| 1. |
- Barimani, Mia, et al.
(författare)
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Facilitating and inhibiting factors in transition to parenthood : ways in which health professionals can support parents
- 2017
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 31, s. 537-546
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Tidskriftsartikel (refereegranskat)abstract
- Background: The transition to parenthood is an overwhelming life event. From a theoretical perspective, tran- sition to parenthood is a developmental transition that contains certain phases and patterns.Aim: This study aim was twofold (i) discover, describe and comprehend transitional conditions that parents per- ceive as facilitating and inhibiting during transition to parenthood and to (ii) use that knowledge to develop recommendations for professional interventions that sup- port and facilitate transition to parenthood.Design: Meleis transition theory framed the study’s deduc- tive qualitative approach – from planning to analysis. Methods: In a secondary analysis, data were analysed (as per Meleis transition theory) from two studies that implemented interviews with 60 parents in Sweden between 2013 and 2014. Interview questions dealt with parents’ experiences of the transition to parenthood – in relation to experiences with parent-education groups, professional support and continuity after childbirth. Ethical issues: A university research ethics board has approved the research.Results: These factors facilitated transition to parenthood: perceiving parenthood as a normal part of life; enjoying the child’s growth; being prepared and having knowledge; experiencing social support; receiving professional support, receiving information about resources within the health care; participating in well-functioning parent-education groups; and hearing professionals comment on gender dif- ferences as being complementary. These factors inhibited transition to parenthood: having unrealistic expectations; feeling stress and loss of control; experiencing breastfeed- ing demands and lack of sleep; facing a judgmental attitude about breastfeeding; being unprepared for reality; lacking information about reality; lacking professional support and information; lacking healthcare resources; participating in parent-education groups that did not function optimally; and hearing professionals accentuate gender differences in a problematic way.Conclusion: Transition theory is appropriate for helping professionals understand and identify practices that might support parents during transition to parenthood. The study led to certain recommendations that are important for professionals to consider.
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| 2. |
- Berlin, Anita
(författare)
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Cultural competence in primary child health care services : interaction between primary child health care nurses parents of foreign origin and their children
- 2010
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Background and aim: Every third child assigned to the Primary Child Health Care services in Stockholm County is of foreign origin. The aim of this thesis was to explore aspects that might risk an optimal and high quality interaction between the nurses and parents of foreign origin and their children in the clinical child health services. An additional aim was to use this knowledge to create a specific training in cultural competence directed to nurses and evaluate the effectiveness of this. Material and methods: Both quantitative (Study I and IV) and qualitative (Study II and III) research methods were selected. Study I: quantitative data collection among nurses (n=270) through a questionnaire and data analysis using logistic regression. Study II: qualitative data collection among nurses (n=19) through interviews utilising Grounded Theory Methodology (GTM). Study III: qualitative data collection among parents (n=21) through interviews utilising GTM. Study IV: quantitative data collection through questionnaires in pre- and poststudy design among the intervention group (n=24) and a control group (n=27) of nurses. Data analysed using the Wilcoxon signed-rank and Wilcoxon rank-sum tests and variance analysis. Results: The nurses reported insufficient working conditions and cultural competence. They experienced difficulties in their interaction with this group of children and their parents, and the difficulties were particularly associated with long professional experience, full-time work and a high proportion of children of foreign origin. The nurses main concern turned out to be their anxiety about missing children being exposed to risks of ill-health due to various conditions in their home environments. Unfamiliar and not understandable psychosocial conditions created difficulties for the nurses when trying to assess health risks for the child s health and development. A theoretical model was created that explains the process of assessing risks for the child s health and various elucidating strategies used by the nurses. The parents main concern turned out to be their feelings of exposure and anxiety about being misjudged as parents due to their origin. Hence they were watchfully checking rapport i.e. if they could perceive sympathy and understanding from the nurses. A theoretical model was created that illustrates the interactive process between parents and nurses and factors determining whether parents believed that rapport was possible to be established. After specific training, the intervention group of nurses rated their cultural competence to be somewhat improved, especially their cultural skills. Conclusions: Deficient working conditions, lack of cultural competence and experiences of difficulties were found among nurses. Assessing risk factors in a child s home environment seems to be a difficult task for nurses in need of certain competence, skills and elucidating strategies. These strategies could further be developed and frame the nurses cultural skills when performing their assessment of health risks for the child. The possibility to establish rapport with the nurse can prevent parents from feeling hesistant and unwilling to bring the child in for check-ups. Thus, it is crucial for nurses to become aware of their own demeanour and way of interacting with parents and children of foreign origin. The concept of establishing rapport frames and elaborates the concerns of cultural encounters and cultural competence in the context of child health services. Short, specific training programmes in cultural competence are helpful for nurses, who rate them as having an impact on their ability to cope with the demands of working with parents and children of foreign origin. Findings and theoretical models in this thesis are important tools for professional reflection, as a means for teaching cultural competence and as a basis for further exploration and conceptualisation.
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| 3. |
- Berlin, Anita, et al.
(författare)
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Fatherhood group sessions : a descriptive and summative qualitative study
- 2020
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Ingår i: Nursing and Health Sciences. - : Wiley. - 1441-0745 .- 1442-2018. ; 22:4, s. 1094-1102
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this qualitative study of fatherhood group sessions offered as part of child health care services for new parents was to examine the activities, roles, and topics initiated by the leader and describe fathers' participation. Eight new fathers took part in three audio and video recorded sessions led by a male leader. Three qualitative content analysis approaches were used to analyze data. The analysis showed that the group leader took on four leadership roles, mainly that of discussion leader, but also expert, friend, and organizer. When the group leader acted as discussion leader, fathers participated by discussing challenges and changes in their new situation. Challenges were related to raising the child, partner relationships, everyday life, and gender equality. Fathers also discussed changes in their partner relationships and an increased focus on practicalities in daily life. Fatherhood groups can help new fathers form social networks and can create space for fathers to work through challenging topics, such as gender equality in parenting. The discussion leader's choice of role is crucial to creating the space for such discussions.
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| 4. |
- Berlin, Anita, et al.
(författare)
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Psychometric characteristics of a modified Sympathy-Acceptance-Understanding-Caring competence model questionnaire among foreign-born parents encountering nurses in primary child health care services
- 2016
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Ingår i: Primary Health Care Research and Development. - : Cambridge University Press. - 1463-4236 .- 1477-1128. ; 17:3, s. 298-310
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to determine the psychometric properties of the Sumpathy-Acceptance-Understanding-Caring Competence (SAUK) model questionnaire for foreign-born parents evaluating nursing encounters in the Swedish Primary Child Health Care (PCHC) services. Multicultural encounters in child health care from the nursing perspectives are challenging and problematic worlwide. A suitable theory-based and validated questionnaire is needed for foreign-born parents to assess the quality of their encounters with nurses. The SAUC questionnaire, modified for use by new, foreign-born parents using the Swedish PCHC services, was evaluated for its congruence with the theory of Confirming Encounter. The study was ethically approved and data were collected between March and August 2009 from 83 new foreign-born parents seen at 50 clinics. Exploratory factor analysis was used to identifiy related factors, and goodness-of-fit tests were used to estimate theoretical consistency. Confirmatory Factor Analysis was used to verify the results. The questionnaire had satisfactory theoretical consistency with the theory of Confirming Encounter. Three factors identified by exploratory factor analysis and confirmed by confirmatory factor analysis - person support, self-support, and self-perspective support - indicated internal consistency and validated the three factors implicit in the Confirming Encounter. In addition, a new factor, concordance, was identified that is compatible with the theory. To conclude, despite the fact that a modified questionnaire have its limitations results demonstrate that the SAUC-model questionnaire seems to be a reliable and valid nursing quality-control measure with which foreign-born parents can evaluate the qualities of a confirming encounter with nurses. However, we suggest the need for testing the questionnaire in a larger population.
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| 5. |
- 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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| 6. |
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| 7. |
- Berlin Hallrup, Leena, 1967-, et al.
(författare)
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Care workers´ experiences of working in a Swedish institutional care setting
- 2010
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Ingår i: Learning Disability Practice journal. - United Kingdom : Royal College of Nursing (RCN). - 1465-8712 .- 2047-8968. ; 13:7, s. 21-25
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Tidskriftsartikel (refereegranskat)abstract
- Despite the general move to support people with learning disabilities in their own homes or in home-like settings, many institutional settings still exist and little research has been carried out on the role of the care workers who work in them. In this study, participant observations over a 16-month period describe care workers’ experiences of working in an institutional care setting in Sweden, and 18 care workers were interviewed. The three main themes to emerge from the thematic analysis were: care workers were engaged in creating a family-like atmosphere; they were engaged in making the everyday ordered and structured; and they were exposed to stress factors. It became evident that care workers need additional support, training and opportunities for reflection to handle their complex work situation.
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| 8. |
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| 9. |
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| 10. |
- Forslund Frykedal, Karin, 1961-, et al.
(författare)
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Child health care nurses' use of teaching practices and forms of knowledge episteme, techne and phronesis when leading parent education groups
- 2020
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Ingår i: Nursing Inquiry. - : Wiley. - 1320-7881 .- 1440-1800. ; 4
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Tidskriftsartikel (refereegranskat)abstract
- This study explores child health care nurses' pedagogical knowledge when supporting parents in their parenthood using various teaching practices, that is how to organise and process the content during parent education groups in primary health care. The aim is to identify teaching practices used by child health care nurses and to analyse such practices with regard to Aristotle's three forms of knowledge to comprehensively examine child health care nurses' use of knowledge in practice. A qualitative methodological design alongside the analysis of video-recordings was used. The results showed that child health care nurses used four teaching practices: lecturing, demonstration, conversation and supervision. Their use of episteme was prominent, but they also seemed to master techne in combination with episteme during the first three teaching practices. During the conversation teaching practice, the child health nurses rarely succeeded. Consequently, they missed opportunities to identify mothers' expressed concerns and to act in the best interests of both the mothers and their infants by the use of phronesis. In health care, however, theoretical episteme is superordinate to productive knowledge or phronesis, which also became evident in this study. Nevertheless, more interactive pedagogical practices are needed if more use of phronesis is to become a reality in parent education groups.
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