| 11. |
- Mangrio, Elisabeth, et al.
(author)
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Sociodemographic, physical, mental and social factors in the cessation of breastfeeding before 6 months : a systematic review
- 2018
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In: Scandinavian Journal of Caring Sciences. - : John Wiley & Sons. - 0283-9318 .- 1471-6712. ; 32:2, s. 451-465
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Journal article (peer-reviewed)abstract
- Bakgrund: WHO rekommenderar exklusiv amning som enda näring under spädbarnets första sex månader. Trots denna rekommendation, ammar inte alla kvinnor, varken helt eller delvis under denna period. Syfte: Syftet med denna systematiska litteraturstudie var att sammanställa evidens gällande sociodemografiska, fysiska, psykiska och sociala faktorers påverkan på att ammande mammor slutar att amma innan barnet är 6 månader. Sökmetod: En systematisk sökning utfördes i fyra olika databaser. Inkluderingskriterier: Studier med kvantitativ forskning inkluderades. Data kollektion och analys: Totalt lästes 186 abstrakt och utav dessa ansågs 83 vara relevanta och 18 var dubbletter. Slutligen inkluderades 27 artiklar eftersom de svarade mot syftet. Kvalitetsgranskning utfördes med hjälp av en granskningsmall från SBU och evidensgradering utfördes med hjälp utav GRADE. Resultat: Det visade sig finnas ett samband mellan avslut av amning och unga mammor, låg utbildningsnivå, återgång till arbetet inom 12 veckor efter barnets födsel, kejsarsnitt och otillräcklig mjölkproduktion och detta samband hade låg evidens. Sambandet mellan depression hos mamman och avslut av amning hade mycket låg evidens. Slutsats: Sociodemografiska faktorer verkade ha samband med avslut av amning i flertalet av dem inkluderade artiklarna. Det preventiva arbetet borde fokusera på hur kunskapen hos hälso-sjukvårdspersonal kan förbättras och hur riktade interventioner kan fokusera på mammor som riskerar att avsluta sin amning innan 6 månader Nyckelord: amning, litteraturstudie, riskfaktorer, avslut av amning
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| 12. |
- Athley, Hanna, et al.
(author)
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Nurses’ Experiences of Working with HIV Prevention : A Qualitative Study in Tanzania
- 2018
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In: Journal of the Association of Nurses in AIDS Care. - : Elsevier. - 1055-3290 .- 1552-6917. ; 29:1
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Journal article (peer-reviewed)abstract
- Despite the high rates of HIV infections in Tanzania, significant gaps in the depth and comprehensiveness of HIV knowledge persist among the population in Tanzania. The aim of our study was to explore nurses’ experiences of providing information about HIV prevention in Tanzania. Semi-structured interviews with open-ended questions were conducted with eight nurses in health care centers. The interviews were transcribed and analyzed using qualitative content analysis as described by Burnard. The results showed that the nurses carried out the preventive HIV work by giving information, offering counselling, and teaching precautions. The nurses faced many challenges: for example, misconceptions about condom use, people’s lack of information about HIV, dealing with the stigma attached to HIV, and the lack of resources in the country. The preventive work affected the nurses emotionally, as they felt a sense of social responsibility to help prevent HIV. Key words: experiences, HIV prevention, information, nursing, qualitative study, Tanzania.
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| 13. |
- Sandblom, Maria, et al.
(author)
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The experience of nurses working within a volontary network : a qualitative study of health care for undocumented migrants
- 2017
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In: Scandinavian Journal of Caring Sciences. - : John Wiley & Sons. - 0283-9318 .- 1471-6712. ; 31:2, s. 285-292
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Journal article (peer-reviewed)abstract
- Purpose: To illuminate the experience of nurses providing healthcare to undocumented migrants in a voluntary network. Methods and sample: In a qualitative study, semi-structured interviews were conducted with RNs regarding their experience of providing healthcare to undocumented migrants within a voluntary network. The interview transcripts were analysed using the inductive method of content analysis. Findings: Three main categories emerged – structural inadequacy, ethical dilemmas and challenges, and personal impact and insights. The informants were driven by a strong ethical approach and a great sense of responsibility as human beings and as nurses. Conclusion: Engaging with the voluntary network allowed the informants to cope with their frustration and feelings of inadequacy which emerged when confronted with institutionalized injustice in the conventional healthcare system.
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| 14. |
- Sjögren Forss, Katarina, et al.
(author)
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A scoping review of refugees' experiences of healthcare
- 2018
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In: European Journal of Public Health. - : Oxford University Press. - 1101-1262 .- 1464-360X. ; 28:Suppl 1, s. 142-143
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Journal article (other academic/artistic)abstract
- Background: During recent years, Europe has faced increased immigration. The growing number of refugees presents huge challenges to the healthcare systems of host countries. However, healthcare professionals are generally unprepared to understand and address the health and care needs of refugees. More information about refugees’ experiences of the healthcare system is urgently needed to improve the quality of healthcare delivered and provide opportunities for better access. The aim of this study was to learn more about refugees’ experience of the healthcare system in their host country. Methods: The study was conducted as a scoping review. A systematic search of articles was done in Medline, Cinahl and Psychinfo. 619 articles were found in the searches. Twenty-six articles were included in the study. Results: The results showed that the communication between the health professionals and the refugees was important but poor language skills were perceived as a barrier for good communication. There was a need for both increased oral and written information about the health care system and the right to health care in the host countries. Supportive health professionals were of great importance for a good interaction between the refugee and the health care system. In some of the studies included, some refugees had felt discrimination due to their low proficiency in the national language, or because of race or accent. There was a perceived need for more culturally appropriate health care for the refugees. Conclusions: Since refugees may be at greater risk of poor mental and physical health compared to the rest of the population, there is an urgent need for improvement in communication, interpretation, support and delivery of a culturally appropriate care.
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| 15. |
- Zdravkovic, Slobodan, et al.
(author)
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A support platform for migration and health (MILSA 2.0), Sweden
- 2018
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In: European Journal of Public Health. - : Oxford University Press. - 1101-1262 .- 1464-360X. ; 28, s. 472-472
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Journal article (other academic/artistic)abstract
- Background: Solid health is a prerequisite for successful inclusion and participation in support systems for recently arrived migrants’ (RAM) i.e. refugees. The society support system may vary depending on the age of RAM but is equally important for an effective start of the establishing process. Understanding health needs of RAM in different phases of establishing is essential as such knowledge is central for the supporting system. Methods: MILSA 2.0 consists of five studies targeting various health aspects. The focus is depicted into an early phase of establishment as well as following the period after the mandatory process. The platform addresses health issues of families with children as well as various health aspects of Arabic speaking adult RAM soon after arrival to Sweden. Also, it focuses on RAM adolescents in relation to risk behavior, social capital and confidence as well as on health issues in adult RAM after the formal establishment process. The platform also illuminates an extended support system of civic and health communication both in time as well as lecturing environment primarily targeting social capital, coherence and self-efficacy. Results: MILSA 2.0 addresses different phases of an establishing process in Sweden. Several health and health related factors are addressed such as self-rated health, social capital, trust, physical activity, sexual and reproductive health and living conditions. The extended civic and health communication addresses increased program hours as well as new program environments such as libraries, museums, and workplaces. Conclusions: These five studies reveals health related knowledge in different aspects of the establishing process as well as it develops several questionnaires and reveals methodological aspects. The platform focuses on both adolescent and adult RAM during and after the mandatory public support system including both the recipients of the support as well as the supporting actors. Key messages: - MILSA 2.0 develops questionnaires and determines health related concerns both during and after the mandatory establishing process. - MILSA 2.0 evaluates the effect of a policy change regarding standard procedures of civic and health communication.
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