| 11. |
- Haerens, L, et al.
(författare)
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Formative research to develop the IDEFICS physical activity intervention component: findings from focus groups with children and parents
- 2010
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Ingår i: Journal of Physical Activity and Health. - Champaign, IL : HUMAN KINETICS PUBL INC. - 1543-3080 .- 1543-5474. ; 7:2, s. 246-256
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The current study aimed at describing influencing factors for physical activity among young children to determine the best approaches for developing the IDEFICS community based intervention. METHODS: In 8 European sites a trained moderator conducted a minimum of 4 focus groups using standardized questioning guides. A total of 56 focus groups were conducted including 36 focus groups with parents and 20 focus groups with children, of which 74 were boys and 81 girls. Key findings were identified through independent reviews of focus group summary reports using content analysis methods. FINDINGS: Findings were generally consistent across countries. The greatest emphasis was on environmental physical (eg, seasonal influences, availability of facilities and safety), institutional (eg, length of breaks at school), and social factors (eg, role modeling of parents). Most cited personal factors by parents were age, social economical status, and perceived barriers. Both children and parents mentioned the importance of children's preferences. CONCLUSIONS: To increase physical activity levels of young children the intervention should aim at creating an environment (physical, institutional, social) supportive of physical activity. On the other hand strategies should take into account personal factors like age and social economical status and should consider personal barriers too.
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| 12. |
- Haraldsson, Katarina, et al.
(författare)
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What makes the everyday life of Swedish adolescent girls less stressful: a qualitative analysis
- 2010
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Ingår i: HEALTH PROMOTION INTERNATIONAL. - Oxford : Oxford University Press. - 0957-4824 .- 1460-2245. ; 25:2, s. 192-199
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Tidskriftsartikel (refereegranskat)abstract
- Stress is a widespread phenomenon in society today, not least among children and adolescents. Stress-related ill-health has increased in this population and affects girls to a greater extent than boys. Against this background, it is important to acquire knowledge about measures that prevent stress, especially in girls. The aim of this study was therefore to illuminate adolescent girls' experiences and reflections about what makes everyday life less stressful. An explorative design, qualitative content analysis, was used. In-depth interviews were conducted with fifteen 17-year-old girls. The analysis comprised both manifest and latent content and revealed the girls' own experiences of and reflections about what makes everyday life less stressful. Three categories, ‘Enjoyment and Recovery’, ‘Trust’ and ‘Insight and Influence’, and nine subcategories emerged. The latent content of these categories is described by the theme ‘access to sources of strength’. It is essential that persons in the girls' surroundings are aware of all sources that provide the strength to resist and prevent stress in everyday life. A climate has to be created in all arenas of the girls' everyday life in which they can access these sources of strength. Utilizing the girls' experiences and views about what needs to be done is the first step towards a preventive and promotive mode of working on their own circumstances and wishes. This approach is consistent with the Ottawa Charter for Health Promotion, which emphasizes the importance of involving the target group.
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| 13. |
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| 14. |
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| 15. |
- Hast, Lennart, 1963, et al.
(författare)
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Sociala medier - myter och möjligheter
- 2010
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Ingår i: MedieSverige 2010. - Göteborg : Nordicom-Sverige. - 9789189471993 ; , s. 67-80
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 16. |
- Hedman Ahlström, Britt, 1954-, et al.
(författare)
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The meaning of major depression in family life : The viewpoint of the ill parent
- 2010
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Ingår i: Journal of Clinical Nursing. - Oxford : Wiley. - 0962-1067 .- 1365-2702. ; 19:1-2, s. 284-293
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Forskningsöversikt (refereegranskat)abstract
- Aim and objective. The aim was to elucidate the meaning of major depression in family life from the viewpoint of an ill parent. Background. Major depression according to Diagnostic and Statistical Manual of Mental Disorders is common and may appear repeatedly over several years, and affects family life. Depression in parents has a negative impact on family function and children’s health; however, studies regarding the deeper understanding of major depression in family life are lacking. Design. A qualitative explorative study using narrative interviews with eight parents who were identified with major depression. Methods. A phenomenological-hermeneutic method of interpretation was used for analysing interview texts and included naïve understanding, a structural analysis where text was divided into meaning units, which were condensed and abstracted, and finally a comprehensive understanding. Result. Two themes were extracted: ‘to be afflicted in an almost unmanageable situation’ with sub-themes ‘feeling hopelessly bad’, ‘being worthless’, ‘being unsatisfied’ and the theme ‘to reconcile oneself to the situation’ with sub-themes ‘being active’, ‘being satisfied’ and ‘maintaining parenthood’. Conclusion. Comprehensive understanding revealed the parents’ simultaneous suffering and dignity in family life; suffering with serious lack of well-being and health, destroyed self-confidence and unhappiness, and dignity with strength, confidence and joy in children. The movement between suffering and dignity complicated family life. Dignity was threatened by the awareness that suffering in major depression was recurrent. Dignity had to be repeatedly restored for self and the family, and family dignity has to be restored before others outside the family circle. Relevance to clinical practice. A deeper understanding of the meaning of major depression in family life is helpful and for healthcare professionals to prevent individual and family suffering by assisting and preserving dignity.
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| 17. |
- Hildingh, Cathrine, et al.
(författare)
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The association among hypertension and reduced psychological well-being, anxiety and sleep disturbances : a population study
- 2010
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Ingår i: Scandinavian Journal of Caring Sciences. - Oxford : Blackwell Publishing. - 0283-9318 .- 1471-6712. ; 24:2, s. 366-371
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Tidskriftsartikel (refereegranskat)abstract
- Hypertension (HP) is a serious condition affecting about one quarter of all adults, both men and women. Genetic and environmental factors are of importance in its aetiology, while psychosocial factors may also play a role. This study focused on psychosocial factors and examined the association among reduced psychological well-being, anxiety, sleep disturbances and HP by comparing people with HP and the general population. A national survey of 12 166 individuals (hypertensives n = 2047; rest of population n = 10 119) was conducted using two-step multiple logistic regression with an odds ratio and a 95% confidence interval. The study is in accordance with Swedish legislation pertaining to ethics. Reduced psychological well-being, anxiety and sleep disturbances were higher in the HP group and, in addition, reduced psychological well-being was, still higher in the presence of severe anxiety and serious sleep disturbances. These three factors are of major importance for HP, but it is difficult to know whether they are causes or consequences. In order to prevent HP, support for people who exhibit such risk factors should be a matter of high priority.
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| 18. |
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| 19. |
- Jansson, Inger, 1964-, et al.
(författare)
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Evaluation of documented nursing care plans by the use of nursing-sensitive outcome indicators
- 2010
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Ingår i: Journal of Evaluation In Clinical Practice. - Oxford : Blackwell Publishing. - 1356-1294 .- 1365-2753. ; 16:3, s. 611-618
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Tidskriftsartikel (refereegranskat)abstract
- Abstract Rationale and aim: There is a lack of evidence that nursing care plans affect patient outcomes. The aim of the present study was to evaluate whether documented nursing care plans affect patient outcomes by the use of nursing-sensitive outcome indicators. Method: A retrospective, cross-sectional design with patients surveyed at time of discharge from two hospital units for patients with stroke and after 2-3 weeks at home. The control unit (A) did not employ care plans. The intervention unit (B) used care plans on a daily basis. Outcome was measured by 'the National Stroke Register' and the two questionnaires: 'Quality of patients' perspective' and 'Euroquol five dimensions'. Data were collected over a 5-month period (October 2007-February 2008). Results: In total, 87 patients were included in the study. Patient characteristics in the two groups at admission and the health-related quality of life 2 to 3 weeks after discharge were similar. The patients from unit B were more satisfied with individual care (P = 0.03) and participation (P = 0.007). Unit B also had a shorter length of stay (P = 0.004). Conclusions: The effects of documented care plans are difficult to evaluate from a patient perspective, as many factors can improve the outcome. However, documentation of care plans is a prerequisite for measuring the quality and outcome of the care provided. This small study indicates that documented care plans may affect patient satisfaction regarding individual care, participation and length of hospital stay.
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| 20. |
- Jansson, Inger, et al.
(författare)
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Factors and conditions that influence the implementation of standardized nursing care plans
- 2010
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Ingår i: Open Nursing Journal. - Hilversum : Bentham Science Publishers. - 1874-4346. ; 4, s. 25-34
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Tidskriftsartikel (refereegranskat)abstract
- Rationale and aim: There is a lack of evidence about how to successfully implement standardized nursing care plans (SNCP) in various settings. The aim of this study was to use the “Promotion Action on Research Implementation in Health Services framework” (PARIHS) to explore important factors and conditions at hospital wards that had implemented SNCPs.Method. We employed a retrospective, cross-sectional design and recruited nurses from four units at a rural hospital and seven units at a university hospital in the western and southern region of Sweden where SNCPs had been implemented. Outcome was measured by means of a questionnaire based on the PARIHS-model.Result: In total, 137 nurses participated in the study. The main factors that had motivated the nurses to implement SNCPs were that they were easy to understand and follow as well as corresponding to organisational norms. The SNCPs were normally based on clinical experience, although research more frequently formed the basis of the SNCPs at the university hospital. Internal facilitators acted as important educators, who provided reminders to use the SNCP and feedback to the SNCP users. The patient experience was not considered valuable. Those who claimed that the implementation was successful were generally more positive in all measurable aspects. The use of SNCPs was rarely evaluated.Conclusions: Clinical experience was considered important by the nurses, while they attributed little value to the patient experiences. Successful implementation of research based SNCPs requires internal facilitators with knowledge of evidence-based nursing.
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