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  • 1.
    Ahlstrand, Inger
    et al.
    Department of Rehabilitation, School of Health and Welfare, Jönköping University, Sweden.
    Larsson, Ingrid
    School of Health and Welfare, Halmstad University, Sweden.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Ekman, Aimée
    Department of Social Work, School of Health and Welfare, Jönköping University, Sweden.
    Hedén, Lena
    Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.
    Laakso, Katja
    Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden.
    Lindmark, Ulrika
    Department of Health Sciences, Karlstad University, Sweden ; Centre for Oral Health, School of Health and Welfare, Jönköping University, Sweden.
    Nunstedt, Håkan
    Department of Health Sciences, University West, Trollhättan, Sweden.
    Oxelmark, Lena
    Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden.
    Pennbrant, Sandra
    Department of Health Sciences, University West, Trollhättan, Sweden.
    Sundler, Annelie Johansson
    Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.
    Hallgren, Jenny
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Health-promoting factors among students in higher education within health care and social work: a cross-sectional analysis of baseline data in a multicentre longitudinal study2022Inngår i: BMC Public Health, E-ISSN 1471-2458, Vol. 22, nr 1, artikkel-id 1314Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    Educational environments are considered important in strengthening students’ health status and knowledge, which are associated with good educational outcomes. It has been suggested to establish healthy universities based on a salutogenic approach – namely, health promotion. The aim of this study was to describe health-promoting resources and factors among first-semester students in higher education in healthcare and social work.

    Methods

    This cross-sectional study is based on a survey distributed among all students in seven healthcare and social work programmes at six universities in southern Sweden. The survey was carried out in 2018 using a self-reported, web-based questionnaire focussing on general health and well-being, lifestyle factors together with three validated instruments measuring health-promoting factors and processes: the Sense of Coherence (SOC) scale, Salutogenic Health Indicator Scale (SHIS) and Occupational Balance Questionnaire (OBQ).

    Results

    Of 2283 students, 851 (37.3%) completed the survey, of whom 742 (87.1%) were women; 722 (84.8%) were enrolled on healthcare programmes, and 129 (15.2%) were enrolled on social work programmes. Most reported good general health and well-being (88.1% and 83.7%, respectively). The total mean scores for the SOC scale, SHIS and OBQ were, respectively, 59.09 (SD = 11.78), 44.04 (SD = 9.38) and 26.40 (SD = 7.07). Well-being and several healthy lifestyles were related to better general health and higher SOC, SHIS and OBQ scores. Multiple linear and logistic regressions showed that perceived well-being and no sleeping problems significantly predicted higher general health and higher SOC, SHIS and OBQ scores. Being less sedentary and non-smoking habits were significant predictors of higher SOC.

    Conclusions

    Swedish students in higher education within the healthcare and social work sector report good general health and well-being in the first semester, as well as health-promoting resources (i.e. SOC, SHIS and OBQ), and in some aspects, a healthy lifestyle. High-intensity exercise, no sleeping problems and non-smoking seem to be of importance to both general health and health-promotive resources. This study contributes to knowledge about the health promotive characteristics of students in the healthcare and social work fields, which is of importance for planning universities with a salutogenic approach.

    Fulltekst (pdf)
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  • 2.
    Bäckström, Caroline A.
    et al.
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Carlén, Kristina
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Larsson, Viveca
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Mårtensson, Lena Birgitta
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering. School of Nursing, Midwifery and Social Work, Faculty of Health and Rehabilitation Sciences, The University of Queensland, Australia.
    Thorstensson, Stina
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Berglund, Marina
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Larsson, Therese
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Bouwmeester, Björn
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering. School of Health Sciences, University of Skövde, Sweden.
    Wilhsson, Marie
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering. School of Health Sciences, University of Skövde, Sweden.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Expecting parents’ use of digital sources in preparation for parenthood in a digitalised society – a systematic review2022Inngår i: Digital Health, E-ISSN 2055-2076, Vol. 8, artikkel-id 20552076221090335Artikkel, forskningsoversikt (Fagfellevurdert)
    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.

    Fulltekst (pdf)
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  • 3.
    Bäckström, Caroline A.
    et al.
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering. Högskolan i Skövde.
    Engström, Henrik
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Knez, Rajna
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering. Skaraborg Hospital, Skövde, Sweden.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Digital Tools as Parental Support: A Study Protocol Describing Prospective Development and Exploration of Two Digital Tools for Parents2021Inngår i: Frontiers in Digital Health, ISSN 2673-253X, Vol. 3, s. 1-9, artikkel-id 698969Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: The access to digital tools for parents is increasing, and further exploration is needed to gain knowledge about parents' experiences in using such tools, for example, when preparing for childbirth and parenthood. This study protocol describes a prospective study that will explore serious games as digital tools for parental support, and both parents' and healthcare professionals' views will be included. The objectives of the prospective study are to explore two different serious games: (1) Childbirth Journey (Swedish: Förlossningsresan), relating to pregnancy, childbirth and parenthood; and (2) Interplay (Swedish: Samspel), relating to parental couple relationships and parenthood.

    Methods: An intervention study will be conducted. The study will include four different sub-studies (A–D) with both qualitative and quantitative methods and a longitudinal design. Both parents (A, B and D) and healthcare professionals (C) will be included, and data will be collected through interviews (A–C) and repeated web-based questionnaires (D). Data will be analysed using phenomenography and qualitative content analysis (A–C), and descriptive and analytical analyses will be performed for comparisons and associations (D).

    Discussion: The value of monitoring and reporting on developments and trends in digital innovation for public health has been stipulated by the World Health Organization. The prospective study will contribute further knowledge about multidisciplinary development of digital tools as professional support for parents, as well as knowledge about parents' and healthcare professionals' experiences using digital tools concerning pregnancy, labour, parenthood and parental couple relationships.

    Trial Registration: This study was retrospectively registered (02/10/2020) within the ISRCTN with ID: ISRCTN18017741. http://www.isrctn.com/ISRCTN18017741.

    Fulltekst (pdf)
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  • 4.
    Bäckström, Caroline A.
    et al.
    Department of Caring Science, University of Borås, Sweden.
    Knez, Rajna
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering. Skaraborgs Hospital, Skövde, Sweden.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Healthcare professionals' perceptions of a digital parental support, Childbirth Journey, constructed as a serious game—An intervention study2023Inngår i: Frontiers in Digital Health, E-ISSN 2673-253X, Vol. 5, artikkel-id 1141350Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Globally, the digital sources developed and available in antenatal care differ, and infrastructure challenges may impede the further development of such sources. Challenges accompanying digital developments can include the commonly occurring high workload, which affects healthcare professionals' ability to acquire professional knowledge about how to best support parents in using digital sources. Including healthcare professionals in the development process of digital sources may increase the likelihood that such sources will be adopted and employed by these professionals in their future care work. Therefore, the present research explored healthcare professionals' perceptions of the digital support intervention Childbirth Journey, which was constructed as a serious game for expectant parents.

    Methods: Data were collected through semi-structured focus-group interviews with 11 midwives at antenatal, labour and postnatal clinics as well as with child healthcare nurses. Prior to the interviews, all participants were provided the intervention, Childbirth Journey, which is a serious game in a mobile application format consisting of two distinct parts: (1) a story-driven game and (2) a Knowledge Portal. The data were analysed using phenomenographic methods.

    Results: The perceptions of Childbirth Journey by healthcare professionals, midwives and child healthcare nurses are presented in four descriptive categories: extended professional support, trustworthy contents, diversity or individuality, and both appealing and in need of development.

    Conclusions: Current study revealed that Childbirth Journey may be utilised as a digital support for parents, allowing healthcare professionals to offer a digital solution as a complementary support to standard, face-to-face meetings with caregivers. However, the research results also revealed that some elements of Childbirth Journey must be improved, thereby representing a main contribution of this study: insights into how to better develop digital tools under the umbrella of health care. Thus, we conclude that in order to create sustainable and safe digital care solutions that function as trustworthy professional supports instead of technical products that risk harming users, the perspectives of both patients and healthcare professionals should be considered in the exploration and development of these solutions.

    Fulltekst (pdf)
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  • 5.
    Bäckström, Caroline A.
    et al.
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Thorstensson, Stina
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Pihlblad, Jessica
    Regionhälsan Midwifery Unit, Västra Götalandsregionen, Sweden.
    Forsman, Anna-Carin
    Regionhälsan Midwifery Unit, Västra Götalandsregionen, Sweden.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Parents' Experiences of Receiving Professional Support Through Extended Home Visits During Pregnancy and Early Childhood: A Phenomenographic Study2021Inngår i: Frontiers In Public Health, ISSN 2296-2565, Vol. 9, artikkel-id 578917Artikkel i tidsskrift (Fagfellevurdert)
    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.

    Fulltekst (pdf)
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  • 6.
    Bäckström, Caroline
    et al.
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Rolfson, Tanja
    Regionhälsan Midwifery Unit, Västra Götalandsregionen, Sweden.
    Engström, Henrik
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Knez, Rajna
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering. Skaraborgs Hospital, Skövde, Sweden.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Expecting parents' perceptions of the digital parental support "childbirth journey" constructed as a serious game: an intervention study2022Inngår i: Digital Health, E-ISSN 2055-2076, Vol. 8, artikkel-id 20552076221097776Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: The aim of this study was to explore expecting parents’ perceptions of the Childbirth Journey as an intervention that includes medical information for parental support, constructed as a serious game.

    Methods: In this qualitative study, semi-structured interviews were held with expecting parents in Sweden who were able to talk about specific parts of the Childbirth Journey they appreciated or found difficult to understand. A phenomenographic methodology was employed for data analysis.

    Results: Participants perceived the Childbirth Journey to be easily accessible and customized with reliable information. The design and features of the intervention were perceived by the expecting parents to enhance the intervention’s usability, appeal, and trustworthiness. When parental couples used the Childbirth Journey together, it gave them an opportunity to discuss and better understand each other’s situation. The participants proposed several changes to the existing version of the game, mostly related to extending practical information and illustrated scenarios but also to the further development of the game’s design and animations. The participants found the Knowledge portal to be the most appealing part of the Childbirth Journey.

    Conclusions: The Childbirth Journey intervention was concluded to be a valuable digital complement to in-person profes- sional support, especially given the current COVID-19 pandemic restrictions in place in Sweden, which do not allow antenatal visits by partners. However, in its current form, the Childbirth Journey has some deficiencies and would therefore benefit from further development and exploration.

    Fulltekst (pdf)
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  • 7.
    Eriksson, Irene
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Ek, Kristina
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Jansson, Sofie
    Municipal Home Care, Jönköping, Sweden.
    Sjöström, Ulrika
    Psychiatric Clinic Ryhov, Jönköping, Sweden.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    To feel emotional concern: A qualitative interview study to explore telephone nurses’ experiences of difficult calls2019Inngår i: Nursing Open, E-ISSN 2054-1058, Vol. 6, nr 3, s. 842-848Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: To describe telenurses’ experiences of difficult calls.

    Design: A qualitative approach with a descriptive design was used to gain a deeper understanding of the telenurses’ experiences.

    Methods: The data were collected in spring 2017 through semi-structured interviews with 19 telenurses at call centres and primary healthcare centres and were analysed with qualitative content analysis.

    Results: Becoming emotionally concerned is central to the telenurse’s experiences of difficult calls. Difficult calls are accompanied by feelings such as inadequacy, uncertainty and anxiety, which can be described as emotional tension. Emotional tension refers to situations when the caller’s expressed emotions were conveyed to the telenurses and altered their state of mind. The telenurses stated that difficult calls that cause them to become anxious remain in their thoughts and go through their minds repeatedly, making a deep impression.

    Fulltekst (pdf)
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  • 8.
    Eriksson, Irene
    et al.
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Wilhsson, Marie
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Blom, Therese
    Primary Child Health Service Care, Falköping, Sweden.
    Broo Wahlström, Carina
    Primary Health Care Centres, Hjo, Sweden.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Telephone nurses' strategies for managing difficult calls: A qualitative content analysis2020Inngår i: Nursing Open, E-ISSN 2054-1058, Vol. 7, nr 6, s. 1671-1679Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

    Fulltekst (pdf)
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  • 9.
    Gamgam Leanderz, Åsa
    et al.
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering. Children, Health, Intervention, Learning and Development (CHILD), School of Health and Welfare, Jönköping University, Sweden.
    Hallgren, Jenny
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Henricson, Maria
    IMPROVE, Department of Nursing, School of Health and Welfare, Jönköping University, Sweden.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Bäckström, Caroline A.
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Parental-couple separation during the transition to parenthood2021Inngår i: Nursing Open, E-ISSN 2054-1058, Vol. 8, nr 5, s. 2622-2636Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIM: To evaluate factors associated with parental separation during the parenthood transition.

    DESIGN: Prospective, longitudinal and explorative.

    METHODS: This is a quantitative longitudinal study of N784 subjects throughout the pregnancy journey with multivariate regression analysis of survey data derived from three validated measurement scales; the Sense of Coherence scale, the Multidimensional Scale of Perceived Social Support and the Perceived Quality of the Dyadic Relationship scale conducted 2014-2016.

    RESULTS: N17 participants separated at 2 years. Parental separation was significantly greater for those women and partners with low or changing sense of coherence, perceived social support and perceived quality of the parental-couple relationship indexes. Partners with a change in sense of coherence (p: .003) and perceived quality of the parental-couple relationship (p: .020) between 1 week and 2 years were at greater risk for separation. Attending professional preparatory support with a partner for women (p: .013) and attending the "Inspirational Lecture" for partners (p: .046) were, to a lesser extent, associated with a risk of parental separation.

    Fulltekst (pdf)
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  • 10.
    Hallgren, Jenny
    et al.
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Bäckström, Caroline A.
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Pettersson, Madelene
    Home health Care Jönköping, Sweden.
    Sternehov, Emelie
    Skagerns vård och hälsoenhet, Primary Health Care, Gullspång, Sweden.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    A prospective cross-sectional study of child healthcare competence among nurses within primary healthcare in Sweden2023Inngår i: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 43, nr 1, s. 1-11Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Child-centered care is based on the fact that children are individuals with their own rights. Since January 2020, The United Nations Convention on the Rights of the Child (CRC) is law in Sweden. Children's meeting with professionals is important because it becomes the children's impression of healthcare that may reflect the children's future image of and feelings about the whole healthcare system. This prospective cross-sectional study aimed to explore child healthcare competence among nurses within primary healthcare. Data were collected through a web-based questionnaire among 101 primary healthcare district nurses, specialist nurses, and registered nurses. The study was compliant with the STROBE checklist. The results showed that the nurses have a good ability to apply child-centered care during children's visits to primary healthcare. To further implement a child-centered approach in primary healthcare, nurses need to have access to workplace educational opportunities continually, to enhance their child competence throughout their nursing careers.

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  • 11.
    Hallgren, Jenny
    et al.
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Kjellén, Malin
    Skaraborg Hospital, Surgical Department, Skövde, Sweden.
    Lagerroth, David
    Skaraborg Hospital, Surgical Department, Skövde, Sweden.
    Bäckström, Caroline A.
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering. Högskolan i Skövde.
    ‘Who will do it if I don’t?’: Nurse anaesthetists’ experiences of working in the intensive care unit during the COVID-19 pandemic2022Inngår i: Australian Critical Care, ISSN 1036-7314, E-ISSN 1878-1721, Vol. 35, nr 1, s. 52-58Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: During the COVID-19 pandemic, the workload on the intensive care unit (ICU) increased nationally in Sweden as well as globally. Certified registered nurse anaesthetics (CRNAs) in Sweden were transferred at short notice to work with seriously ill patients with COVID-19 in the ICU, which is not part of the CRNAs’ specialist area. However, limited research has shed light on healthcare professionals’ experiences of the pandemic.

    Objectives: This study illuminates CRNAs’ experiences of working in the ICU during the COVID-19 pandemic.

    Methods: This study used a qualitative method with an inductive approach to interview nurse anaesthetists’ who worked in the ICU during the COVID-19 pandemic.

    Findings: The participants experienced ambivalent feelings towards their work in the ICU. They also lacked information, which created feelings of uncertainty and resulted in expectations that did not correspond to the reality. They described that due to an inadequate introduction, they could only provide “sufficient” care, which in many cases caused ethical stress. Not being able to get to know their new colleagues well enough to create effective cooperation created frustration. Even though the participants experienced the work in the ICU as demanding and challenging, overall, they enjoyed their time in the ICU and were treated well by their colleagues.

    Conclusions: While CRNAs cannot replace intensive care nurses (ICNs), they are a useful resource in the ICU in the care of patients with COVID-19. Healthcare workers who are allocated from their ordinary units to the ICU need adequate information and support from their work managers to be able to provide the best possible care and to stay healthy themselves.

    Fulltekst (pdf)
    fulltext
  • 12.
    Johansson Cristvall, Angelika
    et al.
    Institution of Health, Blekinge Institute of Technology BTH, Karlskrona, Sweden.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Tell, Johanna
    Institution of Health, Blekinge Institute of Technology BTH, Karlskrona, Sweden.
    Skär, Lisa
    Faculty of Health Science, Kristianstad University HKR, Kristianstad, Sweden.
    School Health Services’ Use of Information and Communication Technologies in Interorganizational Collaboration Regarding Students With Mental Illness: A Scoping Review2024Inngår i: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    School health services (SHSs) and school nurses play a crucial role in identifying and supporting students with mental illness. The integration of information and communication technology (ICT) can facilitate interorganizational collaboration in this context. Due to the limited research in this area, a scoping review was conducted to explore SHSs’ use of ICT in interorganization collaboration regarding students with mental illness. Six articles were reviewed, revealing three key themes: “types of ICT employed by SHSs in interorganizational collaboration,” “constellation of SHSs in interorganizational collaboration,” and “opportunities and challenges for SHSs using ICT in interorganizational collaboration.” Notably, two of the six articles highlighted the absence of school nurses in interorganizational collaboration. Even though ICT plays a crucial role in interorganizational collaboration, no comprehensive solution was found. This scoping review confirms that there are challenges with operability and regulations that govern the exchange of private information between organizations.

    Fulltekst (pdf)
    fulltext
  • 13.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsa och lärande. Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV).
    Tonårsflickors hälsa: att stödja och stärka2014Doktoravhandling, med artikler (Annet vitenskapelig)
    Fulltekst (pdf)
    FULLTEXT01
  • 14.
    Larsson, Margaretha
    et al.
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Ahlstrand, Inger
    School of Health and Welfare, Jönköping University, Sweden.
    Larsson, Ingrid
    School of Health and Welfare, Halmstad University, Sweden ; Research and Development Centre, Spenshult AB, Oskarström, Sweden.
    Lood, Qarin
    Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, The Sahlgrenska Academy, University of Gothenburg, Sweden.
    Andersson Hammar, Isabelle
    Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, The Sahlgrenska Academy, University of Gothenburg, Sweden.
    Sundler, Annelie Johansson
    Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.
    Pennbrant, Sandra
    Department of Health Sciences, Högskolan Väst, Trollhättan, Sweden.
    Ekman, Aimée
    School of Health and Welfare, Jönköping University, Sweden.
    Forsberg, Elenita
    School of Health and Welfare, Halmstad University, Sweden.
    Hedén, Lena
    Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.
    Nunstedt, Håkan
    Department of Health Sciences, Högskolan Väst, Trollhättan, Sweden.
    Sterner, Anders
    Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.
    Hallgren, Jenny
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Occupational balance and associated factors among students during higher education within healthcare and social work in Sweden: a multicentre repeated cross-sectional study2024Inngår i: BMJ Open, E-ISSN 2044-6055, Vol. 14, nr 4, artikkel-id e080995Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective The aim was to explore whether occupational balance is associated with health, health-promoting resources, healthy lifestyle and social study factors among students during higher education within healthcare and social work.

    Design The study has a multicentre repeated cross-sectional design. Data were collected via a self-reported, web-based questionnaire based on the validated instruments: the 11-item Occupational Balance Questionnaire (OBQ11), the Sense of Coherence (SOC) Scale, the Salutogenic Health Indicator Scale (SHIS) and five questions from the General Nordic Questionnaire (QPS Nordic) together with questions about general health and lifestyle factors.

    Setting Students at six universities in western Sweden at one of the following healthcare or social work programmes: biomedical scientists, dental hygienists, nurses, occupational therapists, physiotherapists, radiology nurses and social workers.

    Participants Of 2283 students, 851 (37.3%) participated.

    Results The students experienced that occupational balance increased during education. The total OBQ11 score was higher among students in semesters 4 and 6/7, compared with semester 1 students. Students with higher OBQ11 also reported higher SOC throughout their education, while health seemed to decrease. Students who reported higher levels of OBQ11 reported lower levels of health and well-being in semesters 4 and 6/7, compared with semester 1. There was an opposite pattern for students reporting lower levels of OBQ11.

    Conclusions The association between higher levels of OBQ11 and lower levels of health and well-being is remarkable. There is a need for more research on this contradiction and what it means for students’ health and well-being in the long run.

    Fulltekst (pdf)
    fulltext
  • 15.
    Larsson, Margaretha
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Linnæus University, Växjö, Sweden.
    Björk, Maria
    Högskolan i Skövde, Institutionen för hälsa och lärande. CHILD Research Group, Department of Nursing Science, School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Ekebergh, Margaretha
    Linnæus University, Växjö, Sweden.
    Johansson Sundler, Annelie
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Striving to Make a Positive Difference: School Nurses’ Experiences of Promoting the Health and Well-Being of Adolescent Girls2014Inngår i: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 30, nr 5, s. 358-365Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In Sweden, school nurses are part of the School Health Service with the main objective of health promotion to support students’ health and attainment of educational goals. The aim in this phenomenological study was to illuminate the experiences of school nurses in promoting the health and well-being of adolescent girls. Seventeen school nurses were interviewed, both in groups and individually, to facilitate personal disclosure and expressions from their lived experiences. To achieve their goal of improving the health of adolescent girls, school nurses require flexibility in their approach and in endeavoring to make a positive difference they experience many challenges. This study concluded that school nurses can tactfully provide adolescent girls with knowledge and health guidance adjusted to individual needs and empowering the individual girl to participate in her own health process.

  • 16.
    Larsson, Margaretha
    et al.
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Bäckström, Caroline
    Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.
    Larsson, Rebecca
    Primary health centre Bra liv, Bankeryd, Sweden.
    Gahm, Sara
    Primary health center Norrmalm, Skövde, Sweden.
    Wilhsson, Marie
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering. Family-Centred Health (FamCeH).
    Extended home visits can provide multidimensional adapted professional support for parents – an intervention study2023Inngår i: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 24, artikkel-id e44Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

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

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

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

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

    Fulltekst (pdf)
    fulltext
  • 17.
    Larsson, Margaretha
    et al.
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Eriksson, Irene
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Johansson, Karin
    Primary Health Care in Skövde, Sweden.
    Stigsson, Anna-Karin
    Primary Health Care in Skövde, Sweden.
    Svahn, Rebecka
    Primary Health Care in Skövde, Sweden.
    Wetterström, Johanna
    Home Health Care in Skövde, Sweden.
    Wilhsson, Marie
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Individual parental conversations with non-birthing parents2020Inngår i: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 21, artikkel-id e25Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

    Fulltekst (pdf)
    fulltext
  • 18.
    Larsson, Margaretha
    et al.
    Högskolan i Skövde, Institutionen för vård och natur. Linnæus University, Växjö, Sweden.
    Johansson Sundler, Annelie
    Högskolan i Skövde, Institutionen för vård och natur.
    Ekebergh, Margaretha
    Linnæus University, Växjö, Sweden.
    Beyond Self-Rated Health: The Adolescent Girl's Lived Experience of Health in Sweden2013Inngår i: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 29, nr 1, s. 71-79Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this phenomenological study was to describe the phenomenon of health as experienced by adolescent girls in Sweden. Fifteen adolescent girls were interviewed with a focus on what made them feel well in their everyday life. This study reveals that the adolescent girl’s health is a complex phenomenon interwoven with their lives. Health arises in meaningful contexts, in an adolescent girl’s relations to others as well as in her ability to manage her life. Health is shaped in their everyday life and can be understood as a mood of “being” well that involves actions and practices. The results show that it is important to meet these girls from an open approach in order to support and strengthen their health and well-being. The health of adolescent girls can be supported, and it is a challenge for professionals, particularly school nurses, who meet these girls in everydag life to improve their health.

  • 19.
    Larsson, Margaretha
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Johansson Sundler, Annelie
    Högskolan i Skövde, Institutionen för vård och natur.
    Ekebergh, Margaretha
    Linnæus University.
    The influence of living conditions on adolescent girls' health2012Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 7, s. 19059-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Adolescence is described by the Swedish National Board of Health and Welfare as the healthiest period in life. However, adolescent girls differ in that they self-report that their health decreases with age. The aim of this hermeneutical study was to describe the meaning of living conditions in relation to adolescent girls' health. Guided by principles of reflective lifeworld research, 15 interviews with adolescent girls were analysed. The result section consists of four narratives with their existential interpretations illustrating different ways of approaching living conditions and their meaning for health and wellbeing. The narratives are: Approaching everyday life in a balanced way-feeling harmonious; approaching everyday life with ambiguity-feeling confused; approaching everyday life as an intellectual project-striving for control; approaching everyday life as a struggle-feeling forlorn. In addition, a comprehensive understanding was developed by using the lifeworld dimensions: lived body, lived room, lived time, and lived relations. These dimensions may deepen the understanding of important parts of those living conditions which are meaningful for the girls' health and well-being. By using the dimensions, complex living conditions have been explored and the meaning of different parts clarified. The girls' thoughts and feelings are often ambiguous and sometimes contradictory, depending on the situation. The health of adolescent girls needs to be understood against the background of their experiences of living conditions. One way to support their health and well-being seems to be to supply them with forums where they can talk about their living conditions.

  • 20.
    Larsson, Margaretha
    et al.
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering. Institution of Health Sciences University of Skövde Skövde Sweden.
    Sundler, Annelie Johansson
    Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.
    Blomberg, Karin
    Faculty of Medicine and Health, School of Health Sciences, Örebro University, Sweden.
    Bisholt, Birgitta
    Institution of Health Sciences, Red Cross University, Stockholm, Sweden.
    The clinical learning environment during clinical practice in postgraduate district nursing students' education: a cross‐sectional study2023Inngår i: Nursing Open, E-ISSN 2054-1058, Vol. 10, nr 2, s. 879-888Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim

    To describe and compare the clinical learning environment in community-based home care and primary health care in postgraduate district nursing students' education.

    Design

    Cross-sectional study design.

    Methods

    A convenience sample of postgraduate district nursing students was derived from five Swedish universities in 2016 and 2017.

    Results

    The postgraduate district nursing students were generally satisfied with the clinical learning environment in their clinical placement. In clinical placement, several factors affected the students' opportunities to learn, such as sufficiently meaningful learning situations with multidimensional content. A working environment that imposed psychosocial strain and high levels of stress among the staff negatively affected the students' learning. To further improve their learning from clinical practices, the students need preceptors who have the skills and competence required to support more advanced reflections and critical thinking on caring situations.

    Fulltekst (pdf)
    fulltext
  • 21.
    Larsson, Margaretha
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Faculty of Health and Life Sciences, Linnaeus University of Växjö, Växjö, Sweden.
    Sundler, Annelie Johansson
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. School of Health, Care and Social Welfare, Mälardalens University, Västerås, Sweden.
    Ekebergh, Margaretha
    Faculty of Health and Life Sciences, Linnaeus University of Växjö, Växjö, Sweden.
    Björk, Maria
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. The Research Group CHILD, Jönköping University, Jönköping, Sweden.
    Altering the Parenting Role: Parents' Experience of Supporting the Health and Well-Being of Their Adolescent Girls2015Inngår i: Child and Youth Care Forum, ISSN 1053-1890, E-ISSN 1573-3319, Vol. 44, nr 3, s. 419-432Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    In research the relationships between parents and their adolescent daughters have been viewed from problem oriented perspectives, usually exploring negative effects and health-related problems. Health and well-being are complex phenomena and knowledge is needed on how parents can support the health and well-being of their daughter.

    Objectives

    The aim of this study was to illuminate parents’ experiences of supporting the health and well-being of their adolescent girls.

    Methods

    A descriptive design with a phenomenological approach including interviews, individually or in group with ten mothers and five fathers was conducted.

    Results

    Supporting the health and well-being of adolescent girls was experienced as challenging. The parents needed to altering the parenting role: from being the one who had previously set the limits they needed to rethink and be available for support. In this process interplay, communication and trust were important to support the health and well-being of the girls in an efficient way. This meaning was further illuminated by four constituents: Balancing the need for control, maintaining a trusting relationship, interplay to facilitate their daughters’ transition to independence, and an ambiguous parenting role.

    Conclusions

    This study highlights the importance of parents being involved in the everyday life of their adolescent daughter to support her health and well-being. The parents’ ability to contribute to the health and well-being of their girl seemed in this study dependent on their ability to communicate and alter the parenting role with sensitivity to the lifeworld of the adolescent girl.

  • 22.
    Larsson, Margaretha
    et al.
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Wilhsson, Marie
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Hagman Nielsen, Sabine
    Primary Health Care Centres, Hjo, Sweden.
    Larsson, Jenny
    Municipal Home Care, Mariestad, Sweden.
    Eriksson, Irene
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Telephone nurses’ experiences of managing callers affected by mental illness: A descriptive qualitative study2023Inngår i: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 43, nr 1, s. 1-7Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

    Fulltekst (pdf)
    fulltext
  • 23.
    Lindmark, Ulrika
    et al.
    Centre for Oral Health, Department of Natural Science and Biomedicine, School of Health and Welfare, Jönköping University, Sweden.
    Ahlstrand, Inger
    Department of Rehabilitation, School of Health and Welfare, Jönköping University, Sweden.
    Ekman, A.
    Department of Social Work, School of Health and Welfare, Jönköping University, Sweden.
    Berg, L.
    Institute of Health and Care Sciences, the Sahlgrenska Academy, University of Gothenburg, Sweden.
    Hedén, Lena
    Faculty of Caring Science, Work Life, and Social Welfare, University of Borås, Sweden.
    Källstrand, Jeanette
    School of Health and Welfare, Halmstad University, Sweden.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Nunstedt, Håkan
    Department of Health Sciences, University West, Trollhättan, Sweden.
    Oxelmark, Lena
    Institute of Health and Care Sciences, the Sahlgrenska Academy, University of Gothenburg, Sweden.
    Pennbrant, Sandra
    Department of Health Sciences, University West, Trollhättan, Sweden.
    Sundler, Annelie
    Faculty of Caring Science, Work Life, and Social Welfare, University of Borås, Sweden.
    Larsson, Ingrid
    School of Health and Welfare, Halmstad University, Sweden.
    Health-promoting factors in higher education for a sustainable working life: protocol for a multicenter longitudinal study2020Inngår i: BMC Public Health, E-ISSN 1471-2458, Vol. 20, nr 1, artikkel-id 233Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: The World Health Organization has highlighted the importance of health promotion for health service providers in order to ensure sustainable working life for individuals involved in providing health services. Such sustainability begins when students are preparing to manage their own future health and welfare in working life. It has been suggested that universities, employees and trainee health professionals should adopt or follow a salutogenic approach that not only complements the providing of information on known health risks but also favors health promotion strategies. This paper describes the study design and data collection methods in a planned study aiming to explore health-promoting factors for a sustainable working life among students in higher education within healthcare and social work. METHODS: This protocol describes a multicenter longitudinal study involving Swedish students on higher education programs in the healthcare and social work sectors. In 2018, the study invited students on seven education programs at six universities to participate. These programs were for qualification as: biomedical laboratory scientists (n = 121); dental hygienists (n = 87); nurses (n = 1411); occupational therapists (n = 111); physiotherapists (n = 48); radiographers (n = 60); and, social workers (n = 443). In total, 2283 students were invited to participate. Participants completed a baseline, a self-reported questionnaire including six validated instruments measuring health-promoting factors and processes. There are to be five follow-up questionnaires. Three while the students are studying, one a year after graduating, and one three years after graduating. Each questionnaire captures different health-promoting dimensions, namely: health-promoting resources (i.e. sense of coherence); occupational balance; emotional intelligence; health and welfare; social interaction; and work and workplace experiences/perceptions. DISCUSSION: This study focuses on the vastly important aspect of promoting a sustainable working life for healthcare and social work employees. In contrast to previous studies in this area, the present study uses different, validated instruments in health promotion, taking a salutogenic approach. It is hoped that, by stimulating the implementation of new strategies, the study's findings will lead to education programs that prepare students better for a sustainable working life in healthcare and social work.

    Fulltekst (pdf)
    fulltext
  • 24.
    Sundler, Annelie Johansson
    et al.
    Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.
    Blomberg, Karin
    Faculty of Medicine and Health, School of Health Sciences, Örebro University, Sweden.
    Bisholt, Birgitta
    Faculty of Health, Science and Technology, Department of Health Sciences, Karlstad University, Sweden.
    Eklund, Anna
    Faculty of Health, Science and Technology, Department of Health Sciences, Karlstad University, Sweden.
    Windahl, Jenny
    Faculty of Medicine and Health, School of Health Sciences, Örebro University, Sweden.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Experiences of supervision during clinical education among specialised nursing students in Sweden: A cross-sectional study2019Inngår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 79, s. 20-24Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: The importance of the clinical learning environment in nurse education has gained increasing attention over the last decades. However, there is a lack of research on the learning environment, its significance and meaning in specialist nurse education. Objective: The objectives of the study were to investigate specialised nursing students' experiences of supervision during clinical practice and to compare students who were satisfied with the supervision with those who were dissatisfied with respect to a)organisation of supervision and number of preceptors, as well as time allocated by preceptors for b)supervision, c)reflection, d)discussion of intended learning outcomes, and e)assessments of students' performance by preceptors. Design: This study used a cross-sectional design. Sample and settings: A convenience sample of specialised nursing students was derived from five Swedish universities in the years 2016 and 2017. Methods: Data were collected using a questionnaire. Statistical analyses and a qualitative conventional content analysis were performed. Results: While almost all specialised nursing students reported that there had been time for discussion on their performance assessment, almost half of the students reported not getting time for supervision, or time for reflections and discussions on intended learning outcomes with the preceptor. Students reporting having time allocated for supervision by preceptors were found to be more satisfied with supervision. It was described as important that the preceptor(s)acknowledged the students previous work experiences. Even though being a registered nurse, reflections and feedback were described as valuable for the students learning. Several preceptors were described as positive allowing a broader picture and different views regarding working as a specialist nurse. Conclusions: This study indicates that supervision, in terms of discussions and reflections, of specialised nursing students is significant for learning experiences and satisfaction during clinical placement. © 2019 Elsevier Ltd

  • 25.
    Sundler, Annelie Johansson
    et al.
    Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.
    Whilson, Marie
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Darcy, Laura
    Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Swedish School Nurses’ Experiences of Child Abuse2021Inngår i: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 37, nr 3, s. 176-184Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 26.
    Sundler, Annelie Johansson
    et al.
    University of Borås.
    Wilhsson, Marie
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Darcy, Laura
    University of Borås.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    School nurses recognition of maltreatment of schoolchildren2019Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Background

    Human rights incorporate children and maltreatment against children is a violation of children's fundamental human rights. The Children's Convention states that children should be protected from all forms of physical and mental violence, as well as neglect and sexual abuse. Long-term effects of child maltreatment influence children’s health and academic achievement. School nurses are responsible for the identification of school age children at risk of or subjected to maltreatment, thus enforcing children’s rights.

    Aim

    The aim was to explore school nurses experiences of recognizing maltreatment against children.

    Method

    A questionnaire survey with a descriptive design was conducted. A convenience sample of 233 school nurses attending the Swedish school nursing conference in 2018 answered the questionnaire. The questionnaire contained nine questions of child maltreatment, regarding domestic violence, sexual abuse and honor related violence.

    Result

    The vast majority of school nurses, 96%, reported experiences of child maltreatment within the family. Approximately half of them, 54 %, had experiences of honor related violence to the child and 57% had experiences of child sexual abuse. Experiences of a child admitting sexual abuse in the past year were less common, 14%, but only 8 % of the nurses had made a mandatory report regarding sexual abuse during that time. Overall, the number of nurses mandatorily reporting child maltreatment is less than the number suspecting the same. 

    Conclusion

    The findings indicate that experiences of child maltreatment among school nurses are common. However, not all suspected cases, particularly in relation to child sexual abuse, were reported. More research is needed to further explore mandatory reporting and why all suspected cases are not reported.

  • 27.
    Thorstensson, Stina
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Blomgren, Carola
    Neighborhood Management North, Borås, Sweden.
    Sundler, Annelie J.
    University of Borås, Borås, Sweden.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    To break the weight gain: A qualitative study on the experience of school nurses working with overweight children in elementary school2018Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, nr 1-2, s. e251-e258Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 28.
    Thorstensson, Stina
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Egnell, Maria
    Drottning Blankas Gymnasieskola (Academedia), Gothenburg.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    School nurses’ perceptions of using the physical environment of their office to support wellbeing2018Inngår i: British Journal of School Nursing, ISSN 1752-2803, E-ISSN 2052-2827, Vol. 13, nr 3, s. 128-135Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 29.
    Wilhsson, Marie
    et al.
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Hagström Santo da Silva, Erika
    School nurse, Burgårdens gymnasium, Gothenburg, Sweden.
    Loander Löf, Susanna
    School nurse in Nicolai school gymnasium, Nyköping, Sweden.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Swedish school nurses' experience of identifying students who are exposed to violence – a qualitative study2023Inngår i: British Journal of Child Health, ISSN 2633-5417, Vol. 4, nr 3, s. 122-129Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

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

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

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

    Fulltekst (pdf)
    fulltext
  • 30.
    Wilhsson, Marie
    et al.
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    Törnqvist, Lisen
    Internationella Engelska Skolan, Stockholm, Sweden.
    Söderquist, Ida
    Skyttbrinks Gymnasium, Stockholm, Sweden.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering.
    SEXIT as a screening tool to identify adolescents exposed to or at risk of sexual ill-health and sexual risk taking2023Inngår i: British Journal of Child Health, ISSN 2633-5417, Vol. 4, nr 4, s. 196-203Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

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