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Sökning: LAR1:gu > Tidskriftsartikel > Högskolan i Halmstad > Fritt online

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  • Canivet, C, et al. (författare)
  • Can high psychological job demands, low decision latitude, and high job strain predict disability pensions? A 12-year follow-up of middle-aged Swedish workers
  • 2013
  • Ingår i: International Archives of Occupational and Environmental Health. - 0340-0131. ; 86:3, s. 307-319
  • Tidskriftsartikel (refereegranskat)abstract
    • Objectives: The aim of this study was to investigate whether job strain, psychological demands, and decision latitude are independent determinants of disability pension rates over a 12-year follow-up period. Methods: We studied 3,181 men and 3,359 women, all middle-aged and working at least 30 h per week, recruited from the general population of Malmö, Sweden, in 1992. The participation rate was 41 %. Baseline data include sociodemographics, the Job Content Questionnaire, lifestyle, and health-related variables. Disability pension information was obtained through record linkage from the National Health Insurance Register. Results: Nearly 20 % of the women and 15 % of the men were granted a disability pension during the follow-up period. The highest quartile of psychological job demands and the lowest quartile of decision latitude were associated with disability pensions when controlling for age, socioeconomic position, and health risk behaviours. In the final model, with adjustment also for health indicators and stress from outside the workplace, the hazard ratios for high strain jobs (i.e. high psychological demands in combination with low decision latitude) were 1.5 in men (95 % CI, 1.04-2.0) and 1.7 in women (95 % CI, 1.3-2.2). Stratifying for health at baseline showed that high strain tended to affect healthy but not unhealthy men, while this pattern was reversed in women. Conclusions: High psychological demands, low decision latitude, and job strain were all confirmed as independent risk factors for subsequent disability pensions. In order to increase chances of individuals remaining in the work force, interventions against these adverse psychosocial factors appear worthwhile. © 2012 Springer-Verlag.
  • Elf, Mikael, 1959-, et al. (författare)
  • ‘The web is not enough, it's a base’ – an explorative study of what needs a web-based support system for young carers must meet
  • 2011
  • Ingår i: Informatics for Health and Social Care. - 1753-8157. ; 36:4, s. 206-219
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to gain knowledge about the specific needs that a web-based support system for young carers (YCs) must meet. Twelve young people with experience of caring for and supporting a close friend, partner or relative with mental illness (MI) were interviewed about their life situation, support needs and opinions about a hypothetical web-based support system. The transcribed interviews were analysed using content analysis. The analysed data were organised into three themes relating to support needs, each including a number of sub-themes: knowledge - understanding MI, managing the mentally ill person and self-care; communication - shared experiences, advice and feedback, and befriending; and outside involvement - acute relief, structured help and health care commitments. Web-based support for YCs may be a suitable way to meet the need for knowledge and to meet some of the needs for communication. We have outlined a concept of a geographically anchored web support to meet the need for befriending, facilitate connections to health and social care, and increase understanding and interaction between the parties involved. Further research is needed to corroborate the results.
  • Ericsson, Claes, 1947-, et al. (författare)
  • The music classroom in focus. Everyday culture, identity, governance and knowledge formation.
  • 2010
  • Ingår i: Nordic Research in Music Education. Yearbook. - 1504-5021. ; 12, s. 101-116
  • Tidskriftsartikel (refereegranskat)abstract
    • This article is based on a larger research project with the purpose to study how market aesthetics and student’s music culture are expressed in the Swedish music classroom. The empirical material consists of video observations of classroom activities in secondary school settings in Sweden. The theoretical framework consists of poststructuralist and social constructionist theory combined with theories of late modernity, while our methodological point of departure is discourse analysis. Some important analytical concepts are identity, dominance, governance and knowledge formation. Three different strategies for incorporating market aesthetics and students’ music culture into music education were identified: learning about, reflecting on and applying. An ideological dilemma occurred when the fostering mission of school was confronted with the will to meet the students’ demands for freedom of expression. The results of the project also suggest that standardised and regulated forms of activity were counterproductive to creativity in music making. Six different strategies of gentle governance in the music classroom were identified. Popular music was presented by the teachers in a way analogous to the canon of art music that is predominant in the teaching of music history at school.
  • Eriksson, Karl Martin, 1970-, et al. (författare)
  • Community level analysis of psbA gene sequences and irgarol tolerance in marine periphyton
  • 2009
  • Ingår i: Applied and Environmental Microbiology. - 0099-2240. ; 75:4, s. 897-906
  • Tidskriftsartikel (refereegranskat)abstract
    • This study analyzes psbA gene sequences, predicted D1 protein sequences, species relative abundance, and pollution-induced community tolerance in marine periphyton communities exposed to the antifouling compound Irgarol 1051. The mechanism of action of Irgarol is the inhibition of photosynthetic electron transport at photosystem II by binding to the D1 protein. The metagenome of the communities was used to produce clone libraries containing fragments of the psbA gene encoding the D1 protein. Community tolerance was quantified with a short-term test for the inhibition of photosynthesis. The communities were established in a continuous flow of natural seawater through microcosms with or without added Irgarol. The selection pressure from Irgarol resulted in an altered species composition and an inducted community tolerance to Irgarol. Moreover, there was a very high diversity in the psbA gene sequences in the periphyton, and the composition of psbA and D1 fragments within the communities was dramatically altered by increased Irgarol exposure. Even though tolerance to this type of compound in land plants often depends on a single amino acid substitution (Ser(264)-> Gly) in the D1 protein, this was not the case for marine periphyton species. Instead, the tolerance mechanism likely involves increased degradation of D1. When we compared sequences from low and high Irgarol exposure, differences in nonconserved amino acids were found only in the so-called PEST region of D1, which is involved in regulating its degradation. Our results suggest that environmental contamination with Irgarol has led to selection for high-turnover D1 proteins in marine periphyton communities at the west coast of Sweden.
  • Haglund, E., et al. (författare)
  • Work productivity in a population-based cohort of patients with spondyloarthritis
  • 2013
  • Ingår i: Rheumatology. - 1462-0324. ; 52:9, s. 1708-1714
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective. To assess work productivity and associated factors in patients with SpA.Methods. This cross-sectional postal survey included 1773 patients with SpA identified in a regional health care register. Items on presenteeism (reduced productivity at work, 0-100%, 0 = no reduction) were answered by 1447 individuals. Absenteeism was defined as register-based sick leave using data from a national register. Disease duration, disease activity (BASDAI), physical function (BASFI), health-related quality of life (EQ-5D), anxiety (HAD-a), depression (HAD-d), self-efficacy Arthritis Self-efficacy Scale (ASES) pain and symptom, physical activity and education were also measured.Results. Forty-five per cent reported reduced productivity at work with a mean reduction of 20% (95% CI 18, 21) and women reported a higher mean reduction than men (mean 23% vs 17%, P < 0.001). Worse quality of life, disease activity, physical function and anxiety all correlated with reduced productivity (r = 0.52-0.66, P < 0.001), while sick leave did not. Worse outcomes on the EQ-5D (β-est -9.6, P < 0.001), BASDAI (β-est 7.8, P < 0.001), BASFI (β-est 7.3, P < 0.001), ASES pain (β-est -0.5, P < 0.001) and HAD-d (β-est 3.4, P < 0.001) were associated with reduced productivity at work in patients with SpA regardless of age, gender and disease subgroup. ASES symptoms, HAD-a and education level <12 years were associated with reduced productivity but were not significant in all strata for age, gender and disease subgroup.Conclusion. Work productivity was reduced in patients with SpA and more so in women. Worse quality of life, disease activity, physical function, self-efficacy and depression were all associated with reduced productivity at work in patients with SpA.
  • Jansson, Inger, et al. (författare)
  • Obtaining a Foundation for Nursing Care at the Time of Patient Admission
  • 2009
  • Ingår i: Open Nursing Journal. - Hilversum : Bentham Science Publishers. - 1874-4346. ; 3, s. 56-64
  • Tidskriftsartikel (refereegranskat)abstract
    • The nursing process can be viewed as a problem-solving model, but we do not know whether use of the whole process including care plans with interventions based on nursing diagnoses improves nurses' ability to carry out assessments. Therefore, the aim of this study was to illuminate and describe the assessment and decision-making process performed by nurses who formulated individual care plans including nursing diagnosis, goals and interventions or who used standardized care plans when a patient was admitted to their ward for care, and those who did not. Data collection and analysis were carried out by means of Grounded theory. Nurses were observed while assessing patients, after which they were interviewed. The main concern of all nurses was to obtain a foundation for nursing care based on four strategies; building pre-understanding, creating a caring environment, collecting information on symptoms and signs and performing an analysis from different perspectives. It appeared that the most important aspect for nurses who did not employ care plans was the medical reason for the patient's admission. The nurses who employed care plans discussed their decisions in terms of nursing problems, needs and risks. The results indicate that nurses who formulated care plans were more aware of their professional role.
  • Jonsson, Linus, 1986-, et al. (författare)
  • Exploring exercise behavior and well-being of Swedish university students - A self-determination perspective
  • 2013
  • Ingår i: Idrottsforum. - 16527224. ; 2013–04–16, s. 1-21
  • Tidskriftsartikel (övrigt vetenskapligt)abstract
    • The purpose of this study was to investigate relationships between motivational profile, self-efficacy, basic needs satisfaction, exercise behavior, and well-being among Swedish university students. A set of the instruments including GLTEQ, SHIS, BPNES, BREQ-2 and BARSE was distributed at a university in southern Sweden. The respondents (n=260) included men (n=122) and women (n=138). For analysis and processing of the gathered data SPSS was used with Pearson’s r and Multiple Regression Analysis. The results showed that competence, autonomy and relatedness were positive predictors of self-determined motivation, whilst identified regulation, intrinsic regulation and barrier self-efficacy were positive predictors for strenuous exercise. Moreover, a regression analysis showed that only competence was a significant predictor for well-being; however, positive correlations were shown between all the basic needs and well-being. Satisfaction of the basic needs seem to result in more self-determined motivation and higher levels of barrier self-efficacy, which in turn increases the number of strenuous exercise sessions per week. Furthermore, satisfaction of the basic needs, especially competence through exercise, appears to be important for university students’ well-being. Strenuous exercise itself may also have the potential to positively influence well-being.
  • Josefsson, Ulrika, 1965-, et al. (författare)
  • Person-centred web-based support - development through a Swedish multi-case study.
  • 2013
  • Ingår i: BMC medical informatics and decision making. - 1472-6947. ; 13:1
  • Tidskriftsartikel (refereegranskat)abstract
    • BackgroundDeparting from the widespread use of the internet in modern society and the emerging use of web applications in healthcare this project captures persons’ needs and expectations in order to develop highly usable web recourses. The purpose of this paper is to outline a multi-case research project focused on the development and evaluation of person-centred web-based support for people with long-term illness. To support the underlying idea to move beyond the illness, we approach the development of web support from the perspective of the emergent area of person-centred care. The project aims to contribute to the ongoing development of web-based supports in health care and to the emerging field of person-centred care.Methods/DesignThe research design uses a meta-analytical approach through its focus on synthesizing experiences from four Swedish regional and national cases of design and use of web-based support in long-term illness. The cases include children (bladder dysfunction and urogenital malformation), young adults (living close to persons with mental illness), and two different cases of adults (women with breast cancer and childbearing women with type 1 diabetes). All of the cases are ongoing, though in different stages of design, implementation, and analysis. This, we argue, will lead to a synthesis of results on a meta-level not yet described.DiscussionTo allow valid comparisons between the four cases we explore and problematize them in relation to four main aspects: 1) The use of people’s experiences and needs; 2) The role of use of theories in the design of person-centred web-based supports; 3) The evaluation of the effects of health outcomes for the informants involved and 4) The development of a generic person-centred model for learning and social support for people with long-term illness and their significant others. Person-centred web-based support is a new area and few studies focus on how web-based interventions can contribute to the development of person-centred care. In summary, the main intention of the project outlined here is to contribute with both a synthesis of results on meta-level from four cases and a substantial contribution to the field person-centred care.
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