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Ohlsson Nevo, E., Andersson, G. & Nilsing Strid, E. (2020). In the hands of nurses: A focus group study of how nurses perceive and promote inpatients' needs for physical activity. Nursing Open, 7(1), 334-344
Open this publication in new window or tab >>In the hands of nurses: A focus group study of how nurses perceive and promote inpatients' needs for physical activity
2020 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 7, no 1, p. 334-344Article in journal (Refereed) Published
Abstract [en]

Aims: To describe how nurses perceive and promote inpatients' needs for physical activity during their stay at the ward.

Design: A qualitative descriptive design was employed providing an exploration of how nurses perceive and promote inpatients' need for physical activity.

Methods: Seven semi-structured focus group discussions were held between November 2016 and February 2017 with 29 nurses in three hospitals in Sweden. Both interaction analysis and content analysis of the data were conducted.

Results: Patients are dependent on nurses' prioritizations and promotions to be sufficiently physically active during their stay at the ward. The external environment and the integration of physical activity affected the promotion of physical activity. The nurses perceived that understanding the patient's expectations was important and that promotion of physical activity was a joint responsibility of patient, relatives and healthcare professionals. The interaction analysis revealed no clear hierarchical pattern as all members in each focus group took initiative to open the discussions. The Registered Nurses contributed with more new ideas.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Inc., 2020
Keywords
content analysis, focus group discussions, interaction analysis, nurse-patient relationship, nurses, nursing practice, patient safety, physical activity, quality of care
National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-77988 (URN)10.1002/nop2.401 (DOI)000494533900001 ()31871718 (PubMedID)2-s2.0-85074767131 (Scopus ID)
Available from: 2019-11-22 Created: 2019-11-22 Last updated: 2020-01-13Bibliographically approved
Ohlsson Nevo, E., Andersson, G. & Nilsing Strid, E. (2018). Nurses’ perceptions of hospitalized patients’ need for progressed physical activity: a focus group study. In: : . Paper presented at Nordic Conference in Nursing Research: Methods and Networks for the future, Oslo, Norway, 13-15 June, 2018.
Open this publication in new window or tab >>Nurses’ perceptions of hospitalized patients’ need for progressed physical activity: a focus group study
2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background: Patients enrolled in wards at hospitals spend time in bed even if rest is not medically indicated. The inactivity in the hospital reduces muscle strength and can create a need for assistants that did not exist before or justified by the treated condition. Early and progressive mobilization is a key factor to maintain physical functioning during the care period in hospital. Despite the knowledge of the importance of physical activity, patients are not sufficiently mobilized. Reasons why patients are not mobilized are related to organizational factors as well as patient and nurse personal characteristics. With an understanding of nurses’ experiences, interventions to enhance patients’ physical activity can be develop aiming at reducing the risk of physical deterioration due to inactivity.

Objective: The aim of the study was to describe how nurses perceive hospitalized patients’ needs for progressed physical activity during their stay at the wards.

Method: A total of seven focus group discussions were conducted in seven wards at three different hospitals in Sweden. A total of 16 nurses and 14 nurse assistants participated. The analysis was conducted in two steps; First an interaction analysis of the communication and respond pattern in the focus groups and thereafter a content analysis of the transcribed text.

Results: The analysis is in progress and the results will be presented at the conference.

National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-68638 (URN)
Conference
Nordic Conference in Nursing Research: Methods and Networks for the future, Oslo, Norway, 13-15 June, 2018
Available from: 2018-08-30 Created: 2018-08-30 Last updated: 2018-08-30Bibliographically 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
Santini, S., Andersson, G. & Lamura, G. (2016). Impact of incontinence on the quality of life of caregivers of older persons with incontinence: a qualitative study in four European Countries. Archives of gerontology and geriatrics (Print), 63, 92-101
Open this publication in new window or tab >>Impact of incontinence on the quality of life of caregivers of older persons with incontinence: a qualitative study in four European Countries
2016 (English)In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 63, p. 92-101Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to assess the impact of incontinence management on informal caregivers of older persons with incontinence. In order to investigate this phenomenon in different welfare systems via qualitative interviews and a content analysis methodology, the study was carried out in four European countries (Italy, the Netherlands, Slovak Republic and Sweden). To this purpose, 50 semi-structured interviews were conducted with spouses and children of older people receiving their help to manage the consequences of involuntary urinary and/or faecal leakage. Findings show that incontinence has a remarkably strong effect on caregivers’ quality of life, because it results in progressive social isolation, causing them financial problems as well as psychological and physical exhaustion. The lack of appropriate support and the general silence regarding the problem, which is still considered a taboo by many, aggravate thecaregivers’ situation. It is therefore crucial that caregivers can count on a strong public andprivate support network, appropriate information and suitable incontinent products, in orderto better handle incontinence and care tasks in general.

Place, publisher, year, edition, pages
Clare, Ireland: Elsevier, 2016
Keywords
Older people, incontinence, caregivers’ burden, isolation, supports, pad, taboo
National Category
Medical and Health Sciences Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:oru:diva-46603 (URN)10.1016/j.archger.2015.10.013 (DOI)000368014500014 ()26620553 (PubMedID)2-s2.0-84958174009 (Scopus ID)
Available from: 2015-11-19 Created: 2015-11-19 Last updated: 2018-07-09Bibliographically approved
Andersson, G., Kaboru, B. B., Adolfsson, A. & Namegabe, E. N. (2015). Health Workers’ Assessment of the Frequency of and Caring for Urinary and Fecal Incontinence among Female Victims of Sexual Violence in the Eastern Congo: An Exploratory Study. Open Journal of Nursing, 5, 354-360
Open this publication in new window or tab >>Health Workers’ Assessment of the Frequency of and Caring for Urinary and Fecal Incontinence among Female Victims of Sexual Violence in the Eastern Congo: An Exploratory Study
2015 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 5, p. 354-360Article in journal (Refereed) Published
Abstract [en]

Background: Throughout the long war that the Democratic Republic of Congo (DRC) has endured,women and children have been depicted as the primary victims of widespread sexual violence. Insome settings women have been raped in entire villages, with devastating physical and psychologicalconsequences, which include sexually transmitted infections such as HIV, trauma and fistulas,as well as social isolation and involuntary pregnancies. The aim of this study was to assess theprevalent perceptions of health professionals on the magnitude of urine and/or fecal incontinenceamong assaulted women, caused by sexual violence, as well as the opinions regarding the type ofcare provided to affected women.

Methods: The study was part of a larger pilot study that had across-sectional design and a descriptive approach, which explored health professionals’ views regarding their own levels of competence at responding to the health needs of victims of sexual violence, in the form of a semi-structured questionnaire.

Results: 104 health workers responded to the questionnaire. Nurses reported seeing raped women more frequently on a day-to-day basis (69.2%), in comparison to medical doctors and social workers (11.5%). Urinary incontinence was common according to 79% of health workers, who estimated that up to 15% of the women affected experienced huge amounts of urine leakage. Only 30% of the care seekers underwent in depth investigations, but the majority of the victims were not offered any further examination or appropriate treatments.

Conclusion: Urinary and fecal incontinence due to urogenital or colorectalfistulas among women exposed to sexual violence is a common in the specified setting, but lack of systematic investigation and appropriate treatment means that the quality of life of the victims may be negatively affected. An improvement in the ability of health workers to manage these complex diagnoses is urgently needed, as well as adequately equipping health services in the affected settings.

Place, publisher, year, edition, pages
Irvine, USA: Scientific Research Publishing, 2015
Keywords
Sexual violence, Fistulas, Urinary Incontinence, Congo
National Category
Health Sciences
Research subject
Nursing Science; Caring sciences
Identifiers
urn:nbn:se:oru:diva-44497 (URN)10.4236/ojn.2015.54038 (DOI)
Available from: 2015-04-29 Created: 2015-04-29 Last updated: 2017-12-04Bibliographically approved
Kaboru, B. B., Borneskog, C., Adolfsson, A., Namegabe, E. N. & Andersson, G. (2015). “Qualified but not competent enough”: Healthworkers’ assessment of their competence in relation to caring for sexually abused women in Eastern Democratic Republic of Congo. Journal of Nursing Education and Practice, 5(8), 26-32
Open this publication in new window or tab >>“Qualified but not competent enough”: Healthworkers’ assessment of their competence in relation to caring for sexually abused women in Eastern Democratic Republic of Congo
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2015 (English)In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 5, no 8, p. 26-32Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to assess health professionals’ opinions of their competence levels in responding to health needs of victims of sexual violence. This study used a cross-sectional design with a descriptive approach. A total of 104 physicians, nurses and social workers participated in the study. The data was collected using a questionnaire consisting of open and close-ended questions.  Overall, 75% of the respondents were university graduates, but only a quarter of them felt they have adequate competence to care for these women; 36% had difficulties with general health assessment of assaulted women. The results indicated that nurses are critical professionals in caring for victims of sexual violence, that they see these women more than any other professional category. However, they are more likely than other categories to report being incompetent. Access to continued education was difficult, and more so for clinically-oriented health professionals than for others social professionals. Human resources capacity strengthening and particularly that of nurses will be the key investment in addressing assaulted women’s health needs in this region. Clinical researchers are called to identify rapid methods to reinforce nurses’ capacity and role in such a context with deprived health systems.

Place, publisher, year, edition, pages
Toronto, Canada: Sciedu Press, 2015
Keywords
Sexual violence, Competence, Nurses, Health professionals
National Category
Medical and Health Sciences Nursing
Research subject
Health and Medical Care Research
Identifiers
urn:nbn:se:oru:diva-44656 (URN)10.5430/jnep.v5n8p26 (DOI)
Available from: 2015-05-18 Created: 2015-05-18 Last updated: 2020-01-22Bibliographically approved
Franzén, K. M., Andersson, G., Odeberg, J., Midlöv, P., Samuelsson, E., Stenzelius, K. & Hammarström, M. (2015). Surgery for urinary incontinence in women 65 years and older: a systematic review. International Urogynecology Journal, 26(8), 1095-1102
Open this publication in new window or tab >>Surgery for urinary incontinence in women 65 years and older: a systematic review
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2015 (English)In: International Urogynecology Journal, ISSN 0937-3462, E-ISSN 1433-3023, Vol. 26, no 8, p. 1095-1102Article in journal (Refereed) Published
Abstract [en]

Introduction and hypothesis: Urinary incontinence (UI) is common among the elderly, but the literature is sparse on the surgical treatment of UI among the elderly. This systematic review aims to assess the effectiveness of surgical interventions as treatment for urinary incontinence in the elderly population ≥65 years of age.

Methods: Randomized controlled trials (RCT) and prospective nonrandomized studies (NRS) were included. The databases PubMed (NLM), EMBASE (Elsevier), Cochrane Library (Wiley), and Cinahl (EBSCO) were searched for the period 1966 up to October 2013. The population had to be ≥65 years of age and had to have undergone urethral sling procedures, periurethral injection of bulking agents, artificial urinary sphincter surgery, bladder injection treatment with onabotulinumtoxin A or sacral neuromodulation treatment. Eligible outcomes were episodes of incontinence/urine leakage, adverse events, and quality of life.

The studies included had to be at a moderate or low risk of bias. Mean difference (MD) or standard mean difference (SMD)as well as risk difference (RD) and the 95 % CI were calculated.

Results: Five studies-all on the suburethral sling procedure in women- that fulfilled the inclusion criteria were identified. The proportion of patients reporting persistent SUI after surgery ranged from 5.2 to 17.6 %. One study evaluating quality of life (QoL) showed a significant improvement after surgery. The complication rates varied between 1 and 26 %, mainly bladder perforation, bladder emptying disturbances, and de novo urge.

Conclusion: The suburethral sling procedure improves continence as well as QoL among elderly women with SUI; however, evidence is limited.

Place, publisher, year, edition, pages
Springer, 2015
Keywords
Elderly; Surgery; Systematic review; Urinary incontinence
National Category
Urology and Nephrology Obstetrics, Gynecology and Reproductive Medicine
Research subject
Obstetrics and Gynaecology
Identifiers
urn:nbn:se:oru:diva-39470 (URN)10.1007/s00192-014-2573-9 (DOI)000361229500002 ()25477140 (PubMedID)2-s2.0-84938954854 (Scopus ID)
Note

Funding Agency:

Swedish Council on Technology Assessment in Health Care (SBU)

Available from: 2014-12-10 Created: 2014-12-10 Last updated: 2018-06-26Bibliographically approved
Stenzelius, K., Molander, U., Odeberg, J., Hammarström, M., Franzen, K. M., Midlöv, P., . . . Andersson, G. (2015). The effect of conservative treatment of urinary incontinence among older and frail older people: a systematic review. Age and Ageing, 44(5), 736-744
Open this publication in new window or tab >>The effect of conservative treatment of urinary incontinence among older and frail older people: a systematic review
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2015 (English)In: Age and Ageing, ISSN 0002-0729, E-ISSN 1468-2834, Vol. 44, no 5, p. 736-744Article in journal (Refereed) Published
Abstract [en]

Background: urinary incontinence (UI) is a common symptom among older people, with a higher prevalence among frail older persons living in nursing homes. Despite consequences such as reduced health and quality of life, many older people do not seek help for their symptoms, resulting in missed opportunity for treatment.

Objective: the aim of this study was to investigate the evidence and the effect of conservative treatment of UI and the quality of life among older and frail older persons.

Methods: a systematic review of randomised controlled studies and prospective, non-randomised studies was conducted, evaluating interventions of conservative treatment of UI in an older population (65 years or older). A total of 23 studies fulfilled the inclusion criteria and 9 were of high or moderate quality. Fourteen studies were of low quality and were therefore excluded from the analysis.

Results: documented and effective conservative treatments are available even for older persons with UI. Pelvic muscle exercise, physical training in combination with ADL, prompted voiding and attention training, and help to toilet are important treatments. In some studies, however, the evidence of effectiveness is limited.

Conclusions: this systematic review concludes that there are conservative treatments for UI for older and frail older persons that reduce leakage and increase quality of life. There is however a need for further high-quality studies.

Place, publisher, year, edition, pages
Oxford, United Kingdom: Oxford University Press, 2015
Keywords
Bladder training; Conservative treatment; Older and frail older; Older people; Pelvic floor exercise; Prompted voiding; Systematic review; Toilet assistance; Urinary incontinence
National Category
Geriatrics
Research subject
Geriatrics
Identifiers
urn:nbn:se:oru:diva-43570 (URN)10.1093/ageing/afv070 (DOI)000361388400006 ()26112402 (PubMedID)2-s2.0-84940663952 (Scopus ID)
Note

Funding Agency:

Swedish Council on Technology Assessment in Health Care (SBU)

Available from: 2015-03-13 Created: 2015-03-13 Last updated: 2018-06-27Bibliographically approved
Samuelsson, E., Odeberg, J., Stenzelius, K., Molander, U., Hammarström, M., Franzén, K. M., . . . Midlöv, P. (2015). The effect of pharmacological treatment for urinary incontinence in the elderly and frail elderly: a systematic review. Geriatrics & Gerontology International, 15(5), 521-534
Open this publication in new window or tab >>The effect of pharmacological treatment for urinary incontinence in the elderly and frail elderly: a systematic review
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2015 (English)In: Geriatrics & Gerontology International, ISSN 1444-1586, E-ISSN 1447-0594, Vol. 15, no 5, p. 521-534Article in journal (Refereed) Published
Abstract [en]

Aim: The prevalence and severity of urinary incontinence (UI) increase with age and comorbidity. The benefits ofpharmacotherapy for UI in the elderly are questionable. The aim of the present study was to systematically review theefficacy of pharmacological treatment for UI in the elderly and frail elderly.

Methods: We searched PubMed, EMBASE, Cochrane library and Cinahl databases through October 2013 toidentify prospective controlled trials that evaluated pharmacological treatment for UI in persons aged ≥65 years.Elderly persons living in nursing homes were regarded as frail elderly. Outcomes were urinary leakage, quality of lifeand adverse events.

Results: We screened 1038 abstracts and assessed 309 full-text articles. We identified 13 trials of high or moderatequality; 11 evaluated anticholinergic drugs and two evaluated duloxetine. Oxybutynin, the only drug studied in thefrail elderly population, had no effect on urinary leakage or quality of life in elderly with urgency UI (UUI). Seven trialsevaluated the effects of darifenacin, fesoterodine, solifenacin, tolterodine or trospium. Urinary leakage decreased(standard mean difference: −0.24, 95% confidence interval −0.32–0.15), corresponding to a reduction of half a leakageper 24 h. Common side-effects of treatment were dry mouth and constipation. Data were insufficient for evaluationof the effect on quality of life or cognition. The evidence was insufficient to evaluate the effects of duloxetine. Noeligible studies on mirabegron and estrogen were found.

Conclusions: Anticholinergics have a small, but significant, effect on urinary leakage in older adults with UUI.Treatment with drugs for UUI in the frail elderly is not evidence based.

Keywords
elderly, frail elderly, pharmacotherapy, systematic review, urinary incontinence
National Category
Urology and Nephrology Geriatrics
Research subject
Geriatrics
Identifiers
urn:nbn:se:oru:diva-39929 (URN)10.1111/ggi.12451 (DOI)000355732800001 ()25656412 (PubMedID)2-s2.0-84928209691 (Scopus ID)
Available from: 2014-12-19 Created: 2014-12-19 Last updated: 2017-12-05Bibliographically approved
Kaboru, B. B., Andersson, G., Borneskog, C., Adolfsson, A. & Namegabe, E. N. (2014). Knowledge and attitudes towards sexual violence in conflict-affected rural communities in the Walikale District, DR Congo: implications for rural health services. Annals of Public Health and Research, 1(2), 1009
Open this publication in new window or tab >>Knowledge and attitudes towards sexual violence in conflict-affected rural communities in the Walikale District, DR Congo: implications for rural health services
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2014 (English)In: Annals of Public Health and Research, ISSN 2378-9328, Vol. 1, no 2, p. 1009-Article in journal (Refereed) Published
Abstract [en]

Sexual violence has become endemic in the Democratic Republic of Congo (DRC), but the perspectives of rural communities of the scourge remain poorly researched. This study aims to describe the attitudes and knowledge of rural communities in regard to sexual violence, its occurrence and associated problems in rural communities in the Itebero/Walikale district in the DRC. A descriptive cross-sectional design was adopted, and a structured questionnaire used. Four hundred respondents participated, representing a group of ten villages populated by a total of 10,000 inhabitants. The respondents stated that perpetrators were often men from their own village. The fields were cited as being the place where most of the assaults occurred. A substantial proportion of the respondents lacked sufficient knowledge of the health outcomes of sexual violence. HIV infection and unwanted pregnancies were the most feared consequences. The victims of violence either experienced compassion or suffered rejection, depending on the community groups. Victims were mostly supported by women from their community, followed by husbands, relatives and authorities. Health facilities were the primary sources of support for victims. Rural health facilities need to revolutionise their health education strategies to improve the current situation.

Place, publisher, year, edition, pages
JSciMed Central, 2014
Keywords
Sexual violence; Community perspectives; Rural health; Post-conflict
National Category
Health Sciences
Research subject
Health and Medical Care Research
Identifiers
urn:nbn:se:oru:diva-42249 (URN)
Note

ATMPH & Wolters Kluwer - Medknow assists in the publication

Available from: 2015-01-29 Created: 2015-01-29 Last updated: 2020-01-22Bibliographically approved
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