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  • 1.
    Hultsjö, Sally
    Linköpings Universitet.
    Caring for foreign-born persons with psychosis and their families: Perceptions of psychosis care2009Doctoral thesis, monograph (Other academic)
    Abstract [en]

    The aim of this thesis was to describe and analyse perceptions of psychosis care among those involved in care, foreign‐born persons with psychoses, their families and health care staff, and further to reach agreement about core components in psychosis care. This was in order to find out whether current psychosis care in Sweden is suitable for foreign‐born persons and theirfamilies.

    The study design was explorative and descriptive. Health care staff (n=35), persons with psychosis (n=22) and families (n=26) of persons with psychosis were chosen from different regions in Southern Sweden. To capture health care staff’s experiences and to explore whether specific needs occurred within psychiatric care, nine focus group interviews were held. The perspectives of psychosis care among persons with psychoses and their families were captured through individual interviews. Finally, a study was accomplished all over Sweden in which staff, foreign‐born persons with psychosis and foreign-born families of persons with psychoses answered a questionnaire to identifycore components in psychosis care of foreign‐born persons and their families.

    There was agreement that the core components in psychosis care concern general psychiatric caring, even though varying perceptions were identified. Asking about foreign‐born persons’ religious and ethnic background or having the possibility to decide whether care should be provided by male or female staff were agreed to be less important.

    No agreement could be reached concerning the importance of considering different perceptions of psychosis care, treatments and different ways of managing the psychosis. Nor could agreement be reached as to whether staff should have specific cultural knowledge and whether interpreters should be unknown to the family but speak the right dialect.

    Perceptions among staff in somatic and psychiatric care as well as perceptions among foreign‐and Swedish‐born persons with psychosis and their families were more similar than different. General psychiatric care is important for Swedish‐born as well as foreign‐born persons with psychosis and their families, indicating the importance of not letting culturally determined perceptions dictate the care and take away energy from health care staff and make them lose their focus on the basic elements in general psychiatric care. However, within the general care there were individual perceptions on whose importance those involved in care did not agree. Further development suggested is to illuminate the importance of identifying individual perceptions which may differ between different persons and could be related to cultural background. Staff need to acquire strategies so they can easily manage to encounter and offer general care to foreign‐born persons. Development must be achieved on both an organizational level and an individual level.

  • 2.
    Hultsjö, Sally
    Psychiatric Clinic, County Hospital, Ryhov, Jönköping, Sweden; School of Health Sciences, Linnaeus University, Växjö, Sweden.
    Mental healthcare staff's knowledge and experiences of diabetes care for persons with psychosis: a qualitative interview study2013In: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 14, no 3, p. 281-92Article in journal (Refereed)
    Abstract [en]

    AIM: This paper aims to explore and analyse mental healthcare staff's (MHCS) knowledge and experiences of diabetes care for persons with psychosis.

    BACKGROUND: There are a range of studies concerning the increased risk of type 2 diabetes mellitus among persons with psychosis, and the need for healthy lifestyle interventions to prevent the illness. MHCS are often trusted and have regular follow-ups with the patients, and their attitudes and actions often play an important role for the person's care behaviour. There is still little documentation of their experiences of diabetes care.

    METHODS: A qualitative, explorative design was used, collecting data through semi-structured interviews with 12 MHCS working in psychosis outpatient care in Sweden. Data were analysed with qualitative content analysis. Findings Three categories emerged and provide a deeper understanding of how staff were aware of the risks of type 2 diabetes among their patients and therefore performed lifestyle interventions to promote these. Nevertheless, they lacked knowledge of diabetes care and simultaneously felt a lack of training among diabetes nurses to adapt diabetes care to suit persons with cognitive dysfunctions. Patients who were overconfident in their ability to manage diabetes care reported to have experienced most difficulties. Cooperation among those involved in these persons' health was considered necessary. Implications Diabetes care for persons with psychosis could improve if knowledge of type 2 diabetes was increased among MHCS and training in how to adapt diabetes care to persons with cognitive dysfunctions was enlarged among diabetes nurses. A challenge for nurses is to see how the care of different illnesses and support given by the family and others affect the persons total life situation and health. Healthcare plans and cooperation among all those involved in these persons' health is necessary for this.

  • 3.
    Hultsjö, Sally
    Linneuniversitetet, växjö.
    När olika kulturer möts2012In: Att leva med Psykisk ohälsa: Ett närståendeperspektiv / [ed] Susanne Syrén och Kim Lützén, Lund: Studentlitteratur AB, 2012, 1:1, p. 140-146Chapter in book (Other academic)
    Abstract [sv]

    I mitt arbete som specialistsjuksköterska inom psykiatrisk vård möter jag personer från olika länder. Det var min osäkerhet i möten med dem som väckte mitt intresse för att få mera kunskap om hur utlandsfödda närstående upplever den psykiatriska vården och om hur de upplever sig bli hjälpta av den. Detta intresse mynnade ut i min avhandling om bemötande av utlandsfödda personer med psykossjukdom och deras familjer (Hultsjö 2009a). Kapitlet har sin grund i mina erfarenheter som psykiatrisjuksköterska, aktuell litteratur och min forskning, där jag har intervjuat närstående till personer som lever med psykisk ohälsa i samband med psykossjukdom. De var föräldrar, barn, syskon, kusiner, svägerskor och sambon i varierande ålder och som varit olika lång tid i Sverige. De kom från Asien, Afrika, Sydamerika, USA, Mellan Östern och Europa. För att i kapitlet tydliggöra vad som kan vara specifikt för utlandsfödda i övergången[1]till hälso- och sjukvården i ett annat land med andra normer och förklaringar av psykisk sjukdom, har jag fokus på kulturella olikheter, snarare än på alla de likheter som också förekommer.

    [1]Transition

  • 4.
    Hultsjö, Sally
    et al.
    Department of Psychiatry, Ryhov County Hospital, Jönköping, School of Health and Caring Sciences, Linnaeus University, Växjö.
    Berterö, Carina
    Department of Medical and Health Sciences, Linköping University.
    Arvidsson, Hans
    Department of Psychology, The University of Gothenburg, Gothenburg, Sweden.
    Hjelm, Katarina
    School of Health and Caring Sciences, Linnaeus University, Växjö..
    Core components in the care of immigrants with psychoses: A Delphi survey of patients, families, and health-care staff.2011In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 20, no 3, p. 174-184Article in journal (Refereed)
    Abstract [en]

    The aim of the present study was to identify core components in the care of immigrants with psychosis in Sweden. Experts (n=43) from different perspectives (immigrants, families, and health-care staff) were assembled and used to score the importance of statements regarding components in the care for a person with psychosis in three questionnaire rounds. After each round, the opinions were consolidated and compared to identify whether consensus was reached. Consensus was reached about the importance of being treated on equal terms, regardless of country of birth. Staff interest and respect, shown in different ways of understanding, was valued. Consensus could not be reached on approximately half of the statements, of which four tended to be ranked towards unimportant. Those included that staff should have specific cultural knowledge or that the patient should be allowed to decide whether to be cared for by male or female staff. Nor was it regarded as important to identify a person's religious or ethnic background. The results illustrate the importance of fundamental psychiatric nursing, which should enable nurses to identify and meet the basic needs of all patients, regardless of country of origin. Areas for which consensus was not reached illustrate a future challenge for health-care staff to identify situations when cultural clashes could appear. Staff should have strategies to accomplish cultural negotiations to build an effective treatment alliance with the patient, as well as the family, to meet individual needs.

  • 5.
    Hultsjö, Sally
    et al.
    Psychiatric Clinic, County Hospital, Ryhov, Jönköping, and School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Hjelm, Katarina
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Community health-care staff's experiences of support to prevent type 2 diabetes among people with psychosis: an interview study with health staff2012In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 21, no 5, p. 480-489Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to describe mental health staff experiences of giving support to prevent type 2 diabetes mellitus (DM) among people with psychosis in community psychiatry. A qualitative interview study with a purposeful sample of 12 community health staff was conducted. Data were analysed using qualitative content analysis. The results show how staff reported continuously supporting people with psychosis to adapt to healthy lifestyles, but stated that support is not given until after a person becomes overweight or is diagnosed with type 2 DM. Support was described as a never-ending process of motivation facing many reverses. Individually-adapted support given in practical situations was perceived as most successful. Cooperation between health-care organizations was seen as essential, but inadequate. Limitations in income and social network, and easy access to fast food and alcohol, were seen as obstacles to support. The results indicate that community health staff are in a position to make a considerable impact in motivating and supporting healthy lifestyle changes in practical situations in daily life among people with psychosis. This study raises awareness of how community health staff's support can be useful when developing nursing skills and health-care plans for people with psychosis.

  • 6.
    Hultsjö, Sally
    et al.
    psykiatriska kliniken, Jönköpings Läns Landsting.
    Hjelm, Katarina
    Mötet mellan vårdpersonal och patienter med utländsk bakgrund inom akutsjukvård i sverige.2006In: Flervetenskapliga perspektiv i migrationsforskning: Årsbok 2006 från forskningsprofilen Arbetsmarknad, Migration och Etniska relationer (AMER) vid Växjö Universitet / [ed] Katarina Hjelm, Göteborg: Intellecta Docusys, Göteborg , 2006, p. 15-29Chapter in book (Other academic)
    Abstract [sv]

    Kapitlet ger en sammanfattning av vilka svårigheter vårdpersonal inom svensk akut hälso- och sjukvård stöter på i vården av personer med utländsk bakgrund.

  • 7.
    Hultsjö, Sally M
    et al.
    Department of Psychiatry, Ryhov County Hospital, Jönköping, School of Health and Caring Sciences, Linnaeus University, Växjö.
    Hjelm, Katarina
    School of Health and Caring Sciences, Linnaeus University, Växjö.
    Organizing care for persons with psychotic disorders and risk of or existing diabetes mellitus type 22012In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 19, no 10, p. 891-902Article in journal (Refereed)
    Abstract [en]

    This literature review aimed to explore previous knowledge about specific care requirements for persons with psychotic disorders and risk of or existing type 2 diabetes. Sixteen qualitative and quantitative studies in the area were identified and summarized. The studies together indicate that mental health nurses play an important role in motivating people to perform diabetes care as they are often known to and trusted by the patients. A holistic approach to the person's health, with close follow-ups by psychiatric care and cooperation with diabetes care, may have benefits for the person with diabetes. Screening for and treating psychotic symptoms is an important task for the mental health nurse, as these symptoms drain energy from the person and prevent diabetes self-care. Lifestyle and diabetes education needs to be practical, adapted to the individual and focused on maintaining a healthy diet, regular exercise, changing smoking habits and preventing diabetes complications. Treatment with antipsychotic drugs increases the need for follow-ups of glycaemic control.

  • 8.
    Persson, Susanne
    et al.
    Regionförbundet, Jönköping.
    Hultsjö, Sally
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Psykiatriska kliniken, Landstinget Ryhov Jönköping.
    Att främja en hälsosam livsstil hos personer med psykisk funktionsnedsättning2014Report (Other academic)
    Abstract [sv]

    Vid en kartläggning, som genomfördes i Jönköpings län (2012) om det somatiska hälsoarbetet inom olika psykiatriska organisationer, framkom att det finns en efterfrågan av kunskap i hur man förebygger somatisk ohälsa hos personer med psykisk funktionsnedsättning. Det finns en önskan om rutiner för hur man ska jobba strukturerat med livsstilsfrågor i samverkan mellan olika aktörer. Kartläggningen har legat till grund för framtagandet av detta utbildningsmaterial.

    Syftet med utbildningsmaterialet är att hos personalen i de olika organisationerna öka kunskapen om vad som kan försvåra en hälsosam livsstil för personer med psykisk funktionsnedsättning och att förstå vikten av arbetet med livsstilsfrämjande insatser, för att förebygga somatisk ohälsa i målgruppen.

    Utbildningsmaterialet hoppas vi ska kunna användas på varje arbetsplats, som ett diskussionsunderlag i till exempel workshops eller på utbildningsdagar och vara ett stöd i hur man kan jobba hälsofrämjande i det dagliga arbetet. Vi hoppas också att utbildningsmaterialet kan öka intresset och motivationen hos personal att jobba med dessa frågor.

    I detta utbildningsmaterial innefattar psykisk funktionsnedsättning personer som har en allvarlig psykisk sjukdom så som; bipolär sjukdom, Schizofreni eller annan psykotisk sjukdom (Svenska psykiatriska föreningen 2010).

    Psykiatrisk vård innefattar både insatser från socialtjänsten och specialiserad psykiatrisk sluten- och öppenvård. Somatisk vård innefattar både primärvård och landstingstyrd sluten och öppenvård.

    Vårdpersonal innefattar personal från socialtjänsten, primärvård och specialiserad psykiatrisk sluten- och öppenvård.

  • 9.
    Wärdig, Rikard Erik
    et al.
    Linköpings University, Department of Nursing Sciences, Department of Health and Sciences, Linköping, Sweden.
    Foldemo, Anniqa
    Linköpings University, Department of Nursing Sciences, Department of Health and Sciences, Linköping, Sweden.
    Hultsjö, Sally
    Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Lindström, Torbjörn
    Linköpings University, Department of Internal Medicine and Health Sciences, Linköping, Sweden .
    Bachrach-Lindström, Margareta
    Linköpings University, Department of Nursing Sciences, Department of Health and Sciences, Linköping, Sweden.
    An Intervention with Physical Activity and Lifestyle Counseling Improves Health-Related Quality of Life and Shows Small Improvements in Metabolic Risks in Persons with Psychosis2016In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 37, no 1, p. 43-52Article in journal (Refereed)
    Abstract [en]

    This research studied the effects of a lifestyle intervention on health-related quality of life (HRQoL) and metabolic risk factors in persons with psychosis, using a longitudinal intervention design with a matched reference sample. In participants in the intervention group, scores on the EQ-VAS, which measured HRQoL, improved from 57.6 to 63.3 (SD = 17.8) (p = 0.05), and HDL cholesterol concentration increased from 1.03 to 1.11 (0.19) mmol/l. (p = 0.02). There was no significant change in body weight among participants. The results of this study indicate that a lifestyle intervention based on group meetings improves HRQoL in patients with psychosis and provides small improvements in metabolic risk factors. 

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