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  • 301.
    Brun Sundblad, Gunilla
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Mechbach, Jane
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Lundvall, Suzanne
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Nilsson, Johnny
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Orka hela vägen: Upplevd hälsa, idrotts- och träningsbakgrund bland studenter på en fysiskt inriktad yrkesutbildning.  Lärarstudenter GIH 2008 delrapport 1: 20092010Report (Other academic)
    Abstract [sv]

    Sammanfattning

    Ett sammanfattande porträtt av den nyantagna lärarstudenten vid GIH med utgångspunkt från enkätsvaren ger vid handen en bild av en person, som är ca 21 år gammal, född i Sverige och uppvuxen i en medelstor stad i Mellansverige. Studenten trivdes mycket bra i skolan och var som elev något över medel med MVG i idrott och hälsa.

    Valet av yrkesutbildning grundade sig på ett stort intresse för idrott, samt en önskan att få jobba med barn och ungdom. Studievalet hade för många påverkats av en tidigare idrotts-lärare, kompisar och familj. En bra lärare i idrott och hälsa är enligt studenten positiv, engagerad, rättvis, bestämd och kunnig.

    Lärarstudenten ser sig behärska bollspel väl. Störst kunskap och färdighet uppges i fot-boll och alpin skidåkning. Minst kunskap och färdighet skattades i softboll, baseboll, bergsklättring, långfärdsskridskoåkning och i konsten att kunna valla skidor. Många ser sig ha god kunskap om sambandet mellan hälsa, livsstil och miljö, men mindre god om hur en idrottsaktivitet har betydelse för kulturarvet, samband mellan miljö och männi-skans hälsa i ett historiskt och nutidsperspektiv samt i ergonomi.

    På sin fritid går lärarstudenten ofta på idrottsevenemang, café, tittar på TV och video eller umgås med vänner och familj. Lärarstudenten går sällan på bio och nästan aldrig på tea-ter, museum eller vernissager. "Vad är vernissage?" undrar en student.

    Hälsan, både fysiskt och psykiskt, skattas som tillfredsställande och man känner ofta hopp, glädje och meningsfullhet. Emellertid finner man sig även ofta stressad på grund av tidsbrist och alla krav. Många kvinnliga studenter (41%) rapporterade ryggont och många, både kvinnor och män, beskrev att de har besvär från en skadad fotled eller knä. De flesta lärarstudenterna är regelbundet fysiskt aktiva och de finner att mängden motion delvis är tillfredsställande.

    Förväntningarna är höga på utbildningen både att den är mångsidig och kommer att ge ökad kunskap inom olika områden. Under studietiden förväntar man sig att utvecklas och förbättra sin egen fysiska status och hälsa. En student uttrycker det med orden: "Mitt nya liv startar idag". Den sammanfattande bilden av lärarstudenten på GIH liknar den som tidigare har redovisats av Meckbach och Wedman i en liknande studie från maj 2005. Deras studie genomfördes på studenter efter ett års studier på GIH (Meckbach & Wed-man, 2007).

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  • 302.
    Brändström, Sara
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Olika chans beroende på födelsemånad: En kvantitativ undersökning av relative age effect på svenska längdskidgymnasier2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim

    The purpose of this study was to investigate if relative age effect occurs at Swedish cross-country ski schools and if there were a differences in the presence among boys and girls, and between Riksidrottsgymnasier (Country-wide sport academy) and Nationell Idrottsutbildning (National sport academy).

    Method

    To answer the aim, statistical data were analyzed using a Pearson Chi2-test. The analysis has been done by examining birth month, sex and education among students at Swedish cross-country ski schools between 2010-2015.

    Results

    The result shows that there is a significant evidence of relative age effect at Swedish cross-country ski schools (p= <0,05). When the results were partial between Riksidrottsgymnasier and Nationell Idrottsutbildning, the relative age effect was only seen at Riksidrottsgymnasierna. There were no significant evidence for relative age effect when boys and girls where analyzed separately.

    Conclusion

    The results show that relative age effect appears on Swedish cross-country ski schools; however, there were some varies between analyzed variables. Strongest evidence for relative age effect was seen at Riksidrottsgymnaiserna.

    Further research is needed to get a overview of the consequences of relative age effect at cross-country ski schools, and the consequences it has in Swedish cross-country skiing overall, both for younger and older skiers.

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  • 303. Burholt, Vanessa
    et al.
    Winter, Bethan
    Aartsen, Marja
    Constantinou, Costas
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work. Karolinska institutet.
    Feliciano, Villar
    De Jong Gierveld, Jenny
    Van Regenmortel, Sofie
    Waldegrave, Charles
    A critical review and development of a conceptual model of exclusion from social relations for older people2020In: European Journal of Ageing, ISSN 1613-9372, E-ISSN 1613-9380, Vol. 17, no 1, p. 3-19Article in journal (Refereed)
    Abstract [en]

    Social exclusion is complex and dynamic, and it leads to the non-realization of social, economic, political or cultural rights or participation within a society. This critical review takes stock of the literature on exclusion of social relations. Social relations are defined as comprising social resources, social connections and social networks. An evidence review group undertook a critical review which integrates, interprets and synthesizes information across studies to develop a conceptual model of exclusion from social relations. The resulting model is a subjective interpretation of the literature and is intended to be the starting point for further evaluations. The conceptual model identifies individual risks for exclusion from social relations (personal attributes, biological and neurological risk, retirement, socio-economic status, exclusion from material resources and migration). It incorporates the evaluation of social relations, and the influence of psychosocial resources and socio-emotional processes, sociocultural, social-structural, environmental and policy contextual influences on exclusion from social relations. It includes distal outcomes of exclusion from social relations, that is, individual well-being, health and functioning, social opportunities and social cohesion. The dynamic relationships between elements of the model are also reported. We conclude that the model provides a subjective interpretation of the data and an excellent starting point for further phases of conceptual development and systematic evaluation(s). Future research needs to consider the use of sophisticated analytical tools and an interdisciplinary approach in order to understand the underlying biological and ecopsychosocial associations that contribute to individual and dynamic differences in the experience of exclusion from social relations.

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  • 304.
    Bursell, Elisabeth
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Elverson, Susanna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Faktorer som påverkar patienters upplevelse av omvårdnad under sin vistelse på akutmottagning.: - En litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: To an emergency department people arrives with various states and needs. It

    is the nurse who often do the initial assessments and therefore it is of great importance that the

    response from the nurse is positive, to provide a feeling of security for the patient. Increased

    patient flow and long waits are a few factors that are proven to influence patients´ experience

    of their stay at the emergency department.

    Purpose: The purpose of the literature review is to describe factors that influence patients’

    experience of care at the emergency department.

    Methods: The study was conducted as a literature review. CINAHL and PubMed databases

    were used to search for articles.

    Results: The analysis led to six subcategories: the encounter, participation, information,

    waiting time, communication and continuity, the Registered Nurse knowledge and skills.

    The results showed that many patients felt that the nurse was skilled with the nursing

    assignments and were happy with the response from the nurse, but the long waiting time and

    lack of information affected the experience of the nursing care at the emergency department.

    There was a clear desire from the patients to receive more information about their wait time,

    treatment and examination. Shortcomings of this, created insecurity and a feeling of being

    forgotten for the patients.

    Conclusion: Nurses at an emergency department need to possess great communication

    skills. To be able to give patients the best experience as possible at the emergency department.

    Conclusions of the results have shown the need for improvement in several areas, to increase

    a better experience for the patients during their stay at the emergency department.

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  • 305.
    Busk, Ulrica
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Edvall, Anne
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Omvårdnadsåtgärder som kan lindra smärta i palliativ vård: En litteraturöversikt2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Pain was seen as only a physical problem but in the 1950’s pain began to be seen as a multidimensional problem. For patients in palliative care multidimensional pain is common. The key elements of palliative care should be a focus on: symptom relief, teamwork, continuity and communication as well as support for relatives.

    Aim:

    The aim is to compile research about which nursing measures can relieve pain in palliative care.

    Method:

    The study was conducted as a literature review and was based on 13 articles where quantitative and qualitative methods where reported.

    Result:

    The result is a number of complementary nursing measures that can alleviate pain in patients in palliative care. Knowledge of the pain's dimensions and pain assessment is a prerequisite for achieving optimal pain relief. Teamwork, psychosocial support and good communication between the patient and the careteam are important in palliative care.

    Conclusion:

    Patients should receive basic pharmacological pain relief together with complementary non-pharmacological pain management care measures.

    More research and knowledge about these nursing interventions and how these can be implemented in palliative care are needed. Greater knowledge about both the dimensions of pain and about pain scales is needed so that optimal pain assessment can be achieved.

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  • 306.
    Busk, Victoria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Sigfrids, Linda
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Sjuksköterskans erfarenheter av vård i livet slut på somatisk vårdavdelning – En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care and end-of-life care aims to prevent and relief suffering. Today people live longer which shows an increased care of dying patients. It can be expressed as challenging to care for a dying patient since this form of care still can be foreign to many nurses. Aim: The purpose of this literature review was to compile research-based knowledge of things that can affect the nurse's experiences of care in the end of life for the patient in a somatic hospital setting. Method: The study was conducted as a literature review which was based on twelve qualitative and three quantitative studies. The results were based on scientific articles that were found in databases such as PubMed and Cinahl.  Results: The main result that was identified in the study was competence, challenges and resources of care. Nurses had a lack of knowledge when caring for dying patients in a somatic hospital setting. The competence was inadequate and it appeared that there was a need of more education and the basic nursing education needs to be further developed in end of life care. Nurses who received education in end of life care were more safe caring for dying patients. Communication, for example building trust and the nurse’s ability to express themselves, were important factors. Nurses thought it was challenging to earn trust from the patient's relatives. Conclusion: The results have shown that the nurse's knowledge is important and the need for education and training has been clearly prominent. Today there is a lack of nurses and there is a need for more nurses with the right knowledge. Education and practical experience can help the nurses feeling safer in the role of caring for dying patients and communicating with them and their relatives.  

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  • 307.
    Butkute Steponavicius, Lina
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Hur sjuksköterskan kan motivera vuxna patienter med Diabetes Mellitus typ II att ändra sin livsstil genom kost- och motionsvanor: En litteraturöversikt2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Typ II diabetes är en sjukdom som kan påverkas av vissa livsstilsfaktorer, till

    exempel rökning, fysisk inaktivitet, fel kost, övervikt, stort alkoholintag och högt blodtryck.

    Behandling för Diabetes Mellitus typ II börjar med förändring av sin livsstil, det vill säga

    icke-farmakologiskt behandling genom att framförallt förändra sina kost- och motionsvanor.

    Att motivera patienter med Diabetes Mellitus typ II till att förändra sin livsstil, är en viktig

    uppgift för sjuksköterskan.

    Syfte: Syftet med denna studie var att beskriva hur sjuksköterskan kan motivera vuxna

    patienter med Diabetes typ II att ändra sin livsstil genom kost- och motionsvanor.

    Metod: Studie genomfördes som litteraturöversikt med sexton vetenskapliga artiklar, där sju

    av artiklarna hade kvalitativ ansats och nio hade en kvantitativ ansats. Datainsamlingen

    skedde via databaserna CINAHL, PubMed och Science Direct med samma sökord.

    Huvudresultat: De olika studierna i resultatet visar att sjuksköterskan spelar en viktig roll

    vad gäller att motivera patienter med Diabetes Mellitus typ II att förändra sin livsstil genom

    kost- och motionsvanor. Avgörande faktorer för att motivera patienter att göra

    livsstilsförändringar var sjuksköterskans bemötande av patienter, att understödja patienter och under denna förändringsprocess skapa en god relation mellan patient och sjuksköterska. Ytterliggare viktiga faktorer var att sjuksköterska hade kunskap inom området och en förmåga att undervisa, ge råd individuellt och i grupp.

  • 308.
    Bygg, Erika
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Morelius, Ellinor
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    KOL-patienters nutrition och sjuksköterskans omvårdnadsåtgärder: en litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Malnutrition is common in patients with chronic obstructive pulmonary disease (COPD). Malnutrition in patients with COPD can cause impaired immune system, increased dyspnoea, decreased quality of life, and the COPD risk being increased in severity as well as having a faster disease course. In 2030, COPD is estimated to be the third most common disease in the world. Therefore, it is important as a nurse to have knowledge of which nurse care can be used in malnutrition in COPD patients.

    Aim: The aim of this literature review was to compile COPD patients' perceived problems with nutrition and what nurse care the nurse can take in malnutrition.

    Method: A literature review based on 15 scientific articles.

    Results: There were problems that occur for COPD patients that were caused according to their nutrition. These conditions could be both physical and psychological. The nurse could seek advice from a dietician to be informed of the best solution regarding nutritional needs of the patient. As a nurse it was important to pass on knowledge and give support to the patient whilst also advising on selfcare according to the patient's current condition and preferences.

    Conclusion: The variety of nutritional problems COPD patients face were highly individual and are therefore a complex subject as the effects are both physical and psychological. In general, the nurse should work closely with the patient as there can be nutrition related problems and in doing so, ensures appropriate and safe care.

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  • 309.
    Bylund, Frida
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Fjällborg, Anna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Patienters erfarenheter av att leva med långvarig ryggsmärta. En litteraturöversikt.2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    : Chronic back pain is one of the most common health problems and one of the most common causes of contact with primary care.

    Chronic back pain causes great socio-economic costs, but also costs in terms of

    human suffering. Chronic back pain cannot always be explained by pathophysiology and clinical findings, which often leads to missing diagnoses,

    impaired conditions for treatment and management strategies. The nurse in her

    health promotion has the task of relieving suffering, to enable this, suffering needs to be met, affirmed and understood as a whole. This literature review aimd to creating a deeper understanding of the whole by capturing individual experiences of living with chronic back pain.

    Aim:

    To compile knowledge about patient’s experiences of living with chronic back pain.

    Method:

    A literature review.

    Results:

    Five main categories emerged from the result; physical influence, psychological influence, social aspects, religious and cultural aspects, as well as experiences regarding the treatment of health care. Physical influences constituted barriers to everyday activities and life was forced to be shaped and adapted to the pain. The adaptation could lead to changed self-image and the opportunities for social interaction were limited. Mental illness was the experience that was found to the greatest extent in the result, and mainly in the form of depression and anxiety. Family, workplace and religious conviction turned out to have a great influence on how the chances of managing the pain were affected. The feeling of not being trusted strengthened the mental illness and contributed to worsening opportunities to deal with the pain.

    Conclusion:

    Suffering should be met, confirmed and understood on the basis of its entirety. The result of this study could contribute to an increased understanding and provide a deeper insight into how affected patients experience their pain, situation and environment. The knowledge could benefit the nurse in the health-promoting work.

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  • 310. Byqvist Nilsson, Christina
    et al.
    Gammel, Camilla
    Specialistsjuksköterskors upplevelser av vårdandet av patienter med samsjuklighet2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Purpose: The purpose of this study is to describe how specialist nurses in psychiatric nursing experience caring for patients suffering from both mental illness and substance abuse problems.

    Method: Empirical qualitative study using semi-structured interviews were analyzed using qualitative content analysis. Five specialist nurses participated in the study.

    Results: From the analysis of the interviews revealed two categories wanting well and feel powerless. Moreover, it resulted in five categories follow the patient, the will to act, feel powerlessness, to feel resistance and fail in its competence.

    Conclusion: The current findings point at a connecting thought. This means that the specialist nurses express good intentions, want to do well and act for the best possible care for the patient. Also, there is a hope for the patients recovering. Due to insufficient skills, the nurses sometimes feel resistance to treat patients suffering from comorbidity. This creates a sense of powerlessness. The study has shown that supplementary training and further education will increase the

    possibilities for the specialist nurses to provide every patient with appropriate care. Also, it is important to note that the specialist nurses wish to give the patients this care.

  • 311.
    Byrskog, Ulrika
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Institutionen för kvinnors och barns hälsa, Uppsala Universitet. Centrum för klinisk forskning, Dalarna.
    'Moving On' and Transitional Bridges: Studies on migration, violence and wellbeing in encounters with Somali-born women and the maternity health care in Sweden2015Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    During the latest decade Somali-born women with experiences of long-lasting war followed by migration have increasingly encountered Swedish maternity care, where antenatal care midwives are assigned to ask questions about exposure to violence. The overall aim in this thesis was to gain deeper understanding of Somali-born women’s wellbeing and needs during the parallel transitions of migration to Sweden and childbearing, focusing on maternity healthcare encounters and violence. Data were obtained from medical records (paper I), qualitative interviews with Somali-born women (II, III) and Swedish antenatal care midwives (IV). Descriptive statistics and thematic analysis were used. Compared to pregnancies of Swedish-born women, Somali-born women’s pregnancies demonstrated later booking and less visits to antenatal care, more maternal morbidity but less psychiatric treatment, less medical pain relief during delivery and more emergency caesarean sections and small-for-gestational-age infants (I). Political violence with broken societal structures before migration contributed to up-rootedness, limited healthcare and absent state-based support to women subjected to violence, which reinforced reliance on social networks, own endurance and faith in Somalia (II). After migration, sources of wellbeing were a pragmatic “moving-on” approach including faith and motherhood, combined with social coherence. Lawful rights for women were appreciated but could concurrently risk creating power tensions in partner relationships. Generally, the Somali-born women associated the midwife more with providing medical care than with overall wellbeing or concerns about violence, but new societal resources were parallel incorporated with known resources (III). Midwives strived for woman-centered approaches beyond ethnicity and culture in care encounters, with language, social gaps and divergent views on violence as potential barriers in violence inquiry. Somali-born women’s strength and contentment were highlighted, and ongoing violence seldom encountered according to the midwives experiences (IV). Pragmatism including “moving on” combined with support from family and social networks, indicate capability to cope with violence and migration-related stress. However, this must be balanced against potential unspoken needs at individual level in care encounters.With trustful relationships, optimized interaction and networking with local Somali communities and across professions, the antenatal midwife can have a “bridging-function” in balancing between dual societies and contribute to healthy transitions in the new society.

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  • 312.
    Byrskog, Ulrika
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Centrum för klinisk forskning, Dalarna, Institutionen för kvinnors och barns hälsa, Uppsala Universitet.
    Våld och reproduktiv hälsa i krigets skugga – somalisvenska perspektiv2014Conference paper (Other academic)
  • 313.
    Byrskog, Ulrika
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Ahrne, Malin
    Small, Rhonda
    Andersson, Ewa
    Essen, Birgitta
    Adan, Aisha
    Ahmed, Fardosa Hassen
    Tesser, Karin
    Åhman-Berndtsson, Anna
    Schytt, Erica
    Rationale, development and feasibility of group antenatal care for immigrant women in Sweden: a study protocol for the Hooyo Project2019In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 9, no 7, article id e030314Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: Somali-born women comprise a large group of immigrant women of childbearing age in Sweden, with increased risks for perinatal morbidity and mortality and poor experiences of care, despite the goal of providing equitable healthcare for the entire population. Rethinking how care is provided may help to improve outcomes.

    OVERALL AIM: To develop and test the acceptability, feasibility and immediate impacts of group antenatal care for Somali-born immigrant women, in an effort to improve experiences of antenatal care, knowledge about childbearing and the Swedish healthcare system, emotional well-being and ultimately, pregnancy outcomes. This protocol describes the rationale, planning and development of the study.

    METHODS AND ANALYSIS: An intervention development and feasibility study. Phase I includes needs assessment and development of contextual understanding using focus group discussions. In phase II, the intervention and evaluation tools, based on core values for quality care and person-centred care, are developed. Phase III includes the historically controlled evaluation in which relevant outcome measures are compared for women receiving individual care (2016-2018) and women receiving group antenatal care (2018-2019): care satisfaction (Migrant Friendly Maternity Care Questionnaire), emotional well-being (Edinburgh Postnatal Depression Scale), social support, childbirth fear, knowledge of Swedish maternity care, delivery outcomes. Phase IV includes the process evaluation, investigate process, feasibility and mechanisms of impact using field notes, observations, interviews and questionnaires. All phases are conducted in collaboration with a stakeholder reference group.

    ETHICS AND DISSEMINATION: The study is approved by the Regional Ethical Review Board, Stockholm, Sweden. Participants receive information about the study and their right to decline/withdraw without consequences. Consent is given prior to enrolment. Findings will be disseminated at antenatal care units, national/international conferences, through publications in peer-reviewed journals, seminars involving stakeholders, practitioners, community and via the project website. Participating women will receive a summary of results in their language.

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  • 314.
    Byrskog, Ulrika
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Ahrne, Malin
    Small, Rhonda
    Andersson, Ewa
    Essén, Birgitta
    Institutionen för kvinnors och barns hälsa, Uppsala Universitet .
    Adan, Aisha
    Hassen Ahmed, Fardosa
    Tesser, Karin
    Lidén, Yvonne
    Schytt, Erica
    Rationale, development and feasibility of group antenatal care for immigrant women in Sweden2019Conference paper (Refereed)
  • 315.
    Byrskog, Ulrika
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Akther, Hasne Ara
    Khatoon, Zohra
    Bogren, Malin
    Erlandsson, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Social, economic and professional barriers influencing midwives’ realities in Bangladesh: a qualitative study of midwifery educators preparing midwifery students for clinical reality2019In: Evidence Based Midwifery., ISSN 1479-4489, Vol. 17, no 1, p. 19-26Article in journal (Refereed)
    Abstract [en]

    Introduction

    Identifying existing barriers inhibiting the provision of quality care in Bangladesh can guide both the government, in fulfilling its commitment to establishing the midwifery profession, and midwifery educators, in preparing midwifery students for the reality of midwifery clinical work.

    Aim

    The aim of this study was to describe midwifery educators’ perceptions of midwives’ realities in Bangladesh, focusing on social, economic, and professional barriers preventing them from carrying out quality care.

    Methods

    Data were collected through focus group discussions with 17 midwifery educators and analysed using qualitative content analysis, guided by the analytical framework “What prevents quality midwifery care?”. Ethical clearance was obtained from Bangladesh’s Directorate General of Nursing and Midwifery.

    Results

    The results generated by the application of the framework included social barriers of gender structures in Bangladeshi society. This influenced entry into midwifery education, carrying out midwifery work safely, and the development of the profession. Economic barriers included challenges for Bangladesh as a low-income country with a large population, inadequate salaries, and staff shortages, adding extra strain to midwives’ working conditions. These social and economic barriers were further enhanced by professional barriers due to the midwifery profession not yet being fully established or acknowledged in the health system.

    Conclusions and implications

    The study presents novel country-specific perspectives but confirms the general underlying issues of gender inequality as a base for barriers preventing midwives from carrying out quality care, in line with the framework “What prevents quality midwifery care?”. Addressing these structures can facilitate more students to enter midwifery education, enable quality midwifery work free from discrimination, and provide sufficient working space and professional integrity. Leadership training is pivotal to increasing responsiveness to the needs of the new cadre of midwives. Midwifery educators should take the lead in sensitising clinical supervisors, mentors, and preceptors about midwives’ realities in Bangladesh.

  • 316.
    Byrskog, Ulrika
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Essén, Birgitta
    Olsson, Pia
    Klingberg-Allvin, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    ‘Moving on’: Violence, wellbeing and questions about violence in antenatal care encounters. A qualitative study with Somali-born refugees in Sweden2016In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 40, p. 10-17Article in journal (Refereed)
    Abstract [en]

    Background

    Somali-born women constitute one of the largest groups of childbearing refugee women in Sweden after more than two decades of political violence in Somalia. In Sweden, these women encounter antenatal care that includes routine questions about violence being asked. The aim of the study was to explore how Somali-born women understand and relate to violence and wellbeing during their migration transition and their views on being approached with questions about violence in Swedish antenatal care.

    Method

    Qualitative interviews (22) with Somali-born women (17) living in Sweden were conducted and analysed using thematic analysis.

    Findings

    A balancing actbetween keeping private life private and the new welfare system was identified, where the midwife's questions about violence were met with hesitance. The midwife was, however, considered a resource for access to support services in the new society. A focus on pragmatic strategies to move on in life, rather than dwelling on potential experiences of violence and related traumas, was prominent. Social networks, spiritual faith and motherhood were crucial for regaining coherence in the aftermath of war. Dialogue and mutual adjustments were identified as strategies used to overcome power tensions in intimate relationships undergoing transition.

    Conclusions

    If confidentiality and links between violence and health are explained and clarified during the care encounter, screening for violence can be more beneficial in relation to Somali-born women. The focus on “moving on” and rationality indicates strength and access to alternative resources, but needs to be balanced against risks for hidden needs in care encounters. A care environment with continuity of care and trustful relationships enhances possibilities for the midwife to balance these dual perspectives and identify potential needs. Collaborations between Somali communities, maternity care and social service providers can contribute with support to families in transition and bridge gaps to formal social and care services.

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  • 317.
    Byrskog, Ulrika
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Essén, Birgitta
    Institutionen för kvinnors och barns hälsa, Uppsala Universitet .
    Olsson, Pia
    Institutionen för kvinnors och barns hälsa, Uppsala Universitet .
    Klingberg-Allvin, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Violence and reproductive health preceding flight from war: accounts from Somali born women in Sweden2014In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 14, article id 892Article in journal (Refereed)
    Abstract [en]

    Background: Political violence and war are push factors for migration and social determinants of health among migrants. Somali migration to Sweden has increased threefold since 2004, and now comprises refugees with more than 20 years of war experiences. Health is influenced by earlier life experiences with adverse sexual and reproductive health, violence, and mental distress being linked. Adverse pregnancy outcomes are reported among Somali born refugees in high-income countries. The aim of this study was to explore experiences and perceptions on war, violence, and reproductive health before migration among Somali born women in Sweden.

    Method: Qualitative semi-structured individual interviews were conducted with 17 Somali born refugee women of fertile age living in Sweden. Thematic analysis was applied.

    Results: Before migration, widespread war-related violence in the community had created fear, separation, and interruption in daily life in Somalia, and power based restrictions limited access to reproductive health services. The lack of justice and support for women exposed to non-partner sexual violence or intimate partner violence reinforced the risk of shame, stigmatization, and silence. Social networks, stoicism, and faith constituted survival strategies in the context of war.

    Conclusions: Several factors reinforced non-disclosure of violence exposure among the Somali born women before migration. Therefore, violence-related illness might be overlooked in the health care system. Survival strategies shaped by war contain resources for resilience and

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  • 318.
    Byrskog, Ulrika
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Hussein, I. H.
    Yusuf, F. M.
    Egal, J. A.
    Erlandsson, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    The situation for female survivors of non-partner sexual violence: A focused enquiry of Somali young women's views, knowledge and opinions2018In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 16, p. 39-44Article in journal (Refereed)
    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.

  • 319.
    Byrskog, Ulrika
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Members of the Midwifery Faculty Master’s degree holders in Sexual and Reproductive Health and Rights, Bangladesh
    Bogren, Malin
    Erlandsson, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Midwives realities in Bangladesh: A focus group enquiry with midwifery students and educators2019Conference paper (Refereed)
  • 320.
    Byrskog, Ulrika
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Uppsala universitet; Centre for Clinical Research, Falun.
    Olsson, Pia
    Uppsala universitet.
    Essén, Birgitta
    Uppsala universitet.
    Klingberg-Allvin, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Being a bridge: Swedish antenatal care midwives’ encounters with Somali-born women and questions of violence; a qualitative study2015In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 15, no 1Article in journal (Refereed)
    Abstract [en]

    Background: Violence against women is associated with serious health problems, including adverse maternal and child health. Antenatal care (ANC) midwives are increasingly expected to implement the routine of identifying exposure to violence. An increase of Somali born refugee women in Sweden, their reported adverse childbearing health and possible links to violence pose a challenge to the Swedish maternity health care system. Thus, the aim was to explore ways ANC midwives in Sweden work with Somali born women and the questions of exposure to violence.

    Methods: Qualitative individual interviews with 17 midwives working with Somali-born women in nine ANC clinics in Sweden were analyzed using thematic analysis.

    Results: The midwives strived to focus on the individual woman beyond ethnicity and cultural differences. In relation to the Somali born women, they navigated between different definitions of violence, ways of handling adversities in life and social contexts, guided by experience based knowledge and collegial support. Seldom was ongoing violence encountered. The Somali-born women’s’ strengths and contentment were highlighted, however, language skills were considered central for a Somali-born woman’s access to rights and support in the Swedish society. Shared language, trustful relationships, patience, and networking were important aspects in the work with violence among Somali-born women.

    Conclusion: Focus on the individual woman and skills in inter-cultural communication increases possibilities of overcoming social distances. This enhances midwives’ ability to identify Somali born woman’s resources and needs regarding violence disclosure and support. Although routine use of professional interpretation is implemented, it might not fully provide nuances and social safety needed for violence disclosure. Thus, patience and trusting relationships are fundamental in work with violence among Somali born women. In collaboration with social networks and other health care and social work professions, the midwife can be a bridge and contribute to increased awareness of rights and support for Somali-born women in a new society.

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  • 321.
    Byrskog, Ulrika
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Centrum för klinisk forskning, Dalarna, Institutionen för kvinnors och barns hälsa, Uppsala Universitet. .
    Olsson, Pia
    Institutionen för kvinnors och barns hälsa, Uppsala Universitet .
    Essén, Birgitta
    Institutionen för kvinnors och barns hälsa, Uppsala Universitet .
    Klingberg-Allvin, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Perceptions and experiences of war, violence, migration and reproductive health among Somali refugee women in Sweden2013In: 19th Nordic Midwifery Congress - Nordic and Global Challenges: Book of abstracts, 2013, p. 75-Conference paper (Refereed)
    Abstract [en]

    Perceptions and experiences of war, violence and migration and related sexual and reproductive health among Somali refugee women in Sweden.

    Background and objectives: Sweden has during the latest six years experienced a twofold increase of Somali born refugees. Elevated levels of pregnancy related morbidity and perinatal complications are seen among Somali born refugee women.  Research has shown links between a mother´s prenatal stress and anxiety and the health of the child the first year. Furthermore, violence towards a mother-to-be has negative health effects and increases the neonatal mortality The specific aim in the current study was to explore perceptions and experiences of war, violence and migration among Somali refugee women in Sweden. This in order to find strategies in caring for birth giving Somali refugee women, with possible experiences of violence, which would benefit the woman and society at large.

    Material and methods: Qualitative individual audio-recorded interviews were conducted with Somali born refugee women in fertile ages. Interviews were held in three steps: 1) personal narratives by newly arrived Somali born women, 2) perceptions and views out of a depersonalized case and 3) reflections upon emerging themes by female key persons of Somali origin. Thematic analysis according to Clarke and Braun was applied.

    Preliminary results: The analysis resulted in two main themes: Lives controlled by the presence of violence and Sacrificing for the sake of a future. Access to education, livelihood opportunities and health facilities has been strictly limited by the long-lasting civil war. Escalated violations of sexual and reproductive health and rights were a common triggering factor for finalizing escape. Lives have been extensively marked by family separations. Patience created by war and a pragmatic orientation in life have made survival possible.

    Conclusions: To be presented at the congress

    Implications for practice: The results will provide increased evidence based knowledge useful to midwives when caring and supporting birth giving refugee women.

     

     

     

  • 322.
    Byrskog, Ulrika
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Centrum för klinisk forskning, Dalarna, Institutionen för kvinnors och barns hälsa, Uppsala Universitet. .
    Olsson, Pia
    Institutionen för kvinnors och barns hälsa, Uppsala Universitet .
    Essén, Birgitta
    Institutionen för kvinnors och barns hälsa, Uppsala Universitet .
    Klingberg-Allvin, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Violence, sexual and reproductive health and rights in Somalia: Qualitative interviews with Somali born women in Sweden2013Conference paper (Other academic)
    Abstract [en]

    Background: Political violence is a push factors for migration and social determinants of health among migrants. The Somali migration to Sweden has increased threefold during the latest six years, now comprising refugees with more than 20 years of war experiences. Adverse childbearing health and outcomes are reported among Somali born refugees in high income countries. Health is influenced by earlier life experiences and a link between adverse sexual and reproductive health, violence and mental distress is described in research. Therefore, the aim was to explore experiences and perceptions on war, violence and sexual and reproductive health before migration among Somali born women in Sweden.

     

    Method: Qualitative semi-structured individual interviews with Somali born refugee women living in Sweden were conducted, based on personal narratives and a hypothetical case. Thematic analysis was applied.

    Results: Escalating violence and power based restrictions permeated gradually all aspect of life and limited both access to and quality of reproductive health services in pre-migration Somalia. Formal societal support for women exposed to violence was absent. This reinforced shame and stigma connected to war related and community based sexual violence and the silence surrounding sexual and intimate partner violence. Women expressed survival strategies in the context of war based on social networks, pragmatism, strength and faith.

    Conclusions: Lack of formal structures on community levels has together with collective violence negatively impacted the whole spectra of women’s lives which have undermined the sexual and reproductive and health and rights. Several factors reinforce non-disclosure of violence exposure and can thus hamper health care seeking for violence related illness in the receiving country. Survival strategies shaped by war contain resources for resilience and enhancement of mental, sexual and reproductive health in receiving country.

    Keywords: Somalia, war, violence, refugee, sexual and reproductive health and rights, qualitative method, thematic analysis

     

  • 323.
    Bytyqi, Liridona
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Johansson, Madeleine
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Flickors berättelser om vaccination mot humantpapillomvirus under användning med och utan Guided Imagery: En kvalitativ studie2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Vaccination is today the most common form of treatment that can be perceivedas painful in health care. Research has shown that a negative experience can occur in childrenif their pain, anxiety, and fear are not alleviated during vaccination.Objective: The aim of the study was to describe, based on stories, schoolgirls’ experiences ofthe vaccination against human papillomavirus (HPV) both with and without the distractionmethod Guided Imagery (GI).Method: This empirical study was conducted with a qualitative narrative design. The datawas collected through written stories. The data was taken from an intervention study andconsisted of 84 stories about HPV vaccination, written by 35 schoolgirls from grade 5 to 6.The data was analyzed based on a qualitative content analysis. The analysis resulted in 4domains and 14 categories.Results: Schoolgirls who received GI during HPV vaccination felt that pain and distractionfrom the injection varied in different degrees. The participants felt that the vaccination feltgood and that it was pleasant to daydream. While others thought the opposite and thatstandardcare was preferred instead.Conclusion: The study shows that pain during vaccination is central to many children. Thedistraction method GI could during vaccination be perceived as calming and it could relievethe pain-experience. However, also standard care could help children during vaccination.How children experienced vaccinations seemed to be very individual.

  • 324.
    Bäckfors, Rhonja
    et al.
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Niebl, Viktoria
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Hur kan en personlig tränare påverka motivationen till regelbunden träning? Utifrån kunders och personliga tränares uppfattningar2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: During the last decade, demand for personal trainers increased when individuals need help with motivation in physical activity. If the personal trainer can adapt the training cabinet after the individual needs it can strengthen the clients motivation to exercise regularly.

    Purpose: The purpose of the study was to compare how the client and the trainer understand what motivates regular exercise. What are the similarities and differences between how personal trainers motivate and how the customer experiences the motivation of the coach?

    Method: The study was based on a qualitative method approach, using the interview as a data collection method. Five individuals were interviewed in total: three personal trainers employed by Gym X and two clients who trained in Gym X with a personal trainer. The material was analyzed with the inspiration of the IPA (interpretative phenomenological analysis).

    Results: The results showed that individuals' motivation to train regularly (and how they were motivated during exercise) was individually to them. Both clients and personal trainers felt that the trainer’s personality, knowledge and flexibility in the role were influencing factors in maintaining the motivation to exercise regularly.

    Conclusion: The result could be linked to previous research in motivation, in which the authors interpret many of the informants' answers as motivators. It is important for trainers to think about their work, able to detect people, be involved and adapt training based on clients needs and desires, otherwise it could lead to the clients choosing to end their cooperation with the trainer when they does not get enough motivation.

  • 325. Bäcklin, Jessica
    et al.
    Rapp, Ida
    Sjuksköterskans upplevelse av att vårda patienter med psykisk ohälsa: En litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Beskriva vad som påverkar sjuksköterskans upplevelse i omvårdnaden av vuxna patienter med psykisk ohälsa inom somatisk vård.

    Metod: En litteraturstudie. Resultat: Tillgängligheten av stöd och samarbete påverkar sjuksköterskans upplevelse av omvårdnad. När stöd erhölls upplevde sjuksköterskan ökad komfort samt en känsla av kompetens. Sjuksköterskan hade otillräckligt med kunskap för att kunna identifiera, bedöma, informera och behandla patienter med psykisk sjukdom. Grundutbildningen ansågs inte vara tillräcklig för att förbereda sjuksköterskan, och många uppgav att de hade fått lite eller ingen utbildning i vård, behandling och bedömning av patienter med psykisk sjukdom. Otillräcklig erfarenhet påverkade sjuksköterskans upplevelse vid vård av patienter med psykisk ohälsa.

    Slutsats: Litteraturstudien belyser vikten av kunskap, utbildning och färdighet för att ge en god vård till en utsatt patientgrupp. Mer utbildning krävs inom psykiatri, redan i grundutbildningen, så att sjuksköterskan känner sig tryggare i sin roll. Sjuksköterskan inom somatisk vård bör även regelbundet erbjudas utbildning inom ämnet. Något som efterfrågades var mer stöd från ledning och kompetent personal inom området psykiatri, och detta ansåg sjuksköterskorna skulle leda till en bättre och säkrare vård.

  • 326.
    Böhlmark, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Herde, Karolina
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Kvinnors erfarenheter av sjukvårdens bemötande vid endometrios: En litteraturöversikt2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Endometriosis is a common disease which affects every tenth woman in childbearing age. The disease has probably always existed, but is still unknown for people overall and the healthcare. Endometriosis gives symptoms of severe pain in the pelvic area, which occurs cyclically during menstruation or can also be constant.

    Aim

    To describe the experiences of health care encounter in women with endometriosis.

    Method

    A literature review based on eleven collected articles from the PubMed and Cinahl databases.

    Result

    The result was divided into five categories; to be mistaken, to be confirmed and seen, knowledge and information, delayed diagnosis and physical and mental exposure. The results showed that women's experiences of health care encounter were both positive and negative. Women's experiences were lashed by mistrust, neglect and not taken seriously. They experienced a vulnerable situation when they had to talk about private symptoms of menstruation and undergoing gynecological surveys. It was found that the women experienced a high level of knowledge from the healthcare sector and that it was a contributing factor to why they did not receive the help and support they needed. The women also felt that the lack of knowledge of the healthcare staff and the neglect of their symptoms contributed to delayed diagnosis. Positive response from healthcare professionals was characterized by being listened to, taken seriously and shown respect, these experiences of the encounter increased women's self-esteem.

    Conclusion

    A lack of knowledge from the healthcare sector is closely linked with experiences of poor encounter for women with endometriosis. It was also found that the causes of delayed diagnosis had different causes, such as ignorance and normalization of disease symptoms. The nurse has an important role in identifying women with endometriosis and giving them support so they feel seen and confirmed.

  • 327.
    Börjes-Andersson, Erica
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Fjärdsmans, Ida
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Patientens upplevelse av delaktighet i omvårdnad: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: According to Swedish law, patients have a legal right to be involved

    in their care. This also means that the nurse has a obligation towards the patient to

    make her/him involved. Despite this right, patients feels that they are not given the

    opportunity to be involved in their care.

    Aim: The aim of this study is to describe patient participation and nurses

    opportunity to promote and prevent the patient’s experience of participation.

    Method: The study is a literature review whose results are based on ten scientific

    articles published between the years 2005-2016.

    Results: The patient believes it is important that the nurse give the opportunity

    towards the patient to express themselves and be informed about the care situation.

    Through this the patient was given the opportunity to be involved. Patients want to

    be seen and heard, and seen as an equal partner in care. This requires an

    established relationship between nurse and patient.

    Conclusion: Studies show that patients find that there are obstacles to maintain

    patient participation and that the nurse’s approach is relevant to the patient’s

    experience of participation.

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  • 328.
    C Brodén, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    L Sandgren, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Patientens upplevelse och värdering av vårdkvalitet - En jämförelse före och efter kommunalisering av hemsjukvården: En enkätstudie med kvantitativ ansats2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Undersöka hur hemsjukvårdspatienter och patienter med regelbundna hembesök

    upplever och värderar vårdkvalitet i kommunal hemsjukvård, identifiera förbättringsområden

    ur patientens perspektiv samt jämföra resultatet med motsvarande studie gällande

    landstingsansluten hemsjukvård från 2012.

    Metod: Studien var en deskriptiv och jämförande tvärsnittsstudie med kvantitativ ansats,

    datainsamling skedde i form av en enkät. Studien var en replikering av magisteruppsatsen

    ”Hemsjukvårdens kvalitet ur patientperspektiv”.

    Resultat: Patienternas upplevelse av kvalitet i hemsjukvården varierar, många delar upplevs

    ha mycket god kvalitet, andra delar upplevs som mindre bra. Resultatet stämde väl överens

    med resultatet från den replikerade studien.

    De påståenden som patienterna instämde med i hög grad gällde bemötande av patient och

    anhöriga, väntetid för hembesök, möjligheten att få telefonkontakt eller att få hembesök samt

    tillgång till hjälpmedel. De områden där patienterna upplevde brister handlade till stor del om

    patientinformation, symtomkontroll, patientens möjlighet till delaktighet och möjlighet att

    styra den egna vården snarare än att vården styrs av personalens rutiner.

    Slutsats: Förändringen av huvudmannaskapet hade inte förändrat patienternas värdering av

    kvalitet i hemsjukvården. Genom en tydligare personcentrering kan patientens upplevelse av

    vårdkvaliteten sannolikt öka för de områden där patienterna uppgav brister. Detta ställer krav

    på att alla inblandade: patient, vårdpersonal, chefer och politiker, arbetar för samma mål.

  • 329.
    Cacciatore, J.
    et al.
    Arizona State University.
    Erlandsson, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. 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 baby2013In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 50, no 5, p. 664-670Article in journal (Refereed)
    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.

  • 330.
    Cahenzli, Jessica
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Hjort, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Sjuksköterskors upplevelser av och attityder till att vårda patienter med psykisk ohälsa inom somatisk vård- en litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Mental illness is increasing all over the world. Patients with mental illness also need treatment for physical affections. Because of this comorbidity and the increasing mental illnesses amongst the population, the number of patients with mental illness within somatic care increase. Previous research shows that patients with mental illness are avoided within somatic care and experience feelings of impotence. Patients with mental illness experience stigmatizing attitudes that had a negative impact on the important caregiving relation.

    Aim:

    The aim was to illustrate nurses’ experience of and attitudes caring for patients with mental illness within somatic care.

    Method:

    An outline containing fifteen scientific articles. The articles were searched for in the databases Cinahl, Pubmed and PsycInfo. The chosen articles for the literature review are ethically approved or that the authors of the studies made ethical consideration. The articles for this literature review achieve means with high standard after quality review. The result of the articles was analysed by the authors and sorted into categories based on similarities and differences.

    Results:

    Four main categories were found: emotions that nurses’ experience, nurses’ experiences of lack of knowledge that effects the care of patients with mental illness, nurses’ negative attitudes in care towards patients with mental illness, nurses’ and nurses’ experience of deficiency in the working environment.

    Conclusion:

    Nurses experienced different difficulties and negative attitudes caring for patients with mental illness within the somatic care and that might be a lack of knowledge. With more competence about patient with mental illness the nurses may experience more security and confidence in the care. Nurses’ emotions were insecurity, fear and frustration meeting with patients and that lead to negative attitudes. Expanded knowledge may give nurses confidence in care for this patients and that may lead to more positive attitudes to patients with mental illness.

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  • 331.
    Camsund, Johan
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Corrigox, Sara
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Patienters upplevelser av att leva med hjärtsvikt: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Heart failure can be a trying and distressing condition, common

    among the elderly population. Apart from the medical measures, treatment

    involves a lot of self-care. Healthcare professionals need to provide education and

    support, since this involves the patient taking a great deal of personal

    responsibility. With this in mind, healthcare needs to be person-centered.

    Aim: To describe, from a patients’ perspective, the experience of living with heart

    failure and how it affects quality of life.

    Method: A literary review, with studies collected from databases CINAHL,

    PubMed, PsycINFO and Web of Science.

    Results: The findings show that people with heart failure experienced many

    different issues, physical, social and mental, which had an impact on their daily

    life. Despite this, it was possible to come to terms with the situation and

    experience quality of life. The will to learn more about the condition was common

    although many were not aware of their diagnosis.

    Conclusion: Living with heart failure can be trying and mean forced alterations to

    physical, mental and social aspects of life. However, it is possible to live a

    satisfying life and experience good quality of life. Having access to healthcare is

    both an asset as well as a source of frustration. Nurses need to be aware of these

    experiences in order to be able to provide patient-centered care and support the

    patient’s resources and self-care abilities.

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  • 332. Cardinale, Daniele
    et al.
    Cardinale, Marco
    Nilsson, Johnny
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Comparison between single and combined data collection methods in loaded squat jump power output2017In: Gazzetta Medica Italiana, ISSN 0393-3660, E-ISSN 1827-1812, Vol. 176, no 6, p. 315-321Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The aim of this study was to compare linear position transducer force plate-based methods and more complex combinations of those for calculation of power output in loaded squat jump.

    METHODS: Eight methods were used simultaneously in data collection: vertical ground reaction force (VGRF), ground reaction forces (GRF), 1 linear position transducer (1LPT), 1LPT and VGRF (1LPT+VGRF), 2 linear position transducers (2LPTs), 2LPTs and VGRF (2LPTs+VGRF), 5 linear position transducers (5LPTs), 5LPTs and GRF (5LPTs+GRF). Power output was calculated for each lift according to the sensor or sensors used and the results were compared.

    RESULTS: Power output calculated separately with LPTs and GRF method did not differ significantly from combined methods such as 1LPT+VGRF, 2LPTs+VGRF. No significant differences were found when comparing power output between 5LPTs+GRF and combined methods such as 2LPTs+VGRF.

    CONCLUSIONS: This study indicates that test methodology with a simple single linear position transducer setup and or force platform suffice when recording vertical jump such as loaded squat jump.

  • 333.
    Carlgren, Ingrid
    et al.
    Stockholms universitet.
    Nyberg, Gunn
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Från ord till rörelser och dans: en analys av rörelsekunnandet i en dansuppgift2015In: Forskning om undervisning och lärande, ISSN 2000-9674, E-ISSN 2001-6131, no 14, p. 24-40Article in journal (Refereed)
    Abstract [sv]

    I artikeln redovisar vi ett exempel på hur kunnande, som kommer till uttryck då elever redovisar en dansuppgift, kan analyseras och bidra till vår förståelse av detta kunnande såväl som till ett artikulerat språk att använda vid utvecklingen av undervisningen. En utgångspunkt är att kunskaper om kunnande är en nödvändig grund för att förbättra undervisningen. En annan utgångspunkt är att det råder brist på sådan kunskap. Eleverna (ca 12 år gamla) var indelade i tre grupper som fick en uppgift där de med utgångspunkt i två meningar skulle skapa en dans genom att översätta varje ord till en rörelse och därefter sammanfoga ord-rörelserna. Vi presenterar resultaten av en fenomenografisk analys som grundar sig på en videoinspelning av dessa redovisningar.

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  • 334.
    Carlson, Åsa
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Söderström, Monica
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Vuxna personers upplevelser av att leva med diabetes typ 2: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Diabetes mellitus will be the seventh leading cause of death in 2030 and 422 million adults in the world are currently living with diabetes. Type 2 diabetes account for the vast majority of people affected with the disease. Diabetes can result in a variety of serious complications. Making lifestyle changes is a central part of the treatment and the patient’s ability to self-manage the disease is therefore emphasised. Nurses are responsible for providing high quality nursing care, and this includes collecting information about the patient and strengthening the patient’s ability for self-care.

    Aim:

    To describe adult persons’ experiences of living with diabetes type 2.

    Method:

    A literature review of 16 qualitative articles, which were critically reviewed, analyzed and compiled.

    Result:

    The persons’ experiences are presented in three main categories with associated subcategories. The emotional aspects of living with diabetes were prominent and many had difficulties adapting to a new lifestyle. Relationships were affected and social support was seen as important.

    Conclusion:

    Living with diabetes can cause emotional reactions and making lifestyle changes is a struggle for many. The social support from family and friends is important and receiving feedback, information and support from doctors and nurses regarding self-care is also of great importance.

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  • 335.
    Carlsson, Amanda
    et al.
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Lindström, Camilla
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Skador inom svensk judo: Skadade strukturer, skadefrekvens, köns- och åldersskillnader.2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Judo is a complex sport that places great demands on the judoka, which means there is a risk for injuries in judo.

    The aim of this study is to analyze how male and female judokas experience injuries and mechanisms where injuries appear in Swedish judo. This was done by publishing a survey on a judo group on Facebook.com. Previously collected data and data from Provins Insurance AB was used.

    Most injuries happened during exercise and usually under tachi waza and mainly tachi waza randori. Achi waza was the mechanism that caused the most injuries to women and for men it was achi waza and te waza.

    The technics that caused the most injuries were O soto gari, which caused ligament damage in the knee, and Seoi Nage caused various types of injuries.

    On competition the most common mechanism for injuries for both men and women was te waza. The technics were Seoi nage and Tai Otoshi.

    With this study results, previous data and statistics from Provins Insurance AB in combination with previous studies, some conclusions can be reached on the most frequent injuries and how they occur. It is also possible to draw conclusions about how participants were affected in their daily life after the injury.

    This can provide an insight as to what injuries the sports movement should focus on trying to counteract.

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  • 336.
    Carlsson, Anna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Andersson, Linda
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Faktorer som bidrar till ett stabilare mående hos patienter med emotionellt instabil personlighetsstörning i heldygnsvård: en kvalitativ intervjustudie ur ett patientperspektiv2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patients with emotional unstable personality disorder is experienced as a

    difficult to treat patient population in inpatient care. Nursing staff knowledge surrounding the

    introduction and the treatment of this patient population is diverse, which means that the care

    is different. This can result in increased suffering of the patient and frustration in the staff

    group.

    Aim: The aim of the study was to describe factors that contribute to a more stable mood in

    patients with emotionally unstable personality disorder.

    Method: The method that has been used is a qualitative design with inductive approach. The

    study was based on six interviews with informants that who were patients diagnosed with

    emotionally unstable personality disorder. The interviews were analyzed using content

    analysis.

    Result: The results showed that the hospitality and commitment of the staff was of great

    importance. Structure and participation were other important factors for achieving a stable

    mood. It was revealed that inpatient care could contribute to an interruption of everyday life

    and meaningful activities were another important factor that emerged.

    Conclusion: Patients experienced to be treated as an individual by committed staff and to be

    involved in their care was part of the process towards a stable mood. Inpatient care structure

    and change of environment support for recovery and an opportunity to regain routines. There

    was a desire for more meaningful activities such as physical activity and psycho education to

    best take advantage of the period of care

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  • 337.
    Carlsson, Daniel
    Dalarna University, School of Education, Health and Social Studies.
    Uppmärksamhetsfokus. En studie som undersöker om fotbollstränare i Dalarna ger verbal feedback som är riktad mot antingen internt eller externt uppmärksamhetsfokus2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 338. Carlsson, Eva
    et al.
    Ehnfors, Margareta
    Ehrenberg, Anna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Multidisciplinary recording and continuity of care for stroke patients with eating difficulties2010In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 24, no 3, p. 298-310Article in journal (Refereed)
    Abstract [en]

    Eating difficulties after stroke are common and can, in addition to being a risk for serious medical complications, impair functional capability, social life and self-image. Stroke unit care entails systematic multidisciplinary teamwork and continuity of care. The purpose of this study was to describe (i) multidisciplinary stroke care as represented in patient records for patients with eating difficulties, and (ii) the written information that was transferred from hospital to elderly care. Data from 59 patient records were analysed with descriptive statistics and by categorization of phrases. Signs of multidisciplinary collaboration to manage eating problems were scarce in the records. While two notes from physiotherapists were found, nurses contributed with 78% of all notes (n=358). Screening of swallowing and body weight was documented for most patients, whereas data on nutritional status and eating were largely lacking. The majority of notes represented patients' handling of food in the mouth, swallowing and lack of energy. Care plans were unstructured and few contained steps for managing eating. Discharge summaries held poor information on care related to eating difficulties. The language of all professionals was mostly unspecific. However, notes from speech-language therapists were comprehensive and entailed information on follow-up and patient participation.

  • 339. Carlsson, Eva
    et al.
    Ehnfors, Margareta
    Eldh, Ann Catrine
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karolinska institutet, Örebro university.
    Ehrenberg, Anna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Accuracy and continuity in discharge information for patients wtih eating difficulties after stroke2012In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 21, no 2, p. 21-31Article in journal (Refereed)
    Abstract [en]

    Aims. To describe the accuracy and continuity of discharge information for patients with eating difficulties after stroke. Design. Prospective, descriptive. 

    Methods. The study investigated a sample of 15 triads, each including one patient with stroke along with his patient record and discharge summary and two nursing staff in the municipal care to whom the patient was discharged. Data were collected by observations of patients' eating, record audits and interviews with nurses. Data were analysed using content analysis and descriptive statistics. 

    Results. Accuracy of recorded information on patients' eating difficulties and informational continuity were poor, as was accuracy in the transferred information according to nursing staff's perceptions. All patients were at risk of undernutrition and in too poor a state to receive rehabilitation. Nevertheless, patients' eating difficulties were described in a vague and unspecific language in the patient records. Co-ordinated care planning and management continuity related to eating difficulties were largely lacking in the documentation. Despite their important role in caring for patients with eating difficulties, little information on eating difficulties seemed to reach licensed practical nurses in the municipalities. 

    Conclusions. Comprehensiveness in the documentation of eating difficulties and accuracy of transferred information were poor based on record audits and as perceived by the municipal nursing staff. Although all patients were at risk of undernutrition, had multiple eating difficulties and were in too poor a state for rehabilitation, explicit care plans for nutritional problems were lacking. Relevance to clinical practice. Lack of accuracy and continuity in discharge information on eating difficulties may increase risk of undernutrition and related complications for patients in continuous stroke care. Therefore, the discharge process must be based on comprehensive and accurate documentation.

  • 340.
    Carlsson, Ida
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Harnisch, Madelene
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Fallförebyggande teamarbete för den äldre personen inom kommunal vård: En kvalitativ intervjustudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Older people over the age of 65 are over-represented in fall accidents in Sweden. As a nurse in municipal care, great demands are placed on a functioning fall prevention teamwork, in order to reduce suffering for the patient and for the costs of the health and medical care.  Aim: The aim of this study was to describe how nurses experiences the fall prevention teamwork for the older person in ordinary living in municipal care. Method: Empirical qualitative study with inductive approach. Focus group interviews with nine nurses who worked with the care of the elderly in municipal care in a municipality in central Sweden. Data was analyzed with qualitative content analysis.  Results: A fall prevention teamwork requires leadership with clear roles.  The organization and lack of clear leadership, communication and working under two different laws, SOL and HSL turned out to be an obstacle to fall prevention teamwork. Decisions on working methods, a project for this and someone who would lead this project were needed. Improvements in the structure experienced nurse were needed. Patient's self-determination and autonomy is an obstacle in case-prevention teamwork.  Conclusion: The organization needs to give the nurses the opportunity to develop teamwork with clear roles in fall prevention teamwork. Improved communication and information transfer is needed. Overview of how basic staff and nurses plan their working hours is needed.

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  • 341.
    Carlsson, Magnus
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Elitlängdskidåkningens fysiologiska krav2016In: Svensk idrottsmedicin, ISSN 1103-7652, Vol. 35, no 1, p. 22-24Article in journal (Other academic)
  • 342.
    Carlsson, Magnus
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science. Umeå universitet, Idrottsmedicin.
    Physiological demands of competitive elite cross-country skiing2015Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Introduction Researchers have, for decades, contributed to an increased collective understanding of the physiological demands in cross-country skiing; however, almost all of these studies have used either non-elite subjects and/or performances that emulate cross-country skiing. To establish the physiological demands of cross-country skiing, it is important to relate the investigated physiological variables to the competitive performance of elite skiers. The overall aim of this doctoral thesis was, therefore, to investigate the external validity of physiological test variables to determine the physiological demands in competitive elite cross-country skiing.

    Methods The subjects in Study I – IV were elite male (I – III) and female (III – IV) cross-country skiers. In all studies, the relationship between test variables (general and ski-specific) and competitive performances (i.e. the results from competitions or the overall ski-ranking points of the International Ski Federation (FIS) for sprint (FISsprint) and distance (FISdist) races) were analysed. Test variables reflecting the subject’s general strength, upper-body and whole-body oxygen uptake, oxygen uptake and work intensity at the lactate threshold, mean upper-body power, lean mass, and maximal double-poling speed were investigated.

    Results The ability to maintain a high work rate without accumulating lactate is an indicator of distance performance, independent of sex (I, IV). Independent of sex, high oxygen uptake in whole-body and upper-body exercise was important for both sprint (II, IV) and distance (I, IV) performance. The maximal double-poling speed and 60-s double-poling mean power output were indicators of sprint (IV) and distance performance (I), respectively. Lean mass was correlated with distance performance for women (III), whereas correlations were found between lean mass and sprint performance among both male and female skiers (III). Moreover, no correlations between distance performance and test variables were derived from tests of knee-extension peak torque, vertical jumps, or double poling on a ski-ergometer with 20-s and 360-s durations (I), whereas gross efficiency while treadmill roller skiing showed no correlation with either distance or sprint performance in cross-country skiing (IV).

    Conclusion The results in this thesis show that, depending on discipline and sex, maximal and peak oxygen uptake, work intensity at the lactate threshold, lean mass, double-poling mean power output, and double-poling maximal speed are all externally valid physiological test variables for evaluation of performance capability among elite cross-country skiers; however, to optimally indicate performance capability different test-variable expressions should be used; in general, the absolute expression appears to be a better indicator of competitive sprint performance whereas the influence of body mass should be considered when evaluating competitive distance performance capability of elite cross-country skiers.

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  • 343.
    Carlsson, Magnus
    et al.
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Assarsson, Hannes
    Carlsson, Tomas
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    The influence of sex, age, and race experience on pacing profiles during the 90 km Vasaloppet ski race2016In: Open Access Journal of Sports Medicine, ISSN 1179-1543, E-ISSN 1179-1543, Vol. 7, p. 11-19Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to investigate pacing-profile differences during the 90 km Vasaloppet ski race related to the categories of sex, age, and race experience. Skiing times from eight sections (S1 to S8) were analyzed. For each of the three categories, 400 pairs of skiers were matched to have a finish time within 60 seconds, the same start group, and an assignment to the same group for the other two categories. Paired-samples Student’s t-tests were used to investigate sectional pacing-profile differences between the subgroups. Results showed that males skied faster in S2 (P=0.0042), S3 (P=0.0049), S4 (P=0.010), and S1–S4 (P<0.001), whereas females skied faster in S6 (P<0.001), S7 (P<0.001), S8 (P=0.0088), and S5–S8 (P<0.001). For the age category, old subjects (40 to 59 years) skied faster than young subjects (19 to 39 years) in S3 (P=0.0029), and for the other sections, there were no differences. Experienced subjects (≥4 Vasaloppet ski race completions) skied faster in S1 (P<0.001) and S1–S4 (P=0.0054); inexperienced skiers (<4 Vasaloppet ski race completions) had a shorter mean skiing time in S5–S8 (P=0.0063). In conclusion, females had a more even pacing profile than that of males with the same finish time, start group, age, and race experience. No clear age-related pacing-profile difference was identified for the matched subgroups. Moreover, experienced skiers skied faster in the first half whereas inexperienced skiers had higher skiing speeds during the second half of the race.

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  • 344.
    Carlsson, Magnus
    et al.
    Dalarna University, School of Health and Social Studies, Sport and Health Science.
    Carlsson, Tomas
    Dalarna University, School of Health and Social Studies, Sport and Health Science.
    Styrketräning för äldre: mirakelkur för individen, familjen och samhället?2008In: Svensk idrottsmedicin, ISSN 1103-7652, Vol. 27, no 1, p. 14-19Article in journal (Other academic)
  • 345.
    Carlsson, Magnus
    et al.
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Carlsson, Tomas
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Hammarström, Daniel
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Granath, Johan
    Regional Sports Federation of Dalarna.
    Westergren, Jens
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Malm, Christer
    Idrottsmedicin, Umeå Universitet.
    Tonkonogi, Michail
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Validation of off-season physiological tests with ski ranking in elite male junior cross-country skiing2012In: Book of Abstract: Supplement to Medicine and Science in Sports and Exercise, Volume 44, Number 5, May 2012, 2012, p. 353-353Conference paper (Refereed)
  • 346.
    Carlsson, Magnus
    et al.
    Dalarna University, School of Education, Health and Social Studies, Medical Science.
    Carlsson, Tomas
    Dalarna University, School of Education, Health and Social Studies, Medical Science.
    Hammarström, Daniel
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Granath, Johan
    Westergren, Jens
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Malm, Christer
    Tonkonogi, Michail
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Validation of off-season physiological tests with ski ranking in elite male junior cross-country skiing2012In: Medicine & Science in Sports & Exercise, ISSN 0195-9131, E-ISSN 1530-0315, Vol. 44, no s2, p. 516-516Article in journal (Other academic)
  • 347.
    Carlsson, Magnus
    et al.
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science. Sports Medicine Unit, Umeå University, Umeå, Sweden, Dala Sports Academy, Falun, Sweden.
    Carlsson, Tomas
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science. Sports Medicine Unit, Umeå University, Umeå, Sweden, Dala Sports Academy, Falun, Sweden.
    Hammarström, Daniel
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science. Lillehammer University College, Lillehammer, Norway.
    Malm, Christer
    Sports Medicine Unit, Umeå University, Umeå, Sweden.
    Tonkonogi, Michail
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Prediction of race performance of elite cross-country skiers by lean mass2014In: International Journal of Sports Physiology and Performance, ISSN 1555-0265, E-ISSN 1555-0273, Vol. 9, no 6, p. 1040-1045Article in journal (Refereed)
    Abstract [en]

    Purpose: To investigate the relationship between race performance and lean mass (LM) variables, as well as to examine sex differences in body composition in elite-standard cross-country skiers. 

    Methods: Thirty-four elite cross-country skiers (18 men and 16 women) underwent a dual-emission x-ray absorptiometry body composition test to determine LM, fat mass, and bone mineral content. For both sexes, performance data were collected from a sprint prologue and a distance race. 

    Results: The absolute expression of LM variables [whole body (LMWB), upper body (LMUB), and lower body (LMLB)] was significantly correlated with finishing time in the sprint prologue independent of sex. Distance-race performance was significantly related to LMWB, LMUB, and LMLB in women; however, no correlation was found in men. Men had a significantly higher LM and lower fat mass, independent of expression (absolute or relative), for the whole body, arms, trunk, and legs, except for the absolute fat mass in the trunk. 

    Conclusions: The absolute expressions of LMWB, LMUB, and LMLB were significant predictors of sprint-prologue performance in both sexes, as well as of distance-race performance in women only. Compared with women, male skiers have a higher LM in the body segments that are major contributors to propelling forces. These results suggest that muscle mass in the lower and upper body is equally important for race performance; thus, more focus of elite skiers’ training should be directed to increasing whole-body muscle mass to improve their competitive performance capability.

  • 348.
    Carlsson, Magnus
    et al.
    Dalarna University, School of Education, Health and Social Studies, Medical Science.
    Carlsson, Tomas
    Dalarna University, School of Education, Health and Social Studies, Medical Science.
    Hammarström, Daniel
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Malm, Christer
    Tonkonogi, Michail
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Time trials predict the competitive performance capacity of junior cross-country skiers2014In: International Journal of Sports Physiology and Performance, ISSN 1555-0265, E-ISSN 1555-0273, Vol. 9, no 1, p. 12-18Article in journal (Refereed)
    Abstract [en]

    Purpose: This study investigated whether there is a correlation between time-trial performance and competitive performance capacity of male and female junior cross-country skiers and sought to explain sex-specific competitive performance capacity through multiple-regression modeling.

    Methods: The International Ski Federation's (FIS) junior ranking points for distance (FISdist) and sprint (FISsprint) competitions were used as performance parameters. A total of 38 elite junior (age 18.5 +/- 1.0 y) cross-country skiers (24 men and 14 women) completed 3 time-trial tests: a 3-km level-running time trial (TTRun), a 2-km moderate uphill (1.2 slope) roller-skiing time trial using the double-poling technique (TTDP), and a 2-km uphill (2.8 slope) roller-skiing time trial using the diagonal-stride technique (TTDiag). The correlations were investigated using Pearson correlation analysis, and regression models were created using multiple-linear-regression analysis. Results: For men, FISsprint and FISdist were correlated with the times for TTRun, TTDP, and TTDiag (all P < .001). For women, FISsprint was correlated with the times for TTRun (P < .05), TTDP (P < .01), and TTDiag (P < .01), whereas FISdist was correlated only with the times for TTDP (P < .01) and TTDiag (P < .05). The models developed for FISdist and FISsprint explained 73.9-82.3% of the variance in the performance capacity of male junior cross-country skiers. No statistically valid regression model was found for the women.

    Conclusions: Running and roller-skiing time trials are useful tests for accurately predicting the performance capacity of junior cross-country skiers.

  • 349.
    Carlsson, Magnus
    et al.
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Carlsson, Tomas
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Hammarström, Daniel
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Tiivel, Toomas
    Malm, Christer
    Tonkonogi, Michail
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Validation of physiological tests in relation to competitive performances in elite male distance cross-country skiing2012In: Journal of Strength and Conditioning Research, ISSN 1064-8011, E-ISSN 1533-4287, Vol. 26, no 6, p. 1496-1504Article in journal (Refereed)
    Abstract [en]

    The purpose of the present study was to establish which physiological test parameters reflects the distance performances in the Swedish National Championships in cross-country skiing (SNC) and the International Ski Federation's ranking points for distance performances (FISdist). The present study also aimed to create multiple regression models to describe skiing performance for the SNC distance races and International Ski Federation's (FIS) ranking. Twelve male, Swedish, national elite, cross-country skiers (maximal oxygen consumption [(V) over dotO(2)max] = 5.34 +/- 0.34 L.min(-1)) volunteered to participate in the study. Their results in the 2008 SNC (15 km race [SNC15] and 30 km race [SNC30]) and FISdist points were used as performance data. On the week preceding the Championship, subjects completed a test battery consisting of 7 physiological tests: isokinetic knee extension peak torque (PT), vertical jumps (VJ), lactate threshold (LT), (V) over dotO(2)max, and 3 double poling tests of different durations (DP20, DP60, and DP360). Correlations were established using Pearson's correlation analysis, and models to describe skiing performance were created using standard multiple linear regression analysis. Significant correlations were found between the performance parameters and test parameters derived from LT, (V) over dotO(2)max, and DP60 tests. No correlations with any performance parameter were found for PT, VJ, DP20, and DP360 tests. For FISdist and SNC15, the models explain 81% and 78% of the variance in performance, respectively. No statistically valid regression model was found for SNC30. The results of this study imply that the physiological demands in male elite distance cross-country skiing performances are different in different events. To adequately evaluate a skier's performance ability in distance cross-country skiing, it is necessary to use test parameters and regression models that reflect the specific performance.

  • 350.
    Carlsson, Magnus
    et al.
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science. Sports Medicine Unit, Umeå University, Umeå, Sweden; Dala Sports Academy, Falun, Sweden.
    Carlsson, Tomas
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science. Sports Medicine Unit, Umeå University, Umeå, Sweden; Dala Sports Academy, Falun, Sweden.
    Knutsson, Magnus
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science. Dala Sports Academy, Falun, Sweden.
    Malm, Christer
    Sports Medicine Unit, Umeå University, Umeå, Sweden; Winternet, Boden, Sweden .
    Tonkonogi, Michail
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Oxygen uptake at different intensities and sub‑techniques predicts sprint performance in elite male cross‑country skiers2014In: European Journal of Applied Physiology, ISSN 1439-6319, E-ISSN 1439-6327, Vol. 114, no 12, p. 2587-2595Article in journal (Refereed)
    Abstract [en]

    Purpose. To investigate the relationship between sprint-prologue performance (using the classical technique) and the oxygen uptake at the lactate threshold ( V˙O2obla), maximal oxygen uptake ( V˙O 2max), and mean oxygen uptake during double poling ( V˙O 2dp).

    Methods. Eight elite male cross-country skiers [age 24.8 ± 4.8 years, (mean ± SD)] completed two treadmill roller-skiing tests using the diagonal-stride technique and a 60 s double-poling test on a ski-ergometer to determine their V˙O2obla, V˙O 2max, and V˙O 2dp. Performance data were generated from a 1.25 km sprint prologue. Power-function modelling was used to predict the skiers’ race speeds based on the oxygen-uptake variables and body mass.

    Results. There were correlations between the race speed and the absolute expression of the V˙O2obla (r = 0.79, P = 0.021), V˙O 2max (r = 0.86, P = 0.0069), and V˙O 2dp (r = 0.94, P = 0.00062). The following power-function models were established for race-speed prediction: 1.09 · V˙O 2obla0.21, 1.05 · V˙O 2max0.21, and 1.19 · V˙O 2dp0.20; these models explained 60 % (P = 0.024), 73 % (P = 0.0073), and 87 % (P = 0.00073), respectively, of the variance in the race speed. However, body mass did not contribute to any of the models (P = 0.97, 0.88, and 0.21, respectively).

    Conclusions. Oxygen uptake at different intensities and sub-techniques is an indicator of elite male sprint-prologue performance. The absolute expression of the investigated oxygen-uptake variables should be used when evaluating elite male sprint-prologue performances; if skiers oxygen uptake differs by 1 %, their performances will likely differ by 0.2 % in favour of the skier with higher oxygen uptake.

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