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  • 1.
    Almqvist, Lena
    et al.
    Högskolan i Jönköping, Högskolan för lärande och kommunikation, HLK, CHILD. Mälardalens högskola.
    Sjöman, Madeleine
    Högskolan i Jönköping, Högskolan för lärande och kommunikation, HLK, CHILD.
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan.
    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.
    Children’s behavior difficulties and staff-implemented special support in Swedish preschools: Emotional and behavioral difficultiesManuskript (preprint) (Annet vitenskapelig)
  • 2.
    Almqvist, Lena
    et al.
    Högskolan i Jönköping, Högskolan för lärande och kommunikation, HLK, CHILD. School of Health, Care, and Welfare, Mälardalen University, Västerås, Sweden.
    Sjöman, Madeleine
    Högskolan i Jönköping, Högskolan för lärande och kommunikation, HLK, CHILD.
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Futurum Region Jönköping County, Jönköping, Sweden.
    Granlund, Mats
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Högskolan för lärande och kommunikation, HLK, CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Department of Special Education, Oslo University, Oslo, Norway.
    Special support for behavior difficulties and engagement in Swedish preschools2018Inngår i: Frontiers in Education, ISSN 2504-284X, Vol. 3, artikkel-id 35Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 3.
    Andersson, Ann-Christine
    et al.
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
    Andersson-Gäre, Boel
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Melke, Anna
    Erfarenheter från lärandeseminarier: Barn som anhöriga: Reflektioner från följeforskning2016Rapport (Annet vitenskapelig)
    Abstract [sv]

    Under 2015 genomfördes nationella lärandeseminarier för att stärka implementeringen av den lag som ger barn rätt till information, råd och stöd när en förälder plötsligt avlider, är svårt sjuk eller skadad (HSL 2g §). Satsningen var ett förbättringsarbete som omfattade sex landsting som med hjälp av en projektledning träffades vid fyra tillfällen från januari till september. Två av träffarna skedde i Stockholm och två var digitala. Under våren 2015 knöts följeforskning till arbetet med frågeställningar om vilka resultat förbättringsarbetet gav och hur deltagarna upplevde arbetssättet. Syftet var att lyfta fram vad satsningen gav samt att lära inför framtida satsningar – är lärandeseminarier ett användbart arbetssätt för nationella implementeringssatsningar?

    Rapporten visar att lärandeseminarier tycks vara en användbar form. Teamen kan redovisa att de uppnått många av de mål som de föresatte sig under projekttiden. Det handlade om kartläggning av kunskapsläge och strukturer, kompetensutveckling samt utveckling av rutiner och material. Teamen uppskattade också att få delta i ett nationellt sammanhang som gav inspiration. Samtidigt framkom det önskemål om fortsatt och ännu mer handfast stöd i fortsatt implementering i klinisk verksamhet.

  • 4.
    Andersson, Ann-Christine
    et al.
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Andersson-Gäre, Boel
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Melke, Anna
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. The Göteborg Region Association of Local Authorities, Gothenburg, Sweden.
    Learning through networking in healthcare and welfare: The use of a breakthrough collaborative in the Swedish context2017Inngår i: International Journal of Healthcare Management, ISSN 2047-9700, E-ISSN 2047-9719Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Breakthrough Collaborative (BC) aims at learning through networking, mainly at micro level, and is used as a tool to improve care and welfare organizations. The aim of this study was to explore and illuminate the challenges when applying BC model at meso and macro level. In 2010, the Swedish Health and Medical Services Act stated the responsibility of healthcare professionals to consider children’s needs as relatives. This study uses an interactive collaborative research model. To support healthcare organizations in the implementation of the regulation, county councils/regions in Sweden were invited to take part in a BC during 2015. Six teams from different county councils/regions participated. Team members were interviewed several times during the project time. Data were analyzed with an explorative and descriptive qualitative content analysis. The result illuminates the challenges faced when applying BC at meso and macro level. Most challenges concern preparation, support structures and system connections. There are similarities with the challenges met at micro level when BC is used at meso and macro level. But it seems even more important to consider how the team is constituted at meso and macro level to make use of the learnings and achieve long-term impact in the home organization.

  • 5.
    Andersson, Ann-Christine
    et al.
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Futurum-Academy for Health and Care Region Jönköping County, Jönköping, Sweden.
    Melke, Anna
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Göteborg Region Association of Local Authorities, Gothenburg, Sweden.
    Andersson Gäre, Boel
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Futurum-Academy for Health and Care Region Jönköping County, Jönköping, Sweden.
    Identification of children as relatives with a systematic approach; a prerequisite in order to offer advice and support2018Inngår i: Quality Management in Health Care, ISSN 1063-8628, E-ISSN 1550-5154, Vol. 27, nr 3, s. 172-177Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 6.
    Björkman, Berit
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Children's Anxiety, Pain, and Distress Related to the Perception of Care While Undergoing an Acute Radiographic Examination2014Inngår i: Journal of Radiology Nursing, ISSN 1546-0843, Vol. 33, nr 2, s. 69-78Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Visiting the hospital is likely a frightening experience for a child, and going through a radiographic examination has been reported as both distressing and painful. More knowledge from the children's perspective is needed on this subject, however, and thus, the aim of this study was to investigate children's anxiety, pain, and distress in conjunction with an acute radiographic procedure and whether these factors can be related to the perception of care. A mixed method design was used to analyze data from 110 participants between 5 and 15 years of age, who were examined in a Swedish radiology department. The quantitative findings showed anxiety, pain, and distress to be a concern during a radiographic examination. Significant correlations were obtained between anxiety and pain as well as between anxiety and distress. In addition, also the qualitative findings showed pain and the waiting time to be concerns. Regardless of the quantitative findings, however, children of all ages were satisfied with the care performed in the periradiographic process, perceiving the examination as supportive and geared to their needs. Robust assessment of anxiety, pain, and distress is imperative when interacting with children in acute examination situations to avoid both negative short-term and long-term consequences.

  • 7.
    Björkman, Berit
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Simeonson, Rune J.
    Högskolan i Jönköping, Högskolan för lärande och kommunikation, HLK, CHILD. University of North Carolina at Chapel Hill.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Will it Hurt? Verbal Interaction between Child and Radiographer during Radiographic Examination2013Inngår i: Journal of Pediatric Nursing, ISSN 0882-5963, Vol. 28, nr 6, s. e10-e18Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study investigated the nature of verbal interactions between child, parent and radiographer and theextent to which it varied as a function of the child's age. The participants were 20 female radiographersand 32 children (3–15 years) examined for acute injuries. The verbal interactions during theexamination were video recorded and analyzed using the Roter Interaction Analysis System (RIAS).Results indicated that 80% of the verbal interaction was accounted for by the radiographer, 17% by thechild and 3% by the parent. The distribution of utterances varied with regard to children's age.

  • 8.
    Bäckström, Caroline A.
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. University of Skövde, School of Health and Education, Skövde, Sweden.
    Kåreholt, Ingemar
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping). Karolinska Institutet and Stockholm University, Aging Research Center, Stockholm, Sweden.
    Thorstensson, Stina
    University of Skövde, School of Health and Education, Skövde, Sweden.
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Mårtensson, Lena B.
    University of Skövde, School of Health and Education, Skövde, Sweden.
    Quality of couple relationship among first-time mothers and partners, during pregnancy and the first six months of parenthood2018Inngår i: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 17, s. 56-64Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Highlights

    • Social support is associated with first-time mothers’ and partners’ perceived quality of couple relationship six months after birth.
    • Sense of Coherence is associated with first-time mothers’ perceived quality of couple relationship six months after birth.
    • First-time mothers’ and partners’ Sense of Coherence increase between pregnancy and six months after birth.
    • Partners’ feelings for parenthood is associated with first-time mothers’ perception of quality of couple relationship six months after birth.
    • First-time mothers’ and partners’ perceived quality of couple relationship is decreasing after childbirth.
  • 9.
    Bäckström, Caroline A.
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. University of Skövde.
    Mårtensson, Lena B.
    University of Skövde.
    Golsäter, Marie H.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Futurum Akademi for Health and Care Region Jönköping County.
    Thorstensson, Stina A.
    University of Skövde.
    “It's like a puzzle”: Pregnant women's perceptions of professional support in midwifery care2016Inngår i: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 29, nr 6, s. e110-e118Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Problem

    Pregnant women are not always satisfied with the professional support they receive during their midwifery care. More knowledge is needed to understand what professional support pregnant women need for childbirth and parenting.

    Background

    Childbearing and the transition to becoming a parent is a sensitive period in one's life during which one should have the opportunity to receive professional support. Professional support does not always correspond to pregnant women's needs. To understand pregnant women's needs for professional support within midwifery care, it is crucial to further illuminate women's experiences of this support.

    Aim

    To explore pregnant women's perceptions of professional support in midwifery care.

    Methods

    A qualitative study using semi-structured interviews. Fifteen women were interviewed during gestational weeks 36–38. Data was analysed using phenomenography.

    Findings

    The women perceived professional support in midwifery care to be reassuring and emotional, to consist of reliable information, and to be mediated with pedagogical creativity. The professional support facilitated new social contacts, partner involvement and contributed to mental preparedness. The findings of the study were presented in six categories and the category Professional support contributes to mental preparedness was influenced by the five other categories.

    Conclusion

    Pregnant women prepare for childbirth and parenting by using several different types of professional support in midwifery care: a strategy that could be described as piecing together a puzzle. When the women put the puzzle together, each type of professional support works as a valuable piece in the whole puzzle. Through this, professional support could contribute to women's mental preparedness for childbirth and parenting.

  • 10.
    Bäckström, Caroline A.
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. University of Skövde, School of Health and Education, Skövde, Sweden.
    Thorstensson, Stina
    University of Skövde, School of Health and Education, Skövde, Sweden.
    Mårtensson, Lena B.
    University of Skövde, School of Health and Education, Skövde, Sweden.
    Grimming, Rebecca
    University of Skövde, School of Health and Education, Skövde, Sweden.
    Nyblin, Yrsa
    University of Skövde, School of Health and Education, Skövde, Sweden.
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    'To be able to support her, I must feel calm and safe': Pregnant women's partners perceptions of professional support during pregnancy2017Inngår i: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 17, nr 1, artikkel-id 234Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Professional support does not always meet the needs of expectant fathers or co-mothers. The way in which professional support is offered during pregnancy varies internationally, depending on the country. In order to attain a greater understanding of partners' experiences of professional support, it is necessary to further illuminate their perceptions of it. The aim of this study was therefore to explore pregnant women's partners' perceptions of professional support during pregnancy.

    Methods: Qualitative research design. Partners of pregnant women were interviewed during gestational week 36-38. Individual semi-structured interviews were used to explore the partners' perceptions. The data was analysed using a phenomenographic approach. The study was performed in a county in south-western Sweden; the data collection was conducted from November 2014 to February 2015. Fourteen partners (expectant fathers and co-mothers) of women who were expectant first-time mothers with singleton pregnancies, were interviewed.

    Results: The findings of the study are presented through four descriptive categories: Ability to absorb adequate information; Possibility to meet and share with other expectant parents; Confirmation of the partner's importance; and Influence on the couple relationship. Using a theoretical assumption of the relationship between the categories showed that the fourth category was influenced by the other three categories.

    Conclusions: The partners perceived that professional support during pregnancy could influence the couple relationship. The partners' ability to communicate and to experience togetherness with the women increased when the expectant couple received professional support together. The support created also possibilities to meet and share experiences with other expectant parents. In contrast, a lack of support was found to contribute to partners' feelings of unimportance. It was essential that the midwives included the partners by confirming that they were individuals who had different needs for various types of professional support. The partners perceived it easier to absorb information when it was adequate and given with a pedagogic that made the partners become interested and emotionally engaged. 

  • 11.
    Bäckström, Caroline
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. University of Skövde, School of Health and Education, Skövde, Sweden.
    Larsson, Therese
    University of Skövde, School of Health and Education, Skövde, Sweden.
    Wahlgren, Emma
    University of Skövde, School of Health and Education, Skövde, Sweden.
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Mårtensson, Lena B.
    University of Skövde, School of Health and Education, Skövde, Sweden.
    Thorstensson, Stina
    University of Skövde, School of Health and Education, Skövde, Sweden.
    ‘It makes you feel like you are not alone’: Expectant first-time mothers’ experiences of social support within the social network, when preparing for childbirth and parenting2017Inngår i: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 12, s. 51-57Artikkel i tidsskrift (Fagfellevurdert)
  • 12.
    Day, Annika L.
    et al.
    Department of Physiotherapy, Ryhov County Hospital, Jönköping, Sweden.
    Währborg, Peter
    Andersson-Gäre, Boel
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Futurum Akademi for Health and Care Region Jönköping County.
    Rydå, Ulla
    Jansson, Marian
    An evaluation of daily relaxation training and psychosomatic symptoms in young children2016Inngår i: Health Behavior and Policy Review, ISSN 2326-4403, Vol. 3, nr 3, s. 198-208Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: We evaluated the efficacy of daily relaxation training on psychosomatic symptoms during one school year among 8-year-old children. Methods: Cortisol in saliva, abdominal circumference including body mass index (BMI), heart rate, rate pressure product (RPP), and stress in children (SIC) were measured. Teachers in the intervention classes were interviewed. The intervention consisted of a daily relaxation therapy (RT). Results: The intervention group showed reduced heart rate. Individuals of the intervention group showed an improvement regarding headaches and the ability to fall asleep. The qualitative results showed that the RT had a calming effect on both the children and the teachers. Conclusions: RT among children may be of use to cope with stress as interpreted by some improved parameters in the intervention group.

  • 13.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Carlsson, M
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Hamrin, E
    Symptom distress and life situation in adolescents with cancer1997Inngår i: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 20, nr 1, s. 23-33Artikkel i tidsskrift (Fagfellevurdert)
  • 14.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Carlsson, M
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Hamrin, E
    Kreuger, A
    Life situation and problems as reported by children with cancer and their parents1997Inngår i: Journal of Pediatric Oncology Nursing, ISSN 1043-4542, E-ISSN 1532-8457, Vol. 14, nr 1, s. 18-26Artikkel i tidsskrift (Fagfellevurdert)
  • 15.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Carlsson, M
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Hamrin, E
    Kreuger, A
    Parental reports of changes and challenges that result from parenting a child with cancer1997Inngår i: Journal of Pediatric Oncology Nursing, ISSN 1043-4542, E-ISSN 1532-8457, Vol. 14, nr 3, s. 156-163Artikkel i tidsskrift (Fagfellevurdert)
  • 16.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Från barndom till ungdom: den växande människans omvårdnadsbehov2009Inngår i: Omvårdnadens grunder: Perspektiv och förhållningssätt / [ed] Friberg, F & Öhnén, J, Lund: Studentlitteratur , 2009, 1, s. 109-145Kapittel i bok, del av antologi (Annet (populærvitenskap, debatt, mm))
  • 17.
    Eriksson, Marit
    et al.
    Futurum, Region Jönköping County, Jönköping, Sweden.
    Lingfors, Hans
    Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Trends in prevalence of thinness, overweight and obesity among Swedish children and adolescents between 2004 and 2015.2018Inngår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 107, nr 10, s. 1818-1825Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

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

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

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

  • 18.
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Hälsosamtal som metod att främja barns och ungdomars hälsa: en utmanande uppgift2012Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    The overall aim of this thesis was to explore and describe health dialogues from pupils’ and nurses’ perspectives as well as the verbal interaction between them, in the context of a structured health and lifestyle tool.

    Seventy-four pupils and 23 school nurses participated in focus group interviews, and further 14 nurses participated in individual interviews. To explore the verbal interaction, 24 health dialogues with pupils and school nurses were recorded using a video camera. The data from the interviews were subjected to qualitative content analysis and the verbal interactions were analysed using the paediatric version of the Roter Interaction Analysis System.

    Health dialogues based on the pupil’s own situation were described as a process that provided them opportunities to influence their own health. Prerequisites for a pupil-centered health dialogue were that the pupils were prepared, felt respected and like active participants, and that their own experiences were in focus. How the nurses acted was crucial to the pupils’ experience of and possibility to benefit from of the health dialogue based on their own needs and wishes. A health and lifestyle tool could support the dialogue by constituting a structure, open up for discussion and contribute to an understanding of the individual’s situation. The tool could also facilitate the transmittal of health information on an individual as well as a group level. In terms of utterances in the dialogues, the school nurses were the ones who talked the most. The pupils most frequently gave information about their lifestyle and agreed with the nurses. The nurses asked questions and provided information about lifestyle, and checked that they had understood the pupils. Just over a third of the nurses’ verbal interaction approaches were aimed to make the pupil more active and participatory in the dialogues.

    In conclusion, the health dialogues were described as an opportunity to gain knowledge about and insight into health and lifestyle, but a pupil-centered dialogue was considered crucial. The challenge is to adapt the health dialogue based on each pupil’s needs and wishes, and a health and lifestyle tool could contribute structure and support the dialogue.

     

  • 19.
    Golsäter, Marie
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Elevcentrerade hälsosamtal med hjälp av ett strukturerat hälsoverktyg2012Inngår i: Skolsköterskans hälsofrämjande arbete / [ed] Clausson, E & Morberg, S, Lund: Studentlitteratur, 2012, 1, s. 153-172Kapittel i bok, del av antologi (Annet (populærvitenskap, debatt, mm))
  • 20.
    Golsäter, Marie
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, 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 frame2014Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 28, nr 3, s. 591-599Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 21.
    Golsäter, Marie
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Futurum Academy for Health and Care, Region Jönköping County, Sweden.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Knutsson, Susanne
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Contributing to making the school a safe place for the child: School nurses’ perceptions of their assignment when caring for children having parents with serious physical illness2017Inngår i: Nursing Open, E-ISSN 2054-1058, Vol. 4, nr 4, s. 267-273Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: To explore how school nurses perceive their assignment when caring for children having parents with serious physical illness.

    Design: An explorative inductive qualitative design.

    Method: The study is based on interviews with 16 school nurses. The interviews were subjected to qualitative content analysis.

    Results: The main category, “Contribute in making the school a safe place for the child”, reveals how the school nurses try to contribute to making the school a safe place for a child when his/her parent has a serious physical illness. They support children through individual support, as well as at an overall level in the school health team to make the school, as an organization, a safe place. Routines and collaboration to recognize the child when his/her parent has become ill is described as crucial to accomplishing this assignment

  • 22.
    Golsäter, Marie
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Child Health Services and Futurum Academy for Health and Care, Region Jönköping County, Jönköping, Sweden.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Knutsson, Susanne
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Parents’ perceptions of how nurses care for children as relatives of an ill patient: Experiences from an oncological outpatient department2019Inngår i: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 39, s. 35-40Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose:

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

    Method:

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

    Results:

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

    Conclusion:

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

  • 23.
    Golsäter, Marie
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Lingfors, Hans
    Primärvårdens fou-enhet Jönköpings läns landsting.
    Sidenvall, Birgitta
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Health counselling: parental-oriented health dialogue - an innovation for child health nurses2009Inngår i: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 13, nr 1, s. 75-88Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The Health Curve, used by nurses in community-based health care, is an educational tool for conducting goal-directed dialogues concerning lifestyle and health. The aim of this study was to investigate how child health nurses experienced the Health Curve as a tool for conducting dialogues with parents. Fourteen nurses were interviewed. The data were analysed according to qualitative analysis. The results showed that nurses working in child health care experienced the Health Curve as a useful tool for conducting health dialogues with parents. Through their work with the Health Curve, the nurses gained a greater insight into, and understanding of, the families' health and life situation. The results indicated that working with the Health Curve could increase the opportunity for nurses to provide parents with support early in the process, helping the family to lead a healthy lifestyle.

  • 24.
    Golsäter, Marie
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Sidenvall, Birgitta
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Andersson-Gäre, Boel
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Lingfors, Hans
    Att arbeta med Hälsokurvan inom Barnhälsovården2006Konferansepaper (Annet vitenskapelig)
  • 25.
    Golsäter, Marie
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Futurum-Academy for Health and Care Region Jönköping County, Jönköping, Sweden.
    Fast, Annika
    Futurum-Academy for Health and Care Region Jönköping County, Jönköping, Sweden.
    Bergman-Lind, Sara
    Futurum-Academy for Health and Care Region Jönköping County, Jönköping, Sweden.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    School nurses' health dialogues with pupils about physical activity2015Inngår i: British Journal of School Nursing, ISSN 1752-2803, E-ISSN 2052-2827, Vol. 10, nr 7, s. 330-336Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim was to explore school nurses' health dialogues with pupils regarding physical activity. A descriptive explorative qualitative design based on video recordings of 15 nurses performing 24 ordinary real-life health visits with pupils aged 10,14 and 16 years was used to accomplish this. Audio files from the video recordings were transcribed verbatim and subjected to qualitative content analysis. The results showed that the school nurses created a flow and kept the conversation going to enable the progress of the health dialogue about physical activity. To gain the pupils' trust, the nurses used social talk and gave positive feedback. By assessing information about the pupils' activity the nurses created an overview and then, based on this overview, tried to create a potential for change in physical activity.

  • 26.
    Golsäter, Marie
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Futurum Academy for Health and Care Region Jönköping County, Jönköping, Sweden.
    Henricson, Maria
    Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Knutsson, Susanne
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Are children as relatives our responsibility? How nurses perceive their role in caring for children as relatives of seriously ill patients2016Inngår i: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 25, s. 33-39Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: The purpose of this study was to elucidate how nurses perceive their role in caring for children as relatives to a parent with a serious physical illness.

    Method: A qualitative explorative design with focus group interviews was used. In total, 22 nurses working at one neurological, one haematological and two oncological wards were interviewed. The transcripts from the interviews were analysed in steps in accordance with inductive qualitative content analysis.

    Results: This study revealed six variations in how nurses perceived their role in the encounter with child relatives, ranging from being convinced that it is not their responsibility to being aware of the children's situation and working systematically to support them.

    Conclusion: Nurses should consider whether their patients have children who might be affected by their parent's illness. The nurses' self-confidence when meeting these children must be increased by education in order to strengthen their professional role. Furthermore, guidelines on how to encounter child relatives are required.

  • 27.
    Golsäter, Marie
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Futurum Academy for Health and Care Region Jönköping County, Sweden.
    Johansson, Lars-Olof
    Futurum Academy for Health and Care Region Jönköping County, Sweden.
    Harder, Maria
    Mälardalen University, Sweden.
    General practitioners’ accounts of how to facilitate consultations with toddlers: An interview study2017Inngår i: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 36, nr 1, s. 3-9Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To describe general practitioners’ (GPs’) accounts of how to facilitate consultations with children aged 1–2 years.

    Design: A qualitative study based on focus group interviews.

    Setting and subjects: Five focus group interviews were conducted with a total of 25 GPs at Swedish primary health care (PHC) centres. The GPs regularly invited toddlers to consultations.

    Result: The GPs’ accounts of how to facilitate consultations with toddlers revealed descriptions of making efforts to instil confidence in the situation to enable the consultation. Toddlers in need of health care always visit the GP with adults such as their parents, guardians or other relatives. Therefore, the GP directs efforts towards the adults and the child more or less simultaneously, as they both need to rely on the GP. The GPs describe how they instil confidence in the adults by establishing a mutual understanding that the consultation is necessary to secure the child’s health. Regarding the child, the GP instils confidence by establishing a relationship in order to approach the child and accomplish bodily examinations.

    Conclusion: The result shows that GPs’ encounters with children in consultations are two-sided. The GP needs to conduct bodily examinations to secure the child’s health and development, but to do so he/she needs to establish purposeful relationships with the adults and the child by instilling confidence. This indicates that establishing relationships in the consultation is significant, and a way to achieve a child-centred consultation.

    KEY POINTS Research regarding GPs’ encounters with toddlers in consultation is limited, even though toddlers frequently visit PHC. GPs make efforts to instil confidence by establishing mutual understanding with parents and a relationship with the child. Establishing purposeful relationships with both the child and parent is significant in enabling the consultation. Establishing a relationship with the child overrides conducting the bodily examination, t opromote the child’s feeling of ease and allow a child-centred consultation.

  • 28.
    Golsäter, Marie
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Lingfors, Hans
    Unit for Research and Development in Primary Health Care, Futurum, County Council of Jönköping.
    Sidenvall, Birgitta
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Health dialogues between pupils and school nurses: a description of the verbal interaction2012Inngår i: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 89, nr 2, s. 260-266Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective:The purpose of this study was to explore and describe the content and the verbal interaction in health dialogues between pupils and school nurses.

    Method: Twenty-four health dialogues were recorded using a video camera and the conversations were analysed using the paediatric version of the Roter Interaction analysis system.

    Results:The results showed that the age appropriate topics suggested by national recommendations were brought up in most of the health dialogues. The nurses were the ones who talked most, in terms of utterances. The pupils most frequently gave information about their lifestyle and agreed with the nurses’ statements. The nurses summarized and checked that they had understood the pupils, asked closed-ended questions about lifestyle and gave information about lifestyle. Strategies aimed to make the pupil more active and participatory in the dialogues were the most widely used verbal interaction approaches by the nurses.

    Conclusion:The nurses’ use of verbal interaction approaches to promote pupils’ activity and participation, trying to build a partnership in the dialogue, could indicate an attempt to build patient-centred health dialogues. 

    Clinical implications: The nurses’ great use of questions and being the ones leading the dialogues in terms of utterances point at the necessity for a nurses to have an openness to the pupils own narratives and an attentiveness to what he or she wants to talk about.

  • 29.
    Golsäter, Marie
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Child Health Care and Futurum, Region Jönköping County, Barnhälsovården, Jönköping, Sweden.
    Nilsson, Stefan
    Institute of Health and Care Sciences, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
    Wigert, Helena
    Institute of Health and Care Sciences, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
    Dealing with adolescents' recurrent pain problems in school health care—Swedish school nurses' view2019Inngår i: Nursing Open, E-ISSN 2054-1058Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: To explore school nurses' strategies for supporting adolescents with recurrent pain.

    Design: An explorative inductive qualitative design.

    Method: Twenty-one Swedish school nurses were interviewed, and the interviews were subjected to content analysis.

    Results: The findings show that the nurses are aware that recurrent pain problems are common among the adolescents. In their attempt to support these adolescents, the nurses describe how they are striving in attempts to acquire an understanding of the adolescents' situation, to understand the cause of the pain problem and to devise strategies that can be used to help the adolescents handle the situation. 

  • 30.
    Golsäter, Marie
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Futurum – Academy for Health and Care, Region Jönköping County, Sweden .
    Norlin, Åsa
    Futurum – Academy for Health and Care, Region Jönköping County, Sweden .
    Nilsson, Hanna
    Futurum – Academy for Health and Care, Region Jönköping County, Sweden .
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    School nurses’ health dialogues with pupils regarding food habits2016Inngår i: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 36, nr 3, s. 136-141Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to describe the content of school nurses’ health dialogues with pupils regarding food habits. A qualitative content analysis of 24 recorded health dialogues resulted in five categories describing the content of the dialogues, regarding food habits. Current food habits covered food, mealtimes and food related to physical activity. Social context and food habits showed that social groups in the pupils’ surroundings affected their food habits. Society and food habits included external factors that affected food habits, such as school and laws. School nurses’ advice and support regarding food habits described how nurses offered advice, support and information. Pupils’ understanding of health in connection to food habits comprised the pupils’ knowledge, participation and willingness to change. The results showed a variety of interacting factors which affected the pupils’ food habits, upon which health-promotional work can be based.

  • 31.
    Golsäter, Marie
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Sidenvall, Birgitta
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Lingfors, Hans
    Primärvårdens fou-enhet Jönköpings läns landsting.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Adolescents' and school nurses' perceptions of using a health and lifestyle tool in health dialogues2011Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 20, nr 17-18, s. 2573-2583Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim and objective. To describe and explore adolescents’ and nurses’ perceptions of using a health and lifestyle tool in healthdialogues in the School Health Service.

    Background. In Sweden, dialogues concerning health and lifestyle are offered to adolescents aged 14 years with the purpose of encouraging an interest in a healthy lifestyle. A health and lifestyle tool including a health questionnaire and a health profile has recently been developed, with the aim of facilitating the communication about health and lifestyle in these dialogues.

    Design.Qualitative descriptive design.

    Method. Twenty-nine adolescents and 23 nurses participated in focus group interviews, which were subjected to qualitative content analysis.

    Results. The health and lifestyle tool was perceived as constituting a structure for the dialogues and as a clear and applicable starting point, focusing on individual aspects. The tool contributed to an understanding of the health situation and to the transmittal of health information on an individual as well as a group level.

    Conclusion.The tool was perceived as constituting a useful structure for the dialogues about health and lifestyle. When it was used the individual’s health and lifestyle were concretised, which opened up for a dialogue and different aspects of health and lifestyle were detected. However, in some cases the outcome of the tool could be conceived as a stringent assessment and thereby complicate the dialogues.

    Relevance to clinical practice.The use of a tool, such as the one used in this study, is one way to improve the dialogues in the School Health Service, allowing them to be more focused on the individual’s needs and to detect aspects that would otherwise not be so easily detected. The implications of this study include using the findings to guide counselling sessions in the schools and other health care settings.

  • 32.
    Golsäter, Marie
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Sidenvall, Birgitta
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Lingfors, Hans
    Primärvårdens Fou-enhet Jönköpings läns landsting.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Pupils' perspectives on preventive health dialogues2010Inngår i: British Journal of School Nursing, ISSN 1752-2803, E-ISSN 2052-2827, Vol. 5, nr 1, s. 26-33Artikkel i tidsskrift (Fagfellevurdert)
  • 33.
    Harder, Maria
    et al.
    ChiP research group, School of Health Care and Social Welfare, Mälardalen University, Västerås, Sweden.
    Andersson, Sara
    ChiP research group, School of Health Care and Social Welfare, Mälardalen University, Västerås, Sweden.
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Child healthcare nurses’ encounters with parents whose child is overweight2019Inngår i: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 39, nr 3, s. 152-158Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 34.
    Harder, Maria
    et al.
    School of Health Care and Social Welfare, Mälardalen University, Västerås, Sweden.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Nurses’ use of pliable and directed strategies when encountering children in child and school healthcare2017Inngår i: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 21, nr 1, s. 55-64Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Nurses in Swedish child and school healthcare need to balance their assignment of promoting children’s health and development based on the national health-monitoring programme with their responsibility to consider each child’s needs. In this balancing act, they encounter children through directed and pliable strategies to fulfil their professional obligations. The aim of this study was to analyse the extent to which nurses use different strategies when encountering children during their recurrent health visits throughout childhood. A quantitative descriptive content analysis was used to code 30 video recordings displaying nurses’ encounters with children (3–16 years of age). A constructed observation protocol was used to identify the codes. The results show that nurses use pliable strategies (58%) and directed strategies (42%) in encounters with children. The action they use the most within the pliable strategy is encouraging (51%), while in the directed strategy, the action they use most is instructing (56%). That they primarily use these opposing actions can be understood as trying to synthesize their twofold assignment. However, they seem to act pliably to be able to fulfil their public function as dictated by the national health-monitoring programme, rather than to meet each child’s needs.

  • 35.
    Hasselberg, Marita
    et al.
    Child and Adolescent Clinic, Södra Älvsborg's Hospital, Borås, Sweden.
    Huus, Karina
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Breastfeeding preterm infants at a neonatal care unit in rural Tanzania2016Inngår i: Journal of Obstetric, Gynecologic and Neonatal Nursing, ISSN 0884-2175, E-ISSN 1552-6909, Vol. 45, nr 6, s. 825-835Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: To describe the breastfeeding experiences of mothers with preterm and low-birth-weight infants in a neonatal unit in Tanzania.

    DESIGN: A qualitative research design.

    SETTING: A neonatal unit at a referral hospital in rural Tanzania.

    PARTICIPANTS: Convenience sample of 10 new mothers with preterm infants. Additionally, to triangulate the data, five nurses affiliated with the neonatal unit were interviewed.

    METHODS: A semistructured interview guide was used for data collection. All interviews were audiotaped and transcribed verbatim. Data were analyzed with inductive qualitative content analysis.

    RESULTS: One main category, The mother has to adapt to the new situation to make breastfeeding natural, and three generic categories, The challenges of breastfeeding a premature infant, Enhancing the feeding situation, and The need for support, were used to describe breastfeeding challenges. Challenges consisted of the perception that the infant was different than healthy infants and the infant's and mother's health problems and needs. To improve the feeding situation, mothers learned how to feed their infants using timing strategies. Confidence and security were achieved with support from family and friends, the other mothers, and the health care staff.

    CONCLUSION: Mothers perceived breastfeeding as natural but needed support to overcome the challenges of breastfeeding preterm infants. Through support and education they were empowered, adapted to their new situations, and felt confident with breastfeeding.

  • 36.
    Johansson, Lisbeth
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT. Unit for Research and Development in Primary Care, Futurum – Academy for Health and Care, Region Jönköping County, Sweden.
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Futurum – Academy for Health and Care, Region Jönköping County, Sweden.
    Hedberg, Berith
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Futurum – Academy for Health and Care, Region Jönköping County, Sweden.
    Health dialogue with non-native-speaking parents: Child health nurses’ experiences2016Inngår i: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 36, nr 4, s. 209-215Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to explore child health care nurses’ experiences of conducting health dialogues with non-native-speaking parents. In Sweden, it is not routine that all non-native-speaking parents are invited to a health dialogue. Regardless of language and cultural background, it is important that all parents have the same opportunities to participate. The data were obtained through two focus-group interviews and analysed using qualitative content analysis. The results revealed one theme Need for cultural awareness in the health dialogue and two categories: Overcoming feelings of uncertainty, with a need for more transcultural knowledge regarding what health and health promotion mean in other cultures; and Adapting the process of the health dialogue, whereby interpreters need knowledge about the intention of health dialogues and the content of the tool used in the encounter. Transcultural competence is needed in encounters with parents from other cultures.

  • 37.
    Johansson, Lisbeth
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT. Unit for Research and Development in Primary Health Care, Futurum - Academy for Health and Care, Region Jönköping County, Jönköping, Sweden.
    Lingfors, Hans
    Linköping University, Linköping, Sweden.
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Linköping University, Linköping, Sweden.
    Kristenson, Margareta
    Unit for Community Medicine, Department of Medicine and Health, Linköping University, Linköping, Sweden.
    Fransson, Eleonor I.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT. Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping). Linköping University, Linköping, Sweden.
    Can physical activity compensate for low socioeconomic status with regard to poor self-rated health and low quality-of-life?2019Inngår i: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 17, nr 1, s. 1-10, artikkel-id 33Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

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

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

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

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

  • 38.
    Knutsson, Susanne
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Andersson-Gäre, Boel
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Futurum-Academy for Health and Care, Region Jönköping County, Sweden.
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Futurum-Academy for Health and Care, Region Jönköping County, Sweden.
    Children as relatives to a sick parent: Healthcare professionals’ approaches2017Inngår i: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 37, nr 2, s. 61-69Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 39.
    Knutsson, Susanne
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Futurum Academy for Health and Care Region Jönköping County, Jönköping, Sweden.
    Nurses' experiences of what constitutes the encounter with children visiting a sick parent at an adult ICU2017Inngår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 39, s. 9-17Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND:

    Despite a cultural change in visitation policies for children (0-17 years) in the intensive care unit (ICU) to a more open approach, children are still restricted from visiting for various reasons. To overcome these obstacles, it is vital to determine what is needed while encountering a child.

    AIM:

    To elucidate nurses' experiences of what constitutes the encounter with children visiting a sick parent in an adult ICU.

    METHOD:

    An explorative inductive qualitative design was used, entailing focus group interviews with 23 nurses working at a general ICU. The interviews were analysed according to inductive content analysis.

    RESULTS:

    The findings show components that constitute the encounter with children as relatives at the ICU, as experienced by ICU nurses: nurses need to be engaged and motivated; parents need to be motivated; the child needs individual guidance; and a structured follow-up is needed. This reflects a child-focused encounter.

    CONCLUSIONS:

    Nurses need to adopt a holistic view, learn to see and care for the child individually, and be able to engage parents in supporting their children. To accomplish this the nurses need engagement and motivation, and must have knowledge about what constitutes a caring encounter, in order to achieve a caring child-focused encounter.

  • 40.
    Nilsson, Stefan
    et al.
    Univ Gothenburg, Inst Hlth & Care Sci, Gothenburg, Sweden.
    Wallbing, Ulrika
    Univ Gothenburg, Ctr Person Ctr Care, Sahlgrenska Acad, Gothenburg, Sweden.
    Alfvén, Gösta
    Univ Gothenburg, Ctr Person Ctr Care, Sahlgrenska Acad, Gothenburg, Sweden.
    Dalenius, Kristina
    Lerums Kommun, Sektor Lärande, S-44380 Lerum, Sweden.
    Fors, Andreas
    Univ Gothenburg, Ctr Person Ctr Care, Sahlgrenska Acad, Gothenburg, Sweden.
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Child Hlth Care & Futurum, Jönköping, Sweden.
    Rosvall, Per-Åke
    Umeå Univ, Dept Appl Educ Sci, Umeå, Sweden.
    Wigert, Helena
    Univ Gothenburg, Ctr Person Ctr Care, Sahlgrenska Acad, Gothenburg, Sweden.
    Lundberg, Mari
    Univ Gothenburg, Sahlgrenska Acad, Inst Neurosci & Physiol, Dept Hlth & Rehabil, Gothenburg, Sweden.
    Development of the Help Overcoming Pain Early (HOPE) Programme Built on a Person-Centred Approach to Support School Nurses in the Care of Adolescents with Chronic Pain-A Feasibility Study2019Inngår i: Children (Basel, Switzerland), ISSN 2227-9067, Vol. 6, nr 9, artikkel-id E95Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Chronic pain and its consequences are major global health challenges, and the prevalence is increasing worldwide among adolescents. Adolescents spend most of their waking hours in school; however, there is limited research available on how school nurses can address chronic pain among adolescents in the Swedish school context. Therefore, we designed a person-centred intervention, known as Help Overcoming Pain Early (HOPE), to enable school nurses to offer adolescents strategies to manage their stress and pain. We used the Medical Research Council (MRC) framework for developing and designing this new complex intervention. For this study, we describe two of the four phases: (a) development and (b) feasibility and piloting. The final version of the HOPE programme consists of (i) an educational package for school nurses in the areas person-centred care, stress and pain education/management and gender perspective; and (ii) an intervention package for adolescents with chronic pain. The programme consists of four sessions during which adolescents with chronic pain have person-centred dialogues with a school nurse. The HOPE programme is based on the existing evidence of managing chronic pain and on the assumption that school nurses can support adolescents with chronic pain by using person-centred care.

  • 41.
    Oldin, C.
    et al.
    Region Jönköping County, Jönköping, Sweden and Linköping University, Linköping, Sweden.
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Schollin Ask, L.
    South General Hospital, Stockholm, Sweden.
    Fredriksson, S.
    Norrahammar Primary Health Care Centre, Jönköping, Sweden.
    Stenmarker, M.
    Linköping University, Linköping, Sweden.
    Introduction of rotavirus vaccination in a Swedish region: assessing parental decision-making, obtained vaccination coverage and resulting hospital admissions2019Inngår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 108, nr 7, s. 1329-1337Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim:

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

    Methods:

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

    Results:

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

    Conclusion:

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

  • 42.
    Petersson, Christina
    et al.
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Huus, Karina
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
    Åkesson, Karin
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    To promote child involvement – healthcare professionals' use of a health-related quality of life assessment tool during paediatric encounters2017Inngår i: European Journal for Person Centered Healthcare, ISSN 2052-5648, E-ISSN 2052-5656, Vol. 5, nr 1Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Children and healthcare professionals should be provided with easy-to-use tools which could lead to actionable results.

    Objectives: There is increasing interest in the use of patient reported outcomes to aid management of individual care; therefore, the use of health-related qualityof life (HRQOL) assessments during consultations need to be studied. The aim of this study was to explore how healthcare professionals use a HRQOL assessment tool during paediatric encounters.

    Design: A descriptive, explorative design with a qualitative approach based on video recordings was chosen.

    Methods: Twenty-one video recordings, from nine different healthcare professionals’ consultations where an assessment tool of HRQOL were used were analysed by content analysis.

    Results: The healthcare professionals were using different strategies and when they combined these strategies three approaches emerged. The instructing approach was characterized by healthcare professionals giving a summary of the results, leading to children becoming passive bystanders in the encounter. Based on an inviting approach, the children’s perceptions of their situation were requested while the items were explored. This resulted in involving the children in the conversations. In the engaging approach, an open dialogue and a common interpretation were sought to guide further care which was interpreted as children becoming actively involved.

    Conclusions: The child’s involvement could be facilitated depending on which approach is being used. When an inviting and engaging approach is used, actions in a non-linear set of interactions is co-produced with the child.

    Relevance to practice: The use of an HRQOL assessment tool change the management during consultations and could promote child involvement dependent on which approach the healthcare professionals are using.

  • 43.
    Wahlström, Emmie
    et al.
    School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden..
    Harder, Maria
    School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden..
    Granlund, Mats
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Högskolan för lärande och kommunikation, HLK, CHILD.
    Holmström, Inger K
    School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden & Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden..
    Larm, Peter
    School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden..
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    School nurses' self-assessed cultural competence when encountering children of foreign origin: A cross-sectional study.2019Inngår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose of this study was to investigate associations between school nurses' self-assessed cultural competence in health visits with children of foreign origin and demographic variables, by using a cross-sectional design. A Web-based questionnaire assessing cultural competence and demographic variables was distributed to a nationally representative sample (n = 816) of school nurses in Sweden. Data were analyzed using regression analysis. School nurses assessed themselves as culturally aware and moderately culturally competent, but not as culturally knowledgeable, culturally skilled, or comfortable in cultural encounters. Cultural competence was related to education in cultural diversity, how often nurses encounter children of foreign origin, and nurses' country of origin. In total, these variables explained 23.6% of the variation in school nurses' cultural competence. Because school nurses regard themselves as moderately culturally competent, a foundation for promoting children's health on equal terms in school health care exists. However, education in cultural diversity combined with other additional strategies is needed to further strengthen school nurses' cultural knowledge, skills, and comfort level in encounters with children of foreign origin.

  • 44.
    Wigert, Helena
    et al.
    Institute of Health and Care Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
    Fors, Andreas
    Institute of Health and Care Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
    Nilsson, Stefan
    Institute of Health and Care Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
    Dalenius, Kristina
    Lerums Kommun, Sektor lärande, Lerum, Sweden.
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Child Health Care and Futurum, Region Jönköping County, Barnhälsovården, Jönköping, Sweden.
    A person-centred approach when encountering students with recurrent pain: School nurses’ experiences2019Inngår i: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

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