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  • 1.
    Ahlström, Gerd
    et al.
    Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
    Björkman, Eva
    Department of Care Science, Faculty of Health and Society, Malmö University, Malmö, Sweden.
    Lundqvist, Lars-Olov
    Örebro universitet, Institutionen för hälsovetenskaper. University Health Care Research Center.
    A Psychometric Evaluation of the Family Collaboration Scale and an Investigation of How the Close Family of Frail Older Patients Perceive the Collaboration with Healthcare Professionals on Acute Medical Wards at Hospitals in Sweden2022Ingår i: Healthcare, E-ISSN 2227-9032, Vol. 10, nr 3, artikel-id 478Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The inclusion of family members in the acute care of older persons with complex needs results in better coordination of care and reduces the frequency and/or duration of rehospitalisation. Therefore, healthcare professionals need a tool to assess the collaboration with family members on acute hospital wards. The aims were to test the psychometric properties of the Swedish version of the Family Collaboration Scale (FCS), to investigate family members' perception of collaboration with healthcare professionals on acute medical wards in Sweden and to compare the data with the corresponding Danish results. Three hundred and sixty family members of frail patients aged 65 or older from 13 acute medical wards answered the FCS questionnaire. In addition to descriptive statistics, psychometric methods were applied. The internal consistency of the Swedish version of the FCS was excellent, and confirmatory factor analysis revealed that its factor structure was equivalent to that of the original Danish FCS. The respondents' ratings indicated better perceived collaboration than in the Danish case. Older age than 60 was associated with worse collaboration with healthcare professionals regarding Influence on discharge than younger respondents. Those with compulsory and health or nursing education showed better collaboration. The Swedish version of the FCS should be further evaluated for its retest reliability and as an outcome measure in intervention studies.

  • 2.
    Kalnak, Nelli
    et al.
    Department of Women’s and Children’s Health, Karolinska Institutet, Stockholm, Sweden; Department of Speech-Language Pathology, Helsingborg Hospital, Helsingborg, Sweden.
    Nakeva von Mentzer, Cecilia
    Örebro universitet, Institutionen för hälsovetenskaper. Department of Neuroscience, Uppsala University, Uppsala, Sweden; SpecEDL—Special Education, Development and Learning, Örebro University, Örebro, Sweden; Disability Research, Örebro University, Örebro, Sweden.
    Listening and Processing Skills in Young School Children with a History of Developmental Phonological Disorder2024Ingår i: Healthcare, E-ISSN 2227-9032, Vol. 12, nr 3, artikel-id 359Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    There is a lack of longitudinal studies on the broad-based outcomes in children with Developmental Phonological Disorder (DPD). The aim of this study was to investigate listening and processing skills in a clinical sample of 7-to-10-year-old children diagnosed with DPD in their preschool years and compare these to same-aged typically developing (TD) children. The Evaluation of Children's Listening and Processing Skills (ECLiPS) was completed by parents of 115 children with DPD and by parents of 46 TD children. The total ECLiPS mean score, and the five subscale mean scores, the proportion of children with clinically significant difficulties (<= 10th percentile), and the proportion of children with co-occurrence of clinically significant difficulties on more than one subscale, were calculated. Results showed that the ECLiPS mean scores did not differ between the groups. There was no difference between groups regarding language and literacy, but a higher proportion of children with DPD than TD had difficulties in the total score, speech, and auditory processing, environmental and auditory sensitivity, and pragmatic and social skills. In addition, 33.9% of children with DPD had clinically significant difficulties in two or more subscales compared to 10.9% of TD children.

  • 3.
    Kjerstin, Larsson
    et al.
    Region Örebro län. Örebro universitet, Institutionen för hälsovetenskaper. University Health Care Research Center.
    Wallroth, Veronika
    Division of Social Work (SOCARB), Department of Culture and Society (IKOS), Linköping University, Linköping, Sweden.
    Schröder, Agneta
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; Department of Nursing, Faculty of Health, Care and Nursing, Norwegian University of Science and Technology (NTNU), 2815 Gjövik, Norway.
    Efforts of a Mobile Geriatric Team from a Next-of-Kin Perspective: A Phenomenographic Study2023Ingår i: Healthcare, E-ISSN 2227-9032, Vol. 11, nr 7, artikel-id 1038Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Many older adults with complex illnesses are today cared for by their next of kin in their own homes and are often sent between different caregivers in public healthcare. Mobile Geriatric Teams (MGTs) are a healthcare initiative for older adults with extensive care needs living at home, coordinated between hospital, primary, and municipal care. The study aims to describe how next of kin experience care efforts from an MGT for their older adult family members. The study has a descriptive qualitative design and uses a phenomenographic approach. Fourteen next of kin to older adult family members who receive efforts from an MGT were interviewed. Two descriptive categories reflecting their experiences emerged: Professional care and No longer having the main responsibility. The study shows that the participants valued that the staff was very competent, that the physician made home visits and could make quick decisions, and that treatments were given at home. They feel that they receive support and experience security and that a burden is lifted from them. Our study shows that through the MGT, next of kin become involved in the care and are relieved of the burden of responsibility of caring for their older family member.

  • 4.
    Li, Hansen
    et al.
    Institute of Sports Science, College of Physical Education, Southwest University, Chongqing, China.
    Zhang, Xing
    Department of Basketball and Volleyball, Chengdu Sport University, Chengdu, China.
    Bi, Shilin
    National Institute of Education, Nanyang Technological University, Singapore, Singapore.
    Cao, Yang
    Örebro universitet, Institutionen för medicinska vetenskaper. Region Örebro län. Unit of Integrative Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
    Zhang, Guodong
    Institute of Sports Science, College of Physical Education, Southwest University, Chongqing, China.
    Can Residential Greenspace Exposure Improve Pain Experience? A Comparison between Physical Visit and Image Viewing2021Ingår i: Healthcare, E-ISSN 2227-9032, Vol. 9, nr 7, artikel-id 918Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Reducing the burden of pain via greenspace exposure is a rising research topic. However, insufficient evidence has been found in relation to the environmental effect itself. Residential greenspace, as a convenient but limited natural environment for urban dwellers, has benefits and services yet to be discovered. Therefore, the current study recruited 24 young adults to evaluate the effects of physical visit to, or image viewing of, residential greenspace on pain perception and related psychophysiological outcomes, via simulated pain. Pain threshold and tolerance were recorded via the level of pain stimuli, and pain intensity was evaluated using the Visual Analog Scale (VAS). The state scale of the State-Trait Anxiety Inventory (STAI-S) and two adjective pairs were employed to measure the state anxiety and subjective stress, respectively. Meanwhile, heart rate (HR), heart rate variability (HRV), and blood pressure (BP) were measured to investigate physiological responses. Besides, Scenic Beauty Estimation (SBE) was also employed to assess participants' preference regarding the experimental environments. The results revealed that visiting the greenspace significantly increased the pain threshold and tolerance, while no significant effect was observed for image viewing. On the other hand, no significant difference was observed in pain-related psychophysiological indices between the experimental settings, but significantly negative associations were found between the scores of SBE and subjective stress and state anxiety. In conclusion, the current study brings experimental evidence of improving pain experience via residential greenspace exposure, while the related psychophysiological benefits require further investigation.

  • 5.
    Lindström, Veronica
    et al.
    Department of Nursing, Umeå University, 90187 Umeå, Sweden; Department of Health Promotion, Sophiahemmet University, 11486 Stockholm, Sweden; The Ambulance Service, Region of Västerbotten, 90189 Umeå, Sweden.
    Romanitan, Mihaela Oana
    Department of Internal Medicine, Södersjukhuset, 11883 Stockholm, Sweden; Karolinska Institute's Stroke Research Network at Södersjukhuset, Department of Clinical Science and Education, 11883 Stockholm, Sweden.
    Berglund, Annika
    Department of Clinical Neuroscience, Karolinska Institutet, 17177 Solna, Sweden.
    Pirvulescu, Ruxandra Angela
    Ophthalmology Department, University of Medicine and Pharmacy "Carol Davila", 020021 Bucharest, Romania.
    von Euler, Mia
    Örebro universitet, Institutionen för medicinska vetenskaper. Department of Neurology, Örebro University Hospital, Örebro, Sweden.
    Bohm, Katarina
    Karolinska Institute's Stroke Research Network at Södersjukhuset, Department of Clinical Science and Education, 11883 Stockholm, Sweden; Department of Emergency Medicine, Södersjukhuset, 11883 Stockholm, Sweden.
    Callers' Descriptions of Stroke Symptoms during Emergency Calls in Victims Who Have Fallen or Been Found Lying Down: A Qualitative Content Analysis2024Ingår i: Healthcare, E-ISSN 2227-9032, Vol. 12, nr 4, artikel-id 497Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Early identification of stroke symptoms is essential. The rate of stroke identification by call-takers at emergency medical communication centres (EMCCs) varies, and patients who are found in a lying down position are often not identified as having an ongoing stroke.

    OBJECTIVES: this study aimed to explore signs and symptoms of stroke in patients who had fallen or were found in a lying position. DESIGN: a retrospective exploratory qualitative study design was used.

    METHOD: a total of 29 emergency calls to EMCCs regarding patients discharged with a stroke diagnosis from a large teaching hospital in Stockholm, Sweden, in January-June 2011, were analysed using qualitative content analysis. RESULTS: during the emergency calls, the callers described a sudden change in the patient's health status including signs such as the patient's loss of bodily control, the patient's perception of a change in sensory perception, and the callers' inability to communicate with the patient.

    CONCLUSIONS: The callers' descriptions of stroke in a person found in a lying position are not always as described in assessment protocols describing the onset of a stroke. Instead, the symptom descriptions are much vaguer. Therefore, to increase identification of stroke during emergency calls, there is a need for an increased understanding of how callers describe stroke symptoms and communicate with the call-takers.

  • 6.
    Lundqvist, Lars-Olov
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
    Silva, Naiara Gajo
    School of Nursing, Federal University of Mato Grosso do Sul, Coxim 79070-900, Brazil.
    Barros, Sônia
    School of Nursing, University of São Paulo, São Paulo 05508-900, Brazil; Institute of Advanced Studies, University of São Paulo, São Paulo 05508-900, Brazil.
    Schröder, Agneta
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; Department of Health Sciences in Gjøvik, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), 7034 Gjøvik, Norway.
    Translation, Cultural Adaptation, and Psychometric Evaluation of the Brazilian Portuguese Version of the Quality in Psychiatric Care-Outpatients Instrument2023Ingår i: Healthcare, E-ISSN 2227-9032, Vol. 11, nr 7, artikel-id 1001Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Measuring the quality of care received by patients of mental health services is necessary to determine the effectiveness of prevention programs and mental health treatment. This study translated the original Swedish Quality in Psychiatric Care-Outpatient (QPC-OP) instrument to Brazilian Portuguese, adapted it to the context of Brazilian psychosocial care centers (CAPS), and evaluated its psychometric properties. The instrument was translated and back-translated by two independent professional translators. A seven-person expert group of professionals and 31 psychiatric outpatients verified the content validity of the Brazilian Portuguese QPC-OP, which then was completed by 253 outpatients from 16 CAPS in São Paulo, Brazil. Confirmatory factor analysis revealed adequate goodness of fit for the factor structure corresponding to the original Swedish version, except for the discharge dimension. Three additional items added in the Brazilian Portuguese QPC-OP formed a separate factor. The internal consistency of the entire scale was excellent but low in some dimensions. In conclusion, the translation and cultural adaptation of the Brazilian Portuguese QPC-OP was satisfactory, and the psychometric evaluation demonstrated that the concept of quality of mental health care is similarly understood in the Brazilian and Swedish cultural context. Thus, the Brazilian Portuguese QPC-OP is a useful instrument for assessing the quality of care in the Brazilian CAPS context and will be useful in quality assurance and in cross-cultural research addressing quality of mental health care from the patient's perspective.

  • 7.
    Werner, Marie
    et al.
    Department of Child and Adolescent Psychiatry, Skåne University Hospital, 22185 Lund, Sweden; Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, 22100 Lund, Sweden.
    Kapetanovic, Sabina
    Department of Psychology, Stockholm University, 11418 Stockholm, Sweden; Department of Behavioral Studies, University West, 46132 Trollhättan, Sweden.
    Nielsen, Maiken
    Department of Behavioral Studies, University West, 46132 Trollhättan, Sweden.
    Gurdal, Sevtap
    Department of Behavioral Studies, University West, 46132 Trollhättan, Sweden.
    Andersson, Mitchell J.
    Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, 22100 Lund, Sweden; Malmö Addiction Center, Skåne University Hospital, 20502 Malmö, Sweden.
    Panican, Alexandru
    Örebro universitet, Institutionen för beteende-, social- och rättsvetenskap.
    Claesdotter-Knutsson, Emma
    Department of Child and Adolescent Psychiatry, Skåne University Hospital, 22185 Lund, Sweden; Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, 22100 Lund, Sweden.
    When the Relationship Is at Stake: Parents' Perception of the Relationship with a Child with Problematic Gaming and Their Perceived Need for Support2024Ingår i: Healthcare, E-ISSN 2227-9032, Vol. 12, nr 8, artikel-id 851Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Intrapersonal parental factors play a significant role in the development of problematic gaming in children. However, few studies have explored parental perspectives on their relationship with a child engaged in problematic gaming, as well as the need for support parents perceive in relation to the child's gaming. We conducted semi-structured interviews with 12 parents (83.3% women) of 11 children (81.8% boys, Mage = 15 ± 2) to examine how parents of children with problematic gaming behavior perceive the parent-child relationship and their need for additional support. We analyzed qualitative accounts using thematic analysis to identify themes and subthemes while drawing on the theoretical frameworks of Aaron Antonovsky's theory of sense of coherence (SOC) and Jürgen Habermas' theory of logic. Participants described difficulties regarding all three components of SOC (meaningfulness, comprehensibility, and manageability) in relation to their child's gaming, with the most significant challenge being manageability. Parents primarily sought assistance from institutions and organizations, such as mental health services, to enhance manageability. The findings emphasize parents' need for relational and practical support tailored to their unique context, as well as their wish to be more involved in the treatment of their children.

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