du.sePublications
Change search
Refine search result
891011121314 501 - 550 of 2505
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 501. de Alwis, M. P.
    et al.
    Lo Martire, R.
    Äng, Björn
    Garme, K.
    Development and validation of a web-based questionnaire for surveying the health and working conditions of high-performance marine craft populations2016In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 6, no 6, p. e011681-Article in journal (Refereed)
  • 502. de Alwis, M.P.
    et al.
    Garme, K:
    Martire, R. Lo
    Kåsin, J.I.
    Äng, Björn
    Dalarna University, School of Education, Health and Social Studies, Medical Science. Centre for Clinical Research Dalarna, Falun, Sweden; Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Crew acceleration exposure, health and performance in high-speed operations at sea2017Conference paper (Refereed)
    Abstract [en]

    The presented research program investigates the association between working conditions aboard High-Speed Craft (HSC) and its outcomes in terms of acceleration exposure and crew health and systems performance respectively. The aim is to identify the related risk factors and further, to use them to improve the assessment criteria in a simulation-based-design framework. The investigation initially document a seaborne population by a web-based questionnaire tailored for High-Performance Marine Craft Personnel (HPMCP) and similar populations. Then data is collected during regular service by measuring craft acceleration and through another questionnaire especially resolute on perceived work-exposure, health and performance. Exposure and performance data is collected daily and health data weekly, depending on seaborne frequency. The population repeats the prevalence questionnaire about a year later enabling a longitudinal follow-up for identifying long-term effects of exposure. The paper reports the two questionnaires´ development and pilot test as well as the first application for baseline data collection in the target group. The results indicate health and performance characteristics of the study population and data shows a promising correlation between the self-reported subjective exposure and the measured objective acceleration. Data indicates a comparatively higher prevalence of musculoskeletal pain in the study population than that of the general population.

  • 503.
    Dellbrant, AnnaSofia
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Thunfors, Cristina
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    BHV-sjuksköterskans upplevelse av att bemöta och vägleda föräldrar som är tveksamma till vaccination av sitt barn: En kvalitativ intervjustudie2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The aim of the study was to highlight the child health care nurse’s experience of responding and guiding vaccine hesitant parents. Method: An empirical interview study with a qualitative approach was carried out. The study was based on semi-structured interviews with six child health care nurses. The analysis was formed as a manifest content analysis. Results: The analysis resulted in four main categories: Guiding by informing, Requirements to guide, Approaches to respond in a good way and The Child Health Care Nurse’s experiences of responding hesitant parents as well as thirteen subcategories. The main results showed that child health care nurse’s ways of guiding hesitant parents were quite similar to each other, but differences also occured. The key to guiding parents was to inform them about vaccination. It was important to individualize the information and guide after discussion about risks versus benefits and that parents were guided to take a considered decision. Conditions to guide parents in a good way was time, knowledge and support. The child health care nurse sought a good relationship with the parents through genuine consideration and respect for the decision that the parents made. The child health care nurse experienced emotions such as frustration, anxiety, nervousness, and that responding could feel awkward. It could even be difficult to responding hesitant parents, but that varied with the parent’s attitude. Conclusion: The child health care nurse can increase the possibility that parents may choose to vaccinate their child, through individualized guidance and responding hesitant parents in consideration and respect.

  • 504.
    Dent, Jessica R.
    et al.
    Massey Univ, Sch Sport & Exercise, Palmerston North, New Zealand.;Auckland Univ Technol, Sch Sport & Recreat, SPRINZ, Auckland, New Zealand..
    Edge, Johann A.
    Massey Univ, Sch Sport & Exercise, Palmerston North, New Zealand.;Univ Auckland, Dept Sport & Exercise Sci, Auckland 1, New Zealand..
    Hawke, Emma
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    McMahon, Christopher
    AgResearch Ltd, Ruakura Res Ctr, Hamilton, New Zealand..
    Muendel, Toby
    Massey Univ, Sch Sport & Exercise, Palmerston North, New Zealand..
    Sex differences in acute translational repressor 4E-BP1 activity and sprint performance in response to repeated-sprint exercise in team sport athletes2015In: Journal of Science and Medicine in Sport, ISSN 1440-2440, E-ISSN 1878-1861, Vol. 18, no 6, p. 730-736Article in journal (Refereed)
    Abstract [en]

    Objectives: The physiological requirements underlying soccer-specific exercise are incomplete and sex-based comparisons are sparse. The aim of this study was to determine the effects of a repeated-sprint protocol on the translational repressor 4E-BP1 and sprint performance in male and female soccer players.

    Design: Cross-over design involving eight female and seven male university soccer players.

    Methods: Participants performed four bouts of 6x 30-m maximal sprints spread equally over 40 min. Heart rate, sprint time and sprint decrement were measured for each sprint and during the course of each bout. Venous blood samples and muscle biopsies from the vastus lateralis were taken at rest, at 15 min and 2 h post-exercise. R

    esults: While males maintained a faster mean sprint time for each bout (P < 0.05) females exhibited a greater decrement in sprint performance for each bout (P < 0.05), indicating a superior maintenance of sprint performance in males, with no sex differences for heart rate or lactate. Muscle analyses revealed sex differences in resting total (P< 0.05) and phosphorylated (P< 0.05) 4E-BP1 Thr37/46, and 15 min post-exercise the 4E-BP1 Thr37/46 ratio decreased below resting levels in males only (P < 0.05), indicative of a decreased translation initiation following repeated sprints.

    Conclusions: We show that females have a larger sprint decrement indicating that males have a superior ability to recover sprint performance. Sex differences in resting 4E-BP1 Thr37/46 suggest diversity in the training-induced phenotype of the muscle of males and females competing in equivalent levels of team-sport competition.

  • 505. Desmond, Deirdre
    et al.
    Layton, Natasha
    Bentley, Jacob
    Boot, Fleur Heleen
    Borg, Johan
    Lunds universitet.
    Dhungana, Bishnu Maya
    Gallagher, Pamela
    Gitlow, Lynn
    Gowran, Rosemary Joan
    Groce, Nora
    Mavrou, Katerina
    Mackeogh, Trish
    McDonald, Rachael
    Pettersson, Cecilia
    Scherer, Marcia J.
    Assistive technology and people: a position paper from the first global research, innovation and education on assistive technology (GREAT) summit2018In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 13, no 5, p. 437-444Article in journal (Refereed)
    Abstract [en]

    Assistive technology (AT) is a powerful enabler of participation. The World Health Organization’s Global Collaboration on Assistive Technology (GATE) programme is actively working towards access to assistive technology for all. Developed through collaborative work as a part of the Global Research, Innovation and Education on Assistive Technology (GREAT) Summit, this position paper provides a “state of the science” view of AT users, conceptualized as “People” within the set of GATE strategic “P” s. People are at the core of policy, products, personnel and provision. AT is an interface between the person and the life they would like to lead. People’s preferences, perspectives and goals are fundamental to defining and determining the success of AT. Maximizing the impact of AT in enabling participation requires an individualized and holistic understanding of the value and meaning of AT for the individual, taking a universal model perspective, focusing on the person, in context, and then considering the condition and/or the technology. This paper aims to situate and emphasize people at the centre of AT systems: we highlight personal meanings and perspectives on AT use and consider the role of advocacy, empowerment and co-design in developing and driving AT processes.

  • 506. Dicker, Daniel
    et al.
    Nguyen, Grant
    Abate, Degu
    Abate, Lkidan Hassen
    Abay, Solomon
    Abbafati, Cristiana
    Abbasi, Nooshin
    Abbastabar, Hedayat
    Ärnlöv, Johan
    Dalarna University, School of Education, Health and Social Studies, Medical Science. Karolinska institutet.
    Murray, Christopher J. L
    Global, regional, and national age-sex-specific mortality and life expectancy, 1950-2017: a systematic analysis for the Global Burden of Disease Study 20172018In: The Lancet, ISSN 0140-6736, E-ISSN 1474-547X, Vol. 392, no 10159, p. 1684-1735Article in journal (Refereed)
    Abstract [en]

    Background Assessments of age-specific mortality and life expectancy have been done by the UN Population Division, Department of Economics and Social Affairs (UNPOP), the United States Census Bureau, WHO, and as part of previous iterations of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD). Previous iterations of the GBD used population estimates from UNPOP, which were not derived in a way that was internally consistent with the estimates of the numbers of deaths in the GBD. The present iteration of the GBD, GBD 2017, improves on previous assessments and provides timely estimates of the mortality experience of populations globally. 

    Methods The GBD uses all available data to produce estimates of mortality rates between 1950 and 2017 for 23 age groups, both sexes, and 918 locations, including 195 countries and territories and subnational locations for 16 countries. Data used include vital registration systetns, sample registration systetns, household surveys (complete birth histories, summary birth histories, sibling histories), censuses (summary birth histories, household deaths), and Demographic Surveillance Sites. In total, this analysis used 8259 data sources. Estimates of the probability of death between birth and the age of 5 years and between ages 15 and 60 years are generated and then input into a model life table system to produce complete life tables for all locations and years. Fatal discontinuities and mortality due to HIV/AIDS are analysed separately and then incorporated into the estimation. We analyse the relationship between age-specific mortality and development status using the Socio-demographic Index, a composite measure based on fertility under the age of 25 years, education, and income. There are four main methodological improvements in GBD 2017 compared with GBD 2016: 622 additional data sources have been incorporated; new estimates of population, generated by the GBD study, are used; statistical methods used in different components of the analysis have been further standardised and improved; and the analysis has been extended backwards in time by two decades to start in 1950. 

    Findings Globally, 18.7% (95% uncertainty interval 18.4-19.0) of deaths were registered in 1950 and that proportion has been steadily increasing since, with 58.8% (58.2-59.3) of all deaths being registered in 2015. At the global level, between 1950 and 2017, life expectancy increased from 48.1 years (46.5-49.6) to 70.5 years (70.1-70.8) for men and from 52.9 years (51.7-54.0) to 75.6 years (75.3-75.9) for women. Despite this overall progress, there remains substantial variation in life expectancy at birth in 2017, which ranges from 49.1 years (46.5-51.7) for men in the Central African Republic to 87.6 years (86.9-88.1) among women in Singapore. The greatest progress across age groups was for children younger than 5 years; under-5 mortality dropped from 216.0 deaths (196.3-238.1) per 1000 livebirths in 1950 to 38.9 deaths (35.6-42.83) per 1000 livebirths in 2017, with huge reductions across countries. Nevertheless, there were still 5.4 million (5.2-5.6) deaths among children younger than 5 years in the world in 2017. Progress has been less pronounced and more variable for adults, especially for adult tnales, who had stagnant or increasing mortality rates in several countries. The gap between male and female life expectancy between 1950 and 2017, while relatively stable at the global level, shows distinctive patterns across super-regions and has consistently been the largest in central Europe, eastern Europe, and central Asia, and smallest in south Asia. Performance was also variable across countries and time in observed mortality rates compared with those expected on the basis of development. 

    Interpretation This analysis of age-sex-specific mortality shows that there are remarkably complex patterns in population mortality across countries. The findings of this study highlight global successes, such as the large decline in under-5 mortality, which reflects significant local, national, and global commitment and investment over several decades. However, they also bring attention to mortality patterns that are a cause for concern, particularly among adult men and, to a lesser extent, wotnen, whose mortality rates have stagnated in many countries over the time period of this study, and in some cases are increasing.

  • 507. Dindic, Azemina
    et al.
    Jonsson, Johanna
    Information och stöd anhöriga vill erhålla av sjuksköterskan vid den sena fasen av palliativ vård: En litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Att ta reda på vad för information och vilket stöd anhöriga önskar erhålla av sjuksköterskan i den sena fasen av palliativ vård. Metod: Litteraturöversikt med urval av 13 artiklar av kvalitativ och kvantitativ ansats från databaserna Cinahl, PubMed och Medline. Resultat: Forskning visar att anhöriga önskar erhålla flera former av stöd och information i den sena fasen av palliativ vård. Den information som är mest önskvärd är information om sjukdomen, information om vårdandet samt att informationen ges både skriftligt och verbalt. Det stöd anhöriga anser som viktigast är familjecentrerad vård och stöd för delaktighet i vårdandet, gruppstöd och efterlevandestöd. Slutsats: Anhöriga med en närstående som vårdas i den sena fasen av palliativ vård önskar erhålla tydlig skriftlig och verbal information om sjukdomen och om vårdandet. De vill även erhålla stöd före, under och efter dödsfallet. Kunskap om anhörigas önskemål av stöd och information i den sena fasen av palliativ vård kan hjälpa sjuksköterskan att bättre bistå med hjälp i en tid som är svår för både patient och anhöriga. Detta ställer krav på sjuksköterskan att inkludera både patient, i denna studie benämnd som närstående, och dess anhöriga i vårdandet.

  • 508.
    Dittrich, Nick
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Akupressurens effekter och möjlig användninginom vård och omvårdnad: En litteraturöversikt2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    The need for health care and nursing is increasing and new

    complementary approaches to address these are needed.

    Objective:

    To compile studies using acupressure and study the effects of

    acupressure on various symptoms, disorders and ill-health conditions.

    Method:

    The study was conducted as a literature review where 20 different

    articles were compiled.

    Result:

    Categorization was made in the three main headings: effects of

    acupressure

    , patient’s experience of acupressure and acupressure in health care

    and nursing

    . The application of acupressure was mainly threw fingers with a great

    variety of acupoints distributed over the entire body. Acupressure has a wide range

    of applications both in health care and nursing, and provides a non-invasive,

    uncomplicated, economical, simple and effective complementary intervention that

    nurses and patients can use. Identified areas where fatigue, sleep, depression,

    anxiety, stress, cognitive and functional recovery, agitated behavior,

    gastrointestinal function, hypertension, pain, thirst, incontinence, quality of life

    and health. Generally was acupressure an effective intervention that also patients

    experienced as positive.

    Conclusion:

    Acupressure proves to be a usable intervention in health care and

    nursing with different uses, although the effect is partly explained by placebo.

    Nevertheless acupressure offers a complementary intervention for patients, nurses

    and other health care professionals to relieve discomfort and to promote health and

    quality of life.

  • 509.
    Domeij, Anna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Sexual Reproductive Perinatal Health.
    Lennström, Charlotte
    Dalarna University, School of Education, Health and Social Studies, Sexual Reproductive Perinatal Health.
    Barnmorskans erfarenhet av handläggning vid uppkommen grad II-bristning: Kvalitativ intervjustudie med barnmorskor verksamma vid förlossningsavdelning2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Many women sustain a second-degree tear when giving birth vaginally. The work field of a midwife includes managing these injuries. There is limited research regarding this field and the focus tend to be on third- and fourth-degree tears, even though second-degree tears may also result in long-term complications.

    Aim:

    The aim was to investigate the midwife’s experience of managing second-degree tears.

    Method:

    Eight semi-structured individual interviews were conducted with midwives working at a medium large maternity ward located in the middle of Sweden. Qualitative content analysis was used to analyze the material.

    Results:

    Four categories and two subcategories were identified. The categories were: Information, The support of colleagues, The need for follow-ups and Physical examination and the subcategories were: Feedback strategies and Documentation.

    Conclusion:

    The result show that midwives feel insecure when managing second-degree tears, especially the midwives with less experience. The midwives also requested more feedback from the women they sutured regarding their second-degree tears and the midwives also wished for a better follow-up for the women with second-degree tears. The result also showed that the midwives give different information to women regarding their tears. No pronounced routines were found regarding what information to give and in what way.

    Clinical application:

    The results of the study aim to increase the knowledge and to develop routines regarding second-degree tears. More knowledge is needed about information given about the tear and when it is the best time to give information.

  • 510.
    Dragsten, Mirjam
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Salmonsson, Ingela
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Vårdpersonalens kunskapsläge i hjärtlungräddning samt följsamhet till det svenska hjärtlungräddningsregistret på ett länssjukhus i Mellansverige: En kvantitativ tvärsnittsstudie2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Objective: To identify the healthcare professional´s knowledge and training frequency of cardiopulmony resuscitation in a county hospital in central Sweden, and compliance of the Swedish Register of cardiopulmony resuscitation.

    Method: Survey with quantitative approach consisting of 177 respondents, as well as a retrospective observational study.

    Main results: Individuals answered correctly to all knowledge questions, but as a group, there were deficiencies in the knowledge of cardiopulmonary resuscitation. When comparing healthcare professional´s knowledge it was demonstrated that in four of the seven knowledge questions it was a significant difference in knowledge between the health professionals who have more regular training than those with fewer. Those who had more regular education had more right answers. A significant difference was also detected depending on when they had their latest CPR training, where those who have had their education more recently also had more right answers. Compliance of healthcare professional´s to register patients treated for cardiac arrest in hospital at the Swedish CPR registry, can be summarized by the deficiencies in reporting. Conclusion: It is important to create conditions for frequent training to health professionals to increase the knowledge and preparedness in CPR, which can also be seen as a quality assurance work. An improvement is necessary in order to improve compliance to registration.

  • 511.
    Drmac, Marijana
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Jörgensen, Angelica
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Omvårdnad vid smärta: En litteraturöversikt om könsskillnader2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Pain is a common cause to seek healthcare. Pain is a subjective feeling; however, the interpretation of "male" and "female behavior" could interfere with the healthcare staff judgement and care – even though quality of care should be given person-centered and on equal terms.

    Aim:

    The aim of the study was to examine the differences in care, that may exist, between men and women with pain and highlight the gender´s meaning in quality of care.

    Method:

    This study was conducted as a literature review investigating the existing literature within this area. Seventeen scientific articles from the PubMed and Cinahl databases were analyzed and compiled into a result.

    Results:

    This review brings out the differences between the treatment and ease for men and women in pain with regards to their gender. Often women have a tendency to be undervalued when they are being cared for compared to men. Physical symptoms are often regarded as psychosomatic. Even the age of the patients was a contributing factor.

    Conclusion:

    This literature study reveals differences between genders pain care. Gender differences were identified in many sections of care. Men’s pain is treated better than women, and the women generally needs to wait longer in receiving treatment. Registered nurses should utilize person-centered treatment in order to decrease this gender gap. Increased equality in care can support a sustainable future.

  • 512. Duc, Duong M
    et al.
    Bergström, Anna
    Eriksson, Leif
    Selling, Katarina
    Thi Thu Ha, Bui
    Wallin, Lars
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karolinska institutet.
    Response process and test-retest reliability of the Context Assessment for Community Health tool in Vietnam2016In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 9, article id 31572Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The recently developed Context Assessment for Community Health (COACH) tool aims to measure aspects of the local healthcare context perceived to influence knowledge translation in low- and middle-income countries. The tool measures eight dimensions (organizational resources, community engagement, monitoring services for action, sources of knowledge, commitment to work, work culture, leadership, and informal payment) through 49 items.

    OBJECTIVE: The study aimed to explore the understanding and stability of the COACH tool among health providers in Vietnam.

    DESIGNS: To investigate the response process, think-aloud interviews were undertaken with five community health workers, six nurses and midwives, and five physicians. Identified problems were classified according to Conrad and Blair's taxonomy and grouped according to an estimation of the magnitude of the problem's effect on the response data. Further, the stability of the tool was examined using a test-retest survey among 77 respondents. The reliability was analyzed for items (intraclass correlation coefficient (ICC) and percent agreement) and dimensions (ICC and Bland-Altman plots).

    RESULTS: In general, the think-aloud interviews revealed that the COACH tool was perceived as clear, well organized, and easy to answer. Most items were understood as intended. However, seven prominent problems in the items were identified and the content of three dimensions was perceived to be of a sensitive nature. In the test-retest survey, two-thirds of the items and seven of eight dimensions were found to have an ICC agreement ranging from moderate to substantial (0.5-0.7), demonstrating that the instrument has an acceptable level of stability.

    CONCLUSIONS: This study provides evidence that the Vietnamese translation of the COACH tool is generally perceived to be clear and easy to understand and has acceptable stability. There is, however, a need to rephrase and add generic examples to clarify some items and to further review items with low ICC.

  • 513. Dunn, Emma
    et al.
    Felthous, Alan R.
    Gagné, Pierre
    Harding, Tim
    Kaliski, Sean
    Kramp, Peter
    Lindqvist, Per
    Dalarna University, School of Education, Health and Social Studies, Medical Science. Karolinska institutet.
    Nedopil, Norbert
    Ogloff, James R. P.
    Skipworth, Jeremy
    Thomson, Lindsay
    Yoshikawa, Kazuo
    Forensic psychiatry and its interfaces outside the UK and Ireland2014In: Forensic psychiatry: clinical, legal and ethical issues / [ed] Gunn, John C & Taylor, Pamela J, Boca Raton, FL: CRC Press, 2014, 2, p. 112-146Chapter in book (Refereed)
  • 514. Duong, Duc M.
    et al.
    Bergström, Anna
    Wallin, Lars
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Bui, Ha T. T.
    Eriksson, Leif
    Eldh, Ann Catrine
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Exploring the influence of context in a community-based facilitation intervention focusing on neonatal health and survival in Vietnam: a qualitative study2015In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, no 15, article id 814Article in journal (Refereed)
    Abstract [en]

    Background

    In the Neonatal health – Knowledge into Practice (NeoKIP) trial in Vietnam, local stakeholder groups, supported by trained laywomen acting as facilitators, promoted knowledge translation (KT) resulting in decreased neonatal mortality. In general, as well as in the community-based NeoKIP trial, there is a need to further understand how context influences KT interventions in low- and middle-income countries (LMICs). Thus, the objective of this study was to explore the influence of context on the facilitation process in the NeoKIP intervention.

    Methods

    A secondary content analysis was performed on 16 Focus Group Discussions with facilitators and participants of the stakeholder groups, applying an inductive approach to the content on context through naïve understanding and structured analysis.

    Results

    The three main-categories of context found to influence the facilitation process in the NeoKIP intervention were: (1) Support and collaboration of local authorities and other communal stakeholders; (2) Incentives to, and motivation of, participants; and (3) Low health care coverage and utilization. In particular, the role of local authorities in a KT intervention was recognized as important. Also, while project participants expected financial incentives, non-financial benefits such as individual learning were considered to balance the lack of reimbursement in the NeoKIP intervention. Further, project participants recognized the need to acknowledge the needs of disadvantaged groups.

    Conclusions

    This study provides insight for further understanding of the influence of contextual aspects to improve effects of a KT intervention in Vietnam. We suggest that future KT interventions should apply strategies to improve local authorities’ engagement, to identify and communicate non-financial incentives, and to make disadvantaged groups a priority. Further studies to evaluate the contextual aspects in KT interventions in LMICs are also needed.

  • 515.
    Durbeej, N.
    et al.
    Karolinska institutet.
    Gumpert, C. H.
    Karolinska institutet.
    Alm, C.
    Karolinska institutet.
    Eriksson, Å.
    Karolinska institutet.
    Berman, A. H.
    Karolinska institutet.
    Kristiansson, M.
    Karolinska institutet.
    Lindqvist, Per
    Dalarna University, School of Education, Health and Social Studies, Medical Science. Karolinska institutet.
    Palmstierna, T.
    Karolinska institutet.
    S13-01 - Substance abuse treatment as a predictor of criminal recidivism among psychiatrically examined Swedish offenders2010In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 25, no Supplement 1, p. 32-32Article in journal (Refereed)
    Abstract [en]

    Background: Substance abuse is clearly associated with criminal recidivism among offenders with and without mental disorder. Treatment for substance abuse correlates with lower rates of re-offending among participants in outpatient-based as well as institution-based substance abuse treatment programs. However, for offenders with mental disorder, research on the possible preventive effect of substance abuse treatment on criminal recidivism is sparse. This paper reports from on an ongoing naturalistic and prospective interview study on the relationship between post-release outpatient substance abuse treatment and re-offending. Methods: The Stockholm county sample comprises 246 offenders of both genders subjected to a forensic psychiatric assessment, who screened positive for substance abuse problems. Eighty-five percent (n=210) agreed to participate in the study. Baseline data and follow-up interview data, collected immediately on release from incarceration (prison/forensic hospital) and 6 and 12 months later, include self-reported substance abuse, treatment involvement and criminality. By February 2010, data will be available from the first follow-up for 150 participants, from the second follow-up for 80 individuals and from the third follow-up for 10 subjects. Results and conclusions: The focus of the presentation will be recidivism comparisons between substance abuse treatment utilizers and those who decline treatment. Data on ongoing levels of substance abuse, mental health problems and offending will serve as dependent variables. Additional analyses will present perceived benefit from and reasons for accepting or rejecting treatment.

  • 516.
    Durbeej, N.
    et al.
    Karolinska institutet.
    Hellner Gumpert, C.
    Karolinska institutet.
    Alm, C.
    Karolinska institutet.
    Eriksson, Å.
    Karolinska institutet.
    Hephzibah Berman, A.
    Karolinska institutet.
    Kristiansson, M.
    Karolinska institutet.
    Lindqvist, Per
    Dalarna University, School of Education, Health and Social Studies, Medical Science. Karolinska institutet.
    Palmstierna, T.
    Karolinska institutet.
    P02-54 - Is outpatient-based substance abuse treatment a predictor of re-offending and other outcomes among Swedish offenders subjected to psychiatric assessment?2010In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 25, no Supplement 1, p. 674-674Article in journal (Refereed)
    Abstract [en]

    Introduction: Substance abuse is associated with criminal recidivism. Substance abuse treatment has been found to correlate negatively with re-offending among treatment utilizers. However, for offenders with mental health problems and substance abuse, research on how substance abuse treatment affects re-offending is sparse. Objectives: The study aimed to examine the relationship between self-reported outpatient-based substance abuse treatment and self-reported a) re-offending, b) substance use and c) psychiatric problems among offenders with mental health and substance use problems. Methods: Data were gathered from a naturalistic follow-up study with 208 participants, subjected to a court-ordered psychiatric assessment. This analysis covers 91 individuals who were followed-up after an average study period of 17 months. Among these, 68% had been sentenced to institutional imprisonment or forensic psychiatric care. Results: Offences, substance use and psychiatric problems declined between baseline and follow-up. However, the reduction was not associated with self-reported treatment utilization. Among participants who were sentenced to non-institutional corrections, more individuals had utilized outpatient-based treatment compared to individuals who were sentenced to imprisonment or forensic psychiatric care. Conclusions: A definitive conclusion about the effect of treatment is difficult to draw. For instance, self-reported data may not reflect actual treatment consumption. However, one interpretation is that participants naturally recovered over time. Institutional correction might also have resulted in positive outcomes equivalent to outpatient-based treatment.

  • 517.
    Dusinkiewicz, Fenja
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Liss-Back, Amanda
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Barnens upplevelser av att ha föräldrar som tidigt insjuknar i en demenssjukdom- en litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Objective: The purpose of this study was to describe research on children’s experiences of being a relative of a parent with early-onset dementia. Method: The study was conducted as a literature review where nine qualitative and two quantitative scientific articles were included in the analysis. Databases that were used to search for articles was Cinahl and Web of science. Results: The result was identified in four categories: Diagnosis, Role changes, Impact on daily life and Support. The result showed that the children felt that it was important to get information about the parent's diagnosis and that this information would be individualized. Furthermore, the children had negative experiences on the role changes within family. It was not unusual for the children to experience concern, grief and anxiety out of the role changes that occurred as a result of dementia. The children also expressed a need for time alone where they could do things such as spending time with friends, exercise or go on a vacation. The need to meet other children who were in similar situations was experienced by the children as an important part of being able to handle being a relative of a parent with early-onset dementia. Conclusion: The children experienced changes within the family. The nurse needs to pay attention to the childrens’ needs. However, this requires further research in the area to develop an adapted support for the children.

  • 518.
    Dykes, Fiona
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Maternal and Infant Nutrition and Nurture Unit (MAINN), University of Central Lancashire, United Kingdom; Chinese University of Hong Kong, Hong Kong; University of Western Sydney, Australia .
    Flacking, RenéeDalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Chinese University of Hong Kong, Hong Kong; Maternal and Infant Nutrition and Nurture Unit (MAINN), University of Central Lancashire, United Kingdom.
    Ethnographic research in maternal and child health2015Collection (editor) (Other academic)
  • 519.
    Dykes, Fiona
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Maternal and Infant Nutrition and Nurture Unit (MAINN), University of Central Lancashire, United Kingdom; Chinese University of Hong Kong, Hong Kong; University of Western Sydney, Australia .
    Flacking, Renée
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Chinese University of Hong Kong, Hong Kong; Maternal and Infant Nutrition and Nurture Unit (MAINN), University of Central Lancashire, United Kingdom.
    Introducing the theory and practice of ethnography2015In: Ethnographic Research in Maternal and Child Health / [ed] Fiona Dykes and Renée Flacking, Taylor & Francis, 2015, p. 1-14Chapter in book (Other academic)
  • 520.
    Dykes, Fiona
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. University of Central Lancashire, UK..
    Thomson, G
    Gardner, C
    Hall Moran, V
    Flacking, Renée
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Perceptions of European medical staff on the facilitators and barriers to physical closeness between parents and infants in neonatal units2016In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 105, no 9, p. 1039-1046Article in journal (Refereed)
    Abstract [en]

    AIM: Studies have provided insights into factors that may facilitate or inhibit parent-infant closeness in neonatal units, but none have specifically focused on the perspectives of senior neonatal staff. The aim of this study was to explore perceptions and experiences of consultant neonatologists and senior nurses in five European countries with regard to these issues.

    METHODS: Six small group discussions and three one-to-one interviews were conducted with 16 consultant neonatologists and senior nurses representing nine neonatal units from Estonia, Finland, Norway, Spain and Sweden. The interviews explored facilitators and barriers to parent-infant closeness and implications for policy and practice and thematic analysis was undertaken.

    RESULTS: Participants highlighted how a humanising care agenda that enabled parent-infant closeness was an aspiration, but pointed out that neonatal units were at different stages in achieving this. The facilitators and barriers to physical closeness included socio-economic factors, cultural norms, the designs of neonatal units, resource issues, leadership, staff attitudes and practices and relationships between staff and parents.

    CONCLUSION: Various factors affected parent-infant closeness in neonatal units in European countries. There needs to be the political motivation, appropriate policy planning, legislation and resource allocation to increase measures that support closeness agendas in neonatal units. This article is protected by copyright. All rights reserved.

  • 521. Dyson, Kylie
    et al.
    Brown, Siobhan P
    May, Susanne
    Smith, Karen
    Koster, Rudolph W
    Beesems, Stefanie G
    Kuisma, Markku
    Salo, Ari
    Strömsöe, Anneli
    Dalarna University, School of Education, Health and Social Studies, Medical Science.
    Nichol, Graham
    International variation in survival after out-of-hospital cardiac arrest: a validation study of the Utstein template2019In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 138, p. 168-181Article in journal (Refereed)
    Abstract [en]

    Introduction: Out-of-hospital cardiac arrest (OHCA) survival varies greatly between communities. The Utstein template was developed and promulgated to improve the comparability of OHCA outcome reports, but it has undergone limited empiric validation. We sought to assess how much of the variation in OHCA survival between emergency medical services (EMS) across the globe is explained by differences in the Utstein factors. We also assessed how accurately the Utstein factors predict OHCA survival.

    Methods: We performed a retrospective analysis of patient-level prospectively collected data from 12 OHCA registries from 12 countries for the period 1 Jan 2006 through 31 Dec 2011. We used generalized linear mixed models to examine the variation in survival between EMS agencies (n = 232).

    Results: Twelve registries contributed 86,759 cases. Patient arrest characteristics, EMS treatment and patient outcomes varied across registries. Overall survival to hospital discharge was 10% (range, 6% to 22%). Overall survival with Cerebral Performance Category of 1 or 2 (available for 8/12 registries) was 8% (range, 2% to 20%). The area-under-the-curve for the Utstein model was 0.85 (Wald CI: 0.85–0.85). The Utstein factors explained 51% of the EMS agency variation in OHCA survival.

    Conclusions: The Utstein factors explained 51% of the variation in survival to hospital discharge among multiple large geographically separate EMS agencies. This suggests that quality improvement and public health efforts should continue to target modifiable Utstein factors to improve OHCA survival. Further study is required to identify the reasons for the variation that is incompletely understood.

  • 522.
    E. Adelved, Helen
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Rönnholm, Anne Sinikka
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Fysiska miljöns betydelse för välbefinnande för personer med demenssjukdom: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: To describe different aspects of the physical environment which may affect

    the well-being for people with dementia. Method: The study was conducted as a

    literature review. Articles published between the years 2000-2016 was searched in

    the databases CINAHL, PubMed, PsycINFO and Web of Science. Results: Our

    results showed that physical factors such as sound, light, color, pattern, layout,

    furnishing and sensory stimuli as well as the possibility for activity had a positive

    impact on the behavioral and psychological symptoms for people with dementia,

    which led to well-being. Conclusion: Certain characteristics of the physical

    environment decreased behavioral and psychological symptoms of dementia,

    improved performance level, and reduced negative emotional symptoms.

    Observation of emotional symptoms for people with reduced communication skills

    is an important tool to identify the individual’s non-verbal expression.

  • 523.
    Easmin, Nazma
    et al.
    Dalarna University, School of Education, Health and Social Studies, Sexual Reproductive Perinatal Health.
    Khatun, Hamida
    Dalarna University, School of Education, Health and Social Studies, Sexual Reproductive Perinatal Health.
    Family members’ care of the newborn after birth, during maternal-infant separation or in the presence of the mother: A qualitative metasynthesis2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Newborn infants are sensitive and the neonatal mortality remains high in low resource settings for various reasons such as hyperthermia, hypoglycemia and infections. In both low and high income settings the bonding is important for children in the long run. Skin-to-skin care of the newborn both enhances the infant’s wellbeing and health.Aim: The aim of this meta- synthesis was to describe family members’ care of the newborn after birth, during maternal-infant separation or in the presence of the mother.Methods: Methasynthesis with metaethnography as analysis method. 15 scientific articles are included.Result: The content of the care provided is presence, emotional and practical support to the newborn. In presence, close body contact or preferably skin-to-skin contact is the main caring activity. Emotional support is provided through the presence when consoling the baby. Practical support is provided by changing diaper, through breastfeeding support etc. practical activities which in turn enhance emotions (bonding).Conclusion: The mother to the newborn should provide skin-to-skin care immediately after birth of the infant. When this is not possible the father or another family member such as grandmother, sister, or aunt could be close to the infant.Clinical implications: The results from this study can be used to foster midwives to provide evidence based care of the newborn including close contact and preferably skin-to-skin contact with the mother, father or other family member after birth. This to enhance health and wellbeing of the newborn. This thesis could be a lecture in the midwifery education.

  • 524. Edge, J
    et al.
    Mundel, T
    Massey University, New Zealand.
    Pilegaard, H
    Centre of Inflammation and Metabolism (CIM), Department of Molecular Biology, University of Copenhagen, Denmark.
    Hawke, Emma
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Leikas, M
    Department of Renal Medicine, Wellington Hospital, New Zealand.
    Lopez-Villalobos, N
    Massey University, New Zealand.
    da Silva Fermino de Oliviera, R
    Victoria University, Australia.
    Bishop, D
    Victoria University, Australia.
    Ammonium chloride ingestion increases resting mRNA content but attenuates exercise-induced mRNA levels in human skeletal muscle2015In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 10, no 12, article id e0141317Article in journal (Refereed)
    Abstract [en]

    Minimizing the decrease in intracellular pH during high-intensity exercise training promotes greater improvements in mitochondrial respiration. This raises the intriguing hypothesis that pH may affect the exercise-induced transcription of genes that regulate mitochondrial biogenesis. Eight males performed 10x2-min cycle intervals at 80%  intensity on two occasions separated by ~2 weeks. Participants ingested either ammonium chloride (ACID) or calcium carbonate (PLA) the day before and on the day of the exercise trial in a randomized, counterbalanced order, using a crossover design. Biopsies were taken from the vastus lateralis muscle before and after exercise. The mRNA level of peroxisome proliferator-activated receptor co-activator 1α (PGC-1α), citrate synthase, cytochome c and FOXO1 was elevated at rest following ACID (P<0.05). During the PLA condition, the mRNA content of mitochondrial- and glucose-regulating proteins was elevated immediately following exercise (P<0.05). In the early phase (0–2 h) of post-exercise recovery during ACID, PGC-1α, citrate synthase, cytochome C, FOXO1, GLUT4, and HKII mRNA levels were not different from resting levels (P>0.05); the difference in PGC-1α mRNA content 2 h post-exercise between ACID and PLA was not significant (P = 0.08). Thus, metabolic acidosis abolished the early post-exercise increase of PGC-1α mRNA and the mRNA of downstream mitochondrial and glucose-regulating proteins. These findings indicate that metabolic acidosis may affect mitochondrial biogenesis, with divergent responses in resting and post-exercise skeletal muscle.

  • 525. Edman, K
    et al.
    Öhrn, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Nordström, B
    Holmlund, A
    Hellberg, D
    Trends over 30 years in the prevalence and severity of alveolar bone loss and the influence of smoking and socio-economic factors: based on epidemiological surveys in Sweden 1983-20132015In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 13, no 4, p. 283-291Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: Epidemiological studies of the prevalence of periodontitis over an extended time using the same methodology to investigate and classify periodontitis are sparse in the literature. Smoking and socio-economic factors have been proven to increase the risk for periodontal disease. The objective of this study was to investigate 30-year time trends, using the same methodology to classify the prevalence and severity in alveolar bone loss (ABL) and to investigate the influence of tobacco and socio-economic factors.

    METHODS: Four cross-sectional epidemiological studies in an adult population were performed in the county of Dalarna, Sweden, in 1983, 2003, 2008 and 2013. Random samples of 787-1133 individuals aged 35-85 who answered a questionnaire about tobacco use and socio-economic factors were radiographically and clinically examined. A number of teeth, ABL and calculus visible on radiographs were registered. The severity of ABL as detected on radiographs was classified into no bone loss, moderate or severe.

    RESULTS: The prevalence of moderate ABL decreased from 45% in 1983 to 16% in 2008, but increased to 33% in 2013 (P < 0.05). The prevalence of severe ABL remained the same from 1983 (7%) to 2013 (6%). Calculus visible on radiographs increased from 22% in 2008 to 32% in 2013 (P < 0.05). Socio-economic factors had limited impact on the severity of ABL.

    CONCLUSION: Moderate ABL and calculus visible on radiographs significantly increased between 2008 and 2013. Smoking was the strongest factor associated with ABL overall.

  • 526. Edman, Kristina
    et al.
    Nordström, Birgitta
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Hellberg, Dan
    Oral health among womenaged 35-75 in the county of Dalarna, Sweden2012Conference paper (Refereed)
  • 527. Edman, Kristina
    et al.
    Öhrn, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Holmlund, Anders
    Nordström, Birgitta
    Hedin, Måns
    Hellberg, Dan
    Comparison of oral status in an adult population 35 - 75 year of age in the county of Dalarna, Sweden in 1983 - 20082012In: Swedish Dental Journal, ISSN 0347-9994, no 2, p. 61-70Article in journal (Refereed)
    Abstract [en]

    The aim was to study the prevalence and distribution of number of teeth, number of intact and decayed teeth and prevalence and distribution of removable dentures and periodontal disease over 25 years 1983-2008. Two cross-sectional studies (EpiWux) were performed in the County of Dalarna, Sweden in 1983 and 2008. In the 1983 study a random sample of 1012 individuals were invited to participate in this epidemiological and clinical study and 1440 individuals in 2008. A total number of 1695 individuals, stratified into geographical areas (rural and urban areas), in the age groups 35, 50,65 and 75 answered a questionnaire and were also clinically and radiographically examined. The number of edentulous individuals decreased from 15% in 1983 to 3 % in 2008. Number of teeth increased from 22.7 in 1983 to 24.2 in 2008 and decayed surfaces per tooth showed a three-time reduction over this period of time. As a consequence of better oral status the prevalence of complete removable dentures in both jaws decreased from 15 % in 1983 to 2 % in 2008. Individuals with moderate periodontitis decreased from 45 % in 1983 to 16 % in 2008. 

    Conclusion: Covering a period of 25 years the present study can report dramatic improvements in all aspects of dental status that were investigated. This is encouraging for dental care professionals, but will not necessarily lead to less demand for dental care in the future as the population is aging with a substantial increase in number of teeth.

  • 528. Edman, Kristina
    et al.
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Holmlund, Anders
    Nordström, Birgitta
    Hellberg, Dan
    Peridontal status and influenceof socioeconomic factors among adults in Dalarna County, Sweden, A cross-sectionalstudy in 20082012Conference paper (Refereed)
  • 529. Edvardsson, Kristina
    et al.
    Small, Rhonda
    Persson, Margareta
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Lalos, Ann
    Mogren, Ingrid
    'Ultrasound is an invaluable third eye, but it can't see everything': a qualitative study with obstetricians in Australia2014In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 14, article id 363Article in journal (Refereed)
    Abstract [en]

    Background: Obstetric ultrasound has come to play a significant role in obstetrics since its introduction in clinical care. Today, most pregnant women in the developed world are exposed to obstetric ultrasound examinations, and there is no doubt that the advantages of obstetric ultrasound technique have led to improvements in pregnancy outcomes. However, at the same time, the increasing use has also raised many ethical challenges. This study aimed to explore obstetricians' experiences of the significance of obstetric ultrasound for clinical management of complicated pregnancy and their perceptions of expectant parents' experiences.

    Methods: A qualitative study was undertaken in November 2012 as part of the CROss-Country Ultrasound Study (CROCUS). Semi-structured individual interviews were held with 14 obstetricians working at two large hospitals in Victoria, Australia. Transcribed data underwent qualitative content analysis.

    Results: An overall theme emerged during the analyses, 'Obstetric ultrasound - a third eye', reflecting the significance and meaning of ultrasound in pregnancy, and the importance of the additional information that ultrasound offers clinicians managing the surveillance of a pregnant woman and her fetus. This theme was built on four categories: I:'Everyday-tool' for pregnancy surveillance, II: Significance for managing complicated pregnancy, III: Differing perspectives on obstetric ultrasound, and IV: Counselling as a balancing act. In summary, the obstetricians viewed obstetric ultrasound as an invaluable tool in their everyday practice. More importantly however, the findings emphasise some of the clinical dilemmas that occur due to its use: the obstetricians' and expectant parents' differing perspectives and expectations of obstetric ultrasound examinations, the challenges of uncertain ultrasound findings, and how this information was conveyed and balanced by obstetricians in counselling expectant parents.

    Conclusions: This study highlights a range of previously rarely acknowledged clinical dilemmas that obstetricians face in relation to the use of obstetric ultrasound. Despite being a tool of considerable significance in the surveillance of pregnancy, there are limitations and uncertainties that arise with its use that make counselling expectant parents challenging. Research is needed which further investigates the effects and experiences of the continuing worldwide rapid technical advances in surveillance of pregnancies.

  • 530. Egeh, Abdi-Aziz
    et al.
    Dugsieh, Osman
    Erlandsson, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Osman, Fatumo
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    The views of Somali religious leaders on birth spacing: A qualitative study2019In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 20, p. 27-31Article in journal (Refereed)
    Abstract [en]

    Background

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

    Objective

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

    Method

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

    Results

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

    Conclusion

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

  • 531.
    Eggens, Marit
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Österback, Maria
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Distriktssköterskors erfarenheter av preventivt arbete och riktlinjerför hjärtsviktspatienter i hemsjukvården: En kvalitativ intervjustudie2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The aim of the study was to illuminate the district nurses' experience of guidelines and preventive work with heart failure patients in their homes to prevent re-hospitalization.Method: A qualitative study was used and semi structured interviews were held with eight district nurses. The interviews were tape recorded, transcribed and analysed with Granheim & Lundmans qualitative content analysis.Result: Five themes were revealed by the analysis: Observations, various checks and caregiving at home. Support the patient in self-care. To conduct the medication related to administration and monitoring. Knowledge and interaction with other professions and variation about using guidelines and prescription.The result showed that preventive work was often based on several different observations, they inspected the general condition, scanned for swollen legs, and checked the breathing and weight. They administrated and followed up the use of medicines. The district nurses supported the patients in their self-care they gave information about the disease to the patients and their relatives. The district nurses had different experiences about guidelines most of them felt they didn’t have guidelines in their homecare team and they followed the prescriptions from primary health care.Conclusion: The district nurse in homecare have an important role in the preventive work about heart failure patients. The district nurse did observations and did caregiving arrangements and supported the patient in self-care. This led ultimately to the patient could be symptom-free for a long time and to avoid hospitalization. There was, however, in the district nurses experience a lack of knowledge regarding heart failure and a lack of clear, common guidelines.

  • 532.
    Egnell, Tilda
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Ragnarsson, Johanna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Kvinnors kroppsuppfattning efter bröstcancerbehandling – En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Breast cancer is the most common type of cancer that affects women. The side

    effects of treatments are many and stressful and may result in mental illness. Even though the

    chances for surviving are good women’s mental health are affected. This is, for instance,

    because of the changed body image after the treatments. The nurse’s aim with the personcentered-

    care is to include and support the patient.

    Aim:

    To describe what factors contribute to a changed body perception after breast cancer

    treatment.

    Method:

    A literature review based on 15 scientific articles.

    Results:

    Women’s changed perception of her body can be described in four categories, and

    these are; visible changes of the body, mental health, sexuality, need for support.

    Conclusion:

    There were many factors that changed the body image after breast cancer

    treatment. The side effects of the treatments affected women both physically and

    psychologically. Losing one or two breasts and hair loss caused the female identity to suffer.

    The physical changes affected mental health and women were at risk of depression and

    anxiety. Many experienced a dissatisfaction with their body and felt less attractive to their

    partner, which in turn led them to distance themselves from sexual activities. There was a

    great need for support and information from healthcare professionals.

  • 533. Ehnfors, Margareta
    et al.
    Ehrenberg, Anna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Thorell-Ekstrand, Ingrid
    Nye VIPS-boken: Velvaere, integritet, profylakse, sikkerhet2015Book (Other academic)
  • 534.
    Ehrenberg, Anna
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Vad är evidensbaserad omvårdnad?2012In: Sammanfattningar (abstrakt) : Avancerad omvårdnad i ett mångkulturellt samhälle, Örebro 22 – 23 Mars 2012: Lust & kunskap: Sjuksköterskedagarna 2012, Örebro: Svensk Sjuksköterskeförening , 2012Conference paper (Refereed)
  • 535.
    Ehrenberg, Anna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Berg, Lena
    Källberg, Ann-Sofie
    Göransson, Katarina
    Östergren, Jan
    Florin, Jan
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Hur uppfattar personal på akutmottagningar avbrott i arbetet?2013Conference paper (Refereed)
  • 536.
    Ehrenberg, Anna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Carlström, Eric
    Sjuksköterskebristen kan inte lösas med lägre kompetens2017In: Dagens Medicin, ISSN 1104-7488Article in journal (Other (popular science, discussion, etc.))
  • 537.
    Ehrenberg, Anna
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Edberg, Anna-KarinFriberg, FebeWallin, LarsDalarna University, School of Health and Social Studies, Caring Science/Nursing.Wijk, Helle
    Omvårdnad på avancerad nivå: Kärnkompetenser inom sjuksköterskans specialistområden2013Collection (editor) (Other academic)
  • 538.
    Ehrenberg, Anna
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Ehnfors, Margareta
    Thorell-Ekstrand, Ingrid
    Nya VIPS-boken: Välbefinnande, integritet, prevention, säkerhet2013 (ed. 2)Book (Other academic)
  • 539.
    Ehrenberg, Anna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Enarsson, Per
    Wijk, Helle
    Äldre personers rätt till omvårdnad - behov, kompetenser, myter och evidens2015Report (Other (popular science, discussion, etc.))
  • 540.
    Ehrenberg, Anna
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Friberg, Febe
    Wallin, Lars
    Wijk, Helle
    Öhlén, Joakim
    Omvårdnadens grunder: En specialutgåva för sjuksköterskor2010Book (Other academic)
  • 541.
    Ehrenberg, Anna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Förberg, Ulrika
    Karolinska institutet.
    Unbeck, Maria
    Karolinska institutet.
    Johansson, Eva
    Karolinska institutet.
    Ygge, Britt-Marie
    Karolinska institutet.
    Petzold, Max
    Göteborgs universitet.
    Wallin, Lars
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Electronic reminders as an implementation strategy for the uptake of clinical practice guidelines for peripheral venous catheters in pediatric care: A cluster randomized study2014In: Welcome to KU 14, The 14th annual Knowledge Utilization (KU), June 25-27 2014, at the Quality Spa and Resort Dalecarlia in Tällberg, Sweden., 2014Conference paper (Refereed)
  • 542.
    Ehrenberg, Anna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Gustavsson, Petter
    Wallin, Lars
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Boström, Anne-Marie
    Rudman, Ann
    New graduate nurses' developmental trajectories for capability beliefs concerning core competencies for healthcare professionals: A national cohort study on patient-centered care, teamwork and evidence-based practice.2016In: Worldviews on Evidence-Based Nursing, ISSN 1545-102X, E-ISSN 1741-6787, Vol. 13, no 6, p. 454-462Article in journal (Refereed)
    Abstract [en]

    Background:

    This study aimed to describe the developmental trajectories of registered nurses' capability beliefs during their first 3 years of practice. The focus was on three core competencies for health professionals-patient-centered care, teamwork, and evidence-based practice.

    Methods:

    A national cohort of registered nurses (n = 1,205) was recruited during their nursing education and subsequently surveyed yearly during the first 3 years of working life. The survey included 16 items on capability beliefs divided into three subscales for the assessment of patient-centered care, teamwork, and evidence-based practice, and the data were analyzed with linear latent growth modeling.

    Results:

    The nurses' capability beliefs for patient-centered care increased over the three first years of working life, their capability beliefs for evidence-based practice were stable over the 3 years, and their capability beliefs for teamwork showed a downward trend.

    Linking evidence to action:

    Through collaboration between nursing education and clinical practice, the transition to work life could be supported and competence development in newly graduated nurses could be enhanced to help them master the core competencies. Future research should focus on determining which factors impact the development of capability beliefs in new nurses and how these factors can be developed by testing interventions.

  • 543.
    Ehrenberg, Anna
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Häggblom, M
    Problem-based learning in clinical nursing education: Integrating theory and practice.2007In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 7, p. 67-74Article in journal (Refereed)
  • 544.
    Ehrenberg, Anna
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Oredsson, Sven
    Anttila, Sten
    Dahlin Ivanoff, Synneve
    Davidsson, Thomas
    Ekdahl, Anne
    Eklund Grönberg, Annika
    Odeberg, Jenny
    Sahlin, Nils-Eric
    Sjöstrand, Fredrik
    Stavenow, Lars
    Wisten, Aase
    Wårdh, Inger
    Omhändertagande av äldre som inkommer akut till sjukhus - med fokus på sköra äldre: En systematisk litteraturöversikt2013Book (Refereed)
  • 545.
    Ehrenberg, Anna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Wallin, LarsDalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Omvårdnadens grunder: Ansvar och utveckling2014Collection (editor) (Other (popular science, discussion, etc.))
  • 546.
    Ehrenberg, Anna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Wallin, Lars
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Forsman, Henrietta
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Nyexaminerade sjuksköterskors användning av forskningsresultat och tillämpning av evidensbaserad vård2013In: Verksamhetsförlagd utbildning i högskolans vårdutbildningar – Att stödja lärande den 13-14 november 2013 i Skövde: Sammanfattningar av föredrag, 2013Conference paper (Other (popular science, discussion, etc.))
  • 547.
    Ehrenberg, Anna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Wallin, Lars
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Gustavsson, Petter
    Karolinska institutet.
    Rudman, Ann
    Karolinska institutet.
    Boström, Anne-Marie
    Karolinska institutet.
    Registered nurses' application of the principles of evidnece-based practice the five years after graduation2014Conference paper (Refereed)
  • 548.
    Ehrling, Malin
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Kvinnans individuella upplevelse av förlossningssmärta: En begreppsanalys2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Labor pain is a term used in education and healthcare, where women are cared for during pregnancy and in maternity wards. How the concept is defined is described in literature and how and what is covered by the concept is wide. Labor pain has great location within maternity care but as a concept it is relatively undefined. Aim: The aim was to describe the concept of labor pain through a concept analysis. Methods: A concept analysis with qualitative design. Five midwives were selected trough a convenience sampling and were interviewed; earlier a literature review was conducted. The result from the field study phase was brought together with the result from the theoretical phase. Results: After the analysis of the concept of labor pain the main results is that it is truly one unique experience of labour pain. Defined three dimensions sensory, affective and cognitive. The sensory dimension stands for physiology, the affective dimension for earlier experiences and the cognitive dimension for how a person thinks about pain and the experience of it. Pain in labour is a unique experience. Only the woman in labour knows how it feels like. Pain during labour is an individual experience and just like all other experience it has its unique and individual interpretation for the person involved. Conclusion: Labor pain can be identified as a complex concept adapted to each pregnancy based on the defined dimensions. Clinical applicability: Clarification of the concept is important in education of midwifery students.

  • 549.
    Ehrs, Alexander
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Abro, Ban
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Domäner av betydelse för hälsorelaterad livskvalitet hos personer med diabetesfotsår: Litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    diabetes is a global and serious disease which is likely to become eaven more common in the future. Out of all people suffering from diabetes about 15 percent is at risk of developing diabetic foot ulcer in their lifetime. In quantitavie research health related quality of life is measured with tools containing domains of psychological, physical and social health. People need a sense of coherence to be able to percieve good health. Aim: was to describe which domains of health related quality of life have the greatest role for people with diabetic foot ulcer. Method a litterature review was conducted based on 13 quantitative research articles were health related quality of life was measured with generic tools in people with diabetic foot ulcer. Reserach was found on CINAHL, PubMed and Web of Science. Results people with diabetic foot ulcer have the least health related quality of life in the domain physical role. Mental health was shown to be the domain where most health related quality of life was found in people with diabetic foot ulcer. Conclusion was that diabetic foot ulcer have a great impact in the domain physical role. Devolepment in nursing needs to focus on this aspect of life. In the same way resource diagnoses can be found in regard of the mental health more often than in any other domain of health related quality of life.

  • 550.
    Eilegård, Alexandra
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Bereaved siblings’ experiences of the brother´s or sister’s cancer death: a nationwide follow-up study 2-9 years later2014In: Abstract book: Published in the Journal of Palliative Care and Medicine (Conference Proceeding), 2014Conference paper (Other academic)
891011121314 501 - 550 of 2505
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf