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Salzmann-Erikson, MartinORCID iD iconorcid.org/0000-0002-2610-8998
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Salzmann-Erikson, M. (2024). The intersection between logical empiricism and qualitative nursing research: a post-structuralist analysis. International Journal of Qualitative Studies on Health and Well-being, 19(1), Article ID 2315636.
Open this publication in new window or tab >>The intersection between logical empiricism and qualitative nursing research: a post-structuralist analysis
2024 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 19, no 1, article id 2315636Article in journal (Refereed) Published
Abstract [en]

Purpose

To shed light on and analyse the intersection between logical empiricism and qualitative nursing research, and to emphasize a post-structuralist critique to traditional methodological constraints.

Methods

In this study, a critical examination is conducted through a post-structuralist lens, evaluating entrenched methodologies within nursing research. This approach facilitates a nuanced exploration of the intersection between logical empiricism and qualitative nursing research, challenging traditional methodological paradigms.

Results

The article focusing on the “what abouts” of sample size, analytic framework, data source, data analysis, and rigour and methodological considerations, challenging the predominance of semi-structured interviews and the reliance on spoken voice as primary data sources, and re-evaluating the conventional notion of “rigour”.

Conclusions

I advocate for a shift from qualitative positivism towards more interpretive and post-qualitative inquiries, this work proposes new trajectories through interpretive, critical, post-qualitative, and artistic turns in nursing research, aiming to transcend positivist limitations and foster a plurality of perspectives and research as praxis. Implications emphasize the need for nursing researchers to expand methodological horizons, incorporating visual and artistic methods to enrich understanding and representation of health experiences, moving beyond positivist norms towards a more inclusive and ethically sound research paradigm.

Place, publisher, year, edition, pages
Taylor & Francis, 2024
Keywords
Epistemology; logical empiricism; methodology; nursing research; ontology; postmodernism; qualitative research; research design; social constructivism
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-43807 (URN)10.1080/17482631.2024.2315636 (DOI)001160548000001 ()38346230 (PubMedID)2-s2.0-85184674062 (Scopus ID)
Available from: 2024-02-15 Created: 2024-02-15 Last updated: 2024-02-22Bibliographically approved
Salzmann-Erikson, M. & Eriksson, H. (2023). A Mapping Review of Netnography in Nursing. Qualitative Health Research, 33(8-9), 701-714
Open this publication in new window or tab >>A Mapping Review of Netnography in Nursing
2023 (English)In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 33, no 8-9, p. 701-714Article in journal (Refereed) Published
Abstract [en]

People use the Web to seek health-related information and to discuss health issues with peers. Netnography, a qualitative research methodology, has gained the attention of researchers interested in people’s health and health issues. However, no previous reviews have accounted for how netnography is used in nursing research. The purpose of this mapping review was to generate a map of netnographic research in nursing. The search was conducted in PubMed, Academic Search Elite, the Cumulative Index to Nursing and Allied Health Literature, Medline, PsycINFO, Scopus, and Web of Science. Data were extracted from 53 original articles. The results show an increasing trend in published netnographies over time; 34% of the total sample was published in 2021. Of the total, 28% originated from Sweden, and 81% had used a covert approach. In studies in which the researchers used more participatory designs, the time spent on online forums ranged between 4 weeks and 20 months. Informed consent is found to be an issue in netnographic studies. We discuss the fact that nursing researchers have used netnography to address a wide range of research topics of concern and interest, from self-care support in an online forum for older adults to nursing students’ perspectives on effective pedagogy. In line with the digital transformation in society in general, we discuss the fact that netnography as a research methodology offers great opportunities for nurse researchers to monitor new spaces and places that presuppose online methodological knowledge.

Place, publisher, year, edition, pages
Sage, 2023
National Category
Health Sciences
Research subject
Health-Promoting Work, Digital shapeshifting
Identifiers
urn:nbn:se:hig:diva-41797 (URN)10.1177/10497323231173794 (DOI)001003114000001 ()37192601 (PubMedID)2-s2.0-85159720952 (Scopus ID)
Available from: 2023-05-22 Created: 2023-05-22 Last updated: 2023-12-20Bibliographically approved
Salzmann-Erikson, M. (2023). An Integrative Review on Psychiatric Intensive Care. Issues in Mental Health Nursing, 44(10), 1035-1049
Open this publication in new window or tab >>An Integrative Review on Psychiatric Intensive Care
2023 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 44, no 10, p. 1035-1049Article, review/survey (Refereed) Published
Abstract [en]

Psychiatric intensive care units (PICUs) provide care and treatment when psychiatric symptoms and behaviors exceed general inpatient resources. This integrative review aimed to synthesize PICU research published over the past 5 years. A comprehensive search in MEDLINE, PsycINFO, PubMed and Scopus identified 47 recent articles on PICU care delivery, populations, environments, and models. Research continues describing patient demographics, and high rates of challenging behaviors, self-harm, and aggression continue being reported. Research on relatives was minimal. Patients describe restrictive practices incongruent with recovery philosophies, including controlling approaches and sensory deprivation. Some initiatives promote greater patient autonomy and responsibility in shaping recovery, yet full emancipatory integration remains limited within PICU environments. Multidisciplinary collaboration is needed to holistically advance patient-centered, equitable, and integrative PICU care. This review reveals the complex tensions between clinical risk management and emancipatory values in contemporary PICU settings. Ongoing reporting of controlling practices counters the recovery movement progressing in wider mental healthcare contexts. However, care innovations centered on patient empowerment and humane environments provide hope for continued evolution toward more liberation-focused PICU approaches that uphold both patient and provider perspectives.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-43183 (URN)10.1080/01612840.2023.2260478 (DOI)001088097000001 ()37874667 (PubMedID)2-s2.0-85174625926 (Scopus ID)
Available from: 2023-10-26 Created: 2023-10-26 Last updated: 2023-11-22Bibliographically approved
Salzmann-Erikson, M. (2023). Digital inclusion: A mixed-method study of user behavior and content on Twitter. Digital Health, 9
Open this publication in new window or tab >>Digital inclusion: A mixed-method study of user behavior and content on Twitter
2023 (English)In: Digital Health, E-ISSN 2055-2076, Vol. 9Article in journal (Refereed) Epub ahead of print
Abstract [en]

Objective

This study is the first to explore user behavior and characterize the content shared about digital inclusion on Twitter.

Methods

This mixed-methods research consists of 14,000 tweets featuring the hashtag “#digitalinclusion,” posted on Twitter over 15 months. A machine learning technique, latent Dirichlet allocation, was utilized to discover abstract topics within the tweets statistically. The algorithm identified important keywords and text associated with each topic by modeling the underlying word co-occurrence patterns in the dataset. A manual qualitative content analysis was applied to the qualitative data (1000 tweets).

Results

Tweets containing #digitalinclusion are driven by four motives: 1) warning against the risks of digital exclusion; 2) tweets that promote actions to increase digital inclusion; 3) tweets that call for others to take action to improve digitalization; and 4) tweets that are neutral but fuel the debate by being active. Quantitative analysis revealed that users discussing digital inclusion come from various continents, including the USA, Europe, Africa, and Asia. There were 3931 unique user accounts, with individuals posting between one and 368 tweets. Approximately half of the tweets contained some embedded media.

Conclusion

The study concludes that digital inclusion is a subject that engages Twitter users worldwide. Tweets that were associated with community and local initiatives and sustainable development had the highest engagement in terms of the number of retweets and likes. The interpretation is that digital inclusion is crucial for achieving equity in living conditions and enhancing access to health information and services. While initiatives to increase digital inclusion are underway, Twitter users call for more efforts to prevent growing digital exclusion. Twitter, as a social media platform, is valuable for studying the motivations that drive digital inclusion and help counter digital exclusion.

Place, publisher, year, edition, pages
Sage, 2023
National Category
Media and Communications
Research subject
Health-Promoting Work, Digital shapeshifting
Identifiers
urn:nbn:se:hig:diva-43227 (URN)10.1177/20552076231211277 (DOI)001091861600001 ()37928325 (PubMedID)2-s2.0-85176611806 (Scopus ID)
Available from: 2023-11-09 Created: 2023-11-09 Last updated: 2023-12-20Bibliographically approved
Sjöberg, F., Salzmann-Erikson, M., Joelsson-Alm, E. & Schandl, A. (2023). Experiences of patient violence in Swedish intensive care units. In: : . Paper presented at 36th Annual Congress - ESICM, Milan, 21-25 October 2023.
Open this publication in new window or tab >>Experiences of patient violence in Swedish intensive care units
2023 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Introduction: In the intensive care unit (ICU), every second patient develops acute brain dysfunction and delirium, because of severe illness and/or medical treatment (1). ICU patients may have delusions and even believe that the healthcare personnel try to infict harm upon them (2). This belief in combination with psychomotor agitation may lead to violent incidents in intense resistance (3). Except for debilitating consequences for patients, violent incidents are major problems in healthcare causing physical and psychological harm to healthcare workers (4–6). However, systematic approaches to describe healthcare workers’ experiences and management of aggressive ICU patients are needed.

Objectives: To explore ICU healthcare workers’ experiences and perceptions of violent behaviors in patients with acute brain dysfunction.

Methods: A qualitative descriptive design including focus group interviews with 36 ICU healthcare workers (physicians, nurses, nurse assistants and physiotherapists) in 4 Swedish ICUs who had experience of managing aggressive patients with acute brain dysfunction. A six-step refective thematic analysis was used to analyse data.

Results: Nurses and assistant nurses were perceived to be at a nincreased risk of being exposed to violence, while physicians were mostly exposed to verbal assaults and threats from relatives. Delusions were perceived to be associated with a higher risk of violence in bedside work. The healthcare workers stated that incidents were under-reported, where only serious threats or physical assaults were reported. Most violent situations were experienced as unavoidable due to the patients’ illness.

Conclusions: This study contributes an understanding of workplace violence in the ICU and may serve as a basis for development of violence prevention strategies useful in care and treatment of delirious patients.

National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-43209 (URN)
Conference
36th Annual Congress - ESICM, Milan, 21-25 October 2023
Available from: 2023-11-05 Created: 2023-11-05 Last updated: 2023-11-05Bibliographically approved
Salzmann-Erikson, M. & Eriksson, H. (2023). Hospital shoes and their owners: expressed team identity among healthcare staff by signs of their footwear. International Journal of Fashion Design, Technology and Education
Open this publication in new window or tab >>Hospital shoes and their owners: expressed team identity among healthcare staff by signs of their footwear
2023 (English)In: International Journal of Fashion Design, Technology and Education, ISSN 1754-3266Article in journal (Refereed) Epub ahead of print
Abstract [en]

Fashion is a way to express identity and affiliations with specific social networks, and sociocultural organisations of health care facilities are no exception. Employees in hospitals must adhere to strictly regulated dress code policies, albeit shoes are one of few markers that are not regulated. The aim of this study was to analyse the expressed team identity among healthcare staff by studying signs of personality traits they share with colleagues, as found in their choice of footwear. A total of 213 images of hospital footwear, posted on Instagram, were analysed utilising thematic content analysis. The results show that choice of footwear signals seven different personality traits: the anonymous, an understated conformist; the discreet standout, a subtle individualist; the doer on the move, an active and ready contributor; the naturist, a barefoot enthusiast; the superior tourist, a temporarily elite visitor; the outsider, an unconventional maverick; and the legend, a battle-scarred veteran. 

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
Health facilities; human characteristics; shoes; social conformity; social media
National Category
Sociology
Identifiers
urn:nbn:se:hig:diva-43032 (URN)10.1080/17543266.2023.2255879 (DOI)001061425100001 ()2-s2.0-85170576476 (Scopus ID)
Available from: 2023-09-18 Created: 2023-09-18 Last updated: 2023-09-22Bibliographically approved
Salzmann-Erikson, M. (2023). Integrating technology in aged care: challenges, opportunities, and a nursing lens. Contemporary Nurse: health care across the lifespan, 59(6), 413-415
Open this publication in new window or tab >>Integrating technology in aged care: challenges, opportunities, and a nursing lens
2023 (English)In: Contemporary Nurse: health care across the lifespan, ISSN 1037-6178, E-ISSN 1839-3535, Vol. 59, no 6, p. 413-415Article in journal, Editorial material (Other academic) Published
Place, publisher, year, edition, pages
Taylor & Francis, 2023
National Category
Health Sciences
Research subject
Health-Promoting Work, Digital shapeshifting
Identifiers
urn:nbn:se:hig:diva-43486 (URN)10.1080/10376178.2023.2291119 (DOI)001124866600001 ()38096232 (PubMedID)2-s2.0-85179683598 (Scopus ID)
Available from: 2023-12-20 Created: 2023-12-20 Last updated: 2024-01-24Bibliographically approved
Rudberg, I., Olsson, A., Thunborg, C. & Salzmann-Erikson, M. (2023). Interprofessional communication in a psychiatric outpatient unit – an ethnographic study. BMC Nursing, 22, Article ID 286.
Open this publication in new window or tab >>Interprofessional communication in a psychiatric outpatient unit – an ethnographic study
2023 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 22, article id 286Article in journal (Refereed) Published
Abstract [en]

Background

Communication in healthcare has been extensively studied, but most research has focused on miscommunication and the importance of communication for patient safety. Previous research on interprofessional communication has mainly focused on relationships between physicians and nurses in non-psychiatric settings. Since communication is one of the core competencies in psychiatric care, more research on interprofessional communication between other clinicians is needed, and should be explored from a broader perspective. This study aimed to explore and describe interprofessional communication in a psychiatric outpatient unit.

Method

During spring 2022, data consisting of over 100 h of fieldwork were collected from observations, formal semi-structured interviews and informal conversations inspired by the focused ethnography method. Data was collected at an outpatient unit in central Sweden, and various clinicians participated in the study. The data analysis was a back-and-forth process between initial codes and emerging themes, but also cyclical as the data analysis process was ongoing and repeated and took place simultaneously with the data collection.

Results

We found that a workplace’s history, clinicians´ workload, responsibilities and hierarchies influence interprofessional communication. The results showed that the prerequisites for interprofessional communication were created through the unit’s code of conduct, clear and engaging leadership, and trust in the ability of the various clinicians to perform new tasks.

Conclusion

Our results indicate that leadership, an involving working style, and an environment where speaking up is encouraged and valued can foster interprofessional communication and respect for each other´s professional roles is key to achieving this. Interprofessional communication between different clinicians is an important part of psychiatric outpatient work, where efficiency, insufficient staffing and long patient queues are commonplace. Research can help shed light on these parts by highlighting aspects influencing communication.

Place, publisher, year, edition, pages
Springer, 2023
Keywords
Code of conduct; Focused ethnography; Interprofessional communication; Psychiatric outpatient care
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-42959 (URN)10.1186/s12912-023-01446-y (DOI)001088254300003 ()37626326 (PubMedID)2-s2.0-85169145954 (Scopus ID)
Available from: 2023-08-31 Created: 2023-08-31 Last updated: 2023-11-10Bibliographically approved
Salzmann-Erikson, M. (2023). Kvinnor i hemlöshet – längtan efter hälsa men fråntagen värdighet i möte med vården. In: Abstracts: Psykiatriska Riksföreningen för Sjuksköterskor Årskonferens 2023: Specialistkompetens - från vubbad psyksyrra till specialistsjuksköterska i psykiatrisk vård. Paper presented at Psykiatriska Riksföreningen för Sjuksköterskor Årskonferens 2023 (pp. 23).
Open this publication in new window or tab >>Kvinnor i hemlöshet – längtan efter hälsa men fråntagen värdighet i möte med vården
2023 (Swedish)In: Abstracts: Psykiatriska Riksföreningen för Sjuksköterskor Årskonferens 2023: Specialistkompetens - från vubbad psyksyrra till specialistsjuksköterska i psykiatrisk vård, 2023, p. 23-Conference paper, Oral presentation with published abstract (Other academic)
Abstract [sv]

Syfte

I tidigare forskning om hemlöshet har fokus varit hur hemlöshet påverkar hälsa negativt. Få studier har lyft fram vad hälsa innebär för kvinnor som lever i hemlöshet. Syftet med våras tudier var att utforska och beskriva hur kvinnor i hemlöshet ser på begreppet ”hälsa” samt deras erfarenheter av möte med sjukvården.

Metod

Forskningen grundar sig i ”Public Involvement” och innebär att vi inte bara har forskat om kvinnor i hemlöshet utan genomfört forskning tillsammans med kvinnorna. Data har samlats in genom kvalitativa intervjuer där ”photo-elicitation” har använts, dvs. kvinnorna har fått titta på vardagliga fotografier och tänkt högt kring hur bilderna relaterar till deras eget liv. En referensgrupp av kvinnor med erfarenhet av hemlöshet var högst delaktig genom hela dataanalysen genom att välja ut citat, bekräfta forskarnas tolkningar och tematiseringar.

Resultat

Att ha en ett hem ansågs som en förutsättning för hälsa och stabilitet i livet. Hälsa var nära förbundet med ”Hemmet”. Hemmet representerade rogivande samtidigt som det förpliktigade ett ansvar, men också en förutsättning för sociala relationer. Hälsa associerades med att vara i autentiska relation och inspirerade till hopp om en bättre framtid. Hälsa associerades också till värdighet och att bli bemött på lika villkor som andra. I kontakt med socialtjänst och sjukvård upplevde kvinnorna snarare att de blev i fråntagen sin värdighet. Sjukvården ställde krav på kvinnorna på ett sätt som de inte kunde uppfylla, ex. att ha ID-kort eller kontaktuppgifter. Kvinnorna beskrev också hur delas värdighet fråntogs dem genom sjukvårdens brist på bemötande. 

National Category
Nursing
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-41788 (URN)
Conference
Psykiatriska Riksföreningen för Sjuksköterskor Årskonferens 2023
Available from: 2023-05-18 Created: 2023-05-18 Last updated: 2023-05-31Bibliographically approved
Mattsson, E., Lindblad, M., Kneck, Å., Salzmann-Erikson, M. & Klarare, A. (2023). Voices of women in homelessness during the outbreak of the COVID-19 pandemic: a co-created qualitative study. BMC Women's Health, 23, Article ID 11.
Open this publication in new window or tab >>Voices of women in homelessness during the outbreak of the COVID-19 pandemic: a co-created qualitative study
Show others...
2023 (English)In: BMC Women's Health, E-ISSN 1472-6874, Vol. 23, article id 11Article in journal (Refereed) Published
Abstract [en]

Background Women in homelessness face extreme health- and social inequities. It could be postulated that during societal crises, they become even more vulnerable. Thus, the aim was to explore experiences related to the COVID-19 pandemic among women in homelessness.

Methods Ten interviews were conducted with women in homelessness, in Stockholm, Sweden, using researcher-driven photo elicitation. The data analysis was guided by the DEPICT model for collaborative data analysis and a qualitative content analysis was performed. A collaborative reference group of women with lived experience of homelessness contributed to the research process through designing the data collection, performing the data analysis, and providing feedback during report writing.

Results For women in homelessness, the COVID-19 pandemic was adding insult to injury, as it significantly affected everyday life and permeated most aspects of existence, leading to diminished interactions with others and reduced societal support. Thus, in an already dire situation, the virus amplified health- and social issues to another level. The women strived to find their balance on the shifting sands of guidelines and restrictions due to the pandemic. Adhering to the new social distancing rules and guidelines in line with the rest of society, was simply impossible when experiencing homelessness. However, for some women the pandemic was nothing but a storm in a teacup. The harsh reality continued irrespectively, living one day at a time and prioritizing provision for basic human needs.

Conclusions The COVID-19 pandemic and homelessness can be viewed as two intersecting crises. However, the women’s aggregated experiences were greater than the sum of experiencing homelessness and meeting the threat of the virus. Gender, exposure to violence, poverty, social isolation, and substance use were additional factors that further marginalized the women during the pandemic. To rebuild a better and more sustainable post-pandemic future for all, global commitment to ending homelessness is crucial. In addition, addressing social determinants of health must be the number one health intervention.

Place, publisher, year, edition, pages
BMC, 2023
Keywords
COVID-19 pandemic, Homelessness, Inclusion health, Public involvement, Qualitative, Women
National Category
Sociology
Identifiers
urn:nbn:se:hig:diva-40739 (URN)10.1186/s12905-023-02157-x (DOI)000912027800003 ()36627642 (PubMedID)2-s2.0-85146103407 (Scopus ID)
Funder
Swedish Research Council, 2019-01095Forte, Swedish Research Council for Health, Working Life and Welfare, 2020-00169
Available from: 2023-01-12 Created: 2023-01-12 Last updated: 2023-08-28Bibliographically approved
Projects
Inclusion health for women in homelessness - development, feasibility and implementation of interventions [2020-00169_Forte]; Marie Cederschiöld University
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-2610-8998

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