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Wilson, I. M., Eurenius, E., Lindkvist, M., Edin, K. & Edvardsson, K. (2019). Is there an association between pregnant women's experience of violence and their partner's drinking?: A Swedish population-based study. Midwifery, 69, 84-91
Öppna denna publikation i ny flik eller fönster >>Is there an association between pregnant women's experience of violence and their partner's drinking?: A Swedish population-based study
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2019 (Engelska)Ingår i: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 69, s. 84-91Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

OBJECTIVE: Pregnancy is a time of heightened vulnerability for women, especially for experiencing violence in their close and intimate relationships. Alcohol misuse by a male intimate partner is a known contributor to increased risk and severity of intimate partner violence generally, however less is known about the relationship between partner drinking patterns and women's experience of violence in their relationship, and particularly in early pregnancy. This study aimed to explore these associations in a large, population-based sample of Swedish expectant parents.

DESIGN, SETTING AND PARTICIPANTS: Data for this cross-sectional study were drawn from 11 461 couples (22 922 participants) enrolled in Salut, a child health promotion programme in Västerbotten County Council, Sweden. Data were collected at women's antenatal care visits during the first trimester of pregnancy.

MEASUREMENTS: Questionnaires included male partners' self-reported drinking patterns using AUDIT (Alcohol Use Disorders Identification Test) and pregnant women's reports of violence. Descriptive and logistic regression analyses were undertaken to examine prevalence of reported violence and association with partner drinking patterns.

FINDINGS: There was a strong association between male partner alcohol misuse and the odds of pregnant women experiencing violence in general, experiencing violence since becoming pregnant, and fear for their own safety at the time of enrolment in ANC. The odds of having experienced being controlled or physically hurt in a relationship, or having ever experienced sexual violence, were higher with more serious alcohol misuse by the male partner. Most striking was that women whose partners reported hazardous drinking or alcohol dependence had nearly nine times higher odds of experiencing being physically hurt by a partner since becoming pregnant, compared to women whose partners reported non-harmful alcohol use (OR 8.50, CI 2.39-30.17, p = 0.001). Fearing for current safety was also strongly linked to more severe alcohol use by their current male partner (OR 7.65, CI 1.02-57.24, p = 0.048).

KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: This study contributes population-level evidence that the risk for women of experiencing violence in general or in early pregnancy is exacerbated when a male partner drinks in harmful ways. Health professionals and those supporting pregnant women should pay attention to the role of risk factors such as partner alcohol use. Ensuring the health of pregnant women and safety in their relationships is important for maternal, foetal and infant health and family functioning.

Ort, förlag, år, upplaga, sidor
Elsevier, 2019
Nyckelord
Alcohol drinking, Cross-sectional study, Intimate partner violence, Pregnancy, Risk factors, Sweden
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:umu:diva-153435 (URN)10.1016/j.midw.2018.10.019 (DOI)000454129800011 ()30415105 (PubMedID)2-s2.0-85056169104 (Scopus ID)
Tillgänglig från: 2018-11-21 Skapad: 2018-11-21 Senast uppdaterad: 2019-10-16Bibliografiskt granskad
Bölenius, K., Lämås, K., Sandman, P.-O., Lindkvist, M. & Edvardsson, D. (2019). Perceptions of self-determination and quality of life among Swedish home care recipients - across-sectional study. BMC Geriatrics, 19, Article ID 142.
Öppna denna publikation i ny flik eller fönster >>Perceptions of self-determination and quality of life among Swedish home care recipients - across-sectional study
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2019 (Engelska)Ingår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 19, artikel-id 142Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: It is acknowledged that preservation of self-determination is very important in order for older adults to experience good quality of life, but to what degree and in what areas people receiving help from home care service experience self-determination is unknown. Few studies have examined the perception of self-determination in relation to quality of life among older adults living at home with help from home care services. Thus, the aim of this study was to explore perceptions of self-determination among older adults living at home with the support of home care services, and to test whether older adults who perceive a higher degree of self-determination also feel they have a better quality of life.

Methods: This cross-sectional study was conducted in one municipality in northern Sweden. A total of 134 older adults (≥ 65 years) were included. Data were collected by means of a survey including questionnaires about background characteristics, self-determination, and health-related quality of life. Descriptive statistics regarding background characteristics for groups with high and low self-determination respectively were presented and the differences between the groups were analyzed using the Chi-square test and the Mann-Whitney U test.

Results: Our main finding shows that the majority of older adults with support from home care services experience self-determination in the dimensions use of time, and self-care. However, a wide variation was found in self-reported self-determination in all dimensions. Results also show that the group with higher self-reported self-determination also reported a greater degree of experienced quality of life in comparison with the group with lower self-reported self-determination.

Conclusions: In line with earlier research, our results found a positive relation between self-determination and quality of life. The results are relevant for the care of older adults and indicate a need of further research. The results presented in this paper could serve as a guide when planning for improved self-determination among older adults in home care service.

Ort, förlag, år, upplaga, sidor
BioMed Central, 2019
Nyckelord
Aged care, Health, Home care services, Nursing care, Older adults, Older people, Self-determination, Quality of life
Nationell ämneskategori
Geriatrik
Identifikatorer
urn:nbn:se:umu:diva-160298 (URN)10.1186/s12877-019-1145-8 (DOI)000468889900006 ()31126243 (PubMedID)
Forskningsfinansiär
Forte, Forskningsrådet för hälsa, arbetsliv och välfärd
Tillgänglig från: 2019-06-17 Skapad: 2019-06-17 Senast uppdaterad: 2019-06-17Bibliografiskt granskad
Hultin, M., Jonsson, K., Härgestam, M., Lindkvist, M. & Brulin, C. (2019). Reliability of instruments that measure situation awareness, team performance and task performance in a simulation setting with medical students. BMJ Open, 9(9), Article ID e029412.
Öppna denna publikation i ny flik eller fönster >>Reliability of instruments that measure situation awareness, team performance and task performance in a simulation setting with medical students
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2019 (Engelska)Ingår i: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 9, nr 9, artikel-id e029412Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

OBJECTIVES: The assessment of situation awareness (SA), team performance and task performance in a simulation training session requires reliable and feasible measurement techniques. The objectives of this study were to test the Airways-Breathing-Circulation-Disability-Exposure (ABCDE) checklist and the Team Emergency Assessment Measure (TEAM) for inter-rater reliability, as well as the application of Situation Awareness Global Assessment Technique (SAGAT) for feasibility and internal consistency.

DESIGN: Methodological approach.

SETTING: Data collection during team training using full-scale simulation at a university clinical training centre. The video-recorded scenarios were rated independently by four raters.

PARTICIPANTS: 55 medical students aged 22-40 years in their fourth year of medical studies, during the clerkship in anaesthesiology and critical care medicine, formed 23 different teams. All students answered the SAGAT questionnaires, and of these students, 24 answered the follow-up postsimulation questionnaire (PSQ). TEAM and ABCDE were scored by four professionals.

MEASURES: The ABCDE and TEAM were tested for inter-rater reliability. The feasibility of SAGAT was tested using PSQ. SAGAT was tested for internal consistency both at an individual level (SAGAT) and a team level (Team Situation Awareness Global Assessment Technique (TSAGAT)).

RESULTS: The intraclass correlation was 0.54/0.83 (single/average measurements) for TEAM and 0.55/0.83 for ABCDE. According to the PSQ, the items in SAGAT were rated as relevant to the scenario by 96% of the participants. Cronbach's alpha for SAGAT/TSAGAT for the two scenarios was 0.80/0.83 vs 0.62/0.76, and normed χ² was 1.72 vs 1.62.

CONCLUSION: Task performance, team performance and SA could be purposefully measured, and the reliability of the measurements was good.

Nyckelord
patient care team, resuscitation, situation awareness, task performance and analysis, teamwork
Nationell ämneskategori
Övrig annan medicin och hälsovetenskap
Identifikatorer
urn:nbn:se:umu:diva-163368 (URN)10.1136/bmjopen-2019-029412 (DOI)31515425 (PubMedID)
Tillgänglig från: 2019-09-17 Skapad: 2019-09-17 Senast uppdaterad: 2019-09-20Bibliografiskt granskad
Vaezghasemi, M., Eurenius, E., Richter Sundberg, L., Ivarsson, A., Silfverdal, S.-A. & Lindkvist, M. (2019). Social-emotional problems among Swedish three-year-olds: an Item Response Theory Analysis. Paper presented at 12th European Public Health Conference Building bridges for solidarity and public health Marseille, France 20th–23rd November 2019. European Journal of Public Health, 29, 367-368
Öppna denna publikation i ny flik eller fönster >>Social-emotional problems among Swedish three-year-olds: an Item Response Theory Analysis
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2019 (Engelska)Ingår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 29, s. 367-368Artikel i tidskrift, Meeting abstract (Övrigt vetenskapligt) Published
Ort, förlag, år, upplaga, sidor
Oxford University Press, 2019
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
urn:nbn:se:umu:diva-167302 (URN)10.1093/eurpub/ckz187.188 (DOI)
Konferens
12th European Public Health Conference Building bridges for solidarity and public health Marseille, France 20th–23rd November 2019
Tillgänglig från: 2020-01-15 Skapad: 2020-01-15 Senast uppdaterad: 2020-01-22Bibliografiskt granskad
Eurenius, E., Richter Sundberg, L., Vaezghasemi, M., Silfverdal, S.-A., Ivarsson, A. & Lindkvist, M. (2019). Social-emotional problems among three-year-olds differ based on the child's gender and custody arrangement. Acta Paediatrica, 108(6), 1087-1095
Öppna denna publikation i ny flik eller fönster >>Social-emotional problems among three-year-olds differ based on the child's gender and custody arrangement
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2019 (Engelska)Ingår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 108, nr 6, s. 1087-1095Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

AIM: The aim of this study was to investigate mental health with respect to social-emotional problems among three-year-olds in relation to their gender, custody arrangements and place of residence.

METHODS: A cross-sectional population-based design was used, encompassing 7,179 three-year-olds in northern Sweden during the period 2014-2017 from the regional Salut Register. Descriptive and comparative analyses were performed based on parents' responses on the Ages and Stages Questionnaires: Social-Emotional (ASQ:SE), supplemented with items on gender, custody arrangement and place of residence.

RESULTS: Parental-reported social-emotional problems were found in almost 10% of the children. Boys were reported to have more problems (12.3%) than girls (5.6%) (p<0.001). Parents were most concerned about children's eating habits and interactions at mealtimes. Parents not living together reported more problems among their children than those living together (p<0.001). When stratifying by custody arrangement, girls in rural areas living alternately with each parent had more problems compared to those in urban areas (p<0.008).

CONCLUSION: Gender and custody arrangements appear to be important factors for social-emotional problems among three-year-olds. Thus, such conditions should receive attention during preschool age, preferably by a systematic preventive strategy within Child Health Care.

Ort, förlag, år, upplaga, sidor
John Wiley & Sons, 2019
Nyckelord
ages and stages questionnaires, cross-sectional study, emotional and behavioural problems, mental health, preschool child
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
urn:nbn:se:umu:diva-154007 (URN)10.1111/apa.14668 (DOI)000467867900018 ()30496622 (PubMedID)2-s2.0-85058852765 (Scopus ID)
Tillgänglig från: 2018-12-11 Skapad: 2018-12-11 Senast uppdaterad: 2019-06-19Bibliografiskt granskad
Ivarsson, A., Eurenius, E., Lindkvist, M. & Richter Sundberg, L. (2019). Socioemotionell förmåga hos treåringar: Resultat från en befolkningsbaserad studie i Västerbottens län. Brookes Publishing Company
Öppna denna publikation i ny flik eller fönster >>Socioemotionell förmåga hos treåringar: Resultat från en befolkningsbaserad studie i Västerbottens län
2019 (Svenska)Rapport (Övrigt vetenskapligt)
Abstract [sv]

Det övergripande målet för svensk barnhälsovård är att främja barns hälsa, trygghet och utveckling samt ge stöd i föräldraskapet. Barn i Sverige är i hög grad fysiskt friska i internationell jämförelse, men det finns indikationer på att den psykiska ohälsan har ökat hos barn och ungdomar under de senaste decennierna. Kunskapen om förekomst av, och bakomliggande faktorer, till psykisk ohälsa hos förskolebarn är dock otillräcklig. Syftet med denna studie är därför att undersöka treåringars socioemotionella förmåga med avseende på könsskillnader och boende i stad eller på landsbygd i Västerbottens län.

Förskolebarns psykiska hälsa undersöks systematiskt

I denna studie har instrumentet Ages and Stages Questionnaires: Social-Emotional (ASQ:SE) använts för att undersöka föräldrars rapporterade socioemotionella förmåga hos treåringar. ASQ:SE 36-månadersversion delas rutinmässigt ut till föräldrar inför treårsbesöket på barnavårdscentraler i Västerbottens län sedan 2013. ASQ:SE är ursprungligen utvecklat i USA och mäter barns socioemotionella förmåga inom sju domäner: självreglering, följsamhet, kommunikation, adaptiv förmåga, autonomi, affekt och social interaktion. Socioemotionell förmåga i treårsåldern är exempelvis förmåga till samspel med vuxna och jämnåriga samt förmåga att med stöd av förälder reglera egna känslor. Betydande avvikelser i den socioemotionella förmågan vid denna ålder kan tyda på att barnet har en sårbarhet som kan leda till fortsatta och ibland mer allvarliga socioemotionella problem.

Generellt god psykisk hälsa men fler problem bland pojkar

Svaren från majoriteten av föräldrarna indikerar god socioemotionell förmåga hos barnen, dock hade nästan en av tio treåringar föräldrarapporterade socioemotionella problem, med ASQ:SE-poäng över gränsvärdet 59. Problemen var dubbelt så vanliga bland pojkar (12 procent) som bland flickor (6 procent) (p <0,001). Det fanns inga signifikanta skillnader i socioemotionell förmåga mellan barn bosatta i städer i jämförelse med barn bosatta på landsbygden. Skillnaderna mellan könen var dock kvarstående oberoende av geografisk hemvist. Domänerna autonomi och följsamhet innehöll de frågor för vilka flest föräldrar rapporterade svårigheter, detta gällde för både pojkar och flickor.

Slutsats

Studien har ökat förståelsen för socioemotionell förmåga hos treåringar i Sverige. Den förstärker vikten av att identifiera problem i tidig ålder och att beakta könsskillnader. Redan i förskoleåldern bör socioemotionell förmåga uppmärksammas, helst genom en systematisk strategi inom barnhälsovården

Ort, förlag, år, upplaga, sidor
Brookes Publishing Company, 2019. s. 36
Serie
Rapport från Folkhälsomyndigheten
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
urn:nbn:se:umu:diva-159192 (URN)
Tillgänglig från: 2019-05-21 Skapad: 2019-05-21 Senast uppdaterad: 2019-06-10Bibliografiskt granskad
Pulkki-Brännström, A.-M., Lindkvist, M., Eurenius, E., Häggström, J., Ivarsson, A., Feldman, I. & Sampaio, F. (2019). The equity impact of a universal child health promotion programme. Paper presented at 12th European Public Health (EPH) Conference, 20-23 November 2019 in Marseille, France. European Journal of Public Health, 29
Öppna denna publikation i ny flik eller fönster >>The equity impact of a universal child health promotion programme
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2019 (Engelska)Ingår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 29, s. -103Artikel i tidskrift, Meeting abstract (Övrigt vetenskapligt) Published
Ort, förlag, år, upplaga, sidor
Oxford University Press, 2019
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
urn:nbn:se:umu:diva-167299 (URN)10.1093/eurpub/ckz185.270 (DOI)
Konferens
12th European Public Health (EPH) Conference, 20-23 November 2019 in Marseille, France
Tillgänglig från: 2020-01-15 Skapad: 2020-01-15 Senast uppdaterad: 2020-01-16Bibliografiskt granskad
Baxter, R., Lövheim, H., Björk, S., Sköldunger, A., Lindkvist, M., Sjögren, K., . . . Edvardsson, D. (2019). The thriving of older people assessment scale: Psychometric evaluation and short‐form development. Journal of Advanced Nursing, 75(12), 3831-3843
Öppna denna publikation i ny flik eller fönster >>The thriving of older people assessment scale: Psychometric evaluation and short‐form development
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2019 (Engelska)Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 75, nr 12, s. 3831-3843Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aim: To evaluate the psychometric properties and performance of the 32‐item Thriving of Older People Assessment Scale (TOPAS) and to explore reduction into a short‐form.

Background: The 32‐item TOPAS has been used in studies of place‐related well‐being as a positive measure in long‐term care to assess nursing home resident thriving; however, item redundancy has not previously been explored.

Design: Cross‐sectional.

Method: Staff members completed the 32‐item TOPAS as proxy‐raters for a random sample of Swedish nursing home residents (N = 4,831) between November 2013 and September 2014. Reliability analysis, exploratory factor analysis and item response theory‐based analysis were undertaken. Items were systematically identified for reduction using statistical and theoretical analysis. Correlation testing, means comparison and model fit evaluation confirmed scale equivalence.

Results: Psychometric properties of the 32‐item TOPAS were satisfactory and several items were identified for scale reduction. The proposed short‐form TOPAS exhibited a high level of internal consistency (α=0.90) and strong correlation (r=0.98) to the original scale, while also retaining diversity among items in terms of factor structure and item difficulties.

Conclusion: The 32‐item and short‐form TOPAS' indicated sound validity and reliability to measure resident thriving in the nursing home context.

Impact: There is a lack of positive life‐world measures for use in nursing homes. The short‐form TOPAS indicated sound validity and reliability to measure resident thriving, providing a feasible measure with enhanced functionality for use in aged care research, assessments and care planning for health promoting purposes in nursing homes.

Nyckelord
instrument development, scale reduction, psychometrics, thriving, TOPAS, place‐related well‐being, nursing home residents, long‐term care, nursing
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:umu:diva-162729 (URN)10.1111/jan.14180 (DOI)000485117600001 ()31441533 (PubMedID)2-s2.0-85071953661 (Scopus ID)
Tillgänglig från: 2019-08-27 Skapad: 2019-08-27 Senast uppdaterad: 2020-01-09Bibliografiskt granskad
Corneliusson, L., Sköldunger, A., Sjögren, K., Lövheim, H., Lindkvist, M., Wimo, A., . . . Edvardsson, D. (2019). Well‐being and Thriving in Sheltered Housing versus Ageing in Place: Results from the U‐Age Sheltered Housing Study. Journal of Advanced Nursing
Öppna denna publikation i ny flik eller fönster >>Well‐being and Thriving in Sheltered Housing versus Ageing in Place: Results from the U‐Age Sheltered Housing Study
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2019 (Engelska)Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648Artikel i tidskrift (Refereegranskat) Accepted
Abstract [en]

Aims: To explore to what extent type of residence (sheltered housing or ageing in place) contributes to thriving and well‐being in older adults, when controlling for age, sex, living alone, being a widow and adjusting for functional status, self‐rated health and depressive mood.

Design: A matched cohort study.

Methods: A self‐report survey was sent out to a total population of residents in all sheltered housings in Sweden and a matched control group ageing in place (N = 3,805). The data collection took place between October 2016 ‐ January 2017.

Results: The interaction analyses related to thriving showed that with increasing level of depressive mood and decreasing levels of self‐rated health and functional status, those residing in sheltered housing generally reported higher levels of thriving, as compared with those ageing in place. Well‐being was not found to be significantly associated with type of accommodation.

Conclusion: There may be features in sheltered housing that are associated with resident thriving especially among individuals with impairments of function, health or mood, although further studies are required to identify these specific features.

Impact:

  • This study informs staff and policy makers about thriving and well‐being in sheltered housing accommodations.
  • These findings may be used to further the development of sheltered housing accommodations.
Ort, förlag, år, upplaga, sidor
John Wiley & Sons, 2019
Nyckelord
aged, cohort study, housing for the elderly, nursing, older people, quality of life, residence characteristics, social participation, thriving, well‐being
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:umu:diva-166130 (URN)10.1111/jan.14285 (DOI)31814145 (PubMedID)
Tillgänglig från: 2019-12-12 Skapad: 2019-12-12 Senast uppdaterad: 2019-12-12
Björk, S., Lindkvist, M., Lövheim, H., Bergland, Å., Wimo, A. & Edvardsson, D. (2018). Exploring resident thriving in relation to the nursing home environment: A cross‐sectional study. Journal of Advanced Nursing, 74(12), 2820-2830
Öppna denna publikation i ny flik eller fönster >>Exploring resident thriving in relation to the nursing home environment: A cross‐sectional study
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2018 (Engelska)Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 74, nr 12, s. 2820-2830Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aim: To explore the extent to which environmental factors are associated with resident thriving. Background: Thriving is a concept that denotes experiences of well-being in relation to the living environment. Although there is a substantial body of research into quality of life in nursing homes, less is known about what contributes to thriving among residents. Recent research on resident thriving has focused mainly on resident characteristics and activities associated with thriving. Less attention has been given to explore associations with the physical and psychosocial environment of the nursing home. This study explores facility- and unit-level factors associated with resident thriving. Design: A cross-sectional national survey. Methods: Data on 4,205 residents, 3,509 staff, and environment of 147 nursing home facilities collected in 2013–2014 were analysed using descriptive statistics, multilevel simple, and multiple linear regression to explore resident thriving in relation to environmental factors. Results: Multilevel analysis revealed that residents’ thriving varied significantly across nursing home units. Several environmental factors were associated with thriving in univariate analyses. However, a positive psychosocial climate of units, having access to newspapers, living in a special care unit, and living in an unlocked facility showed significant positive associations with resident thriving when controlling for resident characteristics. The psychosocial climate showed the strongest association of the environment variables with resident thriving. Conclusions: Nursing home environments may have an impact on residents’ thriving. A positive psychosocial climate of units seems to have an important role in facilitating thriving in nursing home residents.

Ort, förlag, år, upplaga, sidor
John Wiley & Sons, 2018
Nyckelord
cross-sectional study, older people, environment, nursing, nursing homes, proxy, psychosocial environment, thriving
Nationell ämneskategori
Omvårdnad
Forskningsämne
omvårdnadsforskning med medicinsk inriktning
Identifikatorer
urn:nbn:se:umu:diva-139061 (URN)10.1111/jan.13812 (DOI)000452529800014 ()30043451 (PubMedID)2-s2.0-85053192917 (Scopus ID)
Forskningsfinansiär
Forte, Forskningsrådet för hälsa, arbetsliv och välfärd, 2014-4016Vetenskapsrådet, 521-2014-2715
Anmärkning

Originally included in thesis in manuscript form.

Tillgänglig från: 2017-09-06 Skapad: 2017-09-06 Senast uppdaterad: 2019-01-23Bibliografiskt granskad
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