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Lindgren, Britt-MarieORCID iD iconorcid.org/0000-0002-3360-5589
Publications (10 of 62) Show all publications
Söderberg, A., Gabrielsson, S., Looi, G.-M. E., Wiklund Gustin, L., Bäckström, J. & Lindgren, B.-M. (2024). Being human under inhuman conditions: meanings of living with severe dissociative states involving the experience of being in parts. Issues in Mental Health Nursing
Open this publication in new window or tab >>Being human under inhuman conditions: meanings of living with severe dissociative states involving the experience of being in parts
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2024 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673Article in journal (Refereed) Epub ahead of print
Abstract [en]

Severe dissociative states involving the experience of being in parts, typically associated with diagnosis such as dissociative identity disorder and other specified dissociative disorders, continue to be a controversial and rarely studied area of research. However, because persons with severe dissociative states are at risk of being harmed instead of helped within psychiatric care, their experiences of living with such states warrant further examination, while innovative ways to include them in research remain necessary. Against that background, this study aimed to illuminate the meanings of living with severe dissociative states involving the experience of being in parts. This is a phenomenological hermeneutic study with data collected from three social media sources, one personal blog and two Instagram accounts, in February and March 2023. The results were illuminated in light of four themes; Striving to remain in the world, Balancing exposure and trust, Balancing belonging and loneliness and Owning oneselves. The interpretation of the themes suggests that living with severe dissociative states means being a human under inhuman conditions, striving for coherence and meaning in a world that is often unsupportive. This calls for a trauma-informed care to better support recovery for persons with severe dissociative states.

Place, publisher, year, edition, pages
Taylor & Francis, 2024
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-224374 (URN)10.1080/01612840.2024.2330572 (DOI)001205238200001 ()38640493 (PubMedID)2-s2.0-85192354938 (Scopus ID)
Available from: 2024-05-24 Created: 2024-05-24 Last updated: 2024-05-24
Söderberg, A., Lindgren, B.-M., Looi, G.-M. E., Bäckström, J. & Gabrielsson, S. (2024). Psychiatric inpatient care for persons with dissociative identity disorder: a scoping review protocol. BMJ Open, 14(2), Article ID e079207.
Open this publication in new window or tab >>Psychiatric inpatient care for persons with dissociative identity disorder: a scoping review protocol
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2024 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 14, no 2, article id e079207Article, review/survey (Refereed) Published
Abstract [en]

Introduction: Psychiatric inpatient care (PIC) is often characterised by high pressure and thresholds for admission, brief periods of care and limited time for caring activities. Dissociative identity disorder (DID) is a contested diagnosis, and persons with DID are at risk of not receiving adequate support when cared for in PIC. Because the limited literature addressing the topic includes no overview on how persons with DID are cared for in psychiatric inpatient settings, the aim of this scoping review is to map the area of knowledge on PIC for persons experiencing DID. This scoping review will provide an overview with the possibility to elucidate gaps in the evidence base and needs for future research on PIC for persons experiencing DID.

Methods and analysis: This scoping review will follow Preferred Reporting Items for Systematic Review and Meta-Analysis for Scoping Reviews and steps 1-5 described in the established method for scoping reviews: identifying research question, identifying relevant studies, study selection, charting the data and collating, summarising and reporting results.

Ethics approval: Not applicable.

Dissemination: This scoping review will be submitted for publication in an international, peer-reviewed journal.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2024
Keywords
Hospitalization, Hospitals, Mental health, Psychiatry
National Category
Nursing Psychiatry
Identifiers
urn:nbn:se:umu:diva-221793 (URN)10.1136/bmjopen-2023-079207 (DOI)38365290 (PubMedID)2-s2.0-85185302088 (Scopus ID)
Funder
Luleå University of Technology
Available from: 2024-03-12 Created: 2024-03-12 Last updated: 2024-03-12Bibliographically approved
Gabrielsson, S., Wolpher, N., Zammata, E., Fagerström, L. & Lindgren, B.-M. (2024). When the time is right: men's experiences of recovery in self-harm. International Journal of Mental Health Nursing
Open this publication in new window or tab >>When the time is right: men's experiences of recovery in self-harm
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2024 (English)In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349Article in journal (Refereed) Epub ahead of print
Abstract [en]

Previous research has mainly focused on self-harm among women, defining what it is, what functions it has, how to manage and prevent self-harm, and how to recover from it. A recent review of the literature on self-harm among men concluded that research need to consider both clinical and personal aspects of recovery and pointed out the need to explore recovery from men's point of view. This study aimed to describe men's experiences of recovery in self-harm. Data were collected in Sweden in 2020 using semi-structured interviews. Eleven men who had recovered in self-harm were interviewed. Interviews were analysed using an abductive approach to qualitative content analysis. The analysis involved the application of an established framework for personal recovery in mental illness: connectedness, hope, identity, meaning, and empowerment (CHIME). The analysis identified one main theme: when the time is right, and five sub-themes: finding support in others; trusting that change is possible; getting to know yourself; reaching a new understanding; and developing new strategies to manage life. While the cessation of self-harm might both be a sign of and contribute to recovery, it is not the defining feature of recovery. Mental health professionals should be persistent in providing person-centred, recovery-oriented care for men who self-harm. The CHIME framework can be applied in the context of men's recovery in self-harm. This study is reported in accordance with the COREQ guidelines.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024
Keywords
men's health, mental health recovery, qualitative research, self-injurious behaviour
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-222426 (URN)10.1111/inm.13319 (DOI)2-s2.0-85187168251 (Scopus ID)
Available from: 2024-03-19 Created: 2024-03-19 Last updated: 2024-03-19
Sandsten, A., Lindgren, B.-M., Strömbäck, M., Ejneborn-Looi, G.-M. & Gabrielsson, S. (2023). General psychiatric inpatient care for persons with anorexia nervosa: an integrative literature review protocol. BMJ Open, 13(9), Article ID e076437.
Open this publication in new window or tab >>General psychiatric inpatient care for persons with anorexia nervosa: an integrative literature review protocol
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2023 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 13, no 9, article id e076437Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: People diagnosed with anorexia nervosa are offered or compelled to undergo various treatments and therapies. In Sweden, the lack of highly specialised eating disorder services means that people with anorexia nervosa might be cared for in general psychiatric wards. However, there has been limited research attention paid to how this specific context might benefit or harm persons with anorexia nervosa. There is also limited evidence regarding which form of care is most effective in anorexia nervosa and which type of treatment is optimal in general psychiatric inpatient care. Our intention is to highlight personal and professional perspectives of care for patients with anorexia nervosa in this context, with a focus on person-centred care, gender and power. This protocol describes an integrative literature review aiming to synthesise existing knowledge on general psychiatric inpatient care for persons with anorexia nervosa.

METHODS AND ANALYSIS: The study will be an integrative literature review following Whittemore and Knafl. We will search the academic databases PubMed, CINAHL and PsycInfo in accordance with a specific search strategy determined in collaboration with a librarian with expertise on systematic reviews. Data will be analysed using a constant comparison method. Persons with their own experience of anorexia nervosa in general psychiatric inpatient care will be involved as coresearchers.

ETHICS AND DISSEMINATION: As this is a literature review, formal ethical review is not required. The findings will be disseminated through peer-reviewed publication and presented at conferences related to this field.

AMENDMENTS: If we need to amend this protocol, we will give the date of each amendment, describe the change and give the rationale in this section.

PROSPERO REGISTRATION NUMBER: CRD42023426095.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2023
Keywords
eating disorders, hospitalization, mental health, psychiatry
National Category
Psychiatry
Identifiers
urn:nbn:se:umu:diva-215082 (URN)10.1136/bmjopen-2023-076437 (DOI)37775291 (PubMedID)2-s2.0-85172829502 (Scopus ID)
Available from: 2023-10-13 Created: 2023-10-13 Last updated: 2023-10-13Bibliographically approved
Hällgren Graneheim, U., Lindgren, B.-M. & Lundman, B. (2023). Kvalitativ innehållsanalys (3ed.). In: Maria Henricson (Ed.), Vetenskaplig teori och metod: från idé till examination inom vård- och hälsovetenskap (pp. 295-312). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Kvalitativ innehållsanalys
2023 (Swedish)In: Vetenskaplig teori och metod: från idé till examination inom vård- och hälsovetenskap / [ed] Maria Henricson, Lund: Studentlitteratur AB, 2023, 3, p. 295-312Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2023 Edition: 3
National Category
Nursing
Research subject
health services research; Caring Sciences; caring sciences in social sciences
Identifiers
urn:nbn:se:umu:diva-218335 (URN)9789144161389 (ISBN)
Available from: 2023-12-19 Created: 2023-12-19 Last updated: 2023-12-28Bibliographically approved
Asplund, S., Lindgren, B.-M., Åström, S., Hedlund, M. & Åhlin, J. (2023). Organizational and psychosocial environmental work factors associated with self-rated exhaustion disorder among municipal employees in rural northern Sweden. Work: A journal of Prevention, Assessment and rehabilitation, 75(4), 1215-1229
Open this publication in new window or tab >>Organizational and psychosocial environmental work factors associated with self-rated exhaustion disorder among municipal employees in rural northern Sweden
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2023 (English)In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 75, no 4, p. 1215-1229Article in journal (Refereed) Published
Abstract [en]

Background: Research indicates that good organizational and psychosocial environments are vital to well-functioning workplaces and employee health. Working in the municipal sector and in the rural context may contribute to more health problems, poorer organizational and psychosocial work environments, and higher sick-leave rates.

Objective: The aim of this study was to explore organizational and psychosocial environmental work factors among municipal employees with or without self-rated exhaustion disorder (s-ED) in rural northern Sweden.

Methods: The Modern Work Life Questionnaire and the Self-Rated Exhaustion Disorder Scale were used among 1093 municipal employees.

Results: The results showed that there were significant differences between the s-ED and the non-s-ED group in all but one of the organizational and psychosocial environmental work factors. Various demands, i.e. quantitative, emotional, intellectual, and IT demands were some factors associated with the s-ED group. Social support, resources, and time for work and reflection were some factors associated with the non-s-ED group. Both the s-ED and the non-s-ED groups assessed significantly higher emotional demands and less resources compared to national reference values.

Conclusion: Findings from this study are relevant to a better understanding what organizational and psychosocial work environmental work factor the employer need to pay extra attention to. Addressing risk and protective factors in the work environment could tribute to promote occupational well-being, preventing exhaustion disorder and long-term sick leave among municipal employees in rural northern Sweden.

Place, publisher, year, edition, pages
IOS Press, 2023
Keywords
occupational health, occupational stress, public sector, social support, workload
National Category
Nursing Occupational Health and Environmental Health
Research subject
Caring Sciences; Occupational and Environmental Medicine
Identifiers
urn:nbn:se:umu:diva-201056 (URN)10.3233/WOR-220225 (DOI)001054074600010 ()36776096 (PubMedID)2-s2.0-85168221723 (Scopus ID)
Note

Originally included in thesis in manuscript form.

Available from: 2022-11-16 Created: 2022-11-16 Last updated: 2023-09-18Bibliographically approved
Unneby, A., Olofsson, B. & Lindgren, B.-M. (2023). The Femoral Nerve Block Setting the Agenda for Nursing Care of Older Patients With hip Fractures—A Qualitative Study. Sage Open Nursing, 9, 1-10
Open this publication in new window or tab >>The Femoral Nerve Block Setting the Agenda for Nursing Care of Older Patients With hip Fractures—A Qualitative Study
2023 (English)In: Sage Open Nursing, E-ISSN 2377-9608, Vol. 9, p. 1-10Article in journal (Refereed) Published
Abstract [en]

Introduction: Hip fractures among older people are common worldwide, and it is often associated with preoperative pain. Due to increased comorbidity and high age, traditional pain relief can be a challenge. An alternative to traditional pain relief is a femoral nerve block, which is safe and suitable for anesthesia and analgesia for hip fractures among patients with or without dementia. It is essential to provide adequate pain management, and nurses report negative attitudes toward opioids and seem to prefer alternative pain management. To our knowledge, no study has focused on staff's experiences of nursing care for patients treated with femoral nerve block.

Aim: To describe staff's experiences providing nursing care in preoperative pain and pain management to older patients with a hip fracture who received a femoral nerve block.

Design: A qualitative exploratory design.

Method: Semistructured interviews with 19 nurses or assistant nurses in an orthopedic ward or emergency department. They were experienced in caring for patients with hip fractures who received treatment with a femoral nerve block. The interviews were subjected to qualitative content analysis.

Results: Staff described the femoral nerve block as setting the agenda when caring for older patients with hip fractures in the preoperative phase. The outcome of the femoral nerve block affected nursing care, depending on if the femoral nerve block was successful or not. Nursing care requires timing, with a need for staff orienting to time and customizing their communication. Further, staff faced ethical challenges regarding doing good and not harm, relieving pain, and avoiding side effects.

Conclusions: The femoral nerve block was an important issue for nursing staff in patients with hip fractures in the preoperative phase. Our results point toward the benefits of giving femoral nerve blocks as soon as possible to facilitate nursing care, however, this should be studied in future research.

Place, publisher, year, edition, pages
Sage Publications, 2023
Keywords
experiences, femoral nerve block, hip fracture, nursing care, qualitative content analysis
National Category
Nursing Orthopaedics
Identifiers
urn:nbn:se:umu:diva-210233 (URN)10.1177/23779608231177533 (DOI)37273549 (PubMedID)2-s2.0-85161307595 (Scopus ID)
Funder
Umeå UniversityThe Dementia Association - The National Association for the Rights of the Demented
Available from: 2023-06-27 Created: 2023-06-27 Last updated: 2023-06-30Bibliographically approved
Lindgren, B.-M., Wikander, T., Neyra Marklund, I. & Molin, J. (2022). A Necessary Pain: A Literature Review of Young People’s Experiences of Self-Harm. Issues in Mental Health Nursing, 43(2), 154-163
Open this publication in new window or tab >>A Necessary Pain: A Literature Review of Young People’s Experiences of Self-Harm
2022 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 43, no 2, p. 154-163Article, review/survey (Refereed) Published
Abstract [en]

Background: Self-harm is defined as intentional self-injury without the wish to die. People who self-harm report feeling poorly treated by healthcare professionals, and nurses wish to know how best to respond to and care for them. Increased understanding of the meaning of self-harm can help nurses collaborate with young people who self-harm to achieve positive healthcare outcomes for them.

Aim: This review aimed to synthesise qualitative research on young peoples' experiences of living with self-harm.

Method: A literature search in CINAHL, PubMed, and PsycINFO resulted in the inclusion of 10 qualitative articles that were subjected to metasynthesis.

Results: The results show that young people’s experiences of living with self-harm are multifaceted and felt to be a necessary pain. They used self-harm to make life manageable, reporting it provided relief, security, and a way to control overwhelming feelings. They suffered from feeling addicted to self-harm and from shame, guilt, and self-punishment. They felt alienated, lonely, and judged by people around them, from whom they tried to hide their real feelings. Instead of words, they used their wounds and scars as a cry for help.

Conclusion: Young people who harm themselves view self-harm as a necessary pain; they suffer, but rarely get the help they need. Further research is necessary to learn how to offer these people the help they need.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2022
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-186601 (URN)10.1080/01612840.2021.1948640 (DOI)000681245400001 ()34346267 (PubMedID)2-s2.0-85111844078 (Scopus ID)
Available from: 2021-08-13 Created: 2021-08-13 Last updated: 2023-03-24Bibliographically approved
Unneby, A., Gustafson, Y., Olofsson, B. & Lindgren, B.-M. (2022). Between Heaven and Hell: Experiences of Preoperative Pain and Pain Management among Older Patients with Hip Fracture. Sage Open Nursing, 8, 1-10
Open this publication in new window or tab >>Between Heaven and Hell: Experiences of Preoperative Pain and Pain Management among Older Patients with Hip Fracture
2022 (English)In: Sage Open Nursing, E-ISSN 2377-9608, Vol. 8, p. 1-10Article in journal (Refereed) Published
Abstract [en]

Introduction: Among older adults, hip fracture is a common and serious consequence of a fall. Preoperative pain is common and often severe among patients with hip fracture. Opioids are usually used but have many side effects. One alternative is a femoral nerve block, which has been shown to reduce pain and lower the need for opioids. However, to our knowledge no study has explored qualitatively how patients with hip fracture experience treatment with femoral nerve block.

Objective: The aim of this study was to explore experiences of preoperative pain and pain management among older patients with hip fracture who had received a femoral nerve block.MethodA qualitative design with semi-structured interviews (n =23) conducted 2-6 days after surgery. Inclusion criteria were Swedish-speaking patients aged 70 years or older with hip fracture admitted to the orthopedic ward, treated with femoral nerve block before nursing actions. Data were analyzed with qualitative content analysis.

Results: Our result revealed one theme, hovering between heaven and hell, with five subthemes: how the pain was described - no pain, to worst pain and everything in between; they were dealing with pain in their own way; felt dependent on staff?s willingness to relieve pain; pain management could be lifesaving and a near-death experience; and how they experienced memory loss with respect to the pain and pain management.

Conclusion: The experience of pain and pain management was described as hovering between heaven and hell. We conclude that independent of which pain management given, staff should have an individualized pain mangement approach towards the patient in order to achieve well managed pain.

Place, publisher, year, edition, pages
Sage Publications, 2022
Keywords
femoral nerve block, hip fracture, opioids, pain, pain managment, peripheral nerve block
National Category
Orthopaedics Geriatrics
Research subject
Orthopaedics
Identifiers
urn:nbn:se:umu:diva-194654 (URN)10.1177/23779608221097450 (DOI)000797451700001 ()35558139 (PubMedID)2-s2.0-85129816171 (Scopus ID)
Available from: 2022-05-12 Created: 2022-05-12 Last updated: 2023-05-09Bibliographically approved
Asplund, S., Åhlin, J., Åström, S. & Lindgren, B.-M. (2022). Experiences of being a manager in the municipal sector in rural northern Sweden. International Journal of Qualitative Studies on Health and Well-being, 17(1), Article ID 2139346.
Open this publication in new window or tab >>Experiences of being a manager in the municipal sector in rural northern Sweden
2022 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 17, no 1, article id 2139346Article in journal (Refereed) Published
Abstract [en]

PURPOSE: The purpose of this study was to describe experiences of being a manager in the municipal sector in rural northern Sweden.

METHODS: Semi-structured interviews were performed with 15 managers working in the municipal sector. The interviews were subjected to inductive qualitative content analysis.

RESULTS: The managers' experiences were interpreted in the main theme, Striving for stability on shaky ground. They struggled within slimmed-down organizations with substitute shortages and reduced means. They expressed being burdened by conflicting demands, a work overload, work conflicts and a requirement to be present. They had to endure the negative consequences of working in small municipalities, and handling health and family life impairments. The managers expressed the importance of being strengthened by inner and outer resources, such as being motivated, having social support and finding strategies to cope. They also expressed benefits of working in small municipalities, such as great opportunities to influence and efficiency in decision-making.

CONCLUSION: This study illuminates managers' adverse psychosocial working conditions, insights into working in a small municipality in the rural context and also the importance of organizational support. Future studies could focus on applying adapted workplace support interventions among managers in the municipal sector in rural northern Sweden.

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
Experiences, managers, municipal sector, qualitative content analysis, rural area
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-200858 (URN)10.1080/17482631.2022.2139346 (DOI)000871755200001 ()36282243 (PubMedID)2-s2.0-85140855221 (Scopus ID)
Available from: 2022-11-14 Created: 2022-11-14 Last updated: 2022-11-16Bibliographically approved
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