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Selvin, M., Almqvist, K., Kjellin, L., Lundqvist, L.-O. & Schroder, A. (2019). Patient and staff experiences of quality in Swedish forensic psychiatric care: a repeated cross-sectional survey with yearly sampling at two clinics. International Journal of Mental Health Systems, 13, Article ID 8.
Open this publication in new window or tab >>Patient and staff experiences of quality in Swedish forensic psychiatric care: a repeated cross-sectional survey with yearly sampling at two clinics
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2019 (English)In: International Journal of Mental Health Systems, ISSN 1752-4458, E-ISSN 1752-4458, Vol. 13, article id 8Article in journal (Refereed) Published
Abstract [en]

BackgroundSystematic efforts to improve the quality, safety and value of health care have increased over the last decades. Even so, it is hard to choose priorities and to know when the desired results are reached, especially in forensic psychiatric care where there can be a discrepancy between patient and staff expectations of what good quality of care is and how it should be reached. The aim of the present study was to describe and compare patient and staff experiences of quality of care in two forensic psychiatric clinics over a period of 4years.MethodsA quantitative design was used and yearly between 2011 and 2014, a total of 105 questionnaires were answered by patients and 598 by staff.ResultsThe sample consisted of four different groups; patient and staff in Clinic A and Clinic B respectively. The repeated measurements showed that quality of care, as described by the patients, varied over time, with significant changes over the 4years. The staff evaluations of the quality of care were more stable over time in both clinics compared with the patients. Generally, the staff rated the quality as being better than the patients but these differences tended to decrease when efforts were made to improve the care.ConclusionsIt is important to highlight both what staff and patients perceive as both high and low quality care. With regular measurements and sufficient resources, training, support and leadership, the chances of successful improvement work increase. This knowledge is important in forensic nursing practice, for teaching and for management and decision makers in the constant work of improving forensic psychiatric care.

Place, publisher, year, edition, pages
BMC, 2019
National Category
Psychology
Research subject
Psychology with an emphasis on medical psychology
Identifiers
urn:nbn:se:kau:diva-71095 (URN)10.1186/s13033-019-0265-z (DOI)000457489600001 ()30733827 (PubMedID)
Available from: 2019-02-14 Created: 2019-02-14 Last updated: 2019-02-21Bibliographically approved
Anderzen-Carlsson, A., Gillå, C., Lind, M., Almqvist, K., Lindgren Fändriks, A. & Källström, Å. (2018). Child healthcare nurses' experiences of asking new mothers about intimate partner violence. Journal of Clinical Nursing, 27(13-14), 2752-2762
Open this publication in new window or tab >>Child healthcare nurses' experiences of asking new mothers about intimate partner violence
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2018 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 13-14, p. 2752-2762Article in journal (Refereed) Published
Abstract [en]

Aims and objectives: To investigate child healthcare nurses' experiences of asking mothers of 8-month-old children about intimate partner violence using a two-step questionnaire. Background: Exposure to intimate partner violence is detrimental to women and to their children, and its early detection is vital. Child health care is a promising setting for detecting intimate partner violence. Design: The overall project had a quasi-experimental design and was employed in 2015 at 12 child healthcare centres in Sweden. The project aimed to test a two-step method for talking about intimate partner violence with mothers (n = 198) at the child healthcare centre. In this article, we disclose the experiences of the intervention from the perspective of the nurses (n = 13) who were educated and involved in the intervention. Methods: Data were collected by semi-structured interviews, analysed by thematic analysis. Results: Five categories emerged: using the two-step questionnaire method, asking about IPV as an important issue, being comfortable in the professional role and with asking about IPV, the importance of time and place in asking about IPV and spillover effects. Conclusions: Asking mothers visiting the child health clinic about their experiences of intimate partner violence was seen as an important task. Using a questionnaire could facilitate asking, but the questionnaire must be short and easy to use. Furthermore, the time and place for initiating a talk about this sensitive topic must be carefully chosen. Relevance to clinical practice: The Violence in Families questionnaire was regarded as a useful tool and could thus be implemented in practice. However, it is important to offer education to the nurses prior to implementing a routine of asking about intimate partner violence in the child healthcare setting.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018
Keywords
Child healthcare clinics, Intimate partner violence, Nursing, Qualitative methods, article, child, child health care, clinical practice, education, experimental design, family violence, female, human, human experiment, major clinical study, mother, nurse, partner violence, pediatric hospital, professional standard, qualitative analysis, questionnaire, semi structured interview, Sweden, thematic analysis
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-66213 (URN)10.1111/jocn.14242 (DOI)000435942000025 ()2-s2.0-85041099584 (Scopus ID)
Available from: 2018-02-09 Created: 2018-02-09 Last updated: 2019-03-13Bibliographically approved
Almqvist, K., Källström, Å., Appell, P. & Anderzen-Carlsson, A. (2018). Mothers’ opinions on being asked about exposure to intimate partner violence in child healthcare centres in Sweden. Journal of Child Health Care, 22(2), 228-237
Open this publication in new window or tab >>Mothers’ opinions on being asked about exposure to intimate partner violence in child healthcare centres in Sweden
2018 (English)In: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 22, no 2, p. 228-237Article in journal (Refereed) Published
Abstract [en]

Intimate partner violence (IPV) constitutes a hidden health risk for exposed mothers and children. In Sweden, screening for IPV in healthcare has only been routine during pregnancy, despite an increase in IPV following childbirth. The arguments against routine questions postpartum have concerned a lack of evidence of beneficial effects as well as fear of stigmatizing women or placing abused women at further risk. Increased understanding of women’s attitudes to routine questions may allay these fears. In this study, 198 mothers in 12 child healthcare centres (CHCs) filled in a short questionnaire about their exposure and received information on IPV at a regular baby check-up visit. The mothers’ lifetime prevalence of exposure to IPV was 16%. One hundred and twenty-eight mothers participated in a telephone interview, giving their opinion on the screening experience. The intervention was well-received by most of the mothers who reported that questions and information on IPV are essential for parents, considering the health risks for children, and that the CHC is a natural arena for this. Necessary prerequisites were that questioning be routine to avoid stigmatizing and be offered in privacy without the partner being present.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
Child healthcare, domestic violence, intimate partner violence, routine screening, article, child, female, health hazard, human, human experiment, infant, major clinical study, mother, partner violence, prevalence, privacy, questionnaire, Sweden, telephone interview
National Category
Health Sciences
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-68063 (URN)10.1177/1367493517753081 (DOI)000434024600006 ()2-s2.0-85047936118 (Scopus ID)
Available from: 2018-06-26 Created: 2018-06-26 Last updated: 2018-06-26Bibliographically approved
Pernebo, K., Fridell, M. & Almqvist, K. (2018). Outcomes of psychotherapeutic and psychoeducative group interventions for children exposed to intimate partner violence. International Journal of Child Abuse & Neglect, 79, 213-223
Open this publication in new window or tab >>Outcomes of psychotherapeutic and psychoeducative group interventions for children exposed to intimate partner violence
2018 (English)In: International Journal of Child Abuse & Neglect, ISSN 0145-2134, E-ISSN 1873-7757, Vol. 79, p. 213-223Article in journal (Refereed) Published
Abstract [en]

Witnessing violence toward a caregiver during childhood is associated with negative impact on children's health and development, and there is a need for effective interventions for children exposed to intimate partner violence in clinical as well as in community settings. The current effectiveness study investigated symptom reduction after participation in two established group interventions (one community-based psychoeducative intervention; one psychotherapeutic treatment intervention) for children exposed to intimate partner violence and for their non-offending parent. The study included 50 children—24 girls and 26 boys—aged 4–13 years and their mothers. Child and maternal mental health problems and trauma symptoms were assessed pre- and post-treatment. The results indicate that although children showed benefits from both interventions, symptom reduction was larger in the psychotherapeutic intervention, and children with initially high levels of trauma symptoms benefited the most. Despite these improvements, a majority of the children's mothers still reported child trauma symptoms at clinical levels post-treatment. Both interventions substantially reduced maternal post-traumatic stress. The results indicate a need for routine follow-up of children's symptoms after interventions.

Place, publisher, year, edition, pages
Elsevier Ltd, 2018
Keywords
Child witness of intimate partner violence, Children, Domestic violence, IPV, Outcome research, Post traumatic stress, Treatment, adolescent, adult, Article, child, child abuse, clinical article, female, human, male, maternal stress, mental health, partner violence, posttraumatic stress disorder, psychoeducation, psychotherapy, psychotrauma, treatment outcome
National Category
Psychology (excluding Applied Psychology)
Identifiers
urn:nbn:se:kau:diva-66660 (URN)10.1016/j.chiabu.2018.02.014 (DOI)000436522200022 ()2-s2.0-85042369490 (Scopus ID)
Available from: 2018-03-13 Created: 2018-03-13 Last updated: 2018-09-05Bibliographically approved
Draxler, H., Hjärthag, F. & Almqvist, K. (2018). Replicability of effect when transferring a supportive programme for parents exposed to intimate partner violence and their children from the US to Sweden. Child Care in Practice, 1-17
Open this publication in new window or tab >>Replicability of effect when transferring a supportive programme for parents exposed to intimate partner violence and their children from the US to Sweden
2018 (English)In: Child Care in Practice, ISSN 1357-5279, E-ISSN 1476-489X, p. 1-17Article in journal (Refereed) Epub ahead of print
Abstract [en]

Transferring an evidence-based parenting programme for parents exposed to intimate partner violence (IPV) and their children with emotional and behavioural problems reveals the extent to which cultural and social aspects can interfere with the programme’s effectiveness. Feasibility studies are of value in such circumstances, and the aim of the present feasibility study was to explore, on a small scale and in its natural context, whether the effects of the parenting programme, Project Support, were replicable when transferred to another country. In this study, the programme, which was originally designed for parents exposed to IPV and their children who had developed psychological symptoms in the United States, was evaluated in an equivalent population receiving Swedish social services. Parents (n = 35) self-assessed their parenting capacity and their children’s (n = 35) psychological symptoms. The results indicate that the parents improved their parenting capacity, and feelings of helplessness and fear regarding parenting their children decreased. Those feelings were also associated with the children’s psychological symptoms. The promising results are similar to the findings of previous research from the US, and further implementation and evaluation of Project Support in Sweden are indicated. (PsycINFO Database Record (c) 2018 APA, all rights reserved) (Source: journal abstract)

Place, publisher, year, edition, pages
Routledge, 2018
Keywords
Feasibility study, parenting, domestic violence, social work, children’s psychological symptoms, No terms assigned, article, 2956:Childrearing & Child Care
National Category
Psychology (excluding Applied Psychology)
Research subject
Psychology
Identifiers
urn:nbn:se:kau:diva-70309 (URN)10.1080/13575279.2018.1463968 (DOI)
Note

Copyright - © 2018, The Author(s); Date revised - 20180507; Publication note - Open access; Number of references - 41; Last updated - 2018-05-08; SubjectsTermNotLitGenreText - No terms assigned

Available from: 2018-11-27 Created: 2018-11-27 Last updated: 2019-01-30Bibliographically approved
Bäccman, C., Hjärthag, F. & Almqvist, K. (2016). Improved resiliency and well-being among military personnel in a Swedish Naval Force after a counter-piracy operation off the coast of Somalia. Scandinavian Journal of Psychology, 57(4), 350-358
Open this publication in new window or tab >>Improved resiliency and well-being among military personnel in a Swedish Naval Force after a counter-piracy operation off the coast of Somalia
2016 (English)In: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 57, no 4, p. 350-358Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to explore: (1) how the psychological health of the members of the first European Union Naval Force (ME01) was affected by international deployment off the coast of Somalia; and (2) if and how organizational and personal factors (e.g., type of personnel category, previous experiences, and resilience) affected their psychological health and well-being post-deployment. The study had an exploratory longitudinal design, where the participants were assessed both before and after deployment (i.e., T1 and T2). The participants (n=129, 120 men, 9 women) were equally distributed between officers (n=68; 64 men, 4 women) and sailors (n=61; 56 men, 5 women). The members' average age was 31years, ranging from 20 to 61. For the majority (78%) ME01 was their first international deployment and officers were, in general, more experienced than sailors. The overall results showed that the members' reported a positive experience with improved resilience and well-being (e.g., sense of coherence). However, the result also showed that type of personnel category (i.e., officer or sailor) affected their psychological health. Why and how these differences among military personnel arise is discussed, but deserves further attention.

Keywords
Military personnel, international deployment, naval, resilience, psychological health, well-being
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:kau:diva-44662 (URN)10.1111/sjop.12299 (DOI)000379940000011 ()27253612 (PubMedID)
Available from: 2016-08-12 Created: 2016-08-12 Last updated: 2017-11-28Bibliographically approved
Almqvist, K. & Draxler, H. (2016). Project Support: En genomförbarhetsstudie av ett individuellt föräldrastöd i socialtjänsten för våldsutsatta föräldrar. Karlstad: Karlstads universitet
Open this publication in new window or tab >>Project Support: En genomförbarhetsstudie av ett individuellt föräldrastöd i socialtjänsten för våldsutsatta föräldrar
2016 (Swedish)Report (Other academic)
Abstract [sv]

Genomförbarheten av Project Support (PS), ett individuellt föräldrastöd för våldsutsatta mammor utvecklat i USA, utvärderas inom ramen för svensk socialtjänst i denna studie. Sammanlagt trettio behandlare har utbildats i metoden, som anpassats till svenska förhållanden i samarbete med upphovsmännen. Tjugonio familjer hade inkluderats i behandling vid sttudiens avslut. Såväl behandlare som mammor uppskattade metoden och bedömde att den var en lämplig insats som förbättrade föräldrarnas samspel med sina barn. Mammornas självskattade föräldraförmåga förbättrades signifikant, och barnens symtomnivåer sänktes. Vissa svårigheter för implementering identifierades, dels metodspecifika, dels relaterade till omständigheter i socialtjänsten.

Place, publisher, year, edition, pages
Karlstad: Karlstads universitet, 2016. p. 28
Series
Karlstad University Studies, ISSN 1403-8099 ; 2015:26
Keywords
Intimate Partner Violence, interventions, children, mental health, social work, våld i nära relationer, insatser, barns psykiska hälsa, socialtjänsten
National Category
Applied Psychology
Research subject
Psychology with an emphasis on medical psychology
Identifiers
urn:nbn:se:kau:diva-41256 (URN)978-91-7063-704-9 (ISBN)
Projects
Insatser för våldsutsatta barn
Funder
Swedish National Board of Health and Welfare, 4394
Available from: 2016-04-08 Created: 2016-04-08 Last updated: 2016-05-10Bibliographically approved
Pernebo, K. & Almqvist, K. (2016). Young children's experiences of participating in group treatment for children exposed to intimate partner violence: A qualitative study. Clinical Child Psychology and Psychiatry, 21(1), 119-132
Open this publication in new window or tab >>Young children's experiences of participating in group treatment for children exposed to intimate partner violence: A qualitative study
2016 (English)In: Clinical Child Psychology and Psychiatry, ISSN 1359-1045, E-ISSN 1461-7021, Vol. 21, no 1, p. 119-132Article in journal (Refereed) Published
Abstract [en]

The risk of exposure to intimate partner violence (IPV) between caregivers is increased during early childhood. The adverse effects on the health and development of the youngest children may be severe. Effective and promising interventions for children who have experienced IPV have been developed and evaluated. However, there is a lack in knowledge about how the children themselves experience the interventions. The aim of this study was to contribute to the evaluation of group treatment designed to improve the psychological health of young children in the aftermath of family violence by elucidating the children's experiences of participating. Nine children, aged 4 to 6 years, were interviewed after participating in group programmes specifically designed for children who have been exposed to intimate partner violence. A semi-structured interview guide with open-ended questions was used. The interviews were transcribed and analysed using interpretative phenomenological analysis, to ensure a focus on the children's own views and experiences. Five master themes embracing the children's experiences were identified: joy - positive emotional experience of participation; security - feeling safe; relatedness - relationships within the group; to talk - externalised focus on the violence; and competence - new knowledge and skills. Theoretical and clinical implications and the benefit of including very young children's views and experiences in research are discussed.

Place, publisher, year, edition, pages
New York: Sage Publications, 2016
Keywords
Intimate Partner Violence; children, treatment
National Category
Applied Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:kau:diva-34841 (URN)10.1177/1359104514558432 (DOI)000367466100009 ()25410886 (PubMedID)
Available from: 2014-12-22 Created: 2014-12-22 Last updated: 2017-12-06Bibliographically approved
Bäccman, C., Sjöberg, L. & Almqvist, K. (2015). A comparison of applicants' and incumbents' mean scores on health constructs and personality constructs.: A follow-up study of military recruits in a selection setting. International Journal of Selection and Assessment, 23(2), 120-130
Open this publication in new window or tab >>A comparison of applicants' and incumbents' mean scores on health constructs and personality constructs.: A follow-up study of military recruits in a selection setting
2015 (English)In: International Journal of Selection and Assessment, ISSN 0965-075X, E-ISSN 1468-2389, Vol. 23, no 2, p. 120-130Article in journal (Refereed) Published
Abstract [en]

This study looked at the effects of self-enhancement in a real recruitment setting, and included both personality constructs, and the more infrequently studied, health constructs. The participants (N = 202) were assessed first as applicants, and later as incumbents. The result revealed that self-enhancement was more ubiquitous on the personality constructs than on the health constructs. However, the effect sizes were stronger for the latter, and it was twice as likely for the participants to confirm having experienced previous traumatic/stressful events as incumbents compared to as applicants. Implications for self-enhancement on personality and health constructs in military recruitment situations are discussed. 

Place, publisher, year, edition, pages
Oxford, UK: John Wiley & Sons, 2015
Keywords
self-enhancement, health constructs, personality constructs, military, applicant setting
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:kau:diva-37904 (URN)10.1111/ijsa.12101 (DOI)000353957200003 ()
Available from: 2015-09-10 Created: 2015-09-10 Last updated: 2017-12-06Bibliographically approved
Staf, A. G. & Almqvist, K. (2015). How children with experiences of intimate partner violence towards the mother understand and relate to their father. Clinical Child Psychology and Psychiatry, 20(1), 148-163
Open this publication in new window or tab >>How children with experiences of intimate partner violence towards the mother understand and relate to their father
2015 (English)In: Clinical Child Psychology and Psychiatry, ISSN 1359-1045, E-ISSN 1461-7021, Vol. 20, no 1, p. 148-163Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to describe how, in the aftermath of intimate partner violence against the mother, children understand and relate to their father. Face-to-face interviews with four girls and four boys, aged between eight and twelve, were analysed using an interpretative phenomenological approach. All of the children had been exposed to the father's violence towards the mother. Two super ordinate themes were identified in the analysis: the disjunctive image of the father and being entangled in a conflict. The children's understanding of the father and their relationship with him was built on different versions of the father and his actions; those experienced by the child and those recounted to them. The situational context surrounding the described experience pervaded the image of the father. An ambiguity appeared to exist in the sense of different versions of the father and children described different emotions that could both hinder and elicit other feelings connected to the father. Children also conveyed the sense of being trapped or entangled in a conflict where their own needs and desires could be deemed as unsafe to express, and that they felt responsibility for dealing with the father's influence.

Place, publisher, year, edition, pages
Sage Publications, 2015
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:kau:diva-29928 (URN)10.1177/1359104513503352 (DOI)000346513500011 ()24081974 (PubMedID)
Available from: 2013-10-30 Created: 2013-10-30 Last updated: 2017-12-06Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-3560-0394

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