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  • 1.
    Aldén-Joyce, Tara
    et al.
    Kristianstad University, Sweden; Karolinska Institutet, Sweden.
    Mattson, Janet
    Kristianstad University, Sweden; Karolinska Institutet, Sweden.
    Scheers Andersson, Elina
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Kidayi, Paulo
    Kilimanjaro Christian Medical University College, Tanzania.
    Rogathi, Jane
    Kilimanjaro Christian Medical University College, Tanzania.
    Cadstedt, Jenny
    The Swedish Red Cross University, Sweden.
    Björling, Gunilla
    Karolinska Institutet, Sweden; Kilimanjaro Christian Medical University College, Tanzania; Jönköping University, Sweden.
    Tanzanian Nursing Students' Experiences of Student Exchange in Sweden: A Qualitative Case Study2023Inngår i: Sage Open Nursing, E-ISSN 2377-9608, Vol. 9, nr Jan-Dec, s. 1-10Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction: Needs within healthcare are changing and nurses require new skills and knowledge in global nursing. Student exchange programs in global contexts provide an opportunity to develop the necessary skills.ObjectiveThe aim of this study was to describe Tanzanian nursing students’ experiences of student exchange in Sweden.

    Methods: A qualitative design was used for this empirical study. Semistructured interviews were conducted with six Tanzanian nursing students who had participated in student exchange in Sweden. The participants were recruited by purposeful sampling. Inductive reasoning and qualitative content analysis were applied.

    Results: Four main themes were formed; new roles, experience a new culture, establish new competencies, and global work ambitions. The findings revealed that the students experienced new approaches in Sweden, giving them new competencies and understanding. Furthermore, they increased their global perspectives on nursing and interest in working with global health issues, but they also experienced challenges in the new environment.

    Conclusion: The present study showed that Tanzanian nursing students benefitted from their student exchange, both personally, as well as for their future careers as nurses. More research is needed in examining nursing students from low-income countries participating in student exchange in high-income countries.

  • 2.
    Amin, M. Ridwanul
    et al.
    Karolinska Institutet.
    Helgesson, M.
    Karolinska Institutet.
    Runeson, B.
    Karolinska Institutet.
    Tinghög, Petter
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Mehlum, L.
    National Centre for Suicide Research and Prevention, Oslo, Norway.
    Holmes, E.
    Karolinska Institutet.
    Mittendorfer-Rutz, E.
    Karolinska Institutet.
    The risk of suicidal behaviour in refugees and other immigrants to Sweden2018Inngår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 28, nr Suppl. 4, s. 191-191Artikkel i tidsskrift (Annet vitenskapelig)
  • 3.
    Amin, R.
    et al.
    Karolinska Institutet, Sweden.
    Mittendorfer-Rutz, E.
    Karolinska Institutet, Sweden.
    Mehlum, L.
    University of Oslo, Norway.
    Runeson, B.
    Karolinska Institutet, Sweden.
    Helgesson, M.
    Karolinska Institutet, Sweden.
    Tinghög, Petter
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Karolinska Institutet, Sweden.
    Björkenstam, E.
    Karolinska Institutet, Sweden.
    Holmes, E. A.
    Karolinska Institutet, Sweden; Uppsala University, Sweden.
    Qin, P.
    University of Oslo, Norway.
    Does country of resettlement influence the risk of suicide in refugees?: A case-control study in Sweden and Norway2021Inngår i: Epidemiology and Psychiatric Sciences, ISSN 2045-7960, E-ISSN 2045-7979, Vol. 30, artikkel-id e62Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aims Little is known regarding how the risk of suicide in refugees relates to their host country. Specifically, to what extent inter-country differences in structural factors between the host countries may explain the association between refugee status and subsequent suicide is lacking in previous literature. We aimed to investigate (1) the risk of suicide in refugees resident in Sweden and Norway, in general, and according to their sex, age, region/country of birth and duration of residence, compared with the risk of suicide in the respective majority host population; (2) if factors related to socio-demographics, labour market marginalisation (LMM) and healthcare use might explain the risk of suicide in refugees differently in host countries. Methods Using a nested case-control design, each case who died by suicide between the age of 18 and 64 years during 1998 and 2018 (17 572 and 9443 cases in Sweden and Norway, respectively) was matched with up to 20 controls from the general population, by sex and age. Multivariate-adjusted conditional logistic regression models yielding adjusted odds ratios (aORs) with 95% confidence intervals (95% CI) were used to test the association between refugee status and suicide. Separate models were controlled for factors related to socio-demographics, previous LMM and healthcare use. Analyses were also stratified by sex and age groups, by refugees' region/country of birth and duration of residence in the host country. Results The aORs for suicide in refugees in Sweden and Norway were 0.5 (95% CI 0.5-0.6) and 0.3 (95% CI 0.3-0.4), compared with the Swedish-born and Norwegian-born individuals, respectively. Stratification by region/country of birth showed similar statistically significant lower odds for most refugee groups in both host countries except for refugees from Eritrea (aOR 1.0, 95% CI 0.7-1.6) in Sweden. The risk of suicide did not vary much across refugee groups by their duration of residence, sex and age except for younger refugees aged 18-24 who did not have a statistically significant relative difference in suicide risk than their respective host country peers. Factors related to socio-demographics, LMM and healthcare use had only a marginal influence on the studied associations in both countries. Conclusions Refugees in Sweden and Norway had almost similar suicide mortality advantages compared with the Swedish-born and Norwegian-born population, respectively. These findings may suggest that resiliency and culture/religion-bound attitudes towards suicidal behaviour in refugees could be more influential for their suicide risk after resettlement than other post-migration environmental and structural factors in the host country.

    Fulltekst (pdf)
    fulltext
  • 4.
    Amin, Ridwanul
    et al.
    Karolinska Institutet.
    Helgesson, Magnus
    Karolinska Institutet.
    Runeson, Bo
    Karolinska Institutet.
    Tinghög, Petter
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Mehlum, Lars
    University of Oslo, Oslo, Norway.
    Qin, Ping
    University of Oslo, Oslo, Norway.
    Holmes, Emily A
    Karolinska Institutet / Uppsala universitet.
    Mittendorfer-Rutz, Ellenor
    Karolinska Institutet.
    Suicide attempt and suicide in refugees in Sweden - a nationwide population-based cohort study2021Inngår i: Psychological Medicine, ISSN 0033-2917, E-ISSN 1469-8978, Vol. 51, nr 2, s. 254-263Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Despite a reported high rate of mental disorders in refugees, scientific knowledge on their risk of suicide attempt and suicide is scarce. We aimed to investigate (1) the risk of suicide attempt and suicide in refugees in Sweden, according to their country of birth, compared with Swedish-born individuals and (2) to what extent time period effects, socio-demographics, labour market marginalisation (LMM) and morbidity explain these associations.

    METHODS: Three cohorts comprising the entire population of Sweden, 16-64 years at 31 December 1999, 2004 and 2009 (around 5 million each, of which 3.3-5.0% refugees), were followed for 4 years each through register linkage. Additionally, the 2004 cohort was followed for 9 years, to allow analyses by refugees' country of birth. Crude and multivariate hazard ratios (HRs) with 95% confidence intervals (CIs) were computed. The multivariate models were adjusted for socio-demographic, LMM and morbidity factors.

    RESULTS: In multivariate analyses, HRs regarding suicide attempt and suicide in refugees, compared with Swedish-born, ranged from 0.38-1.25 and 0.16-1.20 according to country of birth, respectively. Results were either non-significant or showed lower risks for refugees. Exceptions were refugees from Iran (HR 1.25; 95% CI 1.14-1.41) for suicide attempt. The risk for suicide attempt in refugees compared with the Swedish-born diminished slightly across time periods.

    CONCLUSIONS: Refugees seem to be protected from suicide attempt and suicide relative to Swedish-born, which calls for more studies to disentangle underlying risk and protective factors.

    Fulltekst (pdf)
    fulltext
  • 5.
    Amin, Ridwanul
    et al.
    Department of Clinical Neuroscience, Karolinska Institutet.
    Rahman, Syed
    Department of Clinical Neuroscience, Karolinska Institutet.
    Helgesson, Magnus
    Department of Clinical Neuroscience, Karolinska Institutet.
    Björkenstam, Emma
    Department of Clinical Neuroscience, Karolinska Institutet.
    Runeson, Bo
    Department of Clinical Neuroscience, Karolinska Institutet.
    Tinghög, Petter
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Mehlum, Lars
    National Centre for Suicide Research and Prevention, University of Oslo.
    Qin, Ping
    National Centre for Suicide Research and Prevention, University of Oslo.
    Mittendorfer-Rutz, Ellenor
    Department of Clinical Neuroscience, Karolinska Institutet.
    Trajectories of antidepressant use before and after a suicide attempt among refugees and Swedish-born individuals: a cohort study2021Inngår i: International Journal for Equity in Health, E-ISSN 1475-9276, Vol. 20, nr 1, artikkel-id 131Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: To identify key information regarding potential treatment differences in refugees and the host population, we aimed to investigate patterns (trajectories) of antidepressant use during 3 years before and after a suicide attempt in refugees, compared with Swedish-born. Association of the identified trajectory groups with individual characteristics were also investigated.

    METHODS: All 20-64-years-old refugees and Swedish-born individuals having specialised healthcare for suicide attempt during 2009-2015 (n = 62,442, 5.6% refugees) were followed 3 years before and after the index attempt. Trajectories of annual defined daily doses (DDDs) of antidepressants were analysed using group-based trajectory models. Associations between the identified trajectory groups and different covariates were estimated by chi2-tests and multinomial logistic regression.

    RESULTS: Among the four identified trajectory groups, antidepressant use was constantly low (≤15 DDDs) for 64.9% of refugees. A 'low increasing' group comprised 5.9% of refugees (60-260 annual DDDs before and 510-685 DDDs after index attempt). Two other trajectory groups had constant use at medium (110-190 DDDs) and high (630-765 DDDs) levels (22.5 and 6.6% of refugees, respectively). Method of suicide attempt and any use of psychotropic drugs during the year before index attempt discriminated between refugees' trajectory groups. The patterns and composition of the trajectory groups and their association, discriminated with different covariates, were fairly similar among refugees and Swedish-born, with the exception of previous hypnotic and sedative drug use being more important in refugees.

    CONCLUSIONS: Despite previous reports on refugees being undertreated regarding psychiatric healthcare, no major differences in antidepressant treatment between refugees and Swedish-born suicide attempters were found.

    Fulltekst (pdf)
    fulltext
  • 6.
    Amin, Ridwanul
    et al.
    Karolinska Institutet.
    Rahman, Syed
    Karolinska Institutet.
    Tinghög, Petter
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Helgesson, Magnus
    Karolinska Institutet.
    Runeson, Bo
    S.t Göran's Hospital, Karolinska Institutet, Stockholm County Council.
    Björkenstam, Emma
    Karolinska Institutet.
    Qin, Ping
    University of Oslo, Oslo, Norway.
    Mehlum, Lars
    University of Oslo, Oslo, Norway.
    Holmes, Emily A
    Karolinska Institutet; Uppsala University.
    Mittendorfer-Rutz, Ellenor
    Karolinska Institutet.
    Healthcare use before and after suicide attempt in refugees and Swedish-born individuals2021Inngår i: Social Psychiatry and Psychiatric Epidemiology, ISSN 0933-7954, E-ISSN 1433-9285, Vol. 56, nr 2, s. 325-338Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    PURPOSE: There is a lack of research on whether healthcare use before and after a suicide attempt differs between refugees and the host population. We aimed to investigate if the patterns of specialised (inpatient and specialised outpatient) psychiatric and somatic healthcare use, 3 years before and after a suicide attempt, differ between refugees and the Swedish-born individuals in Sweden. Additionally, we aimed to explore if specialised healthcare use differed among refugee suicide attempters according to their sex, age, education or receipt of disability pension.

    METHODS: All refugees and Swedish-born individuals, 20-64 years of age, treated for suicide attempt in specialised healthcare during 2004-2013 (n = 85,771 suicide attempters, of which 4.5% refugees) were followed 3 years before and after (Y - 3 to Y + 3) the index suicide attempt (t0) regarding their specialised healthcare use. Annual adjusted prevalence with 95% confidence intervals (CIs) of specialised healthcare use were assessed by generalized estimating equations (GEE). Additionally, in analyses among the refugees, GEE models were stratified by sex, age, educational level and disability pension.

    RESULTS: Compared to Swedish-born, refugees had lower prevalence rates of psychiatric and somatic healthcare use during the observation period. During Y + 1, 25% (95% CI 23-28%) refugees and 30% (95% CI 29-30%) Swedish-born used inpatient psychiatric healthcare. Among refugees, a higher specialised healthcare use was observed in disability pension recipients than non-recipients.

    CONCLUSION: Refugees used less specialised healthcare, before and after a suicide attempt, relative to the Swedish-born. Strengthened cultural competence among healthcare professionals and better health literacy among the refugees may improve healthcare access in refugees.

  • 7.
    Ander, Cecilia
    et al.
    Psykiatricentrum Södertälje, Sweden .
    Åling, Maria
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Nahlén Bose, Catarina
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Nurses’ experiences of using the NANDA International taxonomy in mental healthcare2023Inngår i: Mental Health Practice, ISSN 1465-8720, E-ISSN 2047-895XArtikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background The lack of a standardised nursing taxonomy to clarify nurses’ assessments and other elements of the nursing process can potentially lead to a lack of care continuity and patient safety. The taxonomy published by NANDA International (NANDA-I) has been shown to improve the quality of mental health nurses’ documentation and clinical care.

    Aim To describe nurses’ experience of working in mental health inpatient care with a structured nursing taxonomy of diagnoses based on the NANDA-I taxonomy.

    Method Semi-structured interviews were conducted with five nurses working on three inpatient wards in a mental health unit in Sweden. The data were analysed using qualitative manifest content analysis.

    Findings The nurses’ experiences of using the NANDA-I taxonomy were described through three themes: ‘benefits of having a common language’, ‘usefulness of the NANDA-I taxonomy in the mental health context’, and ‘importance of how healthcare organisations apply the NANDA-I taxonomy’.

    Conclusion The common language provided by the NANDA-I taxonomy contributed to making nursing care more structured and person-centred. However, for the NANDA-I taxonomy to be effective, local nursing guidelines need to be synchronised with it.

  • 8.
    Anderberg, Peter
    et al.
    Blekinge Institute of Technology.
    Björling, Gunilla
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Karolinska Institute.
    Stjernberg, Louise
    Röda Korsets Högskola. Region of Blekinge.
    Bohman, Doris
    Blekinge Institute of Technology.
    Analyzing Nursing Students' Relation to Electronic Health and Technology as Individuals and Students and in Their Future Career (the eNursEd Study): Protocol for a Longitudinal Study2019Inngår i: JMIR Research Protocols, E-ISSN 1929-0748, Vol. 8, nr 10, artikkel-id e14643Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: The nursing profession has undergone several changes in the past decades, and new challenges are to come in the future; patients are now cared for in their home, hospitals are more specialized, and primary care will have a key role. Health informatics is essential in all core competencies in nursing. From an educational perspective, it is of great importance that students are prepared for the new demands and needs of the patients. From a societal point of view, the society, health care included, is facing several challenges related to technological developments and digitization. Preparation for the next decade of nursing education and practice must be done, without the advantage of certainty. A training for not-yet-existing technologies where educators should not be limited by present practice paradigms is desirable. This study presents the design, method, and protocol for a study that investigates undergraduate nursing students' internet use, knowledge about electronic health (eHealth), and attitudes to technology and how experiences of eHealth are handled during the education in a multicenter study.

    OBJECTIVE: The primary aim of this research project is to describe the design of a longitudinal study and a qualitative substudy consisting of the following aspects that explore students' knowledge about and relation to technology and eHealth: (1) what pre-existing knowledge and interest of this area the nursing students have and (2) how (and if) is it present in their education, (3) how do the students perceive this knowledge in their future career role, and (4) to what extent is the education capable of managing this knowledge?

    METHODS: The study consists of two parts: a longitudinal study and a qualitative substudy. Students from the BSc in Nursing program from the Blekinge Institute of Technology, Karlskrona, Sweden, and from the Swedish Red Cross University College, Stockholm/Huddinge, Sweden, were included in this study.

    RESULTS: The study is ongoing. Data analysis is currently underway, and the first results are expected to be published in 2019.

    CONCLUSIONS: This study presents the design of a longitudinal study and a qualitative substudy. The eHealth in Nursing Education eNursEd study will answer several important questions about nursing students' attitudes toward and use of information and communications technology in their private life, their education, and their emerging profession. Knowledge from this study will be used to compare different nursing programs and students' knowledge about and relation to technology and eHealth. Results will also be communicated back to nursing educators to improve the teaching of eHealth, health informatics, and technology.

    INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/14643.

    Fulltekst (pdf)
    fulltext
  • 9.
    Andersson, Maria
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Luleå University of Technology, Sweden.
    Fredholm, Angelica
    Karlstad University, Sweden; County Council Värmland, Sweden.
    Nordin, Anna
    Luleå University of Technology, Sweden; Karlstad University, Sweden.
    Engström, Åsa
    Luleå University of Technology, Sweden.
    Moral Distress, Health and Intention to Leave: Critical Care Nurses' Perceptions During COVID-19 Pandemic2023Inngår i: Sage Open Nursing, E-ISSN 2377-9608, Vol. 9Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    INTRODUCTION: Moral distress increases the risk that critical care nurses will lose the ability to provide quality nursing care.

    AIMS: To describe person-related conditions and perceptions of moral distress, health and intention to leave among critical care nurses in intensive care units, and to examine the relationship between person-related conditions, moral distress, health and intention to leave.

    METHOD: Cross-sectional, with 220 critical care nurses in 15 Swedish ICUs, and data gathered via a self-reported questionnaire.

    RESULTS: Highest moral distress scores were reported in futile care and poor teamwork and 21% reported entertaining an intention to leave. Self-reported health was lower than before the COVID-19 pandemic and 4.1% reported pronounced exhaustion disorder. Self-reported health, reduced capacity to tolerate demands under time pressure, emotional instability or irritability, physical weakness, or being more easily fatigued and with decreased well-being were factors that had a relationship with futile care. Sleeping problems and intention to leave had a relationship with poor teamwork.

    CONCLUSIONS: Different strategies are needed to reduce moral distress and the leadership is crucial for managing crises such as the COVID-19 pandemic.

  • 10.
    Andersson, Maria
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Luleå University of Technology, Department of Health, Education and Technology, Division of Nursing and Medical Technology, SE-97187 Luleå, Sweden.
    Nordin, Anna
    Luleå University of Technology, Department of Health, Education and Technology, Division of Nursing and Medical Technology, SE-97187 Luleå, Sweden; Karlstad University, Department of Health Science, Faculty of Health, Science, and Technology, Sweden.
    Engström, Åsa
    Luleå University of Technology, Department of Health, Education and Technology, Division of Nursing and Medical Technology, SE-97187 Luleå, Sweden.
    Critical care nurses' perception of moral distress in intensive care during the COVID-19 pandemic - A pilot study2022Inngår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 72, artikkel-id 103279Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVES: To describe critical care nurses' perception of moral distress during the second year of the COVID-19 pandemic.

    DESIGN/METHODS: A cross-sectional study involving a questionnaire was conducted. Participants responded to the Italian version of the Moral Distress Scale-Revised, which consists of 14 items divided in dimensions Futile care (three items), Ethical misconduct (five items), Deceptive communication (three items) and Poor teamwork (three items). For each item, participants were also invited to write about their experiences and participants' intention to leave a position now was measured by a dichotomous question. The data were analysed with descriptive statistics and qualitative content analysis. The study followed the checklist (CHERRIES) for reporting results of internet surveys.

    SETTING: Critical care nurses (n = 71) working in Swedish adult intensive care units.

    RESULTS: Critical care nurses experienced the intensity of moral distress as the highest when no one decided to withdraw ventilator support to a hopelessly ill person (Futile care), and when they had to assist another physician or nurse who provided incompetent care (Poor teamwork). Thirty-nine percent of critical care nurses were considering leaving their current position because of moral distress.

    CONCLUSIONS: During the COVID-19 pandemic, critical care nurses, due to their education and experience of intensive care nursing, assume tremendous responsibility for critically ill patients. Throughout, communication within the intensive care team seems to have a bearing on the degree of moral distress. Improvements in communication and teamwork are needed to reduce moral distress among critical care nurses.

    Fulltekst (pdf)
    fulltext
  • 11.
    Andersson, Maria
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Nordin, Anna
    Karlstad University, Sweden; Luleå University of Technology, Sweden.
    Fredholm, Angelica
    Karlstad University, Sweden; Centre for Clinical Research, County Council of Värmland, Sweden.
    Engström, Åsa
    Luleå University of Technology, Sweden.
    The four domains of the person-centred practice framework from the perspective of critical care nurses in intensive care units during a pandemic2023Inngår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 78, artikkel-id 103449Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: The aim was to describe the Person-Centred Practice Framework's four domains (prerequisites, care environment, person-centred processes, and person-centred outcomes) through the perspectives of critical care nurses working in intensive care units during the second year of the COVID-19 pandemic. Furthermore, the aim was to investigate the relationships between prerequisites, care environment, person-centred processes, and person-centred outcomes.

    Design/methods: A cross-sectional study involving questionnaires. Prerequisites were measured using person-related conditions, the care environment by using the Person-Centred Climate Questionnaire-Staff version, the person-centred processes by using the Person-Centred Care Assessment Tool and person-centred outcomes were measured with one question about present health and well-being and by using Self-rated Exhaustion Disorder. Descriptive and analytic statistics were used. Data was collected from July 2021 to November 2021.

    Setting: Critical care nurses (n = 217) working in 15 Swedish adult intensive care units.

    Results: Participants' average length of experience in intensive care units was 14 years, and most participants experienced increased nursing care responsibilities. They perceived the climate as safe but had limitations in terms of its everydayness and community. Participants perceived the organisations both supported and hindered personalized care. Most participants experienced a variety of exhaustion symptoms, and their health had positive relationship with community.

    Conclusion: By showing how prerequisites, care environment, person-centred process influences critical care nurses' health and well-being, organisations might identify aspects in the work environment that require targeted interventions to reach healthy workplaces.

    Implications for clinical practice: To preserve the health and well-being of critical care nurses and to flourish as humans in their professional roles, they need to interact with and form relationships with their colleagues, patients, and relatives. Organisations should have a person-centred approach for every individual in the workforce to harness each critical care nurses' knowledge and skills for individuals to growth in their roles.

  • 12.
    Antoniadou, Irini
    et al.
    Karolinska universitetssjukhuset.
    Soltannia, Marjan
    Karolinska universitetssjukhuset.
    Björling, Gunilla
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Care Sciences and Society, Sweden.
    Mattsson, Janet
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Karolinska universitetssjukhuset.
    Moving from Participation towards Partnership in Nursing Care2019Inngår i: Anaesthesia & Surgery Open Access Journal, Vol. 1, nr 3, s. 1-8Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Meeting with health care gets short before and after the operation. The difficulty at the day surgery is that preparation and information take place in close proximity to the operation. Health professionals must not only take care of the child during the medical visit, but also of the accompanying parent, too. Parents’ participation in the perioperative care, sometimes unable to attend.

    Aim: This study aims to investigate how parental involvement in the perioperative a process can be facilitated.

    Method: A qualitative design based on observations and interviews with semi structured questions with open answers. Results: The results conveyed involvement in the child’s perioperative process in diverse ways and to a different depth. This is highlighted in the theme Allowed with the under themes Security and Being accepted. However, the theme Exclusion with the under-theme Rejection revealed a non-caring approach where no caring relation could be established. Quotes from the transcribed material are used to highlight the results.

    Conclusion: The study’s findings confirm earlier studies in the perspective that information is of central importance in enabling parents to be involved in the perioperative process. The results showed that parents’ involvement in the perioperative process is a prerequisite for creating safety in the child and reducing concerns in connection with the operation. Parental involvement may be hindered by a conventional approach that does not include the child’s perspective.

    Fulltekst (pdf)
    fulltext
  • 13.
    Arwidson, Charlotta
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Karolinska Institutet, Sweden.
    Holmgren, Jessica
    Mälardalen Universit, Sweden.
    Tinghög, Petter
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Karolinska Institutet, Sweden.
    Eriksson, Henrik
    University West, Sweden.
    Gottberg, Kristina
    Karolinska Institutet, Sweden.
    (Over)crowded house: exploring asylum seekers' experiences of the COVID-19 pandemic while living at accommodation centers in Sweden2024Inngår i: BMC Public Health, E-ISSN 1471-2458, Vol. 24, nr 1, artikkel-id 622Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BackgroundThe COVID-19 pandemic has made visible the scale of health disparities in society, highlighting how the distribution of infection and deaths differs between population subgroups within countries. Asylum seekers represent a potentially vulnerable group; early in the pandemic, concerns were raised about their housing situation, usually involving overcrowded, camp-like accommodations, and the effects of COVID-19 in relation to this. Hence, this study aimed to explore asylum seekers' experiences of the COVID-19 pandemic while living at accommodation centers.MethodsIn this qualitative study, 14 semi-structured interviews were conducted with asylum seekers at two accommodation centers in Sweden. Participants represented a diverse group of asylum seekers in regard to age, educational background, and gender. Data were analyzed using qualitative content analysis.ResultsExperiences related to COVID-19 were highly dependent on the living situation at the accommodation centers and the experience of feeling unsafe in shared spaces. This was enhanced by the experiences of a challenging mix of COVID-19 messages where different understandings of COVID-19 and related measures existed, together with a feeling of loss of control and safety in shared rooms. Additionally, participants felt more isolated from the outside society and missed prior social activities. Adding to this experience of isolation was an increasing mistrust regarding the authorities' pandemic response.ConclusionThis study highlights the importance of understanding the specific challenges and vulnerabilities of asylum seekers at accommodation centers during the pandemic, shaped by their housing situation and legal status. The findings underscore the need for context-specific support, holistic disease prevention approaches, and tailored health communication strategies using diverse formats. Additionally, the findings emphasize the crucial need to identify and mobilize existing community resources in planning and implementing pandemic control measures. Furthermore, the study emphasizes governmental responsibility in providing secure housing, and to address long-term vulnerabilities beyond pandemics.

  • 14.
    Asaba, Eric
    et al.
    Karolinska Institutet, Sweden.
    Gabrielsson, Hanna
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Hultman, Lill
    Karolinska Institutet, Sweden.
    Photovoice: Potentiality of dialogue2023Konferansepaper (Annet (populærvitenskap, debatt, mm))
    Abstract [en]

    The aim of this presentation is to explore how dialogue can be methodologically understood in photovoice research – particularly in the context of disability research. This can be relevant because photovoice has gained visibility as a relevant approach to engage community members as partners in disability research. However, as methods associated with photovoice have developed and evolved over time, concerns have also been raised about how this impacts the theoretical and methodological underpinnings on which photovoice rests.

    Drawing on two empirical studies, the authors reflect on the function and meaning of dialogue, and how this can take different forms within the context of disability research. Examples will include: 1) everyday life experiences of migration and disability from an intersectional perspective drawing on issues such as gender, class, and ethnicity, and 2) everyday life experiences of adults living with spina bifida. It will be argued that the potentiality of dialogue warrants certain reflection to support conditions for participation in disability research. Unpacking the concept of dialogue using potentiality, provides an arena for discussion that has not previously been explicit in photovoice.

  • 15.
    Aspö, Malin
    et al.
    Karolinska University Hospital, Sweden; Karolinska Institutet, Sweden.
    Visser, Leonie
    Karolinska Institutet, Sweden; Amsterdam UMC, Netherlands.
    Kivipelto, Miia
    Karolinska Institutet, Sweden; Karolinska University Hospital, Sweden; Stockholms Sjukhem Foundation, Sweden.
    Boström, Anne-Marie
    Theme Inflammation and Aging, Karolinska University Hospital, Sweden; Department of Research and Development,Stockholms Sjukhem Foundation, Sweden; Karolinska Institutet, Sweden.
    Seiger Cronfalk, Berit
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Transitions: Experiences of younger persons recently diagnosed with Alzheimer-type dementia2023Inngår i: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, Vol. 22, nr 3, s. 610-627Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Receiving a diagnosis of dementia before the age of 65 has a huge impact on everyday life. Previously, the disease trajectory has mainly been described from the perspective of older persons. However, young persons with dementia are confronted with specific challenges, influencing the type of life-changing events, or 'critical points' that they may experience. The aim of this study was therefore to describe experiences of persons recently being diagnosed with young-onset dementia. In total, 14 participants with dementia due to Alzheimer's disease (10 woman/4 men) with an average age of 59 were included in the study. Interviews were conducted within 2 months after receiving the diagnosis and analyzed using qualitative content analysis with an inductive approach, resulting in three categories: (1) A life changing moment, (2) An ongoing process, and (3) Remaining in control. The findings show that receiving such a diagnosis was experienced by participants as a life changing moment, followed by them seeking to come to terms with the diagnosis and reflecting on its meaning, in which various strategies were adopted to remain in control. The current study highlights three critical points considering the diagnosis of young-onset dementia that warrant special attention and provides insight into factors related to delay in healthy transitioning after receiving the diagnosis, as well as factors that may facilitate successful transitions.

  • 16. Barkestad, Eva
    et al.
    Andersson, Ingrid
    Gustafsson, Ingrid
    Hyllienmark, Petra
    Mattsson, Janet
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Stevens, Lena
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Säkra kunskap och kvalitet: utmaningar för framtidens anestesi och intensivvårdssjuksköterska2017Inngår i: Ventilen, ISSN 0348-6257, nr 4, s. 16-18Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
    Fulltekst (pdf)
    Kunskap och kvalitet
  • 17.
    Bashkin, O.
    et al.
    Ashkelon Academic College, Israel.
    Dopelt, K.
    Ashkelon Academic College, Israel; Ben Gurion University of the Negev, Israel.
    Mor, Z.
    Ashkelon Academic College, Israel.
    Leighton, L.
    The Association of Schools of Public Health in the European Region (ASPHER), Belgium.
    Otok, R.
    The Association of Schools of Public Health in the European Region (ASPHER), Belgium.
    Duplaga, M.
    Jagiellonian University Medical College, Poland.
    MacLeod, F.
    University College Cork, Ireland.
    De Nooijer, J.
    Maastricht University, The Netherlands.
    Neumark, Y.
    Hebrew University-Hadassah, Israel.
    Paillard-Borg, Stéphanie
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Tulchinsky, T.
    Ashkelon Academic College, Israel.
    Zelber-Sagi, S.
    University of Haifa, Israel.
    Davidovitch, N.
    Ben Gurion University of the Negev, Israel; Israeli Medical Association, Israel.
    The future public health workforce in a changing world: A conceptual framework for a european–israeli knowledge transfer project2021Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, nr 17, artikkel-id 9265Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Health services quality and sustainability rely mainly on a qualified workforce. Adequately trained public health personnel protect and promote health, avert health disparities, and allow rapid response to health emergencies. Evaluations of the healthcare workforce typically focus on physicians and nurses in curative medical venues. Few have evaluated public health workforce capacity building or sought to identify gaps between the academic training of public health employees and the needs of the healthcare organizations in which they are employed. This project report describes the conceptual framework of “Sharing European Educational Experience in Public Health for Israel (SEEEPHI): harmonization, employability, leadership, and outreach”—a multinational Erasmus+ Capacity Building in Higher Education funded project. By sharing European educational experience and knowledge, the project aims to enhance professionalism and strengthen leadership aspects of the public health workforce in Israel to meet the needs of employers and the country. The project’s work packages, each jointly led by an Israeli and European institution, include field qualification analysis, mapping public health academic training programs, workforce adaptation, and building leadership capacity. In the era of global health changes, it is crucial to assess the capacity building of a well-qualified and competent workforce that enables providing good health services, reaching out to minorities, preventing health inequalities, and confronting emerging health challenges. We anticipate that the methods developed and the lessons learned within the Israeli context will be adaptable and adoptable by other countries through local and cultural adjustments.

    Fulltekst (pdf)
    fulltext
  • 18.
    Bashkin, Osnat
    et al.
    Ashkelon Academic College, Ashkelon, Israel.
    Otok, Robert
    Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium.
    Kapra, Ori
    Ashkelon Academic College, Ashkelon, Israel.
    Czabanowska, Kasia
    Maastricht University, Maastricht, Netherlands.
    Barach, Paul
    Jefferson College of Population Health, Philadelphia, PA, United States; Sigmund Freud University Vienna, Vienna, Austria.
    Baron-Epel, Orna
    University of Haifa, Haifa, Israel.
    Dopelt, Keren
    Ashkelon Academic College, Ashkelon, Israel; Ben Gurion University of the Negev, Beer-Sheva, Israel.
    Duplaga, Mariusz
    Jagiellonian University Medical College, Krakow, Poland.
    Leighton, Lore
    Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium.
    Levine, Hagai
    Israeli Medical Association, Ramat-Gan, Israel.
    MacLeod, Fiona
    University College Cork, Cork, Ireland.
    Neumark, Yehuda
    Hebrew University of Jerusalem, Jerusalem, Israel.
    Paillard-Borg, Stéphanie
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Tulchinsky, Theodore
    Ashkelon Academic College, Ashkelon, Israel.
    Mor, Zohar
    Ashkelon Academic College, Ashkelon, Israel.
    Identifying the Gaps Between Public Health Training and Practice: A Workforce Competencies Comparative Analysis2022Inngår i: International Journal of Public Health, ISSN 1661-8556, E-ISSN 1661-8564, Vol. 67, artikkel-id 1605303Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: The study aimed to generate insights on how best to enhance the compatibility between Public Health training program competencies and the implementation of competencies required by employers to address current and emerging public health needs.

    Methods: A survey adapted from the WHO-ASPHER Competency Framework for the Public Health Workforce was conducted online among Israeli public health managers from August to November 2021. The survey was formulated to mirror Essential Public Health Operations. Forty-nine managers participated (37.6% response rate) in an assessment of 44 public health competencies and the core organizational public health operations.

    Results: Analysis of Essential Public Health Operations revealed a notably high deficiency reported for Advocacy Communication and Social Mobilization for health competencies. Collaborations and Partnership and, Leadership and System Thinking were the most reported insufficient competencies, particularly in health departments and research institutes. Governmental offices reported Organizational Literacy and Adaptability competencies being deficient. Deficiencies were more impactful as the level of expertise increased.

    Conclusion: There is a clear need for public health professionals to acquire versatile and innovative competencies in response to the ever-changing health threats.

  • 19.
    Bashkin, Osnat
    et al.
    Ashkelon Academic College, Israel.
    Otok, Robert
    The Association of Schools of Public Health in the European Region (ASPHER), Belgium.
    Leighton, Lore
    The Association of Schools of Public Health in the European Region (ASPHER), Belgium.
    Czabanowska, Kasia
    Maastricht University, Netherlands..
    Barach, Paul
    Thomas Jefferson University, USA; Sigmund Freud University, Austria.
    Davidovitch, Nadav
    Ben Gurion University of the Negev, Israel; Israeli Medical Association, Israel.
    Dopelt, Keren
    Ashkelon Academic College, Israel; Ben Gurion University of the Negev, Israel.
    Duplaga, Mariusz
    Jagiellonian University Medical College, Poland.
    Okenwa-Emegwa, Leah
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    MacLeod, Fiona
    University College Cork, Ireland.
    Neumark, Yehuda
    Hebrew University-Hadassah, Israel.
    Raz, Maya Peled
    University of Haifa, Israel.
    Tulchinsky, Theodore
    Ashkelon Academic College, Israel.
    Mor, Zohar
    Ashkelon Academic College, Israel.
    Emerging lessons from the COVID-19 pandemic about the decisive competencies needed for the public health workforce: A qualitative study2022Inngår i: Frontiers In Public Health, ISSN 2296-2565, Vol. 10, artikkel-id 990353Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The global COVID-19 crisis exposed the critical need for a highly qualified public health workforce. This qualitative research aimed to examine public health workforce competencies needed to face COVID-19 challenges and identify the gaps between training programs and the competency demands of real-world disasters and pandemics. Through a sample of thirty-one participant qualitative interviews, we examined the perspectives of diverse stakeholders from lead public health organizations in Israel. Grounded Theory was used to analyze the data. Six themes emerged from the content analysis: public health workforce's low professional status and the uncertain future of the public health workforce; links between the community and Higher Education institutions; the centrality of communication competencies; need to improve health promotion; the role of leadership, management, and partnership, and innovation in public health coherence. Increasing the attractiveness of the profession, professional and financial support, and improving the working conditions to ensure a sustainable and resilient PH system were deemed necessary. This paper describes and cultivates new knowledge and leadership skills among public health professionals, and lays the groundwork for future public health leadership preparedness programs.

  • 20.
    Berghammer, Malin
    et al.
    Queen Silvias Childrens Hosp, Gothenburg, Sweden..
    Nolbris, Margaretha Jenholt
    Univ Gothenburg, Sahlgrenska Acad, Inst Hlth & Care Sci, Gothenburg, Sweden..
    Contreras, Patrica Olaya
    Univ Gothenburg, Sahlgrenska Acad, Inst Hlth & Care Sci, Gothenburg, Sweden..
    Forsner, Maria
    Umea Univ, Dept Nursing, Umea, Sweden..
    Rullander, Anna-Clara
    Umea Univ, Dept Nursing, Umea, Sweden..
    Ragnarsson, Susanne
    Umea Univ, Dept Nursing, Umea, Sweden..
    Mattsson, Janet
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Rydstrom, Lise-Lott
    Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden..
    Brorson, Anna-Lena
    Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden..
    Kull, Inger
    Karolinska Inst, Dept Clin Sci & Educ, Sodersjukhuset, Stockholm, Sweden..
    Lindholm-Olinder, Anna
    Karolinska Inst, Dept Clin Sci & Educ, Sodersjukhuset, Stockholm, Sweden..
    Garcia de Avila, Marla Andreia
    Botucatu Med Sch, Dept Nursing, Sao Paulo, SP, Brazil..
    Nilsson, Stefan
    Univ Gothenburg, Sahlgrenska Acad, Inst Hlth & Care Sci, Gothenburg, Sweden..
    The impact of anxiety in relation to COVID-19 on the life-situation of young people in Sweden2021Inngår i: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 30, nr SUPPL 1, s. S4-S4Artikkel i tidsskrift (Annet vitenskapelig)
    Abstract [en]

    Aims: In general, COVID-19 symptoms are milder in children than inadults, but the experience of the pandemic could increase anxiety andsignificantly affect the life situation of children and adolescents. Itcould also lead to a long-term negative effect on their health. To studyhow the corona pandemic affected the life situation of children andadolescents in Sweden. Methods: A self-reported online survey wasperformed July–November 2020. Cross-sectional data were collectedusing non-probability and convenience sampling methods. The sample consisted of children 6–14 years and their guardians, and adolescents 15–19 years. The questionnaire covered items regarding the life situation including demographics, school situation, social isolation, and an open-ended question to provide a subjective expression of the living situation. A standardized measurement of anxiety was collected using the Children’s Anxiety Questionnaire (CAQ) (scores range 4–12) and the Numeric Rating Scale (NRS)(scores range 0–10). Data were analyzed by descriptive statistics andwith qualitative manifest content analysis. Results: In total, 1487 participants, 768 children with guardians and 719 adolescents participated. Most of the participants, 754 children (97.2%) and 634 adolescents (89.2%) attended school where a mixture of physical attendance and distance learning was reported by 79 children (10.2%)and 261 adolescents (36.7%). Two children (0.3%) and 298 adolescents (41.9%) reported only having distance learning. A larger proportion of children (n = 339, 43.9%) and adolescents (n = 420,59.2%) reported abstaining from leisure activities, while a minority ofchildren (n = 103, 13%) and adolescent (n = 135, 19%) reportedexperiencing a feeling of ‘social isolation’. These experiences ofchanges in daily routine were prominent in the qualitative result. Social restrictions and loss of contact with older relatives led to fear and anxiety. However, for young children, their lives continued torevolve around the everyday things in life rather than the coronapandemic, for the adolescents; however, their life situation was negatively affected by isolation from peer groups and the loss ofschool routine. Conclusion: The experiences by children due toCOVID-19 in Sweden highlight the importance that children continue living their lives as unchanged as possible and that particularly adolescents need receiving greater support with the maintenance of an educational routine.

  • 21.
    Bexelius, T.
    et al.
    Karolinska Institutet.
    Lachmann, Hanna
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Järnbert-Pettersson, H.
    Karolinska Institutet.
    Kalén, S.
    Karolinska Institutet.
    Möller, R.
    Karolinska Institutet.
    Ponzer, S.
    Karolinska Institutet.
    Stress among medical students during clinical courses: a longitudinal study using contextual activity sampling system2019Inngår i: International Journal of Medical Education, E-ISSN 2042-6372, Vol. 10, s. 68-74Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: To investigate medical students’ experiences of stress and other emotions related to their professional roles, as defined by the CanMEDS framework, by using the Contextual Activity Sampling System (CASS).

    Methods: Ninety-eight medical students agreed to participate of whom 74 completed this longitudinal cohort study. Data was collected between 6th and 8th term via CASS methodology: A questionnaire was e-mailed to the participants every 3rd week (21questionnaires/measurements) during clinical rotations and scientific project work term. Emotions were measured by a 7-point Likert scale (e.g., maximum stress = 7). Answers were registered through mobile technology. We used a linear mixed-model regression approach to study the association between stress over time in relation to socio-demographic and learning activities related to CanMEDS roles.

    Results: Participants completed 1390 questionnaires. Mean stress level over all time points was 3.6. Stress was reported as highest during the scientific project term. Learning activities related to ‘Communicator,’ ‘Collaborator,’ ‘Scholar,’ ‘Manager’ and ‘Professional’ were associated with increased stress, e.g. ’Scholar’ increased stress with 0.5 points (t=3.91, p<0.001). A reduced level of stress was associated with ’Health Advocate’ of 0.39 points (t=-2.15, p=0.03). No association between perceived stress and demographic factors, such as gender or age was found.

    Conclusions: An association between different learning activities related to CanMEDS Roles and feelings of stress were noted. The CASS methodology was found to be useful when observing learning experiences and might support educational development by identifying course activities linked to stress.

    Fulltekst (pdf)
    fulltext
  • 22.
    Björling, Gunilla
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Karolinska Institutet.
    Material Wear of Medical Technical Products: Impact on patient safety2018Konferansepaper (Fagfellevurdert)
    Abstract [en]

    The use of a central venous catheters (CVC) always involves an increased risk of infection and thrombotic complications, subsequently increasing patient suffering, prolonged care and health care related costs. One contributing cause of infection is that the surface of the catheter is quickly colonized by bacteria, forming a biofilm, hard to reach by and/or resistant to antibiotics and the patient’s immune defense system. Catheter related thrombosis may also promote colonization of microbes on the fibrin sheet at the surface, and at the same time impact on CVC functionality by lumen occlusion or, in a rare worst-case scenario – cause life threatening embolic events. Coatings with silver or metal alloys can reduce the risk for complications. Our research group have previously identified a correlation between material degradation in medical devices used in patients and exposure time and infections. This talk will discuss the impact of material degradation of different types of CVCs used for patients undergoing chemotherapy against breast cancer.  The results from an evaluation study of a anti infectious noble metal alloy coated CVC compared with an uncoated CVC for tolerability (Adverse Events, AEs), performance and noble metal durability on the surface will also be discussed.

  • 23.
    Björling, Gunilla
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. KI.
    Fossum, Maren
    NTNU.
    Aune, Ragnhild
    NTNU.
    Cytostatika-inducerad materialnedbrytning av subkutana venportar: En preliminär jämförande in-vitro och in-vivostudie2017Konferansepaper (Fagfellevurdert)
  • 24.
    Björling, Gunilla
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Karolinska Institutet.
    Johansson, Dorota
    Bactiguard, Stockholm.
    Bergström, Linda
    Bactiguard, Stockholm.
    Strekalovsky, Anton
    Karolinska University Hospital.
    Sanchez, Javier
    Karolinska Institutet / Bactiguard, Stockholm.
    Frostell, Claes
    Karolinska Institutet.
    Kalman, Sigridur
    Karolinska University Hospital / Karolinska Institutet.
    Evaluation of central venous catheters coated with a noble metal alloy - A randomized clinical pilot study of coating durability, performance and tolerability2018Inngår i: Journal of Biomedical Materials Research. Part B - Applied biomaterials, ISSN 1552-4973, E-ISSN 1552-4981, Vol. 106, nr 6, s. 2337-2344Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The use of Central Venous Catheters (CVCs) commonly results in complications. Coatings with silver or metal alloys can reduce the risk associated with the use of CVC. We have evaluated the durability of a noble metal coated CVC (the Bactiguard Infectious Protection, BIP CVC) and compared with an uncoated CVC for clinical tolerability (Adverse Events, AEs) and performance, in order to create a baseline for a large future study. Patients undergoing major surgery, randomised at a 2:1 ratio to BIP CVC (n = 22) or standard CVC (n = 12), were catheterized 9 - 12 days, respectively. Adverse events, microbial colonization and metal release were measured.

    FINDINGS: There were no AEs in the BIP CVC-group, but 5 AEs occurred in 4 patients (1 patient had 2 AEs) in the standard CVC-group, p = 0.011 (whereof 3 were catheter related). The BIP CVC showed an initial release of coating metals in blood (gold, silver and palladium), which rapidly decreased and were far below Permitted Paily Exposure (PDE) for chronical use. The levels of silver concentration were far below those needed to develop microbial resistance. The performance was equal, and there was no difference concerning microbial colonization, for the two CVCs.

    CONCLUSION: In this pilot study the BIP CVC had significantly lower AEs and showed a comparable performance to the standard CVC. The coating was durable throughout the study length (up to 16 days) and toxicological evaluation showed good safety margins. Larger studies are needed.

    Fulltekst (pdf)
    fulltext
  • 25.
    Björling, Gunilla
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Karolinska Institutet.
    Johansson, Dorota
    Bactiguard.
    Sanchez, Javier
    Karolinska Institutet / Bactiguard.
    Frostell, Claes
    Karolinska Institutet.
    Bergström, Linda
    Bactiguard.
    Kalman, Sigridur
    Karolinska Institutet.
    Evaluation of Tolerability and Performance of BIP Central Venous Catheter with a noble metal alloy coating: A Clinical Tolerability Study2017Konferansepaper (Fagfellevurdert)
  • 26.
    Blomberg, Ann-Catrin
    et al.
    Karlstad University, Sweden.
    Lindwall, Lillemor
    Karlstad University, Sweden.
    Bisholt, Birgitta
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Operating theatre nurses' with managerial responsibility: Self-reported clinical competence and need of competence development in perioperative nursing2022Inngår i: Nursing Open, E-ISSN 2054-1058, Vol. 9, nr 1, s. 692-704Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIM: The aim of this study was to investigate operating theatre nurses (OTNs) with managerial responsibility, and their self-rated clinical competence and need for competence development in perioperative nursing.

    DESIGN: A cross-sectional study was applied using a modified version of Professional Nurse Self-Assessment Scale of Clinical Core Competence I.

    METHOD: Data were collected from 303 OTNs in Sweden, 80 of whom indicated that they had managerial responsibility. Statistics analysis was used to identify the relationships between background variables to compare OTNs with and without managerial responsibility and their need for competence development.

    RESULTS: OTNs with an academic degree and managerial responsibility self-rated their clinical competence higher compared with OTNs without an academic degree. It also turned out that OTNs with RN education and 1-year advanced nursing in theatre care, and master's 60 credits had a lower need for competence development in cooperation and consultation, professional development and critical thinking.

    Fulltekst (pdf)
    fulltext
  • 27.
    Boman, Åse
    et al.
    University West, Sweden.
    Dahlborg, Elisabeth
    University West, Sweden.
    Eriksson, Henrik
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. University West, Sweden.
    Tengelin, Ellinor
    University West, Sweden.
    The resonable patient: A Swedish discourse construction2021Inngår i: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 28, nr 3, artikkel-id e12401Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to analyse how the patient is constructed and socially po-sitioned in Swedish patient information. Corpus-assisted critical discourse analysismethodology was utilised on a sample of 56 online patient information texts aboutcancer containing a total of 126,711 words. The findings show an overarching dis-course of informed consent guided by specific features to produce a patient normthat we name “the reasonable patient”, who is receptive to arguments, emotionallyrestrained and makes decisions based on information. Through the discourse of in-formed consent, the norm of the reasonable patient emerges, apparently to even outthe imbalance of power between patient and professional, but in reality, more likelyto construct a patient who is easily controlled and managed. When the self-respon-sibility towards health is incorporated into the everyday domestic spaces via digitalhealth technologies, the ideas and concepts of the patient role need to be reconsid-ered based on these new conditions. We conclude that it is important for nursingresearchers to broaden the research on patients to include the relationship of powercreated through language. This study demonstrates both methodological and empiri-cal possibilities to do so

    Fulltekst (pdf)
    fulltext
  • 28.
    Bray, Lucy
    et al.
    Edge Hill University, Ormskirk, United Kingdom.
    Carter, Bernie
    Edge Hill University, Ormskirk, United Kingdom.
    Blake, Lucy
    Edge Hill University, Ormskirk, United Kingdom.
    Saron, Holly
    Edge Hill University, Ormskirk, United Kingdom.
    Kirton, Jennifer A.
    Edge Hill University, Ormskirk, United Kingdom.
    Robichaud, Fanny
    UQO, Département de Sciences Infirmières, Québec, Canada .
    Avila, Marla
    Botucatu Medical School—Unesp—Nursing Department, Sao Paulo, Brazil .
    Ford, Karen
    Tasmanian Health Service South, Australia; University of Tasmania, Hobart, Australia .
    Nafria, Begonya
    Sant Joan de Déu Research Foundation, Barcelona, Spain .
    Forsner, Maria
    Umeå University, Umeå, Sweden.
    Nilsson, Stefan
    Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden .
    Chelkowski, Andrea
    Tasmanian Health Service South, Australia; University of Tasmania, Hobart, Australia .
    Middleton, Andrea
    Tasmanian Health Service South, Australia; University of Tasmania, Hobart, Australia .
    Rullander, Anna-Clara
    Umeå University, Umeå, Sweden .
    Mattsson, Janet
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Karolinska Institutet, Stockholm, Sweden .
    Protheroe, Joanne
    Keele University, Staffordshire, United Kingdom.
    "People play it down and tell me it can't kill people, but I know people are dying each day". Children's health literacy relating to a global pandemic (COVID-19): an international cross sectional study2021Inngår i: PLOS ONE, E-ISSN 1932-6203, Vol. 16, nr 2, artikkel-id e0246405Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to examine aspects of children's health literacy; the information sources they were accessing, their information preferences, their perceived understanding of and their reported information needs in relation to COVID-19. An online survey for children aged 7-12 years of age and parent/caregivers from the UK, Sweden, Brazil, Spain, Canada and Australia was conducted between 6th of April and the 1st of June 2020. The surveys included demographic questions and both closed and open questions focussing on access to and understanding of COVID-19 information. Descriptive statistics and qualitative content analysis procedures were conducted. The findings show that parents are the main source of information for children during the pandemic in most countries (89%, n = 347), except in Sweden where school was the main source of information. However, in many cases parents chose to shield, filter or adapt their child's access to information about COVID-19, especially in relation to the death rates within each country. Despite this, children in this study reported knowing that COVID-19 was deadly and spreads quickly. This paper argues for a community rather than individual approach to addressing children's health literacy needs during a pandemic.

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  • 29.
    Bränström, Richard
    et al.
    Yale School of Public Health, New Haven, USA / Karolinska Institutet.
    Hatzenbuehler, Mark L
    Columbia University, New York, USA.
    Tinghög, Petter
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Karolinska Institutet.
    Pachankis, John E
    Yale School of Public Health, New Haven, USA.
    Sexual orientation differences in outpatient psychiatric treatment and antidepressant usage: evidence from a population-based study of siblings2018Inngår i: European Journal of Epidemiology, ISSN 0393-2990, E-ISSN 1573-7284, Vol. 33, nr 6, s. 591-599Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In the past two decades, population-based health surveys have begun including measures of sexual orientation, permitting estimates of sexual orientation disparities in psychiatric morbidity and differences in treatment utilization. The present study takes advantage of the high-quality, comprehensive nationwide health registry data available in Sweden to examine whether psychiatric outpatient treatment for various diagnoses and antidepressant medication usage are greater in sexual minority individuals compared to their siblings. A longitudinal cohort study design was used with a representative random population-based sample in Stockholm, Sweden. Registry-based health record data on all specialized outpatient health care visits and prescription drug use was linked to a sample of 1154 sexual minority individuals from the Stockholm Public Health Cohort and their siblings. The main outcomes were treatment due to psychiatric diagnoses retrieved from nationwide registry-based health records. In analyses accounting for dependency between siblings, gay men/lesbians had a greater likelihood of being treated for mood disorder [adjusted odds ratio (AOR) 1.77; 99% confidence intervals (CI) 1.00, 3.16] and being prescribed antidepressants (AOR 1.51; 99% CI 1.10, 2.07) compared to their siblings. Further, bisexual individuals had a greater likelihood of any outpatient psychiatric treatment (AOR 1.69; 99% CI 1.17, 2.45) and being prescribed antidepressants (AOR 1.48; 99% CI 1.07, 2.05) as well as a greater likelihood of being treated for a mood disorder (AOR 1.98; 99% CI 1.33, 2.95) compared to their siblings. No difference in anxiety or substance use disorder treatment was found between any sexual minority subgroup and their siblings. The potential role of familial confounding in psychiatric disorder treatment was not supported for more than half of the outcomes that were examined. Results suggest that sexual minority individuals are significantly more likely to be treated for certain psychiatric disorders compared to their siblings. Future research is needed to understand mechanisms other than familial factors that might cause the substantial treatment differences based on sexual orientation reported here.

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  • 30.
    Burström, Åsa
    et al.
    Karolinska Institutet / Astrid Lindgren Children's Hospital.
    Acuna Mora, Mariela
    University of Gothenburg / KU Leuven, Department of Public Health and Primary Care, Leuven, Belgium.
    Öjmyr-Joelsson, Maria
    Karolinska Institutet / Astrid Lindgren Children's Hospital.
    Sparud-Lundin, Carina
    University of Gothenburg.
    Rydberg, Annika
    Umeå University.
    Hanseus, Katarina
    Skåne University Hospital.
    Frenckner, Björn
    Karolinska Institutet / Astrid Lindgren Children's Hospital.
    Nisell, Margret
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Karolinska Institutet.
    Moons, Philip
    University of Gothenburg / KU Leuven, Department of Public Health and Primary Care, Leuven, Belgium.
    Bratt, Ewa-Lena
    University of Gothenburg / The Queen Silvia Children's Hospital.
    Parental Uncertainty About Transferring Their Adolescent with Congenital Heart Disease to Adult Care2019Inngår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 5, nr 2, s. 380-387Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIMS: To study parent's levels of uncertainty related to the transfer from pediatric to adult care in adolescents with Congenital Heart Disease (CHD) and to identify potentially correlating factors.

    BACKGROUND: Parents acknowledge that during transition they struggle with finding ways of feeling secure in handing over the responsibility and letting go of control. Well-prepared and informed parents who feel secure are most likely better skilled to support their adolescent and to hand over the responsibility.

    DESIGN: A cross-sectional study.

    METHODS: Overall, 351 parents were included (35% response rate). Parental uncertainty was assessed using a Linear Analogue Scale (0-100). Data was collected between January - August 2016. Potential correlates were assessed using the readiness for transition questionnaire and sociodemographic data.

    RESULTS: The mean parental uncertainty score was 42.5. Twenty-four percent of the parents had a very low level of uncertainty (score 0-10) and 7% had a very high level (score 91-100). Overall, 26% of the mothers and 36% of the fathers indicated that they had not started thinking of the transfer yet. The level of uncertainty was negatively associated with the level of perceived overall readiness. Adolescents' age, sex, CHD complexity and parental age were not related to uncertainty.

    CONCLUSION: A wide range in the levels of uncertainty was found. Parents who were less involved in the care, or perceived their adolescent as readier for the transition, felt less uncertain. Still, thirty percent of the parents had not started to think about the transfer to adult care. This article is protected by copyright. All rights reserved.

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  • 31.
    Burström, Åsa
    et al.
    Karolinska Institutet / Astrid Lindgren Children’s Hospital.
    Acuña Mora, Mariela
    University of Gothenburg.
    Öjmyr-Joelsson, Maria
    Karolinska Institutet / Astrid Lindgren Children’s Hospital.
    Sparud-Lundin, Carina
    University of Gothenburg.
    Rydberg, Annika
    Umeå University.
    Hanseus, Katarina
    Skåne University Hospital.
    Frenckner, Björn
    Karolinska Institutet / Astrid Lindgren Children’s Hospital.
    Nisell, Margret
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Karolinska Institutet.
    Moons, Philip
    University of Gothenburg / KU Leuven, Belgium.
    Bratt, Ewa-Lena
    Universisty of Gothenburg / The Queen Silvia Children’s Hospital.
    Ready for Transfer to Adult Care? A Triadic Evaluation of Transition Readiness in Adolescents With Congenital Heart Disease and Their Parents2019Inngår i: Journal of Family Nursing, ISSN 1074-8407, E-ISSN 1552-549X, Vol. 25, nr 3, s. 447-468Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Transfer to adult care for adolescents with chronic conditions ought to be determined by transition readiness. The aims of this study were (a) to describe the level of readiness for transition in adolescents with congenital heart disease, (b) to compare adolescents' assessment of transition readiness with their parents' assessments, and (c) to study potential correlates of transition readiness. A total of 157 triads of adolescents aged 14 to 18 years and their parents completed the Readiness for Transition Questionnaire. Adolescents scored higher on overall readiness than their parents. Multivariable analyses revealed that higher levels of adolescents' overall readiness were associated with a less threatening view of the illness, a higher level of empowerment, and with higher mothers' and fathers' overall readiness scores. Adolescents' responsibility scores were positively associated with age and parental adolescent responsibility scores. Parental involvement scores were negatively associated with adolescents' age and positively with the mothers' parental involvement scores. By using a triadic evaluation, the results of the present study significantly extend what is currently known about this population.

  • 32.
    Canales, Giancarlo De La Torre
    et al.
    Karolinska Institutet, Sweden; Egas Moniz School of Health & Science, Portugal.
    Al-Moraissi, Essam Ahmed
    Thamar University, Yemen.
    Fatih, Tina
    Karolinska Institutet, Sweden.
    Razavian, Artin
    Karolinska Institutet, Sweden.
    Westman, Julia
    Karolinska Institutet, Sweden.
    Yanes, Yanal
    Karolinska Institutet, Sweden.
    Grigoriadis, Anastasios
    Karolinska Institutet, Sweden.
    Christidis, Maria
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Karolinska Institutet, Sweden.
    Christidis, Nikolaos
    Karolinska Institutet, Sweden.
    Barjandi, Golnaz
    Karolinska Institutet, Sweden.
    The role of tryptophan and its derivatives in musculoskeletal pains: A systematic review and meta-analysis2024Inngår i: Journal of Oral Rehabilitation, E-ISSN 1365-2842Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    Background: Studies present ambiguous findings regarding the role of tryptophan and its metabolites, kynurenine and serotonin in chronic musculoskeletal pain. This systematic review aimed to investigate the expression of tryptophan and its metabolites, serotonin and kynurenine in patients with local and generalized chronic musculoskeletal pain in comparison with pain-free controls.

    Methods: An electronic search was conducted in the databases MEDLINE, CINAHL, EMBASE, the Cochrane Central Registry of Controlled Trials (CENTRAL) and Web of Science for clinical and observational trials from the beginning of each database to 21 April 2023. Out of 6734 articles, a total of 17 studies were included; 12 studies were used in the meta-analysis of serotonin, 3 regarding tryptophan and 2 studies for a narrative synthesis regarding kynurenine. Risk of bias was assessed using the quality assessment tool for observational cohort and cross-sectional studies of the National Heart, Lung, and Blood Institute, while the certainty of evidence was by GRADE.

    Results: All included studies showed a low risk of bias. The meta-analysis showed lower blood levels of tryptophan (p < .001; very low quality of evidence) and higher blood levels of serotonin (p < .001; very low-quality evidence) in patients with generalized musculoskeletal pain, when compared to pain-free individuals. In local chronic musculoskeletal pain, there were higher blood levels of serotonin (p=.251; very low quality of evidence) compared to pain-free individuals. Regarding kynurenine, the studies reported both higher and lower blood levels in generalized chronic musculoskeletal pain compared to pain-free individuals.

    Conclusions: The blood levels of tryptophan and its metabolites serotonin and kynurenine seem to influence chronic musculoskeletal pain.

  • 33.
    Carlsson, Tommy
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Uppsala University, Sweden.
    Isaac, Rummage
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Ainembabazi, Ronah
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Eldebo, Anna
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Yasin, Sumera
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Gottvall, Maria
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Uppsala University, Sweden.
    Desiring support on a winding road with challenging intersections: Social and professional support for sexual minority forced migrant men2024Inngår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AimTo explore experiences of social and health professional support among sexual minority forced migrant men.DesignExploratory qualitative study.MethodsIndividual semi-structured interviews were conducted in 2023 with 15 participants recruited through convenience, purposive and snowball sampling. Interviews were audio recorded, transcribed and analysed with systematic text condensation in a collaborative process between researchers and experts by lived experience.ResultsThe first category was 'desiring support along a road with challenging intersections'. Participants encountered a harsh reality and dangers in the host country. They sought social connections and communicated with others whilst in a social labyrinth within a new and reserved society. Although social support was desired and highly appreciated, the process involved a spectrum of both belonging and exclusion. The second category was 'navigating uncharted waters when seeking affirming health services'. A range of barriers to health services were encountered in a complex health system. Participants emphasized the importance of safe and affirming spaces that accommodate the vulnerability of disclosure.ConclusionEnsuring respectful and affirming support for sexual minority forced migrants is essential. Barriers in accessing health services need to be addressed, including informing about rights and ensuring safety.Implication for the Professional and Patient CareNurses and other health professionals can consider social support as a potentially valuable resource for health promotion. However, there is a need for more research investigating its mental health effects.ImpactThe intersectional disadvantages and discrimination encountered by sexual minority forced migrants call attention to the need for further advancements in inclusion health and affirming care.Reporting MethodThis study adhered to the Consolidated Criteria for Reporting Qualitative Research.Patient or Public ContributionThree sexual minority forced migrants were members of the research team. They were involved in the data collection, analysis and reporting in close collaboration with researchers.

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  • 34.
    Carlsson, Tommy
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Uppsala universitet.
    Klarare, Anna
    Uppsala universitet; Ersta Sköndal Bräcke högskola.
    Mattsson, Elisabeth
    Uppsala universitet; Ersta Sköndal Bräcke högskola.
    Peer support among parents of children with congenital heart defects: A qualitative analysis of written responses submitted via an online survey2020Inngår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 76, nr 12, s. 3528-3536Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: To explore experiences of peer support among parents of children with congenital heart defects.

    Design: A study analysing written responses to open-ended questions about peer support, collected via an online survey distributed in Sweden.

    Methods: Respondents were recruited during 3 months in 2018 by means of convenience sampling, through ads via the Swedish foundation for families with children who have heart defects and two closed Facebook groups for peer support. An online survey containing open-ended questions was distributed and responses were analysed with systematic text condensation.

    Results: Peer support was grounded in a mutual understanding among parents and involved highly appreciated emotional support. Listening to the stories of peers meant an opportunity to gain useful insights about what life is like for parents of children with heart defects. Receiving and providing peer support was described as rewarding on a personal level. Negative aspects of peer support were also described, which sometimes led to psychological distress and withdrawal from peer support activities.

    Conclusion: Peer support is emotionally relieving and appreciated among parents of children with congenital heart defects, who consider providing the support a rewarding responsibility. While peer support activities may have considerable benefits for individuals, it may also lead to psychological distress for some.

    Impact: This study addressed peer support among parents of children with congenital heart defects. The main findings illustrate the potential impact peer support can have on individuals and calls attention to the experienced benefits related to peer support activities, while also providing some insights regarding potential negative aspects. The findings have relevance for nurses, midwives, and other health professionals working in settings providing care for these families.

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  • 35.
    Carlsson, Tommy
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Uppsala University, Sweden .
    Mattsson, Elisabet
    Uppsala University, Sweden; Ersta Sköndal Bräcke University College, Sweden.
    Peer Support Experienced by Mothers of Children With Congenital Heart Defects in Sweden2022Inngår i: Journal of Family Nursing, ISSN 1074-8407, E-ISSN 1552-549X, Vol. 28, nr 2, s. 142-150Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to describe experiences of peer support among mothers of children with congenital heart defects. Ten mothers were interviewed through a semi-structured approach and interviews were analyzed with systematic text condensation. The respondents established various channels used for peer support and navigated between the channels depending on what type of information or support they needed. Through the channels, they found peers they developed strong friendships with and who they relied on for emotional support. Communicating with peers involved the reciprocal exchange of unique emotional support between peers who understand each other as well as the exchange of information derived from their collective knowledge, and thus, difficult to find without the help of peers. The findings illustrate the potential strengths of establishing reliable collaboration and liaisons between clinical units and peer support networks.

  • 36.
    Carlsson, Tommy
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Uppsala University.
    Melander Marttala, Ulla
    Uppsala University.
    Mattsson, Elisabet
    Uppsala University / Ersta Sköndal Bräcke University College.
    Being involved in research as a collaborator with experience of a prenatal diagnosis of congenital heart defect in the fetus: a qualitative study2020Inngår i: Research Involvement and Engagement, E-ISSN 2056-7529, Vol. 6, artikkel-id 10Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: An increasing number of research projects are now collaborating with persons who have lived experience of a specific health-related situation, such as a prenatal diagnosis of congenital heart defect. Such collaboration has the potential to provide valuable insights how to plan future studies, but little is known how these persons experience such involvement. The aim was to explore how persons with lived experience of a prenatal diagnosis perceived collaborating in a research project utilizing patient and public involvement to identify relevant research questions and develop suitable interventions.

    Methods: Persons with experience of a prenatal diagnosis of congenital heart defect in the fetus were interviewed after their participation in a yearlong collaborative research project (n = 9) aiming to explore relevant research questions and develop interventions for expectant parents with a recent prenatal diagnosis. Interviews were analyzed with qualitative content analysis.

    Results: Respondents acknowledged altruistic and personal value related to the collaboration. They valued the opportunity to contribute to future research so that the care of persons experiencing a prenatal diagnosis may be improved. Mixed feelings were described related to sharing and reliving experiences. While it had been emotionally difficult to relive a traumatic event, it also served as an opportunity to process experiences and psychologically adapt. Respondents with terminated pregnancies appreciated the possibility to meet peers, since it was difficult to find peers in everyday life and talk about their experiences with others.

    Conclusions: Researchers who plan to collaborate with persons who have experience of a prenatal diagnosis should be mindful of the potential associated emotional experiences. The appreciation related to meeting peers calls attention to the need for studies that explore peer support.

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  • 37.
    Carlsson, Tommy
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Sophiahemmet University College / Uppsala University.
    Ulfsdottir, Hanna
    Sophiahemmet University College / Karolinska University Hospital.
    Waterbirth in low-risk pregnancy: an exploration of women's experiences2020Inngår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 76, nr 5, s. 1221-1231Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIMS: To explore retrospective descriptions about benefits, negative experiences and preparatory information related to waterbirths.

    DESIGN: A qualitative study.

    METHODS: Women who gave birth in water with healthy pregnancies and low-risk births were consecutively recruited between December 2015 - October 2018 from two birthing units in Sweden. All who gave birth in water during the recruitment period were included (N=155) and 111 responded to the survey. Women were emailed a web-based survey six weeks postpartum. Open-ended questions were analyzed with qualitative content analysis.

    RESULTS: Two themes were identified related to benefits: (1) physical benefits: the water eases labor progression while offering buoyancy and pain relief; and (2) psychological benefits: improved relaxation and control in a demedicalized and safe setting. Two themes were identified related to negative experiences: (1) equipment-related issues due to the construction of the tub and issues related to being immersed in water; and (2) fears and worries related to waterbirth. In regard to preparatory information, respondents reported a lack of general and specific information related to waterbirths, even after they contacted birthing units to ask questions. Supplemental web-based information was sought, but the trustworthiness of these sources was questioned and a need for trustworthy web-based information was articulated.

    CONCLUSION: Women who give birth in water experience physical and psychological benefits, but need better equipment and sufficient information. There is room for improvement with regard to prenatal and intrapartum care of women who give birth in water.

    IMPACT: Judging from women's recounts, midwives and nurses should continue advocating waterbirth in low-risk pregnancies. The lack of adequate equipment in Swedish birthing units articulated by women challenge current routines and resources. The findings illustrate unfulfilled needs for preparatory information about waterbirth, further strengthening that midwives should discuss the possibility of waterbirth when meeting expectant parents in the antenatal setting.

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  • 38.
    Carvajal, Liliana
    et al.
    Division of Data Analytics Planning and Monitoring, Data and Analytics Section, UNICEF, New York, New York; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
    Ottman, Katherine
    Department of Psychiatry and Behavioral Sciences, George Washington University, Washington, District of Columbia.
    Åhs, Jill
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
    Li, Geffrey Nan
    UNICEF, Belize City, Belize.
    Simmons, Juliet
    Department of Mental Health, Ministry of Health and Wellness, Belize City, Belize.
    Chorpita, Bruce
    Department of Psychology, University of California, Los Angeles, Los Angeles, California.
    Requejo, Jennifer Harris
    Division of Data Analytics Planning and Monitoring, Data and Analytics Section, UNICEF, New York, New York.
    Kohrt, Brandon A
    Department of Psychiatry and Behavioral Sciences, George Washington University, Washington, District of Columbia.
    Translation and Adaptation of the Revised Children's Anxiety and Depression Scale: A Qualitative Study in Belize2023Inngår i: Journal of Adolescent Health, ISSN 1054-139X, E-ISSN 1879-1972, Vol. 72, nr S1, s. S34-S39Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Adapting data collection instruments using transcultural translation and adaptation processes is essential to ensure that respondents comprehend the items and the original meaning is retained across languages and contexts. This approach is central to UNICEF's efforts to expand the use of standard data collection tools across settings and close the global data gap on adolescent mental health.

    METHODS: We conducted transcultural translation and adaptation processes in Belize using the Revised Children's Anxiety and Depression Scale (RCADS). Items from the original scale were translated into Belizean English and Kriol, reviewed by local mental health experts, and discussed in focus groups. Cognitive interviews were conducted with adolescents and parents. The information collected was analyzed with cultural equivalence domains: comprehensibility, acceptability, relevance, completeness, and technical equivalence. Bilingual discussions of findings informed the final item wordings, and the adapted tool was back-translated.

    RESULTS: Adaptation of terms and specific expressions were done to improve comprehensibility and to ensure the appropriate clinical meaning. For example, the expression 'feeling scared' was perceived to imply immaturity or threaten masculinity and was adapted to 'feeling afraid.' Expressions like "shaky" were modified to "trimble" in Kriol. Statements were reworded as questions to enhance acceptability and comprehensibility.

    DISCUSSION: A culturally adapted version of the RCADS was developed for use among adolescents in Belize in Belizean English and Kriol. The transcultural translation and adaptation procedure can be applied for other settings or tools to design contextual adaptations of mental health instruments prior to their validation or use in new settings.

  • 39.
    Carvajal, Liliana
    et al.
    UNICEF, USA; Karolinska Institutet, Sweden.
    Åhs, Jill W.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Karolinska Institutet, Sweden.
    Requejo, Jennifer Harris
    UNICEF, USA.
    Kieling, Christian
    Hospital de Clínicas de Porto Alegre, Brazil; Universidade Federal do Rio Grande do Sul, Brazil.
    Lundin, Andreas
    Karolinska Institutet, Sweden.
    Kumar, Manasi
    University of Nairobi, Kenya.
    Luitel, Nagendra P.
    Transcultural Psychosocial Organization (TPO) Nepal, Nepal.
    Marlow, Marguerite
    Stellenbosch University, UK.
    Skeen, Sarah
    Stellenbosch University, UK.
    Tomlinson, Mark
    Stellenbosch University, UK; Queens University, UK.
    Kohrt, Brandon A.
    George Washington University, USA.
    Measurement of Mental Health Among Adolescents at the Population Level: A Multicountry Protocol for Adaptation and Validation of Mental Health Measures2023Inngår i: Journal of Adolescent Health, ISSN 1054-139X, E-ISSN 1879-1972, Vol. 72, nr 1S, s. S27-S33Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: Mental disorders are among the leading causes of disability among adolescents aged 10-19 years. However, data on prevalence of mental health conditions are extremely sparse across low- and middle-income countries, even though most adolescents live in these settings. This data gap is further exacerbated because few brief instruments for adolescent mental health are validated in these settings, making population-level measurement of adolescent mental health especially cumbersome to carry out. In response, the UNICEF has undertaken the Measurement of Mental Health Among Adolescents at the Population Level (MMAP) initiative, validating open-access brief measures and encouraging data collection in this area.

    Methods: This protocol presents the MMAP mixed-methods approach for cultural adaptation and clinical validation of adolescent mental health data collection tools across settings. Qualitative activities include an initial translation and adaptation, review by mental health experts, focus-group discussions with adolescents, cognitive interviews, synthesis of findings, and back-translation. An enriched sample of adolescents with mental health problems is then interviewed with the adapted tool, followed by gold-standard semistructured diagnostic interviews.

    Results: The study protocol is being implemented in Belize, Kenya, Nepal, and South Africa and includes measures for anxiety, depression, functional limitations, suicidality, care-seeking, and connectedness. Analyses, including psychometrics, will be conducted individually by country and combined across settings to assess the MMAP methodological process.

    Discussion:This protocol contributes to closing the data gap on adolescent mental health conditions by providing a rigorous process of cross-cultural adaptation and validation of data collection approaches.

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  • 40.
    Carvajal-Velez, Liliana
    et al.
    Division of Data, Analytics, Planning and Monitoring, Data and Analytics Section, UNICEF, New York, New York; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
    Harris Requejo, Jennifer
    Division of Data, Analytics, Planning and Monitoring, Data and Analytics Section, UNICEF, New York, New York.
    Åhs, Jill
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
    Idele, Priscilla
    UNICEF Office of Research-Innocenti, Florence, Italy.
    Adewuya, Abiodun
    Lagos State University College of Medicine, Lagos, Nigeria.
    Cappa, Claudia
    Division of Data, Analytics, Planning and Monitoring, Data and Analytics Section, UNICEF, New York, New York.
    Guthold, Regina
    Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland.
    Kapungu, Chisina
    WomenStrong International, Washington, District of Columbia.
    Kieling, Christian
    Department of Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil; Child & Adolescent Psychiatry Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
    Patel, Vikram
    Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts; Sangath, Goa, India.
    Patton, George
    University of Melbourne and Murdoch Children’s Research Institute, Melbourne, Victoria, Australia.
    Scott, James G.
    Child and Youth Mental Health Group, QIMR Berghofer Medical Research Institute, Brisbane, Queensland, Australia.
    Servili, Chiara
    Department of Mental Health and Substance Use, World Health Organization, Geneva, Switzerland.
    Wasserman, Danuta
    National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Karolinska Institutet, Stockholm, Sweden.
    Kohrt, Brandon A.
    Department of Psychiatry and Behavioral Sciences, George Washington University, Washington, District of Columbia.
    Increasing Data and Understanding of Adolescent Mental Health Worldwide: UNICEF’s Measurement of Mental Health Among Adolescents at the Population Level Initiative2023Inngår i: Journal of Adolescent Health, ISSN 1054-139X, E-ISSN 1879-1972, Vol. 72, nr S1, s. S12-S14Artikkel i tidsskrift (Annet vitenskapelig)
  • 41.
    Carvajal-Velez, Liliana
    et al.
    UNICEF, USA; Karolinska Institutet, Sweden.
    Åhs, Jill W.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Karolinska Institutet, Sweden.
    Lundin, Andreas
    Karolinska Institutet, Sweden.
    van den Broek, Myrthe
    University of Amsterdam, Netherlands.
    Simmons, Juliet
    Ministry of Health and Wellness, Belize.
    Wade, Paulette
    UNICEF, Belize.
    Chorpita, Bruce
    University of California, USA.
    Requejo, Jennifer Harris
    UNICEF, USA.
    Kohrt, Brandon A.
    George Washington University, USA.
    Validation of the Kriol and Belizean English Adaptation of the Revised Children's Anxiety and Depression Scale for Use With Adolescents in Belize2023Inngår i: Journal of Adolescent Health, ISSN 1054-139X, E-ISSN 1879-1972, Vol. 72, nr S1, s. S40-S51Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: To validate a culturally-adapted Kriol and Belizean English version of the Revised Children's Anxiety and Depression Scale (RCADS) through comparison with clinical diagnoses made using the Kiddie Schedule of Affective Disorders and Schizophrenia.

    Methods: Participants comprised of 256 adolescents aged 10-14 years and 15-19 years, who completed the adapted RCADS (10 depression items, 12 anxiety items) in one-on-one interviews, followed by a diagnostic assessment using Kiddie Schedule of Affective Disorders and Schizophrenia administered by trained clinicians. Sensitivity, specificity, positive predictive value, negative predictive value, diagnostic odds ratios, area under the curve (AUC), and Youden's Index were calculated for RCADS cutoffs and scores on the total scale and anxiety and depression subscales.

    Results: For adolescents aged 10-14 years (n = 161), the AUC was 0.72 for the full scale, 0.67 for anxiety subscale, and 0.76 for depression subscale. For adolescents aged 15-19 years (n = 95), the AUCs were 0.82, 0.77, and 0.83. Most depression items performed well in discriminating those with and without diagnoses. Separation anxiety items performed poorly. "Thoughts of death" were common even among adolescents not meeting diagnostic criteria. The RCADS depression subscale presented the strongest psychometric properties with adolescents aged 15-19 years (at cutoff of 13, sensitivity = 0.83, specificity = 0.77, positive predictive value = 0.47, negative predictive value = 0.95, odds ratio = 15.96).

    Conclusion: The adapted RCADS-22 had acceptable categorization for adolescents aged 10-14 years and excellent categorization for adolescents aged 15-19 years; therefore, the tool is recommended for use among the latter age group. Based on sensitivity and specificity values at different cutoffs, guidance is provided to select different thresholds to suit clinical, public health, or other uses to detect and quantify adolescent depression and anxiety in Belize.

    Fulltekst (pdf)
    fulltext
  • 42.
    Chatchumni, Manaporn
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. School of Nursing, Rangsit University, Pathumthani, Thailand.
    Eriksson, Henrik
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Högskolan Väst.
    Mazaheri, Monir
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    A Scoping Review of Pain Management Education Programs (PMEPs): Do They Prepare Nurses to Deal with Patients’ Postoperative Pain2020Inngår i: Pain Research & Management, ISSN 1203-6765, E-ISSN 1918-1523, artikkel-id 4062493Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    This is a report of a scoping review undertaken to obtain an overview of studies conducted on pain management education programs (PMEPs). The aim of this review was to describe existing research publications relating to PMEP to map how pain management practice training might directly influence surgical nurses in contributing to successful pain outcomes in patients. The initial search of electronic databases identified 40 articles according to the inclusion criteria and search strategy, which applied the following terms: (“Pain management education program”) AND OR (“Nurses”) AND OR (“Patient outcomes”) AND (“Mixed methods”). Titles, abstracts, and keywords were also searched for the term “Nurse education.” After applying exclusion criteria, five relevant peer-reviewed articles were eventually selected for the final charting of the data. The search included articles published between January 2015 and March 2019. The results show that PMEPs employ a variety of computer-based simulation, web-based facilitation, and video materials based on an evidence-based approach in their syllabuses. PMEPs were shown to enhance practice by promoting improved skills in critical thinking, leadership, patient management, and health promotion. Additionally, these programs promote an ability to practice across a variety of inpatient and outpatient settings, wherein nurses’ engagement in managing patients’ pain increased after completing the PMEP. Research within PMEP indicates that these programs may contribute to promoting opportunities for new collaborations within multidisciplinary team projects. Additionally, further research initiatives are needed to explore various aspects of these programs to enhance the nursing skills required for effective pain management, such as computer-based simulation, web-based facilitation, and video materials. Moreover, research relating to PMEPs in low- and middle-income countries is scarce and warrants further study.

  • 43.
    Chatchumni, Manaporn
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. School of Nursing, Rangsit University, Pathumthani, Thailand.
    Eriksson, Henrik
    Department of Health Sciences, University West, Trollhättan, Sweden.
    Mazaheri, Monir
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Core components of an effective pain management education programme for surgical nurses: A Delphi study2022Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 17, nr 1, artikkel-id 2110672Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The critical reason for this study is the inadequate training received by surgical nurses in acute and chronic pain management nursing services for patients. Purpose This study aimed to describe the core components of an effective pain management education programme (PMEP) for surgical nurses in Thailand. Methods A three-round Delphi method was used. A panel of 40 experts advised regarding the essential components of an effective PMEP for surgical nurses. Results The core components of a PMEP were derived from experts' panel consensus: (i) multidisciplinary collaboration, (ii) acquisition of innovative knowledge and training by healthcare teams, and (iii) consideration of individual differences when delivering pain management services. To enhance their pain management practices, nurses should adopt multimodal pain approaches that involve family roles and engage in active patient listening. Conclusions The PMEP designed in this study, which adheres to international nursing training standards, promotes the competency of professional nurses.

  • 44.
    Chatchumni, Manaporn
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. School of Nursing at Rangsit University, Thailand.
    Eriksson, Henrik
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Mazaheri, Monir
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Towards person-centered pain management in surgical care: Addressing the overlapping pain management systems in nursing education to enhance practice2019Inngår i: Global Nursing Education Conference: Nursing Education, Canada, 2019Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Since nurses’ work is knowledge-based an ineffective pain management may be the nurse’s perceptions of the patient in pain, which are a barrier of communication between nurses and patients’ pain within individual contexts. The purpose was to explore nurses’ post-operative pain management practices. A qualitative triangulation design was used, applying numerous qualitative methods: observations in a postoperative pain management setting (100 hours); in-depth interviews (12 nurses), three focus group discussions (18 nurses), and narratives relating to 69 critical incidents gathered during recurrent visits over a period of ten weeks (9 nurses). Content analysis, as outlined in grounded theory, was applied.

    The findings revealed the complex communication system that were nurses affirmed patient’s pain by using double- and triple-control methods to document and record it. As a consequence, they were managing pain by administrative prescription when the patients had requested rather than being proactive in providing pain relief. Mainly of ineffective succeed of communication tasks and information about the patients’ pain in post-operative pain that was available analgesics as causes delayed for pain relief.

    From the findings the complex communication system was discuss within the responding to and addressing patients’ postoperative pain system model, it was most helpful in creating a meaningful way of communicating education can prepare students for effective communication in a complex understanding about pain management, it must seek opportunities to challenge and change the way nurses think address how pain management within different interacting structures in practice and are create new and important ways of communicating with patients.

  • 45.
    Chatchumni, Manaporn
    et al.
    Rangsit University, Pathumthani, Thailand.
    Namvongprom, Ampaporn
    Rangsit University, Pathumthani, Thailand.
    Eriksson, Henrik
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Mazaheri, Monir
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Tehran University of Medical Sciences, Tehran, Iran.
    Engagement and availability in shaping nurses’ management of postoperative pain: a qualitative study2018Inngår i: Electronic Physician, ISSN 2008-5842, Vol. 10, nr 8, s. 7235-7242Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Studies reporting inadequate nursing care for patients indicate that nurses are negatively affected in such situations, and research is needed to study nursing care in postoperative situations. Objective: To describe situations of postoperative pain management in a surgical ward in Thailand. Methods: A qualitative approach using the Critical Incident Technique was chosen to investigate situations of postoperative pain management from the perspective of surgical nurses in Thailand. Data were collected through multiple semi-structured interviews with nine nurses over a five-week period. Results: The situations of surgical nurses described three elements that heavily influenced the quality of postoperative pain management: engagement in a trustful nurse-patient relationship, availability of pain medication and nursing care when needed, and imbalance between meeting the patient’s needs and completing routine nursing duties. Conclusion: The results help to expand our understanding of how Thai nurses manage pain in postoperative situations and indicate areas that could be improved in terms of how nurses respond to patients’ pain. Nurses challenge existing guidelines and facilitate development of new nursing guidelines and/or policies in pain management.

  • 46.
    Chatchumni, Manaporn
    et al.
    Röda Korsets Högskola. Rangsit University, Pathumthani, Thailand.
    Namvongprom, Ampaporn
    Rangsit University, Pathumthani, Thailand.
    Eriksson, Henrik
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Mazaheri, Monir
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Exploring the different management structures in nurses responses and treating of patients’ postoperative pain: A qualitative triangulation study2019Inngår i: Electronic Physician, ISSN 2008-5842, Vol. 11, nr 2, s. 7536-7543Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Nurses’ roles are an important aspect of their approaches to pain management and monitoring in the post-operative phase of recovery in a surgical ward. A barrier to successful pain management may be the nurse’s perceptions of the patient in pain, which are confounded by the patterns of communication within individual contexts. We need to study, grasp and understand the complexities of the pain management practice within the context of the surgical ward in order to be able to improve the practices and design appropriate interventions to help patients in need. Objective: The purpose of this study was to explore nurses’ postoperative pain management practices. Methods: This qualitative triangulation study was conducted in a surgical ward at a public hospital in Bangkok (Thailand) from 2012 to 2015. We applied four qualitative methods in the study: 1) observations in a postoperative pain management setting (100 hours); 2) in-depth interviews (12 nurses), 3) three focus group discussions (18 nurses), and 4) narratives relating to 69 critical incidents gathered during recurrent visits over a period of ten weeks (9 nurses). Content analysis, as outlined in grounded theory, was applied. Results: The 40 nursing staff made their observations of the participants by conducting go-along interviews while they worked in the surgical field. The group of nurses comprised of 20 females and 4 males, age-ranged between 21-49 years of age, and their nursing experience ranged from 1-28 years. From our analysis, nurses verified patients’ pain by using double- and triple-control methods to document and record it, thus managing pain by administrative procedures rather than being proactive in providing pain relief. Therefore, communication and information about the patients’ pain and subsequent treatment of postoperative pain caused delays that may hamper the adequate use of available analgesics for pain relief. Levels of experience in communicating between nurses, other professionals, and patients were a main cause of delays in treating and managing pain. Conclusion: The complex communication system that would improve the communication ways leads to better standards of practice and quality of care.

  • 47.
    Christidis, Maria
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    A Review of International Nursing-related Vocational and Educational Training on the issue of integrated teaching2019Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Background: The review focus was to systematize, describe and critically analyze previous international research on school-based integrated teaching for vocational knowing in nursing-related education in upper secondary and higher-level education. The review questions were: a) What kind of integration was conducted within a school context in nursing-related education? b) What in terms of vocational knowing was highlighted as a result in the studies through integrated teaching? c) What was the relation between study aim and analytical method for the vocational knowing that was highlighted?

    Summary of Work: Searches were conducted in two databases, EbscoHost, and ProQuest Social Sciences. Search terms ‘integrated teaching’, ‘vocational knowing’ and ‘nursing’, retrieved from the databases, were combined with “AND”. Search area was expanded by terms ‘education’, ‘curriculum’, ‘vocational’, and specified with ‘thematical integration’. Delimitations comprised admitted approaches of integration (Case Method, Problem-based Learning), and were set to scholarly, peer-reviewed articles. The first sorting comprised assessment of abstracts, while the second sorting comprised whole articles. Reference-lists of included studies were assessed for inclusion. Altogether, 14 studies were included and assessed for quality and coherence with Grade CerQual.

    Summary of Results:The results showed three types of integrated teaching, integration through embeddedness or streaks, problem-based learning, and between school and workplace; vocational knowing related to a professional and academic context; and there was a methodological significance for the type of vocational knowing highlighted in the studies.

    Discussion and Conclusions: Integrated teaching with professional connection was stressed as significant for vocational knowing, because of authenticity and meaningfulness. Vocational knowing of academic character required a professional contextualization for meaningfulness. The primary studies highlighted quantitative methodology as quality measure and by passed epistemological (constructivism and positivism) aspects. A quantitative method of approach was shown as the quality measure in primary studies. The notion of quality requires expansion with more qualitative studies, that focus on minor student groups and specific didactic situations for an in-depth understanding of integrated teaching and vocational knowing in nursing.

    Take-home Messages: Integrated teaching is an admitted didactical approach but highly significant for vocational knowing.

  • 48.
    Christidis, Maria
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Stockholms universitet, Institutionen för pedagogik och didaktik.
    Integrated teaching for expanded vocational knowing: Studies in the Swedish upper secondary Health and social care program2020Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Integrated teaching is emphasized in Swedish upper secondary vocational education and training, for managing sociocultural and historical changes related to: a) increased demands on future competent health care workers, b) educational reforms, c) altered conditions for vocational teachers’ work, and d) vocational contextualization of teaching and learning content. However, national curricula from 1970, 1994, and 2011 recommend integrated teaching as a solution without any specific concretization of what integration could or should contribute with. Thus, the aim of this thesis was to explore the realization of integrated teaching and the vocational knowing made available by integration for students at the Swedish upper secondary Health and social care program, and partly for nursing students in higher education and training. The research questions attended to how integrated teaching is realized, and what vocational knowing is made available by integration.

    Theoretical point of departure was Cultural historical activity theory (CHAT), complemented with New literacy studies (NLS). The methodological framework included ethnographically inspired case studies, interviews, specifically semi-structured interviews and life-history interviews, and a systematic review. Research material was collected in 2012 and 2018. Analysis was performed with selected concepts from CHAT, and in one study also with concepts from NLS. In one study, i.e. the systematic review, GRADE CERQual was used for an assessment of confidence in the review findings.

    Study results showed that integrated teaching, regardless of composition and format, made available a vocational, a general, and an expanded vocational knowing. Also, vocational contextualization of school subjects was shown to be significant as an additional teaching and learning content and as mediational means between school and workplace.

    In conclusion, integrated teaching was shown to respond to the sociocultural and historical developments by making available for students an expanded vocational knowing. Also, vocational contextualization was shown to make possible for students learning knowing relevant for their future profession.

  • 49.
    Christidis, Maria
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Stockholm University.
    Integrated teaching for vocational knowing: A systematic review of research on nursing-related vocational education and training2019Inngår i: Nordic Journal of Vocational Education and Training, E-ISSN 2242-458X, Vol. 9, nr 2, s. 19-50Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim for this review was to systematize, describe and critically analyse previous research concerning school-based integrated teaching for vocational knowing in nursingrelated training in upper secondary and in higher level education. Searches were conducted in four databases, two specifically for Swedish hits, and two for international hits. Also, search was made in a Nordic journal on vocational education and training. References in included studies were also assessed for further inclusion of studies. Altogether, 14 studies were included and assessed for quality and coherence with GRADE CERQual. Review findings comprised three types of integrated teaching, through embeddedness or streaks, problem-based learning, and between school and workplace; vocational knowing relating to a professional and academic context; and methodological significance for the vocational knowing highlighted in the studies. In conclusion, the methodological approach typically used in the primary studies related to a quantitative approach, which was also discerned as quality measure. The primary studies brought forward a partial understanding of integrated teaching and vocational knowing, which is dependent on the methodological approach. In order to enhance understanding about the research topic, there is a need for more studies on integrated teaching utilizing a qualitative approach.

    Fulltekst (pdf)
    fulltext
  • 50.
    Christidis, Maria
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Mötet med patienten2020Inngår i: Bettfysiologi: orofacial smärta och käkfunktion / [ed] Nikolaos Christidis, Stockholm: Gothia Fortbildning , 2020, s. 173-189Kapittel i bok, del av antologi (Annet vitenskapelig)
    Abstract [sv]

    Kapitlet behandlar mötet med patienten och framhäver dels kommunikativa aspekter och dels etiska aspekter såsom integritet och medbestämmande.  Avslutningsvis behandlas upptaget av anamnes och status för behandling av patienten. 

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