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  • 1.
    Abelsson, Anna
    et al.
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Rystedt, Ingrid
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Suserud, Björn-Ove
    Högskolan i Borås.
    Lindwall, Lillemor
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Learning by simulation in prehospital emergency care: an integrative literature review2016In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 30, no 2, p. 234-240Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Acquiring knowledge and experience on high-energy trauma is often difficult due to infrequent exposure. This creates a need for training which is specifically tailored for complex prehospital conditions. Simulation provides an opportunity for ambulance nurses to focus on the actual problems in clinical practice and to develop knowledge regarding trauma care. The aim of this study was to describe what ambulance nurses and paramedics in prehospital emergency care perceive as important for learning when participating in simulation exercises.

    METHODS: An integrative literature review was carried out. Criteria for inclusion were primary qualitative and quantitative studies, where research participants were ambulance nurses or paramedics, working within prehospital care settings, and where the research interventions involved simulation.

    RESULTS: It was perceived important for the ambulance nurses' learning that scenarios were advanced and possible to simulate repeatedly. The repetitions contributed to increase the level of experience, which in turn improved the patients care. Moreover, realism in the simulation and being able to interact and communicate with the patient were perceived as important aspects, as was debriefing, which enabled the enhancement of knowledge and skills. The result is presented in the following categories: To gain experience, To gain practice and To be strengthened by others.

    CONCLUSION: Learning through simulation does not require years of exposure to accident scenes. The simulated learning is enhanced by realistic, stressful scenarios where ambulance nurses interact with the patients. In this study, being able to communicate with the patient was highlighted as a positive contribution to learning. However, this has seldom been mentioned in a previous research on simulation. Debriefing is important for learning as it enables scrutiny of one's actions and thereby the possibility to improve and adjust one's caring. The effect of simulation exercises is important on patient outcome.

  • 2.
    Ahlström, Gerd
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Wenneberg, Stig
    Coping with illness-related problems in persons with progressive muscular diseases: the Swedish version of the Ways of Coping Questionnaire.2002In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 16, no 4, p. 368-375Article in journal (Refereed)
    Abstract [en]

    One of the most widely used self-assessment inventories of coping is the Ways of Coping Questionnaire. The aims of the study were to describe coping with illness-related problems in persons with muscular diseases and to investigate the influence of demographic variables. Also, the reliability of the Swedish version of the Ways of Coping Questionnaire was to be evaluated. Forty-four persons with muscular dystrophy and 32 persons with postpolio syndrome, along with a comparison group of 214 students, completed the questionnaire. The findings of this study show that there are some different coping patterns in students as compared with persons with chronic disease. The coping strategy Distancing was used more and the strategy Accepting Responsibility used less frequently in the chronic disease groups and may be an expression of the inevitable physical limitations caused by the progressiveness of muscular dystrophy and postpolio syndrome. Furthermore, persons with muscular dystrophy also used less problem-focused coping in the form of Confrontive Coping and Planful Problem Solving when compared with the postpolio and student groups. In addition, women in the three groups employed the strategy of Seeking Social Support more often than did men. Regarding the psychometric properties of the Swedish version of the Ways of Coping Questionnaire, internal consistency was acceptable for the total score, but lower and not acceptable for several of the subscales. In the student group, but not in the chronic disease groups, there were low correlations between subscales, which indicate discriminative ability. More research is necessary to further investigate the reliability and validity of the Swedish version of the Ways of Coping Questionnaire before this instrument can be used routinely to assess coping patterns in patients with chronic disease.

  • 3.
    Andersson, Bodil T.
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science.
    Fridlund, Bengt
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Elgán, C
    Axelsson, ÅB
    Radiographers' areas of professional competence related to good nursing care2008In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 22, no 3, p. 401-409Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Radiographers' ability and competence is a matter of vital importance for patients. Nursing care is an integral part of the radiographer's work. The demand for high competence in clinical activities has increased in diagnostic radiology and has had an impact on the development of the profession.

    AIM: The aim was to describe the radiographer's areas of professional competence in relation to good nursing care based on critical incidents that occur in the course of radiological examinations and interventions.

    METHOD: A descriptive design with a qualitative approach, using the Critical Incident Technique was employed. Interviews were conducted with a strategic sample of registered radiographers (n = 14), based at different hospitals in Sweden.

    ETHICAL ISSUES: The appropriate ethical principles were followed. All the participants provided informed consent, and formal approval for conducting the research was obtained according to national and local directives.

    RESULTS: The data analysis resulted in two main areas; direct and indirect patient-related areas of competence, which describe the radiographers' skills that either facilitate or hinder good nursing care. In the direct patient-related area of competence, four categories emerged, which illustrate good nursing care in the patient's immediate surroundings. In the indirect patient-related area of competence, four categories illuminated good nursing care that is provided without direct contact with the patient.

    CONCLUSIONS: The study highlights the different areas of the radiographer's unique professional competence. The findings provide insight into the radiographer's profession, on one hand as a carer and on the other as a medical technologist as well as highlighting the importance of each role. The radiographer's work encompasses a variety of components--from caring for the patient to handling and checking the technical equipment.

  • 4.
    Bellner, Anna-Lena
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Senses of Responsibility: A Challenge for Occupational and Physical Therapists in the Context of Ongoing Professionalization1999In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 13, no 1, p. 55-62Article in journal (Refereed)
  • 5. Bergh, I.
    et al.
    Gunnarsson, M.
    Allwood, Jens
    Department of Linguistics, Göteborg University, Göteborg, Sweden.
    Odén, A.
    Sjöström, B.
    Steen, B.
    Descriptions of pain in elderly patients following orthopaedic surgery2005In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 19, no 2, p. 110-118Article in journal (Refereed)
    Abstract [en]

    The aims of this study were to investigate what words elderly patients, who had undergone hip surgery, used to describe their experience of pain in spoken language and to compare these words with those used in the Short-Form McGill Pain Questionnaire (SF-MPQ) and Pain-O-Meter (POM). The study was carried out at two orthopaedic and two geriatric clinical departments at a large university hospital in Sweden. Altogether, 60 patients (mean age = 77) who had undergone orthopaedic surgery took part in the study. A face-to-face interview was conducted with each patient on the second day after the operation. This was divided into two parts, one tape-recorded and semi-structured in character and one structured interview. The results show that a majority of the elderly patients who participated in this study verbally stated pain and spontaneously used a majority of the words found in the SF-MPQ and in the POM. The patients also used a number of additional words not found in the SF-MPQ or the POM. Among those patients who did not use any of the words in the SF-MPQ and the POM, the use of the three additional words ’stel’ (stiff), ’hemsk’ (awful) and ’räd(d)(sla)’ (afraid/fear) were especially marked. The patients also combined the words with a negation to describe what pain was not. To achieve a more balanced and nuanced description of the patient’s pain and to make it easier for the patients to talk about their pain, there is a need for access to a set of predefined words that describe pain from a more multidimensional perspective than just intensity. If the elderly patient is allowed, and finds it necessary, to use his/her own words to describe what pain is but also to describe what pain is not, by combining the words with a negation, then the risk of the patient being forced to choose words that do not fully correspond to their pain can be reduced. If so, pain scales such as the SF-MPQ and the POM can create a communicative bridge between the elderly patient and health care professionals in the pain evaluation process. ©2005 Nordic College of Caring Sciences.

  • 6.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. AFR. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Focus on Occupational Therapists' Paradigms1999In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 13, no 3, p. 165-170Article in journal (Refereed)
    Abstract [en]

    The present study has an explorative design with its starting point in Törnebohm´s theory of paradigms. The primary aim of the study was to identify and characterize seven experienced occupational therapists´ perceptions of their profession, especially regarding world view and field of action view. The secondary aim was to find out if there were similarities among the respondents´ personal paradigms that could constitute a potential, local ideology for the group. Qualitative data were collected using audio- and video-taped, thematic discussions which involved focus groups on three occasions during the autumn of 1996. Within the two paradigm components world view and field of action view the data were analysed qualitatively. The results show several unifying factors and dissimilarities were limited to specifications within the unifying factors, with regard to the respondents´ notions. The unifying factors could be described as a potential, local ideology for the group.

  • 7.
    Broström, Anders
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT. Department of Clinical Neurophysiology, University Hospital, Linköping, Sweden.
    Wahlin, Åke
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology.
    Alehagen, Urban
    Department of Cardiology and Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Ulander, Martin
    Department of Clinical Neurophysiology, University Hospital, Linköping, Sweden.
    Johansson, Peter
    Department of Cardiology and Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Sex-specific associations between self-reported sleep duration, depression, anxiety, fatigue and daytime sleepiness in an older community-dwelling population2018In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, no 1, p. 290-298Article in journal (Refereed)
    Abstract [en]

    Purpose: The purpose of this study was to explore whether associations between self-reported sleep duration, depressive symptoms, anxiety, fatigue and daytime sleepiness differed in older community-dwelling men and women. Design: Cross-sectional.

    Methods: A community-dwelling sample of 675 older men and women (mean age 77.7 years, SD 3.8 years) was used. All participants underwent a clinical examination by a cardiologist. Validated questionnaires were used to investigate sleep duration, depressive symptoms, anxiety, fatigue and daytime sleepiness. Subjects were divided into short sleepers (≤6 hours), n = 231; normal sleepers (7-8 hours), n = 338; and long sleepers (≥9 hours), n = 61. ancovas were used to explore sex-specific effects.

    Results: Depressive symptoms were associated with short sleep in men, but not in women. Fatigue was associated with both short and long sleep duration in men. No sex-specific associations of sleep duration with daytime sleepiness or anxiety were found.

    Conclusion: Nurses investigating sleep duration and its correlates, or effects, in clinical practice need to take sex into account, as some associations may be sex specific. Depressive symptoms and fatigue can be used as indicators to identify older men with sleep complaints.

  • 8. Carlsson, M
    et al.
    Berg, Stig
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Wenestam, C-G
    The oldest old: Patterns of adjustment and dependence1991In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 5, no 2, p. 93-100Article in journal (Refereed)
  • 9.
    Carlsson, Margareta
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Berg, Stig
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Wenestam, C-G
    The oldest old: Patterns of adjustment and life experiences1991In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 5, no 4, p. 203-210Article in journal (Refereed)
  • 10.
    Christensson, Lennart
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Unosson, Mitra
    Bachrach-Lindström, Margareta
    Ek, Anna-Christina
    Attitudes of nursing staff towards nutritional nursing care2003In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 17, no 3, p. 223-231Article in journal (Refereed)
  • 11.
    Dahlviken, Rønnaug M.
    et al.
    Institute of Nursing, Bergen University College, Bergen, Norway.
    Fridlund, Bengt
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Mathisen, Lars
    Lovisenberg Diaconal University College, Oslo, Norway.
    Women's experiences of Takosubo cardiomyopathy in a short-term perspective: A qualitative content analysis2015In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 29, no 2, p. 258-267Article in journal (Refereed)
    Abstract [en]

    Background

    Takotsubo cardiomyopathy is a reversible condition mimicking acute myocardial infarction. The phenomenon is associated with emotional and physical stressful trigger events. Evidence-based patient counselling should be based on disease-specific knowledge of patient experiences.

    Aim

    The aim of the study was to describe women's experiences of Takotsubo cardiomyopathy in a short-term perspective.

    Design

    The study design was explorative and descriptive.

    Method

    Semi-structured interviews were conducted with 14 women diagnosed with Takotsubo cardiomyopathy, 1 day to 9 months after hospitalisation. The transcriptions underwent qualitative content analysis.

    Findings

    The main theme that emerged was Takotsubo cardiomyopathy as a continuous process of making sense and adapting. To begin with, understanding and coping with signs and symptoms were described as having a diversity of signs and symptoms, taking actions towards signs and symptoms, receiving treatment for suspected ST/non ST-elevation myocardial infarction diagnosis and finally being diagnosed with Takotsubo cardiomyopathy. Understanding the context of illness was expressed as getting treated for Takotsubo cardiomyopathy diagnosis and having previous stressful conditions of life. The changing perspective that emanated was a combination of having prospects and expectations and experiencing limitations. Finally, managing to live with Takotsubo cardiomyopathy was manifested as returning home with the illness and receiving follow-up health care.

    Conclusion

    Information on regaining prior health status and capacity within a short-term perspective may not be accurate. These women struggle and require education and counselling from healthcare professionals to comprehend and manage having a Takotsubo cardiomyopathy diagnosis. Women experiencing Takotsubo cardiomyopathy may be a target group for holistic and individual health care with a longer duration of follow-up.

  • 12.
    Edbom, T
    et al.
    Karolinska Institutet, Department of Women's and Children's Health.
    Malmberg, K
    Karolinska Institutet, Department of Women's and Children's Health.
    Lichtenstein, P
    Karolinska Institutet, Department of Medical Epidemiology and Biostatistics.
    Granlund, Mats
    Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Education and Communication, HLK, CHILD.
    Larsson, J-O
    Karolinska Institutet, Department of Women's and Children's Health.
    High sense of coherence in adolescence is a protective factor in the longitudinal development of ADHD symptoms2010In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 24, no 3, p. 541-547Article in journal (Refereed)
    Abstract [en]

    The key feature of salutogenesis is that good health can be directly sustained by positive factors. The Sense of Coherence (SOC) scale was developed by Antonovsky as a measure related to the concept of salutogenesis including aspects of comprehensibility, manageability and meaningfulness.

    Aim:  The aim was to investigate whether Sense of Coherence can serve as a salutogenetic factor modifying the long-term development of Attention Deficit Hyperactivity Disorder (ADHD) Symptoms.

    Subjects and methods:  Twin study of Child and Adolescent Development (TCHAD) is a longitudinal study of all twin pairs born in Sweden between May 1985 and December 1986. The present project is a sub-sample of 312 individuals (135 boys and 177 girls). At 16 years of age, the young persons and their parents were interviewed with K-SADS especially symptoms of ADHD. The young person also completed the SOC questionnaire. At 21 years of age, the young person completed a questionnaire about symptoms of ADHD.

    Findings:  Higher (worse) ADHD scores at 16 years of age were associated with higher (worse) ADHD scores at 21 years of age. However, this relationship was stronger for lower (worse) SOC. A higher (better) SOC at 16 years was associated with lower (better) ADHD at 21 years and this relationship was stronger for higher (worse) ADHD at 16 years.

    Conclusion:  A high Sense of Coherence in adolescence was a protective factor for the long-term development of ADHD.

  • 13. Elgán, C
    et al.
    Axelsson, A
    Fridlund, Bengt
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Being in charge of life: perceptions of lifestyle among women of retirement age2009In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 23, no 4, p. 730-735Article in journal (Refereed)
  • 14. Elgán, C
    et al.
    Dykes, AK
    Samsioe, G
    Fridlund, Bengt
    Lunds universitet.
    Young women's lifestyle behaviours and their bone mineral density changes: a grounded theory analysis2005In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 19, no 1, p. 39-45Article in journal (Refereed)
  • 15. Elmqvist, Carina
    et al.
    Brunt, David
    Fridlund, Bengt
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Ekebergh, Margaretha
    Being first on the scene of an accident: experiences of 'doing' prehospital emergency care2010In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 24, no 2, p. 266-273Article in journal (Refereed)
  • 16. Forsberg, Anette
    et al.
    Ahlström, Gerd
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Holmqvist, Lotta Widén
    Falling ill with Guillain-Barré syndrome: patients' experiences during the initial phase.2008In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 22, no 2, p. 220-226Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: Research describing the personal experiences of Guillain-Barré syndrome (GBS) is limited, but is important for identifying the patients' need of support. The aim of this study was to describe experiences of falling ill with GBS, with the focus on the onset of disease, the diagnosis and the illness progress during hospital care. METHODS: The study included 35 persons, 20-78 years old. They were interviewed 2 years after the onset of GBS. The interviews were analysed using qualitative content analysis. RESULTS: The onset was described as either an incomprehensible, prolonged, increasing deterioration with puzzling sensations or as a frightening, rapid onset with a sudden loss of body control. The majority of the persons relied heavily on the reassurance of a positive prognosis, and expressed immense confidence in being able to recover. During the early phase at the hospital, a rapid and steady course of improvement inspired hope in many persons. In contrast, even in this early phase of hospital care some individuals expressed doubts of a slow recovery. Feelings of fear and insecurity were evident when losing body functions, thus causing helplessness. Sensations of pain, numbness and lost body image increased their vulnerability. Half of the ventilator-treated persons expressed vivid memories of scary hallucinations. CONCLUSION: The onset is characterized by an incomprehensible bodily deterioration or a frightening, rapid paralysis. In the initial phase, there is hope for recovery, which for many individuals is reinforced by a steady recovery. In contrast, early psychosocial support may be necessary for some persons with an alarmingly slow recovery.

  • 17.
    Fridlund, Bengt
    Högskolan i Halmstad.
    The case study as a research strategy1997In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 11, no 1, p. 3-4Article in journal (Refereed)
  • 18.
    Fridlund, Bengt
    et al.
    Högskolan i Halmstad.
    Falk, B
    Ladeborn, B
    Landin, K
    Larsson, PA
    The effect of a caring rehabilitation programme on diet habits, blood lipids and body weight after myocardial infarction1988In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 2, p. 185-186Article in journal (Refereed)
  • 19.
    Fridlund, Bengt
    et al.
    Högskolan i Halmstad.
    Högstedt, B
    Lidell, E
    Larsson, PA
    Recovery after myocardial infarction: effects of a caring rehabilitation programme1991In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 5, no 1, p. 23-32Article in journal (Refereed)
  • 20.
    Fridlund, Bengt
    et al.
    Högskolan i Halmstad.
    Lidell, E
    Larsson, PA
    A caring perspective on rehabilitation after myocardial infarction: a theoretical framework and a suggestion for a rehabilitation programme1989In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 3, no 3, p. 129-135Article in journal (Refereed)
  • 21.
    Gabrielsson-Järhult, Felicia
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Nilsen, Per
    Division of Community Medicine, Department of Medical Health Sciences, Linköping University.
    On the threshold: older people's concerns about needs after discharge from hospital2016In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 30, no 1, p. 135-144Article in journal (Refereed)
    Abstract [en]

    Discharge from hospital is often strenuous for older people and requires adjustments from living an independent life to being in need of care and support. This study aims to explore older people’s concerns about their needs after discharge. Twenty-seven observations recorded at hospital discharge planning meetings were analysed with content analysis. An overarching theme emerged: being in a life transition, which reflected the older person’s vulnerable and ambiguous situation in the discharge process. The theme was developed from three categories: obtaining a secure life situation, need of continuous care and support, and influencing and regaining independence. The findings highlight that older patients want to influence their care after discharge. They strive to regain independence and express their concerns about how to obtain a secure life situation through care organized to fit their individual needs. Knowledge about older people’s concerns is important for health care providers and social workers involved in planning and individualized care and services.

  • 22. Gavois, H
    et al.
    Paulsson, G
    Fridlund, Bengt
    Högskolan i Halmstad.
    Mental health professional support in families with a member suffering from severe mental illness: a grounded theory model2006In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 20, no 1, p. 102-109Article in journal (Refereed)
  • 23.
    Golsäter, Marie
    et al.
    Jönköping University, School of Health and Welfare, HHJ. CHILD.
    Enskär, Karin
    Jönköping University, School of Health and Welfare, HHJ. CHILD.
    Harder, Maria
    School of Health Care and Social Welfare, Mälardalen University, Västerås, Sweden.
    Nurses' encounters with children in child and school health care: negotiated guidance within a given frame2014In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 28, no 3, p. 591-599Article in journal (Refereed)
    Abstract [en]

    Background: Throughout childhood, children take part in health visits according to a health-monitoring programme. The visits are aimed to promote the children's development and health and to strengthen them to take own responsibility for their health. Nurses' actions when encountering children at these visits are not explored to any great extent. Exploring nurses' actions can facilitate their reflections on their actions towards children and thereby promote children's involvement in such visits.

    Aim: The aim of this study was to explore nurses' actions when encountering children at health visits.

    Method: A qualitative explorative design, based on 30 video recordings of health visits in child and school health care, was used in this study. These visits were ordinary real-life health visits. The data were subjected to qualitative content analysis. The right to conduct video recordings during health visits was approved by appropriate research ethics committees.

    Results: The findings show that nurses, in order to carry out the health visits, encounter children through negotiated guidance. This guidance is understood as the process through which the nurses reach agreement with the children, and is comprised of directed and pliable strategies. At one moment, the nurse can use a directed strategy to inform the child and at the next moment a pliable strategy to provide the child space within the given frame, the health-monitoring programme. By using these strategies intertwined, the nurse can provide the child space within the given frame and, at the same time, fulfil his/her responsibility to promote children's health and development.

    Conclusion: The results highlight nurses' challenging and complex assignment of guiding children to promote their engagement in the health visits, thereby enabling the nurses to promote the children's health and development according to the national health-monitoring programme.

  • 24.
    Gunnarsson, Nina Veetnisha
    et al.
    Karolinska Institutet.
    Marklund, Birgitta
    Karolinska Institutet.
    Ahlstedt, Staffan
    Karolinska Institutet.
    Borell, Lena
    Karolinska Institutet.
    Nordström, Gun
    Karolinska Institutet.
    Allergy-like conditions and health-care contacts among children with exclusion diets at school.2005In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 19, no 1, p. 46-52Article in journal (Refereed)
    Abstract [en]

    Aim:  To find out whether children with exclusion diet at school had allergy-like conditions that could explain their food avoidance, the objective of this study was to describe health-care contacts and diagnostic testing among schoolchildren with exclusion diet and compare the magnitude of allergy-like conditions between those children who had vs. had not consulted health-care professionals. Telephone interviews were conducted with the parents of 230 schoolchildren, aged 6–18 years, with certificates for exclusion diets at school.

    Results:  The majority of the schoolchildren (85%) had consulted health-care professionals for food-related problems, and 68% were doctor-diagnosed as having food hypersensitivity. Those who had consulted health-care professionals specifically for their food-related problems had more complex and severe problems compared with those who had not consulted health-care professionals. Breathing difficulties (27/196) and anaphylaxis (9/196) related to intake of food were reported only for those who had sought health-care professionals (n = 196). Regardless of whether the children had consulted the health-care professionals, their food-related problems were consistent with food hypersensitivity. Schoolchildren avoided food items known to be associated with food hypersensitivity such as tree nuts, fruit, egg, peanut, lactose and fish. Furthermore, 83% of the 230 children also had allergic diseases (i.e. asthma, eczema or hay fever) or were hypersensitive to other substances besides food, and 83% had at least one sibling or parent with hypersensitivity to foods or other substances.

    Conclusions and implications for the school nurse:  Schoolchildren with food certificates for exclusion diets, based on parents’ statements, have food-related and allergy-like problems that may well motivate exclusion diets at school. The school nurses can rely on the parents’ information as to what foods their children should avoid, even when doctor diagnoses have not been made or health-care consultations have not been carried out.

  • 25.
    Hansson, Karin S.
    et al.
    Department of Anaesthesiology and Intensive Care, Växjö Central Hospital.
    Fridlund, Bengt
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Brunt, David
    School of Health Sciences and Social Work, Växjö University.
    Hansson, Bo
    School of Social Sciences, Växjö University.
    Rask, Mikael
    School of Health Sciences and Social Work, Växjö University.
    The meaning of the experiences of persons with chronic pain in their encounters with the health service2011In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 25, no 3, p. 444-450Article in journal (Refereed)
    Abstract [en]

    The meaning of the experiences of persons with chronic pain in their encounters with the health service Chronic pain causes great suffering for those affected and treating it is one of the most common assignments in the health service. The aim of the study was to investigate the meaning of the experiences of persons with chronic pain in their encounters with health service staff. The study had a descriptive design with a phenomenological approach based on the perspective of caring science. Interviews were carried out with eight patients. The study showed that patients experienced a positive approach and that the staff had understood the serious nature of the situation. A positive approach can communicate hope and help to strengthen the patient. It is important to ask the patient about how he/she experiences his/her situation and thus gain an insight into this person's lifeworld. Participation entailed being active oneself and calling attention to one's needs and wishes for treatment. The study also showed that a negative approach by the staff played a prominent part in their experiences and appeared to be engraved in their memories. A negative approach is felt as being insulting and belittling. Patients with chronic pain felt that they were discredited and that their experience of their situation was called into question. They had to fight to get care and had to suggest treatments and examinations. There were also patients who had neither been asked about their pain experience nor had the opportunity to assess their pain with an assessment scale. Some of the phases in Travelbee's relationship model could be seen in several of the encounters but not all. The participants did not always feel that the manner of the nursing staff was empathetic or sympathetic, which led to greater suffering.

  • 26.
    Hellström, Ingrid
    et al.
    Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden.
    Håkansson, Cecilia
    Department of Health Care Science/Palliative Research Centre, Ersta Sköndal University College, Stockholm, Sweden.
    Eriksson, Henrik
    Department of Nursing and Care, The Swedish Red Cross University College, Stockholm, Sweden.
    Sandberg, Jonas
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Development of older men’s caregiving roles for wives with dementia2017In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 31, no 4, p. 957-964Article in journal (Refereed)
    Abstract [en]

    This secondary analysis of qualitative interviews describes how older Swedish men approach the caregiver role for a wife with dementia, over time. An increasing number of male caregivers will become primary caregivers for partners living with dementia at home, and they will likely be caregivers for an extended period of time. It has been stated that caregiving experiences influence how older men think of themselves. The theoretical starting point is a constructivist position, offering an understanding of older caregiving men's constructions and reconstructions of themselves and their caregiver roles. Seven men, who were cohabiting with their wives, were interviewed on up to five occasions at home during a 5- to 6-year period. The findings comprise three themes; me and it, me despite it, it is me, depict how these men gradually take on and normalise the caregiving tasks, and how they develop and internalise a language based on their caring activities. The results provide understanding about the relationship between men as caregivers and how this influences them as individuals. By careful attention to each caregiving man's individual needs rather than making gendered assumptions about men and caring, the aim of the caregiver support for men might best target men's own meaning to the caring in their the everyday practices.

  • 27. Hildingh, C
    et al.
    Fridlund, Bengt
    Högskolan i Halmstad.
    Determination of perceived health among elderly coronary patients1992In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 6, no 3, p. 187-188Article in journal (Refereed)
  • 28. Hildingh, C
    et al.
    Segesten, K
    Fridlund, Bengt
    Högskolan i Halmstad.
    Elderly persons' social network and need for social support after their first myocardial infarction1997In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 11, no 1, p. 5-11Article in journal (Refereed)
  • 29. Hindsén, U
    et al.
    Fridlund, Bengt
    Högskolan i Halmstad.
    The nurse in clinical practice: a qualitative analysis of nursing competence1995In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 9, no 3, p. 139-144Article in journal (Refereed)
  • 30. Häggström Nordin, Elisabeth
    et al.
    Sandberg, Jonas
    Hanson, Ulf
    Tydén, Tanja
    “It’s everywhere!”: Thoughts and reflections about pornography among young people in Sweden2006In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 20, no 4, p. 386-393Article in journal (Refereed)
    Abstract [en]

    Pornography is one of the most sought-after topics on the Internet, and is easily available for anyone, including children and adolescents. At youth centres, nurse-midwives have noticed that young people have different kinds of questions about sexual practices compared with a few years ago. The aim of this study was to gain an understanding of thoughts and reflections about pornography consumption, and its possible influence on sexual practices, among young women and men. The staff at a youth centre in a city in central Sweden asked the visitors if they had seen pornography and if they wanted to be interviewed about their experiences. Ten young women and eight men, aged 16–23 years, participated. In-depth interviews were performed and open-ended questions about pornography and sexuality were posed. The interviews were tape-recorded and transcribed verbatim. Data were analysed according to grounded theory. The core category ‘Living with the current sexual norm’ depicted how pornography created sexual expectations and demands, for instance, to perform certain sexual acts. The informants expressed contradictory feelings towards pornography and felt that sexuality was separated from intimacy. A moral attitude was described and examples of stereotypic gender roles were given. To deal with the current sexual norm, informants had different individual handling strategies and attitudes to pornography, namely liberal, normalization, distance, feminist or conservative. Limitations of this study were the small sample size and that results from a qualitative research study cannot be generalized. The results contribute to an understanding of how pornographic material can influence young peoples’ thoughts, reflections and sexual behaviour. This indicates the importance, for personnel at youth centres and schools, to discuss sexual behaviour and how sexuality is portrayed in pornographic material with young people.

  • 31. Ivarsson, Ann-Britt
    et al.
    Sidenvall, Birgitta
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Carlsson, Marianne
    The factor structure of the Burden Assessment Scale and the perceived burden of caregivers for individuals with severe mental disorders.2004In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 18, no 4, p. 396-401Article in journal (Refereed)
  • 32.
    Iversen, Clara
    et al.
    Department of Sociology Uppsala University Uppsala Sweden.
    Broström, Anders
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT. Department of Clinical Neurophysiology Linköping University Hospital Linköping Sweden .
    Ulander, Martin
    Department of Clinical Neurophysiology Linköping University Hospital Linköping Sweden .
    Balancing task focus and relationship building: Asking sleepy patients about traffic risk in treatment initiation consultations2017In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 31, no 4, p. 895-903Article in journal (Refereed)
    Abstract [en]

    Background: The use of traffic risk assessment questions is an understudied area in nursing research. Obstructive sleep apnoea is associated with an increased risk of traffic accidents. Therefore, traffic safety authorities demand adherent continuous positive airway pressure use. Nurses act as coaches to achieve treatment adherence, but they are also obliged to act as state agents by prohibiting obstructive sleep apnoea patients from drowsy driving.

    Objective: To examine how nurses and obstructive sleep apnoea patients manage traffic risk assessment questions in the relation-building context of treatment initiation consultations.

    Methods: To study, in detail, the actual practice of risk assessment, we used conversation analysis of 19 video-recorded initial treatment consultations with nurses and recently diagnosed obstructive sleep apnoea patients.

    Ethics: The study received ethical approval from the Central Ethical Review Board in Linköping (registration number 214/231-32) and follows the ethical guidelines for qualitative research.

    Results: Patients influence how nurses phrase questions about traffic risk by taking a stance to daytime sleepiness prior to the risk question. Nurses ask traffic risk questions in a way that assumes that driving is unproblematic if patients have not previously indicated problems. It may pose a significant problem when nurses, by accepting patients' prior stance when asking about traffic risk, orient to relationship building rather than task focus.

    Conclusion: To clarify the difference between their two potentially conflicting roles, nurses need to refer to existing laws and official guidelines when they raise the issue of risk in treatment initiation consultations. Nurses should also ask risk assessment questions in a problem-oriented communicative environment. Traffic risk assessment is sensitive yet important, as obstructive sleep apnoea is a highly prevalent problem causing excessive sleepiness. It is essential to acknowledge nurses' double roles with regard to coaching continuous positive airway pressure treatment and assessing traffic risk. 

  • 33. Johansson, G
    et al.
    Fridlund, Bengt
    Högskolan i Halmstad.
    Young adults' views on dental care: a qualitative analysis1996In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 10, no 4, p. 197-204Article in journal (Refereed)
  • 34.
    Johansson, Lisbeth
    et al.
    Unit for Research and Development in Primary Care, Futurum - Academy for Health and Care, Region Jönköping County, Sweden.
    Golsäter, Marie
    Jönköping University, School of Health Science, HHJ. CHILD.
    Hedberg, Berith
    Jönköping University, The Jönköping Academy for Improvement of Health and Welfare. Ryhov County Hospital, Region Jönköping County, Sweden.
    Health dialogue with non-Swedish-speaking first-time parents: nurses' perspectivesIn: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed)
  • 35. Johansson, P
    et al.
    Oléni, M
    Fridlund, Bengt
    Högskolan i Halmstad.
    Patient satisfaction with nursing care in the context of health care: a literature study2002In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 16, no 4, p. 337-344Article in journal (Refereed)
  • 36. Karlsson, I
    et al.
    Fridlund, Bengt
    Högskolan i Halmstad.
    Hellström, L
    Eliasson, A
    Ekerving, C
    Andersson, L
    Larsson, PA
    Do physically active people cope better with Biopsychosocial stress after a myocardial infarction1988In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 2, no 4, p. 179-183Article in journal (Refereed)
  • 37. Koinberg, IL
    et al.
    Holmberg, L
    Fridlund, Bengt
    Högskolan i Halmstad.
    Breast cancer patients' satisfaction with a spontaneous system of check-up visits to a specialist nurse2002In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 16, no 3, p. 209-215Article in journal (Refereed)
  • 38.
    Kroksmark, Tomas
    et al.
    Jönköping University, School of Education and Communication, HLK, School Based Research, School Based Research and Professional Development.
    Westman-Kumlin, I
    The First Encounter: Physiotherapists' Conceptions of Establishing Therapeutic Relationships1992In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 6, no 1, p. 37-44Article in journal (Refereed)
  • 39.
    Kullberg, Kerstin
    et al.
    Department of Public Health and Caring Sciences, Uppsala University.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Sidenvall, Birgitta
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science.
    Åberg, Anna Cristina
    Department of Public Health and Caring Sciences, Uppsala University.
    'I start my day by thinking about what we're going to have for dinner': A qualitative study on approaches to food-related activities among elderly men with somatic diseases2011In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 25, no 2, p. 227-234Article in journal (Refereed)
    Abstract [en]

    The aim of the present study was to address the question of how older men with somatic diseases living in ordinary housing approach the question of food-related activities. Further, any food-related activity adaptations consequent to effects of diseases and of alterred life circumstances were explored. Interviews were conducted with a purposeful sample of 18 co-living and singel-living men, 64-84 years old. They were diagnosed with Parkinson's disease, rhematoid arthritis, or stroke. In the analysis a thematic framework was used. The findings revealed three food-related approaches, namely 'Cooking as a pleasure', describing joy in cooking; 'Cooking as a need', indicating no habit or skills in cooking; and ' Food is served', that is being served meals by a partner. It was found that gender-related roles in particular, but also changed life circumstances, activity limitations, personal interests, and a wish to maintain continuity and independence, affected the men's approaches to these activities. This knowledge may be useful in attempts to facilitate and support food-related activities among elderly men with diseases. Health-care efforts in promoting food-related activities should preferably be individualised in respect to older men's approach to these activities.

  • 40.
    Kvarnström, Susanne
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Region Östergötland, Linköping, Sweden.
    Jangland, Eva
    Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
    Dahlgren, Madeleine Abrandt
    Department of Medicine and Health Sciences, Linköping University, Linköping, Sweden.
    Introducing the nurse practitioner into the surgical ward: an ethnographic study of interprofessional teamwork practice2018In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, no 2, p. 765-771Article in journal (Refereed)
    Abstract [en]

    Aim

    The first nurse practitioners in surgical care were introduced into Swedish surgical wards in 2014. Internationally, organisations that have adopted nurse practitioners into care teams are reported to have maintained or improved the quality of care. However, close qualitative descriptions of teamwork practice may add to existing knowledge of interprofessional collaboration when introducing nurse practitioners into new clinical areas. The aim was to report on an empirical study describing how interprofessional teamwork practice was enacted by nurse practitioners when introduced into surgical ward teams.

    Methods and results

    The study had a qualitative, ethnographic research design, drawing on a sociomaterial conceptual framework. The study was based on 170 hours of ward-based participant observations of interprofessional teamwork practice that included nurse practitioners. Data were gathered from 2014 to 2015 across four surgical sites in Sweden, including 60 interprofessional rounds. The data were analysed with an iterative reflexive procedure involving inductive and theory-led approaches. The study was approved by a Swedish regional ethics committee (Ref. No.: 2014/229-31). The interprofessional teamwork practice enacted by the nurse practitioners that emerged from the analysis comprised a combination of the following characteristic role components: clinical leader, bridging team colleague and ever-present tutor. These role components were enacted at all the sites and were prominent during interprofessional teamwork practice.

    Conclusion

    The participant nurse practitioners utilised the interprofessional teamwork practice arrangements to enact a role that may be described in terms of a quality guarantee, thereby contributing to the overall quality and care flow offered by the entire surgical ward team.

  • 41. Laragy, Carmel
    et al.
    Fisher, Karen
    Cedersund, Elisabet
    Jönköping University, School of Health Science, HHJ. Research Platform of Social Work. Jönköping University, School of Health Science, HHJ, Dep. of Behavioural Science and Social Work.
    Campbell-McLean, Carolyn
    Support as a complement, intrusion and right: Evidence from ageing and disability support service users in Sweden and Australia2011In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 25, no 4, p. 745-753Article in journal (Refereed)
    Abstract [en]

    How service users conceptualise their personal support services is under researched, even though this understanding is important for responsive policy development and service implementation. This paper tests the proposition that service users understand formal support in three ways: support is a complement to their other arrangements, an intrusion into their personal life and a right. These three concepts were identified using discourse analysis in a Swedish study of older people wanting in-home support services. To test generalisability of these concepts, they were applied to data from an Australian study of people using disability personal support. The analysis found that the three concepts were core to people’s views of their support, although the construction of the concepts differed in the two countries. Service users in Sweden asserted their right to services more forcefully than those in Australia, and they had higher expectations that their support needs would be met. These differences reflect the impact of each country’s social policy environment on service users’ expectations. The analysis suggests that service users and their families want to control their formal support arrangements to complement their informal care and their life preferences and to minimise the intrusive aspects of formal support. The findings imply that the three concepts have utility for theorising service users’ perspectives, informing policy and developing implementation strategies which enhance peoples’ quality of life.

  • 42. Lidell, E
    et al.
    Fridlund, Bengt
    Högskolan i Halmstad.
    Long-term effects of a comprehensive rehabilitation programme after myocardial infarction1996In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 10, no 2, p. 67-74Article in journal (Refereed)
  • 43.
    Möller, M
    et al.
    Emergency Department, Central Hospital, Växjö , Sweden.
    Fridlund, Bengt
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Göransson, K
    Department of Emergency Medicine, Karolinska University Hospital, Solna.
    Patients' conceptions of the triage encounter at the Emergency Department2010In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 24, no 4, p. 746-754Article in journal (Refereed)
    Abstract [en]

    Background: Little is known about patients’ conceptions of the triage encounter and what the point of the encounter is in the triage.

    Aim: To describe the patients’ conceptions of the triage encounter at the emergency department (ED).

    Method: Interviews with 20 patients from different triage categories visiting the ED at a central hospital in southern Sweden were analysed using the phenomenographic approach.

    Findings: Five encounters emerged based on 16 conceptions: the insecure, humanistic, logistical, information exchange and surrounding encounters.

    Conclusions: To facilitate more positive experiences of the triage encounter, the personnel need to care and treat the patients as whole human beings, i.e. in a holistic approach. An improved logistical and informative triage encounter is vital in order to minimize the waiting time and make the waiting time acceptable for patients, as well decreasing worries that arise because of illness in an unknown environment.

  • 44.
    Norrby, Eva
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Bellner, Anna-Lena
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    The Helping Encounter: Occupational Therapists' Perception of Therapeutic Relationships1995In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 9, no 1, p. 41-46Article in journal (Refereed)
  • 45. Nätterlund, Birgitta
    et al.
    Ahlström, Gerd
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Problem-focused coping and satisfaction with activities of daily living in individuals with muscular dystrophy and postpolio syndrome.1999In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 13, no 1, p. 26-32Article in journal (Refereed)
    Abstract [en]

    The problems, problem-focused coping and satisfaction with activities of daily living in a total of 119 persons with muscular weakness are described. The study encompasses three groups: 33 persons with various types of muscular dystrophy, 46 with myotonic dystrophy and 40 with symptoms relating to the post-polio syndrome. A self-report instrument for Assessment of Problem-focused Coping (APC) was used. Most of the problems reported were connected with mobility and transportation and work, but the subjects used problem-focused coping relatively infrequently and few differences were found between the different groups or between the sexes. The most widely used problem-focused coping strategy was 'Devices and tricks'. The highest degree of satisfaction was noted for personal care and the lowest for mobility and transportation. The APC provides information about patients' evaluation of everyday situations, forming a complement to functional measurements in the field of rehabilitation.

  • 46. Ostlund, Gunnel
    et al.
    Cedersund, Elisabet
    Jönköping University, School of Health Science, HHJ, Dep. of Behavioural Science and Social Work. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Hensing, Gunnel
    Alexanderson, Kristina
    Domestic strain: a hindrance in rehabilitation?2004In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 18, no 1, p. 49-56Article in journal (Refereed)
  • 47. Persson, EK
    et al.
    Fridlund, Bengt
    Växjö universitet.
    Dykes, AK
    Parents' postnatal sense of security (PPSS): development of the PPSS instrument2007In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 21, no 1, p. 118-125Article in journal (Refereed)
  • 48.
    Persson, Kerstin
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science.
    Ek, AC
    Svensson, PG
    Factors affecting women to practise breast self-examination1997In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 11, no 4, p. 224-231Article in journal (Refereed)
  • 49.
    Pihl, Emma
    et al.
    School of Social and Health Sciences, Halmstad University.
    Fridlund, Bengt
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work. Jönköping University, School of Health Science, HHJ. ADULT.
    Mårtensson, Jan
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. ADULT.
    Patients' experiences of physical limitations in daily life activities when suffering from chronic heart failure: a phenomenographic analysis2011In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 25, no 1, p. 3-11Article in journal (Refereed)
    Abstract [en]

    Patients' experiences of physical limitations in daily life activities when suffering from chronic heart failure; a phenomenographic analysis The aim of the study was to describe how patients suffering from chronic heart failure conceived their physical limitations in daily life activities. An explorative and qualitative design with a phenomenographic approach was chosen, a total of 15 patients were interviewed. The findings indicate that participants perceived a variety of structural aspects pertaining to physical limitations in activities of daily life which resulted in four referential aspects. Need of finding practical solutions in daily life focused on how life had to be changed and other ways of performing activities of daily life had to be invented. Having realistic expectations about the future was characterised by belief that the future itself would be marked by change in physical functioning, but an incentive to maintain functions and activities ensured good quality of or even increased capacity in daily life. Not believing in one's own ability included the perception of having no opportunity to improve ability to perform activities of daily life. There were perceptions of undesired passivity, undefined fear of straining themselves or performing activities that could endanger their health in addition to uncertainty about the future. In Losing one's social role in daily life, participants described losing their social network and their position in society and family because of limited physical capacity. A lack of important issues, mental and physical, occurred when physical capacity was lost. In conclusion, patients suffering from chronic heart failure found new solutions to manage activities in daily life, including willingness to change focus and identify other ways of doing important things. Patients had an incentive to maintain functions and activities to ensure a good quality of and strengthen their physical capacity in daily life. Inability to trust in their physical capacity in combination with experienced limitations in daily life prevented patients from attempting to increase activities.

  • 50. Rehnström, Lisbeth
    et al.
    Christensson, Lennart
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Leino-Kilpi, Helena
    Unosson, Mitra
    Adaptation and psychometric evaluation of the Swedish version of the Good Nursing Care Scale for Patients2003In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 17, no 3, p. 308-314Article in journal (Refereed)
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