| 1. |
- Rönnerhag, Maria, 1972-, et al.
(författare)
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Qualitative study of women's experiences of safe childbirth in maternity care
- 2018
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Ingår i: Nursing and Health Sciences. - : Wiley. - 1441-0745 .- 1442-2018. ; 20:3, s. 331-337
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Tidskriftsartikel (refereegranskat)abstract
- Few studies have focused on women's childbirth experiences in relation to patient safety. The aim of this study was to explore the meaning of safety as a process phenomenon by outlining women's positive and negative experiences of safety in childbirth. A descriptive explorative design was chosen and 16 interviews were conducted. Qualitative content analysis was used. One main theme emerged: safe childbirth through involvement and guidance, based on four subthemes. The characteristics of women's experiences of safe childbirth included the need to be informed and involved by sharing and receiving trustworthy information. Women's experiences of unsafe childbirth included lack of meaningful and trustworthy information that resulted in feelings of being misled or lulled into a false sense of security. Not being involved evoked feelings of being ignored. In conclusion, this study highlights issues of importance for safe maternity care. The perspectives of childbearing women can contribute to an understanding of how to achieve meaningful improvements to provide safer maternity care.
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| 2. |
- Berlin, Anita, et al.
(författare)
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Walk the talk : Leader behavior in parental education groups
- 2018
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Ingår i: Nursing and Health Sciences. - : Wiley. - 1441-0745 .- 1442-2018. ; 20:2, s. 173-180
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Tidskriftsartikel (refereegranskat)abstract
- Expectant and new parents are offered parental education groups as a way to support their transition to parenthood. Group leadership in these groups has been found to be challenging. Using a qualitative and summative design, the aim of the present study was to investigate how health professionals describe their role in parental education groups compared to their actual behavior. Thirteen health professional leaders in antenatal and child health services were interviewed. These descriptions were compared with the leaders' actual behavior in video and audio-recordings of 16 different group sessions. The results revealed that regardless of how the leaders described their role, they acted as experts and left little time to parents for discussions and active participation. In particular, leaders who described themselves as discussion leaders did not "walk the talk"; that is, they did not do what they said they do when leading groups. That could be explained by lack of professional awareness, group leadership, and pedagogical skills. In order to provide high-quality parental support, leaders need training in group leadership and pedagogy combined with supervision and support on a regular basis.
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| 3. |
- Lundberg, Pranee, et al.
(författare)
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Self-care management of Thai Buddhists and Muslims with type 2 diabetes after an empowerment education program
- 2018
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Ingår i: Nursing and Health Sciences. - : Wiley. - 1441-0745 .- 1442-2018. ; 20:3, s. 402-408
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the present study was to explore self-care management of Thai Buddhists and Muslims with type 2 diabetes and inadequate blood glucose levels, after they had been subjected to a 6-month diabetes empowerment education program. Twenty-seven participants (male and female) were selected through purposive convenience sampling for an explorative qualitative study. Semistructured focus group interviews with four open-ended questions were used to study the participants' self-care behavior at the beginning and the end of the program, and the data obtained were subjected to content analysis. At the end, one third of the participants had been able to reduce their blood glucose to acceptable levels. Most of the others had achieved reduced but irregular blood glucose levels; however, some did not achieve any reduction. Diet was the most difficult problem, and economic difficulties, incorrect knowledge, and misleading beliefs were barriers. In conclusion, an empowerment education program can substantially improve the outcome of self-care management for many people with type 2 diabetes. In the planning of such programs, barriers should be taken into account.
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| 4. |
- Sreyasak, Atcharawadee, et al.
(författare)
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Parents’ experiences of their teenage children’s parenthood : An interview study
- 2018
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Ingår i: Nursing and Health Sciences. - : John Wiley & Sons. - 1441-0745 .- 1442-2018. ; 20:1, s. 39-45
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Tidskriftsartikel (refereegranskat)abstract
- In this study, we described and analyzed parents’ experiences of teenage parenthood and the provision of support to their teenage children who had recently have become parents. A quali- tative method was used. In-depth interviews with 24 participants were conducted, all parents of teenage parents. Data were analyzed using content analysis; four themes and 11 subthemes were identified. The results show that parents’ norms and values were strongly influenced by their religious beliefs. The participants had mixed emotions and reactions to their teenage chil- dren’s parenthood. Also participants were sources of support to the teenage parents and assisted them in their transition to parenthood. However, the participants also expressed the importance that their teenage children continue their education and avoid repeated pregnan- cies. This study highlights how emotional, instrumental, and informational support provided by parents to their teenagers can assist the latter in their transition to parenthood. In their work with teenage parents, healthcare providers can benefit from teenage parent's own parents involvement and experiences.
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| 5. |
- Gibb, Heloise, et al.
(författare)
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Testing top-down and bottom-up effects on arid zone beetle assemblages following mammal reintroduction
- 2018
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Ingår i: Austral Ecology. - : Wiley. - 1442-9985 .- 1442-9993. ; 43, s. 288-300
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Tidskriftsartikel (refereegranskat)abstract
- Species extinctions and declines are occurring globally and commonly have cascading effects on ecosystems. In Australia, mammal extinctions have been extensive, particularly in arid areas, where precipitation drives ecosystems. Many ecologically extinct mammals feed on soil-dwelling insects. However, how this top-down pressure affected their prey and how this contrasts with the bottom-up impacts of fluctuating precipitation remains unclear. We constructed a long-term exclusion experiment in a multi-species mammal reintroduction zone in semi-arid Australia to test how top-down (reintroduced mammals) and bottom-up (precipitation) factors affect root-feeding chafer beetles (Coleoptera: Melolonthinae). We used emergence traps in ten replicate 20 x 20 m plots of control, exclusion and procedural control treatments to trap chafers biannually from 2009 to 2015. Annual precipitation during this period varied from 173 to 481 mm. Mammal exclusion did not affect chafers, indicating that top-down regulation was not important. Instead, chafer abundance, species density and biomass increased with precipitation. Chafer body size and assemblage composition were best predicted by sampling year, suggesting that random drift determined species abundances. Increased resource availability therefore favoured all species similarly. We thus found no evidence that mammal predation alters chafer populations and conclude that they may be driven primarily by bottom-up processes. Further research should determine if the cascading effects of species loss are less important for herbivores generally than for higher level trophic groups and the role of ecosystem stability in mediating these patterns.
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| 6. |
- Jansson, Inger, et al.
(författare)
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Hannah Arendt’s thoughts in relation to occupational science : A response to Turnbull
- 2018
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Ingår i: Journal of Occupational Science. - : Taylor & Francis. - 1442-7591 .- 2158-1576. ; 25:2, s. 252-255
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Tidskriftsartikel (refereegranskat)abstract
- In his response to our article “Hannah Arendt’s vita activa: A valuable contribution to occupational science,” Turnbull (2017) outlined some tensions he perceived with our discussion of “her approach to philosophy, politics and science”. In our reply, we express appreciation of his interest in Arendt related to occupational science and the contribution his article makes, as well as clarifying some points in his critique. We argue that Turnbull’s main arguments do not address our primary purpose of presenting Arendt’s vita activa and provide examples of its relevance for occupational science. We thus focused on activity-related aspects of Arendt’s thoughts, to raise awareness of this work amongst occupational scientists. However, we are thankful for Turnbull’s reflections, which broaden the insights of Arendt’s thinking and contribute to a better understanding of human occupation.
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| 7. |
- Arola, Lea Annikki, 1961, et al.
(författare)
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Occupational perspective of health among persons ageing in the context of migration
- 2018
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Ingår i: Journal of Occupational Science. - : Informa UK Limited. - 1442-7591 .- 2158-1576. ; 25:1, s. 65-75
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Tidskriftsartikel (refereegranskat)abstract
- In the context of migration, ageing is described as a negative stressor for subjective perceptions of health in everyday life. Most research has adopted a biomedical perspective. An occupational perspective of health was the starting point for this study. The aim was to explore how older persons from Finland who are ageing in Sweden experienced health from an occupational perspective. Qualitative interviews were conducted with 16 persons who had migrated from Finland to Sweden as labour immigrants several decades ago. The interviews were analysed and interpreted using a hermeneutic approach. Participants experienced health when they managed their daily life occupations. Health was also reinforced through affiliation with others who shared similar life situations. A key health resource was maintaining a sense of dual belonging to the country of birth and to the host country. The present study revealed that the experience of health could be seen as a continuum in time and place, which creates a sense of belonging and continuity in life. Connections between health and doing, being and becoming are fundamental aspects to consider when enabling health in everyday life among older persons ageing in the context of migration.
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| 8. |
- Berglund, Jenny, 1968-, et al.
(författare)
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Memorization and focus : important transferables between supplementary Islamic education and mainstream schooling
- 2018
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Ingår i: Journal of Religious Education. - : Springer Science and Business Media LLC. - 1442-018X .- 2199-4625. ; 66:2, s. 125-138
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Tidskriftsartikel (refereegranskat)abstract
- This article presents the results of a participative study, involving a group of 27 British Muslim students aged 15–18, who were given the opportunity to reflect on the implications of having participated in two different ‘traditions’ of education: that is, Muslim supplementary education (in its various forms) and state mainstream schooling. The project was participative in that school senior managers had invited the researchers to carry out the research as part of their constant striving to identify the conditions under which students learn best. Both the design and outcomes of this research programme are presented and discussed in this article. One of the main findings is that the students experience the skills of memorization and focus as positive transferables. The findings will be discussed in terms of the concept of liturgical literacy.
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| 9. |
- Davies, AR, et al.
(författare)
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A comparison of the left thoracoabdominal and Ivor-Lewis esophagectomy
- 2018
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Ingår i: Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus. - : Oxford University Press (OUP). - 1442-2050. ; 31:3
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to assess the oncological outcomes of a large multicenter series of left thoracoabdominal esophagectomies, and compare these to the more widely utilized Ivor–Lewis esophagectomy. With ethics approval and an established study protocol, anonymized data from five centers were merged into a structured database. The study exposure was operative approach (ILE or LTE). The primary outcome measure was time to death. Secondary outcome measures included time to tumor recurrence, positive surgical resection margins, lymph node yield, postoperative death, and hospital length of stay. Cox proportional hazards models provided hazard ratios (HR) with 95% confidence intervals (CI) adjusting for age, pathological tumor stage, tumor grade, lymphovascular invasion, and neoadjuvant treatment. Among 1228 patients (598 ILE; 630 LTE), most (86%) had adenocarcinoma (AC) and were male (81%). Comparing ILE and LTE for AC patients, no difference was seen in terms of time to death (HR 0.904 95%CI 0.749–1.1090) or time to recurrence (HR 0.973 95%CI 0.768–1.232). The risk of a positive resection margin was also similar (OR 1.022 95%CI 0.731–1.429). Median lymph node yield did not differ between approaches (LTE 21; ILE 21; P = 0.426). In-hospital mortality was 2.4%, significantly lower in the LTE group (LTE 1.3%; ILE 3.6%; P = 0.004). Median hospital stay was 11 days in the LTE group and 14 days in the ILE group (P < 0.0001). In conclusion, this is the largest series of left thoracoabdominal esophagectomies to be submitted for publication and the only one to compare two different transthoracic esophagectomy strategies. It demonstrates oncological equivalence between operative approaches but possible short- term advantages to the left thoracoabdominal esophagectomy.
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| 10. |
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