| 1. |
- Arborelius, Elisabeth, et al.
(författare)
-
Is there a Gap between the Church and the People? : Interviews with Parishioners and Ministers in the Stockholm District
- 2010
-
Ingår i: Journal of Empirical Theology. - 0922-2936. ; 23:1, s. 82-103
-
Tidskriftsartikel (refereegranskat)abstract
- Twenty-four parishioners and 24 ministers of the Church of Sweden were interviewed concerning their beliefs about religion, the Church and ecclesiastic activities. The results showed that ministers could be placed on a continuum ranging from sender orientation to receiver orientation. Sender orientation means, primarily, directed towards reaching people who proceed from a definite opinion, namely the Church's teaching. Receiver orientation means, primarily, directed towards reaching people who proceed from their own worldview where religion may be expressed in many different ways. Parishioners gave a total of 5% sender-oriented and 95% receiver-oriented descriptions. Comparable figures for ministers were 48% sender-oriented and 52% receiver-oriented. If more than half the ministers have an orientation that neither interests nor attracts parishioners, this can be a problem to the Church.
|
|
| 2. |
- Fossum, Bjöörn, et al.
(författare)
-
Evaluation of a counseling method for the prevention of child exposure to tobacco smoke : an example of client-centered communication
- 2004
-
Ingår i: Preventive Medicine. - : Elsevier BV. - 0091-7435 .- 1096-0260. ; 38:3, s. 295-301
-
Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Environmental tobacco smoke (ETS) is an important risk factor. The aim of this study is to evaluate effects of the counseling method "Smoke-free children" that focuses on protection of infants. METHODS: The counseling method, "Smoke-free children", has been developed and implemented at Swedish child health centers. The counseling method's point of departure is based upon a client-centered approach. Saliva cotinine samples from the mothers were collected when the child was 1-4 weeks and 3 months of age. Interviews regarding mothers' smoking habits and self-reported maternal smoking were also carried out. RESULTS: Forty-one mothers participated in the study, 26 in the intervention group and 15 in the control group. Cotinine was collected from 22 subjects in the intervention and 8 in the control group. Before the intervention, the mean cotinine level was 185 ng/mL in the intervention group and 245 ng/mL in the control group. After the intervention, cotinine levels were reduced in the intervention group (165 ng/mL) and increased in the control group (346 ng/mL). Yet, after the intervention, the mothers themselves reported more smoking in the intervention group than in the control group. Only weak correlations were found between self-reported smoking and cotinine. CONCLUSIONS: The statistical analysis supports the view that a client-centered intervention, aimed at increasing self-efficacy, exerts a positive effect on maternal smoking in the prevention of infant exposure to ETS, when applied in a routine clinical setting.
|
|
| 3. |
- Fossum, Bjöörn, et al.
(författare)
-
How physicians experience patient consultations at an orthopaedic out-patient clinic : a qualitative study
- 2002
-
Ingår i: Patient Education and Counseling. - : Elsevier BV. - 0738-3991 .- 1873-5134. ; 47:2, s. 127-35
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study is to describe physicians' experiences in their encounters with patients by allowing the physicians to observe and comment on their own video-recorded medical consultations. Eighteen orthopaedic surgeons took part in the study; they were informed that we were interested in studying what actually takes place during a consultation, the quality of communication between doctor and patient, and how the physicians themselves experience the consultation. Each time the physician wished to make a comment, the video film was stopped and the comments were taped on audiocassette. The results showed that when the physicians watched the video-recorded consultations they commented spontaneously on issues regarding, among others: (1) how they try to adapt their communication to the patient's situation; (2) the need to explain things to the patient; (3) perceptions of working under unfavourable conditions; (4) difficulties in helping certain patients.
|
|
| 4. |
- Fossum, Bjöörn, et al.
(författare)
-
Patient-centred communication : videotaped consultations
- 2004
-
Ingår i: Patient Education and Counseling. - 0738-3991 .- 1873-5134. ; 54:2, s. 163-9
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study is to analyse the way in which orthopaedic physicians manage consultations, and to identify those factors associated with patient-experienced satisfaction/dissatisfaction. This was explored both using a descriptive method and by analysing comments from patients. Consultations were videotaped; 18 physicians and 18 patients participated. Approximately 1 week after the consultation, the patient was shown the video recording and asked for his/her points of view and spontaneous reactions. Each time, the patient wished to say something, the video was stopped and the comments recorded. According to the patients' comments of the videotaped consultations four consultations were mainly positive, seven negative and seven neither completely positive nor completely negative. We analysed the positive and negative consultations using the Consultation Map (CM) method. The pattern in the positive consultations shows a greater flexibility. Statements regarding initial history and aetiology often move to and fro between other items, and the consultation as a whole was often characterised by this rapid change between items. The pattern in the negative consultations seems to indicate a slower motion; with longer time spent with few items and fewer items covered. The positive consultations were characterised by a greater prevalence of the items 'Sharing Understanding' and 'Involving the Patient in Management'. On the other hand, the negative consultations were characterised by more time spent with the items 'History of problems', and 'Patient Ideas'. This might be due to the patient having tried to express him/herself in order to present his/her views but the physician not following them up. In this study, the CM has been helpful in clarifying the difference between encounters experienced as satisfactory or dissatisfactory.
|
|
