du.sePublikasjoner
Endre søk
Begrens søket
12 1 - 50 of 60
RefereraExporteraLink til resultatlisten
Permanent link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Treff pr side
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sortering
  • Standard (Relevans)
  • Forfatter A-Ø
  • Forfatter Ø-A
  • Tittel A-Ø
  • Tittel Ø-A
  • Type publikasjon A-Ø
  • Type publikasjon Ø-A
  • Eldste først
  • Nyeste først
  • Skapad (Eldste først)
  • Skapad (Nyeste først)
  • Senast uppdaterad (Eldste først)
  • Senast uppdaterad (Nyeste først)
  • Disputationsdatum (tidligste først)
  • Disputationsdatum (siste først)
  • Standard (Relevans)
  • Forfatter A-Ø
  • Forfatter Ø-A
  • Tittel A-Ø
  • Tittel Ø-A
  • Type publikasjon A-Ø
  • Type publikasjon Ø-A
  • Eldste først
  • Nyeste først
  • Skapad (Eldste først)
  • Skapad (Nyeste først)
  • Senast uppdaterad (Eldste først)
  • Senast uppdaterad (Nyeste først)
  • Disputationsdatum (tidligste først)
  • Disputationsdatum (siste først)
Merk
Maxantalet träffar du kan exportera från sökgränssnittet är 250. Vid större uttag använd dig av utsökningar.
  • 1. Abdillahi, Hamda A
    et al.
    Hassan, Khadra A
    Kiruja, Jonah
    Osman, Fatumo
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Egal, Jama A
    Klingberg-Allvin, Marie
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    A mixed-methods study of maternal near miss and death after emergency cesarean delivery at a referral hospital in Somaliland2017Inngår i: International Journal of Gynecology & Obstetrics, ISSN 0020-7292, E-ISSN 1879-3479, Vol. 138, nr 1, s. 119-124Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: To explore maternal near miss and death after emergency cesarean delivery in Somaliland, including the impact of the prerequisite for family consent.

    METHODS: A facility-based, mixed-methods study was conducted to assess all maternal near misses and deaths recorded at a referral hospital that provided services to women from all regions of Somaliland. The data sources comprised a quantitative prospective cross-sectional study using the WHO near-miss tool (performed from August 1 to December 31, 2015) and qualitative interviews with 17 healthcare providers working at the referral hospital who were in direct contact with the women in labor (performed from January 15 to March 15, 2015).

    RESULTS: Of the 138 maternal near misses and deaths recorded, 50 (36%) were associated with emergency cesarean delivery. The most frequent maternal complication was severe pre-eclampsia (n=17; 34%), and the most frequent underlying causes were hypertensive disorders (n=31; 62%) and obstetric hemorrhage (n=15; 30%). Healthcare providers were often prevented from performing emergency cesarean delivery until the required consent had been received from the woman's extended family.

    CONCLUSION: Maternity care in Somaliland must be improved, and the issue of legal authority for consent examined, to ensure both safe and timely provision of emergency cesarean delivery. This article is protected by copyright. All rights reserved.

  • 2.
    Avelin, Pernilla
    et al.
    Karolinska Institutet.
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Hildingsson, Ingegerd
    Mid Sweden University.
    Davidsson-Bremborg, Anna
    Lund University.
    Rådestad, Ingela
    Sophiahemmet University College.
    Make the stillborn baby and the loss real for the sibling: parents' advice on how the siblings of a stillborn baby can be supported2012Inngår i: Journal of Perinatal Education, ISSN 1058-1243, Vol. 21, nr 2, s. 90-98Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study aimed to investigate parents' advice to other parents on the basis of their own experiences of siblings' taking leave of a stillborn sister or brother. The study was a Web questionnaire study of 411 parents. The thematic content analysis resulted in two categories: "Make the stillborn baby and the loss real for the siblings" and "Take the siblings' resources and prerequisites into account." Parents' advised that siblings should see and hold the stillborn baby and, thus, be invited and included into the leave-taking process with respect to the siblings' feelings, resources, and prerequisites. Based on these findings, professional caregivers can usefully be proactive in their approach to facilitate and encourage the involvement of siblings.

  • 3.
    Avelin, Pernilla
    et al.
    Karolinska institutet.
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Hildingsson, Ingegerd
    Mittuniversitetet.
    Rådestad, Inegla
    Sophiahemmet högskola.
    Swedish parents' experiences of parenthood and the need for support to siblings when a baby is stillborn2011Inngår i: Birth, ISSN 0730-7659, E-ISSN 1523-536X, Vol. 38, nr 2, s. 150-158Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background:

    It has been argued that having a stillborn baby in the family affects older siblings more than parents realize. The aim of this study was to describe parenthood and the needs of siblings after stillbirth from the parents' perspective.

    Methods:

    Six focus groups were held with 27 parents who had experienced a stillbirth and who had had children before the loss. The discussion concerned parents' support to the siblings, and the sibling's meeting, farewell, and memories of their little sister or brother. Data were analyzed using qualitative content analysis.

    Results:

    The overall theme of the findings was parenthood in a balance between grief and everyday life. In the analysis, three categories emerged that described the construction of the theme: support in an acute situation, sharing the experiences within the family, and adjusting to the situation.

    Conclusions:

    The siblings' situation is characterized by having a parent who tries to maintain a balance between grief and everyday life. Parents are present and engaged in joint activities around the stillbirth together with the siblings of the stillborn baby. Although parents are aware of the sibling's situation, they feel that they are left somewhat alone in their parenthood after stillbirth and therefore need support and guidance from others.

  • 4.
    Avelin, Pernilla
    et al.
    Karolinska Institutet, Stockholm.
    Gyllenswärd, Göran
    Psychotherapy and Grief Consultant, Stockholm.
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. School of Health, Care and Social Welfare, Mälardalen University, Västerås.
    Rådestad, Ingela
    Sophiahemmet University College, Stockholm.
    Adolescents' experiences of having a stillborn half-sibling2013Inngår i: Death Studies, ISSN 0748-1187, E-ISSN 1091-7683, Vol. 38, nr 9, s. 557-562Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Although there is an increasing interest in siblings' experiences of loss and grief there is limited knowledge of adolescent's own perspectives, especially in a unique situation as after stillbirth in a reconstituted family. The authors interviewed 13 bereaved adolescents. They were sad that their family was not the same and expressed feelings of being inside family grief, yet outside, because they did not have full access in their reconstituted family. An implication of present findings is that it is important to include all the members of the family in the grieving process, even half-siblings of the deceased child.

  • 5. Avelin, Pernilla
    et al.
    Rådestad, Ingela
    Säflund, Karin
    Wredling, Regina
    Erlandsson, Kerstin
    Mälardalen University.
    Parental grief and relationships after the loss of a stillborn baby2012Inngår i: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 29, nr 6, s. 668-673Artikkel i tidsskrift (Fagfellevurdert)
  • 6.
    Avelin, Pernilla
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Rådestad, Ingela
    Sophiahemmet Univ Coll.
    Säflund, Karin
    Karolinska Inst.
    Wredling, Regina
    Karolinska Inst.
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Parental grief and relationships after the loss of a stillborn baby2013Inngår i: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 29, nr 6, s. 668-73Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: to describe the grief of mothers and fathers and its influence on their relationships after the loss of a stillborn baby.

    Design: a postal questionnaire at three months, one year and two years after stillbirth.

    Setting: a study of mothers and fathers of babies stillborn during a one-year period in the Stockholm region of Sweden.

    Participants: 55 parents, 33 mothers and 22 fathers.

    Findings: mothers and fathers stated that they became closer after the loss, and that the feeling deepened over the course of the following year. The parents said that they began grieving immediately as a gradual process, both as individuals, and together as a couple. During this grieving process their expectations, expressions and personal and joint needs might have threatened their relationship as a couple, in that they individually felt alone at this time of withdrawal. While some mothers and fathers had similar grieving styles, the intensity and expression of grief varied, and the effects were profound and unique for each individual.

    Key conclusions: experiences following a loss are complex, with each partner attempting to come to terms with the loss and the resultant effect on the relationship with their partner.

    Implications for practice: anticipating and being able to acknowledge the different aspects of grief will enable professionals to implement more effective intervention in helping couples grieve both individually and together.

  • 7. Ayala, Ana
    et al.
    Christensson, Kyllike
    Velandia, Marianne
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Karolinska Institutet.
    Fathers’ care of the newborn infant after caesarean section in Chile: a qualitative study2016Inngår i: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 8, s. 75-81Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: In Chilean hospitals the current model of care after caesarean section is to separate newborn infants from both parents. The care of newborn infants and the parents' experience immediately after caesarean section requires further exploration.

    Aim: To describe fathers' experiences and perceptions of being the primary caregiver to their newborn infant during the first 90 minutes after caesarean section in a public general maternity hospital setting in Santiago de Chile.

    Method: The questionnaire was one part of a larger research programme named: “Caregiving Models after Elective Caesarean Section – Parents' perceptions and effects on infants' wellbeing”. Four open ended questions were used to gather written text on the experiences and perceptions of 95 fathers who were the primary caregiver to their newborn infant. Ethical approval was obtained from the Ethics Committee, Scientific Assessment Metropolitan Health Service South East. Systematic text condensation according to Malterud's description was used for analysis of the written text.

    Findings: Two themes were identified: “understanding the first moment of life” and “shared responsibility for future family life” with each theme divided into six categories.

    Conclusion: This study concludes by arguing that in situations where the mother is unavailable or unable to provide basic care, the father should be supported to care for the newborn infant.

    Clinical implications: Parents should be made aware of the benefits of this caring model especially when mother and baby have been separated after birth.

  • 8. Ayala, Ana
    et al.
    Christensson, Kyllike
    Velandia, Marianne
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Karolinska institutet.
    Mother’s experiences and perceptions of a continuous caring model with fathers after caesarean section: a qualitative study2015Inngår i: Women's Health Open Journal, ISSN 2380-3940, Vol. 1, nr 3, s. 63-71Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: In Chile, mothers and newborns are separated after caesarean sections. The caesarean

    section rate in Chile is approximately 40%. Once separated, newborns will miss out on

    the benefits of early contact unless a suitable model of early newborn contact after caesarean

    section is initiated.

    Aim: To describe mothers experiences and perceptions of a continuous parental model of newborn

    care after caesarean section during mother-infant separation.

    Methods: A questionnaire with 4 open ended questions to gather data on the experiences and

    perceptions of 95 mothers in the obstetric service of Sótero Del Rio Hospital in Chile between

    2009 and 2012. Data were analyzed using qualitative content analysis.

    Results: One theme family friendly practice after caesarean section and four categories. Mothers

    described the benefits of this model of caring. The fathers presence was important to mother

    and baby. Mothers were reassured that the baby was not left alone with staff. It was important

    for the mothers to see that the father could love the baby as much as the mother. This model

    of care helped create ties between the father and newborn during the period of mother-infant

    separation and later with the mother.

    Conclusions: Family friendly practice after caesarean section was an important health care

    intervention for the whole family. This model could be stratified in the Chilean context in the

    case of complicated births and all caesarean sections.

    Clinical Implications: In the Chilean context, there is the potential to increase the number of

    parents who get to hold their baby immediately after birth and for as long as they like. When

    the mother and infant are separated after birth, parents can be informed about the benefits of

    this caring model. Further research using randomized control trials may support biological

    advantages.

  • 9. Bajracharya, Kiran
    et al.
    Sapkota, Sabitri
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    News & events: A milestone of Midwifery in Nepal2014Inngår i: Journal of Asian Midwives (JAM), ISSN 2409-2290, Vol. 1, nr 1, s. 2s. 2-4Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 10.
    Bogren, M.
    et al.
    PhD Student, University of Gothenburg, Gothenburg.
    Bajracharya, U.
    Maharajgunj Nursing Campus, Tribhuvan University, Nepa.
    Berg, M.
    Professor, Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg.
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Mälardalens högskola.
    Ireland, J.
    Midwife, RCM Union Learning Rep & Supervisor of Midwives, St Mary's Maternity Unit, Poole Hospital, United Kingdom.
    Simkhada, P.
    Senior Lecturer, School of Health and Related Research (ScHARR) University of Sheffield and MMIHS, United Kingdom.
    Van Teijlingen, Edwin
    Professor, Centre for Midwifery, Maternal & Perinatal Health, Bornemouth University & Visiting Professor, MMIHS, Tribhuvan University, United Kingdom.
    Nepal needs midwifery2013Inngår i: Journal of Manmohan Memorial Institute of Health Sciences, ISSN 2091-1041, Vol. 1, nr 2, s. 41-44Artikkel i tidsskrift (Fagfellevurdert)
  • 11.
    Bogren, Malin
    et al.
    UNPF, Bangladesh.
    Begum, Farida
    UNPF, Bangladesh.
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    The historical development of the midwifery profession in Bangladesh2017Inngår i: Journal of Asian Midwives (JAM), ISSN 2409-2290, Vol. 4, nr 1, s. 65-74Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Sexual and reproductive health and rights have been identified as the core areas of practice, theory and research for the midwifery profession. The midwifery profession, as defined by the International Confederation of Midwives Global Standards, is new in Bangladesh. This paper aims to give an overview of the historical process that has taken place in the past decades to develop the midwifery profession in Bangladesh. The professional development of midwives is the result of many years of collaboration and relationship building among stakeholders such as the government, non-government organizations, academia, professional associations, United Nations agencies, and donors. All are working toward achieving the common goal of preventing/ reducing maternal and child mortality through education, the development of supportive laws, policies and guidelines, and the deployment of midwives. Lessons learnt from the Bangladesh experience can provide useful guidance for other countries in Asia that are currently establishing midwifery as a profession that aims to provide safe and high quality sexual, reproductive, maternal and newborn care.

  • 12.
    Bogren, Malin
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Opportunities, challenges and strategies when building a midwifery profession. Findings from a qualitative study in Bangladesh and Nepal2018Inngår i: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 16, s. 45-49Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective

    The aim of this paper was to identify opportunities and challenges when building a midwifery profession in Bangladesh and Nepal.

    Methods

    Data were collected through 33 semi-structured interviews with government officials, policy-makers, donors, and individuals from academia and non-government organizations with an influence in building a midwifery profession in their respective countries. Data were analyzed using content analysis.

    Findings

    The opportunities and challenges found in Bangladesh and Nepal when building a midwifery profession emerged the theme “A comprehensive collaborative approach, with a political desire, can build a midwifery profession while competing views, interest, priorities and unawareness hamper the process”. Several factors were found to facilitate the establishment of a midwifery profession in both countries. For example, global and national standards brought together midwifery professionals and stakeholders, and helped in the establishment of midwifery associations. The challenges for both countries were national commitments without a full set of supporting policy documents, lack of professional recognition, and competing views, interests and priorities.

    Conclusion and clinical application

    This study demonstrated that building a midwifery profession requires a political comprehensive collaborative approach supported by a political commitment. Through bringing professionals together in a professional association will bring a professional status. Global standards and guidelines need to be contextualized into national policies and plans where midwives are included as part of the national health workforce. This is a key for creating recognized midwives with a protected title to autonomously practice midwifery, to upholding the sexual and reproductive health and rights for women and girls.

  • 13.
    Bogren, Malin
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Byrskog, Ulrika
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    What prevents midwifery quality care in Bangladesh? A focus group enquiry with midwifery students2018Inngår i: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 18, nr 1, artikkel-id 639Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: With professional midwives being introduced in Bangladesh in 2013, the aim of this study was to describe midwifery students perceptions on midwives' realities in Bangladesh, based on their own experiences.

    METHOD: Data were collected through 14 focus group discussions that included a total of 67 third-year diploma midwifery students at public nursing institutes/colleges in different parts of Bangladesh. Data were analyzed deductively using an analytical framework identifying social, professional and economical barriers to the provision of quality care by midwifery personnel.

    RESULTS: The social barriers preventing midwifery quality care falls outside the parameters of Bangladeshi cultural norms that have been shaped by beliefs associated with religion, society, and gender norms. This puts midwives in a vulnerable position due to cultural prejudice. Professional barriers include heavy workloads with a shortage of staff who were not utilized to their full capacity within the health system. The reason for this was a lack of recognition in the medical hierarchy, leaving midwives with low levels of autonomy. Economical barriers were reflected by lack of supplies and hospital beds, midwives earning only low and/or irregular salaries, a lack of opportunities for recreation, and personal insecurity related to lack of housing and transportation.

    CONCLUSION: Without adequate support for midwives, to strengthen their self-confidence through education and through continuous professional and economic development, little can be achieved in terms of improving quality care of women during the period around early and late pregnancy including childbirth.The findings can be used for discussions aimed to mobilize a midwifery workforce across the continuum of care to deliver quality reproductive health care services. No matter how much adequate support is provided to midwives, to strengthen their self-confidence through education, continuous professional and economic development, addressing the social barriers is a prerequisite for provision of quality care.

  • 14. Bogren, Malin
    et al.
    Rosengren, Josefin
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Berg, Marie
    Build professional competence and equip with strategies to empower midwifery students - An interview study evaluating a simulation-based learning course for midwifery educators in Bangladesh.2019Inngår i: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 35, s. 27-31Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Use of simulation-based learning in midwifery education programmes is crucial. Due to midwifery educators in Bangladesh were lacking competence in using such pedagogical methods in their teaching, they were invited to participate in a simulation-based learning course. In this paper, we present a study on the perceived usefulness of this course. Semi-structured individual interviews were conducted with 17 of the 28 midwifery educators participating on the course and data were analysed using inductive content analysis. Findings showed that the simulation-based learning course for midwifery educators in Bangladesh was useful. It "builds the professional competence of midwifery educators" and "equips them with strategies to empower midwifery students". The findings show that a simulation-based learning course is of major importance in pre-service education in settings where the capacity of midwifery educators needs to be strengthened. However, without continuous in-service training, the midwives' competence will deteriorate and this in turn will threaten the quality of midwifery education and the midwifery profession. Thus, contextualized pre- and in-service simulation-based education to secure midwifery core competencies is necessary. Simultaneously implementing and evaluating pre- and in-service education programmes is the next step in the struggle to increase the quality of maternity care services.

  • 15. Bogren, Malin
    et al.
    Sathyanarayanan, Doraiswamy
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Akhter, Halima
    Akter, Dalia
    Begum, Momtaz
    Chowdhury, Merry
    Das, Lucky
    Akter, Rehana
    Khatun, Yamin Ara
    Development of a context specific accreditation assessment tool for affirming quality midwifery education in Bangladesh2018Inngår i: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 61, s. 74-80Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: using the International Confederation of Midwives (ICM) Global Standards for Midwifery Education as a conceptual framework, the aim of this study was to explore and describe important 'must haves' for inclusion in a context-specific accreditation assessment tool in Bangladesh.

    DESIGN: A questionnaire study was conducted using a Likert rating scale and 111 closed-response single items on adherence to accreditation-related statements, ending with an open-ended question. The ICM Global Standards guided data collection, deductive content analysis and description of the quantitative results.

    SETTING: twenty-five public institutes/colleges (out of 38 in Bangladesh), covering seven out of eight geographical divisions in the country.

    PARTICIPANTS: one hundred and twenty-three nursing educators teaching the 3-year diploma midwifery education programme.

    FINDINGS: this study provides insight into the development of a context-specific accreditation assessment tool for Bangladesh. Important components to be included in this accreditation tool are presented under the following categories and domains: 'organization and administration', 'midwifery faculty', 'student body', 'curriculum content', 'resources, facilities and services' and 'assessment strategies'. The identified components were a prerequisite to ensure that midwifery students achieve the intended learning outcomes of the midwifery curriculum, and hence contribute to a strong midwifery workforce. The components further ensure well-prepared teachers and a standardized curriculum supported at policy level to enable effective deployment of professional midwives in the existing health system.

    KEY CONCLUSIONS: as part of developing an accreditation assessment tool, it is imperative to build ownership and capacity when translating the ICM Global Standards for Midwifery Education into the national context.

    IMPLICATIONS FOR PRACTICE: this initiative can be used as lessons learned from Bangladesh to develop a context-specific accreditation assessment tool in line with national priorities, supporting the development of national policies.

  • 16.
    Byrskog, Ulrika
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Hussein, I. H.
    Yusuf, F. M.
    Egal, J. A.
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    The situation for female survivors of non-partner sexual violence: A focused enquiry of Somali young women's views, knowledge and opinions2018Inngår i: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 16, s. 39-44Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective

    The aim of the study is to elucidate young women’s perceptions of the situation for female survivors of non-partner sexual violence in Somaliland.

    Methods

    Young Somali women with diverse backgrounds (n = 25) shared views, knowledge and opinions about non partner sexual violence in focus group discussions held in urban settings. Data was analysed using content analysis.

    Results

    A main category “Bound by culture and community perceptions” with four subcategories comprises the informants’ perceptions of non-partner sexual violence among young women in Somaliland. Illuminated is the importance of protecting oneself and the family dignity, a fear of being rejected and mistrusted, how the juridical system exists in the shadow of tradition and potential keys to healthcare support.

    Conclusion

    The study raises awareness of the dilemmas which may be faced by young women subjected to non-partner sexual violence and healthcare providers in the intersection between state and traditional norms. Education is a key when it comes to a young woman considering the use of the services available in a society where traditional problem-solving is relied on parallel to state-based support. State-based functions, communities and families need to work together to provide comprehensive support to young female survivors of non-partner sexual violence in Somaliland.

  • 17.
    Cacciatore, J.
    et al.
    Arizona State University.
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Rådestad, I.
    Sophiahemmet University College.
    Fatherhood and suffering: a qualitative exploration of Swedish men's experiences of care after the death of a baby2013Inngår i: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 50, nr 5, s. 664-670Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: This study was designed to evaluate fathers' experiences of stillbirth and psychosocial care.

    Methods: Data were collected between 27 March 2008 and 1 April 2010 via a questionnaire posted on the homepage of the Swedish National Infant Foundation. The responses to the following open-ended questions were analyzed using content analysis: "Are you grateful today for anything that health care professionals did in connection with the birth of your child?" and " Are you sad, hurt or angry today about something personnel did in connection with the birth of your baby?"

    Results: 113/131 (86%) fathers reported feelings of being grateful. Only 22/131 (16%) fathers reported feeling sad, hurt, or angry. Fathers expressed gratitude when health care professionals treated their newborn " with respect and without fear" , " with extraordinary reverence" , and when their fatherhood was validated by providers. They were also grateful when providers helped them to create memories of their baby. Fathers also reported feeling sad, hurt, or angry when providers were nonchalant and indifferent and when they perceived providers to be uncaring and disrespectful toward their baby.

    Conclusion: Bereaved fathers experience overall gratitude for person-centered psychosocial care in the aftermath of stillbirth, particularly when they feel validated as a grieving father and their child is acknowledged with reverence. Clinical implications: Health care professionals should support fathers by treating the baby who died with respect and dignity and by validating and acknowledging both his grief experiences and his fatherhood just as they would for a grieving mother.

  • 18. Dalmar, Abdirisak Ahmed
    et al.
    Hussein, Abdullahi Sheik
    Walhad, Said Ahmed
    Ibrahim, Abdirashid Omer
    Abdi, Abshir Ali
    Ali, Mohamed Khalid
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Klingberg-Allvin, Marie
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Osman, Fatumo
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Wall, Stig
    Rebuilding research capacity in fragile states: the case of a Somali-Swedish global health initiative2017Inngår i: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 10, nr 1, artikkel-id 1348693Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This paper presents an initiative to revive the previous Somali-Swedish Research Cooperation, which started in 1981 and was cut short by the civil war in Somalia. A programme focusing on research capacity building in the health sector is currently underway through the work of an alliance of three partner groups: six new Somali universities, five Swedish universities, and Somali diaspora professionals. Somali ownership is key to the sustainability of the programme, as is close collaboration with Somali health ministries. The programme aims to develop a model for working collaboratively across regions and cultural barriers within fragile states, with the goal of creating hope and energy. It is based on the conviction that health research has a key role in rebuilding national health services and trusted institutions.

  • 19. Egeh, Abdi-Aziz
    et al.
    Dugsieh, Osman
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Osman, Fatumo
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    The views of Somali religious leaders on birth spacing: A qualitative study2019Inngår i: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 20, s. 27-31Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    Birth spacing is an important health intervention for women to attain good physical and mental health. In Somalia, religious leaders play a decisive role in approving or rejecting the use of family planning.

    Objective

    The study aimed to investigate Somali Islamic religious leaders’ views on birth spacing.

    Method

    Qualitative individual interviews were conducted with 17 Somali Islamic religious leaders aged 28–59 years and analysed through content analysis.

    Results

    The main category that emerged from the analysis was that the concept “birth spacing should be used and nor family planning to be in accordance with the Islamic religion. Two perspectives of views of birth spacing were identified: accepted ways and unaccepted ways. The accepted ways include breastfeeding, use of contraceptives causing no harm to the women’s health, and coitus interruptus. The preferred method should be determined by a joint agreement between the husband and wife, and that Muslim doctors should play a key role while the couples investigate their preferred method. Using contraceptives with the intention to limit the number of children was against Islamic values and practice. In addition, it was believed that using condoms promoted the temptation to engage in sex outside the marriage and was therefore prohibited.

    Conclusion

    According to the religious Islamic leaders, selected practice recommendations for contraceptive use is permitted in relation to birth spacing to promote the health of the mother and child. When providing professional contraceptive counselling to Muslim women, the word “birth spacing” is recommended to be used instead of “family planning”.

  • 20.
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Bangladesh is Launching the First Ever Net Based Master’s Programme in Asia for Midwifery Faculty Members2016Inngår i: Journal of Asian Midwives (JAM), ISSN 2409-2290, Vol. 3, nr 2, s. 5-6Artikkel i tidsskrift (Annet vitenskapelig)
  • 21.
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Barnmorskor i Bangladesh går nätbaserad masterutbildning på Högskolan Dalarna2016Inngår i: Jordemodern, ISSN 0021-7468, nr 11, s. 20-21Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 22.
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Care of the newborn infant during maternal-infant separation: the father as primary caregiver immediately after birth and the mother's experiences of separation and later reunion with the infant2009Bok (Annet vitenskapelig)
  • 23.
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Mothers’ lived experience of losing their baby at birth: A qualitative interview study in Somaliland using a phenomenological approach2016Konferansepaper (Annet vitenskapelig)
  • 24.
    Erlandsson, Kerstin
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Aveln, Pernilla
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Säflund, Karin
    Karolinska Institutet.
    Wredling, Regina
    Karolinska Institutet.
    Rådestad, Ingela
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Siblings’ farewell to a stillborn sister or brother and parents’ support to their older children: a questionnaire study from the parents’ perspective2010Inngår i: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 14, nr 2, s. 151-160Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study aims to capture parental descriptions of how siblings take leave of and mourn a stillborn brother or sister and how their parents support them. Data were collected by questionnaires from 16 parents of siblings to a stillborn child one year after the stillbirth. Data were analysed numerically for the multiple-choice questions and content analysis was used for parental comments and descriptions. The results describe siblings’ farewell to a stillborn brother or sister and how their parents in the midst of their own grief were involved in supporting siblings’ wellbeing, and observed their mourning reactions. Although the findings need to be interpreted with caution, they may provide insight that enables staff to become more sensitive to the whole family experience in the practice of their profession. Further research into siblings’ grief and parental support after stillbirth is crucial so that further light may be shed on their situation.

  • 25.
    Erlandsson, Kerstin
    et al.
    Karolinska Institutet; Mälardalen University.
    Christensson, Kyllike
    Dsilna, Ann
    Jonsson, Baldvin
    Do caregiving models after caesarean birth influence the infant's breathing adaptation and crying? A pilote study2008Inngår i: Journal of Children's and Young People's Nursing, ISSN 1753-1594, Vol. 2, nr 1, s. 7-12Artikkel i tidsskrift (Fagfellevurdert)
  • 26.
    Erlandsson, Kerstin
    et al.
    Karolinska institutet.
    Christensson, Kyllike
    Fagerberg, Ingegerd
    Fatherhood as taking the child to oneself: A phenomenological observation study after caesarean birth2006Inngår i: Indo-Pacific Journal of Phenomenology, ISSN 2079-7222, E-ISSN 1445-7377, Vol. 6, nr 2, s. 1-9Artikkel i tidsskrift (Fagfellevurdert)
  • 27.
    Erlandsson, Kerstin
    et al.
    Mälardalen University.
    Christensson, Kyllike
    Fagerberg, Ingegerd
    Fathers' lived experience of getting to know their baby while acting as primary caregivers immediately following birth2008Inngår i: Journal of Perinatal Education, ISSN 10581243, Vol. 17, nr 2, s. 28-36Artikkel i tidsskrift (Fagfellevurdert)
  • 28.
    Erlandsson, Kerstin
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Doraiswamy, Sathyanarayanan
    Wallin, Lars
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Karolinska institutet; Göteborgs universitet.
    Bogren, Malin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. UNFPA Country Office, Bangladesh.
    Capacity building of midwifery faculty to implement a 3-years midwifery diploma curriculum in Bangladesh: a process evaluation of a mentorship programme2018Inngår i: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 29, s. 212-218Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    When a midwifery diploma-level programme was introduced in 2010 in Bangladesh, only a few nursing faculty staff members had received midwifery diploma-level. The consequences were an inconsistency in interpretation and implementation of the midwifery curriculum in the midwifery programme. To ensure that midwifery faculty staff members were adequately prepared to deliver the national midwifery curriculum, a mentorship programme was developed. The aim of this study was to examine feasibility and adherence to a mentorship programme among 19 midwifery faculty staff members who were lecturing the three years midwifery diploma-level programme at ten institutes/colleges in Bangladesh. The mentorship programme was evaluated using a process evaluation framework: (implementation, context, mechanisms of impact and outcomes). An online and face-to-face blended mentorship programme delivered by Swedish midwifery faculty staff members was found to be feasible, and it motivated the faculty staff members in Bangladesh both to deliver the national midwifery diploma curriculum as well as to carry out supportive supervision for midwifery students in clinical placement. First, the Swedish midwifery faculty staff members visited Bangladesh and provided a two-days on-site visit prior to the initiation of the online part of the mentorship programme. The second on-site visit was five-days long and took place at the end of the programme, that being six to eight months from the first visit. Building on the faculty staff members' response to feasibility and adherence to the mentorship programme, the findings indicate opportunities for future scale-up to all institutes/collages providing midwifery education in Bangladesh. It has been proposed that a blended online and face-to-face mentorship programme may be a means to improving national midwifery programmes in countries where midwifery has only recently been introduced.

  • 29.
    Erlandsson, Kerstin
    et al.
    Karolinska Institutet.
    Dsilna, Ann
    Fagerberg, Ingegerd
    Christensson, Kyllike
    Skin-to-skin with the father after cesarean birth and its effect on newborn crying and prefeeding behavior2007Inngår i: Birth, ISSN 0730-7659, E-ISSN 1523-536X, Vol. 34, nr 2, s. 105-114Artikkel i tidsskrift (Fagfellevurdert)
  • 30.
    Erlandsson, Kerstin
    et al.
    Mälardalen University.
    Fagerberg, Ingegerd
    Mothers' lived experiences of co-care and part-care after bith, and their strong desire to be close to their baby2005Inngår i: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 21, nr 2, s. 131-138Artikkel i tidsskrift (Fagfellevurdert)
  • 31.
    Erlandsson, Kerstin
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Häggström-Nordin, Elisabet
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Prenatal parental education from the perspective of fathers with experience as primary caregiver immediately following birth: a phenomenographic study2010Inngår i: The Journal of Perinatal Education, ISSN 1058-1243, Vol. 19, nr 1, s. 19-28Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this phenomenographic study was to capture fathers' conceptons of parental educatio topics illuminated by their experiences as primary caregiver of their child immediately following bith. Fifteen fathers were interviewed between 8 days and 6 weeks after the birth of their child. For further information go to abstract in the article.

  • 32.
    Erlandsson, Kerstin
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Jinghede Nordvall, Cecilia
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Häggström-Nordin, Elisabet
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Qualitative interviews with adolescents about "friends-with-benefits" relationships2013Inngår i: Public Health Nursing, ISSN 0737-1209, E-ISSN 1525-1446, Vol. 30, nr 1, s. 47-57Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To describe the thoughts, reflections, and experiences of friends-with-benefits relationships among a group of Swedish adolescents.

    Design and sample: A qualitative study with an explorative and descriptive design. Eight adolescents, aged 16-18, were interviewed.

    Measures: Individual in-depth interviews were undertaken. Data were analyzed using latent content analysis. Results: The informants involved themselves in Friends-with-benefits (FWB) relationships to find physical and psychological intimacy without any expectations or demands. FWB relationships were perceived to have more advantages when the partner was a close friend with whom an informant felt comfortable. There was ambivalence about the legitimacy of romantic feelings in an FWB relationship, although it was quite common. Sexual concurrency was common and often accepted. Sexual risk-taking behavior involving the use of alcohol and a lack of contraception was considered common in FWB relationships. Informants requested more education and support as regards their sexual behavior.

    Conclusions: FWB relationships were often initiated to find physical and psychological intimacy with no expectations or demands. Advantages such as sexual concurrency and no demands were central. A deeper understanding of how adolescents think and reason about sexuality and relationships can make a difference when working to improve young people's sexual and reproductive health.

  • 33.
    Erlandsson, Kerstin
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Linder, Hanna
    Central Hospital, Västerås.
    Häggström-Nordin, Elisabet
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Experiences of gay women during their partner's pregnancy and childbirth2010Inngår i: British journal of midwifery, ISSN 0969-4900, E-ISSN 2052-4307, Vol. 18, nr 2, s. 99-103Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Growing numbers of openly gay women choose to have children, but there have been few studies on the topic. The aim of this study was to describe the co-mother's experiences of care provided during their partner's pregnancy, childbirth and the postnatal period. Six co-mothers were interviewed between six weeks and three years after the birth of their child. The open interviews were analysed using content analysis. The overall theme of the findings was 'like everyone else, but not quite'. The following main categories were identified: need for acknowledgement, need for care designed to suit same-sex couples, and in the hands of nursing staff. Co-mothers felt themselves to be 'like everyone else but not quite'. In order to support the relationship of same-sex parents in parenthood it is important for midwifery staff to recognize co-mothers as an equal parent of the child

  • 34.
    Erlandsson, Kerstin
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Lindgren, Helena
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Being a resource for both mother and child: fathers' experiences following a complicated birth2011Inngår i: The Journal of Perinatal Education, ISSN 1058-1243, Vol. 20, nr 2, s. 91-99Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to describe fathers' experiences of being present on a postnatal ward and during the first days at home following a complicated birth. Fifteen fathers were interviewed, and content analysis was used for the analysis. The theme illustrated that fathers were a resource for both mother and child through practical and emotional engagement. The categories describe how the father empowers the mother and illustrates adapting to new family roles. Following complicated birth, fathers should be invited to stay around-the-clock on postnatal wards because it gives them the opportunity to place their resources at the disposal of mother and child. In antenatal courses, fathers should be prepared for their empowering role after a complicated birth

  • 35.
    Erlandsson, Kerstin
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna/Västerås.
    Lindgren, Helena
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Davidsson-Bremborg, Anna
    Rådestad, Ingela
    Women's premonitions prior to the death of their baby in utero and how they deal with the feeling that their baby may be unwell2012Inngår i: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 91, nr 1, s. 28-33Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective. To identify whether mothers of stillborn babies had had a premonition that their unborn child might not be well and how they dealt with that premonition.

    Design. A mixed method approach.

    Setting. One thousand and thirty-four women answered a web questionnaire. Sample. Six hundred and fourteen women fulfilled the inclusion criteria of having a stillbirth after the 22nd gestational week and answered questions about premonition. Methods. Qualitative content analysis was used for the open questions and descriptive statistics for questions with fixed alternatives.

    Main Outcome Measure. The premonition of an unwell unborn baby. Results. In all, 392 of 614 (64%) of the women had had a premonition that their unborn baby might be unwell; 274 of 614 (70%) contacted their clinic and were invited to come in for a check-up, but by then it was too late because the baby was already dead. A further 88 of 614 (22%) decided to wait until their next routine check-up, believing that the symptoms were part of the normal cycle of pregnancy, and that the fetus would move less towards the end of pregnancy. Thirty women (8%) contacted their clinic, but were told that everything appeared normal without an examination of the baby.

    Conclusions. Women need to know that a decrease in fetal movements is an important indicator of their unborn baby's health. Healthcare professionals should not delay an examination if a mother-to-be is worried about her unborn baby's wellbeing.

  • 36.
    Erlandsson, Kerstin
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna/Västerås.
    Lindgren, Helena
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Malm, Mari-Cristin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Davidsson-Bremborg, Anna
    Rådestad, Ingela
    Mothers experience of the time after the diagnosis of an intrauterine death until the induction of the delivery: a qualitative internet based study2011Inngår i: Journal of Obstetrics and Gynaecology, ISSN 0144-3615, E-ISSN 1364-6893, Vol. 37, nr 11, s. 1677-1684Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: This study aims to describe how mothers spend the period of time between being diagnosed with a dead baby in utero and the induction of the delivery.

    Material and Methods: Data were collected using a web questionnaire. Five hundred and fifteen women who had experienced a stillbirth after the 22nd week of gestation answered the open question: ‘What did you do between the diagnosis of the child's death and the beginning of the delivery?’ A qualitative content analysis method was used.

    Results: The results show that some mothers received help to adapt to the situation, while for others, waiting for the induction meant further stress and additional psychological trauma in an already strained situation.

    Conclusion: There is no reason to wait with the induction unless the parents themselves express a wish to the contrary. Health care professionals, together with the parents, should try to determine the best time for the induction of the birth after the baby's death in utero. That time may vary, depending on the parents' preferences.

  • 37.
    Erlandsson, Kerstin
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Lustig, Helena
    Lindgren, Helena
    Women's experience of unplanned out-of-hospital birth in Sweden: a phenomenological description2015Inngår i: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 6, nr 4, s. 226-229Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Between 0.5 and 2 percent of women planning to give birth in a hospital environment in Sweden will have an unplanned out-of-hospital birth. Few studies have described mothers' experiences of out-of-hospital births and none on a Swedish population. In an attempt to fill this gap, we have made this pilot study designed to capture mothers' experiences of unplanned out-of-hospital births in Sweden.

    Method: Qualitative interviews with eight Swedish women, one to three years after they experienced an unplanned out-of-hospital birth. Data were analysed using the method of phenomenological description.

    Results: The meaning of giving unplanned birth outside a hospital environment was “The lived experience of a pendular movement between the good fortune and pride in managing the situation and the fear of what could have happened when giving unplanned birth outside a hospital environment.” In the analysis two clusters emerged that supported the essence: Balancing Emotions and Handling Unfamiliar Actions.

    Conclusions: This study contributes to an understanding of the natural processes when giving birth. The findings can be useful when communicating the experience of unplanned out-of-hospital birth to parents in antenatal classes. The women could be encouraged to listen and trust their own body signs as a preparation for giving birth in any type of setting. Guidelines for taking care of women with out-of-hospital birth experiences are suggested.

  • 38.
    Erlandsson, Kerstin
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Osman, Fatumo
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Hatakka, Mathias
    Högskolan Dalarna, Akademin Industri och samhälle, Informatik.
    Egal, Jama Ali
    Byrskog, Ulrika
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Pedersen, Christina
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Klingberg-Allvin, Marie
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Evaluation of an online master’s programme in Somaliland. A phenomenographic study on the experience of professional and personal development among midwifery faculty2017Inngår i: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 25, s. 96-103Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    To record the variation of perceptions of midwifery faculty in terms of the possibilities and challenges related to the completion of their first online master's level programme in Sexual and Reproductive Health and Rights in Somaliland. The informants included in this phenomenongraphical focus group study were those well-educated professional women and men who completed the master's program. The informant perceived that this first online master's level programme provided tools for independent use of the Internet and independent searching for evidence-based information, enhanced professional development, was challenge-driven and evoked curiosity, challenged professional development, enhanced personal development and challenged context-bound career paths. Online education makes it possible for well-educated professional women to continue higher education. It furthermore increased the informants' confidence in their use of Internet, software and databases and in the use of evidence in both their teaching and their clinical practice. Programmes such as the one described in this paper could counter the difficulties ensuring best practice by having a critical mass of midwives who will be able to continually gather contemporary midwifery evidence and use it to ensure best practice. An increase of online education is suggested in South-central Somalia and in similar settings globally.

  • 39.
    Erlandsson, Kerstin
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Sayami, Jamuna Tamrakar
    National Centre for Health Professional Education, PO Box 2533, Maharajgunj, Kathmandu, Nepal.
    Sapkota, Sabitri
    Sunaulo Parivar Nepal, Baluwatar, PO Box 11254, Kathmandu, Nepal.
    Safety before comfort: a focused enquiry of Nepal skilled birth attendants’ concepts of respectful maternity care2014Inngår i: Evidence Based Midwifery., ISSN 1479-4489, Vol. 12, nr 2, s. 59-64Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background. Respectful maternity care is the universal right of childbearing women, but in Nepal there are no midwives to deliver this care and it is provided by skilled birth attendants (SBAs), who may be physicians, certified nurses, auxiliary nurse-midwives or degree-trained nurses. 

    Aim. To explore how this concept of respectful maternity care was perceived by SBAs in practice. 

    Design. Focus group discussions were used and the setting was two tertiary level maternity hospitals in Nepal. Ethical approval for the study was obtained from the Nepal Health Research Council. A total of 24 SBAs were recruited voluntarily from the maternity units. Data were analysed using a phenomenographic approach and interpretation was verified by the focus group facilitator and note-taker. 

    Findings. Five categories, divided into16 sub-categories, present the SBAs’ collective description of respectful care. 

    Conclusions. SBAs understood that respectful care at birth was important, but argued that ‘safety comes before comfort’. To achieve safe maternity care, the contribution of relatives is essential, in addition to the provision of medical care. 

    Implications. Family members need to accompany the woman and her newborn from admission to discharge to provide basic care and this needs to be reviewed. Professional midwives need to be trained, recruited, and deployed in areas where they are most needed and the government needs to regulate the profession and make it legal.

  • 40.
    Erlandsson, Kerstin
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Säflund, Karin
    Karolinska Institutet.
    Wredling, Regina
    Karolinska Institutet.
    Rådestad, Ingela
    Sofiahemmets högskola.
    Support after stillbirth and its effect on parental grief over time2011Inngår i: Journal of Social Work in End-Of-Life & Palliative Care, ISSN 1552-4256, Vol. 7, nr 2-3, s. 139-152Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In this study the authors describe parents' experiences of support over a 2-year period after a stillbirth and its effect on parental grief. Data was collected by questionnaire from 33 mothers and 22 fathers at 3 months, 1 year, and 2 years after a stillbirth. Midwives, physicians, counselors, and priests--at the hospital where the stillbirth occurred--are those on the front line providing professional support. The support from family and friends was seen to be important 2 years after the stillbirth. The need for professional support after stillbirth can differ, depending on the support provided by family, friends, and social networks. They may not fully realize the value of their support and how to be supportive. Printed educational materials given to individuals in the social network or family might therefore be helpful.

  • 41.
    Erlandsson, Kerstin
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Warland, J.
    School of Nursing and Midwifery, University of South Australia.
    Cacciatore, J.
    School of Social Work, Arizona State University.
    Rådestad, I.
    Sophiahemmet University College.
    Seeing and holding a stillborn baby: mothers' feelings in relation to how their babies were presented to them after birth - findings from an online questionnaire2013Inngår i: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 29, nr 3, s. 246-250Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: to determine if the way caregivers offer opportunities to see and hold a stillborn baby impacts a mother's feelings about the experience of seeing and holding her newborn.

    Design and setting: a web questionnaire hosted by the Swedish National Infant Foundation from March 2008 to April 2010.

    Participants: 840 eligible participants who had experienced a stillbirth after the 22nd gestational week from 1955 to 2010 and completed an online questionnaire about their experiences.

    Methods: descriptive and inferential statistics.

    Findings: when mothers were presented the baby as a normal part of birth without being asked if they wanted to see, they more often reported that the experience was comfortable compared to mothers who were asked if they wanted to see the baby 86% vs. 76% (p=<0.01). The incitation of fear in mothers was 70% vs. 80% (p=0.02) in favour of mothers who were not asked. Furthermore the mothers who were not asked more often stated that it felt natural and good when compared to those who said staff asked if the mother wanted to see, 73% vs. 61% (p=0.07) and (78%) vs. (69%) p=0.19, respectively. A trend was seen toward more mothers feeling natural, good, comfortable, and less frightened if the provider engaged in 'assumptive bonding', that is the baby is simply and naturally presented to the mother without asking her to choose.

    Key conclusions: mothers of stillborn babies felt more natural, good, comfortable and less frightened if the staff supported assumptive bonding by simply offering the baby to the mother. Implications for practice: care providers should approach caring for grieving mothers with tenderness and humility, assuming that they will wish to see and hold their stillborn baby. 

  • 42.
    Faysal Badal, Naciima
    et al.
    Department of Nursing, Hargeisa University.
    Alo Yusuf, Ubax
    Department of Nursing, Hargeisa University.
    Egal, Jama
    Department of Nursing, Hargeisa University.
    Pedersen, Christina
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Osman, Fatumo
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Byrskog, Ulrika
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    With knowledge and support women can attend antenatal care: the views of women in IDP camps in Somaliland2018Inngår i: African Journal of Midwifery and Womens' Health, ISSN 1759-7374, Vol. 12, nr 3Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In Somaliland, women’s perceptions of barriers to accessing antenatal care is sparsely described, particularly with regard to marginalized women. The aim was to investigate perceptions of barriers to accessing antenatal care from the perspective of pregnant women living in Internal Displaced Persons camps. Individual semi-structured interviews with fifteen women were conducted and analysed using content analysis. The overriding theme was “With knowledge and support, women can attend antenatal care”.  The findings highlighted that to obtain antenatal care, it is crucial for women to have knowledge and trust regarding antenatal services, a supporting environment, and ways to overcome practical barriers, such as patient fees and long waiting hours. If women and families received relevant information about the structure and benefits of ANC, they would probably prioritize ANC, given that the care is tailored to each woman’s needs. For this, community awareness and trust between women, families and ANC providers are central.

  • 43. Ivarsson, Anneli
    et al.
    Kinsman, John
    Johansson, Karin
    Mohamud, Khalif Bile
    Weinehall, Lars
    Freij, Lennart
    Wall, Stig
    Dalmar, Abdirisak Ahmed
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Klingberg-Allvin, Marie
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Healing the health system after civil unrest2015Inngår i: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 8, artikkel-id 27381Artikkel i tidsskrift (Annet vitenskapelig)
  • 44. Kiruja, J.
    et al.
    Osman, Fatumo
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Egal, J. A.
    Essén, B.
    Klingberg-Allvin, Marie
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Maternal near-miss and death incidences – Frequencies, causes and the referral chain in Somaliland: A pilot study using the WHO near-miss approach2017Inngår i: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 12, s. 30-36Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background Somaliland is a self-declared country with a population of 3.5 million. Most of its population reside in rural areas. The objective of this pilot near-miss study was to monitor the frequency and causes of maternal near-miss and deaths and the referral chain for women to access Skilled Birth Attendants (SBA). Method: A facility-based study of all maternal near-miss and mortality cases over 5 months using the WHO near-miss tool in a main referral hospital. Reasons for bypassing the Antenatal Care facility (ANC) and late arrival to the referral hospital were investigated through verbal autopsy. Results: One hundred and thirty-eight (138) women with severe maternal complications were identified: 120 maternal near-miss, 18 maternal deaths. There were more near-miss cases on arrival (74.2%) compared with events that developed inside the hospital (25.8%). Likewise, there were more maternal deaths (77.8%) on arrival than was the case during hospitalization (22.2%). The most common mode of referral among maternal near-miss events was family referrals (66.7%). Of 18 maternal deaths, 15 were family referrals. Reasons for bypassing ANC were as follows: lack of confidence in the service provided; lack of financial resources; and lack of time to visit ANC. Reasons for late arrival to the referral hospital were as follows: lack of knowledge and transportation; and poor communication. Conclusion and clinical implication: To increase the utilization of ANC might indirectly lower the number of near-miss and death events. Collaboration between ANC staff and referral hospital staff and a more comprehensive near-miss project are proposed. © 2017 Elsevier B.V.

  • 45.
    Kiruja, Jonah
    et al.
    College of Health Science and Medicine, Faculty of Nursing and Midwifery, Hargeisa University, Somaliland.
    Osman, Fatumo
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Jama, Ali
    College of Health Science and Medicine, Faculty of Nursing and Midwifery, Hargeisa University, Somaliland.
    Klingberg-Allvin, Marie
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Malm, Mari-Cristin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Risk factors for stillbirth and beliefs: Findings from a pilot near miss questionnaire study in Somaliland focusing the mother-baby dyad2017Inngår i: MOJ Women’s Health, ISSN 2475-5494, Vol. 5, nr 3, artikkel-id 00123Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Somalia is one of 13 countries in Africa with stillbirth rates of more than 30 per 1000 total birth. To our knowledge no study in Somaliland has focused on the mother-baby dyad regarding risk factors for stillbirth. The objective of this study was to identify frequency, causes and beliefs for stillbirth in mothers with life threatening conditions as a pilot for a potential nationwide near-miss study with full coverage in the Somaliland health care system.Method: A prospective cross sectional study using the WHO near-miss questionnaire in a tertiary level hospital with 1.385 deliveries during a five months period in 2015.Results: Out of 138 near miss and death events 22% (n=30) had a stillbirth. Seventy-seven percent (77%) of the mothers (n=23) with stillborn babies survived and 23% died (n=7). They were diagnosed with life threatening conditions, possible to prevent, on arrival at the tertiary hospital. None of them developed the maternal complication/s during the hospital stay. Cesarean sections (43%) were performed within three hours after arrival. Beliefs regarding the stillbirth for the near miss women were that holding the baby born death helps them cope with the loss (74%) and that religious believes helps them cope faster with the loss (91%).Conclusion and clinical implications: The near miss women, their families, TBAs and SBAs might need better information of what causes a stillbirth, how they could prevent it and about the near miss women’s beliefs surrounding stillbirth to enable them to communicate this to pregnant women and prevent delay in admission to the tertiary level hospital. Furthermore, this pilot study suggest that the “Near Miss Questionnaire” could be used in low-and middle income settings to detect a full picture of the situation with stillbirth in a country.

  • 46.
    Klingberg-Allvin, Marie
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Hatakka, Mathias
    Högskolan Dalarna, Akademin Industri och samhälle, Informatik.
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Osman, Fatumo
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Byrskog, Ulrika
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Egal, Jama
    "Change-makers in midwifery care": Exploring the differences between expectations and outcomes - a qualitative study of a midwifery net-based education programme in the Somali region2019Inngår i: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 69, s. 135-142Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study is to explore midwifery educators’ expected outcomes in the net-based master's programme, the programmes’ realised outcomes and the reported difference regarding the increased choices for the graduates and the effect on their agency.

    Design

    In this case study, we focused on a net-based master's programme in sexual and reproductive health in Somalia. Somalia suffers from a shortage of skilled birth attendants and there is a need for building up the capacity of midwifery educators.

    Setting and participants

    Data was collected in focus group discussions at the start of the programme and eight months after the students graduated. The data were analysed through the lens of the choice framework, which is based on the capability approach.

    Findings

    Findings show that many of the graduates’ expectations were met, while some were more difficult to fulfil. While the midwives’ choices and resource portfolios had improved because of their role as educators, the social structure prevented them from acting on their agency, specifically in regards to making changes at the social level. Several of the positive developments can be attributed to the pedagogy and structure of the programme.

    Conclusion

    The flexibility of net-based education gave the midwifery educators a new educational opportunity that they previously did not have. Students gained increased power and influence on some levels. However, they still lack power in government organisations where, in addition to their role as educators, they could use their skills and knowledge to change policies at the social level.

  • 47.
    Lindgren, Helena
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Department of Woman and Child Health, Division of Reproductive and Perinatal Health, Karolinska Institutet, Stockholm.
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.
    From belonging to belonging through a blessed moment of love for a child: the birth of a child from the fathers' perspective2009Inngår i: Journal of Men's Health, ISSN 1875-6867, E-ISSN 1875-6859, Vol. 6, nr 4, s. 338-344Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Over the years the involvement of the partner in the childbirth process has resulted in an increasing interest in the partner’s role. Research into the partner’s experiences is still limited. This study aimed to describe the experiences of fathers at the birth of their child from the father’s perspective.

    Method: Sixteen fathers were interviewed about their experiences at the birth of their child between 8 days and 6 weeks after the birth. The interviews were analysed using a phenomenological approach.

    Results: The findings not only recount that the moment of birth was a life changing and overwhelming moment characterised by feelings of love and belonging, but go further in revealing the birth of a child as a movement from belonging to belonging through a blessed moment of love for a child.

    Conclusion: What this finding indicates is that the birth of a child is an important experience in the quality of life of men, calling for their participation at the birth of the child and for a strategy of leaving the family alone right after this outstanding lifemoment of a newbirth.

  • 48.
    Lindgren, Helena
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    She leads, he follows - fathers' experiences of a planned home birth: a Swedish interview study2011Inngår i: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 2, nr 2, s. 65-70Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To gain an understanding of fathers' experiences of a planned home birth.

    Study design: In-depth interviews were conducted with eight Swedish fathers who had the experience of a total of 23 births, of which 17 were planned home births. The fathers were recruited by the midwives who had assisted with the planned home births. Content analysis was used.

    Results: Analysis revealed the main theme "she leads - he follows". The fathers were compliant to the woman's decision; they also described it as a deliberate choice and struggled with feelings of being different in comparison with the established way of becoming a father.

    Conclusion: The experience of a planned home birth for the father was a process in which he had to put his own ideas on giving birth aside and carefully follow his woman. Sharing fears and happiness during the process by being compliant to the woman may strengthen the new fatherhood. The fathers' role in the process of making an unconventional choice is an example that could probably be applied to similar situations in pregnancy and childbirth.

  • 49.
    Lindgren, Helena
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Department of Women’s and Children’s Health, Karolinska Institutet.
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Women’s experiences of empowerment in a planned home birth: a Swedish population-based study2010Inngår i: Birth, ISSN 0730-7659, E-ISSN 1523-536X, Vol. 37, nr 4, s. 309-317Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Childbirth can be an empowering event in a woman’s life. However, we know little about women’s own perceptions of power and empowering sources during childbirth. This study aims to describe the factors experienced as empowering during a planned home birth.

    Method and material: The inclusion criteria were women in Sweden who had a planned home birth between 1992 and 2005. All the women (n=735) who agreed to participate received one questionnaire for each planned home birth. A total of 1038 questionnaires were sent to the women. The written birth stories were analyzed using content analysis and descriptive statistics.

    Results: In the analysis of the participants’ birth experience four categories and one overall theme emerged from the stories. The categories identified were 1) sensations, 2) guidance, 3) tacit support and 4) identification of needs. Greater emphasis was put on guidance among first-time mothers than among with multiparas, for whom tacit support was identified as the most empowering factor. The overall theme was identified as “resting in acceptance of the process”. The empowerment they express by achieving and maintaining a sense of control allows them to rest in acceptance of the efforts that are part of a normal birth.

    Conclusion: Women who choose to give birth at home find empowering sources within themselves, from their environment and from the active and passive support of persons they have chosen to be present at the birth. They create their own birth setting ahead of the birth, so that they can let go of control when it actually happens.

  • 50.
    Malm, Mari-Cristin
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Rådestad, Ingela
    Sophiahemmet Högskola.
    Erlandsson, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Mälardalens Högskola.
    Lindgren, Helena
    Sahlgrenska Akademin, Göteborgs Universitet.
    Waiting in no-man's-land: mother's experiences before the induction of labour after their baby has died in utero2012Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Objective: Carrying death instead of life is beyond understanding and a huge psychological challenge for a pregnant mother. The period from the time when information is received about the death of an unborn baby until labour is induced has an impact on the mother’s future well-being. The aim of this study was to investigate the mothers’ experiences of the time from the diagnosis of the death of their unborn baby until induction of labour.

    Method: In-depth interviews were conducted with 21 mothers whose babies had died prior to birth. The interviews were then analysed using content analysis.

    Results: The overall theme that emerged from the mothers’ experiences is understood as “waiting in no-man’s-land”, describing the feeling of being set aside from normality and put into an area which is unrecognized. Four categories were established. ‘Involuntary waiting’ describes the sense of being left without information about what is to come; ‘handling the unimaginable’ concerns the confusing state of finding oneself in the worst-case scenario and yet having to deal with the birth; ‘broken expectations’ is about the loss not only of the baby but also of future family life; and ‘courage to face life’ describes the determination to go on and face reality with strength.

    Conclusions The mothers’ experiences were understood as a sense of being abandoned in no-man’s-land. This time period was characterized by waiting – not knowing for what and not knowing for how long.  Information about the process and the forthcoming encounter with the baby is essential and decisions regarding time of induction should be based on the parents’ requests, not on hospital routines.  

12 1 - 50 of 60
RefereraExporteraLink til resultatlisten
Permanent link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf