Background: During the first year postpartum, about 25 per cent of Swedish women with severe perineal trauma (SPT), i.e., a third- or fourth-degree perineal laceration at childbirth, are unsatisfied with their healthcare contacts.
View Article and Find Full Text PDFBackground: In Sweden, persistent physical and psychological health problems occur in about three in ten women who sustain severe perineal trauma (SPT) during childbirth. As most Swedish women work outside the home, the question of if and how SPT-related morbidity influences working life needs exploration. This study aims to qualitatively explore how women with persistent SPT-related morbidities experience and conceptualise their problems concerning working life.
View Article and Find Full Text PDFObjective: Policy documents govern how the prevention and care of obstetric anal sphincter injuries (OASIS) are implemented. Thus, in the absence of Swedish national guidelines on OASIS, differing views may be visible in the regional and local policy documents. Therefore, we aimed to analyse regional and local policies, guidelines, and care programs on the prevention of OASIS and care for OASIS-affected women in a Swedish context by applying a critical frame analysis inspired by Verloo.
View Article and Find Full Text PDFBackground: Agile projects are statistically more likely to succeed then waterfall projects. The overall aim of this study was to explore the nursing staffs' experiences with an agile development process, from its initial requirements to the deployment of its outcome of ICT solutions aimed at supporting discharge planning.
Methods: An explorative design with quantitative and qualitative methods was used.
Objective: This study explores women's experience of having a second degree perineal tear and related consequences to daily life during the first eight weeks after childbirth.
Method: Written responses to open-ended questions in a questionnaire distributed about eight weeks postpartum and completed by 1,007 women with second degree perineal tears were excerpted from the national quality register, Perineal Laceration Register. Inductive qualitative content analysis was applied to the data.
Objective: This study aimed to explore women's experiences related to recovery from obstetric anal sphincter muscle injuries (OASIS) one year after childbirth.
Method: This is a qualitative study based on written responses from 625 women approximately one year after childbirth in which OASIS occurred. Data was obtained from a questionnaire distributed by the national Perineal Laceration Register (PLR) in Sweden.
Background: The original British instrument the Normalization Process Theory Measure (NoMAD) is based on the four core constructs of the Normalization Process Theory: Coherence, Cognitive Participation, Collective Action, and Reflexive Monitoring. They represent ways of thinking about implementation and are focused on how interventions can become part of everyday practice.
Aim: To translate and adapt the original NoMAD into the Swedish version S-NoMAD and to evaluate its psychometric properties based on a pilot test in a health care context including in-hospital, primary, and community care contexts.
Objective: this study explores women's experiences of the first two months after obstetric anal sphincter injury (OASIS) during childbirth with a focus on problematic recovery.
Methods: this qualitative study used inductive qualitative content analysis to investigate open-ended responses from 1248 women. The data consists of short and comprehensive written responses to open-ended questions focusing on recovery in the national quality register, the Perineal Laceration Register, two months after OASIS at childbirth.
Background: Telehealth applications have shown positive effects for people with chronic conditions and their awareness of health.
Objective: To describe patients' and healthcare personnel's experiences of using health coaching with online self-management in primary health care.
Method: A pragmatic randomised controlled trial was conducted.
Background: The prevalence of diabetes is increasing among adults globally, and there is a need for new models of health care delivery. Research has shown that self-management approaches encourage persons with chronic conditions to take a primary role in managing their daily care.
Objective: The objective of this study was to investigate whether the introduction of a health technology-supported self-management program involving telemonitoring and health counseling had beneficial effects on glycated hemoglobin (HbA), other clinical variables (height, weight, body mass index, blood pressure, blood lipid profile), and health-related quality of life (HRQoL), as measured using the Short Form Health Survey (SF-36) version 2 in patients with type 2 diabetes.
Background: Lack of participation from staff when developing information and communication technologies (ICT) has been shown to lead to negative consequences and might be one explanation for failure. Management during development processes has rarely been empirically studied, especially when introducing ICT systems in a municipality context.
Objective: To describe and interpret experiences of the management during change processes where ICT was introduced among staff and managers in elderly care.
Prim Health Care Res Dev
January 2017
Background: Patients living in rural areas often need to travel long distances for access to specialist care. To increase access to specialist care, video consultation between patients in primary healthcare and specialist care has been used. In order for this new method to be developed and used to the fullest, it is important to understand healthcare personnel's experiences with this intervention.
View Article and Find Full Text PDFBMC Med Inform Decis Mak
April 2016
Background: Discharge planning is a care process that aims to secure the transfer of care for the patient at transition from home to the hospital and back home. Information exchange and collaboration between care providers are essential, but deficits are common. A wide range of initiatives to improve the discharge planning process have been developed and implemented for the past three decades.
View Article and Find Full Text PDFBackground: The tension between care-based and technology-based rationalities motivates studies concerning how technology can be used in the care sector to support the relational foundation of care.
Objectives: This study interprets values related to care and technologies connected to the practice of good care.
Research Design: This research study was part of a development project aimed at developing innovative work practices through information and communication technology.
Introduction. Video consultation (VC) can improve access to specialist care, especially for individuals who live in rural areas that are long distances from specialist clinics. Aim.
View Article and Find Full Text PDFPurpose: The purpose of this paper is to describe staffs' perceptions of digital support for medication administration (DSM) and out of the perceptions interpret underlying values.
Design/methodology/approach: In total, 22 persons working in elder care participated in the study. The study had a qualitative approach and focus group interviews were used to collect data.
Technol Health Care
February 2015
Background: Accessibility to specialized health care is important for residents in rural areas. Videoconsultation can provide increased accessibility to health care. Before implementation of new technologies, it is important to study residents' views.
View Article and Find Full Text PDFSex Reprod Healthc
December 2013
Objectives: The objective of the study was to describe new fathers' experiences with care related to complicated childbirth.
Methods: A qualitative approach consisting of individual interviews using a semi-structured interview guide with open-ended questions was applied. A purposive sample of eight fathers participated.
Nurs Crit Care
September 2013
Background: Providing nursing care for a critically ill obstetric patient or a patient who has just become a mother after a complicated birth can be a challenging experience for critical care nurses (CCNs). These patients have special needs because of the significant alterations in their physiology and anatomy together with the need to consider such specifics as breastfeeding and mother-child bonding.
Aim: The aim with this study was to describe CCNs' experience of nursing the new mother and her family after a complicated childbirth.
Aim: The aim of this study was to describe the views of health-care personnel about video consultation (VC) prior to implementation in primary health care in rural areas.
Background: For people living in rural areas, it is often a long distance to specialist care, and VC could be an opportunity for increased access to care. Therefore, this study was to investigate what views primary health-care personnel had on VC as a working method in the distance between primary and specialist care.
Background: Chronic Obstructive Pulmonary Disease (COPD) is currently one of the most widespread chronic lung diseases and a growing cause of suffering and mortality worldwide. It is predicted to become the third leading cause of death in the near future. Smoking is the most important risk factor, and about 50% of smokers develop COPD.
View Article and Find Full Text PDFHealth Care Manag (Frederick)
December 2012
This study was undertaken to describe staff expectations prior to implementation of new electronic applications in a changing organization. Changes are a part of human existence; changes based on implementation of technology and information and communication technology are taking place in the health care sector globally. The Swedish public health care and social care sector is taking a similar path.
View Article and Find Full Text PDFBackground: To be cared for in an intensive care unit (ICU) after a complicated childbirth is often an unplanned and transforming experience, and there is lack of studies describing mothers' experiences of this phenomenon.
Aim: The aim of this study was to describe the experiences of becoming a mother after a complicated delivery and a stay in an ICU.
Methods: Qualitative personal interviews were conducted with eight mothers.
Objective: to describe women's experiences of an abortion in the second trimester.
Design: qualitative design using semi-structured interviews.
Setting/participants: six women were interviewed after a second trimester abortion.
Objective: To describe midwives' experience of encountering women with posttraumatic stress symptoms after childbirth.
Study Design: Semi-structured interviews with eight midwives with experiences of encountering women with posttraumatic stress symptoms after childbirth. Data were analyzed using thematic content analysis.