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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
Handlin, L., Muller, J. & Ekström, A. (2017). Promoting health of Swedish workers by complementary methods: example of a study design of a longitudinal randomized controlled intervention study. Medical Research Archives, 5(8), 1-13
Open this publication in new window or tab >>Promoting health of Swedish workers by complementary methods: example of a study design of a longitudinal randomized controlled intervention study
2017 (English)In: Medical Research Archives, ISSN 2375-1916, Vol. 5, no 8, p. 1-13Article in journal (Refereed) Published
Abstract [en]

Background: When designing, implementing, and evaluating a work site health promotion program, it is necessary to ensure that the program is evidence based. The present article aims to present in-depth information on the design of a longitudinal randomized controlled complementary intervention pilot study that follows the Consort recommendations to evaluate possible effects of a health promotive intervention in healthy workers.

Methods: Employees from four different workplaces were randomly assigned to one of the following groups: i) Massage and mental training (sitting in the armchair and receiving mechanical massage while listening to mental training programs, n=19), ii) Massage (sitting in the armchair and receiving mechanical massage only, n=19), iii) Mental training (sitting in the armchair and listening to mental training programs only, n=19), iv) Pause (sitting in the armchair but not receiving mechanical massage or listening to mental training programs, n=19), v) Control (not sitting in the armchair at all, n=17). The study lasted for eight weeks. Immediately before the randomization, after four weeks and after eight weeks the participants responded to statements from the Swedish Scale of Personality and had their heart rate, blood pressure and fingertip temperature measured.

Results: Receiving mechanical massage and listening to mental training programs, either separately or in combination, during working hours had some positive effects on the employees’ own evaluation of their health, as well as their heart rate, blood pressure and fingertip temperature. However, the intervention need to be evaluated further.

Conclusion: The approach described makes it possible to design, implement and evaluate a work site health promotion program, also on pilot-study level and these results should be seen as a first step towards larger randomized studies. This types of studies need to focus on healthy participants and special care should be taken to guarantee adequately powered study groups and their homogeneity.

Place, publisher, year, edition, pages
USA: KEI Journals, 2017
Keywords
stress, anxiety, alternative, complementary, intervention, physical health, psychosocial health, heart rate, blood pressure, fingertip temperature, working place
National Category
Medical and Health Sciences Public Health, Global Health, Social Medicine and Epidemiology Nursing Other Health Sciences Clinical Laboratory Medicine
Research subject
Translational Medicine TRIM; Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-14046 (URN)10.18103/mra.v5i8.1432 (DOI)
Projects
Effekt av massagefåtölj med avslappningsprogram på stressreduktion och hälsa- en randomiserad kontrollerad studie
Funder
Knowledge Foundation, 20110142
Available from: 2017-08-28 Created: 2017-08-28 Last updated: 2018-07-31Bibliographically approved
Muller, J., Ekström, A., Harlén, M., Lindmark, U. & Handlin, L. (2016). Mechanical massage and mental training program effect employees' heart rate, blood pressure and fingertip temperature: An exploratory pilot study. European Journal of Integrative Medicine, 8(5), 762-768
Open this publication in new window or tab >>Mechanical massage and mental training program effect employees' heart rate, blood pressure and fingertip temperature: An exploratory pilot study
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2016 (English)In: European Journal of Integrative Medicine, ISSN 1876-3820, E-ISSN 1876-3839, Vol. 8, no 5, p. 762-768Article in journal (Refereed) Published
Abstract [en]

Introduction: Inability to relax and recover is suggested to be a key factor for stress-related health problems. This study aimed to investigate possible effects of mechanical massage and mental training, used either separately or in combination during working hours. Methods: Employees were randomly assigned to one of the following groups: i) Mechanical massage combined with mental training (n = 19), ii) Mechanical massage (n = 19), iii) Mental training (n = 19), iv) Pause (n = 19), v) Control (n = 17). The study lasted for eight weeks. Heart rate, blood pressure and fingertip temperature were measured at start, after four and after eight weeks. Results: Between-group analysis showed that heart rate differed significantly between the groups after 4 weeks (p = 0.020) and tended to differ after eight weeks (p = 0.072), with lowest levels displayed in the massage group and the control group. Blood pressure and fingertip temperature did not differ between the groups. Within-group analysis showed that mechanical massage decreased heart rate (p = 0.038) and blood pressure (systolic p = 0.019, diastolic p = 0.026) and increased fingertip temperature (p = 0.035). Mental training programs reduced heart rate (p = 0.036). Combining the two methods increased diastolic blood pressure (p = 0.028) and decreased fingertip temperature (p = 0.031). The control group had a significant decrease in systolic blood pressure during the first four weeks of the study (p = 0.038) Conclusion: Receiving mechanical massage and listening to mental training programs, either separately or in combination, during working hours had some positive effects on the employees’ heart rate, blood pressure and fingertip temperature. The effects were especially strong for employees who received mechanical massage only.

Place, publisher, year, edition, pages
Elsevier, 2016
Keywords
Heart rate, Blood pressure, Temperature, massage, Work Place, Stress
National Category
Nursing
Research subject
Medical sciences; Woman, Child and Family (WomFam); Physics and Mathematics
Identifiers
urn:nbn:se:his:diva-12533 (URN)10.1016/j.eujim.2016.06.002 (DOI)000396402200024 ()2-s2.0-84977489680 (Scopus ID)
Projects
Effekt av massagefåtölj med avslappningsprogram på stress reduktion och hälsa- en randomiserad kontrollerad studie
Funder
Knowledge Foundation, 20110142
Available from: 2016-06-20 Created: 2016-06-20 Last updated: 2018-11-15Bibliographically approved
Ekström, A. C., Nilsson, L., Apell, C., Palmius, D. & Mårtensson, L. B. (2016). Nurses challenges to support hospitalized patients regarding sexual-health issues. Journal of Nursing & Care, 5(3), Article ID 1000344.
Open this publication in new window or tab >>Nurses challenges to support hospitalized patients regarding sexual-health issues
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2016 (English)In: Journal of Nursing & Care, ISSN 2167-1168, Vol. 5, no 3, article id 1000344Article in journal (Refereed) Published
Abstract [en]

Background: The approach to nursing should be characterized by a holistic view of the human being which includes sexual health. From a nursing perspective, it is therefore of most importance to have a dialogue about factors associated with sexual health also among hospitalized patients. However, to our knowledge there is a lack of qualitative studies regarding nurses attitudes about dialogue with patients about sexual health.

Objective: To investigate nurses attitudes towards dialogue with hospitalized patients about sexual health.

Methods: A qualitative method was used and interviews were conducted which then were analyzed using a qualitative content analysis. Eleven registered nurses were included, the inclusion criteria was: at least one year of experience as a nurse and working on a medical or surgical ward in a hospital in the southwest of Sweden. The participants were in the ages 25-65 and had worked as nurses between 2 and 30 years. Nine of the participants were women. The data were collected during 2011.

Results: The nurses experiences of and reflections on dialogue with patients about sexual health were presented as a single main theme: Nurses challenges to support hospitalized patients with sexual health issues. This theme had three categories: Feeling uncomfortable, Feeling inadequate and Task-oriented care with related subcategories respectively.

Conclusions: Nurses attitudes towards their dialogues about sexual health with hospitalized patients were less challenging if they were initiated by the patients or if the patients were men with medical causes related to sexual health. Lack of knowledge and support from colleagues became reasons why nurses felt inadequate about discussing sexual health with their patients.

Place, publisher, year, edition, pages
OMICS Publishing Group, 2016
Keywords
Sexual health, Nursing care, Qualitative analysis, Dialogue
National Category
Nursing
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-12529 (URN)10.4172/2167-1168.1000344 (DOI)
Available from: 2016-06-20 Created: 2016-06-20 Last updated: 2017-11-28Bibliographically approved
Muller, J., Handlin, L., Harlén, M., Lindmark, U. & Ekström, A. (2016). The value of armchairs in providing mechanical massage and mental relaxation programmes is not established for workplace health promotion [Letter to the editor]. Focus on Alternative and Complementary Therapies, 21(1), 44-45
Open this publication in new window or tab >>The value of armchairs in providing mechanical massage and mental relaxation programmes is not established for workplace health promotion
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2016 (English)In: Focus on Alternative and Complementary Therapies, ISSN 1465-3753, E-ISSN 2042-7166, Vol. 21, no 1, p. 44-45Article in journal, Letter (Other academic) Published
Place, publisher, year, edition, pages
John Wiley & Sons, 2016
National Category
Nursing
Research subject
Medical sciences; Physics and Mathematics; Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-12530 (URN)10.1111/fct.12222 (DOI)2-s2.0-84990241897 (Scopus ID)
Projects
Effekt av massagefåtölj med avslappningsprogram på stressreduktion och hälsa- en randomiserad kontrollerad studie
Funder
Knowledge Foundation, 20110142
Note

Authors' reply på kommentar av WM London gällande artikeln: Muller, J., Handlin, L., Harlén, M., Lindmark, U. & Ekström, A. (2015). Mechanical massage and mental training programmes affect employees' anxiety, stress susceptibility and detachment – a randomised explorative pilot study. BMC Complementary and Alternative Medicine, 15(1), Article ID 302.

Available from: 2016-06-20 Created: 2016-06-20 Last updated: 2018-11-15Bibliographically approved
Thorstensson, S., Andersson, A., Israelsson, S., Ekström, A. & Hertfelt Wahn, E. (2016). To build a bridge between two worlds: Mothers' experiences of professional support at the maternity ward. Health Care for Women International, 37(10), 1067-1081
Open this publication in new window or tab >>To build a bridge between two worlds: Mothers' experiences of professional support at the maternity ward
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2016 (English)In: Health Care for Women International, ISSN 0739-9332, E-ISSN 1096-4665, Vol. 37, no 10, p. 1067-1081Article in journal (Refereed) Published
Abstract [en]

We studied the experience of professional support among first-time mothers in relation to a scale measuring professional support in maternity care. We used a qualitative study with both an inductive and deductive approach and interviewed nine mothers. Our findings, both inductive and deductive, suggest that first-time mothers expect professional support in their transition into motherhood, building a bridge between two worlds. The first meeting, acknowledging individual needs, and supporting partner participation were important for good support. Maternity care should be organized with a focus on availability and professional support for mothers and the increased participation of their partners. Our scale of measurement can be useful but needs some development.

Place, publisher, year, edition, pages
Taylor & Francis, 2016
National Category
Health Sciences
Identifiers
urn:nbn:se:his:diva-11694 (URN)10.1080/07399332.2015.1094072 (DOI)000385826200004 ()26397360 (PubMedID)2-s2.0-84946605804 (Scopus ID)
Available from: 2015-11-16 Created: 2015-11-16 Last updated: 2017-12-01Bibliographically approved
Bergh, I. H. E., Johansson, A., Bratt, A., Ekström, A. & Mårtensson, L. B. (2015). Assessment and documentation of women's labour pain: A cross-sectional study in Swedish delivery wards. Women and Birth, 28(2), E14-E18
Open this publication in new window or tab >>Assessment and documentation of women's labour pain: A cross-sectional study in Swedish delivery wards
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2015 (English)In: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 28, no 2, p. E14-E18Article in journal (Refereed) Published
Abstract [en]

Background: A woman's pain during labour plays a dominant role in childbirth. The midwife's role is to assess the degree of pain experienced during labour. When professionals respond to labour pain with acknowledgement and understanding, the woman's sense of control and empowerment is increased, which could contribute to a positive experience of childbirth. The aim of this study is to describe how labour pain in Swedish delivery wards is assessed and documented. Methods: This quantitative descriptive study was designed as a national survey performed through telephone interviews with the representatives of 34 delivery wards in Sweden. Results and conclusion: The majority of the participating delivery wards assessed and documented women's labour pain, but in an unstructured manner. The wards differed in how the assessments and documentation were performed. In addition, almost all the delivery wards that participated in the survey lacked guidelines for the assessment and documentation of the degree of pain during labour. The findings also showed that the issue of labour pain was sometimes discussed in the delivery wards, but not in a structured or consistent way. (C) 2015 Australian College of Midwives. Published by Elsevier Australia (a division of Reed International Books Australia Pty Ltd). All rights reserved.

Place, publisher, year, edition, pages
Elsevier, 2015
Keywords
Pain assessment, Childbirth, Documentation, Midwifery, Visual analogue scale
National Category
Obstetrics, Gynecology and Reproductive Medicine Nursing
Research subject
Woman, Child and Family (WomFam); Age and Ageing
Identifiers
urn:nbn:se:his:diva-13587 (URN)10.1016/j.wombi.2015.01.010 (DOI)000358011700003 ()25686875 (PubMedID)2-s2.0-84937523315 (Scopus ID)
Available from: 2017-05-23 Created: 2017-05-23 Last updated: 2017-11-27Bibliographically approved
Muller, J., Handlin, L., Harlén, M., Lindmark, U. & Ekström, A. (2015). Mechanical massage and mental training programmes affect employees´ anxiety, stress susceptibility and detachment – a randomised explorative pilot study. BMC Complementary and Alternative Medicine, 15(1), Article ID 302.
Open this publication in new window or tab >>Mechanical massage and mental training programmes affect employees´ anxiety, stress susceptibility and detachment – a randomised explorative pilot study
Show others...
2015 (English)In: BMC Complementary and Alternative Medicine, ISSN 1472-6882, E-ISSN 1472-6882, Vol. 15, no 1, article id 302Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

Working people's reduced ability to recover has been proposed as a key factor behind the increase in stress-related health problems. One not yet evidence-based preventive method designed to help employees keep healthy and be less stressed is an armchair with built-in mechanical massage and mental training programmes, This study aimed to evaluate possible effects on employees' experience of levels of "Anxiety", "Stress Susceptibility", "Detachment" and "Social Desirability" when using mechanical massage and mental training programmes, both separately and in combination, during working hours.

METHODS:

Employees from four different workplaces were randomly assigned to one of the following groups: i) Massage and mental training (sitting in the armchair and receiving mechanical massage while listening to the mental training programmes, n=19), ii) Massage (sitting in the armchair and receiving mechanical massage only, n=19), iii) Mental training (sitting in the armchair and listening to the mental training programmes only, n=19), iv) Pause (sitting in the armchair but not receiving mechanical massage or listening to the mental training programmes, n=19), v) Control (not sitting in the armchair at all, n=17). In order to discover how the employees felt about their own health they were asked to respond to statements from the "Swedish Scale of Personality" (SSP), immediately before the randomisation, after four weeks and after eight weeks (end-of-study).

RESULTS:

There were no significant differences between the five study groups for any of the traits studied ("Somatic Trait Anxiety", "Psychic Trait Anxiety", "Stress Susceptibility", "Detachment" and "Social Desirability") at any of the occasions. However, the massage group showed a significant decrease in the subscale "Somatic Trait Anxiety" (p=0.032), during the entire study period. Significant decreases in the same subscale were also observed in the pause group between start and week eight (p=0.040) as well as between week four and week eight (p=0.049) and also in the control group between the second and third data collection (p=0.014). The massage and mental training group showed a significant decrease in "Stress Susceptibility" between week four and week eight (p=0.022). The pause group showed a significant increase in the subscale "Detachment" (p=0.044).

CONCLUSIONS:

There were no significant differences between the five study groups for any of the traits studied. However, when looking at each individual group separately, positive effects in their levels of "Anxiety", "Stress Susceptibility" and "Detachment" could be seen. Although the results from this pilot study indicate some positive effects, mechanical chair massage and mental training programmes used in order to increase employee's ability to recover, needs to be evaluated further as tools to increase the employees ability to recover.

Place, publisher, year, edition, pages
BioMed Central, 2015
Keywords
Stress, Anxiety, Alternative, Complementary, Intervention, Physical Health, Psychosocial health, Working place
National Category
Other Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-11478 (URN)10.1186/s12906-015-0753-x (DOI)000360342400003 ()26329694 (PubMedID)2-s2.0-84940492981 (Scopus ID)
Projects
EFFECT OF ARMCHAIR WITH MASSAGE AND RELAXATION PROGRAM ON RECOVERY AND HEALTH PROMOTION -A RANDOMIZED CONTROLLED STUDY
Funder
Knowledge Foundation, 20110142
Available from: 2015-09-02 Created: 2015-09-02 Last updated: 2017-12-04Bibliographically approved
Ekström, A. & Thorstensson, S. (2015). Nurses and midwives professional support increases with improved attitudes - design and effects of a longitudinal randomized controlled process-oriented intervention. BMC Pregnancy and Childbirth, 15(1), Article ID 275.
Open this publication in new window or tab >>Nurses and midwives professional support increases with improved attitudes - design and effects of a longitudinal randomized controlled process-oriented intervention
2015 (English)In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 15, no 1, article id 275Article in journal (Refereed) Published
Abstract [en]

Background: Becoming parents for the first time is challenging. Mothers need both social and professional support to handle these challenges. Professionals’ attitudes affect quality of care and support. So to improve professional support, an intervention consisting of a process-oriented training was performed. Due to the positive results of the intervention there is a need to illuminate the methodological approach further. The overall aim was therefore to describe a methodological approach to improve and evaluate health care professionals’ attitudes toward breastfeeding and parental support in order to improve quality of care in childbearing.

Methods: This study was a longitudinal randomized control intervention study, in which groups of mothers received care in childbearing from midwives and child health nurses. These health professionals had gone through a process-oriented training, or not. In order to improve attitudes of health professionals the training was based on evidence, practical skills and reflective processes (both private and professional experiences) in relation to breastfeeding and parental support. Included in the longitudinal study were health professionals from five intervention municipalities n = 36 and health professionals from five control municipalities n = 45. All mothers who fulfilled the inclusion criteria were consecutively identified from the hospital register and asked to participate in the study. Mothers who accepted to participate were included in the interventions group (n = 206) or control groups (n = 162, n = 172 respectively) based on which municipality they belonged to.

Results: The results of the process-oriented training improved the professionals’ attitudes toward breastfeeding and parental support. These improved attitudes in health professionals increased intervention-group mother’s satisfaction with professional and social support. Intervention-group mother’s relation to and feelings for their baby as well as breastfeeding was also improved.

Conclusion: These results stress the importance of professionals’ attitude in quality of care during childbearing, as well as pointing to the possibility to improve professionals’ attitudes with a process-oriented training.

Trial registration: Australian New Zealand Clinical Trials Registry (ANZCTR), trial registration:ACTRN12611000354987.

Place, publisher, year, edition, pages
BioMed Central, 2015
Keywords
Childbirth, Childbearing, Breastfeeding, Parental support, Interaction, Pedagogy, Professional support
National Category
Other Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-11669 (URN)10.1186/s12884-015-0712-z (DOI)000365259800001 ()26503218 (PubMedID)2-s2.0-84945301326 (Scopus ID)
Available from: 2015-11-09 Created: 2015-11-09 Last updated: 2017-12-01Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-2261-0112

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