| 1. |
- Almevall, Ariel, et al.
(author)
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Exploring the meaning of a good life for older widows with extensive need of care: a qualitative in-home interview study
- 2024
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In: International Journal of Qualitative Studies on Health and Well-being. - : Taylor & Francis. - 1748-2623 .- 1748-2631. ; 19:1
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Journal article (peer-reviewed)abstract
- Introduction: Studies of older women’s life transitions is rare but gains relevance as the aging population, with older women as the majority, expands.Purpose: To explore the meaning of a good life for older widows with extensive home care needs.Materials and methods: Semi-structured interviews were carried out with eleven women, aged 80 and over (82–95 years, mean 90) residing at home with extensive care needs (≥4 daily sessions, averaging 2.5–6 hours, mean 3). Data were analysed by reflexive thematic analysis.Results: The theme “This Day in My Home, the frame of my life” reflects the women’s experience of a good life. A good day imbued them with hope, trust and security, carrying them forward with the assurance that night would usher in a new day. However, there were moments when life was merely about navigating daily challenges. During such days, the women felt trapped in time, unsafe and lonely.Conclusion: A day at home may seem static, yet it mirrors life’s dynamism, evolving with shifting circumstances. Older widows navigate challenges while maintaining their sense of self, independence, and connection to home. These findings have implications for aged care, recognizing the multifaceted aspects of life and the centrality of home.
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| 2. |
- Almevall, Ariel
(author)
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Health in later life: A nursing perspective
- 2024
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Doctoral thesis (other academic/artistic)abstract
- The ongoing demographic shift towards an older population calls for a corresponding shift to a proactive approach, aiming for health and well-being in old age. This dissertation addresses the need for increased knowledge about health in the context of aging at home. It explores the roles of relationships, home, health, and well-being while examining the various factors influencing health. The disseration also explores how key stakeholders in home care organizations percive a good life for older persons. From a nursing perspective, the disseration explores pathways of change and experiences related to health, guided by the caritative caring theory, which underscores health as wholeness and holiness. By thoroughly examining self-rated health, relationships, and the experiences of older persons receiving home support, along with key stakeholders' perceptions, the dissertation aims to provide valuable insights for nursing practices and the promotion of health in later life.This dissertation aims to explore health in later life, specifically concentrating on widowed women living alone with extensive home care needs. This exploration encompasses both the perspective of older widows and that of key stakeholders. For a comprehensive understanding health, the disseration also study self-rated health among older persons over a 20-year period, exploring its associations to health and well-being factors, including survival. Additionally, the dissertation explores the shared relationship between older women and nurses.This dissertation comprises one quantitative and three qualitative studies, all centred around older persons aged 80 years and older. Paper I is a quantitative, longitudinal study investigating changes in Self-Rated Health (SRH) across the aging spectrum. The study included 1595 participants initially (aged 59-79) and 541 participants at follow-up (age 80-96). Most participants rated their health as "Quite good" (54.5%) at baseline. Over the study period, 42.6% had stable SRH, 40.6% had declined, and 16.8% had improved. Changes in SRH were at follow-up significantly associated with age, pain, nutrition, cognition, walking aid use, self-paced gait speed, lower extremity strength, independence in activities of daily living, weekly physical exercise, outdoor activity, participation in organized activities, visiting others, morale, and depressive symptoms. SRH at baseline was significantly associated with survival (p<0.05). Paper II is a qualitative study about the concept of a good life for single-living older women with extensive care needs. This involved individual interviews with 11 participants aged 82-95, analysed through reflexive thematic analysis. Paper III is a qualitative description of key stakeholders' perceptions regarding a good life for the oldest old persons living at home with extensive care needs. The study utilized qualitative focus groups with 28 participants aged 31-69 (1 man, 27 women), analysed through qualitative content analysis. Paper IV is a qualitative study that aim to explore the meaning of relationship between older women and registered nurses in home care. The research employed qualitative methods, including focus groups and individual interviews, with 11 older women (aged 82-95) and 5 registered nurses (aged 35-47), analysed using qualitative content analysis. In conclusion, health in later life is not merely about avoiding a decline in health; rather, it involves integrating existing aspects into an ever-changing situation. However, challenges such as living alone, experiencing depressive symptoms, and coping with illness and/or functional disability can pose threats, risking overall health and survival. In contrast, for those living with disabilities and illnesses with extensive care needs, the significance of daily life becomes paramount. Simultaneously, the relationship between older women and registered nurse emerges as a recurring connection with the potential not only to enhance daily life but also to serve as a consistent and supportive presence in the home.
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| 3. |
- Almevall, Ariel, et al.
(author)
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Perceptions of a good life for the oldest old living at home
- 2022
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In: International Journal of Ageing and Later Life. - : Linköping University Electronic Press. - 1652-8670. ; 16:1, s. 25-48
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Journal article (peer-reviewed)abstract
- An increasing number of people are growing older and living longer in their homes. This study aims to describe key stakeholders’ (politicians, managers, and professionals) perceptions of a good life for single-living oldest old persons living at home with extensive needs for support. Interviews with stakeholders were analysed with content analysis. The analysis resulted in the theme: An incongruence between intentions and actions in promoting a good life for the oldest old. Our findings show a gap between intentions and actions, which caused feelings of powerlessness in the key stakeholders. To promote a good life for the oldest old persons, a congruence is needed between individual awareness and the prerequisite of promoting a good life. Developing methods that identify and bridge gaps between intentions and actions could support the abilities of organisations to promote a good life for the oldest old persons with extensive needs for support.
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| 4. |
- Areskoug-Josefsson, Kristina, et al.
(author)
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Health care students' attitudes toward addressing sexual health in their future profession : Validity and reliability of a questionnaire
- 2016
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In: International Journal of Sexual Health. - : Informa UK Limited. - 1931-7611 .- 1931-762X. ; 28:3, s. 243-250
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Journal article (peer-reviewed)abstract
- Objectives: To test the reliability and validity of the Students' Attitudes Towards Addressing Sexual Health Questionnaire (SA-SH), measuring students' attitudes toward addressing sexual health in their future professions.Method: A cross-sectional online survey (22 items) were distributed to 186 nursing, occupational therapy and physiotherapy students in Sweden, April 2015. Validity and reliability were tested.Results: The construct validity analysis led to three major factors: present feelings of comfortableness, future working environment, and fear of negative influence on future patient relations. The construct validity, internal consistency reliability, and intrarater reliability showed good results.Conclusion: The SA-SH is valid and reliable.
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| 5. |
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| 6. |
- Areskoug-Josefsson, Kristina, et al.
(author)
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Health Care Students’ Attitudes Towards Working with Sexual Health in Their Professional Roles : Survey of Students at Nursing, Physiotherapy and Occupational Therapy Programmes
- 2016
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In: Sexuality and Disability. - : Springer Science and Business Media LLC. - 0146-1044 .- 1573-6717. ; 34:3, s. 289-302
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Journal article (peer-reviewed)abstract
- The aim of this study was to explore differences and similarities in health care students’ attitudes towards working with and communicating with patients about sexual health issues in their future professions. The aim was also to explore whether the students’ gender, age and future professions were influencing factors and whether there was a change in attitude depending on educational levels, gender, age and future professions. The study also aimed to explore the potential development of those differences and similarities in attitudes between health care students having achieved different levels of education and training in their future professions. A cross-sectional quantitative study was performed with an online survey distributed to nursing, occupational therapy and physiotherapy students. The students believed that they needed increased sexual health education and increased communication skills about sexual health. Gender and future profession are factors that significantly affect the attitudes of the students towards working with sexual health. Nursing and occupational therapy students have a more positive attitude towards addressing sexual health in their future professions than do physiotherapy students. Further research is needed in this field to improve competence in sexual health for all student groups, particularly physiotherapy students. Further research is also needed to explore the significance of gender regarding education in sexual health and attitudes towards working with sexual health.
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| 7. |
- Backman, Tess, et al.
(author)
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Ambulance nurses' experiences of deciding a patient does not require ambulance care
- 2019
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In: Nursing Open. - : John Wiley & Sons. - 2054-1058. ; 6:3, s. 783-789
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Journal article (peer-reviewed)abstract
- Aim: To describe ambulance nurses’ experience of deciding a patient does not require ambulance care.Design:An inductive, empirical study with a qualitative approach.Methods: Data collection was conducted through semi‐structured interviews, and collected data were analysed with qualitative manifest content analysis. Data were collected during the spring 2017, and eight ambulance nurses participated.Results:The findings are presented in one main category, which is “Not very ill but a difficult decision” with totally three subcategories. The ambulance nurse's experi‐ence of making the assessment when the patient has no need for ambulance care is like walking the balance of slack line. This means that the assessment can be both easy and very difficult but something that definitely requires experience, knowledge and dedication.
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| 8. |
- Berg, Charlotte, et al.
(author)
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One Health : Samspelet mellan human-, djur- och ekosystemhälsa
- 2022
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In: Vård, omsorg och rehabilitering utomhus. - Lund : Studentlitteratur AB. - 9789144142364 ; , s. 97-112
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Book chapter (other academic/artistic)abstract
- Sambandet mellan människors, djurs och ekosystems hälsa är viktigt för att målet "En gemensam hälsa" skall uppnås. I detta kapitel förklarar vi vad One Health är, vilka teorier som ligger bakom One Health, vilka centrala begrepp och perspektiv som är viktiga för området och forskning om kopplingen mellan människors och djurs hälsa, människors och miljöns hälsa, samt djurens och miljöns hälsa. Vi tar upp olika aspekter rörande lantbruksdjur, sällskapsdjur och vilda djur och hur det sätt vi föder upp och sköter dem på påverkar miljön, och i det långa loppet även människor. Vi beskriver hur djurs sjukdomar kan påverka människors hälsa och omvänt, samt One Health-perspektivets koppling till vård, omsorg och rehabilitering utomhus.
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| 9. |
- Engström, Åsa, et al.
(author)
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The Meaning of Critical Illness for People Suffering From COVID-19 : When a Frightening Unreality Becomes Reality
- 2022
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In: Qualitative Health Research. - : Sage Publications. - 1049-7323 .- 1552-7557. ; 32:1, s. 135-144
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Journal article (peer-reviewed)abstract
- The aim of this study was to elucidate the meaning of critical illness for people with COVID-19. This study used a qualitative design. Thirteen people who were critically ill with COVID-19 during 2020 and admitted to a COVID-19 intensive care unit in northern Sweden participated in the study. Data collection was conducted as individual interviews with a narrative approach, and data were analyzed with phenomenological hermeneutic interpretation. The participants did not think they would get critically ill with this unexpected illness. They experienced terrible nightmares where their relatives had been killed, and they missed their relatives both in their dreams and in reality, as they had not been allowed to be with them due to the virus. Gratefulness was described for surviving. Participants described thoughts of not being able to imagine going through this again. They felt fear and loneliness, as a terrifying unreality had become a reality.
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| 10. |
- Jalasto, Juuso, et al.
(author)
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Mortality associated with occupational exposure in Helsinki, Finland : a 24-year follow-up
- 2023
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In: Journal of Occupational and Environmental Medicine. - : Wolters Kluwer. - 1076-2752 .- 1536-5948. ; 65:1, s. 22-28
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Journal article (peer-reviewed)abstract
- Objectives Our objective was to study mortality related to different obstructive lung diseases, occupational exposure, and their potential joint effect in a large, randomized population-based cohort. Methods We divided the participants based on the answers to asthma and chronic obstructive pulmonary disease (COPD) diagnoses and occupational exposure and used a combined effects model and compared the results to no asthma or COPD with no occupational exposure. Results High exposure had a hazards ratio (HR) of 1.34 (1.11-1.62) and asthma and COPD coexistence of 1.58 (1.10-2.27). The combined effects of intermediate exposure and coexistence had an HR of 2.20 (1.18-4.09), high exposure with coexistence of 1.94 (1.10-3.42) for overall mortality, and sub-HR for respiratory-related mortality of 3.21 (1.87-5.50). Conclusions High occupational exposure increased overall but not respiratory-related mortality hazards, while coexisting asthma and COPD overall and respiratory-related hazards of mortality.
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| 11. |
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| 12. |
- Jalasto, Juuso, et al.
(author)
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Occupation, socioeconomic status and chronic obstructive respiratory diseases – the EpiLung Study in Finland, Estonia and Sweden
- 2022
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In: Respiratory Medicine. - : Elsevier. - 0954-6111 .- 1532-3064. ; 191
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Journal article (peer-reviewed)abstract
- Objective: To study occupational groups and occupational exposure in association with chronic obstructive respiratory diseases.Methods: In early 2000s, structured interviews on chronic respiratory diseases and measurements of lung function as well as fractional expiratory nitric oxide (FENO) were performed in adult random population samples of Finland, Sweden and Estonia. Occupations were categorized according to three classification systems. Occupational exposure to vapours, gases, dusts and fumes (VGDF) was assessed by a Job-Exposure Matrix (JEM). The data from the countries were combined.Results: COPD, smoking and occupational exposure were most common in Estonia, while asthma and occupations requiring higher educational levels in Sweden and Finland. In an adjusted regression model, non-manual workers had a three-fold risk for physician-diagnosed asthma (OR 3.18, 95%CI 1.07-9.47) compared to professionals and executives, and the risk was two-fold for healthcare & social workers (OR 2.28, 95%CI 1.14-4.59) compared to administration and sales. An increased risk for physician-diagnosed COPD was seen in manual workers, regardless of classification system, but in contrast to asthma, the risk was mostly explained by smoking and less by occupational exposure to VGDF. For FENO, no associations with occupation were observed.Conclusions: In this multicenter study from Finland, Sweden and Estonia, COPD was consistently associated with manual occupations with high smoking prevalence, highlighting the need to control for tobacco smoking in studies on occupational associations. In contrast, asthma tended to associate with non-manual occupations requiring higher educational levels. The occupational associations with asthma were not driven by eosinophilic inflammation presented by increased FENO.
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| 13. |
- Jalasto, Juuso, et al.
(author)
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Occupational exposure to vapors, gasses, dusts, and fumes in relation to causes of death during 24 years in Helsinki, Finland
- 2024
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In: International Archives of Occupational and Environmental Health. - : Springer Nature. - 0340-0131 .- 1432-1246. ; 97, s. 145-154
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Journal article (peer-reviewed)abstract
- Purpose: Environmental particulate matter (PM) exposure has been shown to cause excess all-cause and disease-specific mortality. Our aim was to compare disease-specific mortality by estimated occupational exposure to vapors, gasses, dusts, and fumes (VGDF).Methods: The data source is the Helsinki part of the population-based FinEsS study on chronic obstructive pulmonary diseases including information on age, education level, main occupation, sex, and tobacco smoking combined with death registry information. We compared estimated VGDF exposure to mortality using adjusted competing-risks regression for disease-specific survival analysis for a 24-year follow-up.Results: Compared to the no-exposure group, the high occupational VGDF exposure group had sub-hazard ratios (sHR) of 1.7 (95% CI 1.3–2.2) for all cardiovascular-related and sHR 2.1 (1.5–3.9) for just coronary artery-related mortality. It also had sHR 1.7 (1.0–2.8) for Alzheimer’s or vascular dementia-related mortality and sHR 1.7(1.2–2.4) for all respiratory disease-related mortality.Conclusion: Long-term occupational exposure to VGDF increased the hazard of mortality- to cardiovascular-, respiratory-, and dementia-related causes. This emphasizes the need for minimizing occupational long-term respiratory exposure to dust, gasses, and fumes.
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| 14. |
- Johansson, Gunilla, et al.
(author)
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Experiences of a nature-based intervention program in a northern natural setting: A longitudinal case study of two women with stress-related illness
- 2023
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In: International Journal of Qualitative Studies on Health and Well-being. - : Taylor & Francis. - 1748-2623 .- 1748-2631. ; 18:1
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Journal article (peer-reviewed)abstract
- PurposeThis study explored the experiences of people with stress-related illness participating in a nature-based intervention programme in a northern natural setting.MethodsA longitudinal case study was conducted with two women participating in a nature-based intervention programme on a farm. Data were collected by semi-structured interviews, diaries, rating scales, and self-assessment. Qualitative data were analysed by qualitative content analysis and quantitative data are presented descriptively.ResultsThe theme of finding a source for recovery and well-being permeates all categories. The participants perceived the farm and nature to be a calming refuge; they learned to be in the present and could manage the tasks. In togetherness with each other and the facilitator on the farm they felt understood and confident, experienced joy, and found opportunities for change. They gained knowledge and positive memories and found new approaches in life. Self-assessment questionnaires indicated improvements of functioning in everyday life and reduced stress-related exhaustion at the end of the NBI programme.ConclusionsNature-based interventions lasting for a relatively short period seem to promote health and may be a complement to other treatments of stress-related illness. Further research is needed with a larger number of participants and in various natural settings.PurposeThis study explored the experiences of people with stress-related illness participating in a nature-based intervention programme in a northern natural setting.
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| 15. |
- Johansson, Gunilla, et al.
(author)
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Nature-based interventions to promote health for people with stress-related illness: An integrative review
- 2022
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In: Scandinavian Journal of Caring Sciences. - : John Wiley & Sons. - 0283-9318 .- 1471-6712. ; 36:4, s. 910-925
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Research review (peer-reviewed)abstract
- BackgroundStress-related illness is increasing and is a common cause of sick leave. Spending time in nature have a positive effect on health and well-being for instance by reducing stress. Specific programmes with nature-based interventions (NBI) with the intention to involve people in activities in a supportive natural environment have been developed for people with stress-related illness.AimTo identify and summarise scientific studies of NBIs to promote health for people with stress-related illness.MethodThe design used in this study is integrative literature review. Scientific studies focusing on any type of NBI for people with stress-related illness were sought in Cinahl, PubMed, PsycInfo, AMED and Scopus. In total, 25 studies using both qualitative and quantitative designs were included in the review.ResultThe reviewed studies focused on garden or forest interventions. In the majority of the studies, NBIs were performed in groups, including individual activities, and the length of programmes varied. Interventions in natural environments have unique qualities for individualised, meaningful activities and interactions with others in a non-demanding atmosphere. NBIs offer restoration that reduces stress, improves health and well-being and strengthen self-efficacy and work ability. Connectedness with nature support existential reflections and people with stress-related illness can achieve balance in everyday life.ConclusionIn conclusion, NBIs may have advantages to promote health for people with stress-related illness and should therefore be considered as an alternative to those affected. Further research from different perspectives, including nursing, is needed to understand the possibilities of NBIs and how they can be integrated into practice.
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| 16. |
- Johansson, Gunilla
(author)
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Nature-based interventions to promote health in people with stress-related illness
- 2024
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Doctoral thesis (other academic/artistic)abstract
- Stress-related illness is increasing and is a common cause of sick leave in Sweden. Spending time in nature reduces stress and promotes health and well-being. Consequently, nature-based interventions (NBI) for people with stress-related illness have been developed, implemented and studied in southern Scandinavia. However, such interventions are uncommon in the Circumpolar North with a different climate which affect conditions for outdoor activities. The overall aim of this doctoral thesis was to explore NBIs to promote health in people with stress-related illness from the perspectives of previous research, people with stress-related illness, healthcare professionals and entrepreneurs offering NBIs with a specific focus on northern natural conditions.The thesis includes four studies. An integrative literature review (I) identified and summarised scientific studies of NBIs for people with stress-related illness. Studies using both qualitative and quantitative designs were included. Study II explored key stakeholders’ perceptions of the value of NBIs in promoting health in people with stress-related illness. Semi-structured interviews were conducted with people with stress-related illness experience, healthcare professionals, and entrepreneurs offering NBI and data were analysed through qualitative content analysis. In study III people with stress-related illness experiences of participating in an NBI program in a northern natural setting were explored. A longitudinal case study design was used, and data were collected through repeated semi-structured interviews, diary entries and self-assessment questionnaires. Qualitative content analysis was used to analyse interviews and reflections from diaries and data from self-assessing questionnaires were presented descriptively. Study IV explored people with stress-related illness experiences of nature prescription. Data were collected through interviews with open-ended questions and analysed with a phenomenological-hermeneutic method.Findings show that natural environments offer unique qualities for individualised, meaningful activities and interactions with others in a non-demanding atmosphere. In NBI people with stress-related illness find a source for recovery, joy, and well-being. Spending time in nature is perceived as calming and facilitates being in the present. NBIs improve health and strengthen self-efficacy and work ability. Time in nature provides new perspectives, supports existential reflections, and empowers people with stress-related illness to find opportunities for change to achieve balance in everyday life. NBIs can be helpful for people with stress-related illness to overcome barriers to going out in nature or to find their way back to nature. In conclusion, NBIs seem to be beneficial in promoting health in people with stress-related illness. Different stakeholders have similar perceptions of the value of NBIs, indicating that it could be a valuable complement to health care. NBIs in a northern natural setting seems to have similar health promoting qualities as those seen in studies of NBIs in other natural settings.
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| 17. |
- Johansson, Gunilla, et al.
(author)
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Stakeholders’ perceptions of value of nature-based interventions in promoting health in people with stress-related illness: a qualitative study
- 2024
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In: International Journal of Circumpolar Health. - : Taylor & Francis. - 1239-9736 .- 2242-3982. ; 83:1
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Journal article (peer-reviewed)abstract
- Stress-related illness is a common and increasing cause for sick leave in Sweden. Spending time in nature reduces stress and promotes health and well-being. Accordingly, nature-based interventions (NBI) for people with stress-related illness have been developed and implemented in southern Scandinavia; however, such interventions are uncommon in the Circumpolar North. Previous studies have examined the effects and experiences of participating in NBI, but research about different stakeholders’ perspectives on NBI is lacking. The aim of this study was to explore different key stakeholders’ perceptions of the value of NBI in promoting health in people with stress-related illness. Data were collected through semi-structured interviews with 11 persons with stress-related illness experience, 14 healthcare professionals, and 11 entrepreneurs offering NBI. Qualitative content analysis resulted in four categories: Providing opportunity for recovery, Offering new perspectives and opportunity for reflection, Empowering balance and control in life, and Enabling one to overcome barriers. Although the study was conducted in a region where NBI is not widely implemented, the different stakeholders expressed similar perceptions of the value of NBI, indicating that NBI may be a valuable complement to health care which reaches people with stress-related illness needs and promotes their health.
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| 18. |
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| 19. |
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| 20. |
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| 21. |
- Johansson, Jeaneth, 1968-, et al.
(author)
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Naturbaserade interventioner och nya samverkansmodeller
- 2022. - 1
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In: Social innovation för hållbar utveckling. - Lund : Studentlitteratur AB. - 9789144151465 ; , s. 85-98
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Book chapter (peer-reviewed)abstract
- Syftet med detta kapitel är att fördjupa förståelsen av social innovation i form av naturbaserade interventioner och nya samverkansmodeller för att främja psykisk hälsa. Vi inleder kapitlet med att kort beskriva hälsoläget hos befolkningen och kopplingen till Agenda 2030. Därefter beskriver vi naturbaserade interventioner och dess betydelse för hälsan, för att sedan komma in på behovet av nya samverkansmodeller där nyckelaktörer arbetar tillsammans för att kunna implementera naturbaserade interventioner i praktiken. Baserat på resultat från projektet New Nordic Nature Based Service Models (Nordic NaBS) utvecklas en konceptuell modell med sex samverkansmekanismer, som möjliggörare för naturbaserade interventioner som social innovation.
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| 22. |
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| 23. |
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| 24. |
- Johansson, Jeaneth, 1968-, et al.
(author)
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Strukturella förutsättningar för landsbygdens entreprenörskap: : Institutionella logiker och naturbaserade sociala innovationer
- 2023
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Conference paper (peer-reviewed)abstract
- Strukturella förutsättningar för landsbygdens entreprenörskap: Institutionella logiker och naturbaserade sociala innovationer Studien behandlar utveckling av landsbygdens entreprenörskap; hälsofrämjande tjänster med avstamp i djur och natur. Sociala innovationer krävs för att lösa utmaningarna med tillgången till personcentrerad och kostnadseffektiv vård samt att främja hälsa och social integration. Studier pekar på naturbaserade innovationer (NBI) som möjlighet för förbättrat välbefinnande, återhämtning och förmåga att hantera stress. Landsbygdens entreprenörskap har här en roll att fylla. De sociala innovationerna syftar till implementering av nya affärsmodeller, idéer, processer och tillvägagångssätt med avsikt att öka möjligheten att hantera hälsorelaterade samhällsproblem kopplat till psykisk ohälsa. Entreprenörskapet omgärdas av möjliggörande och hindrande strukturer för implementering och skalning. Denna studie syftar därmed till att öka förståelsen för ett hållbart entreprenörskap och de strukturella förutsättningarna som möter NBU-entreprenörer på landsbygden. Hur kan möjligheter tillvaratas, hinder överbryggas och nya strukturer utvecklas inom ramen för NBI- som sociala innovationer?Studien baseras på intervjuer med NBI-entreprenörer på landsbygden och tar sin utgångspunkt i teoribildningen institutionella logiker för att förstå rådande strukturella förutsättningar. Ett flertal olika nyckelaktörer finns representerade inom ekosystemet för NBI exempelvis entreprenörer, hälso- och sjukvårdsorganisationer (kunder/ användare av tjänster) samt patienter (slutanvändare). Olika nyckelaktörer har olika behov och olika målbild. Agerande baseras på olika institutionella logiker. I studien identifieras entreprenörers upplevelse av olika institutionella logiker och hur det påverkar de strukturella förutsättningarna.Detta tvärvetenskapliga projekt med forskare från Entreprenörskap och innovation, Redovisning- och styrning samt Omvårdnad förväntas bidra med kunskap om strukturella förutsättningar från olika perspektiv. Centrala strukturella förutsättningar identifieras på makronivå, mesonivå och mikronivå samt relateras till sociala och ekonomiska dimensioner. Strukturella förutsättningar för NBI konceptualiseras och bidrar med kunskap till det vetenskapliga fältet med social innovation. Kunskap kring institutionella logiker förväntas bidra till förståelse av ekosystemets strukturer, praktiker och relationer vilket kan främja nyckelaktörers samverkan samt utveckling av sociala innovationer.
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| 25. |
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