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- Lindmark, Ulrika, 1965-, et al.
(author)
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Health-promoting factors in higher education for a sustainable working life : protocol for a multicenter longitudinal study
- 2020
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In: BMC Public Health. - London : BioMed Central. - 1471-2458. ; 20:1
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Journal article (peer-reviewed)abstract
- BACKGROUND: The World Health Organization has highlighted the importance of health promotion for health service providers in order to ensure sustainable working life for individuals involved in providing health services. Such sustainability begins when students are preparing to manage their own future health and welfare in working life. It has been suggested that universities, employees and trainee health professionals should adopt or follow a salutogenic approach that not only complements the providing of information on known health risks but also favors health promotion strategies. This paper describes the study design and data collection methods in a planned study aiming to explore health-promoting factors for a sustainable working life among students in higher education within healthcare and social work. METHODS: This protocol describes a multicenter longitudinal study involving Swedish students on higher education programs in the healthcare and social work sectors. In 2018, the study invited students on seven education programs at six universities to participate. These programs were for qualification as: biomedical laboratory scientists (n = 121); dental hygienists (n = 87); nurses (n = 1411); occupational therapists (n = 111); physiotherapists (n = 48); radiographers (n = 60); and, social workers (n = 443). In total, 2283 students were invited to participate. Participants completed a baseline, a self-reported questionnaire including six validated instruments measuring health-promoting factors and processes. There are to be five follow-up questionnaires. Three while the students are studying, one a year after graduating, and one three years after graduating. Each questionnaire captures different health-promoting dimensions, namely: health-promoting resources (i.e. sense of coherence); occupational balance; emotional intelligence; health and welfare; social interaction; and work and workplace experiences/perceptions. DISCUSSION: This study focuses on the vastly important aspect of promoting a sustainable working life for healthcare and social work employees. In contrast to previous studies in this area, the present study uses different, validated instruments in health promotion, taking a salutogenic approach. It is hoped that, by stimulating the implementation of new strategies, the study's findings will lead to education programs that prepare students better for a sustainable working life in healthcare and social work.
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2. |
- Håman, Linn, 1982-, et al.
(author)
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An Empowerment-Based Physical Activity Intervention for Older People with Advanced Age-Related Macular Degeneration : An Exploratory Qualitative Case Study Design
- 2024
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In: Journal of Clinical Medicine. - Basel : MDPI. - 2077-0383. ; 13:13, s. 1-14
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Journal article (peer-reviewed)abstract
- Background: Age-related macular degeneration (AMD) is the most common cause of incurable visual impairment and impacts daily life. There are benefits of physical activity for people who are affected with AMD; however, living with AMD is associated with lower levels of physical activity and social isolation. The aim of this study was to explore how older people with AMD in Sweden experienced participation in a 6-month empowerment-based physical activity intervention and how it influenced their physical abilities. Methods: The participants were nine individuals with AMD aged 70–87 years. The intervention comprised physical and social activities in a group twice a week and individual health coaching on three occasions. The study was based on an exploratory qualitative case study design. Results: The findings showed two themes: created meaningfulness in life and creative and playful ways to develop body movements. The findings also showed improved muscle strength after the intervention. Conclusions: The findings showed that participants had increased social connectedness, improved physical self-efficacy and physical ability, as well as improved muscle strength. The empowerment process of the intervention was appreciated by the participants and challenged them to participate in physical activity offered by the municipality for older individuals. © 2024 by the authors.
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3. |
- Håman, Linn, 1982-, et al.
(author)
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Empowering older people with age-related macular degeneration : An Empowerment-Based Physical Activity Intervention
- 2023
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Conference paper (peer-reviewed)abstract
- Background: Age-related macular degeneration (AMD) is the most common cause of incurable visual impairment. These impacts include loss of social activities, decreased functional independence, and reduced physical activity.The purpose of the study was to explore the participants' experiences and meanings expressed by people with AMD participating in an empowerment-based intervention.Methods: The study has an explorative design based on ethnographic observations and informal interviews during the Empowerment-Based Physical Activity Intervention (EPI). The intervention embraced empowerment as a process and adopted the reflective equilibrium community empowerment approach. The EPI was carried out over six months and comprised adapted physical activity and social activities twice a week—furthermore, individual health coaching on three occasions. Nine women and two men aged 70-87 years old with AMD in Sweden participated in EPI. Field notes of the observations were analysed using a thematic method with an abductive approach.Findings: The analysis resulted in five themes: a) Feeling seen and included, b) Having a sense of security, c) Developing physical skills, d) Feeling meaningful and social connectedness, and e) Feeling increased motivation.Conclusion: Based on the findings, EPI has been a resource for the participants' well-being and development. The findings also filled a gap in the research literature and may provide insights into the potential of creative supervised, adapted physical activity in groups, health coaching, and socialising.
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4. |
- Källstrand Eriksson, Jeanette, PhD, 1965-, et al.
(author)
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Perpetuating ability to live life as usual : a grounded theory study of persons living with age-related macular degeneration
- 2024
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In: BMC Geriatrics. - London : BioMed Central (BMC). - 1471-2318. ; 24
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Journal article (peer-reviewed)abstract
- Background: Age-Related Macular Degeneration (AMD) is an eye disease associated with age that causes progressive and irreversible loss of central vision, while the peripheral visual ability remains. The present study explored what it means to live with AMD through the eyes of those living with the condition. Methods: This is an explorative interview study. People who were ≥ 65 years old, living in their own homes, and diagnosed with advanced dry AMD in one or both eyes, causing a visual acuity of no more than 0.3 or worse in the best eye, were invited to participate in the study. The method chosen was the constructivist grounded theory, where reality is seen as fundamentally social and processual and a way of accessing the participants' experiences, thoughts, and feelings. Results: In total, 12 interviews were conducted. Living with dry AMD confronted different problems and challenges. The substantive theory, Perpetuating ability to live life as usual, is characterised by a desire to continue life as usual, which requires an acceptance of the disease's progress, self-acceptance of the new me, and an acceptance that you must live the new life a little more carefully. Moreover, the participants used three strategies to resolve the main concern: 1) Navigating the new normal, 2) Trusting own ability, and 3) Interdepending. Conclusion: Maintaining an everyday life is the primary concern among people with AMD. In supporting self-care, gaining information about the subjective experience to support their everyday living is of the utmost importance. This grounded theory captures valuable knowledge of how the older adults resolved their main concern “you got to keep on” despite their affected vision by “facing the fact” live life as usual since life continues. Our study also gives rise both to implications for research and practice in order to strengthen older people with AMD facing their future challenges. Trial registration: The Swedish Ethical Review Authority (EPN 2021/02877). © 2024, The Author(s).
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5. |
- Källstrand Eriksson, Jeanette, PhD, 1965-, et al.
(author)
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You gotta keep on : A grounded theory study of persons living with age-related maculardegeneration
- 2023
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In: 10th Nordic Health Promotion Research Conference. Sustainability and the impact on health and well-being. - Halmstad : Halmstad University Press. - 9789189587410 ; , s. 11-11
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Conference paper (peer-reviewed)abstract
- AbstractAge-Related Macular Degeneration (AMD) is an eye disease associated with age with progressive loss of central vision, but the peripheral vision remains. The disease is considered the third most common cause of impaired vision and legal blindness in the world among people 60 years and older and as the elderly population increases, the prevalence of AMD is also expected to increase. Because of the progress of the disease, vision-related issues are accumulated and consequently also on the quality of life. The aim of the study was to explore the experience of living with AMD. The participants were ≥ 65 years living in their own homes and having a diagnosis of dry AMD in one or both eyes caused visual acuity of no more than 0.3 in the best eye. The method chosen was the constructivist grounded theory where reality is seen as fundamentally social and processual and a way of getting access to the participants’ experiences, thoughts, and feelings. The interviews were conducted in the participants’ homes or where they preferred such as at a library.
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6. |
- Lindgren, Eva-Carin, 1962-, et al.
(author)
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Empowerment-Based Physical Activity Intervention for People with Advanced Dry Age-Related Macular Degeneration : Mixed-Methods Protocol
- 2023
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In: International Journal of Environmental Research and Public Health. - Basel : MDPI. - 1661-7827 .- 1660-4601. ; 20:1
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Journal article (peer-reviewed)abstract
- Age-related macular degeneration (AMD) is the most common cause of incurable visual impairment and impacts daily life. These impacts include loss of social activities, decreased functional independence, and reduced physical activity. This protocol aims to describe a prospective, mixed-methodology for studying a population with AMD before, during, and after an empowerment-based physical activity intervention (EPI). A study framework was also developed for EPI. The intervention will include 20 older individuals (age 65+ years) with AMD recruited in Sweden. The intervention period is six months and comprises adapted physical activity and social activities in a group twice a week and individual health coaching on three occasions. The quantitative pre-test and three follow-ups include physical functional tests, an accelerometer that monitors physical activity continuously for one week, and questionnaires. Individual and focus-group interviews and ethnographic observations will explore the experience of living with AMD and what it means to participate in the EPI for individuals with AMD. The chosen methodology offers a structured way for researchers to explore the experiences and factors that may provide insights into the potential of creative supervised, adapted physical activity in groups, health coaching, and socialising that are significant to enable well-being among older individuals with AMD. © 2022 by the authors.
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7. |
- Pham, Lotta, 1985-, et al.
(author)
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Early integration of palliative care : translation, cross-cultural adaptation and content validity of the Supportive and Palliative Care Indicators Tool in a Swedish healthcare context
- 2020
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In: Scandinavian Journal of Caring Sciences. - Chichester : Wiley-Blackwell Publishing Inc.. - 0283-9318 .- 1471-6712. ; 34:3, s. 762-771
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Journal article (peer-reviewed)abstract
- Background: Timely identification of patients with palliative care needs is a prerequisite for being able to carry out effective and equal palliative care. The Supportive and Palliative Care Indicators Tool (SPICT) identifies patients likely to benefit from a palliative approach.Aim: The main objective was to describe the translation, cross-cultural adaptation and content validation process of the SPICT-SE. In this process, the prefinal SPICT-SE was tested in focus group interviews to explore how the tool was perceived and interpreted by healthcare professionals in a Swedish healthcare context.Methods: In this qualitative descriptive study, the translation, cross-cultural adaptation and content validation process of the SPICT-SE was based on a recommended method for cross-cultural adaptation of self-report measures. The process included two independent forward translations, a synthesis, and one independent back-translation. An expert committee consolidated all the versions and developed the prefinal version of the SPICT-SE. The prefinal version of the SPICT-SE was tested in four focus group interviews with physicians and nurses engaged in inpatient or outpatient care in south-west Sweden. A thematic analysis of the transcribed interviews was performed. The SPICT-SE was then revised to the final version.Results: In the thematic analysis, four themes were constructed that together described how the SPICT-SE was perceived and interpreted by healthcare professionals: The mindset is familiar and relevant; the tool needs to be adjusted in order to be clearer; the purpose and consequences of the tool are ambiguous; and the tool supports a palliative approach.Conclusion: The SPICT-SE has now been successfully translated, culturally adapted and content validated in a Swedish healthcare context. © 2019 Nordic College of Caring Science
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8. |
- Sjöberg, Carina, 1964-, et al.
(author)
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Creating a shielding place for children with leukaemia during sedation for intrathecal chemotherapy : A grounded theory study
- 2020
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In: European Journal of Oncology Nursing. - Oxford : Elsevier. - 1462-3889 .- 1532-2122. ; 44
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Journal article (peer-reviewed)abstract
- Purpose: Childhood cancer invades the child's daily life and has a strong influence on their living conditions and lifestyle. The treatment is an unpleasant experience and the children often perceive the treatment as worse than the actual disease. The aim of the present study was thus to explore the process of how healthcare professionals improved care for children undergoing sedation for intrathecal chemotherapy.Method: A constructivist grounded theory approach was applied and qualitative interviews with paediatricians (n = 2), anaesthetists (n = 2), paediatric nurses (n = 3) and nurse anaesthetists (n = 5).Results: The theory of creating a shielding place emerged and conceptualized the pattern of behavior of healthcare professionals throughout the procedure of sedation for intrathecal chemotherapy for pediatric leukaemia. The theory explains the core category ‘shielding’ and the process of how healthcare professionals developed strategies to resolve their main concern: a striving to reduce discomfort and suffering induced by the procedure and the treatment. These strategies, used throughout the procedure, were; de-dramatizing, de-exposing and minimizing trespassing.Conclusions: The theory of creating a shielding place offers a greater understanding of how healthcare professionals included the child's perspective in their work and thereby enabled a more sensitive and supportive care that had an impact on both quality of care and patient safety. The results from the study contributes with theoretical knowledge that can be used for developing evidence-based care guidelines for the procedure of sedating a child with leukaemia for intrathecal chemotherapy. © 2019 Published by Elsevier Ltd.
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