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Wigert, H., Fors, A., Nilsson, S., Dalenius, K. & Golsäter, M. (2019). A person-centred approach when encountering students with recurrent pain: School nurses’ experiences. Journal of School Nursing
Open this publication in new window or tab >>A person-centred approach when encountering students with recurrent pain: School nurses’ experiences
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2019 (English)In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364Article in journal (Refereed) Epub ahead of print
Abstract [en]

Stress has a negative impact on students' daily lives and can be associated with recurrent pain. School nurses play a key role in supporting young people with stress-related pain. The purpose of this qualitative interview study was to elucidate school nurses' experiences of encountering students with recurrent pain when practicing person-centred care. The school nurses were based at public and private schools and worked with students aged 12-19. Data were collected through interviews with 18 school nurses and analyzed with deductive content analysis. The school nurses felt that actively listening to the students' narratives about daily life with recurrent pain, and co-creation of a health plan, encouraged the students to participate as partners in their own care and strengthened their relation with the students. The application of a person-centred approach in school health care meant that traditional knowledge transfer was replaced with a dialogue that reflects both the student's and school nurse's perspective.

Place, publisher, year, edition, pages
Sage Publications, 2019
Keywords
adolescent, pain, person-centred care, school health care, school nurse, stress, students, qualitative approach
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-45511 (URN)10.1177/1059840519864158 (DOI)000478311500001 ()31311402 (PubMedID)2-s2.0-85070393773 (Scopus ID)
Funder
Swedish Research Council, 2009-1088
Available from: 2019-08-09 Created: 2019-08-09 Last updated: 2019-08-15
Johansson, L., Lingfors, H., Golsäter, M., Kristenson, M. & Fransson, E. I. (2019). Can physical activity compensate for low socioeconomic status with regard to poor self-rated health and low quality-of-life?. Health and Quality of Life Outcomes, 17(1), 1-10, Article ID 33.
Open this publication in new window or tab >>Can physical activity compensate for low socioeconomic status with regard to poor self-rated health and low quality-of-life?
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2019 (English)In: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 17, no 1, p. 1-10, article id 33Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Both high socioeconomic status (SES) and high physical activity (PA) are associated with better self-rated health (SRH) and higher quality-of-life (QoL).

AIM: To investigate whether high levels of PA may compensate for the association between low SES and subjective health outcomes in terms of poorer SRH and lower QoL.

METHOD: Data from a cross-sectional, population-based study (n = 5326) was utilized. Multiple logistic regression models were used to estimate odds ratios (OR) and 95% confidence intervals (95% CI) for the associations between indicators of SES (economic situation and educational level), SRH and QoL, as well as between the combination of SES and PA in relation to SRH and QoL.

RESULT: Participants with high PA and economic problems had approximately the same OR for good SRH as those with low PA and without economic problems (OR 1.75 [95% CI 1.20-2.54] and 1.81 [1.25-2.63] respectively). Participants with high PA and low education had higher odds for good SRH (OR 3.34 [2.96-5.34] compared to those with low PA and high education (OR 1.46 [0.89-2.39]).Those with high PA and economic problems had an OR of 2.09 [1.42-3.08], for high QoL, while the corresponding OR for those with low PA and without economic problems was 4.38 [2.89-6.63].

CONCLUSION: Physically active people with low SES, had the same or even better odds to report good SRH compared to those with low PA and high SES. For QoL the result was not as consistent. The findings highlight the potential for promotion of PA to reduce SES-based inequalities in SRH.

Place, publisher, year, edition, pages
BioMed Central, 2019
Keywords
Health dialogue, Physical activity, Quality-of-life, Self-rated health, Socioeconomic status
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-43213 (URN)10.1186/s12955-019-1102-4 (DOI)000458183400002 ()30736815 (PubMedID)2-s2.0-85061263688 (Scopus ID)GOA HHJ 2019 (Local ID)GOA HHJ 2019 (Archive number)GOA HHJ 2019 (OAI)
Available from: 2019-03-01 Created: 2019-03-01 Last updated: 2019-03-06Bibliographically approved
Harder, M., Andersson, S. & Golsäter, M. (2019). Child healthcare nurses’ encounters with parents whose child is overweight. Nordic journal of nursing research, 39(3), 152-158
Open this publication in new window or tab >>Child healthcare nurses’ encounters with parents whose child is overweight
2019 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 39, no 3, p. 152-158Article in journal (Refereed) Published
Abstract [en]

Nurses in the Swedish child healthcare system can make a difference by offering support to parents of children who are overweight or at risk of becoming so. Still, research concerning these nurses? clinical practice when encountering parents whose child is overweight is inadequate. The aim of this study was to describe nurses? clinical practice when encountering parents of an overweight child. Data were collected through interviews with 10 nurses, and a content analysis approach was used. The nurses? clinical practice is described in relation to Olander?s theory: Individualising actions, Creating a dialogue, Documenting, and Focusing on normality. This study adds knowledge about nurses? clinical practice in encounters with parents whose child is overweight. Also, it adds information on how an issue in a specific care situation may contribute to further understanding and use of an existing theory in caring science.

Place, publisher, year, edition, pages
Sage Publications, 2019
Keywords
child healthcare, child healthcare nurses, clinical practice, deductive content analysis, encountering parents, overweight child
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-45506 (URN)10.1177/2057158519841315 (DOI)
Available from: 2019-08-09 Created: 2019-08-09 Last updated: 2019-08-09Bibliographically approved
Oldin, C., Golsäter, M., Schollin Ask, L., Fredriksson, S. & Stenmarker, M. (2019). Introduction of rotavirus vaccination in a Swedish region: assessing parental decision-making, obtained vaccination coverage and resulting hospital admissions. Acta Paediatrica, 108(7), 1329-1337
Open this publication in new window or tab >>Introduction of rotavirus vaccination in a Swedish region: assessing parental decision-making, obtained vaccination coverage and resulting hospital admissions
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2019 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 108, no 7, p. 1329-1337Article in journal (Refereed) Published
Abstract [en]

Aim:

This study evaluated the introduction of rotavirus vaccination in Jönköping County, Sweden, starting in 2014. This project explored the parental factors that influenced the decision to vaccinate and studied the obtained vaccination coverage and its potential influence on hospital admissions due to acute gastroenteritis.

Methods:

This was a descriptive, cross-sectional study based on a study-specific questionnaire (n = 356) and regional statistical data on vaccination coverage and hospital admissions in Jönköping County, Sweden.

Results:

Central aspects when deciding on vaccination were vaccine efficacy and safety, that the vaccine was offered to all children, and recommended by healthcare professionals. One in five parents expressed uncertainty about whether they had sufficient information to make a decision. However, the rotavirus vaccination coverage was elevated from 76.1% to 81.0% and the hospital admissions due to acute gastroenteritis decreased by approximately 60%.

Conclusion:

The results highlight the necessity for Child Health Services to have solid knowledge regarding vaccinations, to understand individual parental issues and to support uncertain parents. The high vaccination coverage achieved is an indication of the trust in healthcare professionals and is considered to be a major contributing factor to the substantial reduction of hospital admissions due to acute gastroenteritis.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
Gastroenteritis, Hospital admission, Parental decision-making, Rotavirus, Vaccination coverage
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-43025 (URN)10.1111/apa.14674 (DOI)000471904300023 ()30507015 (PubMedID)2-s2.0-85059689916 (Scopus ID)
Available from: 2019-02-18 Created: 2019-02-18 Last updated: 2019-07-12Bibliographically approved
Golsäter, M., Enskär, K. & Knutsson, S. (2019). Parents’ perceptions of how nurses care for children as relatives of an ill patient: Experiences from an oncological outpatient department. European Journal of Oncology Nursing, 39, 35-40
Open this publication in new window or tab >>Parents’ perceptions of how nurses care for children as relatives of an ill patient: Experiences from an oncological outpatient department
2019 (English)In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 39, p. 35-40Article in journal (Refereed) Published
Abstract [en]

Purpose:

Research has shown that a child's knowledge about what is happening to a parent when he/she has a cancer disease is crucial to the child's health and wellbeing. Therefore the purpose of this study was to explore parents’ perceptions of how nurses in clinical practice care for children as relatives when one parent in the family has a cancer disease.

Method:

A qualitative explorative design with interviews was used. Altogether 28 parents (17 patients and 11 partners) were interviewed. The transcripts from the interviews were subjected to qualitative content analysis.

Results:

The parents perceive that the nurses make efforts to support the child as well as them as parents, but feel that the care needs to be more tailored to the specific child and his/her situation. The children are initially invited, generally informed and seen by the nurses, but the parents perceive that they themselves need repeated support and advice over time to uphold their parental responsibility for caring for their children during the illness trajectory.

Conclusion:

The parents argue for the importance of receiving repeated advice and support for how to talk to their children about the disease and treatment. The parents describe how the nurses were helpful by asking after the children and explaining the value of their visiting the hospital.

Place, publisher, year, edition, pages
Churchill Livingstone, 2019
Keywords
Children as relatives, Co-production, Nursing, Parents, Qualitative research
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-43114 (URN)10.1016/j.ejon.2019.01.004 (DOI)000462419500005 ()30850136 (PubMedID)2-s2.0-85060543265 (Scopus ID)
Available from: 2019-02-21 Created: 2019-02-21 Last updated: 2019-04-11Bibliographically approved
Andersson, A.-C., Melke, A., Andersson Gäre, B. & Golsäter, M. (2018). Identification of children as relatives with a systematic approach; a prerequisite in order to offer advice and support. Quality Management in Health Care, 27(3), 172-177
Open this publication in new window or tab >>Identification of children as relatives with a systematic approach; a prerequisite in order to offer advice and support
2018 (English)In: Quality Management in Health Care, ISSN 1063-8628, E-ISSN 1550-5154, Vol. 27, no 3, p. 172-177Article in journal (Refereed) Published
Abstract [en]

The purpose of this study was to elucidate conditions at all system levels in a specific health care service to develop practices for identification of children as relatives. An interactive research approach with the intention to create mutual learning between practice and research was used. The participating health care service cared for both clinic in- and outpatients with psychiatric disorders. Health care professionals from different system levels (micro, meso, macro) participated, representing different professions. At the first project meeting, it was obvious that there was no systematic approach to identify children as relatives. At the micro level, activities such as a pilot survey and an open house activity were carried out. At the meso level, it was discussed how to better support collaboration between units. At the management (macro) level, it was decided that all units should appoint at least one child agent, with the aim to increase collaboration throughout the whole health care service. To change focus, in this case from only parents to inclusion of children, is an important challenge faced by health care services when forced to incorporate new policies and regulations. The new regulations contribute to increased complexity in already complex organizations. This study highlights that such challenges are underestimated.

Place, publisher, year, edition, pages
Wolters Kluwer, 2018
Keywords
health care system, identification of children as relatives, incorporation of new regulations, interactive research, micro-level perspectives
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-41184 (URN)10.1097/QMH.0000000000000181 (DOI)000436873500010 ()29944630 (PubMedID)2-s2.0-85049356843 (Scopus ID)
Available from: 2018-08-20 Created: 2018-08-20 Last updated: 2018-08-20Bibliographically approved
Bäckström, C. A., Kåreholt, I., Thorstensson, S., Golsäter, M. & Mårtensson, L. B. (2018). Quality of couple relationship among first-time mothers and partners, during pregnancy and the first six months of parenthood. Sexual & Reproductive HealthCare, 17, 56-64
Open this publication in new window or tab >>Quality of couple relationship among first-time mothers and partners, during pregnancy and the first six months of parenthood
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2018 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 17, p. 56-64Article in journal (Refereed) Published
Abstract [en]

Highlights

  • Social support is associated with first-time mothers’ and partners’ perceived quality of couple relationship six months after birth.
  • Sense of Coherence is associated with first-time mothers’ perceived quality of couple relationship six months after birth.
  • First-time mothers’ and partners’ Sense of Coherence increase between pregnancy and six months after birth.
  • Partners’ feelings for parenthood is associated with first-time mothers’ perception of quality of couple relationship six months after birth.
  • First-time mothers’ and partners’ perceived quality of couple relationship is decreasing after childbirth.
Place, publisher, year, edition, pages
Elsevier, 2018
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-38333 (URN)10.1016/j.srhc.2018.07.001 (DOI)000445980700011 ()30193721 (PubMedID)2-s2.0-85049784672 (Scopus ID)
Note

Part of thesis in submitted manuscript form.

Available from: 2018-01-04 Created: 2018-01-04 Last updated: 2018-11-01Bibliographically approved
Almqvist, L., Sjöman, M., Golsäter, M. & Granlund, M. (2018). Special support for behavior difficulties and engagement in Swedish preschools. Frontiers in Education, 3, Article ID 35.
Open this publication in new window or tab >>Special support for behavior difficulties and engagement in Swedish preschools
2018 (English)In: Frontiers in Education, ISSN 2504-284X, Vol. 3, article id 35Article in journal (Refereed) Published
Abstract [en]

The Swedish preschool curriculum stipulates that all children independent of support needs should attend mainstream preschool groups, with equal opportunities for learning and engagement. Preschool teachers are responsible for paying attention to children in need of special support to achieve this. How support is provided for children in need of special support due to behavior difficulties in Swedish preschools varies, however. Some children, often formally identified as in need of special support, are supported by preschool staff supervised by external services. Other children receive support initiated and implemented by preschool staff, without supervision from external services. A further number of children receive no support for behavior difficulties, on top of what is provided to all children. This study investigated associations between support format (i.e. supervised support, staff-initiated support or no additional support), support content (i.e. implementation of support), behavior difficulties, socio-demographics and engagement. A mixed methods approach was used with a sample of 232 preschool children 15 to 71 months with assessed behavior difficulties. Preschool staff reported on the children's engagement, behavior difficulties, socio-demographics and support provision. Logistic regression models were used to analyze the probability of children receiving either support format. Content analysis was used to categorize the support content, reported by preschool staff through open-ended questions. Point-biserial correlations were used to test associations between support content, behavior, socio-demographics and engagement. All children receiving supervised support for behavior difficulties were formally identified by external services as in need of special support. Supervised support was also more common if children disturbed the free play in the preschool group, with the most frequent support being collaboration with external teams. Staff-initiated support was most commonly given to children with high engagement, and for children who are not early second language learners. These children were most frequently supported by staff paying attention to negative behavior. Children who were not perceived as a burden to the group were less likely to receive any form of additional support. Ways of managing the preschool group seem to guide support strategies for children with behavior difficulties, rather than child-focused strategies emphasizing engagement in everyday activities.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2018
Keywords
special support, preschool, behavior difficulties, engagement, support format, support content, supervised support, staff-initiated support
National Category
Educational Sciences
Identifiers
urn:nbn:se:hj:diva-39517 (URN)10.3389/feduc.2018.00035 (DOI)
Funder
Swedish National Board of Health and Welfare, 2011/491Forte, Swedish Research Council for Health, Working Life and Welfare, 2013/38
Available from: 2018-05-23 Created: 2018-05-23 Last updated: 2018-05-23Bibliographically approved
Eriksson, M., Lingfors, H. & Golsäter, M. (2018). Trends in prevalence of thinness, overweight and obesity among Swedish children and adolescents between 2004 and 2015.. Acta Paediatrica, 107(10), 1818-1825
Open this publication in new window or tab >>Trends in prevalence of thinness, overweight and obesity among Swedish children and adolescents between 2004 and 2015.
2018 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 107, no 10, p. 1818-1825Article in journal (Refereed) Published
Abstract [en]

AIM: This study explored weight trends among children aged 4, 7, 11, 14 and 17 years in Jönköping County Sweden, from 2004 to 2015.

METHODS: The study had a repeated cross-sectional design, and body mass index (BMI) was calculated based on height and weight measurements collected from child health and school health records. The prevalence of thinness, overweight and obesity was estimated with international cut-offs, with linear trends calculated separately for boys and girls.

RESULTS: There were 190 965 measurements of BMI and these covered 82-97% of the younger children and 55-69% of the older children during the study period. The prevalence of thinness varied between 0.2% and 2.2% across time and age groups and did not change over the study period. There was a small decrease in overweight among both girls and boys aged four years. There were increasing trends in overweight and obesity in both girls and boys aged 11 and 14 years of age and a sharp increase among 17-year-old boys, with 7.3% obese in 2014/2015 and 3.6% in 2004/2005.

CONCLUSION: The prevalence of obesity decreased from 2004 to 2015 or was stable in younger Swedish children, but increased among older children, with a large increase in adolescent boys.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018
Keywords
Body mass index, Childhood obesity, Children and adolescents, Thinness, Time trends
National Category
Pediatrics
Identifiers
urn:nbn:se:hj:diva-39543 (URN)10.1111/apa.14356 (DOI)000444224300028 ()29637596 (PubMedID)2-s2.0-85046011423 (Scopus ID)
Available from: 2018-05-28 Created: 2018-05-28 Last updated: 2018-11-06
Knutsson, S., Enskär, K., Andersson-Gäre, B. & Golsäter, M. (2017). Children as relatives to a sick parent: Healthcare professionals’ approaches. Nordic journal of nursing research, 37(2), 61-69
Open this publication in new window or tab >>Children as relatives to a sick parent: Healthcare professionals’ approaches
2017 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 37, no 2, p. 61-69Article in journal (Refereed) Published
Abstract [en]

An illness or injury sustained by a family member affects all family members. It is consequently important that a child’s need to be involved in a family member’s care is clearly recognized by healthcare professionals. The aim of this study was to describe healthcare professionals’ approaches to children as relatives of a parent being cared for in a clinical setting. A web-based study-specific questionnaire was sent and responded to by 1052 healthcare professionals in Sweden. Data were analysed using descriptive statistics and qualitative analysis. The results show that guidelines and routines are often lacking regarding involving children in the care of a parent. Compared to other areas, psychiatric units seem to have enacted routines and guidelines to a greater extent than other units. The results indicate that structured approaches based on an awareness of the children’s needs as well as a child-friendly environment are vital in family-focused care. These aspects need to be prioritized by managers in order to support children’s needs and promote health and wellbeing for the whole family.

Place, publisher, year, edition, pages
Sage Publications, 2017
Keywords
child; children as relatives; healthcare professionals; ill parent; web questionnaire
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-34082 (URN)10.1177/2057158516662538 (DOI)
Available from: 2016-11-23 Created: 2016-11-23 Last updated: 2017-09-06Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-0156-6677

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