| 1. |
- Ahlborg, Tone, 1950, et al.
(författare)
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Assessing the quality of the dyadic relationship in first-time parents: development of a new instrument.
- 2005
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Ingår i: Journal of family nursing. - Thousand Oaks, Calif. : SAGE Publications. - 1074-8407 .- 1552-549X. ; 11:1, s. 19-37
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this research was to psychometrically evaluate the Dyadic Adjustment Scale (DAS), modified for use with new, first-time parents by extending the items of communication, sensuality, and sexuality. A total of 820 Swedish respondents, 6 months after the birth of their first child, participated in the study. Psychometric evaluation was conducted with factor analysis. The obtained factor structure was tested with multitrait analysis program. Thirty-three items were found to fit into a five-factor solution, explaining 50% of the total variance. Descriptive data revealed that most new parents were satisfied with their intimate relationship in general, but dissatisfied with their sexual lives. The modified DAS, now called the Quality of Dyadic Relationship Instrument includes 33 items and seems to be a useful, updated measurement for assessing quality of the intimate relationship in new first-time parents.
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| 2. |
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| 3. |
- Bergman, Bodil, et al.
(författare)
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Moving away from facades : in-depth interviews with subjectively healthy women diagnosed with distress
- 2005
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Ingår i: Qualitative Research in Psychology. - London : Sage Publications. - 1478-0887 .- 1478-0895. ; 2:2, s. 169-183
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Tidskriftsartikel (refereegranskat)abstract
- Objectives:To gain a deeper understanding of why women, diagnosed with mental distress, reported good physical and mental health. What could the reason be and how did they feel four to five years later?Method: In-depth interviews were conducted with seven women; age 33 to 52, who worked in a Swedish male-dominated industry. The methodological approach relied on grounded theory.Results:A conceptual model was generated in the analysis, describing a temporal process of change in the women's self-image. Three core concepts illuminated this process:(1) maintaining an ideal self-image, (2) waking up/reappraising health and (3) struggling for a realistic self. The women were moving away from facades of meeting social expectations and pleasing others toward trusting and setting boundaries for themselves. Moving away from symptoms such asasthma, migraine and infections, as well as family problems, they felt and hoped that they had more control over their lives.Conclusions:A conceptual model was proposed to illustrate a temporal change in women's self-image related to their changing perception of health. Women's newway of life challenges the support system within organizations and society.
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| 4. |
- Bernson, Jenny M, et al.
(författare)
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'Making dental care possible - a mutual affair'. A grounded theory relating to adult patients with dental fear and regular dental treatment
- 2011
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Ingår i: European Journal of Oral Sciences. - Copenhagen : Munksgaard Forlag. - 0909-8836 .- 1600-0722. ; 119:5, s. 373-380
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Tidskriftsartikel (refereegranskat)abstract
- Dental fear is a common and widespread problem, which can cause severe stress. Even so, most patients with dental fear undergo regular dental treatment in spite of their fear and many enjoy good oral health. The aim of this study was to obtain a deeper understanding of how patients with dental fear manage to undergo dental treatment. Fourteen patients with dental fear, who undergo regular dental care, were interviewed. Qualitative analysis of the transcribed interviews was performed according to the principles of grounded theory. A conceptual framework was generated, and the main concern was identified as 'making dental care possible - a mutual affair'. Four additional categories explained how patients handled their dental fear and how dental care became possible. The strategies were labelled 'taking part in a mental wrestling match', 'trust-filled interaction with dental staff', 'striving for control' and 'seeking and/or receiving social support'. The results showed that making dental care possible for patients with dental fear is a mutual challenge that requires interplay between dental staff and patients, involving verbal and non-verbal communication reflecting respect, attention, and empathy. Moreover, a balance between nearness and distance and between professional and personal treatment is required.
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| 5. |
- Brink, Eva, et al.
(författare)
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Health-related quality of life in women and men one year after acute myocardial infarction
- 2005
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Ingår i: Quality of Life Research. - Dordrecht : Springer Science and Business Media LLC. - 0962-9343 .- 1573-2649. ; 14:3, s. 749-57
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of the present study was, first, to detect possible changes in health-related quality of life (HRQL) over time and, second, to predict HRQL at 1 year based on measures made 1 week and 5 months after a first-time acute myocardial infarction. There was an improvement in HRQL at 1 year, as measured by the questionnaire 36-item Medical Outcomes Study Short-Form (SF-36), for both men and women as compared with the assessment 5 months after the acute myocardial infarction. However, the pattern was somewhat different for women and men. Women mainly reported increased scores on scales reflecting better mental health, whereas men, on the whole, demonstrated higher scores in the physical health domain. Depression (HAD) and fatigue were identified as early predictors of lower HRQL at the 1-year follow-up. Our conclusion is that early assessment of fatigue and depression is worthwhile, as they may indicate decreased HRQL in men and women 1 year after first-time myocardial infarction.
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| 6. |
- Brink, Eva, 1952-, et al.
(författare)
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Readjustment 5 months after a first-time myocardial infarction : reorienting the active self.
- 2006
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Ingår i: Journal of Advanced Nursing. - Oxford : Wiley. - 0309-2402 .- 1365-2648. ; 53:4, s. 403-11
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Tidskriftsartikel (refereegranskat)abstract
- AIM: This paper reports on an interview study exploring the self-regulation process in women and men, 5 months after a first-time myocardial infarction. BACKGROUND: Somatic, psychological and social factors affect readjustment after a first-time myocardial infarction, and studies have demonstrated substantial rates of depression in patients after myocardial infarction Women report poorer mental health and physical condition than do men. Reconstruction of the self begins when disease poses novel problems and is more likely to occur in cases of long-lasting and disruptive illnesses. Experiencing myocardial infarction is likely to alter a person's mental representation of self. However, the self-regulation process following first-time myocardial infarction is not yet fully understood. METHOD: Twenty-one people (11 women, 10 men) were interviewed 5 months after first-time myocardial infarction. The grounded theory method provided the strategies for data collection and analysis. FINDINGS: Interviewees' definition of themselves as active was threatened by fatigue and other health problems that kept them from taking part in activities as they had done before the heart attack. Although reorienting the active self was central to the process of recovery from myocardial infarction, reorienting was restricted by illness perception and coping. CONCLUSION: Participants had not established a stable health condition 5 months after first-time myocardial infarction. They mainly preferred to moderate rather than radically change their daily life activities. They needed more knowledge and support. Nurses can help with information and advice on managing daily life activities, including dialogue about lifestyle changes at this phase of readjustment.
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| 7. |
- Carlsson, Ing-Marie, 1961-, et al.
(författare)
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Swedish women's experiences of seeking care and being admitted during the latent phase of labour : A grounded theory study
- 2007
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Ingår i: Midwifery. - Edinburgh : Churchill Livingstone. - 0266-6138 .- 1532-3099. ; 25:2, s. 172-180
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Tidskriftsartikel (refereegranskat)abstract
- Objective: to gain a deeper understanding of how women who seek care at an early stage experience the latent phase of labour.Design: a qualitative interview study using the grounded theory approach.Setting: the study was conducted at a hospital in the southwestern part of Sweden with a range of 1600-1700 deliveries per year. The interviews took place in the women's homes two to six weeks after birth.Participant: eighteen Swedish women, aged 22-36, who were admitted to the tabour ward while they were stilt in the latent phase of tabour.Findings: 'Handing over responsibility' to professional caregivers emerged as the core category or the central theme in the data. The core category and five additional categories formed a conceptual model explaining what it meant to women being admitted in the early stage of tabour and their experiences of the Latent phase of tabour. The categories, which all related to the core category, were labelled: (1) 'longing to complete the pregnancy,' (2) 'having difficulty managing the uncertainty,' (3) 'having difficulty enduring the stow progress,' (4) 'suffering from pain to no avail' and (5) 'oscillating between powerfulness and powerlessness.'Conclusions and implications for practice: findings indicate that women being admitted to the tabour ward in the latent phase of tabour experienced a need for handing over responsibility for the tabour, the welt-being of the unborn baby, and for themselves. Midwives have an important role in assisting women with coping during the latent phase of tabour, and in giving the women opportunity to hand over responsibility. This care should include validation of experienced pain and confirmation of the normality of the slow process, information and support. © 2007 Elsevier Ltd. All rights reserved.
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| 8. |
- Dahlöf, Lars-Gösta, 1943, et al.
(författare)
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Quality of the intimate ans sexual relationship in the first-time parents six months after delivery
- 2005
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Ingår i: Journal of sex research. - Syracuse, N.Y. : Society for the Scientific Study of Sexuality. - 0022-4499 .- 1559-8519. ; 42:2, s. 167-174
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Tidskriftsartikel (refereegranskat)abstract
- This study aimed to describe the quality of the intimate relationship among par-ents six months after the birth of their first child. The Dyadic Adjustment Scale (DAS) has been modified and used on 820 responding first-time parents, of which 768 were couples. The results reveal that most parents were happy in their rela-tionship, but both mothers and fathers were discontented with the dyadic sexual-ity. "Being too tired for sexual activity" was a problem, especially for the mothers, and the most common frequency of intercourse was once or twice per month. The result does not support the assumption that the couples compensate the lacking sexuality with sensuality. Good communication within the couple was associated with higher levels of several dimensions of the intimate relationship, especially dyadic consensus and satisfaction. Thus, one way to stabilize and strengthen a relationship when dyadic sexual activity is low would be to emphasize dyadic communication and sensual activity.
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| 9. |
- Dellve, Lotta, 1965, et al.
(författare)
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“Making it work in the frontline” explains female home care workers´ defining, recognising, communicating and reporting of occupational disorders.
- 2008
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Ingår i: Qualitative Studies On Health And Wellbeing. - Abingdon : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 3:3, s. 176-184
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Tidskriftsartikel (refereegranskat)abstract
- Epidemiological research has so far failed to explain the high incidence of occupational disorders among home care workers (HCWs) and the great differences in organizational incidence rate. A qualitative approach may contribute to a deeper understanding of work group reasoning and handling in a more contextual manner. The aim of this grounded theory study was to gain a deeper understanding of the main concern in the processes of recognizing, communicating and reporting occupational disorders among HCWs. Focus group interviews were conducted with 40 HCWs in 9 focus groups. The selected municipalities represented variations in municipality type and incidence rate of occupational disorders. Making it work in the frontline was identified as the core category explaining that the perceived work situation in home care work was the main concern but interacted with work-group socialising processes as well as with the communicability and derivability of the occupational disorder when defining and reporting occupational disorders. Complex problems could be reformulated and agreed within the workgroup to increase communicability. Described significances for reporting/non-reporting were related to financial compensation, to a part of organizational political game or to an existential uncertainty, i.e. questioning if it belonged to their chosen work and life. Our conclusion is that working situation and work group attitudes have importance for reporting of occupational disorders. To support work-related health for HCWs, integrating communication should be developed about work-related challenges in work situation, as well as about attitudes, culture and efficiency within work-group.
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| 10. |
- Dellve, Lotta, 1965, et al.
(författare)
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Stress and well-being among parents of children with rare diseases: a prospective intervention study
- 2006
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Ingår i: Journal of Advanced Nursing. - Oxford : Wiley. - 0309-2402 .- 1365-2648. ; 53:4, s. 392-402
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Tidskriftsartikel (refereegranskat)abstract
- AIM: This paper reports a study to assess stress, well-being and supportive resources experienced by mothers and fathers of children with rare disabilities, and how these variables were affected by an intensive family competence intervention. BACKGROUND: Despite diagnosis-specific studies, little overall knowledge exists about life-consequences for families of children with rare disorders. METHOD: We used a prospective design with baseline data and two follow-ups (at 6 and 12 months) after an intervention. The intervention aimed at empowering parents in managing their child's disability. Parents from all parts of Sweden visiting a national centre for families of children with rare disabilities were consecutively selected (n = 136 mothers, 108 fathers). Instruments of parental stress, social support, self-rated health, optimism and life satisfaction and perceived physical or psychological strain were used. Stratified analyses were carried out for mothers and fathers, and related to parental demands: single mothers, full-time employment, participation in a parent association, child's age and type of disability. RESULTS: We found high parental stress, physical and emotional strain among mothers, especially among single mothers. Fathers showed high stress related to incompetence, which decreased after the intervention. Decreased strain was found among full-time working mothers and fathers after the intervention. Parents' perceived knowledge and active coping and mothers' perceived social support were increased at follow-up. Factors related to parents' overall life satisfaction (57-70% explained variance) changed after the intervention, from being more related to internal demands (perceived strain, incompetence and social isolation) to other conditions, such as problems related to spouse, paid work and social network. CONCLUSION: Parents, especially fathers and full-time working parents, may benefit from an intensive family competence programme.
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