| 1. |
- Mangrio, Elisabeth, 1978-, et al.
(författare)
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Nyanlända flyktingars upplevelse av hälsa under etableringen i Sverige : Delrapport från MILSA 2.0
- 2020
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Rapport (populärvet., debatt m.m.)abstract
- BakgrundMigration överlag är en faktor som kan leda till ökade stressnivåer bland migranter vilket ofta kan bero på de omständigheter som förekommit kring själva flykten. Efter att de nyanlända anlänt till värdlandet väntar ofta en period av osäker väntan på uppehållstillstånd vilket har tydligt visat sig korrelera negativt med den psykiska hälsan. I samband med beviljat uppehållstillstånd påbörjas en rad stödinsatser för etablering i samhället. I Sverige erbjuds alla nyanlända att delta i etableringsprocessen vilken innebär ett individanpassat stöd för den nyanländes etablering i samhället. En grundförutsättning för ett aktivt deltagande i etableringsprocessen är en god hälsa samt en stabil tillvaro i form av en trygg boendesituation. En särskilt utsatt grupp bland de nyanlända är familjer med barn där utmaningarna med etableringen är betydligt mer skiftande jämfört med de ensamstående. Dessutom utgör nyanlända kvinnor av olika anledningar en särskilt utsatt grupp. Det är därmed av vikt att närmare belysa hur de nyanlända familjerna och särskilt de nyanlända kvinnorna ser på sin hälsa och sin situation under etableringsprocessen i Sverige.SyfteSyftet med studien var att belysa nyanlända familjers upplevelse av hälsa under det att de deltar i etableringsprocessen samt att särskilt belysa nyanlända kvinnors situation under etableringen.Material och metodFöreliggande rapport utgörs av två delstudier genomförda med kvalitativ forskningsmetod. Båda delstudierna har baserats på insamlat material genom kvalitativa intervjuer. Intervjuerna har baserats på semi-strukturerade frågescheman som innebär att ett antal övergripande frågor eller teman använts som utgångspunkt vid intervjuerna. Totalt genomfördes 26 intervjuer varav 15 med fokus på familjer och 11 med fokus på kvinnornas situation. Det insamlade materialet har i den första delstudien bearbetats med Attride-Stirlings metod i form av ett tematiskt nätverk och i den andra delstudien med Burnards metod för innehållsanalys. Eftersom det förekommer svårigheter med språket så tidigt inpå flykten till Sverige genomfördes intervjuerna med hjälp av auktoriserade tolkar. Alla intervjuer utfördes i Skåne län.SlutsatsNyanlända familjer i etableringen kämpade med väntan på ett erhålla uppehållstillstånd och utmanades även av att hitta ett stabilt boende för sina familjer. Barnen trivdes bra i skolan och föräldrarna drevs av att lära sig det svenska språket samt att komma in på arbetsmarknaden. Detta upplevdes dock10som en utmaning. En del av föräldrarna led även av att ha familjemedlemmar kvar i hemlandet och utmanades av den nya sociala situationen i Sverige. Vad gäller kvinnornas situation specifikt framkom det att återföreningen med familjemedlemmar var viktig eftersom saknaden efter dem ansågs kunna påverka den psykiska hälsan negativt. Kvinnorna i studien verkade vara ivriga till att lära sig språket och att komma in på arbetsmarknaden.Sammanfattningsvis är det viktigt att påpeka att föreliggande undersökning avsåg att studera upplevelsen av hälsa men att detta tema av respondenterna besvarades i relation till hälsans bestämningsfaktorer såsom arbetslöshet, delaktighet och svenskt socialt nätverk samt trygg boendesituation.
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| 2. |
- Stenberg, Marie, et al.
(författare)
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Collaboration between first year undergraduate nursing students : A focused ethnographic study
- 2022
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Ingår i: Nurse Education in Practice. - : Elsevier. - 1471-5953 .- 1873-5223. ; 64
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Tidskriftsartikel (refereegranskat)abstract
- AIM: The aim was to explore collaboration between first year undergraduate nursing students in a three-year bachelor program during clinical skills lab practices.BACKGROUND: The ability to collaborate is important in the nursing profession to ensure patient safety. Thus, efforts supporting nursing students with learning activities emphasizing this ability is crucial in nurse education as a preparation for the requirements of the nursing profession. Collaborative learning models are described as ways that support the students' interaction during education. However, collaboration between students has shown to have challenges such as negative competition and confrontations. This stresses the need to explore the collaboration between students to find ways to support the interaction.DESIGN: The study was conducted with a focused ethnographic approach.METHOD: Data were generated by participant observations during one semester, involving 70 h observation of 87 first year nursing students for 6 months and 24 training sessions in clinical skills lab practices. Two focus group discussions were used to elaborate students' views of collaboration and to provide an opportunity for follow up questions and interpretations from the observations. Field notes and focus group discussions were interpreted as one unit of analysis conducted with thematic network analysis. A global theme were synthesized from organizational and additional basic themes presenting the overall metaphor of the students' collaboration.RESULT: The global theme, Between adaptation and non-conformity, revealed a field of tension in the nursing students' collaboration. One the one hand, the global theme involved the students' ability to adopt to new knowledge and to being a nursing student in a clinical skills lab and to others' perspective. On the other hand, non-conformity creates a collaboration with less reflection between the students and non-synchronized and time-consuming laboratory work.CONCLUSION: Collaborative activities in nurse education fosters and challenges nursing students' collaboration required for clinical practices and later in the nursing profession. By the presented scaffolding efforts, nurse educators can arrange a learning environment that can support the collaboration between students and facilitate the transition into the profession.
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| 3. |
- Stenberg, Marie, et al.
(författare)
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Formative peer assessment in higher healthcare education programmes : a scoping review
- 2021
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Ingår i: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 11:2
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Forskningsöversikt (refereegranskat)abstract
- Objectives Formative peer assessment focuses onlearning and development of the student learning process.This implies that students are taking responsibility forassessing the work of their peers by giving and receivingfeedback to each other. The aim was to compile researchabout formative peer assessment presented in higherhealthcare education, focusing on the rationale, theinterventions, the experiences of students and teachersand the outcomes of formative assessment interventions.Design A scoping review.Data sources Searches were conducted until May 2019in PubMed, Cumulative Index to Nursing and Allied HealthLiterature, Education Research Complete and EducationResearch Centre. Grey literature was searched in LibrarySearch, Google Scholar and Science Direct.Eligibility criteria Studies addressing formative peerassessment in higher education, focusing on medicine,nursing, midwifery, dentistry, physical or occupationaltherapy and radiology published in peer-reviewedarticlesor in grey literature.Data extractions and synthesis Out of 1452 studies,37 met the inclusion criteria and were critically appraisedusing relevant Critical Appraisal Skills Programme, JoannaBriggs Institute and Mixed Methods Appraisal Tool tools.The pertinent data were analysed using thematic analysis.Result The critical appraisal resulted in 18 includedstudies with high and moderate quality. The rationale forusing formative peer assessment relates to giving andreceiving constructive feedback as a means to promotelearning. The experience and outcome of formativepeer assessment interventions from the perspectiveof students and teachers are presented within threethemes: (1) organisation and structure of the formativepeer assessment activities, (2) personal attributes andconsequences for oneself and relationships and (3)experience and outcome of feedback and learning.Conclusion Healthcare education must considerpreparing and introducing students to collaborativelearning, and thus develop well-designedlearningactivities aligned with the learning outcomes. Since peercollaboration seems to affect students’ and teachers’experiences of formative peer assessment, empiricalinvestigations exploring collaboration between studentsare of utmost importance.
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| 4. |
- Stenberg, Marie, et al.
(författare)
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Preceptors' experiences of using structured learning activities as part of the peer learning model : A qualitative study
- 2020
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Ingår i: Nurse Education in Practice. - : Elsevier. - 1471-5953 .- 1873-5223. ; 42
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Tidskriftsartikel (refereegranskat)abstract
- The clinical environment is a vital component of nurse education, constantly changing due to constraints of the current health care systems such as increasing number of students and a limited number of preceptors. Peer learning, is gaining momentum as an educational model highly suitable for clinical placements. The peer learning model incorporates structured learning activities that support student activity, but little is reported of the actual structure and content of those activities. Thereby, the aim of this study was to explore precepting nurses’ experience of using structured learning activities as part of the peer learning model during clinical placement. We used a qualitative research approach, using two open self-administered global questions. The result is based on the analysis of the written responses from 62 preceptors. Four categories followed the analysis: An opportunity for collaboration, An occasion for reflection, A new educational structure, and Recommendations for development. The preceptors perceived the structured learning activities as beneficial for increased collaboration and reflection among students. Moreover, utilizing the structured learning activities was perceived to be time saving for the preceptors, however this is an area where further research is needed.
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| 5. |
- Stenberg, Marie, et al.
(författare)
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Supporting each other towards independence : A narrative analysis of first‐year nursing students' collaborative process
- 2024
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Ingår i: Nursing Inquiry. - : John Wiley & Sons. - 1320-7881 .- 1440-1800. ; 31:3
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Tidskriftsartikel (refereegranskat)abstract
- Collaboration for nursing is a core competence and therefore educational interventions are essentials for collaborative skills. To identify such interventions, we carried out a study to understand nursing students' collaborative process. A narrative inquiry method was used to explore the collaborative process of first-year undergraduate nursing students. The analysis was conducted on field notes from 70 h of observation of 87 nursing students' collaboration during skills lab activities. It also included transcriptions of four focus group discussions with 11 students. The results are presented as a sequential process of (1) navigating in unfamiliar territory, (2) navigating together to cope, and (3) navigating together towards independency and the future nursing profession. We identified a transition from teacher-led assistance and guidance to student interdependency and reciprocal learning, ending with student-led assistance supporting independency. In line with Vygotsky's theory of zone of proximal development, different scaffolding interventions are needed depending on where the students are in the collaborative process.
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| 6. |
- Mangrio, Elisabeth, 1978-, et al.
(författare)
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An Extended Home Visit Programme Within the Swedish Child Healthcare System for First-Time Parents in Scania, Sweden : A Study Protocol
- 2021
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Ingår i: Frontiers in Public Health. - : Frontiers Media S.A.. - 2296-2565. ; 9
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Tidskriftsartikel (refereegranskat)abstract
- Background: The Swedish Child Healthcare (CHC) system aims to provide equal and fair health care for all children and families in Sweden. Currently in Sweden, the CHC offers every family two home visits during the child's 1st year of life. During 2019, an extended home visit programme, called Grow Safely, was started in the region of Scania for first-time parents. The aim of the extended home visit programme was to provide support for first-time parents in order to improve the overall health of the child and family and contribute to better conditions for equal health. Instead of two home visits during the 1st year, a subsample of first-time parents would receive six visits during the child's first 15 months. These six visits would be conducted by CHC nurses and social workers, midwives, and dental assistants. In the present paper, we describe a research project related to the regional extended home visit programme; the project aims to illuminate the experiences of the participants and to investigate the perceived benefits of the programme in relation to improved health, social and emotional interaction between parent and child, and attitudes toward authorities and surrounding society.Method/Analysis: In order to evaluate the introduction of the intervention, three qualitative interview studies and one quantitative study with follow-up questionnaires will be conducted. Since the research project also comprises studies focusing on the implementation and expectations of politicians, civil servants, organizational managers, and professionals working within the programme, interviews within these fields will be conducted.Discussion: Sweden has a well-established CHC programme, but improvements are always possible. Previous research has shown that home visits are an effective tool to improve both the child's physical and mental health as well as the parents' well-being. However, this kind of intervention involves a significant investment from all organizations involved in the home visits; hence, it is important that the intervention is evaluated. The research project described in the present paper intends to examine the impact of the intervention, and its findings will aid decisionmakers in determining the future of the home visit programme.
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| 7. |
- Mangrio, Elisabeth, 1978-, et al.
(författare)
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Antimicrobial Resistance & Migrants in Sweden : Poor Living Conditions Enforced by Migration Control Policies as a Risk Factor for Optimal Public Health Management
- 2021
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Ingår i: Frontiers in Public Health. - : Frontiers Media S.A.. - 2296-2565. ; 9
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Tidskriftsartikel (refereegranskat)abstract
- Infectious diseases exacerbated by Antimicrobial Resistance (AMR) are of increasing concern in Sweden, with multi-drug resistant strains associated with new resistance mechanisms that are emerging and spreading worldwide. Existing research has identified that sub-optimal living conditions and poor access to healthcare are significant factors in the spread and incubation of AMR strains. The article considers this linkage and the effort to control the spread of AMR in relation to migrants, highlighting deficiencies in public policy where such individuals are often increasingly exposed to those conditions that exacerbate AMR. In many of the richest countries, those conditions are not accidental, but often direct goals of policies designed with the goal of deterring migrants from staying within host countries. Without engaging with the politics around migration control, the article points to urgent need for more holistic assessment of all public policies that may, however unintentionally, undermine AMR control through worsening living conditions for vulnerable groups. The consequences of prioritizing policies meant to deliberately worsen the living conditions of migrants over avoiding those conditions that accelerate AMR spread, are today made ever apparent where new AMR strains have the potential to dwarf the societal effects of the current Covid-19 pandemic.
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| 8. |
- Mangrio, Elisabeth, 1978-, et al.
(författare)
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Health, social, and dental professionals’ experiences of working within an extended home-visit program in the child healthcare : A qualitative interview study in Sweden
- 2023
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Ingår i: BMC Health Services Research. - : BioMed Central (BMC). - 1472-6963. ; 23
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundThe goal of the Swedish child healthcare system is to reach all children with health-promotive actions and to create equal health opportunities for all children. In that context, an extended home-visit program – called Grow Safely – for first-time parents, with an interprofessional collaboration between child healthcare nurses, midwives, social workers, and dental assistants, was initiated. The current study aims at illuminating and evaluating the health, social, and dental professionals’ experiences of working within this program and how such collaboration could benefit the professions.MethodsA qualitative method was chosen, and 13 interviews were carried out with professionals working within child healthcare centers that participated in an extended home-visit program in the southernmost part of Sweden. The interviews were analyzed via Burnard’s approach to content analysis.ResultsThe results showed that it was satisfying for the health, social, and dental professionals to work with the home-visit program and that they encountered positive feelings among the parents receiving it. The creation of deep conversations and parents opening up about feelings that could otherwise be shameful to express, was a positive aspect of the home visits. A negative aspect was the difficulty of handling the (sometimes necessary) interpretation over the phone during the visits, and another one was the fact that the visits were time-consuming and required logistical planning. Overall, the professionals were positive about the home-visit program in that they felt that they were able to give the families what they needed and to have discussions on sensitive issues. They also appreciated the fact that different professions collaborated in order to reach the same goal. ConclusionsThis study showed that the health, social, and dental professionals enjoyed working with the home-visit program and that they encountered positive feelings among the parents regarding the collaborative visits being conducted within the home, where the families felt safe and relaxed. Despite the extended time required and the logistical challenges involved, the professionals expressed that the home visits created a deeper collaboration amongst them.
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| 9. |
- Mangrio, Elisabeth, 1978-, et al.
(författare)
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Kartläggning av nyligen nyanländas hälsa, levnadsvanor, sociala relationer, arbetsmarknad och boendemiljö efter etableringen. : Delrapport från MILSA 2.0
- 2020
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Rapport (populärvet., debatt m.m.)abstract
- BakgrundAtt som flykting etablera sig i ett nytt samhälle är ofta en långvarig process. Den börjar med att ansöka om asyl, orientera sig i och förstå det nya samhället, lära sig språket och komplettera tidigare utbildning eller utbilda sig på nytt i strävan efter etablering på arbetsmarknaden. Det svenska samhället har sedan 2010 ett strukturerat och individbaserat etableringsstöd som pågår under en period på cirka 24 månader efter beviljat uppehållstillstånd. Frågan vi genom studien ställt oss är hur väl rustade nyanlända efter genomgången etablering är för att ta sig an alla de utmaningar som väntar under den första tiden efter etableringsprocessen. Hur har situationen utvecklats, hur ser den fysiska och psykiska hälsan ut, vilken uppfattning har de av etableringen samt vidare om de fått ett arbete eller hur de ser på sina möjligheter att få ett. Dessa frågor är viktiga att få kunskap om i syfte att fortsatt kunna erbjuda ett behovsanpassat stöd i processen att etablera sig i Sverige.SyfteSyftet med undersökningen har varit att studera hälsa och hälsorelaterade faktorer bland vuxna nyanlända i Skåne som nyligen genomgått etableringsprocessen men även att undersöka om etableringsinsatserna bidragit till ökad delaktighet i samhället och ett närmande till arbetsmarknaden.Material och metodTillvägagångssättet för undersökningen har varit att utveckla ett övergripande frågeformulär på arabiska med fokus på olika frågor gällande hälsa, vårdbehov, boende, sociala relationer, våld, levnadsvanor, migrationsspecifika frågor, arbete och delaktighet samt sexuell hälsa. Urvalet som baseras på ett obundet slumpmässigt urval bestod av 10 000 individer boende i Skåne med födelseland Syrien eller Irak och beviljat uppehållstillstånd mellan 2012.09.01 och 2016.08.31. Vid beviljat uppehållstillstånd var de i åldern 20 till 64 år och bosatta i Skåne. Undersökningen utfördes under hösten 2018. Frågeformuläret skickades ut till respondenterna i form av pappersenkät med möjlighet att fylla i enkäten digitalt. Totalt antal svarande blev 3208, vilket innebär en svarsfrekvens på 33%.11SlutsatsUppehållstillstånd är mestadels beviljat under det första året. Kunskaper i det svenska språket är bristfälliga för många. Den självrapporterade hälsan är i linje med den övriga befolkningen i länet och den egna insatsen för att bevara god hälsa bedöms vara betydelsefull. En väsentlig andel upplever otillfredsställda läkar-eller tandläkarvårdbehov. Hälsorelaterade levnadsvanor som rökning och fysisk inaktivitet samt brist på tillit ligger högre än genomsnittet i den övriga befolkningen. Bristande förtroende förekommer för olika samhällsinstanser. Störst förtroende upplevs för barnavårdscentralen. Nästintill alla har haft en etableringsplan inklusive samhälls- och hälsokommunikation. Vad gäller etableringsplanen generellt höll majoriteten med eller delvis med om att planen innehöll relevanta aktiviteter. De utmaningar som observerades var aktiviteternas kvalitet och att dessa inte är utformade med hänsyn till respondenternas situation samt att aktiviteterna krockar med varandra. Avsaknad av socialt nätverk och bristande språkkunskaper ansågs av många som hinder för att komma in på arbetsmarknaden. Att komma in på den svenska arbetsmarknaden är en fortsatt utmaning för många.
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| 10. |
- Mangrio, Elisabeth, 1978-, et al.
(författare)
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Meeting families in various social situations : Reflections from healthcare staff working with an extended home-visiting program in Sweden
- 2023
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Ingår i: Discover Health Systems. - : Springer Nature. - 2731-7501. ; 2, s. 1-6
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Tidskriftsartikel (refereegranskat)abstract
- Objectives Health inequalities exist among children in Sweden, and one effort that the Swedish government has focused on to promote health among small children and their parents is an extended home-visiting program during the child’s first 15 months. This study aimed to illuminate healthcare professionals’ experiences of meeting parents in different social situations during the home visits within Grow safely. MethodsThe chosen method was qualitative, and 13 interviews were carried out with healthcare, social, and dental professionals working with the extended home-visiting program within the child healthcare in the south of Sweden. ResultsThe results revealed that the parents raised differing needs in the meetings with the healthcare professionals in the program. The needs included advice on children with special needs, support with problematic breastfeeding, and more psychosocial support. The professionals met different groups of parents, such as young parents or newly arrived migrant parents, that in different ways needed the team to reach out to them. The professionals also met families who came from better-off areas and who were not initially considered to really need the program. As the program progressed, these parents could see that diverse, unpredictable needs could be met by the intervention. For example, the program provided access to and advice from social workers, which in turn created contacts that lasted longer than the program itself.ConclusionsThe professionals encountered various family situations and needs within the extended home-visiting program. This highlights the need for a close collaboration between child healthcare nurses and social workers, in order to be able to support the families and work towards the aim of reaching equal health among all children in Sweden.
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