| 1. |
- Al Musawi, Ahmed, et al.
(författare)
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Intervention for a correct medication list and medication use in older adults : a non-randomised feasibility study among inpatients and residents during care transitions
- 2024
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Ingår i: International Journal of Clinical Pharmacy. - : Springer. - 2210-7703 .- 2210-7711.
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundMedication discrepancies in care transitions and medication non-adherence are problematic. Few interventions consider the entire process, from the hospital to the patient's medication use at home.AimIn preparation for randomised controlled trials (RCTs), this study aimed (1) to investigate the feasibility of recruitment and retention of patients, and data collection to reduce medication discrepancies at discharge and improve medication adherence, and (2) to explore the outcomes of the interventions.MethodParticipants were recruited from a hospital and a residential area. Hospital patients participated in a pharmacist-led intervention to establish a correct medication list upon discharge and a follow-up interview two weeks post-discharge. All participants received a person-centred adherence intervention for three to six months. Discrepancies in the medication lists, the Beliefs about Medicines Questionnaire (BMQ-S), and the Medication Adherence Report Scale (MARS-5) were assessed.ResultsOf 87 asked to participate, 35 were included, and 12 completed the study. Identifying discrepancies, discussing discrepancies with physicians, and performing follow-up interviews were possible. Conducting the adherence intervention was also possible using individual health plans for medication use. Among the seven hospital patients, 24 discrepancies were found. Discharging physicians agreed that all discrepancies were errors, but only ten were corrected in the discharge information. Ten participants decreased their total BMQ-S concern scores, and seven increased their total MARS-5 scores.ConclusionBased on this study, conducting the two RCTs separately may increase the inclusion rate. Data collection was feasible. Both interventions were feasible in many aspects but need to be optimised in upcoming RCTs.
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| 2. |
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| 3. |
- Avery, Helen, et al.
(författare)
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Empowering communities with health promotion labs: result from a CBPR programme in Malmö, Sweden
- 2022
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Ingår i: Health Promotion International. - : Oxford University Press (OUP). - 1460-2245 .- 0957-4824. ; 37:1, s. 1-15
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Tidskriftsartikel (refereegranskat)abstract
- The study describes findings from a community-based participatory and challenge-driven research programme, that aimed to improve health equity through a health promotion platform in an ethnically diverse low-income neighbourhood of Malmo, Sweden. Local residents, together with lay health promoters living in the area, were actively involved in the planning phase and decided on the structure and content of the programme. Academic, public sector and commercial actors were involved, as well as NGOs. In this study, empowerment was used as a lens to analyse focus group interviews with participants (n=322) in six co-creative health-promoting labs on three occasions in the period 2017-2019. The CBPR interview guide focused on the dimensions of participation, collaboration, and experience of the activities. The CBPR approach driven by community members contributed to empowerment processes within the health promotion labs. Findings indicate that health promotors were able to build trust in social places for integration; participants motivated each other by social support, and that the programme design enabled them to act for community health in a wider circle. To understand the processes of change and empowerment on the community level, the CBPR Health promotion programme should be followed up longitudinally with community participants.
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| 4. |
- Awad, Eman, et al.
(författare)
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Developing and evaluating non-invasive healthcare technologies for a group of female participants from a socioeconomically disadvantaged area
- 2021
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Ingår i: Scientific Reports. - : Nature Publishing Group. - 2045-2322. ; 11:1
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Tidskriftsartikel (refereegranskat)abstract
- When compared to the general population, socioeconomically disadvantaged communitiesfrequently experience compromised health. Monitoring the divide is challenging since standardizedbiomedical tests are linguistically and culturally inappropriate. The aim of this study was to developand test a unique mobile biomedical testbed based on non-invasive analysis, as well as to explorethe relationships between the objective health measures and subjective health outcomes, asevaluated with the World Health Organization Quality of Life survey. The testbed was evaluated in asocioeconomically disadvantaged neighborhood in Malmö, which has been listed as one of the twelvemost vulnerable districts in Sweden. The study revealed that compared to conventional protocolsthe less intrusive biomedical approach was highly appreciated by the participants. Surprisingly, thecollected biomedical data illustrated that the apparent health of the participants from the ethnicallydiverse low-income neighborhood was comparable to the general Swedish population. Statisticallysignificant correlations between perceived health and biomedical data were disclosed, even thoughthe dependences found were complex, and recognition of the manifest complexity needs to beincluded in further research. Our results validate the potential of non-invasive technologies incombination with advanced statistical analysis, especially when combined with linguistically andculturally appropriate healthcare methodologies, allowing participants to appreciate the significanceof the different parameters to evaluate and monitor aspects of health.
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| 5. |
- Bendtsen Kronkvist, Maria, et al.
(författare)
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User participation in decision-making : a qualitative intervention study on mental health professionals’ experiences
- 2022
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Ingår i: Journal of Public Mental Health. - : Emerald Group Publishing Limited. - 1746-5729 .- 2042-8731. ; 21:3, s. 250-261
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The purpose of this study was to describe mental health professionals’ experiences of changes in attitudes towards, and knowledge about, users of mental health-care recovery and decisional participation in clinical practice after an educational intervention.Design/methodology/approach: Users of mental health care want to participate in decisions regarding their own mental health care. Shared decision-making as a method is coherent with recovery orientation in mental health services and results in better-informed patients and fewer conflicts regarding decisions. A qualitative intervention study was designed to evaluate changes in attitudes and knowledge about mental health recovery in Sweden. Nine participants were interviewed, and the data were analysed by content analysis.Findings: Three categories were generated from the analysis: Increased theoretical knowledge, changing attitudes about practical approaches and the significance of social factors in recovery.Originality/value: When shared decision-making is to be implemented in mental health, professionals need to gain knowledge about recovery and need to adopt changed roles as health professionals. Educational interventions therefore seem necessary if such changes are to happen.
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| 6. |
- Chung, B P M, et al.
(författare)
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Overcoming existential loneliness : a cross-cultural study
- 2020
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Ingår i: BMC Geriatrics. - : BioMed Central. - 1471-2318 .- 1471-2318. ; 20:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Moving into a long-term care facility (LTCF) can reduce the ability for older adults to engage in meaningful roles and activities and the size of their social network. These changes and losses can lead them to experience existential loneliness (EL)-the intolerable emptiness and lack of meaningful existence resulted from the losses they have experienced. While EL has often been understood as a universal human experience, it has primarily been studied in people from Western cultures; little is known about how EL may be experienced by and manifested in people from Eastern cultures. Hence, this qualitative study aimed to describe the experience and coping of EL in Hong Kong Chinese and Swedish older adults living in LTCFs.METHODS: A qualitative study using Thorne's (2004) interpretive description was conducted. Thirteen Chinese and 9 Swedes living in LTCFs in Hong Kong, China and Malmo, Sweden, respectively were interviewed about their experience of EL in two series of semi-structured interviews. Data were analyzed using thematic analysis.RESULTS: The core theme of "overcoming EL" described the participants' experience of EL, which came about through the combined process of "Feeling EL" and "Self-Regulating". Both Chinese and Swedish participants had similar experience with EL. Realizing that they did not want to living with EL anymore, they coped by reframing their experience and identifying new meaning in their life.CONCLUSIONS: The study findings suggested that early and clear counselling support that help older adults to define new meaning in life may help them cope. In addition, more opportunities should be available at the LTCFs to promote quality relationships, enable older adults to reflect on their lives with pride, and support their ability to do the things they enjoy.
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| 7. |
- Enskär, Karin, et al.
(författare)
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Safe environments : Through the eyes of nine-year-old schoolchildren from a socially vulnerable area in Sweden
- 2021
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Ingår i: Child Care Health and Development. - : John Wiley & Sons. - 0305-1862 .- 1365-2214. ; 47:1, s. 57-69
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Children are more vulnerable than adults to environmental risks. Also, children have little control over their environment. Unlike adults, they may be both unaware of risks and unable to make choices to protect their health. Children living in especially vulnerable areas might be even more at risk due to socioeconomic factors, immigration, and high crime rates. Therefore, the aim of this study was to describe the perceptions that schoolchildren from a socially vulnerable area have of safe environments.METHODS: 52 nine-year-old schoolchildren from a socially vulnerable area participated in this study. The data collection consisted of an environmental walk with photovoicing, followed by rating of the photos, and a focus-group discussion elaborating on the photos and ratings. Six focus groups, with 6-8 children in each group, were conducted and analyzed using an inductive content analysis.RESULTS: The results show that, according to the children, places that they think are bright and beautiful, where they can do fun things with others and do not risk being exposed to danger, create safety. To increase safety, the children suggested cleaning up, making the environment beautiful with grass and flowers, and painting it in nice colours. Furthermore, they suggested that building features that increase the opportunities to play and engage in activities together with others, would improve safety and enhance protection and surveillance.CONCLUSIONS: All children have the right to protection and safety. Therefore, it is important to create safe environments for all children by listening to children's own voices.
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| 8. |
- Isma, Gabriella E, et al.
(författare)
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Perceptions of health among school-aged children living in socially vulnerable areas in Sweden
- 2023
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Ingår i: Frontiers In Public Health. - : Frontiers Media S.A.. - 2296-2565. ; 11
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: According to the Convention on the Rights of the Child, all children have the right to health. Since good health is a decisive factor for children's future, investing in children's health is important, especially children from vulnerable areas. The purpose of this study was to investigate the perceptions of health among school-aged children from socially vulnerable areas.Methods: The study has an explorative mixed-method design with a participatory and inductive approach based on focus group interviews with children and youth leaders, respectively, at Multi-activity Centers in three of the vulnerable areas in Malmö Municipality, as well as results from the Multi-activity Centers' own questionnaire. The data has been analyzed with inductive and deductive content analysis.Results: The children and the youth leaders described health in terms of well-being, participation, and activity. Well-being included feeling good and safe, having a healthy body, and having fun by doing things together with friends and leaders. Participating in activities was described as having a feeling of involvement, being able to have an influence on the organization of the activities and participating on one's own terms.Discussion: The result of this study shows that participating in activities increases the child's sense of well-being.
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| 9. |
- Kroik, Lena, 1962-
(författare)
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Samer och livets slut : kunskap om traditioner för att utveckla framtidens vård
- 2021
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Introduktion och syfte: Det finns kunskapsluckor när det gäller vård i livets slut bland samer i Sverige idag. I takt med en åldrande befolkning ökar antalet kroniska sjukdomar som leder till ett stigande behov av stödjande insatser vid vård i livets slut. Många samer bor i glesbygd med stora geografiska avstånd och det kan vara en utmaning att få vård i livets slut av god kvalitet. För att kunna utforma vård i livets slut som är både kulturellt säker och personcentrerad, behövs kunskap om kulturella uttryck och traditioner som bland annat bygger på människors erfarenheter. Kastenbaums modell av ett så kallat dödssystem, och ett salutogent perspektiv enligt Antonovsky, har bidragit till tolkningen av resultaten. Det övergripande syftet med denna avhandling är att studera önskemål, prioriteringar, värderingar och behov såväl som uttryck bland samer relaterade till livets slut och omhändertagandet därefter.Metoder: De fyra delstudier som denna avhandling omfattar har kvalitativ design av olika slag. Individuella intervjuer, fokusgruppsdiskussioner både vid rundabordssamtal och go-along diskussioner utomhus i fjällmiljö samt intervjuer i samband med användning av samtalsverktyget DöBra-kortleken, har genomförts. Totalt 82 personer, i åldrarna 25–84 år har deltagit, huvudsakligen samer. Deltagarna har kommit från olika geografiska orter och språkområden, från både glesbygd och tätort, och har varierande yrkeserfarenheter och utbildning. Både män och kvinnor var representerade. Data har analyserats i delstudie 1, 3 och 4 med Interpretive Description, Directed Content Analysis och Framework Analysis. Narrativ analys har använts med data från go-along diskussionerna.Resultat: Markörer som stödjer en bibehållen samisk identitet som storfamiljen, språk och traditionell mat, framstod som särskilt viktiga i livet slut (I, II). Säsongsförändringar och förhållandet till naturen präglade det samiska dödssystemet och länkade samman människor, platser och tider så att de blev nästan oskiljaktiga (I, II). Genom traditionell kunskap blev materiella och immateriella värden förmedlade via berättande, där landskapet bidrog till utformningen av berättelsen (II). Samiskt specifika former för att uttrycka sina önskningar för sista tiden i livet, som exempelvis att låta ett renmärke gå i arv, underströk betydelsen av reflektion och diskussion om samiska värderingar och preferenser för det framtida slutet av livet (II). Ett samtalsverktyg, DöBra-kortleken, som stimulerade många av deltagarna att gärna berätta hur de tänkte och önskade sig sin eventuella vård i livets slut och sitt framtida döende, gav insikt om att samma kortpåstående kan tolkas olika av olika individer och därmed stödja personcentrerad vård. De valfria korten användes oftast i samband med att tydliggöra önskningar vilka hörde samman med att bibehålla en samisk identitet och kultur (III). Erfarenheter av vård i livets slut visade att stöd från bådeVIinformella och formella system skulle kunna bidra till en känsla av sammanhang på kollektiv nivå (IV). Den samiska storfamiljen visade sig i sammanhang kring livets slut inkludera ett brett nätverk med långa förgreningar. Detta nätverk fungerar som ett socialt organisatoriskt system och en form av stöd där de involverade har tydliga roller och ansvar. Genom detta nätverk kan ett stort antal resurser aktiveras. Detta utökade system med människor, som överbryggar det samiska och majoritetssamhället, spelar en central roll när det gäller att koppla ihop det som ofta kallas ett ”informellt” vårdsystem med de formella vård- och omsorgssystemen. Relativt få men ändå märkbara brister, som avsaknad av stöd från en storfamilj, bristande stöd från de formella vård- och omsorgssystemen, samt få sammanhang där samiska språk kan användas, nämndes som tärande vid livets slut.Diskussion: Som grund för att vidare utveckla vård i livets slut för samer kan förståelsen av ett samiskt dödssystem vara en av de bärande delarna. Där ingår kännedom om traditioner och traditionell kunskap. Att utveckla interaktion med och stöd från formella system för att komplettera det samiska samhället i svåra situationer, som livets slut, kan ses som utmaningar men också innebära möjligheter. Att ta vara på personer som kan fungera som länkar mellan majoritetssamhället och det samiska samhället utgör ett exempel. Sammantaget kan medvetandegörande och kulturell ödmjukhet bidra till kulturellt tryggare vård för samer i livets slut.
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| 10. |
- Larsson, Helena, et al.
(författare)
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Spouses' existential loneliness when caring for a frail partner late in life : a hermeneutical approach.
- 2020
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - : Taylor & Francis. - 1748-2623 .- 1748-2631. ; 15:1
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Spouses are in a vulnerable situation when caring for a frail partner late in life. Exploring their existential loneliness can be a way to understand more about their existential needs.Method: A hermeneutic approach was used. Multistage focus group interviews were conducted with two groups consisting of five spouses, respectively, who met three times each. To work with the text, an approach was adapted where quotations are converted into poems in a linguistic manner.Results: Existential loneliness can be understood as the following: 1) being in a transition from us to merely me, 2) being forced to make decisions and feeling excluded, 3) navigating in an unfamiliar situation and questioning oneself, and 4) longing for togetherness but lacking the energy to encounter other people. The main interpretation is that existential loneliness emerges when one is in moments of inner struggle, when one is forced to make impossible choices, when one is approaching and is in limit situations, and when one is experiencing the endless loss of the other.Conclusion: For health care professionals to achieve a holistic picture, person-centeredness can be a way to make the spouses' existential needs visible and to provide support based on their needs.
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