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  • 1.
    Aahlin, Eirik K
    et al.
    Department of GI and HPB Surgery, University Hospital Northern Norway, Breivika, Tromsø, Norway; Institute of Clinical Medicine, University of Tromsø, Tromsø, Norway .
    von Meyenfeldt, Maarten
    Department of Surgery, University Hospital Maastricht, Maastricht, The Netherlands; NUTRIM School for Nutrition, Toxicology and Metabolism, Maastricht University, Maastricht, The Netherlands.
    Dejong, Cornelius Hc
    Department of Surgery, University Hospital Maastricht, Maastricht, The Netherlands; NUTRIM School for Nutrition, Toxicology and Metabolism, Maastricht University, Maastricht, The Netherlands.
    Ljungqvist, Olle
    Örebro University, School of Medicine, Örebro University, Sweden. Department of Surgery, Örebro University Hospital, Örebro; Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
    Fearon, Kenneth C
    Clinical Surgery, University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, UK .
    Lobo, Dileep N
    Division of Gastrointestinal Surgery, Nottingham Digestive Diseases Centre, National Institute for Health Research, Biomedical Research Unit, Nottingham University Hospitals, Queen's Medical Centre, Nottingham, UK .
    Demartines, Nicolas
    Hospital of Lausanne (CHUV), Lausanne, Switzerland .
    Revhaug, Arthur
    Department of GI and HPB Surgery, University Hospital Northern Norway, Breivika, Tromsø, Norway; Institute of Clinical Medicine, University of Tromsø, Tromsø, Norway .
    Wigmore, Stephen J
    Clinical Surgery, University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, UK .
    Lassen, Kristoffer
    Department of GI and HPB Surgery, University Hospital Northern Norway, Breivika, Tromsø, Norway; Institute of Clinical Medicine, University of Tromsø, Tromsø, Norway .
    Functional recovery is considered the most important target: a survey of dedicated professionals2014In: Perioperative medicine, ISSN 2047-0525, Vol. 3, article id 3:5Article in journal (Refereed)
    Abstract [en]

    Background: The aim of this study was to survey the relative importance of postoperative recovery targets and perioperative care items, as perceived by a large group of international dedicated professionals.

    Methods: A questionnaire with eight postoperative recovery targets and 13 perioperative care items was mailed to participants of the first international Enhanced Recovery After Surgery (ERAS) congress and to authors of papers with a clear relevance to ERAS in abdominal surgery. The responders were divided into categories according to profession and region.

    Results: The recovery targets 'To be completely free of nausea', 'To be independently mobile' and 'To be able to eat and drink as soon as possible' received the highest score irrespective of the responder's profession or region of origin. Equally, the care items 'Optimizing fluid balance', 'Preoperative counselling' and 'Promoting early and scheduled mobilisation' received the highest score across all groups.

    Conclusions: Functional recovery, as in tolerance of food without nausea and regained mobility, was considered the most important target of recovery. There was a consistent uniformity in the way international dedicated professionals scored the relative importance of recovery targets and care items. The relative rating of the perioperative care items was not dependent on the strength of evidence supporting the items.

  • 2.
    Aarskog, Eirik
    et al.
    Department of Teacher Education and Outdoor Life Studies, Norwegian School of Sport Sciences, Oslo, Norway.
    Barker, Dean
    Örebro University, School of Health Sciences.
    Spord Borgen, Jorunn
    Department of Sports, Physical Education and Outdoor Studies, University of South-Eastern Norway, Notodden, Norway.
    'When it's something that you want to do.': Exploring curriculum negotiation in Norwegian PE2022In: Physical Education and Sport Pedagogy, ISSN 1740-8989, E-ISSN 1742-5786, Vol. 27, no 6, p. 640-653Article in journal (Refereed)
    Abstract [en]

    Background: Student participation in curriculum negotiation has been widely regarded as beneficial for student engagement, motivation, and learning. Within the physical education (PE) context however, several scholars claim that these benefits are seldom realized. Interestingly, most investigations into curriculum negotiation in PE focus on teacher actions and behavior. Investigations of students' actions in curriculum negotiation are rare. Further, while much of the literature claims curriculum negotiation is potentially beneficial for student learning, few of the conceptual and analytical frameworks utilized within previous PE literature are based on explicit learning theories.

    Purpose: The purpose of this paper is to explore student participation in curriculum negotiation in Norwegian PE through the lens of an explicit learning theoretical perspective.

    Method: A 10th grade class with 23 students (age 15-16) and an 8th grade class with 30 students (age 13-14) from 2 different schools, and their respective teachers were recruited for the project. Within these classes, participatory observation, video observations, and stimulated recall interviews were conducted to produce empirical material related to curriculum negotiation. The material then underwent qualitative thematic analysis where select parts of John Dewey's educational philosophy were used as the analytical framework.

    Results and discussion: With a basis in the analytical framework developed from Deweyan educational philosophy, the results show that students within the two contexts participate in both explicit and implicit forms of curriculum negotiation. Explicit curriculum negotiations to a large degree appear to be governed by the teachers and are deemed by teachers to be part of strategies for upholding Norwegian legislations and recommendations for including students in curricular decision-making. While not as easily noticeable, implicit forms of negotiations were more prominent within the explored contexts. The analysis also suggests that from a Deweyan perspective, possibilities to increase learning through curriculum negotiations occur when teachers notice, help, and guide students in their own reflective processes surrounding how to act in PE. Such pedagogical action makes implicit negotiations occurring more explicit, and explicit negotiations more intelligent.

  • 3.
    Aass, Lisbeth Kjelsrud
    et al.
    Department of Health Sciences, Faculty of Medicine and Health Sciences (MH), Norwegian University of Science and Technology (NTNU), Gjøvik, Norway.
    Moen, Øyfrid Larsen
    Department of Health Sciences, Faculty of Medicine and Health Sciences (MH), Norwegian University of Science and Technology (NTNU), Gjøvik, Norway.
    Skundberg-Kletthagen, Hege
    Department of Health Sciences, Faculty of Medicine and Health Sciences (MH), Norwegian University of Science and Technology (NTNU), Gjøvik, Norway.
    Lundqvist, Lars-Olov
    Örebro University, School of Health Sciences. University Health Care Research Center.
    Schröder, Agneta
    Örebro University, School of Health Sciences. Örebro University Hospital. Department of Health Sciences, Faculty of Medicine and Health Sciences (MH), Norwegian University of Science and Technology (NTNU), Gjøvik, Norway; Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden.
    Family support and quality of community mental health care: Perspectives from families living with mental illness2022In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 31, no 7-8, p. 935-948Article in journal (Refereed)
    Abstract [en]

    Aim and objectives: Describe patients' and family members' perceptions of family support from nurses and other mental healthcare professionals, and quality of care in community mental healthcare service. Further, compare the perceptions of patients and family members.

    Background: While patients value family involvement, family members feel unprepared and lack the necessary skills to be supportive. Since healthcare professionals predominantly focus on patients, they may fail to understand the complex needs of families. Family perceived support and quality of community mental health care may vary across patients and family members.

    Design and methods: Cross-sectional study with patients suffering from mental illness and family members in community mental healthcare services in Norway. Altogether 86 participants, of whom 33 patients and 33 family members had a family relationship-paired samples. Participants filled in the translated version of the Iceland Family Perceived Support Questionnaire (FPSQ-N) and Quality in Psychiatric Care-Community Out-Patient (QPC-COP) and Community Out-Patient Next of Kin (QPC-COPNK). STROBE checklist was used.

    Results: Family members scored family perceived support and quality of community mental health care lower than patients. Family members feel the loss of support. Patient and family members found the Patient-healthcare professionals' relationship to be of high quality, while family members gave low score to being respected and invited to take part in care by nurses and other mental healthcare professionals.

    Conclusion: Family members' unmet need of support highlights the need for nurses and other community mental healthcare professionals to assess complex family needs and to intervene. Barriers to collaboration exist, and family members need to be respected and invited into community mental health care. Relevance to clinical practice Contributes knowledge of how to meet the family's needs and provides a basis for further care and treatment development in similar contexts nationally and internationally.

  • 4.
    Aass, Lisbeth Kjelsrud
    et al.
    Norwegian University of Science and Technology, Gjøvik, Norway.
    Skundberg-Kletthagen, Hege
    Norwegian University of Science and Technology, Gjøvik, Norway.
    Schröder, Agneta
    Örebro University, School of Health Sciences. Örebro University Hospital. Norwegian University of Science and Technology, Gjøvik, Norway; Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Sweden.
    Moen, Øyfrid Larsen
    Norwegian University of Science and Technology, Gjøvik, Norway.
    Young Adults and Their Families Living With Mental Illness: Evaluation of the Usefulness of Family-Centered Support Conversations in Community Mental Health care Settings2020In: Journal of Family Nursing, ISSN 1074-8407, E-ISSN 1552-549X, Vol. 26, no 4, p. 302-314Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to evaluate the usefulness of Family-Centered Support Conversations (FCSC) offered in community mental health care in Norway to young adults and their families experiencing mental illness. The FCSC is a family nursing intervention based on the Calgary Family Assessment and Intervention Models and the Illness Beliefs Model and is focused on how family members can be supportive to each other, how to identify strengths and resources of the family, and how to share and reflect on the experiences of everyday life together while living with mental illness. Interviews were conducted with young adults and their family members in Norway who had received the FCSC intervention and were analyzed using phenomenography. Two descriptive categories were identified: "Facilitating the sharing of reflections about everyday life" and "Possibility of change in everyday life." The family nursing conversations about family structure and function in the context of mental illness allowed families to find new meanings and possibilities in everyday life. Health care professionals can play an important role in facilitating a safe environment for young adults and their families to talk openly about the experience of living with and managing mental illness.

  • 5.
    Abay, Selamawit
    et al.
    Örebro University, School of Health Sciences.
    Segerdahl, Anna
    Örebro University, School of Health Sciences.
    Kommunikation mellan vårdpersonaloch patienter med afasi till följd av strokeEn litteraturstudie2019Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
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    Kommunikation mellan vårdpersonal och patienter med afasi till följd av stroke En litteraturstudie
  • 6.
    Abdi, Yasmin
    Örebro University, School of Health Sciences.
    Tinnitus i relation till livskvalité: En jämförande studie mellan personer med normal hörsel och personer med hörselnedsättning2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 7.
    Abdillahi Diriye, Aliya
    et al.
    Örebro University, School of Health Sciences.
    Eskilsson, Julia
    Örebro University, School of Health Sciences.
    Anhörigas erfarenheter av att vårda närstående med Alzheimers sjukdomEn litteraturstudie2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Alzheimers sjukdom är den vanligaste demenssjukdomen och är en av våra största folksjukdomar. Det är en degenerativ sjukdom som är svårbehandlad. Alzheimers sjuka är i behov av vård och assistans. Anhöriga försöker anpassa sig efter de nya omständigheterna och utmaningar som Alzheimers sjukdom medför.Syftet: Syftet var att beskriva anhörigas erfarenheter av att vårda närstående med Alzheimers sjukdom.Metod: En litteraturstudie med systematisk sökning och deskriptiv design utfördes. Artiklarna söktes fram i databaserna Cinahl, Medline och PsycInfo.Resultat: Anhöriga som var vårdgivare till en anhörig med Alzheimers sjukdom upplevde många påfrestningar. Det är ett stressigt arbete och att bli vårdgivare har förändrat deras liv. Diagnosen skapade även konflikter i relationer eftersom de behövde samarbeta. Vilket kön vårdgivaren har och vilken relation som personer har till vårdtagaren spelar roll i vårdprocessen.Slutsats: Anhöriga erfarenhet att vårda närstående med Alzheimers sjukdom påverkar deras liv mestadels negativt. Det är en svår utmaning för de anhöriga att ta på sig rollen som vårdgivare. Alzheimers sjukdom ökar i världen och det är viktigt att sjuksköterskor och andra professioner inom hälso-och sjukvård kan stödja de anhöriga som är vårdgivare och få en inblick i vad de går igenom.

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    Anhörigas erfarenheter av att vårda närstående med Alzheimers sjukdom En litteraturstudie
  • 8.
    Abdinasir, Ayaan
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Forsberg, Niklas
    Familjens upplevelser av att leva med en anhörig som har Multipel Skleros: En litteraturstudie2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 9.
    Abdirahman, Fatma
    et al.
    Örebro University, School of Health Sciences.
    Leijon, Emma
    Örebro University, School of Health Sciences.
    Att vårda patienter som är suicidalaUr sjuksköterskans perspektiv2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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    Att vårda patienter som är suicidala Ur sjuksköterskans perspektiv
  • 10.
    Abdolahpur Monikh, Fazel
    et al.
    Institute of Environmental Sciences (CML), Leiden University, Leiden, Netherlands; Department of Environmental & Biological Sciences, University of Eastern Finland, Joensuu, Finland.
    Chupani, Latifeh
    Örebro University, School of Science and Technology. University of South Bohemia in Ceske Budejovice, Faculty of Fisheries and Protection of Waters, South Bohemian Research Center of Aquaculture and Biodiversity of Hydrocenoses, Vodňany, Czech Republic.
    Vijver, Martina G.
    Institute of Environmental Sciences (CML), Leiden University, Leiden, Netherlands.
    Peijnenburg, Willie J. G. M.
    Institute of Environmental Sciences (CML), Leiden University, Leiden, Netherlands; National Institute of Public Health and the Environment (RIVM), Center for Safety of Substances and Products, Bilthoven, Netherlands.
    Parental and trophic transfer of nanoscale plastic debris in an assembled aquatic food chain as a function of particle size2021In: Environmental Pollution, ISSN 0269-7491, E-ISSN 1873-6424, Vol. 269, article id 116066Article in journal (Refereed)
    Abstract [en]

    The existing limitations in analytical techniques for characterization and quantification of nanoscale plastic debris (NPD) in organisms hinder understanding of the parental and trophic transfer of NPD in organisms. Herein, we used iron oxide-doped polystyrene (PS) NPD (Fe-PS-NPD) of 270 nm and Europium (Eu)-doped PS-NPD (Eu-PS-NPD) of 640 nm to circumvent these limitations and to evaluate the influence of particle size on the trophic transfer of NPD along an algae-daphnids food chain and on the reproduction of daphnids fed with NPD-exposed algae. We used Fe and Eu as proxies for the Fe-PS-NPD and Eu-Ps-NPD, respectively. The algae cells (Pseudokirchinella subcapitata) were exposed to 4.8 × 1010 particles/L of Fe-PS-NPD or Eu-PS-NPD for 72 h. A high percentage (>60%) of the NPD was associated with algal cells. Only a small fraction (<11%) of the NPD, however, was transferred to daphnids fed for 21 days on the NPD-exposed algae. The uptake and trophic transfer of the 270 nm Fe-PS-NPD were higher than those for the 640 nm Eu-PS-NPD, indicating that smaller NPD are more likely to transfer along food chains. After exposure to Fe-PS-NPD, the time to first brood was prolonged and the number of neonates per adult significantly decreased compared to the control without any exposure and compared to daphnids exposed to the Eu-Ps-NPD. The offspring of daphnids exposed to Eu-PS-NPD through algae, showed a traceable concentration of Eu, suggesting that NPD are transferred from parents to offspring. We conclude that NPD can be transferred in food chains and caused reproductive toxicity as a function of NPD size. Studies with prolonged exposure and weathered NPD are endeavored to increase environmental realism of the impacts determined.

  • 11.
    Abdow Hussein, Mona
    et al.
    Örebro University, School of Health Sciences.
    Kasic, Meliha
    Örebro University, School of Health Sciences.
    Omvårdnadsåtgärder som främjarhälsa hos patienter med hjärt-­ ochkärlsjukdom.2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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    Omvårdnadsåtgärder som främjar hälsa hos patienter med hjärt-­ och kärlsjukdom.
  • 12.
    Abdullah, Ghariba
    et al.
    Örebro University, School of Health Sciences.
    Abdi Yusuf, Hayat
    Örebro University, School of Health Sciences.
    Att hantera en Kronisk Sjukdom: En litteraturstudie om kvinnors coping-strategier vid endometrios.2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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    Att hantera en Kronisk Sjukdom: En litteraturstudie om kvinnors coping-strategier vid endometrios.
  • 13.
    Abraha, Genet
    Örebro University, School of Health and Medical Sciences.
    Patienters upplevda livskvalitet efter en överviktsoperation: En litteraturstudie2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 14.
    Abrahamsson, Anna
    et al.
    Örebro University, School of Health Sciences.
    Aldegren, Sandra
    Örebro University, School of Health Sciences.
    Kan musik pre- och intraoperativt lindra patientens postoperativa smärta? -en litteraturstudie2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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    Kan musik pre- och intraoperativt lindra patientens postoperativa smärta? -en litteraturstudie
  • 15.
    Abrahamsson, Ebba
    et al.
    Örebro University, School of Health Sciences.
    Nyman, Emma
    Örebro University, School of Health Sciences.
    Den hjälpande handen i arbetet: En intervjustudie om hörseltekniska hjälpmedel: konferenshjälpmedel2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
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    Den hjälpande handen i arbetet - En intervjustudie om hörseltekniska hjälpmedel: konferenshjälpmedel
  • 16.
    Abrahamsson, Jenny
    et al.
    Örebro University, School of Health Sciences.
    Gustafsson, Madelene
    Örebro University, School of Health Sciences.
    Smärtlindrande metoder vid nålrelaterade procedurer på barn –en litteraturstudie2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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    fulltext
  • 17.
    Abrahamsson, Linda
    et al.
    Örebro University, School of Health Sciences.
    Redlund, Victoria
    Örebro University, School of Health Sciences.
    Sjuksköterskans upplevelse av treskiftarbete utifrån ett biopsykosocialt perspektiv. En intervjustudie2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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    fulltext
  • 18.
    Abrahamsson, Vilhelm
    et al.
    Örebro University, School of Health Sciences.
    Ögren, Oscar
    Örebro University, School of Health Sciences.
    En didaktisk analys av idrottslärarstudenters möte med en akademiserad utbildning2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Idrottslärarutbildningen har historiskt beskrivits som starkt traditionsbunden där praktiskafärdigheter har varit en del av det huvudsakliga målet med utbildningen. I takt med tiden harutbildningen genomgått en akademisering där teoretiska innehåll och forskningsfält har fåttallt större utrymme. På grund av utbildningens starka prägel av tradition lever uppfattningenom att praktisk kunskap är den mest värdefulla till viss del fortfarande kvar, trotsutbildningens numera teoretiska karaktär. Därav är syftet med denna studie att undersökavilka perspektiv som konkurrerar om att göra anspråk på undervisningstiden. Vidare ämnar viundersöka vilka didaktiska konsekvenser som riskerar inträffa till följd av den praktisk lagdaidrottslärarstudenten och en alltmer akademiserad utbildning. Som ett resultat avakademiseringen har flera kritiska perspektiv velat få mer utrymme på PETE. Dessaperspektiv ämnar vi undersöka och redogöra för i resultatdelen.

    Som metod för arbetet genomfördes en systematisk litteraturstudie. En systematisklitteraturstudie karaktäriseras av att kritiskt granska, systematiskt söka och sammanställalitteratur inom ett avgränsat område för att skapa en ny syntes av tidigare studiers data.Resultatet av studien identifierade följande kritiska perspektiv: Social justice, Genderequality, Interkulturell kompetens och Models based practice. Dessa perspektiv beskrivs idagsläget inte få tillräckligt mycket utrymme på utbildningen. I diskussionen analyserar viresultatet utifrån en didaktisk triangel och identifierar vilka didaktiska konsekvenser somriskerar inträffa till följd av en praktisk lagd idrottslärare och en alltmer akademiseradutbildning. Efter studien kunde vi komma till slutsatsen att idrottslärare riskerar fleradidaktiska utmaningar i sitt kommande yrkesliv. Om studenten inte värderar de kritiskaperspektiven under utbildningens gång riskerar både eleven och innehållet att drabbas.

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  • 19.
    Abrahamsson, Ylva
    et al.
    Örebro University, School of Health Sciences.
    Aronowitsch, Lovisa
    Örebro University, School of Health Sciences.
    Sjuksköterskors användning av ultraljud vid insättning av perifer venkateter - patientens upplevelser och påverkan på vården2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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    fulltext
  • 20.
    Abreu-Mendes, Pedro
    et al.
    Department of Urology, Centro Hospitalar Universitário do São João, Porto, Portugal.
    Baranowski, Andrew P.
    National Hospital for Neurology and Neurosurgery, University College London Hospitals Foundation Trust, University College London, London, UK.
    Berghmans, Bary
    Pelvic Care Centre Maastricht, Maastricht University Medical Centre, Maastricht, The Netherlands.
    Borovicka, Jan
    Department of Gastroenterology/Hepatology, School of Medicine, Cantonal Hospital of St. Gallen, University of St. Gallen, St. Gallen, Switzerland.
    Cottrell, Angela M.
    Royal Devon and Exeter Hospital, Exeter, UK.
    Dinis-Oliveira, Paulo
    Department of Urology, Centro Hospitalar Universitário do São João, Porto, Portugal.
    Elneil, Sohier
    National Hospital for Neurology and Neurosurgery, University College Hospital, London, UK.
    Hughes, John
    The James Cook University Hospital, Middlesbrough, UK.
    Messelink, Bert E. J.
    Department of Urology, Medical Centre Leeuwarden, Leeuwarden, The Netherlands.
    Tidman, Victoria
    National Hospital for Neurology and Neurosurgery, University College Hospital, London, UK.
    Pinto, Rui
    Department of Urology, Centro Hospitalar Universitário do São João, Porto, Portugal.
    Tornic, Jure
    Kantonsspital Winterthur, Winterthur, Switzerland.
    Flink, Ida
    Örebro University, School of Law, Psychology and Social Work.
    Parsons, Brian A.
    Royal Devon and Exeter Hospital, Exeter, UK.
    Zumstein, Valentin
    Department of Urology, School of Medicine, Cantonal Hospital of St. Gallen, University of St. Gallen, St. Gallen, Switzerland.
    Engeler, Daniel S.
    Department of Urology, School of Medicine, Cantonal Hospital of St. Gallen, University of St. Gallen, St. Gallen, Switzerland.
    Myofascial Pelvic Pain: Best Orientation and Clinical Practice. Position of the European Association of Urology Guidelines Panel on Chronic Pelvic Pain2023In: European Urology Focus, E-ISSN 2405-4569, Vol. 9, no 1, p. 172-177Article in journal (Refereed)
    Abstract [en]

    CONTEXT: Despite the high prevalence of a myofascial pain component in chronic pelvic pain (CPP) syndromes, awareness and management of this component are lacking among health care providers.

    OBJECTIVE: To summarize the current state of the art for the management of myofascial pain in chronic primary pelvic pain syndromes (CPPPS) according to scientific research and input from experts from the European Association of Urology (EAU) guidelines panel on CPP.

    EVIDENCE ACQUISITION: A narrative review was undertaken using three sources: (1) information in the EAU guidelines on CPP; (2) information retrieved from the literature on research published in the past 3 yr on myofascial pelvic pain; and (3) expert opinion from panel members.

    EVIDENCE SYNTHESIS: Studies confirm a high prevalence of a myofascial pain component in CPPPS. Examination of the pelvic floor muscles should follow published recommendations to standardize findings and disseminate the procedure. Treatment of pelvic floor muscle dysfunction and pain in the context of CPP was found to contribute to CPP control and is feasible via different physiotherapy techniques. A multidisciplinary approach is the most effective.

    CONCLUSIONS: Despite its high prevalence, the myofascial component of CPP has been underevaluated and undertreated to date. Myofascial pain must be assessed in all patients with CPPPS. Treatment of the myofascial pain component is relevant for global treatment success. Further studies are imperative to reinforce and better define the role of each physiotherapy technique in CPPPS.

    PATIENT SUMMARY: Pain and inflammation of the body's muscle and soft tissues (myofascial pain) frequently occurs in pelvic pain syndromes. Its presence must be evaluated to optimize management for each patient. If diagnosed, myofascial pain should be treated.

  • 21.
    Abu-Zidan, Fikri M.
    et al.
    Department of Surgery, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates.
    Östlundh, Linda
    National Medical Library, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates.
    The nature and consequences of camel-related injuries: Is this a scoping review?2022In: Injury, ISSN 0020-1383, E-ISSN 1879-0267, Vol. 53, no 7, p. 2693-2693Article in journal (Refereed)
  • 22.
    Adam, Linnea
    et al.
    Örebro University, School of Health and Medical Sciences.
    Saied, Morsal
    Familjefokuserad omvårdnad: Barn med kroniska sjukdomar2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 23.
    Adam, Sandy
    et al.
    Faculty of Sport Science, Institute for Sport Psychology and Sport Pedagogy, Department of Sport Economics and Sport Management, Leipzig University, Leipzig, Germany.
    Grønkjær, Allan Bennich
    Department of Sport and Social Sciences, Norwegian School of Sport Sciences, Oslo, Norway.
    Strittmatter, Anna-Maria
    Department of Sport and Social Sciences, Norwegian School of Sport Sciences, Oslo, Norway.
    Wohlfart, Olivia
    Center for Teacher Education, Karlsruhe Institute of Technology, Karlsruhe, Germany.
    Playing by the rules of academia?: The impact of an international research project on the professional identity development of early-career academics in sport management2022In: International Journal of Educational Research Open, ISSN 2666-3740, Vol. 3, article id 100173Article in journal (Refereed)
    Abstract [en]

    The purpose of this study is to examine how participating in an international research project (IRP) can impact the way early-career academics (ECAs) perceive academia and thus their professional identity development. Based on neoinstitutional theory, we examine autoethnographic memory stories of six ECAs within sport management who participated in an international research project (IRP). These ECAs experienced an important professional socialization process into the institutional logics of sport management academia. We found that the academics' perception of doing research was influenced by reflection processes of and within the prevailing logics of the organizational field of sport management academia. ECAs benefit from participating in IRPs as they foster the ability to develop career decisions that will benefit them personally and professionally. The paper highlights opportunities of IRPs in contributing to transferable skill development for ECAs and concludes with recommendations for doctoral students and educators.

  • 24.
    Adaszak, Sofie
    et al.
    Örebro University, School of Health Sciences.
    Gustafsson, Johanna
    Örebro University, School of Health Sciences.
    Källström, Åsa
    Örebro University, School of Behavioural, Social and Legal Sciences.
    Holmefur, Marie
    Örebro University, School of Health Sciences.
    Farias Vera, Lisette
    DepaKarolinska Institutet, Stockholm, Sweden.
    Navigating barriers and facilitators to support victims of violence in a close relationship with cognitive disability: Social workers´ perspectives2023Conference paper (Other academic)
    Abstract [en]

    The risk of violence in close relationships is higher for people with cognitive disabilities than in the general population. This is due to social isolation, and physical or financial dependence on others in everyday activities. To enable adequate protection for these victims, social workers need to take decisions and provide support that is based on knowledge about both violence and disability-related needs. By contrast, people with cognitive disabilities are de facto less likely to be provided with support adapted to their needs. Therefore, this study explores how social workers navigate barriers and facilitating aspects to support victims of violence with cognitive disabilities.Data were collected in individual interviews with 18 social workers, and analysed using content analysis. The inclusion criteria were 3 years or more experience in identifying and/or assessing exposure to violence in close relationships among people with cognitive disabilities.

    The emerging categories illustrate how social workers face dilemmas when navigating the balance between individuals’ rights for self-determination and complex needs for protection and support. The policies that frame social workers' practice in Sweden are discussed in relation to the need for flexible interventions and accessible support based on interprofessional collaboration related to violence and cognitive disability. The categories also problematize the power dynamics involved and how different actors’ experiences, values, and power influence the support process. The different actors involved add to the complexity that social workers need to navigate.

    This presentation focus on how social workers' practice is governed and hindered by policy, a focus on individuals' rights for self-determination, and the need to support and protect a group that may have difficulties to identify both violence and their needs for support.

  • 25.
    Adenfelt, Gunilla
    et al.
    Örebro University, School of Health and Medical Sciences.
    Warnemark, Elisabeth
    Örebro University, School of Health and Medical Sciences.
    Arbetsskador hos sjukgymnaster: -en litteraturstudie2008Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 26.
    Adenäs, Josefine
    et al.
    Örebro University, School of Health and Medical Sciences.
    Trostek, Martina
    Örebro University, School of Health and Medical Sciences.
    Arbetsterapeutiska interventioner för behandling av stressrelaterad smärta: En litteraturstudie2009Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 27.
    Adler, Madeleine
    et al.
    Örebro University, School of Health Sciences.
    Hugosson, Elin
    Örebro University, School of Health Sciences.
    Att vårda både barn och vuxna på en gemensam akutmottagning: - En fenomenografisk studie 2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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  • 28.
    Adler, Therese
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Johnsson Koli, Anette
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    En kartläggning av tillgängligheten på gym för rullstolsburna personer.: En deskriptiv observationsstudie.2012Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Syftet med studien var att kartlägga och beskriva tillgängligheten på gym för rullstolsburna personer.

    Undersökningsmetod: Studien var en deskriptiv observationsstudie. Undersökningen var en tvärsnittsstudie, då mätningar gjordes vid ett tillfälle. Datainsamlingen utfördes genom strukturerade observationer av olika bedömningsområden, t.ex. närliggande utomhusmiljö, entré, träningslokal, omklädningsrum m.m. med hjälp av en egen utarbetad checklista.

    Resultat: Resultatet visade att hinder i tillgänglighet i huvudsak inte fanns i den närliggande utomhusmiljön runt gymmet. Däremot framkom problem med trappor/trappsteg, höga trösklar och tunga dörrar utan automatik vid entrén, samt trappor och nivåskillnader i omklädningsrum och duschutrymmen. Även avsaknad av hissar och handikappanpassade toaletter var vanligt förekommande hinder i tillgängligheten. Av resultatet framgick att störst tillgänglighet fanns inom bedömningsområdet "Gymlokal".

    Slutsats: Resultatet visade att inget gym var fullt tillgängligt i samtliga bedömningsområden.Mycket kvarstår att göra gällande tillgängligheten på gym för rullstolsburna personer. Många hinder ansåg vi dock vara enkelt avhjälpta hinder, till exempel utjämning av nivåskillnader, avfasning av trösklar och uppsättning av automatiska dörröppnare. Den här studien kan ge en ökad förståelse för vilka faktorer i gymmiljön som är hinder för tillgängligheten. Det skulle då kunna öka medvetenheten om vilka åtgärder som kan göra gymmen mer tillgängliga för rullstolsburna personer.

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    En kartläggning av tillgängligheten på gym för rullstolsburna personer.: En deskriptiv observationsstudie.
  • 29.
    Adolfsson, Adam
    Örebro University, School of Health Sciences.
    Ideellt engagemang: En studie om motivationen bakom det ideella engagemanget inom idrotten2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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    Ideellt engagemang
  • 30.
    Adolfsson, Annsofie
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    A conceptual model of miscarriage for use in clinical practice and research2010Conference paper (Refereed)
  • 31. Adolfsson, Annsofie
    A description of a Swedish midwifery work environment in an assistance project in West africa]1992In: Jordemodern, ISSN 0021-7468, Vol. 105, no 1-2, p. 20-23Article in journal (Other (popular science, discussion, etc.))
  • 32. Adolfsson, Annsofie
    Applying Heidegger's interpretive phenomenology to women's miscarriage experience2010In: Psychology Research and Behavior Management, E-ISSN 1179-1578, Vol. 3, p. 75-79Article in journal (Refereed)
    Abstract [en]

    Much has been written about measuring the feelings and impressions of women regarding their experience of miscarriage. According to the existential philosopher Heidegger life experiences such as the experience of a woman having a miscarriage can be interpreted and explained only in the context of the totality of the women's experiences in the past, the present, and the future. Thirteen in-depth interviews with women about their experiences of miscarriage were interpreted with respect to Heidegger's "Being and Time". By using his interpretive phenomenology the essence of the miscarriage experience was explored and defined. The women's feelings and impressions were influenced by past experiences of miscarriage, pregnancy, and births. Present conditions in the women's lives contributing to the experience include their relationships, working situation, and living conditions. Each woman's future prospects and hopes have been structurally altered with regard to their aspirations for their terminated pregnancy. The impact of miscarriage in a woman's life was found to be more important than caregiver providers and society have previously attributed to in terms of scale. The results of the interviews reveal that the women believed that only women who had experienced their own miscarriages were able to fully understand this complex womanly experience and its effects on the woman who had miscarried.

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  • 33. Adolfsson, Annsofie
    Barnmorskans avancerade kliniska omvårdnad vid gynekologisk öppenvårdsmottagning2011In: Avancerad klinisk sjuksköterska: avancerad klinisk omvårdnad i teori och praxis / [ed] Lisbeth Fagerström, Lund: Studentlitteratur AB, 2011, 1, p. 355-376Chapter in book (Other academic)
  • 34.
    Adolfsson, Annsofie
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Confronting the inevitable: a conceptual model of miscarriage for use in clinical practice and research2010In: , 2010Conference paper (Refereed)
  • 35.
    Adolfsson, Annsofie
    School of Life Sciences, University of Skövde, Skövde, Sweden; Department of Obstetrics and Gynecology, Skaraborg Hospital, Skövde, Sweden.
    Meta-analysis to obtain a scale of psychological reaction after perinatal loss: focus on miscarriage2011In: Psychology Research and Behavior Management, E-ISSN 1179-1578, Vol. 4, p. 29-39Article in journal (Refereed)
    Abstract [en]

    Pregnancy has different meanings to different women depending upon their circumstances. A number of qualitative studies have described the experience of miscarriage by women who had desired to carry their pregnancy to full term. The aim of this meta-analysis was to identify a scale of psychological reaction to miscarriage. Meta-analysis is a quantitative approach for reviewing articles from scientific journals through statistical analysis of findings from individual studies. In this review, a meta-analytic method was used to identify and analyze psychological reactions in women who have suffered a miscarriage. Different reactions to stress associated with the period following miscarriage were identified. The depression reaction had the highest average, weighted, unbiased estimate of effect (d(+) = 0.99) and was frequently associated with the experience of perinatal loss. Psychiatric morbidity was found after miscarriage in 27% of cases by a diagnostic interview ten days after miscarriage. The grief reaction had a medium d(+) of 0.56 in the studies included. However, grief after miscarriage differed from other types of grief after perinatal loss because the parents had no focus for their grief. The guilt is greater after miscarriage than after other types of perinatal loss. Measurement of the stress reaction and anxiety reaction seems to be difficult in the included studies, as evidenced by a low d(+) (0.17 and 0.16, respectively). It has been recommended that grief after perinatal loss be measured by an adapted instrument called the Perinatal Grief Scale Short Version.

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  • 36. Adolfsson, Annsofie
    Miscarriage: women’s experience and its cumulative incidence2006Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Many women experience miscarriage every year. Every fourth woman who has given birth reports that she has previous experience of miscarriage. In a study of all women in the Swedish Medical Birth Register 1983-2003, we found that the number of cases of self reported miscarriage had increased in Sweden during this 21 year period. This increase can be explained by the introduction of sensitive pregnancy tests around 1990, as well as an increase in the mean age of the mothers, by approximately 3 years, during the observation period. The risk of miscarriage is 13% with the first child. With subsequent pregnancies, the risk of miscarriage is 8%, 6% and 4% with the second, third and fourth child, respectively.

    Thirteen of these women who had suffered a recent miscarriage were interviewed four months later, and their feelings of guilt and emptiness were explored. Their experience was that they wanted their questions to be answered, and that they wanted others to treat them as the mothers to be that they felt themselves to be. They also experienced the need for time to grieve their loss.

    Measurement of grief by means of the Perinatal Grief Scale (PGS) is used in research but has also been proposed for clinical use. We have translated this psychological instrument to Swedish, back-translated and tested it in a small pilot study. In a randomized controlled study, women with early miscarriage were allocated, either to a structured visit (study group) or a regular visit (control group) to a midwife. The structured visit was conducted according to the Swanson caring theory. We could conclude that the structured visit had no significant effect on grief compared to the regular visit, as measured using the PGS. However, women with the sub-diagnosis missed abortion have significantly more grief four months after early miscarriage, regardless of visit type.

    We also performed a content analysis of the tape-recorded structured follow-up visit. The code-key used was Bonanno and Kaltman’s general grief categorization. Women’s expression of grief after miscarriage was found to be very similar to the grief experienced following the death of a relative. Furthermore, the grief was found to be independent of number of children, women’s age, or earlier experience of miscarriage.

    Conclusions: Every fourth woman who gives birth reports that she has also experienced early miscarriage. The experience of these women is that they have suffered a substantial loss and their reaction is grief similar to that experienced following the death of a relative.

    List of papers
    1. Cumulative incidence of previous spontaneous abortion in Sweden in 1983-2003: a register study
    Open this publication in new window or tab >>Cumulative incidence of previous spontaneous abortion in Sweden in 1983-2003: a register study
    2006 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 85, no 6, p. 741-747Article in journal (Refereed) Published
    Abstract [en]

    AIM: The aim of this study is to find out how common miscarriages are among women who have delivered a child. METHODS: The numbers of deliveries and miscarriages were extracted from the Swedish Medical Birth Register between 1983 and 2003. Linear regression was performed in order to investigate whether the increasing mean age of mothers or differences in pregnancy identification methods could explain the increased frequency of miscarriage. RESULTS: The reported number of miscarriages increased each year during the 21-year period, with a marked increase between 1991 and 1993 and only a slight increase during the final 10 years. For primiparous women, the frequency of reported miscarriages per delivery increased from 8.6% in 1983 to 13.9% in 2003. The corresponding figures for 2-parous women showed an increase from 14.5% to 21.3% respectively. Women aged 30-34 years had an odds ratio of 1.43 (95% CI 1.40-1.45) to suffer spontaneous abortion compared to the age group 25-29 years. Linear regression showed that an increase in mean age at delivery could only partly explain the increase in the frequency of reported miscarriages. A possible explanation could be differences in methods of identifying early pregnancy. CONCLUSION: Of all women who deliver a child, nearly 20% have experienced previous miscarriage. The increased mean age of women could only explain a small portion of the seen increase in miscarriage. The marked increase from 1991 to 1993 is interesting. Possible reasons for the increase are discussed.

    Keywords
    Abortion, Spontaneous/*epidemiology
    National Category
    Medical and Health Sciences
    Research subject
    Medicine
    Identifiers
    urn:nbn:se:oru:diva-27333 (URN)10.1080/00016340600627022 (DOI)000238188100017 ()16752269 (PubMedID)2-s2.0-33745700356 (Scopus ID)
    Available from: 2013-02-05 Created: 2013-02-05 Last updated: 2023-12-08Bibliographically approved
    2. Guilt and emptiness: women's experiences of miscarriage
    Open this publication in new window or tab >>Guilt and emptiness: women's experiences of miscarriage
    2004 (English)In: Health Care for Women International, ISSN 0739-9332, E-ISSN 1096-4665, Vol. 25, no 6, p. 543-560Article in journal (Refereed) Published
    Abstract [en]

    Women who lose an early pregnancy are shocked when they are first given the information that they have miscarried. Later they feel guilt and emptiness. Heideggerian interpretive phenomenology has been used with 13 women from southwest Sweden to uncover their lived experience of miscarriage. Women plan their future with a child during early pregnancy. When miscarriage occurs it is not a gore, an embryo, or a fetus they lose, it is their child. They feel that they are the cause of the miscarriage through something they have done, eaten, or thought. They feel abandonment and they grieve for their profound loss; they are actually in bereavement.

    National Category
    Nursing
    Research subject
    Nursing Science
    Identifiers
    urn:nbn:se:oru:diva-25616 (URN)10.1080/07399330490444821 (DOI)15354621 (PubMedID)2-s2.0-3042592129 (Scopus ID)
    Available from: 2012-08-30 Created: 2012-08-30 Last updated: 2023-12-08Bibliographically approved
    3. Translation of the short version of the Perinatal Grief Scale into Swedish
    Open this publication in new window or tab >>Translation of the short version of the Perinatal Grief Scale into Swedish
    2006 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 20, no 3, p. 269-273Article in journal (Refereed) Published
    Abstract [en]

    INTRODUCTION: Women's emotions and grief after miscarriage are influenced not only by the context in which the miscarriage occurred but also by their past experience, the circumstances around the miscarriage and their future prospects. Their emotions therefore express a specific form of grief. Normally the time needed to work through the loss varies. A number of different scales, measuring women's emotions and grief after miscarriage have been published. One instrument that measures the specific grief, such as the grief after miscarriage is the Perinatal Grief Scale (PGS) that was designed to measure grief after perinatal loss and has good reliability and validity.

    AIMS: The purpose of this study was to translate the PGS into Swedish and to use the translation in a small pilot study.

    MATERIAL AND METHOD: The original short version of the PGS was first translated from English into Swedish and then back-translated into English, using different translators. During translation and back-translation, not only the linguistic and grammatical aspects were considered but also cultural differences. The Likert 5-point and a 10-point scale were tested in a pilot study where 12 volunteers anonymously answered the PGS twice. The intra-personal correlations were compared and analysed with weighted kappa-coefficient.

    FINDINGS: In all, five different versions were tested before the final Swedish version was established. The weighted kappa-coefficient for the volunteers was 0.58, which is regarded as representing good reproducibility.

    CONCLUSION: The PGS was translated successfully into Swedish and could be used in a Swedish population. As this work is rather time-consuming we therefore wish to publish the Swedish version so that it may be used by other researchers.

    National Category
    Nursing
    Research subject
    Nursing Science
    Identifiers
    urn:nbn:se:oru:diva-25613 (URN)10.1111/j.1471-6712.2006.00404.x (DOI)000239865900005 ()16922980 (PubMedID)2-s2.0-33747620299 (Scopus ID)
    Available from: 2012-08-30 Created: 2012-08-30 Last updated: 2023-12-08Bibliographically approved
    4. Effect of a structured follow-up visit to a midwife on women with early miscarriage: a randomized study
    Open this publication in new window or tab >>Effect of a structured follow-up visit to a midwife on women with early miscarriage: a randomized study
    2006 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 85, no 3, p. 330-335Article in journal (Refereed) Published
    Abstract [en]

    Background: Women's grief after miscarriage is substantial and important. Women who experience early miscarriage do not constitute a homogenous group. The aim of this study is to measure whether a structured follow-up visit to a midwife (group 1) at 21-28 days after early miscarriage could reduce the women's grief, measured using the perinatal grief scale Swedish short version (PGS) after a further 3 months (i.e. 4 months after the miscarriage), compared to a regular follow-up visit to a midwife (group 2).

    Methods: We performed an open randomized study of women who experienced early miscarriage (n = 88). The midwife's attitude in group 1 came from Swanson science theory of midwifery. In group 2, the women were offered only the ordinary type of consultation at a regular visit. A questionnaire with the PGS was used in both groups. Four months after the miscarriage, a second questionnaire with the same perinatal grief scale was sent by post.

    Results: There was a 30% greater reduction in grief in group 1 than that in group 2, when comparing the first and second measurements (not significant). The biggest differences were in the subscales active grief and difficulty in coping. Women with the subdiagnosis missed abortions had, as a group, significantly higher PGS scores at both visits, especially in active grief and difficulty in coping, regardless of the type of follow-up visit.

    Conclusions: A structured follow-up visit did not, in comparison with a regular follow-up visit, imply any significant reduction in grief as measured using the PGS scale. However, the subgroup missed abortion had more extensive grief than the other women with miscarriage. Structured follow-up visits are not imperative for all women with early miscarriage.

    Place, publisher, year, edition, pages
    Oslo, Norway: Taylor & Francis, 2006
    Keywords
    Early miscarriage, grief, midwife, support, treatment
    National Category
    Obstetrics, Gynecology and Reproductive Medicine Nursing
    Research subject
    Caring sciences
    Identifiers
    urn:nbn:se:oru:diva-25614 (URN)10.1080/00016340500539376 (DOI)000236110500012 ()16553182 (PubMedID)2-s2.0-33645461138 (Scopus ID)
    Available from: 2012-08-30 Created: 2012-08-30 Last updated: 2023-12-08Bibliographically approved
    5. Applicability of general grief theory to Swedish women's experience after early miscarriage, with factor analysis of Bonanno's taxonomy, using the Perinatal Grief Scale
    Open this publication in new window or tab >>Applicability of general grief theory to Swedish women's experience after early miscarriage, with factor analysis of Bonanno's taxonomy, using the Perinatal Grief Scale
    2010 (English)In: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 115, no 3, p. 201-209Article in journal (Refereed) Published
    Abstract [en]

    BACKGROUND: Grief is a normal phenomenon but showing great variation depending on cultural and personal features. Bonanno and Kaltman have nonetheless proposed five aspects of normal grief. The aim of this study was to investigate if women with miscarriage experience normal grief.

    MATERIAL AND METHODS: Content analyses of 25 transcribed conversations with women 4 weeks after their early miscarriages were classified depending on the meaning-bearing units according to Bonanno and Kaltman's categories. In the factor analyses, these categories were compared with the Perinatal Grief Scale and women's age, number of children and number of miscarriages, and gestational weeks.

    RESULTS: Women with miscarriage fulfill the criteria for having normal grief according to Bonanno and Kaltman. All of the 25 women had meaning-bearing units that were classified as cognitive disorganization, dysphoria, and health deficits, whereas disrupted social and occupational functioning and positive aspects of bereavement were represented in 22 of 25 women. From the factor analysis, there are no differences in the expression of the intensity of the grief, irrespective of whether or not the women were primiparous, younger, or had suffered a first miscarriage.

    CONCLUSION: Women's experience of grief after miscarriage is similar to general grief after death. After her loss, the woman must have the possibility of expressing and working through her grief before she can finish her pregnancy emotionally. The care-giver must facilitate this process and accept that the intensity of the grief is not dependent on the woman's age, or her number of earlier miscarriages.

    National Category
    Obstetrics, Gynecology and Reproductive Medicine Nursing
    Research subject
    Nursing Science
    Identifiers
    urn:nbn:se:oru:diva-25610 (URN)10.3109/03009731003739851 (DOI)000281013000008 ()20636255 (PubMedID)2-s2.0-77954841916 (Scopus ID)
    Note

    Per-Göran Larsson is also affiliated toDepartment of Obstetrics and Gynecology, Skaraborgs sjukhus, Kärnsjukhuset Skövde, Skövde, SwedenandDivision of Women and Child Health, Department of Clinical and Experimental Medicine, Faculty of Health and Sciences, Linköping University, Linköping, Sweden

    Available from: 2012-08-30 Created: 2012-08-30 Last updated: 2023-12-08Bibliographically approved
    Download full text (pdf)
    Kappa
  • 37.
    Adolfsson, Annsofie
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Missfall2006In: , 2006Conference paper (Other academic)
  • 38. Adolfsson, Annsofie
    Women's well-being improves after missed miscarriage with more active support and application of Swanson's caring theory2011In: Psychology Research and Behavior Management, E-ISSN 1179-1578, Vol. 4, p. 1-9Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The purpose of this study was to provide better organization and more efficient use of resources within the health care system in order to identify women with nonviable pregnancy earlier in their gestation terms and also to identify those women who experience severe grief reaction after the miscarriage. The proposed solution is to offer an appointment with a gynecologist during regular office hours after consultation with the patient's midwife to women experiencing symptoms and who are concerned with the viability of their pregnancy. Unnecessary contact with the emergency room by the patients would be reduced as a result of this improvement in organization. The aim of the study was to give the women experiencing missed miscarriage an increased sense of well-being by applying Swanson's Caring Theory to their recovery, in addition to the better organization and more efficient use of resources.

    METHOD: Both the original study from 2002 to 2003 and the later study from 2004 to 2005 applied Swanson's Caring Theory in the follow-up care management of the women, but only the later study was influenced by the changes made in the health care system. In the past, diagnosis of missed miscarriage was delayed because women experiencing minor symptoms were not highly prioritized in the health care system. More active support was introduced in order to get the proper information to the patient throughout the health care system. The size of the original study database was n = 43, compared with the later study database, which was n = 56. All of the women answered the Perinatal Grief Scale (PGS) questions twice, 1 month and 4 months after their diagnosis. Some additional questions about their circumstances unrelated to the PGS were also mailed to the women 4 months after their diagnosis.

    RESULTS: As a result of the more active support, women felt that they received professional care when they needed it most. The patients were satisfied that they were treated as if they were suffering from normal grief. The group score above the limits for deep grief 4 months after diagnosis was significantly lowered. The chances of receiving their diagnosis at an appointment during office hours increased (odds ratio 3.38). Sick leave time of more than a week was reduced from 44% in the original study to 22% in the later study.

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    fulltext
  • 39.
    Adolfsson, Annsofie
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Berterö, Carina
    Hälsohögskolan i Jönköping, Sweden.
    Heidegger’s interpretive phenomenology given the understanding that experience from the past affecting the present and the future in women who had miscarried2005In: , 2005Conference paper (Refereed)
  • 40.
    Adolfsson, Annsofie
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Berterö, Carina
    Hälsohögskolan i Jönköping, Jönköping, Sweden.
    Sorgen vid missfall, kvalitativ innehållsanalys av strukturerat samtal med barnmorska2005Conference paper (Refereed)
  • 41.
    Adolfsson, Annsofie
    et al.
    Department of Obstetrics and Gynecology, Central Hospital, Skövde, Sweden; Department of Molecular and Clinical Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden.
    Berterö, Carina
    Division of Nursing Science, Department of Medicine and Care, Faculty of Health Science, Linköping University, Linköping, Sweden.
    Larsson, Per-Göran
    Department of Obstetrics and Gynecology, Central Hospital, Skövde, Sweden; Department of Molecular and Clinical Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden.
    Effect of a structured follow-up visit to a midwife on women with early miscarriage: a randomized study2006In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 85, no 3, p. 330-335Article in journal (Refereed)
    Abstract [en]

    Background: Women's grief after miscarriage is substantial and important. Women who experience early miscarriage do not constitute a homogenous group. The aim of this study is to measure whether a structured follow-up visit to a midwife (group 1) at 21-28 days after early miscarriage could reduce the women's grief, measured using the perinatal grief scale Swedish short version (PGS) after a further 3 months (i.e. 4 months after the miscarriage), compared to a regular follow-up visit to a midwife (group 2).

    Methods: We performed an open randomized study of women who experienced early miscarriage (n = 88). The midwife's attitude in group 1 came from Swanson science theory of midwifery. In group 2, the women were offered only the ordinary type of consultation at a regular visit. A questionnaire with the PGS was used in both groups. Four months after the miscarriage, a second questionnaire with the same perinatal grief scale was sent by post.

    Results: There was a 30% greater reduction in grief in group 1 than that in group 2, when comparing the first and second measurements (not significant). The biggest differences were in the subscales active grief and difficulty in coping. Women with the subdiagnosis missed abortions had, as a group, significantly higher PGS scores at both visits, especially in active grief and difficulty in coping, regardless of the type of follow-up visit.

    Conclusions: A structured follow-up visit did not, in comparison with a regular follow-up visit, imply any significant reduction in grief as measured using the PGS scale. However, the subgroup missed abortion had more extensive grief than the other women with miscarriage. Structured follow-up visits are not imperative for all women with early miscarriage.

  • 42.
    Adolfsson, Annsofie
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Berterö, Carina
    Hälsohögskolan i Jönköping, Sweden.
    Larsson, Per-Göran
    Skaraborgssjukhus Skövde, Sweden.
    Effekten av strukturerat återbesök till barnmorska för kvinnor med tidiga missfall: en randomiserad studie2004In: , 2004Conference paper (Refereed)
  • 43.
    Adolfsson, Annsofie
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Berterö, Carina
    Hälsohögskolan i Jönköping, Sweden.
    Larsson, Per-Göran
    Skaraborgssjukhus Skövde, Sweden.
    Missfall, cumulativ incidence och kvinnors upplevelser2005Conference paper (Refereed)
  • 44.
    Adolfsson, Annsofie
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Berterö, Carina
    Hälsohögskolan i Jönköping, Jönköping, Sweden.
    Larsson, Per-Göran
    Skaraborgs sjukhus, Skövde, Sweden.
    The effect of structured second visit to midwifes in women with early miscarriage: a randomized study2004Conference paper (Refereed)
  • 45.
    Adolfsson, Annsofie
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Berterö, Carina
    Hälsohögskolan i Jönköping, Sweden.
    Larsson, Per-Göran
    Skaraborgs sjukhus Skövde, Sweden.
    The effect of structured second visit to midwifes in women with early miscarriage: a randomized study2005Conference paper (Refereed)
  • 46.
    Adolfsson, Annsofie
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Finnerup Andresen, Janne
    Örebro Läns Landsting, Örebro, Sweden.
    Brattström Edgren, Kristin
    Örebro Läns Landsting, Örebro, Sweden.
    Why obese women feel better about their "big" condition when they are pregnant: a qualitative study performed in Sweden2013In: Open Journal of Obstetrics and Gynecology, ISSN 2160-8792, E-ISSN 2160-8806, Vol. 3, p. 544-552Article in journal (Refereed)
    Abstract [en]

    Overweight and obesity as measured by the body mass index (BMI) is an increasing problem worldwide according to the World Health Organization (WHO) [1]. Women having a body mass index greater than or equal to30 kg/m2 are considered to be obese and they run a greater risk of complications when they are pregnant. Complications such as high blood pressure, gestational diabetes, risk of intrauterine fetal death and slower delivery when giving birth to the baby are risks that can affect the well being of the woman and the child. According to the study on the women, the midwife’s most important role when meeting with the pregnant obese woman is to inform them about potential risks during pregnancy. The midwife must withhold judgment. For many women living with obesity means that they are not seen as the person they actually are. Obese women feel that they do not conform to the societal ideal of an attractive woman because of their size and because of other people’s prejudices regarding their obesity. When an obese woman becomes pregnant they may feel more comfortable with their standing in society because there is a happy explanation for the size of their abdomen. They experience that they are happy and proud about their stomach and this gives them a sense of relief and belonging.

  • 47.
    Adolfsson, Annsofie
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Granevik, Karin
    Primärvården Skaraborg, Skövde, Sverige.
    Paulsson, Kerstin
    Primärvården Skaraborg, Skövde, Sverige.
    The reasons why women do not participate in the papsmear screening and testing program in Sweden2012In: Advances in Sexual Medicine, ISSN 2164-5191, Vol. 2, p. 31-37Article in journal (Refereed)
    Abstract [en]

    Cervical cancer is the second most common type of cancer among women worldwide. In Sweden cervical cancer is the fifteenth most common cancer among women and accounts for 1.9 percent of all female cancers. The Swedish Pap smear screening program is enabling early detection of cell changes in order that treatment may be administered to pre- vent the development of cancerous cells. There are approximately four hundred and fifty cases of cervical cancer de-tected each year in Sweden and of these cases, approximately seventy five percent occur in women who do not partici-pate in the screening and testing program. The purpose of this study was to illustrate and examine the reasons why women did not participate in the program even though they had received a notice that they had an appointment for a Pap smear test. In the study fourteen women from a district in the west of Sweden were interviewed. In order to analyse the interviews a qualitative content analysis according to Lundman and Graneheim was used. The analysis resulted in the development of three categories which were identified as communication, treatment and subterfuge (reasons or excuses for not participating). The theme of the study was the professional treatment of the women’s conditions. In the inter-views the women emphasize the importance of professional treatment that is administered with respectful and sympa-thetic care throughout the whole healthcare system regardless of where and when the visit was conducted. Efficient or-ganization and clear communication would minimize the inconvenience for the women during their visit.

  • 48.
    Adolfsson, Annsofie
    et al.
    Örebro University, School of Health Sciences. University College of Southeast Norway, Tonsberg, Norway.
    Hagander, Anna
    University College, Skövde, Sweden.
    Mahjoubipour, Farzane
    University College, Skövde, Sweden.
    Larsson, Per-Göran
    Department of Obstetrics and Gynaecology, Skaraborg Hospital, Skövde, Sweden; University of Linköping, Linköping, Sweden.
    How Vaginal Infections Impact Women's Everyday Life: Women's Lived Experiences of Bacterial Vaginosis and Recurrent Vulvovaginal Candidiasis2017In: Advances in Sexual Medicine, ISSN 2164-5191, Vol. 7, no 1, p. 1-19Article in journal (Refereed)
    Abstract [en]

    Reoccurring symptoms and persistent problems that continue post treatment can becharacteristic of the vaginal infections Bacterial Vaginosis (BV) and recurrent vulvovaginalcandidiasis (RVVC). The purpose of this study was to describe women’s lifeexperiences in managing the symptoms of bacterial vaginosis and Candida. Sixteenwomen were recruited and participated in an interview study when they contacted aSwedish gynecology clinic with vaginal complaints that ranged from and includedabnormal discharge, irritation itching along with serious malodor. An interpretivephenomenological approach was used with an individual interview to get a more intimateunderstanding of the women experiencing these problems. The finding of thisstudy shows that managing the recurrent symptoms of the infections remains to be achallenge for women as it has a clearly negative impact on the quality of their lives.Four themes developed: frustration and mood disorders, intimacy changes in the relationship,exposure, hope and relief. The women had high hopes of eliminating thesymptoms within the six-month study period. The treatment program, with itswell-developed guidelines and continuity of care within the context of the studygreatly improved the quality of life of these women. Women had feelings of frustrationand anxiety when nothing could cure their problem while they had also a greathope to get rid of the symptoms with a long striking treatment. Well-developedguidelines and continuity of care can help these women to have an improved qualityof life.

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  • 49.
    Adolfsson, Annsofie
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Hogström, Lars
    Department of Obstetrics and Gynecology, Central Hospital, Skövde, Sweden.
    Johansson, Marianne
    Department of Obstetrics and Gynecology, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Janson, Per Olof
    Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Berg, Marie
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Francis, Jynfiaf
    Department of Obstetrics and Gynecology, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Sogn, Jan
    Department of Obstetrics and Gynecology, Central Hospital, Uddevalla, Sweden.
    Hellström, Anna-Lena
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Livskvalitet bland par i Sverige efter adoption, efter IVF och efter spontan befruktning och förlossning2011In: Svenska barnmorskeförbundet 300 år. Stockholm Abstrakt bok, 2011Conference paper (Refereed)
  • 50.
    Adolfsson, Annsofie
    et al.
    School of Life Sciences, University of Skövde, Skövde, Sweden; Department of Obstetrics and Gynaecology, Skaraborg Hospital, Skövde, Sweden.
    Jansson, Malin
    School of Life Sciences, University of Skövde, Skövde, Sweden.
    Prototype for Internet support of pregnant women and mothers with type 1 diabetes: focus group testing2012In: Psychology Research and Behavior Management, E-ISSN 1179-1578, Vol. 5, p. 97-103Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The aim of this study was to pilot test a prototype website called MODIAB-web designed to support pregnant women and mothers with type 1 diabetes.

    METHOD: A focus group was undertaken and the results were analyzed using qualitative content analysis.

    RESULTS: Eight subthemes were identified, comprising "blood glucose versus insulin," "application for smart phones," "the time aspect," "interface and technology," "forum," "direct link to the diabetes midwife," "ask the expert," and "lack of contact information." These subthemes were condensed into two main themes. The first theme was "easily understood interface, but in need of a more blood-glucose focused orientation" and the second theme was "forum for interaction with both equals and experts."

    CONCLUSION: The women in this study had positive impressions of several of the MODIAB-web functions, including a forum for pregnant mothers with type 1 diabetes and the possibility of being able to put their blood glucose levels into a diagram which could be sent directly to the diabetes midwife. Access to articles and information via the "fact" tab and the ability to ask questions of experts were also significantly helpful to women in the focus group. Pregnant women and mothers with type 1 diabetes can gain support from such a Web-based self-help system.

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    fulltext
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