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Paillard-Borg, S., Holmgren, J., Saaristo, P. & von Strauss, E. (2020). Nurses in an Ebola Viral Hemorrhagic Fever Outbreak: Facing and Preparing for Psychosocial Challenges. SAGE Open, 10(2)
Open this publication in new window or tab >>Nurses in an Ebola Viral Hemorrhagic Fever Outbreak: Facing and Preparing for Psychosocial Challenges
2020 (English)In: SAGE Open, E-ISSN 2158-2440, Vol. 10, no 2Article in journal (Refereed) Published
Abstract [en]

The purpose of this study was to describe the psychosocial experience of the International Federation of Red Cross and Red Crescent Societies' nurses upon their return from deployment at an Ebola Treatment Center during an Ebola virus disease outbreak in Kenema, Sierra Leone, between 2014 and 2015. The following three psychosocial aspects related to pre-, during, and postdeployment were explored: stress management, sociocultural exposure, and attitudes from others. This is a descriptive qualitative study with a cross-sectional design. Questionnaires were administered to 50 nurses, of which 44 responded. Eight themes were identified in relation to the three psychosocial aspects of interest: professional- and self-confidence, pragmatism, wellness activities, human contact, cultural competency, professionalism, pariah, and/or hero. One of the most important findings in this article relates to the essential mental health support pre- and during deployment with an emphasis upon return when the risk of isolation and stigmatization is greater. In conclusion, more research is needed about the psychosocial challenges met by nurses to prepare and support them as increasing threat of emerging infectious diseases puts pressure on global health systems.

Place, publisher, year, edition, pages
Sage Publications, 2020
Keywords
Ebola, nursing, global health, psychosocial challenges, emerging infectious disease
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-3422 (URN)10.1177/2158244020920658 (DOI)
Available from: 2020-06-12 Created: 2020-06-12 Last updated: 2024-01-17Bibliographically approved
Holmgren, J., Paillard-Borg, S., Saaristo, P. & von Strauss, E. (2019). Nurses’ experiences of health concerns, teamwork, leadership and knowledge transfer during an Ebola outbreak in West Africa. Nursing Open, 6(3), 824-833
Open this publication in new window or tab >>Nurses’ experiences of health concerns, teamwork, leadership and knowledge transfer during an Ebola outbreak in West Africa
2019 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 6, no 3, p. 824-833Article in journal (Refereed) Published
Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
Ebola outbreak, global nursing, health concerns, knowledge transfer, leadership, nurses, teamwork
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-2751 (URN)10.1002/nop2.258 (DOI)
Available from: 2019-03-22 Created: 2019-03-22 Last updated: 2019-08-08Bibliographically approved
Okenwa-Emegwa, L. & von Strauss, E. (2018). Higher education as a platform for capacity building to address violence against women and promote gender equality: the Swedish example. Public Health Reviews, 39(31)
Open this publication in new window or tab >>Higher education as a platform for capacity building to address violence against women and promote gender equality: the Swedish example
2018 (English)In: Public Health Reviews, ISSN 0301-0422, E-ISSN 2107-6952, Vol. 39, no 31Article in journal (Refereed) Published
Abstract [en]

Violence against women is an acknowledged public and global health problem which has adverse consequences for women’s health. Education, especially higher education, has long been identified as an important arena for addressing the problem and promoting gender equality. Two measures recently put in place in the Swedish higher education have brought the role of the sector into focus. The first is the inclusion of gender equality as a measurable outcome in quality assurance in higher education. The second measure is the amendment of the Swedish Higher Education Ordinance to include mandatory knowledge of VAW in the degree programme of seven selected relevant professional groups. The potentials of both measures to positively contribute to the gender equality discourse, as well as improving capacity building for the public health workforce who encounter VAW, are discussed.

Place, publisher, year, edition, pages
BioMed Central, 2018
Keywords
violence against women, gender equality, higher education, sweden, public health workforce, active citizens, quality assurance in higher education, higher education ordinance, #metoo movement
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:rkh:diva-2732 (URN)10.1186/s40985-018-0108-5 (DOI)30473904 (PubMedID)
Available from: 2018-11-19 Created: 2018-11-19 Last updated: 2021-09-09Bibliographically approved
Okenwa-Emegwa, L., Paillard-Borg, S., Tinghög, P., Saboonchi, F. & von Strauss, E. (2017). A global workspace is the emerging reality for future public health workforce. Socialmedicinsk Tidskrift, 94(3), 132-140
Open this publication in new window or tab >>A global workspace is the emerging reality for future public health workforce
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2017 (English)In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 94, no 3, p. 132-140Article in journal (Refereed) Published
Abstract [en]

There is an urgent need to train public health professionals at undergraduate level who can face global challenges that are due to longstanding conflicts, increasing number of displaced people, natural disasters, and growing inequalities between and within countries. Future public health professionals will lead activities ranging from national and international community planning, strategic work geared towards integration of migrants and crisis management of refugees, and humanitarian services. Consequently, the need for public health professionals with deep and wide theoretical and practical competencies in global contexts has become most relevant. In response to this need, The Swedish Red Cross University College has created such a programme leading to a Bachelor degree in Public Health Science, specialization Global Health.

Keywords
global health, global health challenges, public health sciences, public health professionals, undergraduate education
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:rkh:diva-2448 (URN)
Available from: 2017-09-09 Created: 2017-09-09 Last updated: 2020-01-30Bibliographically approved
Okenwa-Emegwa, L., Paillard-Borg, S., Tinghög, P., Saboonchi, F. & von Strauss, E. (2017). Framtidens hälsovetare verkar på en global arena.. Socialmedicinsk Tidskrift, 94(3), 318-326
Open this publication in new window or tab >>Framtidens hälsovetare verkar på en global arena.
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2017 (Swedish)In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 94, no 3, p. 318-326Article in journal (Refereed) Published
Abstract [sv]

Det föreligger ett akut behov att utbilda folkhälsovetare på grundnivå och som kan möta de globala utmaningarna. Hälsoutmaningarna förändras i takt med långvariga konflikter, människor på flykt, stora katastrofer och en ökande ojämlikhet mellan och inom länder, i en omvärld som är i ständig rörelse. Dagens och morgondagens folkhälsovetare ska kunna arbeta med olika aktörer på skilda arenor; med hälso- och sjukdomsprevention kommunalt, regionalt, nationellt (regering, myndigheter) och internationellt (europeiskt och globalt). Det innefattar även integrationsarbete, internationellt biståndsarbete och humanitärt arbete. Behovet av professionella folkhälsovetare med breda och djupa teoretiska och praktiska kompetenser i globala sammanhang har därför blivit högst relevant. Därför agerar nu Röda Korsets Högskola och startar ett folkhälsovetenskapligt program på kandidatnivå med global inriktning.

Keywords
global hälsa, globala hälsoutmaningar, folkhälsovetenskap, folkhälsovetare, kandidatprogram
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:rkh:diva-2447 (URN)
Available from: 2017-09-09 Created: 2017-09-09 Last updated: 2020-01-30Bibliographically approved
Eriksson, H., von Strauss, E., Saboonchi, F. & Stjernberg, L. (2017). From a nurse educator to a university specialized in health sciences: The emergence of public health science (2ed.). In: Anders Foldspang, Jacqueline Müller-Nordhorn, Vesna Bjegovic-Mikanovic & Robert Otok (Ed.), 50 Years of Professional Public Health Workforce Development: ASPHER’s 50th Anniversary Book (pp. 112-114). Etterbeek, Brussels: The Association of Schools of Public Health in the European Region (ASPHER)
Open this publication in new window or tab >>From a nurse educator to a university specialized in health sciences: The emergence of public health science
2017 (English)In: 50 Years of Professional Public Health Workforce Development: ASPHER’s 50th Anniversary Book / [ed] Anders Foldspang, Jacqueline Müller-Nordhorn, Vesna Bjegovic-Mikanovic & Robert Otok, Etterbeek, Brussels: The Association of Schools of Public Health in the European Region (ASPHER) , 2017, 2, p. 112-114Chapter in book (Other academic)
Place, publisher, year, edition, pages
Etterbeek, Brussels: The Association of Schools of Public Health in the European Region (ASPHER), 2017 Edition: 2
National Category
Health Sciences
Identifiers
urn:nbn:se:rkh:diva-3468 (URN)
Available from: 2020-10-29 Created: 2020-10-29 Last updated: 2020-10-30Bibliographically approved
von Strauss, E., Paillard-Borg, S., Holmgren, J. & Saaristo, P. (2017). Global nursing in an Ebola viral haemorrhagic fever outbreak: before, during and after deployment. Global Health Action, 10(1), Article ID 1371427.
Open this publication in new window or tab >>Global nursing in an Ebola viral haemorrhagic fever outbreak: before, during and after deployment
2017 (English)In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 10, no 1, article id 1371427Article in journal (Refereed) Published
Abstract [en]

Background: Nurses are on the forefront and play a key role in global disaster responses. Nevertheless, they are often not prepared for the challenges they are facing and research is scarce regarding the nursing skills required for first responders during a disaster situation.Objectives: To investigate how returnee nursing staff experienced deployment before, during and after having worked for the Red Cross at an Ebola Treatment Center in Kenema, West Africa, and to supply knowledge on how to better prepare and support staff for viral haemorrhagic fever outbreaks.Methods: A descriptive, cross-sectional approach. Questionnaires were administered to nurses having worked with patients suffering from Ebola in 2014 and 2015. Data collection covered aspects of pre-, during and post-deployment on clinical training, personal health, stress management, leadership styles, socio-cultural exposure and knowledge transfer, as well as attitudes from others. Data was analysed using both quantitative and qualitative methods.Results: Response-rate was 88%: forty-four nurses from 15 different countries outside West Africa answered the questionnaire. The respondents identified the following needs for improvement: increased mental health and psychosocial support and hands-on coping strategies with focus on pre- and post-deployment; more pre-deployment task-oriented clinical training; and workload reduction, as exhaustion is a risk for safety.Conclusions: This study supplies knowledge on how to better prepare health care staff for future viral haemorrhagic fever outbreaks and other disasters. Participants were satisfied with their pre-deployment physical health preparation, whereas they stressed the importance of mental health support combined with psychosocial support after deployment. Furthermore, additional pre-clinical training was requested.

Place, publisher, year, edition, pages
Taylor & Francis, 2017
Keywords
Ebola Virus Disease, disaster, global health, global health care, global nursing, nursing education, preparedness, training, viral haemorrhagic fever
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-2454 (URN)10.1080/16549716.2017.1371427 (DOI)29017025 (PubMedID)
Available from: 2017-10-11 Created: 2017-10-11 Last updated: 2021-09-08Bibliographically approved
Paillard-Borg, S., Holmgren, J., Saaristo, P. & von Strauss, E. (2017). Heroes and pariahs: Nurses in a viral haemorrhagic fever outbreak. European Journal of Public Health, 27(S3), 319-319
Open this publication in new window or tab >>Heroes and pariahs: Nurses in a viral haemorrhagic fever outbreak
2017 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 27, no S3, p. 319-319Article in journal, Meeting abstract (Other academic) Published
Keywords
hemorrhagic fever, disease outbreaks, nurses
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-2509 (URN)10.1093/eurpub/ckx189.039 (DOI)
Available from: 2017-12-14 Created: 2017-12-14 Last updated: 2017-12-14Bibliographically approved
Wimo, A., Sjölund, B.-M., Sköldunger, A., Qiu, C., Klarin, I., Nordberg, G. & Strauss, E. v. (2015). Cohort Effects in the Prevalence and Survival of People with Dementia in a Rural Area in Northern Sweden. Journal of Alzheimer's Disease, 50(2), 387-396
Open this publication in new window or tab >>Cohort Effects in the Prevalence and Survival of People with Dementia in a Rural Area in Northern Sweden
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2015 (English)In: Journal of Alzheimer's Disease, ISSN 1387-2877, E-ISSN 1875-8908, Vol. 50, no 2, p. 387-396Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Recent studies suggest that trends in cardiovascular risk may result in a decrease in age-specific prevalence of dementia. Studies in rural areas are rare.

OBJECTIVES: To study cohort effects in dementia prevalence and survival of people with dementia in a Swedish rural area.

METHODS: Participants were from the 1995-1998 Nordanstig Project (NP) (n = 303) and the 2001-2003 Swedish National study on Aging and Care in Nordanstig (SNAC-N) (n = 384). Overall 6-year dementia prevalence and mortality in NP and SNAC-N were compared for people 78 years and older. Logistic regression analyses were used to calculate odds ratios (ORs) and 95% confidence intervals (CIs) for dementia occurrence using the NP study population as the reference group. Cox regression models were used to analyze time to death.

RESULTS: The crude prevalence of dementia was 21.8% in NP and 17.4% in SNAC-N. When the NP cohort was used as the reference group, the age- and gender-adjusted OR of dementia was 0.71 (95% CI 0.48-1.04) in SNAC-N; the OR was 0.47 (0.24-0.90) for men and 0.88 (0.54-1.44) for women. In the extended model, the OR of dementia was significantly lower in SNAC-N than in the NP cohort as a whole (0.63; 0.39-0.99) and in men (0.34; 0.15-0.79), but not in women (0.81; 0.46-1.44). The Cox regression models indicated that the hazard ratio of dying was lower in the SNAC-N than NP population.

CONCLUSIONS: Trends toward a lower prevalence of dementia in high-income countries seem to be evident in this Swedish rural area, at least in men.

Keywords
Dementia; mortality; prevalence; rural population
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:rkh:diva-1987 (URN)10.3233/JAD-150708 (DOI)26639970 (PubMedID)
Available from: 2015-12-22 Created: 2015-12-18 Last updated: 2017-12-01Bibliographically approved
Lagergren, M., Fagerström, C., Sjölund, B.-M., Berglund, J., Fratiglioni, L., Nordell, E., . . . Elmståhl, S. (2015). Horizontal and vertical targeting: a population-based comparison of public eldercare services in urban and rural areas of Sweden.. Aging Clinical and Experimental Research, 28(1), 147-158
Open this publication in new window or tab >>Horizontal and vertical targeting: a population-based comparison of public eldercare services in urban and rural areas of Sweden.
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2015 (English)In: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 28, no 1, p. 147-158Article in journal (Refereed) Published
Abstract [en]

The concepts of target efficiency can be used to assess the extent to which service provision is in line with the needs of the population. Horizontal target efficiency denotes the extent to which those deemed to need a service receive it and vertical target efficiency is the corresponding extent to which those who receive services actually need them. The aim of this study was to assess the target efficiency of the Swedish eldercare system and to establish whether target efficiencies differ in different geographical areas such as large urban, midsize urban and rural areas. Vertical efficiency was measured by studying those people who received eldercare services and was expressed as a percentage of those who received services who were functionally dependent. To measure horizontal target efficiency, data collected at baseline in the longitudinal population study SNAC (Swedish National study on Aging and Care) during the years 2001-2004 were used. The horizontal efficiency was calculated as the percentage of functionally dependent persons who received services. Functional dependency was measured as having difficulty with instrumental activities of daily living (IADL) and/or personal activities of daily living (PADL). Services included long-term municipal eldercare services (LTC). Horizontal target efficiency for the public LTC system was reasonably high in all three geographical areas, when using dependency in PADL as the measure of need (70-90 %), but efficiency was lower when the less restrictive measure of IADL dependency was used (40-50 %). In both cases, the target efficiency was markedly higher in the large urban and the rural areas than in the midsize urban areas. Vertical target efficiency showed the same pattern-it was almost 100 % in all areas for IADL dependency, but only 50-60 % for PADL dependency. Household composition differed in the areas studied as did the way public long-term care was provided to people living alone as compared to those co-habiting.

Place, publisher, year, edition, pages
Springer, 2015
Keywords
Urban/rural differences, Long-term care, Older people, Public care, Eldercare, Target efficiency
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-1968 (URN)10.1007/s40520-015-0369-5 (DOI)25990665 (PubMedID)
Available from: 2015-11-18 Created: 2015-11-18 Last updated: 2021-09-08Bibliographically approved
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Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-5800-6454

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