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Publications (10 of 18) Show all publications
Kraft, M., Kästel, A., Eriksson, H. & Rydholm Hedman, A.-M. (2017). Global Nursing: a literature review in the field of education and practice. Nursing Open, 4(3), 122-133
Open this publication in new window or tab >>Global Nursing: a literature review in the field of education and practice
2017 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 4, no 3, p. 122-133Article, review/survey (Refereed) Published
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-2356 (URN)10.1002/nop2.79 (DOI)
Available from: 2017-04-10 Created: 2017-04-10 Last updated: 2017-10-23Bibliographically approved
Sigvardsdotter, E., Vaez, M., Hedman, A.-M. & Saboonchi, F. (2016). Prevalence of torture and other war-related traumatic events in forced migrants: A systematic review. Journal on Rehabilitation of Torture Victims and Prevention of Torture, 26(2), 41-73
Open this publication in new window or tab >>Prevalence of torture and other war-related traumatic events in forced migrants: A systematic review
2016 (English)In: Journal on Rehabilitation of Torture Victims and Prevention of Torture, ISSN 1018-8185, E-ISSN 1997-3322, Vol. 26, no 2, p. 41-73Article in journal (Refereed) Published
Abstract [en]

Aim: To describe and appraise the research literature reporting prevalence of torture and/or war-related potentially traumatic experiences (PTEs) in adult forced migrants living in high-income countries.

Methods: A search for peer-reviewed articles in English was conducted in PubMed, Web of Science, PILOTS, key journals, and reference lists. Studies based on clinical samples and samples where less than half of participants were forced migrants were excluded. Data was extracted and a methodological quality appraisal was performed.

Results: A total of 3,470 titles and abstracts were retrieved and screened. Of these, 198 were retrieved in full-text. Forty-one articles fulfilled inclusion criteria and the total number of study participants was 12,020 (median 170). A majority focused on specific ethnic groups or nationalities, Southeast Asian, Middle Eastern and Balkan being the most frequent. Reported prevalence rates of torture ranged between one and 76 % (median 27 %). Almost all participants across all studies had experienced some kind of war-related PTE.

Conclusions: Reported prevalence rates of torture and war-related PTEs vary between groups of forced migrants. Trauma history was often studied as a background variable in relation to mental health. The heterogeneity of data, as well as the methodological challenges in reaching forced migrants and defining and measuring traumatic experiences, prevent generalisation concerning trauma history across groups.

Keywords
forced migrants, migrants, refugees, war-trauma, torture
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:rkh:diva-2291 (URN)27858780 (PubMedID)
Funder
Swedish Red Cross
Available from: 2016-10-14 Created: 2016-10-14 Last updated: 2017-10-30Bibliographically approved
Fonad, E., Robins Wahlin, T.-B. & Hedman, A.-M. (2015). Associations between falls and general health, nutrition, dental health and medication use in Swedish home-dwelling people aged 75 years and over.. Health & Social Care in the Community, 23(6), 594-604
Open this publication in new window or tab >>Associations between falls and general health, nutrition, dental health and medication use in Swedish home-dwelling people aged 75 years and over.
2015 (English)In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 23, no 6, p. 594-604Article in journal (Refereed) Published
Abstract [en]

ABSTRACT The vast majority of elderly people in Sweden live in private homes in their communities for as long as possible. Poor health and a high risk of falls are very common among this group. This cross-sectional study investigates the association between falls and general health, appetite, dental health, and the use of multiple medications among home-dwelling men and women aged ≥75 years. Data were collected between October 2008 and March 2009 using a postal questionnaire. A total of 1243 people participated in the questionnaire survey (74% response rate), of which 1193 were included in the analysis. The majority of participants were women (n = 738, 62%). Falls in the previous 12-month period were reported by 434 (36%) participants. Most fallers (n = 276, 64%) were women. The majority of the fallers lived in a flat (n = 250, 58%). Poor health (aOR: 1.61; CI: 1.34-1.95), poor dental health (aOR: 1.22; CI: 1.07-1.39) and the use of four or more types of medication daily (aOR: 1.13; CI: 1.03-1.25) were significantly associated with falls in all participants. Poor dental health was found irrespectively of living in a flat (aOR: 1.23; CI: 1.04-1.46) or living in a house (aOR: 1.28; CI: 1.02-1.61), and both were significantly associated with falls. The use of more than four different types of medication daily (aOR: 1.25; CI: 1.11-1.41) was associated with falls for those living in a flat. The results highlight that falls are associated with poor general health, poor dental health and the use of four or more types of medication daily. Health professionals should provide health promotion education and investigate dental health and risk factors for oral disease. Likewise, medical and clinical practices of physicians and community care nurses should include assessing the risk of falling, and treatment that predisposes falls.© 2015 John Wiley & Sons Ltd.

National Category
Public Health, Global Health, Social Medicine and Epidemiology Nursing
Identifiers
urn:nbn:se:rkh:diva-1442 (URN)10.1111/hsc.12182 (DOI)25676026 (PubMedID)
Available from: 2015-02-16 Created: 2015-02-16 Last updated: 2017-10-30Bibliographically approved
Hedman, A.-M. & Brantberg, A.-L. (2015). När det inte blev som planerat. In: : . Paper presented at Stockholms läns landsting, Patientsäkerhetsdagar, tema "Tillsammans med patienten gör vi vården säkrare", Stockholm, 11-12 mars 2015.. Stockholm
Open this publication in new window or tab >>När det inte blev som planerat
2015 (Swedish)Conference paper, Poster (with or without abstract) (Other academic)
Abstract [sv]

Bakgrund

Vid ortopedisk proteskirurgi i höft- eller knäled är postoperativa infektioner ett allvarligt hot mot den nya inopererade leden och kan leda till långa behandlingstider som påverkar patientens livskvalitet under lång tid.

Tidig upptäck av en postoperativ infektion samt patientens delaktighet och kunskap om tecken på infektion är avgörande för att förhindra allvarliga konsekvenser av en infektion.

Svenska höft- och knäprotesregistret har visat på en oroande ökning av andelen protesrelaterade infektioner. Nationella in-satser har gjorts för att minska andelen infektioner, till exempel genom projektet Protesrelaterade Infektioner ska Stoppas, PRISS. 

Patientens delaktighet är viktig för att minska andelen infektioner men hur har patienten förstått given information?

Frågeställningar

• Har patienten fått information och förstått informationen om tidiga tecken på infektion?

• Har patienten kunnat vara en aktiv part i upptäckten av postoperativ infektion utifrån given information?

Metod

• Kvalitativ intervjustudie med 10 patienter som drabbats av djup postoperativ infektion efter höft- eller knäproteskirurgi 

• Journalgranskning av demografisk- och klinisk data

Resultat

Resultatet visade att patienterna upplevde det svårt att tolka symtomen och kände sig osäkra på vad som är normalt och vad som inte är normalt.  Information hade getts i varierad grad och förmågan att ta tills sig informationen var också olika. Bristande tillgänglighet, bristande rutiner för informationsöverföring och bristande rutiner för att säkerställa att patienten förstått den information som getts var bidragande orsaker till att patienten inte omedelbart tog kontakt med vården trots tecken på infektion.

Slutsats

• För att information ska övergå i kunskap måste den anpassas efter patientens behov och förmågor att ta till sig information.  Rutiner för att säkerställa att given information övergår i kunskap behöver förbättras.

• Personcentrerad vård kan vara ett redskap för att öka patientens delaktighet och öka förutsättningarna för att ge anpassad information och säkerställa en god kunskapsöverföring.

Place, publisher, year, edition, pages
Stockholm: , 2015
Keywords
knä/höftplastik, VRI, delaktighet
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-1612 (URN)
Conference
Stockholms läns landsting, Patientsäkerhetsdagar, tema "Tillsammans med patienten gör vi vården säkrare", Stockholm, 11-12 mars 2015.
Available from: 2015-03-28 Created: 2015-03-28 Last updated: 2017-10-30Bibliographically approved
Hedman, A.-M. & Jansson, W. (2015). Äldrevård och äldreomsorg. Pearson Education Limited
Open this publication in new window or tab >>Äldrevård och äldreomsorg
2015 (Swedish)Book (Other academic)
Place, publisher, year, edition, pages
Pearson Education Limited, 2015. p. 483
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-1414 (URN)978-0-273-75912-6 (ISBN)978-0-273-75914-0 (ISBN)
Available from: 2015-02-02 Created: 2015-02-02 Last updated: 2015-02-02Bibliographically approved
Rydholm Hedman, A.-M. (2014). Aktivitet, rörelse och rörlighet (2:a uppl.ed.). In: Edberg, Anna-Karin; Wijk, Helle (Ed.), Omvårdnadens grunder: Hälsa och ohälsa (pp. 333-361). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Aktivitet, rörelse och rörlighet
2014 (Swedish)In: Omvårdnadens grunder: Hälsa och ohälsa / [ed] Edberg, Anna-Karin; Wijk, Helle, Lund: Studentlitteratur AB, 2014, 2:a uppl., p. 333-361Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2014 Edition: 2:a uppl.
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-952 (URN)9789144083551 (ISBN)
Available from: 2014-09-01 Created: 2014-09-01 Last updated: 2014-10-21Bibliographically approved
Kraft, M., Blomberg, K. & Hedman, A.-M. (2014). The health care professionals' perspectives of collaboration in rehabilitation: an interview study. International Journal of Older People Nursing, 9(3), 209-216
Open this publication in new window or tab >>The health care professionals' perspectives of collaboration in rehabilitation: an interview study
2014 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 9, no 3, p. 209-216Article in journal (Refereed) Published
Abstract [en]

Background

In previous literature, it has been recognised that the extent to which different healthcare professionals collaborate may affect both the quality and safety of care, and patient outcomes. Collaboration appears to be an essential part of professional practice, yet there is a lack of knowledge and understanding of collaboration in the context of short-term care units. Therefore, this study was undertaken to better understand how professionals in this context view collaboration.

Aim

To describe collaboration in rehabilitation from the perspective of healthcare professionals.

Methods

Qualitative interviews were conducted with ten healthcare professionals, including: occupational therapists, physiotherapists and nurses, who worked in three different short-term care settings. The interviews were transcribed, and qualitative content analysis was used.

Findings

Four categories, all of which included both positive and negative descriptions of collaboration, were identified: (i) Crossing professional and organisational boundaries (ii) Awareness of own professional identity (iii) Information and knowledge transfer and (iv) Balancing between patient, system and process.

Conclusions

The findings indicate the importance of leadership and organisational structures for stimulating communication, and promoting collaboration between team members. In addition, working as a professional in short-term care requires individual skills in collaboration efforts, including awareness of one's own professional identity.

Relevance to clinical practice

Opportunities for supervision could be one way to increase individuals' awareness of their own role in the team.

Place, publisher, year, edition, pages
John Wiley & Sons, 2014
Keywords
collaboration, communication, content analysis, healthcare professionals, rehabilitation, short-term care
National Category
Medical and Health Sciences Nursing
Identifiers
urn:nbn:se:rkh:diva-644 (URN)10.1111/opn.12020 (DOI)23384007 (PubMedID)
Available from: 2013-04-30 Created: 2013-04-30 Last updated: 2017-10-23Bibliographically approved
Rydholm Hedman, A.-M., Fonad, E. & Sandmark, H. (2013). Older people living at home: associations between falls and health complaints in men and women. Journal of Clinical Nursing, 22(19-20), 2945-2952
Open this publication in new window or tab >>Older people living at home: associations between falls and health complaints in men and women
2013 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 22, no 19-20, p. 2945-2952Article in journal (Refereed) Published
Abstract [en]

Aims and objectives

To investigate the associations between self-reported falls and health complaints, among persons aged 75 years and older living at home, and to investigate gender differences in the associations.

Background

There are several studies concerned with risk factors for falling, and others related to health complaints, but not many with associations between falls and health complaints. There are some inconsistent data of incidence and gender-related differences in falling.

Design

Case–control community-based study.

Methods

In total, 1243 persons living in two municipal districts in Sweden answered a questionnaire. Odds ratios (OR) and regression models with 95% confidence interval (CI) were used to determine the associations between self-reported falls and different health complaints.

Results

The adjusted (multivariate) linear regression showed that urinary incontinence, self-rated health and tiredness were significantly associated with falls for both men and women living at home. The gender-related differences in falling were associated with the variables such as self-rated health for men and tiredness and pain in the hands, elbows, legs or knees for women.

Conclusion

An association is evident between falls and urinary incontinence, poor self-rated health and tiredness for older persons living at home. Gender differences in falls show an association with poor self-rated health, tiredness and pain in the hands, elbows, legs or knees.

Relevance to clinical practice

As older people are expected to live in their own homes as long as possible, more knowledge is required about what determines the risk of falling. Nurses in community care are recommended to use assessment tools that include urinary incontinence in order to detect the risk of falling.

Place, publisher, year, edition, pages
John Wiley & Sons, 2013
Keywords
falls, gender, health complaints, urinary incontinence
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-700 (URN)10.1111/jocn.12279 (DOI)23829490 (PubMedID)
Available from: 2013-07-31 Created: 2013-07-31 Last updated: 2017-12-06Bibliographically approved
Sandmark, H., Fonad, E. & Hedman, A.-M. (2012). Factors Associated with falls in Elderly Living at Home in Sweden. Primary Health Care: Open Access, 2(4), 1000124
Open this publication in new window or tab >>Factors Associated with falls in Elderly Living at Home in Sweden
2012 (English)In: Primary Health Care: Open Access, ISSN 2167-1079, Vol. 2, no 4, p. 1000124-Article in journal (Refereed) Published
Abstract [en]

Background: Falls among elderly constitute a major public health issue of increasing magnitude. For the prevention of fall at population level, it is necessary to study risk factors among community-dwelling elderly people in the population. The aim of this explorative study is to show associations between falls and self-rated health, physical exercise, physical functioning and physical disorders in elderly men and women living in their own homes in urban areas in a high-income country.

Methods: The associations between reported falling during the previous year and factors such as physical functioning, physical disorders, exercise, and self-rated health were investigated in a case-control study. The study base included all men and women aged 75 years and older living in their own homes in two municipal districts, one in the Stockholm area and one in the south of Sweden, from October 2008 to March 2009. A questionnaire was developed, but with questions used in earlier studies.

Results: Of the 1243 who participated in the study, 434 (35%) reported that they had fallen at least once during the previous year, and 759 (61%) reported no falls at all during the same period. Of the fallers, 158 (36%) were men, and 276 (64%) women. Unsteady gait (log reg 1.38, 95% CI 1.09-1.75) and poor self-rated health (log reg 2.04, 95% CI 1.29-3.20) were associated with falls during the previous year.

Conclusion: The results from this study indicate that the most important factors related to falls are within physical functioning, and that there are differences between men and women regarding the strength in the associations, and regarding marital status and age.

Place, publisher, year, edition, pages
Omics Publishing Group, 2012
Keywords
falls, elderly, community-dwelling, gait ability, musculoskeletal disorders
National Category
Nursing Health Sciences
Identifiers
urn:nbn:se:rkh:diva-440 (URN)10.4172/2167-1079.1000124 (DOI)
Available from: 2012-10-16 Created: 2012-10-16 Last updated: 2014-10-22Bibliographically approved
Rydholm Hedman, A.-M., Strömberg, L., Grafström, M. & Heikkilä, K. (2011). Hip fracture patients’ cognitive state affects family members’ experiences: a diary study of the hip fracture recovery. Scandinavian Journal of Caring Sciences, 25(3), 451-458
Open this publication in new window or tab >>Hip fracture patients’ cognitive state affects family members’ experiences: a diary study of the hip fracture recovery
2011 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 25, no 3, p. 451-458Article in journal (Refereed) Published
Abstract [en]

Background:  Many patients with hip fractures suffer from dementia disease, which has shown to affect the outcome of recovery strongly, as well as care and treatment. As most hip fracture patients are discharged home early after surgery, caregiving often falls on family members – spouses, daughters, sons, or even neighbours become informal carers.

Aim:  To explore how hip fracture patients’ cognitive state affect family members’ experiences during the recovery period.

Methods:  Eleven diaries written by family members’ of hip fracture patients were analysed by means of qualitative content analysis.

Findings:  The analysis generated two main categories with four categories. The first main category was; ‘Being a family member of a cognitively impaired patient’ with the categories ‘Dissatisfaction with lack of support’ and ‘Emotional distress due to the patient’s suffering’. The second main category was ‘Being a family member of a cognitively intact patient’ with the categories ‘Satisfaction with a relative’s successful recovery’ and ‘Strain due to their caring responsibilities’. Being a family member of a patient with cognitive impairment and a hip fracture meant being solely responsible for protecting the interests of the patient; in regard to care, rehabilitation and resources. The family members were also burdened with feelings of powerlessness and sadness due to the patients’ suffering. On the contrary, family members of cognitively intact hip fracture patients had positive experiences. The family members expressed pleasure from seeing their close ones make progress. However, when the healing process was delayed this led to strain on the family members.

Conclusions:  The findings suggest the hip fracture patient’s cognitive state is more decisive than the hip fracture itself for the family members’ experiences.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2011
Keywords
cognitive impairment, diary, family member, hip fracture, qualitative content analysis
National Category
Nursing Health Sciences
Identifiers
urn:nbn:se:rkh:diva-443 (URN)10.1111/j.1471-6712.2010.00848.x (DOI)21175729 (PubMedID)
Note

Som manuskript i avhandling. As manuscript in dissertation.

Relatives experiences of the hip fracture recovery period of older patients with and without cognitive impairment

Available from: 2012-10-22 Created: 2012-10-22 Last updated: 2017-12-07Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-6883-3154

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