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Publications (10 of 16) Show all publications
Hugelius, K. (2019). HESPER Web; A web based survey to assess experienced needs in disasters and humanitarian emergencies. In: : . Paper presented at WADEM Congress on Disaster and Emergency Medicine, Brisbane, Australia, May 7-10, 2019. Brisbane, Australia: World Association for Disaster and Emergency Medicine (WADEM)
Open this publication in new window or tab >>HESPER Web; A web based survey to assess experienced needs in disasters and humanitarian emergencies
2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
Place, publisher, year, edition, pages
Brisbane, Australia: World Association for Disaster and Emergency Medicine (WADEM), 2019
National Category
Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-73437 (URN)
Conference
WADEM Congress on Disaster and Emergency Medicine, Brisbane, Australia, May 7-10, 2019
Available from: 2019-04-01 Created: 2019-04-01 Last updated: 2019-06-07Bibliographically approved
Nilsson, U., Jaensson, M., Dahlberg, K. & Hugelius, K. (2019). Postoperative recovery after general and regional anesthesia in patients undergoing day surgery: A mixed methods study. Journal of Perianesthesia Nursing, 34(3), 517-528
Open this publication in new window or tab >>Postoperative recovery after general and regional anesthesia in patients undergoing day surgery: A mixed methods study
2019 (English)In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 34, no 3, p. 517-528Article in journal (Refereed) Published
Abstract [en]

Purpose: To investigate differences and describe experiences of postoperative recovery after day surgery between patients undergoing general anesthesia (GA) versus regional anesthesia (RA).

Design: A mixed methods design.

Methods: Day surgery patients (N = 401) were included. Postoperative recovery was assessed daily for 14 days using the Swedish Web Version of the Quality of Recovery questionnaire included in a mobile application. In addition, qualitative interviews were completed with 20 day surgery patients. Quantitative and qualitative data were first analyzed separately and then merged.

Findings: There were significant differences in Swedish Web Version of the Quality of Recovery between GA and RA on days 1 to 13 (P < .05). These findings could not be confirmed in the qualitative findings, except for psychological issues as well as tiredness and fatigue. Unexpected issues contributed to a greater extent to the theme not feeling well Pain in the surgical wound was overall the biggest problem.

Conclusions: There seems to be a poorer recovery after GA compared with RA. Tiredness or fatigue is present also after minor surgery in RA. Unexpected issues affect recovery negatively, and therefore should be addressed by health care.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
day surgery, fatigue, mixed methods, patient experience, patient-reported outcomes, postoperative
National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-68568 (URN)10.1016/j.jopan.2018.08.003 (DOI)000469462400009 ()30470465 (PubMedID)2-s2.0-85057033263 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2013-4765Swedish Research Council, 2015-02273
Available from: 2018-08-24 Created: 2018-08-24 Last updated: 2019-06-18Bibliographically approved
Hugelius, K. (2019). The HOPE model for disaster nursing: a result from a systematic literature review. In: : . Paper presented at WADEM Congress on Disaster and Emergency Medicine, Brisbane, Australia, May 7-10, 2019. Brisbane, Australia: World Association for Disaster and Emergency Medicine (WADEM)
Open this publication in new window or tab >>The HOPE model for disaster nursing: a result from a systematic literature review
2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
Place, publisher, year, edition, pages
Brisbane, Australia: World Association for Disaster and Emergency Medicine (WADEM), 2019
National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-73435 (URN)
Conference
WADEM Congress on Disaster and Emergency Medicine, Brisbane, Australia, May 7-10, 2019
Available from: 2019-04-01 Created: 2019-04-01 Last updated: 2019-06-07Bibliographically approved
Hugelius, K. & Adolfsson, A. (2019). The HOPE model for disaster nursing: A systematic literature review [Review]. International Emergency Nursing, 45, 1-9
Open this publication in new window or tab >>The HOPE model for disaster nursing: A systematic literature review
2019 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 45, p. 1-9Article, book review (Refereed) Published
Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Disaster management, Disaster nursing, Disasters, Hope, Mass casualty situations, Nursing models, Systematic review
National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-73899 (URN)10.1016/j.ienj.2019.03.007 (DOI)000474811300001 ()31005569 (PubMedID)2-s2.0-85064325827 (Scopus ID)
Available from: 2019-04-24 Created: 2019-04-24 Last updated: 2019-08-08Bibliographically approved
Hugelius, K., Adams, M. & Romo-Murphy, E. (2019). The Power of Radio to Promote Health and Resilience in Natural Disasters: A Review. International Journal of Environmental Research and Public Health, 16(14), Article ID E2526.
Open this publication in new window or tab >>The Power of Radio to Promote Health and Resilience in Natural Disasters: A Review
2019 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, no 14, article id E2526Article in journal (Refereed) Published
Abstract [en]

Humanitarian radio has been used in humanitarian aid efforts and after natural disasters over the last 15 years. However, the effects have barely been evaluated, and there are few scientific reports on the impact of radio as a disaster health response intervention. Therefore, this study aimed to provide an overview of the use and impact of humanitarian radio in natural disasters from a health perspective. A literature review of 13 scientific papers and grey literature resources was conducted. The results show that humanitarian radio could be used to promote both physical and psychosocial wellbeing by providing health-related information, advice and psychosocial support in natural disasters. Community resilience can be enhanced by the promotion of community engagement and can strengthen self-efficacy and community efficacy. Radio also has the potential to cost-effectively reach a large number of affected people in areas with severely damaged infrastructure. Radio could, therefore, contribute to health recovery and wellbeing from both individual and community perspectives. As such, health professionals; crises communication professionals, including radio journalists; and disaster-managing stakeholders should be prepared and trained to use humanitarian radio as an integrated part of the disaster health response in natural disasters.

Place, publisher, year, edition, pages
MDPI, 2019
Keywords
Community resilience, crises communication, disaster, disaster response, humanitarian radio, mental health
National Category
Other Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-75189 (URN)10.3390/ijerph16142526 (DOI)000480659300079 ()31311142 (PubMedID)2-s2.0-85069998471 (Scopus ID)
Available from: 2019-07-21 Created: 2019-07-21 Last updated: 2019-11-15Bibliographically approved
Hugelius, K. (2018). The link between disaster radio and health in disaster affected commmunities. In: World Radio Day, UN Geneva: . Paper presented at World Radio Day 2018, Geneva, Switzerland, February 13, 2018.
Open this publication in new window or tab >>The link between disaster radio and health in disaster affected commmunities
2018 (English)In: World Radio Day, UN Geneva, 2018Conference paper, Oral presentation only (Other (popular science, discussion, etc.))
National Category
Other Health Sciences Communication Studies
Identifiers
urn:nbn:se:oru:diva-65020 (URN)
Conference
World Radio Day 2018, Geneva, Switzerland, February 13, 2018
Available from: 2018-02-15 Created: 2018-02-15 Last updated: 2018-02-27Bibliographically approved
Hugelius, K., Adolfsson, A., Örtenwall, P. & Gifford, M. (2017). Being Both Helpers and Victims: Health Professionals' Experiences of Working During a Natural Disaster. Prehospital and Disaster Medicine, 32(2), 117-123
Open this publication in new window or tab >>Being Both Helpers and Victims: Health Professionals' Experiences of Working During a Natural Disaster
2017 (English)In: Prehospital and Disaster Medicine, ISSN 1049-023X, E-ISSN 1945-1938, Vol. 32, no 2, p. 117-123Article in journal (Refereed) Published
Abstract [en]

Background: In November 2013, the Haiyan typhoon hit parts of the Philippines. The typhoon caused severe damage to the medical facilities and many injuries and deaths. Health professionals have a crucial role in the immediate disaster response system, but knowledge of their experiences of working during and in the immediate aftermath of a natural disaster is limited. Aim The aim of this study was to explore health professionals' experiences of working during and in the immediate aftermath of a natural disaster.

Method: Eight health professionals were interviewed five months after the disaster. The interviews were analyzed using phenomenological hermeneutic methods.

Results: The main theme, being professional and survivor, described both positive and negative emotions and experiences from being both a helper, as part of the responding organization, and a victim, as part of the surviving but severely affected community. Sub-themes described feelings of strength and confidence, feelings of adjustment and acceptance, feelings of satisfaction, feelings of powerless and fear, feelings of guilt and shame, and feelings of loneliness.

Conclusion: Being a health professional during a natural disaster was a multi-faceted, powerful, and ambiguous experience of being part of the response system at the same time as being a survivor of the disaster. Personal values and altruistic motives as well as social aspects and stress-coping strategies to reach a balance between acceptance and control were important elements of the experience. Based on these findings, implications for disaster training and response strategies are suggested. Hugelius K , Adolfsson A , Örtenwall P , Gifford M . Being both helpers and victims: health professionals' experiences of working during a natural disaster.

Place, publisher, year, edition, pages
New York, USA: Cambridge University Press, 2017
Keywords
disaster medicine; disasters; health professionals; phenomenological hermeneutic method; relief work
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:oru:diva-54391 (URN)10.1017/S1049023X16001412 (DOI)000398228600002 ()28043240 (PubMedID)2-s2.0-85007572037 (Scopus ID)
Note

Funding Agencies:

Fortifikationsföreningens Forskningsfond (Foundation of Fortification-Related Research)

Örebro County Council Research Committee (Örebro, Sweden)

Available from: 2017-02-07 Created: 2017-01-10 Last updated: 2017-10-18Bibliographically approved
Hugelius, K. (2017). Disaster response for recovery: survivors experiences, and the use of disaster radio to promote health after natural disasters. (Doctoral dissertation). Örebro: Örebro university
Open this publication in new window or tab >>Disaster response for recovery: survivors experiences, and the use of disaster radio to promote health after natural disasters
2017 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Disasters occur all over the world, and affect a rising number of people. The health effects of natural disasters depend on several factors present before, during, and after a disaster event. However, there is only limited knowledge of survivors experiences, needs, and health after natural disasters. Disaster radio means a temporary radio station that broadcasts information, music, and support to the affected population. Disaster radio has the potential to function even in a severely affected area, but its effects need to be further evaluated from a health perspective. The context of this thesis was the Haiyan supertyphoon that hit parts of the Philippines in November 2013.

The overall aim was to describe survivors’ and health professionals’ experiences during and in the immediate aftermath of a natural disaster, the health effects from such a disaster, and how disaster radio as a disaster response intervention can be used and evaluated from a health perspective. The thesis includes four studies using qualitative research methods, including content analysis and a phenomenological hermeneutic method, and quantitative methods with statistical analysis.

The results show that the Haiyan typhoon affected physical, psychological, and social dimensions of health. Disaster radio was used to broadcast health-related information and psychosocial support, and made a positive contribution to recovery from the perspective of the survivors. Being a health professional deployed during the disaster was an experience of being both a helper and a victim. The use of a self-selected internetbased sample recruited via Facebook for a web-based survey mitigated several practical challenges related to disaster research, but also raised questions about the generalizability of the results.

Based on the findings, the importance of an integrated physical, psychological, and social health response to natural disasters is emphazized. Also, the health care system should prepare to use disaster radio as disaster response. In addition, the results suggest that disaster training for health professionals should include personal preparation and coping strategies. Internet-based methods in disaster research need to be further evaluated.

Place, publisher, year, edition, pages
Örebro: Örebro university, 2017. p. 91
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 69
Keywords
natural disaster, disaster response, disaster health, recovery, resilience
National Category
Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-52653 (URN)978-91-7529-180-2 (ISBN)
Public defence
2017-03-31, Örebro universitet, Prismahuset, Hörsal 2, Fakultetsgatan 1, Örebro, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2016-09-28 Created: 2016-09-28 Last updated: 2017-10-18Bibliographically approved
Hugelius, K., Gifford, M., Örtenwall, P. & Adolfsson, A. (2017). Health among disaster survivors and health professionals after the Haiyan Typhoon: a self-selected Internet-based web survey. International Journal of Emergency Medicine, 10(1), Article ID 13.
Open this publication in new window or tab >>Health among disaster survivors and health professionals after the Haiyan Typhoon: a self-selected Internet-based web survey
2017 (English)In: International Journal of Emergency Medicine, ISSN 1865-1372, E-ISSN 1865-1380, Vol. 10, no 1, article id 13Article in journal (Refereed) Published
Abstract [en]

Background: Natural disasters affected millions of people worldwide every year. Evaluation of disaster health and health response interventions is faced with several methodological challenges. This study aimed (1) to describe survivors' and health professionals' health, 30 months after a natural disaster using a web-based self-selected Internet sample survey designed and (2) to evaluate the health effects of disaster response interventions, in the present study with a focus on disaster radio.

Methods: A web-based survey was used to conduct a cross-sectional study approximately 30 months after typhoon Haiyan. The GHQ-12, EQ-5D-3L, and EQ-VAS instruments were used in addition to study-specific questions. A self-selected Internet sample was recruited via Facebook.

Results: In total, 443 survivors, from what 73 were health professionals, participated in the study. The Haiyan typhoon caused both physical and mental health problems as well as social consequences for the survivors. Mental health problems were more frequently reported than physical injuries. Health professionals reported worse overall health and a higher frequency of mental health problems compared to other survivors.

Conclusions: There were short-term and long-term physical, psychological, and social consequences for the survivors as a result of the Haiyan typhoon. Mental health problems were more frequently reported and lasted longer than physical problems. Health professionals deployed during the disaster reported worse health, especially concerning mental health problems. The survey used was found useful to describe health after disasters. Keywords: Disaster, Natural disaster, Disaster medicine, Disaster response, Mental health, Health professionals

Place, publisher, year, edition, pages
Springer London, 2017
Keywords
Disaster, Natural disaster, Disaster medicine, Disaster response, Mental health, Health professionals
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:oru:diva-56979 (URN)10.1186/s12245-017-0139-6 (DOI)000397596400001 ()28357722 (PubMedID)2-s2.0-85016604249 (Scopus ID)
Note

Funding Agencies:

Region Örebro County Council 

Lars Hiertas Minnesfond

Örebro University

Available from: 2017-04-10 Created: 2017-04-10 Last updated: 2017-10-12Bibliographically approved
Hugelius, K. & Tapani, J. (2017). Krishantering i praktiken (1ed.). Lund, Sweden: Studentlitteratur AB
Open this publication in new window or tab >>Krishantering i praktiken
2017 (Swedish)Book (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Lund, Sweden: Studentlitteratur AB, 2017. p. 248 Edition: 1
National Category
Other Social Sciences not elsewhere specified
Identifiers
urn:nbn:se:oru:diva-65928 (URN)978-91-44-11695-2 (ISBN)
Available from: 2018-03-21 Created: 2018-03-21 Last updated: 2018-03-23Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-0534-4593

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