| 1. |
- Andersson, Christina, 1955, et al.
(författare)
-
Capability to make well‑founded decisions: an interview study of people with experience of sickness absence who have common mental disorders
- 2022
-
Ingår i: BMC Public Health. - : Springer Science and Business Media LLC. - 1471-2458. ; 22:1
-
Tidskriftsartikel (refereegranskat)abstract
- Background Sickness absence and rehabilitation processes can be challenging for an individual. At a time of generally reduced capacity, the individual must comprehend and navigate through several options. The aim of this study was to investigate the prerequisites for support, knowledge and information related to decision making experienced by people on sickness absence due to common mental disorders. Methods A qualitative explorative approach was used. Face-to-face interviews took place with 11 sick-listed individuals with common mental disorders. Patients were recruited from different sources in the western part of Sweden, such as primary health care centres, patient organizations and via social media. Data analysis was performed using manifest content analysis, meaning that the analysis was kept close to the original text, and on a low level of interpretation and abstraction. Results The analysis revealed three themes that described experiences of decision making during the sick leave and rehabilitation process: Ambiguous roles challenge possibilities for moving on; Uncertain knowledge base weakens self-management; and Perceived barriers and enablers for ending sick leave. Conclusions Our findings suggest that alternatives need to be found that address sickness absence and rehabilitation processes from a complex perspective. Collaboration between stakeholders as well as shared decision making should be considered when the time for return to work is discussed with sick-listed individuals. Other factors in the context of the individual must also be considered. Current knowledge on strategies to improve health/well-being while being in the sick leave process need to be elaborated, communicated and adapted to each individuals’ unique situation, including clarifying rights, obligations and opportunities during the sick-leave process.
|
|
| 2. |
- Andersson, Christina, 1955, et al.
(författare)
-
Drinking context and problematic alcohol consumption in young Swedish women : Drinking context and problematic alcohol consumption
- 2013
-
Ingår i: Addiction Research and Theory. - : Informa UK Limited. - 1606-6359 .- 1476-7392. ; 21:6, s. 457-468
-
Tidskriftsartikel (refereegranskat)abstract
- Previous research has indicated that a variety of contextual factors are involved in the development of drinking behavior. An integrated perspective can extend our understanding of the context and circumstances in which individuals drink. In this study, a person-oriented approach, cluster analysis, was used to identify drinking context clusters in a population of 20- and 25-year-old Swedish women. A further aim was to analyze how these clusters were associated with problematic alcohol consumption (high episodic drinking (HED) and alcohol use disorder (AUD)). A total of 760 respondents were interviewed, some in 1996 and some in 2001. Self-reported effects of drinking and situational factors associated with drinking alcohol were used in the cluster analysis procedure. Logistic regression models were used to analyze the associations with problematic alcohol consumption. The results revealed four distinct clusters of drinking patterns: coping drinkers, social drinkers, controlled drinkers, and moderate drinkers. Differences between clusters concerning problematic alcohol consumption were found. HED was significantly more common among the social drinkers and alcohol use disorder was more prevalent among the coping drinkers. Age differences and to a lesser extent secular trends in drinking pattern could be observed. The findings suggest that information on drinking context can help to explain differences in patterns of risky drinking and AUD. This highlights the importance of identifying groups of individuals with potentially harmful drinking patterns, which could be the target of specific preventive actions.
|
|
| 3. |
- Andersson, Christina, 1955, et al.
(författare)
-
Dryckeskontextens betydelse för unga kvinnors alkoholkonsumtion. En klusteranalys av 20- och 25-åriga kvinnor åren 1995 och 2000.
- 2008
-
Ingår i: Läkarstämman, Göteborg 2008.
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Dryckeskontextens betydelse för unga kvinnors alkoholkonsumtion. En klusteranalys av 20- och 25-åriga kvinnor åren 1995 och 2000. Bakgrund Under de senaste åren har framför allt en del internationell drogforskning fokuserat på fenomen som dryckeskontext och egna motiv till att dricka samt dessas samband med alkoholkonsumtion. Dryckeskontext har i nämnda studier definierats på något olika sätt, några mer teoretiskt förankrade, gemensamt kan sägas att man försökt besvara frågor om var, med vem och varför man druckit alkohol I den aktuella studien har vi analyserat sambandet mellan dryckeskontext och alkoholkonsumtion bland 20- och 25-åriga kvinnor i Göteborg. Syftet var att undersöka om det fanns specifika dryckesmönster, med hänsyftning på kontextuella variabler, om dessa dryckesmönster skiljde sig åt mellan undersökningsåren och om vissa dryckesmönster visade starkare samband med olika grader av alkoholkonsumtion. Metod Data från en befolkningsundersökning, ”Kvinnor och alkohol i Göteborg”: I studien ingick 897 unga kvinnor intervjuade under åren 1995 och 2000. Då dryckeskontext kan ses som ett multifaktoriellt fenomen valde vi att använda klusteranalys (”Two-step clustering”) för att identifiera grupper med olika dryckesmönster. Vi använde Pearson Chi-square för att undersöka skillnader i alkoholkonsumtion mellan de olika grupperna. Alkoholkonsumtion fördelades som Alkoholmissbruk/beroende - ABM, Intensivkonsumtion (60g etanol/tillfälle) - IK, Intensivkonsumtion/12 mån. – IK12 och Hög alkoholkonsumtion (20g etanol/dag senaste månaden) - HAK. Resultat Med hjälp av klusteranalys identifierades tre grupper med olika dryckesmönster för varje undersökningsår. 1995 syntes en grupp måttlighetsdrickare, en grupp som drack ofta både i sociala sammanhang och i ensamhet samt en grupp som bejakade mest upplevda effekter av sitt drickande. 2000 fann vi åter gruppen måttlighetsdrickare, därtill en grupp där man bejakade sociala effekter av alkohol och en annan grupp som uppgav mer fysiska och kognitiva effekter. 1995 visade gruppen som drack i ofta i sociala sammanhang signifikanta samband med ABM, IK12 och HAK. År 2000 sågs signifikanta samband med alla konsumtionsvariablerna hos de båda grupper som bejakande olika upplevda effekter av alkoholanvändning. Sammanfattning Klusteranalys var en god metod för att identifiera grupper med olika dryckesmönster som underlag för analys av skillnader i alkoholkonsumtion. Analysen understryker vikten av att ta hänsyn till upplevda effekter av och egna anledningar till drickande när man vill medverka till en minskad alkoholkonsumtion i befolkningen.
|
|
| 4. |
- Dale, Richard Allan, 1965, et al.
(författare)
-
Children's perceptions of injuries: a qualitative study in Sweden
- 2013
-
Ingår i: Pediatric Nursing. - 0097-9805. ; 39:5, s. 225-232
-
Tidskriftsartikel (refereegranskat)abstract
- To understand one of the major public health problems for children, it is important to consider the children's perspective. The purpose of this qualitative study was to explore, describe, and categorize children's perceptions of injury severity and children's explanations of the injuries they experience. A total of 29 students from six randomly selected schools were interviewed in age groups of 9, 13, and 17 years. Manifest content analysis according to Graneheim and Lundman (2004) was used to categorize children's own statements. Need of medical attention, long-term consequences, and familiarity with the injury risk situation were identified as important determinants of children's perception of injury severity. Three categories emerged from children's explanations of their injuries: "Because of Me" (beliefs, lack of concentration, health conditions, and lack of awareness of risk), "Because of the Situation" (rain, ice, wind, animals, inanimate objects, constructions, and the children's games), and "Just Inexplicable" to the children. Findings suggest that children have a wide perception of injury severity and that children's beliefs of injury causation, as well as children's familiarity with injury risk situations, need to be considered in future studies focusing on the development of childhood injury prevention strategies. Additionally, results suggest that sometimes children cannot or do not want to explain their injuries.
|
|
| 5. |
- Ebrahimi, Zahra, et al.
(författare)
-
Effects of a continuum of care intervention on frail elders’ self-rated health, experiences of security/safety and symptoms: A randomised controlled trial
- 2017
-
Ingår i: Nordic Journal of Nursing Research. - : SAGE Publications. - 2057-1585 .- 2057-1593. ; 37:1, s. 33-43
-
Tidskriftsartikel (refereegranskat)abstract
- We aimed to evaluate effects of the intervention on self-rated health, experiences of security/safety and symptoms. A nonblinded controlled trial was performed with participants randomised to either the intervention group or a control group, with follow-ups at 3, 6 and 12 months. The intervention involved collaboration between a nurse with geriatric competence at the emergency department, the hospital wards and a multi-professional team for care and rehabilitation of older adults, with a case manager from the municipality as the hub. Older people who sought care at the emergency department at Sahlgrenska University Hospital/Mo¨ lndal and who were discharged to their own homes in the Mo¨ lndal municipality were asked to participate. Inclusion criteria were age 80 years and older, or 65 to 79 years with at least one chronic disease and dependency in at least one activity of daily living. Analyses were conducted on the basis of the intention-to-treat principle. Outcome measures were self-rated health, experiences of security/safety and symptoms. These were analysed using Svensson’s method. Of 161 participants, 76 were allocated to the control group and 85 to the intervention group. Positive effects of the intervention were observed for frail older adult’s symptoms and self-rated health.
|
|
| 6. |
- Ebrahimi, Zahra, et al.
(författare)
-
Frail Elders' Experiences With and Perceptions of Health
- 2012
-
Ingår i: Qualitative Health Research. - : SAGE Publications. - 1049-7323 .- 1552-7557. ; 22:11, s. 1513-1523
-
Tidskriftsartikel (refereegranskat)abstract
- In this study we explored frail elders' experiences with and perceptions of the phenomenon of health so as to develop a deeper understanding of living with diseases and disorders in old age. Frail elders participated in qualitative interviews that explored the meaning of the phenomenon of health for them. Eleven men and 11 women, who had diverse ratings of self-perceived health ranging from poor to excellent, were selected by means of a purposeful strategic sampling of frail elders taken from a broader sample that participated in a larger quantitative study on health. In total, 22 individual interviews were analyzed using Giorgi's descriptive phenomenology. We found that frail elders described health as being in harmony and balance in everyday life, and this occurred when participants were able to adjust to the demands of their daily lives in the context of their resources and capabilities.
|
|
| 7. |
- Ebrahimi, Zahra, et al.
(författare)
-
Health despite frailty: Exploring influences on frail older adults’ experiences of health
- 2013
-
Ingår i: Geriatric Nursing. - 0197-4572 .- 1528-3984. ; 34:2013, s. 289-294
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore and identify influences on frail older adults’ experience of health. A sample of older adults, 11 men and 11 women aged 67e92, with diverse ratings of self-perceived health ranging from poor to excellent were selected through a purposeful strategic sampling of frail older adults taken from a broader sample from a quantitative study on health. In total, 22 individual qualitative interviews were analyzed using qualitative content analysis in which themes were developed from raw data through a systematic reading, categorization of selected text, theme development and interpretation. To feel assured and capable was the main theme, which consisted of five subthemes: managing the unpredictable body, reinforcing a positive outlook, remaining in familiar surroundings, managing everyday life, and having a sense of belonging and connection to the whole. The importance of supporting frail older adults in subjective resilience in their context is emphasized.
|
|
| 8. |
- Ebrahimi, Zahra, et al.
(författare)
-
Self-rated health and health-strengthening factors in community-living
- 2015
-
Ingår i: Journal of Advanced Nursing. - : Wiley. - 0309-2402 .- 1365-2648. ; 71:4, s. 825-836
-
Tidskriftsartikel (refereegranskat)abstract
- Abstract Aim. The aim of this study was to analyse the explanatory power of variables measuring health-strengthening factors for self-rated health among communityliving frail older people. Background. Frailty is commonly constructed as a multi-dimensional geriatric syndrome ascribed to the multi-system deterioration of the reserve capacity in older age. Frailty in older people is associated with decreased physical and psychological well-being. However, knowledge about the experiences of health in frail older people is still limited. Design. The design of the study was cross-sectional. Method. The data were collected between October 2008 and November 2010 through face-to-face structured interviews with older people aged 65–96 years (N = 161). Binary logistic regression was used to analyse whether a set of explanatory relevant variables is associated with self-rated health. Results. The results from the final model showed that satisfaction with one’s ability to take care of oneself, having 10 or fewer symptoms and not feeling lonely had the best explanatory power for community-living frail older peoples’ experiences of good health. Conclusion. The results indicate that a multi-disciplinary approach is desirable, where the focus should not only be on medical problems but also on providing supportive services to older people to maintain their independence and experiences of health despite frailty.
|
|
| 9. |
- Hedenrud, Tove, 1967, et al.
(författare)
-
"I did not know it was so important to take it the whole time"-self-reported barriers to medical treatment among individuals with asthma
- 2019
-
Ingår i: BMC Pulm Med. - : Springer Science and Business Media LLC. - 1471-2466. ; 19:1
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Asthma is an extensive public health problem and inadequate disease control is not uncommon. Individuals' self-perceived barriers to medical treatment for the entire treatment chain (from seeking care for symptoms to using a medicine) have seldom been studied for chronic diseases such as asthma. The aim of this study was to explore self-perceived barriers to medical treatment among individuals with asthma within the framework of AAAQ (availability, accessibility, acceptability and quality). Methods: Individuals with asthma visiting the asthma nurse at a primary health care centre, and who currently had a prescription for anti-asthmatic medicines, were informed about the study. The nurse asked the persons for their consent to be contacted by an interviewer. The interview guide was constructed from the elements of AAAQ exploring self-perceived barriers to asthma treatment. Interviews were conducted in Swedish, English, Arabic and Persian. They were transcribed verbatim and a manifest content analysis was conducted. Results: Fourteen interviews were conducted. There was a large variation in both age and reported number of years with asthma. Self-perceived barriers to asthma treatment were experienced throughout the whole treatment chain. Barriers that emerged were health care accessibility, perceived quality of care, beliefs about medicines, life circumstances, knowledge gap about asthma and medicines, practical obstacles to using medicines, and experiences with treatment. The self-perceived barriers cover all four elements of AAAQ, but there are also some barriers that go beyond those elements (life circumstances and practical obstacles to using medicines). Conclusions: Self-perceived barriers among individuals with asthma cover the whole treatment chain. We want to highlight the inadequate information/education of patients leading to knowledge gaps about both disease and the effect of medicines, and also the perceived unsatisfactory treatment at the PHCC, which could partly be counteracted if patients know what to expect from health care visits. © 2019 The Author(s).
|
|
| 10. |
|
|
| 11. |
- Jakobsson, Annika, 1949
(författare)
-
Characteristics and Processes of Treatment Seeking for Alcohol Problems -findings from epidemiological and qualitative studies
- 2007
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Background: Alcohol use and misuse are related to several physical, mental, and social harms in Sweden. Early identification of risky alcohol consumption followed by appropriate intervention can lead to decreased alcohol consumption and prevention of aggravation. However, for many individuals, seeking help or treatment does not seem to become an option until the problems have become severe. Increased knowledge of characteristics and processes of treatment-seeking is needed. Aims: The overall aim of this thesis was to explore treatment-seeking behaviour in people with alcohol problems. Its specific aims were to investigate whether there were differences in women diagnosed with alcohol use disorders (AUD) between those who had or had not received treatment, to analyse the associations between personality and treatment-seeking in women, to explore the processes leading to treatment-seeking, and to analyse treatment-seeking for alcohol problems from a gender perspective. Methods: The thesis was based on both quantitative and qualitative data. Quantitative data was taken from the multipurpose, longitudinal, general population-based project ?Women and Alcohol in Göteborg? (WAG). A sample of women with a lifetime diagnosis of alcohol use disorders (n=52) was identified among 3130 women. Pooled cross-sectional data from three population samples and one clinical sample from the WAG project (n=1,342) formed the basis for the analysis of associations between treatment-seeking and personality traits using the Karolinska Scales of Personality (KSP). Qualitative data was gathered via interviews with 12 women and men who had sought treatment for the first time. The qualitative study was based on grounded theory. Content analysis was used to analyse the interviews from a gender perspective. Results: Among women diagnosed with AUD, the AUD was significantly more severe in those who had received treatment. Women with resolved AUD who had received treatment were more anxious, tense, irritable, and showed more guilt, than untreated women with resolved AUD. Untreated women with resolved AUD resembled women without AUD on most personality traits. Developing a willingness to change was found to be the basic psychosocial process leading to treatment-seeking for both women and men. The categories that constituted sub-processes and supported the development of willingness to change were: 1) actuating inner forces; 2) dealing with conflicting feelings and thoughts; and 3) hoping to turn the situation around. These processes were continuously assisted by demanding and caring support from partners, friends, or professionals. The analysis of gendered conceptions in treatment-seeking showed that promoting factors for treatment-seeking in men were characterised by beliefs in their own capability, and future prospects. Women placed importance on pressure from someone significant, and sharing the problem with someone else. Hindrances for both women and men were feelings of shame and the significance of alcohol in their lives. Conclusions: In motivating people to seek treatment, professionals and the social network can play a vital role by showing demanding and caring support. Gendered conceptions of alcohol problems and treatment-seeking should be considered both in planning prevention strategies and treatment. Future studies focusing on the significance of alcohol in people?s lives and perceptions of gendered behavior could increase the understanding of what promotes and what hinders treatment-seeking in people with alcohol problems.
|
|
| 12. |
- Jakobsson, Annika, 1949, et al.
(författare)
-
Developing a willingness to change: treatment-seeking processes for people with alcohol problems.
- 2005
-
Ingår i: Alcohol Alcohol. ; Mar-Apr;40:2, s. 118-23
-
Tidskriftsartikel (refereegranskat)abstract
- AIMS: The study explores treatment-seeking processes in men and women with alcohol problems, focusing on promoting and hindering factors. METHODS: Open interviews were held with five women and seven men within a month of their first voluntary treatment for alcohol problems. The interview protocols were analysed consecutively in accordance with grounded theory methodology. RESULTS: Developing a willingness to change was found to be the basic psychosocial process that lead to treatment-seeking. Categories that constituted sub-processes and supported willingness to change were: (i) actuating inner forces; (ii) dealing with conflicting feelings and thoughts; and (iii) hoping to turn the situation around. These processes were continuously assisted by demanding and caring support from partners, friends or professionals. CONCLUSIONS: The processes that precede treatment-seeking were highly complex, and both internal and external factors promoted and hindered treatment entry. The social significance of alcohol and the grief related to thoughts of abstaining were the most striking hindering factors. Such feelings need to be considered when motivating people to seek treatment for alcohol problems.
|
|
| 13. |
|
|
| 14. |
|
|
| 15. |
- Jakobsson, Annika, 1949, et al.
(författare)
-
Possibilities and Hindrances for Prevention of Intimate Partner Violence: Perceptions Among Professionals and Decision Makers in a Swedish Medium-Sized Town.
- 2013
-
Ingår i: International journal of behavioral medicine. - : Springer Science and Business Media LLC. - 1532-7558 .- 1070-5503. ; 20:3, s. 337-343
-
Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Intimate partner violence (IPV) is a major public health problem, but few evidence-based prevention programs have yet been implemented. PURPOSE: This study explored the perceptions and beliefs of local-level decision makers, social and health-care professionals, and representatives from the police force regarding the possibilities and hindrances for prevention of IPV. METHOD: An explorative qualitative approach was used, and participants were strategically selected for focus group discussions. The participants, 19 men and 23 women, were professionals or decision makers within health-care services, social welfare, municipal administration, the police force, local industry, and local politicians in a Swedish town of 54,000 inhabitants. The focus group discussions were audio recorded, transcribed verbatim, and thematically analyzed. A manifest content analysis was performed on the text. RESULTS: Preschools, schools, sports associations, workplaces, and the mass media were suggested as possible arenas for prevention measures. The proposed activities included norm building and improved social support structures. Hindrances were conceptualized as societal beliefs and attitudes, shame, silence, gender inequality, the counteracting influence of the media, and lack of resources. The participants demonstrated closeness and distance to IPV, expressed as acceptance or referral of responsibility to others regarding where and by whom prevention measures should be executed. CONCLUSION: This study gave new insights in the prevailing perceptions of professionals and decision makers of a medium-sized Swedish town, which can be a useful knowledge in future preventive work and contribute to bridge the gap between research and practice.
|
|
| 16. |
- Jakobsson, Annika, 1949, et al.
(författare)
-
The role of gendered conceptions in treatment seeking for alcohol problems
- 2008
-
Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 22:2, s. 196-202
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore the inducements for treatment-seeking for alcohol problems in women and men. Specifically we wanted to identify what promoted or hindered treatment-seeking in women and men, respectively, and to what extent femininity and masculinity was reflected in the context of treatment seeking. Data was obtained from open interviews with five women and seven men within a month after their first entry into alcohol treatment. A content analysis was performed using gender as the sorting factor. Promoting factors for treatment seeking in men were characterized by belief in their own capability, and looking to the future; whereas the women placed importance on pressure from someone significant, and sharing the problem with others. Hindrances for both women and men were feelings of shame and the significant role alcohol had in their lives. The women perceived alcohol problems as incompatible with femininity, and this made them avoid talking openly about their problems, which hence hindered treatment seeking. These findings showed that the value of alcohol as a gendered symbol still exists, which could be perceptible in promoting and hindering factors for treatment seeking in women and men. These factors could be useful to consider by professionals both in the primary healthcare system and in the social services. Future research should address treatment seeking in relation to both cultural and gendered constructions and their influence on the perceptions and behaviour of women and men with alcohol problems.
|
|
| 17. |
|
|
| 18. |
- Jonsson, Pernilla, 1978, et al.
(författare)
-
Holding on to the indispensable medication –A grounded theory on medication use from the perspective of persons with medication overuse headache
- 2013
-
Ingår i: Journal of Headache and Pain. - : Springer Science and Business Media LLC. - 1129-2369 .- 1129-2377. ; 14:43, s. 1-11
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Medication overuse headache (MOH) is a chronic headache disorder, caused by overuse of acute medication. To date, it remains unclear why some people overuse these medications. The aim of this qualitative study was to explore how individuals with MOH use medications and other strategies to manage headaches in their daily lives, and their thoughts about their own use of acute medication. Our intention was to develop a theoretical model about the development of MOH, from the perspective of those with MOH. Methods: Data collection and analysis were conducted according to grounded theory methodology. The participants were recruited via newspaper advertisements. Fourteen persons with MOH were interviewed in individual qualitative interviews. Results: The basic process leading to medication overuse was holding on to the indispensable medication. The acute medication was indispensable to the participants because they perceived it as the only thing that could prevent headaches from ruining their lives. The participants perceived headaches as something that threatened to ruin their lives. As a result, they went to great lengths trying to find ways to manage it. They tried numerous strategies. However, the only strategy actually perceived as effective was the use of acute medication and they eventually became resigned to the idea that it was the only effective aid. The acute medication thus became indispensable. Their general intention was to use as little medication as possible but they found themselves compelled to medicate frequently to cope with their headaches. They did not like to think about their medication use and sometimes avoided keeping track of the amount used. Conclusions: This qualitative study adds understanding to the process via which MOH develops from the perspective of those having MOH. Such knowledge may help bridge the gap between the perspectives of patients and health-care professionals.
|
|
| 19. |
|
|
| 20. |
- Mårdby, Ann-Charlotte, 1976, et al.
(författare)
-
Beliefs about medicines among prescribing and non-prescribing nurses in Sweden.
- 2014
-
Ingår i: Journal of Nursing Education and Practice. - : Sciedu Press. - 1925-4040 .- 1925-4059. ; 4:8, s. 153-61
-
Tidskriftsartikel (refereegranskat)abstract
- Background: The beliefs patients and health care providers have about medicines are important for communication about medicines, which is a central tool for patient-centered care and the quality of care. This study aimed to analyze general beliefs about medicines among prescribing and non-prescribing nurses. Methods: In this cross-sectional study a survey (Beliefs about Medicines Questionnaire, socio-demographic factors, years of professional experience and the right to prescribe) was sent to 303 nurses in Region Västra Götaland, Sweden, in 2007 (response rate: 80.5%). Analyses were made with independent t-tests, analyses of variance and linear regressions. Results: The beliefs about medicines among nurse prescribers did not differ from those of non-prescribing nurses. Professional experience was, however, important for harmful beliefs about medicines. Non-prescribing nurses with 16-30 years of professional experience had more harmful beliefs about medicines compared with non-prescribing nurses with less professional experience. Conclusions: It is important to further examine the possible effects of education and professional experience on beliefs among nurses. During the communication between nurses and patients there is a need for increased awareness of the importance of professional experience for beliefs about medicines.
|
|
| 21. |
- Nielsen, Susanne, 1969, et al.
(författare)
-
Authentic Situations Motivate Medical Students for Dealing with Medical Insurance Issues
- 2012
-
Ingår i: Creative Education. - : Scientific Research Publishing, Inc.. - 2151-4755 .- 2151-4771. ; 3:1, s. 120-125
-
Tidskriftsartikel (refereegranskat)abstract
- In this study, e-learning based on authentic situations was used as a pedagogic method to stimulate medi-cal students to reflect over their own learning styles and to prepare them for dealing with medical insur-ance issues in their future profession. The aim was to explore the learning styles used by the students in a Social medicine course when e-learning, based on authentic situations was used as a pedagogical ap-proach. A learning style questionnaire by Kember, Biggs and Leung, and a course evaluation question-naire designed by the authors were used. Seventy-seven students answered the questionnaires and the questionnaires were analysed by Mann-Whitney U-test, and Fisher’s test was used as a pair comparison. One hundred forty comments made by the students were analysed using content analysis. The results showed that: 69% of the students regarded e-learning as a very good/good pedagogical method to study medical insurance. Men had a significantly higher rate of surface learning than women. A majority of the students thought that it was positive to take part of peer students’ assignments but they highlighted the risk of plagiarism and cheating. The students made use of the flexibility in this type of learning which suited their lifestyle.
|
|
| 22. |
- Nordling, Paula, 1979, et al.
(författare)
-
The Capacity Note: a communication facilitator in the sick leave process of patients with common mental disorders - a qualitative study of user perceptions
- 2022
-
Ingår i: Bmj Open. - : BMJ. - 2044-6055. ; 12:4
-
Tidskriftsartikel (refereegranskat)abstract
- Objectives To describe the development of a communication facilitator, the Capacity Note, for the sick leave process of patients with common mental disorders (CMDs) in primary care, and to explore users' perceptions of it. Design Qualitive study. Setting Primary healthcare in Region Vastra Gotaland, Sweden. Participants and methods The Capacity Note was developed inductively based on data from six qualitative studies of work capacity and CMD and was introduced at primary healthcare centres during 2018-2019. Individual semistructured interviews were performed with 13 informants (8 patients, 2 general practitioners and 3 managers) who had used the Capacity Note at least once. Interviews were audiorecorded and transcribed verbatim and inductive manifest qualitative content analysis was used to analyse the data. Results The Capacity Note comprised questions about work situation, work capacity limitations and possible work adjustments. Based on the interviews, four categories relating to its role as a facilitator for communication about work and health were identified: content and format, understanding, legitimacy and action, openness and timing, and time and efficiency. The participants considered the Capacity Note relevant and easy to use, and as having the potential to improve communication about and understanding of the patient's situation. The increased understanding was perceived as contributing to a sense of legitimacy and agency. Achieving these benefits required, according to the participants, openness, an investment of time and using the Capacity Note at the right time in the sick leave process. Conclusion The Capacity Note was found to be relevant and as having, under the right conditions, the potential to improve communication and facilitate the sick leave process.
|
|
| 23. |
- Spak, Fredrik, 1948, et al.
(författare)
-
Bemötande inom beroendevård
- 2017
-
Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Ett gott bemötande av den enskilda människan som söker vård kan antas vara av grundläggande betydelse för vårdupplevelsen och även för vårdutfallet. Att ge ett gott bemötande bör vara särskilt viktigt inom beroendevården. Vilken betydelse bemötande inom beroendevården har är dock till stora delar outforskad. Bemötandet upplevdes överlag som gott. Följande kategorier identifierades, uppdelade på gott respektive dåligt bemötande. Gott bemötande: att skapa tillit och trygghet, att visa personlig omsorg, att agera utifrån kunskap och erfarenhet, att respektera patienternas autonomi och integritet, att inta ett professionellt och medmänskligt förhållningssätt samt att behandla med både fast och mjuk hand. Under dåligt bemötande har vi identifierat fyra kategorier: att inte se patientens behov, kommunikationsbrister, olämpligt förhållningssätt samt kränkande förhållningssätt.
|
|
| 24. |
|
|
| 25. |
- Östlund, Anette, 1966, et al.
(författare)
-
A cross-sectional study of personality traits in women previously treated or untreated for alcohol use disorders.
- 2007
-
Ingår i: Subst Abuse Treat Prev Policy.. ; Aug 06:2
-
Tidskriftsartikel (refereegranskat)abstract
- Background A better understanding of the relationship between treatment-seeking for alcohol problems and personality traits could give useful insight in factors promoting or hindering treatment for alcohol use disorders (AUD). The aim of this study was to analyze the associations between treatment-seeking for AUD, personality traits, and psychiatric co-morbidity in women. The study was based on pooled cross-sectional data from three population based samples and one clinical sample (n = 1,339). Comparisons were made between treated and untreated women with AUD, and between those with resolved and unresolved AUD. Results A stepwise logistic regression model showed that treatment-seeking for AUD was not associated with personality traits. Among women with lifetime AUD (n = 217), those who had been treated (n = 42) had significantly higher scores than untreated women (n = 175) on three personality traits of the Karolinska Scales of Personality (KSP); somatic anxiety, muscular tension, and guilt. Women with resolved AUD, who had received treatment (n = 23) had significantly higher scores on scales measuring somatic anxiety, psychic anxiety, muscular tension, irritability, and guilt than untreated women with resolved AUD. The latter group resembled women without AUD on most personality traits. There were no differences in occurrence of lifetime psychiatric disorders between the treated and the untreated women, whereas treated women with current AUD had increased risk of lifetime anxiety (OR: 3.1, 95% CI: 1.1–8.7). Conclusion Treatment-seeking was not associated with personality traits in this study. Still, it can be concluded that women with resolved AUD who had received treatment had high scores on the KSP-scales measuring psychic and somatic anxiety, tension, irritability, and feelings of guilt. This suggests that personality assessment might be a useful tool in tailoring individual treatment programs for women with AUD. Future studies need to explore if women who do not seek treatment have special needs which are not met in usual treatment settings.
|
|
