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  • 2351.
    Östlund, Ann-Sofi
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Wadensten, Barbro
    Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Häggström, Elisabeth
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Lindqvist, Helena
    Department of Clinical Neuroscience, MIC Lab, Karolinska Institutet, Stockholm, Sweden.
    Kristofferzon, Marja-Leena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Primary care nurses' communication and its influence on patient talk during motivational interviewing2016In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, no 11, p. 2844-2856Article in journal (Refereed)
    Abstract [en]

    Aim

    To describe what verbal behaviors/kinds of talk occur during recorded motivational interviewing sessions between nurses in primary care and their patients. The aim was also to examine what kinds of nurse talk predict patient change talk, neutral talk and/or sustain talk.

    Background

    Motivational interviewing is a collaborative conversational style. It has been shown to be effective, in addressing health behaviors such as diet, exercise, weight loss and chronic disease management. In Sweden, it is one of the approaches to disease prevention conversations with patients recommended in the National Guidelines for Disease Prevention. Research on the mechanisms underlying motivational interviewing is growing, but research on motivational interviewing and disease prevention has also been called for.

    Design

    A descriptive and predictive design was used.

    Methods

    Data were collected during 2011-2014. Fifty audio-recorded motivational interviewing sessions between 23 primary care nurses and 50 patients were analyzed using Motivational Interviewing Sequential Code for Observing Process Exchanges. The frequency of specific kinds of talk and sequential analysis (to predict patient talk from nurse talk) were computed using the software Generalized Sequential Querier 5.

    Findings

    The primary care nurses and patients used neutral talk most frequently. Open and negative questions, complex and positive reflections were significantly more likely to be followed by change talk and motivational interviewing-inconsistent talk, positive questions and negative reflections by sustain talk.

    Conclusions

    To increase patients’ change talk, primary care nurses need to use more open questions, complex reflections as well as questions and reflections directed toward change.

  • 2352.
    Östlund, Ann-Sofi
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap.
    Wadensten, Barbro
    Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap.
    Kristofferzon, Marja-Leena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap.
    Häggström, Elisabeth
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap.
    Motivational interviewing: Experiences of primary care nurses trained in the method2015In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 15, no 2, p. 111-118Article in journal (Refereed)
    Abstract [en]

    Motivational interviewing is a person-centered counseling style used to promote behavioral change regarding a wide variety of lifestyle problems. Use of motivational interview is growing worldwide and among many different healthcare professions, including primary care nursing. The study aim was to describe motivational interview trained nurses' experiences of motivational interviewing in primary care settings. The study had a qualitative descriptive design. It was carried out in Swedish primary care settings in two county council districts, with 20 primary care nurses trained in motivational interviewing. Half of them used the method in their work, half did not. Qualitative semi-structured interviews were used. Data were analyzed using qualitative content analysis. The nurses experienced that openness to the approach and an encouraging working climate are required to overcome internal resistance and to increase use of motivational interviewing. They also experienced mutual benefit: motivational interviewing elicits and develops abilities in both nurses and patients. For the nurses using it, motivational interviewing is perceived to facilitate work with patients in need of lifestyle change. Lack of training/education, support, interest and appropriate work tasks/patients are reasons for not using motivational interviewing.

  • 2353.
    Östlund, Frida
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Mossberg, Marianne
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Nyutexaminerade sjuksköterskor och stress: En litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med denna studie var att undersöka nyutexaminerade sjuksköterskornas upplevelse av stress i yrket. Metoden som användes var en litteraturstudie som baserade sig på 17 artiklar. Resultatet blev tydligt att stressen var en nedbrytande faktor för de nyutexaminerade sjuksköterskorna. Upplevelsen att det förväntades av dem att vara en självständig sjuksköterska och kunna allt från början skapade stress. Den kliniska kunskapen och ledarskapsrollen har den nyutexaminerade sjuksköterskan för lite träning på och detta anses vara en brist i utbildningen. Stressen kan bli och var en början till utmattningssyndrom för många nyutexaminerade. Det var ett stort antal nyutexaminerade som hade tankar om att sluta redan tidigt i sjuksköterskeyrket. De sjuksköterskor som upplevde arbetsglädje och fick sina behov tillfredsställda kände inte av stressen på samma vis. Faktorerna som oftast kom upp som orsak att till öka stressen var när arbetsmiljö, ledning, bemanning och kontakten med kollegor inte fungerade. Slutsats Det är viktigt att vara medveten om stressen som nyutexaminerad sjuksköterska och ta ansvar för sin egen hälsa. Ledningen inom hälso- och sjukvården bör öka sin medvetenhet om sjuksköterskeyrkets risker.

  • 2354.
    Östlund, Hanna
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Blad, Linda
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Fysisk aktivitets inverkan på individers mentala hälsa som depression och nedstämdhet vid ischemisk hjärtsjukdom2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: One in five individuals with ischemic heart disease suffer from depressive disorders. Depression in individuals with ischemic heart disease leads to increased mortality. Previous research has shown that physical activity has an effect on people`s mental health in depression. Mortality in ischemic heart disease decreases and the need for cardiac rehabilitation increases.

    Aim: The purpose was to investigate the impact physical activity had on the mental health of individuals with ischemic heart disease, as well as describe the study groups of the included studies.

    Method: A descriptive literature study of 11 quantitative scientific articles. The articles were searched in the databases PubMed and Cinahl.

    Main results: Physical activity had a positive effect on depression and sedation in patients with ischemic heart disease. Only the physical exercise`s effect on depression was difficult to measure and prove, but research showed that improved fitness in many cases led to a reduction of depressive disorders. The effects of physical activity tended to differ between men and women. The number of participants in the studies was between 62-522 and more men than women participated. The majority of the studies had an average age of participants between 61-67.5 years.

    Conclusion: Physical activity improved the mental health of individuals with ischemic heart disease. It was difficult to prove that physical activity alone, was what affected mental health, because many aspects apart from physical activity, are part of a rehabilitation program. However, highlighting the importance of physical activity from more than one aspect should increase the conditions to motivate more people to participate in exercise-based cardiac rehabilitation. It will not only be a benefit to the patient but also a profit for the society.

  • 2355.
    Östlund, Kajsa
    University of Gävle, Faculty of Health and Occupational Studies.
    En kvalitativ studie om upplevda möjligheter och begränsningar med hälsofrämjande öppen förskola: Ett uppdrag från Salutsatsningen i Västerbottens Läns Landsting2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the study was to examine how open pre-school as an arena for health promotion worked. The focus was on the employees’ experiences of the opportunities and limits in their work. The study was a comission from Salutsatsningen in Västerbotten County Council in Sweden. The method was a qualitative approach and five interviews were conducted with employees in open pre-schools in Västerbotten. The interviews were based on the criteria that served as guidelines in the employees’ work. The three main elements (criteria) were psychosocial health, diet and physical activity. The results showed that the employees had adequate procedures for their health promotion work. They experienced opportunities to support parents in their parenting and to promote healthy messages to the visitors in open pre- school. The limits they experienced were primarily in the form of cooking facilities and physical activities. Collaboration with other actors as Child health center, Maternity Care, Social Services and Dental health was also crucial to health promotion work. The conclusion was that the health promotion work in Västerbotten has a solid foundation to strengthen and support children and parents and also to promote healthy messages. But there are some deficiencies in the area of knowledge among staff and lack of clarity from Salut regarding certain criteria.

  • 2356.
    Östlund, Ulrika
    et al.
    Care Sciences and Society, Karolinska Institutet, Sweden.
    Wennman-Larsen, Agneta
    Persson, Carina
    Gustavsson, Petter
    Wengström, Yvonne
    Mental health in significant others of patients dying from lung cancer2010In: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611, Vol. 19, no 1, p. 29-37Article in journal (Refereed)
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