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  • 1.
    Abbas, Rafah
    et al.
    Kristianstad University, Faculty of Health Science, Avdelningen för oral hälsa.
    Feraget, Melisa
    Kristianstad University, Faculty of Health Science, Avdelningen för oral hälsa.
    Munhygien- och kostvanor hos gymnasieelever2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte:Syftet med studien var att undersöka munhygien- och kostvanor hos gymnasieelever i årskurs 3. Material och metod: Studien var en kvantitativ tvärsnittsstudie. Datainsamlingen genomfördes i form av enkätundersökning med 123 deltagare i åldrarna 18-22 år. Enkäten bestod av 20 frågor med fasta svarsalternativ som berörde elevernas bakgrund, munhygien- och kostvanor. Resultat: Studiens resultat visade att majoriteten av deltagarna borstade tänderna två gånger om dagen med tandborste och fluortandkräm och 28 % använde något approximalt hjälpmedel. Mer än hälften av deltagarna åt lunch och middag varje dag, däremot var det endast hälften av deltagarna som åt frukost varje dag. Deltagarna hade ett lågt intag av sötsaker. Slutsats: Studien visade att deltagarna hade relativt goda munhygienvanor, däremot var användningen av approximala hjälpmedel och fluorpreparat bristfälliga. Vidare visade resultatet att deltagarna hade bristfälliga kostvanor då endast hälften av deltagarna åt frukost varje dag.

  • 2.
    Alotaibi, Mohammad
    et al.
    Irland.
    Moran, Gary
    Irland.
    Grufferty, Brendan
    Irland.
    Renvert, Stefan
    Kristianstad University, Faculty of Health Science, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, Faculty of Health Science, Avdelningen för oral hälsa.
    Polyzois, Ioannis
    Irland.
    The effect of a decontamination protocol on contaminated titanium dental implant surfaces with different surface topography in edentulous patients.2018In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: To investigate if it is possible to achieve complete decontamination of dental implant surfaces with different surface characteristics.

    MATERIALS AND METHODS: Twelve implant pieces with an Osseotite® surface and 12 implant pieces with a Ti-Unite® surface were attached on to the complete lower dentures of six patients and were allowed to accumulate plaque for 30 days. When retrieved, the implant decontamination protocol used, involved both mechanical (PeriBrush™) and chemical (3% H2O2) decontamination. The number of colony forming units per millilitre was determined and the dominant micro-organisms in selected samples was identified by 16s rRNA gene amplicon sequencing. The effect of the titanium brush on the implant surface was examined by SEM.

    RESULTS: Complete decontamination was achieved in five out of 24 implants (four Osseotite® and one Ti-Unite®). The mean CFU/ml detected after decontamination were 464.48 for Osseotite® and 729.09 for Ti-Unite® implants. On the surface of the implants in which complete decontamination was not achieved, all of the predominant bacteria identified were streptococci except for one which was identified as micrococcus. SEM images revealed that the surface features of the decontaminated implants were not significantly altered.

    CONCLUSIONS: Mechanical decontamination using a titanium brush supplemented with chemical treatment for one minute (3% H2O2) can achieve complete decontamination of implant surfaces in edentulous patients.

  • 3.
    Andersen, Anna-Eva
    et al.
    Kristianstad University, School of Health and Society.
    Moberg, Catherine
    Kristianstad University, School of Health and Society.
    Bengtsson-Tops, Anita
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.
    Garmy, Pernilla
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Lund University.
    Lesbian, gay and bisexual parents' experiences of nurses' attitudes in child health care: a qualitative study2017In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 23-24, p. 5065-5071Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To describe lesbian, gay and bisexual parents' experiences of nurses' attitudes in child health care.

    BACKGROUND: Lesbian, gay and bisexual people are often reluctant to disclose their gender identity for fear of discrimination. This fear may lead to avoidance of healthcare for themselves or their children and may negatively affect families' health and well-being.

    DESIGN: A qualitative inductive design was employed.

    METHODS: Semi-structured interviews were conducted with 14 lesbian, gay or bisexual parents (11 mothers and 3 fathers) with child health care experiences in southern Sweden. Interviews were analysed using qualitative content analysis.

    RESULTS: Two themes were identified. One, a 'sense of marginalization', included lesbian, gay and bisexual parents' experiences of heteronormative attitudes among child health care nurses which led them to feel alienated and questioned as parents. Another, 'being respected for who you are', included experiences of being respected and included at child health care appointments.

    CONCLUSIONS: Findings paint a complex picture of lesbian, gay and bisexual parents' interactions with child health care nurses in that they experienced both positive and negative attitudes. Knowledge gaps about lesbian, gay and bisexual families within the child health care field must be filled.

    RELEVANCE TO CLINICAL PRACTICE: Child health care nurses should work with the entire family to provide the best care for the child; however, discrimination in health care is common and often caused by a lack of knowledge. The number of children living with same-sex parents has increased more than ten-fold since the end of the 1990s. It is therefore important to explore lesbian, gay and bisexual parents' experiences with child health care nurses' attitudes to improve quality of care.

  • 4.
    Andersson, Oscar
    Kristianstad University, Faculty of Health Science, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II.
    Slutsatser: empowerment och social mobilisering2016In: Social mobilisering: lärdomar från fyra svenska städer / [ed] Oscar Andersson, Pelle Amberntsson, Malmö: Universus Press, 2016, 1, p. 199-220Chapter in book (Refereed)
  • 5.
    Andersson, Oscar
    Kristianstad University, Faculty of Health Science, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II.
    Social mobilisering: en forskningsöversikt2016In: Social mobilisering: lärdomar från fyra svenska städer / [ed] Oscar Andersson, Pelle Amberntsson, Malmö: Universus Press, 2016, 1, p. 15-56Chapter in book (Refereed)
  • 6.
    Arfvidsson Isaksson, Josefin
    et al.
    Kristianstad University, Faculty of Health Science.
    Stiberg, Zara
    Kristianstad University, Faculty of Health Science.
    Emotionellt stöd inom palliativ slutenvård: närståendes erfarenheter2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: I Sverige avlider varje år cirka 90.000-100.000 personer. Trettiofem till fyrtio procent av svårt sjuka avlider inne på sjukhus och 40–50% på någon form av hospice. Att vara närstående till någon som är svårt sjuk medför många emotionella svårigheter såsom oro, stress och ovisshet. Sjuksköterskan har en viktig roll då hen genom emotionellt stöd kan lindra onödigt lidande hos närstående.Syfte: Syftet var att beskriva närståendes erfarenheter av emotionellt stöd från sjuksköterskan vid den sena palliativa fasen inom slutenvård samt beskriva skillnader mellan palliativ vård på sjukhus och specialiserad palliativ vård.Metod: Designen var en allmän litteraturstudie med systematisk sökning efter empiriska vetenskapliga artiklar.Resultat: Närståendes erfarenheter delades upp i sex olika kategorier: tydlig och ärlig information gav känsla av lättnad och trygghet, tillgängligheten till sjuksköterska gav känsla av närhet och minskad ensamhet, samtalet gav känsla av att vara sedd och betydelsefull, praktiskt stöd gav känsla av tacksamhet och att bli omhändertagen, egentid och tillgång till privat utrymme gav känsla av ro och bevarad integritet, skillnader mellan palliativ vård på sjukhus och specialiserad palliativ vård.Slutsats: Närståendes erfarenheter visade att sjuksköterskan gav emotionellt stöd då hen gav tydlig och ärlig information, fanns tillgänglig, samtalade med närstående, gav praktiskt stöd samt möjliggjorde egentid och privat utrymme för närstående. Det visade sig att på hospice och liknande palliativa vårdenheter var erfarenheterna övervägande positiva medan erfarenheterna från sjukhus var både positiva och negativa.

  • 7.
    Arvidsson, Emil
    et al.
    Kristianstad University, Faculty of Health Science, Avdelningen för folkhälsovetenskap.
    Buchholtz, Kristina
    Kristianstad University, Faculty of Health Science, Avdelningen för folkhälsovetenskap.
    “En ytlig bransch”: en kvalitativ studie om upplevd hälsa och kroppsuppfattning bland träningsinstruktörer som arbetar på gym2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A poor body perception can affect well being in a negative way and lead to detrimental results for both physical and mental health. Previous research about the phenomenon body perception is limited, especially work related, which makes it harder to understand how work can affect body perception. Purpose: To study body perception and the existence of well being amongst training instructors working at the gym. The objective is to increase the understanding of potential factors that may affect body perception and well being. Method: The study was implemented by using a qualitative methodology in the form of individual semi-structured interviews with a total of ten participants. Results: In summary the result shows that most of the participants experienced both negative and positive thoughts about their own body, although the positive thoughts were more common. A well conditioned body was considered a valuable asset in attracting clients since this was preferred. Some of the participants also competed in bodybuilding; however, this tended to have a negative impact on their well being. In a social setting there is a greater expectation about a women’s appearance than it is for men. The participants view on health can be summarized as a holistic approach where several components contributed. Conclusion: Due to the existence of limited research, there is a need for further studies about body perception from a qualitative and quantitative point of view to give a better picture of possible additional factors that affect it.

  • 8.
    Asamoah, Helen
    et al.
    Kristianstad University, Faculty of Health Science.
    De Zylva, Sara
    Kristianstad University, Faculty of Health Science.
    Behandlingsmetoder för dental erosion: En kvantitativ litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med litteraturstudien var att kartlägga behandlingsmetoder för dental erosion. Den metod som användes var en litteratursökning vilken gjordes under mars månad 2018, i databasen PuBMed. Litteraturstudiens resultat sammanställdes utifrån 19 artiklar. Ämnen och metoder för behandling av dentala erosioner var Kaseinfosfopeptid - amorft kalciumfosfat (CPP - ACP), fluor, Polyvinylmetyletermalein syra (PVM/MA) syra, Er:YAG och CO2 laser, samt Euclea natalensis växt. Olika variabler såsom emaljförlust, dentinförlust, ythårdhetsförändring, remineraliseringsgrad och storlek på dentinkanaler mättes för att värdera effekten av utläkning vid dental erosion. I fyra av fem studier som testade kaseinfosfopeptid-amorft kalciumfosfat (CPP-ACP) i form av tuggummi eller tandkräm sågs en signifikant effekt på dental erosion. Fluor och fluor i olika kombinationer och formula såsom gel/lack, tandkräm och munskölj hade också en positiv effekt på dental erosion. PVM/MA syran gav en god effekt på dental erosion då alla öppnade dentinkanaler var stängda efter användning. Däremot visade behandling med Er:YAG och CO2 laser samt Euclea natalensis ingen stor effekt. Slutsatsen är att användning av CPP-ACP,  fluor och fluor i kombination med andra  ämnen  samt PVM/MA syra har goda effekter vid behandling av dental erosion

  • 9.
    Augustine, Lilly
    et al.
    Kristianstad University, Faculty of Health Science, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, School of Education and Environment, Avdelningen för Psykologi. Jönköping University.
    Lygnegård, Frida
    Jönköping University.
    Granlund, Mats
    Jönköping University.
    Adolfsson, Margareta
    Jönköping University.
    Linking youths' mental, psychosocial, and emotional functioning to ICF-CY: lessons learned2017In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 40, no 19, p. 2293-2299Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Linking ready-made questionnaires to codes within the International Classification of Functioning, Disability and Health, Children and Youth Version with the intention of using the information statistically for studying mental health problems can pose several challenges. Many of the constructs measured are latent, and therefore, difficult to describe in single codes. The aim of this study was to describe and discuss challenges encountered in this coding process.

    MATERIALS AND METHODS: A questionnaire from a Swedish research programme was linked to the International Classification of Functioning, Disability and Health, Children and Youth Version and the agreement was assessed.

    RESULTS: Including the original aim of the questionnaire into the coding process was found to be very important for managing the coding of the latent constructs of the items. Items from the International Classification of Functioning, Disability and Health, Children and Youth Version chapters with narrow definitions for example mental functions, were more easily translated to meaningful concepts to code, while broadly defined chapters, such as interactions and relationships, were more difficult.

    CONCLUSION: This study stresses the importance of a clear, predefined coding scheme as well as the importance of not relying too heavily on common linking rules, especially in cases when it is not possible to use multiple codes for a single item. Implications for rehabilitation The International Classification of Functioning, Disability and Health, Children and Youth Version, is a useful tool for merging assessment data from several sources when documenting adolescents' mental functioning in different life domains. Measures of mental health are often based on latent constructs, often revealed in the description of the rationale/aim of a measure. The latent construct should be the primary focus in linking information. By mapping latent constructs to the International Classification of Functioning, Disability and Health, Children and Youth Version, users of the classification can capture a broad range of areas relevant to everyday functioning in adolescents with mental health problems. The subjective experience of participation, i.e., the level of subjective involvement, is not possible to code into the International Classification of Functioning, Disability and Health, Children and Youth Version. However, when linking mental health constructs to the International Classification of Functioning, Disability and Health, Children and Youth Version codes, the two dimensions of participation (the being there, and the level of involvement) need to be separated in the linking process. This can be performed by assigning codes focusing on being there as separate from items focusing on the subjective experience of involvement while being there.

  • 10.
    Azawi, Rayan
    et al.
    Kristianstad University, Faculty of Health Science, Avdelningen för oral hälsa.
    Kaminsky, Karla
    Kristianstad University, Faculty of Health Science, Avdelningen för oral hälsa.
    Kost och munhygienvanor hos skiftarbetare2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien var att kartlägga kostvanor och munhygienvanor samt uppfattning av den egna munhälsan hos skiftarbetare. Studien har utförts som en kvantitativ tvärsnittsstudie med användning av enkät. Undersökningsgruppen bestod av sammanlagt 100 skiftarbetare från industri- och vård- och omsorgssektorn i Skåne. Det insamlade materialet analyserades i statistikprogrammet Statistical Package for the Social Sciences (SPSS) version 23.0. Resultatet av studien visade att skiftarbetarnas kostvanor påverkades negativt av skiftarbete genom ökat småätande, intag av sötad dryck och oregelbundna måltider på grund av varierande arbetstider.  När det gäller munhygienvanor påverkades inte tandborstningen på samma sätt, däremot rengöringen mellan tänderna utförs inte regelmässigt. Studiens slutsats visade att skiftarbetarna hade goda munhygienvanor när det gäller tandborstning och fluoranvändning dock med mindre regelbunden rengöring mellan tänderna. Kostvanorna var bristfälliga med ökat småätande och sötade drycker mellan måltiderna.

  • 11.
    Bala, Sidona-Valentina
    et al.
    Lund University.
    Forslind, Kristina
    Lund University.
    Fridlund, Bengt
    Jönköping 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.
    Measuring person-centred care in nurse-led outpatient rheumatology clinics2018In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 16, no 2, p. 296-304Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Measurement of person-centred care (PCC) outcomes is underdeveloped owing to the complexity of the concept and lack of conceptual clarity. A framework conceptualizing outpatient PCC in rheumatology nurse-led clinics has therefore been suggested and operationalized into the PCC instrument for outpatient care in rheumatology (PCCoc/rheum).

    OBJECTIVE: The aim of the present study was to test the extent to which the PCCoc/rheum represents the underpinning conceptual outpatient PCC framework, and to assess its measurement properties as applied in nurse-led outpatient rheumatology clinics.

    METHODS: The 24-item PCCoc/rheum was administered to 343 persons with rheumatoid arthritis from six nurse-led outpatient rheumatology clinics. Its measurement properties were tested by Rasch measurement theory.

    RESULTS: Ninety-two per cent of individuals (n = 316) answered the PCCoc/rheum. Items successfully operationalized a quantitative continuum from lower to higher degrees of perceived PCC. Model fit was generally good, including lack of differential item functioning (DIF), and the PCCoc/rheum was able to separate individuals with a reliability of 0.88. The four response categories worked as intended, with the exception of one item. Item ordering provided general empirical support of a priori expectations, with the exception of three items that were omitted owing to multidimensionality, dysfunctional response categories and unexpected ordering. The 21-item PCCoc/rheum showed good accordance with the conceptual framework, improved fit, functioning response categories and no DIF, and its reliability was 0.86.

    CONCLUSION: We found general support for the appropriateness of the PCCoc/rheum as an outcome measure of patient-perceived PCC in nurse-led outpatient rheumatology clinics. While in need of further testing, the 21-item PCCoc/rheum has the potential to evaluate outpatient PCC from a patient perspective.

  • 12.
    Bala, Sidona-Valentina
    et al.
    Lund University.
    Forslind, Kristina
    Lund University.
    Fridlund, Bengt
    Jönköping University.
    Samuelson, Karin
    Lund University.
    Svensson, Björn
    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.
    Person-centred care in nurse-led outpatient rheumatology clinics: conceptualization and initial development of a measurement instrument2018In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 16, no 2, p. 287-295Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Person-centred care (PCC) is considered a key component of effective illness management and high-quality care. However, the PCC concept is underdeveloped in outpatient care. In rheumatology, PCC is considered an unmet need and its further development and evaluation is of high priority. The aim of the present study was to conceptualize and operationalize PCC, in order to develop an instrument for measuring patient-perceived PCC in nurse-led outpatient rheumatology clinics.

    METHODS: A conceptual outpatient PCC framework was developed, based on the experiences of people with rheumatoid arthritis (RA), person-centredness principles and existing PCC frameworks. The resulting framework was operationalized into the PCC instrument for outpatient care in rheumatology (PCCoc/rheum), which was tested for acceptability and content validity among 50 individuals with RA attending a nurse-led outpatient clinic.

    RESULTS: The conceptual framework focuses on the meeting between the person with RA and the nurse, and comprises five interrelated domains: social environment, personalization, shared decision-making, empowerment and communication. Operationalization of the domains into a pool of items generated a preliminary PCCoc/rheum version, which was completed in a mean (standard deviation) of 5.3 (2.5) min. Respondents found items easy to understand (77%) and relevant (93%). The Content Validity Index of the PCCoc/rheum was 0.94 (item level range, 0.87-1.0). About 80% of respondents considered some items redundant. Based on these results, the PCCoc/rheum was revised into a 24-item questionnaire.

    CONCLUSIONS: A conceptual outpatient PCC framework and a 24-item questionnaire intended to measure PCC in nurse-led outpatient rheumatology clinics were developed. The extent to which the questionnaire represents a measurement instrument remains to be tested.

  • 13.
    Bala, Sidona-Valentina
    et al.
    Helsingborg Central Hospital.
    Forslind, Kristina
    Helsingborg Central Hospital.
    Samuelson, Karin
    Lund University.
    Svensson, Björn
    Lund University, Helsingborg.
    Fridlund, Bengt
    Jönköping 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.
    Measuring person-centered care in nurse-led outpatient rheumatology clinics2018In: International Conference on Probabilistic Models for Measurement, 2018Conference paper (Other academic)
    Abstract [en]

    BACKGROUND: Person-centered care (PCC) is a key component to effective illness management and high-quality care but conceptually underdeveloped in outpatient care settings for long-term disorders such as rheumatoid arthritis (RA), and there is a lack of instruments measuring patient perceived PCC.

    AIM: To conceptualize and operationalize outpatient PCC as a basis for measuring patient-perceived PCC in nurse-led outpatient rheumatology clinics.

    DESIGN: A conceptual outpatient PCC framework was developed based on theory and patient experiences.The resulting framework was operationalizedinto items that were tested regarding their accordancewith the theoretical framework and their measurement properties according to Rasch measurement theory (RMT) using the RUMM2030 software. 

    RESULTS: The conceptual framework comprised five intermingled domains (personalization, shared decision-making, empowerment, communication, and social environment) that were operationalized into a 24-item PCC instrument for outpatient care in rheumatology (PCCoc/rheum). RMT analyses found items to successfully map out a quantitative continuum from lower to higher PCC levels, with generally acceptable model fit and a reliability of 0.88. Three items exhibiting multidimensionality, dysfunctional response categories, and/or unexpected hierarchical ordering were omitted. The revised PCCoc/rheum showed good accordance with the conceptual framework, improved fit, functioning response categories, and no DIF; reliability was 0.86.

    SUMMARY AND IMPLICATIONS: We found support for the PCCoc/rheum as a conceptually based outcome measure of patient perceived PCC. Results implied minor theoretical reconsiderations, and related scale revisions improved theoretical and clinical clarity. While in need of further testing, the PCCoc/rheum has great potential as a measure of outpatient PCC from a patient perspective.

  • 14.
    Berglundh, Tord
    et al.
    University of Gothenburg.
    Armitage, Gary
    USA.
    Araujo, Mauricio G
    Brazil.
    Avila-Ortiz, Gustavo
    USA.
    Blanco, Juan
    Spain.
    Camargo, Paulo M
    USA.
    Chen, Stephen
    Australia.
    Cochran, David
    USA.
    Derks, Jan
    University of Gothenburg.
    Figuero, Elena
    Spain.
    Hämmerle, Christoph H F
    Switzerland.
    Heitz-Mayfield, Lisa J A
    Switzerland.
    Huynh-Ba, Guy
    USA.
    Iacono, Vincent
    USA.
    Koo, Ki-Tae
    South Korea.
    Lambert, France
    Belgium.
    McCauley, Laurie
    Belgium.
    Quirynen, Marc
    Belgium.
    Renvert, Stefan
    Kristianstad University, Faculty of Health Science, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, Faculty of Health Science, Avdelningen för oral hälsa.
    Salvi, Giovanni E
    Switzerland.
    Schwarz, Frank
    Germany.
    Tarnow, Dennis
    USA.
    Tomasi, Cristiano
    University of Gothenburg.
    Wang, Hom-Lay
    USA.
    Zitzmann, Nicola
    Switzerland.
    Peri-implant diseases and conditions: consensus report of workgroup 4 of the 2017 world workshop on the classification of periodontal and peri-implant diseases and conditions2018In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 45, no S20, p. 286-291Article in journal (Refereed)
    Abstract [en]

    A classification for peri-implant diseases and conditions was presented. Focused questions on the characteristics of peri-implant health, peri-implant mucositis, peri-implantitis, and soft- and hard-tissue deficiencies were addressed. Peri-implant health is characterized by the absence of erythema, bleeding on probing, swelling, and suppuration. It is not possible to define a range of probing depths compatible with health; Peri-implant health can exist around implants with reduced bone support. The main clinical characteristic of peri-implant mucositis is bleeding on gentle probing. Erythema, swelling, and/or suppuration may also be present. An increase in probing depth is often observed in the presence of peri-implant mucositis due to swelling or decrease in probing resistance. There is strong evidence from animal and human experimental studies that plaque is the etiological factor for peri-implant mucositis. Peri-implantitis is a plaque-associated pathological condition occurring in tissues around dental implants, characterized by inflammation in the peri-implant mucosa and subsequent progressive loss of supporting bone. Peri-implantitis sites exhibit clinical signs of inflammation, bleeding on probing, and/or suppuration, increased probing depths and/or recession of the mucosal margin in addition to radiographic bone loss. The evidence is equivocal regarding the effect of keratinized mucosa on the long-term health of the peri-implant tissue. It appears, however, that keratinized mucosa may have advantages regarding patient comfort and ease of plaque removal. Case definitions in day-to-day clinical practice and in epidemiological or disease-surveillance studies for peri-implant health, peri-implant mucositis, and peri-implantitis were introduced. The proposed case definitions should be viewed within the context that there is no generic implant and that there are numerous implant designs with different surface characteristics, surgical and loading protocols. It is recommended that the clinician obtain baseline radiographic and probing measurements following the completion of the implant-supported prosthesis.

  • 15.
    Bertills, Karin
    et al.
    Jönköping University.
    Granlund, Mats
    Jönköping University.
    Augustine, Lilly
    Kristianstad University, Faculty of Health Science, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, School of Education and Environment, Avdelningen för Psykologi. Jönköping University.
    Measuring self-efficacy, aptitude to participate and functioning in students with and without impairments2018In: European Journal of Special Needs Education, ISSN 0885-6257, E-ISSN 1469-591X, Vol. 33, no 4, p. 572-583Article in journal (Refereed)
    Abstract [en]

    Including vulnerable groups of students such as students with learning disabilities in mainstream school research, require ethical considerations and questionnaire adaptation. These students are often excluded, due to low understanding or methodologies generating inadequate data. Students with disability need be studied as a separate group and provided accessible questionnaires. This pilot study aims at developing and evaluating student self-reported measures, rating aspects of student experiences of school-based Physical Education (PE). Instrument design, reliability and validity were examined in Swedish secondary school students (n = 47) including students, aged 13, with intellectual disability (n = 5) and without impairment and test–retested on 28 of these students. Psychometric results from the small pilot-study sample were confirmed in analyses based on replies from the first wave of data collection in the main study (n = 450). Results show adequate internal consistency, factor structure and relations between measures. In conclusion, reliability and validity were satisfactory in scales to measure self-efficacy in general, in PE, and aptitude to participate. Adapting proxy ratings for functioning into self-reports indicated problems. Adequacy of adjustments made were confirmed and a dichotomous scale for typical/atypical function is suggested for further analyses.

  • 16.
    Bhatt, Meghna
    Kristianstad University, Faculty of Health Science.
    An explorative study comparing the knowledge of tobacco use and tobacco cessation program among school going boys and girls: A study in Ahmedabad district in Western India2018Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Tobacco use is high in India. Previous studies have shown that awareness of health risks of tobacco use, and adolescents’ behavior are strongly associated with adolescents’ knowledge and perceptions towards tobacco use. There are only a few studies being conducted that assess school going boys’ and girls’ tobacco-related health knowledge, and their awareness related to tobacco control programmes. A questioner base cross-sectional study with 276 students had been conducted from four different schools (2 private and 2 government) in Ahmedabad district, Gujarat state, India. The results include from the group comparison (hypothesis testing) between the boys and girls. More than two thirds of boys’ and girls’ participants agreed tobacco use (also in all forms) is harmful to the body including the transitory use of the tobacco and its products. More than one third boys and one quarter girls believed that media plays an important role in promoting anti-tobacco messages. Around 50 % of the girls preferred strict anti-tobacco laws and policies in curbing the tobacco pandemic.  More than two thirds of the boys and girls in the study sample had no knowledge of any organizations or programs that assisted individuals to get rid of the tobacco habit. This study gives an overview of the knowledge regarding the tobacco use among the young school going boys and girls. Promoting school and community-based intervention programs and reviewing of the existing anti-tobacco policies could prove to be beneficial in curbing the tobacco consumption habit in adolescents.

  • 17.
    Bjernstål, Ellen
    et al.
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Johannesson, Amanda
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    När sjukdomen skiljer oss åt: en litteraturstudie om närståendes upplevelser när partner med demenssjukdom flyttar till boende2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Demenssjukdom är en progredierande och obotlig sjukdom som ger en kognitiv påverkan. I ett system där den ena individen påverkar den andra kommer en demenssjukdom inte bara förändra livet hos den som är sjuk, utan i stor utsträckning även de närstående. Närstående får ofta inta rollen som vårdare till sin partner men allt eftersom sjukdomen fortskrider kan omvårdnadsarbetet bli övermäktigt och beslut om flytt till särskilt boende kan behöva tas. Syfte: Syftet var att beskriva närståendes upplevelser när deras partner med demenssjukdom flyttar till särskilt boende. Metod: En allmän litteraturstudie baserad på kvalitativa artiklar som hittades genom en systematisk sökning i omvårdnadsrelaterade databaser. Artiklarna granskades via HKR:s granskningsmall för kvalitativa artiklar. Analysen följde Friberg (2017) trestegsmodell. Resultat: Upplevelsen förändrades över tid och delades upp i två innehållsområden och sex kategorier. Upplevelser före flytt: Att sätta sig själv i andra hand och ett smärtsamt beslut. Upplevelser efter flytt: Att slitas mellan motstridiga känslor, svårt att släppa kontrollen, förlora en del av sig själv och slutligen besvikelse och farhågor inför framtiden. Diskussion: Metoden diskuteras utifrån Shentons (2004) trovärdighetsbegrepp. Vidare lyfts de tre fynden att sätta sig själv i andra hand, ett smärtsamt beslut samt svårt att släppa kontrollen i resultatdiskussionen och diskuteras utifrån en systemteoretisk ansats samt personcentrerad omvårdnadsmodell. Det är betydelsefullt att samhället och omvårdnadspersonal blir medvetna om närståendes upplevelser som en process för att kunna inge rätt stöd. 

  • 18.
    Blücher, Anna
    et al.
    Linnéuniversitetet.
    Borgenstierna, Catharina
    Camanio Care AB.
    Lindborg, Ann-Louise
    Mälardalens Högskola.
    Lindén, Maria
    Mälardalens Högskola.
    Nyberg, Maria
    Mälardalens Högskola.
    Olsson, Viktoria
    Kristianstad University, Faculty of Natural Science. Kristianstad University, Faculty of Natural Science, Research Environment Food and Meals in Everyday Life (MEAL).
    Wendin, Karin
    Kristianstad University, Faculty of Natural Science, Research Environment Food and Meals in Everyday Life (MEAL). Kristianstad University, Faculty of Natural Science, Avdelningen för mat- och måltidsvetenskap.
    Westergren, Albert
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Mat och måltidsteknik för ett hälsosamt och oberoende åldrande2018Book (Other academic)
  • 19.
    Burén, Elin
    et al.
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Johansson, Hanna
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Att operera bort livmodern i fertil ålder: en litteraturstudie om kvinnors erfarenheter2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: En hysterektomi innebär att kvinnans livmoder opereras bort. Indikationer är exempelvis stora blödningar och cancer. Kvinnan befinner sig i fertil ålder från det att hon fått sin första menstruation till den upphör. Operationen medför att kvinnan inte längre är fertil. Efter operationen är kvinnan inlagd på sjukhuset där sjuksköterskan har ansvaret för omvårdnaden och efter någon dag får hon åka hem. Sjuksköterskor kan möta kvinnor som genomgått en hysterektomi i sitt arbete, därför kan de vara viktigt att ha kunskap om deras erfarenheter. Syfte: Att belysa erfarenheter efter en hysterektomi hos kvinnor i fertil ålder. Metod: En allmän litteraturöversikt, med strukturerade blocksökningar i tre databaser som bygger på tio vetenskapliga artiklar. Resultat: Ur analysen identifierades sex kategorier: “en förlust av kvinnligheten”, “en förlust över att inte längre vara fertil”, “trauma efter en akut genomförd operation”, “förbättrat välmående efter upphörda symtom”, “acceptans av operationens förändring av livet” och “tacksamma över livet och personalens hjälp”. Diskussion: Metoden diskuteras utifrån tillförlitlighet, verifierbarhet, pålitlighet och överförbarhet. De centrala fynden “en förlust av kvinnligheten” och “en förlust av fertiliteten” påvisar lidande vilket kopplas till en lidandeteori. “Tacksamhet över personalens hjälp” kopplas till teorin om caring-uncaring. Mer forskning och utbildning inom ämnet behövs för att patientgruppen ska mötas med kunskap och professionalitet.

  • 20.
    Carina, Hellqvist
    et al.
    Linköping University.
    Dizdar, Nil
    Linköping 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.
    Berterö, Carina
    Linköping University.
    Sund-Levander, Märta
    Linköping University.
    A national Swedish self- management program for people with Parkinson’s disease: patients and relatives view2017In: Movement Disorders, 2017, Vol. 32, p. 175-176Conference paper (Refereed)
    Abstract [en]

    Objective: To identify and describe experiences that people with PD and their relatives after participation inthe self-management intervention NPS (National Parkinson School) find valuable for managing daily life.

    Background: A self-management program called NPS was developed as a collaboration of healthcare providers, researchers and patient organizations. NPS is aiming to provide tools and strategies for people with PD and their relatives to increase ability to manage symptoms and consequences of disease and thereby improving conditions for a good life. Self-monitoring and self-management are central concepts. NPS focuses on life with PD, which via 7 sessions consisting of education/lectures and group discussions are mediated. Home assignments make participants practice the new skills in their own life.

    Methods: The last session, evaluation of the NPS, was audio recorded in its whole and transcribed verbatim. Data was collected from five separate clinics and analysed both inductively and deductively using Thematic Analysis and by applying the Self-and Family management theory.

    Results: Through inductive analysis three themes; Exchanging experiences and feeling support, Adjustment and acceptance of PD for managing daily life and Promoting life satisfaction, were identified and described. The themes are capturing the meaning, value and experience of being a participant of NPS. Deductive analysis indicated thatthe Self-and Family management theory was useful and valid for this group of patients and generated a modified framework applicable for patients with PD and their families [figure1].

    Conclusions: Living with PD affects patients as well as relatives. Meeting others in the same situation gives support and strengthen their self- image. Having the opportunity sharing experiences and practical advices showed that there was a hopeful future to come. Techniques to accept and manage life with PD included seeking information about disease and treatments, self-monitoring in order to adjust to new situations and improve symptoms of disease and having a positive mind-set. Living an active life, participating in enjoyable social, cultural, and physical activities were important to feel happy and satisfied with life. Participation in NPS covered many areas of importance for the ability of self-management in PD. The framework for self-management in chronic disease was found relevant also for the PD population

  • 21.
    Claesson, Ida
    Kristianstad University, Faculty of Health Science. 1993.
    Om trygghet och övervakningssystem: Enkätstudie om medborgares attityder till kamera- och IT-baserad övervakning2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Uppsatsen behandlar attityder och upplevd trygghet i frågor rörande kameraövervakning och intelligenta övervakningssystem (via sk intelligenta IT-system). En enkätstudie delades via bl.a. sociala medier och totalt besvarades den av 104 respondenter. Ställningstaganden i påståendena kring de olika formerna av övervakning analyseras sedan i SPSS efter ålder, kön, utbildning och inkomst för att granska om det finns olika attityder i olika grupper. Teorin som används i uppsatsen är främst Garlands teori om bland annat den ökade kontrollen i det senmoderna samhället samt om övervakningssystemets ökade komplexitet. Analysen visar på en generellt positiv attityd till såväl kameraövervakning som användande av intelligenta IT-system. Kameraövervakning ansåg majoriteten (65,4%) bidrog till ökad trygghet i offentliga miljöer och även 49,1 % ansåg att användningen av intelligenta IT-system skulle bidra med ökad trygghet i offentliga miljöer. Män generellt och framförallt i åldern 25-44 år tenderar att inte vara lika positiva eller uppleva trygghet vid användning av kameraövervakning eller intelligenta IT-system. Av analysen framkom även en ökad positiv attityd med ökad inkomst samt en ökad positiv attityd med ökad ålder. Flera olika aspekter av denna positiva attityd diskuteras i anslutning till tidigare forskning och frågor rörande integritet, datahantering, vilka brott man avser förebygga samt ur ett maktperspektiv.

  • 22.
    Clausson, Eva
    et al.
    Kristianstad University, Faculty of Health Science, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Hedin, Gita
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Health supportive family conversation: intended to turn Negative weight development in preschool children.2015Conference paper (Other academic)
  • 23.
    Dagner, Viveka
    et al.
    Lund University.
    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.
    Jakobsson, Liselotte
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Prescribed physical activity maintenance following exercise based cardiac rehabilitation: factors predicting low physical activity2018In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Physical activity is important to reduce mortality, morbidity and risk factors in patients with coronary heart disease. This report evaluates to what extent patients are still physically active following an exercise-based cardiac rehabilitation programme 12-14 months post-myocardial infarction and factors predicting why not.

    METHODS: Data from the National Quality Registry Swedeheart with post-myocardial infarction patients ( n=368) admitted from July 2012 to November 2014 were collected with outcomes of physical activity after 12-14 months. Baseline data included demographics, clinical variables, participation in exercise programmes, prescribed physical activity, health-related quality of life and self-reported health (EQ-5D-3L/EQ-VAS). A direct binary logistic regression analysis was used to identify indicators of low physical activity.

    RESULTS: Physical activity frequency per week (PA/week) was low, i.e. zero to three times, in older patients over 64 years ( P=0.00) and in those having problems with pain/discomfort (138 PA/week vs. 195) ( P=0.01), problems with mobility (60 PA/week vs.273) ( P=0.04) and anxiety/depression (128 PA/week vs. 205) ( P=0.04).

    CONCLUSION: Indicators predicting low physical activity can be used targeting improved post-myocardial infarction care outlining person-centred rehabilitation programmes and specialist nursing-led programmes.

  • 24.
    Demiraca, Sanel
    et al.
    Kristianstad University, Faculty of Health Science.
    Ladan, Anna
    Kristianstad University, Faculty of Health Science.
    "Man ger mer än vad man tar": En kvalitativ intervjustudie om medberoende i nära relationer2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Previous studies have shown that in every drug addicted person’s life there is about five relatives which risks developing co-dependency. Therefore, the riskfactors affect the relative’s mental health and increase the risk of developing other illnesses such as depression, anxiety and emotional issues. The aim of the study was to investigate how co-dependency in close relationships can develop self-destructive behavior and mental illness. With the use of a qualitative method and interviews as a data collecting method, the aim for this study became fulfilled. The study was based on semi-structured interviews, performed by six participants. The results showed similar outcomes for all interviews, such as the prevalence for mental illness, self-destructive behaviour and the importance of introjective identification. These three categories complement each other in the order written. The results indicates that a co-dependent individual could not, without the phenomenon introjective identification and self-destructive behaviour acquire mental illness. However in order to acquire some kind of mental illness the co-dependent person would have to develop self-destructive behaviour, and the results showed that it is not possible without introjective identification in the context of a close relationship. Although, with the use of attachment theory and coping-strategy, the conclusion showed that not every co-dependent developed mental illness. The prevalence of illnesses was affected by the individuals early life attachment-pattern and coping skills. The study led to a conclusion that mental illness is a big issue among co-dependent individuals. Co-dependency is not a determined as a disease, despite the risk of possibly developing mental illness. It is still not a prioritization among public health authorities.

  • 25.
    Edvardsson, Ewa
    et al.
    Kristianstad University, Faculty of Health Science.
    Johansson, Carolin
    Kristianstad University, Faculty of Health Science.
    Clausson, Eva
    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, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    En skyldighet men inte en självklarhet: barnhälsovårdssjuksköterskanserfarenhet av att överväga anmälan till socialtjänsten vid misstanke om att barn far illa2018Report (Other academic)
    Abstract [sv]

    Bakgrund: Kunskapen om att vissa barn far illa finns och Barnhälsovårdssjuksköterskan har en skyldighet att anmäla vid oro eller vetskap om detta. Barn kan fara illa genomföräldrars bristande omsorg, och/eller genom fysiska och psykiska kränkningar. Detta kan ge upphov till livslångt lidande. BHVsjuksköterskans roll är att identifiera och uppmärksammabarn som riskerar att eller far illa, för att dessa barn ska få den hjälp dehar rätt till av socialtjänsten. Syftet med studien var att undersöka BHVsjuksköterskan serfarenhet av att överväga anmälan till socialtjänsten vid misstanke om att barn far illa. Metod: Tio BHVsjuksköterskor intervjuades och kvalitativ innehållsanalys med induktiv ansats användes för att analysera data. Resultat: Studien resulterade i ett övergripandetema, tre huvudkategorier och åtta underkategorier. Det övergripande tematblev "En skyldighet men inte en självklarhet", huvudkategorierna är, Perspektiv utifrånyrkesrollen, Perspektiv utifrån personliga erfarenheter och Mötet med barn och föräldrar. Slutsats: Samtliga BHVsjuksköterskor ansåg att det inte alltid var lätt att se vilka barn som for illa. De upplevde det tråkigt och sorgligt att behöva göra en anmälan. De satte alltid barnet främst och menade att det inte kunde bli sämre för barnet om en anmälan gjordes. En återkommande beskrivning hos samtliga BHVsjuksköterskor som medverkade i intervjun var att de fick en känsla av att något inte stämde.

  • 26.
    Einberg, Eva-Lena
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Kristianstad University, Faculty of Health Science, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO).
    To promote health in children with experience of cancer treatment2016Conference paper (Other academic)
  • 27.
    Einberg, Eva-Lena
    Kristianstad University, Faculty of Health Science, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    To promote health in children with experience of cancer treatment2016Doctoral thesis, comprehensive summary (Other academic)
  • 28.
    Einberg, Eva-Lena
    et al.
    Kristianstad University, Faculty of Health Science, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Lidell, Evy
    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.
    Awareness of demands and unfairness and the importance of connectedness and security: teenage girls' lived experiences of their everyday lives2017Conference paper (Other academic)
  • 29.
    Einberg, Eva-Lena
    et al.
    Halmstad University.
    Lidell, Evy
    Halmstad University.
    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.
    Awareness of demands and unfairness and the importance of connectednessand security2015In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 10Article in journal (Refereed)
  • 30.
    Ejlertsson, Lina
    et al.
    Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Faculty of Health Science, Avdelningen för folkhälsovetenskap. Lund University.
    Heijbel, Bodil
    Lund University.
    Ejlertsson, Göran
    Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Faculty of Health Science, Avdelningen för folkhälsovetenskap.
    Andersson, Ingemar
    Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för folkhälsovetenskap.
    Recovery, work-life balance and work experiences important to self-rated health: a questionnaire study on salutogenic work factors among Swedish primary health care employees2018In: Work: A Journal of Prevention, Assessment & Rehabilitation, ISSN 1051-9815, Vol. 59, no 1, p. 155-163Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: There is a lack of information on positive work factors among health care workers.

    OBJECTIVE: To explore salutogenic work-related factors among primary health care employees.

    METHOD: Questionnaire to all employees (n = 599) from different professions in public and private primary health care centers in one health care district in Sweden. The questionnaire, which had a salutogenic perspective, included information on self-rated health from the previously validated SHIS (Salutogenic Health Indicator Scale), psychosocial work environment and experiences, recovery, leadership, social climate, reflection and work-life balance.

    RESULTS: The response rate was 84%. A multivariable linear regression model, with SHIS as the dependent variable, showed three significant predictors. Recovery had the highest relationship to SHIS (1 = 0.34), followed by experience of work-life balance (1 = 0.25) and work experiences (1 = 0.20). Increased experience of recovery during working hours related to higher self-rated health independent of recovery outside work.

    CONCLUSION: Individual experiences of work, work-life balance and, most importantly, recovery seem to be essential areas for health promotion. Recovery outside the workplace has been studied previously, but since recovery during work was shown to be of great importance in relation to higher self-rated health, more research is needed to explore different recoverystrategies in the workplace.

  • 31.
    Ekberg, Elias
    et al.
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Frohm, Jacob
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    “They suck the life out of you to be perfectly honest...”: sjuksköterskors upplevelser av att vårda personer med emotionellt instabilt personlighetssyndrom.2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: En upplevelse är subjektiv vilken värderas och tolkas utifrån individens förförståelse och dessa upplevelser behöver sjuksköterskan tillvarata för att kunna bedriva professionell omvårdnad. Omvårdnadsprocessen används av sjuksköterskor för att bedriva omvårdnad på ett optimalt sätt och en del av denna process är mötet mellan människor. Ett gott möte leder till ett bättre informationsutbyte vilket i sin tur är en central del i omvårdnadsarbetet. Emotionellt instabilt personlighetssyndrom, även förkortat EIPS, är en psykisk funktionsnedsättning där de allmänna kriterierna för personlighetssyndrom samt fem av nio EIPS-specifika kriterier ska vara uppfyllda för att ställa diagnos. Syfte: Syftet var att belysa sjuksköterskors upplevelse av att vårda personer med emotionellt instabilt personlighetssyndrom. Metod: Kvalitativ litteraturstudie grundad på nio empiriska studier. Artikelgranskningen genomfördes enligt Högskolan i Kristianstads granskningsmall för kvalitativa studier. Analysen utgick från Fribergs (2012a) fem-stegs metod. Resultat: Resultatet sammanställdes i fyra huvudteman; Upplevda känslor, Upplevelse av kunskap, Upplevelse av arbetssätt samt Upplevelse av beteenden hos personer med EIPS. Sjuksköterskors upplevelser av att vårda personer med EIPS varierade. Känslor som obehag, frustration och optimism uppstod i samband med vårdandet. När sjuksköterskor upplevde att de hade lämplig kunskap skapades självförtroende i vårdandet. Brist på kunskap bidrog till osäkerhet kring hur personalen ska förhålla sig till personer med EIPS. Diskussion: Studiens styrkor och svagheter diskuteras i relation till Shentons (2004) trovärdighetsbegrepp. I resultatdiskussionen diskuteras fynden Hoppfull optimism, Kunskap underlättar vårdandet samt Frustration i relation till omvårdnadsteorier, samhällsperspektiv samt etisk teori.

  • 32.
    Ekelund, Elin
    et al.
    Kristianstad University, Faculty of Health Science, Avdelningen för folkhälsovetenskap.
    Sabzandam, Paria Petra
    Kristianstad University, Faculty of Health Science, Avdelningen för folkhälsovetenskap.
    "Det känns ju meningsfullt att gå till arbetet": en intervjustudie kring upplevelsen av hälsofrämjande arbetsmiljöfaktorer på en mottagningsenhet för nyanlända2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Work related illness is based on the growth of psychiatric diagnosis. By working preventive and promotive in the workplace, the work related health can be strengthened and developed. Given that workplace health promotion has a strong link to work effectiveness, this health work needs to be emphasized. Due to the fact that the 2015 refugee flow resulted in a high workload for integration workers, this study found an interest in studying health promotion features at a municipal receiving unit for new arrivals. Purpose: To study whether employees on a receiving unit for new arrivals experienced health promotive factors at their workplace. Method: The study was implemented by using a qualitative method. Interviews of nine fulltime employees represented the results. The interviews were transcribed and analyzed with a content analysis. Results: Work task, social community, opportunity for participation, capacity building, leadership and daily health promotion activities at work time was proven to be substantial health promoting factors at the workplace. Conclusion: Because of the linkage to sence of coherence, savoring and empowerment, the activities were related as health promotive factors. The factors are important given that they can positively improve employee health. Henceforth it is vital that these factors can be strengthened and maintained to promote integration work.

  • 33.
    Eklund, Danielle
    et al.
    Kristianstad University, Faculty of Health Science.
    Garbacea, Simona
    Kristianstad University, Faculty of Health Science.
    Daglig verksamhet, en viktig insats för folkhälsan: En kvalitativ studie bland personer med funktionsnedsättning2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    People with disabilities generally have a lower health status than the average population, this due to risk factors related to their living conditions. An important factor when it comes to the objectives "Influence and Participation" and "Health in working life",  is to create an open and including enviroment with good possibilities to influence one`s situation. To be a part of a bigger context where works is put on fokus, increases the possibilities to achieve better helth and self-esteem. Having a daily occupation has in previous studies shown to have a positive effect. This in turn decreases the risk of alienation and marginalization. Interaction with horses has also shown to have a positive effect on people with disabilities. The aim of this study was to ilustrate the participants descriptions of the daily activities " Health with horsepower" and their health development, where people with disabilities work in nature daily with taking care of the horses and horseback riding. The project was started 2012 in  Örkelljunga municipality with the purpose of givng the participants a meaningful occupation and posssibility to work more physically than in a traditional daily work. The study was based on focus group interviews performed by six of the projekt members and two staff, as well an individual interview with one of the staff working there. The results have shown that all participants of the study, has since they quit their ordinary daily occupation, improved their health both physically and mentally. The participants now view their current work-tasks as meaningful and rewardind, and they thrive with both their colleagues and staff- members.  

  • 34.
    Emelie, Vernersson
    Kristianstad University, Faculty of Health Science.
    Vad upplever unga vuxna påverkar deras sömnvanor: En kvalitativ intervjubaserad studie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The body needs sleep to get the recovery that it’s need. Too little sleep or no sleep at all may lead to depression and anxiety. The study’s purpose was to investigate how young adults experience their sleeping habits and what they consider affect their sleep. The method used was a qualitative interview study, the form of the interviews was semi-structured interviews and interviews by e-mail. The study’s result shows that young adults experience of sleep could be divided into two categories; the absence of the good sleep and experience of factors that affect the sleep. The informants experienced their sleeping habits as varying and that they had a regular bedtime but a varying sleep onset time. Young adults experienced that their sleep was affected positively by physical activity and negatively by cellphone as well as stress and anxiety Conclusion: Young adult get limited knowledge about sleep and why sleep is important in primary school which lead to that they don’t get the necessary knowledge about which consequences are related to too little and/or poor sleep. Giving sleep education in school gives the students the opportunity to prioritize their sleep. From a public health perspective, sleep is a determining factor to god health which makes the sleep education relevant to schools to work with health promotion activities.

  • 35.
    Ericsson, Ulf
    et al.
    Kristianstad University, Research environment Governance, Regulation, Internationalization and Performance (GRIP. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Business, Avdelningen för arbetsliv.
    Bengtsson-Tops, Anita
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Working with stories: Street-Level bureaucrats and their work with individuals with psychiatric disability exposed to interpersonal violence2017In: Journal of Social Work in Disability & Rehabilitation, ISSN 1536-710X, E-ISSN 1536-7118, Vol. 16, no 3-4, p. 325-346Article in journal (Refereed)
    Abstract [en]

    The focus of our attention is the meeting between street-level bureaucrats and individuals with psychiatric disability exposed to interpersonal violence. Based on eleven interviews, we illustrate how stories are understood, used and made meaningful to the street-level bureaucrat. The contribution of this article is first of all that of being a framework, from a storytelling point of view, for the work and organizational experiences of street-level bureaucrats. Secondly, by paying attention to the story part of these relationships, we can better understand the situation of individuals with psychiatric disability exposed to interpersonal violence given their interaction with different street-level bureaucrats.

  • 36.
    Eriksson, Felicia
    et al.
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Berggren, Ebba
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    “These things, of course, they leave a mark on you”: en litteraturstudie om sjuksköterskors erfarenheter av hot och våld2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Hot och våld är något som ökar inom sjukvården. Sjuksköterskan har ett huvudansvar för omvårdnaden och det patientnära arbetet sätter sjuksköterskan i en mer utsatt position. I Sverige är det den somatiska vården som har flest anställda inom hälso- och sjukvården, trots detta saknas det kunskap och utbildning för att möta hot och våld. Syfte: Att belysa sjuksköterskors erfarenheter av hot och våld inom somatisk vård. Metod: En litteraturstudie baserad på kvalitativa artiklar. Sökningar har gjorts i Cinahl Complete och Pubmed vilket resulterade i tio artiklar. Artiklarna har granskats med Högskolan Kristianstads granskningsmall och analyserats utifrån Fribergs analysmodell. Resultat:Sjuksköterskor erfor verbala hot och fysiskt våld från patienter. Att utsättas för hot och våld ledde till känslor av rädsla, otrygghet, frustration samt att inte bli respekterad. Hot och våld ansågs även vara en del av arbetet. Det fanns situationer där hot och våld hade en ökad acceptans men ibland gav det en negativ inställning till yrkesrollen och gjorde att omvårdnadsåtgärder omprioriterades. Sjuksköterskorna erfor även att det saknades stöd från organisation och rättssystem. Diskussion: Studiens fynd visade att verbala hot och fysiskt våld ledde till negativa konsekvenser i form av rädsla och otrygghet. Sjuksköterskorna ansåg att hot och våld var en del av arbetet som ledde till att yrkesrollen påverkades och förändrades. För ett förebyggande arbete kan organisationen med fördel använda RRR-modellen som står för Relationen, Ryggsäcken och Ramen. Ett förebyggande arbete kan ses positivt utifrån både sjuksköterske-, patient-, organisation- och samhällsperspektiv.

  • 37. Eriksson, Johanna
    et al.
    Strömblad, Annika
    Andersson, Magdalena
    Beck, Ingela
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Närståendes upplevelser på ett vård- och omsorgsboende: en kvalitativ intervjustudie2018Report (Other academic)
    Abstract [sv]

    Det blir allt fler äldre personer i samhället idag eftersom vi lever längre. Ett större antaläldre personer kan innebära att fler närstående blir involverade i den äldre personenslivssituation och vård. Den personcentrerade omvårdnadsmodellen visar att närståendeär en viktig resurs för den äldre och för den äldres välbefinnande. Idag ska närståendekunna vara ett naturligt inslag i vården av den äldre personen. Sedan år 2009när nya bestämmelsen i Socialtjänstlagen kom, har vården ett ansvar att ge närståendestöd och vägledning. Detta leder till att en dialog mellan vårdpersonal och närståendeär betydande för att främja den äldres hälsa, men också för att främja närståendes delaktighetoch välbefinnande. Syftet med studien var att undersöka närståendes upplevelserav att ha en äldre person vid ett vård- och omsorgsboende. Studien har en kvalitativstudiedesign. Tre fokusgruppsintervjuer och två enskilda intervjuer genomfördesmed sammanlagt 26 närstående till en äldre person på ett vård- och omsorgsboende.Intervjuerna analyserades med en konventionell innehållsanalys. Ett gott bemötandeoch en öppen kommunikation med vårdpersonalen gjorde att de närstående kände sigvälkomna och sedda som en viktig del i vården. Närstående upplevde trygghet då desjälva och den äldre personen kände sig hemmastadda på vård- och omsorgsboendet.Slutsats: Personalen har en betydelsefull roll för närståendes välbefinnande och delaktigheti vården på ett vård- och omsorgsboende.

  • 38.
    Essling, Elise
    Kristianstad University, Faculty of Health Science.
    Pharmacy employees’ knowledge, use and attitudes toward homeopathy: A comparative survey in Sweden and Germany2017Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Homeopathy is increasingly practiced within different medical areas of use. Homeopathic medicines are sold in German pharmacies, whereas the assortment of Swedish pharmacies does not include homeopathic medicines. Despite differences between Sweden and Germany, homeopathic medicines are classified as drugs in both countries. The aim of this study was to compare pharmacy employees’ knowledge, use and attitudes toward homeopathy in Sweden and Germany. A quantitative web-survey was send to 30 pharmacies in Sweden and 30 pharmacies in Germany. To compare knowledge, use and attitudes toward homeopathy of Swedish and German pharmacy employees, chi-square tests and Mann-Whitney tests were performed in SPSS. A total of 209 pharmacy employees answered the survey (108 in Sweden and 101 in Germany). German participants estimated their knowledge higher than Swedish participants (p < 0.01). In both countries, most participants thought that pharmacy employees should have knowledge about homeopathy. Although most Swedish participants stated that they receive questions about homeopathy, German pharmacy employees receive questions about homeopathy more frequently (p < 0.01). Swedish participants reported less experience of own use of homeopathic medicines and less believe in their effectiveness compared to German participants (p < 0.01). However, in both countries, most participants stated that homeopathic medicines should be sold in pharmacies. As pharmacy employees should act professionally to advice customers on all drugs, increased homeopathic knowledge in pharmacy employees could potentially improve pharmaceutical praxis. If homeopathic medicines should be sold in pharmacies or not remains a discussion issue that could be addressed in future studies.

  • 39.
    Forsberg, Evelina
    et al.
    Kristianstad University, Faculty of Health Science.
    Runesson, Stina
    Kristianstad University, Faculty of Health Science.
    Friskfaktorernas roll på ett bemanningsföretag: En kvalitativ intervjustudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    People spend about one third of the day at their workplace, therefore are a favourable working environment of great importance. There are factors in the working environment that affect the individual in different extents. Health factors are such a factor and can be described by the words, health and well-being, which indicates an absence of disease symptoms. While health promotion factors describe the parts of the working environment that are positive and health promoting. The current study focuses on American Family Association insurance (AFA-insurance) health factors. The work environment in the staffing company can be characterized as a triangular leadership, which characterizes the industry. The aim of the study was to investigate how a staffing company applies AFA insurance's health factors. Method, the study was performed by a qualitative interview study with a interpretive configuration. Nine people were interviewed in the three different job types, businessmanagers, consultant and consultants in the field. The collected data was then analyzed by using a qualitative content analysis and with a deductive approach. The result showed that the virtual leadership, socialsupport and possible educational investment were three of six health factors which were influential at the company. Leadership was held by communication technology as well as a physical session per week. The experience of the leadership works well given the conditions, but more physical presence and communication were desired. One factor that affected social support was constructive feedback. Education opportunities were offered, the utilization of the offer was poorly due to a shortage of time. Conclusion, the result showed that social support was influenced by feedback, reduced feedback decreased the sense of social support. The workplace considered that investment in education was essential and important for the competence development among the employees. Maintaining continuous communication was complicated when the leadership was physically absent.

  • 40. Fält, Isabel
    et al.
    Jangenmo, Marcus
    Bringsén, Åsa
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Faculty of Health Science, Avdelningen för folkhälsovetenskap.
    "När jag har haft PULS-pass så spinger jag till klassrummet och känner att jag är jätteglad": En kvalitativ studie om skolbarns beskrivningar av självupplevt välbefinnande och fysisk aktiviitet i skolmiljö2018Report (Other academic)
    Abstract [sv]

    Hälsoutvecklingen bland skolbarn i Sverige vittnar om att psykosomatiska besvär ökaroch att barnens självskattade hälsa minskar med stigande ålder. Samtidigt minskarockså andelen barn som uppnår tillräckliga nivåer av fysisk aktivitet, medan stillasittandeistället ökar. Interventioner för mer fysisk aktivitet i skolan är ett sätt problematikenskulle kunna bemötas med. Fysisk aktivitet fungerar som en skyddsfaktor motflera livsstilsrelaterade sjukdomar och mer fysisk aktivitet i skolan har bland annatvisats leda till förbättrade kognitiva förmågor och ökat välbefinnande. Syftet med studienvar att undersöka barns beskrivningar av välbefinnande i relation till deltagandei PULS-projektet på Degebergaskolan, en intervention för mer fysisk aktivitet i skolan.Via fokusgruppsintervjuer med elever som deltog i PULS-projektet erhölls studiensempiri, från vilken vidare induktiv kvalitativ innehållsanalys genomfördes. Resultatenfrån studien påvisade att det viktigaste för erhållandet av subjektivt välbefinnandevar att ha roligt och att känna glädje. Vidare visade resultaten att deltagarna erhöllökat subjektivt välbefinnande från sitt deltagande i PULS-projektet och att utövandetav fysisk aktivitet hade en betydande roll för välbefinnande, både i skolan och påfritiden. Detta är viktiga fynd då hälsointerventioner för mer fysisk aktivitet i skolanmedför möjligheter att motverka den negativa hälsoutveckling som förekommer blandskolbarn i Sverige. Djupare förståelse för hur barn själva definierar välbefinnande ochvilken inverkan interventioner som PULS-projektet har för deras subjektiva välbefinnandebidrar till att det skapas underlag för att också möta barnens självupplevda behovoch därmed utveckla och förbättra utformandet av lika interventioner ytterligare.

  • 41.
    Gardsten, Cecilia
    et al.
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Linnéuniversitetet.
    Blomqvist, Kerstin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Mörtberg, Christina
    Linnéuniversitetet.
    Personcentrerad IKT-tjänst för personer med typ 2-diabetes2018Conference paper (Other academic)
    Abstract [sv]

    Diabetestyp 2 är en vanlig kronisk sjukdom med stort fokus på egenvård. Sjukdomen kräver livslång och regelbunden kontakt med hälso- och sjukvården för rådgivning och uppföljning. För att kunna erbjuda en tjänst som svarar upp till behoven vid egenvård behövs insikter om hur personer med typ 2-diabetes uppfattar sin situation. Det finns därför behov av att utveckla hälsovård ur ett användarcentrerat perspektiv. Deltagarbaserad design är en forskningsstrategi som har för avsikt att involvera människor för att ge dem inflytande i designprocessen.

  • 42.
    Gardsten, Cecilia
    et al.
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Linnéuniversitetet.
    Blomqvist, Kerstin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Rask, Mikael
    Linnaeus University.
    Larsson, Åse
    Region Skåne.
    Lindberg, Agneta
    Hässleholm Hospital Organization.
    Olsson, Gith
    Hässleholm Hospital Organization.
    Challenges in everyday life among recently diagnosed and more experienced adults with type 2 diabetes: a multistage focus group study2018In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 19-20, p. 3666-3678Article in journal (Refereed)
    Abstract [en]

    AIM AND OBJECTIVES: The aim of this study was to identify perceived challenges related to self-management among recently diagnosed adults and those with longer experience of type 2 diabetes as a foundation for the future development of a person-centred information and communication technology service.

    BACKGROUND: Learning self-management of type 2 diabetes includes mastering the skills required to complete complex emotional and physical tasks. A service developed with the participation of stakeholders may be an alternative way to meet rising needs for self-management.

    DESIGN: Qualitative descriptive design influenced by a participatory approach.

    METHODS: Multistage focus group interviews among one group of recently diagnosed (≤3yrs, n=4) adults and one group with longer experience (≥5yrs, n=7) of type 2 diabetes.

    RESULTS: Challenges in self-management in everyday life with type 2 diabetes were identified: understanding; developing skills and abilities; and mobilizing personal strengths. Both groups described challenges in understanding the causes of fluctuating blood glucose and in, developing and mobilizing skills for choosing healthful food and eating regularly. The recently diagnosed group was more challenged by learning to accept the diagnosis and becoming motivated to change habits while the experienced group was mainly challenged by issues about complications and medications.

    CONCLUSION: Adults with diabetes have different needs for support during different phases of the disease. From a person-centred perspective, it would be desirable to meet individual needs for self-management on peoples' own terms through a technological service that could reach and connect to a large number of people. This article is protected by copyright. All rights reserved.

  • 43.
    Garmy, Pernilla
    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, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    School nurses' Experiences in working with students with mental health problems2017Conference paper (Refereed)
  • 44.
    Garmy, Pernilla
    et al.
    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, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Clausson, Eva
    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, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    DISA: ett skolbaserat program som förebygger depressiva symtom hos ungdomar2018Conference paper (Other academic)
    Abstract [sv]

    DISA – ett skolbaserat program som förebygger depressiva symtom hos ungdomar

    Pernilla Garmya,b, Eva K Claussona, Agneta Berga, Katarina Steen Carlsson b, och Ulf Jakobsson b

    a Fakulteten för Hälsovetenskaper, Högskolan Kristianstad

    b Medicinska fakulteten, Lunds universitet

    Kontakt: pernilla.garmy@hkr.se

    Vad är DISA?

    DISA är ett skolbaserat program som bygger på tekniker hämtade från kognitiv beteendeterapi, och leds av skolsköterskor, kuratorer och lärare. Programmet ges under skoltid, vid ett tillfälle á 2 timmar i veckan under 10 veckor i årskurs 8.

     

    Fungerar DISA?

    Syftet var att undersöka användbarheten och kostnadseffektiviteten av det skolbaserade programmet DISA vas mål är att förebygga stress och depressiva symtom hos ungdomar.

     

    Hur genomfördes studien?

    Deltagande eleverna gick i årskurs 8 (medianålder: 14 år). 462 elever deltog i DISA (79% flickor) och 486 elever gick i jämförelseskolor och deltog därför inte i DISA (46% flickor). Eleverna besvarade enkäter om sin självskattade hälsa vid start och avslut av DISA, samt efter ett år. Eleverna i jämförelseskolorna besvarade enkäter vid samma intervaller.

     

    Resultat:

    Självskattade depressiva symtom minskade och den självskattade hälsan ökade hos de elever som deltagit i DISA i signifikant större utsträckning än hos de som inte deltagit i DISA.

     

    Slutsats:

    Resultatet tyder på att DISA minskar depressiva symtom och stärker ungdomars självskattade hälsa. Kostnaden är låg i förhållande till dess effekt, vilket indikerar att DISA kan anses vara kostnadseffektivt.

    Referens:

    Garmy, P., Clausson, EK., Berg, A., Steen Carlsson K., Jakobsson, U. (2017) Evaluation of a school-based cognitive behavioral depression prevention program. Scand J Public Health. doi: 10.1177/1403494817746537. [Epub ahead of print]

    https://www.ncbi.nlm.nih.gov/pubmed/29226799

  • 45.
    Garmy, Pernilla
    et al.
    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, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Clausson, Eva
    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, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    För lite sömn och lång skärmtid har samband med övervikt hos skolbarn2018Conference paper (Other academic)
    Abstract [sv]

    För lite sömn och lång skärmtid har samband med övervikt hos skolbarn

    Pernilla Garmya,b, Eva K Claussona, Per Nyberg b, och Ulf Jakobsson b

    a Fakulteten för Hälsovetenskaper, Högskolan Kristianstad

    b Medicinska fakulteten, Lunds universitet

     

    Kontakt: pernilla.garmy@hkr.se

     

    Syfte: I studien undersöktes sömn, tv och datorvanor, och övervikt hos elever i årskurs 4.

    Metod: I denna tvärsnittsstudie besvarade 1260 tio-åriga skolbarn en enkät som sömn och medievanor i samband med hälsosamtalet hos skolsköterskan i årskurs 4. I samband med detta besök vägdes och mättes även 1097 av barnen. Beskrivande och analytisk statistik användes.

    Resultat:

    • I genomsnitt sov barnen 9½ timma på skolnätter.
    • Ungefär 40 % av barnen rapporterade att de sov mindre än 9 timmar per natt.
    • I genomsnitt gick barnen och lade sig klockan 21:00 på vardagkvällar, och en timma senare på helgen.
    • I genomsnitt tillbringade barnen 1 timma vid tv:n och 1 timma vid datorn varje dag.
    • Förekomsten av övervikt (inklusive fetma) var 18%.
    • Rekommendationen för skolbarn är att sova minst 9 timmar per natt, och kortare sömn än 9 timmar på skolnätter var associerat med övervikt, och skärmtid mer än 2 timmar per dag, samt sömnsvårigheter och trötthet i skolan.

    Slutsats: Skolbarn som får för lite sömn har större risk för att ha en övervikt och att spendera mycket tid framför tv och dator. Skolsköterskor har en viktig uppgift att lyfta betydelsen av sunda sömnvanor och rimliga skärmvanor.

     

    Referens:

    Garmy, P., Clausson EK., Nyberg P., Jakobsson U. (2018) Insufficient Sleep is Associated with Obesity and Excessive Screen time Amongst Ten-year-old Children in Sweden. Journal of Pediatric Nursing. doi: 10.1016/j.pedn.2017.11.009.

    https://www.ncbi.nlm.nih.gov/pubmed/29157744

  • 46.
    Garmy, Pernilla
    et al.
    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, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Clausson, Eva
    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, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Nyberg, Per
    Lund University.
    Jakobsson, Ulf
    Lund University.
    Insufficient sleep is associated with obesity and excessive screen time amongst ten-year-old children in Sweden2018In: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 39Article in journal (Refereed)
    Abstract [en]

    PURPOSE: This study investigated sleep, television, computer habits, and obesity in school-age children.

    DESIGN AND METHODS: This was a cross-sectional self-report survey of 1260 children in grade 4 (mean age, 10.1) living in southern Sweden (49.1% boys). The heights and weights of 1097 (87.1%) of the children were recorded. Descriptive statistics, bivariate analyses, and multiple logistic regression were employed.

    RESULTS: The median length of self-reported sleep on weeknights was 9.5h. Approximately 40% of the children reported receiving <9h of sleep. The median bedtime was 9PM (21:00). On weekends, the median bedtime was 1 h later, and they delayed getting up by 1.5h. The median time spent watching TV and using a computer was 1 h each. The prevalence of being overweight (including obesity) was 18%. Insufficient sleep (<9h) was associated with being overweight, watching TV, or using a computer for two or more hours each day, difficulty falling asleep, and being tired at school.

    CONCLUSIONS: School-age children who receive less sleep are more likely to be overweight and report excessive television and computer use. A strong and urgent need exists to highlight the importance of healthy sleep and media habits. It is challenging for pediatric nurses and school nurses to teach children and their families about healthy sleep and media habits.

  • 47.
    Garmy, Pernilla
    et al.
    Kristianstad University, Faculty of Health Science, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Jakobsson, Liselotte
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Experiences of cancer rehabilitation: a cross-sectional study2018In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 9-10, p. 2014-2021Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To investigate the cancer rehabilitation experiences of working-age cancer survivors.

    BACKGROUND: Cancer survivors have extremely complex needs, spanning physical, vocational, and sexual domains. Although cancer rehabilitation services have been found to eliminate or reduce these strains, these services are often underutilized.

    DESIGN: A cross-sectional study design was employed.

    METHODS: A survey of persons over the age of 18 with a cancer diagnosis, enrolled in the Social Insurance Agency in a municipality in southern Sweden (n =168, 68% women) was conducted.

    RESULTS: Patients who used the cancer rehabilitation service (57%) were generally satisfied with it. Of participants, 26% reported not having received an offer of rehabilitation. Of those who reported that they received information about cancer rehabilitation services, most also reported that they received this information from a healthcare service professional (69%): for example, from the oncology nurse or the oncologist, whereas 20% claimed they received the information from the administrator of the Swedish Social Insurance Agency. A minority of children and family members of patients received support from the healthcare system.

    CONCLUSIONS: More efforts should be taken to reach patients in need of cancer rehabilitation. Additionally, more attention should be directed toward family members and young children.

    RELEVANCE TO CLINICAL PRACTICE: More than one in four patients claimed to not have received an offer of cancer rehabilitation, and an even greater number of patients claimed that their spouses and children had never received an offer for this service either. Hence, there is a communication barrier that needs to be overcome. Health providers should be aware that information needs to be repeated several times, and presented both orally and in writing. This article is protected by copyright. All rights reserved.

    The full text will be freely available from 2019-03-31 14:03
  • 48.
    Garmy, Pernilla
    et al.
    Kristianstad University, Faculty of Health Science, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Olsson Möller, Ulrika
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Winberg, Cecilia
    Lunds universitet.
    Magnusson, Lina
    Lunds universitet, Göteborgs universitet.
    Kalnak, Nelli
    Lunds universitet.
    Experience of participating in a mastermind group2018Conference paper (Other academic)
  • 49.
    Garmy, Pernilla
    et al.
    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, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Vilhjálmsson, Rúnar
    Island.
    Kristjánsdóttir, Guðrún
    Island.
    Bullying in school-aged children in Iceland: a cross-sectional study2018In: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 38, p. 30-34Article in journal (Refereed)
    Abstract [en]

    PURPOSE: We describe the frequency and variations in bullying among a representative national sample of school-age children and examine whether sociodemographic characteristics are associated with bullying.

    DESIGN AND METHODS: This study is based on a cross-sectional school-based survey-the Icelandic contribution to the international research network Health Behaviour in School-aged Children (HBSC). The study population included all students in Iceland in grades 6, 8 and 10 (mean ages: 11, 13 and 15years, respectively) (participation rate: 84%; n=11,018). The students completed an anonymous standardized questionnaire administered in the classroom.

    RESULTS: The self-reported frequency of being victimized by bullying at least 2-3 times every month was 5.5%. A younger age, speaking a foreign language at home, not living with one's parents, and living in a rural area, were all associated with higher frequencies of being bullied.

    CONCLUSIONS: Despite efforts to reduce bullying in school, experiences of being victimized through bullying are still too common among Icelandic school-age children. Stakeholders and school health administrators should consider sociodemographic antecedents when planning interventions to reduce bullying at school.

  • 50.
    Green, Beatrice
    et al.
    Kristianstad University, Faculty of Health Science.
    Jonsson, Sara
    Kristianstad University, Faculty of Health Science.
    Möjligheter till en hälsofrämjande lärandemiljö för gymnasieelever med neuropsykiatriska funktionsnedsättningar: en kvalitativ studie om gymnasielärares beskrivningar2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The introduction of the study gives an overall review of how mental ill health has become an increasingly common condition among children and young people. In addition, children and adolescents with neuropsychiatric disabilities (NPF) are a particularly vulnerable group with a higher incidence of mental ill health. Because children and young people spend a large amount of their time at school, it is important that the school is designed with opportunities to promote children and young people's health. The aim was therefore to: examine high school teachers' descriptions of opportunities for a health-promoting learning environment in relation to mental health for high school students with neuropsychiatric disabilities. In order to answer the purpose of the study, a qualitative method was chosen in the form of focus group interviews. The focus groups consisted of high school teachers aged 28-62 teaching at vocational high schools in Kristianstad. Qualitative content analysis was used when analyzing the material. The overall results showed that opportunities for a health-promoting learning environment were primarily dependent on an individual-oriented learning environment and a relationship built on trust between teachers and students. The result confirmed the image of an increasing problem of mental ill health among young people, with lacking performances and absence from school as a consequence. Thus, the result illustrates the interaction between learning and health. The conclusion drawn from the study result was that: Possibilities for a health-promoting learning environment included a relationship built on trust between teachers and students. Teachers’ approach towards students should be characterized by inclusion, confirmation and sensitivity. In order for the learning environment to easier assist with these promotional factors, classes with fewer students, more support resources for students with NPF, and increased knowledge for high school teachers regarding the NPF-diagnoses are needed, focusing on practical tools to apply.

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