liu.seSearch for publications in DiVA
Endre søk
Begrens søket
12 1 - 50 of 79
RefereraExporteraLink til resultatlisten
Permanent link
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Treff pr side
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sortering
  • Standard (Relevans)
  • Forfatter A-Ø
  • Forfatter Ø-A
  • Tittel A-Ø
  • Tittel Ø-A
  • Type publikasjon A-Ø
  • Type publikasjon Ø-A
  • Eldste først
  • Nyeste først
  • Skapad (Eldste først)
  • Skapad (Nyeste først)
  • Senast uppdaterad (Eldste først)
  • Senast uppdaterad (Nyeste først)
  • Disputationsdatum (tidligste først)
  • Disputationsdatum (siste først)
  • Standard (Relevans)
  • Forfatter A-Ø
  • Forfatter Ø-A
  • Tittel A-Ø
  • Tittel Ø-A
  • Type publikasjon A-Ø
  • Type publikasjon Ø-A
  • Eldste først
  • Nyeste først
  • Skapad (Eldste først)
  • Skapad (Nyeste først)
  • Senast uppdaterad (Eldste først)
  • Senast uppdaterad (Nyeste først)
  • Disputationsdatum (tidligste først)
  • Disputationsdatum (siste først)
Merk
Maxantalet träffar du kan exportera från sökgränssnittet är 250. Vid större uttag använd dig av utsökningar.
  • 1.
    Aho, Anna Carin
    et al.
    Linnaeus Univ, Dept Hlth & Caring Sci, Vaxjo, Sweden.
    Hultsjö, Sally
    Cty Hosp, Psychiat Clin, Jonkoping, Sweden.
    Hjelm, Katarina
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Young adults' experiences of living with recessive limb-girdle muscular dystrophy from a salutogenic orientation: an interview study.2015Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 37, nr 22, s. 2083-2091Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    To describe young adults' experiences of living with recessive limb-girdle muscular dystrophy (LGMD2) from a salutogenic orientation. Methods: A qualitative explorative interview study, including 14 participants aged 20-30 years, was performed focusing on comprehensibility, manageability and meaningfulness in daily life. Content analysis was used for data analysis. Result: Living with LGMD2 not only implies learning to live with the disease and the variations between good and bad periods but also means trying to make sense of a progressive disease that brings uncertainty about future health, by striving to make the best of the situation. Disease progression involves practical and mental struggle, trying to maintain control over one's life despite vanished physical functions that require continual adjustments to the body. Restrictions in a double sense were described, not only due to the disease but also due to poor comprehension of the disease in society. Lack of knowledge about LGMD2 among professionals often results in having to fight for the support needed. Conclusion: In order to manage daily life, it is important to be seen and understood as an individual in contacts with professionals and in society in general, to have informal social support and meaningful activities as well as access to personal assistance if necessary. Implications for Rehabilitation Recessive limb-girdle muscular dystrophy (LGMD2) is a group of progressive disorders, which manifest in physical and psychological consequences for the individual. According to the salutogenic orientation, people need to find life comprehensible, manageable and meaningful, i.e. to achieve a sense of coherence (SOC), but living with LGMD2 may recurrently challenge the individual's SOC. Through the holistic view of the individual's situation that the salutogenic orientation provides, professionals may support the individual to strengthen SOC and thereby facilitate the movement towards health.

  • 2.
    Aho, Anna-Carin
    et al.
    Linnéuniversitetet, Växjö, Sweden.
    Hultsjö, Sally
    Ryhovs sjukhus, Landstinget i Jönköping, Sweden.
    Hjelm, Katarina
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för omvårdnad. Linköpings universitet, Medicinska fakulteten.
    Health perceptions of young adults living with recessive limb-girdle muscular dystrophy2016Inngår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, nr 8, s. 1915-1925Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIM:

    The aim of this study was to describe health perceptions related to sense of coherence among young adults living with recessive limb-girdle muscular dystrophy.

    BACKGROUND:

    Limb-girdle muscular dystrophy refers to a group of progressive muscular disorders that may manifest in physical disability. The focus in health care is to optimize health, which requires knowledge about the content of health as described by the individual.

    DESIGN:

    A descriptive study design with qualitative and quantitative data were used.

    METHOD:

    Interviews were conducted between June 2012-November 2013 with 14 participants aged 20-30 years. The participants also answered the 13-item sense of coherence questionnaire. Qualitative data were analysed with content analysis and related to self-rated sense of coherence.

    FINDINGS:

    Health was viewed as intertwined physical and mental well-being. As the disease progressed, well-being was perceived to be influenced not only by physical impairment and mental strain caused by the disease but also by external factors, such as accessibility to support and attitudes in society. Factors perceived to promote health were having a balanced lifestyle, social relations and meaningful daily activities. Self-rated sense of coherence varied. The median score was 56 (range 37-77). Those who scored ≥56 described to a greater extent satisfaction regarding support received, daily pursuits and social life compared with those who scored <56.

    CONCLUSION:

    Care should be person-centred. Caregivers, with their knowledge, should strive to assess how the person comprehends, manages and finds meaning in daily life. Through dialogue, not only physical, psychological and social needs but also health-promoting solutions can be highlighted.

  • 3.
    Albertsson, Marie
    et al.
    Växjö universitet, Växjö, Sverige.
    Albin, Björn
    Växjö universitet, Växjö, Sverige.
    Siwertsson, C
    Hjelm, Katarina
    Växjö universitet, Växjö, Sverige.
    Jämförelse mellan utrikes födda och svenskfödda äldres användning av kommunal vård- och äldreomsorg2005Inngår i: Årsbok AMER, Växjö: Växjö University Press , 2005Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 4.
    Albin, Björn
    et al.
    School of Health Sciences and Social Work, Växjö University, Sweden.
    Albertsson, Marie
    School of Health Sciences and Social Work, Växjö University, Sweden.
    Ekberg, Jan
    School of Management and Economics, Växjö University, Sweden.
    Hjelm, Katarina
    Department of Community Medicine, University of Lund and School of Health Sciences and Social Work, Växjö University, Sweden.
    Health and consumption of health care and social service among old migrants in Sweden2005Inngår i: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 6, nr 1, s. 37-45Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Due to migration, an increasing number of the elderly in Sweden will be foreign-born, ‘old migrants’. Old migrants will need help from society with health care and social service. Migration may influence people's health and thus also their consumption of health care and social service. The aim of the present study was to discuss migration and health with the focus on old migrants by a review of literature, and to describe the pattern of health care and social service consumption among old migrants living in Sweden, studying whether there were any differences compared with old people born in Sweden. The results showed that there is a lack of data describing old migrants' health. Available data indicate poorer self-rated health, more chronic illness and impaired mobility capacity. There are some Swedish studies describing morbidity and mortality among migrants in Sweden. These are consistent: migrants have more health problems in general and migrants from the Nordic countries have a higher mortality rate. There are no public statistics about old migrants' consumption of health care and social service in Sweden. Some studies show that old migrants consume less than native Swedes. Other studies indicate the same or higher consumption of health care, but lower consumption of social service among migrants. In conclusion, few studies concern health and consumption of health care and social care among old migrants; the results are divergent and there could be several different explanations for dissimilarities, such as migrational background, cultural distance, time of residence, socioeconomic position and adaptation in the new society. Thus, further studies are needed.

  • 5.
    Albin, Björn
    et al.
    Växjö universitet, Växjö, Sverige.
    Hjelm, Katarina
    Växjö universitet, Växjö, Sverige.
    Äldre invandrares användning av hälso-och sjukvård2008Inngår i: Efterfrågad arbetskraft?: årsbok 2008 från forskningsprofilen Arbetsmarknad, migration och etniska relationer (AMER) vid Växjö universitet / [ed] Svante Lundberg och Ellinor Platzer, Växjö University press , 2008Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 6.
    Albin, Björn
    et al.
    School of Health Sciences and Social Work, Växjö University, and Department of Health Sciences, Division of Geriatric Medicine, Lund University, Sweden.
    Hjelm, Katarina
    School of Health Sciences and Social Work, Växjö University, and Department of Health Sciences, Division of Geriatric Medicine, Lund University, Sweden.
    Chang Zhang, Wen
    School of Public Health, Fujian Medical University, PR China.
    Health care systems in Sweden and China: Legal and formal organisational aspects2010Inngår i: Health Research Policy and Systems, ISSN 1478-4505, E-ISSN 1478-4505, Vol. 8, nr 1, s. 20-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Sharing knowledge and experience internationally can provide valuable information, and comparative research can make an important contribution to knowledge about health care and cost-effective use of resources. Descriptions of the organisation of health care in different countries can be found, but no studies have specifically compared the legal and formal organisational systems in Sweden and China.

    AIM: To describe and compare health care in Sweden and China with regard to legislation, organisation, and finance.

    METHODS: Literature reviews were carried out in Sweden and China to identify literature published from 1985 to 2008 using the same keywords. References in recent studies were scrutinized, national legislation and regulations and government reports were searched, and textbooks were searched manually.

    RESULTS: The health care systems in Sweden and China show dissimilarities in legislation, organisation, and finance. In Sweden there is one national law concerning health care while in China the law includes the "Hygienic Common Law" and the "Fundamental Health Law" which is under development. There is a tendency towards market-orientated solutions in both countries. Sweden has a well-developed primary health care system while the primary health care system in China is still under development and relies predominantly on hospital-based care concentrated in cities.

    CONCLUSION: Despite dissimilarities in health care systems, Sweden and China have similar basic assumptions, i.e. to combine managerial-organisational efficiency with the humanitarian-egalitarian goals of health care, and both strive to provide better care for all.

  • 7.
    Albin, Björn
    et al.
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Hjelm, Katarina
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Ekberg, Jan
    Department of Health Sciences, Division of Geriatric Medicine, Lund University, Lund, Sweden.
    Elmståhl, Sölve
    Centre of Labour Market Policy Research (CAFO), School of Business and Economics, Linnaeus University, Växjö, Sweden.
    County Differences in Mortality among Foreign-Born Compared to Native Swedes 1970-19992012Inngår i: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, Vol. 2012, s. art.id 136581-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background. Regional variations in mortality and morbidity have been shown in Europe and USA. Longitudinal studies have found increased mortality, dissimilarities in mortality pattern, and differences in utilization of healthcare between foreign- and native-born Swedes. No study has been found comparing mortality among foreign-born and native-born Swedes in relation to catchment areas/counties. Methods. The aim was to describe and compare mortality among foreign-born persons and native Swedes during 1970-1999 in 24 counties in Sweden. Data from the Statistics Sweden and the National Board of Health and Welfare was used, and the database consisted of 723,948 persons, 361,974 foreign-born living in Sweden in 1970 and aged 16 years and above and 361,974 matched Swedish controls. Results. Latest county of residence independently explained higher mortality among foreign-born persons in all but four counties; OR varied from 1.01 to 1.29. Counties with a more rural structure showed the highest differences between foreign-born persons and native controls. Foreign-born persons had a lower mean age (1.0-4.3 years) at time of death. Conclusion. County of residence influences mortality; higher mortality is indicated among migrants than native Swedes in counties with a more rural structure. Further studies are needed to explore possible explanations.

  • 8.
    Albin, Björn
    et al.
    School of Health Sciences and Social Work, Växjö University, Sweden .
    Hjelm, Katarina
    School of Health Sciences and Social Work, Växjö University, Sweden .
    Ekberg, Jan
    School of Management and Economics, Växjö University, Sweden.
    Elmståhl, Sölve
    Department of Community Medicine, Division of Geriatrie Mediecine, University of Lund, Sweden.
    Higher mortality and different pattern of causes of death among foreign-born compared to native Swedes 1970-19992006Inngår i: Journal of Immigrant and Minority Health, ISSN 1557-1912, E-ISSN 1557-1920, Vol. 8, nr 2, s. 101-113Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In a previous Swedish longitudinal study of mortality among 723,948 foreign born and native-born Swedes, 1970-1999, increased mortality was found among foreign-born persons. This study describes and analyses the differences in mortality between 361,974 foreign-born persons and 361,974 native Swedes during the period 1970-1999, based on data from Statistics Sweden and the National Board of Health and Welfare. The mortality pattern showed dissimilarities; with a significantly higher number of deaths among foreign-born persons in six diagnose groups and a significantly lower mean age at time of death. A high number of deaths were found for migrants from Denmark in Neoplasm, for migrants from Finland and Poland in Diseases of the circulatory system and for migrants from Yugoslavia in Symptoms, signs and ill-defined conditions. There is a tendency to a more similar pattern between foreign- and Swedish-born persons over time. Migration may be a risk factor for health, and therefore seems to be an important factor to consider when studying morbidity and health and when planning preventive work.

  • 9.
    Albin, Björn
    et al.
    School of Health Sciences and Social Work, Växjö University, Sweden.
    Hjelm, Katarina
    Department of Community Medicine, University of Lund and School of Health Sciences and Social Work, Växjö University, Sweden .
    Ekberg, Jan
    School of Management and Economics, Växjö University, Sweden.
    Elmståhl, Sölve
    Department of Community Medicine, Division of Geriatric Medicine, University of Lund, Sweden.
    Mortality among 723,948 foreign- and native-born Swedes 1970-19992005Inngår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 15, nr 5, s. 511-517Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Mortality in a population is regarded as an accurate and valid measure of the population's health. There are a few international studies, predominantly cross-sectional, of mortality among all foreign-born compared with an indigenous population, and the results have varied. No Swedish longitudinal study describing and analysing mortality data was found in a literature review.

    METHODS: This study describes and analyses the differences in mortality between foreign-born persons and native Swedes during the period 1970-1999, based on data from Statistics Sweden and the National Board of Health and Welfare. The database consisted of 723,948 persons, 361 974 foreign-born living in Sweden in 1970, aged > or = 16 years, and 361 974 Swedish controls matched for age, sex, occupation and type of employment, living in the same county in 1970.

    RESULTS: The results showed increased mortality for foreign-born persons compared with the Swedish controls [odds ratio (OR) 1.08; 95% confidence interval (CI) 1.07-1.08]. Persons who had migrated 'late' (1941-1970) to Sweden were 2.5 years younger at time of death than controls. In relation to country of birth, the highest risk odds were for men born in Finland (OR 1.21), Denmark (OR 1.11) and Norway/Iceland (OR 1.074). Age cohorts of foreign-born persons born between 1901 and 1920 had higher mortality at age 55-69 years than cohorts born between 1921 and 1944.

    CONCLUSIONS: Migrants had higher mortality than the native population, and migration may be a risk factor for health; therefore, this seems to be an important factor to consider when studying mortality and health.

  • 10.
    Albin, Björn
    et al.
    School of Health and Caring Sciences, Linnaeus University, Växjö and Department of Health Sciences, Division of Geriatric Medicine, Lund University, Sweden.
    Hjelm, Katarina
    School of Health and Caring Sciences, Linnaeus University, Växjö and Department of Health Sciences, Division of Geriatric Medicine, Lund University, Sweden.
    Ekberg, Jan
    Centre of Labour Market Policy Research (CAFO), School of Management and Economics, Växjö University, Sweden.
    Elmståhl, Sölve
    Department of Health Sciences, Division of Geriatric Medicine, Lund University, Sweden.
    Residential mobility among foreign-born persons living in Sweden is associated with lower mortality2010Inngår i: Clinical Epidemiology, ISSN 1179-1349, E-ISSN 1179-1349, Vol. 2010, nr 2, s. 187-194Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    There have been few longitudinal studies on the effect of within-country mobility on patterns of mortality in deceased foreign-born individuals. The results have varied; some studies have found that individuals who move around within the same country have better health status than those who do not change their place of residence. Other studies have shown that changing one's place of residence leads to more self-reported health problems and diseases. Our aim was to analyze the pattern of mortality in deceased foreign-born persons living in Sweden during the years 1970-1999 in relation to distance mobility. Data from Statistics Sweden and the National Board of Health and Welfare was used, and the study population consisted of 281,412 foreign-born persons aged 16 years and over who were registered as living in Sweden in 1970. Distance mobility did not have a negative effect on health. Total mortality was lower (OR 0.71; 95% CI 0.69-0.73) in foreign-born persons in Sweden who had changed their county of residence during the period 1970-1990. Higher death rates were observed, after adjustment for age, in three ICD diagnosis groups "Injury and poisoning", "External causes of injury and poisoning", and "Diseases of the digestive system" among persons who had changed county of residence.

  • 11.
    Albin, Björn
    et al.
    Linnaeus University, Växjö, Sweden.
    Hjelm, Katarina
    Linnaeus University, Växjö, Sweden.
    Ekberg, Jan
    Linnaeus University, Växjö, Sweden.
    Elmståhl, Sölve
    Lund University, Sweden.
    Utilization of In-Hospital Care among Foreign-Born Compared to Native Swedes 1987-19992012Inngår i: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, Vol. 2012, s. 713249-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In previous longitudinal studies of mortality and morbidity among foreign-born and native-born Swedes, increased mortality and dissimilarities in mortality pattern were found. The aim of this study is to describe, compare, and analyse the utilization of in-hospital care among deceased foreign- and Swedish-born persons during the years 1987-1999 with focus on four diagnostic categories. The study population consisted of 361,974 foreign-born persons aged 16 years and upward who were registered as living in Sweden in 1970, together with 361,974 matched Swedish controls for each person. Data from Statistics Sweden (SCB) and the National Board of Health and Welfare Centre for Epidemiology, covering the period 1970-1999, was used. Persons were selected if they were admitted to hospital during 1987-1999 and the cause of death was in one of four ICD groups. The results indicate a tendency towards less health care utilization among migrants, especially men, as regards Symptoms, signs, and ill-defined conditions and Injury and poisoning. Further studies are needed to explore the possible explanations and the pattern of other diseases to see whether migrants, and especially migrant men, are a risk group with less utilization of health care.

  • 12.
    Albin, Björn
    et al.
    Linnaeus University, Växjö, Sweden; Lund University, Malmö, Sweden.
    Hjelm, Katarina
    Linnaeus University, Växjö, Sweden; Lund University, Malmö, Sweden.
    Elmståhl, Sölve
    Lund University, Universitetssjukhuset MAS, Malmö, Sweden.
    Comparison of Stroke Mortality in Finnish-Born Migrants Living in Sweden 1970-1999 and in Swedish-Born Individuals2014Inngår i: Journal of Immigrant and Minority Health, ISSN 1557-1912, E-ISSN 1557-1920, Vol. 16, nr 1, s. 18-23Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    A limited number of studies have been found on stroke mortality in migrants showing higher mortality for some groups. Influence of time of residence has been studied by a previous  research group. A previous study showed a significantly higher number of deaths in Diseases of the circulatory system in Finnish migrants compared to native Swedes. The aim was to test the hypothesis of a higher mortality in and a decrease in mortality over time in stroke among Finnish migrants in Sweden. The study was based on National Population registry data. The study population included 321,407 Swedish and 307,174 foreign born persons living in Sweden 1987-1999. Mean age was lower at time for death for Finnish migrants than native Swedes, men 5.1 years difference and women 2.3 years. The dissimilarity decreased over time. The risk of death by stroke was higher for migrants with short time of residence in Sweden than with long time (≤10 years, OR 1.61-1.36 vs ≥11 year, OR 1.18). Migrants with short time of residence in Sweden died 9.8-5.3 years earlier than native Swedes. The hypothesis was confirmed and an indication of adjustment to life in the new host country was found. International studies show similar results for other migrant groups but further studies are needed to verify if a similar pattern can be found in other migrant groups living in Sweden and to be able to generalise the findings.

  • 13.
    Albin, Björn
    et al.
    School of Health Sciences and Social Work, Växjö University, and Department of Health Sciences, Division of Geriatric Medicine, Lund University, Sweden.
    Hjelm, Katarina
    School of Health Sciences and Social Work, Växjö University, and Department of Health Sciences, Division of Geriatric Medicine, Lund University, Sweden.
    Elmståhl, Sölve
    Department of Health Sciences, Division of Geriatric Medicine, Lund University, Sweden.
    Lower prevalence of hip fractures in foreign-born individuals than in Swedish-born individuals during the period 1987-19992010Inngår i: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 11, s. 203-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: This is the first longitudinal study with a 22-year follow-up, based on a national and complete sample, to determine whether the prevalence of hip fracture and the age when it occurs are influenced by migration and by being foreign-born. Cultural background and environmental factors such as UV-radiation and lifestyle during childhood and adolescence may influence the risk of a hip fracture event later in life. Differences in prevalence might occur between the indigenous population and those who have migrated to a country.

    METHODS: The study was based on national population data. The study population consisted of 321,407 Swedish-born and 307,174 foreign-born persons living in Sweden during the period 1987-1999.

    RESULTS: Foreign-born individuals had a reduced risk of hip fracture, with odds ratios (ORs) of 0.47-0.77 for men and 0.42-0.88 for women. Foreign-born women had the hip fracture event at a higher age on average, but a longer time spent in Sweden was associated with a small but significant increase in risk.

    CONCLUSIONS: We found that there was a reduced risk of hip fracture in all foreign-born individuals, and that the hip fracture event generally happened at a higher age in foreign-born women. Migration must therefore be considered in relation to the prevalence and risk of hip fracture. Migration can therefore have a positive effect on one aspect of the health of a population, and can influence and lower the total cost of healthcare due to reduced risk and prevalence of hip fracture.

  • 14.
    Atwine, Fortunate
    et al.
    School of Health and Caring Science, Linnaeus University, Vaxjo, Sweden; Department of Nursing, Mbarara University of Science and Technology (MUST), Mbarara, Uganda.
    Hjelm, Katarina
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för omvårdnad. Linköpings universitet, Medicinska fakulteten.
    Health professionals’ knowledge and attitudes to healthcare-seeking practices and complementary alternative medicine usage in ugandans with diabetes: A cross-sectional survey2017Inngår i: Pan African Medical Journal, ISSN 1937-8688, E-ISSN 1937-8688, Vol. 28, artikkel-id 256Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction: Healthcare-seeking behaviour among persons with diabetes has been investigated to a limited extent, and not from professionals’ perspective. The aim of the study was to describe healthcare professionals’ knowledge, attitudes and practice concerning healthcare-seeking behaviour and the use of complementary and alternative medicine among persons with diabetes. Methods: A cross-sectional, self-administered questionnaire was conducted in western Uganda. Nurses, midwives or nurse assistants 72.2%, physicians 12% and clinical officers 10% volunteered to participate in the study with a total 108 (93% response rate) response rate. Descriptive statistics were used to analyse data with frequencies, percentages and summarized in tables. Results: Most of the healthcare providers perceived more uneducated people to be at risk of developing complications related to diabetes (66.7%) and that most of the patients with diabetes were not knowledgeable about signs and symptoms of diabetes before being diagnosed (75.9%). The main reasons inducing persons with diabetes to seek care outside the health care sector were reported to be seeking a cure for the condition, influence from the popular sector, the accessibility of the place and signs of complications of diabetes related to poor glycaemic control. Healthcare providers had relatively positive attitudes towards using complementary and alternative medicine. Conclusion: Insufficient knowledge about diabetes, compromised healthcare-seeking practices including drug procurement for diabetes seem to be barriers to diabetes management. Patients were thus reported to be burdened with co-morbidities of complications of diabetes related to poor glycaemic control. © Fortunate Atwine et al.

  • 15.
    Atwine, Fortunate
    et al.
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden; Department of Nursing, Mbarara University of Science and Technology (MUST), Mbarara, Uganda.
    Hultsjö, Sally
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Albin, Björn
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Hjelm, Katarina
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Medicinska fakulteten.
    Health-care seeking behaviour and the use of traditional medicine among persons with type 2 diabetes in south-western Uganda: a study of focus group interviews2015Inngår i: Pan African Medical Journal, ISSN 1937-8688, E-ISSN 1937-8688, Vol. 20, nr 76Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction: health-care seeking behaviour is important as it determines acceptance of health care and outcomes of chronic conditions but it has been investigated to a limited extent among persons with diabetes in developing countries. The purpose of the study was to describe health-care seeking behaviour and understand reasons for using therapies offered by traditional healers.

    Methods: descriptive study using focus-group interviews. Three purposive focus-groups were conducted in 2011 of 10 women and 7 men aged 39–72 years in Uganda. Data were collected through semi-structured interviews and qualitatively analysed according to a method described for focus-groups.

    Results: reasons for seeking help from traditional healers were symptoms related to diabetes such as polydipsia, fatigue and decreased sensitivity in lower limbs. Failure of effect from western medicine was also reported. Treatment was described to be unknown extracts, of locally made products taken as herbs or food, and participants had sought help from different health facilities with the help of relatives and friends.

    Conclusion: the pattern of seeking care was inconsistent, with a switch between different health care providers under the influence of the popular and folk sectors. Despite beliefs in using different healthcare providers seeking complementary and alternative medicine, participants still experienced many physical health problems related to diabetes complications. Health professionals need to be aware of the risk of switches between different health care providers, and develop strategies to initiate health promotion interventions to include in the care actors of significance to the patient from the popular, folk and professional sectors, to maintain continuity of effective diabetes care.

  • 16.
    Berterö, Carina
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Hjelm, Katarina
    Institutionen för hälso och vårdvetenskap, Linnéuniversitetet Växjö, Växjö, Sverige.
    Social support as described by foreign-born persons diagnosed with type 2 diabetes mellitus and living in Sweden.2010Inngår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 12, nr 4, s. 507-514Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to explore and describe the meaning of support and its impact on the life situation of foreign-born persons diagnosed with type 2 diabetes mellitus and living in Sweden in relation to gender, age, and the duration of the disease. Mixed methods were used on a purposive sample of 34 foreign-born adults who had been diagnosed with type 2 diabetes mellitus. Qualitative data were collected by semi-structured interviews and quantitative data were collected by the Norbeck Social Support Questionnaire (NSSQ). The meaning of “support” was described by the participants as medical support, information support, and aiding support to learn to manage diabetes. Support influenced the participants' entire life and their need for it was related to the severity of the diabetes and differences regarding age and gender. The participants scored low on the NSSQ regarding total emotional support, total aid, and total function and 42% had lost an important relationship during the last year. Their marital status had no impact on emotional support but aid was significant. Medical support, with regular follow-up and information, is important in obtaining affirmation and aids in learning to manage diabetes mellitus.

  • 17.
    Eriksson, Helene
    et al.
    Linköpings universitet, Medicinska fakulteten. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för omvårdnad. Norrköping, Sweden.
    Milberg, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för omvårdnad. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Närsjukvården i östra Östergötland, Palliativt kompetenscentrum. Region Östergötland, Närsjukvården i östra Östergötland, LAH Öst.
    Hjelm, Katarina
    Linköpings universitet, Medicinska fakulteten. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för omvårdnad.
    Friedrichsen, Maria
    Linköpings universitet, Medicinska fakulteten. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för omvårdnad. Region Östergötland, Närsjukvården i östra Östergötland, Palliativt kompetenscentrum.
    End of Life Care for Patients Dying of Stroke: A Comparative Registry Study of Stroke and Cancer2016Inngår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 11, nr 2, s. e0147694-, artikkel-id 26845149Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    Although stroke is a significant public health challenge and the need for palliative care has been emphasized for these patients, there is limited data on end-of-life care for patients dying from stroke.

    Objective

    To study the end-of-life care during the last week of life for patients who had died of stroke in terms of registered symptom, symptom management, and communication, in comparison with patients who had died of cancer.

    Design

    This study is a retrospective, comparative registry study.

    Methods

    A retrospective comparative registry study was performed using data from a Swedish national quality register for end-of-life care based on WHO`s definition of Palliative care. Data from 1626 patients who had died of stroke were compared with data from 1626 patients who had died of cancer. Binary logistic analyses were used to calculate odds ratios, with 95% CI.

    Results

    Compared to patients who was dying of cancer, the patients who was dying of stroke had a significantly higher prevalence of having death rattles registered, but a significantly lower prevalence of, nausea, confusion, dyspnea, anxiety, and pain. In addition, the stroke group had significantly lower odds ratios for health care staff not to know whether all these six symptoms were present or not. Patients who was dying of stroke had significantly lower odds ratio of having informative communication from a physician about the transition to end-of-life care and of their family members being offered bereavement follow-up.

    Conclusions

    The results indicate on differences in end-of-life care between patients dying of stroke and those dying from cancer. To improve the end-of-life care in clinical practice and ensure it has consistent quality, irrespective of diagnosis, education and implementation of palliative care principles are necessary.

  • 18.
    Hadziabdic, Emina
    et al.
    Linnaeus University, Växjö, Sweden .
    Albin, Björn
    Linnaeus University, Växjö, Sweden .
    Heikkilä, Kristiina
    Linnaeus University, Växjö, Sweden .
    Hjelm, Katarina
    Linnaeus University, Växjö, Sweden .
    Family members' experiences of the use of interpreters in healthcare2013Inngår i: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 15, nr 2, s. 156-169Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim

    The aim was to explore adults’ experiences of their family members’ use of interpreters in health-care encounters.

    Background

    Language barriers are a major hindrance for migrants to receive appropriate healthcare. In a foreign country, family members often need support in care of migrant patients. No previous studies focusing on adult family members’ experiences of the use of interpreters in healthcare have been found.

    Method

    A purposive sample of 10 adult family members with experiences of the use of interpreters in health-care encounters. Data were collected between May and September 2009 by focus-group interviews and analysed with qualitative analysis according to a method described for focus groups.

    Findings

    Three categories emerged from the analysis: (1) Experiences of the use of professional interpreters, (2) Experiences of being used as an interpreter and (3) Experiences of what needs to be improved when using interpreters. The main findings showed no agreement in family members’ experiences; interpretation should be individually and situationally adapted. However, when family members acted as interpreters, their role was to give both practical and emotional support, and this led to both positive and negative emotions. Use of simple language, better collaboration in the health-care organization and developing the interpreters’ professional attitude could improve the use of professional interpreters. The type of interpreter, mode of interpretation and patient's preferences should be considered in the interpretation situation. In order to achieve high-quality healthcare, health-care professionals need to organize a good interpretation situation case-by-case, choose the appropriate interpreters with the patient in focus and cooperate with members of the patient's social network.

     

     

  • 19.
    Hadziabdic, Emina
    et al.
    School of Health and Caring Sciences, Linnaeus University, Sweden.
    Albin, Björn
    School of Health and Caring Sciences, Linnaeus University, Sweden.
    Heikkilä, Kristiina
    School of Health and Caring Sciences, Linnaeus University, Sweden.
    Hjelm, Katarina
    School of Health and Caring Sciences, Linnaeus University, Sweden.
    Healthcare staffs perceptions of using interpreters: a qualitative study2010Inngår i: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 11, nr 03, s. 260-270Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim

    The aim of this study was to describe how healthcare professionals experience and perceive the use of interpreters in their contacts with patients with whom they do not share a common language.

    Background Language barriers lead to poor-quality care and fewer medical contacts. To avoid language barriers and their consequences, interpreters are recommended. However, communicating through an interpreter can be difficult. To develop effective interpreter service it is important to study healthcare staff’s perceptions of using an interpreter.

    Methods

    An explorative descriptive study design was used. The study was conducted in different healthcare settings in Sweden and included 24 healthcare staff, of whom 11 were physicians, 9 nurses, 2 physiotherapists and 2 assistant nurses. Data were generated through written descriptions of the use of interpreters in healthcare service and were analysed using qualitative content analysis.

    Findings

    Two main categories emerged from the data: 1) aspects related to the interpreter and 2) organizational aspects. The study showed that having a face-to-face, professional, trained interpreter, with a good knowledge of both languages and of medical terminology, translating literally and objectively, was perceived positively. The organizational aspects that affected the perception were functioning or non-functioning technical equipment, calm in the interpretation environment, documentation of the patients’ language ability, respect for the appointed time, and the level of availability and service provided by the interpreter agency. It is important to develop a well-functioning interpreter organization that offers trained interpreters with a professional attitude to improve and ensure cost-effective and high-quality encounters and care.

  • 20.
    Hadziabdic, Emina
    et al.
    Linnaeus University, Växjö, Sweden .
    Albin, Björn
    Linnaeus University, Växjö, Sweden .
    Hjelm, Katarina
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Arabic-speaking migrants' attitudes, opinions, preferences and past experiences concerning the use of interpreters in healthcare: a postal cross-sectional survey2014Inngår i: BMC Research Notes, ISSN 1756-0500, E-ISSN 1756-0500, Vol. 7, nr 71Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Good communication is an important prerequisite for equal treatment in a healthcare encounter. One way to overcome language barriers when patients and healthcare staff do not share the same language is to use a professional interpreter. Few previous studies have been found investigating the use of interpreters, and just one previous study from the perspective of European migrants, which showed that they perceived interpreters as a communication aid and a guide in the healthcare system as regards information and practical matters. No previous study has gathered quantitative information to focus on non-European migrants' attitudes to the use of interpreters in healthcare encounters. Thus, the aim of this study was to investigate Arabic-speaking individuals' attitudes, opinions, preferences and past experiences concerning the use of interpreters in healthcare in order to: (i) understand how persons' expectations and concerns regarding interpreters may vary, both within and across cultural/linguistic populations; (ii) understand the consequences of diverse opinions/expectations for planning responsive services; and (iii) confirm findings from previous qualitative studies.

    METHOD: A postal cross-sectional study using a structured self-administered 51-item questionnaire was used to describe and document aspects of Arabic-speaking individuals' attitudes to the use of interpreters in healthcare. The sample of 53 Arabic-speaking migrants was recruited from three different places. Participants were mostly born in Iraq and had a high level of education and were almost equally divided between genders. Data were analysed with descriptive statistics.

    RESULTS: The main findings were that most of the participants perceived the interpreter's role as being a communication aid and a practical aid, interpreting literally and objectively. Trust in the professional interpreter was related to qualification as an interpreter and personal contact with face-to-face interaction. The qualities of the desired professional interpreter were: a good knowledge of languages and medical terminology, translation ability, and sharing the same origin, dialect and gender as the patient.

    CONCLUSION: This study confirmed previous qualitative findings from European migrant groups with a different cultural and linguistic background. The study supports the importance of planning a good interpretation situation in accordance with individuals' desire, irrespective of the migrant's linguistic and cultural background, and using interpreters who interpret literally and objectively, who are highly trained with language skills in medical terminology, and with a professional attitude to promote communication, thus increasing cost-effective, high-quality individualized healthcare.

  • 21.
    Hadziabdic, Emina
    et al.
    School of Health Science and Social Work, Växjö University, Sweden.
    Heikkilä, K
    School of Health Science and Social Work, Växjö University, Sweden.
    Albin, B
    School of Health Science and Social Work, Växjö University, Sweden.
    Hjelm, Katarina
    School of Health Science and Social Work, Växjö University, Sweden.
    Migrants' perceptions of using interpreters in health care2009Inngår i: International Nursing Review, ISSN 0020-8132, E-ISSN 1466-7657, Vol. 56, nr 4, s. 461-469Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: The number of foreign-born people who do not share a common language has increased due to extensive international migration, which will increase in the future. There is limited knowledge about the users' perceptions of interpreters in health care. Aim: To describe how individuals from former Yugoslavia, living in Sweden, perceived the use of interpreters in Swedish healthcare services.

    METHOD: A phenomenographic approach was employed. Data were collected by semi-structured interviews during 2006-2007 with 17 people, aged 29-75 years, from former Yugoslavia, living in Sweden.

    FINDINGS: Three descriptive categories were identified: (1) prerequisites for good interpretation situations; (2) the interpretation situation - aspects of satisfaction or dissatisfaction; and (3) measures to facilitate and improve the interpreter situation. The interpreter's competence, attitude, appearance and an appropriate environment are important prerequisites for interpretation. The interpreter was perceived as being a communication aid and a guide in the healthcare system in terms of information and practical issues, but also as a hindrance. A desirable professional interpreter was perceived as highly skilled in medical terminology and language, working in face-to-face interaction.

    CONCLUSION: Using an interpreter was perceived as a hindrance, though also needed in communication with healthcare staff and as a guide in the healthcare system. Face-to-face interaction was preferred, with the interpreter as an aid to communication. As part of individual care planning it is important to use interpreters according to the patients' desires. Healthcare organizations and guidelines for interpreters need to be developed in order for patients to have easy access to highly skilled professional interpreters.

  • 22.
    Hadziabdic, Emina
    et al.
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Heikkilä, Kristiina
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Albin, Björn
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Hjelm, Katarina
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Problems and consequences in the use of professional interpreters: qualitative analysis of incidents from primary healthcare2011Inngår i: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 18, nr 3, s. 253-261Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to explore what problems are reported by healthcare professionals in primary healthcare concerning the use of interpreters and what the problems lead to. The study involved a single case in a real-life situation with qualitative content analysis of 60 incident reports written by different healthcare professionals. The main problems documented were related to language, such as lack of the interpreters with proficiency in a particular language, and to organisational routines, with difficulties in the availability of interpreters and access to the interpreter agency. The problems reported led to incorrect use of time and resources, which increased the workload and thus delayed treatment. Other consequences were limited possibilities to communicate and thus consultation was carried out without a professional interpreter, using family members instead. The results highlight the importance of developing good co-operation between the interpreter agency and the primary healthcare centre in order to fulfil the existing policy of using professional interpreters to provide the right interpreter at the right time and guarantee high-quality care.

  • 23.
    Hadziabdic, Emina
    et al.
    Department of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, Växjö, Sweden .
    Hjelm, Katarina
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet. Department of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, Växjö, Sweden .
    Arabic-speaking migrants' experiences of the use of interpreters in healthcare: a qualitative explorative study2014Inngår i: International Journal for Equity in Health, ISSN 1475-9276, E-ISSN 1475-9276, Vol. 13, nr 49Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    INTRODUCTION: Arabic-speaking migrants have constituted a growing population in recent years. This entails major challenges to ensure good communication in the healthcare encounter in order to provide individual and holistic healthcare. One of the solutions to ensure good communication between patient and healthcare staff who do not share the same language is to use a professional interpreter. To our knowledge, no previous qualitative studies have been found concerning Arabic-speaking migrants and the use of interpreters. This study aims to ascertain their individual experiences which can help extend our understanding of the studied area.

    METHOD: A purposive sample of 13 Arabic-speaking persons with experience of using interpreters in healthcare encounters. Data were collected between November 2012 and March 2013 by four focus-group interviews and analysed with qualitative analysis according to a method described for focus groups.

    RESULTS: Four categories appeared from the analysis: 1) The professional interpreter as spokesperson; 2) Different types of interpreters and modes of interpretation adapting to the healthcare encounter; 3) The professional interpreter's task and personal properties affected the use of professional interpreters in a healthcare encounter; 4) Future planning of the use of professional interpreters in a healthcare encounter. The main findings were that the use of interpreters was experienced both as a possibility and as a problem. The preferred type of interpreters depended on the interpreter's dialect and ability to interpret correctly. Besides the professional interpreter's qualities of good skill in language and medical terminology, translation ability, neutrality and objectivity, Arabic-speaking participants stated that professional interpreters need to share the same origin, religion, dialect, gender and political views as the patient in order to facilitate the interpreter use and avoid inappropriate treatment.

    CONCLUSION: The study showed that the personal qualities of a good interpreter not only cover language ability but also origin, religion, dialect, gender and political views. Thus, there is need to develop strategies for personalized healthcare in order to avoid inappropriate communication, to satisfy the preferences of the person in need of interpreters and improve the impact of interpretation on the quality of healthcare.

  • 24.
    Hadziabdic, Emina
    et al.
    Linnaeus University, Växjö, Sweden.
    Hjelm, Katarina
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Working with interpreters: practical advice for use of an interpreter in healthcare2013Inngår i: International Journal of Evidence-Based Healthcare, ISSN 1744-1595, E-ISSN 1744-1609, Vol. 11, nr 1, s. 69-76Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim is to improve communication in healthcare when an interpreter is used by providing practical advice to healthcare professionals when considering using interpreters. This descriptive commentary considered the issues of planning, preparation and implementation of interpretation sessions to reveal the complexities and dilemmas of an effective healthcare encounter when using interpreters. Using the design of a discursive paper, this work seeks to explore and position of what is published in the literature on the topic and based on previous studies to provide practical advice on the use of interpreters. The results  showed that the interpreter should be used not only as a communication aid but also as a practical and informative guide through the healthcare system. In planning and preparing the interpretation session, it is important to consider the type (trained professional interpreter, family member or bilingual healthcare staff as interpreters) and mode (face to face and telephone) of interpreting. Furthermore, it is important to consider the interpreter's ethnic and religious background, gender, language or dialect, social group, appearance, clothes and attitude. During the healthcare encounter, the interpreter should follow the recommendations given in guidelines for interpreters. Healthcare professionals should choose an appropriate room and be aware of their own attitude, behaviour and appearance during the healthcare encounter. Good planning is needed, with careful consideration of choices regarding the right kind of interpreter, mode of interpretation and individual preferences for the interpretation in order to deliver high-quality and cost-effective healthcare. Depending on the nature of the healthcare encounter, healthcare professionals need to plan interpretation carefully and in accordance with the individuals' wishes and choose the type of interpreter and mode of interpreting that best suits the present need in the healthcare situation in order to deliver healthcare high in quality.

  • 25.
    Hadziabdic, Emina
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Medicinska fakulteten. Linnaeus University, Sweden.
    Lundin, Christina
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Medicinska fakulteten.
    Hjelm, Katarina
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Medicinska fakulteten.
    Boundaries and conditions of interpretation in multilingual and multicultural elderly healthcare2015Inngår i: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 15, nr 458Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Elderly migrants who do not speak the official language of their host country have increased due to extensive international migration, and will further increase in the future. This entails major challenges to ensure good communication and avoid communication barriers that can be overcome by the use of adequate interpreter services. To our knowledge, there are no previous investigations on interpreting practices in multilingual elderly healthcare from different healthcare professionals perspectives. This study examines issues concerning communication and healthcare through a particular focus on interpretation between health professionals and patients of different ethnic and linguistic backgrounds. The central aim of the project is to explore interpretation practices in multilingual elderly healthcare. Methods: A purposive sample of 33 healthcare professionals with experience of using interpreters in community multilingual elderly healthcare. Data were collected between October 2013 and March 2014 by 18 individual and four focus group interviews and analysed with qualitative content analysis. Results: The main results showed that interpreting practice in multilingual elderly healthcare was closely linked to institutional, interpersonal and individual levels. On the organizational level, however, guidelines for arranging the use of interpreters at workplaces were lacking. Professional interpreters were used on predictable occasions planned long in advance, and bilingual healthcare staff and family members acting as interpreters were used at short notice in everyday caring situations on unpredictable occasions. The professional interpreter was perceived as a person who should interpret spoken language word-for-word and who should translate written information. Furthermore, the use of a professional interpreter was not adapted to the context of multilingual elderly healthcare. Conclusion: This study found that interpreter practice in multilingual elderly healthcare is embedded in the organizational environment and closely related to the individuals language skills, cultural beliefs and socio-economic factors. In order to formulate interpreter practice in the context of multilingual elderly healthcare it is important to consider organizational framework and cultural competence, cultural health knowledge, beliefs and customs.

  • 26.
    Hermansen, Anna
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för fysioterapi. Linköpings universitet, Medicinska fakulteten.
    Peolsson, Anneli
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för fysioterapi. Linköpings universitet, Medicinska fakulteten.
    Kammerlind, Ann-Sofi
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för fysioterapi. Linköpings universitet, Medicinska fakulteten. Futurum Region Jönköping County.
    Hjelm, Katarina
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för omvårdnad. Linköpings universitet, Medicinska fakulteten.
    Women’s experiences of daily life after anterior cervical decompression and fusion surgery: A qualitative interview study2016Inngår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 48, nr 4, s. 352-358Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Subjects: Fourteen women aged 39-62 years (median 52 years), were included 1.5 to 3 years after ACDF for cervical degenerative disc disease.

    Methods: Individual semi-structured interviews were analyzed by qualitative content analysis with an inductive approach.

    Results: The women described their experiences of daily life in five different ways; Experiences of recovery; Experiences of symptoms in daily life influence feelings and thoughts; Making daily life work; Importance of social  and occupational networks; Experiences of the influence of healthcare professionals and interventions on daily life.

    Conclusion: This interview study provides insight into women’s daily life after ACDF. While improved after surgery, informants also experienced remaining symptoms and limitations in daily life. A variety of mostly active coping strategies were used to manage daily life. Social support from family, friends, occupational networks and healthcare professionals positively influenced daily life. These findings provide knowledge on aspects of daily life that should be considered in individualized postoperative care and rehabilitation in an attempt to provide better outcomes in women after ACDF.

  • 27.
    Hjelm, Katarina
    Växjö University, Sweden.
    Beliefs about health and illness in men with diabetes mellitus of different ethnic origin living in Sweden2006Konferansepaper (Annet vitenskapelig)
  • 28.
    Hjelm, Katarina
    Växjö University, Sweden.
    Beliefs about health and illness in men with diabetes of different origin in Sweden2005Konferansepaper (Annet vitenskapelig)
  • 29.
    Hjelm, Katarina
    Växjö University, Sweden.
    Beliefs about health and illness in women with gestational diabetes born in Africa and Sweden2007Konferansepaper (Annet vitenskapelig)
  • 30.
    Hjelm, Katarina
    Institutionen för Hälso- och vårdvetenskap, Linnéuniversitetet, Växjö.
    Bemötande i vård och omsorg, transkulturellt perspektiv2015Bok (Annet vitenskapelig)
    Abstract [sv]

    Utgångspunkten för allt hälso- och sjukvårdsarbete är Hälso- och sjukvårdslagen som anger att vården ska vara individualiserad, genomföras i samråd med den enskilde, bygga på respekt för individens självbestämmande och integritet och meddelas på lika villkor oavsett ras, religion eller politisk åsikt. Tydligt framgår att alla individer är unika och därmed inte nödvändigtvis ska meddelas samma vård.

    Inom transkulturell omvårdnad studeras individens förutsättningar för hälsa, reaktioner på och upplevelser av sjukdom eller ohälsa samt effekter av vård och behandling hos individer med olika kulturell bakgrund. Man studerar skillnader och likheter, både mellan och inom olika kulturer, men också mellan olika generationer. Avsikten är att kunna vårda människan som döljs bakom kulturen. Både individens och vårdarens kultur påverkar vårdandet. Eftersom varje människa är unik blir mötet mellan två personer alltid transkulturellt i någon mån.

    Exemplen i Vårdhandboken belyser i huvudsak hur personer med olika ursprung uppfattar sjukdomen diabetes och dess hantering.

    Bemötande i vården ur transkulturellt perspektiv ska med utgångspunkt i Hälso- och sjukvårdslagen inriktas på att undvika etnocentrism där majoritetskulturens värderingar styr planeringen av insatser. Istället bör man sträva efter kulturrelativism med en transkulturell medvetenhet, vilket innebär att varje unika individs behov och önskemål fokuseras. Kulturellt kompetent vård är skräddarsydd vård.

  • 31.
    Hjelm, Katarina
    Linnéuniversitetet, Växjö.
    Bemötande i vård och omsorg, transkulturellt perspektiv2011Inngår i: Vårdhandboken, Inera AB , 2011Kapittel i bok, del av antologi (Fagfellevurdert)
  • 32.
    Hjelm, Katarina
    Växjö universitet, Växjö, Sverige.
    Diabetespandemi2006Inngår i: Omvårdnad vid diabetes / [ed] Karin Wikblad, Lund: Studentlitteratur, 2006, s. 313-322Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 33.
    Hjelm, Katarina
    Växjö universitet, Växjö, Sverige.
    Flervetenskapliga perspektiv i migrationsforskning: Årsbok 2006 från forskningsprofilen Arbetsmarknad, Migration och Etniska relationer (AMER) vid Växjö universitet2006Collection/Antologi (Annet vitenskapelig)
  • 34.
    Hjelm, Katarina
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet. University of Växjö, Sweden.
    Holism in community leg ulcer management: a comparison of nurses in Sweden and the UK2005Konferansepaper (Annet vitenskapelig)
  • 35.
    Hjelm, Katarina
    Växjö University, Sweden.
    Holism in community legulcer management: a comparison of nurses in Sweden and the UK2005Konferansepaper (Fagfellevurdert)
  • 36.
    Hjelm, Katarina
    Växjö universitet, Växjö, Sverige.
    Hälso-och sjukdomsuppfattningar – kulturell bakgrund och kön2006Inngår i: Omvårdnad vid diabetes / [ed] Karin Wikblad, Lund: Studentlitteratur, 2006, s. 75-90Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 37.
    Hjelm, Katarina
    Växjö universitet, Växjö, Sverige.
    Migration och hälsa: ett studentprojekt i samverkan mellan Institutionen för vårdvetenskap och socialt arbete och Svenska emigrantinstitutet2002Inngår i: Hembygden & världen: festskrift till Ulf Beijbom / [ed] Lars Olsson & Sune Åkerman, Växjö: Svenska emigrantinstitutet , 2002, s. 291-297Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 38.
    Hjelm, Katarina
    Linnaeus University, Växjö , Sweden.
    Social support as described by Foreign-and Swedish-born persons with diabetes living in Sweden2011Konferansepaper (Annet vitenskapelig)
  • 39.
    Hjelm, Katarina
    Växjö University, Sweden.
    Social support as perceived by Swedish persons with type 2 diabetes2009Konferansepaper (Annet vitenskapelig)
  • 40.
    Hjelm, Katarina
    Linnéuniversitetet, Växjö, Sweden .
    Social support described by foreign-and Swedish-born persons with diabetes2011Konferansepaper (Annet vitenskapelig)
  • 41.
    Hjelm, Katarina
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV).
    Social support described by Swedish-born persons with diabetes.Konferanseproceedings (Fagfellevurdert)
  • 42.
    Hjelm, Katarina
    Växjö University, Sweden .
    Social support described by Swedish-born persons with diabetes2010Konferansepaper (Annet vitenskapelig)
  • 43.
    Hjelm, Katarina
    Växjö universitet, Växjö, Sverige.
    Vetenskapligt forum – vad är nyheter i behandlingen av svårläkta sår? En utblick och inblick i det senaste som hänt i avhandlingar, studier och forskningsrapporter: Uppfattningar om hälsa och sjukdom samt vård bland svenska –och utlandsfödda personer med diabetiska fotsår2004Konferansepaper (Annet vitenskapelig)
  • 44.
    Hjelm, Katarina
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Albin, Björn
    Linnaeus University, Växjö, Sweden.
    Limited focus on the use of health care by elderly migrants - A litterature review2014Inngår i: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 4, nr 6, s. 465-473Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Our premise for this literature review is the global demographic change caused by the world’s population living longer and becoming older, and extensive international migration leading to multicultural societies. Increasing age leads to health problems, often long-term or chronic, requiring investments in health care. Worse health and dissimilarities in pattern of morbidity/ mortality have been found in foreign-compared to Swedish-born persons, so it is reasonable to assume that this affects use of health care. The exploratory review focuses on elderly migrants’ (>65 years) use of healthcare. The databases Pub Med, EBSCO, CINAHL and ERIC were searched in 2000-2013. A limited number of studies were found; few had a comparative approach, most were from the USA, and focused on migrants from the former Soviet Union or countries in South-East Asia. A range of factors were identified that influence patterns of health care use: language fluency, ability to communicate, self-reported health status, prevalence of chronic disease, physical distance from care provision, availability of transport to reach care, cost of care, the health insurance system, cultural norms and values regarding different forms of care, level of education, and length of residence in the host country. Most studies treated health care from a general perspective and collected data from community and hospital settings, without analysing usage separately. Some studies indicated elderly migrants making use of health care less than other groups but the pattern is not unambiguous: other studies show that there is an overuse of health care. It is therefore difficult to show any particular pattern, or possible differences in use, regarding community versus in-patient care. Studies focusing on migrants’ actual use of health care are few and further research is needed, especially because elderly people form the largest group of users of health care and will be even larger in the future.

  • 45.
    Hjelm, Katarina
    et al.
    Linnaeus University, Växjö, Sweden.
    Albin, Björn
    Linnaeus University, Växjö, Sweden.
    Benato, Rosa
    City University London, UK.
    Sourtzi, Panayota
    University of Athens, Greece.
    Migration and health2012Inngår i: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, Vol. 2012, s. 621914-Artikkel i tidsskrift (Annet vitenskapelig)
  • 46.
    Hjelm, Katarina
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Apelqvist, Jan
    Diabetes-och Endokrin kliniken, Universitetssjukhuset i Malmö, Lunds universitet.
    Migrants with diabetes believe diabetic foot ulcers being unavoidable and impossible to prevent.2015Inngår i: 50th annual meeting of the EUROPEAN DIABETES EPIDEMIOLOGY GROUP.25-28 April 2015. Les Fontaines, Gouvieux-Chantilly, France.Study group of the European Association for the Study of Diabetes (EASD), Paris, France.: EUROPEAN DIABETES EPIDEMIOLOGY GROUP - EDEG , 2015Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Background: Since type 2 diabetes is developing into a pandemic, particularly affecting migrants in industrializing countries, the prevalence of diabetes complications is expected to increase. Diabetic foot disorders are the predominant source of complications and are serious and costly but highly preventable particularly by self-care. Health-related behavior, including self care and health care seeking, is guided by beliefs about health/illness but has not previously been studied in different migrant groups. We aim to describe beliefs about health/illness in foreign-born persons with diabetic foot ulcers that might affect self-care and health care seeking and to study whether there are dissimilarities related to origin. ‘

    Material and methods: Qualitative descriptive study. Semi-structured interviews with 26 persons, aged 38-86 years, whereof 13 born in European and 13 in non European countries, all except one in the Middle East, being residents in Sweden between 7-60 years (Md 18 yrs).

    Results: Most believed foot ulcers being unavoidable and problematic to detect, and mainly caused by internal factors such as diabetes, sometimes combined with external factors as inappropriate foot wear, hot water, or bare foot walking. Perceived health had deteriorated after onset of the foot problems due to immobility and pain. Middle Easterners differed as they discussed the importance to adapt to the will of Allah, leading to even poorer quality of life and view of future health. They described more foot problems and perceived religion (Muslim) with washing rituals of the feet being of importance for health. They were less often regularly monitored than European migrants. Economy affected health, more so in Europeans, due to expenses for medications and shoes. Many described limited activity in self-care, few had searched help for their foot problems and if so solely among professionals and had limited knowledge about the influence of glycaemic control on diabetes/foot status.

    Conclusions: Foreign-born persons perceived foot ulcers being impossible to prevent, experienced problems with detection, and had limited knowledge about self-care. Dissimilarities in beliefs related to origin were found that negatively affected self-care of the feet why it is important to assess individual beliefs and plan care and education accordingly. 

  • 47.
    Hjelm, Katarina
    et al.
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Atwine, Fortunate
    Department of Nursing, Mbarara University of Science and Technology (MUST), Mbarara, Uganda .
    Health-care seeking behaviour among persons with diabetes in Uganda: an interview study2011Inngår i: BMC International Health and Human Rights, ISSN 1472-698X, E-ISSN 1472-698X, Vol. 11, s. 11-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Healthcare-seeking behaviour in patients with diabetes mellitus (DM) has been investigated to a limited extent, and not in developing countries. Switches between different health sectors may interrupt glycaemic control, affecting health. The aim of the study was to explore healthcare-seeking behaviour, including use of complementary alternative medicine (CAM) and traditional healers, in Ugandans diagnosed with DM. Further, to study whether gender influenced healthcare-seeking behaviour.

    METHODS: This is a descriptive study with a snowball sample from a community in Uganda. Semi-structured interviews were held with 16 women and 8 men, aged 25-70. Data were analysed by qualitative content analysis.

    RESULTS: Healthcare was mainly sought among doctors and nurses in the professional sector because of severe symptoms related to DM and/or glycaemic control. Females more often focused on follow-up of DM and chronic pain in joints, while males described fewer problems. Among those who felt that healthcare had failed, most had turned to traditional healers in the folk sector for prescription of herbs or food supplements, more so in women than men. Males more often turned to private for-profit clinics while females more often used free governmental institutions.

    CONCLUSIONS: Healthcare was mainly sought from nurses and physicians in the professional sector and females used more free-of-charge governmental institutions. Perceived failure in health care to manage DM or related complications led many, particularly women, to seek alternative treatment from CAM practitioners in the folk sector. Living conditions, including healthcare organisation and gender, seemed to influence healthcare seeking, but further studies are needed.

  • 48.
    Hjelm, Katarina
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Medicinska fakulteten.
    Atwine, Fortunate
    Department of Nursing, Mbarara University of Science and Technology, Mbarara, Uganda.
    Health-care seeking behaviour and use of traditional medicine in persons with diabetes in Uganda.2015Inngår i: Global Health Congress, Oxford 2015, Oxford University, 2015Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Health-care seeking behaviour is important as it determines acceptance of healthcare and outcomes of chronic conditions but has been investigated to a limited extent in persons with diabetes in developing countries.

    Qualitative study. Focus-group interviews.

    Reasons for seeking help from traditional healers were diabetessymptoms and failure of effect from western medicine. Help had been sought from different health facilities with the help of relatives and friends.

    Conclusion: A switch between healthcare providers influenced by popular and folk sectos was found. Despite beliefs of using different healthcare providers searching for complementary medicine, participants still experienced health problems related to diabetes.

  • 49.
    Hjelm, Katarina
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet. Linnaeus University, Växjö, Sweden.
    Bard, Karin
    Linnaeus University, Växjö, Sweden.
    Beliefs about health and illness in Latin-American migrants with diabetes living in Sweden2013Inngår i: Open Nursing Journal, ISSN 1874-4346, E-ISSN 1874-4346, Vol. 7, s. 57-65Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim was to explore beliefs about health and illness in Latin American migrants diagnosed with diabetes mellitus (DM) living in Sweden, and investigated also the influence on self-care and care-seeking behavior. Migrants are particularly affected in the diabetes pandemia. Beliefs about health and illness guide health-related behaviour and health but no studies have been identified on Latin American migrants with DM. An explorative study design with focus-group interviews of nine persons aged 36-77 years from a diabetes clinic was used. Health was described from a pathogenetic or a salutogenetic perspective: 'freedom from disease or feeling of well-being', and being autonomous and able to work. Economic hardship due to high costs for medications and food for DM affected health. Individual factors such as diet, exercise and compliance with given advice, and social factors with good social relations and avoidance of stress, often caused by having experienced severe events related to migrational experiences, were considered of importance for maintaining health and could cause DM. Disturbed relations to others (social factors), punishment by Fate or God (supernatural factors), intake of drugs (diuretics) and imbalance between warmth and cold (natural factors) were also perceived as causes. A mixture of biomedical and traditional explanations and active self-care behaviour with frequent use of herbs was identified. It is important to assess the individual's beliefs, and healthcare staff, particularly nurses, should incorporate discussions of alternative treatments and other components of explanatory models and co-operate with social workers to consider the influence of economic resources and migrational experiences on health.

     

     

  • 50.
    Hjelm, Katarina
    et al.
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Bard, Karin
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Apelqvist, Jan
    Department of Endocrinology, Malmö University Hospital, University of Lund, Lund, Sweden.
    Gestational diabetes: prospective interview-study of the developing beliefs about health, illness and health care in migrant women.2012Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 21, nr 21-22, s. 3244-3256Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIMS AND OBJECTIVES: To explore the development over time of beliefs about health, illness and health care in migrant women with gestational diabetes mellitus born in the Middle East and living in Sweden and to study the influence on self-care and care seeking.

    BACKGROUND: With today's extensive global migration, contact with the new society/health care confronts the migrant's culture of origin with the culture of the host country. The question is whether immigrants' patterns of beliefs about health, illness and health-related behaviour change over time, as no previous studies have been found on this topic.

    DESIGN: A qualitative prospective exploratory study.

    METHODS: Semi-structured interviews, with 14 women (28-44 years), on three occasions: during pregnancy in gestational weeks 34-38 and three and 14 months after delivery.

    RESULTS:   There was a U-shaped development of beliefs, from focusing on worries about the baby's health during pregnancy and trying to comply with advice from health professionals, particularly a healthy diet, through regression to dietary habits (more sugar, less fibre) and lifestyle held before being diagnosed with gestational diabetes mellitus three months after delivery, back to a healthy diet/lifestyle and worries 14 months after delivery but then focusing on their own risk, as mothers, of developing type 2 diabetes and being unable to care for the child. Over time, the number of persons perceiving gestational diabetes mellitus as a transient condition decreased. Respondents lacked information about gestational diabetes mellitus, diet and follow-ups.

    CONCLUSION: Beliefs changed over time and influenced health-related behaviour. Beliefs about the seriousness of gestational diabetes mellitus among healthcare staff/care organisation influence the development of patients' beliefs and need to be considered in planning care.

    RELEVANCE TO CLINICAL PRACTICE: Pregnancy should be used as an opportunity to provide complete information about gestational diabetes mellitus and future health risks. This should continue after delivery and wishes for regular follow-ups should be met.

12 1 - 50 of 79
RefereraExporteraLink til resultatlisten
Permanent link
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf