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  • 1.
    Bäckström, Caroline A.
    et al.
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Carlén, Kristina
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Larsson, Viveca
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Mårtensson, Lena Birgitta
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). School of Nursing, Midwifery and Social Work, Faculty of Health and Rehabilitation Sciences, The University of Queensland, Australia.
    Thorstensson, Stina
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Berglund, Marina
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Larsson, Therese
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Bouwmeester, Björn
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). School of Health Sciences, University of Skövde, Sweden.
    Wilhsson, Marie
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). School of Health Sciences, University of Skövde, Sweden.
    Larsson, Margaretha
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Expecting parents’ use of digital sources in preparation for parenthood in a digitalised society – a systematic review2022In: Digital Health, E-ISSN 2055-2076, Vol. 8, article id 20552076221090335Article, review/survey (Refereed)
    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.

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  • 2.
    Bäckström, Caroline A.
    et al.
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). Högskolan i Skövde.
    Kåreholt, Ingemar
    University of Jönköping.
    Thorstensson, Stina
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Golsäter, Marie
    University of Jönköping.
    Mårtensson, Lena
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Kvalitet i parrelation hos förstagångsmammor och partners i relation till graviditet och de första sex månaderna av föräldraskap2021Conference paper (Refereed)
    Abstract [sv]

    Bakgrund:

    Att genomgå föräldratransition och bli förälder har beskrivits som en av de mest omfattande livsförändringarna i en människas liv. Föräldratransition medför nya relationer inom föräldrarnas sociala nätverk. För föräldrarna bildas nya roller i parrelationen eftersom de går från att endast vara partners till att även vara föräldrar tillsammans. Denna livsförändring kan medföra en försämring i den uppfattade kvaliteten i parrelationen. Föräldrarnas tillgång till socialt stöd och deras känsla av sammanhang kan ha inverkan på deras förmåga att uppfatta kvalitet i parrelationen. 

    Syfte:

    Att utforska faktorer associerade med kvalitet i parrelation hos förstagångsmammor och partners i relation till graviditet och de första sex månaderna av föräldraskap. 

    Metod:

    En prospektiv longitudinell kohortstudie med enkätundersökningar vid: graviditetsvecka 25; första veckan och sex månader efter förlossning. Förändringar i uppfattad kvalitet i parrelation (QDR36), känsla av sammanhang (SOC-13) samt socialt stöd (MSPSS) utforskades. Multipla linjära regressioner genomfördes för att utforska faktorer associerade med kvalitet i parrelation. 

    Resultat:

    Totalt ingick 302 föräldrar i studien. Både förstagångsmammor och partners rapporterade en lägre kvalitet i parrelation och högre känsla av sammanhang sex månader efter förlossning, jämfört med under graviditet. Förstagångsmammors högre kvalitet i parrelation var associerat med deras: 1) partners mer positiva känsla inför föräldraskap; 2) högre uppfattade sociala stöd samt 3) känsla av sammanhang under graviditet och 4) mer positiva förändring i känsla av sammanhang mellan graviditet och sex månader efter förlossning. Partners högre kvalitet i parrelation var associerat med deras mer positiva förändring i uppfattat socialt stöd mellan graviditet och sex månader efter förlossning. 

    Konklusion:

    Liknande mönster i förändring över tid i relation till kvalitet i parrelation och känsla av sammanhang framkom för förstagångsmammor och partners. Detta indikerar att föräldratransition har en positiv inverkan på föräldrars förmåga att hantera sin livssituation även fast deras kvalitet i parrelation sjunker under föräldratransitionen. 

  • 3.
    Bäckström, Caroline A.
    et al.
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Larsson, Therese
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Thorstensson, Stina
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    How partners of pregnant women use their social networks when preparing for childbirth and parenthood: A qualitative study2020In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 41, no 1, p. 25-33Article in journal (Refereed)
    Abstract [en]

    Social contextual circumstances have an influence on parental transition, and social support has been shown to facilitate the transition to parenthood, among other states. Further knowledge is, however, needed to explore how partners of pregnant women use their social networks during pregnancy. Therefore, the aim of this study was to explore how partners of pregnant women use their social networks when preparing for childbirth and parenting. Within this study, a social network is defined as social connections such as family, friends and significant others. In total, 14 partners (expectant fathers and co-mothers) were interviewed. Data were analysed using qualitative content analysis. EQUATOR Network guidelines and the COREQ checklist were applied. The analysis resulted in one theme of meaning: Partners use their social networks to receive social support, which facilitates understanding about how to prepare for childbirth and parenthood, which was described through three sub-themes. The results highlight the importance of social networks for partners when preparing for childbirth and parenthood. Professionals should aim to strengthen and extend partners’ social networks and access to social support. This could be done not only to support partners to attend parental classes, but also to participate socially as well as engage with other expectant parents within the classes.

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  • 4.
    Bäckström, Caroline A.
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Skaraborg Hospital Skövde, Woman, Child (K3), Skövde, Sweden / Jönköping University, School of Health and Welfare, CHILD-Research Group, Jönköping, Sweden.
    Mårtensson, Lena B.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Golsäter, Marie H.
    Jönköping University, School of Health and Welfare, CHILD-Research Group, Jönköping, Sweden.
    Thorstensson, Stina A.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    "It's like a puzzle": Pregnant women's perceptions of professional support in midwifery care2016In: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 29, no 6, p. e110-e118Article in journal (Refereed)
    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.

  • 5.
    Bäckström, Caroline A.
    et al.
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Söderlund, Tina
    Skaraborg Hospital Skövde, “Woman, Child” (K3), Skövde, Sweden.
    Thorstensson, Stina
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Mårtensson, Lena B.
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Golsäter, Marie
    Futurum, Academy for Health and Care, Jönköping, Sweden / CHILD-Research Group, School of Health and Welfare, Jönköping University, Sweden.
    Midwives' Experiences of Providing the "Inspirational Lecture" as a Care Intervention for Expectant Parents: A Qualitative Study2020In: Frontiers In Public Health, ISSN 2296-2565, Vol. 8, article id 575062Article in journal (Refereed)
    Abstract [en]

    Background: In most Western countries, ordinary parental classes exist and have become a well-established form of professional support within midwifery care, even though some of these classes lack evidence of benefits for the parents. A Swedish randomized controlled trial including an intervention as a pilot study, revealed that a type of parental preparatory professional support provided for expectant parents, the "inspirational lecture," showed a tendency to be beneficial for parents' birth experience, and their perceived quality of parental couple relationship. However, there is no previous research on the midwives' experiences from providing the inspirational lecture. Carrying out research on midwives' experiences from providing the lecture, could bring future opportunities to provide a work-integrated learning (WIL) related to professionals' skills, and the pedagogic used. Aim: To elucidate midwives' experiences about providing the inspirational lecture as a care intervention for expectant parents. Methods: Midwives were interviewed and data were analyzed using qualitative content analysis. Results: The midwives strived to put childbirth into a comprehensive and manageable context for the expectant parents, during the inspirational lecture. For this, different approaches were used to make expectant parents understand how the parents themselves can be engaged participants in their own birth. Conclusion and Clinical Implications: The midwives used the inspirational lecture to provide the expectant parents with knowledge about how they, as a parental couple, could cooperate and feel safe in relation to the upcoming birth. This could be understood as if the midwives were striving to facilitate the integrative power of the parental couple, which is the couples' ability to gather their joint power. These results can assist midwives and serve as a reference for providing parental classes for expectant parents with a focus on promoting both the parents' individual as well as mutual skills.

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  • 6.
    Bäckström, Caroline A.
    et al.
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Thorstensson, Stina
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Pihlblad, Jessica
    Regionhälsan Midwifery Unit, Västra Götalandsregionen, Sweden.
    Forsman, Anna-Carin
    Regionhälsan Midwifery Unit, Västra Götalandsregionen, Sweden.
    Larsson, Margaretha
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Parents' Experiences of Receiving Professional Support Through Extended Home Visits During Pregnancy and Early Childhood: A Phenomenographic Study2021In: Frontiers In Public Health, ISSN 2296-2565, Vol. 9, article id 578917Article in journal (Refereed)
    Abstract [en]

    Background: While becoming a parent can be challenging for all, it can particularly be challenging for those parents and children who are in a vulnerable situation—e.g., in families whose members have problems related to health, relationships, or socioeconomic status. It is essential for health care professionals to identify the more vulnerable families at an early stage. Home visits are one cost-effective way of identifying and supporting such families. This study describes the parental experiences of an intervention that involves professional support in the form of extended home visits. The aim of the study is to describe the parents' understanding of their experiences of receiving professional support through extended home visits both during pregnancy and the first 15 months of their child's life. Methods/Design: A phenomenographic approach was used. Semi-structured interviews were conducted with 12 parents who had received the intervention. The interviews were analyzed using the seven-step phenomenography model described by Sjöström and Dahlgren. Results: The following three descriptive categories emerged from the analysis: (1) conceptions concerning the meaning of the physical environment, (2) conceptions concerning extended home visits promoting feelings of self-confidence in the parental role, and (3) conceptions concerning extended home visits promoting parental participation and relations. Conclusion and Clinical Implications: Extended home visits as a form of professional support appear to promote parental self-confidence in parenting ability, giving parents a feeling of security that facilitates conversation with professionals. Children and their entire families had natural roles during home visits, which allowed the children to behave more characteristically. Furthermore, the home visits were understood to facilitate social support through social activities at the child health center as well as integration into Swedish society for migrant parents. Professional support should be adjusted to the unique individual needs of parents, which demands a variety of supportive interventions—for example, reorganizing one or two of the regular clinical visits currently being scheduled as home visits instead.

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  • 7.
    Bäckström, Caroline
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Skaraborg Hospital Skövde, ‘ Woman, Child ’ (K3) Skövde, Sweden / Jönköping University, School of Health and Welfare, CHILD-research Group, Jönköping, Sweden.
    Kåreholt, Ingemar
    Jönköping University, School of Health and Welfare, Aging Research Network – Jönköping (ARN-J), Jönköping, Sweden / Karolinska Institutet and Stockholm University, Aging Research Center, Gävlegatan 16, Stockholm, Sweden.
    Thorstensson, Stina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Golsäter, Marie
    Jönköping University, School of Health and Welfare, CHILD-research Group, Jönköping, Sweden.
    Mårtensson, Lena B.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Quality of couple relationship among first-time mothers and partners during pregnancy and the first six months of parenthood2018In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 17, p. 56-64Article in journal (Refereed)
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  • 8.
    Bäckström, Caroline
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Skaraborg Hospital Skövde, Jönköping University, School of Health and Welfare, CHILD-research Group, Jönköping, Sweden.
    Larsson, Therese
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Närhälsan Midwifery Unit, Skövde, Sweden.
    Wahlgren, Emma
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Skaraborg Hospital Skövde.
    Golsäter, Marie
    Jönköping University, School of Health and Welfare, CHILD-research Group, Jönköping, Sweden.
    Mårtensson, Lena B.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Thorstensson, Stina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    ‘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 parenting2017In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 12, p. 51-57Article in journal (Refereed)
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  • 9.
    Bäckström, Caroline
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Skaraborg Hospital Skövde, Woman, Child (K3), Skövde, Sweden / Jönköping University, School of Health and Welfare, CHILD-research group, Jönköping, Sweden.
    Thorstensson, Stina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Mårtensson, Lena B.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Grimming, Rebecca
    University of Skövde, School of Health and Education. Närhälsan Skaraborg, Young Persons Clinic, Skövde, Sweden.
    Nyblin, Yrsa
    University of Skövde, School of Health and Education. Danderyd Hospital AB, Women’s care, Gynecology ward, Stockholm, Sweden.
    Golsäter, Marie
    Jönköping University, School of Health and Welfare, CHILD-research group, Jönköping, Sweden.
    'To be able to support her, I must feel calm and safe': pregnant women's partners perceptions of professional support during pregnancy2017In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 17, p. 1-11, article id 234Article in journal (Refereed)
    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.

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  • 10.
    Ekström, Anette
    et al.
    University of Skövde, School of Life Sciences.
    Arvidsson, Kristina
    Department of Obstetrics and Gynaecology, Karlskoga Hospital, Sweden.
    Falkenström, Malin
    Department of Obstetrics and Gynaecology, Karlskoga Hospital, Sweden.
    Thorstensson, Stina
    University of Skövde, School of Life Sciences.
    Fathers’ feelings and experiences during pregnancy and childbirth: A qualitative study2013In: Journal of Nursing & Care, ISSN 2167-1168, Vol. 2, no 2, article id 136Article in journal (Refereed)
    Abstract [en]

    Background: Fathers feel excluded and insecure during childbirth and professional support for fathers can be inadequate. Therefore it is important to further understand fathers experience in order to develop professional support and to create a positive childbirth experience for both fathers and their partners.

    Aim: The aim of this study was to explore fathers’ feelings and experiences during pregnancy and childbirth.

    Materials and Methods: A qualitative method was used, with written interviews which were analyzed using a qualitative content analysis. Participants were eight fathers who wrote answers to two open questions.

    Results: The theme “Fathers have strong, mixed feeling while striving to become prepared and to participate during pregnancy and childbirth” crossed over into all the four categories: Being prepared gave security, Feeling needed, Feeling strong, mixed feelings during pregnancy, and Feeling strong, mixed feelings during childbirth. Fathers’ previous experiences from childbirth facilitated being prepared and increased sense of security.

    Conclusion: It was important for fathers to be prepared and to feel needed and to witness the birth of their baby was fantastic. Overall, the fathers were faced with handling their strong but mixed feelings while striving to prepare for and participate in pregnancy and childbirth.

    Implications: Healthcare professionals need to acknowledge that fathers have needs of their own during pregnancy and childbirth. Fathers also worry about the woman and the baby so they need explanations about normal changes as well as possible complications.

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  • 11.
    Ekström, Anette
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Thorstensson, Stina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Nurses and midwives professional support increases with improved attitudes - design and effects of a longitudinal randomized controlled process-oriented intervention2015In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 15, no 1, article id 275Article in journal (Refereed)
    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.

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  • 12.
    Ekström, Anette
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Thorstensson, Stina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Validation of Measurement Scales in Health Care2015In: Journal of Nursing & Care, ISSN 2167-1168, Vol. 4, no 2, article id 1000236Article in journal (Other academic)
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  • 13.
    Ekström-Bergström, Anette
    et al.
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). Department of Health Sciences, University West, Trollhättan, Sweden.
    Thorstensson, Stina
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Bäckström, Caroline
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    The concept, importance and values of support during childbearing and breastfeeding: A discourse paper2022In: Nursing Open, E-ISSN 2054-1058, Vol. 9, no 1, p. 156-167Article in journal (Refereed)
    Abstract [en]

    Background: Professional support in childbearing has beneficial effects on childbirth experience, interactions within the family, breastfeeding and medical outcomes. However, more knowledge is needed about prerequisites for professional support to be valuable and satisfactory during childbearing. Aim: The aim of this discourse paper is to describe and explore prerequisites for professional support that are of value for women and their families during childbearing as well as how healthcare organizations can be formed to facilitate these prerequisites. Design: Discourse paper. Methods: This discourse paper is based on our own experiences and is supported by literature and theory. Results: Well-functioning structures and processes facilitate professional support that leads to safe, secure, calm and prepared parents with the ability to handle the challenges of childbearing and parenting. When organizing care in childbearing, prerequisites for support needs must also be considered. 

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  • 14.
    Eriksson, Monica
    et al.
    Department of Health Sciences, University West, Trollhättan, Sweden.
    Ekström-Bergström, Anette
    Department of Health Sciences, University West, Trollhättan, Sweden.
    Arvidsson, Susann
    School of Health and Welfare, Halmstad University, Sweden.
    Jormfeldt, Henrika
    School of Health and Welfare, Halmstad University, Sweden.
    Thorstensson, Stina
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Åström, Ulrica
    School of Health and Welfare, Halmstad University, Sweden.
    Lundgren, Ingela
    Institute of Health and Care Sciences, University of Gothenburg, Sweden.
    Roxberg, Åsa
    Department of Health Sciences, University West, Trollhättan, Sweden ; VID University, Bergen, Norway ; UiT Harstad, Norway.
    Meaning of wellness in caring science based on Rodgers's evolutionary concept analysis2024In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 38, no 1, p. 185-199Article in journal (Refereed)
    Abstract [en]

    Background: Wellness is a holistic, multidimensional, and process-oriented property on a continuum. It has been used interchangeably with and is undifferentiated from concepts such as health and well-being without an in-depth clarification of its theoretical foundations and a reflection on its meaning. The concept of wellness is frequently used, but its definition remains unclear. Aim: To conceptually and theoretically explore the concept of wellness to contribute to a deeper understanding in caring science. Method: Rodgers' evolutionary concept analysis was applied to the theoretical investigation of data from publications of international origins. The focus was on antecedents, attributes, consequences, surrogate and related terms, and contextual references. A literature search was performed through a manual review of reference lists and an online search in CINAHL and PubMed via EBSCO, and in ProQuest. Abstracts were examined to identify relevant studies for further review. The inclusion criteria were peer-reviewed papers in English; papers published in scientific journals using the surrogate terms ‘wellness’, ‘health’, ‘health care’, and ‘health care and wellness’; and papers discussing and/or defining the concept of wellness. Twenty-six studies met the inclusion criteria. Results: Based on the findings from this concept analysis, a definition of wellness was developed: ‘a holistic and multidimensional concept represented on a continuum of being well that goes beyond health’. Implications for nursing practice were correspondingly presented. Conclusion: Wellness is defined as a holistic and comprehensive multidimensional concept represented on a continuum of being well, that goes beyond health. It calls attention by applying the salutogenic perspective to health promotion in caring science. It is strongly related to individual lifestyle and health behaviour and is frequently used interchangeably with health and well-being without an in-depth clarification of its theoretical foundation.

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  • 15.
    Hammarlund, Kina
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Falck, Johanna
    Bymarken School area, Jönköping.
    Lind, Jennie
    Gallerian Health Clinic, Jönköping.
    Thorstensson, Stina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Meeting and supporting students who have parents with mental ill-health2015In: British Journal of School Nursing, ISSN 1752-2803, E-ISSN 2052-2827, Vol. 10, no 4, p. 182-187Article in journal (Refereed)
    Abstract [en]

    Mental ill-health is an increasing problem in Swedish society. If a parent is suffering from mental illness, it can have negative consequences for the child’s wellbeing, health and developmental process. The challenge for school nurses is to identify and support these students. The aim of this study is to describe school nurses’ experiences from meeting and supporting students who have parents with mental ill-health. Interviews with six school nurses were performed after snowball recruitment with purposive sampling and analysed using qualitative content analysis. School nurses’ experience of meeting and supporting students who have parents with mental ill-health shows that this is complex and demands competence and collaboration. Their competences in collaboration with others as well as their ability to show an open and tolerant attitude were important in order to build trustful relations with students, their parents and other professionals.

  • 16.
    Hammarlund, Kina
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Sjunnesson, Sara
    LBS kreativa gymnasiet, Lund, Sweden.
    Tettenborn, Nina
    Plusgymnasiet Malmö, Sweden.
    Jomeen, Julie
    Faculty of Health and Social Care, University of Hull, United Kingdom.
    Thorstensson, Stina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    ‘I had a lump in my stomach’: Swedish gay and lesbian students’ experiences of their time in school2017In: British Journal of School Nursing, ISSN 1752-2803, E-ISSN 2052-2827, Vol. 12, no 6, p. 284-290Article in journal (Refereed)
    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.

  • 17.
    Hrybanova, Yana
    et al.
    Högskolan Väst, Sweden.
    Ekström, Anette
    Högskolan Väst, Sweden.
    Thorstensson, Stina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    First-time fathers’ experiences of professional support from child health nurses2019In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 33, no 4, p. 921-930Article in journal (Refereed)
    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.

  • 18.
    Huusko, Linda
    et al.
    Närhälsan Skövde Women's Health Clinic, Skövde, Sweden.
    Sjöberg, Sandra
    Women's Health Clinic, Umeå, Sweden.
    Ekström, Anette
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Health Sciences, University West, Trollhättan, Sweden.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Thorstensson, Stina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    First-Time Fathers’ Experience of Support from Midwives in Maternity Clinics: An Interview Study2018In: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, article id 9618036Article in journal (Refereed)
    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.

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  • 19.
    Mårtensson, Lena
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Mogren, Lisa
    Sahlgrenska University Hospital, Mölndal, Sweden.
    Lindblom, Emma
    Södra Älvsborg Hospital, Borås, Sweden.
    Thorstensson, Stina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    What helps? A description of experiences of support among primiparous women with fear of childbirth: An interview study2014In: International Journal of Nursing and Midwifery, E-ISSN 2141-2456, Vol. 6, no 5, p. 67-73Article in journal (Refereed)
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  • 20.
    Ranch, Matilda Möller
    et al.
    Neonatal Care Unit, NÄL Hospital Trollhättan, Sweden.
    Jämtén, Sofia
    Pediatric Healthcare Setting, Capio, Lysekil, Sweden.
    Thorstensson, Stina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Ekström-Bergström, Anette C.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Health Sciences, University West, Sweden.
    First-Time Mothers Have a Desire to Be Offered Professional Breastfeeding Support by Pediatric Nurses: An Evaluation of the Mother-Perceived-Professional Support Scale2019In: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, Vol. 2019, article id 8731705Article in journal (Refereed)
    Abstract [en]

    Background. Although the World Health Organization recommends exclusive breastfeeding for six months, the rate of breastfeeding has decreased worldwide. Breastfeeding is the natural way of feeding a baby, but it is a process that has to be learnt. It is not unusual for problems to occur and hence support for breastfeeding is vital. The aim of this study was to explore first-time mothers' experiences of the breastfeeding support offered by pediatric nurses, as well as to develop and evaluate the Mother Perceived Support from Professionals (MoPPS) scale. Methods. A qualitative design involving both inductive and deductive approaches was chosen. Nine first-time mothers were interviewed regarding their experiences of the breastfeeding support offered by pediatric nurses. Semistructured interviews were conducted. The mothers were also asked to grade their experiences of breastfeeding support on the MoPPS scale. A qualitative content analysis was applied when analyzing the data obtained using both the inductive (interviews) and deductive (MoPPS scale) approaches. Results. The results revealed that the mothers felt the desire to breastfeed, although they all experienced some difficulties. They wanted the pediatric nurses to be perceptive and provide professional support based on their own experiences. When the pediatric nurses took time and booked extra appointments, the mothers felt supported. The inductive analysis resulted in one theme: When wanting to breastfeed, mothers have a desire to be offered professional breastfeeding support. Two main categories were identified, namely Mothers wanted but lacked breastfeeding support and Mothers received professional support. The deductive analysis of the MoPPS scale showed similar results, and the questions were perceived as relevant to the aim. The mothers considered it important that the pediatric nurses had sufficient knowledge about breastfeeding. It was also considered important that the pediatric nurses involved the mothers' partners in the breastfeeding support. Therefore, we suggest that these areas should be included in the MoPPS scale for pediatric nurses. Conclusions. The MoPPS scale can be a useful tool for helping pediatric nurses to offer mothers professional breastfeeding support. Indeed, when offering breastfeeding support, pediatric nurses can use the items included on the MoPPS scale as guidance.

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  • 21.
    Thorstensson, Stina
    University of Skövde, School of Life Sciences.
    Kontinuerligt stöd under förlossningen2010In: Jordemodern, ISSN 0021-7468, no 122, p. 36-39Article in journal (Other (popular science, discussion, etc.))
  • 22.
    Thorstensson, Stina
    University of Skövde, School of Life Sciences.
    Professional support in childbearing, a challenging act of balance2012Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim was to contribute to the development of optimal quality care in childbearing through exploring how professionals learn to act and how they act in support of women and their partners and what supportive needs women and their partners have during childbearing, as well as how professional support influences parents' experience during childbearing and their relation to the baby. I) Diaries from student midwives (n=11), about offering continuous support during childbirth, analysed with qualitative analysis. II) An observation and interview study during childbirth with midwives (n=7), women (n=7) and their partner (n=7), analysed with hermeneutic text interpretation. III) First-time mothers (n=10) were interviewed three days after birth, as a step in the validation process of the "Mother to Infant Relation and Feelings" (MIRF) scale, analysed with qualitative content analysis. IV) A random longitudinal intervention study including a process-oriented training program for midwives and postnatal nurses. First time mothers with a caesarean or a normal birth (n=395) answered questionnaires at three days, three and nine months postpartum about professional support and their relation to and feelings for the baby, analysed statistically. Result: I) Offering continuous support made students aware of the importance to establish rapport, but needing reassurance could hamper their efforts to establish rapport. Experiencing a lack of confidence made students focus more strongly on their medical skills. II) Which ideology midwives adopted during childbirth influenced if the individual supportive needs of women and their partners were met. III) The MIRF scale appears valid to use in research and in dialogue with new mothers to support mother-to-infant interactions. IV) Trained professionals strengthened mothers' perception of professional support which may buffer negative effects of caesarean birth in relation to the baby. Conclusion: Professional support in childbearing is a challenging act of balance which can strengthen women's sense of ability in meeting the needs of the baby even in the additional challenge of caesarean birth. Training in support and reflection about one's attitudes and ideology in practice improve supportive skills.

  • 23.
    Thorstensson, Stina
    University of Skövde, School of Life Sciences.
    Stöd i barnafödande – en professionell utmaning2013In: Jordemodern, ISSN 0021-7468, no 1-2, p. 27-30Article in journal (Other (popular science, discussion, etc.))
  • 24.
    Thorstensson, Stina
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Andersson, Anna
    Karlskoga Hospital, Karlskoga, Sweden.
    Israelsson, Sofie
    University Hospital, Örebro, Sweden.
    Ekström, Anette
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    To build a bridge between two worlds: Mothers' experiences of professional support at the maternity ward2016In: Health Care for Women International, ISSN 0739-9332, E-ISSN 1096-4665, Vol. 37, no 10, p. 1067-1081Article in journal (Refereed)
    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.

  • 25.
    Thorstensson, Stina
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Blomgren, Carola
    Neighborhood Management North, Borås, Sweden.
    Sundler, Annelie J.
    University of Borås, Borås, Sweden.
    Larsson, Margaretha
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    To break the weight gain: A qualitative study on the experience of school nurses working with overweight children in elementary school2018In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 1-2, p. e251-e258Article in journal (Refereed)
    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.

  • 26.
    Thorstensson, Stina
    et al.
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Bäckström, Caroline
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Att bli tre - Barnafödande och föräldrablivande2021In: Etik för barnmorskor / [ed] Marie Oscarsson; Susanne Georgsson, Lund: Studentlitteratur AB, 2021, 1:1, p. 69-85Chapter in book (Refereed)
  • 27.
    Thorstensson, Stina
    et al.
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Bäckström, Caroline A.
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Larsson, Therese
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Oral examination with group discussions – a way to improve students’ reflection and integrate theoretical knowledge with practical skills2019In: Oral examination with group discussions – a way to improve students’ reflection and integrate theoretical knowledge with practical skills, 2019Conference paper (Other (popular science, discussion, etc.))
    Abstract [en]

    In midwifery education reflection and dialogue are important as a way to integrate theoretical knowledge with practical skills. When midwifery students train their skills in the delivery ward or antenatal care we wanted to examine their improved skills and knowledge in a new way, to see if we could facilitate their integration of theory and practice. Therefore we started oral examination with group discussions.

    Aim of this study was to explore students’ experiences from oral examination with group discussions.

    Method; students wrote answers to question about their experiences before, during and after oral examinations. Their written answers were analyzed with qualitative content analysis.

    Preliminary results; Students experiences before examination was being nervous or even terrified but the examination was described as challenging but interesting and fun. The student described that they became more aware of their actual knowledge. Overall the examination was described as improving their understanding of theory within practice.

    Preliminary conclusion; Oral examination with group discussions could facilitate midwifery students’ integration of theory and practice and also increase their ability for critical reflection.

  • 28.
    Thorstensson, Stina
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Claesson, Amanda
    Mölndal labour ward, Sahlgrenska University Hospital, Göteborg, Sweden.
    Packalen, Anna
    Kvinnokliniken, Skaraborgs Sjukhus Skövde, Sweden.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Ekström, Anette
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Validating the Mother-to-Infant Relation and Feelings' scale by first-time mothers' descriptions three months after birth2014In: Journal of Women's Health, Issues & Care, ISSN 2325-9795, Vol. 3, no 6, article id 1000173Article in journal (Refereed)
  • 29.
    Thorstensson, Stina
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Egnell, Maria
    Drottning Blankas Gymnasieskola (Academedia), Gothenburg.
    Larsson, Margaretha
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    School nurses’ perceptions of using the physical environment of their office to support wellbeing2018In: British Journal of School Nursing, ISSN 1752-2803, E-ISSN 2052-2827, Vol. 13, no 3, p. 128-135Article in journal (Refereed)
    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.

  • 30.
    Thorstensson, Stina
    et al.
    University of Skövde, School of Life Sciences.
    Ekström, Anette
    University of Skövde, School of Life Sciences.
    Support as a Concept and with a Focus on Childbearing2012In: Journal of Nursing and Care, ISSN 2167-1168, Vol. 1, no 4, p. e109-Article in journal (Refereed)
  • 31.
    Thorstensson, Stina
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Ekström, Anette
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    To be Supportive or to Care for2014In: Journal of Nursing & Care, ISSN 2167-1168, Vol. 3, no 6, article id 1000e114Article in journal (Other academic)
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  • 32.
    Thorstensson, Stina
    et al.
    University of Skövde, School of Life Sciences. School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Ekström, Anette
    University of Skövde, School of Life Sciences.
    Lundgren, Ingela
    Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Life Sciences.
    Exploring Professional Support Offered by Midwives during Labour: An Observation and Interview Study2012In: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, Vol. 2012, p. Article ID 648405-Article in journal (Refereed)
    Abstract [en]

    Support in labour has an impact on the childbirth experience as well as on childbirth outcomes. Both social and professional support is needed. The aim of this study was to explore professional support offered by midwives during labour in relation to the supportive needs of the childbearing woman and her partner. The study used a qualitative, inductive design using triangulation, with observation followed by interviews. Seven midwives were observed when caring for seven women/couples in labour. After the observations, individual interviews with midwives, women, and their partners were conducted. Data were analysed using hermeneutical text interpretation. The results are presented with three themes. (1) Support as a professional task seems unclear and less well defined than medical controls. (2) Midwives and parents express somewhat different supportive ideas about how to create a sense of security. (3) Partner and midwife interact in support of the childbearing woman. The main interpretation shows that midwives' supportive role during labour could be understood as them mainly adopting the "with institution" ideology in contrast to the "with woman" ideology. This may increase the risk of childbearing women and their partners perceiving lack of support during labour. There is a need to increase efficiency by providing support for professionals to adopt the "with woman" ideology.

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  • 33.
    Thorstensson, Stina
    et al.
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Ekström-Bergström, Anette
    Department of Health Sciences, University West, Trollhättan, Sweden.
    Bäckström, Caroline A.
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Effects of the “Inspirational Lecture” in Combination With “Ordinary Antenatal Parental Classes” as Professional Support for Expectant Parents: A Pilot Study as a Randomized Controlled Trial2020In: Frontiers In Public Health, ISSN 2296-2565, Vol. 8, article id 285Article in journal (Refereed)
    Abstract [en]

    Background: Both expectant mothers and their partners describe weaknesses in ordinary parental preparatory professional support provided internationally and nationally within Sweden. Therefore, it is necessary to develop the parental preparatory professional support provided by midwives for expectant parents within Sweden. This study will evaluate the effects on expectant parents of receiving a combination of an “inspirational lecture” and “ordinary antenatal parental classes” compared with only “ordinary antenatal parental classes.”

    Methods/Design: This block randomized controlled trial included an intervention as a pilot study, in which expectant parents were randomized for (1) the inspirational lecture and ordinary antenatal parental classes (intervention group [IG]) (n = 66) or (2) ordinary antenatal parental classes (control group [CG]) (n = 60). Data collection with repeated questionnaires was conducted in the first week and 6 months after birth. Statistical analyses were conducted for participant characteristics, differences between parents within IG and CG, effects of the intervention, intention to treat, and internal consistency of the included measurements.

    Results: The intervention showed a tendency to be gainful for one out of four outcomes related to birth experience, and parents' perceived quality of parental couple relationship consensus and sexuality and manageability. These results were more prominent for the partners. Parents within both the intervention and control groups reported decreased social support in the first 6 months after birth.

    Conclusion and Clinical Implications: Overall, the concept of the inspirational lecture in combination with ordinary antenatal parental classes as parental preparatory professional support seems to be a valuable care intervention. However, this study was a pilot study and the results should therefore be interpreted with caution. More research is needed since childbirth and transition to parenthood are complex processes in need of comprehension.

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  • 34.
    Thorstensson, Stina
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Fröden, Marie
    Public Health Center, Molkom, Sweden.
    Vikström, Viktoria
    Herrhags School, Karlstad, Sweden.
    Andersson, Susanne
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Swedish school nurses’ experiences in supporting students with type 1 diabetes in their school environment2016In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 36, no 3, p. 142-147Article in journal (Refereed)
  • 35.
    Thorstensson, Stina
    et al.
    University of Skövde, School of Life Sciences. School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Life Sciences.
    Ekström, Anette
    University of Skövde, School of Life Sciences.
    Langius-Eklöf, Ann
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden / Department of Neurology, Care Sciences and Society, Division of Nursing, Karolinska institutet, Stockholm, Sweden.
    Evaluation of the Mother-to-Infant relation and feeling scale: Interviews with first-time mothers' for feelings and relation to their baby three days after birth2012In: International Journal of Nursing and Midwifery, ISSN 2141-2456, Vol. 4, no 1, p. 8-15Article in journal (Refereed)
    Abstract [en]

    Mothers’ perception of their relationship with their baby might affect sensitive parenting. This study aimed to explore first time mothers’ feelings for and their relation to the baby associated with how they responded to the "mother to infant relation and feelings (MIRF) scale" as a step in the validation process of the scale. Interviews with ten first-time mothers, three days after birth, were performed, using open questions followed by questions directly from the MIRF scale items. An inductive and deductive approach inspired by the "Think aloud" method guided the study. Results describe main category; New mothers bewilderment and anticipation which contained four categories; Natural and great but mixed, Maternal instinct and kinship, Ability and expectations and Not yet for real. When mothers responded to MIRF scale items they describe talking to their baby which they did not in their open answers. Answering the MIRF scale helped mothers in differentiating between their own mixed feelings of becoming mothers and their relation to and feelings for the baby. The MIRF scale appears valid in reflecting important aspects of mothers’ feelings for and relation to their baby. The MIRF scale could be used in research and when evaluating care routines as well as in dialogue with new mothers to support mother-to-infant interactions.

  • 36.
    Thorstensson, Stina
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Nilsson, Maria
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Olsson, Linda
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Ekström, Anette
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Women's Experiences of Midwifery Support during Pregnancy A step in the Validation of the Scale: "The Mother Perceived Support from Professionals"2015In: Journal of Nursing & Care, ISSN 2167-1168, Vol. 4, no 2, article id 1000241Article in journal (Refereed)
    Abstract [en]

    Background: Pregnancy can be physically and emotionally stressful for the parents, which means they need adequate professional support. Easy-to-use, validated scales are important in order to develop professional support in Antenatal care as well as in research.

    The aim: Our aim was to illuminate pregnant women’s experience of professional support at the Antenatal care, in relation to the Mother-Perceived-Professionals-Support (MoPPS) scale.

    Method: A qualitative study design using the method “Think aloud” with both inductive and deductive approaches, was used. Five first-time mothers were interviewed with open questions followed by questions related to the MoPPS scale items. Data was analyzed using inductive and deductive qualitative content analyses.

    Results: The inductive analysis resulted in one theme: “Professional support from midwives made women created a feeling of security and unique or rejected and lonely during pregnancy” and three categories: “Continuity and competence”, “Perceiving trust or not” and “Parental groups or individual visits”. The deductive analysis described the mothers’ understanding of each item. However, coherence between the inductive and deductive analyses varied and the MoPPS-scale needs development.

    Conclusion: The result shows that women's experience of professional support affects their sense of feeling safe or lonely during pregnancy. Important for midwives were to meet the women’s unique individual needs. The MoPPS scale was considered to be relevant and easy to understand, but it needs development to include questions about continuity, parental groups and the perception of midwives’ competence, which all were important for the women during their pregnancies.

    Clinical implications: To offer adequate professional support for women during pregnancy, midwives need to meet the women’s unique individual needs with both medical and supportive knowledge.

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  • 37.
    Thorstensson, Stina
    et al.
    University of Skövde, School of Life Sciences.
    Nissen, Eva
    University of Skövde, School of Life Sciences.
    Ekström, Anette
    University of Skövde, School of Life Sciences.
    An exploration and description of student midwives' experiences in offering continuous labour support to women/couples2008In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 24, no 4, p. 451-459Article in journal (Refereed)
    Abstract [en]

    Aim: to explore and describe the student midwife's experiences in offering continuous labour support.Design: a qualitative research design was chosen. Each student midwife offered continuous labour support to five women/couples and wrote narratives about each of these occasions. Written narratives from 11 student midwives were analysed using qualitative content analysis.Findings: when student midwives offer continuous labour support to women/couples, they tyr to establish rapport. When this works, their presence, their sense of confidence and their ability to offer reassurance increase. If establishing rapport does not work, students experience a sense of powerlessness, a need for reassurance and a lack of confidence. Key conclusions: offering continuous labour support to women and/or their partners made the students aware of the importance of establishing rapport, and it made them realise the impact that their mere presence in the room could have. The students had a need for reassurance which could hamper their efforts to establish rapport. Experiencing a lack of confidence made students focus more strongly on their clinical skills and on their perceived role as a student midwife. Implications for practice: this study can initiate discussions about how student midwives learn to be supportive, as well as about the role models that students encounter during their clinical training in Sweden.

  • 38.
    Thorstensson, Stina
    et al.
    University of Skövde, School of Life Sciences.
    Nissen, Eva
    Department of Women’s and Children’s Health, Division of Reproductive and Perinatal Health Care, Karolinska Institutet, Stockholm, Sweden.
    Ekström, Anette
    University of Skövde, School of Life Sciences.
    Professional Support in Pregnancy Influence Maternal Relation to and Feelings for the Baby after Cesarean Birth: An Intervention Study2012In: Journal of Nursing and Care, ISSN 2167-1168, Vol. 1, no 4, p. 112-Article in journal (Refereed)
    Abstract [en]

    Background: Cesarean birth may negatively affect mother-infant interactions, while professional support may positively affect these interactions. The aim of this study was to evaluate the effects of a process-oriented training program for antenatal midwives and postnatal nurses on first time mothers’ perceptions of professional support and on their relation to and feelings for their baby after a cesarean or a normal birth. Methods: An intervention through process-oriented training for health professionals regarding professional support in childbearing was conducted between 1999 and 2003. Ten municipalities were paired and within each pair, randomly assigned to intervention (five) or control (five) municipality. Mothers having caesarean (n=94) or normal birth (n=301) were included. Mothers received routine care (Control Group=CG) or care from health professionals having received training (Intervention Group=IG). The mothers answered questionnaires three days, three and nine months after birth. Factor analysis identified three factors: “Taking in baby,” “Confidence in relation to baby,” and “Feelings for baby.” Results: Mothers in the IG with cesarean birth reported more positive for the “Taking in baby” factor (p=0.002) three days after birth, more positive for the “Confidence in relation to baby” factor (p=0.004) and for the “Feelings for baby” factor (p=0.004) nine months after birth compared to Mothers in the CG. Mothers in the IG reported stronger professional support from health professionals compared to CG. Conclusion: Our result suggests that improved professional support during pregnancy may buffer negative effects of caesarean birth for first-time mothers in relation to and feelings for the baby.

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