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Sökning: WFRF:(Hultsjö Sally 1973 )

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1.
  • Hultsjo, S, et al. (författare)
  • Immigrants in emergency care: Swedish health care staff's experiences
  • 2005
  • Ingår i: International Nursing Review. - : Wiley-Blackwell. - 0020-8132 .- 1466-7657. ; 52:4, s. 276-285
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: During the past few decades Sweden has developed into a multicultural society. The proportion of patients with different cultural backgrounds increases, which naturally makes new demands on health care staff. Aim: To identify whether staff in somatic and psychiatric emergency care experienced problems in the care of migrants, and if so to compare these. Method: The study design was explorative. Focus group interviews of 22 women and 13 men working as nurses and assistant nurses at an emergency ward, an ambulance service and a psychiatric intensive care unit were held. Findings: The results showed that the main problems experienced in all wards were difficulties related to caring for asylum-seeking refugees. Some dissimilarities were revealed: unexpected behaviours in migrants related to cultural differences described by staff working in the emergency ward; migrants' refusal to eat and drink and their inactive behaviour in the psychiatric ward; and a lot of non-emergency runs by the ambulance staff because of language barriers between the emergency services centre and migrants. Conclusion: The main problems experienced by the healthcare staff were situations in which they were confronted with the need to care for asylum-seeking refugees. Practice implications: These emphasize the importance of support from organizational structures and national policies to develop models for caring for asylum-seeking refugees. Simple routines and facilities to communicate with foreign-language-speaking migrants need to be developed. Health care staff need a deeper understanding of individual needs in the light of migrational and cultural background.
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2.
  • Arvidsson, Hans, et al. (författare)
  • Needs and care of migrants considered as severely mentally ill : cross-sectional and longitudinal studies of a Swedish sample
  • 2009
  • Ingår i: European psychiatry. - : Cambridge University Press. - 0924-9338 .- 1778-3585. ; 24:8, s. 533-539
  • Tidskriftsartikel (refereegranskat)abstract
    • PurposeHigher incidence of mental illnesses and less access to care is previously reported concerning migrants but few studies focus on the needs and care of migrant groups in psychiatry. The aim of this study was to compare differences in needs and care between migrant and nonmigrant groups of severely and persistently mentally ill (SMI) after the 1995 Swedish mental health care reform.MethodsIn a Swedish area, inventories were made in 2001 and 2006 of persons considered as SMI. These persons were interviewed and their needs were assessed. In a cross-sectional study in 2006, needs and care were compared between migrants and nonmigrants. In a longitudinal study, migrants and nonmigrants interviewed in both 2001 and 2006 were compared concerning the development of needs and care.ResultsThe needs of the migrant group were less taken care of. In 2006, there were more unmet needs in this group concerning accommodation, physical health, psychological distress, basic education and economy.ConclusionThe improvement of groups considered as SMI concerning functional disability and efforts of care found in the actual area did not seem to include the migrant group, at least not to the same degree.
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3.
  • Bergqvist, Anette, et al. (författare)
  • Preventing the Development of Metabolic Syndrome in People with Psychotic Disorders—Difficult, but Possible : Experiences of Staff Working in Psychosis Outpatient Care in Sweden
  • 2013
  • Ingår i: Issues in Mental Health Nursing. - : Taylor & Francis. - 0161-2840 .- 1096-4673. ; 34:5, s. 350-358
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to explore mental health staffs’ experiences of assisting people with psychotic disorders to implement lifestyle changes in an effort to prevent metabolic syndrome. Qualitative interviews were conducted with 12 health care professionals working in psychosis outpatient care in Sweden. Data were analysed using a qualitative content analysis. The results illustrate that implementation of lifestyle changes among people with psychotic disorders was experienced as difficult, but possible. The greatest obstacles experienced in this work were difficulties due to the reduction of cognitive functions associated with the disease. Guidelines available to staff in order to help them identify and prevent physical health problems in the group were not always followed and the content was not always relevant. Staff further described feelings of uncertainty about having to motivate people to take anti-psychotic medication while simultaneously being aware of the risks of metabolic deviations. Nursing interventions focusing on organising daily routines before conducting a more active prevention of metabolic syndrome, including information and practical support, were experienced as necessary. The importance of healthy eating and physical activity needs to be communicated in such a way that it is adjusted to the person's cognitive ability, and should be repeated over time, both verbally and in writing. Such efforts, in combination with empathic and seriously committed community-based social support, were experienced as having the best effect over time. Permanent lifestyle changes were experienced as having to be carried out on the patient's terms and in his or her home environment.
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4.
  • Hultsjö, Sally, 1973- (författare)
  • Caring for foreign‐born persons with psychosis and their families : Perceptions of psychosis care
  • 2009
  • Ingår i: Disseration. - Linköping : Linköping University Electronic Press.
  • Doktorsavhandling (övrigt vetenskapligt)abstract
    • The aim of this thesis was to describe and analyse perceptions of psychosis care among those involved in care, foreign-born persons with psychoses, their families and health care staff, and further to reach agreement about core components in psychosis care. This was in order to find out whether current psychosis care in Sweden is suitable for foreign-born persons and their families. The study design was explorative and descriptive. Health care staff (n=35), persons with psychosis (n=22) and families (n=26) of persons with psychosis were chosen from different regions in Southern Sweden. To capture health care staff’s experiences and to explore whether specific needs occurred within psychiatric care, nine focus group interviews were held. The perspectives of psychosis care among persons with psychoses and their families were captured through individual interviews. Finally, a study was accomplished all over Sweden in which staff, foreign-born persons with psychosis and foreign-born families of persons with psychoses answered a questionnaire to identify core components in psychosis care of foreign-born persons and their families. There was agreement that the core components in psychosis care concern general psychiatric caring, even though varying perceptions were identified. Asking about foreign-born persons’ religious and ethnic background or having the possibility to decide whether care should be provided by male or female staff were agreed to be less important. No agreement could be reached concerning the importance of considering different perceptions of psychosis care, treatments and different ways of managing the psychosis. Nor could agreement be reached as to whether staff should have specific cultural knowledge and whether interpreters should be unknown to the family but speak the right dialect. Perceptions among staff in somatic and psychiatric care as well as perceptions among foreign- and Swedish-born persons with psychosis and their families were more similar than different. General psychiatric care is important for Swedish-born as well as foreign-born persons with psychosis and their families, indicating the importance of not letting culturally determined perceptions dictate the care and take away energy from health care staff and make them lose their focus on the basic elements in general psychiatric care. However, within the general care there were individual perceptions on whose importance those involved in care did not agree. Further development suggested is to illuminate the importance of identifying individual perceptions which may differ between different persons and could be related to cultural background. Staff need to acquire strategies so they can easily manage to encounter and offer general care to foreign-born persons. Development must be achieved on both an organizational level and an individual level.
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5.
  • Hultsjö, Sally, 1973-, et al. (författare)
  • Health behaviors as conceptualized by individuals diagnosed with a psychotic disorder
  • 2013
  • Ingår i: Issues in Mental Health Nursing. - : Taylor & Francis. - 0161-2840 .- 1096-4673. ; 34:9, s. 665-672
  • Tidskriftsartikel (refereegranskat)abstract
    • The purpose of this study is to describe health behaviors as conceptualized by individuals diagnosed with a psychotic disorder. Data were collected by qualitative interviews (n = 20) and were analyzed using phenomenography. Mental well-being took priority over physical health and guided health behaviors. Social relations were significant, and when they proved insufficient, health care professionals were utilized as a substitute. Some relied on religion, complementary treatments, and folk beliefs for health. Interventions not dependent on mental well-being, and assisting individuals to participate in appropriate networks could have advantages. Interventions adapted to the individual's financial situation and cultural values are useful as issues related to these areas can obstruct implementation of health behaviors. Implementing the findings of this study in nursing research and education will prepare nurses to meet the varying health needs of different individuals.
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6.
  • Hultsjö, Sally, 1973-, et al. (författare)
  • Identifying core components in care of foreign-born persons with psychosis and their families : Using the Delphi technique
  • Annan publikation (övrigt vetenskapligt)abstract
    • The purpose of this study was to let persons involved in psychosis care (foreign-born persons, families and health care staff) identify the core components in care of foreign-born persons with psychosis and their families in Sweden. The results from three previous qualitative studies consisting of perceptions of psychosis care were reformulated and structured into statements in a questionnaire which was delivered to 43 persons involved in psychosis care. The statements were scored in terms of perceived importance in two rounds using the Delphi technique. The results revealed agreement about the importance of general psychiatric care. Individual perceptions on which importance there was no agreement, suggested that staff must seek to understand a person’s individual perceptions to gain insight about ways to build an effective care alliance with foreign born persons with psychosis and their families.
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7.
  • Hultsjö, Sally, 1973-, et al. (författare)
  • Mötet mellan vårdpersonal och patienter med utländsk bakgrund inom akutsjukvård i sverige.
  • 2006
  • Ingår i: forskningsprojektet Arbetsmarknad, Migration och Etniska relationer Växjö Universitet. - Göteborg : Intellecta Docusys, Göteborg. ; , s. 15-29
  • Bokkapitel (övrigt vetenskapligt)abstract
    • Kapitlet ger en sammanfattning av vilka svårigheter vårdpersonal inom svensk akut hälso- och sjukvård stöter på i vården av personer med utländsk bakgrund.
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8.
  • Hultsjö, Sally, 1973-, et al. (författare)
  • Mötet mellan vårdpersonal och patienter med utländsk bakgrund inom akutsjukvården i Sverige
  • 2006. - 1
  • Ingår i: Flervetenskapliga perspektiv i migrationsforskning. - : Växjö University Press. - 9176365204 - 9789176365205 ; , s. 15-29
  • Bokkapitel (övrigt vetenskapligt)abstract
    •    Under mångkulturåret 2006 publiceras denna bok som är den fjärde årsboken från Växjö universitets forskningsprofil ”Arbetsmarknad, Migration och Etniska relationer (AMER). Forskningsprofilen inrättades år 2001 och får årligen betydande ekonomiskt stöd av Växjö universitet. Avsikten har varit att utveckla en forskningsmiljö omfattande fyra ämnen: historia, nationalekonomi, sociologi och vårdvetenskap. Via tilldelat anslag stöds även forskning inom den nationalekonomiska arbetsmarknadsforskargruppen CAFO och Växjö universitets samarbete med Svenska Emigrantinstitutet. Avsikten med forskningsmiljön är att utveckla och stimulera forskning och forskarutbildning inom området. Syftet är också att utveckla grundutbildningens innehåll och samverkan med det omgivande samhället.Bokens innehåll speglar flera vetenskapers syn på frågor inom migrationsområdet och känns extra viktig att publicera under år 2006 som utnämnts till mångkulturåret. Författarna i boken representerar inte enbart olika ämnesdiscipliner utan utgörs också av personer som kommer ifrån olika länder och med varierande erfarenhet och kompetens inom forskning.Att flytta till ett nytt land innebär en anpassningsprocess som kan inverka på migrantens hälsa. I boken återfinns tre kapitel som berör detta, två av dessa kommer ifrån ämnet vårdvetenskap och ett ifrån ämnet nationalekonomi. Unika resultat från Björn Albins doktorsavhandling redovisas i avsnittet ”Hälsa bland invandrare i Sverige i ett långtidsperspektiv”. Ny kunskap om erfarenheter av att vårda invandrare inom det svenska hälso-och sjukvårdssystemet har doktoranden Sally Hultsjö och docent Katarina Hjelm skrivit om i kapitlet ”Mötet mellan vårdpersonal och patienter med utländsk bakgrund inom akutsjukvården i Sverige”. Nydisputerade Maria Nilsson redovisar kunskapsläget kring ”Sjukfrånvaron bland invandrare i Sverige – Utvecklingen under perioden 1981-1991”. Faktorer som kan inverka på hälsa och sjukdom har att göra med t ex diskriminering men också med vilken generation av invandrare man tillhör. En junior- och en seniorforskare i ämnet nationalekonomi diskuterar metodologiska aspekter på dessa faktorer: Filosofie doktor Ali Ahmed och professor Jan Ekberg i kapitlet ”Kan diskriminering studeras med experimentella metoder?” och professor Jan Ekberg i avsnittet ”Kan man studera tre generationer invandrare i Sverige?”. En annan faktor av betydelse för anpassningen i det nya landet och levnadsvillkoren där är yrket och två avsnitt inom det sociologiska fältet berör detta: ”Svenska mot modersmål – utvecklingen av två olika lärargrupper” och ”Den gode invandraren bakar inte pizza – Invandrares företagande i svensk forskning och politik” vilka har författats av doktoranderna Anna-Maria Sarstrand respektive Henrik Hultman. Slutligen behöver vi historiska kunskaper för att förstå såväl vår samtid som framtid och boken avslutas med kapitlen ”…en, efter förhållandena utmärkt tillvaro…”- De danska flyktingarna, arbetsmarknadskommissionen och hjälpkommittén för danska flyktingar i Kalmar 1943” och ”Invandrare som önskade stanna. Ungerska lantarbetare i Sverige i slutet av 1940-talet” författade av filosofie doktorerna Malin Thor respektive Attila Lajos.Som redaktör är det särskilt glädjande att konstatera att de flesta av årsbokens kapitel är författade av doktorander eller tidigare doktorander inom forskningsprofilen AMER.Förhoppningen med boken är att de flervetenskapliga perspektiven skall bidraga till en ökad förståelse för mångkulturella spörsmål!Växjö i september 2006
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9.
  • Hultsjö, Sally, 1973-, et al. (författare)
  • Perceptions of psychiatric care among foreign- and Swedish-born people with psychotic disorders
  • 2007
  • Ingår i: Journal of Advanced Nursing. - 0309-2402 .- 1365-2648. ; 60:3, s. 279-288
  • Tidskriftsartikel (refereegranskat)abstract
    • AIM: This paper is a report of a study to explore different perceptions of psychiatric care among foreign- and Swedish-born people with psychotic disorders. BACKGROUND: Research from different countries reports a high-incidence of psychosis among migrants. The risk-factors discussed are social disadvantages in the new country. To understand and meet the needs of people from different countries, their perspective of psychiatric care must be illuminated and taken into consideration. METHOD: A phenomenographic study was conducted in 2005-2006 using semi-structured interviews with a convenience sample of 12 foreign-born people and 10 Swedish-born people with psychosis. FINDINGS: Three categories were identified: personal and family involvement in care; relating to healthcare staff; and managing illness and everyday life. Foreign-born people differed from Swedish-born people in that they struggled to attain an everyday life in Sweden, relied on healthcare staff as experts in making decisions, and had religious beliefs about mental illness. Among Swedish-born people, the need for more support to relatives and help to perform recreational activities was important. CONCLUSION: It is important to identify individual perceptions and needs, which may be influenced by cultural origins, when caring for patients with psychosis. Previous experience of care, different ways of relating to staff, and individual needs should be identified and met with respect. Social needs should not be medicalized but taken into consideration when planning care, which illustrates the importance of multi-professional co-operation.
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10.
  • Hultsjö, Sally, 1973-, et al. (författare)
  • The borderline between life and death : Mental healthcare professionals' experience of why patients commit suicide during ongoing care
  • 2019
  • Ingår i: Journal of Clinical Nursing. - : John Wiley & Sons. - 0962-1067 .- 1365-2702. ; 28:9-10, s. 1623-1632
  • Tidskriftsartikel (refereegranskat)abstract
    • AIMS AND OBJECTIVES: To explore mental health professionals' experiences in regard to circumstances that cause the patient to take their own life during ongoing care.BACKGROUND: Suicide is a worldwide health problem, and of those who take their own life, nearly 20% have had contact with a psychiatric unit. Mental health professionals may have extended intuitive knowledge that has not been made visible. Mental health professionals' experiences can contribute knowledge that can complement suicide risk assessments and can be helpful in developing approaches and strategies where the hope is to identify and draw attention to people at risk of taking their own life.DESIGN: A reflective lifeworld research.METHODS: Twelve interviews with mental health professionals with experience of working in caring relationships with patients that had taken their life during the period of care. The study was performed in accordance with COREQ (see Supporting Information Data S1).RESULTS: Mental health professionals' experiences regarding circumstances that cause the patient to take their own life are related to the patient's life circumstances that led to a loss of dignity, and finally beyond retrieval. Mental health professionals share patients' struggle to choose between life and death, the darkness of their life and their hopeless situation. This shared experience also makes the mental health professionals wish to relieve patient's suffering but also gives them an understanding of why patients take their own life.CONCLUSIONS: The mental health professionals experience how the patient loses the possibility of living a worthwhile life, recognise darkness within the patient and see how the patient's life is fragile. Suicide described as logical and expected, based on their life and life circumstances, has not been found in previous research. Bearing this in mind, should psychiatric care focus on a proactive approach and act when these circumstances are identified?RELEVANCE TO CLINICAL PRACTICE: The Mental health professionals' tacit knowledge may be used to strengthen uncertain suicide assessments.
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