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  • 1.
    Einberg, Eva-Lena
    et al.
    Högskolan Kristianstad.
    Wilhsson, Marie
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Elevhälsan ska vara en promotiv insats för barns hälsa2019In: Hälsopromotion i teori och praktik: olika arenor och målgrupper / [ed] Åsa Bringsén, Petra Nilsson Lindström, Stockholm: Liber, 2019, 1, p. 79-94Chapter in book (Other academic)
  • 2.
    Einberg, Eva-Lena
    et al.
    Högskolan Kristianstad.
    Wilhsson, Marie
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Skolsköterskans hälsofrämjande arbete med ett kontextuellt perspektiv2019In: Skolsköterskans hälsofrämjande arbete / [ed] Eva K. Clausson, Siv Morberg, Lund: Studentlitteratur AB, 2019, 2, p. 73-84Chapter in book (Other academic)
  • 3.
    Häggström Westberg, Katrin
    et al.
    Halmstad University / Affecta Psychiatric Out-Patients Clinic.
    Wilhsson, Marie
    Halmstad University.
    Svedberg, Petra
    Halmstad University.
    Nygren, Jens M.
    Halmstad University.
    Morgan, Antony
    Halmstad University / Glasgow Caledonian University.
    Nyholm, Maria
    Halmstad University .
    Optimism as a Candidate Health Asset: Exploring Its Links with Adolescent Quality of Life in Sweden2019In: Child Development, ISSN 0009-3920, E-ISSN 1467-8624, Vol. 90, no 3, p. 970-984Article in journal (Refereed)
    Abstract [en]

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

  • 4.
    Häggström Westerberg, Katrin
    et al.
    School of Social and Health Sciences, Halmstad University, Sweden.
    Wilhsson, Marie
    School of Social and Health Sciences, Halmstad University, Sweden.
    Svedberg, Petra
    School of Social and Health Sciences, Halmstad University, Sweden.
    Nygren, Jens M.
    School of Social and Health Sciences, Halmstad University, Sweden.
    Antony, Morgan
    School of Social and health Sciences, Halmstad University, Sweden / Glasgow Caledonian University, United Kingdom.
    Nyholm, Maria
    School of Social and Health Sciences, Halmstad University, Sweden.
    Exploring the role of optimism as a protective factor for adolescent quality of lifeManuscript (preprint) (Other academic)
    Abstract [en]

    This study attempts to understand the role that optimism could play in the context of a health asset approach to promote (and protect) adolescent health related quality of life (HRQOL).  Two hypotheses were formulated, a) there is an association between adolescents’ self-rated optimism and pessimism and their HRQOL, (b) age, gender and socio-demographic characteristics influence this association. We explore optimism and pessimism as a bi-dimensional construct and its impact on HRQOL among adolescents in two age groups (11-13 years and 14-16 years). Adolescents answered a self-report questionnaire consisting of two validated scales for measuring HRQOL and the concepts of optimism and pessimism. This study has shown that optimism is an important protective factor for HRQOL and low levels of pessimism were also seen to be protective of HRQOL in both age groups.  This infers the potential of an optimistic orientation about future goals might function as a health asset during adolescence that could be useful in the planning of health promotion strategies.

  • 5.
    Sundler, Annelie Johansson
    et al.
    Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.
    Whilson, Marie
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Darcy, Laura
    Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.
    Larsson, Margaretha
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Swedish School Nurses’ Experiences of Child Abuse2019In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364Article in journal (Refereed)
    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. 

  • 6.
    Sundler, Annelie Johansson
    et al.
    University of Borås.
    Wilhsson, Marie
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Darcy, Laura
    University of Borås.
    Larsson, Margaretha
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    School nurses recognition of maltreatment of schoolchildren2019Conference paper (Other academic)
    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.

  • 7.
    Wilhsson, Marie
    Högskolan i Halmstad.
    Ungdomars strävan mot att lyckas och nå framgång i livet: skolan som hälsofrämjande arena2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [sv]

    Syfte: Avhandlingens övergripande syfte var att öka kunskapen om perspektiv på ungdomars hälsa som utgångspunkt för att utveckla hälsofrämjande insatser i skolan. Metod: Studie I hade en kvantitativ beskrivande tvärsnittsdesign. Datamaterialet inhämtades från 948 ungdomar (11-15 år) som analyserades med multivariat logistik regressionsanalys. Studie II hade en kvalitativ utforskande design. Datamaterialet inhämtades från 117 ungdomar (14-17 år) och analyserades med grundad teori. Studie III hade en kvalitativ beskrivande design. Datamatmaterialet inhämtades från 42 ungdomar (14-15 år) och analyserades med kvalitativ innehållsanalys. Studie IV hade en kvalitativ beskrivande design. Datamaterialet inhämtades från 27 intressenter och analyserades med kvalitativ innehållsanalys. Resultat: Ungdomarna strävar mot att lyckas och att bli framgångsrika i nuet och i framtiden. En strävan som för ungdomarna upplevs som en kamp om sin tid, en kamp som de hanterar genom att använda sig av olika strategier för att balansera skolarbete och fritid. Flickors strävan handlar om att nå framgång i skolan för att bli självständig i framtiden. För pojkarna innebär framgång att bli framgångsrika inom någon av sina fritidsaktiviteter så som sport, som visar deras fysiska styrka. Framgång i nuet är av betydelse för pojkarna till skillnad från flickorna som ser på sin framgång i ett längre perspektiv. Det hälsofrämjande arbetet bör inrikta sig på att stödja ungdomars känsla av sammanhang och stärka optimism redan tidigt i tonåren samt synliggöra organisatoriska och kontextuella strukturer och normer som påverkar flickors och pojkars hälsa och livsstil. Konklusion:Sammanfattningsvis visar avhandlingen att perspektiv på ungdomars hälsa bör förstås på olika nivåer i samhället och också inkluderar perspektiv på kön. Vidare bör faktorer som är av betydelse för ungdomars livsstil diskuteras utifrån ett salutogent perspektiv och det hälsofrämjande arbetet i skolan bör utveckla insatser med kontextuella och könsspecifika utgångspunkter för att främja flickors och pojkars hälsa och livsstil.

  • 8.
    Wilhsson, Marie
    et al.
    School of Social and Health Sciences, Halmstad University, Sweden.
    Svedberg, Petra
    School of Social and Health Sciences, Halmstad University, Sweden.
    Carlsson, Ing-Marie
    School of Social and Health Sciences, Halmstad University, Sweden.
    Högdin, Sara
    School of Social and Health Sciences, Halmstad University, Sweden.
    Nygren, Jens M.
    School of Social and Health Sciences, Halmstad University, Sweden.
    Handling Demands of Success Among Girls and Boys in Primarly School: A Conceptual Model2017In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 33, no 4, p. 316-325Article in journal (Refereed)
    Abstract [en]

    Stress among adolescents in Western societies is becoming an issue of increasing concern, and the global trend of adolescents’ health shows a gradual deterioration that is independent of national differences and increases with age. The aim of this study was to explore the main concern of adolescents and about how they cope with demands in everyday life. Participants were 14–16 years old, and data were collected from three sources. A constructivist grounded theory was used as a method for generating a model of the adolescents’ description of how they cope with demands in their everyday lives. The main concern described by participants in this study was to strive to be successful and to succeed in the present and throughout their lives. We conclude that differences between girls and boys, in terms of coping with demands in their everyday lives, are important to consider in the development of health promotion initiatives targeted at adolescents. 

  • 9.
    Wilhsson, Marie
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Svedberg, Petra
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Högdin, Sara
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Nygren, Jens
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Halmstad project: a participatory intervention to promote children’s mental health2013In: 21st International Conference on Health Promoting Hospitals and Health Services: Abstract book / [ed] Jürgen M. Pelikan, Christina Dietscher, WHO-CC , 2013, p. 123-123Conference paper (Refereed)
  • 10.
    Wilhsson, Marie
    et al.
    Högskolan i Halmstad.
    Svedberg, Petra
    Högskolan i Halmstad.
    Högdin, Sara
    Högskolan i Halmstad.
    Nygren, Jens
    Högskolan i Halmstad.
    Halmstadprojektet – en deltagarstyrd intervention för att främja barns psykiska hälsa2013Conference paper (Refereed)
    Abstract [sv]

    Syftet med projektet är att utveckla och utvärdera en deltagarbaserad intervention som främjar barns psykiska hälsa i Halmstad kommun. Projektet  genomförs utifrån modellen Precede – Proceed. Barnen  har flera olika roller i forsknings‐ och designprocessen såsom informanter, designers samt testare. De företräder inte främst sig själva, utan bidrar med målgruppens perspektiv på insatsutvecklingen.

  • 11.
    Wilhsson, Marie
    et al.
    Halmstad University, Sweden.
    Svedberg, Petra
    Halmstad University, Sweden.
    Högdin, Sara
    Halmstad University, Sweden.
    Nygren, Jens
    Halmstad University, Sweden.
    Handling demands on success among girls and boys in primarly school – a conceptual model2016Conference paper (Refereed)
    Abstract [en]

    Background: Stress among adolescents in Western societies is becoming an issue of increasing concern and the global trend of adolescents’ health shows a gradual deterioration that is independent of national differences and increases with age. Research shows that many adolescents report high levels of stress, associated with a change in expectations about performance and an increased focus on school results. Purpose/methods: The aim of this study was to explore the main concern of adolescents to get a deeper knowledge on how they cope with demands in everyday life. Grounded theory was used as a method to generate a model. Results: The core category “striving to be successful and to succeed” explains participants’ main concern in their everyday lives as a continuous process aiming for success in the present and to succeed throughout their lives. The category is what the participants describe as a race against time and can be divided into the two conceptual categories “struggling with time” and “separating life into different worlds”, pronouncing how they struggle and cope with their main concern in order to obtain wellbeing. Our results show a difference between how girls and boys cope with their demands. Conclusions: We show that girls and boys used different strategies to cope with stress in their everyday life. The results are based on adolescent’s experiences and are therefore an important contribution for initiating interventions aimed at promoting adolescents mental health from a gender perspective.

  • 12.
    Wilhsson, Marie
    et al.
    School of Social and Health Sciences, Halmstad University, Sweden.
    Svedberg, Petra
    School of Social and Health Sciences, Halmstad University, Sweden.
    Högdin, Sara
    School of Social and Health Sciences, Halmstad University, Sweden.
    Nygren, Jens M.
    School of Social and Health Sciences, Halmstad University, Sweden.
    Girls and boys strategies to handle and cope with school-related stress2016In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 26, no Suppl. 1, p. 221-221Article in journal (Refereed)
    Abstract [en]

    Background A trend of increased stress and deteriorating mental health of adolescents is a global challenge (Currier et al, 2012). Research shows that many adolescents report high levels of stress associated with an increased focus on school performance (Moknes et al, 2014). These demands generally have a stronger impact on girl’s health (Låftman & Modig, 2013) due to context and social construction of norms, values and beliefs about femininity and masculinity (Connell, 2002; Butler, 1999). The aim was to get a deeper understanding of girls and boys perceptions of how they handle demands and school-related stress. Methods This study has an explorative design and was analyzed by qualitative content analysis described by Graneheim and Lundman (2004). The participants were 42 adolescents 15 years old, interviewed in five focus groups, dived by gender from five randomly selected schools. Two additional gender mixed focus groups with 14 adolescents 15 years old, were recruited from two of the randomly selected schools. Results The results show that girls and boys handle school-related stress by using similar strategies, but in different ways. Girls express that they have to prioritize to deselect activities they use to do to handle demands from school, and boys prioritize their own activities to obtain strength to cope with demands. Girls often think about their future while boys more often live in present time, and don’t worry so much about the future. Girls receive social support and recovery from friends and family, while boys do various activities with their friends and family to get energy. Conclusions This study shows that girls and boys used different strategies to handle demand and school-related stress. The results are based on adolescent’s experiences and could therefore be an important foundation for interventions that promote adolescents capabilities to cope with increasing demands and to handle school-related stress. Key messages: This study shows that girls and boys perceived and used different strategies to handle demand and school-related stress The result is an important foundation for interventions that promote adolescents capabilities to cope with increasing demands and to handle school-related stress © The Author 2016.

  • 13.
    Wilhsson, Marie
    et al.
    School of Social and Health Sciences, Halmstad University, Sweden.
    Svedberg, Petra
    School of Social and Health Sciences, Halmstad University, Sweden.
    Högdin, Sara
    School of Social and Health Sciences, Halmstad University, Sweden.
    Nygren, Jens M.
    School of Social and Health Sciences, Halmstad University, Sweden.
    Strategies of Adolescent Girls and Boys for Coping With School-Related Stress2017In: Journal of School Nursing, ISSN 1059-8405, Vol. 33, no 5, p. 374-382Article in journal (Refereed)
    Abstract [en]

    Stress among adolescents in Western societies is becoming an issue of increasing concern of adolescent’s health. The aim of this study was to gain greater knowledge about how girls and boys perceive and cope with school-related stress. Participants were 14- to 15-year-old adolescents from a medium-sized municipality in southern Sweden. The data were collected from focus group interviews. The data were subjected to qualitative content analysis. The findings show that adolescents ‘‘prioritizing the future or the present by making choices, finding their own private sphere to relax, and recovering with family and friends.’’ There were gender differences in how these strategies were used. The findings could be used for initiating and planning health promotion interventions in school with focus on supporting girls’ and boys’ equal terms to cope with school-related stress in present and for the future and to give equal condition for future studies and opportunities in life. 

  • 14.
    Wilhsson, Marie
    et al.
    School of health and welfare, Halmstad University, Sweden.
    Svedberg, Petra
    School of health and welfare, Halmstad University, Sweden.
    Nygren, Jens M.
    School of health and welfare, Halmstad University, Sweden.
    A stakeholder perspective on adolescents’ needs for support to cope with school-related stressManuscript (preprint) (Other academic)
    Abstract [en]

    Background; Adolescents’ experiences of stress have increased in recent decades and is associated with an increase of psychosomatic symptoms and poorer academic achievement. Identification of ways to support adolescents’ handling of school related stress is a major challenge to promote their health and academic achievement. The purpose of this study was to describe the stakeholder’s perspectives on services that are needed for supporting adolescents in secondary school when coping with school-related stress. Methods; Representatives from the school health service and school management organization (n=23) from five secondary schools and parents (n=4) were recruited by snowball sampling. Interviews were analyzed by qualitative content analysis with an inductive approach.   Results; The study highlight different aspects of stakeholders’ perceptions of what is needed to support adolescents who experience school-related stress. Described are actions such as highlighting and changing organizational and contextual structures and developing the dialogue between the school and the home. Other described actions are to support adolescents’ abilities to plan and visualizing how time is used and to strengthen their adolescents’ belief in their own abilities. Conclusions; Our findings could be used in schools for developing interventions from a salutogenic approach to promote adolescents’ health in the present and for the future.

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