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Hrybanova, Y., Ekström, A. & Thorstensson, S. (2019). First-time fathers’ experiences of professional support from child health nurses. Scandinavian Journal of Caring Sciences
Open this publication in new window or tab >>First-time fathers’ experiences of professional support from child health nurses
2019 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Epub ahead of print
Abstract [en]

Nowadays, in Sweden, fathers are expected to be active in their father role and to share caring responsibilities for their children equally with mothers. This active role of a father in a family can be challenging, especially for the first-time fathers. Child health nurses’ support is an important factor for fathers to become confident caregivers. The Father Perceived Professional Support scale (FaPPS scale) can be used in nursing practice for better understanding father’s needs of professional support.

The aim of this study was to describe first-time fathers’ experiences of the professional support received from child health nurses and to validate the instrument: ‘FaPPS scale’. A qualitative design, with inductive and deductive approaches, was used in this study.

Twelve first-time fathers participated in the semi-structured interviews, thereafter grading the FaPPS scale items and commenting on them. The fathers experienced nurses’ support positively when nurses provided practical information and stimulated them to be involved in care of their children. In contrast, the support was experienced negatively because of nurses’ lack of commitment, availability and adaptation to the fathers’ individual needs. The fathers also felt inequality between the support received by fathers and by mothers. Although some fathers perceived it as negative, others considered it fair, believing that mothers needed more support. In addition, fathers expect nurses to actively offer support to them and supervise them in childcare. The fathers also needed meeting other parents, for example in parental groups.This study also indicates that FaPPS scale can be used both in research and clinical practice, though still needing further development.

Keywords
professional support, child health nurse
National Category
Health Sciences
Research subject
Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-16873 (URN)10.1111/scs.12690 (DOI)31058340 (PubMedID)2-s2.0-85065405974 (Scopus ID)
Available from: 2019-05-08 Created: 2019-05-08 Last updated: 2019-08-06Bibliographically approved
Huusko, L., Sjöberg, S., Ekström, A., Hertfelt Wahn, E. & Thorstensson, S. (2018). First-Time Fathers’ Experience of Support from Midwives in Maternity Clinics: An Interview Study. Nursing Research and Practice, Article ID 9618036.
Open this publication in new window or tab >>First-Time Fathers’ Experience of Support from Midwives in Maternity Clinics: An Interview Study
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2018 (English)In: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, article id 9618036Article in journal (Refereed) Published
Abstract [en]

Background: Research shows that first-time fathers want to take part in preparation for birth and parenthood but they describe being excluded by health professionals. Aim: The aim of this study was to illustrate first-time fathers’ experiences of support from midwives in maternity clinics as a step in the validation of “The Father Perceived-Professional-Support” (The FaPPS) scale. Methods: A qualitative content analysis with an inductive and deductive approach was used; seven first-time fathers were strategically selected and interviewed. In the inductive part the following open question was asked: “How did you perceive the support from the antenatal midwife/midwives?” In the deductive part, the fathers were asked to respond to the FaPPS scale, in order to receive their thoughts and understanding of the scale, inspired by the “Think-aloud” method. Findings. The inductive results showed two main categories: Experience of not knowing what support they needed and Experience of being excluded. The fathers found support from other fathers in parental education classes, but they lack time to discuss. Overall it seems as if the fathers answered both from their own perspective and from the mothers’ perspective. This was not evident in the deductive results. The FaPPs scale should therefore include professionals’ ability to strengthen social support from other first-time fathers and professionals’ ability to offer support to the mother. Conclusion and Clinical Implications. The fathers experienced exclusion both by themselves and also by midwives. Midwives should offer both parents the opportunity to pose questions. It is important for expectant fathers that time for discussion is planned in parental education classes. The FaPPS scale is useful but needs further development. Parts of our result are in line with earlier research, for decades; therefore it is necessary to focus more on support for fathers.

Place, publisher, year, edition, pages
Hindawi Publishing Corporation, 2018
Keywords
father-infant interaction, FaPPS scale, Fatherhood
National Category
Other Health Sciences
Research subject
Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-16446 (URN)10.1155/2018/9618036 (DOI)000450795100001 ()30533223 (PubMedID)
Available from: 2018-11-28 Created: 2018-11-28 Last updated: 2018-12-14Bibliographically approved
Bäckström, C., Kåreholt, I., Thorstensson, S., Golsäter, M. & Mårtensson, L. B. (2018). Quality of couple relationship among first-time mothers and partners during pregnancy and the first six months of parenthood. Sexual & Reproductive HealthCare, 17, 56-64
Open this publication in new window or tab >>Quality of couple relationship among first-time mothers and partners during pregnancy and the first six months of parenthood
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2018 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 17, p. 56-64Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Elsevier, 2018
National Category
Nursing
Research subject
Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-16252 (URN)10.1016/j.srhc.2018.07.001 (DOI)000445980700011 ()30193721 (PubMedID)2-s2.0-85049784672 (Scopus ID)
Projects
Föräldrastödstudien
Available from: 2018-09-27 Created: 2018-09-27 Last updated: 2018-10-23Bibliographically approved
Thorstensson, S., Egnell, M. & Larsson, M. (2018). School nurses’ perceptions of using the physical environment of their office to support wellbeing. British Journal of School Nursing, 13(3), 128-135
Open this publication in new window or tab >>School nurses’ perceptions of using the physical environment of their office to support wellbeing
2018 (English)In: British Journal of School Nursing, ISSN 1752-2803, E-ISSN 2052-2827, Vol. 13, no 3, p. 128-135Article in journal (Refereed) Published
Abstract [en]

Background: The physical environment has an impact on wellbeing. School nurses can use this to promote students’ health. Aim: The aim of this study is to elucidate school nurses’ perceptions of using the physical environment at their office, as a tool in nursing. Method: A qualitative interview study was conducted with five Swedish school nurses, using semi-structured questions. Data were analysed using qualitative content analysis. Results: Three categories (offering a health environment for wellbeing, being present in the environment for the children and using the environment for health education) and six subcategories emerged during analysis. Conclusions: School nurses made their office a place for wellbeing by using it for health information, as a sanctuary and as an environment that supports children’s need for integrity. How the school nurses used their environment depended on their personality. Obstacles included people in the school who had little knowledge of what school nurses’ work consists of and also the difficulty of appearing available to the children.

Keywords
Health promotion, Caring, Children, School Health Service, Qualitative
National Category
Nursing
Research subject
Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-16189 (URN)10.12968/bjsn.2018.13.3.128 (DOI)
Available from: 2018-09-12 Created: 2018-09-12 Last updated: 2018-10-23Bibliographically approved
Thorstensson, S., Blomgren, C., Sundler, A. J. & Larsson, M. (2018). To break the weight gain: A qualitative study on the experience of school nurses working with overweight children in elementary school. Journal of Clinical Nursing, 27(1-2), e251-e258
Open this publication in new window or tab >>To break the weight gain: A qualitative study on the experience of school nurses working with overweight children in elementary school
2018 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 1-2, p. e251-e258Article in journal (Refereed) Published
Abstract [en]

Aims and objectives: To describe the experiences of school nurses working with overweight schoolchildren. 

Background: School nurses play an important role in health promotion of overweight children. Lifestyle changes and interventions to address being overweight can improve health outcomes and decrease the risk for future health problems. 

Design: A descriptive and qualitative design with a phenomenological approach was used. Data were gathered through interviews with school nurses working with overweight schoolchildren in Swedish elementary school; the data were subsequently analysed for meanings. 

Results:Working with overweight children was perceived as demanding and challenging by the school nurses who found conversations on this topic emotionally loaded and complex. In addition, the school nurses needed to be sensitive and supportive to succeed in their support for a healthier everyday life for the schoolchildren. It was stated as important to find ways to break the child ’s weight gain and to cooperate with the parents in this work. The children ’s decrease in weight was experienced to be more successful when making small, step-by-step changes together with the child and his or her parents.

Conclusions: This study concludes that health talks about being overweight may be a challenge for school nurses. Strategies used to manage and succeed in this work included engaging in motivational conversations, working step by step and cooperating with the child’s parents. Furthermore, the nurses experienced that they needed to provide emotional support for overweight children during school time. 

Relevance to clinical practice: The school nurses’ health promotion needs to focus on how to break weight gain in overweight children. In this work, the nurses’ sensitiveness seems pivotal. Further research is needed on school nurses’ work with health promotion and support of overweight children concerning how to perform efficient communication and cooperation with the children and their parents.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Inc., 2018
Keywords
children, health promotion, nursing, obesity, pupils, qualitative
National Category
Nursing
Research subject
Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-14559 (URN)10.1111/jocn.13924 (DOI)000418871000051 ()28618072 (PubMedID)2-s2.0-85034256950 (Scopus ID)
Available from: 2017-12-06 Created: 2017-12-06 Last updated: 2019-02-28Bibliographically approved
Hammarlund, K., Sjunnesson, S., Tettenborn, N., Jomeen, J. & Thorstensson, S. (2017). ‘I had a lump in my stomach’: Swedish gay and lesbian students’ experiences of their time in school. British Journal of School Nursing, 12(6), 284-290
Open this publication in new window or tab >>‘I had a lump in my stomach’: Swedish gay and lesbian students’ experiences of their time in school
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2017 (English)In: British Journal of School Nursing, ISSN 1752-2803, E-ISSN 2052-2827, Vol. 12, no 6, p. 284-290Article in journal (Refereed) Published
Abstract [en]

Gay and lesbian youth can experience ignorance and a lack of acknowledgement surrounding their sexual orientation during their time in school. This qualitative interview study describes how Swedish gay and lesbian students experience their secondary school years on the basis that society has heteronormative values.

The data is based on eight telephone interviews with gay and lesbian young adults, aged 18–25 and was analysed using a qualitative narrative approach.

The findings presented four themes: not fitting into the norm of heterosexuality, lacking confirmation of their own homosexuality, finding courage, seeing the school as a supportive or a non-supportive environment.

A way to normalise homosexuality can be to discuss sexual development and attraction from a health-promoting perspective. Professionals working in school need to feel comfortable with issues such as sexuality in order to create a situation of confidence for the student.

Keywords
Homosexuality, Gay, Lesbian, Adolescence, School, experience
National Category
Nursing
Research subject
Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-14052 (URN)10.12968/bjsn.2017.12.6.284 (DOI)
Available from: 2017-08-29 Created: 2017-08-29 Last updated: 2017-11-27Bibliographically approved
Bäckström, C., Larsson, T., Wahlgren, E., Golsäter, M., Mårtensson, L. B. & Thorstensson, S. (2017). ‘It makes you feel like you are not alone’: Expectant first-time mothers’ experiences of social support within the social network, when preparing for childbirth and parenting. Sexual & Reproductive HealthCare, 12, 51-57
Open this publication in new window or tab >>‘It makes you feel like you are not alone’: Expectant first-time mothers’ experiences of social support within the social network, when preparing for childbirth and parenting
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2017 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 12, p. 51-57Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Elsevier, 2017
Keywords
Social support, Pregnancy, Women, Mother, Expectant, First-time, Content analysis
National Category
Nursing
Research subject
Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-13513 (URN)10.1016/j.srhc.2017.02.007 (DOI)000401884100009 ()28477932 (PubMedID)2-s2.0-85014870424 (Scopus ID)
Available from: 2017-04-20 Created: 2017-04-20 Last updated: 2018-04-03Bibliographically approved
Bäckström, C., Thorstensson, S., Mårtensson, L. B., Grimming, R., Nyblin, Y. & Golsäter, M. (2017). 'To be able to support her, I must feel calm and safe': pregnant women's partners perceptions of professional support during pregnancy. BMC Pregnancy and Childbirth, 17, 1-11, Article ID 234.
Open this publication in new window or tab >>'To be able to support her, I must feel calm and safe': pregnant women's partners perceptions of professional support during pregnancy
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2017 (English)In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 17, p. 1-11, article id 234Article in journal (Refereed) Published
Abstract [en]

Background: Professional support does not always meet the needs of expectant fathers or co-mothers. The way in which professional support is offered during pregnancy varies internationally, depending on the country. In order to attain a greater understanding of partners' experiences of professional support, it is necessary to further illuminate their perceptions of it. The aim of this study was therefore to explore pregnant women's partners' perceptions of professional support during pregnancy. Methods: Qualitative research design. Partners of pregnant women were interviewed during gestational week 36-38. Individual semi-structured interviews were used to explore the partners' perceptions. The data was analysed using a phenomenographic approach. The study was performed in a county in south-western Sweden; the data collection was conducted from November 2014 to February 2015. Fourteen partners (expectant fathers and co-mothers) of women who were expectant first-time mothers with singleton pregnancies, were interviewed. Results: The findings of the study are presented through four descriptive categories: Ability to absorb adequate information; Possibility to meet and share with other expectant parents; Confirmation of the partner's importance; and Influence on the couple relationship. Using a theoretical assumption of the relationship between the categories showed that the fourth category was influenced by the other three categories. Conclusions: The partners perceived that professional support during pregnancy could influence the couple relationship. The partners' ability to communicate and to experience togetherness with the women increased when the expectant couple received professional support together. The support created also possibilities to meet and share experiences with other expectant parents. In contrast, a lack of support was found to contribute to partners' feelings of unimportance. It was essential that the midwives included the partners by confirming that they were individuals who had different needs for various types of professional support. The partners perceived it easier to absorb information when it was adequate and given with a pedagogic that made the partners become interested and emotionally engaged.

National Category
Health Sciences Other Medical Sciences
Research subject
Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-13972 (URN)10.1186/s12884-017-1411-8 (DOI)000405739400003 ()28716133 (PubMedID)2-s2.0-85024102911 (Scopus ID)
Available from: 2017-08-10 Created: 2017-08-10 Last updated: 2018-04-03Bibliographically approved
Bäckström, C. A., Mårtensson, L. B., Golsäter, M. H. & Thorstensson, S. A. (2016). "It's like a puzzle": Pregnant women's perceptions of professional support in midwifery care. Women and Birth, 29(6), e110-e118
Open this publication in new window or tab >>"It's like a puzzle": Pregnant women's perceptions of professional support in midwifery care
2016 (English)In: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 29, no 6, p. e110-e118Article in journal (Refereed) Published
Abstract [en]

ProblemPregnant women are not always satisfied with the professional support they receive during their midwifery care. More knowledge is needed to understand what professional support pregnant women need for childbirth and parenting.

BackgroundChildbearing and the transition to becoming a parent is a sensitive period in one's life during which one should have the opportunity to receive professional support. Professional support does not always correspond to pregnant women's needs. To understand pregnant women's needs for professional support within midwifery care, it is crucial to further illuminate women's experiences of this support.

AimTo explore pregnant women's perceptions of professional support in midwifery care.

MethodsA qualitative study using semi-structured interviews. Fifteen women were interviewed during gestational weeks 36–38. Data was analysed using phenomenography.

FindingsThe women perceived professional support in midwifery care to be reassuring and emotional, to consist of reliable information, and to be mediated with pedagogical creativity. The professional support facilitated new social contacts, partner involvement and contributed to mental preparedness. The findings of the study were presented in six categories and the category Professional support contributes to mental preparedness was influenced by the five other categories.

ConclusionPregnant women prepare for childbirth and parenting by using several different types of professional support in midwifery care: a strategy that could be described as piecing together a puzzle. When the women put the puzzle together, each type of professional support works as a valuable piece in the whole puzzle. Through this, professional support could contribute to women's mental preparedness for childbirth and parenting.

Place, publisher, year, edition, pages
Elsevier, 2016
Keywords
Professional support, Midwife, Pregnant, Women, Childbirth
National Category
Nursing Other Health Sciences
Identifiers
urn:nbn:se:his:diva-12266 (URN)10.1016/j.wombi.2016.04.011 (DOI)000393092900003 ()27199171 (PubMedID)2-s2.0-84967104270 (Scopus ID)
Projects
Föräldrastödstudien
Available from: 2016-05-19 Created: 2016-05-19 Last updated: 2018-04-03Bibliographically approved
Thorstensson, S., Fröden, M., Vikström, V. & Andersson, S. (2016). Swedish school nurses’ experiences in supporting students with type 1 diabetes in their school environment. Nordic journal of nursing research, 36(3), 142-147
Open this publication in new window or tab >>Swedish school nurses’ experiences in supporting students with type 1 diabetes in their school environment
2016 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 36, no 3, p. 142-147Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Sage Publications, 2016
National Category
Nursing
Identifiers
urn:nbn:se:his:diva-11854 (URN)10.1177/0107408315615020 (DOI)
Available from: 2016-01-25 Created: 2016-01-25 Last updated: 2017-11-30Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-7510-606X

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