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  • 1.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Huus, Karina
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Björk, Maria
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. School of Life Science, University of Skövde, Skövde, Sweden.
    Granlund, Mats
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Högskolan för lärande och kommunikation, HLK, CHILD.
    Darcy, Laura
    Institution of Health Science, University College of Borås, Borås, Sweden.
    Knutsson, Susanne
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Institution of Health Science, University College of Borås, Borås, Sweden.
    An analytic review of clinical implications from nursing and psychosocial research within Swedish pediatric oncology2015Inngår i: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 30, nr 4, s. 550-559Artikkel i tidsskrift (Fagfellevurdert)
  • 2.
    Karlsson, Katarina
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Faculty of Caring Sciences, Work Life and Social Welfare, University of Borås, Borås, Sweden .
    Dalheim Englund, Ann-Charlotte
    Faculty of Caring Sciences, Work Life and Social Welfare, University of Borås, Borås, Sweden .
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Nyström, Maria
    Faculty of Caring Sciences, Work Life and Social Welfare, University of Borås, Borås, Sweden .
    Rydström, Ingela
    Faculty of Caring Sciences, Work Life and Social Welfare, University of Borås, Borås, Sweden .
    Experiencing support during needle-related medical procedures: a hermeneutic study with young children (3–7 years)2016Inngår i: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 31, nr 6, s. 667-677Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background Needle-related medical procedures (NRMPs) are something that all young children need to undergo at some point. These procedures may involve feelings of fear, pain and anxiety, which can cause problems later in life either when seeking healthcare in general or when seeking care specifically involving needles. More knowledge is needed about supporting children during these procedures.

    Aim: This study aims to explain and understand the meaning of the research phenomenon: support duringNRMPs. The lived experiences of the phenomenon are interpreted from the perspective of younger children.

    Method: The analysis uses a lifeworld hermeneutic approach based on participant observations and interviews with children between 3 and 7 years of age who have experienced NRMPs.

    Results: The research phenomenon, support for younger children during NRMPs, is understood through the following themes: being the centre of attention, getting help with distractions, being pampered, becoming involved, entrusting oneself to the safety of adults and being rewarded. A comprehensive understanding is presented wherein younger children experience support from adults during NRMPs in order to establish resources and/or strengthen existing resources.

    Conclusions: The manner in which the child will be guided through the procedure is developed based on the child's reactions. This approach demonstrates that children are actively participating during NRMPs. Supporting younger children during NRMPs consists of guiding them through a shared situation that is mutually beneficial to the child, the parent and the nurse. Play during NRMP is an important tool that enables the support to be perceived as positive.

  • 3.
    Karlsson, Katarina
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Rydström, Ingela
    University of Borås, Sweden.
    Nyström, Maria
    University of Borås, Sweden.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Dalheim Englund, Ann-Charlotte
    University of Borås, Sweden.
    Consequences of needle-related medical procedures: A hermeneutic study with young children (3–7 years)2016Inngår i: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 31, nr 2, s. e109-e118Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    Needle-related medical procedures (NRMPs) are often frightening and cause children anxiety and pain. Only a few studies have examined the perspectives of younger children. More knowledge is needed about younger children's experiences in caring situations such as NRMPs.

    Aim

    The aim of this study was to explain and understand the consequences related to NRMPs from younger children's perspectives.

    Methods

    Participant observations and interviews with younger children who had experienced NRMPs were analysed using a lifeworld hermeneutic approach.

    Results

    Experiencing fear is central for younger children during an NRMP and interpretation of its consequences formed the basis for the following themes: seeking security, realizing the adult's power, struggling for control, feeling ashamed, and surrendering. A comprehensive understanding is presented wherein younger children's experiences of NRMPs vary across time and space related to weakening and strengthening their feelings of fear.

    Conclusions

    Awareness is needed that adults' power becomes more obvious for children during an NRMP. Children's surrender does not necessarily imply acceptance of the procedure. Providing children with opportunities to control elements of the procedure creates a foundation for active participation, and vice versa.

  • 4.
    Nilsson, Stefan
    et al.
    School of Health Sciences, Borås University, Borås, Sweden.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Hallqvist, Carina
    Department of Information Technology and Media, Mid Sweden University, Sundsvall, Sweden.
    Kokinsky, Eva
    Department of Paediatric Anaesthesia and Intensive Care Unit, the Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Active and Passive Distraction in Children Undergoing Wound Dressings2013Inngår i: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 28, nr 2, s. 158-166Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to test how distraction influences pain, distress and anxiety in children during wound care. Sixty participants aged 5-12years were randomized to three groups: serious gaming, the use of lollipops and a control group. Self-reported pain, distress, anxiety and observed pain behaviour were recorded in conjunction with wound care. Serious gaming, an active distraction, reduced the observed pain behaviour and self-reported distress compared with the other groups. A sense of control and engagement in the distraction, together, may be the explanation for the different pain behaviours when children use serious gaming.

  • 5.
    Olsson, Cecilia
    et al.
    Karlstad University, Department of Health Sciences, Karlstad, Sweden.
    Björk, Maria
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Ringnér, Anders
    Umeå University, Department of Nursing, Umeå, Sweden.
    The Pediatric Inventory for Parents - Swedish Translation and Psychometric Testing.2018Inngår i: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 42, s. E97-E102Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The Pediatric Inventory for Parents (PIP) measures parental stress related to caring for a child with an illness. However, no Swedish translation is available.

    PURPOSE: This study reports a Swedish translation of the PIP and psychometric properties of the instrument.

    DESIGN AND METHODS: This is a descriptive/methodological paper. The PIP was translated and culturally adapted to Swedish, and comprehensibility was tested. Data were collected twice from 48 parents of children with different illnesses, and initial psychometric properties of the instrument were examined. The IES-R (Impact of Event Scale-Revised) was used for concurrent validity.

    RESULTS: The Swedish version of the PIP demonstrated good correlations with the IES-R, and temporal changes were similar. Endorsement frequencies and test-retest were also satisfactory. When comparing groups of parents, the parents of children with cancer were statistically significantly more distressed, both on total score and for emotional distress and role function. Discriminative validity was demonstrated by comparing parents of children with cancer with parents of children with other diseases.

    CONCLUSIONS: The Swedish version of the PIP seems to be a valid and reliable instrument. However, as we used relatively small sample, for the future, we suggest further testing with larger samples.

    PRACTICE IMPLICATIONS: Clinicians and researchers seeking to measure parental distress in chronic illness could use the Swedish version of the PIP.

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