| 11. |
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| 12. |
- Hansson, Malin, 1975, et al.
(author)
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Job satisfaction in midwives and its association with organisational and psychosocial factors at work : a nation-wide, cross-sectional study
- 2022
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In: BMC Health Services Research. - London : Springer Science and Business Media LLC. - 1472-6963. ; 22:1, s. 1-10
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Journal article (peer-reviewed)abstract
- BackgroundMidwives report a challenging work environment globally, with high levels of burnout, insufficient work resources and low job satisfaction. The primary objective of this study was to identify factors in the organisational and psychosocial work environment associated with midwives’ job satisfaction. A secondary objective was to identify differences in how midwives assess the organisational and psychosocial work environment compared to Swedish benchmarks.MethodsThis nation-wide, cross-sectional web survey study analysed midwives’ assessment of their organisational and psychosocial work environment using the COPSOQ III instrument. A multivariable, bi-directional, stepwise linear regression was used to identify association with job satisfaction (N = 1747, 99.6% women). A conventional minimal important score difference (MID ± 5 as a noticeable difference with clinical importance) were used to compare midwives’ results with Swedish benchmarks.ResultsA multivariable regression model with 13 scales explained the variance in job satisfaction (R2 = .65). Five scales, possibilities for development, quality of work, role conflict, burnout and recognition, explained most of the variance in midwives’ job satisfaction (R2 = .63) and had β values ranging from .23 to .10. Midwives had adverse MID compared to Swedish benchmarks with higher difference in mean values regarding quantitative demands (8.3), work pace (6.0) emotional demand (20.6), role conflicts (7.9) and burnout (8.3). In addition, lower organisational justice (-6.4), self-rated health (-8.8), influence (-13.2) and recognition at work (-5.8). However, variation and meaning of work showed a beneficial difference in mean values with 7.9 and 13.7 respectively.ConclusionsMidwives reported high levels of meaningfulness in their work, and meaningfulness was associated with job satisfaction. However, midwives also reported adversely high demands and a lack of influence and recognition at work and in addition, high role conflict and burnout compared to Swedish benchmarks. The lack of organisational resources are modifiable factors that can be taken into account when structural changes are made regarding organisation of care, management and resource allocation. Midwives are necessary to a high quality sexual, reproductive and perinatal health care. Future studies are needed to investigate if job satisfaction can be improved through professional recognition and development, and if this can reduce turnover in midwives.
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| 13. |
- Hansson, Malin, 1975, et al.
(author)
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Professional courage to create a pathway within midwives’ fields of work : a grounded theory study
- 2021
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In: BMC Health Services Research. - London : Springer Science and Business Media LLC. - 1472-6963. ; 21:1
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Journal article (peer-reviewed)abstract
- The theory of salutogenesis focuses on resources for health and health-promoting processes. In the context of midwives’ work, this is not well described despite the importance for occupational health and the intention to remain in the profession. In order to promote a healthy workplace, it is necessary to consider the facilitating conditions that contribute to a sustainable working life. Therefore, the aim of this study was to explore health-promoting facilitative conditions in the work situation on labour wards according to midwives.
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| 14. |
- Håman, Linn, 1982-, et al.
(author)
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An Empowerment-Based Physical Activity Intervention for Older People with Advanced Age-Related Macular Degeneration : An Exploratory Qualitative Case Study Design
- 2024
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In: Journal of Clinical Medicine. - Basel : MDPI. - 2077-0383. ; 13:13, s. 1-14
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Journal article (peer-reviewed)abstract
- Background: Age-related macular degeneration (AMD) is the most common cause of incurable visual impairment and impacts daily life. There are benefits of physical activity for people who are affected with AMD; however, living with AMD is associated with lower levels of physical activity and social isolation. The aim of this study was to explore how older people with AMD in Sweden experienced participation in a 6-month empowerment-based physical activity intervention and how it influenced their physical abilities. Methods: The participants were nine individuals with AMD aged 70–87 years. The intervention comprised physical and social activities in a group twice a week and individual health coaching on three occasions. The study was based on an exploratory qualitative case study design. Results: The findings showed two themes: created meaningfulness in life and creative and playful ways to develop body movements. The findings also showed improved muscle strength after the intervention. Conclusions: The findings showed that participants had increased social connectedness, improved physical self-efficacy and physical ability, as well as improved muscle strength. The empowerment process of the intervention was appreciated by the participants and challenged them to participate in physical activity offered by the municipality for older individuals. © 2024 by the authors.
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| 15. |
- Håman, Linn, 1982-, et al.
(author)
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Empowering older people with age-related macular degeneration : An Empowerment-Based Physical Activity Intervention
- 2023
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Conference paper (peer-reviewed)abstract
- Background: Age-related macular degeneration (AMD) is the most common cause of incurable visual impairment. These impacts include loss of social activities, decreased functional independence, and reduced physical activity.The purpose of the study was to explore the participants' experiences and meanings expressed by people with AMD participating in an empowerment-based intervention.Methods: The study has an explorative design based on ethnographic observations and informal interviews during the Empowerment-Based Physical Activity Intervention (EPI). The intervention embraced empowerment as a process and adopted the reflective equilibrium community empowerment approach. The EPI was carried out over six months and comprised adapted physical activity and social activities twice a week—furthermore, individual health coaching on three occasions. Nine women and two men aged 70-87 years old with AMD in Sweden participated in EPI. Field notes of the observations were analysed using a thematic method with an abductive approach.Findings: The analysis resulted in five themes: a) Feeling seen and included, b) Having a sense of security, c) Developing physical skills, d) Feeling meaningful and social connectedness, and e) Feeling increased motivation.Conclusion: Based on the findings, EPI has been a resource for the participants' well-being and development. The findings also filled a gap in the research literature and may provide insights into the potential of creative supervised, adapted physical activity in groups, health coaching, and socialising.
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| 16. |
- Häggström Westberg, Katrin, 1968-, et al.
(author)
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Lost in Space - an exploration of help-seeking among young people with mental health problems : a constructivist grounded theory study
- 2020
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In: Archives of Public Health. - Brussels : Institut Scientifique de Sante Publique / Scientific Institut of Public Health. - 0778-7367 .- 2049-3258. ; 78
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Journal article (peer-reviewed)abstract
- Background: Mental health problems among young people is a worldwide public health concern. There has been an increase in mental health problems among young people in the Nordic countries in the last 25 years, particularly in Sweden. Despite this increase, international research has repeatedly shown that young people do not access or receive support when encountering mental health problems. The purpose of this study was to explore the process of help-seeking for professional support among young people with mental health problems. Methods: The study used qualitative constructivist Grounded Theory and open-ended interviews. Thirteen young people between 15 and 23, recruited from two local support clinics, were interviewed. Results: Lost in space emerged as the core category, capturing aspects of both the experience of self and mental health problems as well as the process of seeking and acquiring help from professional support systems. The study identified several prominent barriers for seeking and acquiring professional help for mental health problems. The young people expressed a lack of knowledge on mental health issues and support services and substantial efforts were made to try to cope with problems on one’s own. Lost in space involved Drifting - trying to make sense of own experiences and struggling to cope with problems, Navigating - searching for help through multiple attempts and contacts and Docking - finding support with something/somebody that feels right. Conclusions: The theoretical model sheds light on how young people with mental health problems were met with fragmented support services. Society needs to provide encompassing, youth-friendly and flexible support services, so that attempts at help-seeking are not missed. © The Author(s). 2020
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| 17. |
- Källstrand Eriksson, Jeanette, PhD, 1965-, et al.
(author)
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Perpetuating ability to live life as usual : a grounded theory study of persons living with age-related macular degeneration
- 2024
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In: BMC Geriatrics. - London : BioMed Central (BMC). - 1471-2318. ; 24
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Journal article (peer-reviewed)abstract
- Background: Age-Related Macular Degeneration (AMD) is an eye disease associated with age that causes progressive and irreversible loss of central vision, while the peripheral visual ability remains. The present study explored what it means to live with AMD through the eyes of those living with the condition. Methods: This is an explorative interview study. People who were ≥ 65 years old, living in their own homes, and diagnosed with advanced dry AMD in one or both eyes, causing a visual acuity of no more than 0.3 or worse in the best eye, were invited to participate in the study. The method chosen was the constructivist grounded theory, where reality is seen as fundamentally social and processual and a way of accessing the participants' experiences, thoughts, and feelings. Results: In total, 12 interviews were conducted. Living with dry AMD confronted different problems and challenges. The substantive theory, Perpetuating ability to live life as usual, is characterised by a desire to continue life as usual, which requires an acceptance of the disease's progress, self-acceptance of the new me, and an acceptance that you must live the new life a little more carefully. Moreover, the participants used three strategies to resolve the main concern: 1) Navigating the new normal, 2) Trusting own ability, and 3) Interdepending. Conclusion: Maintaining an everyday life is the primary concern among people with AMD. In supporting self-care, gaining information about the subjective experience to support their everyday living is of the utmost importance. This grounded theory captures valuable knowledge of how the older adults resolved their main concern “you got to keep on” despite their affected vision by “facing the fact” live life as usual since life continues. Our study also gives rise both to implications for research and practice in order to strengthen older people with AMD facing their future challenges. Trial registration: The Swedish Ethical Review Authority (EPN 2021/02877). © 2024, The Author(s).
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| 18. |
- Källstrand Eriksson, Jeanette, PhD, 1965-, et al.
(author)
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You gotta keep on : A grounded theory study of persons living with age-related maculardegeneration
- 2023
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In: 10th Nordic Health Promotion Research Conference. Sustainability and the impact on health and well-being. - Halmstad : Halmstad University Press. - 9789189587410 ; , s. 11-11
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Conference paper (peer-reviewed)abstract
- AbstractAge-Related Macular Degeneration (AMD) is an eye disease associated with age with progressive loss of central vision, but the peripheral vision remains. The disease is considered the third most common cause of impaired vision and legal blindness in the world among people 60 years and older and as the elderly population increases, the prevalence of AMD is also expected to increase. Because of the progress of the disease, vision-related issues are accumulated and consequently also on the quality of life. The aim of the study was to explore the experience of living with AMD. The participants were ≥ 65 years living in their own homes and having a diagnosis of dry AMD in one or both eyes caused visual acuity of no more than 0.3 in the best eye. The method chosen was the constructivist grounded theory where reality is seen as fundamentally social and processual and a way of getting access to the participants’ experiences, thoughts, and feelings. The interviews were conducted in the participants’ homes or where they preferred such as at a library.
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| 19. |
- Lindgren, Eva-Carin, 1962-, et al.
(author)
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Empowerment-Based Physical Activity Intervention for People with Advanced Dry Age-Related Macular Degeneration : Mixed-Methods Protocol
- 2023
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In: International Journal of Environmental Research and Public Health. - Basel : MDPI. - 1661-7827 .- 1660-4601. ; 20:1
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Journal article (peer-reviewed)abstract
- Age-related macular degeneration (AMD) is the most common cause of incurable visual impairment and impacts daily life. These impacts include loss of social activities, decreased functional independence, and reduced physical activity. This protocol aims to describe a prospective, mixed-methodology for studying a population with AMD before, during, and after an empowerment-based physical activity intervention (EPI). A study framework was also developed for EPI. The intervention will include 20 older individuals (age 65+ years) with AMD recruited in Sweden. The intervention period is six months and comprises adapted physical activity and social activities in a group twice a week and individual health coaching on three occasions. The quantitative pre-test and three follow-ups include physical functional tests, an accelerometer that monitors physical activity continuously for one week, and questionnaires. Individual and focus-group interviews and ethnographic observations will explore the experience of living with AMD and what it means to participate in the EPI for individuals with AMD. The chosen methodology offers a structured way for researchers to explore the experiences and factors that may provide insights into the potential of creative supervised, adapted physical activity in groups, health coaching, and socialising that are significant to enable well-being among older individuals with AMD. © 2022 by the authors.
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| 20. |
- Mirskaya, Maria, 1972-, et al.
(author)
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Bearing the burden of spill-over effects : Living with a woman affected by symptomatic pelvic organ prolapse after vaginal birth - from a partner's perspective
- 2023
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In: Sexual & Reproductive HealthCare. - Oxford : Elsevier. - 1877-5756 .- 1877-5764. ; 37
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Journal article (peer-reviewed)abstract
- INTRODUCTION: Symptomatic pelvic organ prolapse (sPOP) can have a negative impact on a woman's health. While research exists about the impact of sPOP on women, little is known about the effect on their partners. Therefore, this study aimed to explore, from the partner's perspective, what it means to live with a woman with symptomatic pelvic organ prolapse after vaginal birth. METHODS: A qualitative explorative design with a constructed grounded theory approach was taken to analyse the interviews of 13 partners who experienced living with a woman who had sPOP after vaginal birth. RESULTS: "The theory of bearing the burden of spill-over effects" was constructed based on a core category: "Facing a new restricted life", with related categories "Giving up valued activities"; "Struggling with added demands"; "Changing intimate behaviour" and "Redefining future family planning". The theory also contains factors constraining and enabling adjustment to the new reality. While the shortcomings of healthcare constrained the process of adjustment, getting competent treatment and the feeling of love for the family enabled it. CONCLUSION: This study demonstrated that women's sPOP had an apparently negative impact on partners' health behaviours, sexual health, relationship harmony, and psychological well-being. The partners indicated they were unprepared for post-birth adversities and distressed by the lack of treatment options. There is a need to develop prenatal information highlighting the potential risks of sPOP which may be accompanied by levator ani muscle injury, implement guidelines for the prevention and management of these conditions, and offer targeted support to partners if needed. Copyright © 2023 The Authors. Published by Elsevier B.V. All rights reserved.
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