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  • 2451. van den Berg, Johannes
    et al.
    Landström, Ulf
    University of Gävle, Department of Technology and Built Environment, Ämnesavdelningen för inomhusmiljö.
    Dålig sömn ger trötta yrkesförare2006Report (Other academic)
  • 2452. van den Berg, Johannes
    et al.
    Landström, Ulf
    University of Gävle, Department of Technology and Built Environment, Ämnesavdelningen för inomhusmiljö.
    Mätmetoder av sömnighet2006Report (Other academic)
  • 2453. van den Berg, Johannes
    et al.
    Landström, Ulf
    University of Gävle, Department of Technology and Built Environment, Ämnesavdelningen för inomhusmiljö.
    Symptoms of sleepiness while driving and their relationship to prior sleep, work and individual characteristics2006In: Transportation Research Part F: Traffic Psychology and Behaviour, ISSN 1369-8478, E-ISSN 1873-5517, Vol. 9, no 3, p. 207-226Article in journal (Refereed)
    Abstract [en]

    In total, 154 lorry and bus drivers participated in a questionnaire study dealing with sleepiness in traffic. The questionnaire included questions about sleep before work, appearance of sleepiness, the type of sleepiness they experienced while driving, and ways to counter sleepiness while driving. Driver sleepiness was analysed with respect to age, type of driving, traffic intensity, experience of work, and sleep before work. About 14% of the drivers reported regular sleepiness while driving, 33% had occasionally fought sleepiness while driving, and 8% had experienced nodding of the head while driving. The majority of the drivers had once been so tired that they had to stop driving. Sleepiness normally occurred between 03.00 and 06.00, at the end of longer trips, and was most frequently appeared in autumn. Poor sleep and poor working hours were considered as the most important causes to sleepiness. Eye tiredness, yawning, difficulties concentrating on the road, and difficulties keeping one’s thoughts together: these were the most frequently reported symptoms of sleepiness. More sleeping hours before work, better working hours, naps during work, listening to the radio, conversations, and lowering the cabin temperature were the most frequently mentioned countermeasures. The appearances of sleepiness while driving was strongly correlated to lower sleep hours and lower sleep quality before work. Age, type of work, or work experience did not interfere with sleepiness in the investigated group in any systematic way.

  • 2454.
    van den Berg, Johannes
    et al.
    National Institute of Working Life, Umeå, Sweden.
    Neely, Gregory
    National Institute of Working Life, Umeå, Sweden.
    Wiklund, Urban
    Department of Biomedical Engineering and Informatics, University Hospital, Umeå, Sweden.
    Landström, Ulf
    National Institute of Working Life, Umeå, Sweden.
    Heart rate variability during sedentary work and sleep in normal and sleep-deprived states2006In: Clinical Physiology and Functional Imaging, ISSN 1475-0961, E-ISSN 1475-097X, Vol. 25, p. 51-57Article in journal (Refereed)
  • 2455.
    van der Beek, Allard
    et al.
    Department of Public and Occupational Health, Amsterdam Public Health research institute, VU University Medical Centre, Amsterdam.
    Dennerlein, Jack T.
    Bouvé College of Health Sciences, Northeastern University, Boston.
    Huysmans, Maaike
    Department of Public and Occupational Health, Amsterdam Public Health research institute, VU University Medical Centre, Amsterdam.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Burdorf, Alex
    Department of Public Health, Erasmus MC, University Medical Center Rotterdam.
    van Mechelen, Willem
    Department of Public and Occupational Health, Amsterdam Public Health research institute, VU University Medical Centre, Amsterdam.
    van Dieën, Jaap
    Department of Human Movement Sciences, Vrije Universiteit Amsterdam.
    Frings-Dresen, Monique
    Academic Medical Center, Department Coronel Institute of Occupational Health and Netherlands Center for Occupational Diseases, Amsterdam.
    Holtermann, Andreas
    National Research Centre for the Working Environment, Copenhagen.
    Janwantanakul, Prawit
    Work-related Musculoskeletal Injury Research Unit, Department of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University, Bangkok.
    van der Molen, Henk
    Academic Medical Center, Department Coronel Institute of Occupational Health and Netherlands Center for Occupational Diseases, Amsterdam.
    Rempel, David
    Division of Occupational and Environmental Medicine, University of California, San Francisco.
    Straker, Leon
    Curtin University, School of Physiotherapy and Exercise Science, Perth.
    Walker-Bone, Karen
    Arthritis Research UK/MRC centre for Musculoskeletal Health and Work, University of Southampton.
    Coenen, Pieter
    Department of Public and Occupational Health, Amsterdam Public Health research institute, VU University Medical Centre, Amsterdam.
    A research framework for the development and implementation of interventions preventing work-related musculoskeletal disorders2017In: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 43, no 6, p. 526-539Article in journal (Refereed)
    Abstract [en]

    Objectives: Work-related musculoskeletal disorders (MSD) are highly prevalent and put a large burden on the (working) society. Primary prevention of work-related MSD focuses often on physical risk factors (such as on manual lifting and awkward postures), but has not been too successful in reducing the MSD burden. This may partly be caused by insufficient knowledge of etiological mechanisms and/or a lack of adequately feasible interventions (theory failure and program failure, respectively), possibly due to limited integration of research disciplines. A research framework could link research disciplines thereby strengthening the development and implementation of preventive interventions. Our objective was to define and describe such a framework for multi-disciplinary research on work-related MSD prevention.

    Methods: We described a framework for MSD prevention research, partly based on frameworks from other research fields (i.e., sports injury prevention and public health).

    Results: The framework is composed of a repeated sequence of six steps comprising the assessment of 1) incidence and severity of MSD, 2) risk factors for MSD, and 3) underlying mechanisms; and the 4) development, 5) evaluation, and 6) implementation of preventive intervention(s).

    Conclusions: In the present framework for optimal work-related MSD prevention, research disciplines are linked. This framework can thereby help to improve theories and strengthen the development and implementation of prevention strategies for work-related MSD.

  • 2456.
    van der Beek, Allard
    et al.
    Department of Public and Occupational Health, VU Medical Center, Amsterdam.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Burdorf, Alex
    Department of Public Health, Erasmus MC, Rotterdam.
    Efficient assessment of exposure to manual lifting using company data2013In: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 44, no 3, p. 360-365Article in journal (Refereed)
    Abstract [en]

    The objective of this study, based on an extensive dataset on manual materials handling during scaffolding, was to explore whether routinely collected company data can be used to estimate exposure to manual lifting.The number of manual lifts of scaffold parts while constructing/dismantling scaffolds was well predicted by the number of scaffolders in the team and the type of worksite, in combination with company data of either the number of scaffold parts or the scaffold volume. The proportion of explained variance in the number of lifts ranged from 77% to 92%, depending on the variables in the model. Data on scaffold parts and scaffold volume can easily be obtained from the company’s administration, since this is its usual paperwork supporting logistics and customer invoicing, respectively.We conclude that company data can be a promising source of information for ergonomic practitioners and researchers, to support assessment of manual lifting in scaffolding.

  • 2457.
    Veiersted, Kaj Bo
    et al.
    National Institute of Occupational Health, Oslo.
    Forsman, Mikael
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Hansson, Gert-Åke
    Division of Occupational and Environmental Medicine, Lund University.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Assessment of time patterns of activity and rest in full-shift recordings of trapezius muscle activity - effects of the data processing procedure2013In: Journal of Electromyography & Kinesiology, ISSN 1050-6411, E-ISSN 1873-5711, Vol. 23, no 3, p. 540-547Article in journal (Refereed)
    Abstract [en]

    The purpose of this paper was to compare the effects of different data reduction procedures on the values of variables characterizing the time pattern of trapezius muscle activity during full work shifts. Surface electromyography (EMG) of the right and left upper trapezius muscles were obtained from 40 young subjects in different occupations, mainly electricians, hairdressers and students. The target EMG variables were gap frequency, muscle rest, and the number and duration of episodes with sustained muscle activity (from 0.13 s to 30 min as minimum duration). These variables were derived from the EMG recordings using different Root Mean Square (RMS) windows (from 0.13 to 6.38 s), and discrimination levels between "activity" and "rest" (0.5, 1 and 2 % of maximal EMG). The results give basis for practical suggestions for EMG analyses of full work shifts. For most variables, a discrimination level of 0.5% EMGmax showed to be preferable. The time proportion of muscle rest and sustained muscle activity should, in general, be preferred over the corresponding frequency measures. Sustained muscle activity should be calculated using a RMS window between 1 and 3 s, and preferably be stated in terms of variables describing time proportions of activity. Uninterrupted activity episodes longer than 10 min proved not to be a useful variable due to limited occurrence in many work shifts.

  • 2458.
    Vestberg, Carl Johan
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Kosttillskottskonsumtion ur ett folkhälsomässigt persoektiv: En litteraturstudie2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2459.
    Vesterlund, Anita
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Glukostillförsel peroperativt stabiliserar blodsockernivåerna postoperativt.: En jämförande studie vid planerad kolorektalkirurgi2012Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Under en operation behöver patienter tillföras vätska. Det finns en pågående diskussion om vilken sorts vätsketillförsel som har fördelar för patienterna. Framförallt diskussionen om glukos ska tillföras eller inte. Förhöjda blodsockervärden under och efter operation har visat sig ha negativa konsekvenser för morbiditet, mortalitet och vårdtid. Det finns inga entydiga riktlinjer kring peroperativ vätsketillförsel.

    Syfte

    Att se hur plasmaglukosvärdet hos patienter som tillfördes eller inte tillfördes glukosinfusion vid planerad kolorektal kirurgi förändrades över tid, per- och postoperativt, och hur detta påverkade diures och illamående de första fyra timmarna postoperativt. Syftet var även att undersöka samband mellan plasmaglukosvärdet de första fyra timmarna postoperativt och patientskattad smärtupplevelse.

    Metod

    En kvantitativ ansats och en interventionsstudie. Studien genomfördes på ett länssjukhus i Mellansverige. Via ett bekvämlighetsurval inkluderades fyrtio icke diabetiker som randomiserades till interventions och kontrollgrupp. Statistiska analyser som användes var parametriska test, variansanalyser och korrelationsberäkningar.

    Resultat

    Övervägande delen, 72 %, av patienterna hade ett plasmaglukosvärde över normalvärdet oberoende av grupptillhörighet vid första mättillfället peroperativt. I gruppen som inte fick glukostillförsel under operationen fortsatte blodsockret att stiga postoperativt. Inget samband kunde ses mellan diures postoperativt och om glukos tillfördes eller inte under operationen. Inga analyser av samband mellan peroperativ glukostillförsel och postoperativt illamående eller skattad smärta och plasmaglukosvärden postoperativt gjordes då få patienter skattade illamående (n 5/40) och smärta (n 5/40).

    Konklusion

    Resultatet i studien visade att det fanns signifikanta skillnader i uppmätta p-glukosvärden över tid beroende på om patienterna tillfördes glukosinfusion peroperativt eller inte. Interventionsgruppen fortsatte att stiga i p-glukos postoperativt och den trenden indicerar att detta är ett intressant resultat. Studien kan bidra med kunskap om hur framtida peroperativ vätsketerapi ska utformas.

  • 2460.
    Vidman, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Hälsofrämjande ledarskap: en undersökning kring ledares syn på innebörder av hälsofrämjande i praktiken.2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2461.
    Village, J
    et al.
    School of Environmental Health, College for Interdisciplinary Studies, University of British Columbia.
    Trask, Catherine
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Chow, Y
    School of Environmental Health, College for Interdisciplinary Studies, University of British Columbia.
    Morrison, J B
    School of Biomedical Physiology and Kinesiology, Simon Fraser University.
    Koehoorn, Mieke
    School of Environmental Health, College for Interdisciplinary Studies, University of British Columbia.
    Teschke, Kay
    School of Environmental Health, College for Interdisciplinary Studies, University of British Columbia.
    Assessing whole body vibration exposure for use in epidemiological studies of back injuries: measurements, observations and self-reports2012In: Ergonomics, ISSN 0014-0139, E-ISSN 1366-5847, Vol. 55, no 4, p. 415-424Article in journal (Refereed)
    Abstract [en]

    Improved assessment of whole body vibration exposure is needed for epidemiological studies investigating the causes of low back disorders. Vibration was measured on 54 worker-days in five heavy industries, with data collected on observed and self-reported driving conditions, demographics, and vehicle characteristics. Variables significant at p<0.1 in simple linear regressions (20 of 34) were retained for mixed effects multiple regressions to determine the best prediction of rms vibration level and 8-h equivalent vibration exposure. Vibration was measured, on average, for 205 min per work shift (SD 105). Means and standard deviations in ms-2 were: x-axis 0.35 (0.19); y-axis 0.34 (0.28); z-axis 0.54 (0.23); vector sum 0.90 (0.49); and 8-h equivalent vector sum 0.70 (0.37). The final three regression models retained only 2 or 3 of the 34 variables (driving speed (<20 km/h and/or 20–40 km/h) and industry and/or vehicle type and explained up to 60% of the variance (R2=0.26–0.6))

  • 2462.
    Vinberg, Stig
    et al.
    Mittuniversitetet, Institutionen för hälsovetenskap, Rehabiliteringsvetenskap.
    Gundersen, Kjell Terje
    Högskolan i Nord-Tröndelag.
    Nordenmark, Mikael
    Mittuniversitetet, Institutionen för hälsovetenskap.
    Larsson, Johan
    Mittuniversitetet, Institutionen för teknik och hållbar utveckling.
    Landstad, Bodil
    Mittuniversitetet, Institutionen för hälsovetenskap.
    Entrepreneurs' health: the importance of psychosocial working conditions and individual factors2012In: International Journal of Entrepreneurial Venturing, ISSN 1742-5360, E-ISSN 1742-5379, Vol. 4, no 4, p. 374-390Article in journal (Refereed)
    Abstract [en]

    The purpose of this study is to identify individual characteristics, individual resources and psychosocial working conditions that explain health among micro enterprise entrepreneurs. The study investigated a sample consisting of 139 Swedish entrepreneurs, who individually answered a questionnaire. Hierarchical regression analyses were performed for self-rated health, sickness presence and sickness absence. Relevant predictor variables for self-rated health were age, change competence, job demands (reversed), physical exercise, social activities and social support. For sickness presence (reversed) the predictor variables gender (male), age and job demands (reversed) contributed significantly. None of the predictor variables contributed significantly to sickness absence. One conclusion is that improving entrepreneurs’ health should focus on both individual and organisational  measures. Another conclusion is that entrepreneurs’ health might be an  underestimated resource for entrepreneurial behavior.

  • 2463.
    Vingård, Eva
    Uppsala University, Department of Medical Sciences, Occupational and Environmental Medicine.
    Järvholm, Bengt (Contributor)
    Umeå universitet.
    Hogstedt, Christer (Contributor)
    Karolinska Institutet.
    Lindberg, Per (Contributor)
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Karlsson, Thomas (Contributor)
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences. University of Gävle, Centre for Musculoskeletal Research.
    Helgesson, Magnus (Contributor)
    Uppsala University, Department of Medical Sciences, Occupational and Environmental Medicine.
    Johansson, Bo (Contributor)
    Uppsala University Hospital, Occupational and Environmental Medicine.
    Psykisk ohälsa, arbetsliv och sjukfrånvaro: en kunskapsöversikt2015Report (Refereed)
    Abstract [sv]

    Kunskapsöversikten visar att det finns ett vetenskapligt samband mellan arbete, psykisk ohälsa och sjukskrivning. Riskfaktorer i arbetslivet är psykiskt ansträngande arbete, höga krav, låg kontroll, obalans mellan ansträngning och belöning, samt rollkonflikter. God kontroll och rättvisa ger minskad risk för sjukskrivning på grund av psykisk ohälsa.

    Det vetenskapliga underlaget för vilken åtgärd som är mest effektiv vid återgång i arbete efter en sjukskrivning på grund av psykisk ohälsa är svagt. Kunskaps- översikten visar dock tydligt att arbetsplatsen måste vara involverad för att medarbetaren ska komma tillbaka i arbete på ett bra sätt. Det finns flera vetenskapligt dokumenterade friskfaktorer i arbetet som kan minska risken för psykisk ohälsa och som bör användas i det förebyggande arbetet.

    Kunskapsöversikten visar också att effekten på den psykiska hälsan är likartad när kvinnor och män utsätts för samma faktorer i arbetet.

  • 2464.
    Vogel, Gisela
    et al.
    Department of Clinical Science and Education, Karolinska Institutet, Unit of Anaesthesiology; Intensive Care, Södersjukhuset, Stockholm, Sweden.
    Forinder, Ulla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Sandgren, A.
    Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Svensen, C.
    Department of Clinical Science and Education, Karolinska Institutet, Unit of Anaesthesiology; Intensive Care, Södersjukhuset, Stockholm, Sweden.
    Joelsson-Alm, Eva
    Department of Clinical Science and Education, Karolinska Institutet, Unit of Anaesthesiology; Intensive Care, Södersjukhuset, Stockholm, Sweden.
    Health-related quality of life after general surgical intensive care2018In: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 62, no 8, p. 1112-1119Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Impaired mental and physical health are common complications after intensive care that could influence the patient's health-related quality of life (HRQoL). Earlier research has mainly focused on HRQoL in mixed surgical and medical ICU populations. This study aimed to describe and analyze factors associated with HROoL after discharge from a general surgical ICU.

    METHODS: A prospective cohort study was conducted in a general surgical ICU in Sweden between 2005 and 2012. Adult patients (≥18 years) with an ICU length of stay ≥96 hours were included. HRQoL was measured at 3, 6, and 12 months after discharge from the ICU using a questionnaire (SF-36). A linear mixed model was used to analyze changes over time and Wilcoxon Signed Rank Tests were used to compare the 12-months results to an age and gender matched reference population in Sweden. Linear regression analyses were performed to explore the impact on HRQoL from background variables.

    RESULTS: Of 447 patients eligible for the study, 276 patients (62%) answered SF-36 at least once at 3, 6 or 12 months after ICU care and were included in the study. HRQoL improved over time but was still significantly lower at 12 months compared to the reference population. Female gender, age <75 years, living single, and ICU-stay of more than 14 days were associated with lower HRQoL.

    CONCLUSION: General surgical ICU patients reports low HRQoL 1 year after ICU stay. The impaired HRQoL could be a long-lasting problem with major consequences for the individual, family, and society.

  • 2465.
    Von Schéele, Åsa
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Malm Nilsson, Sara
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Sjuksköterskors erfarenheter av att vårda barn inom somatisk akutsjukvård2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Background: Knowledge of nurses’ experiences of caring for children in somatic emergency care can be useful for nurses and other healthcare professionals to increase their understanding of the difficulties they may face. There is research on nurses’ experiences of caring for children in somatic emergency care, but there is no compilation of the latest research.  Aim: The purpose of the study was to describe nurses’ experiences of caring for children in somatic emergency care.  Method: A descriptive literature study containing ten articles that were searched in the CINAHL and PubMed databases. Findings: The result showed that nurses’ experiences of caring for children in somatic emergency care were; Caring for children created strong emotions; Parents have a significant role in the nursing situation; Caring for children places special demands on the nurse and there is a need to have coping strategies.  Conclusion: This study can provide nurses with knowledge and tools to more easily manage the care of children in emergency situations. By taking part in nurses’ experiences, we can share the reality they experience in their work role. This is to be taken most seriously as they felt there was need for improvement work on several levels.   

  • 2466.
    Voraroon, Supaporn
    et al.
    Department of Nursing Sciences, Mid Sweden University, Sundsvall, Sweden; Boromarajonani College of Nursing, Suphanburi, Thailand.
    Meebunmak, Yaowaluck
    Boromarajonani College of Nursing, Ratchaburi, Thailand.
    Enmarker, Ingela
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Centre for Care Research Mid-Norway, Steinkjer, Norway.
    Hellzen, Ove
    Department of Nursing Sciences, Mid Sweden University, Sundsvall, Sweden.
    Shareholding Networks for Care in Rural Thailand: Experiences of Older Persons and Their Family Members2017In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 7, p. 318-330Article in journal (Refereed)
    Abstract [en]

    Most members of the older population in Thailand live in rural areas while their children live in cities. With the joint family system separated, elderly Thai persons often have to care for themselves, and opportunities for them to get involved in community care remain limited. In response, the aim of this study was to describe olderpersons’ and their family members’ experiences with shareholding networks for the care of older people in rural Thailand. Paired interviews with five older persons and five of their family members were conducted, and collected data were subjected to content analysis, which yielded results organized around two themes:older persons’ outsider status and disregard for older persons’ individuality.Whereas the theme of outsider status describes shortcomings in healthcare encounters, the theme of disre-gard for individuality describes the lack of engagement of authorities and ca-regivers in older persons’ care. In that sense, the concept of participation emerged as a framework for understanding interviewees’ experiences. Given findings from local authorities, older individuals and theirfamily members should engage in dialogue in order to support healthcare based on shared un-derstanding.

  • 2467.
    Voraroon, Supraon
    et al.
    Department of Nursing Sciences, Mid Sweden University, Sundsvall, Sweden; Boromarajonani College of Nursing, Suphanburi, Thailand.
    Hellzén, Ove
    Department of Nursing Sciences, Mid Sweden University, Sundsvall, Sweden.
    Meebunmak, Yaowaluck
    Boromarajonani College of Nursing, Suphanburi, Thailand.
    Enmarker, Ingela
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Nursing Sciences, Mid Sweden University, Sundsvall, Sweden; Centre of Care Research, Department of Health Sciences, Nord University, Steinkjer, Norway.
    Older People’s Lived Experiences with Participation in Shareholding Networks for the Care of Older People in Rural Areas of Thailand: A Phenomenological Hermeneutic Study2017In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 7, no 7, p. 875-892Article in journal (Refereed)
    Abstract [en]

    Background: Older people participating in shareholding networks are exposed to diverse situations, which may be associated with dignity. Aims: This study aimed to illuminate the meaning of lived experiences when participating in shareholding networks for the care of older people in rural areas. Methods: This qualitative study is based on individual interviews. Ten older Thai persons with at least 12 months of lived experiences participating in shareholding networks for older people in rural areas were interviewed. A phenomenological-hermeneutic approach, inspired by Ricoeur, was used to understand the meaning of the narrated text. Findings: The structural analysis resulted in four themes: 1) being satisfied with activities, 2) being valued as important, 3) being frustrated and feeling sad, and 4) being bored and feeling disinterest. The meaning of participation in a shareholding network for the elderly can be understood as a pathway to feelings of confidence and presence of others. Confidence and allowing the presence of others mean facing humanity and sensing vulnerability, because in a trusting relationship the person who gives confidence is susceptible to the other’s betrayal. Conclusion: An individual’s dignity should be a high priority in health and social care strategies. Therefore, it is important for healthcare professionals to initiate a dialogue with the shareholding participants for support and information. The narrations in this study can be used as a basis for developing cooperating care with older people in shareholding network focusing on their needs and dignity.

  • 2468.
    Vougt, Helena
    University of Gävle, Faculty of Health and Occupational Studies.
    Skolsköterskors uppfattning om orsaker till samt resurser för att bemötagrundskoleelevers psykiska ohälsa: en intervjustudie1988Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to illuminate the school nurses' perception of the causes of students' mental health and what resources school nurses have to address mental illness in children and adolescents. The study was conducted as an interview with descriptive design at elementary schools in central Sweden. Six nurses were selected based on geographical distribution and type of school (independent or municipal) for a semi-structured interview. The interviews were analyzed using content analysis. The results revealed nine categories: School nurse's view was that the most common causes of children's mental health is related to the categories of home conditions, neuropsychiatric problems and learning disabilities in children, lack of contact with Child and Adolescent Psychiatry, performance requirements to live up to, bullying, conflict and their own thoughts. About school nurses resources emerged categories; School nurse herself as a resource, Time, Cooperation and Economy.Conclusion: The school nurses felt that there were several reasons for children's mental illness where home conditions were the main. School nurse resources were their own work with children, time, finances and internal and external resources. Cooperation with these groups functioned essentially good but with some shortcomings, such as long waiting lists for Child and Adolescent Psychiatry, and some difficulties in cooperation with social services.

  • 2469.
    Vängborg, Helena
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Östergrens, Carina
    University of Gävle, Department of Caring Sciences and Sociology.
    Kunskaper om Methicillin Resistent Staphylococcus Aureus (MRSA) och hygienrutiner hos sjuksköterskestuderande i termin sex.2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    The purpose of this study was to describe the level of knowledge that nurse students in term 6 have about Methicillin-Resistant Staphylococcus aureus (MRSA) and basic hygiene routines. The data collection was carried out by questionnaires. The questionnaire contained questions about knowledge regarding MRSA and basic hygiene routines. The questionnaires were handed out at an obligatory tuition occasion and all of the nurse students who were present (n=57) were asked to take part. The sample consisted of 45 women and 12 men. The youngest participant was 22 years old and the oldest participant was 52 years old. The main results showed a large variation regarding the participants knowledge on the subjects. Regarding questions about basic hygiene routines the majority had given the right answers. The number of right answers in the survey on questions about the participants knowledge of MRSA was lower. Only 12 % had given the right answer to the question about common symptoms of MRSA infection. Regarding the question about whether the nurse students considered themselves knowledgeable enough about MRSA for their future occupation, 32% had answered "to a high degree".

  • 2470.
    Wadelius, Sofia
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Bergström, Pernilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Upplevelse av livskvalitet efter hjärtstopp: En litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Aim: To describe how individuals who have survived a cardiac arrest, and individuals who have survived a cardiac arrest and received an ICD perceive their quality of life from a physical, psychological and social perspective. Furthermore, the aim was also to describe the quality of the included articles relating to the investigation group.Methods: Descriptive literature review study of 12 articles detailed results. Searches were made in the databases Cinahl, PubMed and PsychInfo. Main results: The perception of quality of life is affected by several aspects in individuals suffering from cardiac arrest. The physical ability was impaired and many experienced an extreme fatigue hampered the daily lives of these individuals. Many felt anxiety and this along with depression was a significant contributing factor to a reduced perceived quality of life. Conclusion: The experience of life is individual and many experience a poorer quality of life after cardiac arrest, while others feel that life is as good as before or even better after the arrest. The nurse has a large responsibility to the individual and to convey information, knowledge and hope.

  • 2471.
    Wadensten, Barbro
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap. Department of Health Sciences, Örebro University, Örebro, Sweden.
    An analysis of psychosocial theories of ageing and their relevance to practical gerontological nursing in Sweden2006In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 20, no 3, p. 347-354Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Theories exist to challenge current practice, create new approaches to practice and remodel the structure of rules and principles. One question is whether nurses could find in psychosocial theories of ageing a theoretical foundation on which to base support of older people in their ageing process. AIM: The aim of the present paper was to analyse five psychosocial theories of ageing and to discover what they could mean for gerontological nursing in Sweden. METHOD: A literature search was conducted to find original works. Research questions inspired by Fawcett's framework guided the analysis. FINDINGS: Psychosocial theories of ageing cover different aspects of the ageing process, but do not address crucial issues regarding the attitudes and structure of good nursing care. These theories provide no clear guidance on how to care for older people and how to support them in their ageing process. However, the analysis did show that the theories contain underlying values that influence society and staff as regards their views on the ageing process and how care of older people should be carried out. Nursing interventions to support ageing will be quite different depending on the theoretical perspective taken by nurses. CONCLUSIONS: There is a need to translate the ageing theories into guidelines, so that staff in gerontological care will have tools to use in practice irrespective of which theoretical perspective they choose to use in care. This could also promote care that is tailored to each individual older person.

  • 2472.
    Wadensten, Barbro
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    The theory of gerotranscendence as applied to gerontological nursing - part I2007In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 2, no 4, p. 289-294Article in journal (Refereed)
  • 2473.
    Wadensten, Barbro
    et al.
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    Carlsson, Marianne
    Adoption of an innovation based on the theory of gerotranscendence by staff in a nursing home - part III2007In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 2, no 4, p. 302-314Article in journal (Refereed)
  • 2474.
    Wadensten, Barbro
    et al.
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    Carlsson, Marianne
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    The theory of gerotranscendence in practice:guidelines for nursing - part II2007In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 2, no 4, p. 295-301Article in journal (Refereed)
  • 2475.
    Wadensten, Barbro
    et al.
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    Conden, Emelie
    Wahlund, Lena
    How nursing home staff deal with residents who talk about death2007In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 2, no 4, p. 241-249Article in journal (Refereed)
  • 2476.
    Wadensten, Barbro
    et al.
    Department of Public Health and Caring Sciences, Section of Caring Sciences, Uppsala University, Uppsala, Sweden.
    Engström, Maria
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap. Department of Public Health and Caring Sciences, Section of Caring Sciences, Uppsala University, Uppsala, Sweden.
    Häggström, Elisabeth
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    Public nursing home staff's experience of participating in an intervention aimed at enhancing their self-esteem2009In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 17, no 7, p. 833-842Article in journal (Refereed)
    Abstract [en]

    Aim The aim of the present study was to gain an understanding of how nursing staff experienced participating in a training programme aimed at strengthening their self-esteem and empowering them, to determine whether participation benefited them in any way, and to describe their opinions about possible benefits or disadvantages. Background Staff working in institutions such as nursing homes have a low status in society. A training programme was introduced to staff in a public nursing home. It focused on helping them understand factors in the work situation that influence them and on empowering them. Method The study was explorative and qualitative in design. Findings The participants in the programme were generally satisfied with it. Their opinions about the benefits they received from the programme can be described using three themes: 'improved communication skills', 'enhanced self-esteem' and 'sees work in a different light'. Conclusions The most important finding of the present study is that it was possible to strengthen and empower staff. Staff members were generally pleased and satisfied with the content/organization of the training programme. They felt the programme had been of value to them by improving their communication skills and increasing their self-esteem. Implications for nursing management The present result could be of value to managers and educators working in the area of nursing home care when planning education and development activities for staff. Learning to communicate better and understand the social structure at the workplace could improve staff members' self-esteem, thereby enhancing the work situation and atmosphere as well as empowering the individuals.

  • 2477.
    Wadensten, Barbro
    et al.
    Uppsala universitet, Vårdvetenskap.
    Wenneberg, Stig
    Växjö universitet, Institutionen för vårdvetenskap och socialt arbete.
    Silén, Marit
    Hälsohögskolan i Jönköping.
    Ping Fen, Tang
    Ahlström, Gerd
    Hälsohögskolan i Jönköping.
    A cross-cultural comparison of nurses' ethical concerns2008In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 15, no 6, p. 745-760Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to compare Swedish and Chinese nurses' experiences of ethical dilemmas and workplace distress in order to deepen understanding of the challenges neuroscience nurses encounter in different cultures. Qualitative interviews from two previously performed empirical studies in Sweden and China were the basis of this comparative study. Four common content areas were identified in both studies: ethical dilemmas, workplace distress, quality of nursing and managing distress. The themes formulated within each content area were compared and synthesized into novel constellations by means of aggregated concept analysis. Despite wide differences in the two health care systems, the nurse participants had similiar experiences with regard to work stress and a demanding work situation. They were struggling with similiar ethical dilemmas, which concerared seriously ill patients and the possibilities of providing good care. This indicates the importance of providing nurses with the tools to influence their own work situation and thereby reducing their work-related stress.

  • 2478.
    Wadman, Cecilia
    et al.
    Department for Health Behaviours, Swedish National Institute of Public Health, Östersund, Sweden.
    Kjellberg, Anders
    University of Gävle, Department of Technology and Built Environment, Ämnesavdelningen för inomhusmiljö.
    The role of the affective stress response as a mediator for the effect of psychosocial risk factors on musculoskeletal complaints - Part 2: Hospital workers2007In: International Journal of Industrial Ergonomics, ISSN 0169-8141, E-ISSN 1872-8219, Vol. 37, no 5, p. 395-403Article in journal (Refereed)
    Abstract [en]

    This cross-sectional study of 267 hospital workers from different professions tested the hypothesis that affective stress responses mediate the effects of the psychosocial work environment on musculoskeletal complaints (MSCs). Self-reported psychosocial conditions,ergonomic workloads, affective stress and energy responses, and MSCs were analysed with a series of logistic regression analyses. The psychosocial variables were strongly related to stress and energy, and stress was related to MSCs. Neck and shoulder complaints were more common in the group with high demands and low skill discretion. This was the only significant relation between psychosocial variables and MSCs that was not explained by their confounding with ergonomic workload. However, controlling for stress did not substantially reduce or reduce this interaction effect, which would have been the case if it had been mediated (completely or partially) by stress.

  • 2479.
    Wahlberg, Anna Carin
    et al.
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
    Björkman, Annica
    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, Uppsala, Sweden.
    Expert in nursing care but sometimes disrespected-Telenurses' reflections on their work environment and nursing care2018In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 21/22, p. 4203-4211Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To describe telenurses' reflections on their work environment and how it impacts on their nursing care.

    BACKGROUND: Telenursing is one of the largest healthcare settings in Sweden today; approximately 5.5 million care-seekers call the designated number-1177-each year. Telenursing is regarded as highly qualified nursing care, and providing care over the telephone is considered a complex form of nursing. Within other fields of nursing, the work environment has been shown to affect the outcome of care, patient safety, nurse job satisfaction and burnout.

    DESIGN: The study used a descriptive design and followed the COREQ checklist.

    METHODS: Twenty-four interviews were performed and analysed using qualitative content analysis.

    RESULTS: The main theme concerned "feeling like a nursing care expert but sometimes being disrespected." The telenurses reported that their work environment supported their work as nursing care experts via the telephone in some respects, but also hindered them. Appreciation and respect they received from the vast majority of callers positively impacted the work environment and contributed to work satisfaction. However, they also felt disrespected by both their employers and healthcare staff; they sometimes felt like a dumping ground. Receiving support from colleagues seemed invaluable in helping them feel like and be a nursing care expert.

    CONCLUSION: Work was perceived as cognitively demanding and sometimes exhausting, but appreciation from care-seekers and the feeling of being able to provide qualified nursing care made working as a telenurse worthwhile.

    RELEVANCE TO CLINICAL PRACTICE: If telenurses are to perform good nursing care over the telephone, managers must provide them with resources, for example, support, education and opportunities for recovery during shifts. It seems that the role of the 1177 service has not been properly implemented and accepted within the healthcare system, and politicians need to anchor its mission within the healthcare organisation.

  • 2480.
    Wahlberg, Johanna
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Svensson, Sofia
    University of Gävle, Department of Caring Sciences and Sociology.
    Muntlig information till patienter i samband med inläggning av en perifer venkateter2007Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    The aim of this study was to investigate if given information to patients regarding insertion of a peripheral intravenous line was following national guidelines. The writers collected data by observing 60 insertions of peripheral intravenous lines that was performed by fifteen different nurses. The observations took place on a surgical ward. A specific number of areas were observed and the result of each observation could be answered with a yes or no, where yes was the result that was preferred. The yes-answers were summarized and analyzed using independent t-tests to find possible differences regarding gender and age, no differences were found. The result showed that given information to patients regarding the insertion of a peripheral intravenous line had obvious limitations and did not follow the national guidelines. In almost half of the observation areas the information was limited or none existing. The most common information that was given by the nurses was how the insertion of the peripheral intravenous line would feel, this information were given to almost every patient. Two information folders, one to the patients and one to the nurses, have been made by the writers to discern what can be necessary to inform the patient of.

  • 2481.
    Wahlström, Jens
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research. Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, Umeå University, Umeå, Sweden.
    Bergsten, Eva
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Trask, Catherine
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research. Centre for Health and Safety in Agriculture, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Jackson, Jennie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Forsman, Mikael
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research. IMM Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
    Full-shift trunk and upper arm postures and movements among aircraft baggage handlers2016In: Annals of Occupational Hygiene, ISSN 0003-4878, E-ISSN 1475-3162, Vol. 60, no 8, p. 977-990Article in journal (Refereed)
    Abstract [en]

    Objectives: The present study assessed full shift trunk and upper arm postural exposure amplitudes, frequencies, and durations among Swedish airport baggage handlers, and aimed to determine whether exposures differ between workers at the ramp (loading and unloading aircraft) and baggage sorting areas.

    Methods: Trunk and upper arm postures were measured using inclinometers during three full work shifts on each of 27, male baggage handlers working at a large Swedish airport. Sixteen of the baggage handlers worked on the ramp and 11 in the sorting area. Variables summarizing postures and movements were calculated, and mean values and variance components between subjects and within subject (between days) were estimated using restricted maximum likelihood algorithms in a one-way random effect model.

    Results: In total, data from 79 full shifts (651 hours) were collected with a mean recording time of 495 minutes per shift (range 319-632). On average, baggage handlers worked with the right and left arm elevated >60° for 6.4% and 6.3% of the total workday, respectively. The 90th percentile trunk forward projection (FP) was 34.1° and the 50th percentile trunk movement velocity was 8°s-1. For most trunk (FP) and upper arm exposure variables, between-subject variability was considerable, suggesting that the flight baggage handlers were not a homogeneously exposed group. A notable between-days variability pointed to the contents of the job differing on different days. Peak exposures (>90°) were higher for ramp workers than for sorting area workers (trunk 0.6% ramp vs 0.3% sorting; right arm 1.3% ramp vs 0.7% sorting).

    Conclusions: Trunk and upper arm postures and movements among flight baggage handlers measured by inclinometry were similar to those found in other jobs comprising manual material handling, known to be associated with increased risks for musculoskeletal disorders. The results showed that full-shift trunk (FP), and to some extent peak arm exposures, were higher for ramp workers compared to sorting workers.

  • 2482.
    Wahlström, Jens
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Liv, Per
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Hedlund, Pernilla
    Department of Occupational and Environmental Medicine, Umea University Hospital, SE-901 85 Umeå, Sweden.
    Ahlgren, Christina
    Department of Community Medicine and Rehabilitation, Umea University, SE-901 87 Umeå, Sweden.
    Forsman, Mikael
    Department of Public Health Sciences, Karolinska Institutet, SE-171 77 Stockholm, Sweden.
    Upper arm postures and movements in female hairdressers across four full working days2010In: Annals of Occupational Hygiene, ISSN 0003-4878, E-ISSN 1475-3162, Vol. 54, no 5, p. 584-594Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: To describe upper arm postures and movements among female hairdressers, including the variability between hairdressers, between days within hairdresser, and between tasks, as a basis for understanding the characteristics of exposures in the job, considering possible sources of variation and recovery, and discussing appropriate exposure assessment strategies. METHODS: Data on upper arm postures were collected using inclinometers during four working days the same week from 28 female hairdressers working in 13 salons. Twenty of the hairdressers noted customer on and off times in a diary, to allow separate analyses of customer tasks (CT) and auxiliary non-customer tasks (AT), including breaks. For a number of posture and movement variables, mean values and variance components between subjects (BS) and within subjects between days (BD) were estimated using restricted maximum likelihood algorithms in one-way random effect models. RESULTS: For the 20 hairdressers with diaries, CT accounted for 279 min (58%) (SD(BS) = 39 min and SD(BD) = 85 min) of the working day and AT and breaks for 207 min (42%) (SD(BS) = 46 min and SD(BD) = 88 min). The hairdressers worked with the right arm elevated >60 degrees for 6.8% of the whole job (SD(BS) = 2.8% and SD(BD) = 2.0%). On average, the hairdressers worked with the right arm elevated >60 degrees for 9.0% of the time during CT, compared to 3.7% during AT, resulting in a contrast between tasks of 0.35. CONCLUSIONS: Hairdressers may be at risk for developing musculoskeletal disorders in the neck and shoulders due to a considerable occurrence of highly elevated arms, especially during CT. On the other hand, we do not find reasons to classify hairdressing as a job with too little variation. Posture variability between days within hairdressers was in the same order of magnitude as that between hairdressers, suggesting that 'typical' workdays do not exist. The exposure contrast between CT and AT for variables describing elevated arm postures indicates that for these variables a simple task-based approach for estimating job exposure could be successful.

  • 2483.
    Waleh Åström, Amanda
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Heiden, Marina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Strömberg, Annika
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Uncertainty in monetary cost estimates for assessing working postures using inclinometry, observation or self-report2017In: NES 2017 ”JOY AT WORK”: Conference Proceedings / [ed] Anna-Lisa Osvalder, Mikael Blomé and Hajnalka Bodnar, 2017, p. 160-161Conference paper (Refereed)
    Abstract [en]

    Background

    In order to optimize cost-efficiency when collecting posture data in field studies, accurate cost data are needed. A few studies have assessed costs of different measurement methods, but they did not address the uncertainty of the cost estimates. Information on the uncertainty of cost estimates is key input when deciding which method to use.

    Aim

    This study aimed atassessingthe uncertainty in estimates of costs for collecting posture data by inclinometry, observations and self-report.

    Method

    The study wasbased on data collected at a Swedish paper mill (Heiden et al. 2017)1. Using a model developed by Trask et al. (2014)2, costs were calculatedfor measuring trunk and upperarm postures of twenty-eight workers during three full shifts using inclinometers, observations from recorded videos, and workers’ self-reports from a questionnaire. For each measurement method, the uncertainty of the actually observed total cost was assessed by determining the range of costs between an assumed best case (lowest cost) and worst case (highest cost) using scenario analysis.

    Results

    Observation was the most expensive method (€41499) and also showed a large uncertainty in the cost estimate (€19089–€87154). Self-reports had the lowest cost (€9156) with the smallest uncertainty (€3941–€27473). The overall cost for inclinometry was €16851 with best and worst cases €8567 and €60313, respectively. The actual costs of inclinometry and self-reports in the conducted study were reasonably close to the best case.

    Discussion

    In their study of flight baggage handling, Trask et al. (2014) concluded that inclinometry was more expensive than observation when measuring trunk and arm postures. In the present study, we found observation to be the more expensive. Given the uncertainty in cost estimates, both results are plausible. Notably, in Trask et al. (2014), video recordings were restricted to 4 hours, whereas in the present material, video recordings covered full 7 -to 12-hour shifts. The time allocated to collecting video material for observations will significantly affect the cost comparison of methods, and this may serve as an example that further investigations of separate cost components for each method are warranted.

    Conclusions

    Based on a meticulous cost assessment, we found that cost estimates for observation of working postures were the most uncertain, followed by inclinometry and self-reports. A better understanding of data collection costs and their uncertainty, and thus of how to properly identifyan optimal measurement method, requires a deeper analysis of the cost model, and of the contributions of separate cost components to the overall cost

    1 https://doi.org/10.1093/annweh/wxw0262

    2 https://doi.org/10.5271/sjweh.3416

  • 2484.
    Waleh Åström, Amanda
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Heiden, Marina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Strömberg, Annika
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Uncertainty in monetary cost estimates for assessing working postures using inclinometry, observation or self-report2018In: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 71, p. 73-77Article in journal (Refereed)
    Abstract [en]

    Objective: To assess uncertainty in cost estimates for collecting posture data by inclinometry, observations and self-report.

    Method: In a study addressing physical workloads at a paper mill, costs were calculated for measuring postures of twenty-eight workers during three shifts. Uncertainty in costs was assessed for all three methods as the range between an assumed best case (lowest cost) and worst case (highest cost) using scenario analysis.

    Results: The cost for observation was larger, but also more uncertain (€16506 and €89552 in the best and worst case, respectively) than that of inclinometry (€7613 - €45896). Self-report costs were both lower and less uncertain (€3743 - €23368).

    Conclusions: The extent of uncertainty in cost estimates implies that observation could be less expensive than inclinometry, e.g., in a scenario where experienced observers could use existing software, while inclinometers would have to be purchased. We propose adding uncertainty assessments to cost estimates when selecting a method for measuring working postures, and offer guidance in how to proceed in a specific setting.

  • 2485.
    Waleh Åström, Amanda
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Heiden, Marina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Strömberg, Annika
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Uncertainty of cost components in assessments of working posture by different methods2018Conference paper (Refereed)
  • 2486.
    Waleteg, Therese
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Styf-Lundqvist, Katarina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Familjens erfarenheter när ett barn får diagnosen cancer: En litteratur studie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Aim: To describe parents and siblings experiences when a child in the family is affected by cancer. Method: A descriptive literature study based on 11 scientific articles with a qualitative approach and one article with both a qualitative and quantitative approach. The literature research was made in the databases Medline by Pubmed and Cinahl. Main Results: The child’s cancer diagnose affected the whole family. Parent’s relationship with their spouse changed, health siblings felt like outsiders and experienced a change in their relationship with the sick child. Mothers took on the role as caregiver for the sick child and fathers took care of the household and the rest of the siblings. Healthy siblings were given more responsibility which led to increased maturity and independence. Parent’s absence led to a broken family, where healthy siblings were taken care of by others. Both healthy siblings and parents felt guilt and had thoughts about death. From diagnosis until the end of treatment the families’ life revolved around cancer. The parents were worried but at the same time they had hope for the future. Conclusion: further research is needed to get better understanding and knowledge about healthy siblings’ experiences when a child is diagnosed with cancer. The majority of the studies are based on the experiences of parents. It is important that nursing is adapted after the entire family. If that is to be possible, nurses need knowledge about the whole family.

  • 2487.
    Wall, Susanne
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Henriksson, Camilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Närstående till hemodialyspatienter - litteraturens beskrivning av deras situation och det stöd de efterfrågar2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Chronic kidney disease with life-sustaining hemodialysis treatment caused changes in living conditions for patients and next of kin. The presence of kin was a factor that positively affected the patient and without relatives support, greater efforts was required from health care. To next of kin families are counted, but also others who have close relationships with the patient, such as friends or neighbors. The purpose of this literature review was to examine how the literature describe the situation for relatives to hemodialysis patients and what type of support they requested, and to describe included studies’ sample groups. It´s a descriptive literature review where 10 qualitative articles from database CINAHL was included. The results of the study led to two main categories and eight subcategories. The situation for the next of kin was marked by anxiety, fears and uncertainties linked to the patient’s state of health and hemodialysis treatments that caused severe limitations. The life situation affected many of the next of kin´s relationships, where the caring role and social isolation had prominent places. The result showed that the relatives had a need to talk about existential questions, mainly about death, which gave an idea of the seriousness of the relatives’ life situation. It was clear that the support from health care to the next of kin was perceived as more important than support from others. The relatives had difficulties in expressing the wishes of support and requested initiate calls from health care. 

  • 2488.
    Waller, Göran
    et al.
    Umeå universitet.
    Thalén, Peder
    University of Gävle, Faculty of Education and Business Studies, Department of Culture Studies, Religious Studies and Educational Sciences, Religous studies.
    Janlert, Urban
    Umeå universitet.
    Hamberg, Katarina
    Umeå universitet.
    Forssén, Annika
    Umeå universitet.
    A cross-sectional and semantic investigation of self-rated health in the northern Sweden MONICA-study2012In: BMC Medical Research Methodology, ISSN 1471-2288, E-ISSN 1471-2288, Vol. 12, p. 154-Article in journal (Refereed)
    Abstract [en]

    Background: Self-Rated Health (SRH) correlates with risk of illness and death. But how are different questions of SRH to be interpreted? Does it matter whether one asks: "How would you assess your general state of health?"(General SRH) or "How would you assess your general state of health compared to persons of your own age?"(Comparative SRH)? Does the context in a questionnaire affect the answers? The aim of this paper is to examine the meaning of two questions on self-rated health, the statistical distribution of the answers, and whether the context of the question in a questionnaire affects the answers. Methods: Statistical and semantic methodologies were used to analyse the answers of two different SRH questions in a cross-sectional survey, the MONICA-project of northern Sweden. Results: The answers from 3504 persons were analysed. The statistical distributions of answers differed. The most common answer to the General SRH was "good", while the most common answer to the Comparative SRH was "similar". The semantic analysis showed that what is assessed in SRH is not health in a medical and lexical sense but fields of association connected to health, for example health behaviour, functional ability, youth, looks, way of life. The meaning and function of the two questions differ - mainly due to the comparing reference in Comparative SRH. The context in the questionnaire may have affected the statistics. Conclusions: Health is primarily assessed in terms of its sense-relations (associations) and Comparative SRH and General SRH contain different information on SRH. Comparative SRH is semantically more distinct. The context of the questions in a questionnaire may affect the way self-rated health questions are answered. Comparative SRH should not be eliminated from use in questionnaires. Its usefulness in clinical encounters should be investigated.

  • 2489.
    Wallin, Ewa
    et al.
    Institutionen för kirurgiska vetenskaper, Uppsala universitet.
    Larsson, Ing-Marie
    Institutionen för kirurgiska vetenskaper, Uppsala universitet.
    Rubertsson, Sten
    Institutionen för kirurgiska vetenskaper, Uppsala universitet.
    Kristofferzon, Marja-Leena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science.
    Cardiac arrest and hypothermia treatment: function and life satisfaction among survivors in the first 6 months2014In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 85, no 4, p. 538-543Article in journal (Refereed)
    Abstract [en]

    Aim of the study:

    To describe differences over time in outcome, physical and cognitive function among survivors of cardiac arrest treated with hypothermia and to examine survivors’ life satisfaction 6 months after cardiac arrest as well as gender differences. Methods: The study was prospective and included 45 cardiac arrest survivors admitted to three Swedish hospitals between 2008 and 2012. Participants were followed from intensive care unit discharge to one and six months after cardiac arrest. In addition to cerebral performance category (CPC), participants were asked to complete questionnaires regarding activities in daily life (Barthel index), cognitive function (mini mental state examination), and life satisfaction (LiSat-11). Results: Outcome measured using CPC scores improved over time. At 6 months, all participants were classified as having a good outcome. At one month, participants were impaired but improved over time in their activities in daily life and cognitive function. At 6 months satisfaction with "life as a whole" was seen in 70%. Conclusions: Cardiac arrest survivors are satisfied with life as a whole despite a severe illness that has impaired their physical and cognitive function, which seemed to improve over time. Predicting patients’ functional outcome in early stages is difficult, and the CPC score alone is not sufficient to assess patients’ function. It is a need to reach a consensus to which instruments best reflect physical and cognitive function as well as to specify a rehabilitation plan.

  • 2490.
    Wallin, Ewa
    et al.
    Institutionen för kirurgiska vetenskaper, Uppsala universitet.
    Larsson, Ing-Marie
    Institutionen för kirurgiska vetenskaper, Uppsala universitet.
    Rubertsson, Sten
    Institutionen för kirurgiska vetenskaper, Uppsala universitet.
    Kristofferzon, Marja-Leena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Relatives' experiences of everyday life six months after hypothermia treatment of a significant other's cardiac arrest2012Conference paper (Refereed)
  • 2491.
    Wallin, Ewa
    et al.
    Inst. för kirurgiska vetenskaper, Uppsala universitet.
    Larsson, Ing-Marie
    Inst. för kirurgiska vetenskaper, Uppsala universitet.
    Rubertsson, Sten
    Inst. för kirurgiska vetenskaper, Uppsala universitet.
    Kristofferzon, Marja-Leena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science.
    Relatives' experiences of everyday life six months after hypothermia treatment of a significant other's cardiac arrest2013In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 22, no 11-12, p. 1639-1646Article in journal (Refereed)
  • 2492.
    Wallin, Gisela van der Ster
    et al.
    Department of Nutrition, University of Uppsala; Department of Psychiatry, Uppsala University, Sweden.
    Lennernäs, Maria A. C.
    National Food Administration, Uppsala, Sweden.
    Andersson, Michael I.
    Department of Statistics, Stockholm School of Economics, Sweden.
    Comparisons between recalled and observed dietary intake in anorectics and bulimics: A validation study1995In: Journal of human nutrition and dietetics (Print), ISSN 0952-3871, E-ISSN 1365-277X, Vol. 8, no 3, p. 201-208Article in journal (Refereed)
    Abstract [en]

    A validation study was performed in order to compare the observed versus the self-reported food consumption in anorectics (n = 9), anorectic bulimics (n = 6) and bulimics (n = 10). The observed meals (breakfast, lunch and/or dinner) were served in a hospital setting. Foods on plates were unobtrusively weighed before and after serving to each subject, and the foods consumed were compared with data from a 24-hour recall the subsequent day. Data analyses via a nutrient database comprised amounts of food items from seven food groups as well as energy, macro nutrients, vitamin C, calcium and iron. Analyses of recalled intakes showed consistently high correlations with observed intakes, suggesting that the 24-hour recall gives valid results, and could thus be suitable for this category of patients. This notion contrasts with previous statements, although no validation studies have been undertaken in order to support this view

  • 2493.
    Wallin, Gisela van der Ster
    et al.
    Department of Nutrition, Uppsala University, Uppsala, Sweden.
    Norring, Claes E. A.
    Department of Nutrition, Uppsala University, Uppsala, Sweden.
    Lennernäs, Maria
    Department of Nutrition, Uppsala University, Uppsala, Sweden.
    Holmgren, Sven
    Department of Nutrition, Uppsala University, Uppsala, Sweden.
    Food selection in anorectics and bulimics: Food items, nutrient content and nutrient density1995In: Journal of the American College of Nutrition (Print), ISSN 0731-5724, E-ISSN 1541-1087, Vol. 14, no 3, p. 271-277Article in journal (Refereed)
    Abstract [en]

    The food selection and nutrient intake were investigated in women with anorexia nervosa, bulimia nervosa and controls. Methods Dietary data was obtained by 24-hour recall, and 7-day recording among eating disordered patients, and by 3-day registration among controls. Results: The intake of energy and nutrients differed from controls, as expected, while there were no differences between anorectics and bulimics in this respect, except for iron. There were only minor differences among the three groups studied with respect to nutrient density. Energy percentages of protein, fat, and carbohydrates, were similar in all groups, but a subdivision of the macronutrients into respective sources showed that bulimics had a lower relative and absolute intake of carbohydrates from bread and cereals than anorectics and controls. Conclusion: Eating disorder patients, despite their marginal food intake, still met the minimum requirement for most nutrients according to the Nordic Nutrient recommendations. Abbreviations: AN = anorexia nervosa, AN/BN = anorectic bulimics, BMI = body mass index, BN = bulimia nervosa, DSM-III-R = Diagnostic and Statistical Manual of Mental Disorders, ED = eating disorder, NNR = Nordic Nutrient Recommendation

  • 2494.
    Wallström, Annika
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Hemtjänstpersonals upplevelser av sin arbetssituation och sina förutsättningar för kommunikation och samverkan kring vårdtagarna2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 2495.
    Wallström, Malin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Brungs, Jenny
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskan och patientens upplevelse av sjuksköterskans arbetsrelaterade stress och dess påverkan på omvårdnaden: En litteraturstudie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 2496.
    Wallström, Rebecca
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Ståleborg Persson, Renée
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Salzmann-Erikson, Martin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Working with children in families with parental substance abuse: nurses' experiences and complexity in relationships2016In: Journal of Psychosocial Nursing and Mental Health Services, ISSN 0279-3695, E-ISSN 1938-2413, Vol. 54, no 6, p. 38-44Article in journal (Refereed)
    Abstract [en]

    Children who grow up in families with parental substance abuse are exposed to increased risk of developing a variety of disorders. As nurses encounter these children, it is important for them to be supportive. The aim of the current study was to describe nurses' experiences and reflections regarding their work with children in families with parental substance abuse. A qualitative descriptive approach was adopted. Seven nurses were interviewed, and data were analyzed using inductive content analysis. The results were presented in four categories: (a) nurses' responsibilities; (b) identification of children's social network; (c) ethical concerns; and (d) assessment and evaluation of children's behavior. Nurses' preventive work and intervention in dysfunctional families may have direct consequences on children's present and future development and well-being. 

  • 2497.
    Walter, Frida
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Blomström, Julia
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    "Vad kan jag säga?": Att möta patienter med suicidalt beteende inom akutsjukvården - sjuksköterskors attityder och upplevelser2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BACKGROUND. Every year, 800,000 suicides are carried out in the world and in Sweden suicidal behaviour is the most common cause of death among individuals 15 to 44 years. The nurse's specific expertise in emergency care consists of the patient's care, a task which the suicidal patients state requires a positive attitude and the opportunity to devote time to the patient. Despite this, this patient group states that they are addressed by sentencing nurses with a lack of understanding. But how do nurses experience this meeting and their attitude towards this patient group? AIM. The aim of this general literature review was to describe nurses’ attitudes to and experiences of meeting patients with suicidal behaviour in emergency care. METHOD. The study's design is a descriptive general literature review. Articles were searched in CINAHL and MEDLINE via PubMed and 12 articles were included in the results. RESULTS. The study showed that nurses in emergency care generally held positive attitudes towards patients with suicidal behaviour. Negative attitudes were also described, which could be influenced by the nurses' own moral and religious values. The encounter between nurse and suicidal patient created great frustration among the nurses, due to lack of time and environmental adjustment for patients with suicidal behaviour, as well as the feeling of not having the knowledge and skills needed to care for this patient group. CONCLUSION. Nurses need education in suicidal behaviour to influence their attitude and experience of meeting this patient group. 

    KEYWORDS: suicidal behavior, nurses, attitudes, emergency care 

  • 2498.
    Wang, Xiaoyu
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Tingting, Dong
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Women’s experiences of gestational diabetes mellitus: A descriptive review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2499.
    Weber, Zachary R.
    et al.
    Department of Kinesiology and Physical Education, McGill University, Montreal, Canada; Occupational Biomechanics and Ergonomics Laboratory, Michael Feil and Ted Oberfeld/CRIR Research Center, Jewish Rehabilitation Hospital, Laval, Quebec, Canada .
    Srinivasan, Divya
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research. Department of Industrial and Systems Engineering, Virginia Polytechnic Institute and State University, Blacksburg, Virginia.
    Côté, Julie
    Department of Kinesiology and Physical Education, McGill University, Montreal; Occupational Biomechanics and Ergonomics Laboratory, Michael Feil and Ted Oberfeld/CRIR Research Center, Jewish Rehabilitation Hospital, Laval, Quebec, Canada.
    Sex-Specific Links in Motor and Sensory Adaptations to Repetitive Motion-Induced Fatigue2018In: Motor Control, ISSN 1087-1640, E-ISSN 1543-2696, Vol. 22, no 2, p. 149-169Article in journal (Refereed)
    Abstract [en]

    The objectives of this study were to assess the sex-specific relationships between motor and sensory adaptations to repetitive arm motion-induced neck/shoulder fatigue, and measure how additional sensory stimulation affected these adaptations. Twenty-three participants performed two sessions of a repetitive pointing task until scoring 8 on the Borg CR10 scale for neck/shoulder exertion or for a maximum of 45min, with and without sensory stimulation (i.e. light touch) applied on the fatiguing shoulder. Just before reaching the task termination criteria, all participants showed changes in mean and variability of arm joint angles and experienced a five-fold increase in anterior deltoid (AD) sensory threshold in the stimulus-present condition. Women with the greatest increases in AD sensory thresholds demonstrated the greatest increases in shoulder variability (r= .66) whereas men with the greatest increases in upper trapezius sensory thresholds demonstrated greatest changes in shoulder angle (r= -.60) and coordination (r= .65) variability. Thus, sensory stimulation had no influence on time-to-termination but affected how men and women differently adapted, suggesting sex differences in the sensorimotor fatigue response mechanisms.

  • 2500.
    Wedin, Karin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Samband mellan fysisk aktivitet och självskattad stress, energi och muskelbesvär hos anställda med ett rörligt respektive ett stillasittande arbete.2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to investigate the association between physical activity and perceived stress, energy and musculoskeletal disorders among office-workers and warehouse-workers and also to see if there were any differences depending on work-place and gender. The method that was used to collect data was three different validated questionnaires that measured stress and energy (the Stress-Energy questionnaire), musculoskeletal disorders (intensity and localization of pain, a Pain Drawing questionnaire with a VAS-scale) and physical activity (IPAQ – the short version). Eighty-eight workers participated in the study. Forty-seven of them were office-workers and forty-one were warehouse-workers. The result showed that there was a positive association between the variables stress and musculoskeletal disorders (r=,339) (p=,003) and also stress and energy (r=,228) (p=,033) among all workers. The warehouse-workers perceived more muscle-pain (p=,032) and less energy (p=,069) than the office-workers. Among the office-workers were the men more physically active then the women (p=,002). There was also a tendency that the more physically active the office-workers were, the less stressed they felt (-r=,294) (p=,059). The conclusions are that physical activity seems to be associated with a lower stress-level among the office-workers and that the association between stress and pain could be different depending on psychical activity at work.  

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