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Larsson, M., Bäckström, C., Larsson, R., Gahm, S. & Wilhsson, M. (2023). Extended home visits can provide multidimensional adapted professional support for parents – an intervention study. Primary Health Care Research and Development, 24, Article ID e44.
Open this publication in new window or tab >>Extended home visits can provide multidimensional adapted professional support for parents – an intervention study
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2023 (English)In: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 24, article id e44Article in journal (Refereed) Published
Abstract [en]

Aim: The aim of this study was to explore healthcare professionals’ experiences of working with extended home visits for parents.

Background: It is essential to identify parents, both expectant and with a newborn child, who need support in their parenting abilities at an early stage because children’s health and well-being are affected by their home environment as well as by their parents’ health and social relationships. Home visits represent a cost-effective way of identifying and supporting families with a newborn. Further research is needed to explore healthcare professionals’ experiences working with extended home visits for parents.

Methods: This was a qualitative interview study focusing on an intervention introduced in the Enhanced Parenting—Extended Home Visits project in Sweden. Data were collected via 13 semi-structured interviews with healthcare professionals who provide the intervention in antenatal care (midwives) and child health care (CHC nurses and family supporters), and a qualitative content analysis was performed.

Findings: Data analysis resulted in one theme and four categories. The theme – to provide multidimensional adapted professional support, – and the four categories – strengthened collaboration between professionals enriches their work. Home visits provide time for conversation, which promotes continuity of care and relationships with parents; being humble guests in parents’ homes provides insight; and home visits provide the opportunity to strengthen parenting and participation in the family centre. The goals of the Enhanced Parenting—Extended Home Visits project were to strengthen parents’ confidence in their parenting abilities and to build trusting relationships with healthcare professionals. The conclusion of this study, from the participants’ perspective, is that these goals can be achieved with the intervention.

Implications for Practice: Extended home visits seem to help healthcare professionals provide collaborative, multi-professional support for parents, both expectant and with a newborn child, with unique support needs.

Place, publisher, year, edition, pages
Cambridge University Press, 2023
Keywords
child health nurse, collaboration, family support, family supporter, midwife, parents, patient-centred care, professional support, qualitative research
National Category
Nursing
Research subject
Family-Centred Health
Identifiers
urn:nbn:se:his:diva-22968 (URN)10.1017/S1463423623000336 (DOI)001024208700001 ()37403469 (PubMedID)2-s2.0-85164238178 (Scopus ID)
Note

CC BY 4.0

Published online by Cambridge University Press: 05 July 2023

Corresponding author: Margaretha Larsson; Email: margaretha.larsson@his.se

Financial support. Financial support for the manuscript preparation was provided by the University of Skövde, the Institution for Health Sciences Research Milieu DHEAR and the research group FamCeH. The authors declare that they have no conflict of interest.

Available from: 2023-07-05 Created: 2023-07-05 Last updated: 2023-10-10Bibliographically approved
Wilhsson, M., Johansson, L. & Bäckström, A.-S. (2023). Factors that can affect students’ wellbeing – A quantitative retrospective study. British Journal of Child Health, 4(6), 283-290
Open this publication in new window or tab >>Factors that can affect students’ wellbeing – A quantitative retrospective study
2023 (English)In: British Journal of Child Health, ISSN 2633-5417, Vol. 4, no 6, p. 283-290Article in journal (Refereed) Published
Abstract [en]

In Sweden, the role of the school nurse is to promote students’ health and wellbeing and also to prevent illness. Wellbeing can involve creating good relationships but also includes feelings of participation and a meaningful existence. During a health dialogue the school nurse can discover students who experience mental illness, and factors that can affect students’ wellbeing. The purpose of the study was to investigate factors that may affect students’ wellbeing. A quantitative method with a retrospective longitudinal approach was applied. The study was conducted using collected data based on health questions posed to students in the first year of high school’s health visit during the 2013/14–2018/19 school years. The results show differences between girls’ and boys’ wellbeing based on their answers to health issues. Factors that may affect students’ wellbeing can pose a risk of mental illness. Mental illness is increasing in students and the increased demands at school may be the cause.

Place, publisher, year, edition, pages
Mark Allen Group, 2023
Keywords
School nurse, students, stress, sleep, wellbeing
National Category
Nursing Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Family-Centred Health
Identifiers
urn:nbn:se:his:diva-23412 (URN)
Funder
University of Skövde
Note

Email: marie.wilhsson@his.se

Financial support for the manuscript preparation was provided by University of Skövde, Institution for Health Sciences research milieu DHEAR and research group FamCeH.

Available from: 2023-12-04 Created: 2023-12-04 Last updated: 2023-12-29
Wilhsson, M., Törnqvist, L., Söderquist, I. & Larsson, M. (2023). SEXIT as a screening tool to identify adolescents exposed to or at risk of sexual ill-health and sexual risk taking. British Journal of Child Health, 4(4), 196-203
Open this publication in new window or tab >>SEXIT as a screening tool to identify adolescents exposed to or at risk of sexual ill-health and sexual risk taking
2023 (English)In: British Journal of Child Health, ISSN 2633-5417, Vol. 4, no 4, p. 196-203Article in journal (Refereed) Published
Abstract [en]

Background: Mental ill health is increasing among adolescents, and self-injury is one expression of mental ill health. Sexual risk taking among adolescents is often associated with exposure to violence. Sex could be used as a strategy to regulate negative emotions and feelings of emptiness. The health promotion work of school nurses (SNs) can be one way to identify students who are exposed to or at risk of sexual ill-health and sexual risk taking. By using the SEXual health Identification Tool (SEXIT) in health dialogues, SNs can identify students exposed to or at risk of sexual ill-health and sexual risk taking. Aim: To describe SNs’ experience of using SEXIT in health dialogues with students. Methods: An exploratory design was used. Six SNs participated in semi-structured individual interviews, and the data were analysed with qualitative content analysis. Results: Three categories were identified: ‘SEXIT provides support and structure’, ‘SEXIT provides conditions for designing a good dialogue’, and ‘working with SEXIT includes managing challenges’. Conclusions: SNs have a critical role in the identification of students with sexual ill-health and sexual risk taking as well as those exposed to violence. SEXIT could be included and systematically used in the health dialogue as it enables a natural dialogue with students about a sensitive topic and creates the prerequisites to identify adolescents at risk of sexual ill health.

Place, publisher, year, edition, pages
Mark Allen, 2023
Keywords
Adolescent, health dialogue, sexual health, sexual risk taking, school nurse, mental health
National Category
Public Health, Global Health, Social Medicine and Epidemiology Nursing
Research subject
Family-Centred Health
Identifiers
urn:nbn:se:his:diva-23203 (URN)10.12968/chhe.2023.4.4.196 (DOI)
Funder
University of Skövde
Note

Funding: Financial support for the manuscript preparation was provided by University of Skövde, Institution for Health Sciences research milieu DHEAR and research group FamCeH.

Available from: 2023-09-13 Created: 2023-09-13 Last updated: 2023-10-10Bibliographically approved
Wilhsson, M., Hagström Santo da Silva, E., Loander Löf, S. & Larsson, M. (2023). Swedish school nurses' experience of identifying students who are exposed to violence – a qualitative study. British Journal of Child Health, 4(3), 122-129
Open this publication in new window or tab >>Swedish school nurses' experience of identifying students who are exposed to violence – a qualitative study
2023 (English)In: British Journal of Child Health, ISSN 2633-5417, Vol. 4, no 3, p. 122-129Article in journal (Refereed) Published
Abstract [en]

Aim: This study aims to describe how school nurses identify students who are being exposed to violence.

Design: The study has a qualitative design focusing on illuminating the meanings embodied in lived experiences

Method: Fourteen qualitative interviews with school nurses were conducted and a descriptive qualitative meaning analysis was used to cast light on the phenomenon. The COREQ checklist was used to ensure trustworthiness.

Results: Four themes were highlighted: opportunity in the health dialogue, necessity to create and prove trustworthiness, cooperation with other professionals, and awareness of factors that could complicate reporting exposure to violence. The study provided new insights such as the school nurse having an important role in the identification of students exposed to violence. It is important that school nurses have an open approach and are systematic in the health dialogue, using questions about violence to create opportunities for students to talk about their living conditions.

Keywords
health dialogue, school nurse, student, violence
National Category
Nursing
Research subject
Family-Centred Health
Identifiers
urn:nbn:se:his:diva-23140 (URN)10.12968/chhe.2023.4.3.122 (DOI)
Funder
University of Skövde
Note

CC BY-NC 4.0

Funding: Financial support for the manuscript preparation was provided by University of Skövde, Institution for Health Sciences research milieu DHEAR and research group FamCeH.

Available from: 2023-08-28 Created: 2023-08-28 Last updated: 2023-11-24Bibliographically approved
Larsson, M., Wilhsson, M., Hagman Nielsen, S., Larsson, J. & Eriksson, I. (2023). Telephone nurses’ experiences of managing callers affected by mental illness: A descriptive qualitative study. Nordic journal of nursing research, 43(1), 1-7
Open this publication in new window or tab >>Telephone nurses’ experiences of managing callers affected by mental illness: A descriptive qualitative study
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2023 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 43, no 1, p. 1-7Article in journal (Refereed) Published
Abstract [en]

Mental illness is a global health problem and encompasses many conditions with varying degrees of severity. Telephone contact is often the patient’s initial contact with the healthcare system. This study aimed to illuminate telenurses’ experiences of managing calls with patients affected by mental illness in primary healthcare. Semi-structured individual interviews were conducted with 11 telenurses and a qualitative content analysis was conducted. The COREQ checklist was used to ensure trustworthiness. The analysis revealed three themes, labelled as: ‘Finding a solution to solve and deal with circumstances’; ‘Being emotionally affectedand re-evaluating the situation’; and ‘Using distracting approaches and creating space for reflection’. The results show that tele-nurses adopt different strategies to manage negative and positive situations. This requires telenurses to be adaptable with the patient affected by mental illness as well as within each call and the conditions within the healthcare organization to manage calls with patients affected by mental illness.

Place, publisher, year, edition, pages
Sage Publications, 2023
Keywords
district nurse, mental disorder, primary healthcare nurse, telephone triage, understanding
National Category
Public Health, Global Health, Social Medicine and Epidemiology Nursing
Research subject
Family-Centred Health
Identifiers
urn:nbn:se:his:diva-21327 (URN)10.1177/20571585221106078 (DOI)2-s2.0-85132434619 (Scopus ID)
Note

CC BY 4.0

Corresponding author: Margaretha Larsson, School of Health Sciences, Box 408, University of Skövde, SE- 541 28 Skövde, Sweden

Article first published online: June 16, 2022

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Available from: 2022-06-20 Created: 2022-06-20 Last updated: 2024-02-14Bibliographically approved
Bäckström, C. A., Carlén, K., Larsson, V., Mårtensson, L. B., Thorstensson, S., Berglund, M., . . . Larsson, M. (2022). Expecting parents’ use of digital sources in preparation for parenthood in a digitalised society – a systematic review. Digital Health, 8, Article ID 20552076221090335.
Open this publication in new window or tab >>Expecting parents’ use of digital sources in preparation for parenthood in a digitalised society – a systematic review
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2022 (English)In: Digital Health, E-ISSN 2055-2076, Vol. 8, article id 20552076221090335Article, review/survey (Refereed) Published
Abstract [en]

Background

In today's society, people are experiencing the rapid development of digitalisation. Expecting parents may have difficulties evaluating the information online; they are not always sure which sources of information are trustworthy, and this exacerbates their feelings of anxiety. More research is needed to broaden the knowledge about how their use of digital sources may influence their health.

Question

The focus of this study was to explore expecting parents’ use of digital sources and how this influences their health during pregnancy.

Methods

A systematic review covered the thematic analysis of 39 articles.

Findings

The analysis resulted in the following theme: The digitalised society involves both opportunities and challenges, and expecting parents express a need for a variety of digital sources to improve their health, and sub-themes: Digital sources could promote parents’ health and well-being in a digitalised society; Consuming digital health information facilitates understanding, different feelings and social connections; and A variety of digital sources may facilitate parental identification and adaption to parenthood.

Conclusion

Different digital sources in our digitalised society mean access to information and opportunities to extend social connections for expecting parents. This can promote their ability to understand and adapt to parenthood, as well as to improve their health and well-being and make the parental transition. However, professional support during face-to-face consultations cannot always be exchanged to digital sources. It is important to base digital sources devoted to expecting parents and digitalisation overall on multi-sectorial collaborations and coordination between different organisations and the digital sources they provide.

Place, publisher, year, edition, pages
Sage Publications, 2022
Keywords
pregnancy, digitalisation, antenatal, childbirth, mother, father
National Category
Nursing Obstetrics, Gynecology and Reproductive Medicine
Research subject
Family-Centred Health
Identifiers
urn:nbn:se:his:diva-21063 (URN)10.1177/20552076221090335 (DOI)000783559300001 ()35449713 (PubMedID)2-s2.0-85128418224 (Scopus ID)
Note

CC BY 4.0

First published online April 14, 2022

caroline.backstrom@his.se

Funding: The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the School of Health Sciences, University of Skövde, Sweden.

Available from: 2022-04-19 Created: 2022-04-19 Last updated: 2024-01-17Bibliographically approved
Sundler, A. J., Whilson, M., Darcy, L. & Larsson, M. (2021). Swedish School Nurses’ Experiences of Child Abuse. Journal of School Nursing, 37(3), 176-184
Open this publication in new window or tab >>Swedish School Nurses’ Experiences of Child Abuse
2021 (English)In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 37, no 3, p. 176-184Article in journal (Refereed) Published
Abstract [en]

Child abuse recognition and the protection of children is a global concern. In Sweden, the role of the school nurse (SN) is to promote schoolchildren’s health and development and to identify and prevent harm. The aim of this study was to describe Swedish SN experiences of suspecting, identifying, and reporting child abuse and to compare them with respect to (a) years of experience as SN, (b) age of SN, and (c) pupil population size. A descriptive design was used. Two-hundred and thirty-three SNs completed a survey detailing their experiences. Most SNs (96%) reported having suspected a child suffering from physical or psychological abuse. Approximately half of them reported occurrences of honor-related violence (54%) and of child sexual abuse (57%). SNs with less nursing experience reported significantly less recognition and reporting of child abuse. The findings indicate that experiences of child abuse are common. Thus, it is vital that SNs have the necessary competency and support to identify and report suspected child abuse. 

Place, publisher, year, edition, pages
Sage Publications, 2021
Keywords
abuse, child maltreatment, health promotion, honor-based violence, neglect, prevention, school nurse, sexual abuse, article, case report, child, child sexual abuse, clinical article, emotional abuse, female, human, male, physical abuse, population size, school health nursing
National Category
Nursing
Research subject
Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-17517 (URN)10.1177/1059840519863843 (DOI)000478310500001 ()31311406 (PubMedID)2-s2.0-85069878938 (Scopus ID)
Note

Article first published online: July 16, 2019

Available from: 2019-08-12 Created: 2019-08-12 Last updated: 2021-05-20Bibliographically approved
Larsson, M., Eriksson, I., Johansson, K., Stigsson, A.-K., Svahn, R., Wetterström, J. & Wilhsson, M. (2020). Individual parental conversations with non-birthing parents. Primary Health Care Research and Development, 21, Article ID e25.
Open this publication in new window or tab >>Individual parental conversations with non-birthing parents
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2020 (English)In: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 21, article id e25Article in journal (Refereed) Published
Abstract [en]

AIM: The aim of this study was to describe Child Health Service (CHS) nurses' experiences with conducting individual parental conversations (IPCs) with non-birthing parents. BACKGROUND: CHS nurses in Sweden mainly focus on monitoring a child's physical and mental development and the mothers' health in order to support their parenthood. The assignment of the CHS includes identifying dysfunctional social relationships in a family and strengthening responsive parenting. An imbalance arises within the family when someone in the family suffers from illness, which could have a negative effect on the whole family's health and well-being. METHODS: An inductive, descriptive qualitative study design was used to describe and to gain an understanding of the CHS nurses' experiences. Data were collected in 13 interviews, and a qualitative content analysis was performed. FINDINGS: The analysis of interviews with CHS nurses resulted in two main categories, each with three subcategories. The main categories are: working for equality and applying a family focus, and dealing with challenges in the developing assignment. The IPCs stimulate the CHS nurses to work for more equality and to apply a family focus, which can be a way of strengthening the families' health and the children's upbringing. Developing the CHS nurses' assignment can be a challenge that appears to entail positive outcomes for CHS nurses, while also generating the need for CHS nurses to receive supervision to find ways to improve their approach and practice.

Place, publisher, year, edition, pages
Cambridge University Press, 2020
Keywords
child healthcare, father, non-birthing parent, nursing, primary healthcare, qualitative content analysis, article, child, child health care, child parent relation, content analysis, conversation, female, human, human experiment, interview, mental development, mother, nurse, parenthood, physical development, primary health care, qualitative research, social interaction, Sweden, wellbeing
National Category
Nursing
Research subject
Wellbeing in long-term health problems (WeLHP); Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-18910 (URN)10.1017/S1463423620000286 (DOI)000553418100001 ()32727632 (PubMedID)2-s2.0-85088851307 (Scopus ID)
Available from: 2020-08-13 Created: 2020-08-13 Last updated: 2020-11-05Bibliographically approved
Eriksson, I., Wilhsson, M., Blom, T., Broo Wahlström, C. & Larsson, M. (2020). Telephone nurses' strategies for managing difficult calls: A qualitative content analysis. Nursing Open, 7(6), 1671-1679
Open this publication in new window or tab >>Telephone nurses' strategies for managing difficult calls: A qualitative content analysis
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2020 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 7, no 6, p. 1671-1679Article in journal (Refereed) Published
Abstract [en]

Aim: To describe telenurses' strategies for managing difficult calls. Background: Telenursing is a growing and complex area and places great demands on telenurses' knowledge and skills and on their ability to communicate and listen. To become emotionally concerned is central to telenurses' experiences of difficult calls. Design: A descriptive qualitative study. Methods: The data were collected during February 2017 through individual interviews with 19 telenurses at call centres and primary healthcare centres. Data were analysed with qualitative content analysis. Result: The analysis revealed an essential strategy illustrated by the theme “to be calm and secure in themselves.” Further categories described telenurses' strategies to manage difficult calls, labelled as: “to show commitment and interest,” “to have structure in the call and use support systems,” “to pause the call” and “to reflect on difficult calls.” The results show that telenurses need multiple strategies to help them to navigate difficult calls. 

Place, publisher, year, edition, pages
John Wiley & Sons, 2020
Keywords
communication, digitization, dwell, emotional intelligence, reflection, telephone nursing
National Category
Nursing
Research subject
Woman, Child and Family (WomFam); Wellbeing in long-term health problems (WeLHP)
Identifiers
urn:nbn:se:his:diva-18828 (URN)10.1002/nop2.549 (DOI)000543661200001 ()33072350 (PubMedID)2-s2.0-85087287623 (Scopus ID)
Note

CC BY-NC-ND 4.0

Available from: 2020-07-10 Created: 2020-07-10 Last updated: 2020-11-05Bibliographically approved
Häggström Westberg, K., Wilhsson, M., Svedberg, P., Nygren, J. M., Morgan, A. & Nyholm, M. (2019). Optimism as a Candidate Health Asset: Exploring Its Links with Adolescent Quality of Life in Sweden. Child Development, 90(3), 970-984
Open this publication in new window or tab >>Optimism as a Candidate Health Asset: Exploring Its Links with Adolescent Quality of Life in Sweden
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2019 (English)In: Child Development, ISSN 0009-3920, E-ISSN 1467-8624, Vol. 90, no 3, p. 970-984Article in journal (Refereed) Published
Abstract [en]

This study aims to understand the role that optimism could play in the context of a health asset approach to promote adolescent health-related quality of life (HRQOL). Adolescents (n = 948), between 11 and 16 years old from a medium-sized rural town in Sweden, answered questionnaires measuring optimism, pessimism, and HRQOL. The findings indicate a significant decrease in optimism and a significant increase in pessimism between early and mid adolescence. The study has allowed us to present associational evidence of the links between optimism and HRQOL. This infers the potential of an optimistic orientation about the future to function as a health asset during adolescence and by implication may provide additional intervention tools in the planning of health promotion strategies.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
National Category
Nursing
Identifiers
urn:nbn:se:his:diva-14779 (URN)10.1111/cdev.12958 (DOI)000477640100026 ()28922470 (PubMedID)2-s2.0-85065044168 (Scopus ID)
Available from: 2019-08-21 Created: 2019-08-21 Last updated: 2020-03-20Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0001-8647-8299

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