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Lundström, Mats O.
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Publications (10 of 14) Show all publications
Lindgren, B.-M., Molin, J., Lundström, M., Strömbäck, M., Salander Renberg, E. & Ringnér, A. (2018). Does a new spatial design in psychiatric inpatient care influence patients’ and staff’s perception of their care/working environment?: A study protocol of a pilot study using a single-system experimental design. Pilot and Feasibility Studies, 4, Article ID 191.
Open this publication in new window or tab >>Does a new spatial design in psychiatric inpatient care influence patients’ and staff’s perception of their care/working environment?: A study protocol of a pilot study using a single-system experimental design
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2018 (English)In: Pilot and Feasibility Studies, ISSN 2055-5784, Vol. 4, article id 191Article in journal (Refereed) Published
Abstract [en]

Background: Research shows that worn-out physical environments are obstacles to psychiatric inpatient care. Patients want better relationships with staff and things to do; staff want an environment that offers hope, a calm atmosphere, and joint activities. A county council in northern Sweden and Philips Healthcare partnered to create solutions to the environmental challenges of psychiatric inpatient care. One ward at a county psychiatric clinic was selected for a pilot project to test solutions that could improve the care environment for patients, staff, and relatives. The aim of the overall project is to evaluate the effects of a newly designed psychiatric inpatient ward on patients and staff in terms of quality of care and stress. In this study, we focus on the feasibility through testing questionnaires and exploring barriers to recruiting staff and patients.

Methods: This study had a single-system experimental design, comparing a psychiatric unit pre- and post-implementation of the novel spatial design, using repeated measures with the same questionnaires twice a week during baseline and intervention phases. Primary outcomes were quality interactions (patients) and perceived stress (staff). Secondary outcomes were levels of anxiety and depression (patients), and stress of conscience (staff). A process evaluation was aimed to describe contextual factors and participant experiences of the new design. Data was collected using questionnaires and semi-structured individual interviews with patients and focus group discussions with staff. Both visual and statistical methods were used to analyse the quantitative data and content analysis for the qualitative data.

Discussion: The findings will contribute insights into whether and how a new spatial design might contribute to quality interactions and reduced stress. This is relevant both nationally and internationally, as similar interventions are needed but sparse. The findings will be disseminated through peer-reviewed publications and conference presentations.

Trial registration: ClinicalTrials.gov, NCT03140618, registered 4 May 2017.

Keywords
Activity, Environment, Feasibility, Intervention, Nursing, Process evaluation, Protocol, Psychiatric inpatient care, Quality interactions, Single-system design
National Category
Nursing Psychiatry
Identifiers
urn:nbn:se:umu:diva-154939 (URN)10.1186/s40814-018-0383-4 (DOI)30607254 (PubMedID)
Available from: 2019-01-07 Created: 2019-01-07 Last updated: 2019-01-11Bibliographically approved
Rullander, A.-C., Lundström, M. O., Östlund, U. & Lindh, V. (2017). Adolescents' experiences of scoliosis surgery and the trajectory of self-reported pain: a mixed-methods study. Orthopedic Nursing, 36(6), 414-423
Open this publication in new window or tab >>Adolescents' experiences of scoliosis surgery and the trajectory of self-reported pain: a mixed-methods study
2017 (English)In: Orthopedic Nursing, ISSN 0744-6020, E-ISSN 1542-538X, Vol. 36, no 6, p. 414-423Article in journal (Refereed) Published
Abstract [en]

Scoliosis surgery for adolescents is a major surgery with a diffi cult recovery. In this study, a mixed-methods design was used to broaden the scope of adolescents' experiences of surgery for idiopathic scoliosis and the trajectory of self-reported pain during the hospital stay and through the fi rst 6 months of recovery at home. Self-reports of pain, diaries, and interviews were analyzed separately. The results were then integrated with each other. The trajectory of self-reported pain varied hugely between individuals. Adolescents experienced physical suffering and struggled to not be overwhelmed. The adolescents described the environmental and supportive factors that enabled them to cope and how they hovered between suffering and control as they strived toward normality. This study highlights areas of potential improvement in perioperative scoliosis care in terms of nursing support and pain management.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2017
Keywords
Scoliosis, Nursing, Perioperative care, Pain, Adolescent, Recovery
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-111598 (URN)10.1097/NOR.0000000000000402 (DOI)000417937300007 ()
Available from: 2015-11-17 Created: 2015-11-17 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
Rullander, A.-C., Lundström, M., Lindkvist, M., Hägglöf, B. & Lindh, V. (2016). Stress symptoms among adolescents before and after scoliosis surgery: correlations with postoperative pain. Journal of Clinical Nursing, 25(7-8), 1086-1094
Open this publication in new window or tab >>Stress symptoms among adolescents before and after scoliosis surgery: correlations with postoperative pain
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2016 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 25, no 7-8, p. 1086-1094Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: The aim of this study was to describe stress symptoms among adolescents before and after scoliosis surgery and to explore correlations with postoperative pain.

BACKGROUND: Scoliosis surgery is a major surgical procedure. Adolescent patients suffer from preoperative stress and severe postoperative pain. Previous studies indicate that there is a risk of traumatisation and psychological complications during the recovery period.

DESIGN: A prospective quantitative cohort study with consecutive inclusion of participants.

METHODS: A cohort of 37 adolescent patients aged 13-18. To assess the adolescents' experiences before surgery and at six to eight months after surgery, the Trauma Symptom Checklist for Children - Alternative version, Youth Self-Report and Kiddie Schedule for Affective Disorder and Schizophrenia for children 12-18 were used. The Visual Analogue Scale was used for self-report of postoperative pain on day three.

RESULTS: Rates of anxiety/depression and internalising behaviour were significantly higher before surgery than six months after. Preoperative anger, social problems and attention problems correlated significantly with postoperative pain on day three. At follow-up, postoperative pain correlated significantly with anxiety, social problems and attention problems.

CONCLUSIONS: The results of this study indicate a need for interventions to reduce perioperative stress and postoperative pain to improve the quality of nursing care.

RELEVANCE TO CLINICAL PRACTICE: Attention to preoperative stress and implementation of interventions to decrease stress symptoms could ameliorate the perioperative process by reducing levels of postoperative pain, anxiety, social and attention problems in the recovery period.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2016
Keywords
adolescent, anxiety, idiopathic scoliosis, pain, perioperative, stress symptoms
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-111596 (URN)10.1111/jocn.13137 (DOI)000372928900021 ()26898698 (PubMedID)
Available from: 2015-11-17 Created: 2015-11-17 Last updated: 2018-06-07Bibliographically approved
Antonsson, H., Åström, S., Lundström, M. & Hällgren Graneheim, U. (2013). Skilled interaction among professional carers in special accommodations for adult people with learning disabilities. Journal of Psychiatric and Mental Health Nursing, 20(7), 576-583
Open this publication in new window or tab >>Skilled interaction among professional carers in special accommodations for adult people with learning disabilities
2013 (English)In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 20, no 7, p. 576-583Article in journal (Refereed) Published
Abstract [en]

ACCESSIBLE SUMMARY: • Communicative difficulties affect interactions between people with learning disabilities and their carers. • Interactions between carers and residents in special accommodations for people with learning disabilities were recorded on video and skilled interactions were illuminated. • Results of the study show that skilled interaction between the carers and the people with learning disabilities is based upon being confirming, sharing daily life experience, giving time and space, and using congruent and distinct language.

ABSTRACT: Communicative difficulties affect interactions between people with learning disabilities and their carers. Despite such difficulties, however, some carers seem to interact successfully with people who have limited ability to communicate verbally and exhibit challenging behaviour. This study aims to illuminate skilled interaction among carers working in special accommodations for people with learning disabilities. Interactions between 16 caregivers and 11 residents with learning disabilities were recorded on video. Verbal and non-verbal interaction skills among the carers were identified. Four caring situations with people with learning disabilities were chosen to illuminate skilled interaction. The transcribed text was subjected to qualitative content analysis and core stories were created. The results show that skilled interaction between the carers and the people with learning disabilities is based upon being confirming, sharing daily life experience, giving time and space, and using congruent and distinct language. In this paper we present examples that offer concrete suggestions of how to promote successful interaction and create meaning in the shared day-to-day life in special accommodations for people with learning disabilities.

Place, publisher, year, edition, pages
John Wiley & Sons, 2013
Keywords
Carers, communicative disabilities, interaction skills, learning disabilities, video recordings
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-58470 (URN)10.1111/j.1365-2850.2012.01934.x (DOI)000321628300002 ()22676335 (PubMedID)
Available from: 2012-08-30 Created: 2012-08-30 Last updated: 2018-06-08Bibliographically approved
Rullander, A.-C., Jonsson, H., Lundström, M. & Lindh, V. (2013). Young People's Experiences With Scoliosis Surgery: A Survey of Pain, Nausea, and Global Satisfaction. Orthopedic Nursing, 32(6), 327-333
Open this publication in new window or tab >>Young People's Experiences With Scoliosis Surgery: A Survey of Pain, Nausea, and Global Satisfaction
2013 (English)In: Orthopedic Nursing, ISSN 0744-6020, E-ISSN 1542-538X, Vol. 32, no 6, p. 327-333Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Scoliosis surgery is one of the most extensive elective surgical processes performed on young people. Although there is a great store of knowledge of surgical techniques, patients' experiences of going through surgery have not been extensively studied. PURPOSE: The aim of this study is to describe how a cohort of young people and their parents retrospectively rate postoperative pain and nausea and describe their experiences of scoliosis surgery. METHODS: In a retrospective cohort study, 87 young people aged 8-25 years with scoliosis who underwent corrective surgery from 2004 to 2007 were invited to complete a questionnaire, as were their parents. The semistructured questionnaire dealt with experiences of pain, nausea, and global satisfaction pre- and posthospitalization, assessed by visual analogue scales. The free text commentaries were analyzed using qualitative content analysis. RESULTS: A total of 51 patients (59%) and 65 parents (75%) answered the questionnaires. Out of the completed questionnaires, 41 had idiopathic, 23 neuromuscular, and 6 other types of scoliosis. Postoperative patient-rated pain was severe 7.3 (median, interquartile range 5-8.4, visual analogue scale 0-10 cm), and the severe pain lasted for 5 (median, 2.7-7.0) days. Nausea was rated to a median of 5 (1.1-7.3) and lasted for a median of 3 (1-5.2) days. Global satisfaction was rated to a median of 3.2 (1.5-5.2). Postoperative pain was the most prominent issue, and present pain was found in 51% of respondents. Nausea and loss of appetite were common during the entire hospital stay. Waiting for the nurses' assistance, lack of control, and technical failures with the analgesia equipment caused discomfort. Parents experienced a lack of confidence in the nurses and felt helpless to support their child or relieve the child's suffering. CONCLUSION: Young people who underwent scoliosis surgery reported severe postoperative pain and nausea during the hospitalization period and persistent and recent onset pain after discharge, although they did not indicate global dissatisfaction with the hospital stay.

National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-86629 (URN)10.1097/NOR.0000000000000007 (DOI)000330352000006 ()
Available from: 2014-04-24 Created: 2014-03-03 Last updated: 2018-06-07Bibliographically approved
Lundström, M., Antonsson, H., Karlsson, S. & Hällgren Graneheim, U. (2011). Use of physical restraints with people with intellectual disabilities living in Sweden's group homes. Journal of Policy and Practice in Intellectual Disabilities, 8(1), 36-41
Open this publication in new window or tab >>Use of physical restraints with people with intellectual disabilities living in Sweden's group homes
2011 (English)In: Journal of Policy and Practice in Intellectual Disabilities, ISSN 1741-1122, E-ISSN 1741-1130, Vol. 8, no 1, p. 36-41Article in journal (Refereed) Published
Abstract [en]

People with intellectual disabilities (ID) often exhibit physical and communicative difficulties as well as challenging behaviors. Physical restraints are one method used to manage challenging behaviors and promote physical safety for people with ID, their fellow residents, and professional carers. However, there is a lack of data regarding the practice of employing physical restraints in Swedish group homes for people with ID. The aim was to investigate the prevalence of physical restraint use in group homes for people with ID, and to identify the characteristics of individuals subjected to these restraints. The study had a cross-sectional design and included 556 people with ID, aged 16–90 years, living in 118 group homes. Physical restraint use and residents' characteristics were surveyed with a questionnaire. Of the 556 residents studied, 99 (17.8%) had been subjected to physical restraint over the previous week. Of these, 99.2% were subjected to more than one type of restraint. The most commonly used type of physical restraint was a belt (73.7%). Using logistic regression analysis, the independent risk factors strongly associated with being physically restrained were inability to walk independently, impaired speech, screaming and shouting continuously, epileptic seizures, and spasticity. Despite the absence of legal authority for physical restraint use in group homes for people with ID, physical restraints are frequently used in Sweden. Both physical impairments and behavioral symptoms are significantly associated with physical restraint use.

Keywords
Group homes, intellectual disabilities, physical restraints, Sweden
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-40873 (URN)10.1111/j.1741-1130.2011.00285.x (DOI)
Available from: 2011-03-11 Created: 2011-03-11 Last updated: 2018-06-08Bibliographically approved
Lundström, M. & Isaksson, U. (2010). Handbok för hälso- och sjukvårdspersonal. Hot och våld inom vården: hantering och bemötande..
Open this publication in new window or tab >>Handbok för hälso- och sjukvårdspersonal. Hot och våld inom vården: hantering och bemötande.
2010 (Swedish)Other (Other (popular science, discussion, etc.))
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:umu:diva-41809 (URN)
Available from: 2011-04-01 Created: 2011-04-01 Last updated: 2018-06-08Bibliographically approved
Antonsson, H., Hällgren Graneheim, U., Lundström, M. & Åström, S. (2008). Caregivers' reflections on their interactions with adult people with learning disabilities.. Journal of Psychiatric and Mental Health Nursing, 15(6), 484-91
Open this publication in new window or tab >>Caregivers' reflections on their interactions with adult people with learning disabilities.
2008 (English)In: Journal of Psychiatric and Mental Health Nursing, ISSN 1365-2850, Vol. 15, no 6, p. 484-91Article in journal (Refereed) Published
Keywords
Adult, Caregivers, Cues, Education; Nursing, Humans, Interviews as Topic, Learning Disorders/nursing/*psychology, Middle Aged, Professional-Patient Relations, Video Recording
Identifiers
urn:nbn:se:umu:diva-11328 (URN)doi:10.1111/j.1365-2850.2008.01259.x (DOI)18638209 (PubMedID)
Available from: 2008-12-18 Created: 2008-12-18 Last updated: 2018-06-09Bibliographically approved
Lundström, M., Åström, S. & Hällgren Graneheim, U. (2007). Caregivers' experiences of exposure to violence in services for people with learning disabilities.. Journal of Psychiatric and Mental Health Nursing, 14(4), 338-45
Open this publication in new window or tab >>Caregivers' experiences of exposure to violence in services for people with learning disabilities.
2007 (English)In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, Vol. 14, no 4, p. 338-45Article in journal (Refereed) Published
Keywords
Anger, Caregivers, Fear, Humans, Interviews as Topic, Learning Disorders/*etiology/therapy, Power (Psychology), Tape Recording, Violence
Identifiers
urn:nbn:se:umu:diva-6864 (URN)doi:10.1111/j.1365-2850.2007.01081.x (DOI)17517024 (PubMedID)
Available from: 2007-12-20 Created: 2007-12-20 Last updated: 2018-06-09Bibliographically approved
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