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Tuvesson, Hanna
Publications (10 of 17) Show all publications
Tuvesson, H., Hellström, A., Sjöberg, L., Sjölund, B.-M., Nordell, E. & Fagerström, C. (2018). Life weariness and suicidal thoughts in late life: a national study in Sweden. Aging & Mental Health, 22(10), 1365-1371
Open this publication in new window or tab >>Life weariness and suicidal thoughts in late life: a national study in Sweden
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2018 (English)In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 22, no 10, p. 1365-1371Article in journal (Refereed) Published
Abstract [en]

Objectives: This study aimed at investigating the point prevalence of life weariness and suicidal thoughts and their relationship with socio-demographic characteristics in a population of older adults in Sweden. Method: Data from 7913 individuals aged 60 years and older were drawn from the Swedish National Study on Aging and Care, a collaborative study in Sweden. Life weariness and suicidal thoughts were measured by one item derived from the Montgomery–Åsberg Depression Rating Scale. A multinomial regression model was used to investigate the relationships of socio-demographic characteristics with life weariness and suicidal thoughts. Results: Living in urban and semi-urban areas, being of advanced age, being divorced and having lower educational levels were related to life weariness. Living in a residential care facility, being widowed or unmarried, being born in a non-Nordic European country and experiencing financial difficulties were related to both life weariness and suicidal thoughts. Sex was found to be unrelated to either life weariness or suicidal thoughts. Conclusion: This study found that several socio-demographic variables were associated with life weariness and suicidal thoughts among older adults. Specific attention to older individuals with these characteristics may be warranted as they might be more vulnerable to life weariness and suicidal thoughts.

Place, publisher, year, edition, pages
Taylor & Francis, 2018
Keywords
Life weariness, National study, Older adults, Socio-demographics, Suicidal thoughts
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-68201 (URN)10.1080/13607863.2017.1348484 (DOI)000455491500017 ()28685600 (PubMedID)2-s2.0-85021985390 (Scopus ID)
Available from: 2017-08-17 Created: 2017-10-04 Last updated: 2019-02-26Bibliographically approved
Wiklund Gustin, L., Gabrielsson, S., Jormfeldt, H. & Tuvesson, H. (2018). "Psykiatrin behöver mer kompetens - inte bara fler händer". Dagens Medicin (2018-03-07)
Open this publication in new window or tab >>"Psykiatrin behöver mer kompetens - inte bara fler händer"
2018 (Swedish)In: Dagens Medicin, ISSN 1104-7488, no 2018-03-07Article in journal, News item (Other (popular science, discussion, etc.)) Published
Abstract [sv]

För att få en långsiktigt hållbar psykiatrisk vård krävs satsningar som underlättar för sjuksköterskor att specialistutbilda sig, skriver fyra debattörer.

National Category
Psychiatry
Identifiers
urn:nbn:se:lnu:diva-72203 (URN)
Available from: 2018-04-04 Created: 2018-04-04 Last updated: 2018-04-09Bibliographically approved
Beiranvand, S., Zarea, K., Ghanbari, S., Tuvesson, H. & Keikhaei, B. (2018). Ten years incidence of cancer in Iran: a systematic review and meta-analysis. Clinical Epidemiology and Global Health, 6(2), 94-102
Open this publication in new window or tab >>Ten years incidence of cancer in Iran: a systematic review and meta-analysis
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2018 (English)In: Clinical Epidemiology and Global Health, ISSN 2452-0918, Vol. 6, no 2, p. 94-102Article in journal (Refereed) Published
Abstract [en]

Background

Designing and implementation of screening programs depend on greatly epidemiologic basic data in every country. Also Variation in the incidence of various cancers in our country has been a favorite topic.

Objectives

This systematic review was conducted to provide an overall perspective about incidence, geographical and age distribution of cancers in Iran.

Methods

A comprehensive search were done according to MOOSE guideline criteria in national and international databases for selecting eligible articles from 2005 to 2015. After screening titles and abstracts, duplicated and irrelevant studies were excluded. Selected papers are written in Persian or English. The standard error of the cancer incidence was calculated based on the binomial distribution. Because of the significant heterogeneity observed among the results, we used a random-effects model combine the results of the primary studies. Moreover, a sensitivity analysis was undertaken to explore the effects of the risk of bias and other sources of heterogeneity.

Results

Overall 16 articles met eligibility criteria for inclusion. The total incidence of cancer was 19.4 and 17.2 per hundred thousand of people in males and females respectively. The five most common cancers in male were: Lymphoma, leukemia, esophagus, stomach, colorectal and in the female are: breast, colorectal, stomach, thyroid and esophagus. The highest incidence rate was seen in Golestan Province and in the age group over 65 years.

Conclusion

According to increasing incidence rate of cancers in Iran, Development, holding and accomplish of universal public cancer control program should be the first precedence for health policy.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
Cancer, Incidence of cancer, Epidemiology of cancer, Cancer occurrence, Cancer in Iran
National Category
Cancer and Oncology
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-69155 (URN)10.1016/j.cegh.2017.10.005 (DOI)000436598700008 ()2-s2.0-85048749578 (Scopus ID)
Available from: 2017-12-11 Created: 2017-12-11 Last updated: 2019-08-29Bibliographically approved
Tuvesson, H. & Lützén, K. (2017). Demographic factors associated with moral sensitivity among nursing students. Nursing Ethics, 24(7), 847-855
Open this publication in new window or tab >>Demographic factors associated with moral sensitivity among nursing students
2017 (English)In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 24, no 7, p. 847-855Article in journal (Refereed) Published
Abstract [en]

Background:Today’s healthcare environment is often characterized by an ethically demanding worksituation, and nursing students need to prepare to meet ethical challenges in their future role. Moralsensitivity is an important aspect of the ethical decision-making process, but little is known regardingnursing students’ moral sensitivity and its possible development during nursing education.Objectives:The aims of this study were to investigate moral sensitivity among nursing students,differences in moral sensitivity according to sample sub-group, and the relation between demographiccharacteristics of nursing students and moral sensitivity.Research design:A convenience sample of 299 nursing students from one university completed aquestionnaire comprising questions about demographic information and the revised Moral SensitivityQuestionnaire. With the use of SPSS, non-parametric statistics, including logistic regression models,were used to investigate the relationship between demographic characteristics and moral sensitivity.Ethical considerations:The study followed the regulations according to the Swedish Ethical Review Actand was reviewed by the Ethics Committee of South-East Sweden.Findings:The findings showed that mean scores of nursing students’ moral sensitivity were found in themiddle to upper segment of the rating scale. Multivariate analysis showed that gender (odds ratio¼3.32),age (odds ratio¼2.09; 1.73), and parental status (odds ratio¼0.31) were of relevance to nursing students’moral sensitivity. Academic year was found to be unrelated to moral sensitivity.Discussion and conclusion:These demographic aspects should be considered when designing ethicseducation for nursing students. Future studies should continue to investigate moral sensitivity in nursingstudents, such as if and how various pedagogical strategies in ethics may contribute to moral sensitivity innursing students

Place, publisher, year, edition, pages
Sage Publications, 2017
Keywords
Ethics education, moral development, moral sensitivity, questionnaire, student nurse
National Category
Nursing
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-68202 (URN)10.1177/0969733015626602 (DOI)
Available from: 2017-01-25 Created: 2017-10-04 Last updated: 2017-11-24Bibliographically approved
Zarea, K., Ghanbari, S., Beiranvand, S. & Tuvesson, H. (2017). Incidence of gastrointestinal cancers in Iran: A systematic review. Jundishapur Journal of Chronic Disease Care, 6(1), Article ID e37224.
Open this publication in new window or tab >>Incidence of gastrointestinal cancers in Iran: A systematic review
2017 (English)In: Jundishapur Journal of Chronic Disease Care, ISSN 3758-2322, Vol. 6, no 1, article id e37224Article in journal (Refereed) Published
Abstract [en]

Context: In service planning, indicators such as incidence can aid the development of strategies for service provision. The current systematic review was carried out to provide a general viewpoint on incidence, geographical and age distribution of gastrointestinal (GI) cancers in Iran.

Evidence Acquisition: A detailed Science Direct, PubMed, Scopus, Google Scholar, Iran Medex, Magiran and SID (scientific information databases) search was made from 2005 to 2015. The basic inclusion criteria were all relevant studies focused on GI cancers incidence and epidemiologic data from Iran.

Results: Overall incidence of cancer was 19.4 and 17.2 per 100 000 in males and females, respectively. The three most common GI cancers in males were: esophagus, stomach and colorectal and in females: colorectal, stomach and esophagus. The highest incidence rate was observed in Golestan province and in the age group over 65 years.

Conclusions: According to increasing incidence rate of GI cancers in Iran, development, establishment and implement of comprehensive national cancer control program should be the first priorities for health policy makers.

Keywords
Cancer; Incidence of Cancer; Epidemiology of Cancer; Cancer Occurrence; Cancer in Iran
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-68203 (URN)10.17795/jjcdc-37224 (DOI)
Available from: 2017-01-25 Created: 2017-10-04 Last updated: 2017-11-24Bibliographically approved
Tuvesson, H. & Eklund, M. (2017). Nursing Staff Stress and Individual Characteristics in Relation to the Ward Atmosphere in Psychiatric In-Patient Wards. Issues in Mental Health Nursing, 38(9), 726-732
Open this publication in new window or tab >>Nursing Staff Stress and Individual Characteristics in Relation to the Ward Atmosphere in Psychiatric In-Patient Wards
2017 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 38, no 9, p. 726-732Article in journal (Refereed) Published
Abstract [en]

- This study investigated the interplay between nursing staff stress, Mastery, Moral Sensitivity, individual characteristics and the ward atmosphere in psychiatric in-patient care. Data were collected through five questionnaires from 93 nursing staff. Multivariate analysis showed that Moral Strength, Moral Burden, Internal Demands, Perceived Stress and age were related to several factors of the ward atmosphere. We conclude that efforts to reduce stress levels and create a supporting ethical climate on psychiatric wards would be beneficial for both psychiatric nursing staff and their nursing practice. © 2017 Taylor & Francis Group, LLC

Place, publisher, year, edition, pages
Taylor & Francis, 2017
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-68200 (URN)10.1080/01612840.2017.1324929 (DOI)
Available from: 2017-06-22 Created: 2017-10-04 Last updated: 2017-11-24Bibliographically approved
Fagerström, C., Tuvesson, H., Axelsson, L. & Nilsson, L. (2017). The role of ICT in nursing practice: An integrative literature review of the Swedish context. Scandinavian Journal of Caring Sciences, 31(3), 434-448
Open this publication in new window or tab >>The role of ICT in nursing practice: An integrative literature review of the Swedish context
2017 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 31, no 3, p. 434-448Article, review/survey (Refereed) Published
Abstract [en]

Background: The Swedish healthcare system employs information and communication technologies (ICT) in nursing practice to meet quality-, security- and efficiency-related demands. Although ICT is integrated with nursing practices, nurses do not always feel that they are convenient to use it. We need to improve our knowledge of the role of ICT in healthcare environments and so we decided to complement existing experience of how ICT influences nursing practice. Aim: This study aimed to review and synthesise the available literature on the role of ICT in nursing practice in Swedish healthcare settings. Method: To consolidate previous studies based on diverse methodologies, an integrative literature review was carried out. Three databases were used to search for literature, 20 articles met the inclusion criteria. Results: The literature review indicates that ICT integration into nursing practice is a complex process that impacts nurses’ communication and relationships in patient care, working conditions, and professional identities and development. Nurses are found to express ambiguous views on ICT as a usable service in their everyday practice since it impacts both positively and negatively. Discussion and conclusion: Although ICT cannot replace physical presence, it can be considered a complementary service that gives rise to improved patient care. However, nonverbal communication cues may be missed when ICT is used as mediating tool and ICT can be limiting because it is not always designed to meet nurse and patient needs. The meaning of an encounter appears to change when ICT is used in nursing practice, not only for patient relationships but also for interpersonal communication.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2017
Keywords
data base; doctor patient relation; human; human experiment; identity; nonverbal communication; nursing practice; patient care; work environment
National Category
Nursing Information Systems
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-68198 (URN)10.1111/scs.12370 (DOI)2-s2.0-84992489225 (Scopus ID)
Available from: 2016-11-11 Created: 2017-10-04 Last updated: 2019-02-27Bibliographically approved
Tuvesson, H., Hellström, A., Sjöberg, L., Sjölund, B.-M., Nordell, E. & Fagerström, C. (2016). Life weariness and suicidal thoughts in older adults: a multi-center study in Sweden. In: Presented at the 23rd Nordic Congress of Gerontology (23 NKG), Tampere, Finland, June 20-22, 2016: . Paper presented at 23rd Nordic Congress of Gerontology (23 NKG), Tampere, Finland, June 20-22, 2016.
Open this publication in new window or tab >>Life weariness and suicidal thoughts in older adults: a multi-center study in Sweden
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2016 (Swedish)In: Presented at the 23rd Nordic Congress of Gerontology (23 NKG), Tampere, Finland, June 20-22, 2016, 2016Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]

Aims: Suicidality in late life is a public health concern worldwide and suicidal thoughts may be an important risk factor for suicide in old age. The overall aim of the present study was to investigate the possible importance of demographic characteristics, especially sex and age, for suicidal thoughts in a Swedish population-based cohort of older adults aged 60+ years.

Methods: In this multicenter study, data from 7913 individuals aged 60+ years from the Swedish National Study on Aging and Care (SNAC) were used. One item of the Montgomery-Åsberg Depression Rating Scale was used to measure life weariness and suicidal thoughts. Logistic regression models were used to determine the relationship between socio-demographic characteristics and suicidal thoughts.

Findings: Multivariate analysis showed that suicidal thoughts independently increased with age. Sex was, however, found to be unrelated to suicidal thoughts after controlling for other socio-demographic factors. Living in an urban or midsize geographical area, being widowed/unmarried/divorced, born in an European country other than the Nordic countries, in a residential care facility and having financial difficulties was related to suicidal thoughts.

Conclusions: Taking these socio-demographic characteristics into consideration may aid in the design of prevention programs for late life suicidality.

National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-72348 (URN)
Conference
23rd Nordic Congress of Gerontology (23 NKG), Tampere, Finland, June 20-22, 2016
Available from: 2018-04-09 Created: 2018-04-09 Last updated: 2019-10-11Bibliographically approved
Eklund, M., Bäckström, M. & Tuvesson, H. (2014). Psychometric properties and factor structure of the Swedish version of the Perceived Stress Scale.. Nordic Journal of Psychiatry, 68(7), 494-499
Open this publication in new window or tab >>Psychometric properties and factor structure of the Swedish version of the Perceived Stress Scale.
2014 (English)In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 68, no 7, p. 494-499Article in journal (Refereed) Published
Abstract [en]

The Perceived Stress Scale (PSS) measures general stress and the Swedish version, although used in several studies, has not been extensively evaluated for psychometric properties. Aims: This study aimed to investigate psychometric properties and the factor solution of the Swedish 14-item version when used with two samples, namely a mixed Internet sample of women and men (n = 171) and another of women with stress-related disorders (n = 84). Classical test theory, including confirmatory factor analysis, was employed. Results: The factor structure supported a two-factor model for the PSS and confirmed other language versions of the PSS, although one items showed a low item-total correlation. The PSS showed to be feasible with the investigated samples and the results indicated no ceiling or floor effects and good internal consistency of the PSS. Several aspects of construct validity were shown. An association of − 0.66 between the PSS and a measure of coping indicated good concurrent validity. Criterion validity was demonstrated through a statistically significant difference (P < 0.001) between the women with stress-related disorders and the Internet sample. Predictive validity of the PSS could be demonstrated in a short-term perspective. Based on the sample with stress-related disorders, sensitivity to change was shown through a statistically significant stress reduction (P < 0.001) from entering work rehabilitation to discharge. Conclusions: The Swedish version of the PSS showed satisfactory psychometric properties and may be recommended for use with people with and without known stress-related disorders.

Place, publisher, year, edition, pages
Taylor & Francis, 2014
Keywords
Coping, Homogeneity, Reliability, Validity
National Category
Psychology
Research subject
Social Sciences, Psychology
Identifiers
urn:nbn:se:lnu:diva-68197 (URN)10.3109/08039488.2013.877072 (DOI)000342207100009 ()
Available from: 2015-01-02 Created: 2017-10-04 Last updated: 2017-11-24Bibliographically approved
Tuvesson, H. & Eklund, M. (2014). Psychosocial work environment, stress factors and individual characteristics among nursing staff in psychiatric in-patient care. International Journal of Environmental Research and Public Health, 11(1), 1161-1175
Open this publication in new window or tab >>Psychosocial work environment, stress factors and individual characteristics among nursing staff in psychiatric in-patient care
2014 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 11, no 1, p. 1161-1175Article in journal (Refereed) Published
Abstract [en]

The psychosocial work environment is an important factor in psychiatric in-patient care, and knowing more of its correlates might open up new paths for future workplace interventions. Thus, the aims of the present study were to investigate perceptions of the psychosocial work environment among nursing staff in psychiatric in-patient care and how individual characteristics—Mastery, Moral Sensitivity, Perceived Stress, and Stress of Conscience—are related to different aspects of the psychosocial work environment. A total of 93 nursing staff members filled out five questionnaires: the QPSNordic 34+, Perceived Stress Scale, Stress of Conscience Questionnaire, Moral Sensitivity Questionnaire, and Mastery scale. Multivariate analysis showed that Perceived Stress was important for Organisational Climate perceptions. The Stress of Conscience subscale Internal Demands and Experience in current units were indicators of Role Clarity. The other Stress of Conscience subscale, External Demands and Restrictions, was related to Control at Work. Two types of stress, Perceived Stress and Stress of Conscience, were particularly important for the nursing staff’s perception of the psychosocial work environment. Efforts to prevent stress may also contribute to improvements in the psychosocial work environment.

Place, publisher, year, edition, pages
Basel, Switzerland: MDPI AG, 2014
National Category
Psychology Nursing
Research subject
Social Sciences, Psychology; Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-68199 (URN)10.3390/ijerph110101161 (DOI)000331456400065 ()
Available from: 2017-10-04 Created: 2017-10-04 Last updated: 2017-11-29Bibliographically approved
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