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  • 1.
    Aaby, Jacqueline
    et al.
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science.
    Ekblom, Jakob
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science.
    Hur blev det med hälsan?: En kvalitativ studie om elevers syn på hälsa i ämnet Idrott och hälsa i årskurs nio.2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med denna studie är att undersöka vilken uppfattning elever i årskurs nio har om hälsa. Ämnet Idrott och hälsa bedrivs på olika sätt och syftet med studien är även att få en klarare bild över hur eleverna upplever att de arbetar med hälsa i undervisningen. Genom intervjuer vill vi höra elevernas tankar och erfarenheter om hälsa och vad de skulle vilja lära sig mer om. Vi vill även veta vad de tycker är viktigt för att kunna påverka sin framtida hälsa.

  • 2.
    Aakre, Nina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Anestesisjuksköterskans uppfattningar av lärande till yrkesprofession: -en fenomenografisk studie.2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Anestesisjuksköterskan arbetar i en komplex vårdmiljö med självständigt ansvar för patientens anestesi under operation och förväntas bedöma och hantera komplexa vårdsituationer. Lärande till yrkesprofession sker delvis under utbildningen till specialistsjuksköterska inom anestesi och delvis inom ramen för det yrkeskollektiv som anestesisjuksköterskan arbetar. För att uppnå kompetens som anestesisjuksköterska krävs vissa komponenter i lärandet till yrkesprofession.

    Syfte: Att beskriva anestesisjuksköterskors uppfattningar av lärandet till yrkesprofession.

    Metod: Studien har en kvalitativ design med fenomenografisk forskningsansats.  Anestesisjuksköterskor från en operationsavdelning i sydöstra Sverige har intervjuats kring temat lärande till yrkesprofession. Intervjumaterialet har analyserats enligt fenomenografisk metod.

    Resultat: Fyra beskrivningskategorier som handlade om lärande till yrkesprofession identifierades. Att lära sig utföra anestesisjukvård, att lära sig tänka och agera som anestesisjuksköterska, att lära sig bemöta patienter och att lära sig samarbeta.

    Slutsats: Resultatet visar att för att lära sig vårda en patient i en anestesikontext krävs vissa komponenter. Det är viktigt att vara medveten om dessa komponenter när studenter eller nyanställda skall lära sig yrkesprofessionen. Genom klinisk träning och teoretisk förankring kan anestesisjuksköterskan lära sig vårda komplexa sjukdomstillstånd där patientens säkerhet och integritet bibehålls.

  • 3.
    Abdulhadi, Nadia M. Noor
    et al.
    Karolinska Inst ; Minist Hlth, Oman.
    Al-Shafaee, Mohammed Ali
    Sultan Qaboos Univ, Oman.
    Wahlström, Rolf
    Karolinska Inst ; Uppsala University.
    Hjelm, Katarina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Doctors' and nurses' views on patient care for type 2 diabetes: an interview study in primary health care in Oman2013In: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 14, no 3, p. 258-269Article in journal (Refereed)
    Abstract [en]

    Aim: This study aimed at exploring the experiences of primary health-care providers of their encounters with patients with type 2 diabetes, and their preferences and suggestions for future improvement of diabetes care. Background: Barriers to good diabetes care could be related to problems from health-care providers' side, patients' side or the healthcare system of the country. Treatment of patients with type 2 diabetes has become a huge challenge in Oman, where the prevalence has increased to high levels. Method: Semi-structured interviews were conducted with 26 health-care professionals, 19 doctors and seven nurses, who worked in primary health care in Oman. Qualitative content analysis was applied. Findings: Organizational barriers and barriers related to patients and healthcare providers were identified. These included workload and lack of teamwork approach. Poor patients' management adherence and influence of culture on their attitudes towards illness were identified. From the providers' side, language barriers, providers' frustration and aggressive attitudes towards the patients were reflected. Decreasing the workload, availability of competent teams with diabetes specialist nurses and continuity of care were suggested. Furthermore, changing professional behaviours towards a more patient-centred approach and need for health education to the patients, especially on self-management, were addressed. Appropriate training for health-care providers in communication skills with emphasis on self-care education and individualization of care according to each patient's needs are important for improvement of diabetes care in Oman.

  • 4.
    Abrahamsson, Janna
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Holmgren, Maria
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    En strimma hopp i mörkret: En litteraturstudie om lidande och välbefinnande i samband med depression2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 5.
    Adams, Marc A.
    et al.
    Arizona State University, USA.
    Ding, Ding
    University of Sydney, Australia.
    Sallis, James F.
    University of California, USA.
    Bowles, Heather R.
    National Institutes of Health, USA.
    Ainsworth, Barbara E.
    Arizona State University, USA.
    Bergman, Patrick
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science.
    Bull, Fiona C.
    The University of Western Australia, Australia.
    Carr, Harriette
    Ministry of Health, New Zealand.
    Craig, Cora L.
    School of Public Health, Canada.
    De Bourdeaudhuij, Ilse
    Ghent University, Belgium.
    Fernando Gomez, Luis
    Hagstromer, Maria
    Klasson-Heggebo, Lena
    Inoue, Shigeru
    Lefevre, Johan
    Macfarlane, Duncan J.
    Matsudo, Sandra
    Matsudo, Victor
    McLean, Grant
    Murase, Norio
    Sjostrom, Michael
    Tomten, Heidi
    Volbekiene, Vida
    Bauman, Adrian
    Patterns of neighborhood environment attributes related to physical activity across 11 countries: a latent class analysis2013In: International Journal of Behavioral Nutrition and Physical Activity, ISSN 1479-5868, E-ISSN 1479-5868, Vol. 10, article id 34Article in journal (Refereed)
    Abstract [en]

    Background: Neighborhood environment studies of physical activity (PA) have been mainly single-country focused. The International Prevalence Study (IPS) presented a rare opportunity to examine neighborhood features across countries. The purpose of this analysis was to: 1) detect international neighborhood typologies based on participants' response patterns to an environment survey and 2) to estimate associations between neighborhood environment patterns and PA. Methods: A Latent Class Analysis (LCA) was conducted on pooled IPS adults (N=11,541) aged 18 to 64 years old (mean=37.5 +/- 12.8 yrs; 55.6% women) from 11 countries including Belgium, Brazil, Canada, Colombia, Hong Kong, Japan, Lithuania, New Zealand, Norway, Sweden, and the U. S. This subset used the Physical Activity Neighborhood Environment Survey (PANES) that briefly assessed 7 attributes within 10-15 minutes walk of participants' residences, including residential density, access to shops/services, recreational facilities, public transit facilities, presence of sidewalks and bike paths, and personal safety. LCA derived meaningful subgroups from participants' response patterns to PANES items, and participants were assigned to neighborhood types. The validated short-form International Physical Activity Questionnaire (IPAQ) measured likelihood of meeting the 150 minutes/week PA guideline. To validate derived classes, meeting the guideline either by walking or total PA was regressed on neighborhood types using a weighted generalized linear regression model, adjusting for gender, age and country. Results: A 5-subgroup solution fitted the dataset and was interpretable. Neighborhood types were labeled, "Overall Activity Supportive (52% of sample)", "High Walkable and Unsafe with Few Recreation Facilities (16%)", "Safe with Active Transport Facilities (12%)", "Transit and Shops Dense with Few Amenities (15%)", and "Safe but Activity Unsupportive (5%)". Country representation differed by type (e. g., U. S. disproportionally represented "Safe but Activity Unsupportive"). Compared to the Safe but Activity Unsupportive, two types showed greater odds of meeting PA guideline for walking outcome (High Walkable and Unsafe with Few Recreation Facilities, OR=2.26 (95% CI 1.18-4.31); Overall Activity Supportive, OR=1.90 (95% CI 1.13-3.21). Significant but smaller odds ratios were also found for total PA. Conclusions: Meaningful neighborhood patterns generalized across countries and explained practical differences in PA. These observational results support WHO/UN recommendations for programs and policies targeted to improve features of the neighborhood environment for PA.

  • 6.
    Adevåg Guagliano, Sofia
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Nilsson, Johan
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Patienters upplevelse av delaktighet i vård i livets slut: En systematisk litteraturstudie2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care is performed throughout the continuum of care, from home care to specialized care in an institution. Palliative care is buildt on a holistic approach that is secured through patient-centered care where the patient's participation is central.

    Objective: Highlighting adult patients' experiences of participation when they are cared for in late stage palliative care.

    Method: The study is a systematic literature review mainly based on the methodology described by Forsberg and Wengström (2013).

    Results: The theme opportunities and obstacles in the experience of their participation emerged, with four categories below: the management of their disease situation, overwhelming new living situations, be seen as an individual and not to be seen as an                                    individual. It was discovered that patients in the late stage palliative phase found opportunities to participate in their care by gathering knowledge about their disease and their future. This knowledge created understanding, giving them the tools to manage and participate in their care. An obstacle to patients’ participation appeared to be when the patients experienced neglect by health professionals.

    Conclusion: Adult patients' experiences of participation when they are cared for in late stage palliative care cannot be described as a single phenomenon, but needs to be described by an integrated approach of the patient. The unique patient forms a dynamic whole, and needs to be treated as the unique individual he/she is.

  • 7. Adolfsson, Peter
    et al.
    Roos, Harald
    Lunds universitet.
    Östenberg, Anna
    Lunds universitet.
    Speciella aspekter på damfotboll1998In: Fotbollsmedicin, Solna: Svenska fotbollförbundet , 1998, 1, p. 435-450Chapter in book (Other academic)
  • 8.
    Adolfsson, Sophie
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Wernholm, Emma
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Mastektomins påverkan på kvinnors livskvalitet: En systematisk litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: I Sverige drabbas ungefär 20 kvinnor av bröstcancer varje dag och nästan hälften har genomgått en mastektomi. En av sjuksköterskans uppgifter är att ge stöd för att förbättra kvinnans livskvalitet, då kvinnan ska uppleva ett gott liv med harmoni i sig själv och sin omgivning.Studien förankrades i Katie Erikssons lidandeteori.

     

    Syfte: Syftet var att beskriva hur en mastektomi till följd av bröstcancer kan påverka kvinnors livskvalitet.

     

    Metod: En systematisk litteraturstudie med induktiv ansats har använts. Datainsamlingen resulterade i 17 artiklar som sedan kvalitetsgranskades. Totalt ingick 14 artiklar. En manifest innehållsanalys genomfördes.

     

    Resultat: Resultatet utgörs av fyra huvudkategorier: Operationens fysiska och psykiska konsekvenser, Förändrade relationer, Inverkan av det kosmetiska resultatet med tre tillhörande underkategorier samt Acceptansens betydelse. En mastektomi leder till både fysiska och psykiska påfrestningar som påverkar livskvaliteten. Förmågan att skapa relationer försämrades. Många kvinnor upplevde bröstförlusten som påfrestande genom att kroppsuppfattningen, kvinnligheten och sexualiteten påverkades negativt. Äldre kvinnor accepterade förlusten lättare.

     

    Slutsats: Kvinnor som genomgått en mastektomi upplevde sämre livskvalitet där förlorandet av bröstet spelar stor roll. De drabbas emotionellt och förlusten har betydelse för livskvaliteten. Resultatet kan ge en ökad förståelse för sjuksköterskor som i sin tur kan vara ett stöd för att lindra lidande.

  • 9.
    Adolfsson, Zandra
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Karlsson, Michaela
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Barnvaccinationer: BHV-sjuksköterskans kommunikation och information till föräldrar. 2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The childhood vaccination program is the most successful medical response to public health. Despite this, there have always been negative voices about vaccination. Information about childhood vaccinations is spread quickly and easily through media and information channels, such as Facebook and YouTube. This information is not always critically reviewed and suspected sideeffects may then be overestimated. Evidence shows that there is a variety of reasons why some parents have doubt about childhood vaccination. Child Health nurse's task is to meet all parents with respect and give correct information so the parents have a decision basis for vaccination.

    A lack of communication between the Child Health nurse and the parents can contribute to increased concern, which may lead to the parents choosing to abstain from vaccination.

    Aim: The aim was to describe Child Health nurse's experiences of communicating with parents before childhood vaccinations.

    Method: Semi-structured interviews with nine Child Health nurses. The study has been analyzed using a qualitative content analysis.

    Results: The result showed that all participants in the study felt that most parents had a positive attitude towards childhood vaccination. The study showed that the Child Health nurses felt that they provided a good and distinct information to the parents. At the same time, participants believed that the dissemination of information could be improved. It showed that there are differences in when Child Health nurses present information to the parents. The participants in the study felt safe in the meeting with parents and about communication of information prior to vaccination.

    Conclusion: The study showed that Child Health nurses felt secure about communication, both with information before vaccination and in meeting hesitent parents. Child Health nurses described that they had good and distinct information within the organization.

  • 10.
    Agerbjer, Emma
    et al.
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Karlsson, Marie
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    SJUKSKÖTERSKORS INSTÄLLNING OCH ANVÄNDANDE AV FYSISK AKTIVITET PÅ RECEPT (FaR®): en enkätstudie2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Fysisk aktivitet är all kroppsrörelse som resulterar i ökad energiförbrukning. Genom att vara fysisk aktiv så minskar risken att drabbas av flera sjukdomar. Balans och muskelstyrka förbättras och risk för benskörhet minskar. Fysisk aktivitet kan användas både i förebyggande syfte och som behandling av sjukdom. Sedan 2001 har fysisk aktivitet kunnat förskrivas på recept (FaR®). FaR® innebär att en läkare, sjuksköterska, sjukgymnast eller annan legitimerad vårdpersonal kan ordinera fysisk aktivitet på ett liknande sätt som läkemedel.

    Syfte: Syftet med studien var att kartlägga inställning till och användande av fysisk aktivitet på recept (FaR®) hos sjuksköterskor i primärsjukvården inom Växjö kommun.

    Metod: Metoden som användes var en kvantitativ enkätundersökning som genomfördes på sjuksköterskor på elva vårdcentraler inom Växjö kommun. Svarsfrekvensen var 73 %.

    Resultat: De flesta sjuksköterskorna i studien diskuterade ofta fysisk aktivitet med sina patienter. Inställningen till FaR® var övervägande positiv, en knapp fjärdedel hade förskrivit FaR®.

    Slutsatser: Sjuksköterskor är mycket eller ganska positiva till att ordinera FaR® i förebyggande syfte och merparten av dem är positiva till att ordinera FaR® i behandlande syfte. En trolig slutsats är att FaR® kommer att användas i större utsträckning i framtiden under förutsättning att tillräcklig utbildning och uppföljning görs.

  • 11.
    Agevall, Lena
    et al.
    Växjö University, Faculty of Humanities and Social Sciences, School of Social Sciences. Statsvetenskap.
    Jonnergård, Karin
    Växjö University, Faculty of Humanities and Social Sciences, School of Management and Economics. Ekonomistyrning.
    Management by documents - a risk of de-professionalizing?2007In: In tension between Organization and Profession: Professionals in Nordic Public Service, Nordic Academic Presss, Lund , 2007, p. 33-56Chapter in book (Other (popular science, discussion, etc.))
    Abstract [en]

    If we have to document our professional action, will we then only perform the actions that we are supposed to document? This question reflects the content of this chapter. The chapter includes a frame of reference for studying control of professionals in organizations and illustration on different types of professional controls.

  • 12. Agewall, Stefan
    et al.
    Rydén, Lars
    Perk, Joep
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rosengren, Annika
    Boman, Kurt
    Hellénius, Mai-Lis
    Ros, Inger
    Efterlyses: politik mot hjärtinfarkt2013In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 110, no 13-14, p. 664-664Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Medicinen kommer inte så mycket längre när det gäller att minska dödligheten i hjärt–kärlsjukdomar. Framtidens utmaning ligger i att förhindra att människor alls insjuknar i hjärtinfarkt. Författarna efterlyser politiska åtgärder som gör de hälsosamma valen billiga och attraktiva.

  • 13.
    Ahl, Johannes
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Karlsmo, Martin
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    SJUKSKÖTERSKANS STRESS RELATERAD TILL ARBETSBELASTNING: En enkätsstudie2017Independent thesis Basic level (degree of Bachelor), 15 credits / 22,5 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Negativ arbetsrelaterad stress är ett ständigt problem i flera samhällssektorer, även så i stor utsträckning inom vårdsektorn. Forskning visar att arbetsrelaterad stress inom vården kan utlösas av flera olika faktorer, bland annat en för hög arbetsbelastning. Långvarig negativ stress kan orsaka utmattningssymtom och utbrändhet.

    Syfte: Syftet med studien var att undersöka stress relaterad till arbetsbelastningen hos allmänsjuksköterskor som arbetar på sjukhusavdelningar.

    Metod: En kvantitativ enkätstudie utfördes på fyra sjukhusavdelningar på ett sjukhus i Södra Sverige. Instrumentet Maslach Burnout Inventory- HSS användes för att mäta respondenternas stress. Resultatet redovisades och analyserades med deskriptiv statistik, regressionsanalys och Spearmans rangkorrelationskoefficient.

    Resultat: Resultatet visar att det hos allmänsjuksköterskor finns ett samband mellan arbetsbelastning och stress. Samband uppmättes mellan antal övertidstimmar och utbrändhetsfaktorn ”Otillräcklighet” (p < 0,05), samt mellan känslan av att vara överarbetad och utbrändhetsfaktorn ”Emotionell utmattning” (p < 0,01).  Resultatet visar också att bakgrundsfaktorer som kan kopplas  till privatlivet spelar en mindre roll för sjuksköterskornas upplevda arbetsstress och att det huvudsakligen är arbetsrelaterade faktorer som påverkar upplevelsen av stress.

    Slutsats: Den undersökta populationen lider av stressfaktorer kopplade till arbetsbelastning och låg arbetstillfredsställelse och majoriteten av den undersökta populationen löper en risk att drabbas av utbrändhet. För att bibehålla god vårdkvalité, eller förbättra den ytterligare, bör åtgärder för att sänka arbetsbelastningen och öka arbetstillfredställelsen ses över.

  • 14.
    Ahlander, Britt-Marie
    et al.
    Ryhov County Hospital.
    Årestedt, Kristofer
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Linköping University.
    Engvall, Jan
    Linköping University.
    Maret, Eva
    Karolinska Univ Hosp ; Karolinska Institutet.
    Ericsson, Elisabeth
    Örebro university.
    Development and validation of a questionnaire evaluating patient anxiety during Magnetic Resonance Imaging: the Magnetic Resonance Imaging-Anxiety Questionnaire (MRI-AQ)2016In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, no 6, p. 1368-1380Article in journal (Refereed)
    Abstract [en]

    Aim. To develop and validate a new instrument measuring patient anxiety during Magnetic Resonance Imaging examinations, Magnetic Resonance Imaging-Anxiety Questionnaire. Background. Questionnaires measuring patients' anxiety during Magnetic Resonance Imaging examinations have been the same as used in a wide range of conditions. To learn about patients' experience during examination and to evaluate interventions, a specific questionnaire measuring patient anxiety during Magnetic Resonance Imaging is needed. Design. Psychometric cross-sectional study with test-retest design. Methods. A new questionnaire, Magnetic Resonance Imaging-Anxiety Questionnaire, was designed from patient expressions of anxiety in Magnetic Resonance Imaging-scanners. The sample was recruited between October 2012-October 2014. Factor structure was evaluated with exploratory factor analysis and internal consistency with Cronbach's alpha. Criterion-related validity, known-group validity and test-retest was calculated. Results. Patients referred for Magnetic Resonance Imaging of either the spine or the heart, were invited to participate. The development and validation of Magnetic Resonance Imaging-Anxiety Questionnaire resulted in 15 items consisting of two factors. Cronbach's alpha was found to be high. Magnetic Resonance Imaging-Anxiety Questionnaire correlated higher with instruments measuring anxiety than with depression scales. Known-group validity demonstrated a higher level of anxiety for patients undergoing Magnetic Resonance Imaging scan of the heart than for those examining the spine. Test-retest reliability demonstrated acceptable level for the scale. Conclusion. Magnetic Resonance Imaging-Anxiety Questionnaire bridges a gap among existing questionnaires, making it a simple and useful tool for measuring patient anxiety during Magnetic Resonance Imaging examinations.

  • 15.
    Ahlberg, Christopher
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Hur påverkar höftlinjen patientens tillfrisknande: En litteraturstudie2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BackgroundA fast-track system was introduced do topeople suffer from low-energy trauma with a suspected hip fracture.Thispathway up comewas to minimize the suffering a was introduced to bypass the emergency department to win time and minimizes the numbers of movement and getsthe patient faster on to the operating table.MethodsThe aim ofthis study was toexplore howthe pathway have any positiveeffects for the patient through analyzing made studies on the subject. Twelve studies wereused toanswer the aim of this study.All twelve were analyzedtrough SBU:s model for analysis.Both studies with qualitative and quantitative design wereused to answer the aim and to give it a deeper understanding. ResultsThere was an advantage for the patient in the pathway with the fewer new faces in anoften confused and painfulmomentwhich gives the patient a calmer and quicker recovery. The compassion and knowledge of the patient was bigger if the same person took care of the patient through the process. The gain in time was only a fact up untilthe x-ray after that the waitingtimebecame the same with orwithout pathway. ConclusionThe studies show an advantage for the patient with the pathway up to a point after that point there still is room for more research and change in the pathway to optimize for the patient and caregiver.

  • 16.
    Ahlgren, Helén
    et al.
    Region Kronoberg.
    Hörberg, Ulrica
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Kliniska examinationer, exemplet ULVE2015In: Kliniska examinationer: Handbok för sjuksköterskestudenter på grund- och avancerad nivå / [ed] Sofia Almerud Österberg, Carina Elmqvist, Lund: Studentlitteratur AB, 2015, 1, p. 115-131Chapter in book (Other academic)
  • 17.
    Ahlin, Charlotta
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Graae, Linda
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Persson, Ulrika
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Ett dilemma på liv och död. En systematisk litteraturstudie om när vuxna patienter väljer att avsluta livsuppehållande hemodialysbehandling2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 18.
    Ahlström, Gerd
    et al.
    Lund University.
    Nilsen, Per
    Linköping University.
    Benzein, Eva
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Behm, Lina
    Lund University.
    Wallerstedt, Birgitta
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Persson, Magnus
    Lund University.
    Sandgren, Anna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Implementation of knowledge-based palliative care in nursing homes and pre-post post evaluation by cross-over design: a study protocol2018In: BMC Palliative Care, ISSN 1472-684X, E-ISSN 1472-684X, Vol. 17, article id 52Article in journal (Refereed)
    Abstract [en]

    Background: The demography of the world is changing as the population is ageing. Because of this change to a higher proportion of older people, the WHO has called for improved palliative care for older persons. A large number of all deaths in the industrialised world occur while older people are living in nursing homes and therefore a key question becomes how the principles of palliative care can be implemented in that context. The aims of this study are: a) to describe a model of an educational intervention with the goal of implementing knowledge-based palliative care in nursing homes, and b) to describe the design of the evaluation of the effectiveness regarding the implementation of knowledge-based palliative care. Methods/design: A complex intervention is evaluated by means of a cross-over design. An educational intervention concerning palliative care consisting of five seminars during 6 months for staff and managers has been developed and conducted in 20 nursing homes in two counties. Before the intervention started, the feasibility was tested in a pilot study conducted in nursing homes not included in the main study. The intervention is evaluated through a non-randomized experimental design with intervention and control groups and pre- and post-assessments. The evaluation includes older persons living in nursing homes, next-of-kin, staff and managers. Data collection consists of quantitative methods such as questionnaires and register data and qualitative methods in the form of individual interviews, focus-group interviews and participant observations. Discussion: The research will contribute to new knowledge about how to implement knowledge-based palliative care in a nursing home setting. A strength of this project is that the Medical Research Council framework of complex intervention is applied. The four recommended stages, Development, Feasibility and piloting, Evaluation and Implementation, are combined for the educational intervention, which functions as a strategy to achieve knowledge-based palliative care in the nursing homes. Implementation is always a question of change and a good theoretical understanding is needed for drawing valid conclusions about the causal mechanisms of change. The topic is highly relevant considering the world's ageing population. The data collection is completed and the analysis is ongoing.

  • 19.
    Ahlström Thuresson, Linda
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Andersson, Lenita
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    ”Att vara utanför normen”: En litteraturstudie om vuxnas upplevelse att leva med ADHD.2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Tidigare studier visar att mellan 5-10% av alla barn och 3-10% av dagens vuxna har ADHD ( Attention-Deficit/Hyperactivity Disorder). Bakomliggande orsaker till ADHD är idag inte helt klarlagt. Individer med ADHD har symtom som koncentrationsproblem, hyperaktivitet och impulsivitet vilket påverkar deras dagliga liv. 

    Syfte: Syftet med studien var att belysa vuxnas upplevelser av att leva med ADHD.

    Metod: En litteraturstudie utfördes på fem självbiografier som kvalitetsgranskades och analyserades med hjälp av Lundmans & Hällgren Granheims (2012) kvalitativa manifesta innehållsanalys.

    Resultat: Att leva med ADHD innebär många svårigheter. Det framkom samstämmiga uppgifter som beskrev känslan av att vara annorlunda, utanförskap, dålig självkänsla. För att klara vardagen krävdes ett ökat behov av strategier och rutiner samt stöd från familjen. 

    Slutsats: Individer med ADHD, upplever svårigheter i vardagen som medför både mentalt och socialt lidande. Det kan finnas ett behov av att sjuksköterskan får en fördjupad förståelse för hur det är att leva med ADHD, likaså på vilket sätt sjuksköterskan kan hjälpa och vägleda dessa individer vid kontakt med sjukvården.

  • 20.
    Ahmady, Soleiman
    et al.
    Shahid Beheshti University of Medical Sciences, Iran;Karolinska Institutet, Sweden.
    Changiz, Tahereh
    Isfahan University of Medical Sciences, Iran.
    Masiello, Italo
    Karolinska Institutet, Sweden.
    Hamadanchi, Arya
    University of Social and Rehabilitation Sciences, Iran.
    Development and psychometrics properties of an instrument for assessing faculty development programs from a broader perspective2016In: Biosciences Biotechnology Research Asia, ISSN 0973-1245, Vol. 13, no 1, p. 319-325Article in journal (Refereed)
    Abstract [en]

    The present study proposed a new instrument for the assessment of the current faculty development programs at Iranian medical universities. Although the literature concerning the subject of faculty development activities has already identified strengths and weakness of such programs, it is still questionable whether these activities can be assessed using a pedagogical and managerial comprehensive approach. Therefore, it was determined to develop an instrument to examine faculty development activities that address all components of programs from planning and implementing to evaluating phases, with the possibility of utilizing this instrument as a tool to assess faculty development activities.

  • 21.
    Ahnesjö, Jonas
    et al.
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science.
    Bergman, Patrick
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science.
    Effects on white blood cells in senior citizens during post exercise recovery in three different environments (indoors, simulated outdoors and outdoors)2016Conference paper (Refereed)
    Abstract [en]

    Introduction

    Natural environments are known to promote health and may also provide extraordinary conditions for post exercise recovery (Kuo 2015). In the project Health Effects of Recreation Outdoors (HERO) we explore the hypothesis that post exercise recovery in natural environments may be reflected in white blood cell counts (WBC). In our study 50 seniors (age >65 years) performed moderate physical activity (20 min) followed by passive recovery (2h) in three different environments (indoors, simulated outdoors and “true” outdoors).

    Method

    The experimental setup was a randomized cross-over design, thus all test persons did all treatments in a randomized order. We sampled white blood cells (WBC-diff), which were used to detect and quantify inflammatory response.

    Results

    Our early findings provide some support for the hypothesis that environment may impose differences in recovery effectiveness. White blood cell count (WBC-diff) appears to differ between the treatments and there is a significant interaction between sampling time and recovery environment in the monocytes, suggesting that the monocyte numbers differ, not only between sampling times but also between environments. In addition, WBC also show that some of the test persons develop leukocytosis during exercise and that white blood cell levels decrease rapidly immediately post exercise to levels significantly lower than base line values.

    Discussion

    Our results suggest that moderate physical activity in senior citizens may result in acute leukocytosis (see e.g. Sand et. al. 2013) and that recovery effectiveness (e.g in monocyte response) may be dependent upon environmental factors. The clinical importance of our results are not fully understood but there has been suggested an “open window” immediately post exercise in which infection risk may be elevated (Pedersen & Toft 2000) and it is possible that recovery out of doors may reduce this risk.

    References

    Sand, K., L, Flatebo, K., Andersen, M., B., Maghazachi, A., A. (2013) World J Exp Med 20; 3(1): 11-20

    Pedersen, B., K. & Toft, A., D. (2000) Br J Sports Med 34:246–251

    Kuo, M. (2015) Frontiers in Psychology 6:1-8

  • 22.
    Ahnesjö, Jonas
    et al.
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science.
    Bergman, Patrick
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science.
    Outdoor Exercise is More Efficient than Indoor Exercise in Senior Citizens. Physiological Evidence from the HERO Project2018Conference paper (Refereed)
    Abstract [en]

    INTRODUCTION: IntroductionPhysical exercise has been proven beneficial for health in all ages. In elderly, physical exercise, may contribute to prolonged life with maintained high quality and less costs associated with health care for society. In this study we explore if exercise out of doors may provide extra benefits as compared to exercise indoors and we measure power output, lactate levels and perceived effort in 49 senior citizens performing 20 minutes of moderate physical activity.METHODS:MethodThe HERO project is a randomized cross-over experiment with three different treatments <indoors, simulated="" outdoors="" and="">. The study sample consisted of 49 healthy senior citizens. They performed 20 minutes moderate intensity physical activity on an ergometer bike in all three conditions. Before immediately after and at minutes 10, 20, 30, 60 and 120 we sampled blood lactate. Power output was computed at 7 occasions during the 20 minutes of cycling, as was the rating of perceived exertion . Data was analyzed using mixed linear models. RESULTS:ResultsOur findings show that there were no differences between the two indoor treatments in any of the measured variables. In the outdoor treatment, however, there were significant effects on blood lactate levels and power output but not in perceived exertion, suggesting that exercise out of doors makes the test person more efficient although the experience of effort stay unaffected.CONCLUSION:Discussion/conclusionsOur results support the notion that the outdoors may provide extraordinary conditions for exercise, not only because it appear to results in more exercise/effort, the outdoors is also an “arena” with high availability and most often totally for free. Previous results from the HERO project also suggests that white blood cell counts are affected by the outdoor treatment, something that may be related to the observed increased power output herein

  • 23.
    Ahnesjö, Jonas
    et al.
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science.
    Danielsson, Tom
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science.
    Recreational fishing in an educational intervention context promotes awareness and knowledge about nature in schoolchildren2013Conference paper (Other academic)
    Abstract [en]

    Outdoor activities may be intuitively associated with interest for nature and environmental concern. However, most scientific studies suggest that no such correlation exists. In this quantitative study we have used a questionnaire and explored the hypothesis that a one day educational intervention may be a successful tool in increasing environmental awareness, interest for nature and interest for recreational fishing. We present evidence suggesting that educational interventions in which young people are exposed to natural environments in a recreational fishing context have positive effects on interest for nature and recreational fishing, knowledge about nature and environmental awareness. Our findings also reveal that frequency of nature visits does not correlate with self estimated interest for nature.  We also show that the observed effects of the educational intervention “Klassdraget” appear to be larger for the girls which are, by tradition, less interested in recreational fishing as compared to boys.

  • 24.
    Ahnesjö, Jonas
    et al.
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science.
    Karlsson, Peter S.
    Linnaeus University, School of Business and Economics, Department of Economics and Statistics.
    Bergman, Patrick
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science.
    Benefits of outdoor exercise and recovery outdoors in elderly2019In: HEPA Europe, Odense, Denmark, August 28-30, 2019: abstract book, 2019, p. 38-38Conference paper (Refereed)
    Abstract [en]

    Purpose: The purpose of this study was to test the hypothesis that the ”outdoors” has an added health effect on top of that of physical activity. This hypothesis is based on the fairly extensive volume of evidens suggesting that the outdoor environment is beneficial for overall health. We, however, consider most previous studies insufficiently designed in order to draw causal relationship between spending time outdoors and examined health parameters. In this study we state that our experimental design allows us to do just that. 

    Methods:

    In this randomized cross-over experimental design, 49 healthy subjects (+65 years, 27 female) performed a standardized submaximal bike ergometer test in three different environments (indoors, simulated outdoors and outdoors). The test consisted of 20 minutes cycling and subjects were instructed to stay between 11-13 at the Borg RPE scale (i.e. moderate intensity). Each test was followed by two hours of passive recovery. We measured power output, heart rate, lactate and counts of five fractions (lymphocytes, monocytes, neutrophiles, basophiles and eosinophiles) of white blood cells (leukocytes) in circulation.

    Results:

    Our results revealed that the outdoor treatment resulted in higher levels of lactate, higher heart rate and higher power output despite that there were no differences in Borg RPE-rating between the treatments. The white blood cell analysis showed an increase of circulating leukocytes in almost all fractions immediately post exercise in all treatments. Numbers decreased rapidly post exercise and the lymphocyte numbers stayed well under baseline for more than one hour during recovery. This is referred to as an “open window” where the immune function is temporarily suppressed and there is an elevated risk of infection of primarily URTI.

    Conclusions:

    Our results not only suggest that exercise is more efficient out of doors such that more exercise/effort is obtained but also that recovery outdoors may be a way to decrease the risk of infections due to exercise induced immune suppression. The risk of getting an infection is known to be generally lower out of doors. Taken together, our results support the notion that exercising and spending time outdoors indeed is beneficial for health in senior citizens.

  • 25.
    Aho, Anna-Carin
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Hultsjö, Sally
    Cty Hosp, Jönköping.
    Hjelm, Katarina
    Linköping University.
    Health perceptions of young adults living with recessive limb-girdle muscular dystrophy2016In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, no 8, p. 1915-1925Article in journal (Refereed)
    Abstract [en]

    AimThe aim of this study was to describe health perceptions related to sense of coherence among young adults living with recessive limb-girdle muscular dystrophy. BackgroundLimb-girdle muscular dystrophy refers to a group of progressive muscular disorders that may manifest in physical disability. The focus in health care is to optimize health, which requires knowledge about the content of health as described by the individual. DesignA descriptive study design with qualitative and quantitative data were used. MethodInterviews were conducted between June 2012-November 2013 with 14 participants aged 20-30years. The participants also answered the 13-item sense of coherence questionnaire. Qualitative data were analysed with content analysis and related to self-rated sense of coherence. FindingsHealth was viewed as intertwined physical and mental well-being. As the disease progressed, well-being was perceived to be influenced not only by physical impairment and mental strain caused by the disease but also by external factors, such as accessibility to support and attitudes in society. Factors perceived to promote health were having a balanced lifestyle, social relations and meaningful daily activities. Self-rated sense of coherence varied. The median score was 56 (range 37-77). Those who scored 56 described to a greater extent satisfaction regarding support received, daily pursuits and social life compared with those who scored <56. ConclusionCare should be person-centred. Caregivers, with their knowledge, should strive to assess how the person comprehends, manages and finds meaning in daily life. Through dialogue, not only physical, psychological and social needs but also health-promoting solutions can be highlighted.

  • 26.
    Aho, Anna-Carin
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Hultsjö, Sally
    Cty Hosp, Jönköping.
    Hjelm, Katarina
    Linköping University.
    Young adults' experiences of living with recessive limb-girdle muscular dystrophy from a salutogenic orientation: an interview study2015In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 37, no 22, p. 2083-2091Article in journal (Refereed)
    Abstract [en]

    Purpose: To describe young adults' experiences of living with recessive limb-girdle muscular dystrophy (LGMD2) from a salutogenic orientation. Methods: A qualitative explorative interview study, including 14 participants aged 20-30 years, was performed focusing on comprehensibility, manageability and meaningfulness in daily life. Content analysis was used for data analysis. Result: Living with LGMD2 not only implies learning to live with the disease and the variations between good and bad periods but also means trying to make sense of a progressive disease that brings uncertainty about future health, by striving to make the best of the situation. Disease progression involves practical and mental struggle, trying to maintain control over one's life despite vanished physical functions that require continual adjustments to the body. Restrictions in a double sense were described, not only due to the disease but also due to poor comprehension of the disease in society. Lack of knowledge about LGMD2 among professionals often results in having to fight for the support needed. Conclusion: In order to manage daily life, it is important to be seen and understood as an individual in contacts with professionals and in society in general, to have informal social support and meaningful activities as well as access to personal assistance if necessary.Implications for RehabilitationRecessive limb-girdle muscular dystrophy (LGMD2) is a group of progressive disorders, which manifest in physical and psychological consequences for the individual.According to the salutogenic orientation, people need to find life comprehensible, manageable and meaningful, i.e. to achieve a sense of coherence (SOC), but living with LGMD2 may recurrently challenge the individual's SOC.Through the holistic view of the individual's situation that the salutogenic orientation provides, professionals may support the individual to strengthen SOC and thereby facilitate the movement towards health.

  • 27.
    Aidemark, Jan
    et al.
    Linnaeus University, Faculty of Technology, Department of Informatics.
    Askenäs, Linda
    Linnaeus University, Faculty of Technology, Department of Informatics.
    Flexible Self-Care Solution Portfolio: Adaptive Support for Patient Centered Heart Failure Care2016In: International Conference on Enterprise Information Systems/International Conference on Project Management/International Conference on Health and Social Care Information Systems and Technologies, CENTERIS/ProjMAN / HCist 2016 / [ed] Varajao, JEQ; CruzCunha, MM; Martinho, R; Rijo, R; BjornAndersen, N; Turner, R; Alves, D, Elsevier, 2016, p. 215-220Conference paper (Refereed)
    Abstract [en]

    Development of support systems in the area of e-health have different set of conditions that makes it more difficult than in other context of IS/IT use. In this research we explore a development case and look at the development process and the outcomes in terms of solutions. The research concerns the area of heart failure and how patients could be more successful with self-care. The outcome from the project was the creation of a portfolio of solutions, which was a combination of technical and process solutions. The outcome draws the attention to the need of flexible solutions and cater to the diversity of the patients and their personal situations. In the concluding discussion a set of design dimensions are presenting, representing difficult trade-offs that needs to be handled during the design process. (C) 2016 The Authors. Published by Elsevier B.V.

  • 28.
    Ajazaj, Vanessa
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Guldhjelm, Alexandra
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Mäns livskvalité efter en radikal prostatektomi: En systematisk litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Prostatacancer är den mest förekommande cancerdiagnosen i Sverige. Diagnosen kan vara påfrestande för mannen och symtom såsom smärta och känslan av rädsla är vanligt. En av de vanligaste behandlingarna är radikal prostatektomi där hela mannens prostata avlägsnas. Det är viktigt att sjuksköterskan kan ge mannen stöd och hjälp i att förbättra sin livskvalité. Studien har förankrats i Världshälsoorganisationens definition av livskvalité samt Sprangers och Schwartz teoretiska modell om response shift.

    Syfte: Beskriva livskvalitén hos män som har genomgått en radikal prostatektomi. Metod: En systematisk litteraturstudie med induktiv ansats. Datainsamlingen resulterade i att 21 artiklar kvalitetsgranskades. Totalt inkluderades åtta artiklar i resultatet och en kvalitativ innehållsanalys genomfördes.

    Resultat: I resultatet identifierades huvudkategorierna: Fysiska symtom, Psykiska symtom, Behovet av stöd och Den nya vardagen. Det som främst påverkade livskvalitén var de urologiska besvären och att det sexuella samlivet påverkades. Många män fann att stödet från en partner och sjukvården hade stor betydelse för deras tillfrisknande samt hur de upplevde sin livskvalité.

    Slutsats: Majoriteten av männen upplevde en negativ påverkan på livskvalitén efter en radikal prostatektomi. Värderingar och prioriteringar lades om bland många män, vilket kan tyda på att response shift inträtt. Denna studie kan ge sjuksköterskor en ökad kunskap om hur mannens livskvalité kan påverkas efter en radikal prostatektomi relaterat till response shift.

  • 29.
    Akner, Gunnar
    Örebro University.
    Ibsens princip bör styra vårdsektorn2014In: Sjukhusläkaren, ISSN 1651-2715, no 5, p. 26-26Article in journal (Other (popular science, discussion, etc.))
  • 30.
    Akner, Gunnar
    Örebro University ; Karolinska Institutet.
    Klinisk nutrition har svag ställning i vårdsystemet2015In: Äldre i centrum, ISSN 1653-3585, no 1, p. 15-17Article, review/survey (Other academic)
    Abstract [sv]

    »Många studier genom åren har visat att inte ens en så enkel och lätt bestämd variabel som kroppsvikt registreras och analyseras tydligt över tid.«

    Man försöker trycka in kvalitet i klinisk nutrition i ett vårdsystem som inte är förberett på saken. Detta i en situation med a) brist på infrastruktur i vården, b) brist på utbildning/träning i klinisk nutrition hos personalen och c) avsaknad av en medicinsk specialitet för klinisk nutrition. Det skriver professor Gunnar Akner i en debatterande översiktsartikel.

  • 31.
    Akner, Gunnar
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Kunskapsstyrning genom checklistor kan bli farlig sjukvård.2017Other (Other (popular science, discussion, etc.))
  • 32.
    Akner, Gunnar
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Socialstyrelsens kritik beror på bristande uppföljning av äldre personer2017Other (Other (popular science, discussion, etc.))
  • 33.
    Akner, Gunnar
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Sverige ledande på värdebaserad vård2017In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 114, article id ELSPArticle in journal (Other academic)
    Abstract [sv]

    Sverige ligger högst i en internationell jämförande studie om värdebaserad vård. Rapporten visar tydligt ambitionerna från ett flertal internationella organ att införa värdebaserad vård för styrningen av sjukvården globalt.

  • 34.
    Akner, Gunnar
    Örebro University.
    Tid för klinisk analys2015In: Sjukhusläkaren, ISSN 1651-2715, no 1, p. 34-34Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Hur lång tid tar det att göra en klinisk analys? Den erforderliga tiden varierar givetvis beroende på hälsoproblemets komplexitet, men beror även på ambitionsgraden för pedagogik och information samt läkarens kunskaper, erfarenheter och personlighet (stenisk/astenisk).

  • 35.
    Akner, Gunnar
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Andersson, Christer
    Umeå University.
    Ekerstad, Niklas
    NU-sjukvården.
    Eliasson, Mats
    Umeå University.
    Gustafson, Yngve
    Umeå University.
    Järhult, Bengt
    Region Östergötland.
    Petersson, Christer
    Region Kronoberg.
    Tjärnström, Johan
    NU-sjukvården.
    von Zur-Mühlen, Bengt
    Uppsala University Hospital.
    Wingstrand, Hans
    Lund University.
    Styrningen har blivit ett hot2016In: Svenska Dagbladet, ISSN 1101-2412, Vol. 25 jul, p. 1Article in journal (Other (popular science, discussion, etc.))
  • 36.
    Akner, Gunnar
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Andersson, Christer
    Umeå universitet.
    Hallén, Ola
    Karlstads lasarett.
    Järhult, Bengt
    Vårdcentralen Ryd.
    Järhult, Johannes
    Professor em. Jönköping.
    Lind, Helena
    Spec onkologi och palliativ medicin, Stockholm.
    Löfmark, Rurik
    Med dr Gävle.
    Petersson, Christer
    Allmänmedicinare, Växjö.
    Rutegård, Jörgen
    Docent kirurgi, Umeå.
    Sandberg, CG
    Spec psykiatri och företagshälsovård, Stockholm.
    Schmitt, Christian
    Spec allmänmedicin, Sätila.
    Sjögren, Jonas
    Spec allmänmedicin, Västerås.
    Cizinsky, Stella
    Specialist i kardiologi, Örebro.
    Styrud, Johan
    Specialist i kirurgi, Stockholm.
    Svenberg, Torgny
    Specialist i kirurgi, Stockholm.
    Tjärnström, Johan
    Specialist i kirurgi, Trollhättan.
    Westergren, Hans
    Öl, med dr, Smärtrehab, Lund.
    Wingstrand, Hans
    Professor i ortopedi, Lund.
    Zur-Mühlen B, Bengt
    Med dr, öl neurologi, Uppsala.
    Ekerstad, Niklas
    Med dr, spec kardiologi Trollhättan.
    Elisasson, Mats
    Professor, spec internmedicin, Umeå.
    Engström, Sven
    Spec allmänmedicin, Örnsköldsvik.
    Ervander, Cecilia
    Spec allmänmedicin Lund.
    Flordal, Per Anders
    Spec kirurgi, Stockholm.
    Hagström, Bertil
    Spec allmänmedicin, Horred.
    Halldin, Jan
    Specialist i psykiatri och socialmedicin, Stockholm.
    Värdebaserad vård strider sannolikt mot lagen2017In: Dagens Samhälle, ISSN 1652-6511, article id 170315Article in journal (Other (popular science, discussion, etc.))
  • 37.
    Akner, Gunnar
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Andersson, Christer
    Umeå universitet.
    Hallén, Ola
    Karlstads lasarett.
    Järhult, Bengt
    Vårdcentralen Ryd.
    Järhult, Johannes
    Professor em. Jönköping.
    Löfmark, Rurik
    Med dr Gävle.
    Petetrsson, Christer
    Allmänmedicinare, Växjö.
    Sandberg, CG
    Spec psykiatri och företagshälsovård, Stockholm.
    Schmitt, Christian
    Spec allmänmedicin, Sätila.
    Sjögren, Jonas
    Spec allmänmedicin, Västerås.
    Styrud, Johan
    Specialist i kirurgi, Stockholm.
    Svenberg, Torgny
    Specialist i kirurgi, Stockholm.
    Cizinsky, Stella
    Specialist i kardiologi, Örebro.
    Tjärnström, Johan
    Specialist i kirurgi, Trollhättan.
    Wingstrand, Hans
    Professor i ortopedi, Lund.
    Ekerstad, Niklas
    Med dr, spec kardiologi Trollhättan.
    Elisasson, Mats
    Professor, spec internmedicin, Umeå.
    Engström, Sven
    Spec allmänmedicin, Örnsköldsvik.
    Ervander, Cecilia
    Spec allmänmedicin Lund.
    Flordal, Per Anders
    Spec kirurgi, Stockholm.
    Hagström, Bertil
    Spec allmänmedicin, Horred.
    Halldin, Jan
    Specialist i psykiatri och socialmedicin, Stockholm.
    Vårdkrisen är egentligen en onödig artefakt.2017In: Dagens Medicin, E-ISSN 1402-1943, no 17, 26 April, p. 23-, article id 170428Article in journal (Other (popular science, discussion, etc.))
  • 38.
    Akner, Gunnar
    et al.
    Örebro University ; Karolinska Institutet.
    Boström, Anne-Marie
    Karolinska Institutet.
    Krachler, Benno
    Kalix sjukhus.
    Orrevall, Ylva
    Karolinska University Hospital.
    Rundgren, Åke
    University of Gothenburg.
    Sahlin, Nils-Eric
    Lund University.
    Kosttillägg för undernärda äldre: en systematisk litteraturöversikt2014Report (Other academic)
  • 39.
    Akner, Gunnar
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Ekerstad, Niklas
    Med dr, spec kardiologi Trollhättan.
    Elisasson, Mats
    Professor, spec internmedicin, Umeå.
    Engström, Sven
    Spec allmänmedicin, Örnsköldsvik.
    Ervander, Cecilia
    Spec allmänmedicin Lund.
    Flordal, Per Anders
    Spec kirurgi, Stockholm.
    Hagström, Bertil
    Spec allmänmedicin, Horred.
    Halldin, Jan
    Specialist i psykiatri och socialmedicin, Stockholm.
    Hallén, Ola
    Medicinkliniken, Karlstads lasarett.
    Järhult, Bengt
    Vårdcentralen Ryd.
    Järhult, Johannes
    Professor em. Jönköping.
    Lind, Helena
    Spec onkologi och palliativ medicin, Stockholm.
    Löfmark, Rurik
    Med dr Gävle.
    Petersson, Christer
    Allmänmedicinare, Växjö.
    Rutegård, Jörgen
    Docent kirurgi, Umeå.
    Sandberg, CG
    Spec psykiatri och företagshälsovård, Stockholm.
    Schmitt, Christian
    Spec allmänmedicin, Sätila.
    Sjögren, Jonas
    Spec allmänmedicin, Västerås.
    Styrud, Johan
    Specialist i kirurgi, Stockholm.
    Svenberg, Torgny
    Specialist i kirurgi, Stockholm.
    Tjärnström, Johan
    Specialist i kirurgi, Trollhättan.
    Westergren, Hans
    Öl, med dr, Smärtrehab, Lund.
    Wingstrand, Hans
    Professor i ortopedi, Lund.
    von Zur-Mühlen, Bengt
    Med dr, öl nefrologi, Uppsala.
    Vi står gärna bakom en utfallsbaserad vård2017In: Dagens Samhälle, ISSN 1652-6511, article id 170328Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Jörgen Nordenström försöker få det till att vår kritik av värdebaserad vård egentligen handlar om att vi vill ha mer resurser. Han har helt missuppfattat oss, skriver 26 specialistläkare i en replik.

  • 40.
    Akner, Gunnar
    et al.
    Örebro University Hospital.
    Ellegård, Lars
    Sahlgrenska University Hospital ; Swedish Society for Clinical Nutrition.
    Klinisk nutrition bör återinföras som medicinsk specialitet2011In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 108, p. 1770-1770Article in journal (Other academic)
  • 41.
    Akner, Gunnar
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Järhult, Bengt
    Region Östergötland.
    Ekonomiska incitament ska inte kopplas till den enskilde patienten: Replik till Magnus Lind om värdebaserad vård2016In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 113, article id D4TPArticle in journal (Other academic)
  • 42.
    Akner, Gunnar
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Järhult, Bengt
    Region Östergötland, Sweden.
    Värdebaserad vård införs snabbt: värdig efterträdare till NPM?2016In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 113, no 20, p. 1-3, article id DXUTArticle in journal (Refereed)
  • 43.
    Akner, Gunnar
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Järhult, Bengt
    Vårdcentralen Ryd.
    Värdebaserad vård utan underlag: Apropå!2016In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 113, no 21, article id DZFHArticle in journal (Other academic)
  • 44.
    Albertsson, Josefin
    et al.
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science.
    Ferner, Johanna
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science.
    Idrott och Hälsa med fokus på Hälsa: En kvalitativ studie om elevers syn på hälsa i undervisningen2014Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This study builds on students' views and perceptions about health and how health is affected in physical education. Many studies deal with the teacher 's view of the health concept of the subject and not on the student's vision. The purpose of our study is to see health from a student perspective, to achieve our result we interviewed thirty-two high school students to find out their views on how the subject is given in terms of teaching. The results indicate that students see health from a physical and psychological perspective, but that the teaching of the subject most affects the physical activity and aspect. Students find that the health concept of the subject is important and should be affected more than it does in teaching. The results have been analyzed according to a curriculum theory perspective where the focus is on realizing the stadium , which means how the content looks like in actual teaching in relation to policy documents and teachers' interpretations. In summary , the study from a student perspective how high school students perceive health - both their own beliefs and how they feel that it is found in teaching.

    Keywords: Physical education and health education in health, student perspective, curriculum theory, the concept of health .

  • 45.
    Albertsson, Josefin
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Hoffer Holmgren, Linnéa
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Att beskriva anhörigas behov av information när en närstående diagnostiserats med hjärtsvikt: En systematisk litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Hjärtsvikt är idag en vanlig folksjukdom i hela världen. Inom sjukvården ligger fokus ofta på den som diagnostiserats med sjukdomen. När någon fått diagnosen hjärtsvikt påverkas även de anhöriga. Information efterfrågades av anhöriga för att de skulle kunna stödja och hjälpa sin närstående.

    Syfte: Syftet var att beskriva anhörigas behov av information när en närstående diagnostiserats med hjärtsvikt.

    Metod: Metoden som användes var en systematisk litteraturstudie. Artiklar från tre olika databaser valdes ut och kvalitetsgranskades innan de inkluderades i uppsatsen. Totalt var det 9 artiklar som inkluderades och analyserades genom en innehållsanalys. Utsagor från de olika artiklarna samlades in och kondenserades, kodades och kategoriserades.

    Resultat: Det slutgiltiga resultatet delades in i tre kategorier; behov av bekräftelse, behov av kunskap om sjukdomen och information relaterat till oro i vardagen. Resultatet visade att anhöriga upplevde brist på information om sjukdomen, vilket bidrog till en otrygghet och oro i vardagen. Vidare beskrevs det att tillräcklig information och kontinuerligt stöd förstärkte relationen mellan de anhöriga och närstående och bidrog till att de lättare kunde hantera sjukdomen. Den slutgiltiga resultatdiskussionen baserades på familjerelaterad omvårdnad.

    Slutsats: Att inte bara inkludera den som fått diagnosen hjärtsvikt i informationen, utan även de anhöriga, visade sig vara av vikt. Att ge informationen till de anhöriga på ett begripligt sätt bidrog till att de kände sig delaktiga i vården. Vid utebliven information till de anhöriga kände de att de inte kunde hantera sin vardag och stötta sin närstående. Det var därför avgörande att sjuksköterskan även delgav anhöriga information. 

  • 46.
    Albin, Björn
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Hälsa bland invandrare i Sverige i ett långtidsperspektiv2006In: Flervetenskapliga perspektiv i migrationsforskning: Årsbok 2006 från forskningsprofilen Arbetsmarknad, Migration och Etniska Relationer (AMER) vid Växjö universitet, Växjö: Växjö University Press , 2006, p. 10-Chapter in book (Other academic)
    Abstract [sv]

    Migration är idag en internationell process och en internationell fråga som påverkar nästan varje land på jorden. Internationella beräkningar uppskattar att antalet migranter har, under perioden 1970 till år 2000, stigit från 82 till 175 millioner.

    Sambandet mellan migration och hälsa har diskuterats i tidigare studier och att migration kan påverka hälsan både i negativ riktning eller i positiv riktning.

    Under 2002-2006 genomfördes fyra olika delstudier av med inriktning på hälsa och hälsoutveckling bland migranter i Sverige. Samtliga studier baserades på data från SCB och Socialstyrelsens Epidemiologiska centrum (EpC) och i databasen ingick samtliga utrikes födda personer, 16 år och äldre, som var bosatta i Sverige 1970.. Till varje utrikes född person fanns en matchad infödd svensk person, en kontrollperson. Databasen som användes för analyser kom att omfatta 723 948 personer där hälften var utrikes födda och hälften svenska kontrollpersoner.

    De fyra olika delstudierna beskrev och analyserade skillnaderna mellan utrikes födda och personer födda i Sverige vad gäller, dödlighet, sjukdomsmönster, konsumtion av vård och regionala skillnader i dödlighet. Resultaten, visade en högre dödlighet med regionala skillnader, annorlunda sjukdomsmönster och en tendens till lägre konsumtion av vård bland utrikes födda än bland svenskfödda personer under perioden 1970-1999.

    Det går inte att påvisa och förklara de återfunna skillnaderna i hälsa med ett fåtal enkla faktorer. Flera faktorer, så som ekonomisk situation, arbete, arbetsmiljö, arbetslöshet, sociala nätverk och situationen före migrationen kan ha påverkat de utrikes föddas sämre hälsoläge. Den fysiska och sociala miljön och eventuella ojämlikheter i sjukvårdsresurser och tillgång till vård spelar också en viktig roll.

    Migrationen har haft en negativ inverkan på de utrikes föddas hälsa och är en viktig faktor att ta hänsyn till vid studier av hälsa och hälsoutveckling bland befolkningen i ett land.

  • 47.
    Albin, Björn
    et al.
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Hjelm, Katarina
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Äldre invandrares användning av hälso- och sjukvård2008In: Efterfrågad arbetskraft?: Årsbok 2008 från forskningsprofilen Arbetsmarknad, migration och Etniska relationer (AMER) vid Växjö universitet, 2008, p. 167-176Chapter in book (Other academic)
  • 48.
    Albin, Björn
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences. Lund University.
    Hjelm, Katarina
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences. Lund University.
    Chang Zhang, Wen
    Fujian Medical University, China.
    Health Care Systems in Sweden and China: Legal and formal organisational aspects2010In: Health Research Policy and Systems, ISSN 1478-4505, E-ISSN 1478-4505, Vol. 8, article id 20Article in journal (Refereed)
    Abstract [en]

    AIM: To describe and compare health care in Sweden and China with regard to legislation, organisation, and finance.

    METHODS: Literature review in Sweden and China to identify literature published from 1985 to 2008 using the same keywords. References in recent studies were scrutinized, national legislation and regulations and government reports were searched, and textbooks were searched manually.

    RESULTS: The health care systems in Sweden and China show dissimilarities in legislation, organisation, and finance. In Sweden there is one national law concerning health care while in China the law includes the "Hygienic Common Law" and the "Fundamental Health Law" which is under development. There is a tendency towards market-orientated solutions in both countries. Sweden has a well-developed primary health care system while the primary health care system in China is still under development and relies predominantly on hospital-based care concentrated in cities.

    CONCLUSION: Despite differences in health care systems, Sweden and China have similar basic assumptions, i.e. to combine managerial-organisational efficiency with the humanitarian-egalitarian goals of health care, and both strive to provide better care for all.

  • 49.
    Albin, Björn
    et al.
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Hjelm, Katarina
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Ekberg, Jan
    Växjö University, Faculty of Humanities and Social Sciences, School of Management and Economics.
    Elmeståhl, Sölve
    Mortality among foregn born and native born in Sweden 1970-19992005In: European Journal of Public Health, Vol. 15, no 5, p. 511-517Article in journal (Refereed)
  • 50.
    Albin, Björn
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Hjelm, Katarina
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Ekberg, Jan
    Lunds universitet.
    Elmståhl, Sölve
    Linnaeus University, Faculty of Business, Economics and Design, Linnaeus School of Business and Economics.
    County Differences in Mortality among Foreign-Born Compared to Native Swedes 1970-19992012In: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, Vol. 2012, p. Article ID 136581-Article in journal (Refereed)
    Abstract [en]

    Background. Regional variations in mortality and morbidity have been shown in Europe and USA. Longitudinal studies have found increased mortality, dissimilarities in mortality pattern, and differences in utilization of healthcare between foreign- and native-born Swedes. No study has been found comparing mortality among foreign-born and native-born Swedes in relation to catchment areas/counties. Methods. The aim was to describe and compare mortality among foreign-born persons and native Swedes during 1970–1999 in 24 counties in Sweden. Data from the Statistics Sweden and the National Board of Health and Welfare was used, and the database consisted of 723,948 persons, 361,974 foreign-born living in Sweden in 1970 and aged 16 years and above and 361,974 matched Swedish controls. Results. Latest county of residence independently explained higher mortality among foreign-born persons in all but four counties; OR varied from 1.01 to 1.29. Counties with a more rural structure showed the highest differences between foreign-born persons and native controls. Foreign-born persons had a lower mean age (1.0–4.3 years) at time of death. Conclusion. County of residence influences mortality; higher mortality is indicated among migrants than native Swedes in counties with a more rural structure. Further studies are needed to explore possible explanations. 

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