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- Gustafsson, Ida, et al.
(författare)
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Breastfeeding and experienced exposedness in partner relationshiop
- 2023
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Ingår i: Abstract Book The Nordic Breastfeeding Conference 2023.
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Konferensbidrag (refereegranskat)abstract
- BREASTFEEDING AND EXPERIENCED EXPOSEDNESS IN PARTNER RELATIONSHIPIda Gustafsson RN, RM, Lecturer, PhD-studentFaculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, SwedenGunilla Carlsson RN, PhD, ProfessorFaculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, SwedenKatarina Karlsson RN, PhDFaculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, SwedenAleksandra Jarling RN, PhD, LecturerFaculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, SwedenLina Palmér RN, RM, PhD, Associate Professor, DocentFaculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden Background: About 110 000 children are born in Sweden annually. The vast majority of their mothers wish to breastfeed, and also initiate breastfeeding. An important factor for continued breastfeeding is support, especially from the partner. It is likely that lack of support can lead to perceived vulnerability in the partner relationship. Intimate partner violence (IPV) during pregnancy is in Sweden nearly as common as gestational diabetes and the frequency seems to rise postpartum. IPV is multifaceted and encompasses many types and degrees of violence. In a caring science perspective the experience of vulnerability and/or exposedness in partner relationship during breastfeeding (or breastfeeding desire) risks negatively affecting womens health and well-being, regardless of the reason or degree of exposedness. For care to be caring - that is, support health and well-being - knowledge is needed from the perspective of the exposed women. Previous lifeworld theoretical research has shown that breastfeeding may be experienced as an existential challenge and that exposedness to violence during the childbearing period means a long-lasting embodied experience. In this project, these two phenomena are intertwined into a common phenomenon - Breastfeeding in case of experienced exposedness in a partner relationship. Aim: The purpose of the PhD-project is to develop in-depth knowledge of existential meanings of breastfeeding in case of experienced exposedness in a partner relationship (Study 1-2), and what it means to be cared for (Study 3), as well as to give care and support in this context (Study 4). Methods: The project has a reflective lifeworld approach. Data has been collected through lifeworld interviews and written lifeworld stories and will be analyzed using a phenomenological or hermeneutical approach. Results & Conclusion: The results and conclusions of the first study are expected to be completed in the summer of 2023 and will be presented at the conference.
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| 2. |
- Kleye, Ida, 1984-, et al.
(författare)
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Children's communication of emotional cues and concerns during a preoperative needle procedure
- 2022
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Ingår i: Patient Education and Counseling. - : Elsevier BV. - 0738-3991 .- 1873-5134. ; 105:6, s. 1518-1523
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Tidskriftsartikel (refereegranskat)abstract
- ObjectiveThis study explores children’s expressions of emotional cues and concerns during needle procedures, nurses’ responses and findings in relation to children’s age and sex.MethodsTwenty-six children aged 6–12 years were video recorded during a preoperative needle procedure. Emotional communication was analyzed using Verona Coding Definitions of Emotional Sequences.ResultsA total of 111 cues or concerns were identified in the observed needle procedures, with a distribution of 77 cues and 34 concerns. A majority of children (85%) expressed emotional cues through non-verbal communication. No differences between child age or sex related to expressed emotion were found. The child elicited the communicated emotion in 98% of sequences. Nurses' responses were coded as not providing space for communication in 75% of sequences.ConclusionChildren are capable of expressing their emotional distress, primarily non-verbally, during needle procedures. A child showing less overt expressions during a needle procedure does not necessarily experience less fear or pain. The nurses’ communication focused on practical information during the needle procedure, with less attention to the child’s distress.Practice implicationsNurses need to develop strategies to be aware of emotions the child communicates before, during and after a needle procedure.
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| 3. |
- Kleye, Ida, 1984-, et al.
(författare)
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Children's individual voices are required for adequate management of fear and pain during hospital care and treatment
- 2021
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Ingår i: Scandinavian Journal of Caring Sciences. - : John Wiley & Sons. - 0283-9318 .- 1471-6712. ; 35:2, s. 530-537
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Tidskriftsartikel (refereegranskat)abstract
- Background: Children often report both fear and pain in conjunction with clinical care and treatment. Interventions developed in the field have still not been sufficient to prevent and relieve children’s fear and pain. More knowledge, from children’s own perspectives, is needed about how they deal with their experiences.Aim: To explore child-identified strategies that children use to manage fear and pain during needle-related medical procedures in hospital.Methods: Interviews with children, age 4–12 years, with experience of hospital care were analysed qualitatively using content analysis.Results: Children have self-identified strategies for dealing with fear and pain during hospital care and treatment. The strategies vary depending on examination or treatment and on how the child felt at that particular day. Children describe what they can do themselves, how adults can empower them and support from surroundings as strategies that give them a choice and a voice. Children wished to have influence, decide when and how information should be given, scream out loud or squeeze something hard, to deal with fear and pain. The results also show that children tried to be brave, gain control and think positively. Something nice to look at and opportunities to play with others also contributed.Conclusions: Strategies vary between children and are used differently on different occasions. Healthcare professionals pose a threat to the child’s needs and ability to use their strategies due to lack of knowledge of the child’s chosen strategies.
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| 4. |
- Kleye, Ida, 1984-, et al.
(författare)
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Positive effects of a child‐centered intervention on children's fear and pain during needle procedures
- 2023
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Ingår i: Paediatric and Neonatal Pain. - : Wiley. - 2637-3807 .- 2637-3807. ; 5:1, s. 23-30
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Tidskriftsartikel (refereegranskat)abstract
- To examine whether children experience less fear or pain using a child-centered intervention and if there were differences between the intervention group and the control group regarding heart rate, time required for the procedure, success rate for the cannula insertion, and patient satisfaction. A controlled single-center case study of observational design, with one control and one intervention group. Child self-reported fear or pain levels did not reveal any differences for those receiving the intervention compared with controls. However, according to a behavioral observation measure with the Procedure Behavior Check List, effects of the intervention were lower distress in relation to fear and pain during the cannula insertion. The time it took to perform the cannula insertion also decreased significantly in the intervention group. More children in the intervention group reported that they were satisfied with the needle procedure compared with the children in the control group. The child-centered intervention provides reduced observed distress related to fear and pain in children undergoing a cannula insertion and reduced total time by more than 50%. This study found that child involvement in care strengthen their ability to manage a needle procedure.
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