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  • 1.
    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.

  • 2.
    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)
  • 3.
    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.

  • 4.
    Backman, Tess
    et al.
    Ambulance Care, Mora, Sweden.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Borg, Ronja
    Västerås Hospital, Region of Västmanland, Västerås, Sweden.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Ambulance nurses' experiences of deciding a patient does not require ambulance care2019In: Nursing Open, E-ISSN 2054-1058, Vol. 6, no 3, p. 783-789Article in journal (Refereed)
    Abstract [en]

    Aim: To describe ambulance nurses’ experience of deciding a patient does not require ambulance care.

    Design:An inductive, empirical study with a qualitative approach.Methods: Data collection was conducted through semi‐structured interviews, and collected data were analysed with qualitative manifest content analysis. Data were collected during the spring 2017, and eight ambulance nurses participated.Results:The findings are presented in one main category, which is “Not very ill but a difficult decision” with totally three subcategories. The ambulance nurse's experi‐ence of making the assessment when the patient has no need for ambulance care is like walking the balance of slack line. This means that the assessment can be both easy and very difficult but something that definitely requires experience, knowledge and dedication.

  • 5.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Activity: Living with a never ending pain: Meanings of pain for women with fibromyalgia2012Conference paper (Other (popular science, discussion, etc.))
  • 6.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Att leva med Fibromyalgi2015Conference paper (Other (popular science, discussion, etc.))
    Abstract [sv]

    Föreläsning Internationella fibromyalgidagen, Piteå Reumatikerförbund

  • 7.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Att leva med fibromyalgi2012Conference paper (Other (popular science, discussion, etc.))
  • 8.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Att leva med Fibromyalgi2015Conference paper (Other (popular science, discussion, etc.))
    Abstract [sv]

    Föreläsning Internationella Reumatikerdagen, Reumatikerföreningen Älvsbyn

  • 9.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Att må bra trots smärta – berättat av kvinnor med fibromyalgi2013Conference paper (Other (popular science, discussion, etc.))
    Abstract [sv]

    Föreläsning vid 1.6 miljoners klubbens seminarium; Hjärta, smärta, lust och kultur.

  • 10.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Betydelsen av föreningar för kvinnor med fibromyalgi2013Conference paper (Other (popular science, discussion, etc.))
    Abstract [sv]

    Föreläsning på inbudan av Fibromyalgiföreningen i Kalix.

  • 11.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Kvinnors upplevelse av att leva med fibromyalgi: innebörden av smärta2011Conference paper (Other (popular science, discussion, etc.))
  • 12.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Kvinnors upplevelser av att leva med fibromyalgi2013Conference paper (Other (popular science, discussion, etc.))
    Abstract [sv]

    Föreläsning för Reumatikerförbundet i Kalix på Internationella reumatikerdagen

  • 13.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Kraft och ork att vara delaktig får kvinnor med fibromyalgi att må bra2013In: Best practice : yrkesdialog mellan specialister, Vol. 5, no 15, p. 26-27Article in journal (Other (popular science, discussion, etc.))
  • 14.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Kvinnors upplevelser av att leva med fibromyalgi2014In: Att leva med sjukdom, Lund: Studentlitteratur AB, 2014, 2, p. 97-106Chapter in book (Other (popular science, discussion, etc.))
  • 15.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Meanings of women's experiences of living with fibromyalgia2013Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of this doctoral thesis was to describe meanings of women’s experiences of living with fibromyalgia (FM), a chronic pain syndrome that mainly affects women in middle age. From the overall aim, specific aims were formulated; meanings of pain for women with FM (I), meanings of being received and met by others as experienced by women with FM (II), meanings of feeling well for women with FM (III), and women with FM’s experiences of associations (IV). Data were based on narrative interviews (I, II, III) with 24 women and focus group discussions (IV) with 17 women. The interviews were analyzed through phenomenological hermeneutic interpretation (I, II, III) and thematic content analysis (IV).Findings show that pain is an ever-present experience for women with FM. As it is invisible to others, the women are met with distrust, which implies that women with FM live with a double burden. Further, the findings show that women with FM are living with an aggressive, unpredictable pain (I) and being doubted by others because of the invisibility of the pain (I, II). Being doubted was related to the women’s efforts to be active and look fresh despite pain (I, II). In contrast, the abilities to do daily chores independently and help others were described as ways to find meaning; this gave the women strength to keep control and feel well (I, II, III). The women with FM described a need for togetherness, belonging, and being appreciated as they are (II, III, IV). This induced feelings of security (II) and feeling well (III). To be listened to and taken seriously gave feelings of gratitude, and to be understood was described as strengthening (II, IV). Support from family, friends, and others with similar experiences to theirs led to feelings of being worthy (I-IV).The thesis suggests that meanings of women’s experiences of living with FM can be seen as striving for balance, because a split between their own needs and others’ expectations existed in all parts of their everyday lives. The painful body became a hinder in their relation to themselves and others. Being met with honesty, and interest, evolved feelings of confirmation and made the women feel well. At the association, the women could bring forward their own views without being disbelieved. In order to support women with FM’s quest for balance and to feel well, it is important to be aware of what facilitates and hinders their efforts.

    The full text will be freely available from 2023-05-13 00:00
  • 16.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Osallistuminen tuottaa hyvinvointia fibromyalgiaa sairastaville naisille2014In: Best Practice. Lääketieteen asiantuntijoiden ammattilehti, Vol. 5, p. 30-31Article in journal (Other (popular science, discussion, etc.))
  • 17.
    Juuso, Päivi
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Skär, Lisa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Olsson, Malin
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Söderberg, Siv
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Living with a double burden: Meanings of pain for women with fibromyalgia2011In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 6, no 3Article in journal (Refereed)
    Abstract [en]

    Living with fibromyalgia (FM) means living with a chronic pain condition that greatly influences daily life. The majority of people with FM are middle-aged women. The aim of this study was to elucidate meanings of pain for women with FM. Fifteen women with FM were interviewed about their pain experiences and a phenomenological hermeneutic interpretation was used to analyse the interview texts. The findings show that meanings of pain for women with FM can be understood as living with a double burden; living with an aggressive, unpredictable pain and being doubted by others in relation to the invisible pain. The ever-present pain was described as unbearable, overwhelming, and dominated the women’s whole existence. Nevertheless, all the women tried to normalize life by doing daily chores in an attempt to alleviate the pain. In order to support the women’s needs and help them to feel well despite their pain, it is important that nurses and health care personnel acknowledge and understand women with FM and their pain experiences.

  • 18.
    Juuso, Päivi
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Skär, Lisa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Olsson, Malin
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Söderberg, Siv
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Meanings of being received and met by others as experienced by women with fibromyalgia2014In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 24, no 10, p. 1381-1390Article in journal (Refereed)
    Abstract [en]

    Fibromyalgia (FM) is a common chronic pain syndrome that mostly affects middle-aged women. Our aim with this study was to elucidate meanings of being received and met by others as experienced by women with FM. Interviews with a narrative approach were conducted with 9 women. We analyzed the transcribed interviews with a phenomenological hermeneutical interpretation. The findings revealed two themes: being seen as a malingerer and being acknowledged. Meanings of being received and met by others, as experienced by women with FM, can be understood as a movement between the two perspectives. When they were acknowledged, their feelings of security and trust increased, but the women could not rely on this because others received and met them in such an unpredictable manner.

  • 19.
    Juuso, Päivi
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Skär, Lisa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Olsson, Malin
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Söderberg, Siv
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Meanings of feeling well for women with fibromyalgia2013In: Health Care for Women International, ISSN 0739-9332, E-ISSN 1096-4665, Vol. 34, no 8, p. 694-706Article in journal (Refereed)
    Abstract [en]

    The researchers focus in this study was to elucidate meanings of feeling well for women with fibromyalgia (FM). We obtained narrative interviews with thirteen women with FM and used a phenomenological-hermeneutic interpretation to analyse the interview texts. Our interpretation of the findings show that for women with FM meanings of feeling well can be understood as having strength to be involved. The women's experiences of feeling well meant being in control, having power, finding one's own pace and feelings of belonging.

  • 20.
    Juuso, Päivi
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Skär, Lisa
    Blekinge Institute of Technology, Department of Health, Karlskrona.
    Sundin, Karin
    Umeå University, Department of Nursing.
    Söderberg, Siv
    Mid Sweden University, Östersund, Department of Nursing and Health Sciences.
    The Workplace Experiences of Women with Fibromyalgia2016In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 14, no 2, p. 69-76Article in journal (Refereed)
    Abstract [en]

    PurposeFibromyalgia (FM) is a common pain syndrome that mostly affects women. Chronic pain and other symptoms often chalenge work for women with FM. This study aimed to explore how women with FM experience their work situations.MethodA purposive sample of 15 women with FM was interviewed with in-depth qualitative interviews. Data were analysed using a hermeneutic approach.ResultsThe results revealed that women with FM experienced incapacity to work as they had previously and eventually accepted that their work life had changed or reached its end. Since their work had great significance in their lives, feelings of loss and sorrow were common. Women who were working, unemployed, or on sick leave described feelings of fear for their future work situations.ConclusionsWomen with FM greatly value their work. Their wish to perform work as before is however, not consistent with their abilities. As such, women with FM need support in continuing to work for as long as possible, after which they need support in finding new values in life.

  • 21.
    Juuso, Päivi
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Söderberg, Siv
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Olsson, Malin
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Skär, Lisa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    The significance of Associations for women with FM2014In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 36, no 21, p. 1755-1761Article in journal (Refereed)
    Abstract [en]

    Purpose: Living with fibromyalgia (FM) means living with a long-term pain syndrome that is invisible to others. Support and understanding from others seem to be important to managing the affected daily life. The aim of this study was to describe the significance of FM associations for women with FM. Methods: Data collection was carried out through focus group discussions with seventeen women with FM. Data were analyzed through thematic content analysis. Results: The findings show that women experienced associations for people with FM as important as they gave access to contacts with others with similar experiences. Their need of togetherness was fulfilled at the association and they described being strengthened by the support received. Because of the lack of information and knowledge about FM, the association was described as an important venue for getting and mediating information about the illness. Conclusions: At the association the women seem to be empowered, which increases their ability to manage their daily lives despite the limitations imposed by FM. Healthcare personnel could not satisfy the women’s needs and to manage to support women with FM. There is a need for communication based on a shared understanding between the women and healthcare personnel.Implications for Rehabilitation Read More: http://informahealthcare.com/eprint/hxrQu88eIVBPKf48aBpd/full

  • 22.
    Nilsson, Carina
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Lindberg, Birgitta
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Olsson, Malin
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Experiences of striving to maintain daily life among women with osteoporosis2019In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 14, article id 1647402Article in journal (Refereed)
    Abstract [en]

    In order to describe how women with osteoporosis strive to maintain daily life we interviewed11 women using a reflective lifeworld approach based on phenomenological analysis.Osteoporosis is a major public health concern in the Western world, and is predominantamong women. Our findings indicated that meanings of striving to maintain daily life implya belief in oneself and one’s own capabilities. The women expressly speak out for themselvesas a way of finding reconciliation without giving in to the illness. Women with osteoporosisexpect to gain support early in the course of their illness. They require advice on how tomanage the disease as well as support for striving to maintain daily living. Therefore, it iscrucial that the women not only are given information about the disease. Equally important isto establish continuity in healthcare encounters, and that health care offers support foundedin the women’s lived experiences with focus on their capacities.

  • 23.
    Persson, Anna-Carin
    et al.
    Ambulance Care in Ålem and Oskarshamn.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Burström, Oskar
    Resource unit in ambulance care, Jämtland/Härjedalen.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Specialist Ambulance Nurses' Experiences of Births Before Arrival2019In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 43, p. 45-49Article in journal (Refereed)
    Abstract [en]

    Background

    Working as an ambulance nurse means interacting with and caring for acutely ill and injured patients. It can even involve births before arrival to the hospital (BBA), which are rare but increasing due to the centralization of maternity wards.

    Aim

    This study describes the experiences of specialist ambulance nurses with BBA.

    Method

    A qualitative study was conducted, and nine specialist ambulance nurses who had assisted with one or more prehospital births were interviewed. Data were analysed with thematic content analysis.

    Findings

    The analysis revealed three categories that were compiled into a theme of feeling fright and exhilaration. The findings showed that BBA causes feelings of anxiety and stress. The experience is also associated with joy and relief when the baby is born. Childbirth is a situation for which specialist ambulance nurses feel less prepared, lack of knowledge, and wish for more education.

    Conclusion

    Specialist ambulance nurses face challenges in the pre-hospital care environment during BBA, with long distances, a lack of equipment aboard the ambulance, and no assistance from midwives. To feel secure in the complex role that is required when assisting with a BBA, specialist ambulance nurses should be given the opportunity to receive scenario training.

  • 24.
    Sandström, Linda
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Nilsson, Carina
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Forsberg, Angelica
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Patients’ health-related quality of life and perceptions of care: A longitudinal study based on data from the Swedish Trauma RegistryManuscript (preprint) (Other academic)
  • 25.
    Sandström, Linda
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    The helicopter as a caring context: trauma patients’ experiences2017Conference paper (Refereed)
  • 26.
    Sandström, Linda
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Nilsson, Carina
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Experiences of suffering multiple trauma: A qualitative study2019In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 54, p. 1-6Article in journal (Refereed)
    Abstract [en]

    Objectives

    In an effort to strengthen health care professionals’ ability to anticipate and address multiple trauma patients’ needs, this study aims to explore the experience of suffering from multiple trauma.

    Design

    This is a qualitative descriptive study. Nine interviews were analysed using content analysis.

    Setting

    The study included patients who had been registered in the Swedish Intensive Care registry [SIR] due to suffering multiple trauma.

    Findings

    The analysis revealed one theme, A detour in life, based on three sub-themes: (a) Feeling lost and not knowing what to expect, (b) Striving to get life back on track and (c) Dealing with ‘dead ends’ during rehabilitation. The theme showed that those who suffered multiple trauma did not know what to expect of their recovery and they expressed experiencing a lack of understanding and guidance from healthcare professionals. As it was important to focus on the present and find ways to move on in life, they sought for other ways to find direction in matters of rehabilitation and care.

    Conclusions

    A shared understanding is essential in order to define a person’s needs. By setting short-term goals and improving documentation, healthcare professionals across the trauma recovery continuum could more easily gain insight of their patients’ needs and address them with supportive guidance.

  • 27.
    Sandström, Linda
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Nilsson, Carina
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    CCNs experiences of nursing trauma patients2017Conference paper (Refereed)
  • 28.
    Sandström, Linda
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Nilsson, Carina
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Experiences of nursing patients suffering from trauma: preparing for the unexpected: a qualitative study2016In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 36, p. 58-65Article in journal (Refereed)
    Abstract [en]

    SummarySettings and objectivesA midsize hospital in the north of Sweden with a high-tech intensive care unit and space for up to 10 patients, with an attached postoperative ward for up to 15 patients. The wards are manned by critical care nurses who are also responsible for carrying a trauma pager. When the alarm goes off, the critical care nurse leaves her/his duties and joins a trauma team. The aim of the study was to describe critical care nurse's experiences of nursing patients suffering from trauma.MethodA qualitative descriptive design was used. Data were collected through four focus group discussions with 15 critical care nurses analysed using qualitative content analysis.FindingsOne theme: Preparing for the unexpected with four subthemes: (1) Feeling competent, but sometimes inadequate; (2) Feeling unsatisfied with the care environment; (3) Feeling satisfied with well-functioning communication; and (4) Feeling a need to reflect when affected.ConclusionsNursing trauma patients require critical care nurses to be prepared for the unexpected. Two aspects of trauma care must be improved in order to fully address the challenges it poses: First, formal preparation and adequate resources must be invested to ensure delivery of quality trauma care. Secondly, follow-ups are needed to evaluate care measures and to give members of the trauma team the opportunity to address feelings of distress or concern.

  • 29.
    Sandström, Linda
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Nilsson, Carina
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    The helicopter as a caring context: Experiences of people suffering trauma2017In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 32, p. 34-38Article in journal (Refereed)
    Abstract [en]

    Introduction

    When emergency medical services (EMS) are needed, the choice of transport depends on several factors. These may include the patient’s medical condition, transport accessibility to the accident site and the receiving hospital’s resources. Emergency care research is advancing, but little is known about the patient’s perspective of helicopter emergency medical services (HEMS).

    Aim

    The aim of this study was to describe trauma patients’ experiences of HEMS.

    Method

    Thirteen persons (ages 21–76) were interviewed using an interview guide. Data were analyzed using qualitative content analysis.

    Findings

    The analysis resulted in three themes: Being distraught and dazed by the event – patients experienced shock and tension, as well as feelings of curiosity and excitement. Being comforted by the caregivers – as the caregivers were present and attentive, they had no need for relatives in the helicopter. Being safe in a restricted environment – the participants’ injuries were taken seriously and the caregivers displayed effective teamwork.

    Conclusion

    For trauma patients to be taken seriously and treated as ‘worst cases’ enables them to trust their caregivers and ‘hand themselves over’ to their care. HEMS provide additional advantageous circumstances, such as being the sole patient and having proximity to a small, professional team.

  • 30.
    Skär, Lisa
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Söderberg, Siv
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Health-related quality of life and sense of coherence among people with obesity: Important factors for health management2014In: Russian Studies, ISSN 2050-3113, E-ISSN 2050-3121, Vol. 2Article in journal (Refereed)
    Abstract [en]

    Objectives: The purpose of this study was to evaluate whether health-related quality of life and levels of sense of coherence among people with obesity are correlated with body mass index, age, and gender. Methods: A cross-sectional, descriptive research design was used. Subjects (n = 157) were selected from a sample of participants in an ongoing survey and had a body mass index >30 kg/m2. Data were collected using the Short Form-36 Health Survey and the Sense of Coherence Scale. Results: The mean body mass index of women was higher than that of men. Compared to men, a greater proportion of women had a low sense of coherence. There was a significant relationship between low physical health and high body mass index. Female gender and older age correlated with a low sense of coherence and showed a significant association with high body mass index. Conclusion: To increase the health-related quality of life, people with obesity need support to help manage their life situation based on their individual needs and personal resources.

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