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1.
  • Berg, Agneta, et al. (författare)
  • Secondhand Smoking in Swedish Municipal Home Nursing: A Qualitative Pilot Study
  • 2012
  • Ingår i: Public Health Nursing. - : Wiley. - 1525-1446 .- 0737-1209. ; 29:6, s. 525-533
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective The purpose of this study was to explore licensed practical nurses (LPNs) views of being exposed to secondhand smoke in municipal home nursing care. Design and sample Using a qualitative approach, data were collected through three focus group interviews with 15 LPNs, smokers, and nonsmokers. Qualitative content analysis was used to interpret the interview text. Results Exposure to secondhand smoke during working hours, which presents a risk to the health and wellbeing of the LPNs, is a consequence of placing the interests of the smoking care recipients first and the employers reluctance to take action on behalf of the LPNs. These factors prompted LPNs to propose solutions aimed at resolving a major dilemma in routine home nursing care. Conclusions A combination of actions, particularly by managers, is required to improve the working environment for LPNs while concurrently respecting the care recipients right to take decisions in their own homes.
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  • Angbratt, Marianne, et al. (författare)
  • Prevalence and correlates of insufficient calcium intake in a Swedish population : Populations at risk across the lifespan
  • 2007
  • Ingår i: Public Health Nursing. - : Wiley. - 0737-1209 .- 1525-1446. ; 24:6, s. 511-517
  • Tidskriftsartikel (refereegranskat)abstract
    • To examine associations between calcium intake in the diet, lifestyle factors, and forearm bone mineral density (BMD) in order to identify population subgroups for targeting by screening programs. A questionnaire was sent to a random sample of 15 of the inhabitants aged 20-79 years from 2 Swedish municipalities, and the subsample from one of the municipalities was invited to measurement of BMD. The survey response rate was 74 (n=1,1121,510) and participation in BMD measurements was 68 (n=448659). Only a tendency (p=.085) toward direct association between calcium intake and forearm BMD was found, and the best multiple regression model was retained to explain BMD excluded calcium intake. Low calcium intake was, instead, in complementary analyses, found to be correlated with the factors old age, female sex, and urban residence in the best multiple regression model. Population subgroups whose calcium intake is in a range that justifies preventive action could be identified. Screening programs staffed by public health nurses can thereby be informed regarding the subgroups of the population that are at the highest risk of insufficient calcium intake. © 2007, Blackwell Publishing, Inc.
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4.
  • Clancy, Anne, et al. (författare)
  • Perceptions of Public Health Nursing Practice by Municipal Health Officials in Norway
  • 2009
  • Ingår i: PUBLIC HEALTH NURSING. - : Wiley. - 0737-1209 .- 1525-1446. ; 26:5, s. 412-420
  • Tidskriftsartikel (refereegranskat)abstract
    • Objectives The objective of this study was to describe and analyze municipal decision-makers views on public health nursing and to reflect upon and discuss the relevance of those views to the future of public health nursing in Norway. Design This explorative qualitative study using face-to-face interviews is part of a larger project, comprising 5 studies, that explores perceptions of public health nursing. Sample A purposeful sample of 11 municipal decision-makers was selected for interview during 2006-2007 to reflect variation in community size and perspective. Results Thematic content analysis of the transcribed interviews revealed 4 content categories: contribution, collaboration, challenges, and visibility. The decision-makers expressed satisfaction with the public health nursing services, showed concern about lack of visibility and clear boundaries, and some expressed irritation over lacking collaboration. The interviewees elaborated on their past experiences as the public health nurses coworkers, leaders, collaborators, and service users. Conclusions The respondents recognized public health nursings contribution to public health but they lack sufficient knowledge of its content and tend to take services at local health clinics for granted. Dialogue between nurses and decision-makers is necessary in order to ensure updated evaluation and continued development of public health nursing services.
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5.
  • Erlandsson, Kerstin, et al. (författare)
  • Qualitative interviews with adolescents about "Friends-with-Benefits" relationships
  • 2013
  • Ingår i: Public Health Nursing. - : Wiley-Blackwell. - 0737-1209 .- 1525-1446. ; 30:1, s. 47-57
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective: To describe the thoughts, reflections, and experiences of friends-with-benefits relationships among a group of Swedish adolescents. Design and Sample: A qualitative study with an explorative and descriptive design. Eight adolescents, aged 16-18, were interviewed. Measures: Individual in-depth interviews were undertaken. Data were analyzed using latent content analysis. Results: The informants involved themselves in Friends-with-benefits (FWB) relationships to find physical and psychological intimacy without any expectations or demands. FWB relationships were perceived to have more advantages when the partner was a close friend with whom an informant felt comfortable. There was ambivalence about the legitimacy of romantic feelings in an FWB relationship, although it was quite common. Sexual concurrency was common and often accepted. Sexual risk-taking behavior involving the use of alcohol and a lack of contraception was considered common in FWB relationships. Informants requested more education and support as regards their sexual behavior. Conclusions: FWB relationships were often initiated to find physical and psychological intimacy with no expectations or demands. Advantages such as sexual concurrency and no demands were central. A deeper understanding of how adolescents think and reason about sexuality and relationships can make a difference when working to improve young people's sexual and reproductive health.
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  • Hemingway, Ann, et al. (författare)
  • A European Union and Canadian Review of Public Health Nursing Preparation and Practice
  • 2013
  • Ingår i: Public Health Nursing. - : Wiley. - 0737-1209 .- 1525-1446. ; 30:1, s. 58-69
  • Tidskriftsartikel (refereegranskat)abstract
    • OBJECTIVE: This study explores the preparation and role of the public health nurse (PHN) across European Union (EU) countries (Finland, Sweden, and the United Kingdom) and Canadian provinces (Alberta, New Brunswick, and Prince Edward Island).METHODS: A literature review including relevant peer reviewed articles from 2000 on, in conjunction, with critical debate was undertaken. The results were considered in relation to the three essential areas of PHN practice, outlined in the World Health Organization (Moving on from Munich: A reference guide to the implementation of the declaration on nurses and midwives: A force for health, 2001b) recommendations, family oriented care, public health action, and policy making.RESULTS: The major challenge the review revealed across a variety of international education and practice environments was the lack of consistent preparation for and engagement with leadership and policy making in practice.
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  • Alstveit, Marit, et al. (författare)
  • Public health nurse education in the Nordic countries
  • 2022
  • Ingår i: Public Health Nursing. - : Wiley. - 0737-1209 .- 1525-1446. ; 39:1, s. 270-278
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Higher education should promote critical reflection and guide students towards international activities. In the Nordic countries public health nurse educational programmes are mostly based on guidelines issued by national educational authorities, which describe students' learning outcomes.Aim: The aim of this paper is twofold: to give an overview of public health nurse education and service in the Nordic countries and thereby discuss opportunities for collaboration within the programmes.Data sources and compilation of data: National legislations for public health nurse education and services are used as data. Since all sources are written in the language of each country, all the authors wrote the parts that describe each countries conditions in English and contributed to the compilation of data.Results: We found both similarities and differences in public health nurse education and services. Opportunities for collaboration between the programmes are discussed.Conclusion: Critical reflection by the public health nurse students can be enhanced by arranging collaboration projects, an exchange of clinical placement, and joint master projects. Collaboration among academic staff within the educational programmes, in education and research, have the potential to enhance quality both within public health nurse education and in developing the profession of public health nursing.
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8.
  • Behm, Lina, et al. (författare)
  • Health Promotion Can Postpone Frailty : Results from the RCT Elderly Persons in the Risk Zone
  • 2016
  • Ingår i: Public Health Nursing. - : John Wiley & Sons. - 0737-1209 .- 1525-1446. ; 33:4, s. 303-315
  • Tidskriftsartikel (refereegranskat)abstract
    • OBJECTIVE: Very old persons (80+) are often described as "frail", implying that they are particularly vulnerable to adverse health outcomes. Elderly Persons in the Risk Zone was designed to determine whether a preventive home visit or multiprofessional senior group meetings could postpone deterioration in frailty if the intervention is carried out when the person is not so frail. DESIGN AND SAMPLE: The study was a RCT with follow-ups at 1 and 2 years. A total of 459 persons (80+), still living at home, were included. Participants were independent in activities of daily life and cognitively intact. MEASURES: Frailty was measured in two complementary ways, with the sum of eight frailty indicators and with the Mob-T Scale measuring tiredness in daily activities. RESULTS: Both interventions showed favorable effects in postponing the progression of frailty measured as tiredness in daily activities for up to 1 year. However, neither of the two interventions was effective in postponing frailty measured with the sum of frailty indicators. CONCLUSIONS: The results in this study show the potential of health promotion to older persons. The multiprofessional approach, including a broad spectrum of information and knowledge, might have been an important factor contributing to a more positive view of aging. 
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9.
  • Bendtsen, Marcus, 1982-, et al. (författare)
  • mHealth intervention for multiple lifestyle behaviour change among high school students in Sweden (LIFE4YOUth) : Protocol for a randomised controlled trial
  • 2021
  • Ingår i: Public Health Nursing. - : BMC. - 0737-1209 .- 1525-1446 .- 1471-2458. ; 21:1
  • Tidskriftsartikel (refereegranskat)abstract
    • BackgroundNational surveys in Sweden demonstrate that the majority of young people do not engage in health promoting behaviours at levels recommended by the Public Health Agency of Sweden. The objective of this study is to estimate the effectiveness of a novel mHealth intervention named LIFE4YOUth, which targets multiple lifestyle behaviours (alcohol, diet, physical activity, and smoking) among high school students in Sweden.MethodsA 2-arm parallel groups single blind randomised controlled trial (1:1) will be employed to estimate the effectiveness of the novel mHealth intervention. Students will be recruited at high schools throughout Sweden, and will be included if they fulfil one of six criteria relating to unhealthy behaviours with respect to alcohol, diet, physical activity and smoking. Eligible participants will be randomised to either receive the novel intervention immediately, or to be placed on a waiting list for 4 months. The intervention consists of a combination of recurring screening, text messages, and an interactive platform which is adaptable to individual preferences. Outcome measures with respect to alcohol, diet, physical activity and smoking will be assessed through questionnaires at 2 and 4 months post randomisation.DiscussionThe findings of this trial could be generalised to a diverse high-school student population as our recruitment encompass a large proportion of schools throughout Sweden with various educational profiles. Furthermore, if effective, the mHealth intervention has good potential to be able to be scaled up and disseminated at high schools nationally.Trial registrationRegistered prospectively on 2020-05-20 in ISRCTN (ISRCTN34468623).
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10.
  • Bohlin, V., et al. (författare)
  • Child health care nurses' experiences of language barriers during home visits
  • 2022
  • Ingår i: Public Health Nursing. - : Wiley. - 0737-1209 .- 1525-1446. ; 39:1, s. 146-152
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective The aim of the study was to explore the communication tools that child healthcare nurses can use during home visits to families when language barriers exist. Design Qualitative study using data collected from focus group sessions. Sample Six semi-structured focus group interviews with twenty nurses in child healthcare services. Measurements The results were analyzed with a thematic content analysis. Results The analysis resulted in two themes: Using pictures as support in the conversation, with subthemes Not using pictures as support, Wanting to know how to use pictures as support, Pictures as support for invitations, Different types of pictures as support, and Alternative means of communication with the subthemes Possibilities of using an interpreter, Obstacles to using an interpreter, Mixed communication. Conclusion If language barriers are present during home visits, decision-making nurses in Child Health Care (CHC) put families in an unequal position when communicating with them. These results point to a need for more education, guidelines and support regarding alternative and augmentative communication (AAC) tools and structures to assist in overcoming language barriers.
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  • Lind, Britt‐Marie, et al. (författare)
  • Child healthcare nurses’ experience of communication with 4‐year‐old children during their visit to the child health care center
  • 2024
  • Ingår i: Public Health Nursing. - 0737-1209 .- 1525-1446.
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective:To illuminate child healthcare nurses’ experiences of communication with 4-year-old children during their visit to the child healthcare center.DesignA qualitative method, using data collected from individual interviews.Sample: Fifteen semistructured interviews with nurses working in a child healthcare center.Measurements:The results were analyzed using reflexive thematic analysis.Results:The analysis resulted in three themes and eight subthemes: Adapting to the child in the conversation, based on the subthemes Preparing for the visit, Listening in and observing, and Creating a welcoming environment; Combining strategies for the conversation, based on the subthemes Engaging the child, Using visual tools, and Parental involvement; and Challenges due to language barriers, based on the subthemes Using an interpreter and Parent acts as interpreter.Conclusion: Child healthcare nurses focus on the child when communicating and strive to create joy and a welcoming environment. The communication strategies employed during the visit include engaging the child directly, involving parents in the conversation, and balancing the parental involvement. Communication challenges related to language barriers are addressed, particularly during interpreter-assisted conversations. The study indicates a need for tailored strategies, collaboration, and sensitivity to ensure a child-centered approach.
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13.
  • Mattebo, Magdalena, 1976-, et al. (författare)
  • Professionals' perceptions of the effect of pornography on Swedish adolescents
  • 2014
  • Ingår i: Public Health Nursing. - : Wiley. - 0737-1209 .- 1525-1446. ; 31:3, s. 196-205
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective: The aims were to gain a deeper understanding of how personnel, who work with adolescents, reason about the effect of pornography and its spread in the media, and to explore how well prepared they consider themselves to be in addressing sexual health and gender equality. Design and Sample: An inductive, exploratory, qualitative study with focus group discussions was selected. Seventeen participants with different professions were invited into five heterogeneous groups. Measures: Data were analyzed according to grounded theory. Results: Conflicting messages about sexuality became the core category. Participants were of the opinion that pornography conveyed a contradictory message compared with national public health goals, societal laws, and regulations. They believed that young people use pornography as a source of information and stimulation. Furthermore, they thought that pornography contributed to norm-creating ideals and a demanding sexuality, thus, confirming the traditional gender order. The participants opined that a professional approach was required when addressing sexuality and gender equality issues and requested better training tools and more cultural competence. Conclusions: Professionals working with adolescents perceived that pornography conveys a conflicting message about sexuality. They expressed a need for adequate tools for improving education on health and sexuality, including gender equality aspects and critical media analysis.
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14.
  • Rifai, Elissa, et al. (författare)
  • Public health nurses’ experiences of using interpreters when meeting with Arabic-speaking first-time mothers
  • 2018
  • Ingår i: Public Health Nursing. - : Wiley. - 0737-1209 .- 1525-1446. ; 35:6, s. 574-580
  • Tidskriftsartikel (refereegranskat)abstract
    • Objectives: The aim of this study was to investigate public health nurses’ experiences of using interpreters when meeting with Arabic-speaking first-time mothers. Design and Sample: An inductive qualitative design was used. Individual interviews were conducted with Swedish public health nurses (n = 11) with experience of working in child health care with interpreters when meeting with Arabic-speaking first-time mothers. Measures: Data were analyzed using qualitative content analysis. Results: The analysis of the interviews resulted in one overarching theme: Having to accept and learn to incorporate interpreters when meeting with Arabic-speaking first-time mothers. Three subthemes were identified: (a) enabling an understanding of the situation of the mothers; (b) contributing to a trustful relationship; and (c) creating disturbing elements in the dialogue. Conclusions: Using interpreters optimized the conversation between the public health nurse and the Arab-speaking first-time mother; however, the complexity of using interpreters was also apparent.
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