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Strand, T., Törnqvist, E., Rask, M. & Roxberg, Å. (2018). An intervention-based study of how MRI is perceived by patients with spinal metastasis after adjustments to the examination procedures. Journal of Radiology Nursing, 37(2), 119-125
Open this publication in new window or tab >>An intervention-based study of how MRI is perceived by patients with spinal metastasis after adjustments to the examination procedures
2018 (English)In: Journal of Radiology Nursing, ISSN 1546-0843, E-ISSN 1555-9912, Vol. 37, no 2, p. 119-125Article in journal (Refereed) Published
Abstract [en]

The aim was to explore magnetic resonance imaging (MRI) experiences of patients with spinal metastasis after adjustments to the examination procedures have been made in accordance with the findings from a previous study. MRI is an important medical technology, which is considered to be the first choice of examination method when diagnosing and evaluating spinal metastatic tumors. It is a challenge to care for patients who experience anxiety and pain during an MRI. However, several aspects of the examination can be adjusted to improve the care for these patients. Findings from previous research were used to develop a care intervention, the effects of which are explored in this study. Qualitative deductive-inductive content analysis was used in this study. Eleven patients with spinal metastasis were interviewed about their experiences of going through an MRI scan based on an intervention designed in accordance with the findings from previous research. The findings showed that adjustments to the examination often were perceived as beneficial. However, patients needed to be involved in the decisions that influenced their own care. Time was an important component that affected the need for being prepared as well as the degree of personalization of the examination. This study shows that patients need to be seen as unique individuals, and they need to be able to influence the care that is given to them. The personalization of and adjustments to the examination routines need to be carried out in agreement with the patient.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
Magnetic resonance imaging, Neoplasm metastasis, Patient experience
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-73037 (URN)10.1016/j.jradnu.2018.02.001 (DOI)
Available from: 2018-04-19 Created: 2018-04-19 Last updated: 2018-06-15Bibliographically approved
Strand, T., Törnqvist, E., Rask, M. & Roxberg, Å. (2018). Caring for patients with spinal metastasis during an MRI examination. Radiography, 24(1), 79-83
Open this publication in new window or tab >>Caring for patients with spinal metastasis during an MRI examination
2018 (English)In: Radiography, ISSN 1078-8174, E-ISSN 1532-2831, Vol. 24, no 1, p. 79-83Article in journal (Refereed) Published
Abstract [en]

Introduction: Magnetic resonance imaging (MRI) is without question the best tool used for diagnosing and evaluating spinal metastasis. An MRI examination is known to be of great value for the treatment planning and survival of these patients. Radiographers have an important role in how the quality of care is experienced by the patients during an MRI examination. The purpose of the study was to describe the radiographers’ perceptions of caring for patients with spinal metastasis during an examination with MRI.

Methods: Phenomenography was used to analyze the data in this study. Ten radiographers, one male and nine females were interviewed about their perception of caring for patients with spinal metastasis during an MRI examination.

Results: The findings showed that the radiographers’ caring perspective influenced their approach towards what they consider to be essential in the care of patients with spinal metastasis. This can impact the extent of the adjustment to the care needs of the patients. Furthermore, the findings showed that there was a strong connection between the radiographers’ care approach and preparedness to personalize the care.

Conclusion: This study shows that it is important to be flexible when providing care for the patients. A person-centered care is achieved when the caring perspective is based on the patient’s view and adjustments are made in agreement with the patient.

Keywords
MRI, Nurse-patient interaction, Care giving
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-65561 (URN)10.1016/j.radi.2017.06.001 (DOI)
Available from: 2017-06-19 Created: 2017-06-19 Last updated: 2018-04-19Bibliographically approved
Manasatchakun, P., Choowattanapakorn, T., Roxberg, Å. & Asp, M. (2018). Community nurses’ experiences regarding the meaning and promotion of healthy aging in northeastern Thailand. Journal of Holistic Nursing, 36(1), 54-67
Open this publication in new window or tab >>Community nurses’ experiences regarding the meaning and promotion of healthy aging in northeastern Thailand
2018 (English)In: Journal of Holistic Nursing, ISSN 0898-0101, E-ISSN 1552-5724, Vol. 36, no 1, p. 54-67Article in journal (Refereed) Published
Abstract [en]

Purpose: Describe community nurses’ experiences regarding the meaning and promotion of healthy aging in northeastern Thailand.

Method: Data were collected through five focus group interviews with 36 community nurses in northeastern Thailand. Latent content analysis was conducted to analyze the data.

Findings: Healthy aging was characterized by the interconnection of older persons, older persons’ family members and the community. Healthy aging was associated with two themes: “being strong” and “being a supporter and feeling supported”. The nurses’ experiences in promoting healthy aging were described using the themes “providing health assessment”, “sharing knowledge” and “having limited resources”.

Conclusions: The findings of this study provide a deeper understanding of the meaning of healthy aging from a holistic viewpoint. Community nurses must pay attention to older persons and their surroundings when planning how to promote healthy aging. Person-centredness should be applied in practice to promote healthy aging. The current findings contribute useful information that should help policy makers develop healthy aging strategies in Thailand.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
Healthy aging, Health promotion, Holistic care, Personcentredness, Qualitative research, Thai nurses
National Category
Gerontology, specialising in Medical and Health Sciences
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-59051 (URN)10.1177/0898010116688126 (DOI)
Available from: 2016-12-16 Created: 2016-12-16 Last updated: 2018-05-09Bibliographically approved
Manasatchakun, P., Roxberg, Å. & Asp, M. (2018). Conceptions of healthy aging held by relatives of older persons in Isan-Thai culture: a phenomenographic study. Journal of Aging Research, 2018, Article ID 3734645.
Open this publication in new window or tab >>Conceptions of healthy aging held by relatives of older persons in Isan-Thai culture: a phenomenographic study
2018 (English)In: Journal of Aging Research, ISSN 2090-2204, E-ISSN 2090-2212, Vol. 2018, article id 3734645Article in journal (Refereed) Published
Abstract [en]

In Thailand, family nurses are expected to provide support for older persons and their family members to promote healthy aging. Family bonds are strong, and relatives are expected to take care of their older family members. However, there is limited research on how older persons’ family members perceive healthy aging. This study aimed to describe the conceptions of healthy aging held by the children and grandchildren of older persons in northeast Thailand. In a phenomenographic study, 14 interviews were performed to qualitatively analyze different conceptions of healthy aging. Four descriptive categories emerged: being independent, not being afflicted by diseases or illnesses, being a giver and a receiver, and being wise. The conceptions of healthy aging entail both autonomy and interdependence. The relative’s perspective needs to be considered when policies relating to healthy aging are implemented in the community and when family nurses provide support to families to promote healthy aging.

Place, publisher, year, edition, pages
Hindawi Publishing Corporation, 2018
Keywords
Family nursing, Healthy aging, Health promotion, Older persons’ relatives, Phenomenography
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-68984 (URN)10.1155/2018/3734645 (DOI)
Available from: 2017-11-24 Created: 2017-11-24 Last updated: 2018-02-01Bibliographically approved
Holmqvist, G., Roxberg, Å., Larsson, I. & Lundqvist-Persson, C. (2018). Expressions of vitality affects and basic affects during art therapy and their meaning for inner change. International Journal of Art Therapy
Open this publication in new window or tab >>Expressions of vitality affects and basic affects during art therapy and their meaning for inner change
2018 (English)In: International Journal of Art Therapy, ISSN 1745-4832Article in journal (Refereed) Epub ahead of print
Abstract [en]

The aim of this study was to describe the occurrence of vitality affects and basic affects and to shed light on their importance in terms of patients' inner change through art therapy. In an earlier study, where 17 women were interviewed about inner change through art therapy, a secondary deductive content analysis of images and statements was performed exploring the presence of vitality affects and basic affects. Nine of the 17 interviews contained clear descriptions of vitality affects and basic affects in the intersubjective communication between the patient and the therapist, these affects were also mirrored in the patients’ painted images.

Three cases are used to illustrate the result and how affects were related to inner change. These three cases differ from each other in that they described vitality affects either arising from the art therapist’s empathetic verbal or non-verbal response, from a particular experience in nature, or from the interpreted symbolic language of the image. The common denominator uniting the three cases was the intersubjective communication with the therapist. This study indicates that image making in art therapy gives rise to vitality affects and basic affects that contributes to inner change. It also indicates the importance of having trust in both the method and the art therapist.

 

 

 

Place, publisher, year, edition, pages
Taylor & Francis, 2018
Keywords
Art therapy, vitality affects, basic affects, intersubjectivity, deductive content analysis
National Category
Other Medical Sciences not elsewhere specified
Research subject
Natural Science
Identifiers
urn:nbn:se:lnu:diva-74407 (URN)10.1080/17454832.2018.1480639 (DOI)
Available from: 2018-05-18 Created: 2018-05-18 Last updated: 2018-08-10
Holmqvist, G., Roxberg, Å., Larsson, I. & Lundqvist Persson, C. (2017). What art therapists considerto be patient's inner change and how it may appear during art therpy. The arts in psychotherapy, 56, 45-52
Open this publication in new window or tab >>What art therapists considerto be patient's inner change and how it may appear during art therpy
2017 (English)In: The arts in psychotherapy, ISSN 0197-4556, E-ISSN 1873-5878, Vol. 56, p. 45-52Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to explore what art therapists consider to be patients’ inner change and how it may appear during art therapy. Thirty-eight trained art therapists with experience of using art therapy as a treatment were included in the study. They were asked to describehow they perceived their patients’ inner change and a situation during arttherapy when they observed such change. An inductive thematic analysis resulted in five themes; Therapeutic alliance, describing trust to the therapist and believe to the method, Creating, which concerns the work in the therapeutic process, while Affect consciousness, Self-awareness,and Ego-strengthare part of the therapy outcome. The situations in which an inner change can be observed have been presented by means of quotations and discussed in relation to different theories and art therapy research. The participating art therapists formed a very heterogeneous group, resulting in an unexpected consistency about what they considered to be an inner change in the patient. The study may be seen as a contribution to further discussion about the benefits of a more common language to describe patients’ inner change in art therapy

Place, publisher, year, edition, pages
Elsevier, 2017
Keywords
Art Therapists, Art Therapy, Inner change, Qualitative research
National Category
Other Health Sciences
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-67125 (URN)10.1016/j.aip.2017.07.005 (DOI)
Available from: 2017-07-31 Created: 2017-07-31 Last updated: 2017-11-23Bibliographically approved
Manasatchakun, P., Chotiga, P., Hochvälder, J., Roxberg, Å., Sandborgh, M. & Asp, M. (2016). Factors associated with healthy ageing among older persons in Northeastern Thailand. Journal of Cross-Cultural Gerontology, 31(4), 369-384
Open this publication in new window or tab >>Factors associated with healthy ageing among older persons in Northeastern Thailand
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2016 (English)In: Journal of Cross-Cultural Gerontology, ISSN 0169-3816, E-ISSN 1573-0719, Vol. 31, no 4, p. 369-384Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to describe factors associated with perceived health and healthy aging among older people in northeastern Thailand. Thailand's aging population is growing and facing an increasing old-age dependency ratio. Northeastern Thailand, known as Isan, is a region in which the number of older residents is projected to grow rapidly. Older people in this region are likely to confront great threats to their health and well-being. These issues require appropriate attention and actions to promote healthy aging. However, healthy aging in this region has not been studied. A cross-sectional study was conducted on a sample of 453 older people, aged 60 years or older. Participants completed the Healthy Aging Instrument (HAI) and provided relevant demographic characteristics. Mann-Whitney U tests, Kruskal-Wallis tests and multiple regression models were used to analyze the data. Through comparative analyses, significant differences in HAI scores were observed for the following factors: marital status, residential area, disability, income level, and perceived meaningfulness in life. In the multiple regression models, residential area, disability, and marital status explained 24.30 % of the variance in HAI scores. Health promotion strategies and future targeted intervention programs should consider the importance of these factors.

Place, publisher, year, edition, pages
Springer, 2016
Keywords
Cross-sectional study, Healthy aging, Northeastern Thailand, Older persons
National Category
Gerontology, specialising in Medical and Health Sciences
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-59104 (URN)10.1007/s10823-016-9296-y (DOI)
Note

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Available from: 2016-12-16 Created: 2016-12-16 Last updated: 2018-01-13Bibliographically approved
Manasatchakun, P., Chotiga, P., Roxberg, Å. & Asp, M. (2016). Healthy Ageing in Isan-Thai culture: A phenomenographic study based on older persons' lived experiences. International Journal of Qualitative Studies on Health and Well-being, 11(1), Article ID 29463.
Open this publication in new window or tab >>Healthy Ageing in Isan-Thai culture: A phenomenographic study based on older persons' lived experiences
2016 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, no 1, article id 29463Article in journal (Refereed) Published
Abstract [en]

Healthy ageing is a concept that concerns older persons’ quality of life and is a key factor in promoting wellbeing. The older population in Thailand is growing. Isan (a region of north-eastern Thailand) has been reported as having one of the most rapidly increasing older populations in the country. In order to care for and promote the health of older people, healthcare providers should understand how healthy ageing is perceived by this target group. Although healthy ageing has been studied in different contexts as well as perspectives,no studies have previously focused on older persons’ experiences of healthy ageing from a life world perspective in Isan-Thai. Therefore, the aim of this study is to describe older persons’ qualitatively different conceptions of healthy ageing in Isan-Thai culture. A phenomenographic approach with an epistemological base in lifeworld theory was used to disclose the various ways to conceptualize healthy ageing. Individual, qualitative interviews were conducted with 17 older people aged 60 and above who live in Isan-Thai. The findings of this study revealed three categories of descriptions: “being independent in dependence”, “being at peace”, and “being a valuable person”. This study also found family members, friends, healthcare providers, and religion important to healthy ageing in the Isan-Thai culture. Understanding how older people conceptualize healthy aging is valuable for healthcare providers. They can apply these findings regarding healthy ageing in their fieldwork when caring for older people.

Keywords
caring science, healthy ageing, Isan-Thai culture, lifeworld theory, phenomenography
National Category
Health Sciences
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-50139 (URN)10.3402/qhw.v11.29463 (DOI)
Projects
Doctoral studies
Available from: 2016-03-03 Created: 2016-03-03 Last updated: 2018-02-01Bibliographically approved
Ellingsen, S., Roxberg, Å., Kristoffersen, K., Rosland, J.-H. & Alvsvåg, H. (2015). The Pendulum Time of Life: The experience of time, when living with severe incurable disease a phenomenological and philosophical study. Medicine, Health care and Philosophy, 18(2), 203-215
Open this publication in new window or tab >>The Pendulum Time of Life: The experience of time, when living with severe incurable disease a phenomenological and philosophical study
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2015 (English)In: Medicine, Health care and Philosophy, ISSN 1386-7423, E-ISSN 1572-8633, Vol. 18, no 2, p. 203-215Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to gain a deeper understanding of the experience of time when living with severe incurable disease. A phenomenological and philosophical approach of description and deciphering were used. In our modern health care system there is an on-going focus on utilizing and recording the use of time, but less focus on the patient’s experience of time, which highlights the need to explore the patients’ experiences, particularly when life is vulnerable and time is limited. The empirical data consisted of 26 open-ended interviews with 23 participants receiving palliative care at home, in hospital or in a nursing home in Norway. The theoretical frameworks used are mainly based upon K. Martinsens philosophy of care, K. E. Løgstrup phenomenological philosophy, in addition to C. Saunders’ hospice philosophy, L. Feigenberg’s thanatology and U. Qvarnström’s research exploring patient’s reactions to impending death. Experience of time is described as being a movement that moves the individual towards death in the field of opposites,and deciphered to be a universal, but a typical and unique experience emerging through three integrated levels: Sense of time; where time is described as a movement that is proceeding at varying speeds. Relate to time; where the awareness of limited life changes the understanding of time to be more existential. Being in time; where limited time seems to clarify the basic living conditions and phenomena of life. The existence of life when the prospect of death is present is characterized by emotional swings that move within polarizing dimensions which is reflected in the experience of time illustrated as the moves of the pendulum in a grandfather clock. The diversity of the experience of time is oscillating between going fast or slow, being busy or calm, being unpredictable but predictable, safe or unsafe and between being good or bad, depending on the embodied situation of the individual.

National Category
Nursing Philosophy
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-38456 (URN)10.1007/s11019-014-9590-9 (DOI)000352221800006 ()25205069 (PubMedID)2-s2.0-84926307835 (Scopus ID)
Available from: 2014-12-01 Created: 2014-12-01 Last updated: 2017-12-05Bibliographically approved
Werkander Harstäde, C. & Roxberg, Å. (2015). The room as metaphor: next-of-kin's experiences in end-of-life care. International Journal of Palliative Care, 2015, Article ID 357827.
Open this publication in new window or tab >>The room as metaphor: next-of-kin's experiences in end-of-life care
2015 (English)In: International Journal of Palliative Care, ISSN 2356-7074, Vol. 2015, article id 357827Article in journal (Refereed) Published
Abstract [en]

The “room” in end-of-life is a phenomenon that needs deeper understanding as it is a dimension that shows how health and suffering are shaped. Research on the concept of room was chosen as theoretical foundation in this study in order to reach a profound understanding of the next-of-kin’s “room” in end-of-life care. Lassenius’s hermeneutic interpretation inmetaphorical language was used as an deductive-inductive approach to the empirical data. The data material comprised 33 interviews with next-of-kin about their experiences of end-of-life care when being close to a relative dying from a cancer disease. The analysis of the data formed four cases: the Standby, the Asylum, the Wall, and the Place.These cases lend their voices to the experiences of the next-of-kin in the study.The findings of this study explain and may well assist nurses to understand the experiences of being next-of-kin in end-of-life care as forming a room of rest from the suffering, a room of controlling the suffering, a room of hiding from the suffering, and a room of belonging.

Place, publisher, year, edition, pages
Hindawi Publishing Corporation, 2015
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-52153 (URN)10.1155/2015/357827 (DOI)
Available from: 2016-04-19 Created: 2016-04-19 Last updated: 2018-02-01Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-0017-5188

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