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Bjelke, M., Lendahls, L. & Oscarsson, M. (2019). Management of the passive phase of the second stage of labour in nulliparous women—Focus group discussions with Swedish midwives. Midwifery, 75, 89-96
Open this publication in new window or tab >>Management of the passive phase of the second stage of labour in nulliparous women—Focus group discussions with Swedish midwives
2019 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 75, p. 89-96Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Elsevier, 2019
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-82810 (URN)10.1016/j.midw.2019.04.011 (DOI)000470962400015 ()31071586 (PubMedID)2-s2.0-85065088907 (Scopus ID)
Available from: 2019-05-23 Created: 2019-05-23 Last updated: 2019-07-16Bibliographically approved
Rask, M., Swahnberg, K. & Oscarsson, M. (2019). Notification of an abnormal Pap smear: an intervention study. European Journal of Cancer Care, 28(2), 1-7, Article ID e12969.
Open this publication in new window or tab >>Notification of an abnormal Pap smear: an intervention study
2019 (English)In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 28, no 2, p. 1-7, article id e12969Article in journal (Refereed) Published
Abstract [en]

This study aims to assess whether notification of an abnormal Pap smear result via a phone call, delivered by a trained healthcare provider, has an effect on women's HRQoL, coping and awareness of HPV. For this intervention study, women were consecutively recruited from a women's health clinic in Sweden. Women in the intervention group (n = 113) were notified of their Pap smear result via a phone call by a trained healthcare provider, while those in the comparison group (n = 122) were notified via a standard letter. A questionnaire was used to collect data. The results found no significant differences between the groups for HRQoL. However, 42.5% ofwomen in the intervention group versus 48.3% in the comparison group reported anxiety. Women in the intervention group were more satisfied with the manner in which they were notified of their abnormal result than those in the comparison group (92.0% vs. 67.2%; p < 0.001), more aware of HPV (71% vs. 50%; p = 0.001), and called healthcare services less often (10.6% vs. 18.0%; p = 0.113), no significance. In conclusion, notification of an abnormal Pap smear result via a phone call does not increase women's HRQoL or reduce their anxiety.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2019
Keywords
Abnormal Pap smears, Experience, Healthcare professionals, Qualitative method, Sweden
National Category
Other Health Sciences
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-80224 (URN)10.1111/ecc.12969 (DOI)000461076700009 ()30457186 (PubMedID)
Available from: 2019-02-05 Created: 2019-02-05 Last updated: 2019-03-29Bibliographically approved
Rask, M., Swahnberg, K. & Oscarsson, M. (2019). Swedish women's awareness of human papillomavirus, and health-related quality of life, anxiety and depression after a notification of an abnormal Pap smear result : a cross-sectional study. European Journal of Cancer Prevention, 28(2), 96-101
Open this publication in new window or tab >>Swedish women's awareness of human papillomavirus, and health-related quality of life, anxiety and depression after a notification of an abnormal Pap smear result : a cross-sectional study
2019 (English)In: European Journal of Cancer Prevention, ISSN 0959-8278, E-ISSN 1473-5709, Vol. 28, no 2, p. 96-101Article in journal (Refereed) Published
Abstract [en]

This study aims to assess (a) women's awareness of the human papillomavirus (HPV), (b) women's health-related quality of life (HRQoL) and levels of anxiety and depression symptoms, and (c) to compare the outcomes between women who are aware of the sexually transmitted nature of the HPV infection and women who are not. Swedish women who have been notified of an abnormal Pap smear result completed a questionnaire. This questionnaire consisted of sociodemographic characteristics, items on awareness of HPV, and how to cope with the Pap smear result and the instruments: the Functional Assessment of Chronic Illness Therapy - Cervical Dysplasia and the Hospital Anxiety and Depression Scale (HADS). Data were analyzed using descriptive statistics, Student's t-test, χ-tests, Fisher's exact test, the Mann-Whitney U-test, and Fisher-Freeman-Halton exact test. In total, 122 women participated. The women reported a median (quartile 1-quartile 3) score of 87.6 on the Functional Assessment of Chronic Illness Therapy - Cervical Dysplasia (81.8-107.0), compatible with a good HRQoL. The median (quartile 1-quartile 3) scores on HADS-anxiety and HADS-depression were 7.0 (4.0-10.0) and 3.0 (1.0-5.3), respectively; however, 48.4% of the women reported anxiety (compared with 20% in a normal population). There were no statistically significant differences in the median scores in any of the scales, including the prevalence of distress between the subgroups. Women with abnormal Pap smear results have a good HRQoL; they can become anxious, but not depressed. Awareness of HPV as a sexually transmitted infection is low, but being aware does not impact on women's HRQoL or on anxiety and depression.

Place, publisher, year, edition, pages
Wolters Kluwer, 2019
Keywords
Abnormal Pap smear result, Anxiety, Cervical abnormalities, Depression, Health-related quality of life, Human papillomavirus
National Category
Other Health Sciences
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-71404 (URN)10.1097/CEJ.0000000000000430 (DOI)29406336 (PubMedID)
Available from: 2018-03-06 Created: 2018-03-06 Last updated: 2019-03-14Bibliographically approved
Bergevi, C., Lendahls, L., Crang-Svalenius, E. & Oscarsson, M. (2018). From passive passenger to participating co-pilot - Pregnant women's expectations of being able to access their online journal from antenatal care. Sexual & Reproductive HealthCare, 15, 35-39
Open this publication in new window or tab >>From passive passenger to participating co-pilot - Pregnant women's expectations of being able to access their online journal from antenatal care
2018 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 15, p. 35-39Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of the study was to describe pregnant women's expectations of being able to access their electronic health records from antenatal care. Methods: Nine pregnant women passing 25 full gestational weeks were interviewed individually. Collected data were analysed with an inductive approach using content analysis. The study was performed in antenatal care units in southern Sweden. Results: The following five categories emerged from the analysis: Being able to achieve increased participation, being able to have more control, being more knowledgeable about the pregnancy, identification of possible risks, and perceptions of one's own well-being can predict usage. The five categories led to one main category: 'Shift in power from passive passenger to participating co-pilot'. Conclusion: The pregnant women expected that having access to electronic health records would give them more control, make them more knowledgeable and increase their participation. Access to electronic health records may empower pregnant women and contribute to a more person-centred approach. This could provide greater knowledge for the woman and her partner about her health, thus, allowing them to make evidence-based choices in relation to the newborn baby and the woman's health.

Place, publisher, year, edition, pages
Elsevier, 2018
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-71222 (URN)10.1016/j.srhc.2017.11.009 (DOI)000424721100007 ()29389499 (PubMedID)
Available from: 2018-03-02 Created: 2018-03-02 Last updated: 2018-03-02Bibliographically approved
Oscarsson, M., Medin, E., Holmström, I. & Lendahls, L. (2018). Using the Internet as source of information during pregnancy: a descriptive cross-sectional study among fathers-to-be in Sweden. Midwifery, 62, 146-150
Open this publication in new window or tab >>Using the Internet as source of information during pregnancy: a descriptive cross-sectional study among fathers-to-be in Sweden
2018 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 62, p. 146-150Article in journal (Refereed) Published
Abstract [en]

Objective

The aim of this study was to identify how fathers-to-be used the Internet as a source of information during their partners' pregnancy and how it affected them.

Design and setting

A descriptive cross-sectional study was conducted. Data were collected through a questionnaire and distributed at a maternity clinic in south of Sweden. The data were analysed descriptively.

Participants

Ninety-two Swedish fathers participated in the study, and the response rate was 98.9%.

Findings

Of all the fathers-to-be, 76% sought pregnancy-related information on the Internet. One sought information on a daily basis, 40.6% every week and 58% every month or more rarely. The fathers-to-be who participated at all/most visits at antenatal care searched for information on the Internet more often than those who only attended few/no visits (p = 0.012). A total of 33.4% of fathers-to-be had been recommended a web page by the midwife at the antenatal care. The main reason for using the Internet was to find information about pregnancy related subjects and read about people in similar situations. More than half of the fathers-to-be (61.8%) had at some point been worried by something they read online. These concerns were commonly addressed by asking the midwife at their next appointment (33.9%). Almost 26% of the fathers-to-be chose not to take any action at all to address their concerns.

Conclusion

The majority of all fathers-to-be searched for information on the Internet, and more than half of the fathers were, at some point, worried about the information they read on the Internet. One way to address questions and concerns could be for the fathers-to-be to ask and discuss with the midwives what they read online so that midwives can recommend appropriate and credible websites. To achieve this, there must be opportunities for midwives to gain knowledge on how best to use the Internet as a tool.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
Fathers-to-be, Internet use, Pregnancy related information, Concerns
National Category
Other Health Sciences
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-73631 (URN)10.1016/j.midw.2018.04.008 (DOI)000434124200024 ()29684793 (PubMedID)
Available from: 2018-04-26 Created: 2018-04-26 Last updated: 2019-07-16Bibliographically approved
Lendahls, L. & Oscarsson, M. (2017). Midwifery students´ experiences of simulation- and skills training. Nurse Education Today, 50, 12-16
Open this publication in new window or tab >>Midwifery students´ experiences of simulation- and skills training
2017 (English)In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 50, p. 12-16Article in journal (Refereed) Published
Abstract [en]

Background

In Sweden, simulation- and skills training are implemented in midwifery education in order to prepare students for clinical practice. Research regarding the use of both low to high levels of fidelity in simulation in midwifery programme is limited.

Aim

The aim of this study was to explore midwifery students' experiences of simulation- and skills training.

Methods

Midwifery students (n = 61), at advanced level, were interviewed in 13 group interviews from 2011 to 2105. A semi-structured interview guide was used, and data were analysed by content analysis.

Results

The results are presented in four main categories: develops hands on skills and communication, power of collaborative learning, highly valued learning environment and facilitates clinical practice. The majority of students felt that the simulation- and skills training were necessary to become familiar with hands on skills. Having repetitive practices in a safe and secure environment was viewed as important, and students highly valued that mistakes could be made without fear of comprising patient safety. Student's collaboration, reflections and critical thinking increased learning ability. Simulation- and skills training created links between theory and practice, and the lecturer had an important role in providing instructions and feedback. Students felt prepared and confident before their clinical practice, and simulation- and skills training increased safety for all involved, resulting in students being more confident, as patients in clinical practice became less exposed. Furthermore, mentors were satisfied with students' basic skills.

Conclusion

Simulation- and skills training support the development of midwifery skills. It creates links between theory and practice, which facilitates students' learning ability. Training needs to include reflections and critical thinking in order to develop their learning. The lecturer has an important role in encouraging time for reflections and creating safe environment during the skills and simulation training.

Place, publisher, year, edition, pages
Elsevier, 2017
Keywords
Experience, Midwifery students, Simulation- and skills training, Qualitative research
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-60970 (URN)10.1016/j.nedt.2016.12.005 (DOI)000393017300003 ()28006699 (PubMedID)
Available from: 2017-02-27 Created: 2017-02-27 Last updated: 2017-11-29Bibliographically approved
Rask, M., Oscarsson, M., Ludwig, N. & Swahnberg, K. (2017). The Swedish translation and cross-cultural adaptation of the Functional Assessment of Chronic Illness Therapy – Cervical Dysplasia (FACIT-CD): linguistic validity and reliability of the Swedish version. BMC Women's Health, 17(1), 1-10, Article ID 24.
Open this publication in new window or tab >>The Swedish translation and cross-cultural adaptation of the Functional Assessment of Chronic Illness Therapy – Cervical Dysplasia (FACIT-CD): linguistic validity and reliability of the Swedish version
2017 (English)In: BMC Women's Health, ISSN 1472-6874, E-ISSN 1472-6874, Vol. 17, no 1, p. 1-10, article id 24Article in journal (Refereed) Published
Abstract [en]

Background

Cervical dysplasia is a precancerous condition, which has been shown to create anxiety in women. To be able to investigate these women’s health-related quality of life, a disease-specific instrument is required. There does not seem to be a Swedish version of an instrument to screen for this specific disease. Therefore, this study aims to translate and cross-culturally adapt the Functional Assessment of Chronic Illness Therapy – Cervical Dysplasia (FACIT-CD) into a Swedish context and evaluate its linguistic validity and reliability.

Methods

The Functional Assessment of Chronic Illness Therapy (FACIT) translation methodology was used, which consists of several steps including pilot testing of the FACIT-CD instrument through cognitive debriefing interviews. Ten women diagnosed with cervical dysplasia participated in the cognitive debriefing interviews. The internal consistency reliability of the Swedish FACIT-CD was estimated by Cronbach’s alpha coefficient. Homogeneity of the items was evaluated by corrected item-total correlations. The sample consists of 34 women who were diagnosed with cervical dysplasia.

Results

The translation and cross-cultural adaptation went smoothly without any problems for the majority of the items. The cognitive debriefing interviews indicated that the Swedish FACIT-CD consists of relevant items, is easy to understand and complete, and has unambiguous and comprehensive response categories. The translation and cross-cultural adaptation resulted in a Swedish FACIT-CD, which is conceptually and semantically equivalent to the English version and linguistically valid. The total scale of the Swedish FACIT-CD exhibited good internal consistency reliability with a Cronbach’s alpha coefficient of 0.84, and all of the subscales exhibited acceptable value between 0.71 and 0.81 except the Relationships subscale, which had a value of 0.67. Finally, all but four items exceeded the acceptable level for the corrected item-total correlations of ≥ 0.20.

Conclusions

The Swedish FACIT-CD is conceptually and semantically equivalent to the English version and linguistically valid; further, it exhibits good internal consistency reliability.

Place, publisher, year, edition, pages
BioMed Central, 2017
Keywords
FACIT-CD, Health-related quality of life (HRQoL), Translation, Cross-cultural adaptation, Linguistic validity, Reliability
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-63469 (URN)10.1186/s12905-017-0381-3 (DOI)000398317000002 ()28372548 (PubMedID)
Available from: 2017-05-09 Created: 2017-05-09 Last updated: 2017-11-29Bibliographically approved
Grandahl, M., Tydén, T., Westerling, R., Nevéus, T., Rosenblad, A., Hedin, E. & Oscarsson, M. (2017). To consent or decline HPV vaccination: a pilot study at the start of the national school-based vaccination program in Sweden. Journal of School Health, 87(1), 62-70
Open this publication in new window or tab >>To consent or decline HPV vaccination: a pilot study at the start of the national school-based vaccination program in Sweden
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2017 (English)In: Journal of School Health, ISSN 0022-4391, E-ISSN 1746-1561, Vol. 87, no 1, p. 62-70Article in journal (Refereed) Published
Abstract [en]

BACKGROUND

Parents' beliefs about human papillomavirus (HPV) vaccination influence whether they allow their daughters to be vaccinated. We examined the association between parents' refusal and sociodemographic background, knowledge and beliefs about HPV, and the HPV vaccination in relation to the Health Belief Model.

METHODS

The sample consisted of 200 (55%) parents of children aged 11-12 years in the Swedish national vaccination program. Data were collected using a self-reported questionnaire. Most parents (N = 186) agreed to the vaccination. Pearson's chi-square, Fisher's exact test, and the Mann-Whitney U test were used to analyze data.

RESULTS

Declining parents saw more risks and fewer benefits of HPV vaccination but no differences in beliefs regarding the severity or young girls' susceptibility to HPV were found. There was an association between refusing the HPV vaccine and lower acceptance of previous childhood vaccinations, and their main source of information was the Internet. Parents who declined the vaccine believed it could adversely affect condom use, the age of their daughter's sexual debut, and the number of sexual partners.

CONCLUSION

Parents should have the possibility to discuss HPV and HPV vaccine with a school nurse or other health care professionals, and should have access to evidence-based information on the Internet.

Place, publisher, year, edition, pages
John Wiley & Sons, 2017
Keywords
Health beliefs, Health Belief Model, HPV vaccination, School-based vaccination programs, School nurses.
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-58631 (URN)10.1111/josh.12470 (DOI)000393826900008 ()27917484 (PubMedID)
Available from: 2016-12-05 Created: 2016-12-05 Last updated: 2018-05-31Bibliographically approved
Rask, M., Swahnberg, K., Lindell, G. & Oscarsson, M. (2017). Women's experiences of abnormal Pap smear results: a qualitative study. Sexual & Reproductive HealthCare, 12, 3-8
Open this publication in new window or tab >>Women's experiences of abnormal Pap smear results: a qualitative study
2017 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 12, p. 3-8Article in journal (Refereed) Published
Abstract [en]

Objectives

To describe women’s experiences of abnormal Pap smear result.

Methods

Ten women were recruited from a women’s health clinic. Qualitative interviews based on six open-ended questions were conducted, transcribed verbatim, and analyzed by content analysis.

Results

The women believed that their abnormal Pap smear result was indicative of having cancer. This created anxiety in the women, which resulted in the need for emotional support and information. Testing positive with human papillomavirus (HPV) also meant consequences for the relatives as well as concerns about the sexually transmitted nature of the virus. Finally, the women had a need to be treated with respect by the healthcare professionals in order to reduce feelings of being abused.

Conclusions

In general, women have a low level of awareness of HPV and its relation to abnormal Pap smear results. Women who receive abnormal Pap smear results need oral information, based on the individual women’s situation, and delivered at the time the women receive the test result. It is also essential that a good emotional contact be established between the women and the healthcare professionals.

Place, publisher, year, edition, pages
Elsevier, 2017
Keywords
Abnormal Pap smears, Cervical cancer screening, Experience, Content analysis
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-63468 (URN)10.1016/j.srhc.2017.01.002 (DOI)000401884100002 ()28477928 (PubMedID)
Available from: 2017-05-09 Created: 2017-05-09 Last updated: 2018-06-01Bibliographically approved
Grandahl, M., Rosenblad, A., Stenhammar, C., Westerling, R., Larsson, M., Oscarsson, M., . . . Nevéus, T. (2016). A school-based educational intervention can increase adolescents’ knowledge and awareness about HPV. In: : . Paper presented at Eurogin 2016, Salzburg, Austria, June 15-18, 2016.
Open this publication in new window or tab >>A school-based educational intervention can increase adolescents’ knowledge and awareness about HPV
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2016 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background / Objectives

Background: In Sweden HPV vaccination is offered to girls aged 10-12 years within the school-based vaccination program, while older girls (13-26 years) are offered the vaccine through the primary care. The vaccination rates are substantially lower (59%) among the catch-up group compared to the younger age group (82%). Adolescents have low awareness and knowledge about HPV, especially regarding cancer risks. The providers - school nurses - play a key role in providing such information. Upper secondary school students, aged 16 years, are by the school nurse offered a health interview, which includes a dialogue regarding their health, including sexual health. The health interview does however not include systematic information about HPV.

Objectives: To improve adolescents’ knowledge and awareness about primary prevention of high risk HPV infection.

Methods

Methods: A cluster-randomised controlled trial among upper secondary schools (n=18) was performed. Schools were first randomised to an intervention or control group, after which individual classes were randomised. In total, 832 students, boys and girls aged 16 years attending theoretical or vocational programs were invited to participate. In the end, 741 (89.1%) students completed the256study. The intervention was based on the Health Belief Model (HBM). School nurses delivered 30 minutes of face-to-face structured information about HPV, including cancer risks and HPV prevention (i.e. condom use and HPV vaccination) to the intervention group. Students in both groups completed questionnaires at baseline and at follow-up after three months. The control group received standard treatment, i.e. the regular health interview with the school nurse. Generalized estimating equation analyses were used for examining the results of the intervention.

Results

Results: The intervention had positive effects on the adolescents’ knowledge (p<0.001), with a 0.582 higher score for the intervention group compared to the control group. There were no differences in knowledge due to sex (p=0.093) or immigrant background (p=0.592). The intervention also increased awareness (p<0.001), with a 0.590 higher score for the intervention compared to the control. Again, there were no differences in awareness due to sex (p=0.183) or immigrant background (p=0.319).

Conclusion

Conclusions: The school-based intervention delivered by school nurses, had favourable effects on knowledge and awareness about primary prevention of HPV among adolescents aged 16 years.

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-51620 (URN)
Conference
Eurogin 2016, Salzburg, Austria, June 15-18, 2016
Available from: 2016-03-30 Created: 2016-03-30 Last updated: 2016-10-31Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-1944-773X

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