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  • 1.
    Areskoug Josefsson, Kristina
    Samrehab, Värnamo Sjukhus.
    The Role of Physiotherapy to Enhance Sexual Health in Chronic Disease2014In: Journal of Sexual Medicine, ISSN 1743-6095, E-ISSN 1743-6109, Vol. 11, no Suppl. 1, p. 90-Article in journal (Refereed)
  • 2.
    Areskoug Josefsson, Kristina
    Jönköping University, The Jönköping Academy for Improvement of Health and Welfare.
    Using resources and addressing challenges: It is time to include sexual health in therapy2016In: International Journal of Therapy and Rehabilitation, ISSN 1741-1645, E-ISSN 1759-779X, Vol. 23, no 4, p. 156-157Article in journal (Refereed)
  • 3.
    Areskoug Josefsson, Kristina
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Rolander, Bo
    Jönköping University.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Health Care Students' Attitudes Toward Addressing Sexual Health in Their Future Profession: Validity and reliability of a questionnaire2016In: International Journal of Sexual Health, ISSN 1931-7611, E-ISSN 1931-762X, Vol. 28, no 3, p. 243-250Article in journal (Refereed)
    Abstract [en]

    Objectives: To test the reliability and validity of the Students' Attitudes Towards Addressing Sexual Health questionnaire (SA-SH), measuring students' attitudes towards addressing sexual health in their future professions.

    Method: A cross-sectional online survey (22 items) were distributed to 186 nursing, occupational therapy and physiotherapy students in Sweden, April 2015. Validity and reliability were tested.

    Results: The construct validity analysis led to three major factors: present feelings of comfortableness, future working environment and fear of negative influence on future patient relations. The construct validity, internal consistency reliability and intrarater reliability showed good results.Conclusion: The SA-SH is valid and reliable.

  • 4.
    Areskoug Josefsson, Kristina
    et al.
    Samrehab, Värnamo Hospital.
    Kammerlind, Ann-Sofi C.
    Futurum – The Academy of Healthcare, Jönköping.
    Lund-Levander, Martha
    Futurum – The Academy of Healthcare, Jönköping.
    Evidence-based practice in a multiprofessional context2012In: International Journal of Evidence-Based Healthcare, ISSN 1744-1595, E-ISSN 1744-1609, Vol. 10, no 2, p. 117-125Article in journal (Refereed)
    Abstract [en]

    Background  Healthcare today is a complex system with increasing needs of specific knowledge of evaluation of research and implementation into clinical practice. A critical issue is that we all apply evidence-based practice (EBP) with standardised methods and continuing and systematic improvements. EBP includes both scientific and critical assessed experience-based knowledge. For the individual, this means applying evidence-based knowledge to a specific situation, and for the organisation, it means catering for a systematic critical review and evaluation and compiling research into guidelines and programmes. In 2009, the County Council of Jönköping had approximately 335 000 inhabitants and the healthcare organisation had more than 10 000 employees. As the County Council actively promotes clinical improvement, it is interesting to explore how healthcare employees think about and act upon EBP. The aim of this survey was therefore to describe factors that facilitate or hinder the application of EBP in the clinical context.

    Method  A quantitative study was performed with a questionnaire to healthcare staff employed in the County Council of Jönköping in 2009. The questionnaire consisted of questions concerning which factors are experienced to affect the development of evidence-based healthcare. There were 59 open and closed questions, divided into the following areas:

    • • Sources of knowledge used in practice
    • • Barriers to finding and evaluating research reports and guidelines
    • • Barriers to changing practice on the basis of best evidence
    • • Facilitating factors for changing practice on the basis of best evidence
    • • Experience in finding, evaluating and using different sources of evidence

    The participants were selected using the county council's staff database and included medical, caring and rehabilitative staff within hospitals, primary care, dentistry and laboratory medicine. The inclusion criteria were permanent employment and clinical work. Invitations were sent to 5787 persons to participate in the study and 1445 persons answered the questionnaire.

    Results  Knowledge used in daily clinical practice was mainly based on information about the patient, personal experience and local guidelines. Twenty per cent answered that they worked ‘in the way they always had’, and 11% responded that they used evidence from research as a basis for change. The participants experienced that EBP was not used enough in clinical healthcare and explained this with practical and structural barriers, which they thought should be better monitored by the organisation and directors.

    Conclusion  Overall, the results indicate that the scientific evidence for healthcare is not used sufficiently as a base for decisions in daily practice as well as for changing practice. This is more prominent among assistant staff. As a consequence, this might affect the care of the patients in a negative way. Increased awareness of EBP and a stronger evidence-based approach are keys in the ongoing improvement work in the county. Local guidelines seem to be a way to implement knowledge. But, as the arena of activities is complex and the employees have diverse education levels, different strategies to facilitate and promote EBP are necessary.

  • 5.
    Areskoug Josefsson, Kristina
    et al.
    Högskolan i Jönköping, The Jönköping Academy for Improvement of Health and Welfare.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Rolander, Bo
    Högskolan i Jönköping, HHJ, Avd. för beteendevetenskap och socialt arbete.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Health care students' attitudes towards working with sexual health in their professional roles - survey of students at nursing, physiotherapy and occupational therapy programmes2016In: Conference abstracts: Pre-conference abstracts, 2016Conference paper (Refereed)
  • 6.
    Areskoug Josefsson, Kristina
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Rolander, Bo
    Jönköping University, Futurum, Academy for Health and Care, Jönköping County Council.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Health Care Students’ Attitudes Towards Working with Sexual Health in Their Professional Roles: Survey of Students at Nursing, Physiotherapy and Occupational Therapy Programmes2016In: Sexuality and disability, ISSN 0146-1044, E-ISSN 1573-6717, Vol. 34, no 3, p. 289-302Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to explore differences and similarities in health care students’ attitudes towards working with and communicating with patients about sexual health issues in their future professions. The aim was also to explore whether the students’ gender, age and future professions were influencing factors and whether there was a change in attitude depending on educational levels, gender, age and future professions. The study also aimed to explore the potential development of those differences and similarities in attitudes between health care students having achieved different levels of education and training in their future professions. A cross-sectional quantitative study was performed with an online survey distributed to nursing, occupational therapy and physiotherapy students. The students believed that they needed increased sexual health education and increased communication skills about sexual health. Gender and future profession are factors that significantly affect the attitudes of the students towards working with sexual health. Nursing and occupational therapy students have a more positive attitude towards addressing sexual health in their future professions than do physiotherapy students. Further research is needed in this field to improve competence in sexual health for all student groups, particularly physiotherapy students. Further research is also needed to explore the significance of gender regarding education in sexual health and attitudes towards working with sexual health.

  • 7.
    Areskoug Josefsson, Kristina
    et al.
    Värnamo Hospital.
    Öberg, Ulrika
    Futurum - The Academy of Healthcare, County Council, Jönköping.
    A literature review of the sexual health of women with rheumatoid arthritis2009In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 7, no 4, p. 219-226Article in journal (Refereed)
    Abstract [en]

    Sexual health problems are common for women with Rheumatoid Arthritis, RA. Sexual health is covered in the International Classification of Functioning, Disability and Health (ICF) by two different fields: sexual function and intimate relationships, which are included in the ICF core sets for RA. Most patients with RA are female, and there are differences concerning sexual health between women and men with RA. The aim of this study was to explore the literature concerning the effects of RA on the sexual health of female patients, and also recommend solutions to improve the sexual health of women with RA. Sexual health problems can occur before, during and after sexual activities, and can affect women's sexual health in different perspectives. The investigated areas concerning female RA-patients and sexual are general sexual problems, sexual satisfaction, sexual desire, sexual performance, and sexual functioning. RA affects sexual health as a result of pain, reduced joint mobility, fatigue, depression and body image alterations. The investigated material provides few solutions to sexual health problems of female RA- patients. The most commonly mentioned solution is increased information and communication between health professionals and patients. Some of the studies recommend physiotherapy. Further research is needed to understand which types of intervention can help women with RA to improve their sexual health

  • 8.
    Haraldsson, P.
    et al.
    Värnamo Sjukhus, Arbetsmiljoenheten.
    Jonker, D.
    Värnamo Sjukhus, Arbetsmiljoenheten.
    Strengbom, E.
    Värnamo Sjukhus, Arbetsmiljoenheten.
    Areskoug Josefsson, Kristina
    Värnamo Hospital, Samrehab.
    Structured Multidisciplinary work Evaluation Tool: Development and validation of a multidisciplinary work questionnaire2016In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 55, no 4, p. 883-891Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Important success factors for the Occupational Health Service (OHS) include services being based on active participation and risk identification from a multidisciplinary/multifactorial perspective. Despite an extensive search, no questionnaire with this approach was found so a new questionnaire was developed at the OHS. The aim of this study was to develop and validate the new questionnaire named Structured Multidisciplinary work Evaluation Tool (SMET) through action research. METHOD: Communicative and pragmatic validity were tested through the development of the questionnaire using action theory and presented in a descriptive portrayal. The Content Validity Index (CVI) was used to test content validity for each item as well as for the questionnaire as a whole. RESULT: Communicative and pragmatic validity were developed and tested over time in four different periods between 2008 and 2014, in 24 clinics (with a total of approximately 1000 employees) in Region Jonkoping County. The content validity of the SMET questionnaire as a whole was close to excellent and the validity of the questions regarding physically and psychosocially demanding work factors were found to be excellent. The questions regarding environmentally demanding work factors were found to have a lower, but still good, validity. CONCLUSION: The SMET questionnaire has very good content validity. The pervasive work with the SMET questionnaire also shows good pragmatic and communicative validity.

  • 9.
    Josefsson, Kristina Areskoug
    et al.
    Division of Physiotherapy, Lund University.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Sexual Health as a Part of Physiotherapy: The Voices of Physiotherapy Students2015In: Sexuality and disability, ISSN 0146-1044, E-ISSN 1573-6717, Vol. 33, no 4, p. 513-532Article in journal (Refereed)
    Abstract [en]

    The aim of the project was to explore and describe the views of physiotherapy students concerning sexual health as a part of physiotherapy education, and to enable them in their future profession as physiotherapists to be able to discuss sexual health matters with patients in an informed, sensitive and relaxed way. A qualitative interview study with data collection through focus group interviews was performed and analyzed with thematic content analysis. There was a strong consensus among the physiotherapy students in believing that sexual health should be acknowledged by physiotherapists. The theme that emerged from the data was: Sexual health—a professional challenge. The interviews resulted in the following categories: professional challenge, personal life experiences, communication, perceptive patient understanding, environmental factors and need for competence development. Students are positive towards working with sexual health. They believe that sexual health is an important aspect of quality of life, and therefore should be a part of physiotherapy education. Sexual health needs to be more addressed in the physiotherapy education. Students lack knowledge of lesbian, gay, bisexual, transgender and queer, sexual health and communication about sensitive issues. Perceived barriers towards working with sexual health could probably be lessened with increased education, but further research is needed. Personal development, knowledge, experience and environmental factors facilitate communication about sexual health.

1 - 9 of 9
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