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Lundman, B., Hammarström, A., Ahlgren, C. & Norberg, A. (2019). Use of the model of Inner Strength for analysing reflective interviews in a group of healthy middle-aged adults. Safety, 7
Open this publication in new window or tab >>Use of the model of Inner Strength for analysing reflective interviews in a group of healthy middle-aged adults
2019 (English)In: Safety, ISSN 0036-3375, E-ISSN 2050-3121, Vol. 7Article in journal (Refereed) Published
Abstract [en]

Objective: Inner Strength has been described as a human resource that promotes well-being linked to health. The aim of this study was to explore how Inner Strength and its four dimensions are manifested in interviews in a group of middle-aged healthy women and men.

Methods: Retrospective reflective interviews with middle-aged healthy women (n = 5) and men (n = 4) selected from a population study were content analysed deductively.

Results: The following themes and their constituents were found in the respective dimensions of the Model of Inner Strength. Firmness: having a drive to act, being purposeful, having trust in one’s competence, and having a positive view of life. Connectedness: being in community, receiving and giving support, and, receiving and giving care. Creativity: changing unsatisfactory life situations, seeing new opportunities, and realizing dreams. Stretchability: balancing between options, and extending oneself.

Conclusions: Expressions that were interpreted as belonging to Inner Strength could be referred the different dimensions of Inner Strength. The Model of Inner Strength is suitable for analysing Inner Strength among middle-aged men and women. The findings indicate that Inner Strength can be identified in human beings’ narratives if asked for.

Place, publisher, year, edition, pages
SAGE Open, 2019
Keywords
Nursing, mental health, psychiatry, Inner Strength, content analysis, deductive
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-161455 (URN)10.1177/2050312119856812 (DOI)000471113000001 ()31217970 (PubMedID)
Funder
Swedish Research Council Formas, 259-2012-37
Available from: 2019-07-10 Created: 2019-07-10 Last updated: 2019-09-05Bibliographically approved
Lindelöf, N., Lundin-Olsson, L., Skelton, D. A., Lundman, B. & Rosendahl, E. (2017). Experiences of older people with dementia participating in a high-intensity functional exercise program in nursing homes: "While it's tough, it's useful". PLoS ONE, 12(11), Article ID e0188225.
Open this publication in new window or tab >>Experiences of older people with dementia participating in a high-intensity functional exercise program in nursing homes: "While it's tough, it's useful"
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2017 (English)In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 12, no 11, article id e0188225Article in journal (Refereed) Published
Abstract [en]

The objective of the study was to describe the views and experiences of participation in a high-intensity functional exercise (HIFE) program among older people with dementia in nursing homes. The study design was a qualitative interview study with 21 participants (15 women), aged 74-96, and with a Mini-Mental State Examination score of 10-23 at study start. The HIFE-program comprises exercises performed in functional weight-bearing positions and including movements used in everyday tasks. The exercise was individually designed, supervised in small groups in the nursing homes and performed during four months. Interviews were performed directly after exercise sessions and field notes about the sessions were recorded. Qualitative content analysis was used for analyses. The analysis revealed four themes: Exercise is challenging but achievable; Exercise gives pleasure and strength; Exercise evokes body memories; and Togetherness gives comfort, joy, and encouragement. The intense and tailored exercise, adapted to each participant, was perceived as challenging but achievable, and gave pleasure and improvements in mental and bodily strength. Memories of previous physical activities aroused and participants rediscovered bodily capabilities. Importance of individualized and supervised exercise in small groups was emphasized and created feelings of encouragement, safety, and coherence. The findings from the interviews reinforces the positive meaning of intense exercise to older people with moderate to severe dementia in nursing homes. The participants were able to safely adhere to and understand the necessity of the exercise. Providers of exercise should consider the aspects valued by participants, e.g. supervision, individualization, small groups, encouragement, and that exercise involved joy and rediscovery of body competencies.

Place, publisher, year, edition, pages
PUBLIC LIBRARY SCIENCE, 2017
National Category
Physiotherapy Nursing Geriatrics
Identifiers
urn:nbn:se:umu:diva-142971 (URN)10.1371/journal.pone.0188225 (DOI)000415646100030 ()29149198 (PubMedID)
Available from: 2017-12-14 Created: 2017-12-14 Last updated: 2018-06-09Bibliographically approved
Boman, E., Lundman, B., Nygren, B., Årestedt, K. & Santamäki Fischer, R. (2017). Inner strength and its relationship to health threats in ageing: a cross-sectional study among community-dwelling older women. Journal of Advanced Nursing, 73(11), 2720-2729
Open this publication in new window or tab >>Inner strength and its relationship to health threats in ageing: a cross-sectional study among community-dwelling older women
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2017 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 73, no 11, p. 2720-2729Article in journal (Refereed) Published
Abstract [en]

Aim: To explore the relationship between inner strength and health threats among community-dwelling older women. Background: Inner strength is described as a resource that promotes experiences of health, despite adversities. Inner strength and its dimensions (i.e. connectedness, creativity, firmness and flexibility) can be assessed using the Inner Strength Scale (ISS). Exploring attributes of weaker inner strength may yield valuable information about areas to focus on in enhancing a person's inner strength and may ultimately lead to the perception of better health. Design: Cross-sectional questionnaire survey. Methods: The study is based on responses from 1270 community-dwelling older women aged 65 years and older; these were collected in the year 2010 and describe the situation that still exists today for older women. The questionnaire included the ISS, background characteristics and explanatory variables known to be health threats in ageing. Data were analysed using descriptive and inferential statistics. Results: Poorer mental health was related to weaker inner strength in total and in all the dimensions. Symptoms of depressive disorders and feeling lonely were related to three of the dimensions, except firmness and creativity respectively. Furthermore, poor physical health was associated with the dimensions firmness and flexibility. Other health threats were significantly related to only one of the dimensions, or not associated at all. Conclusion: Mental ill health has overall the strongest association with weaker inner strength. Longitudinal studies are recommended to confirm the results. However, the ISS does not only estimate inner strength but can also be a tool for discovering where (i.e. dimension) interventions may be most profitable.

Place, publisher, year, edition, pages
John Wiley & Sons, 2017
Keywords
connectedness, creativity, firmness, flexibility, health threats, inner strength, mental ill health, nursing, old age, women
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-143949 (URN)10.1111/jan.13341 (DOI)000418363000023 ()28513995 (PubMedID)
Available from: 2018-01-15 Created: 2018-01-15 Last updated: 2018-06-09Bibliographically approved
Norberg, A., Ternestedt, B.-M. & Lundman, B. (2017). Moments of homecoming among people with advanced dementia disease in a residential care facility. Dementia, 16(5), 629-641
Open this publication in new window or tab >>Moments of homecoming among people with advanced dementia disease in a residential care facility
2017 (English)In: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, Vol. 16, no 5, p. 629-641Article in journal (Refereed) Published
Abstract [en]

This study concerns moments of homecoming among people with advanced dementia disease living in a residential care facility. Our main finding from participant observations with nine residents was that the residents showed moments of homecoming, i.e. they alternated between verbal and/or nonverbal expressions of feeling at home and of not feeling at home. If care providers understand that they can help people with advanced dementia disease experience moments of homecoming, they can focus on aspects of care that can promote these experiences.

Place, publisher, year, edition, pages
Sage Publications, 2017
Keywords
dementia, ethnography, feeling at home, homecoming, residential care
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-114784 (URN)10.1177/1471301215613699 (DOI)000405005100006 ()26507520 (PubMedID)
Available from: 2016-02-01 Created: 2016-01-28 Last updated: 2018-06-07Bibliographically approved
Viglund, K., Jonsén, E., Lundman, B., Nygren, B. & Strandberg, G. (2017). Sources and expressions of inner strength among old people who have experienced a crisis in life associated with a disease. Nordic journal of nursing research, 37(1), 20-26
Open this publication in new window or tab >>Sources and expressions of inner strength among old people who have experienced a crisis in life associated with a disease
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2017 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 37, no 1, p. 20-26Article in journal (Refereed) Published
Abstract [en]

Inner strength is reported as an important resource associated with aging, health, and disease management. The aim was toexplore inner strength in people (n ¼ 12) aged 65 years and older, who had experienced a crisis in life associated with a disease. The participants had self-rated their inner strength as high. We found that sources of inner strength were mutual love and support, and the fact that tough times have been managed before. Expressions of inner strength comprised focusing on possibilities instead of brooding, facing and take an active part in care and treatment, and being able to confront reality and pick yourself up again. Inner strength is a complex phenomenon. Increased knowledge of inner strength can serve as an aid inefforts to identify the need to promote inner strength.

Place, publisher, year, edition, pages
Sage Publications, 2017
Keywords
disease management, experiences, inner strength, old people, qualitative content analysis
National Category
Nursing
Research subject
Caring Sciences
Identifiers
urn:nbn:se:umu:diva-124961 (URN)10.1177/2057158516659839 (DOI)
Available from: 2016-08-31 Created: 2016-08-31 Last updated: 2018-06-07Bibliographically approved
Kneck, Å., Eriksson, L. E., Lundman, B. & Fagerberg, I. (2016). Encumbered by vulnerability and temporality: the meanings of trigger situations when learning to live with diabetes. Journal of Clinical Nursing, 25(19-20), 2874-2883
Open this publication in new window or tab >>Encumbered by vulnerability and temporality: the meanings of trigger situations when learning to live with diabetes
2016 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 25, no 19-20, p. 2874-2883Article in journal (Refereed) Published
Abstract [en]

Aims and objectives: The aim of the study was to illuminate the meanings of trigger situations experienced in everyday life when learning to live with diabetes. Background: Adults become active learners when faced with situations they do not know how to manage, triggering a need to understand something in a different way than before. Knowing more about experiential learning for persons living with diabetes is important for understanding how learning can be supported by health care. Design: A life-world approach with a phenomenological hermeneutical method, inspired by the philosophy of Paul Ricoeur. Methods: This method was used for interpreting transcriptions of interviews and consists of three stages: naive understanding, structural analysis and a comprehensive understanding. Participants (n = 13), with either type I or type II diabetes, were interviewed on three different occasions over a three-year period after being diagnosed with diabetes. Results: When learning to live with diabetes, the meanings of trigger situations were described as 'the unpredictable body heightens insecurity with awareness of one's own dependability', 'losing control in unsustainable situations' and 'encumbered by vulnerability and temporality in earlier familiar situations'. Conclusion: The meanings of trigger situations were to lose the smooth, unreflected way of managing an everyday life situation, interlaced with feelings of lost control of how to live with new insights of being vulnerable. Trigger situations meant an opportunity for learning, as well as being demanding, unplanned and with limited freedom of choice. Trigger situations presented life and body as unpredictable.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2016
Keywords
diabetes, life-world, nursing, patient learning, phenomenological hermeneutical interpretation, trigger situation
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-130109 (URN)10.1111/jocn.13339 (DOI)000388921200016 ()27478056 (PubMedID)
Available from: 2017-01-13 Created: 2017-01-11 Last updated: 2018-06-09Bibliographically approved
Boman, E., Häggblom, A., Lundman, B., Nygren, B. & Santamäki Fischer, R. (2016). Identifying variables in relation to health-related quality of life among community-dwelling older women: knowledgebase for health-promoting activities. Nordic journal of nursing research, 36(1), 20-26
Open this publication in new window or tab >>Identifying variables in relation to health-related quality of life among community-dwelling older women: knowledgebase for health-promoting activities
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2016 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 36, no 1, p. 20-26Article in journal (Refereed) Published
Abstract [en]

The aim of the present study was to explore health-related quality of life (HRQoL) and associated variables among all community-dwelling older women (565 years) (n¼2724) on A ° land, a Finnish self-governing island community. A total of 1023 women participated (mean age 72.96.8 years). Absence of depression, absence of diagnosed disease(s), having the opportunity to engage in meaningful leisure activities, and never or seldom feeling lonely explained, together with socioeconomic control variables (i.e. age, education and economic situation), 34.4% of the variation in physical health. Absence of depression, strong inner strength, and never or seldom feeling lonely explained, together with socio-economic control variables, 27.7% of the variation in mental health. HRQoL was rated as relatively good, although special attention should be paid to women aged 80þ years. To promote HRQoL, interventions aimed at preventing, detecting and treating depression should be prioritised. In addition, interventions aimed at reducing feelings of loneliness are also recommended in order to enhance overall HRQoL.

Place, publisher, year, edition, pages
Sage Publications, 2016
Keywords
health-related quality of life, health promotion, nursing, old age, women
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-109722 (URN)10.1177/0107408315599691 (DOI)
Available from: 2015-10-05 Created: 2015-10-05 Last updated: 2018-06-07Bibliographically approved
Hammarström, A., Lundman, B., Ahlgren, C. & Wiklund, M. (2015). Health and masculinities shaped by agency within structures among young unemployed men in a northern Swedish context. PLoS ONE, 10(5), 1-18, Article ID e0124785.
Open this publication in new window or tab >>Health and masculinities shaped by agency within structures among young unemployed men in a northern Swedish context
2015 (English)In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 10, no 5, p. 1-18, article id e0124785Article in journal (Refereed) Published
Abstract [en]

The aim of our paper was to explore expressions of life choices and life chances (aspects of agency within structures) related to power and experiences of health among early unemployed adolescent young men during the transition period to adulthood. These expressions of agency within structure were interpreted in the light of Cockerham’s Health Lifestyles Theory. Furthermore, social constructions of masculinities were addressed in our analysis.

Repeated interviews with ten young men in a cohort of school leavers were analyzed with qualitative content analysis.

Cockerham’s model was useful for interpreting our findings and we found disposition to act to be a crucial theoretical tool to capture the will and intentions of participants in relation to health. We developed the model in the following ways: structure and socialization were visualized as surrounding the whole model. Analyses of what enhances or restricts power are important. In addition to practices of health lifestyles, we added experiences of health as outcome as well as emotional aspects in disposition to act. We interpret our findings as constructions of masculinities within certain structures, in relation to choices, habitus and practices.

Qualitative research could contribute to develop the understanding of the agency within structure relationships. Future studies need to pay attention to experiences of health among young people at the margin of the labor market in various milieus – and to analyze these in relation to gender constructions and within the frame-work of agency within structure.

Keywords
unemployment, youth, agency, structure, gender, masculinity
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public health
Identifiers
urn:nbn:se:umu:diva-103760 (URN)10.1371/journal.pone.0124785 (DOI)000356768100035 ()25954811 (PubMedID)
Funder
Swedish Research Council Formas, 259-2012-37Swedish Research Council, 344-2011-5478
Available from: 2015-05-29 Created: 2015-05-29 Last updated: 2018-06-07Bibliographically approved
Boman, E., Haggblom, A., Lundman, B., Nygren, B. & Santamäki Fischer, R. (2015). Inner Strength as Identified in Narratives of Elderly Women A Focus Group Interview Study. Advances in Nursing Science, 38(1), 7-19
Open this publication in new window or tab >>Inner Strength as Identified in Narratives of Elderly Women A Focus Group Interview Study
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2015 (English)In: Advances in Nursing Science, ISSN 0161-9268, E-ISSN 1550-5014, Vol. 38, no 1, p. 7-19Article in journal (Refereed) Published
Abstract [en]

By identifying sources of inner strength, health care personnel can be given valuable information about elderly people's capacities regardless of frailty. The focus of this interview-based study was to explore how inner strength and its dimensions can be identified in narratives of elderly women. The analysis was based on a theoretical model where inner strength is composed of 4 interacting dimensions of connectedness, creativity, firmness, and flexibility. Our findings add nuance to the notion of inner strength and deepen empirical knowledge about the concept.

Keywords
concept-driven approach, connectedness, content analysis, creativity, elderly women, firmness, exibility, focus groups, inner strength
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-100977 (URN)10.1097/ANS.0000000000000057 (DOI)000349468700004 ()25635502 (PubMedID)
Available from: 2015-03-16 Created: 2015-03-16 Last updated: 2018-06-07Bibliographically approved
Lundman, B., Årestedt, K., Norberg, A., Norberg, C., Santamäki Fischer, R. & Lövheim, H. (2015). Psychometric properties of the Swedish version of the Self-Transcendence Scale among very old people. Journal of Nursing Measurement, 23(1), 96-111
Open this publication in new window or tab >>Psychometric properties of the Swedish version of the Self-Transcendence Scale among very old people
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2015 (English)In: Journal of Nursing Measurement, ISSN 1061-3749, E-ISSN 1945-7049, Vol. 23, no 1, p. 96-111Article in journal (Refereed) Published
Abstract [en]

BACKGROUND AND PURPOSE: This study tested the psychometric properties of a Swedish version of the Self-Transcendence Scale (STS).

METHODS: Cohen's weighted kappa, agreement, absolute reliability, relative reliability, and internal consistency were calculated, and the underlying structure of the STS was established by exploratory factor analysis. There were 2 samples available: 1 including 194 people aged 85-103 years and a convenience sample of 60 people aged 21-69 years.

RESULTS: Weighted kappa values ranged from .40 to .89. The intraclass correlation coefficient for the original STS was .763, and the least significant change between repeated tests was 6.25 points.

CONCLUSION: The revised STS was found to have satisfactory psychometric properties, and 2 of the 4 underlying dimensions in Reed's self-transcendence theory were supported.

Place, publisher, year, edition, pages
Springer, 2015
Keywords
Reed, Self-transcendence, psychometrics, validation studies
National Category
Nursing Geriatrics
Identifiers
urn:nbn:se:umu:diva-105510 (URN)10.1891/1061-3749.23.1.96 (DOI)25985498 (PubMedID)
Available from: 2015-06-25 Created: 2015-06-24 Last updated: 2018-06-07Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0003-2929-9248

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