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Åström, Sture
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Carlbo, A., Claesson, H. P. & Åström, S. (2018). Nurses' experiences in using physical activity as complementary treatment in patients with schizophrenia. Issues in Mental Health Nursing, 39(7), 600-607
Open this publication in new window or tab >>Nurses' experiences in using physical activity as complementary treatment in patients with schizophrenia
2018 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 39, no 7, p. 600-607Article in journal (Refereed) Published
Abstract [en]

Introduction: Schizophrenia is a common disease with a high risk of comorbidity in both psychiatric and somatic diseases. Physical activity is proven effective in reducing symptoms of schizophrenia and increasing overall health. Still it is not used systematically in the care of persons with schizophrenia.

Aim: The aim of this study is to describe nurses' experience, including personal motivation, in using physical activity as complementary treatment in patients with schizophrenia.

Method: Interviews in three focus groups with 12 participating nurses were conducted. Qualitative content analysis was used to analyze data.

Results: Physical activity was commonly used. Although several nurses signaled positive patient response, i.e. less anxiety and better quality of sleep, the overall consensus was an uncertainty regarding the benefits. It was perceived as non-evidence based form of intervention.

Conclusion: The uncertainty of the benefits of physical activity is evident in nursing staff and poses a resistance to implement systematic physical activity as a complementary treatment in schizophrenia. A new awareness of evidence based nursing is suggested to promote a wider and more receptive attitude to reduce patient vulnerability in persons with schizophrenia.

Place, publisher, year, edition, pages
Taylor & Francis, 2018
National Category
Nursing Psychiatry
Identifiers
urn:nbn:se:umu:diva-153844 (URN)10.1080/01612840.2018.1429508 (DOI)000445651800009 ()29505316 (PubMedID)
Available from: 2018-12-06 Created: 2018-12-06 Last updated: 2018-12-06Bibliographically approved
Alverbratt, C., Berlin, J., Åström, S., Kauffeldt, A. & Carlström, E. (2017). A New Working Method in Psychiatric Care: The Impact of Implementation. International Journal of Public Administration, 40(3), 295-304
Open this publication in new window or tab >>A New Working Method in Psychiatric Care: The Impact of Implementation
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2017 (English)In: International Journal of Public Administration, ISSN 0190-0692, E-ISSN 1532-4265, Vol. 40, no 3, p. 295-304Article in journal (Refereed) Published
Abstract [en]

An equal mix of organizational cultures is important for a successful implementation process. The aim of this study was to examine the implementation of a new working method in psychiatric hospital wards, representing different cultural characteristics. Descriptive quantitative data were collected at two hospitals (intervention and control). The results revealed one ward characterized by a mix of organizational cultures. This ward, compared with other intervention wards, showed the best results regarding patient assessed empowerment and participation. The result shows tentatively that organizational culture may have an impact on the implementation processes.

Keywords
Empowerment, implementation, organizational culture, patient participation, psychiatric care
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-119052 (URN)10.1080/01900692.2015.1072557 (DOI)000415696000007 ()
Available from: 2016-04-11 Created: 2016-04-11 Last updated: 2018-06-07Bibliographically approved
Antonsson, H., Hällgren Graneheim, U., Isaksson, U., Åström, S. & Lundström, M. O. (2016). Evaluation of a Web-Based Training Program for Professional Carers Working With People With Learning Disabilities and Challenging Behavior: A Pilot Study with SSED-Design. Issues in Mental Health Nursing, 37(10), 734-743
Open this publication in new window or tab >>Evaluation of a Web-Based Training Program for Professional Carers Working With People With Learning Disabilities and Challenging Behavior: A Pilot Study with SSED-Design
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2016 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 37, no 10, p. 734-743Article in journal (Refereed) Published
Abstract [en]

The interaction between people with intellectual disabilities and professional carers is often influenced by communicative difficulties contributing challenging behaviours. The aims of this study were to evaluate to a web-based training program aimed at improving carers' abilities to interact with people with learning disabilities who exhibit challenging behaviours and to explore carers' experiences of participating in such a program. A single-subject experimental design and mixed methods were used to integrate qualitative and quantitative data. Triangulation of questionnaires, interviews with carers, and assessments of one woman's behaviour was performed. The participants were professional carers aged 20 to 55 years. The web-based training program increased carers' abilities to handle challenging behaviours and decreased challenging behaviours in daily care. The program improved the opportunities to offer training to carers who work in community-based accommodations with limited time to receive training.

Keywords
learning disabilities, challenging behaviour, web-based training, ssed-design, communication, interaction
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-126068 (URN)10.1080/01612840.2016.1189636 (DOI)000388646100006 ()27351080 (PubMedID)
Available from: 2016-09-28 Created: 2016-09-28 Last updated: 2018-06-07Bibliographically approved
Lier, H. Ø., Åström, S. & Rørtveit, K. (2016). Patients' daily life experiences five years after gastric bypass surgery: a qualitative study. Journal of Clinical Nursing, 25(3-4), 322-331
Open this publication in new window or tab >>Patients' daily life experiences five years after gastric bypass surgery: a qualitative study
2016 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 25, no 3-4, p. 322-331Article in journal (Refereed) Published
Abstract [en]

AIM AND OBJECTIVE: The objective was to explore and describe patients' daily life experiences five years after gastric bypass surgery.

BACKGROUND: Bariatric surgery markedly decreases body weight. Previous studies describe positive consequences, as well as physical, social and emotional challenges during the first few years after surgery. An understanding of how patients adjust to and cope with postsurgical changes in the long term is crucial to help them obtain a successful outcome after bariatric surgery.

METHOD: A qualitative method was employed. In-depth interviews with 10 men and women were conducted five years after bariatric surgery in a Norwegian hospital.

RESULTS: One overarching theme - a multitude of daily life changes following bariatric surgery - was developed based on three main themes: relational aspects related to weight loss, the new body and changes in self-esteem. Six sub-themes are described.

CONCLUSION: Those who undergo gastric bypass surgery experience enormous changes in their daily lives. Their social lives, their relationship to their body and their self-esteem may be altered by the weight loss.

RELEVANCE TO CLINICAL PRACTICE: The results of this study suggest directions for patient education, health staff education and peer education. A patient education programme focusing on changes in daily life experiences when undergoing gastric bypass surgery is suggested due to the changes experienced by the patients involved in this study.

Keywords
gastric bypass surgery, in-depth interviews, qualitative method, weight loss
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-113774 (URN)10.1111/jocn.13049 (DOI)000370637600005 ()26621613 (PubMedID)
Available from: 2015-12-29 Created: 2015-12-29 Last updated: 2018-06-07Bibliographically approved
Berglund, S., Åström, S. & Lindgren, B.-M. (2016). Patients' Experiences After Attempted Suicide: A Literature Review. Issues in Mental Health Nursing, 37(10), 715-726
Open this publication in new window or tab >>Patients' Experiences After Attempted Suicide: A Literature Review
2016 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 37, no 10, p. 715-726Article, review/survey (Refereed) Published
Abstract [en]

The aim of this study has been to synthesize research on suicidal patients' experiences of the suicide process. A literature search was performed in CINAHL, PubMed, and PsycINFO, and the analysis of the 15 articles covered was based on meta-synthesis. Patients experience a wide variety of feelings regarding their situation during the suicide process, and these exist on two levels: they relate to the different aspects of care that the patients receive and the patients' need to communicate with others and regain hope. The patients in this study described the struggle to maintain hope when life became too difficult and their suffering despite a sense of security, and they sought to achieve emotional balance. A good understanding of how suicidal individuals live with and manage suicidal ideation, while maintaining hope is important for planning effective nursing care. Further research from the patient perspective is needed to further develop psychiatric care for people at risk of suicide.

National Category
Nursing
Research subject
Caring Sciences
Identifiers
urn:nbn:se:umu:diva-122826 (URN)10.1080/01612840.2016.1192706 (DOI)000388646100004 ()27327200 (PubMedID)
Available from: 2016-06-22 Created: 2016-06-22 Last updated: 2018-06-07Bibliographically approved
Norberg, M., Magnusson, E., Thyme, K. E., Åström, S., Lindh, J. & Öster, I. (2015). Breast Cancer Survivorship: Intersecting Gendered Discourses in a 5-Year Follow-Up Study. Health Care for Women International, 36(5), 617-633
Open this publication in new window or tab >>Breast Cancer Survivorship: Intersecting Gendered Discourses in a 5-Year Follow-Up Study
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2015 (English)In: Health Care for Women International, ISSN 0739-9332, E-ISSN 1096-4665, Vol. 36, no 5, p. 617-633Article in journal (Refereed) Published
Abstract [en]

In this article we present a follow-up study of women's interview narratives about life five to seven years after a breast cancer operation. The women had taken part in a study during the six-month post-operation period. Art therapy contributed to well-being, including strengthening personal boundaries. In the new study, interview analysis informed by critical discursive psychology indicated three problematic discourses that the women still struggled with several years after the operation: the female survivor, the "good woman", individual responsibility. We concluded that many women with a history of breast cancer need support several years after their medical treatment is finished.

Keywords
breast cancer, art therapy, gender, follow-up, critical disursive psycology
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-101160 (URN)10.1080/07399332.2015.1017640 (DOI)000353712900004 ()25692802 (PubMedID)
External cooperation:
Available from: 2015-03-26 Created: 2015-03-23 Last updated: 2018-06-07Bibliographically approved
Høye, S., Kvigne, K., Åström, S., Severinsson, E. & Öster, I. (2015). Encounters between multicultural family members and the nurses in the context of intensive care. Clinical Nursing Studies, 3(1), 89-99
Open this publication in new window or tab >>Encounters between multicultural family members and the nurses in the context of intensive care
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2015 (English)In: Clinical Nursing Studies, ISSN 2324-7940 (Print); 2324-7959 (Online), Vol. 3, no 1, p. 89-99Article in journal (Refereed) Published
Abstract [en]

The increase in people on the move creates populations that are culturally diverse. People meet various challenges regarding the migration process, social life, jobs and health issues. When a person suffers from acute and critical illness, he/she may be in need of intensive care. The aim of this study was to explore the comprehension of culture, caring and gender among first and second generation immigrant women as relatives on their encounters with intensive care nurses in Norwegian hospitals. A design based upon discursive psychology to explore subject positions, interpretative repertoires and ideological dilemmas focused immigrant female relatives’ experiences with a cultural and gender perspective. Immigrants who were relatives to critically ill people were interviewed. The results of the discourse analysis revealed the following themes: being the caring person as woman, being intertwined between the Western hospital culture and the original family culture and belonging to a minority in a Western majority culture. Conclusion: The women in the families with a critically ill family member mainly act as the caring person. There are dilemmas in how much every family transfer the responsibility for their loved one to the nurses. Anxious attitudes regarding caring activities are rarely linked to their cultural background.

Place, publisher, year, edition, pages
Sciedu Press, 2015
Keywords
Immigrant, Women, Family member, Discourse analysis, Intensive care
National Category
Nursing
Research subject
omvårdnadsforskning med samhällsvetenskaplig inriktning
Identifiers
urn:nbn:se:umu:diva-97440 (URN)10.5430/cns.v3n1p89 (DOI)
Available from: 2014-12-17 Created: 2014-12-17 Last updated: 2018-06-07Bibliographically approved
Öster, I., Tavelin, B., Edberg Thyme, K., Magnusson, E., Isaksson, U., Lindh, J. & Åström, S. (2014). Art therapy during radiotherapy – A five-year follow-up study with women diagnosed with breast cancer. The arts in psychotherapy, 41(1), 36-40
Open this publication in new window or tab >>Art therapy during radiotherapy – A five-year follow-up study with women diagnosed with breast cancer
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2014 (English)In: The arts in psychotherapy, ISSN 0197-4556, E-ISSN 1873-5878, Vol. 41, no 1, p. 36-40Article in journal (Refereed) Published
Abstract [en]

Follow-up studies on art therapy are lacking. In a randomised art therapy intervention study from 2001 to 2004 with women with breast cancer, results showed that patients benefitted from participating in art therapy for up to four months after the intervention. The aim of this study was to describe the coping resources and quality of life amongst women treated for breast cancer five to seven years after participating in individual art therapy during radiotherapy as compared to a control group. In 2009, thirty-seven women, 18 from the intervention group and 19 from the control group, answered questionnaires about their coping resources and quality of life. The results showed no significant difference between the groups regarding their coping resources or quality of life, except for an unexpected significantly lower score in the domain 'Social relations' in the study group as compared to baseline, at the time of the follow up. However, our study from 2001 to 2004 supports various positive effects of art therapy within six months of participation as compared to a control group. Consequently, attending art therapy during the treatment period for breast cancer can be of great importance to support health, coping and quality of life in a short-term perspective.

Keywords
Art therapy, Breast cancer, Coping, Follow-up, Quality of life
National Category
Psychology
Identifiers
urn:nbn:se:umu:diva-98899 (URN)10.1016/j.aip.2013.10.003 (DOI)000332194400006 ()
Available from: 2015-01-28 Created: 2015-01-28 Last updated: 2018-06-07Bibliographically approved
Öster, I., Tavelin, B., Egberg Thyme, K., Magnusson, E., Isaksson, U., Lindh, J. & Åström, S. (2014). Art therapy during radiotherapy: a five-year follow-up study with women diagnosed with breast cancer. The arts in psychotherapy, 41(1), 36-40
Open this publication in new window or tab >>Art therapy during radiotherapy: a five-year follow-up study with women diagnosed with breast cancer
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2014 (English)In: The arts in psychotherapy, ISSN 0197-4556, E-ISSN 1873-5878, Vol. 41, no 1, p. 36-40Article in journal (Refereed) Published
Abstract [en]

Follow-up studies on art therapy are lacking. In a randomised art therapy intervention study from 2001-2004 with women with breast cancer, results showed that patients benefitted from participating in art therapy for up to at least four months after the intervention. The aim of this study was to describe the coping resources and quality of life amongst women treated for breast cancer five - seven years after participating in individual art therapy during radiotherapy as compared to a control group. In 2009, thirty-seven women, 18 from the intervention group and 19 from the control group, answered questionnaires about their coping resources and quality of life. The results showed no significant difference between the groups regarding their coping resources or quality of life, except for an unexpected significantly lower score in the domain ‘Social relations’ in the study group as compared to baseline, at the time of the follow up. However, our study from 2001–2004 supports various positive effects of art therapy within six months of participation as compared to a control group. Consequently, attending art therapy during the treatment period for breast cancer can be of great importance to support health, coping and quality of life in a short-term perspective.

Keywords
art therapy, breast cancer, coping, follow-up, quality of life
National Category
Psychology Clinical Medicine
Identifiers
urn:nbn:se:umu:diva-87472 (URN)10.1016/j.aip.2013.10.003 (DOI)000332194400006 ()
Available from: 2014-04-02 Created: 2014-04-02 Last updated: 2018-06-08Bibliographically approved
Johansson, C., Åström, S., Kauffeldt, A., Helldin, L. & Carlström, E. (2014). Culture as a predictor of resistance to change: a study of competing values in a psychiatric nursing context. Health Policy, 114(2-3), 156-162
Open this publication in new window or tab >>Culture as a predictor of resistance to change: a study of competing values in a psychiatric nursing context
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2014 (English)In: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 114, no 2-3, p. 156-162Article in journal (Refereed) Published
Abstract [en]

It is well known that a conservative organizational culture can hinder the implementation of new organizational models. Prior to introducing something new it is important to identify the culture within the organization. This paper sets out to detect the feasibility of reform in a psychiatric clinic in a Swedish hospital prior to implementation of a new working method - a structured tool based on the International Classification of Functioning Disability and Health. A survey consisting of two instruments - an organizational values questionnaire (OVQ) and a resistance to change scale (RTC) - was distributed to registered and assistant nurses at the clinic. The association between the organizational subcultures and resistance to change was investigated with regression analysis. The results revealed that the dominating cultures in the outpatient centers and hospital wards were characterized by human relation properties such as flexibility, cohesion, belongingness, and trust. The mean resistance to change was low, but the subscale of cognitive rigidity was dominant, reflecting a tendency to avoid alternative ideas and perspectives. An instrument like the one employed in the study could be a useful tool for diagnosing the likelihood of extensive and costly interventions.

Place, publisher, year, edition, pages
Elsevier, 2014
Keywords
Organizational culture, resistance to change, psychiatry, ICF, Sweden
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:umu:diva-81058 (URN)10.1016/j.healthpol.2013.07.014 (DOI)000331159300007 ()23932351 (PubMedID)
Note

First published online 7 August 2013.

Available from: 2013-10-01 Created: 2013-10-01 Last updated: 2018-06-08Bibliographically approved
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