| 1. |
- Malmström, Nina, et al.
(författare)
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"Womanhood," a shared experience of participating in a lifestyle intervention with a focus on integration and physical activity to promote health among pregnant women : perspectives from pregnant women, midwives, and cultural interpreter doulas
- 2022
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - Abingdon : Taylor & Francis. - 1748-2623 .- 1748-2631. ; 17:1
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Migrating women, have an overall increased risk of adverse outcomes and poorer health during pregnancy and childbirth. In addition, they do not participate in planned antenatal care to the same extent as natives. These disparities among migrants and native pregnant women point to the need for interventions to improve equal health and care during pregnancy and childbirth. This study aimed to explore the experiences of participating in a lifestyle intervention, named “Dancing for birth,” focusing on integration and physical activity, from the perspectives of the participating pregnant women, midwives, and cultural interpreter doulas.Method: Qualitative interviews were conducted from March 2019 to December 2020, with ten women who participated in a lifestyle intervention in Sweden: four pregnant women, three midwives, and three cultural interpreter doulas. Thematic analysis was used to analyse the data.Results: The lifestyle intervention ”Dancing for birth” provided positive shared Health-promoting experiences among the participants with social inclusivness and a commitment to supporting each other. This seemed to encourage the sense of strength as a woman- a strengthboth for the individual woman and as a kind of women´s power.Conclusions: Interventions targeting physical activity, social inclusiveness, and health literacy are of utmost importance in promoting positive pregnancy experiences and equal healthcare during pregnancy. Further research is needed on how to implement antenatal education that includes all women in society. © 2022 The Author(s).
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| 2. |
- Carlsson, Ing-Marie, 1961-, et al.
(författare)
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Building up bit by bit, parent's experiences of equine-assisted intervention among children and adolescents with mental illness : a grounded theory study
- 2024
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - Abingdon : Taylor & Francis. - 1748-2623 .- 1748-2631. ; 19:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Mental ill health among children and adolescents has increased worldwide. Mental health difficulties from a young age are associated with school absence and educational underachievement. A holistic perspective of treatments besides medical treatment is essential Thus, there is a need for research regarding equine-assisted intervention (EAI).PURPOSE: The present study aimed to understand the outcomes of an equine-assisted intervention for children and adolescents with mental ill health from the perspectives of parents and close relatives.METHODS: This study used a qualitative research design informed by Charmaz's Grounded Theory, with a purposive sample including six in-depth interviews.RESULTS: The theory "building up bit by bit" was constructed, explaining the recognition that their children/adolescents were built up bit by bit and created a stronger self-identity. The participants referred to changes in the child's or adolescent's way of being and emotional regulation, which constituted building blocks leading to the child's or adolescent's increased Harmony, enhanced Self-identity, and improved Capability.CONCLUSION: Parents and close relatives experienced that their child or adolescent was built up bit by bit and gained a stronger foundation to stand on. This led to increased harmony in everyday life with stronger self-worth, better performance, and reduced school absenteeism.
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| 3. |
- Ekengren, Johan, 1979-
(författare)
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Careers of Swedish Professional Handball Players : From an Empirical Model to Career-Long Psychological Support Services
- 2020
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This PhD Project with a specialization in sport psychology is inspired by the cultural praxis of athletes’ careers paradigm. This implies that the Project blends theory, research, and practice within the context of Swedish handball, by investigating career pathways of professional players providing empirically based, and context specific, implications. The overarching aim of the Project is twofold: (a) to examine the career experiences of Swedish professional handball players and consolidate them into the empirical career model of Swedish professional handball players (ECM-H), and (b) based on the ECM-H, to develop, validate, and test an applied framework promoting career-long psychological support services in Swedish handball (CPS-H). The first aim is covered by Study I and II, and the second aim is met in Study III and IV. The dissertation is designed as a collection of four articles with one article per study. Study I focused on a qualitative exploration of career experiences from 18 Swedish professional handball players including major career stages and transitions in their athletic and non-athletic development. The players’ accounts were consolidated into the ECM-H describing the context-specific features and pathways throughout the handball career. When developing the ECM-H, gender-specific issues appeared of interest for further investigation. Gender issues were addressed in Study II by re-analyzing the data from Study I. Two composite vignettes were created describing the career pathways of nine male and nine female players. Study III initiated a move from research to practice. Based on the ECM-H, applied sport psychology literature and experiences of the research team led by the first author, the applied framework CPS-H was heuristically developed and validated in three focus groups with end users; professional players, coaches, and sport psychology practitioners. The validated version of the CPS-H is presented with general and career stage-specific recommendations for its implementation among support providers (i.e., where, when, what, who, why, and how of psychological support service). Study IV was designed as an instrumental case study for testing a part of the CPS-H framework. More specifically, the mastery career stage. A career assistance program (CAP) named Life as a professional handball player was developed for, implemented with, and evaluated by Swedish League team. The program included eight workshops dealing with various aspects of the players’ athletic and non-athletic life (e.g., performance, training, lifestyle, recovery, future planning), together with crisis-related issues (e.g., coping with uncertainty). These workshops were delivered by the first author during 12 weeks of a competitive season. The mixed-methods evaluation revealed a perceived improvement in players’ personal coping resources (e.g., increased awareness) and a decrease in their fatigue and stress. This Project contributes to the athlete career sport psychology discourse and the emerging athlete mental health discourse by presenting the ECM-H and CPS-H frameworks, and the CAP Life as a professional handball player, grounded in the cultural context of Swedish handball. The frameworks and CAP can serve as inspiration for future research and practice, informed by a cultural praxis. The Project shows the usefulness of working as a scientist-practitioner and establishing theory-researchpractice-context links for the promotion of culturally informed implications, and supports the work of facilitating a holistic understanding of athletes’ striving for healthy, successful, and long-lasting careers in sport and life.
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| 4. |
- Ekengren, Johan, 1979-, et al.
(författare)
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Composite vignettes of Swedish male and female professional handball players’ career paths
- 2020
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Ingår i: Sport in Society. - Abingdon : Routledge. - 1743-0437 .- 1743-0445. ; 23:4, s. 595-612
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe gender-specific career paths of Swedish professional handball players. A reanalysis of Ekengren et al. (2018) career interviews with nine male and nine female players led to creating two composite vignettes using the athletes’ own words, accounted for typical features in the male and female players’ career paths. Seven themes were identified in the analysis of the men’s transcripts and eight themes derived from the women’s transcripts. Further, the themes of both vignettes were aligned with career stages described in our previous study (Ekengren et al. 2018). The male players’ vignette is interpreted as a performance narrative congruent with elite handball culture that promotes performance success and profitable professional contracts. The female players’ vignette is more holistic, embracing handball, studies, motherhood, and how they ought to be as Swedish women. Recommendations for future research are provided. © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group
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| 5. |
- Ekengren, Johan, 1979-, et al.
(författare)
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Exploring career experiences of Swedish professional handball players : Consolidating firsthand information into an empirical career model
- 2020
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Ingår i: International Journal of Sport and Exercise Psychology. - New York : Taylor & Francis. - 1612-197X .- 1557-251X. ; 18:2, s. 156-175
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Tidskriftsartikel (refereegranskat)abstract
- The study was aimed at developing the empirical career model of Swedish professional handball players by means of exploring their career experiences in athletic and non-athletic developments through the lens of the holistic athletic career model. Eighteen Swedish professional handball players (nine men and nine women), who had recently terminated or were finishing their careers took part in semi-structured interviews about their careers from the beginning to the end with an interest in both athletic and non-athletic developments. Thematic analysis initially focused on identifying the handball career structure (i.e. stages and sub-stages). Then, the interviews were analysed inductively to identify shared themes in the players’ experiences relevant to each career stage. These themes were incorporated in the relevant stages, and the empirical career model of Swedish professional handball players (further – the empirical model) was finalised. The empirical model describes careers of Swedish handball players as having four athletic stages – initiation, development (with three sub-stages), mastery (with four sub-stages), and discontinuation – complemented by players’ psychological, psychosocial, academic/vocational, and financial developments. Each stage is also aligned with age markers and contains themes describing players’ career experiences from the holistic perspective. The empirical model contributes to contextualised career research and serves as a basis for developing career-long psychological support services in Swedish handball including player/coach/parent education organised by the Swedish Handball Federation.© 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group
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| 6. |
- Blomqvist, Marjut, 1966-
(författare)
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Health among people with psychotic disorders and effects of an individualized lifestyle intervention to promote health
- 2020
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The overall aim of the thesis was to increase knowledge of health among people with psychotic disorders such as schizophrenia and other long-term psychotic conditions. The aim was also to investigate health effects, in terms of clinical health outcomes and self-reported questionnaires, of atwo-year individualized lifestyle intervention implemented in psychiatric outpatient services involving cooperation with the municipal social psychiatry services. The motivation for the study was to generate new knowledge in order to be able to promote health in people with psychotic disorders and to improve the care and support provided for this target group. The thesis consists of four studies. A quantitative study (Study I), was conducted using a cross-sectional design to investigate the prevalence of overweight, obesity, risk of cardiovascular disease (CVD) and the relationships between self-rated salutogenic health, sense of coherence, CVD risk, and body mass index among people with psychoticdisorders (n=57). The study was conducted in four psychiatric outpatient services; questionnaires were completed by the participants and clinical health measurements were collected by the participant’s contact nurse at the psychiatric outpatient services. The participants showed a moderate/high risk of CVD, the mean for BMI was 31.9 (59.6% were obese) and 31.6% were overweight. The results did not reveal any relationships between the subjective and objective measuresof health indicating the need for both subjective and objective assessments of health in psychiatric care. In a qualitative study (Study II), data were collected with semi-structured interviews (n=16) andanalyzed with qualitative content analysis. The interviews resulted in an overall theme “Being regarded as a whole human being by self and others”, which showed the multidimensional nature of health and the issues that enable healthy living among people with severe mental illness. Three categories emerged: (i) everyday structure (ii), motivating life events and (iii) support from significant others. The results indicate that a person with severe mental illness needs to be encountered as a wholeperson if healthy living is to be enabled. In a quasi-experimental study (Study III), the potential effects of participation in the two-year lifestyle intervention (intervention group n=54 and control group (n=13) were investigated. The data were collected at baseline, after 12 months and after 24 months using the self-reported questionnaire the Salutogenic Health Indicator Scale (SHIS), the Hopkins Symptom Checklist (HSCL-25) and the National Public Health Survey. Measures of clinical healthoutcomes were conducted by the participant’s contact nurse at the psychiatric outpatient services. Multilevel modeling was used to test differences in changes over time. Significant changes were foundin physical activity, HbA1c and waist circumference after participation in individualized lifestyle intervention. The relationship between changes in physical activity, levels of salutogenic health and glycated hemoglobin (Hb1Ac) were investigated (n=54) in Study IV. The data were collected atbaseline, after 12 months and after 24 months using the self-reported questionnaires Salutogenic Health Indicator Scale (SHIS) and National Public Health Survey. Within-person changes in physical activity between baseline and at the end of the twenty-four-month intervention were calculated. Selfreported increased physical activity was positively associated with self-rated salutogenic health and negatively associated with level of HbA1c after participation in the intervention. The thesis shows that a well-founded assessment of general health needs must consider both the individual's subjective experiences and objective measurements in order to form a solid foundation for dialogue and shareddecision-making about essential care services. The results also show that it is possible to stimulate healthy behavioral changes with a two-year individualized lifestyle intervention and bring both subjectively and objectively measured health benefits for people with psychotic disorders. The importance of nurses in psychiatric care applying a holistic approach and integrating lifestyle interventions into daily person-centered psychiatric care in collaboration with other healthcare providers to facilitate changes towards a healthy lifestyle in persons with psychotic illness is emphasized in the thesis.
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| 7. |
- Blomqvist, Marjut, 1966-, et al.
(författare)
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Relationship between Physical Activity and Health Outcomes in Persons with Psychotic Disorders after Participation in a 2-Year Individualized Lifestyle Intervention
- 2023
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Ingår i: Issues in Mental Health Nursing. - Philadelphia, PA : Taylor & Francis. - 0161-2840 .- 1096-4673. ; 44:7, s. 629-638
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Tidskriftsartikel (refereegranskat)abstract
- People with psychotic disorders have a significantly increased risk of physical diseases and excessive mortality rates. The aim of the study was to investigate relationships between changes in physical activity, levels of salutogenic health, and glycated hemoglobin among people with psychotic disorders after participation in an individualized lifestyle intervention. The results from analyses showed that self-reported increased physical activity was positively associated with the level of salutogenic health and negatively associated with the level of HbA1c on an individual level. The results indicate that coordinated, individualized, holistic and health-promoting nursing care is crucial to enabling enhanced lifestyle within this vulnerable target group. © 2023 The Author(s). Published with license by Taylor & Francis Group, LLC.
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| 8. |
- Carlsson, Ing-Marie, 1961-, et al.
(författare)
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Creating a communication space in the healthcare context : Children’s perspective of using the eHealth service, Sisom
- 2021
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Ingår i: Journal of Child Health Care. - London : Sage Publications. - 1367-4935 .- 1741-2889. ; 25:1, s. 31-43
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Tidskriftsartikel (refereegranskat)abstract
- According to the United Nation’s Convention of the Rights of the Child, children have the right to participate in their own healthcare and make their opinions heard. The aim of this study was thus to explore the impact of using an eHealth service, Sisom, to gain the children’s perspectives during their healthcare appointments. Data were gathered through individual interviews with a purposeful sample of 16 children, aged 6–13 years old, treated for different diseases and using the eHealth service, Sisom, during their healthcare appointments. The interviews were analysed using a constructivist grounded theory. The results showed that using Sisom made children’s voice heard by creating a communication space in the healthcare setting. This meant that the children got involved in the communication, were acknowledged as an important person who could give the answers to questions and were given time. Implementing the use of Sisom is a way to make children’s needs and preferences explicitly visible for decision-making in practice and thereby supporting the further development of child-centred care in practice. © The Author(s) 2020.
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| 9. |
- Carlsson, Ing-Marie, 1961-, et al.
(författare)
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Place and space in relation to childbirth : a critical interpretive synthesis
- 2020
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - Abingdon : Taylor & Francis. - 1748-2623 .- 1748-2631. ; 15:sup1
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Tidskriftsartikel (refereegranskat)abstract
- Background: In nursing and midwifery, the concept of environment is considered a meta-concept. Research findings suggest that the location is not the only important factor, as both place and space influence the practices of midwives. Moreover, research on the geography of health suggests a connection between place and health that could be extended to reproductive health. Therefore, to move beyond and expand traditional research expressions, it is beneficial to illuminate the concepts of place and space in relation to childbirth.Purpose: This study was undertaken to produce a synthesis of previous qualitative research of issues in childbirth in relation to the concepts of place and space.Method: In this Critical Interpretive Synthesis (CIS), four electronic databases; CINAHL, Medline, PsycINFO and Sociological abstracts, were used for the literature search. In total 734 papers were screened, and 27 papers met the final inclusion criteria after assessment.Results: The synthesis reveals a need to create a space for childbirth underpinned by four aspects; a homely space, a spiritual space, a safe space, and a territorial space.Conclusion: Findings from this review will provide a basis for useful dialogue in midwifery education and in clinical settings. © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
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| 10. |
- Göransson, Carina, 1967-, et al.
(författare)
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Art of connectedness : Value-creating care for older persons provided with toileting assistance and containment strategies—A critical interpretive synthesis
- 2023
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Ingår i: Journal of Clinical Nursing. - Chichester : Wiley-Blackwell Publishing Inc.. - 0962-1067 .- 1365-2702. ; 32:9-10, s. 1806-1820
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Tidskriftsartikel (refereegranskat)abstract
- Aims and objectivesThe aim was to conduct a synthesis of the literature on value-creating care for older persons with incontinence provided with toileting assistance and containment strategies, from the perspectives of older persons and healthcare professionals.BackgroundIncontinence is a health problem for many persons worldwide and the problem will increase as the global population ages. It can have a profound impact on a person's wellbeing, and assistance with toileting and containment strategies is common in home care settings and nursing homes.DesignThe design was a literature review with an iterative, reflexive and critical approach.MethodsA critical interpretive synthesis was conducted. Ten papers published between 2011 and 2019 were analysed. The PRISMA -ScR Checklist was used in this review.ResultsBased on the findings, the conceptual construct ‘The art of connectedness’ was developed, built on co-created care, personalised care and reflective care between the older person and healthcare professionals. Co-created care is based on establishing a relationship, building trust and respecting preferences. Personalised care consists of meeting the person's needs, promoting comfort and maintaining self-determination. Reflective care entails showing empathy, upholding the person's dignity and developing professional competence.ConclusionsValue-creating care consists conceptually of a connectedness that starts with co-creating the care together with the older person in a close relationship. Assistance is given and received based on the older person's individual needs and is highly valued by the older person as it helps them maintain self-determination. Reflective care is of importance for healthcare professionals.Relevance for practiceThe findings are hoped to enhance healthcare professionals’ understanding of how to improve the clinical encounter in nursing when providing assistance. They may also stimulate critical reflection among healthcare professionals on how to improve assistance to meet the older person's values. © 2022 The Authors.
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