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Nilsson, Kerstin
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Publications (10 of 34) Show all publications
Engqvist, I. & Nilsson, K. (2013). Experiences of the first days of postpartum psychosis: An interview study with women and next of Kin in Sweden. Issues in Mental Health Nursing, 34(2), 82-89
Open this publication in new window or tab >>Experiences of the first days of postpartum psychosis: An interview study with women and next of Kin in Sweden
2013 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 34, no 2, p. 82-89Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to explore accounts of the first days of postpartum psychosis from different perspectives, that is, that of the women and their next of kin. Interviews were conducted with seven women with postpartum psychosis and six interviews were done with the next of kin. The overall theme was Shades of Black with A Ray of Light, revealing a difficult experience of darkness, despair, and suffering. For the women, the experience cannot be shared fully other than with those who have lived through it themselves. For the next of kin, the illness is incomprehensible and it proved difficult to express in words what these relatives believe the women were going through. The women and their next of kin spoke about loss of sleep, being in an unreal world, thoughts that moved from having a wanted to an unwanted baby, being infanticidal, and having suicidal ideation. The women and their next of kin described the situations in different ways. The women gave an account of their illness in the strongest of terms, while the language used by the next of kin was much milder. The findings underscore the importance of recognizing the next of kin as key sources in early recognition of the disorder, which would make early treatment possible and support recovery. © 2013 Informa Healthcare USA, Inc.

Place, publisher, year, edition, pages
Informa Healthcare, 2013
National Category
Nursing
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-8599 (URN)10.3109/01612840.2012.723301 (DOI)000209365900004 ()23369119 (PubMedID)2-s2.0-84873352744 (Scopus ID)
Available from: 2013-10-30 Created: 2013-10-30 Last updated: 2021-07-30Bibliographically approved
Engqvist, I. & Nilsson, K. (2013). Involving the family in the care and treatment of women with postpartum psychosis: Swedish psychiatrists' experiences. Psychiatry Journal, Article ID 897084.
Open this publication in new window or tab >>Involving the family in the care and treatment of women with postpartum psychosis: Swedish psychiatrists' experiences
2013 (English)In: Psychiatry Journal, ISSN 2314-4327, E-ISSN 2314-4335, article id 897084Article in journal (Refereed) Published
Abstract [en]

The aim of the study was to describe Swedish psychiatrists’ experiences of involving the family in the treatment of women with postpartum psychosis. A qualitative design was used, and semistructured qualitative research interviews were conducted with nine psychiatrists from the south of Sweden. Data were analysed using qualitative content analysis. Four categories were found: the family as a resource, the family as coworkers, preparing the family for the future, and the family as a burden. The result showed that the psychiatrists considered the family to be a resource to which they devoted a great deal of care and effort. It was particularly important to involve the partner, informing about the course of the illness and the steps that need to be taken in the event of a relapse and reducing any guilt feelings. The psychiatrists instilled confidence and hope for a future of health and further child bearing. The family members’ limited understanding of the treatment may impede the involvement of the family. Conclusion of the study was that the goal for family involvement was to facilitate the women’s care and treatment. Further studies are needed to provide suggestions on how to develop family involvement in the care of women suffering from postpartum psychosis.

Place, publisher, year, edition, pages
Hindawi Publishing Corporation, 2013
National Category
Nursing Psychiatry
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-8600 (URN)10.1155/2013/897084 (DOI)24236289 (PubMedID)
Available from: 2013-10-30 Created: 2013-10-30 Last updated: 2021-07-30Bibliographically approved
Engqvist, I., Åhlin, A., Ferszt, G. & Nilsson, K. (2011). Comprehensive Treatment of Women with Postpartum Psychosis across Health Care Systems from Swedish Psychiatrists' Perspectives. Qualitative Report, 16(1), 66-83
Open this publication in new window or tab >>Comprehensive Treatment of Women with Postpartum Psychosis across Health Care Systems from Swedish Psychiatrists' Perspectives
2011 (English)In: Qualitative Report, ISSN 1052-0147, Vol. 16, no 1, p. 66-83Article in journal (Refereed) Published
Abstract [en]

Studies concerning the psychiatrist’s experiences of treating women with postpartum psychosis (PPP) or how they react to these women are limited in the literature. In this study a qualitative design is used. Data collection includes semi-structured interviews with nine Swedish psychiatrists working in psychiatric hospitals. The audio-taped interviews are transcribed verbatim and analyzed using content analysis. The findings consist of the categories: Protection, Treatment, Care, and Reactions.The psychiatrists describe emotions such as compassion, empathy and distress. A conclusion is that the psychiatrists focus on protecting the women from suicide and/or infanticide. Given the degree of stress the psychiatrists can experience caring for high risk challenging patients, health care organizations need to provide support and/or opportunities for peer supervision.

Place, publisher, year, edition, pages
Nova Southeastern University, 2011
Keywords
Psychiatrists, Postpartum Psychosis, Puerperal Psychosis, and Content Analysis
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-5111 (URN)2-s2.0-78650771949 (Scopus ID)
Available from: 2011-06-21 Created: 2011-06-21 Last updated: 2017-12-11Bibliographically approved
Furåker, C. & Nilsson, K. (2011). The consultative work of occupational therapists working in municipal healthcare. Scandinavian Journal of Occupational Therapy, 18(2), 101-108
Open this publication in new window or tab >>The consultative work of occupational therapists working in municipal healthcare
2011 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 18, no 2, p. 101-108Article in journal (Refereed) Published
Abstract [en]

The work of occupational therapists (OTs) in municipal healthcare has become more consultative in recent years. The aim of this study is to explore the content of the OTs’ consultative role in everyday activities in municipal healthcare. The study is based on data consisting of diary notes with additional reflections made by 23 OTs during three days. The data were subjected to content analysis. OTs are contacted via referrals (telephone calls or personal communication) to arrange consultations with patients, relatives, assistant staff, and colleagues. The OTs' consultative work consists of discussion, negotiation, information, or instruction, in relation to the advice and recommendations given. They also provide supervision and support to patients, relatives, and assistant staff. The advice and recommendations are evaluated. Thus, OTs' counselling consists of more than assessments and advice, as it also includes information, instruction, supervision, support, and evaluation. Further investigations are necessary in order to understand the competence that is needed and used in the consultative role of OTs in municipal healthcare. An implication for practice is that the healthcare managers need to support the OTs' possibility to provide supervision and support, especially in relation to assistant staff as they are responsible for everyday rehabilitation.

Place, publisher, year, edition, pages
Informa Healthcare, 2011
Keywords
Consultative role, content analysis, diaries, municipal healthcare, occupational therapy, reflection
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-4405 (URN)10.3109/11038121003686179 (DOI)000290570500004 ()20367540 (PubMedID)2-s2.0-79956087468 (Scopus ID)
Available from: 2010-09-21 Created: 2010-09-21 Last updated: 2017-12-12Bibliographically approved
Engqvist, I., Ferszt, G., Åhlin, A. & Nilsson, K. (2011). Women's Experience of Postpartum Psychotic Episodes: Analyses of Narratives From the Internet. Archives of Psychiatric Nursing, 25(5), 376-387
Open this publication in new window or tab >>Women's Experience of Postpartum Psychotic Episodes: Analyses of Narratives From the Internet
2011 (English)In: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 25, no 5, p. 376-387Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to gain an insight into women's experiences of postpartum psychosis (PPP). Ten narratives taken from the Internet, which met the definition of PPP, were analyzed using cross-case and content analyses. The results revealed women's experience of having unfulfilled dreams, being enveloped by darkness, having disabling symptoms, and being abandoned. The women's experiences point to the importance of further education of nurses and doctors concerning PPP. It is vital not only for those working in psychiatric health care but also midwives and nurses who are working in maternity wards and child welfare centers. This would facilitate early recognition of signs and symptoms of the disorder, which, in turn, would make early treatment possible, thus supporting recovery. Furthermore, greater knowledge could contribute to providing more effective and compassionate care for these women.

Place, publisher, year, edition, pages
Elsevier, 2011
National Category
Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-5113 (URN)10.1016/j.apnu.2010.12.003 (DOI)000295859000009 ()21978806 (PubMedID)2-s2.0-80053572996 (Scopus ID)
Available from: 2011-06-21 Created: 2011-06-21 Last updated: 2017-12-11Bibliographically approved
Engqvist, I., Åhlin, A., Ferszt, G. & Nilsson, K. (2010). Nurses - psychiatrists' main collaborators when treating women with postpartum psychosis. Journal of Psychiatric and Mental Health Nursing, 17(6), 494-502
Open this publication in new window or tab >>Nurses - psychiatrists' main collaborators when treating women with postpartum psychosis
2010 (English)In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 17, no 6, p. 494-502Article in journal (Refereed) Published
Abstract [en]

The focus was to describe Swedish psychiatrists’ experiences of collaboration with healthcare professionals when treating women with postpartum psychosis (PPP). A qualitative design was used, and semi-structured interviews were performed with nine psychiatrists working in psychiatric hospitals in Sweden. Data were analysed using manifest and latent content analysis. The results of these experiences were categorized in this study as: collaboration related to admission, collaboration during inpatient care and collaboration related to discharge. Collaboration with midwives and obstetricians was important in diagnosing the illness, as this often occurred on postnatal wards; and decisions about the form of care for the woman with PPP and for her baby demanded collaboration with various healthcare professionals. Collaboration with nurses was based on expectations and confidence in nurses’ competence, and was exceedingly important during inpatient care. When the woman was to be discharged, collaboration with healthcare teams, e.g. outpatient clinic, child health clinic and community services, was required. The conclusions were that psychiatrists collaborate with different professionals in the various phases of the caring process. They rely extensively on nurses’ competence when caring for women with PPP, and consider nurses to be their most important collaborators. Collaboration with midwives and obstetricians was

Place, publisher, year, edition, pages
Blackwell Publishing, 2010
Keywords
collaboration, content analysis, nurses, postpartum psychosis, psychiatrists, puerperal psychosis
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-4159 (URN)10.1111/j.1365-2850.2010.01549.x (DOI)000279541400003 ()20633076 (PubMedID)2-s2.0-77954507662 (Scopus ID)
Available from: 2010-06-17 Created: 2010-06-17 Last updated: 2017-12-12Bibliographically approved
Warrén Stomberg, M. & Nilsson, K. (2010). Nursing Students' Self-Graded Motivation to Complete their Programme of Study. Open Nursing Journal, 4, 42-47
Open this publication in new window or tab >>Nursing Students' Self-Graded Motivation to Complete their Programme of Study
2010 (English)In: Open Nursing Journal, E-ISSN 1874-4346, Vol. 4, p. 42-47Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to explore variation in nursing students’ motivation to complete their programme of study,  as  well  as  factors  relating  to  low  versus  high  motivation  and  students’  opinions  of  what  would  increase  their motivation to complete their programme of study. A study was carried out between April 2006 and December 2007. A total of 872 students registered in a 3-year nursing programme  randomly  participated  in  self-rating  their  motivation  score  once  each  semester.  Descriptive  statistics, statistical calculations and content analysis regarding open-ended questions were performed. Most of the students, 73%, rated their motivation as ≥6 on a 0-10 Likert scale; and 16% gave a rating of ≤4. The desire to become  a registered nurse (RN)  and having  a positive  attitude towards the  studies were  the main factors influencing high motivation to complete the programme of study. Having a negative attitude towards the studies was an explanation of decreased motivation. There was a significant decrease (p=0.001) in the motivation score with respect to number of semesters, and motivation increased with the student’s age (p=0.0119). Suggestions for increasing motivation given by those who rated their motivation as ≤4 mainly focused on improvements in didactics and study organisation.

Place, publisher, year, edition, pages
Bentham Open, 2010
Keywords
Nurse education, motivation
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-4677 (URN)10.2174/1874434601004010042 (DOI)21347211 (PubMedID)
Available from: 2011-01-31 Created: 2011-01-31 Last updated: 2024-01-17Bibliographically approved
Erichsen Andersson, A., Bergh, I., Karlsson, J. & Nilsson, K. (2010). Patients' experiences of acquiring a deep surgical site infection: An interview study. American Journal of Infection Control, 38(9), 711-717
Open this publication in new window or tab >>Patients' experiences of acquiring a deep surgical site infection: An interview study
2010 (English)In: American Journal of Infection Control, ISSN 0196-6553, E-ISSN 1527-3296, Vol. 38, no 9, p. 711-717Article in journal (Refereed) Published
Abstract [en]

Background: The negative impact of surgical site infection (SSI) in terms of morbidity, mortality, additional costs, and length of stay (LOS) in the hospital is well described in the literature, as are risk factors and preventive measures. Given the lack of knowledge regarding patients’ experiences of SSI, the aim of the present study was to describe patients’ experiences of acquiring a deep SSI. Methods: Content analysis was used to analyze data obtained from 14 open interviews with participants diagnosed with a deep SSI. Results: Patients acquiring a deep SSI suffer significantly from pain, isolation, and insecurity. The SSI changes physical, emotional, social, and economic aspects of life in extremely negative ways, and these changes are often persistent. Conclusion: Health care professionals should focus on strategies to enable early diagnosis and treatment of SSIs. The unacceptable suffering related to the infection, medical treatment, and an insufficient patient-professional relationship should be addressed when planning individual care, because every effort is needed to support this group of patients and minimize their distress. All possible measures should be taken to avoid bacterial contamination of the surgical wound during and after surgery to prevent the development of SSI.

Place, publisher, year, edition, pages
Mosby, Inc., 2010
Keywords
Surgical site infection; patient experience; qualitative study
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-4674 (URN)10.1016/j.ajic.2010.03.017 (DOI)000283582500013 ()21034980 (PubMedID)2-s2.0-78049353893 (Scopus ID)
Available from: 2011-01-31 Created: 2011-01-31 Last updated: 2018-04-18Bibliographically approved
Engqvist, I., Ferszt, G. & Nilsson, K. (2010). Swedish registered psychiatric nurses' descriptions of presence when caring for women with post-partum psychosis: An interview study. International Journal of Mental Health Nursing, 19(5), 313-321
Open this publication in new window or tab >>Swedish registered psychiatric nurses' descriptions of presence when caring for women with post-partum psychosis: An interview study
2010 (English)In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 19, no 5, p. 313-321Article in journal (Refereed) Published
Abstract [en]

The concept of nursing presence has been widely used in nursing and is a significant component of nursing practice. In order to increase our understanding of nursing presence, it needs to be studied in different contexts. In this study, a secondary analysis of interviews with 10 registered psychiatric nurses (RPN) in Sweden was conducted to explore nurses’ descriptions of presence when caring for women with post-partum psychosis (PPP). Based on the research question: ‘How do RPN describe nursing presence in the context of caring for women with PPP?’ content analysis was used to analyze the data. Three categories emerged: the use of presence to protect, the use of presence to facilitate recovery, and the use of presence for learning. The findings underscore the importance of recognizing nursing presence as a strategy to improve psychiatric nursing for the benefit of the woman and her child, and as an important part of psychiatric nursing when providing compassionate and effective nursing care to this population.

Place, publisher, year, edition, pages
Australian College of Mental Health Nurses Inc., 2010
Keywords
caring, nursing, nursing presence, post-partum
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-4514 (URN)10.1111/j.1447-0349.2010.00691.x (DOI)000281556300004 ()20887605 (PubMedID)2-s2.0-77956273364 (Scopus ID)
Available from: 2010-12-30 Created: 2010-12-30 Last updated: 2017-12-11Bibliographically approved
Nilsson, M. & van Laere, J. (2009). Experts' Views on User Activities in Information Fusion System Development Processes. In: Ronnie Johansson, Joeri van Laere, Jonas Mellin (Ed.), Proceedings of the 3rd Skövde Workshop on Information Fusion Topics (SWIFT 2009): . Paper presented at The 3rd Skövde Workshop on Information Fusion Topics (SWIFT 2009), 12-13 Oct 2009, Skövde, Sweden (pp. 33-38). Skövde: University of Skövde
Open this publication in new window or tab >>Experts' Views on User Activities in Information Fusion System Development Processes
2009 (English)In: Proceedings of the 3rd Skövde Workshop on Information Fusion Topics (SWIFT 2009) / [ed] Ronnie Johansson, Joeri van Laere, Jonas Mellin, Skövde: University of Skövde , 2009, p. 33-38Conference paper, Published paper (Refereed)
Abstract [en]

The role of the user in information fusion has gained increasing attention during the last years. However, looking at the research performed within the community it remains difficult to acquire a good understanding of the role of users, especially in terms of the information fusion system development process. To address this, a questionnaire was distributed during FUSION 2009 conference which aimed to explore these issues. Here, we present an initial analysis of the responses obtained. A consensus was found regarding how users have been incorporated in the development process. Specifically, they are seen as part of the concept generation phase, the requirement gathering phase or the evaluation phase rather than of the design phase. Also, the typical activities performed with users were found to be interviews and using users as advisers. However, results from the questionnaire also indicated that a consensus regarding what information is needed from users for automating a manual information fusion process is still lacking. The reasons for, and implications of this lack are discussed in the light of current research.

 

Place, publisher, year, edition, pages
Skövde: University of Skövde, 2009
Series
SUSI, ISSN 1653-2325 ; 2009:3
Keywords
HCI, Human Factors, Information Fusion, Methods, System Development Process, User study
National Category
Computer and Information Sciences
Research subject
Technology; Information Systems
Identifiers
urn:nbn:se:his:diva-3550 (URN)978-91-978513-2-9 (ISBN)
Conference
The 3rd Skövde Workshop on Information Fusion Topics (SWIFT 2009), 12-13 Oct 2009, Skövde, Sweden
Note

[CD-ROM]

Available from: 2010-01-07 Created: 2010-01-07 Last updated: 2020-11-30Bibliographically approved
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