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  • 1.
    Hall-Lord, Marie-Louise
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Weimand , Beate
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hedelin, Birgitta
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Sällström, Christina
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Health and burden of close relatives of persons with a severe mental illness: from a Norwegian perspective2010Conference paper (Refereed)
  • 2.
    Söderman, M.
    et al.
    Mälardalens högskola.
    Rosendahl, S.
    Mälardalens högskola.
    Sällström, Christina
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Caring and Uncaring Encounters between Assistant Nurses and Immigrants with Dementia Symptoms in Two Group Homes in Sweden-an Observational Study2018In: Journal of Cross-Cultural Gerontology, ISSN 0169-3816, E-ISSN 1573-0719, Vol. 33, no 3, p. 299-317Article in journal (Refereed)
    Abstract [en]

    Background: The total number of people with dementia symptoms is expected to double every 20 years and there will also be an increase in the number of older immigrants in several countries. There are considerable deficiencies in the present knowledge of how to conduct well-functioning health care for immigrants with dementia symptoms. The aim of this study was to explore caring and uncaring encounters between assistant nurses and immigrants in two group homes for persons with dementia symptoms in Sweden: a Finnish-speaking as well as a Swedish-speaking context. In addition, this study aims to describe how caring and uncaring encounters are manifested in these two contexts according to Halldórsdóttir’s theory of “Caring and Uncaring encounters”. Method: Descriptive field notes from 30 separate observations were analyzed using qualitative deductive content analysis. Results: The main category “caring encounters” focused on reaching out to initiate connection through communication, removing masks of anonymity by acknowledging the unique person, acknowledgment of connection by being personal. Reaching a level of truthfulness by being present and showing respect, raising the level of solidarity by equality and true negotiation of care, based on the residents’ needs. The main category, uncaring encounters, focused on disinterest in and insensitivity towards the other, coldness in the connection and lack of humanity in care situations. The observations showed that caring encounters occurred more in the Finnish-speaking context and uncaring encounters more often in the Swedish context. Conclusion: Encounters could be caring, uncaring, and carried out using a person-centered approach. Communication and relationships could be facilitated using the same language but also through learning to interpret residents’ needs and desires.

    Download full text (pdf)
    Söderman_et_al_2018
  • 3.
    Unis, Brian
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Johansson, Inger
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences. Gjoevik University College.
    Sällström, Christina
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Rural High School Students' Sexual Behavior and Self-esteem2015In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 5, no 1, p. 24-31Article in journal (Refereed)
    Abstract [en]

    Background: Negative consequences for sexual health may be caused by risky sexual behavior related to attitudes, norms and self-efficacy regarding sexuality. Research has not resulted in a consensus on the associations between self-esteem and adolescents’ sexual behavior.

    Aims and objectives: The aim of the study was to describe high school students’ sexual behavior and self-esteem, along with investigating the relationship of attitudes, norms, self-efficacy, and self-esteem to sexual risk behavior. Another aim was to describe and compare gender differences in self-esteem and sexual risk behavior in high school students in a rural context.

    Methodological design: A cross-sectional design was used. The participants were 139 high school students, 16 to 18 years of age, sample size was decided by power calculation, and systematic randomized sampling was used. The students replied to a questionnaire about self-esteem, factors affecting sexual risk behavior, and sexual behavior.

    Results: Swedish high school students reported having few sexual partners, a low use of alcohol along with sex, yet a low consistency in condom use. The students reported both high basic self-esteem as well as earned self-esteem. Basic self-esteem was higher for male students while earned self-esteem was higher for female students. Significant correlations were found between self-esteem and some factors affecting sexual risk behavior related to condom use.

    Conclusion: High school students exhibited positive sexual behaviors and high levels of self-esteem, yet they put themselves at risk by inconsistent use of condoms Our findings can contribute  the need of  to an awareness of  the role self-esteem, attitudes, norms and self-efficacy plays in adolescents’ sexual behavior. Nurses working at the youth clinics are in a key position to discuss sexual health issues with adolescents to promote healthy outcomes in sexual health.

  • 4.
    Unis, Brian
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Sällström, Christina
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Adolescents’ conceptions of learning and education about sex and relationships2020In: American Journal of Sexuality Education, ISSN 1554-6128, Vol. 15, no 1, p. 25-52Article in journal (Refereed)
    Abstract [en]

    In order for adolescents to learn about sex and relationships, the education must be of significance and meet their needs and interests. The study investigated adolescents’ conceptions of learning and education about sex and relationships. A phenomenographic approach was used. Six focus group interviews were conducted with adolescents ages 18–19 in Sweden. The results showed that stable ground for learning implies select issues of importance, that is, values and prejudices, up-to-date knowledge, and practical skills. These issues should be dispersed throughout the school years in relation to the students’ own maturity. This seemed to enable internalization of different aspects of sex and relationships. Learning about sex and relationships can create meaning for youth and generate progress by fostering autonomy and identity, correcting misconceptions, counteract prejudices, not in isolation rather in society in a defined culture.

    Download full text (pdf)
    Unis2019
  • 5.
    Unis, Brian
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Sällström, Christina
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Behov av kunskap och handledning hos personal som arbetar med ensamkommande ungdomar i kunskapsområdet sex- och samlevnad samt utvärdering av en utbildningsinsats2014Report (Other academic)
    Download full text (pdf)
    fulltext
  • 6.
    Weimand, Bente
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hall-Lord, Marie Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Sällström, Christina
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hedelin, Birgitta
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Life-sharing experiences of relatives of persons with severe mental illness: a phenomenographic study2013In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 27, no 1, p. 99-107Article in journal (Refereed)
    Abstract [en]

    Scand J Caring Sci; 2012; Life-sharing experiences of relatives of persons with severe mental illness - a phenomenographic study Relatives of those suffering from severe mental illness experience multiple challenges and a complex life situation. The aim of this study was to describe life-sharing experiences from the perspective of relatives of someone with severe mental illness. A qualitative, descriptive study was performed, and interviews were carried out with eighteen relatives of persons with severe mental illness. A phenomenographic analysis, according to the steps described by Dahlgren and Fallsberg, was used to describe the relatives' conceptions of their situation. The findings show that the experiences of these relatives can be summarized in one main category: 'The art of balancing between multiple concerns'. Two descriptive categories emerged: 'Making choices on behalf of others and oneself' and 'Constantly struggling between opposing feelings and between reflections'. Relatives report that they have to manoeuvre between different ways to act and to prioritize between different wishes and needs. In addition, they face a wide range of strong feelings and they search for hope and meaning. Relatives of someone with severe mental illness have to balance multiple concerns, which induce ethical dilemmas. They felt love, compassion or sense of duty towards the mentally ill person. The changeable situation made it difficult for the relatives to establish a balance in their lives. To be able to prioritize some private time was important. Relatives need own support and sufficient follow-up of the mentally ill next of kin from the mental health services.

  • 7.
    Weimand, Bente
    et al.
    Akershus University Hospital, Department of Research and Development.
    Hedelin, Birgitta
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hall-Lord, Marie Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Sällström, Christina
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Left alone with straining but inescapable responsibilities: relatives' experiences with mental health services2011In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 32, no 11, p. 703-710Article in journal (Refereed)
    Abstract [en]

    Relatives of persons with severe mental illness experience burden and straining changes in their lives that put their health at risk. Consequently, they need support from health professionals. The aim of this study was to describe experiences from encounters with mental health services as seen from the point of view of relatives of persons with severe mental illness. A qualitative, explorative study was performed, based on two open-ended questions in a cross-sectional study of relatives' health, burden, and sense of coherence (n = 216). A manifest qualitative content analysis was used to describe the relatives' experiences. The findings show that some relatives had experienced positive encounters with health personnel, but the majority of experiences reported were negative. The encounters can be summarized into one main category: "Left Alone with Straining but Inescapable Responsibilities." Two categories emerged: "Striving for Involvement for the Sake of the Mentally Ill Person," and "Wanting Inclusion for the Sake of Oneself." There is a gap between relatives' needs for support in order to handle their own situation in relation to their mentally ill next of kin, and what they actually receive from the mental health services. The findings suggest that health professionals should collaborate with and support these relatives.

  • 8.
    Weimand, Bente
    et al.
    Hedmark university College, Health and Sports.
    Hedelin, Birgitta
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Sällström, Christina
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hall-Lord, Marie-Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Burden and health in relatives of persons with severe mental illness: A Norwegian cross-sectional study2010In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 31, no 12, p. 804-815Article in journal (Refereed)
    Abstract [en]

    This study describes and investigates burden to and health of relatives of persons with severe mental illness in relation to background variables, everyday life with the mentally ill person, and sense of coherence. A cross-sectional design was used. The respondents were 226 relatives from the Norwegian National Association for Families of Mentally Ill Persons. In addition to background variables and variables about everyday life with the mentally ill person, the questionnaire was comprised of the Burden Assessment Schedule (BAS), Short Form Health Survey (SF-36), and Sense of Coherence Instrument (SOC). This study shows that the relatives were burdened and also reported poor health. Greater burden was experienced by women and by relatives who did not have anyone with whom to share the caregiving of the mentally ill person. For relatives who were single, divorced, or widowed, burden was greater and health was poorer; likewise for relatives who reported financial problems and frequent phone calls with the mentally ill person. Burden and poor health were associated with low SOC. The findings suggest a need for the health services to include and support these relatives in order for them to sustain health.

  • 9.
    Weimand, Bente
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hedelin, Birgitta
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Sällström, Christina
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hall-Lord, Marie-Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Byrde og helse hos pårørende til personer med alvorlig psykisk lidelse.2011Conference paper (Refereed)
  • 10.
    Weimand, Bente Margrethe
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Sällström, Christina
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hall-Lord, Marie Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hedelin, Birgitta
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nurses’ dilemmas concerning support of relatives in mental health care2013In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 20, no 3, p. 285-299Article in journal (Refereed)
    Abstract [en]

    Relatives of persons with severe mental illness face a straining life situation, and need support. Exclusion of relatives in mental healthcare has long been reported. The aim of this study was to describe conceptions of nurses in mental health care about supporting relatives of persons with severe mental illness.

    Focus group interviews with nurses from all levels of mental healthcare in Norway were performed. A Phenomenographic approach was used. The nurses found that their responsibility first and foremost was the patient, especially to develop an alliance with him or her. Additional premises for supporting relatives were: The context framing the nursing care, the aspects of the actors, and relational concerns between them. Competing or contradictory demands were found within these premises.

    Two paths were identified concerning the nurses’ support of relatives: seeing the relative in the shadow of the patient, or as an individual person.

1 - 10 of 10
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