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  • 301.
    Falkmer, Torbjörn
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Henriksson, P
    Gregersen, NP
    Bjurulf, P
    Driver education for persons with cerebral palsy: a retrospective study of educational problems.2000Ingår i: Transportation Research Part F: Traffic Psychology and Behaviour, ISSN 1369-8478, E-ISSN 1873-5517, Vol. 3, nr 1, s. 15-27Artikel i tidskrift (Refereegranskat)
  • 302.
    Falkmer, Torbjörn
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Curtin Univerisity, Perth, Australia.
    Horlin, Chiara
    School of Occupational Therapy and Social Work, Curtin Health Innovation Research Institute (CHIRI), Faculty of Health Sciences, Curtin University of Technology, Perth, WA, Australia.
    Dahlman, Joakim
    Shipping and Marine Technology, Chalmers University of Technology, Göteborg, Sweden.
    Dukic, Tania
    Swedish National Road and Transport Research Institute, Linköping, Sweden.
    Barnett, Tania
    School of Occupational Therapy and Social Work, Curtin Health Innovation Research Institute (CHIRI), Faculty of Health Sciences, Curtin University of Technology, Perth, WA, Australia.
    Anund, Anna
    Swedish National Road and Transport Research Institute, Linköping, Sweden.
    Usability of the SAFEWAY2SCHOOL system in children with cognitive disabilities2014Ingår i: European Transport Research Review, ISSN 1867-0717, E-ISSN 1866-8887, Vol. 6, nr 2, s. 127-137Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose

    SAFEWAY2SCHOOL is a programme based on several systems for the enhancement of school transportation safety for children. The aim of the study was to explore whether children with cognitive disabilities will notice, realise, understand, trust and accept the SAFEWAY2SCHOOL system and act in accordance with its instructions.

    Methods

    Fourteen children with cognitive disabilities and a control group of 23 children were shown five videos of scenarios involving journeys to and from school. During the first viewing visual scanning patterns were recorded with an eye tracking device. After a second viewing the participant was asked ten questions per scenario. Five questions addressed what the children saw on the video, and the remaining five what they would need to know and/or do within the scenario. Additional ratings of trust, likability, acceptability and usability were also collected.

    Results

    Very few differences were found in the visual scanning patterns of children with disabilities compared to children who participated in the control group. Of the 50 questions regarding what children saw or needed to know and/or do, only one significant difference between groups was found. No significant differences were found regarding self-reported ratings of trust, acceptability or usability of the system. Despite some significant differences across five of the 11 likability aspects, ratings were consistently high for both groups.

    Conclusions

    Children with cognitive disabilities proved that the SAFEWAY2SCHOOL system is as useful for them as it was for children in the control group. However, a valid estimation of the full utility of SAFEWAY2SCHOOL requires in situ testing of the system with these children.

  • 303.
    Falkmer, Torbjörn
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Lövgren, A.
    Anund, A.
    Nyberg, J.
    Elkehag, K.
    Elm, C.
    Gustafson, P.
    Åkerberg, P.
    Säkerhet och trygghet i samband med skolskjuts: ur barnens perspektiv.2006Rapport (Övrigt vetenskapligt)
  • 304.
    Falkmer, Torbjörn
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Nordmark, S.
    Truck simulator feasibility study.2002Rapport (Övrigt vetenskapligt)
  • 305.
    Falkmer, Torbjörn
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Renner, Linda
    Swedish National Road and Transport Research Institute, VTI.
    Anund, Anna
    Swedish National Road and Transport Research Institute, VTI.
    Estimated societal costs of a hierarchical measures approach to enhanced school transportation safety at bus stops on roads with high speed limits2010Ingår i: European Transport Research Review, ISSN 1867-0717, Vol. 2, nr 4, s. 201-207Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose

    Most school bus related injury events in Sweden take place when the child is outside the bus. In order to enhance their safety, the societal costs of four different measures applied on “bus stops” on high speed roads were investigated.

    Methods

    From a door-to-door perspective, a measure hierarchy, comprising the four existing measures, viz.: Rerouting using the current operating vehicle, New construction, Rerouting using a different operating vehicle, Speed reduction in the vicinity of the “bus stop” was applied.

    Results

    By allocating 7.7 € per child per school day, almost nine out of ten children’s transportation safety may substantially be enhanced, simply by rerouting the current operating vehicle or using alternative operating vehicles.

    Conclusions

    In the investigated municipality it was feasible to enhance school transportation safety for children by implementing cheap and alternative measures.

  • 306.
    Falkmer, Torbjörn
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Vogel, K
    Gregersen, NP
    The Test of Visual Perceptual Skills (non-motor) Upper Level is not a valid predictor for the outcome of driver education.2001Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 8, nr 2, s. 72-78Artikel i tidskrift (Refereegranskat)
  • 307. Farr, W.
    et al.
    Green, Dido
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Centre for Rehabilitation, Oxford Brookes University, United Kingdom.
    Male, I.
    Morris, C.
    Bailey, S.
    Gage, H.
    Speller, S.
    Colville, V.
    Jackson, M.
    Bremner, S.
    Memon, A.
    Therapeutic potential and ownership of commercially available consoles in children with cerebral palsy2017Ingår i: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 80, nr 2, s. 108-116Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction:

    We conducted a survey amongst families of children with cerebral palsy to ascertain the ownership and therapeutic use and potential of commercial games consoles to improve motor function.

    Method:

    Three hundred families in South East England were identified through clinical records, and were requested to complete an anonymised questionnaire.

    Results:

    A total of 61 families (20% response) returned a completed questionnaire with 41 (68%) identified males and 19 (32%) identified females with cerebral palsy, with a mean age of 11 years 5 months (SD 3Y 7M). The large majority of families, 59 (97%), owned a commercial console and the child used this for 50-300 minutes a week. Returns by severity of motor impairment were: Gross Motor Function Classification System I (22%), II (32%), III (13%), IV (15%), V (18%). Consoles were used regularly for play across all Gross Motor Function Classification System categories.

    Conclusion:

    The potential of games consoles, as home-based virtual reality therapy, in improving the motor function of children with cerebral palsy should be appropriately tested in a randomised controlled trial. Wide ownership, and the relative ease with which children engage in the use of commercially-based virtual reality therapy systems, suggests potential as a means of augmenting therapy protocols, taking advantage of interest and participation patterns of families.

  • 308.
    Farr, William
    et al.
    Sussex Community NHS Trust.
    Male, Ian
    Sussex Community NHS Trust.
    Green, Dido
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Oxford Brookes University.
    Morris, Christopher
    University of Exeter Medical School.
    Gage, Heather
    University of Surrey.
    Bailey, Sarah
    University of Exeter Medical School.
    Speller, Sandra
    Sussex Community NHS Trust.
    Colville, Val
    Sussex Community NHS Trust.
    Jackson, Mandy
    Sussex Community NHS Trust.
    Bremner, Stephen
    Brighton and Sussex Medical School.
    Memon, Anjum
    Brighton and Sussex Medical School.
    Methodological issues of using placebos in interventions based on digital technology2017Ingår i: Journal of Mobile Technology in Medicine, ISSN 1839-7808, Vol. 6, nr 2, s. 56-63Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background/Aims: Use of placebo is the ideal for comparison in clinical trials to reduce biases. With digital technology being used more frequently in healthcare interventions, how do we determine the placebo effect where interventions exploit technology? If placebo in medicine is traditionally defined by a lack of pharmacological agents, how might we begin to move towards controlling for effects of digital technology?

    Method: This paper explores the traditional placebo effect and discusses its impact in healthcare contexts with digital technology with reference to a particular trial. Different meanings of placebo in the context of evaluating technology suggest new challenges and positive consequences.

    Results: Methodological considerations are discussed, which enabled the development of a placebo-controlled evaluation of a digital technology in healthcare and rehabilitation.

    Conclusion: Digital placebo was controlled in our trial by employing technology across all groups in the absence of evidence-based practice and shows how to control for unknown and hidden effects of technology.

  • 309.
    Fatone, Stefania
    et al.
    Northwestern University, Chicago, USA.
    Paul, Charlton
    Barnett, Cleveland
    Nottingham Trent University, UK.
    Ramstrand, Nerrolyn
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Balancing Act: Exploring Clinical, Theoretical, and Evidence-Based Perspectives in the Optimization of Balance using orthoses in Peripheral Neuropathy2018Ingår i: Journal of prosthetics and orthotics, ISSN 1040-8800, E-ISSN 1534-6331, Vol. 30, nr 2S, artikel-id 0S9Artikel i tidskrift (Övrigt vetenskapligt)
  • 310.
    Faulks, Denise
    et al.
    Clermont Université, Université d’Auvergne, EA3847, Centre de Recherche en Odontologie Clinique, Clermont-Ferrand, France.
    Norderyd, Johanna
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. National Oral Disability Centre, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Molina, Gustavo
    Facultad de Odontología, Universidad Nacional de Córdoba, Córdoba, Argentina.
    Macgiolla Phadraig, Caoimhin
    Dublin Dental University Hospital, Trinity College, Dublin, Ireland.
    Scagnet, Gabriela
    Quinquela Martin Hospital, Government of Buenos Aires City & National University of Buenos Aires, Buenos Aires, Argentina.
    Eschevins, Caroline
    Clermont Université, Université d’Auvergne, EA3847, Centre de Recherche en Odontologie Clinique, Clermont-Ferrand, France.
    Hennequin, Martine
    Clermont Université, Université d’Auvergne, EA3847, Centre de Recherche en Odontologie Clinique, Clermont-Ferrand, France.
    Using the International Classification of Functioning, Disability and Health (ICF) to describe children referred to special care or paediatric dental services2013Ingår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 8, nr 4, artikel-id e61993Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Children in dentistry are traditionally described in terms of medical diagnosis and prevalence of oral disease. This approach gives little information regarding a child's capacity to maintain oral health or regarding the social determinants of oral health. The biopsychosocial approach, embodied in the International Classification of Functioning, Disability and Health - Child and Youth version (ICF-CY) (WHO), provides a wider picture of a child's real-life experience, but practical tools for the application of this model are lacking. This article describes the preliminary empirical study necessary for development of such a tool - an ICF-CY Core Set for Oral Health. An ICF-CY questionnaire was used to identify the medical, functional, social and environmental context of 218 children and adolescents referred to special care or paediatric dental services in France, Sweden, Argentina and Ireland (mean age 8 years ± 3.6 yrs). International Classification of Disease (ICD-10) diagnoses included disorders of the nervous system (26.1%), Down syndrome (22.0%), mental retardation (17.0%), autistic disorders (16.1%), and dental anxiety alone (11.0%). The most frequently impaired items in the ICF Body functions domain were 'Intellectual functions', 'High-level cognitive functions', and 'Attention functions'. In the Activities and Participation domain, participation restriction was frequently reported for 25 items including 'Handling stress', 'Caring for body parts', 'Looking after one's health' and 'Speaking'. In the Environment domain, facilitating items included 'Support of friends', 'Attitude of friends' and 'Support of immediate family'. One item was reported as an environmental barrier - 'Societal attitudes'. The ICF-CY can be used to highlight common profiles of functioning, activities, participation and environment shared by children in relation to oral health, despite widely differing medical, social and geographical contexts. The results of this empirical study might be used to develop an ICF-CY Core Set for Oral Health - a holistic but practical tool for clinical and epidemiological use.

  • 311. Forsman, Å
    et al.
    Falkmer, Torbjörn
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Handbook guidance promoting a safe journey for children with disabilities: an evaluation.2006Ingår i: Transportation Research Part A: Policy and Practice, ISSN 0965-8564, E-ISSN 1879-2375, Vol. 40, nr 9, s. 712-724Artikel i tidskrift (Refereegranskat)
  • 312. Forsman, Å.
    et al.
    Falkmer, Torbjörn
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Paulsson, K.
    The Safe Ride for Children with Disabilities: Parental Guidance through a Handbook2004Konferensbidrag (Övrigt vetenskapligt)
  • 313.
    Fried-Oken, Melanie
    et al.
    Oregon Health & Science University, Portland, Oregon, USA.
    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.
    Guest editorial: AAC and ICF: A Good Fit to Emphasize Outcomes2012Ingår i: Augmentative and Alternative Communication: AAC, ISSN 0743-4618, E-ISSN 1477-3848, Vol. 28, nr 1, s. 1-2Artikel i tidskrift (Övrigt vetenskapligt)
  • 314.
    Fristedt, Sofi
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. Åldrande - livsvillkor och hälsa.
    Dahl, Anna K.
    Wretstrand, Anders
    Björklund, Anita
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. Åldrande - livsvillkor och hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Falkmer, Torbjörn
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Changes in community mobility in older men and women. A 13-year prospective study2014Ingår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 9, nr 2, s. e87827-Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Community mobility, defined as "moving [ones] self in the community and using public or private transportation", has a unique ability to promote older peoples' wellbeing by enabling independence and access to activity arenas for interaction with others. Early predictors of decreased community mobility among older men and women are useful in developing health promoting strategies. However, long-term prediction is rare, especially when it comes to including both public and private transportation. The present study describes factors associated with community mobility and decreased community mobility over time among older men and women. In total, 119 men and 147 women responded to a questionnaire in 1994 and 2007. Respondents were between 82 and 96 years old at follow-up. After 13 years, 40% of men and 43% of women had decreased community mobility, but 47% of men and 45% of women still experienced some independent community mobility. Cross-sectional independent community mobility among men was associated with higher ratings of subjective health, reporting no depression and more involvement in sport activities. Among women, cross-sectional independent community mobility was associated with better subjective health and doing more instrumental activities of daily living outside the home. Lower subjective health predicted decreased community mobility for both men and women, whereas self-reported health conditions did not. Consequently, general policies and individual interventions aiming to improve community mobility should consider older persons' subjective health.

  • 315.
    Fristedt, Sofi
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Åldrande - livsvillkor och hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering.
    Elgmark Andersson, Elisabeth
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering.
    Unsworth, Carolyn
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. La Trobe University, Melbourne.
    Reliability of the Swedish Translation of the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs-OT-S)2014Ingår i: Sharing traditions, creating futures, 2014Konferensbidrag (Refereegranskat)
  • 316.
    Fristedt, Sofi
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Åldrande - livsvillkor och hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering.
    Elgmark Andersson, Elisabeth
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering.
    Unsworth, Carolyn
    School of Occupational Therapy, La Trobe University, Melbourne, Victoria , Australia.
    The inter-rater and test-retest reliability of the Self-care and Transfer scales, and intra-rater reliability of all scales of the Swedish Translation of the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs-OT-S)2013Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 20, nr 3, s. 182-189Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: The Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs-OT) are used internationally to measure the outcomes of occupational therapy services across diagnoses, ages, and health care settings. This study reports on the inter-rater and test-retest reliability of the Self-care and Transfer scales as well as the intra-rater reliability of all scales of the Swedish (AusTOMs-OT-S) translation.

    Methods: Fifteen occupational therapists rated 11 case study clients on two occasions, separated by two weeks. Test-retest reliability and inter-rater reliability were calculated for the Self-care scale and Transfer scales. Moreover, intra-rater reliability was calculated for each of the 15 therapists across all 12 scales.

    Results: The inter-rater reliability intraclass correlation coefficients (ICCs) were all found to be high to very high, ranging from ICC 0.762 to 0.904; the intra-rater reliability coefficients were also very good with 11 of the 15 therapists achieving ICCs of 0.745 or over, and finally the test-retest ICCs were also found to be high, ranging from 0.705 to 0.920.

    Conclusions: Although further research is required to confirm reliability, preliminary reliability of the AusTOMs-OT Swedish translation has been demonstrated and therapists can have confidence when using the scales.

  • 317.
    Fristedt, Sofi
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättring och ledarskap inom hälsa och välfärd. Högskolan i Jönköping, Hälsohögskolan, HHJ. Åldrande - livsvillkor och hälsa.
    Wretstrand, Anders
    Faculty of Engineering, Lund University.
    Björklund, Anita
    Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT. Högskolan i Jönköping, Hälsohögskolan, HHJ. Åldrande - livsvillkor och hälsa.
    Corr, Susan
    School of Health, the University of Northampton.
    Falkmer, Torbjörn
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Viewpoints on community mobility and participation in older age2012Ingår i: Journal of Human Subjectivity, ISSN 1598-8643, Vol. 10, nr 1, s. 103-123Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background/Aim: Community mobility supports participation in activities. However, knowledge about issues that influence community mobility and, hence, participation in activities outside the home is limited. Since participation and community mobility are subjectively defined phenomena, further knowledge from an insider’s perspective is needed. The aim of this study was to identify and describe viewpoints on community mobility and participation in older age. Methods: A Q-methodology study was conducted with 36 male and female participants, including drivers and non-drivers. Participants sorted 45 Q-statements along a most to least continuum, indicating their current habitual situation of mobility and participation in activities outside their homes. Results: Three viewpoints were found and assigned content-describing denominations; “Prefer being mobile by car, “Prefer being mobile by public transport” and “Prefer flexible mobility”. Conclusions: All participants were satisfied with their actual participation in activities outside their homes. However, those who preferred to use public transport were less satisfied with their opportunities and possibilities to participate in activities outside their homes. The existing demand-responsive Special Transportation System was not considered to be an attractive enough alternative by any of the participants. Intermediate community mobility options are thus needed for those who can no longer drive or use public transport.

  • 318.
    Garrels, Veerle
    et al.
    Department of Special Needs Education, faculty of Educational Sciences, University of Oslo, Oslo, Norway.
    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 socialt arbete. Department of Special Needs Education, faculty of Educational Sciences, University of Oslo, Oslo, Norway.
    Measuring self-determination in Norwegian students: adaptation and validation of the AIR Self-Determination Scale2018Ingår i: European Journal of Special Needs Education, ISSN 0885-6257, E-ISSN 1469-591X, Vol. 33, nr 4, s. 466-480Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study describes the adaptation and validation of the American Institute for Research (AIR) Self-Determination Scale for use in Norwegian research and education. The study contributes to the field by enabling reliable assessment of self-determination of Norwegian students with intellectual disability. The operational equivalence of the construct of self-determination in American and Norwegian culture were examined. The article further describes the adaptations that were made to the scale to ensure its fitness for intended use. Psychometric reliability (Cronbach's α and test-retest reliability) was tested on 121 students, and the underlying structure of the scale was examined by means of principal component analysis. The adapted version of the questionnaire (AIR-S-NOR) shows respectable psychometric properties. Suggestions for how the AIR-S-NOR can be used in future research and educational practices are presented.

  • 319.
    Gimbler Berglund, Ingalill
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Developing guidelines in nursing care of children with Autism Spectrum Disorder in high technology health care settings2017Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Introduction. The high technology environment such as a radiology and anaesthesia department in a typical health care setting can many times be a frightening environment for children. Children with neurodevelopmental disorders, such as Autism Spectrum Disorder (ASD), have problems with communication and social interaction. They are dependent on routines and can have higher sensitivity to sensory stimuli than other children. These children are one group who constitutes special challenges in reducing anxiety and creating participation in a high technology environment. This can make them prone to frightening encounters in health care settings if not cared for with special consideration.

    Aim: The overall aim of this thesis was to audit and enhance the care of children in a high technology environment in the health care system with a focus on children with Autism Spectrum Disorder.

    Methods: A descriptive design was used with both qualitative and quantitative methods. In Study I, 32 nurse anaesthetists were interviewed to explore the actions and experiences of caring for children in a high technology environment using a qualitative method, known as the Critical Incident Technique (CIT). In the two following studies (Study II, III) a cross-sectional design was used and two national surveys were performed to obtain knowledge on the status in Sweden regarding the care of children with ASD in high technology environments. Sixty-eight anaesthesia departments, 38 paediatric departments and 86 radiology departments responded to the survey. Descriptive statistic was used for the answers apart from the comments part of the questionnaire where qualitative content analysis was used. Due to the limited existence of guidelines in these environments, the creation ofevidence-based guidelines was performed in Study IV, using a Delphi method. The Delphi study was based on information gleaned from the previous studies and from the literature, and 21 experts identified in Study II and III were the expert panel developing the guidelines.

    Result: Nurses identified children with special needs such as children with ASD as a vulnerable group in a high technology environment (Study I). Seven departments in the anaesthesia context had guidelines for caring for children with ASD in the perioperative context. In the other departments, the care of children with ASD was dependent on the knowledge of the nurse presently working there (Study II). None of the radiology departments in Sweden had guidelines on how to care for children with ASD going through a radiographic examination without anaesthesia (Study III). As a result of Study I, II and III, the need for structured guidelines for caring for children with ASD in a high technology context was identified and a set of guidelines and a checklist was created. The guidelines relate to the organisational structure for the care of children with deficits in social interaction, communication, sensory sensitivity and dependence on routines. The checklist relates to gleaning information about the specific child to be able to give person-centred care based on the specific characteristic of the child (Study IV).

    Conclusion: Nurses working in a high technology environment in health care have diverse experiences of preventing anxiety in children with ASD coming for a challenging procedure. There are a limited number of evidence-based guidelines to decrease anxiety and to create participation in this group ofchildren. Evidence-based guidelines were created as a tool for enhancing person-centred care in a high technology environment for this group of children. The fact that several problems are assembled under one disorder makes ASD a useful condition to have as a basis for formulating national guidelines. Guidelines that cater for the care of children with ASD in a high technology environment using a person-centred approach may also extend to the care for children with other neurodevelopmental disorders that exhibit some of the same problems as children with ASD.

  • 320.
    Gimbler Berglund, Ingalill
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Nurse anaesthetist's interactions and assessment of children's anxiety2012Licentiatavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Forty to sixty percent of all children having surgery experience preoperative anxiety. Preoperative anxiety is a risk factor for negative behavioural changes postoperative. It is of importance to find strategies in the interaction with the child to reduce anxiety. The overall aim was to describe CRNA's interaction with the child in relation to anxiety during anaesthesia induction and to describe the translation process of m-YPAS into Swedish and the testing of the psychometric properties in a Swedish context. In paper I an explorative qualitative approach with CIT was used and 32 CRNAs were interviewed. Experiences described were about the organisation which included effect of information, teamwork and time. Other experiences were grouped around interrelations such as, communication, meeting both anxious and calm children and experiences of use of physical restraint. Actions taken to reduce anxiety were optimizing the situation, as acting according to the situation, it could mean altering routines, though always without jeopardizing the safety of the child, preparing ahead and using distraction. Creating interpersonal interaction such as, creating contact, participation and using collaboration with the child, parents and colleagues. In paper II m-YPAS was translated into Swedish using cross cultural back translation. The psychometric properties of m-YPAS were tested in two phases. In phase I 52 children were assessed in real time by two SRNAs and one CRNA using m-YPAS and NAS. In phase II 98 video films of children were assessed by experienced CRNAs in the same way as in phase I. The psychometric properties of m-YPAS were good. Conclusion: In the interaction between CRNAs and the child, being flexible and sensitive to the child, taking the role of the child, and acting according to the need of the child were cornerstones in reducing preoperative anxiety and avoiding use of physical restraint. The m-YPAS can be used as an educational tool to enhance the anaesthetist's ability to interpret the child's anxiety. The m-YPAS is a valid and reliable assessment instrument to examine the efficiency of interventions and compare the result of research between cultures.

  • 321.
    Gimbler Berglund, Ingalill
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Är vi rustade att möta barn med speciella behov?2018Ingår i: Abstract AnIva Höstkongress 2018, Riksföreningen för Anestesi och Intensivvård , 2018Konferensbidrag (Övrigt vetenskapligt)
    Abstract [sv]

    Att komma till ett sjukhus för en undersökning eller behandling kan vara en skrämmande upplevelse för barn. När de kommer till en främmad miljö som inte är anpassad för dem kan de uppleva känslor av osäkerhet, hjälplöshet och oro. Barn med autismsspektrumtillstånd (AST) har problem med kommunikation, social interaktion, är känsliga för sensoriska stimuli, till exempel ljud, ljus eller beröring, och är dessutom beroende av rutiner. Dessa barn utgör en utsatt grupp i den högteknologiska miljön inom sjukvården och detta gör att de löper en stor risk att ett besök inom denna miljö riskerar att bli en skrämmande upplevelse. Detta i sin tur kan leda till att barnen inte medverkar och besöket blir en upplevelse som ytterligare förstärker deras rädsla för sjukvården. Att möta barn med AST kan vara en utmaning för vårdpersonalen, där riktlinjer för omhändertagande kan vara en hjälp för att kunna ge en person-familjecentrerad omvårdnad men det är få anestesiavdelningar i Sverige som har strukturerade riktlinjer för omhändertagandet av barn med autismsspektrumtillstånd. Dessa barns besök behöver vara välplanerade och genomföras på ett sätt som tar hänsyn till det individuella barnets fungerande och behov. En förutsättning för att kunna ge dessa barn ett bra omhändertagande är att man vet i förväg att det är ett barn med denna diagnos som är planerad för en procedur. Har man denna kunskap kan man ta kontakt med föräldrarna och skräddarsy planeringen och vården efter barnets specifika behov. Det behövs också en kunskap hos personalen om autismspektrumtillstånd och hur man kan möta barn med denna funktionsnedsättning för att skapa en gott bemötande för dessa barn.

  • 322.
    Gimbler Berglund, Ingalill
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Björkman, Berit
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Faresjö, Maria
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Huus, Karina
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Management of children with Autism Spectrum Disorder in the anesthesia and radiographic context2017Ingår i: Journal of Developmental and Behavioral Pediatrics, ISSN 0196-206X, E-ISSN 1536-7312, Vol. 38, nr 3, s. 187-196Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: As a primary objective, this study purports to develop guidelines to better care for children with autism spectrum disorder (ASD), particularly regarding these children's preparation for anesthesia and radiologic procedures.

    Methods: Using a Delphi method with an online distribution of questionnaire, guidelines for caring for children with ASD were created. Twenty-one participants were included in the expert panel. These participants were working with children with ASD in several anesthesia and radiology departments in Sweden. A list of items was created from a previous survey and the literature. In the first round, the items with <60% agreement were discarded. Items were merged, and a new list was created. Two more similar rounds were performed. In the last 2 rounds, 21 participants responded, and 80% agreement was considered to be consensus.

    Results: The final guidelines consisted of 14 items and a checklist of 16 factors. The 5 areas covered by the items and the checklist were as follows: planning involving parents/guardians, features in the environment, and use of time, communication, and the health care professionals. The organization was important in making it possible for the health care professional to care for the individual child according to the child's needs. It was important to involve the parents/guardians to obtain knowledge about the functioning of the child.

    Conclusion: A caring encounter involving a child with ASD in the anesthesia and radiology contexts requires advance planning, catered specifically to the individual needs of each child. To accomplish this, general knowledge regarding ASD and ASD's particular manifestation in the child entrusted to their care, is required from the health care workers. The organization needs to have structures in place to facilitate this process.

  • 323.
    Gimbler Berglund, Ingalill
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Huus, Karina
    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.
    Faresjö, Maria
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Biomedicinsk plattform.
    Björkman, Berit
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Perioperative and anesthesia guidelines for children with autism: A nationwide survey from Sweden2016Ingår i: Journal of Developmental and Behavioral Pediatrics, ISSN 0196-206X, E-ISSN 1536-7312, Vol. 37, nr 6, s. 457-464Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: The overall aim of this study was to describe the current set of guidelines for the preparation and care for children with autism spectrum disorder (ASD) in the perioperative setting across Sweden and explore the content of these guidelines in detail.

    Method: An online questionnaire was distributed to the chairpersons of all anesthesia departments (n = 68) and pediatric departments (n = 38) throughout Sweden. Follow-up phone calls were made to those departments that did not return the questionnaire. The presence of guidelines was analyzed through descriptive statistics. These guidelines and comments on routines used in these departments were analyzed inspired by conventional content analysis.

    Results: Seven of the 68 anesthesia departments and none of the 38 pediatric departments across Sweden have guidelines for preparing and/or administering care to children with ASD within the perioperative setting. From the guidelines and routines used, 3 categories emerge: "lacking the necessary conditions," "no extra considerations needed," and "care with specific consideration for children with ASD." These 3 categories span a continuum in the care. In the first category, the anesthesia induction could result in the child with ASD being physically restrained. In the last category, the entire encounter with the health care service would be adapted to the specific needs of the child.

    Conclusion: There is a lack of evidence-based guidelines specifically designed to meet the needs of children with ASD in the preoperative period in Sweden. Further research is needed to understand if children with ASD would benefit from evidence-based guidelines.

  • 324.
    Gimbler Berglund, Ingalill
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Ljusegren, Gunilla
    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.
    FACTORS INFLUENCING NURSES PAIN MANAGEMENT OF CHILDREN:  2006Ingår i: 7th International Symposium on Pediatric Pain, Vancover, June 25-29, 2006, 2006Konferensbidrag (Övrigt vetenskapligt)
  • 325.
    Gimbler Berglund, Ingalill
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Ljusegren, Gunilla
    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.
    Factors influencing pain management in children2008Ingår i: Paediatric Nursing, ISSN 0962-9513, Vol. 20, nr 10, s. 21-24Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To identify factors that influence nurses' pain management in children.

    Method: A qualitative design was used. Twenty-one nurses working in one paediatric department were interviewed using semi-structured interviews. Data were analysed by means of content analysis.

    Findings: The way nurses manage pain in children is affected by factors such as co-operation between nurses and physicians and between nurses and patients, children's behaviour, routines in the organisation, and the experience and knowledge of nurses.

    Conclusion: Pain management in children could be improved through increased co-operation between nurses, physicians and parents. Planning time and good routines could facilitate pain management. Education about pain management and children's pain behaviour might also improve nurses' ability to manage pain in children.

  • 326.
    Gimbler Berglund, Ingalill
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Torgé, Cristina Joy
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Goda exempel på konkret internationalisering på hemmaplan. Med fokus på lärare och deras kompetenser2018Konferensbidrag (Övrigt vetenskapligt)
  • 327.
    Goh, Kwang Leng
    et al.
    School of Civil and Mechanical Engineering, Curtin University, Australia.
    Morris, Susan
    School of Physiotherapy and Exercise Science, Curtin University, Australia.
    Rosalie, Simon
    School of Physiotherapy andPhysiotherapy and Exercise Science, Curtin University, Australia.
    Foster, Chris
    Physiotherapy and Exercise Science, Curtin University, Australia.
    Falkmer, Torbjörn
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. School of Occupational Therapy and Social Work, Curtin University, Australia.
    Tan, Tele
    School of Civil and Mechanical Engineering, Curtin University, Australia.
    Typically developed adults and adults with autism spectrum disorder classification using centre of pressure measurements2016Ingår i: 2016 IEEE International Conference on Acoustics, Speech, and Signal Processing: proceedings, Institute of Electrical and Electronics Engineers (IEEE), 2016, Vol. 41, s. 844-848Konferensbidrag (Refereegranskat)
    Abstract [en]

    Autism spectrum disorders (ASD) are neurodevelopmental disorders which affect a persons ability to interact with the world around him/her. Emerging studies have shown abnormal postural control in people with ASD. The aim of this study was to enable the classification of adults with ASD and typically developed (TD) adults based on force plate measurements of centre of pressure. Nineteen typical adults and eleven adults diagnosed with ASD primarily high functioning autism or Asperger's syndrome participated in this study. A correlation-based feature selection algorithm was used to evaluate the quality of the attributes and the results have achieved up to 0.976 classification accuracy. 

  • 328.
    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 hälsoverktyg2012Ingår i: Skolsköterskans hälsofrämjande arbete / [ed] Clausson, E & Morberg, S, Lund: Studentlitteratur, 2012, 1, s. 153-172Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 329.
    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 frame2014Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 28, nr 3, s. 591-599Artikel i tidskrift (Refereegranskat)
    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.

  • 330.
    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 illness2017Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 4, nr 4, s. 267-273Artikel i tidskrift (Refereegranskat)
    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

  • 331.
    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 department2019Ingår i: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 39, s. 35-40Artikel i tidskrift (Refereegranskat)
    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.

  • 332.
    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 nurses2009Ingår i: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 13, nr 1, s. 75-88Artikel i tidskrift (Refereegranskat)
    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.

  • 333.
    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 Barnhälsovården2006Konferensbidrag (Övrigt vetenskapligt)
  • 334.
    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 activity2015Ingår i: British Journal of School Nursing, ISSN 1752-2803, E-ISSN 2052-2827, Vol. 10, nr 7, s. 330-336Artikel i tidskrift (Refereegranskat)
    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.

  • 335.
    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 patients2016Ingår i: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 25, s. 33-39Artikel i tidskrift (Refereegranskat)
    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.

  • 336.
    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 study2017Ingår i: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 36, nr 1, s. 3-9Artikel i tidskrift (Refereegranskat)
    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.

  • 337.
    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 interaction2012Ingår i: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 89, nr 2, s. 260-266Artikel i tidskrift (Refereegranskat)
    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.

  • 338.
    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' view2019Ingår i: Nursing Open, E-ISSN 2054-1058Artikel i tidskrift (Refereegranskat)
    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. 

  • 339.
    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 habits2016Ingår i: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 36, nr 3, s. 136-141Artikel i tidskrift (Refereegranskat)
    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.

  • 340.
    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 dialogues2011Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 20, nr 17-18, s. 2573-2583Artikel i tidskrift (Refereegranskat)
    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.

  • 341.
    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 dialogues2010Ingår i: British Journal of School Nursing, ISSN 1752-2803, E-ISSN 2052-2827, Vol. 5, nr 1, s. 26-33Artikel i tidskrift (Refereegranskat)
  • 342.
    Graf, Jonas
    et al.
    Hälsouniversitetet, Linköping.
    Ericsson, Elisabeth
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Lundeborg, Inger
    Hälsouniversitetet, Linköping.
    Hultcrantz, Elisabeth
    Hälsouniversitetet, Linköping.
    Tonsillotomi på förskolebarn — räcker det?2008Konferensbidrag (Övrigt vetenskapligt)
    Abstract [sv]

    Bakgrund

    Under förskoleålder sker en fysiologisk ökning av den sk Waldeyerska ringen med tillväxt av tonsiller och adenoid som del i utvecklingen av barnets immunförsvar Många barn kan under denna tid debutera med obstruktionsbesvär(snarkning och sömnapné). Traditionellt har tonsillerna och adenoiden genom tonsillektomi och abrasio helt avlägsnats för att komma till rätta med dessa symptom, kirurgi förenad med hög postoperativ smärtnivå. På senare tid har tonsillotomi, dvs partiellt borttagande av tonsillerna, återinförts som en något mer skonsam operationsmetod. Immunsystemetpåverkas möjligtvis inte heller i lika stor omfattning. Frågan är om detta ingrepp är tillfyllest på barn som är i den ålder då tonsillerna fortfarande växer? Syftet med föreliggande studie var att jämföra tonsillotomi med radiofrekvenskirurgi med fullständig tonsillektomi på förskolebarn vad beträffar postoperativ morbiditet och långtidseffekt på snarkning och infektionsnbenägenhet upp till två år efter operation med tonsillektomi.

    Metod

    67 förskolebarn(4-5 år)med symtomgivade tonsillhypertrofi randomiserades till reguljär tonsillektomi(TE) eller tonsillotomi(TT) med radiofrekvensteknik. I de flesta fall utfördes samtidigt abrasio. 6 månader efter operationen svarade alla på frågeformulär och 2 år efter operationen bedömdes de åter av ÖNH-läkare. Snarkningen före, direkt efter operationen och vid tiden för läkarbesöket utvärderades då med VAS

    Resultat

    TT barnen registrerade lägre smärta från första dagen efter operation och var helt smärtfria 3 dagar tidigare än TE-barnen. Sex månader efter operationen förelåg ingen skillnad på grupperna vad gäller snarkning och infektionsbenägehet. Efter två år hade två av de 34 TT-barnen och ett av de 33 TE-barnen blivit re-opererade pga recidiv av obstruktionsbesvär, TE-barnet med reabrasio. Övriga barn i båda grupperna var i stort sett besvärsfria vad gäller snarkning och ingen ökad infektionsbenägehet noterades hos något barn. VAS före/ två år efter operationen var 8,4/1,3 för TE och 8,5/1,6 för TT. Tre av TT barnen hade tonsillvävnad något utanför tonsillogen och hälften av TE barnen hade små tonsillrester i logerna.

    Sammanfattning

    Cirka 6 % risk föreligger att ett yngre barn som opereras med tonsillotomi för obstruktionsbesvär behöver göra om operationen inom 2 år. Denna risk bör vägas mot den betydligt lägre postoperativa morbiditeten för tonsillotomi jämfört med tonsillektomi

  • 343.
    Graf, Jonas
    et al.
    Avdelningen för Otorhinolaryngologi, Inst för Kliniks och Experimentell Medicin, Hälsouniversitetet, Linköping.
    Ericsson, Elisabeth
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Lundeborg, Inger
    Avdelningen för Otorhinolaryngologi, Inst för Kliniks och Experimentell Medicin, Hälsouniversitetet, Linköping.
    Hultcrantz, Elisabeth
    Avdelningen för Otorhinolaryngologi, Inst för Kliniks och Experimentell Medicin, Hälsouniversitetet, Linköping.
    Tonsillotomy with RF on young children with obstructive sleep disorder in ashort and long term perspective. Does the risk for recurrence balance the gain ofless surgical trauma and morbidity?2010Konferensbidrag (Refereegranskat)
    Abstract [en]

    OBJECTIVES

    To compare two methods of tonsil surgery with respect to long term effect in a group of pre-school children

    METHODS

    67 pre-school children, age 4-5 with symptoms of tonsillar hyperplasia were randomized to conventional tonsillectomy,TE,(n: 32) or tonsillotomy using radio frequency technique,TT(n:35).

    28 TT patients and 25 TE patients underwent adenoidectomy at the same occasion. 5 TT and 1 TE had

    already undergone an adenoidectomy. Six months and two years after surgery all children were evaluated through questionnaires including the

    OSA-18 quality of life survey and two years after surgery they were again evaluated by an ENT-specialist, speech therapist and dentist.

    RESULTS

    The TT-children experienced less pain from the first day after surgery and were free from pain three days earlier than the TE-children. Six months after surgery there was no difference between the groups

    concerning snoring and frequency and severity of upper airway infections. After two years, three of the 35 TT-children and one of the TE children had been reoperated due to recurring obstructive problems, the TEchild and one of the TT-children with adenoidectomy, two TT-children with tonsillectomy. The otherchildren did not snore and no increased tendency towards infections was noted in any child. Evaluation with VAS before/two years after surgery was 8,4/1,3 for TE and 8,5/1,6 for TT.(Median). The total OSA-18 score and the scores for all domains within OSA 18 showed significant improvement after surgery for both groups of children(p<.0001) in short- and long term scores. Three of the TT-children had some tonsillar tissue protruding from the tonsillar cleft and half of the TEchildren had small tonsillar remains in the tonsillar clefts.

    CONCLUSIONS

    Young children in an age with rapid immunological development have a six percent risk of recurrence of tonsil hyperplasia-related obstructive symptoms within two years after tonsillectomy, and may need to be reoperated. This risk should be weighed against the much lower postoperative morbidity of tonsillotomy as compared to tonsillectomy.ral

  • 344.
    Graf, Jonas
    et al.
    University of Linköping.
    Hultcrantz, Elisabeth
    University of Linköping.
    Ericsson, Elisabeth
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. University of Linköping.
    Persson, Pekka
    University of Linköping.
    Käll, Lars-Göran
    University of Linköping.
    Ydreborg, Kjell
    University of Linköping.
    Wallqvist, Jan
    University of Linköping.
    Tonsillotomi med radiofrekvensteknik på barn: en randomiserad studie av postoperativ morbiditet2004Ingår i: Svensk ÖNH-tidskrift, ISSN 1400-0121, Vol. 11, nr 1, s. 21-Artikel i tidskrift (Övrigt vetenskapligt)
  • 345.
    Granlund, Mats
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Högskolan för lärande och kommunikation, HLK, CHILD.
    Barn i behov av särskilt stöd.2008Konferensbidrag (Övrigt vetenskapligt)
  • 346.
    Granlund, Mats
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Communication Intervention for Persons with profound Multiple Learning Disabilities2001Ingår i: Selected Proceedings from the International Conference Silent Voices, 22-24 November, 2001, Kolkata, India, 2001Konferensbidrag (Övrigt vetenskapligt)
  • 347.
    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.
    Defining positive outcomes for children in need of special support2006Ingår i: Poster presented at Research Symposium on Intervention and Positive Functioning, 27-29 September, 2006, Pretoria, South Africa, 2006Konferensbidrag (Övrigt vetenskapligt)
  • 348.
    Granlund, Mats
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Ergebnisse bei Massnahmen für menchen mit geistiger Behindrung: ein Ansatz auf der Grundlage von Problemen, Zielen und Bedürfnissen2002Ingår i: Kongress Bericht von Kundenorientierung in der Behindertarbeit: Die Krone abgeben - Der Kunde wird König! 3. mitteleuropäischer SIVUSkongress. Kommunikation im Paradigmenwechel. 10. – 12. Oktober 2001, Linz, Osterrich, 2002Konferensbidrag (Övrigt vetenskapligt)
  • 349.
    Granlund, Mats
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Family involvement in communication intervention1999Ingår i: Proceeding from the 2nd Regional Eastern and Central European Conference on Augmentative and Alternative Communication, 11 -13 November, 1999. Prague, Czech Republic, 1999Konferensbidrag (Övrigt vetenskapligt)
  • 350.
    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.
    Invited presentation: Measuring participation, is it enough with capacity and performance?2007Ingår i: Presentation at the 5th conference on International Classification of Functioning, Disability and Health. Oslo, June, 2007, 2007Konferensbidrag (Övrigt vetenskapligt)
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