| 1. |
- Fadl, Helena, 1965-, et al.
(författare)
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Changing diagnostic criteria for gestational diabetes in Sweden-a stepped wedge national cluster randomised controlled trial-the CDC4G study protocol
- 2019
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Ingår i: Bmc Pregnancy and Childbirth. - : Springer Science and Business Media LLC. - 1471-2393. ; 19:1
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Tidskriftsartikel (refereegranskat)abstract
- Background The optimal criteria to diagnose gestational diabetes mellitus (GDM) remain contested. The Swedish National Board of Health introduced the 2013 WHO criteria in 2015 as a recommendation for initiation of treatment for hyperglycaemia during pregnancy. With variation in GDM screening and diagnostic practice across the country, it was agreed that the shift to new guidelines should be in a scientific and structured way. The aim of the Changing Diagnostic Criteria for Gestational Diabetes (CDC4G) in Sweden () is to evaluate the clinical and health economic impacts of changing diagnostic criteria for GDM in Sweden and to create a prospective cohort to compare the many long-term outcomes in mother and baby under the old and new diagnostic approaches. Methods This is a stepped wedge cluster randomised controlled trial, comparing pregnancy outcomes before and after the switch in GDM criteria across 11 centres in a randomised manner. The trial includes all pregnant women screened for GDM across the participating centres during January-December 2018, approximately two thirds of all pregnancies in Sweden in a year. Women with pre-existing diabetes will be excluded. Data will be collected through the national Swedish Pregnancy register and for follow up studies other health registers will be included. Discussion The stepped wedge RCT was chosen to be the best study design for evaluating the shift from old to new diagnostic criteria of GDM in Sweden. The national quality registers provide data on the whole pregnant population and gives a possibility for follow up studies of both mother and child. The health economic analysis from the study will give a solid evidence base for future changes in order to improve immediate pregnancy, as well as long term, outcomes for mother and child.
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| 2. |
- Petersson, Christer, et al.
(författare)
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Ett kvartssekel med föräldragrupper i barnhälsovården - var står vi idag?
- 2005
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Ingår i: Läkartidningen. - 0023-7205. ; 102:39, s. 6-2754
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Tidskriftsartikel (refereegranskat)abstract
- En trygg föräldrarelation, präglad av värme och rimliga gränser, är en viktig förutsättning för barns hälsa och välfärd och för att de senare i livet ska kunna samspela förtroendefullt med omgivningen. Inom hälso- och sjukvården finns idag en omfattande verksamhet, exempelvis öppna föräldragrupper, vars syfte är att ge stöd i föräldraskapet. En aktuell rapport från Folkhälsoinstitutet visar att en stor del av denna verksamhet fortfarande saknar vetenskaplig evidens, men också att tillgången på evidens ökat dramatiskt under de senaste 10–15 åren. Här redovisas resultaten från tre lokala studier av föräldragrupper inom barnhälsovården, vilka exemplifierar resultaten i Folkhälsoinstitutets rapport.
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| 3. |
- Petersson, Kerstin, et al.
(författare)
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What is good parental education?
- 2004
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 1471-6712 .- 0283-9318. ; 18:1, s. 82-89
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to highlight the experiences and expectations of Swedish parents with respect to general parental education within child healthcare. Interviews were carried out with 25 parents who had attended education sessions. With a few exceptions the fathers did not take part, and those mothers who did comprised a relatively highly educated group; their views therefore predominate in this study. Socially vulnerable parents such as the unemployed and immigrants took part more sporadically in the meetings, which is why less material is available from these groups. The arrangement and analysis of the material was done using qualitative content analysis. We identified two main categories of importance: 'parental education content' and 'parental education structure'. The parents were on the whole satisfied with the content with respect to the child's physical and psychosocial development. On the other hand, first-time parents expressed a degree of uncertainty with respect to the new parent roles and parent relation and they thought that the education should place more emphasis on the interplay between the parents and between child and parents. The degree of confidence in the nurse as group leader was mainly high. The parents thought that the groups functioned well socially and were satisfied with the organization of the meetings. They did, however, demand clearer structure and framework with respect to the content. Since the aim of legally established parental education is to improve the conditions of childhood growth and to provide support to parents, it must be considered especially important to provide resources so that the socially vulnerable groups in the community may also be reached.
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| 4. |
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| 5. |
- Thulesius, Hans, et al.
(författare)
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Learner-centred education in end-of-life care improved well being in home care staff: a prospective controlled study.
- 2002
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Ingår i: Palliative Medicine. - : SAGE Publications. - 1477-030X .- 0269-2163. ; 16:4, s. 54-347
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this controlled study was to evaluate a 1-year learner-centred educational project in end-of-life care for home care staff in a rural district of Sweden. Another rural district in the same region served as a control area. A 20-item questionnaire measuring attitudes towards end-of-life care was designed, and the Hospital Anxiety and Depression (HAD) scale was used to measure mental well being. Increased agreement to 18 of 20 attitude statements was seen in the education group, while 2 of 20 items showed a decreased agreement in the control group. Test retest reliability of the 20-item questionnaire was good (r =0.92). The total HAD score decreased from 8.3 pretest to 5.3 post-test in the education group (95% CI=2.1– 3.7; P<0.001), and was 6.8 for both years in the control group. Our study shows that a comprehensive educational programme not only improved attitudes towards end-of-life care, but also the mental well being of the home care staff.
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| 6. |
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| 7. |
- Bränning, Camilla, et al.
(författare)
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Counterworking Male Takeover during Class Room Activities in Superior Technical Education
- 2005
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Ingår i: [Host publication title missing].
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Konferensbidrag (refereegranskat)abstract
- An increase in student activity is the goal of various pedagogic approaches and highly valued in most teaching situations. The benefits of student activation are widely discussed in literature (Fox, 1983), but possible drawbacks of such techniques need to be identified and compensations need to be found. This paper discusses a case study concerning one particular course moment, a seminar, held over a two-year period in a program with a strong underrepresentation of female students. The study shows how changes in the pedagogic approach can lead to an increased student activity, although accompanied by a total male takeover of the class room activity. It seems like traditional social structures tend to take over the class room activities, determining the roles that different gender groups may play (Parker, 1996; Olevard, 1997). At the same time, seminars are an important factor in the socialization of students, affecting the following cultural and structural development in the academia. “Hence, besides the content of the course, students attending seminars learn social structures as well, determining who may or may not speak” (Gunnarsson, 1995). The tools presented in this paper are applicable in any LTH classroom and also in future work places. To counterwork male takeover, without suppressing the overall student activity, is the topic of this paper. Different pedagogic measures are analyzed in this context and discussed in the paper.
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| 8. |
- Clausson, Eva, et al.
(författare)
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School nurses' view of schoochildren's health and their attitudes to document it in the school health record : a pilot study
- 2003
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley-Blackwell Publishing Ltd. - 0283-9318 .- 1471-6712. ; 17:4, s. 392-398
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Tidskriftsartikel (refereegranskat)abstract
- This study highlights school nurses' view of schoolchildren's health and their attitude to document it in the school health records. A strategic sample of 12 school nurses was interviewed. The interviews were semistructured and analysed with qualitative content analysis. The findings showed that the school nurses' viewed schoolchildren as physical healthy although they called attention to growing problems related to a changed lifestyle. Psychosocial ill-health was however increasing and the most common reason for visiting the school nurse was psychosomatic expressions. According to the nurses' descriptions, health was related to the individual, the school and the family situation. The family situation was mentioned as one of the most important factors of schoolchildren's health. The nurses described no problem to document schoolchildren's physical health. Ethical consideration, tradition, lack of time and the structure of the record were however factors that were said to hinder the documentation of the psychosocial health. In order to promote, protect and recover schoolchildren's health, more research is needed about how beliefs, experience, ethical consideration and resources influence the school nurse's daily work with schoolchildren's health.
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| 9. |
- Drevenhorn, Eva, et al.
(författare)
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Blood pressure measurement--an observational study of 21 public health nurses
- 2001
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Ingår i: Journal of Clinical Nursing. - : Wiley. - 1365-2702 .- 0962-1067. ; 10:2, s. 189-194
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to observe how public health nurses perform blood pressure measurement. Structured observations were made of 21 randomly selected public health nurses while they performed three blood pressure measurements. The public health nurses used an overall correct method for blood pressure measurement. Five nurses out of 21 used the Tri-cuff but the soft cuff was most frequently used. When choosing the breadth of the cuff, 10 nurses decided by eye and not by the marks on the cuff. To ensure a completely correct method additional information is needed by nurses.
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| 10. |
- Drevenhorn, Eva, et al.
(författare)
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Counseling Hypertensive patients: an observational study of 21 public health nurses
- 2001
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Ingår i: Clinical Nursing Research. - : SAGE Publications. - 1054-7738 .- 0000-0000. ; 10:4, s. 369-386
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Tidskriftsartikel (refereegranskat)abstract
- This study observed the public health nurse's and the patient's activity level during blood pressure measurement and the kind of nonpharmacological treatment that was given. Using the Nurse Practitioner Rating Form, three structured observations were made of 21 public health nurses at their offices at health care centers. The nurses were randomly selected from 22 health care centers in Southern Sweden. The public health nurses used nonpharmacological treatment at 18 out of 63 visits, mainly diet and physical activity. The nonpharmacological conversation had a psychosocial aspect at 15 observations. During the visits, most of the facts and advice concerned somatic aspects of health promotion. Almost all patients were asked about their medication. At more than half of the observations, the nurses and the patients met at the same medium or high communication level. The nurses need training and information about nonpharmacological treatment to practice health promotion in hypertension care.
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