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  • 201. Werkander-Harstäde, Carina
    et al.
    Andershed, Birgitta
    Örebro universitet, Hälsovetenskapliga institutionen.
    Good palliative care - Who and where?2004Ingår i: Journal of Hospice and Palliative Nursing, ISSN 1522-2179, E-ISSN 1539-0705, Vol. 6, nr 1, s. 27-35Artikel i tidskrift (Refereegranskat)
    Abstract [en]

     

    The aim of this study was to describe what patients with cancer who are in the final stage of life consider to be good palliative end-of-life care and where they think such care should be carried out. Nine patients receiving palliative end-of-life care were interviewed and the material was analyzed using Grounded Theory. Three main categories (and 7 subcategories) emerged during the analysis: safety, participation, and trust. They were conceptualized metaphorically as a wheel that rolls along smoothly as long as the care is good and all 3 categories are present. The concepts of safety, participation, and trust were interwoven with the patients' beliefs about where this care should be carried out. The majority said that they wanted to be cared for in the hospital.

  • 202.
    Widar, Marita
    Örebro universitet, Hälsovetenskapliga institutionen.
    Att leva med långvarig smärta efter stroke2007Ingår i: Långvarig smärta / [ed] Ulf Jakobsson, Lund: Studentlitteratur , 2007, s. 167-180Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 203.
    Widar, Marita
    et al.
    Örebro universitet, Hälsovetenskapliga institutionen.
    Ek, A.-C.
    Ahlström, Gerd
    Living with long-term pain after stroke2007Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Objectives

    The general aim of this thesis was to classify and describe long-term pain two years after a stroke and to describe the experiences of pain, and the consequences it has on the persons’ lives.

    Material and methods

    The studies comprised 43 persons, 13 women and 30 men, aged 33-82 years, with pain after stroke and no other major pain conditions and able to participate in an interview and independently answer questionnaires.

    The studies were conducted from a multidimensional perspective on pain, combining quantitative and qualitative methods. Clinical examinations were somatic, neurological and Quantitative Sensory Testing (QST). The Pain-O-Meter, ADL staircase, Self-reported impairment, SF-36 and Hospital Anxiety and Depression Scale were used. Qualitative interviews were performed and analyzed with content analysis.

    Results

    Three types of pain were classified: Neuropathic (central post-stroke pain) (n=15), nociceptive/mainly shoulder pain (n=18) and tension-type headache (n=10). Pain onset, within one to six months in most of the cases was after discharge from the hospital. Continuous pain or pain almost every day was reported by nearly two-thirds. The pain was mostly described as troublesome, annoying and tiring in all groups. The rating of pain intensity revealed individual differences among the participants within the pain groups. In addition to long-term pain, the participants suffered several impairments and nearly half of them were dependent on others, and two-thirds on assistive devices. Several coping strategies were described, most often problem-focused. Their health-related quality of life was decreased, mostly related to their long-term pain and physical impairments. Their experiences of caring revealed the need of improvements in knowledge about long-term pain, attention and understanding among the professionals, and continuity in the contacts.

    Conclusion

    All professionals need knowledge about pain conditions after stroke. Pain assessment and classification, regular follow-up and documentation are required in order to prevent unnecessary suffering. Patients need attention, understanding and continuity in contacts with professionals. Further, information and education about pain and treatment/caring interventions are required in the case of both the sufferer and next of kin.

  • 204.
    Widar, Marita
    et al.
    Örebro universitet, Hälsovetenskapliga institutionen.
    Ek, Anna-Christina
    Ahlström, Gerd
    Caring and uncaring experiences as narrated by persons with long-term pain after a stroke2007Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 21, nr 1, s. 41-47Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to describe how persons with long-term pain after a stroke experience their care. The study is part of a larger research project concerning a group persons suffering from long-term pain after a stroke. Qualitative interviews were performed with 43 persons suffering from central poststroke pain, nociceptive pain or tension-type headache after their stroke incident. Content congruence emerged among the narratives (n = 43), and therefore the most information-rich ones (n = 23) were selected for deeper investigation by means of qualitative content analysis. The results reveal the patients’ need for being respected, understood and supported, also for being given adequate time and information. Accessibility and continuity in the professional contacts and with regard to medical and physical treatment was emphasized. The participants’ narratives highlight the importance of the professionals having knowledge of pain and pain management.

  • 205.
    Wångdahl, Josefin
    Örebro universitet, Hälsovetenskapliga institutionen.
    Hälsofrämjande budskap i en livsmedelsbutik: - kunders uppfattningar2006Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats
    Abstract [en]

    ABSTRACT

    Wångdahl, J. (2006). Hälsofrämjande budskap i en livsmedelsbutik- kunders uppfattningar. C-uppsats i Folkhälsovetenskap. Örebro, Hälsovetenskapliga institutionen.

    Obesity and being overweight are on the increase in Sweden which makes work in the area of health promotion very important. Many people are confused by the numerous and varied health messages presented in society as a whole which makes the design and promotion of efficient and effective health messages extremely important. One such example is messages presented in supermarkets.

    The purpose in this study is to examine customers perceptions and understanding of health promoting messages and the methods used, as they are spread in a supermarket. Individual interviews as well as focus group interviews in a qualitative approach are used to examine as many perceptions as possible. In total, 64 customers participated in the survey.

    The results from the surveys showed that some participants understood the health messages and the methods as they are spread. Others clearly did not. It also showed that some health messages and methods used to disseminate them were understood more often than others. The participants perceived the health messages and the methods used to disseminate them as something positive to a great extent. Most participants felt that health messages were needed in that they raise awareness and draw attention to healthy products especially when new lines are available. The health messages were also seen as a help and something which improved the atmosphere of a shop, in some cases also influencing them to buy healthier provisions. The designs were felt to be good, with the right quantity and presenting a message which was voluntary. When it came to trustworthiness, many participants thought it was important to be a little bit critical as it is new advice and findings every day.

    Keywords: Health promoting messages, supermarket, customers perceptions.

  • 206.
    Yngve, Agneta
    et al.
    Unit for Preventive Nutrition, Department of Medical Nutrition, Karolinska Institutet, Stockholm, Sweden.
    Ekelund, Ulf
    Örebro universitet, Hälsovetenskapliga institutionen.
    Sjöström, Michael
    Social Marketing in Public Health Nutriton: also for Nordic countries?2001Ingår i: Physical activity: a part of healthy eating? : report from a Nordic Seminar, Lahti, Finland, February 2000 / [ed] Mikael Fogelholm, København, 2001, Vol. 554, s. 79-87Konferensbidrag (Refereegranskat)
  • 207. Zoll, Joffrey
    et al.
    Ponsot, Elodie
    Örebro universitet, Hälsovetenskapliga institutionen.
    Dufour, Stephane
    Flück, Martin
    Reply to Padilla, Hamilton, Lundgren, Mckenzie, and Mickleborough2007Ingår i: Journal of applied physiology, ISSN 8750-7587, E-ISSN 1522-1601, Vol. 103, s. 731-732Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 208. Öberg, S.
    et al.
    Johansson, Carina B.
    Örebro universitet, Hälsovetenskapliga institutionen. Örebro universitet, Institutionen för klinisk medicin.
    Rosenquist, J. B.
    Bone formation after implantation of autolysed antigen extracted allogeneic bone in ovariectomized rabbits2003Ingår i: International Journal of Oral and Maxillofacial Surgery, ISSN 0901-5027, E-ISSN 1399-0020, Vol. 32, nr 6, s. 628-632Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study was undertaken to evaluate the bone formation response to AAA bone in healthy and oestrogen deficient animals. Seventeen young healthy New Zealand female rabbits were used. Nine rabbits were subjected to ovariectomy and the remaining eight were sham-operated. Four weeks after ovariectomy standardized round cavities, 5 mm in diameter, were made medially in the cortical part of each proximal tibia. To half of the cavities autolysed antigen-extracted allogeneic AAA bone granules were added. After another 8 weeks the animals were sacrificed and sections of the tibial experimental areas were obtained. These were studied in light microscopy and the bone and non-bone areas were measured with computer support.

    The study showed that the addition of a bone inductive substance such as AAA bone enhances bone formation also in oestrogen deficient animals.

  • 209. Öhlén, Joakim
    et al.
    Andershed, Birgitta
    Örebro universitet, Hälsovetenskapliga institutionen.
    Berg, Christina
    Frid, Ingvar
    Palm, Carl-Axel
    Ternestedt, Britt-Marie
    Örebro universitet, Hälsovetenskapliga institutionen.
    Segesten, Kerstin
    Relatives in end-of-life care – part 2: a theory for enabling safety2007Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 16, nr 2, s. 382-390Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: To develop a goal-oriented praxis theory for enabling safety for relatives when an adult or older patient is close to end-of-life.

    BACKGROUND: This is the second part of a project focusing on the situation and needs of relatives in end-of-life care. Our interpretation of the existing corpus of knowledge pertaining to the needs of close relatives in this situation showed the significance of relatives' need for safety.

    METHOD: The theory was developed step-by-step, through triangulation of critical review of empirical research in the field, our own clinical experiences from end-of-life care, renewed literature searches and theoretical reasoning.

    THEORY: The foundation for the theory is taken from the ethical intention of the philosopher Paul Ricoeur. From this, the theory focuses on relatives in the context of end-of-life care with the goal of enabling safety. This is proposed by four aphorisms functioning as safety enablers and these are directed towards the professional's approach and attitude, the relative's concern for the patient, the specific situation for the relative and the patient's end-of-life period as a period in the life of the relative.

    RELEVANCE TO CLINICAL PRACTICE: Implications for end-of-life practice are considered and include aspects for promotion of just institutions in end-of-life care, the significance of negotiated partnership in end-of-life care, enabling safety for relatives living in existential and practical uncertainty in connection with end-of-life care and diversity of relatives' preferences as they live through this particular period.

  • 210.
    Öhman, Johan
    Örebro universitet, Hälsovetenskapliga institutionen.
    Den etiska tendensen i utbildning för hållbar utveckling: meningsskapande i ett genomlevandeperspektiv2006Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    The overall aim of this thesis is to contribute to the debate about Education for Sustainable Development (ESD), and provide a practical tool for teachers with which they can relate to ethical and moral learning in the ESD context. This aim is based on the ambition to develop an approach that takes its starting point from our practical experience of ethics and morals, inspired by the later works of Ludwig Wittgenstein and the transactional perspective developed by John Dewey. This implies that ethics and morals are regarded as a human tendency that is observable in action. The central method used to clarify ethical and moral meaning-making is, by the use of examples, to remind of common experiences of how this meaning-making appears in everyday situations. These clarifications are made in order to dissolve (rather than solve) philosophical problems, as well as to create new knowledge. The approach has been applied to four different studies. The first study focuses on the differences between three selective traditions in environmental education: fact-based, normative and pluralistic, with regard to the relationship between facts and values. It is argued that a pluralistic approach can be seen as way of relating facts and values in practice, and consequently that the democratic process neither precedes nor succeeds education but is an integral part of it, and that students therefore are constituted as citizens participating in the progress of sustainable development. The purpose of the second study is to suggest an approach that allows in situ analysis of how individuals’ prior experiences are included in the processes of moral meaning-making. A concrete example shows how individuals can transform the moral discourse in different situations. In the third study, it is suggested that the ethical tendency can be recognised as a communication in which certain values and actions are treated as if they were universally good and right. Three different kinds of situations in which this communication appears are highlighted: personal moral reactions, norms for correct behaviour and ethical reflections.The diverse conditions for learning in these situations are discussed, and specific notice is taken of the risk of indoctrination in ESD. The fourth study addresses the question of how to understand and deal with criticism in a pluralistic educational approach. Through reminders of how criticism appears in everyday practice, it is argued that criticism does not necessarily have to be understood theoretically. Criticism can also be seen as the diverse ways in which human beings morally react, encounter different norms and ethically reflect.

    Delarbeten
    1. Moral perspectives in selective traditions of environmental education: conditions for environmental moral meaning-making and students' constitution as democratic citizens
    Öppna denna publikation i ny flik eller fönster >>Moral perspectives in selective traditions of environmental education: conditions for environmental moral meaning-making and students' constitution as democratic citizens
    2004 (Engelska)Ingår i: Learning to change our world?: Swedish research on education & sustainable development / [ed] Per Wickenberg ..., Lund: Studentlitteratur , 2004, s. 33-57Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Ort, förlag, år, upplaga, sidor
    Lund: Studentlitteratur, 2004
    Nationell ämneskategori
    Pedagogik
    Forskningsämne
    Pedagogik
    Identifikatorer
    urn:nbn:se:oru:diva-3019 (URN)91-44-03566-7 (ISBN)
    Tillgänglig från: 2006-02-03 Skapad: 2006-02-03 Senast uppdaterad: 2017-10-18Bibliografiskt granskad
    2. Developing the sociocultural perspective on moral meaning-making: the question of individual continuity and change
    Öppna denna publikation i ny flik eller fönster >>Developing the sociocultural perspective on moral meaning-making: the question of individual continuity and change
    (Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
    Nationell ämneskategori
    Pedagogik
    Forskningsämne
    Pedagogik
    Identifikatorer
    urn:nbn:se:oru:diva-15699 (URN)
    Tillgänglig från: 2011-05-25 Skapad: 2011-05-25 Senast uppdaterad: 2017-10-17Bibliografiskt granskad
    3. Clarifying the ethical tendency in education for sustainable development practice: a Wittgenstein-inspired approach
    Öppna denna publikation i ny flik eller fönster >>Clarifying the ethical tendency in education for sustainable development practice: a Wittgenstein-inspired approach
    2008 (Engelska)Ingår i: Canadian Journal of Environmental Education, ISSN 1205-5352, Vol. 13, nr 1, s. 57-72Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    This article aims to contribute to the debate about the moral and ethical aspects of education for sustainable development by suggesting a clarification of ethics and morals through an investigation of how these aspects appear in educational practice. The ambition is both to point to the normative dangers of education for sustainable development and the possibilities to enhance pluralism. The Wittgenstein-inspired approach used means that ethics and morals are regarded as expressions of a particular human tendency--the ethical tendency--that is observable in communication. The findings suggest that the ethical tendency appears in three different kinds of situations: "personal moral reactions," "norms for correct behaviour," and "ethical reflections." We discuss the diverse learning conditions of these situations and take specific notice of the risk of indoctrination. (Contains 12 notes.)

    Nationell ämneskategori
    Pedagogik
    Forskningsämne
    Pedagogik
    Identifikatorer
    urn:nbn:se:oru:diva-3021 (URN)
    Tillgänglig från: 2006-02-03 Skapad: 2006-02-03 Senast uppdaterad: 2017-12-14Bibliografiskt granskad
    4. Pluralism and criticism in environmental education and education for sustainable development: a practical understanding
    Öppna denna publikation i ny flik eller fönster >>Pluralism and criticism in environmental education and education for sustainable development: a practical understanding
    2006 (Engelska)Ingår i: Environmental Education Research, ISSN 1350-4622, E-ISSN 1469-5871, Vol. 12, nr 2, s. 149-163Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Education is presented with a challenge when faced with criticism of modern science and adoption of a pluralistic view of environmental education and education for sustainable development. In dealing with this challenge, a practical understanding inspired by the later works of Ludwig Wittgenstein is suggested as a complement to more traditional theoretical and analytical responses. Through reminders of how criticism appears in everyday practice, the article shows that criticism does not necessarily have to be understood solely by reference to specific theoretical positions, but can also be seen in terms of the diverse ways that human beings react morally, encounter different norms and conduct ethical reflection. In such a practical understanding, the question is not whether the criticism is correct or not in absolute terms but rather whether the opinions and perspectives have significance in people's lives. Criticism of modern science does not therefore appear to be a reason to exclude modern science, the proposal here being to acknowledge and embrace the criticism and the alternative views put forward by the critics. By means of a practical understanding, the opposition expected between criticism and pluralism can be dissolved, rather than solved.

    Ort, förlag, år, upplaga, sidor
    London: Taylor & Francis, 2006
    Nationell ämneskategori
    Pedagogik
    Forskningsämne
    Pedagogik
    Identifikatorer
    urn:nbn:se:oru:diva-3022 (URN)10.1080/13504620600688856 (DOI)
    Tillgänglig från: 2006-02-03 Skapad: 2006-02-03 Senast uppdaterad: 2017-12-14Bibliografiskt granskad
  • 211.
    Öhman, Johan
    Örebro universitet, Hälsovetenskapliga institutionen.
    Moral perspectives in selective traditions of environmental education: conditions for environmental moral meaning-making and students' constitution as democratic citizens2004Ingår i: Learning to change our world?: Swedish research on education & sustainable development / [ed] Per Wickenberg ..., Lund: Studentlitteratur , 2004, s. 33-57Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 212.
    Öhman, Johan
    Örebro universitet, Hälsovetenskapliga institutionen.
    Pluralism and criticism in environmental education and education for sustainable development: a practical understanding2006Ingår i: Environmental Education Research, ISSN 1350-4622, E-ISSN 1469-5871, Vol. 12, nr 2, s. 149-163Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Education is presented with a challenge when faced with criticism of modern science and adoption of a pluralistic view of environmental education and education for sustainable development. In dealing with this challenge, a practical understanding inspired by the later works of Ludwig Wittgenstein is suggested as a complement to more traditional theoretical and analytical responses. Through reminders of how criticism appears in everyday practice, the article shows that criticism does not necessarily have to be understood solely by reference to specific theoretical positions, but can also be seen in terms of the diverse ways that human beings react morally, encounter different norms and conduct ethical reflection. In such a practical understanding, the question is not whether the criticism is correct or not in absolute terms but rather whether the opinions and perspectives have significance in people's lives. Criticism of modern science does not therefore appear to be a reason to exclude modern science, the proposal here being to acknowledge and embrace the criticism and the alternative views put forward by the critics. By means of a practical understanding, the opposition expected between criticism and pluralism can be dissolved, rather than solved.

  • 213.
    Öhman, Johan
    et al.
    Örebro universitet, Hälsovetenskapliga institutionen.
    Östman, Leif
    Developing the sociocultural perspective on moral meaning-making: the question of individual continuity and changeManuskript (preprint) (Övrigt vetenskapligt)
  • 214.
    Österlind, Jane
    et al.
    Örebro universitet, Hälsovetenskapliga institutionen.
    Hansebo, Görel
    Ersta Sköndal högskola, institutionen för vårdvetenskap.
    Lantz, Göran
    Ersta Sköndal högskola.
    Ternestedt, Britt-Marie
    Ersta Sköndal högskola, enheten för forskning om vård i livets slutskede.
    Pathways in end-of-life care for older people: care managers' reasoning2008Ingår i: International Journal of Palliative Nursing, ISSN 1357-6321, E-ISSN 2052-286X, Vol. 14, nr 9, s. 420-425Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Seven care managers employed by a large municipality in Sweden were interviewed concerning their reasoning regarding end-of-life care for older people. Data were analyzed using a hermeneutic approach. The results showed that end-of-life care was considered to constitute a small part of the care managers’ work and was something they did not focus on in general when assessing care needs. Two different pathways to death – the natural and the medical – were identified. In the natural pathway, death was invisible and the care was more routine-oriented. In the medical pathway, death was visualised and the care more individualised. Neither of the pathways paid attention to communication or existential needs. Thus, there is a need for a palliative pathway to death based on the philosophy of palliative care, which could provide guidance for care managers and promote opportunities for older people to achieve a dignified dying and death.

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