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Hälsofrämjande frakturprevention vid osteoporos: Kraft till förändring
Karlstad University, Faculty of Social and Life Sciences. (Public Health)ORCID iD: 0000-0002-2249-3868
2012 (Swedish)Doctoral thesis, comprehensive summary (Other academic)Alternative title
Preventing fractures by promoting health : Empowering for change (English)
Place, publisher, year, edition, pages
Karlstad: Karlstads universitet, 2012.
Series
Karlstad University Studies, ISSN 1403-8099 ; 2012:15
Keyword [sv]
frakturprevention, osteoporos, motivation, empowerment, salutogenesis implementering, hälsopromotion, Grounded theory, fallstudie samt hierarkisk klusteranalys
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
URN: urn:nbn:se:kau:diva-12555ISBN: 978-91-7063-419-2 (print)OAI: oai:DiVA.org:kau-12555DiVA: diva2:512301
Public defence
2012-05-11, Geijersalen 12A, Karlstads Universitet, Karlstad, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2012-04-17 Created: 2012-03-27 Last updated: 2016-05-25Bibliographically approved
List of papers
1. Widening the perspectives of fracture prevention in osteoporosis by identifying subgroups based upon psychological aspects and health behaviour
Open this publication in new window or tab >>Widening the perspectives of fracture prevention in osteoporosis by identifying subgroups based upon psychological aspects and health behaviour
2013 (English)In: Health, ISSN 1949-4998, Vol. 5, no 7A2, 34607Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Scientific Research Publishing, 2013
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-12549 (URN)10.4236/health.2013.57A2001 (DOI)
Note

Med titeln: Widening clinical and scientific perspectives on fracture prevension in osteoporosis :resilience resources and subgroups. i avh.

Available from: 2012-03-27 Created: 2012-03-27 Last updated: 2017-07-04Bibliographically approved
2. Forming a learning culture to promote fracture prevention activities
Open this publication in new window or tab >>Forming a learning culture to promote fracture prevention activities
2012 (English)In: Health Education, ISSN 0965-4283, Vol. 112, no 5, 421-435 p.Article in journal (Refereed) Published
Abstract [en]

Purpose – The purpose of this paper is to explore interprofessional experiences of incorporating fracture prevention activities in clinical practice inspired by an empowerment approach.

Design/methodology/approach – Data collection consisted primarily of focus groups interviews, systematized and analyzed by the grounded theory method. The study took place in a health-care district in a county in Sweden and involved health professionals from primary health care and orthopaedic departments.

Findings – The findings generated the core category forming a learning culture in managing to incorporate fracture prevention activities in clinical practice. In this learning culture, new forms of interaction with patients were practised and the collaboration developed between multidisciplinary teams added meaning and triggered personal and collective learning in particular about the need for breaking professional patterns, creating more empowering meetings, making the preventive links visible and constructing a greater sense of prevention within the community.

Practical implications – The findings show that learning processes through patient-centred interaction and face-to face collaboration based on the professionals' own requests and experiences can be an important motivator to promote fracture prevention activities.

Originality/value – This study provides some interprofessional elements in achieving a learning culture concerning health education and fracture prevention.

Keyword
Interprofessional collaboration, empowerment, health education, organizational culture
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-12550 (URN)10.1108/09654281211253434 (DOI)
Available from: 2012-03-27 Created: 2012-03-27 Last updated: 2016-05-25Bibliographically approved
3. Healthy risk awareness motivates fracture prevention: A grounded theory study of women with osteoporosis
Open this publication in new window or tab >>Healthy risk awareness motivates fracture prevention: A grounded theory study of women with osteoporosis
2007 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 2, no 4, 236-245 p.Article in journal (Refereed) Published
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:kau:diva-12548 (URN)
Available from: 2012-03-27 Created: 2012-03-27 Last updated: 2017-12-07Bibliographically approved
4. Developing interprofessional collaboration: a case of secondary prevention for patients with osteoporosis
Open this publication in new window or tab >>Developing interprofessional collaboration: a case of secondary prevention for patients with osteoporosis
2013 (English)In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 27, no 2, 161-170 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to explore the development of interprofessional collaboration aiming to improve secondary prevention of osteoporosis by studying this topic expansively from the perspectives of different stakeholders. The method used was a longitudinal single case study with both qualitative and quantitative data sources. The findings elucidate that the bottom-up structure used triggers a freedom to act for the professionals and a changed leadership. Such an approach seems to make managers aware of the need for a horizontal organizational focus that, in this case, was crucial for developing interprofessional collaboration. Furthermore, the study shows that continuous feedback was central to motivate professionals to collaborate. Constructive feedback was created by interprofessional and patient-centered interaction skills, facilitated by confirming leadership promoting ability to recognize the efficacy of joint collaboration. The interprofessional collaboration resulted in an improved chain of care with increased transparency and collective control with benefits for both patients and providers. Outcomes at the system level showed an appreciable increase in patients investigated for osteoporosis: 88% were followed up in primary care and nearly half had improved their health behavior. The implementation of a bottom-up structure where leaders and professionals are developing interdependency, measuring collective performance and using feedback loops generated, in this case, motivational forces for interprofessional collaboration. It is reasonable to assume that these findings could be transferable to similar healthcare settings. Read More: http://informahealthcare.com/doi/abs/10.3109/13561820.2012.724123?prevSearch=allfield%253A%2528Hjalmarson%2529&searchHistoryKey=

Place, publisher, year, edition, pages
Taylor & Francis, 2013
Keyword
interprofessional collaboration, osteoporosis, secondary prevention, bottom-up
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-12552 (URN)10.3109/13561820.2012.724123 (DOI)000315410900009 ()23043549 (PubMedID)
Available from: 2012-03-27 Created: 2012-03-27 Last updated: 2017-12-07Bibliographically approved

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Hjalmarson, Helene, Viktoria

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