| 5121. |
- Larsson, Helena, et al.
(författare)
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Older persons' existential loneliness, as interpreted by their significant others : an interview study
- 2017
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Ingår i: BMC Geriatrics. - 1471-2318 .- 1471-2318. ; 17:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: In order to better understand people in demanding medical situations, an awareness of existential concerns is important. Studies performed over the last twenty years conclude that when dying and death come closer, as in the case with older people who are stricken by infirmity and diseases, existential concerns will come to the fore. However, studies concerning experiences of existential loneliness (EL) are sparse and, in addition, there is no clear definition of EL. EL is described as a complex phenomenon and referred to as a condition of life, an experience, and a process of inner growth. Listening to someone who knows the older person well, as significant others often do, may be one way of learning more about EL. Methods: This study is part of a larger research project on EL, the LONE study, where EL is explored through interviews with frail older people, their significant others and health care professionals. The aim of this study was to explore frail older (> 75) persons' EL, as interpreted by their significant others. The study is qualitative and based on eighteen narrative interviews with nineteen significant others of older persons. The data was analysed using Hsieh and Shannon's conventional content analysis. Results: According to the interpretation of significant others, the older persons experience EL (1) when they are increasingly limited in body and space, (2) when they are in a process of disconnecting, and (3) when they are disconnected from the outside world. Conclusion: The result can be understood as if the frail older person is in a process of letting go of life. This process involves the body, in that the older person is increasingly limited in his/her physical abilities. The older person's long-term relationships are gradually lost, and finally the process entails the older person's increasingly withdrawing into him- or herself and turning off the outside world. The result of this study is consistent with previous research that has shown that EL is a complex phenomenon, but the implications of this research include a deepened understanding of EL. In addition, the study highlights the interpretations of significant others.
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| 5122. |
- Larsson, Helena, et al.
(författare)
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Spouses' existential loneliness when caring for a frail partner late in life : a hermeneutical approach.
- 2020
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - : Taylor and Francis Ltd.. - 1748-2623 .- 1748-2631. ; 15:1
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Spouses are in a vulnerable situation when caring for a frail partner late in life. Exploring their existential loneliness can be a way to understand more about their existential needs.Method: A hermeneutic approach was used. Multistage focus group interviews were conducted with two groups consisting of five spouses, respectively, who met three times each. To work with the text, an approach was adapted where quotations are converted into poems in a linguistic manner.Results: Existential loneliness can be understood as the following: 1) being in a transition from us to merely me, 2) being forced to make decisions and feeling excluded, 3) navigating in an unfamiliar situation and questioning oneself, and 4) longing for togetherness but lacking the energy to encounter other people. The main interpretation is that existential loneliness emerges when one is in moments of inner struggle, when one is forced to make impossible choices, when one is approaching and is in limit situations, and when one is experiencing the endless loss of the other.Conclusion: For health care professionals to achieve a holistic picture, person-centeredness can be a way to make the spouses' existential needs visible and to provide support based on their needs.
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| 5123. |
- Larsson, Helena, et al.
(författare)
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Swedish family care advisors’ views on existential loneliness and existential support to informal caregivers of older people : A cross-sectional national survey
- 2021
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Ingår i: Nordic journal of nursing research. - : SAGE Publications Ltd. - 2057-1585 .- 2057-1593. ; 42:2, s. 93-100
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Tidskriftsartikel (refereegranskat)abstract
- The number of older people needing care is increasing, and care is often provided by informal caregivers. The mission of family care advisors (FCAs) is to provide them with support; however, whether and how support in existential matters such as existential loneliness is provided is unclear. Therefore, the aim of this study was to describe FCAs’ views on existential loneliness, and existential support provided to relatives who act as informal caregivers to older people. A national survey was distributed to 349 FCAs in Sweden, response rate n = 120 (36%). The STROBE checklist was followed when presenting the study. Existential loneliness was viewed as thoughts about life and meaning (78%). Existential support was provided by dialogues (87%), visits (75%) and support groups (73%); 45% of FCAs stated that they had time to provide existential support and 27% reported having knowledge of how to encounter existential loneliness. FCAs provide existential support, but often lack experience, knowledge and time. Time and knowledge are important prerequisites for acknowledging existential needs.
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| 5124. |
- Larsson, Jane, et al.
(författare)
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Andra vägar för att tillgodose barnets behov : en kvalitativ studie om kommuner som använder andra arbetsvertyg eller modeller än BBIC
- 2013
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- BBIC (Barns Behov I Centrum) är ett arbetsverktyg för utredning, dokumentation och uppföljning inom barnavårdsutredningar. Vi ville göra en studie angående BBIC och när vi fick reda på att endast fem utav Sveriges 290 kommuner inte hade implementerat verktyget ville vi undersöka varför. Vi ville studera orsakerna till varför det inte är implementerat och vad de använder sig av för verktyg istället. Vi genomförde två telefonintervjuer och upptäckte att de flesta av våra intervjupersoner är tveksamma till verktyget och hur man använder det i utredningar. Eftersom tre utav de fem kommunerna ligger i Dalarna valde vi att göra telefonintervjuer, även med de som ligger i Skåne. Vi valde detta eftersom vi ville att informanterna skulle kunna svara på frågorna under samma förutsättningar. I vårt resultat fann vi att bristen på pengar och resurser är en av anledningarna till att kommunerna ännu inte implementerat BBIC.
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| 5125. |
- Larsson, Lena, et al.
(författare)
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Har han det bra så har jag det bra : ett aktionsforskningsprojekt där ett närståendestöd planerades i samarbete med närstående till yngre personer med demenssjukdom
- 2010
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Introduktion och rapportens uppläggningDet finns ett fåtal studier som har undersökt situationen för närstående till yngre personer med demenssjukdom. Dessa studier talar för att närstående som lever tillsammans med en person med demenssjukdom kommer att belastas allt tyngre och de kommer att behöva individuellt anpassat stöd för att orka med sin situation eftersom varje närståendevårdares situation är unik (Luscombe, Brodaty & Freeth, 1998, Jubb, Pollard & Chaston, 2003, Armstrong, 2003). Om närstående ska orka leva tillsammans med en partner som är demenssjuk behöver de erbjudas ett stöd som är utformat utifrån deras situation och behov. I Hälso- och sjukvårdprogrammet för Region Skåne betonas vikten av att lyfta fram yngre personer med demenssjukdom och deras närståendes situation ur ett regionperspektiv (Hälso- och sjukvårdsprogram, region Skåne, 2005). En studie där närstående själva får delta i att utforska hur ett närståendestöd bör utformas kan ge värdefull kunskap som kan bilda en bas för regionens planering av olika stödjande insatser. Syftet med denna studie var att i samarbete med närstående till personer vars demenssjukdom debuterat före 65 års ålder planera ett närståendestöd.Bakgrund till projektetAtt få en demenssjukdom och att vara närstående till en person som utvecklar en demenssjukdom är en ny situation för alla inblandade. Vi vet ganska lite om hur närstående till yngre personer med en demenssjukdom upplever sin situation. För att undvika att bördan blir för stor för de närstående behövs olika samhälleliga insatser. För att öka kunskapen kring närståendes situation genomfördes fokusgruppsintervjuer med närstående till yngre personer som drabbats av demenssjukdom.Studiens genomförande och etiska övervägandenStudien pågick mellan januari-april 2008 och genomfördes som ett deltagarbaserat aktionsforskningsprojekt där närstående till yngre personer med demens tillsammans med forskare samtalade om vilka problem närstående har att tackla samt gav förslag på hur ett närståendestöd skulle kunna utformas. Samtliga närstående var maka eller make till en person med demenssjukdom.Vad fokusgrupperna kom fram tillDiskussionerna i fokusgrupperna omfattade tre faser; Tiden före diagnos – när man anar att allt inte står rätt till, Tiden i samband med och efter diagnos – bekräftelse på att det man anat var sant, Den sena fasen – när det blev ohållbart. Dessutom framkom att det fanns behov av en funktion som benämndes Lotsen. Namnet tillkom då fokusgrupperna signalerade ett behov av en lotsfunktion, en person som skulle kunna leda och lotsa närstående i vård- och omsorgsdjungeln.Vad hände sedan?Studien har lett till att en dagsjukvårdsenhet har startat ett projekt med avsikt att stödja relationen mellan yngre personer med demenssjukdom och deras närstående.Utvärderingsplaneringen och utvärderingen har utförts av studenter i sjuksköterskeprogrammet vid högskolan Kristianstad under handledning av forskare vid forskningsplattformen för Närsjukvård.SlutordInom professionen tror man att man vet vilket stöd närstående behöver och min bestämda uppfattning var att närstående till yngre personer med demens framförallt behöver emotionellt stöd. Under studiens gång blev det dock tydligt för mig att det är omöjligt att ge stöd till närstående utan att samtidigt ta hänsyn till den sjukes behov och situation. Redan tidigt i sjukdomsförloppet behövs individuellt anpassat stöd som bör förändras i takt med sjukdomens fortskridande. Dessutom behövs en sammanhållande länk som kan lotsa vidare i processen och vara ett stöd både för den sjuke och närstående. Demenssjuksköterskan i kommunens hälso- och sjukvård skulle kunna fungera som den lots som efterfrågas.
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| 5126. |
- Larsson, Stefan, et al.
(författare)
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Academy of teaching at Kristianstad University, Sweden : concerns while creating a strategic organization for the development of scholarship of teaching and learning
- 2017
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The focus on teacher’s pedagogical skills has increased during the last years among Swedish Higher Education National Authorities. This focus is related to the adaptation to Standards and Guidelines for Quality Assurance in the European Higher Education Area (ESG), a continuation of the statements in the EU “Bologna process". Swedish universities is a late member of this community - regarding the process of the European Union Quality Insurance Model - that has been valid in EU for several years. At the same time-connected to the development described above - there has been a parallel movement at the universities in the country that match the ideas of ESG and Scholarship of Teaching and Learning: The implementation of an alternative to the Academic Research career-The Academic Teaching career. Kristianstad University has since 2013 started a Career Plan directed to all teaching staff with a clear focus on development of qualitative teaching in a broad sense. Teachers are encouraged to compile their teaching experiences in a teaching Portfolio. Your pedagogical skills will then be peer reviewed. You may either be promoted as a Skilled teacher (Level 1) or an Excellent teacher (Level 2) in the academic system if judged successfully. A wage raise will immediately turn out for both levels. In order to be able to 242 ISSOTL17: Reaching New Heights use the skills of the rewarded teacher strategically in the organization, the Head of the university has decided to implement an Academy of Teaching. The overall aim for the Academy of teaching is to strive for the wide application of the SoTL idea among the teachers at the university. The presentation will give ideas and examples of the considered benefits, problems and mission of such a group at an organizational level. The following issues has been targeted as the Academy´s main concern, by the University management: Act as a resource developing a Scholarship of Teaching and Learning culture. Act as facilitators in the development of a research based approach to teaching and learning. Become an acting arena concerning all higher education development at Campus. The presentation will as well highlight issues and processes that might overlap and concern the teaching academy´s relation to other education development functions in the university organization.
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| 5127. |
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| 5128. |
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| 5129. |
- Lauenstein, Marc, et al.
(författare)
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Clinical and microbiological results following nonsurgical periodontal therapy with or without local administration of piperacillin/tazobactam
- 2013
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Ingår i: Clinical Oral Investigations. - 1432-6981 .- 1436-3771. ; 17:7, s. 1645-1660
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: We assessed if adjunct administration of piperacillin/tazobactam added clinical and microbiological treatment benefits.MATERIALS AND METHODS: Thirty-six subjects (mean age 52.1 years (SD ± 10.3)) (NS by group) with chronic periodontitis were randomly enrolled receiving subgingival debridement and the local administration of piperacillin/tazobactam (test group) or debridement alone (control group). Bleeding on probing (BOP), probing pocket depth (PPD), and microbiological counts of 74 species were studied by checkerboard DNA-DNA hybridization up to month 6 after treatment.RESULTS: Mean PPD changes between baseline and month 6 in the test and control groups were 1.5 and 1.8 mm, respectively (NS between groups). BOP in both groups decreased from about 80 to 40 %. At 4 and 12 weeks, lower counts of the following bacteria were found in the test group (site level): Fusobacterium species, Parvimonas micra, Pseudomonas aeruginosa, Staphylococcus aureus, Tannerella forsythia, Treponema denticola, and a composite load of nine pathogens (p < 0.001). At week 26, subjects receiving local antibiotics had a lower prevalence at tested sites for Fusobacterium nucleatum sp. polymorphum, Fusobacterium periodonticum, P. micra, and T. denticola.CONCLUSIONS: At 26 weeks, treatment with or without piperacillin/tazobactam resulted in similar BOP and PPD improvements. At week 26 and at the subject level, the prevalence of 4/74 pathogens was found at lower counts in the group receiving local antibiotics.CLINICAL RELEVANCE: Administration of piperacillin/tazobactam reduces the prevalence of Fusobacterium, P. micra, and T. denticola to a greater extent than debridement alone but with no short-term differences in PPD or BOP.
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| 5130. |
- Laugen, A T, et al.
(författare)
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Do common frogs (Rana temporaria) follow Bergmann's rule?
- 2005
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Ingår i: Evolutionary Ecology Research. - 1522-0613 .- 1937-3791. ; 7:5, s. 717-731
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Tidskriftsartikel (refereegranskat)abstract
- Questions: Does intraspecific extension of Bergmann's rule - larger size within a species in cooler areas - hold true for ectotherms in general, and for the common frog (Rana temporaria) in particular? What is the relative importance of genetic and environmental factors (i.e. direct environmental induction) in determining latitudinal patterns of body size variation in common frogs?Methods: We tested for a positive association between mean body size and latitude in common frogs (Rana temporaria) across a 1600 km long latitudinal gradient in Scandinavia both for wild-collected adults and laboratory-reared metamorphs.Results: In adults, the mean body size increased from south to mid-latitudes, and declined thereafter. This occurred despite the fact that the mean age of adult frogs increased with increasing latitude, and age and body size were positively correlated. The latitudinal pattern of body size variation in metamorphs reared in a common garden experiment was similar to that observed among wild-caught adults.Conclusions: The results suggest that the concave pattern of body size variation across the latitudinal cline may be at least partly genetically determined, and that although there is considerable geographic variation in mean body size of R. temporaria, this variation does not conform with Bergmann's rule.
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