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2.
  • Doyle, Louise, et al. (författare)
  • Preparing master-level mental health nurses to work within a wellness paradigm : Findings from the eMenthe project
  • 2018
  • Ingår i: International Journal of Mental Health Nursing. - Richmond, VIC : Wiley-Blackwell. - 1445-8330 .- 1447-0349. ; 27:2, s. 823-832
  • Tidskriftsartikel (refereegranskat)abstract
    • Mental health promotion remains an important component of mental health nursing practice. Supporting wellness at both the individual and societal levels has been identified as one of the key tenets of mental health promotion. However, the prevailing biomedical paradigm of mental health education and practice has meant that many nurses have not been equipped to incorporate a wellness perspective into their mental health practice. In the present study, we report on an exploratory study which details the knowledge, skills, and attitudes required by master-level mental health nurses to practice within a wellness paradigm from the perspective of three groups of key stakeholders: (i) service users and family members (n = 23); (ii) experienced mental health nurses (n = 49); and (iii) master-level mental health nursing students (n = 37). The findings, which were reported from individual and focus group interviews across five European countries, suggested a need to reorientate mental health nursing education to include a focus on wellness and resilience to equip mental health nurses with the skills to work within a strengths-based, rather than a deficits-based, model of mental health practice. Key challenges to working within a wellness paradigm were identified as the prevailing dominance of the biomedical model of cause and treatment of mental health problems, which focusses on symptoms, rather than the holistic functioning of the individual, and positions the person as passive in the nurse-service user relationship. © 2017 Australian College of Mental Health Nurses Inc.
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  • Doyle, Maria, 1982-, et al. (författare)
  • Feelings of safety in the presence of the police, security guards and police volunteers
  • 2013
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • Uniformed presences are thought to create feelings of safety in people. However, do different uniformed people contribute to the same amount of safety and are there differences dependent on the situation? The present study examined the association between various types of uniformed presence and people’s feelings of safety through a questionnaire among 352 respondents (18-86 years) (49.1 % women). The questionnaire contained pictures of relatively safe and unsafe situations with or without uniformed presence. The respondents estimated how safe they thought they would feel in these situations with and without two police officers, six police officers, a police car, two security guards, or two police volunteers. The results showed that uniformed presence does not increase feelings of safety in an already relatively safe situation, making patrol unnecessary. In relatively unsafe situations however, all types of uniformed presence increase feelings of safety. Foot patrolling police increased feelings of safety the most. Security guards and police volunteers created approximately the same amount of safety; making police volunteers a cost-effective alternative, although some situation, gender and age differences were found. All types of foot patrol were better than vehicle patrol (with some gender differences), making non-police groups an alternative to vehicle patrol.
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4.
  • Doyle, Maria, 1982-, et al. (författare)
  • Feelings of safety in the presence of the police, security guards and police volunteers
  • 2016
  • Ingår i: European Journal on Criminal Policy and Research. - : Springer. - 0928-1371 .- 1572-9869. ; 22:1, s. 19-40
  • Tidskriftsartikel (refereegranskat)abstract
    • Uniformed presence is commonly thought to create feelings of safety in people.However, do differently uniformed people contribute to an equal amount of safety and arethere situation-dependent differences? The present study examined the association betweenvarious types of uniformed presence and people’s feelings of safety through a questionnaireamong 352 respondents (18–86 years) (49.1 % women). The questionnaire contained picturesof situations perceived as relatively safe and unsafe with or without uniformed presence. Therespondents estimated how safe they thought they would feel in these situations with nouniformed presence, two police officers, six police officers, a police vehicle, two securityguards, or two police volunteers. Results showed that uniformed presence did not increasefeelings of safety in a situation perceived as relatively safe, making patrol unnecessary. Insituations perceived as relatively unsafe however, all types of uniformed presence increasedfeelings of safety. Foot patrolling police contributed to the greatest increase in feelings ofsafety. Security guards and police volunteers created similar amounts of feelings of safetymaking police volunteers a cost-effective alternative. All types of foot patrol were better thanvehicle patrol, making non-police groups an alternative to vehicle patrol. Some situational,gender, and age differences were found.
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5.
  • Doyle, Maria, 1982-, et al. (författare)
  • Feelings of safety in the presence of the police, security guards and police volunteers
  • 2014
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • Uniformed presences are thought to create feelings of safety in people. However, do different uniformed people contribute to the same amount of safety and are there differences dependent on the situation? The present study examined the association between various types of uniformed presence and people’s feelings of safety through a questionnaire among 352 respondents (18-86 years) (49.1 % women). The questionnaire contained pictures of relatively safe and unsafe situations with or without uniformed presence. The respondents estimated how safe they thought they would feel in these situations with and without two police officers, six police officers, a police car, two security guards, or two police volunteers. The results showed that uniformed presence does not increase feelings of safety in an already relatively safe situation, making patrol unnecessary. In relatively unsafe situations however, all types of uniformed presence increase feelings of safety. Foot patrolling police increased feelings of safety the most. Security guards and police volunteers created approximately the same amount of safety; making police volunteers a cost-effective alternative, although some situation, gender and age differences were found. All types of foot patrol were better than vehicle patrol (with some gender differences), making non-police groups an alternative to vehicle patrol.
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8.
  • Hussein, Rana, et al. (författare)
  • Structural dynamics in the water and proton channels of photosystem II during the S2 to S3 transition
  • 2021
  • Ingår i: Nature Communications. - : Nature Publishing Group. - 2041-1723. ; 12:1
  • Tidskriftsartikel (refereegranskat)abstract
    • Light-driven oxidation of water to molecular oxygen is catalyzed by the oxygen-evolving complex (OEC) in Photosystem II (PS II). This multi-electron, multi-proton catalysis requires the transport of two water molecules to and four protons from the OEC. A high-resolution 1.89 Å structure obtained by averaging all the S states and refining the data of various time points during the S2 to S3 transition has provided better visualization of the potential pathways for substrate water insertion and proton release. Our results indicate that the O1 channel is the likely water intake pathway, and the Cl1 channel is the likely proton release pathway based on the structural rearrangements of water molecules and amino acid side chains along these channels. In particular in the Cl1 channel, we suggest that residue D1-E65 serves as a gate for proton transport by minimizing the back reaction. The results show that the water oxidation reaction at the OEC is well coordinated with the amino acid side chains and the H-bonding network over the entire length of the channels, which is essential in shuttling substrate waters and protons.
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9.
  • Jormfeldt, Henrika, 1966-, et al. (författare)
  • Master’s level mental health nursing competencies, a prerequisite for equal health among service users in mental health care
  • 2018
  • Ingår i: International Journal of Qualitative Studies on Health and Well-being. - Abingdon : Taylor & Francis. - 1748-2623 .- 1748-2631. ; 13:S1
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: This discussion paper aims to explore the need of a clarified definition of master’s level mental health nursing competencies in terms of knowledge, skills and attitudes in a European context. Mental health service users have, in spite of their right to equal overall health, higher rates of physical illness and are more likely to experience premature death than the general population. Implementation of a holistic concept of health comprising mental, physical and social aspects of health in mental health services has previously proved to be challenging. Methods: Master’s level mental health nursing competencies in recent literature are discussed and illuminated in terms of knowledge, skills and attitudes in order to enable the promotion of equal overall health among service users in mental health services. Results: The discussion show contents, values and utility of master’s level mental health nursing competencies in mental health services and contribute to reduced role ambiguity by distinguishing master’s level responsibilities from undergraduate nursing tasks and obligations of other professionals in mental health care. Conclusion: This discussion paper shapes implications for developments in master’s level mental health nursing education curricula. © 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
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10.
  • Keogh, Brian, et al. (författare)
  • Developing e-learning materials in mental health : the eMenthe Project
  • 2017
  • Ingår i: Mental Health Practice. - Harrow : Royal College of Nursing (RCNi). - 1465-8720 .- 2047-895X. ; 20:5, s. 36-37
  • Tidskriftsartikel (refereegranskat)abstract
    • This article describes a European collaborative project that developed master’s degree level e-learning materials for mental health nurses. The e-learning materials are freely available online at www.ementhe.eu
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11.
  • Keogh, Brian, et al. (författare)
  • Developing Master’s level eLearning material in mental health – Phase one, consulting with key stakeholders
  • 2014
  • Ingår i: Book of Abstracts. ; , s. 116-116
  • Konferensbidrag (refereegranskat)abstract
    • Background: The need to develop education programmes for mental health nurses that are responsive to the needs of key stakeholders is essential to ensuring that mental health nursing practices remain contemporary and consistent with national and international mental health policy. To this end, a group of mental health nursing faculty from seven European countries came together to develop transferable eLearning materials for Masters Levels mental health nursing students focusing on a three of key areas; 1)recovery and social inclusion, 2) mental health promotion and prevention and 3) working with families and caregivers. This poster provides details of how the European partners will conduct the first phase of the project which is consultation with the key stakeholders (MSc Students, senior and expert mental health nurses, family and carer organisations and mental health service users).Aim and objectives: The aim of this project is to develop e-learning materials for Masters level mental health nursing education programmes based on the identified needs of key stakeholders.Methods: This research follows an action research design and this first phase will involve consultation with key stake holders using a qualitative approach. Data will be collected in three phases: 1. One focus group will be conducted with current MSc in Mental Health Nursing Students. 2. The participants (MSc Students) involved in phase one will be required to return to their areas of practice and gather information from 2 senior and expert mental health nurses using a prepared data collection template. 3. The researchers will collect data from the family carer organisations and mental health service users using telephone interviews using a prepared data collection template. This process will be repeated in all the European universities involved and will form the basis for the eLearning content.Analysis and Results: Data collection is due to start in December 2013.Recommendations: This collaborative approach to postgraduate mental health nursing education will ensure that a consistent, contemporary and needs driven eLearning package will be developed. 
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12.
  • Keogh, Brian, et al. (författare)
  • Working with Families Affected by Mental Distress : Stakeholders' Perceptions of Mental Health Nurses Educational Needs
  • 2017
  • Ingår i: Issues in Mental Health Nursing. - Philadelphia, PA : Taylor & Francis. - 0161-2840 .- 1096-4673. ; 38:10, s. 822-828
  • Tidskriftsartikel (refereegranskat)abstract
    • Family and informal caregivers provide a substantial amount of care and support to people who experience mental health problems. The aim of this study was to explore mental health nurses', students' and service users' perceptions of the knowledge, skills and attitudes that are required by mental health nurses to work with families and carers using a qualitative methodology. Three themes emerged from the data: Knowledge of the family and how mental distress affects the family; working with the family - support and education; and valuing the role of the family. The three themes demonstrate the complexity of preparing mental health nurses to work with families and carers, and the article offers recommendations about how this might be achieved. © 2017 Taylor & Francis Group, LLC
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13.
  • Kilkku, Nina, et al. (författare)
  • eMenthe : a European co-operation project to enhance Master’s level education in mental health practice with eLearning materials
  • 2013
  • Ingår i: Horatio, European Psychiatric Nursing Congress 2013. ; , s. 152-152
  • Konferensbidrag (refereegranskat)abstract
    • There are wide differences in the quality and content of mental health nurse education throughout Europe. These are evident in the course structures, emphasis and specific content. This diversity between programmes creates possibilities for countries to learn from one another and to share and benefit from the diverse approaches. As the concerns and development needs regarding mental health practices are shared, it is wise to identify best practices and to share these for mutual benefit to ensure the highest quality education and practice. To this end, seven European universities from Finland, Ireland, Sweden, United Kingdom and the Netherlands have commenced a collaboration to enhance  Master’s level education in mental health practice. The project’s aim is to develop eLearning materials with an action research approach in collaboration with Master’s level students from these universities and associated partners from clinical practice. eLearning materials on three central themes: recovery, mental health promotion and prevention, the role of families and caregivers will be launched for students in Master’s level and clinical practice to use.  International co-operation is seen as a quality assurance process; each of the partners are highly esteemed universities with extensive experience in mental health education, research and strong links with practice. With this kind of co-operation it is possible to enhance the quality of Master’s level education in Europe in the future. Funding for the project has been applied for from the Erasmus LLP-programme. At the time of the conference the project will have commenced if the funding decision is positive.
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14.
  • Killku, Nina, et al. (författare)
  • Developing eLearning materials to support professional competencies and clinical careers on Master's level mental health practice in Europe
  • 2014
  • Konferensbidrag (refereegranskat)abstract
    • There are wide differences in the quality of mental health nurse education at Bachelor and Master’s level throughout Europe. Furthermore, there are wide variations in content. However the concerns, challenges and development needs of mental health practice are shared in many countries. These issues form the basis for the EU-funded eMenthe-project (2013-2016) which aims to enhance Master’s level education in mental health practice by developing eLearning materials through a European co-operation.The co-operation includes seven European universities from Finland, Ireland, Sweden, United Kingdom and the Netherlands. These organizations and their respective Master’s students are associated partners of the project. International co-operation is seen as a quality assurance process; each of the partners is a highly esteemed university with extensive experience in mental health education, research and strong links with practice.ELearning –materials will be developed during this co-operation on three different themes. The themes include: mental health promotion and prevention, recovery and social inclusion and engaging with families and caregivers. These themes were agreed as common issues of concern for all partners prior to the application process. During the final year of the project (2016) eLearning materials will be made available to students undertaking Master’s level education and those working in clinical practice. This dual approach to dissemination will support the professional competencies of practitioners as well as academic progression. 
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15.
  • Kühn, Andrea A, et al. (författare)
  • High-frequency stimulation of the subthalamic nucleus suppresses oscillatory beta activity in patients with Parkinson's disease in parallel with improvement in motor performance.
  • 2008
  • Ingår i: The Journal of neuroscience : the official journal of the Society for Neuroscience. - 1529-2401. ; 28:24, s. 6165-73
  • Tidskriftsartikel (refereegranskat)abstract
    • High-frequency stimulation (HFS) of the subthalamic nucleus (STN) is a well-established therapy for patients with severe Parkinson's disease (PD), but its mechanism of action is unclear. Exaggerated oscillatory synchronization in the beta (13-30 Hz) frequency band has been associated with bradykinesia in patients with PD. Accordingly, we tested the hypothesis that the clinical benefit exerted by STN HFS is accompanied by suppression of local beta activity. To this end, we explored the after effects of STN HFS on the oscillatory local field potential (LFP) activity recorded from the STN immediately after the cessation of HFS in 11 PD patients. Only patients that demonstrated a temporary persistence of clinical benefit after cessation of HFS were analyzed. STN HFS led to a significant reduction in STN LFP beta activity for 12 s after the end of stimulation and a decrease in motor cortical-STN coherence in the beta band over the same time period. The reduction in LFP beta activity correlated with the movement amplitude during a simple motor task, so that a smaller amount of beta activity was associated with better task performance. These features were absent when power in the 5-12 Hz frequency band was considered. Our findings suggest that HFS may act by modulating pathological patterns of synchronized oscillations, specifically by reduction of pathological beta activity in PD.
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17.
  • Skärsäter, Ingela, 1952-, et al. (författare)
  • Advancing the knowledge, skills and attitudes of mental health nurses working with families and caregivers : A critical review of the literature
  • 2018
  • Ingår i: Nurse Education in Practice. - Amsterdam : Elsevier. - 1471-5953 .- 1873-5223. ; 32, s. 138-146
  • Forskningsöversikt (refereegranskat)abstract
    • Involving and supporting the family members and caregivers of people with mental illness is essential to high-quality mental health services. However, literature suggests that there is a lack of engagement between family members and mental health nurses (MHNs). Lack of knowledge among MHNs is often cited as one of the main reasons for this lack of engagement. The aim of this review was to explore the knowledge, skills and attitudes that are required by MHNs to enable to them to work more effectively with families affected by mental illness. A literature based critical review was used to access and review 35 papers in order to extract concepts that could inform the design of eLearning materials to assist MHNs advance their knowledge in this area. Two overarching themes were identified; ‘Mental health problems and the family’ and ‘Working with the family’. From these themes, the knowledge, skills and attitudes required to work more effectively with families are described. The findings from this review provide a descriptive account of the knowledge skills and attitudes that are required for effective family work. In addition, the review provides an empirical foundation for education programmes in the area. © 2018 Elsevier Ltd
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18.
  • Skärsäter, Ingela, 1952-, et al. (författare)
  • To enhance Master’s level education in mental health practice with eLearning materials - eMenthe : an European project
  • 2015
  • Ingår i: Abstracts: 19th International Philosophy of Nursing Society (IPONS) conference August 24-26, 2015 Karolinska Institutet, Stockholm, Sweden. - Stockholm : Karolinska Institutet. ; , s. 42-42
  • Konferensbidrag (refereegranskat)abstract
    • There are wide differences in the quality and content of mental health nurse education throughout Europe. These are evident in the course structures, emphasis and specific content. This diversity between programmes creates possibilities for countries to learn from one another and to share and benefit from the diverse approaches. These concerns, challenges and development needs of mental health practice form the basis for the EU- funded eMenthe-project (2013-2016) which aims to enhance Master’s level education in mental health practice by developing eLearning materials through a European co- operation. To this end, seven European universities from Finland, Ireland, Sweden, United Kingdom and the Netherlands have commenced a collaboration to enhance Master’s level education in mental health practice - eMenthe.The project’s aim is to develop eLearning materials with an action research approach in collaboration with Master’s level students from these universities and associated partners from clinical practice. eLearning materials on three central themes: recovery, mental health promotion and prevention, the role of families and caregivers will be launched for students in Master’s level and clinical practice to use. These themes were agreed as common issues of concern for all partners prior to the application process.During first phase, stakeholders were interviewed (N=139), including master level students, experienced psychiatric nurses, managements persons working in psychiatric care, service users and next of kins. The data was structured from a general point and also from a lifespan perspective, such as child and adolescence, adults and elderly. The analysis used a qualitative and descriptive design, using a brief manifest content analysis to examine patterns, themes and subthemes to achieve an understanding of the meaningful content focusing on nursing master levels. During the final year of the project (2016) eLearning materials will be made available to students undertaking Master’s level education and professional nurses working in clinical practice. This dual approach to dissemination will support the professional competencies of practitioners as well as academic progression.
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19.
  • Stickley, Theodore, et al. (författare)
  • From the rhetoric to the real : A critical review of how the concepts of recovery and social inclusion may inform mental health nurse advanced level curricula – the eMenthe project
  • 2016
  • Ingår i: Nurse Education Today. - Kidlington : Churchill Livingstone. - 0260-6917 .- 1532-2793. ; 37, s. 155-163
  • Forskningsöversikt (refereegranskat)abstract
    • ObjectivesThis critical review addresses the question of how the concepts of recovery and social inclusion may inform mental health nurse education curricula at Master's level in order to bring about significant and positive change to practice.DesignThis is a literature-based critical review incorporating a rapid review. It has been said that if done well, this approach can be highly relevant to health care studies and social interventions, and has substantial claims to be as rigorous and enlightening as other, more conventional approaches to literature (Rolfe, 2008).Data sourcesIn this review, we have accessed contemporary literature directly related to the concepts of recovery and social inclusion in mental health.Review methodsWe have firstly surveyed the international literature directly related to the concepts of recovery and social inclusion in mental health and used the concept of emotional intelligence to help consider educational outcomes in terms of the required knowledge, skills and attitudes needed to promote these values-based approaches in practice.ResultsA number of themes have been identified that lend themselves to educational application. International frameworks exist that provide some basis for the developments of recovery and social inclusion approaches in mental health practice, however the review identifies specific areas for future development.ConclusionsThis is the first article that attempts to scope the knowledge, attitudes and skills required to deliver education for Master's level mental health nurses based upon the principles of recovery and social inclusion. Emotional intelligence theory may help to identify desired outcomes especially in terms of attitudinal development to promote the philosophy of recovery and social inclusive approaches in advanced practice. Whilst recovery is becoming enshrined in policy, there is a need in higher education to ensure that mental health nurse leaders are able to discern the difference between the rhetoric and the reality. © Elsevier Ltd. 2015
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