hkr.sePublications
Change search
Refine search result
1234567 51 - 100 of 1733
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 51.
    Andersson, Ann-Christine
    et al.
    Jönköping University.
    Ainalem, Ingrid
    Region Skåne.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.
    Janlöv, Ann-Christin
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.
    Challenges to Improve Inter-Professional Care and Service Collaboration for People Living With Psychiatric Disabilities in Ordinary Housing2016In: Quality Management in Health Care, ISSN 1063-8628, E-ISSN 1550-5154, Vol. 25, no 1, p. 44-52Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe health care- and social service professionals' experiences of a quality-improvement program implemented in the south of Sweden. The focus of the program was to develop inter-professional collaboration to improve care and service to people with psychiatric disabilities in ordinary housing. Focus group interviews and a thematic analysis were used. The result was captured as themes along steps in process. (I) Entering the quality-improvement program: Lack of information about the program, The challenge of getting started, and Approaching the resources reluctantly. (II) Doing the practice-based improvement work: Facing unprepared workplaces, and Doing twice the work. (III) Looking back--evaluation over 1 year: Balancing theoretical knowledge with practical training, and Considering profound knowledge as an integral part of work. The improvement process in clinical practice was found to be both time and energy consuming, yet worth the effort. The findings also indicate that collaboration across organizational boundaries was broadened, and the care and service delivery were improved.

  • 52.
    Andersson, Ann-Christine
    et al.
    Kristianstad University, School of Health and Society.
    Melander, Katarina
    Kristianstad University, School of Health and Society.
    Kvinnors upplevelse av att leva med diabetes typ 22012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Diabetes typ 2 är en kronisksjukdom som ökar på grund av förändrade kostvanor och minskad fysisk aktivitet. Det är en sjukdom som ställer stora krav på individen eftersom det är viktigt med välfungerande egenvård för att må bra. Att drabbas av en kronisk sjukdom upplevs oftast negativt samtidigt som det är viktigt att få ett namn på sjukdomen. Det finns studier som tyder på att kvinnor verkar må psykiskt sämre och har sämre reglerad diabetes än män. För att kunna stödja kvinnorna i egenvården behövs kunskap om hur de upplever det att leva med diabetes. Syfte: Undersöka kvinnors upplevese av att leva med typ 2 diabetes Metod: Litteraturstudie som bygger på nio kvalitativa artiklar Resultat: Fyra teman hittades; besvikelse och svek, kluvenhet, skuld och skam samt oro för framtiden Diskussion: Det är svårt att vara kvinna och leva med diabetes typ 2. Sjukdomen kräver daglig egenvård och kombinerat med andra roller som kvinnan har i sitt dagliga liv kan kraven upplevas som stressande för en del av kvinnorna. Många kvinnor med diabetes typ två upplevde att de var i behov av bättre stöd och information för att kunna leva med sin sjukdom Slutsats: Vårdpersonal behöver mer utbildning och ha med ett genusperspektiv för att förstå kvinnornas behov. Diabetesutbildningen behöver utvecklas till att omfatta hela familjen, men samtidigt måste den vara individanpassad.

  • 53.
    Andersson, Ann-Christine
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Melander, Katarina
    Blomqvist, Kerstin
    Kristianstad University, School of Health and Society. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Kvinnors upplevelse av att leva med diabetes typ 22013Report (Other academic)
    Abstract [sv]

    Bakgrund: Diabetes typ 2 är en kronisksjukdom som ökar på grund av förändrade kostvanor och minskad fysisk aktivitet. Det är en sjukdom som ställer stora krav på individen eftersom det är viktigt med välfungerande egenvård för att må bra. Att drabbas av en kronisk sjukdom upplevs oftast negativt samtidigt som det är viktigt att få ett namn på sjukdo- men. Det finns studier som tyder på att kvinnor verkar må psykiskt sämre och har sämre reglerad diabetes än män. För att kunna stödja kvinnorna i egenvården behövs kunskap om hur de upplever det att leva med diabetes. Syfte: Undersöka kvinnors upplevese av att leva med typ 2 diabetes. Metod: Litteraturstudie som bygger på nio kvalitativa artiklar. Resultat: Fyra teman hittades; besvikelse och svek, kluvenhet, skuld och skam samt oro för framtiden. Diskussion: Det är svårt att vara kvinna och leva med diabetes typ 2. Sjukdomen kräver daglig egenvård och kombinerat med andra roller som kvinnan har i sitt dagliga liv kan kraven upplevas som stressande för en del av kvinnorna. Många kvinnor med diabetes typ två upplevde att de var i behov av bättre stöd och information för att kunna leva med sin sjukdom. Slutsats: Vårdpersonal behöver mer utbildning och ha med ett genusperspektiv för att förstå kvinnornas behov. Diabetesutbildningen behöver utveckas till att omfatta hela familjen, men samtidigt måste den vara individanpassad.

  • 54.
    Andersson, Bodil T.
    et al.
    Department of Health Sciences, Lund University.
    Fridlund, Bengt
    The School of Health Sciences and Social Work, Växjö University.
    Elgán, Carina
    Faculty of Health and Society, Malmö University.
    Axelsson, Åsa B.
    Institute of Health and Care Sciences, The Sahlgrenska Academy at Göteborg University.
    Radiographers' areas of professional competence related to good nursing care2008In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 22, no 3, p. 401-409Article in journal (Refereed)
    Abstract [en]

    Background: Radiographers’ ability and competence is a matter of vital importance for patients. Nursing care is an integral part of the radiographer’s work. The demand for high competence in clinical activities has increased in diagnostic radiology and has had an impact on the development of the profession.

    Aim: The aim was to describe the radiographer’s areas of professional competence in relation to good nursing care based on critical incidents that occur in the course of radiological examinations and interventions.

    Method: A descriptive design with a qualitative approach, using the Critical Incident Technique was employed. Interviews were conducted with a strategic sample of registered radiographers (n = 14), based at different hospitals in Sweden.

    Ethical issues: The appropriate ethical principles were followed. All the participants provided informed consent, and formal approval for conducting the research was obtained according to national and local directives.

    Results: The data analysis resulted in two main areas; direct and indirect patient-related areas of competence, which describe the radiographers’ skills that either facilitate or hinder good nursing care. In the direct patient-related area of competence, four categories emerged, which illustrate good nursing care in the patient’s immediate surroundings. In the indirect patient-related area of competence, four categories illuminated good nursing care that is provided without direct contact with the patient.

    Conclusions: The study highlights the different areas of the radiographer’s unique professional competence. The findings provide insight into the radiographer’s profession, on one hand as a carer and on the other as a medical technologist as well as highlighting the importance of each role. The radiographer’s work encompasses a variety of components – from caring for the patient to handling and checking the technical equipment.

  • 55.
    Andersson, Camilla
    et al.
    Kristianstad University, School of Health and Society.
    Andersson, Kristina
    Kristianstad University, School of Health and Society.
    Existentiell smärta hos patienter med cancer i palliativt skede2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Pain in the end of life means not only the physical discomfort, but can also have psychological, social and existential dimensions. Existential pain plays a major role in palliative care. Dealing with the meaning of life, guilt and death can provide existential pain. The existential needs are as many studies indicate neglected. Health professionals often avoid these issues. The purpose of this study was to describe the existential pain in cancer patients in a palliative setting. Method: A literature review was conducted with qualitative articles. The results showed that existential pain was widespread. The informants experienced loneliness and guilt and the pain was often described in physical terms. The pain was also associated with loss of various functions. There were also thoughts about spirituality and fear of the unknown future. Discussion: It is important that the nurse is attentive to patient’s needs for closeness or lonely moments. Medical professionals can also help patients regain their autonomy by identifying the features that actually exist. Through conversation, the patient may receive strength to live the last days and to face the unknown future. The conclusion is that in order to identify and alleviate existential pain it requires a good knowledge in communication and pain management.

  • 56.
    Andersson, Catharina
    et al.
    Kristianstad University, School of Health and Society.
    Dam, Johan
    Kristianstad University, School of Health and Society.
    Sjuksköterskors erfarenheter av samarbete med annan hälso- och sjukvårdspersonal2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Samarbete mellan hälso- och sjukvårdspersonal är viktigt för patientsäkerheten. Hur samarbete upplevs varierar mellan de olika yrkeskategorierna. Sjuksköterskan är ansvarig för patientens omvårdnad och har en central roll i vårdteamet.

    Syfte: Att belysa sjuksköterskors erfarenheter av hur samarbetet fungerar med annan hälso- och sjukvårdspersonal.

    Metod: Allmän litteraturstudie där artiklar med kvalitativ och kvantitativ ansats ingår. Utvalda artiklar har genomgått en textanalys.

    Resultat: Tre kategorier framgick i resultatet: Informationsöverföringens betydelse för samarbetet, förståelsen för varandras yrkesroller och dess betydelse för samarbetet samt bemötandets betydelse för samarbetet. Kommunikation är genomgående i alla kategorierna för hur sjuksköterskan upplever samarbetet med undersköterskor och läkare.

    Diskussion: Sjuksköterskorna upplever sig inte lika delaktiga i beslut gällande patienternas vård som läkarna upplever att de är. Samtidigt har sjuksköterskorna svårt att vara delaktiga i omvårdnaden kring patienterna pga. tidsbrist, vilket leder till sämre samarbete med undersköterskorna. Även bemötandet har betydelse för samarbetet mellan professionerna.

    Slutsats: Hälso- och sjukvårdspersonal behöver bli bättre på att kommunicera med varandra för att förbättra samarbetet. För att uppnå detta behöver personalen bli bättre på informationsöverföring, visa förståelse för varandras yrkesprofessioner samt kunna bemöta varandra med respekt.   

     

  • 57. Andersson, Edith M.
    et al.
    Hallberg, Ingalill R
    Edberg, Anna-Karin
    Department of Nursing, University of Lund.
    Nurses' experiences of the encounter with elderly patients in acute confusional state in orthopaedic care2003In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 40, no 4, p. 437-48Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to illuminate nurses' experiences of the encounter with elderly patients who developed acute confusional state (ACS) in orthopaedic care. Forty-eight nurses with professional background as registered (n=26) or licensed practical nurses (n=22) who took part in the nursing care of acute confused patients were involved. Open-ended unstructured interviews were conducted with regard to the course of events, experiences and interpretation of what had happened during the ACS as well as the nurses' actions and encounter with the confused patient. The texts were analysed using manifest and latent content analysis, revealing that the nurses had difficulties in reaching the patients and their reality, and thus in understanding their experiences. Interpretation of the nurses' experiences showed that the nurses found it difficult to reach the patients' reality because the patients were in a divided and/or different world. They interpreted the patients as seeking solitude or company, keeping a distance or being suspicious of the nurses. The findings indicated that the interaction in the encounter between the acutely confused patients and the nurses indicated insufficient and/or broken reciprocity. The nurses used various strategies to meet the patients, being a companion and/or being a surrogate. They acted in the encounter based on their view of the patient and their ability to enter into and understand the patients' situation. The strategies were more or less successful, sometimes resulting in contact and calming the patients and in other cases increasing the patients' irritation and anger. The results were more successful when the strategies were derived from the nurses' interpretation of the patients' situation and the nurses paid attention to the patients and confirmed them.

  • 58.
    Andersson, Emelie
    et al.
    Kristianstad University, School of Health and Society.
    Hansson, Anna
    Kristianstad University, School of Health and Society.
    Närståendes behov i omvårdnad av personer med demenssjukdom: Litteraturstudie2011Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The illness of dementia causes decreased cognitive capacity and the personality of the person who is ill changes. To let the relatives be a part of the care and that nursing staff make time to listen to relatives opinions will make good chances for that both parts will be satisfied with the care that is given to the ill person. Aim: Examine relative´s needs in the care of the illness of Dementia. Method: The literature review (n=15) was executed by a systematic procedure. Result: The result of the study showed that relatives had their own needs that had to be satisfied, to get the possibility to create a relation to the nursing staff, to get time to talk, to take part of the care and to get information. Relatives had also needs of that the ill person needs were satisfied. For this to happen it demanded that the nursing staff created a good relation to the ill person, that he/she got enough of time and a good care. Conclusion: Relatives needs ofthat the ill person gets a good relationship with the nursing staff were not satisfied. Relative wished more time and contact with the nursing staff. The model of Calgary can be used by the nursing staff to make a survey of relatives needs in the care.

  • 59.
    Andersson, Emelie
    et al.
    Kristianstad University, School of Health and Society.
    Lindström, Emelie
    Kristianstad University, School of Health and Society.
    Ambassadörer inom tobaksprevention: en kvalitativ studie om peer education2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: In the project known as TBU, tobacco free adolescents in Blekinge, ambassadors in the ages 16-19 have been used for spreading information about tobacco to adolescents in the ages 13-15. This approach is related to the method peer education. The use of peers who are close in age or have similar experiences represents another way of learning than the more common situation between a teacher and a student. Objective: The objective of this study was to examine how ambassadors use peer education as tobacco prevention and how the ambassadors could be affected by their work as peer educators. Method: The methods used in this study were interviews with the ambassadors and a focus group interview with the project group of TBU. The material was analysed with a content analysis. Results: The results show that the ambassadors had, or had developed, an interest for their work and an ability to communicate with their target group, which they also stated as important parts of the role as an ambassador. The ambassadors had also been affected by their work. Their communication skills had been improved and they had had an increase in knowledge, which was thought to be a result of their education containing different parts and perspectives. Conclusion: The most important in the work of the ambassadors to prevent the use of tobacco in adolescents was the education the ambassadors had the first week of their work period. Therefore, we suggest that TBU develops a concrete material for the education with well- defined methods and targets which would aim to develop the ambassadors interest for the subject and their communication skills. Further studies could examine the relationship between students and ambassadors from the student's perspective.

  • 60.
    Andersson, Emma
    et al.
    Kristianstad University, School of Health and Society.
    Feltenmark, Joel
    Kristianstad University, School of Health and Society.
    Hur kvinnor som genomgår inducerad abort upplever sig bemötta i vården: En litteraturstudie om sjuksköterskors bemötande2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Inducerad abort utförs oftast på vårdinrättningar avsjuksköterskor. Hur sjuksköterskorna bemöter kvinnor i abortsituationer harbetydelse för deras upplevelse av abortvården. Syfte: Syftet var att beskrivakvinnors upplevelser av sjuksköterskors bemötande vid inducerad abort. Metod: En litteraturstudie grundad på kvalitativa artiklar genomfördes.Sökningarna gjordes i databaser med relevans för omvårdnad. Granskning avartiklarna gjordes enligt en mall. Resultat: Tre kategorierdefinieras som beskriver kvinnornas upplevelser; önskan om interaktion medsjuksköterskorna; viljan att bli sedd samt; rädsla för att bli dömd. Diskussion: Metoden diskuteras utifrån Shentons (2004)trovärdighetsbegrepp. Tre huvudfynd lyfts i resultatdiskussionen; Vikten av attfå bli bekräftad som moralisk beslutsfattare; Vikten av att inte få enundvikande vård samt Vikten av att bemötande inte präglas av fördomar.Resultatet diskuteras också utifrån Erikssons (1994) lidandeteori.Sjukdomslidande och vårdlidande uppkom av kvinnornas egna tankar och känslorsamt bristande kvalité i sjuksköterskornas bemötande. Det behövs vidareforskning om hur kvinnor upplever bemötandet i abortvården.

  • 61.
    Andersson, Emma
    et al.
    Kristianstad University, School of Health and Society.
    Levin, Ida
    Kristianstad University, School of Health and Society.
    "Jag kan inte tänka på något annat": en empirisk studie om rädsla ur ett livsvärldsperspektiv2010Report (Other academic)
    Abstract [en]

    Background: Nursing staff often meet with patients that experience fear. An understanding of human's lived experiences is central in nursing. Attempts to understand phenomena that influence daily life of humans might contribute to a positive interaction between patient and nurse. Purpose: The aim was to describe fear from a life-world perspective. Method: The study was based on 74 narratives about fear, written by nursing students and a qualitative content analysis was used. Results: Situations that led to uncertainty and powerlessness triggered fear. When experiencing fear the usually silent body became “loud”, the body was felt as uncontrollable and the informants were temporally confused and had an altered perception of reality. The fear arouses more and new emotions and wishes to fight and flee. When the fear faded away, the body became silent, the informants perceived the situation unreal and embarrassing and felt that the experience left marks on their bodies and minds. Discussion: What frightens humans is individual as different people direct their consciousness differently. Fear exists in the lived body. It influences and is influenced by the lived time. Attempts to make one‟s own fear consciousness contribute to an ability to recognize and understand other's fear as well. Conclusion: To see and understand other's fear is central in nursing, as well as in other caring services. Since lived experience of fear is central it is important not to be prejudiced about what situations that trigger fear and to

    avoid judging other peoples fear.

  • 62.
    Andersson, Emma
    et al.
    Kristianstad University College, School of Health and Society.
    Månsson, Maria
    Kristianstad University College, School of Health and Society.
    Överviktiga patienter i hälso- och sjukvården: Att bemöta och bli bemött2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Overweight is a public health problem in the Western world, and the disease can cause severe suffering. Usually, the nurse has the most contact on a frequent basis with overweight patients. The nurse’s task is to treat patients in a dignified manner regardless of age, appearance, function or capacity. Aim: The aim with this literature study was to enlighten the encountering with overweight patients in the health care system. Method: This study was carried out as a literature study based on nine scientific articles. Result: The result is presented from the patient’s perspective as well as from the health care professionals’ perspective. The study shows that the encountering with overweight patients is experienced both negatively and positively. The patients could feel that they established a good relationship to the health care professionals. Other patients experienced that they were judged directly by their overweight. The health care professionals experienced that overweight were a sensitive area to work within. Conclusion: For a caring relation where the encountering is experienced as positive, the health care professionals should be aware of their attitudes in the caring relation and consider the different aspects of the human they treat.

     

  • 63.
    Andersson, H. Ingemar
    Kristianstad University, School of Health and Society.
    Biomedicin: viktig grund men också hinder2009In: Andersson, Ingemar & Ejlertsson, Göran (red.). Folkhälsa som tvärvetenskap: möten mellan ämnen, Lund: Studentlitteratur , 2009, p. 63-85Chapter in book (Other academic)
  • 64.
    Andersson, H. Ingemar
    Department of Community Health Sciences, Lund University, Sweden.
    Chronic pain: epidemiological studies in a general population1998Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The aim was to study the epidemiology of chronic pain (> 3 months duration) and factors associated to pain prevalence, prognosis, health care and medication in a general population. A cross-sectional mailed survey to a random population sample (n = 1806) was followed by a clinical examination and a prospective study of three selected groups. Pain related diagnoses from primary health care was monitored and compared with pain prevalence. The most important findings were: - a high total prevalence of chronic pain, 55.2%, without gender difference but varying by age and socioeconomic level. About one fourth (12.8%) reported high pain intensity and functional impairments. Women experienced pain at more locations and with higher intensity. - in a multivariate analysis increasing age, female gender, low education, high work strain, depression and insomnia were associated with chronic pain. - widespread pain showed a worse 2- year prognosis compared with neck shoulder pain. - musculoskeletal location of pain dominated, myalgia and myofascial pain being the most common symptom descriptions. - co-morbidity with chronic pain was common. More hypertensives and an increased level of serum uric acid associated to widepread pain indicated possible metabolic connections to pain. - smoking (current and previous) was associated with low-back and widespread pain. - chronic pain had a substantial influence of primary health care-seeking and medication; high pain intensity being the most important predictor of care and medication. - pain related diagnoses in primary health care increased between 1987 and 1996. Chronic pain, mainly with musculoskeletal location, is a community health problem. A multi-factorial approach in prevention and treatment on the basis of present knowledge is necessary.

  • 65.
    Andersson, H. Ingemar
    Kristianstad University, School of Health and Society.
    Epidemiologi: att bestämma folkhälsans innehåll och orsaker2009In: Andersson, Ingemar & Ejlertsson Göran (red.). Folkhälsa som tvärvetenskap: möten mellan ämnen, Lund: Studentlitteratur , 2009, p. 157-180Chapter in book (Other academic)
  • 66.
    Andersson, H. Ingemar
    Kristianstad University, School of Health and Society.
    Increased mortality among individuals with chronic widespread pain relates to lifestyle factors: a prospective population-based study2009In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, p. 1-8Article in journal (Refereed)
    Abstract [en]

    Purpose. Widespread chronic pain has been related to disability and loss of quality of life, but in a few epidemiological studies also to increased mortality. The aim of this study was to further investigate the relationship between chronic pain, lifestyle factors and all cause mortality. Methods. A random sample of an adult (age 25-74) Swedish population (n = 1609) responded to a comprehensive questionnaire on pain, other symptoms, lifestyle, work and socioeconomic factors in 1988. Mortality data for this cohort between 1988 and 2002 were analysed. Survival analysis (Kaplan-Meier) and Cox proportional regression were used to study initially reported factors influencing survival. Results. Individuals with widespread chronic pain showed an increased mortality risk (hazard ratio, HR = 1.95, CI: 1.26-3.03) compared to the group without chronic pain. Death due to cardiovascular disease accounted for the increased mortality. Adjustment for lifestyle factors eliminated the excess risk. Conclusions. Increased mortality among individuals with widespread chronic pain is related to factors like smoking, sleep disturbances and low physical activity. The result emphasises the importance of including lifestyle factors in a cognitive-behavioural rehabilitation process. It remains to be shown whether health promotion activities aimed at lifestyle could change mortality among individuals with chronic pain.

  • 67.
    Andersson, H. Ingemar
    Kristianstad University, Department of Health Sciences.
    The course of non-malignant chronic pain: a 12-year follow-up of a cohort from the general population2004In: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 8, no 1, p. 47-53Article in journal (Refereed)
    Abstract [en]

    The high prevalence of chronic pain (duration >3 months) reported from different populations indicates a public health problem. Knowledge of the long-term course of chronic non-malignant pain is incomplete and scarce.This paper describes a follow-up of a cohort recruited from a survey in the general population. The cohort (n=214) consisted initially of individuals with widespread or located (neck-shoulder) pain or without chronic pain. The individuals were initially examined and replied to questionnaires on pain, social factors, lifestyle, medication and health care after two and 12 years. The deaths during the period were obtained from the population register. Complete data exist for 77% of the eligible individuals.After 12 years one-third of the individuals initially without pain reported chronic pain, and among those with initial chronic pain 85% still reported chronic pain. The number of painful areas was the strongest predictor of chronic pain 12 years later (OR 15.8; >3 locations vs. 0) whereas a social factor (having a close friend) decreased the risk (OR 0.44). The onset of chronic pain during the same period was related to the physical workload (work with bent positions; OR 5.31; yes vs. no). Mortality was significantly higher in the group initially reporting widespread pain compared with the other groups. The chronicity of widespread chronic pain supports early and intense intervention among individuals with located pain. The association between chronic widespread pain and increased mortality needs further investigation but may deepen the view of chronic pain as a public health problem.

  • 68.
    Andersson, H. Ingemar
    Department of Community Medicine, Lund University, Sweden.
    The epidemiology of chronic pain in a Swedish rural area.1994In: Quality of Life Research, 1994 3(Suppl. 1), 1994, Vol. 3 Suppl 1, p. S19-S26Conference paper (Refereed)
    Abstract [en]

    In order to establish basic epidemiological data on chronic pain (duration > 3 months) in a rural population, a survey of pain symptoms was conducted by means of a postal questionnaire. The questionnaire was sent to a random sample (from the population register) of 15% of the population aged 25-74 (n = 1806) in two Swedish primary health care districts. The response rate was 90%. In a follow-up study individuals selected among the responders (neck-shoulder pain, widespread pain and controls without pain; n = 213) were examined and interviewed. They were requestioned about pain symptoms 24 months after the initial survey. Without sex differences 55% of the population had perceived persistent pain for 3 months and 49% for 6 months. Women experienced more multiple localizations of pain and had pain in neck, shoulder, arm and thigh to a greater extent than men. Prevalence of pain increased by age up to 50-59 years for both genders and then slowly decreased. The neck-shoulder area was the most common site of pain (women 32.9%, men 27.5%). Blue-collar workers and employers (including farmers) reported chronic pain to a greater extent than other groups. In 13% of the population, manifest pain problems were associated with reduced functional capacity. Examination of selected pain groups indicated a high proportion of unspecific musculoskeletal symptoms. Diagnosis with definite definitions, explaining the pains, were found in 40% of the individuals. Individuals with widespread pain had a higher pain intensity, more somatic symptoms, were more depressive and had the lowest scores for quality of life.(ABSTRACT TRUNCATED AT 250 WORDS)

  • 69.
    Andersson, H. Ingemar
    et al.
    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).
    Folkhälsovetenskap: perspektiv och framtid2009In: Folkhälsa som tvärvetenskap: möten mellan ämnen / [ed] Andersson, Ingemar & Ejlertsson, Göran, Lund: Studentlitteratur , 2009, p. 367-375Chapter in book (Other academic)
  • 70.
    Andersson, H. Ingemar
    et al.
    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).
    Salutogenetic and pathogenetic factors of equal importance to predict mortality in a Swedish general population2008In: European Journal of Public Health, 18(Suppl. 1), 2008, Vol. 18, no Suppl. 1, p. 193-194Conference paper (Other academic)
    Abstract [en]

    Social support and physical exercise seem to be salutogenetic factors of importance for longterm survival to balance traditional risk factors such as smoking and defined diseases. The results support health promotion initiatives focused on salutogenetic factors and not only prevention in relation to traditional risk factors and diseases.

  • 71.
    Andersson, H. Ingemar
    et al.
    Kristianstad University, Department of Health Sciences.
    Ejlertsson, Göran
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Sleep disturbances predict long-term mortality in men: a prospective Swedish study2007In: European Journal of Public Health, 17(Suppl. 2), 2007, Vol. 17, no Suppl. 2, p. 225-Conference paper (Other academic)
  • 72.
    Andersson, H. Ingemar
    et al.
    Department of Community Medicine, Lund University, Sweden.
    Ejlertsson, Göran
    Kristianstad College of Health Professions.
    Leden, Ido
    Department of Medicine, Rheumatology Section, Central Hospital, Kristianstad, Sweden.
    Widespread musculoskeletal chronic pain associated with smoking: an epidemiological study in a general rural population1998In: Scandinavian Journal of Rehabilitation Medicine, ISSN 0036-5505, E-ISSN 1940-2228, Vol. 30, no 3, p. 185-191Article in journal (Refereed)
    Abstract [en]

    Data on smoking and pain symptoms from a random sample (n = 1806) of a general population were used to evaluate the association between chronic pain at various locations and smoking. In both genders current smoking was associated with reports of increased pain in low back, neck and with multiple locations. In a multiple logistic regression analysis current smoking was associated with an increase in widespread chronic musculoskeletal pain (OR 1.60, CI 1.04-2.46, in relation to non-smokers) and chronic low back pain (OR 1.58, CI 1.13-2.20, in relation to non-smokers). A dose-response relationship was found between the daily cigarette consumption and the prevalence of chronic low back pain. Smoking is associated not only with low back pain but also with chronic widespread musculoskeletal pain. No conclusive decrease in pain prevalence was found after quitting smoking. Further studies are necessary to elucidate an aetiologic relationship between smoking and chronic pain.

  • 73.
    Andersson, H. Ingemar
    et al.
    Department of Community Health Medicine, Lund University, Sweden.
    Ejlertsson, Göran
    Kristianstad College for Health Professions.
    Leden, Ido
    Department of Medicine, Central Hospital, Kristianstad.
    Rosenberg, Claes
    Simrishamn Health Care Centre.
    Characteristics of subjects with chronic pain, in relation to local and widespread pain report: a prospective study of symptoms, clinical findings and blood tests in subgroups of a geographically defined population1996In: Scandinavian Journal of Rheumatology, ISSN 0300-9742, E-ISSN 1502-7732, Vol. 25, no 3, p. 146-154Article in journal (Refereed)
    Abstract [en]

    The relation between reported chronic pain and clinical findings was studied by comparing survey data six months before and eighteen months after a clinical examination. Studied individuals (n = 165) were randomly selected from subsamples of an initial survey (n = 1806) to a general population. Among individuals reporting chronic pain 85% were assessed to have chronic pain at the examination. Diagnoses were found in 22% of examined pain individuals. Myofascial pain syndrome and myalgia were the most common findings. Compared with located neck-shoulder pain, widespread pain had a greater impact on the individual, a worse prognosis regarding pain duration and working capacity, and revealed a raised serum urate level of unclear significance. Although no specific cause of pain is found in individuals with widespread pain it is important to identify and treat this group due to the great effects on functional capacity and the worse prognosis.

  • 74.
    Andersson, H. Ingemar
    et al.
    Department of Community Medicine, Lund University, Sweden.
    Ejlertsson, Göran
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Leden, Ido
    Department of Medicine, Rheumatology section, Central Hospital, Kristianstad.
    Rosenberg, Claes
    Simrishamn Health Care Centre.
    Chronic pain in a geographically defined general population: studies of differences in age, gender, social class, and pain localization.1993In: The Clinical Journal of Pain, ISSN 0749-8047, E-ISSN 1536-5409, Vol. 9, no 3, p. 174-182Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To establish basic epidemiological data on chronic pain (duration > 3 months) in a defined population. Relationships between age, gender, and social class were tested. DESIGN: A survey of pain symptoms, including location, intensity, duration, and functional capacity, was conducted by means of a mail questionnaire. SETTING: General populations in two Swedish primary health care districts. Medical care was provided in a state health system. SUBJECTS: A random sample (from the population register) of 15% of the population aged 25-74 (n = 1,806). The response rate was 90%. OUTCOME MEASURES: Descriptive epidemiologic data in relation to objectives of the study. RESULTS: Without sex differences, 55% (95% confidence interval, 53-58%) of the population had perceived persistent pain for 3 months and 49% for 6 months. Among individuals with chronic pain, 90% localized their pain to the musculoskeletal system to a variable extent. Women experienced more multiple localizations of pain and had pain in the neck, shoulder, arm, and thigh to a greater extent than men. Prevalence of pain increased by age up to 50-59 years for both genders and then slowly decreased. The neck-shoulder area was the most common site of pain (30.2%), followed by the lower back (23.2%). Even in the youngest age groups more than one of four reported chronic pain. Blue-collar workers and employers (including farmers) reported chronic pain to a greater extent than other groups. In 13% of the population, manifest pain problems were associated with reduced functional capacity. CONCLUSION: Chronic pain symptoms are common but unevenly distributed in a general population. The results may influence planning and consultation in primary health care as well as warranting selective prevention activities.

  • 75.
    Andersson, H. Ingemar
    et al.
    Kristianstad University, School of Health and Society.
    Nilsson, P.
    Kristianstad University, School of Health and Society.
    Bringsén, Åsa
    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).
    Positive work experience factors relate to salutogenic health-a survey among Swedish hospital employees2012In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 22, no Suppl. 2, p. 156-156Article in journal (Refereed)
  • 76.
    Andersson, H.Ingemar
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II.
    Långvarig icke-malign smärta: introduktion2003In: Smärta och smärtbehandling / [ed] Mads Werner och Peter Strang, Stockholm: Liber , 2003, p. 397-409Chapter in book (Other academic)
  • 77.
    Andersson, Ida
    et al.
    Kristianstad University, School of Health and Society.
    Eskesjö, Jimmy
    Kristianstad University, School of Health and Society.
    FMI deltagare – motivation till motionsidrott2016In: Framtidens motionsidrott: möjligheter och utmaningar / [ed] Åsa Bringsén, Kristianstad: Kristianstad University Press , 2016, p. 44-48Chapter in book (Other (popular science, discussion, etc.))
  • 78.
    Andersson, Ida
    et al.
    Kristianstad University, School of Health and Society.
    Eskesjö, Jimmy
    Kristianstad University, School of Health and Society.
    Motivation för motionsidrott: äldre tonårsflickors beskrivning av motionsidrott2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    It emerges in the background of the study that club sports are an important player that has the resources to increase physical activity and reduce sedentary population. To avoid low physical activity and defections in club sports requires that the individual feels motivated to participate in sports. The aim of the study was to investigate motivational aspects of older teenage girls participating in exercise activities in sports clubs. A qualitative study was used as a method in the study, with a strategic choice that resulted in team sports by teenage girls who exercise sports. The material was analyzed through a qualitative content analysis where keywords were sorted out and categories formed. The results showed that several aspects are important for teenage girls' motivation for physical exercise: the love of sport, health aspects, to be part of the team, ambient impact, conditions and confirmation. Self-determination and togetherness proved to be important components for creating motivation and should, on the basis of the conclusion, play a vital role in the discussions about how the club sports could be organised in order to increase interest in participating in sports clubs.

  • 79.
    Andersson, Ingemar
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och Folkhälsovetenskap.
    Epidemiologi för hälsovetare: en introduktion2016 (ed. 2)Book (Other academic)
    Abstract [sv]

    Den andra upplagan av Epidemiologi för hälsovetare har aktualiserats och uppdaterats i alla delar. Flera nya delar som relaterar till utvecklingen inom epidemiologin har också tillkommit.

    Boken ger en grundläggande beskrivning av arbetssätt, teorier och metoder inom epidemiologin. Med utgångspunkt i rubrikerna Beskriva, Analysera och Åtgärda förklaras begrepp och analysmetoder, olika typer av studier samt hur epidemiologin kan användas i hälsofrämjande syfte. Statistiska metoder, felkällor samt etiska frågeställningar relaterade till området behandlas och exempel ges på praktiska tillämpningar inom flera områden. Nytt i den här upplagan är bl.a. avsnitt om kvalitetsregister, epigenetik, livsförloppsepidemiologi samt evidensbaserad medicin liksom ett kapitel om socialepidemiologi. Författaren introducerar läsaren i ämnet epidemiologi på ett enkelt och tydligt sätt, bland annat med hjälp av konkreta exempel på arbetssätt och analysmöjligheter. Bokkapitlen avslutas i den nya upplagan med ett ökat antal studieuppgifter med tillhörande facit.

    Epidemiologi för hälsovetare vänder sig i första hand till universitets- och högskolestuderande inom vård- och folkhälsoområdet, det vill säga till blivande folkhälsovetare, sjuksköterskor, sjukgymnaster, farmaceuter, socialarbetare och arbetsterapeuter, men även som introduktion under läkarutbildningen och till yrkesverksamma inom dessa områden.

  • 80.
    Andersson, Ingemar
    Kristianstad University, Department of Health Sciences.
    Epidemiologi för hälsovetare: en introduktion2006Book (Other academic)
    Abstract [sv]

    Boken ger en grundläggande beskrivning av arbetssätt, teorier och metoder inom epidemiologin. Med utgångspunkt i rubrikerna Beskriva, Analysera och Åtgärda förklaras begrepp och analysmetoder, olika typer av studier samt hur epidemiologin kan användas i hälsofrämjande syfte. Statistiska metoder, felkällor samt etiska frågeställningar relaterade till området behandlas och exempel på hur kunskapsområdet kan tillämpas på bland annat livsstilsfaktorer, infektioner och genetik presenteras. Författaren introducerar läsaren i ämnet epidemiologi på ett enkelt och tydligt sätt, bland annat med hjälp av konkreta exempel på arbetssätt och analysmöjligheter. Flera kapitel avslutas med studieuppgifter. Epidemiologi för hälsovetare vänder sig i första hand till universitets- och högskolestuderande inom vård- och folkhälsoområdet, det vill säga till blivande folkhälsovetare, sjuksköterskor, sjukgymnaster, socialarbetare och arbetsterapeuter, men även som introduktion under läkarutbildningen och till yrkesverksamma inom dessa områden. Till boken finns en webbplats med ett stort antal interaktiva övningar, faktafrågor, beräkningsuppgifter, simuleringar och länkar. Detta kompletterande material är ett bra stöd som gör det enkelt och roligt att ta till sig viktig kunskap.

  • 81.
    Andersson, Ingemar
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Epidemiologi för vård- och hälsovetenskaperna: en fördjupning2013Book (Other academic)
    Abstract [sv]

    Epidemiologi för vård- och hälsovetenskaperna är avsedd som en fördjupning i epidemiologi för dem som tillägnat sig grunderna. Den vänder sig främst till universitets- och högskolestuderande inom vård- och hälsoområdet, d.v.s. till blivande folkhälsovetare, sjuksköterskor, läkare, apotekare, sjukgymnaster, socialarbetare och arbetsterapeuter. Den är också användbar för yrkesverksamma inom samma områden samt i forskningsmetodiska utbildningar.

  • 82.
    Andersson, Ingemar
    et al.
    Kristianstad University, School of Health and Society.
    Ejlertsson, GöranKristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Folkhälsa som tvärvetenskap: möten mellan ämnen2009Collection (editor) (Other academic)
    Abstract [sv]

    Folkhälsovetenskap är ett förhållandevis ungt ämne. Det har vuxit fram i samklang med en rad andra discipliner och behandlar olika aspekter av betydelse för befolkningens hälsa. Från att ha varit nästan obefintlig har folkhälsovetenskapen under några få decennier utvecklats till vad den är idag.

    Den här boken visar vilka relationer som finns mellan folkhälsovetenskap och andra ämnen. Med folkhälsovetenskap som bas görs i bokens olika kapitel kopplingar till biomedicin, vård- och omvårdnadsvetenskap, sociologi, statistik, epidemiologi, politik, psykologi, pedagogik, kultur, arbetsvetenskap, arbets- och miljömedicin, ekonomi och etik. Även en del definitioner tas upp, liksom en redovisning av folkhälsovetenskapens utveckling och möjliga framtid.

    Boken är skriven av specialister inom de respektive ämnena, som dessutom har bred kunskap inom folkhälsovetenskap. Till boken finns en webbplats med länkar och kompletteringar.

    Folkhälsa som tvärvetenskap är främst avsedd som en fördjupning i folkhälsovetenskap för dem som redan tillägnat sig grunderna. Den kan användas såväl i rent folkhälsovetenskapliga utbildningar som i andra utbildningar där hälsan är av betydelse. Blivande och färdiga folkhälsovetare, folkhälsopedagoger, sjuksköterskor, läkare, sjukgymnaster, arbetsterapeuter, lärare, samhällsvetare m.fl. bör i boken finna stimulans och kunskap som kan omsättas i praktiskt arbete för folkhälsan.

  • 83.
    Andersson, J.
    et al.
    Norge.
    Hulander, E.
    Norge.
    Rothenberg, Elisabet
    Kristianstad University, Research Environment Food and Meals in Everyday Life (MEAL). Kristianstad University, School of Education and Environment, Avdelningen för Mat- och måltidsvetenskap.
    Iversen, P. Ole
    Norge.
    Effect on body weight, quality of life and appetite following individualized, nutritional counselling to home-living elderly after rehabilitation: an open randomized trial2017In: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 21, no 7, p. 811-818Article in journal (Refereed)
    Abstract [en]

    Objectives: We examined if individually-adapted nutritional counselling could prevent > 5% weight loss among elderly patients 3 months after discharge from a rehabilitation institution. In addition we assessed quality of life (QoL) and appetite. Design: An open, randomized trial. Setting: Godthaab Health and Rehabilitation Institution in Bærum, Norway. Participants: Patients identified as being undernourished or at risk of disease-related malnutrition using the Nutritional Risk Screening tool NRS-2002. Intervention: Shortly before discharge, patients in the intervention group received an individually-tailored nutrition plan. During the subsequent 3 months these patients were contacted 3 times via telephone calls and they received one visit at their homes, for nutrition counselling. Focus on this counselling was on optimizing meal environment, improving appetite, increasing food intake, advice on food preparation, and motivation and support. Measurements: In addition to weight, QoL and appetite were assessed using the EQ-5D questionnaire and a modified version of the Disease-Related Appetite Questionnaire, respectively. Results: Among 115 considered eligible for the study, 100 were enrolled (72 women and 28 men), with a mean age of 75 years and a mean body mass index of 20 kg/m2. Two in the intervention group (n = 52) and 5 in the control group (n = 48) lost > 5% of their body weight, giving an odds ratio of 0.34 (95% CI: 0.064 – 1.86; p = 0.22). We did not detect any significant differences in the QoL- or appetite scores between the two study groups after three months. Conclusion: An individually-adapted nutritional counselling did not improve body mass among elderly patients 3 months after discharge from a rehabilitation institution. Neither quality of life nor appetite measures were improved. Possibly, nutritional counselling should be accompanied with nutritional supplementation to be effective in this vulnerable group of elderly. The trial is registered in Clinical Trials (ID: NCT01632072).

  • 84.
    Andersson, Jenni
    et al.
    Kristianstad University, School of Health and Society.
    Mauritzson, Stina
    Kristianstad University, School of Health and Society.
    Att leva med diabetes typ II: En litteraturstudie2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden there is about 365 000 diabetics. Type II diabetes is a chronic disease which makes this into a disease where the diabetic need to have a continues contact with a nurse. In this meeting it is important that the nurse sees the patients like individuals with a variation of needs. Type II diabetes occurs from various reasons like overweight, diet, sedentary lifestyle and smoking. The treatment consists of changed diet- and exercise habits, tablets or insulin. Aim: The aim of the studie was to enlight how patients with type II diabetes experience their disease and the meetings with the health care system. Method: A literature review based on 11 articles that got analysed. Results: The analysis of the articles resulted in three central themes that represents the results: To receive the diagnosis, fear of complications and denial, to take control of the disease and to accept the disease. Discussion: The three central findings that were represented in the discussion where: An overall finding about health. Another finding was lack of information and the last finding is about differences in men and women view of living with type II diabetes.

  • 85.
    Andersson, Jennie
    et al.
    Kristianstad University, School of Health and Society.
    Hansson, Tommy
    Kristianstad University, School of Health and Society.
    Muslimska personers upplevelser av att leva med diabetes: en litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Islam is the world’s second largest religion and people are traveling the globe like never before, wich places demands on the nurses culturalcompetens in the nursingprofession. Diabetes is a national disease that´s increased during the last years. In our multicultural society this leads to a need of studying different groups experiences of living with diabetes and how that effects the nurse in his/hers profession in the development of culturalcompetens. Aim: To study muslim persons experiences of living with diabetes. Metod: The literature review is based  upon eight peer reviewed articles; six qualitative and two quantitative. The articles has been reviewed and analyzed and led to a result presented in three categories. Resultat: The result tells us about experienceses about feeling missunderstod by healthcare professionals related to the faith in religion and therefore avoiding to tell the healthcare professionals about fore example fasting. It also tells us about a trist in alternative treatments over those that are recomended by the healt care. Diskussion: There is a need to increase the level of knowledge in health care professionals in order to inspire confidence and security in transcultural nursing and counseling related to diabetes care of Muslim persons.

  • 86.
    Andersson, Jessica
    et al.
    Kristianstad University, School of Health and Society.
    Salem, Nellie
    Kristianstad University, School of Health and Society.
    "Det är ju bara att börja äta": Upplevelser i mötet med vårdpersonal utifrån patienter med ätstörningar2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Skeva kroppsideal i samhället och media ligger centralt i vår tid. Ohälsosam vikt kan upplevas som framgång i livet vilket kan skapa negativ fokusering kring mat som i värsta fall leder till ätstörningar. Det finns en bred komplexitet av faktorer till varför sjukdomen utvecklas och därför är bemötandet från vårdpersonal viktigt att studera för att få utvecklad kunskap om förhållningssätt. Syfte: Syftet med denna litteraturstudie var att beskriva hur patienter med ätstörningar upplever mötet med vårdpersonal. Metod: En allmän litteraturstudie med deskriptiv design baserad på tio vetenskapliga artiklar med kvalitativ ansats. Analysen genomförd utifrån en manifest innehållsanalys. Resultat: De tre kategorierna Omsorgsfull vårdpersonal har betydelse, vikten av kontinuitet och tillgänglighet, värdet av personcentrerad vård följt av två underkategorier vardera utgjorde resultatet. Slutsats: Det framkom att bemötande och kompetens hos vårdpersonal var avgörande för patienternas återhämtning och hade en betydande del i mötet.

  • 87.
    Andersson, Johanna
    et al.
    Nordic School of Public Health, Sweden.
    Axelsson, Runo
    Nordic School of Public Health, Sweden.
    Bihari Axelsson, Susanna
    Nordic School of Public Health, Sweden.
    Eriksson, Andrea
    Nordic School of Public Health, Sweden.
    Åhgren, Bengt
    Nordic School of Public Health.
    Integration in Vocational Rehabilitation: a Literature Review2011In: Integration inHealth and Healthcare: abstract book, 2011Conference paper (Other academic)
    Abstract [en]

    Context: With the increasing specialisation of services, integration has become important for health and other welfare organisations in order to address the complex problems of their patients or clients. This is particularly in care of the elderly, psychiatric care and vocational rehabilitation. The following presentation reports a review of literature on integration in vocational rehabilitation, focusing on models of integration as well as barriers and facilitators.

    Methods: The review was based on a search in scientific journals from 1995 to 2010. It generated 13132 articles, which were reduced to 1005 after an initial overview. The abstracts were read by members of the research group. Each abstract was read by two members independently. If they agreed the article was included or excluded, but if not the whole group discussed the abstract. This procedure reduced the number of articles to 205, which were read in full text. Finally, 62 articles were included for thematic content analysis.

    Results: Most of the studies came from Sweden, while others came from Canada, Australia, UK, Netherlands, Norway and Denmark. In these studies different models of integration were identified. They were classified as structural or process oriented. The structural models included case management, partnerships, co-location and financial coordination, while the process oriented models included informal contacts, interorganisational meetings and multidisciplinary teams. There were also a number of barriers as well as facilitators of integration. The barriers included structural and cultural differences, while communication, trust and continuity were important facilitators.

    Discussion: There are different models of integration, but also many combinations. Case management is often combined with interorganisational meetings or multidisciplinary teams. There are also informal contacts in all models. There is a clear mirror effect between the different barriers and facilitators. Leadership may be either a barrier or a facilitator. In the same way, differences between organisations may be both barriers and facilitators. These results seem to be valid also for other fields of integration, for example care of the elderly, psychiatric care, and other forms of community care.

  • 88.
    Andersson, Johanna
    et al.
    Nordic School of Public Health NHV.
    Axelsson, Runo
    Nordic School of Public Health NHV.
    Bihari Axelsson, Susanna
    Nordic School of Public Health NHV.
    Eriksson, Andrea
    Nordic School of Public Health NHV.
    Åhgren, Bengt
    Nordic School of Public Health.
    Samverkan inom arbetslivsinriktad rehabilitering: En sammanställning av kunskaper och erfarenheter inom området2010Report (Other academic)
  • 89.
    Andersson, Johanna
    et al.
    Kristianstad University, School of Health and Society.
    Cukur, Amira
    Kristianstad University, School of Health and Society.
    Söfgren, Chatarina
    Kristianstad University, School of Health and Society.
    Sjuksköterskors bemötande av personer med psykisk ohälsa inom somatisk vård2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Trots att psykisk ohälsa är vanlig bland befolkningen, förekommer det fördomar och myter om personer med psykisk problematik. Personer med psykisk ohälsa har ökad förekomst av riskfaktorer i sin livsstil, men får trots detta inte samma uppmärksamhet och behandling vid somatisk sjukdom som övriga. Därför är det av stor vikt att sjuksköterskor har förmåga att bemöta personer med både psykiska och fysiska problem och göra dem delaktiga i vården. Ökad förståelse för bemötandet av personer med psykisk ohälsa inom somatisk vård kan bidra till att förbättra omvårdnaden. Syfte: Syftet med studien var att beskriva faktorer som kan ha betydelse för hur sjuksköterskor inom somatisk vård bemöter personer med psykisk ohälsa. Metod: Metoden var en litteraturstudie baserad på både kvalitativa och kvantitativa empiriska studier. Resultat: I resultatet framkom att kommunikation, rädsla, attityder och kunskap var viktiga faktorer som kunde påverka sjuksköterskors bemötande av personer med psykisk ohälsa. Slutsats: Sjuksköterskor behöver ytterligare teoretisk och praktisk utbildning samt handledning i psykiatrisk omvårdnad, både under utbildning och senare i arbetslivet. Ökad kunskap, god kommunikation, positiva attityder och minskad rädsla är en förutsättning för gott bemötande av personer med psykisk ohälsa. Gott bemötande resulterar i god omvårdnad.

  • 90.
    Andersson, Johanna
    et al.
    Nordic School of Public Health.
    Åhgren, Bengt
    Nordic School of Public Health.
    Assessing outcome in collaboration: the impact of assessment on collaboration practice2013In: Critical Management Studies Conference 2013: The University of Manchester. Abstracts, 2013Conference paper (Other academic)
    Abstract [en]

    Today the concept of efficiency is a guiding light in public management. Increased efficiency is thought to control spending and provide better services. Two approaches to achieve this are through assessments such as evaluation and audits; and collaboration between different actors. Collaboration can imply e.g. networks or partnerships and vary in intensity and formality. Regardless of form, collaborative efforts are generally thought to achieve services better adapted to address complex social problems, and diminishing overlaps and unclear responsibilities caused by fragmentation. Assessments are used to determine whether or not a program or a service is efficient, but the act of assessment itself is also intended to increase efficiency. Thus, the act of assessment influences the practice it is assessing. Furthermore, in order to be assessed, a program or a service has to be “evaluable”, which may also influence practice. Collaboration is often a solution to previous sector failure, and at the same time it is perceived as difficult to both achieve and sustain. Assessments are used as a tool to determine whether or not collaborative advantage is achieved and if the investments in collaboration should be pursued.

    Assessments of collaboration are a challenge since it confronts the regular vertical forms of organizing and thereby the focus of assessment. The challenge can be boiled down to the question of what collaborative arrangements can, and should, be held accountable for.

    Based on an ethnographic study and two years of field work, this question is critically analyzed with an example from Sweden. The financial coordination of rehabilitation measures act came into effect in 2004, and regulates the construction of coordination associations. The foundation of an association is a pooled budget to which all members, four different public authorities in the field of vocational rehabilitation, contribute. An important condition behind the law was the notion that public services were not adapted to, and therefore had trouble handling, some groups with complex problems needing support from two or more organizations at the same time. The overall, and ultimate, aim with financial coordination is to improve the working ability in the target population. Though the objective of the associations is, according to the law, to support collaboration, finance efforts within the collected area of responsibility and evaluate these efforts. The financed efforts may be both operative and strategic, and should in some way complement the operations of the member organizations or aim at development of new knowledge or methods. The associations have no power to make decisions of authority in relation to the target population, which remains with the professionals in the member organizations. Following this, it may be argued that the first target group of the associations is the regular organizations and next, as a secondary target group; the individuals in the target population. This means also that the target population is not the associations’ own but the regular organizations’ target groups. The aim with the associations is thus to contribute to the regular organizations working better in relation to this group. The associations have no tools at their disposal to contribute to the overall goal but the pooled budget. Their responsibility is to construct the budget, distribute the resources and follow up.

    However, as the findings presented and discussed in this paper show, the associations are generally held accountable to more than that in the frequent assessments being performed on both the associations and the efforts they finance. First, the associations are generally seen by others as being the efforts they finance. This makes the view of them almost like a new organization or authority, even though the efforts actually are organizationally owned and performed by regular organizations. Second, they are held accountable to the aim of improved working ability of the target group, i.e. the overall policy goal. Their objective to support collaboration and the notion that the law was introduced in order to ensure that, through collaboration, those individuals in the intersection of different organizations get the needed help is thus overlooked and focus is turned to effects on individuals.

    This paper argues that the assessments have highly influenced practice in the associations, and has shifted focus from organizational outcomes such as increased equity and quality of services due to decreased fragmentation, to individual outcomes such as employment and dependency of benefits. These latter outcomes are easier to account for and are also in line with conventional more hierarchical assessments. Since many associations perceive themselves to be questioned due to lacking efficiency, they may start seek legitimacy and thereby behave in line with the focus of assessments and start to “produce” improved working ability instead of supporting collaboration. Furthermore, the assessments and their focus on individuals tend to treat the associations not as a collaborative structure between four actors with a supportive aim, but as a regular organization with authoritative power. When the associations are held accountable for a group’s outcome, this group has been “passed on” from ordinary organizations on to the associations. Organizational outcome related to collaboration is greatly overlooked, in line with the “common wisdom” that collaboration is not an end in itself, and an end in public management collaboration must thus be measured as individual benefit. Increased quality and equity in services are thus outcomes that are not only not being assessed but might also be at risk of being lost with the current assessment focus. Last, there is an evident risk that the narrow and vertical assessment focus increases, instead of decreases, horizontal fragmentation within the welfare system due to its impact on coordination association practice.

  • 91.
    Andersson, Johanna
    et al.
    Nordic School of Public Health, Gothenburg.
    Åhgren, Bengt
    Nordic School of Public Health, Gothenburg.
    Axelsson, Susanna Bihari
    Nordic School of Public Health, Gothenburg.
    Eriksson, Andrea
    Nordic School of Public Health, Gothenburg.
    Axelsson, Runo
    Sahlgrenska Academy, University of Gothenburg, Sweden and Aalesund University College, Norway.
    Organizational approaches to collaboration in vocational rehabilitation: an international literature review2012In: International Journal of Integrated Care, ISSN 1568-4156, E-ISSN 1568-4156, Vol. 11, p. e137-Article in journal (Refereed)
    Abstract [en]

    Introduction: Collaboration between welfare organizations is an important strategy for integrating different health and welfare services. This article reports a review of the international literature on vocational rehabilitation, focusing on different organizational models of collaboration as well as different barriers and facilitating factors.

    Methods: The review was based on an extensive search in scientific journals from 1995 to 2010, which generated more than 13,000 articles. The number of articles was reduced in different steps through a group procedure based on the abstracts. Finally, 205 articles were read in full text and 62 were included for content analysis.

    Results: Seven basic models of collaboration were identified in the literature. They had different degrees of complexity, intensity and formalization. They could also be combined in different ways. Several barriers and facilitators of collaboration were also identified. Most of these were related to factors as communication, trust and commitment.

    Conclusion: There is no optimal model of collaboration to be applied everywhere, but one model could be more appropriate than others in a certain context. More research is needed to compare different models and to see whether they are applicable also in other fields of collaboration inside or outside the welfare system.

  • 92.
    Andersson, Kajsa
    et al.
    Kristianstad University College, School of Health and Society.
    Nilsson, Lisa
    Kristianstad University College, School of Health and Society.
    Ickefarmakologiska åtgärder för att förbättra sömnkvaliteten hos äldre: Litteraturstudie2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: En god sömn är viktig för kroppens välbefinnande. Sömnlöshet (insomni) och sömnsvårigheter har en stor inverkan på livskvalitet och är ett allmänt bekymmer. Sömnstörningar yttrar sig främst som, när det gäller äldre, lång insomningstid, upprepade uppvaknande under natten och svårigheter att då somna om eller att man vaknar tidigare än vanligt på morgonen. Syfte: Syftet med studien var att beskriva ickefarmakologiska åtgärder för att främja sömn hos äldre. Metod: Studien har gjorts som en litteraturstudie. Analys skedde i tre faser från bekantgörande till helhet. Materialet grupperades utifrån likheter i kategorier. Resultat: Resultatet visade att musik, dagsljus, aktivitet, tupplur på dagen kunde främja sömnen hos äldre. Slutsats: Det finns många ickefarmakologiska alternativ att använda mot sömnstörningar som både är kostnadseffektiva och lätta att implementera.

  • 93.
    Andersson, Karin
    et al.
    Kristianstad University, School of Health and Society.
    Berlin, Tobias
    Kristianstad University, School of Health and Society.
    Att leva som anhörig till en person med Alzheimers sjukdom: en empirisk studie av självbiografier2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Alzheimer's disease is the third leading cause of death in the western world. It is a progressive disease which affects the brain and the person's cognitive abilities. These people are often cared for at home by their spouses, which may be a great strain for the spouses. For professionals to be able to support the spouses in the best manner requires an understanding of how they are experiencing their situation. Aim: The purpose of this study was to illuminate the spouses´ experiences of living with a person with Alzheimer's disease. Method: An empirical study with qualitative approach was made on four autobiographies. A content analysis was used to analyze the material. Results: The results showed that the spouses´ feelings were mostly negative. However, there were moments of joy and love which gave the relatives strength to keep on fighting. They experienced feelings of frustration, anger, rage, guilt and acceptance. This went on in a repeating cycle. It was as if they were in a treadmill and struggled to get out of. Conclusion: Nurses have an important role to play. The relatives are in a vulnerable position and by listening, understanding and supporting these, it is beneficial not only for them, but also for their partners.

     

  • 94.
    Andersson, Kim
    Kristianstad University, School of Health and Society.
    Hiv - En förstummande sjukdom?: socionomstudenters och socialsekreterares attityder till hiv-positiva2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study is to examine social workers' and social work students' attitudes towards people living with hiv in Sweden. I will also examine if there is a connection between knowledge and attitudes. The questions at issue are how social workers' and social work students' attitudes can assume to influence on their professional practice and what causes can affect their attitudes towards people living with hiv. The study is based on a qualitative method. The methods have been: conversational interviews with five social workers, who work with family issues and integration, and a focused group interview with four social work students. Both forms of interviews were combined with the vignette method. The theoretical framework of this study is symbolic interactionism.

    The result of the study indicates that both the social work students and the social workers lack adequate knowledge about hiv, however, the respondents are capable of reflecting and are able to put themselves into others' situations and therefore they will not discriminate their clients because of their disease. Results of the study also indicate that there is a great ambiguity among all of the respondents because of the lack of knowledge and adequate education.

  • 95.
    Andersson, Linneá
    et al.
    Kristianstad University, School of Health and Society.
    Eriksson, Maria
    Kristianstad University, School of Health and Society.
    Kvinnors upplevelse av olika typer av stöd under och efter bröstcancerbehandling2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In the past 20 years, breast cancer has increased by 1.3 % in Sweden. During the treatment, and the time after requires major support from the environment when the victim will be put in a life crisis. The support is individual and can be emotional, psychosocial and practical. Aim: To illustrate women´s experiences of different type of support during breast cancer treatment and the time after. Method: A literature study based on thirteen qualitative articles. Results: The women were able to get support from various people in the environment and in different ways. What was common was that all experienced that they needed much support to get through the disease. Most were satisfied with their treatment period and after, but those who did not get the right support wished they had got it. Discussion: It was important for women to get support during and after breast cancer treatment. The priority was to be heard, get relevant information, to get to ask questions and that someone cared about them. Conclusion: Nurses face a challenge in meeting with a patient with a severe life crisis and will try to make this experience as good as possible. When the patient gets enough support, this may mean that she comes through the disease easier.

  • 96. Andersson, Magdalena
    et al.
    Ekwall, Anna K
    Department of Health Sciences and the Vårdal Institute, Lund.
    Hallberg, Ingalill R
    Department of Health Sciences and the Vårdal Institute, Lund.
    Edberg, Anna-Karin
    Department of Health Sciences and the Vårdal Institute, Lund.
    The experience of being next of kin to an older person in the last phase of life2010In: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. 8, no 1, p. 17-26Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The aim of the study was to investigate the experience of being next of kin to an older person in the last phase of life as narrated after the older person's death.

    METHOD: Qualitative interviews were performed with the next of kin (n = 17) to people aged 75 years and older who had recently died and had received help and/or care from the municipality in the last phase of life. Eleven women and six men participated, of whom seven were spouses, nine were children, and one was a grandchild. The interviews were analysed using qualitative content analysis.

    RESULTS: The experience of the next of kin could be understood as being a devoted companion during the transition toward the inevitable end, embracing the categories of living in the shadow of death; focusing on the needs of the dying person, making adjustments to everyday life; feeling the major responsibility; struggling with the health and social care system; and gaining strength from support.

    SIGNIFICANCE OF RESULTS: Being next of kin to an old person at the end of life means being a devoted companion during the transition toward the inevitable end, including the feeling of bearing the major responsibility and the need to be acknowledged by professionals. This study points to the importance of having access to professional care when it is needed, to complement and support the next of kin when his or her own resources and strength falter. This also includes support to enable the next of kin to remain involved in the care of his or her loved ones, thereby fulfilling their own wishes.

  • 97.
    Andersson, Magdalena
    et al.
    Department of Health Sciences and The Vårdal Institute, The Swedish Institute For Health Sciences, Lund University.
    Hallberg, Ingalill R
    Department of Health Sciences and The Vårdal Institute, The Swedish Institute For Health Sciences, Lund University.
    Edberg, Anna-Karin
    Department of Health Sciences and The Vårdal Institute, The Swedish Institute For Health Sciences, Lund University.
    Health care consumption and place of death among old people with public home care or in special accommodation in their last year of life2007In: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 19, no 3, p. 228-239Article in journal (Refereed)
    Abstract [en]

    BACKGROUND AND AIMS:Developing care for older people in the last phase of life requires knowledge about the type and extent of care and factors associated with the place of death. The aim of this study was to examine age, living conditions, dependency, care and service among old people during their last year of life, but also their place of death and factors predicting it.

    METHODS:The sample (n=1198) was drawn from the care and services part of the Swedish National Study on Ageing and Care (SNAC). Criteria for inclusion were being 75+ years, dying in 2001-2004, and having public care and services at home or in special accommodation.

    RESULTS:In the last year of life, 82% of persons living at home and 51% living in special accommodation were hospitalized; median stays were 10 and 6.7 days respectively. Those living at home were younger and less dependent in ADL than those living in special accommodation. Those living at home and those having several hospital stays more often died in hospital. In the total sample, more visits to physicians in outpatient care predicted dying in hospital, whereas living in special accommodation and PADL dependency predicted dying outside hospital.

    CONCLUSIONS: Old people in their last year of life consumed a considerable amount of both municipal care and outpatient and in-hospital medical care, especially those living at home, which in several cases ended with death in hospital.

  • 98.
    Andersson, Magdalena
    et al.
    Department of Health Sciences, Division of Gerontology and Caring Sciences, Lund.
    Hallberg, Ingalill R.
    Department of Health Sciences, Division of Gerontology and Caring Sciences, Lund.
    Edberg, Anna-Karin
    Department of Health Sciences, Division of Gerontology and Caring Sciences, Lund.
    Old people receiving municipal care, their experiences of what constitutes a good life in the last phase of life: a qualitative study2008In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 45, no 6, p. 818-828Article in journal (Refereed)
    Abstract [en]

    Background

    Old people's life situation when receiving municipal help and care in their last period of life is sparsely investigated from their own perspective.

    Objective

    The aim of this study was to investigate the experiences of aspects that bring about a good life in the last phase of life among people (75+ years) receiving municipal care.

    Participants

    Older people living in a municipality in Southern Sweden being 75 years or older, receiving help and/or care from the municipality, and having a life-threatening disease and/or receiving palliative care were asked to participate. In all 17 people, 10 women and 7 men, aged 78–100 years were included.

    Methods

    Qualitative interviews, with the emphasis on their present life situation especially what brought about a good life, were performed. The interviews were analysed using qualitative content analysis.

    Results

    The experience was interpreted to be Turning inwards to come to peace with the past, the present and approaching death while being trapped by health complaints. Six categories embraced the experience of aspects that constitute a good life in the last phase of life: Maintaining dignity, Enjoying small things, Feelings of “being at home”, Being in the hands of others, trying to adjust, Still being important for other people and Completing life while facing death.

    Conclusion

    This study confirm theories suggesting that the last phase of life in old age meant focusing inwards, reflecting on the entire life as a way of completing it as well as enjoying small things and also viewing oneself in the perspective of contributing to the future. It also indicated that this phase of life meant being trapped by health complaints and functional limitations. The struggle to maintaining dignity as opposed to being in the hands of others implies that the concept of palliative care may be useful as a framework for providing nursing care to very old people, especially at the end of life.

  • 99.
    Andersson, Magdalena
    et al.
    Vårdalinstitutet.
    Hallberg, Ingalill R
    Vårdalinstitutet.
    Edberg, Anna-Karin
    Vårdalinstitutet.
    The final period of life in elderly people in Sweden: factors associated with QOL2006In: International Journal of Palliative Nursing, ISSN 1357-6321, E-ISSN 2052-286X, Vol. 12, no 6, p. 286-293Article in journal (Refereed)
    Abstract [en]

    Whether elderly people in the final period of life have a high quality of life (QOL) and what factors relate QOL in this context, is not well known. The aim of this study was to examine the final period in life in elderly people (75 years or older) in need of help with instrumental activities of daily living (ADL), with the focus on quality of life, sense of coherence (SOC), health complaints and self-reported diseases. Also to investigate factors associated with QOL and factors predicting mortality. The sample consisted of 411 people, fifty of the respondents (the study group) had died within 1 year of data collection. The results showed that the study group had lower QOL than the comparison group. More admissions to hospital as well as the number of health complaints present negatively affected QOL for all respondents. Factors that predicted mortality included older age and higher number of health complaints.

  • 100.
    Andersson, Matilda
    et al.
    Kristianstad University, School of Health and Society.
    Andersson, Chanette
    Kristianstad University, School of Health and Society.
    Omvårdnad av patienter med cancer inom palliativ vård: en litteraturstudie2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Cancersjukdom är bakomliggande orsak till över 90 procent av alla registrerade dödsfall på specialiserade palliativa vårdenheter i Sverige. Målet med omvårdnaden inom palliativ vård är att skapa förutsättningar för en så god livskvalitet som möjligt för patienten oavsett diagnos. Det symtom som cancer oftast förknippas med är smärta och flertalet patienter inom palliativ vård har behandlingskrävande smärta. Sjuksköterskan tillhör den yrkesprofession som oftast står närmst patienten och bedömer patientens problematik. Ett av sjuksköterskans ansvarsområden är att lindra lidande. Syfte: Syftet var att beskriva sjuksköterskans erfarenhet av omvårdnad inom palliativ vård av patienter med cancer. Metod: Studien var en litteraturstudie baserad på en analys av tio vetenskapliga empiriska studier inom ämnesområdet. Resultat: Resultatet presenteras utifrån fyra kategorier: sjuksköterskans erfarenhet av att använda och söka kunskap, att främja livskvalitet, att stödja anhöriga samt oförmåga att påverka. Slutsats: Resultatet visade att sjuksköterskan har kunskapsbrist vid omvårdnad av patienter med cancer inom palliativ vård. Det är främst inom behandling av cancerrelaterad smärta som kunskapsbrist förekommer. Genom litteraturstudien kan sjuksköterskor få ökad kunskap om vilka erfarenheter deras kollegor har inom ämnesområdet för att själva utvecklas och kunna erbjuda god omvårdnad av patienter inom palliativ vård.

1234567 51 - 100 of 1733
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf