång väntan på att den misstänkte förhörs och ännu längre tills att ärendet går vidare, om det över huvud taget går till åtal? Socialsekreterarna vill helst inte delta vid hämtningar av barn. De ser sin huvuduppgift på Barnahuset i medhörningsrummet, att bedöma barnets omedelbara behov av skydd genom att se och lyssna på barnet i polisförhör. I studien rekommenderas att rutin införs om att barnet också erbjuds eget samtal med sin socialsekreterare. Barnet har rätt att bli involverat i frågor som rör barnet. Här handlar det om att barnet behöver bli konsulterat i bedömningen av barnets behov, informeras om och överenskomma med sin socialsekreterare om fortsättningen; vad händer direkt efter Barnahus-besöket och tills att de träffas igen tillsammans med barnets föräldrar?  För att möjliggöra detta måste också socialtjänsten organisera socialsekreterarnas arbete så att barnets socialsekreterare är med barnet i Barnahus och också fortsättningsvis finns för barnet.

  • 345.
    Olsson, Ann-Margreth E.
    Kristianstad University, 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, Avdelningen för Ekonomi och arbetsliv.
    Barn i svenska ”militära familjer”: barns berättelser om hur de reder sig när förälder åker iväg som svensk soldat på utlandsmission2017In: Barnsliga sammanhang: forskning om barns och ungdomars hälsa, välbefinnande och delaktighet / [ed] Bo Nilsson & Eva Clausson, Kristianstad: Kristianstad University Press , 2017, p. 51-63Chapter in book (Other academic)
  • 346.
    Olsson, Ann-Margreth E.
    Kristianstad University, School of Health and Society, Avdelningen för Samhällsvetenskap. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO).
    Barnahus – effektivt eller fördröjande?2014In: Kristianstadsbladet, no 22/5Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Personer rapporterar att de är oroade över ett litet barn, som far illa. Men anmälningarna når inte fram eller blir liggande hos lokala myndigheter. Det får inte hända, skriver universitetslektor Ann-Margreth Olsson.

  • 347.
    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.

     

  • 348.
    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.

  • 349.
    Olsson, Ann-Margreth E.
    Kristianstad University, 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, Avdelningen för Ekonomi.
    Barnens röster om när förälder ger sig iväg på utlandsmission2015In: / [ed] Gabrielsen, Trine Viste, 2015Conference paper (Other (popular science, discussion, etc.))
    Abstract [sv]

    Att säkra barnens välbefinnnade när förälder deltar i fredsbevarande insatser i krig och terror. Om att mobilieras stöd till barn och unga på hemmafronten

  • 350.
    Olsson, Ann-Margreth E.
    Kristianstad University, School of Health and Society, Avdelningen för Samhällsvetenskap. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO).
    Barnens röster om när förälder ger sig iväg på utlandsmission2015In: / [ed] Monika Larsson, 2015Conference paper (Other academic)
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