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Sidenvall, Birgitta
Publications (10 of 93) Show all publications
Johansson, L., Björklund, A., Sidenvall, B. & Christensson, L. (2014). Spouses' experiences of mealtimes with a partner suffering from dementia. The journal of aging research & clinical practice, 3(4), 237-244
Open this publication in new window or tab >>Spouses' experiences of mealtimes with a partner suffering from dementia
2014 (English)In: The journal of aging research & clinical practice, ISSN 2273-421X, Vol. 3, no 4, p. 237-244Article in journal (Refereed) Published
Abstract [en]

Background: As difficulties in performing daily activities occur among persons with dementia, their spouses are also affected. This is also true for mealtimes, yet there is a lack of knowledge and research into how couples manage this situation at home. Objective: The aim of the study was to explore and describe spouses’ experiences of mealtimes in couples in which one partner has dementia. Design, Setting and Participants: Ten spouses were interviewed in their home in respect to their experiences regarding mealtimes when living with a partner diagnosed with dementia. To identify themes across the data set, thematic analysis was conducted. Results: One major theme, Recognizing and managing the range of mealtime change, was identified and showed that depending on where the families were in the dementia process their experienced varied. As progression occurred in the partners disease, routines, responsibilities and relationships were affected within the couple. Strategies the participants used tomanage mealtimes at home regarding these problems were highlighted such as getting support from social services, but also strategies they had learnt by themselves. Conclusion: These results generate an insight into what couples face, and their needs for support. Spouses experiences varied which indicates that it is important that support is based on individual needs. Hence, nursing staff should continuously pay attention to couples mealtime situation. Further it increases staff´s knowledge regarding possible solutions on how to involve persons with dementia in mealtime activities and maintain their nutritional intake.

Keywords
Dementia, mealtimes, qualitative research, spouses.
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-25349 (URN)10.14283/jarcp.2014.41 (DOI)
Available from: 2014-12-17 Created: 2014-12-17 Last updated: 2015-10-23Bibliographically approved
Karlsson, C., Sidenvall, B., Bergh, I. & Ernsth Bravell, M. (2013). Certified nursing assistants' perception of pain in people with dementia: a hermeneutic enquiry in dementia care practice. Journal of Clinical Nursing, 22(13/14), 1880-1889
Open this publication in new window or tab >>Certified nursing assistants' perception of pain in people with dementia: a hermeneutic enquiry in dementia care practice
2013 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 22, no 13/14, p. 1880-1889Article in journal (Refereed) Published
Abstract [en]

Aim.To interpret certified nursing assistants’ perception of pain in people with dementia in nursing care practice.

Background. Detection and understanding of pain in people with dementia remains a challenge due to their difficulty in verbalising their pain. Nursing assistants provide daily nursing care and therefore play a vital role in pain detection. Nevertheless, pain research from the nursing assistants’ perspective is sparse.

Design. A qualitative approach within the interpretive tradition was adopted.

Method. Individual interviews with twelve certified nursing assistants, all working in dementia care, were conducted and interpreted using philosophical hermeneutics.

Results. Nursing assistants’ perception of pain is on three levels. Each level consists of a theme. The first theme ‘Being in the facing phase’ refers to the initial perception of the person’s expressions. The second theme ‘Being in the reflecting phase’ means ability to reflect more deeply on one’s perception, together with other colleagues and next-of-kins. The third theme ‘Being in the acting phase’ means perception arising from preventive and protective care focusing on contributing to well-being.The themes served as a basis for comprehensive understanding, where perception of pain arise from closeness, compassion and dialogue based on personhood, accompanied by professional knowledge of pain and dementia.

Conclusion. Nursing assistants’ perception of pain is based on ethical concerns and on their own subjective pain experiences rather than on medical skills.Their perception derives from fundamental values which are important aspects of nursing care. Interdisciplinary solidarity may strengthen co-operation amongst CNAs and RNs in order to achieve best pain management practice.

Relevance to clinical practice. Attention to nursing assistants’ perception of pain needs to be highlighted when they are front line staff and have developed important pain detection skills. Their skills are essential complements and must be utilised in the development of pain management in dementia care practice.

 

Place, publisher, year, edition, pages
Uk: , 2013
Keywords
certified nursing assistants, dementia, interviews, nursing care, pain, philosophical hermeneutics
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-21429 (URN)10.1111/jocn.12197 (DOI)000320138300010 ()23745641 (PubMedID)
Available from: 2013-06-11 Created: 2013-06-11 Last updated: 2018-04-12Bibliographically approved
Nilsson, S., Hallqvist, C., Sidenvall, B. & Enskär, K. (2011). Children's experiences of procedural pain management in conjunction with trauma wound dressings. Journal of Advanced Nursing, 67(7), 1449-1457
Open this publication in new window or tab >>Children's experiences of procedural pain management in conjunction with trauma wound dressings
2011 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 67, no 7, p. 1449-1457Article in journal (Refereed) Published
Abstract [en]

Aim.  This paper is a report of the experiences of children (5–10 years) of procedural pain when they underwent a trauma wound care session.

Background.  Procedural pain in conjunction with trauma wound care often induces anxiety and distress in children. Children need to alleviate pain and avoid the development of fear in conjunction with examinations and treatments. The nurse could help children to reach this goal by using the comfort theory, which describes holistic nursing in four contexts: physical, psychospiritual, environmental and sociocultural. Few studies have focused on children’s experiences of comforting activities in conjunction with trauma wound dressings.

Methods.  This study was conducted between May 2008 and January 2010. Thirty-nine participants aged 5–10 were consecutively included in this study. The wound care session was standardized for all the participants, and semi-structured qualitative interviews with open-ended questions were conducted with all the children in conjunction with the procedure. All the interviews were transcribed verbatim and analysed with qualitative content analysis.

Findings.  Four themes were identified: clinical competence, distraction, participation and security. The children were helped to reach comforting activities to enhance pain management.

Conclusion.  Children require more than just analgesics in wound care. They also need to experience security and participation in this context. When children feel clinical competence in wound care, they trust the nurse to carry out the wound dressing and instead can focus on the distraction that increases their positive outcomes.

Keywords
children’s nursing, injuries and wounds, pain, sick children, wound dressing
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-13810 (URN)10.1111/j.1365-2648.2010.05590.x (DOI)
Available from: 2010-11-19 Created: 2010-11-19 Last updated: 2017-12-12Bibliographically approved
Wallin, A.-M., Sidenvall, B. & Ahlström, G. (2009). Conceptions of the encounter in diabetes care on the part of patients of Somalian origin and health-care professionals: a qualitative study.
Open this publication in new window or tab >>Conceptions of the encounter in diabetes care on the part of patients of Somalian origin and health-care professionals: a qualitative study
2009 (English)Article in journal (Refereed) Submitted
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-7903 (URN)
Available from: 2009-02-17 Created: 2009-02-17 Last updated: 2014-08-06
Andersson, I., Pettersson, E. & Sidenvall, B. (2009). Participation at care home admission. Vård i Norden, 29(91), 29-32
Open this publication in new window or tab >>Participation at care home admission
2009 (English)In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 29, no 91, p. 29-32Article in journal (Refereed) Published
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-9754 (URN)
Available from: 2009-08-06 Created: 2009-08-06 Last updated: 2017-12-13Bibliographically approved
Nilsson, S., Kokinsky, E., Nilsson, U., Sidenvall, B. & Enskär, K. (2009). School-aged children's experiences of postoperative music medicine on pain, distress, and anxiety.. Pediatric Anaesthesia, 19(12), 1184-1190
Open this publication in new window or tab >>School-aged children's experiences of postoperative music medicine on pain, distress, and anxiety.
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2009 (English)In: Pediatric Anaesthesia, ISSN 1155-5645, E-ISSN 1460-9592, Vol. 19, no 12, p. 1184-1190Article in journal (Refereed) Published
Abstract [en]

Aim: To test whether postoperative music listening reduces morphine consumption and influence pain, distress, and anxiety after day surgery and to describe the experience of postoperative music listening in school-aged children who had undergone day surgery. Background: Music medicine has been proposed to reduce distress, anxiety, and pain. There has been no other study that evaluates effects of music medicine (MusiCure((R))) in children after minor surgery. Methods: Numbers of participants who required analgesics, individual doses, objective pain scores (Face, Legs, Activity, Cry, Consolability [FLACC]), vital signs, and administration of anti-emetics were documented during postoperative recovery stay. Self-reported pain (Coloured Analogue Scale [CAS]), distress (Facial Affective Scale [FAS]), and anxiety (short State-Trait Anxiety Inventory [STAI]) were recorded before and after surgery. In conjunction with the completed intervention semi-structured qualitative interviews were conducted. Results: Data were recorded from 80 children aged 7-16. Forty participants were randomized to music medicine and another 40 participants to a control group. We found evidence that children in the music group received less morphine in the postoperative care unit, 1/40 compared to 9/40 in the control group. Children's individual FAS scores were reduced but no other significant differences between the two groups concerning FAS, CAS, FLACC, short STAI, and vital signs were shown. Children experienced the music as 'calming and relaxing.' Conclusions: Music medicine reduced the requirement of morphine and decreased the distress after minor surgery but did not else influence the postoperative care.

Keywords
children, music medicine, nursing, pain, postoperative
National Category
Nursing Other Social Sciences not elsewhere specified
Identifiers
urn:nbn:se:hj:diva-10963 (URN)10.1111/j.1460-9592.2009.03180.x (DOI)19863741 (PubMedID)
Available from: 2009-12-02 Created: 2009-12-02 Last updated: 2017-12-12Bibliographically approved
Johansson, L., Sidenvall, B., Malmberg, B. & Christensson, L. (2009). Who will become malnourished?: A prospective study of factors associated with malnutrition in older persons living at home. The Journal of Nutrition, Health & Aging, 13(10), 855-861
Open this publication in new window or tab >>Who will become malnourished?: A prospective study of factors associated with malnutrition in older persons living at home
2009 (English)In: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 13, no 10, p. 855-861Article in journal (Refereed) Published
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-9752 (URN)10.1007/s12603-009-0242-3 (DOI)
Available from: 2009-08-06 Created: 2009-08-06 Last updated: 2017-12-13Bibliographically approved
Kullberg, K., Åberg, A.-C., Björklund, A., Ekblad, J. & Sidenvall, B. (2008). Daily eating events among co-living and single-living diseased older men. The Journal of Nutrition, Health & Aging, 12(3), 176-182
Open this publication in new window or tab >>Daily eating events among co-living and single-living diseased older men
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2008 (English)In: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 12, no 3, p. 176-182Article in journal (Refereed) Published
Abstract [en]

Objectives: To analyse, describe and compare the frequency and energy intake of eating events, including specific food items, among diseased older men living in ordinary housing. Design: Descriptive and explorative. Setting: Interviews were performed in the participants’ home. Participants: Thirty-five co-living and 26 single-living men, 64-88 years of age. Participants had one of three chronic diseases associated with difficulties in buying and preparing food and with difficulties related to the meal situation: Parkinson’s disease, rheumatoid arthritis or stroke. Measurements: A repeated 24-h recall was used to assess food intake and meal patterns. Results: Eating events were distributed over a 24-h period. Co-living men had a higher (p=0.001) number of eating events/day; both hot and cold eating events were consumed more frequently. There was no difference between groups concerning energy intake. Co-living men had more often hot eating events cooked from raw ingredients (p=0.001) and more various vegetables/roots (p=0.003) included in such eating events. Conclusion: Single-living men may constitute a vulnerable group from a nutritional perspective, while co-living men, besides the pleasure of eating together, seem to get support with food and eating events from their partners. Hence, the group of single-living men, particularly those with a disability, should receive particular attention with regard to possible food-related difficulties.

Keywords
Eating events, disease, food item, older men, 24-h recall.
National Category
Occupational Therapy Nursing Other Social Sciences not elsewhere specified
Identifiers
urn:nbn:se:hj:diva-6201 (URN)18309437 (PubMedID)
Available from: 2008-12-13 Created: 2008-12-13 Last updated: 2017-12-12Bibliographically approved
Kozlowska, K., Szczeci Ska, A., Roszkowski, W., Brzozowska, A., Alfonso, C., Fjellstrom, C., . . . Lumbers, M. (2008). Patterns of healthy lifestyle and positive health attitudes in older europeans. The Journal of Nutrition, Health & Aging, 12(10), 728-733
Open this publication in new window or tab >>Patterns of healthy lifestyle and positive health attitudes in older europeans
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2008 (English)In: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 12, no 10, p. 728-733Article in journal (Refereed) Published
Abstract [en]

Objectives: To determine (i) the extent to which recommended lifestyle healthy behaviors are adopted and the existence of positive attitudes to health; (ii) the relative influence of socio-demographic variables on multiple healthy lifestyle behaviors and positive attitudes to health; (iii) the association between healthy lifestyle behaviors and positive attitudes to health. Design: two distinct healthy behavioral measures were developed: (i) healthy lifestyles based on physical activity, no cigarette smoking, no/moderate alcohol drinking, maintaining a "healthy" weight and having no sleeping problems and (ii) positive health attitudes based on having positive emotional attitudes, such as: self-perceived good health status, being calm, peaceful and happy for most of the time, not expecting health to get worse and regular health check-ups. A composite healthy lifestyle index, ranging from 0 (none of behaviors met) to 5 (all behaviors met) was calculated by summing up the individual's scores for the five healthy lifestyle items. Afterwards, each individual's index was collapsed into three levels: 0-2 equivalent to 'level 1' (subjectively regarded as 'too low'), a score of 3 equivalent to 'level 2' ('fair') and 4-5 as 'level 3' satisfactory 'healthy lifestyle' practices. The same procedure was applied to the positive health attitudes index. Multinomial logistic regression analyses by a forward selection procedure were used to calculate the adjusted odds ratio (OR) with 95% confidence interval (95% CI). Participants: a multi-national sample consisting of 638 older Europeans from 8 countries, aged 65-74 and 75+, living alone or with others. Results and conclusions: maintaining a "healthy" weight was the most frequently cited factor in the healthy lifestyles index and therefore assumed to be the most important to the older Europeans in the study; positive attitudes to health were relatively low; participants achieved a 'satisfactory' level for healthy lifestyles index (level 3) more frequently than a satisfactory level for positive attitudes to health; having a satisfactory 'healthy lifestyle' was directly related to having a satisfactory level of positive attitudes to health based on the positive health attitudes index; income and geographical location in Europe appeared to be key predictors for meeting both the recommended healthy lifestyle factors in the index and having positive health attitudes however, the composition and nature of the study sample should be taken into consideration when considering the impact of the location on healthy lifestyles and attitudes to health across Europe.

Identifiers
urn:nbn:se:hj:diva-7084 (URN)19043648 (PubMedID)
Available from: 2008-12-10 Created: 2008-12-10 Last updated: 2017-12-14Bibliographically approved
Andersson, I., Pettersson, E. & Sidenvall, B. (2007). Daily life after moving into a care home: experiences of older people, relatives and contact persons.. Journal of Clinical Nursing, 16(9), 1712-1718
Open this publication in new window or tab >>Daily life after moving into a care home: experiences of older people, relatives and contact persons.
2007 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 16, no 9, p. 1712-1718Article in journal (Refereed) Published
Abstract [en]

Background: When older persons move into a care home, the whole family often play an important part. Thus, it is interesting to study how newly admitted older people, their relatives and staff members experience daily life in a modern care home. Aims and objectives: To describe older people’s experiences of daily life at the care home after admittance with respect to their perceptions of participation in the decision to move. Furthermore, the aim was to study the experiences of their relatives and contact persons with respect to the daily life of the same residents. Methods: Qualitative design. The participants comprised a purposive sample of thirteen residents, recently admitted to a care home, 69-90 years old, both single living and married, both moving from their own homes and from different institutions. Interviews were carried out with the older people (n=13), their relatives (n=10) and contact persons (n=11). Results: The majority of the residents reported satisfaction with care home living. The relatives were also satisfied, secure and appreciated the privacy and homely atmosphere of the flat. The disadvantage of one-room flats was that the residents might have felt lonely. The relatives felt that the residents were bored, but few residents desired more activities, even if some of them longed for people to socialize with. For many older people, perhaps talking is the most important ‘activity’ at care homes. Concerning self-determination, some residents did not find it satisfactory. Relevance to Clinical Practice: Staff members must pay attention to residents’ need to talk with people. For many older people, talking is perhaps the most important ”activity” at care homes. Nurses must safeguard residents’ self-determination. When residents are in control of their lives, they may become satisfied with time

National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-3731 (URN)- (PubMedID)
Available from: 2008-07-08 Created: 2008-07-08 Last updated: 2017-12-12Bibliographically approved
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