| 1. |
- Olausson, Sepideh, 1972, et al.
(author)
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Patients’ experiences of place and space after a relocation to evidence-based designed forensic psychiatric hospitals
- 2021
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In: International Journal of Mental Health Nursing. - : Wiley. - 1447-0349 .- 1445-8330. ; 30:5, s. 1210-1220
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Journal article (peer-reviewed)abstract
- Forensic hospitals provide care for incarcerated patients who have committed a crime under the influence of serious mental illness. The care and (re)habilitation of the target group require highly competent staff and treatment strategies as well as purpose-built facilities that promote successful recovery. The aim of this study was to examine patients’ experiences of place and space in new, purpose-built, evidence-based designed forensic psychiatric facilities in terms of supporting everydayness. A qualitative methodology was chosen. In total, 19 patients agreed to participate. Data were collected through photovoice (a combination of photographs and interviews) at three forensic hospitals, according to an evidence-based design and the concept of person-centred care in Sweden. The data were analysed through thematic content analysis. Four themes emerged from the data, revealing the patients’ experiences of the new buildings: (i) having a private place, (ii) upholding one’s sense of self, (iii) feelings of comfort and harmony, and (iv) remaining connected to one’s life. The findings reveal that purpose-built environments can support everyday living and well-being and can create comfort. This is considered highly therapeutic by the patients. In conclusion, the findings of this study are of imperative importance in the design of health-promoting forensic hospitals.
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| 2. |
- Dalal, Koustuv, et al.
(author)
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Intimate Partner Violence against Women in Nepal : An Analysis through Individual, Empowerment, Family and Societal Level Factors
- 2014
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In: Journal of Research in Health Sciences. - Hamadan, Iran : Hamadan University of Medical Sciences. - 1682-2765 .- 2228-7795 .- 2228-7809. ; 14:4, s. 251-257
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Journal article (peer-reviewed)abstract
- BACKGROUND: The current study estimated the national prevalence rate of intimate partner violence against women (IPVAW) in Nepal. Besides, the individual level, empowerment level, family and societal level factors were assessed to relate with the victims of IPAVW in Nepal.METHODS: Nationally representative sample of 4210 women of reproductive age (15-49 yr) were included in the study. Household surveys using two stage sampling procedures, face to face interview with pre-tested questionnaires were performed. Emotional, physical and sexual violence were target variables. A violence variable was constructed from these three types of violence. Individual level factors were measured by age, residency, education, religion and husband's education. Empowerment factors included employment status and various decision making elements. Family and societal factors included economic status, neighborhood socioeconomic disadvantage index, history of family violence, husband's controlling behavior and other issues. Cross tabulation with chi-square tests and multivariate logistic regression were employed.RESULTS: Prevalence of emotional IPVAW was 17.5%, physical IPAVW 23.4% and sexual IPAVW 14.7%. Overall the prevalence of IPVAW in Nepal was 32.4%. Joint decision making for contraception, husband's non-controlling behavior to wives and friendly feelings were emerged as less likely to be IPVAW perpetration.CONCLUSIONS: The findings have immense policy importance as a nationally representative study and indicating necessity of more gender equality.
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| 3. |
- Mentsen Ness, Tove, et al.
(author)
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‘Struggling for independence’; the meanings of being an oldest old man in rural areas. Interpretation of oldest old men’s narrations
- 2014
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In: International Journal of Qualitative Studies on Health and Well-being. - : Informa Healthcare. - 1748-2623 .- 1748-2631. ; 9:1
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Journal article (peer-reviewed)abstract
- The amount of older people receiving home nursing care is increasing; in rural areas, they are at additional risk because of the distance between people and health care facilities. No specific studies have been found about oldest old men living alone and receiving home nursing care and the meaning of living alone in one's own home. The aim of this study was therefore to illuminate the meaning of being an oldest old man living alone in a rural area and receiving home nursing care. A sample of 12 oldest old men living in rural areas in the middle of Norway was chosen for this study. Narrative interviews were conducted, and data were analyzed using the phenomenological hermeneutical method. After a naïve reading and a structural analysis of the text, we identified three themes: feelings of insufficiency in everyday life, finding hope in life, and feeling reconciliation with life. The comprehensive understanding suggested that being an oldest old man living alone in a rural area means a struggle between a dependent existence and a desire to be independent. Living in the tension between independence and dependency is a complex emotional situation where one is trying to accept the consequences of life and loss—reconciling the wish to live with the fact that life will come to an end.
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| 4. |
- Rönning, Helén, et al.
(author)
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Development and psychometric evaluation of the knowledge scale for adults with congenitally malformed hearts
- 2013
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In: Journal of Cardiovascular Nursing. - : Ovid Technologies (Wolters Kluwer Health). - 0889-4655 .- 1550-5049. ; 28:3, s. 228-237
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Journal article (peer-reviewed)abstract
- Background and Research Objective: Adults with congenitally malformed hearts have knowledge gaps regarding their heart condition, and their level of knowledge is not routinely assessed during follow-up. One reason for this is that there are few validated, user-friendly questionnaires to assess knowledge about congenital heart disease and its effects on daily life. Failure to identify low levels of knowledge could lead to less motivated and insecure individuals not actively involved in treatment and care of their heart condition. Therefore, the objective of this study was to develop and test a knowledge scale for adults with congenitally malformed hearts.Participants and Methods: The development and psychometric evaluation of the Knowledge Scale for Adults With Congenitally Malformed Hearts (KnoCoMH) followed 2 phases: (1) development and evaluation of the initial version, with face validity and content validity assessed by experts and adults with congenitally malformed hearts, and (2) evaluation and refinement of the KnoCoMH in adults with congenitally malformed hearts, including item difficulty level, internal consistency, and test-retest reliability.Results: The development and evaluation of a knowledge scale for adults with congenitally malformed hearts resulted in the KnoCoMH including 46 items in 4 domains: General Knowledge, with a Kuder-Richardson formula 20 (KR-20) value of 0.68; Medical Treatment, with a KR-20 value of 0.74; Endocarditis Prophylaxis, with a KR-20 value of 0.90; and Contraceptives and Pregnancy, with a KR-20 value of 0.65. Test-retest evaluation showed significant correlations between 0.50 and 0.67 (P < .01) in all 4 domains. There was good variation in item difficulty, with a mean value of 0.56 in General Knowledge, 0.62 in Medical Treatment, 0.33 in Endocarditis Prophylaxis, and 0.48 in Contraceptives and Pregnancy.Conclusions: The KnoCoMH has acceptable psychometric properties for most of the knowledge domains included. It can be used for evaluating knowledge among adults with congenitally malformed hearts and its associations with other outcomes. However, further studies are advisable to test construct validity, predictive validity, and responsiveness.
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| 5. |
- Brulin, Emma, et al.
(author)
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Money talks : performance-based reimbursement systems impact on perceived work, health and patient care for physicians in Sweden
- 2023
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In: Frontiers in Psychology. - : Frontiers Media S.A.. - 1664-1078. ; 14
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Journal article (peer-reviewed)abstract
- Introduction: The study aimed to investigate in which way performance-based reimbursement (PBR) systems in Swedish healthcare services (1) subjectively impacted physicians’ work and patient care and (2) were associated with the occurrence of stress-induced exhaustion disorders among physicians.Method: The study applied a mixed-method design. Data were collected from a representative sample of Swedish physicians. In the questionnaire, respondents were asked to answer an open-ended question regarding their reflections on PBR. The answers to the open-ended question were analysed using thematic analysis. Respondents were also asked to rate the impact of PBR on their work. The association between PBR and self-rated stress-induced exhaustion disease was analysed with logistic regressions. Stress-induced exhaustion disorder was measured using the Burnout Assessment Scale.Results: Thematic analysis resulted in four themes: (1) Money talks, (2) Patients are affected, (3) Medical morals are challenged, and (4) PBR increase the quantity of illegitimate tasks. Logistic regressions showed that physicians who experienced PBR had an impact on their work and had a two-fold higher risk of stress-induced exhaustion disorder.Discussion: Our findings suggest that current reimbursement systems in Sweden play an essential role in Swedish healthcare and negatively influence physicians’ work and health. Also, current PBR impact patients negatively. No previous study has explored the potentially harmful impact of PBR on how physicians perceive work, health and patient care. Results indicate that policymakers should be encouraged to deeply review PBR systems and focus on ways that they can limit the negative impact on physicians’ work and health while meeting future challenges.
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| 6. |
- Karltun, Linley Chiwona, et al.
(author)
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Migration and the Food Environment
- 2017
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In: Ending Childhood Obesity. - Uppsala, Sweden. ; , s. 20-25
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Other publication (other academic/artistic)
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| 7. |
- Häggström, Marie, PhD, 1967-, et al.
(author)
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Success Factors for Quality and Safety of Intensive Care Unit Transitional Care – Listening to the Sharp End
- 2023
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In: Quality Innovation Prosperity. - : Technical University of Kosice. - 1335-1745 .- 1338-984X. ; 27:1, s. 1-20
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Journal article (peer-reviewed)abstract
- Purpose: The purpose of this paper was to present success factors for increasing quality and safety of intensive care unit (ICU) transitional care as described by co-workers at the sharp end using the core values of total quality management (TQM) as a theoretical lens.Methodology/Approach: The study had a qualitative design, with data from nine interdisciplinary focus group discussions, including co-workers from the intensive care and general wards. Data were sorted into TQM core values and analysed using qualitative content analysis.Findings: Quality and safety in transfer processes requires a holistic view, avoiding silos, shared arenas for collaboration, and evidence-based methodologies and tools for safe transfers.Research Limitation/Implication: A limitation of this study is that it only portrays the challenges encountered by two hospitals during the process of transitional care in the ICU.Originality/Value of paper: By using TQM core values as a theoretical lens, we could present a usable, holistic picture of success factors and how to improve the transfer process.
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| 8. |
- Brouwers, Lisa, 1967-, et al.
(author)
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Multi-criteria decision-making of policy strategies with public-private re-insurance systems
- 2004
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In: Risk, Decision, and Policy. - : Informa UK Limited. - 1357-5309 .- 1466-4534. ; 9:1, s. 23-45
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Journal article (peer-reviewed)abstract
- This article describes an integrated flood catastrophe model as well as some results of a case study made in the Upper Tisza region in north-eastern Hungary: the Palad-Csecsei basin. The background data was provided through the Hungarian Academy of Sciences and complemented by interviews with different stakeholders in the region. Based on these data, for which a large degree of uncertainty is prevailing, we demonstrate how an implementation of a simulation and decision analytical model can provide insights into the effects of imposing different policy options for a flood risk management program in the region. We focus herein primarily on general options for designing a public-private insurance and reinsurance system for Hungary. Obviously, this is a multi-criteria and multi-stakeholder problem and cannot be solved using standard approaches. It should, however, be emphasised that the main purpose of this article is not to provide any definite recommendations, but rather to explore a set of policy packages that could gain a consensus among the stakeholders.
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| 9. |
- Holmberg, Susan, 1957-
(author)
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Confronting Value Strain : Press Coverage of Health Care Reform in Sweden and the United States
- 1999
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Doctoral thesis (other academic/artistic)abstract
- This dissertation examines the journalistic discourse surrounding health care reform debates in Sweden and the US in the early 1990's. It found that in both countries, the challenging value (i.e. collectivism in US, individualism in Sweden) was treated less favorably than the dominant value both in the journalistic text and in the choice of actors allowed to speak through the media. Journalists in both countries protected their own dominant value and helped to resist core value change, although they tended to allow actors to express challenging values more loudly than they themselves would do. Study based on qualitative and quantitative content analysis of New York Times, USA Today, Dagens Nyheter and Expressen 1992-1995.
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| 10. |
- Hiswåls, Anne-Sofie, et al.
(author)
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Employment Status and Suicidal Ideation during Economic Recession
- 2015
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In: Health science journal. - 1791-809X. ; 9:1, s. 1-9
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Journal article (peer-reviewed)abstract
- Objective: Suicide is a public health problem and an important indicator of severe mental ill-health. Thus, identifying risk factors for suicidal ideation is a public health priority. The aim of this study was to examine the relationship between employment status and suicidal ideation in Gävleborg County.Method:The study used data from the 2010 Health in Equal Terms survey, a cross-sectional survey carried out in Gävleborg County in Sweden. A total of 4,245 individuals, aged 16–65 years were included in the analyses. Descriptive and logistic regression analyses were carried out to assess the relationship between employment status and suicidal ideationResults:Individuals outside the labour market had odds of suicidal ideation of 4.21 (CI 3.14-5.64) compared to their employed counterparts. Controlling for other covariates, reduced the risk from 4.21(CI 3.14-5.64) in model I, to 1.73 (CI 1.16- 2.57) in model IV, but remained statistically significant. In addition, other variables were associated with suicidal ideation.Conclusion:There was a statistically significant association between being out of work and suicidal ideation. The association was explained partly by demographic, socio-economic and self-reported psychological variables. Results of the study suggest the need for primary prevention strategies among those out of the labour market, especially during times of economic hardship.
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