| 8231. |
- Rosenberg, David, 1957-, et al.
(författare)
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Shared decision making in community mental health services - an evaluation of three self-reporting instruments
- 2017
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Ingår i: Journal of Mental Health. - Abingdon, Oxon : Routledge. - 0963-8237 .- 1360-0567. ; 26:2, s. 142-149
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Tidskriftsartikel (refereegranskat)abstract
- Background: Despite the potential impact of shared decision making on users satisfaction with care and quality in health care decisions, there is a lack of knowledge and skills regarding how to work with shared decision making among health care providers.Aim: The aim of this study was to evaluate the psychometric properties of three instruments that measure varied dimensions of shared decision making, based on self-reports by clients, in a Swedish community mental health context.Method: The study sample consisted of 121 clients with experience of community mental health care, and involved in a wide range of decisions regarding both social support and treatment. The questionnaires were examined for face and content validity, internal consistency, test-retest reliability and construct validity.Results: The instruments displayed good face and content validity, satisfactory internal consistency and a moderate to good level of stability in test-retest reliability with fair to moderate construct correlations, in a sample of clients with serious mental illness and experience of community mental health services in Sweden.Conclusions: The questionnaires are considered to be relevant to the decision making process, user-friendly and appropriate in a Swedish community mental health care context. They functioned well in settings where non-medical decisions, regarding social and support services, are the primary focus. The use of instruments that measure various dimensions of the self-reported experience of clients, can be a key factor in developing knowledge of how best to implement shared decision making in mental health services.
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| 8232. |
- Rosenburg, Marcus, 1983-, et al.
(författare)
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Associations between self-care advice and healing time in patients with venous leg ulcer – a Swedish registry-based study
- 2024
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Ingår i: BMC Geriatrics. - : BioMed Central (BMC). - 1471-2318. ; 24:1
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Tidskriftsartikel (refereegranskat)abstract
- Background Venous leg ulcers take time to heal. It is advocated that physical activity plays a role in healing, and so does the patient’s nutritional status. Additionally, malnutrition influences the inflammatory processes, which extends the healing time. Therefore, the staff’s advising role is important for patient outcomes. Thus, this study aimed to investigate the associations between given self-care advice and healing time in patients with venous leg ulcers while controlling for demographic and ulcer-related factors.Methods The sample consisted of patients registered in the Registry of Ulcer Treatment (RUT) which includes patient and ulcer-related and healing variables. The data was analyzed with descriptive statistics. Logistic regression models were performed to investigate the influence of self-care advice on healing time.Results No associations between shorter healing time (less than 70 days) and the staff´s self-care advice on physical activity was identified, whilst pain (OR 1.90, CI 1.32–2.42, p < 0.001) and giving of nutrition advice (OR 1.55, CI 1.12–2.15, p = 0.009) showed an association with longer healing time.Conclusions Neither self-care advice on nutrition and/or physical activity indicated to have a positive association with shorter healing time. However, information and counseling might not be enough. We emphasize the importance of continuously and systematically following up given advice throughout ulcer management, not only when having complicated ulcers.
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| 8233. |
- Rosenburg, Marcus, 1983-, et al.
(författare)
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Daily life after healing of a venous leg ulcer : A lifeworld phenomenological study
- 2022
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - Abingdon : Taylor & Francis. - 1748-2623 .- 1748-2631. ; 17:1
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSEVenous leg ulcer is a recognized condition, affecting people globally. Ulcers mainly affect the elderly and recurrences are not uncommon. There is knowledge about life with venous leg ulcers, but the situation after healing is unexplored. This paper explores and describes meanings of experiences of daily life after healing of a hard-to-heal venous leg ulcer.METHODSLived experiences of 15 individuals with healed hard-to-heal venous leg ulcers generated data for this study. Interviews were recorded for analysis using a reflective lifeworld research approach. An essence emerged, further described by its constituents.RESULTSMemories of a difficult time with leg ulcer were ever present, in a way becoming part of the self. A striving for control in daily life entailed a struggle to do what was best for the own body. After healing, a new normal emerged in daily life, a reality that encompassed the risk for a new ulcer. The body had changed physically, with marks alongside those from ageing, in a life that still went on.CONCLUSIONSFor those who had healed from a venous leg ulcer, life had changed. Even if they referred to life as normal, it was not the same normal as before.
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| 8234. |
- Rosenburg, Marcus, 1983-, et al.
(författare)
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Experiences of undergoing venous leg ulcer management : A reflective lifeworld research study
- 2023
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Ingår i: International Wound Journal. - Chichester : John Wiley & Sons. - 1742-4801 .- 1742-481X. ; 20:6, s. 1857-1865
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Tidskriftsartikel (refereegranskat)abstract
- Venous leg ulcers have multiple consequences for the patient. Ulcer management can be lengthy and recurrence is common. As the patient is the expert on their experiences and life, the aim of the present study was to describe patients' lived experiences of undergoing management for a venous leg ulcer. The study encompassed 16 phenomenological interviews. The analysis led to a description of the phenomenon's essence, further described by three constituents. The essential meaning of the phenomenon is described as being in an oscillation between hope and despair. Ulcer management is challenging for the patient, who feels unseen and lives with doubts during the management period. This study is considered enriching as it puts words to the patients' suffering during ulcer management and shows that reliable relationships and competence can reduce patient doubts. This knowledge should enable improvement of patient care and treatment during ulcer management.
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| 8235. |
- Rosenkvist, Jenny, 1980-
(författare)
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Arrangements of everyday mobility-focussed participation
- 2016
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Ingår i: Journal of Intellectual Disability Research. - Chichester : Wiley-Blackwell Publishing Inc.. - 0964-2633 .- 1365-2788. ; 60:7-8, s. 808-808
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Tidskriftsartikel (refereegranskat)abstract
- Aim: The aim is to explore how young people attending their last years in Swedish upper secondary special school describe their mobility-focussed participation. In Sweden, people with disabilities travel less than people without disabilities and international research shows that lack of accessible transportation is an important barrier to inclusion in society among people with intellectual disabilities (ID).Method: Study participants were pupils (>18 years old) attending their last years in Swedish upper secondary special school - a school for pupils who have been assessed to have ID. A qualitative approach with semi-structured interviews was used; some interviews were supported by photographs taken by the pupils beforehand.Results: Results will be presented.Conclusions: Implications will be discussed.
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| 8236. |
- Rosenkvist, Jenny, 1980-, et al.
(författare)
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How Usable is the City for Older Bicyclists?
- 2014
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Ingår i: Universal Design 2014. - Amsterdam : IOS Press. - 1879-8071 .- 1383-813X. - 9781614994022 - 9781614994039 ; , s. 431-432
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Konferensbidrag (refereegranskat)abstract
- The aim of this paper was to examine how useable and inclusive the city is from the perspective of older bicyclists. Methods used were quantitative questionnaires and qualitative focus group interviews. Participants were people aged 65 years or older. The results showed that respondents were fairly satisfied with the transport infrastructure design. However, other road users seemed to complicate cycling, e.g. as communication and interaction between other road users was perceived as difficult and poor.
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| 8237. |
- Rosenstatter, Thomas, et al.
(författare)
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Modelling the Level of Trust in a Cooperative Automated Vehicle Control System
- 2018
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Ingår i: IEEE transactions on intelligent transportation systems (Print). - Piscataway, NJ : IEEE Press. - 1524-9050 .- 1558-0016. ; 19:4, s. 1267-1247
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Tidskriftsartikel (refereegranskat)abstract
- Vehicle-to-vehicle communication is a key technology for achieving increased perception for automated vehicles, where the communication enables virtual sensing by means of sensors in other vehicles. In addition, this technology also allows detection and recognition of objects that are out-of-sight. This paper presents a trust system that allows a cooperative and automated vehicle to make more reliable and safe decisions. The system evaluates the current situation and generates a trust index indicating the level of trust in the environment, the ego vehicle, and the surrounding vehicles. This research goes beyond secure communication and concerns the verification of the received data on a system level. The results show that the proposed method is capable of correctly identifying various traffic situations and how the trust index is used while manoeuvring in a platoon merge scenario.
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| 8238. |
- Ross, Linda, et al.
(författare)
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Nursing and midwifery students' perceptions of spirituality, spiritual care, and spiritual care competency : A prospective, longitudinal, correlational European study
- 2018
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Ingår i: Nurse Education Today. - Oxford : Elsevier. - 0260-6917 .- 1532-2793. ; 67, s. 64-71
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Tidskriftsartikel (refereegranskat)abstract
- Background: Nurses and midwives care for people at some of the most vulnerable moments of their lives, so it is essential that they have the skills to give care which is compassionate, dignified, holistic and person-centred. Holistic care includes spiritual care which is concerned with helping people whose beliefs, values and sense of meaning, purpose and connection is challenged by birth, illness or death. Spiritual care is expected of nurses/midwives but they feel least prepared for this part of their role. How nursing and midwifery students can be prepared for spiritual care is the focus of this study. Objectives: 1. To describe undergraduate nursing and midwifery student's perceptions of spirituality/spiritual care, their perceived competence in giving spiritual care and how these perceptions change over time. 2. To explore factors contributing to development of spiritual care competency. Methods: Prospective, longitudinal, multinational, correlational survey design. A convenience sample of 2193 undergraduate nursing and midwifery students (69% response rate, dropping to 33%) enrolled at 21 universities in eight countries completed questionnaires capturing demographic data (purpose designed questionnaire) and measuring perception of spirituality/spiritual care (SSCRS), spiritual care competency (SCCS), spiritual wellbeing (JAREL) and spiritual attitude and involvement (SAIL) on 4 occasions (start of course n = 2193, year 2 n = 1182, year 3 n = 736, end of course n = 595) between 2011 and 2015. Data were analysed using descriptive, bivariate and multivariate analyses as appropriate. Results: Perceived competency increased significantly over the course of students' study which they attributed to caring for patients, events in their own lives and teaching/discussion in university. Two factors were significantly correlated with perceived spiritual care competency: perception of spirituality/spiritual care, where a broad view was preferable, and personal spirituality, where high spiritual wellbeing (JAREL) and spiritual attitude and involvement (SAIL) scores were preferable. Conclusions: We have provided the first international evidence that perceived spiritual care competence is developed in undergraduate nursing and midwifery students and that students' perceptions of spirituality and personal spirituality contribute to that development. Implications for teaching and learning and student selection are discussed. The study is limited by attrition which is common in longitudinal research.
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| 8239. |
- Roswall, Josefine, et al.
(författare)
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Overweight at four years of age in a Swedish birth cohort: influence of neighbourhood-level purchasing power
- 2016
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Ingår i: BMC Public Health. - London : Springer Science and Business Media LLC. - 1471-2458. ; 16
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: A number of child/parental factors have been shown to be significant predictors of childhood overweight, although a better understanding of possible contextual influences of neighbourhood-level characteristics might provide new insights leading to tailored, targeted interventions. The aim of this study was to explore the impact of neighbourhood purchasing power and its relationship with other known risk factors related to childhood overweight in a prospective birth cohort. METHODS: A prospective, population-based, birth-cohort study was conducted in south-western Sweden, comprising 2,666 infants born in 2007-2008. Childhood overweight was assessed by body mass index (BMI) data from follow-up examinations at four years of age (n = 2,026) and overweight defined according to the International Obesity Task Force. Using logistic regression analysis, the influential child/parental predictors were identified from the candidate predictors, viz. child's gender, as well as birth weight adjusted for gestational age and parental factors at recruitment, including maternal smoking status, maternal BMI (before pregnancy), paternal BMI and parental educational level. The children's residential parishes at follow-up were stratified by parish-level household purchasing power (<10 %, 10-19.9 %, 20-29.9 % and ≥30 % of all resident families with low purchasing power) and the "contextual" influence was analysed. In each such neighbourhood stratum, the adjusted overweight ratio (AOR), i.e. the ratio between the observed number of overweight children and the expected number, taking account of the influential child/parental predictors, was estimated. RESULTS: The prevalence of overweight at four years of age was 11.9 %. In the economically strongest neighbourhoods (i.e. <10 % of resident families with low purchasing power), the AOR was 0.60 (95 % confidence interval (CI): 0.34-0.98). The corresponding empirically Bayes-adjusted AOR was 0.73 (95 % CI: 0.46-1.02; 97 % posterior probability of AOR <1). In the other neighbourhood strata, the statistical evidence of a deviant AOR was weaker. CONCLUSION: The economically strongest neighbourhoods had a lower prevalence than expected of overweight at four years of age. This finding should prompt studies to acquire more knowledge of potentially modifiable factors that differ between neighbourhoods and are related to childhood overweight, providing a basis for tailored, targeted interventions.
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| 8240. |
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