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  • 1.
    Bohman, Doris M.
    et al.
    Högskolan i Blekinge.
    Mattsson, Linda
    Karlshamns Primary Care Trust.
    Borglin, Gunilla
    Primary healthcare nurses' experiences of physical activity referrals: an interview study2015Inngår i: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 16, nr 3, s. 270-280Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: The aim of this study is to illuminate primary health care (PHC) nurses' experiences of physical activity referrals (PARs). Background: Despite extensive knowledge about the substantial health effects physical activities can produce, fewer and fewer people in our modern society regularly engage in physical activity. Within health care and, particularly, within the PHC arena, nurses meet people on a daily basis who need help to engage in a healthier lifestyle. The possibility of issuing written prescriptions for physical activities, often referred to as PARs, has been introduced as a tool to support such lifestyles. However, even though PHC nurses can prescribe physical activities, studies investigating their experience in this type of nursing intervention are rare. Methods: For this study, 12 semi-structured interviews were conducted with PHC nurses, and the transcribed texts were analysed using a qualitative content analysis. Findings: Two categories - PARs, an important nursing intervention, and PARs, the necessity of organisational support - reflected the nurses' experiences in using PARs. Conclusion: Our findings suggest that viewing the PAR as a complex intervention, with all that this entails, might be one approach to increasing the number of PARs being issued. Simpler systems, more time and the potential for testing the effectiveness of follow-ups could be possible ways of achieving this.

  • 2.
    Borglin, Gunilla
    et al.
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013). Malmö University, Malmö, Sweden.
    Hentzel, Johanna
    Blekinge Cty Council, Primary Hlth Care RN, Nursing, Blekinge, Sweden..
    Bohman, Doris M.
    Blekinge Inst Technol, Dept Hlth, Fac Hlth Sci, Blekinge, Sweden..
    Public health care nurses' views of mothers' mental health in paediatric healthcare services: A qualitative study2015Inngår i: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 16, nr 5, s. 470-480Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: To investigate public health nurses' perceptions and experiences of mental health and of the prevention of mental ill health among women postpartum, within paediatric healthcare services. Background: Although maternal health following childbirth should be a priority within primary care, it is known that women postpartum do not always receive the support they need to adapt to and cope with motherhood. Research implies that postnatal problems lack recognition and are not always acknowledged in routine practice. Few studies have been presented on this topic or from the perspective of nurses. Methods: For this study, eight semi-structured interviews were conducted with public health nurses, and the transcribed texts were analysed through a process inspired by Burnard's description of the four-step qualitative content analysis. Findings: Three categories - external influences on postpartum mental health, screening for and preventing postpartum mental ill health and paediatric healthcare services as a platform for support - were interpreted to reflect the nurses' perceptions and experiences of mental health among women postpartum and of the prevention of mental ill health among women postpartum. Conclusion: We found that public health nurses can have an important role in supporting mothers' mental health postpartum. Although caution is warranted in interpreting our results, the findings concur with those of other studies, highlighting that an equal care emphasis on both the mother and child can be an important aspect of successful support. Implementing person-centred care might be one strategy to create such an emphasis, while also promoting the mental health of new mothers. Public health nurses have a unique opportunity to support mothers' transition into healthy motherhood, especially because they are likely to meet both mothers and children on a regular basis during the first year after birth.

  • 3.
    Zakrisson, Ann-Britt
    et al.
    Örebro University.
    Theander, Kersti
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013).
    Anderzén-Carlsson, Agneta
    Örebro University.
    How life turned out one year after attending a multidisciplinary pulmonary rehabilitation programme in primary health care.2014Inngår i: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 15, nr 3, s. 302-311Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIM: To describe experiences among patients with chronic obstructive pulmonary disease (COPD) of the lasting usefulness one year after participating in a multidisciplinary pulmonary rehabilitation (PR) programme in a primary health care (PHC) setting.

    BACKGROUND: COPD affects patients' functioning in daily life. In a previous study, the patients participated in a programme for PR and were found to increase their functional capacity, quality of life and decrease exacerbations. The present study aims to provide a deeper understanding of the experience of participating in the programme.

    DESIGN: The study has a descriptive, qualitative design and is part of a longitudinal study on a multidisciplinary programme for PR of patients with COPD.

    METHOD: Semi-structured interviews with 20 participants were performed and data analysed by qualitative content analysis.

    FINDINGS: The findings are presented in one theme that illustrates the participants' experience of their current situation; I live life at my own pace, and three sub-themes illustrating this experience related to the participation in the programme; Awareness of limitations in my life; Regained control over my life; and No change in my life.

    CONCLUSION: Irrespective of whether the patients had already found their own strategies for managing the disease or whether the programme changed their lives, they lived their lives at their own pace. However, their lives were shadowed by worry.

    RELEVANCE TO CLINICAL PRACTICE: A multidisciplinary programme for PR in PHC could be an alternative for patients suffering from COPD, in order to facilitate for them in their daily life. It is suggested that the inclusion of patients in such groups should be based on each individual's need based on symptoms or functional capacity in everyday life, not based on spirometry values.

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