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Sökning: LAR1:hh > Högskolan Kristianstad > Engelska

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  • Arvidsson, Susann, et al. (författare)
  • Experiences of health-promoting self-care in people living with rheumatic diseases
  • 2011
  • Ingår i: Journal of Advanced Nursing. - 0309-2402. ; 67:6, s. 1264-1272
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim This paper is a report of a study which explores and describes the meaning of the phenomenon health-promoting self-care as experienced by people living with rheumatic diseases.Background People with rheumatic diseases estimate health status as low and health belief and health status influence the self-care behaviours. Several self-care behaviours are used in the efforts to mitigate the diseases.Method The study had a descriptive phenomenological approach based on a reflective life-world perspective. Data were gathered in 2007 by unstructured open-ended interviews with 12 individuals living with rheumatic diseases.Findings The meaning of health-promoting self-care as experienced by people living with rheumatic diseases was that self-care takes place against a background of continual hope and belief to influence health in positive ways. Self-care was a way of life and implied being ready to understand and respond to signals from the body. Three inter-related constituents elucidated the experiences: dialogue, power struggle and choice. Self-care was experienced as dialogues within the body and with the immediate environment. In order to respond to signals from the body, power struggles were required to be entered when fighting the diseases. Choices were required to be made and things that were beneficial for the body were prioritized.Conclusion In this study, the meaning of health-promoting self-care as experienced by people living with rheumatic diseases was that self-care was a way of life. This meant to be ready to understand and respond to signals from the body. Self-care required dialogues, power struggles and choices.
  • Björklund, Margereth, et al. (författare)
  • Cancer patients' experiences of nurses' behaviour and health promotion activities : a critical incident analysis
  • 1999
  • Ingår i: European Journal of Cancer Care. - 0961-5423. ; 8:4, s. 204-212
  • Tidskriftsartikel (refereegranskat)abstract
    • Patients with head and neck cancer report several disease- and health-related problems before, during and a long time after completed treatment. Nurses have an important role in educating/supporting these patients about/through the disease and treatment so that they can attain well-being. This study describes the cancer patients' experiences of nurses' behaviour in terms of critical incidents after nurses had given them care to promote health. The study had a qualitative, descriptive design and the method used was the critical incident technique. Twenty-one informants from the Nordic countries diagnosed with head and neck cancer were strategically selected. It was explained to the informants what a critical incident implies before the interviews took place; this was defined as a major event of great importance, an incident, which the informants still remember, due to its great importance for the outcome of their health and well-being. The nurses' behaviour was examined, and critical incidents were involved in 208 cases-150 positive and 58 negative ones-the number of incidents varying between three and 20 per informant. The nurses' health promotion activities or lack of such activities based on the patients' disease, treatment and symptoms, consisted of informing and instructing the patients as well as enabling their participation. Personal consideration and the nurses' cognisance, knowledge, competence, solicitude, demeanour and statements of understanding were found to be important. Continuous health promotion nursing interventions were of considerable value for the majority of this group of cancer patients. Oncology nurses could reconfirm and update the care of head and neck cancer patients by including health promotion activities in individual care plans. By more frequent use of health promotion models, such as the empowerment model, the nurses could identify and focus on those individuals who needed to alter their life-style as well as tailor their approach towards these patient by setting goals for well-being and a healthy life-style.
  • Bodin, Hristina, et al. (författare)
  • Tracer behaviour and analysis of hydraulics in experimental free water surface wetlands
  • 2012
  • Ingår i: Ecological Engineering : The Journal of Ecotechnology. - Amsterdam : Elsevier. - 0925-8574. ; 49, s. 201-211
  • Tidskriftsartikel (refereegranskat)abstract
    • Effects of inlet design and vegetation type on tracer dynamics and hydraulic performance were investigated using lithium chloride in 18 experimental free water surface wetlands. The wetlands received similar water flow but had different vegetation types: 6 emergent vegetation wetlands (EVWs), 6 submerged vegetation wetlands (SVWs) and 6 free development wetlands (FDWs). Two types of inlet designs were applied: half of each wetland vegetation type had a barrier near the inlet to help distribute incoming tracer solution, while the rest had no barrier. Residence time distribution (RTD) functions were calculated from tracer data using two techniques: method of moments and a novel Gauss modelling approach. RTD functions were used to quantify hydraulic parameters: active wetland volume (e-value), water dispersion (N-value) and hydraulic efficiency (lambda-value). For wetlands without barrier, significantly lower tracer mass recoveries were found from EVWs compared to FDWs and SVWs, signifying a risk of tracer methodological problems in small densely vegetated wetlands. These problems were minimized in wetlands with an inflow construction promoting distribution of incoming tracer solution. Compared to the method of moments, Gauss modelling seemed to produce more reliable lambda-values but less reliable N-values. Data for precise hydraulic quantification were lost by Gauss modelling, as indicated by overall lower variance in these data sets and lower mass recoveries. However, Gauss modelling may minimize uncertainties associated with lithium immobilization/mobilization. Parameters were significantly affected by the RTD data analysis method, showing that the choice of method could affect evaluation of wetland hydraulics. The experimental wetlands in this study exhibited relatively high e-values and low N-values. This was probably caused by the small size of the wetlands and low water flow velocities, emphasizing that hydraulic parameter values obtained in small experimental wetlands may not be applicable to hydraulics in larger wetlands. The method of moments revealed lower e-values from EVWs compared to SVWs and FDWs. It was indicated that lower e-values were mainly caused by vegetation volumes. This highlighted a need for regular maintenance to secure efficient treatment volume in wetlands with dense vegetation. © 2012 Elsevier B.V.
  • Bökberg, Christina, et al. (författare)
  • Best practice and needs for improvement in the chain of care for persons with dementia in Sweden: a qualitative study based on focus group interviews
  • 2014
  • Ingår i: BMC Health Services Research. - BioMed Central. - 1472-6963. ; 14
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Persons with dementia receive health care and social services from a wide range of professional care providers during the disease trajectory, presenting risks of miscommunication, duplication and/or missed nursing interventions. Accordingly, the aim of this study was to investigate professional care providers' views on conditions for best practice in terms of collaboration and improvement needs in the chain of care from early to end-of-life stage for persons with dementia in Sweden. Methods: The study had a qualitative design based on three focus group interviews. A strategic sample of 23 professional care providers was included. Data were subjected to content analysis based on the three stages of dementia (early, moderate, end-of-life). Results: The results were divided into five categories: Diagnosis is a prerequisite for specialized dementia care, Creating routines in the chain of care, Competent staff a prerequisite for high-quality care, Day care facilitates transition in the chain of care and Next-of-kin participation is a prerequisite for continuity in the chain of care. It was clear that, according to the participants, best practice in dementia care in Sweden is not achieved in every respect. It appeared that transitions of care between different organizations are critical events which need to be improved. The further the disease progresses, the less collaboration there seems to be among professional care providers, which is when the next of kin are usually called upon to maintain continuity in the chain of care. Conclusions: The results indicate that, according to the care providers, best practice in terms of collaboration is achieved to a higher degree during the early stage of dementia compared with the moderate and end-of-life stages. Lack of best practice strategies during these stages makes it difficult to meet the needs of persons with dementia and reduce the burden for next of kin. These are experiences to be taken into account to improve the quality of dementia care. Implementation research is needed to develop strategies for best practice on the basis of national knowledge-based guidelines and to apply these strategies in the moderate and end-of-life stages.
  • Collin, Sven-Olof, 1957- (författare)
  • The board's functional emphasis a contingency approach
  • 2008
  • Ingår i: Corporate Ownership & Control. - 1727-9232. ; 6:2, s. 73-88
  • Tidskriftsartikel (refereegranskat)abstract
    • We present a contingency approach to the board’s functional emphasis, considering a fourth function in addition to monitoring, decision making, and service or resource provision. The additional function is conflict resolution (or principal identification). The approach contrasts with mainstream research by assuming that the firm is a nexus of investments, avoiding the empirical assumption that the shareholder is the sole principal. We derive propositions that are not restricted to any empirical category of a corporation, and address praxis implications for managing functional disharmony.
  • Collin, Sven-Olof, et al. (författare)
  • Turnover and heterogeneity in top management networks a demographic analysis of two Swedish business groups
  • 2008
  • Ingår i: International Journal of Business Science and Applied Management. - 1753-0296. ; 3:3, s. 31-55
  • Tidskriftsartikel (refereegranskat)abstract
    • A theory based on the demography of top management teams is used to explain membership turnover in two Swedish business groups, network analysis being used to define group membership. The results suggest these business groups possess a combination of financial and industrial experience as a group resource and the socialising strategy of control as a force counteracting the conflict-producing force of heterogeneity. An organisational demographic perspective focusing on opposing forces of heterogeneity and homogeneity is developed. It is shown that the perspective can be applied both to formal organisations and to informal ones such as networks.
  • Collin, Sven-Olof Yrjö, 1957-, et al. (författare)
  • Explaining the choice of accounting standards in municipal corporations : positive accounting theory and institutional theory as competitive or concurrent theories
  • 2009
  • Ingår i: Critical Perspectives on Accounting. - 1045-2354. - 1045-2354 ; 20:2, s. 141-174
  • Tidskriftsartikel (refereegranskat)abstract
    • Municipal corporations exist in an institutional twilight area, being both private and public, a characteristic, which presumably would be reflected in their choice of accounting standards. The literature of accounting choice does not, however, live in a twilight area, but is fragmented into two main divisions: positive accounting theory (PAT) and institutional theory (IT); only in a very few cases do the theories meet or cross-fertilize. We use both theories in this paper and derive hypotheses from them to explain accounting choices made by municipal corporations. Through testing the hypotheses on a sample of 545 Swedish municipal corporations, we indicate the empirical relevance of both PAT and IT. We conclude by suggesting an integrative approach of PAT and IT in an eclectic alternative.
  • Einberg, Eva-Lena, et al. (författare)
  • Awareness of demands and unfairness and the importance of connectedness and security Teenage girls’ lived experiences of their everyday lives
  • 2015
  • Ingår i: International Journal of Qualitative Studies on Health and Well-being. - 1748-2623. ; 10
  • Tidskriftsartikel (refereegranskat)abstract
    • In recent years, a number of studies have demonstrated that stress and mental health problems have increased among adolescents and especially among girls, although little is still known concerning what girls experience in their everyday lives. The aim of this study was to describe the phenomenon of teenage girls’ everyday lives, as experienced by the girls themselves. A phenomenological approach of reflective lifeworld research was used, and the findings are based on eight qualitative interviews with girls aged 13–16 years. The essence of teenage girls’ everyday lives as experienced by the girls themselves can be described as consciousness regarding demands and unfairness and regarding the importance of connectedness and security. The girls are aware of the demands of appearance and success, and they are conscious of the gender differences in school and in the media that affect them. The girls are also conscious about the meaning of connectedness with friends and family, as well as the importance of the security of their confidence in friends and feeling safe where they stay. If teenage girls feel connected and secure, protective factors in the form of manageability and meaningfulness can act as a counterweight to the demands and unfairness of everyday life. For professionals who work with teenage girls, the results from this study can be important in their work to support these girls.
  • Einberg, Eva-Lena, et al. (författare)
  • Friendship Relations From the Perspective of Children With Experience of Cancer Treatment : A Focus Group Study With a Salutogenic Approach
  • 2015
  • Ingår i: Journal of Pediatric Oncology Nursing. - Thousand Oaks : Sage Publications. - 1043-4542. ; 32:3, s. 153-164
  • Tidskriftsartikel (refereegranskat)abstract
    • Friendships are significant to child development and health but diseases such as cancer can interrupt the contact with friends. The purpose of this study was to describe perceptions of friendship from the perspective of children undergoing cancer treatment, in order to build knowledge that can be used in a health promotion intervention for these children. Fifteen children between 8 and 12 years of age participated in focus groups, where a mixture of informative and creative techniques were used. The focus group discussions were analyzed using qualitative content analysis. The analysis resulted in three generic categories, “Common interests and experiences,” “Mutual empathic actions.” and “Mutual trust and understanding,” incorporating seven subcategories. Based on children’s descriptions from a salutogenic perspective, friendship emerged as An equal and mutual commitment that evolves over time and with interactions face-to-face and digitally, a child perspective on friendship should be central to the development of health promotion interventions designed to support friendship relations of children treated for cancer. © 2014 by Association of Pediatric Hematology/Oncology Nurses
  • Einberg, Eva-Lena, et al. (författare)
  • Psychometric evaluation of a Swedish version of Minneapolis-Manchester quality of life-youth form and adolescent form
  • 2013
  • Ingår i: Health and Quality of Life Outcomes. - London : BioMed Central. - 1477-7525. ; 11
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: It has become important to measure long-term effects and quality of life in survivors of childhood cancer. The Minneapolis- Manchester Quality of Life (MMQL) instrument has been proven to better capture the quality of life (QoL) perspective of health than other instruments. The instrument has age appropriate versions and is therefore favourable for longitudinal studies of QoL of children surviving from cancer. The aim of this study was to evaluate the psychometric properties of the Swedish version of MMQL-Youth Form and the Adolescent Form focusing on: 1) face and content validity 2) the internal consistency and 3) the test-retest reliability. Methods: The sample consisted of 950 pupils (11–16<img src="http://www.ncbi.nlm.nih.gov/corehtml/pmc/pmcents/x2009.gif" />years old) from 7 schools in the western Sweden who completed the questionnaire. For the test-retest evaluation 230 respondents completed the questionnaire two weeks later. Results: Face and content validity was supported and internal consistency was found to be acceptable for the total scale for both the MMQL-Youth Form (8–12<img src="http://www.ncbi.nlm.nih.gov/corehtml/pmc/pmcents/x2009.gif" />years of age) and the Adolescent Form (13–20<img src="http://www.ncbi.nlm.nih.gov/corehtml/pmc/pmcents/x2009.gif" />years of age). Test-retest reliability for the MMQL-Youth Form was moderate for 50% of the items and good for the remaining. For the MMQL-Adolescent Form the test-retest showed moderate or good agreement for 80% of the items and fair for 20%. Conclusions: The result indicated that the Swedish version of the MMQLYouth Form and Adolescent Form was valid and reliable in a sample of healthy children in a Swedish context. It is recommended to test the instrument among diverse samples of children such as survivors of childhood cancer in order to validate its usefulness in research and clinical settings. © 2013 Einberg et al.; licensee BioMed Central Ltd.
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