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Fagerli, T. A., Mogren, I., Adolfsson, A., Edvardsson, K., Åhman, A., Holmlund, S., . . . Eggebø, T. M. (2018). Midwives’ and obstetricians’ views on appropriate obstetric sonography in Norway. Sexual & Reproductive HealthCare, 16, 1-5
Open this publication in new window or tab >>Midwives’ and obstetricians’ views on appropriate obstetric sonography in Norway
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2018 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 16, p. 1-5Article, review/survey (Refereed) Published
Abstract [en]

Introduction: The primary aim of this study was to investigate midwives' and obstetricians' views on how many ultrasound examinations should be part of standard care during pregnancy in Norway.

Material and methods: This study is a part of a larger study, the CROss-Country Ultrasound Study (CROCUS), an international investigation of midwives' and obstetricians' experiences of and views on the use of ultrasound. We distributed 400 questionnaires to respondents in all five health regions in Norway: 40 to municipal midwives, 180 to midwives working in hospitals and 180 to obstetricians. The questionnaire included specific questions about the appropriate number of examinations during pregnancy, examinations without medical indication, non-medical ultrasound, commercialisation and safety.

Results: The response rate was 45%. Of the respondents, 58% reported satisfaction with the offer of one scheduled ultrasound examination during pregnancy, as recommended in the Norwegian guidelines. Health care professionals who used ultrasound themselves were significantly more likely to want to offer more ultrasound examinations: 52% of the ultrasound users wanted to offer two or more ultrasound examinations vs. 16% of the non-users (p < .01). The majority of obstetricians (80%) reported that pregnant women expect to undergo ultrasound examination, even in the absence of medical indication.

Conclusion: The majority of Norwegian health care professionals participating in this study supported the national recommendation on ultrasound in pregnancy. Ultrasound users wanted to offer more ultrasound examinations during pregnancy, whereas non-users were generally content with the recommendation. The majority of respondents thought that commercialisation was not a problem at their institution, and reported that ultrasound is often performed without a medical indication. The ultrasound users thought that ultrasound is safe.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
Ultrasonography, Health care professionals, Non-medical ultrasound, Safety
National Category
Obstetrics, Gynecology and Reproductive Medicine Nursing
Research subject
Caring Sciences w. Medical Focus
Identifiers
urn:nbn:se:oru:diva-64025 (URN)10.1016/j.srhc.2017.12.006 (DOI)000440877700001 ()29804752 (PubMedID)2-s2.0-85044744044 (Scopus ID)
Available from: 2018-01-10 Created: 2018-01-10 Last updated: 2018-09-14Bibliographically approved
Katshiete Mbuisi Eale, B., Andersson, G., Ntabe Namegabe, E., Kaboru, B. B. & Adolfsson, A. (2018). Ordeals of sexually violated women and access to comprehensive healthcare: A case study of victims of sexual violence in North Kivu, Eastern Congo. Journal of women´s reproductive health, 2(1), 23-34
Open this publication in new window or tab >>Ordeals of sexually violated women and access to comprehensive healthcare: A case study of victims of sexual violence in North Kivu, Eastern Congo
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2018 (English)In: Journal of women´s reproductive health, ISSN 2381-862X, Vol. 2, no 1, p. 23-34Article in journal (Refereed) Published
Abstract [en]

Background: The impact of sexual violence in any community is extremely devastating and women in the Eastern part of the Congo are no exception. Sexual violence not only affects the health of women, but it impacts their social life within the community too.

Objective: The study aims to investigate the experiences of female victims of sexual violence in accessing medical care in North Kivu.

Design: An interpretive, phenomenological approach was used for this inductive and qualitative study. In-depth informant interviews were the main data collection tool. Open-ended questions were used during the interviews in order to garner more information from the interviewees. Heidegger’s approach was utilized in analyzing the collected data.

Results: The analyzed and interpreted results of the data indicated that survivors of sexual violence are engaged in an ongoing struggle. The victims demonstrated immense resilience despite the lack of comprehensive medical care and have continued to reassemble their broken lives. In order to present the outcomes of the research in a succinct and coherent manner, the outcomes are categorized into five sub-themes: managing worries and shame; regaining happiness; healing and restoration; the need for professional assistance and struggles in daily life.

Conclusion: The study provides an understanding of the recovery processes of survivors of sexual violence in North Kivu, with important insights into dimensions that rehabilitation programs should take into consideration.

Place, publisher, year, edition, pages
Open Access Pub, 2018
National Category
Medical and Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-68599 (URN)10.14302/issn.2381-862X.jwrh-18-2028 (DOI)
Available from: 2018-08-27 Created: 2018-08-27 Last updated: 2018-08-28Bibliographically approved
Linden, K., Berg, M., Adolfsson, A. & Sparud Lundin, C. (2018). Person-centred web-based support in pregnancy and early motherhood for women with Type 1 Diabetes Mellitus: a randomized controlled trial. Diabetic Medicine, 5(2), 232-241
Open this publication in new window or tab >>Person-centred web-based support in pregnancy and early motherhood for women with Type 1 Diabetes Mellitus: a randomized controlled trial
2018 (English)In: Diabetic Medicine, ISSN 0742-3071, E-ISSN 1464-5491, Vol. 5, no 2, p. 232-241Article in journal (Refereed) Published
Abstract [en]

Aims: To report results from and explore use of a multicentre, parallel-group, unblinded, randomized controlled trial testing the effectiveness in terms of well-being and diabetes management of a person-centred, web-based support programme for women with Type 1 diabetes, in pregnancy and postpartum.

Methods: Between 2011 and 2014, 174 pregnant women with Type 1 diabetes were randomly allocated (1:1) to web-based support and standard care (intervention group, n=83), or standard care (control group, n=91). The web-based support consisted of evidence-based information; a self-care diary for monitoring of daily activities; and peer support in a discussion forum. The primary outcomes (mean difference, measured at 6 months after childbirth) were well-being and diabetes management.

Results: No differences were found with regard to the primary outcome measure scores for general well-being [1.04 (95% CI -1.28 to 3.37); P= 0.68] and self-efficacy of diabetes management [0.076 (95% CI -0.123 to 0.275); P= 0.75], after adjustment for baseline differences in the insulin administration method, nor with regard to the secondary outcome measures.

Conclusions: At 6 months after childbirth, the web-based support plus standard care was not superior to standard care in terms of general well-being or self-efficacy of diabetes management. This might be explained by the low number of participants who had a high activity level. Few simultaneously active participants in the web-based programme and stressors in motherhood and diabetes postpartum were the main barriers to its use. Further intervention studies that offer web-based support are needed, with lessons learned from the present study.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2018
Keywords
Type 1 Diabetes Mellitus, Randomized Controlled Trial, Pregnancy, Motherhood, Web-based intervention
National Category
Obstetrics, Gynecology and Reproductive Medicine Nursing Endocrinology and Diabetes
Identifiers
urn:nbn:se:oru:diva-61538 (URN)10.1111/dme.13552 (DOI)000419902200009 ()29171071 (PubMedID)
Projects
MoDiab-Web
Funder
Swedish Diabetes Association
Note

Funding Agencies:

Centre for Person-Centred Care at the University of Gothenburg, Sweden 

Health and Medical Care Committee of the Regional Executive Board, Sweden  

Region Västra Götaland, Sweden  

Institute of Health and Care Sciences, Sweden  

Sahlgrenska Academy at the University of Gothenburg, Sweden 

Available from: 2017-10-15 Created: 2017-10-15 Last updated: 2018-09-06Bibliographically approved
Wangensteen, S., Finnbakk, E., Adolfsson, A., Kristjansdottir, G., Roodbol, P., Ward, H. & Fagerström,, L. (2018). Postgraduate nurses' self-assessment of clinical competence and need for further training: A European cross-sectional survey. Nurse Education Today, 62, 101-106
Open this publication in new window or tab >>Postgraduate nurses' self-assessment of clinical competence and need for further training: A European cross-sectional survey
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2018 (English)In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 62, p. 101-106Article in journal (Refereed) Published
Abstract [en]

Background: Nursing practice requires application of knowledge, skills and values in various combinations and has undergone substantial changes the last decades. An increased focus on inter-professional collaboration and possible new and more independent roles for nurses are described. A variety of programs have been developed in order to educate registered nurses (RN) to meet the changes and demands in health and nursing care throughout the world.

Aim: The aims were to 1) describe nurses' self-assessment of clinical competence and need for further training, and 2) explore possible differences between nurses in specialist vs master's programs.

Methods: A cross-sectional survey design was applied. 97 nurses in postgraduate programs from five countries responded (response rate 45%). A revised version of the Professional Nurse Self-Assessment Scale of clinical core competencies (PROFFNurseSASII) was used for data collection. Independent student t-test and regression analyses were carried out.

Results: The respondents rated their competence highest in taking full responsibility, cooperation with other health professionals and in acting ethically. Items where they considered themselves needing further training most were competence on medications, interaction and side effects and differential diagnoses. For all items, nurses in master's programs rated their competence higher than nurses in the specialist programs. Nurses in specialist programs rated their need for more training for all items higher than nurses in master's degree programs, and for 47 out of the 50 items these differences were statistically significant.

Conclusion: Even though the nurses rated their competence high for important competence aspects such as taking responsibility and cooperation with other health professionals, it is worrying that their need for further training was highest for effects and interaction of various types of medications. Further studies are needed to conclude if and how master's education improves patient outcome.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
Advanced practice nurses, clinical competence, nurse competence, masters prepared nurses, self-assessment
National Category
Nursing
Research subject
Caring sciences
Identifiers
urn:nbn:se:oru:diva-62987 (URN)10.1016/j.nedt.2017.12.020 (DOI)000426026900018 ()29306748 (PubMedID)2-s2.0-85040011692 (Scopus ID)
Note

Funding Agency:

Norwegian Research Council  239991

Available from: 2017-12-07 Created: 2017-12-07 Last updated: 2018-08-16Bibliographically approved
Jerlström, C. & Adolfsson, A. (2018). Prevention of Chlamydia Infections With Theater in School Sex Education. Journal of School Nursing
Open this publication in new window or tab >>Prevention of Chlamydia Infections With Theater in School Sex Education
2018 (English)In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364Article in journal (Refereed) Epub ahead of print
Abstract [en]

The aim of the study was to evaluate if an intervention including theater in school sex education affects students' knowledge, attitudes, and behavior regarding condom use in Sweden. The study was a cluster randomized controlled trial. The intervention group got a play, value exercises, chlamydia games, condom school, and interactive replay with professional actors and staff from a youth guidance center. The control group got standard sex education from school staff. Students in both groups answered web surveys on knowledge, attitudes, and behavior regarding condom use. Posteducation, knowledge on condom use, chlamydia, and protection had increased in both groups. However, students in the intervention group showed higher levels of knowledge, improved attitudes, and less risky behavior in regard to condom use compared to the control group. The intervention titled SAFETY seemed to be a beneficial supplement to standard sex education and more effective with regard to knowledge of condom use.

Place, publisher, year, edition, pages
National Association of School Nurses, 2018
Keywords
attitude, chlamydia infections, condom use, prevention, school nursing, sex education, sexual behavior, theater
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Educational Sciences
Identifiers
urn:nbn:se:oru:diva-70347 (URN)10.1177/1059840518811912 (DOI)30466348 (PubMedID)
Available from: 2018-11-27 Created: 2018-11-27 Last updated: 2018-11-28Bibliographically approved
Broberg, G., Jiangrong, W., Östberg, A.-L., Adolfsson, A., Szilard, N. & Björn, S. (2018). Socio-economic and demographic determinants affecting participation in the Swedish cervical screening program: A population-based case-control study. PLoS ONE, 13(1), Article ID e0190171.
Open this publication in new window or tab >>Socio-economic and demographic determinants affecting participation in the Swedish cervical screening program: A population-based case-control study
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2018 (English)In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 13, no 1, article id e0190171Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Cervical screening programs are highly protective for cervical cancer, but only for women attending screening procedure.

OBJECTIVE: Identify socio-economic and demographic determinants for non-attendance in cervical screening.

METHODS: Design: Population-based case-control study. Setting: Sweden. Population: Source population was all women eligible for screening. Based on complete screening records, two groups of women aged 30-60 were compared. The case group, non-attending women, (N = 314,302) had no smear registered for 6-8 years. The control group (N = 266,706) attended within 90 days of invitation. Main outcome measures: Risk of non-attendance by 9 groups of socioeconomic and demographic variables. Analysis: Unadjusted odds ratios (OR) and OR after adjustment for all variables in logistic regression models were calculated.

RESULTS: Women with low disposable family income (adjOR 2.06; 95% confidence interval (CI) 2.01-2.11), with low education (adjOR 1.77; CI 1.73-1.81) and not cohabiting (adjOR 1.47; CI 1.45-1.50) were more likely to not attend cervical screening. Other important factors for non-attendance were being outside the labour force and receiving welfare benefits. Swedish counties are responsible for running screening programs; adjusted OR for non-participation in counties ranged from OR 4.21 (CI 4.06-4.35) to OR 0.54 (CI 0.52-0.57), compared to the reference county. Being born outside Sweden was a risk factor for non-attendance in the unadjusted analysis but this disappeared in certain large groups after adjustment for socioeconomic factors.

CONCLUSION: County of residence and socio-economic factors were strongly associated with lower attendance in cervical screening, while being born in another country was of less importance. This indicates considerable potential for improvement of cervical screening attendance in several areas if best practice of routines is adopted.

Place, publisher, year, edition, pages
San Francisco, CA, USA: Public Library of Science, 2018
Keywords
Cervical cancer, demography, mass screening, non-attendance, socioeconomic factors
National Category
Cancer and Oncology
Research subject
Obstetrics and Gynaecology; Health and Medical Care Research
Identifiers
urn:nbn:se:oru:diva-63531 (URN)10.1371/journal.pone.0190171 (DOI)000419689600036 ()29320536 (PubMedID)2-s2.0-85040318150 (Scopus ID)
Projects
Komplikationer under de reproduktiva åren
Funder
Swedish Cancer Society, 12 0870
Available from: 2017-12-21 Created: 2017-12-21 Last updated: 2018-09-11Bibliographically approved
Berg, M., Linden, K., Adolfsson, A., Sparud Lundin, C. & Ranerup, A. (2018). Web-Based Intervention for Women With Type 1 Diabetes in Pregnancy and Early Motherhood: Critical Analysis of Adherence to Technological Elements and Study Design. Journal of Medical Internet Research, 20(5), Article ID el60.
Open this publication in new window or tab >>Web-Based Intervention for Women With Type 1 Diabetes in Pregnancy and Early Motherhood: Critical Analysis of Adherence to Technological Elements and Study Design
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2018 (English)In: Journal of Medical Internet Research, ISSN 1438-8871, E-ISSN 1438-8871, Vol. 20, no 5, article id el60Article in journal (Refereed) Published
Abstract [en]

Background: Numerous Web-based interventions have been implemented to promote health and health-related behaviors in persons with chronic conditions. Using randomized controlled trials to evaluate such interventions creates a range of challenges, which in turn can influence the study outcome. Applying a critical perspective when evaluating Web-based health interventions is important.

Objective: The objective of this study was to critically analyze and discuss the challenges of conducting a Web-based health intervention as a randomized controlled trial.

Method: The MODIAB-Web study was critically examined using an exploratory case study methodology and the framework for analysis offered through the Persuasive Systems Design model. Focus was on technology, study design, and Web-based support usage, with special focus on the forum for peer support. Descriptive statistics and qualitative content analysis were used.

Results: The persuasive content and technological elements in the design of the randomized controlled trial included all four categories of the Persuasive Systems Design model, but not all design principles were implemented. The study duration was extended to a period of four and a half years. Of 81 active participants in the intervention group, a maximum of 36 women were simultaneously active. User adherence varied greatly with a median of 91 individual log-ins. The forum for peer support was used by 63 participants. Although only about one-third of the participants interacted in the forum, there was a fairly rich exchange of experiences and advice between them. Thus, adherence in terms of social interactions was negatively affected by limited active participation due to prolonged recruitment process and randomization effects. Lessons learned from this critical analysis are that technology and study design matter and might mutually influence each other. In Web-based interventions, the use of design theories enables utilization of the full potential of technology and promotes adherence. The randomization element in a randomized controlled trial design can become a barrier to achieving a critical mass of user interactions in Web-based interventions, especially when social support is included. For extended study periods, the technology used may need to be adapted in line with newly available technical options to avoid the risk of becoming outdated in the user realm, which in turn might jeopardize study validity in terms of randomized controlled trial designs. Conclusions: On the basis of lessons learned in this randomized controlled trial, we give recommendations to consider when designing and evaluating Web-based health interventions.

Place, publisher, year, edition, pages
JMIR Publications, 2018
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-66987 (URN)10.2196/jmir.9665 (DOI)000431335700001 ()29720365 (PubMedID)
Funder
Swedish Diabetes Association
Note

Funding Agencies:

Centre for Person-Centred Care at the University of Gothenburg (GPCC) 

Health and Medical Care Committee of the Regional Executive Board

Available from: 2018-05-18 Created: 2018-05-18 Last updated: 2018-05-18Bibliographically approved
Linden, K., Berg, M., Adolfsson, A. & Spraud-Lundin, C. (2018). Well-being, diabetes management and breastfeeding in mothers with type 1 diabetes: An explorative analysis. Sexual & Reproductive HealthCare, 15, 77-82
Open this publication in new window or tab >>Well-being, diabetes management and breastfeeding in mothers with type 1 diabetes: An explorative analysis
2018 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 15, p. 77-82Article in journal (Refereed) Published
Abstract [en]

Objectives: The aim was to explore and investigate associations between well-being, diabetes management and breastfeeding in mothers with type 1 diabetes mellitus (T1DM) up to six months postpartum.

Methods: An explorative analysis of self-reported questionnaires measuring general well-being, sense of coherence, self-efficacy of diabetes management and experiences of diabetes management during breastfeeding, which were distributed to 155 mothers with T1DM at two months and at six months after childbirth. The questionnaires were answered by 128 (82.5%) at two months and 137 (88.4%) at six months after birth. Statistical analysis included; descriptive statistics, Wilcoxon sign-rank test, sign test and Spearman’s correlationcoefficient (rs).

Results: The majority of the mothers had fairly high levels of general well-being and diabetes management but aquarter had a low sense of coherence at both two and six months after birth. A weak association was found between more unstable blood glucose levels and lower general well-being at two months postpartum, but no other associations with erratic glycaemia was found. Those with lower grades of general well-being and sense of coherence had a higher need of professional support to manage their diabetes than they were offered, at both two and six months.

Conclusion: To develop more optimal care routines for mothers with T1DM after childbirth, further studies areneeded to identify those most in need of additional support.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
Breastfeeding, Diabetes management, Sense of coherence, Well-being, Type 1 diabetes mellitus
National Category
Endocrinology and Diabetes
Identifiers
urn:nbn:se:oru:diva-63731 (URN)10.1016/j.srhc.2017.12.004 (DOI)000424721100013 ()29389505 (PubMedID)2-s2.0-85017271819 (Scopus ID)
Projects
MoDiab-Web
Available from: 2017-12-27 Created: 2017-12-27 Last updated: 2018-09-06Bibliographically approved
Linden, K., Adolfsson, A., Sparud Lundin, C. & Berg, M. (2017). A midwifery challenge diabetes: supporting well-being in early pregnant women with type 1 diabetes. In: ICM 31th Congress: . Paper presented at ICM 31th Congress 2017, 18-22 June, Toronto, Canada.
Open this publication in new window or tab >>A midwifery challenge diabetes: supporting well-being in early pregnant women with type 1 diabetes
2017 (English)In: ICM 31th Congress, 2017Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background: Pregnant women with type 1 diabetes face many obstacles in their struggle to achieve normal blood glucose levels and thus optimise the chanceto give birth to a healthy child. It is a challenge for midwives to support women’s well-being during pregnancy and especially in relation to chronicillness such as diabetes. However, little is known about well-being and diabetes management in early pregnant women with type 1 diabetes.

Purpose/Objective: To explore well-being and diabetes management in women with Type 1 diabetes in early pregnancy and to investigate associations betweenperceived well-being, diabetes management and maternal characteristics.

Method: Data was collected in early pregnancy from 168 Swedish pregnant women with Type 1 diabetes, including information from their medical recordsand self- reported questionnaires measuring aspects of health/well-being, diabetes management and socio demographics.

Key Findings: Relatively high scores of diabetes self-management (SWE-DES-10: 3.91 (0.51)) and self-perceived health (excellent (6.5%), very good (42.3%),good (38.7%), fair (11.3%) and poor (1.2%)) were reported. Moderate scores for general well-being (WBQ-12: 22.6 (5.7)) and sense ofcoherence (SOC-13: 68.9 (9.7), moderate/low scores for hypoglycemia fear (SWE-PAID-20: 27.1 (15.9)) and low scores of diabetes-distress(SWE-PAID-20 27.1 (15.9)) were given. Higher capability of diabetes self-management showed positive correlations with self-perceived health (r s=-0.41, p<.0001) and well-being (rs =0.34, p<.0001) as well as negative correlations with diabetes distress (r s =-0.51, p<.0001) and hypoglycemiaworries (rs =-0.27, p=0.0009).

Discussion: Midwives are in a unique position to uphold well-being in women with type 1 diabetes in early pregnancy. Based on this result it could be topromote women´s self-awareness, strengthen their own capabilities in terms of goal achievement, and to support them to handle diabetes relateddistress as well as possible fear of hypoglycemia.

Keywords
Midwife, supporting Well-Being, Women with type 1 diabetes
National Category
Obstetrics, Gynecology and Reproductive Medicine Nursing
Research subject
Obstetrics and Gynaecology
Identifiers
urn:nbn:se:oru:diva-61540 (URN)
Conference
ICM 31th Congress 2017, 18-22 June, Toronto, Canada
Projects
MoDiab-Web
Note

Funding Agencies:

•the Swedish Diabetes Association

•University of Gothenburg Centre for Person-centred Care

•Health & Medical Care Committee of the Regional Executive Board, Region Västra Götaland

•University of Gothenburg Institute of Health and Care Sciences together with the Sahlgrenska Academy

Available from: 2017-10-15 Created: 2017-10-15 Last updated: 2017-10-26Bibliographically 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
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-2577-1632

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