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Sjögren Forss, KatarinaORCID iD iconorcid.org/0000-0002-3594-3944
Publications (10 of 39) Show all publications
Lindsjö, C., Sjögren Forss, K., Kumlien, C., Kottorp, A. & Rämgård, M. (2023). Migrant women's engagement in health-promotive activities through a women's health collaboration. Frontiers In Public Health, 11, Article ID 1106972.
Open this publication in new window or tab >>Migrant women's engagement in health-promotive activities through a women's health collaboration
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2023 (English)In: Frontiers In Public Health, ISSN 2296-2565, Vol. 11, article id 1106972Article in journal (Refereed) Published
Abstract [en]

Introduction: Social determinants of health impact health, and migrants are exposed to an inequitable distribution of resources that may impact their health negatively, leading to health inequality and social injustice. Migrant women are difficult to engage in health-promotional activities because of language barriers, socioeconomic circumstances, and other social determinants. Based on the framework of Paulo Freire, a community health promotion program was established in a community-academic partnership with a community-based participatory research approach.

Aim: The aim of this study was to describe how a collaborative women's health initiative contributed to migrant women's engagement in health promotion activities.

Materials and methods: This study was part of a larger program, carried out in a disadvantaged city area in Sweden. It had a qualitative design with a participatory approach, following up on actions taken to promote health. Health-promotional activities were developed in collaboration with a women's health group, facilitated by a lay health promoter. The study population was formed by 17 mainly Middle Eastern migrant women. Data was collected using the story-dialog method and the material was analyzed using thematic analysis.

Result: Three important contributors to engagement in health promotion were identified at an early stage of the analysis process, namely, the group forming a social network, the local facilitator from the community, and the use of social places close to home. Later in the analysis process, a connection was made between these contributors and the rationale behind their importance, that is, how they motivated and supported the women and how the dialog was conducted. This therefore became the designated themes and were connected to all contributors, forming three main themes and nine sub-themes.

Conclusion: The key implication was that the women made use of their health knowledge and put it into practice. Thus, a progression from functional health literacy to a level of critical health literacy may be said to have occurred.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2023
Keywords
health equality, community-based participatory research, health literacy, health promotion, migrant women, social support, story-dialog method, lay health promoter
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:mau:diva-61929 (URN)10.3389/fpubh.2023.1106972 (DOI)001016086800001 ()37397757 (PubMedID)2-s2.0-85164209706 (Scopus ID)
Available from: 2023-08-16 Created: 2023-08-16 Last updated: 2023-08-21Bibliographically approved
Rämgård, M., Ramji, R., Kottorp, A. & Sjögren Forss, K. (2023). 'No one size fits all' - community trust-building as a strategy to reduce COVID-19-related health disparities. BMC Public Health, 23(1), Article ID 18.
Open this publication in new window or tab >>'No one size fits all' - community trust-building as a strategy to reduce COVID-19-related health disparities
2023 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 23, no 1, article id 18Article in journal (Refereed) Published
Abstract [en]

Background Citizens with low levels of social capital and social status, and relative poverty, seem to have been disproportionally exposed to COVID-19 and are at greater risk of experiencing poor health. Notably, the incidence of COVID-19 was nearly three times higher among citizens living in socially vulnerable areas. Experiences from the African Ebola epidemic show that in an environment based on trust, community partners can help to improve understanding of disease control without compromising safety. Such an approach is often driven by the civil society and local lay health promoters. However, little is known about the role of lay health promoters during a pandemic with communicable diseases in the European Union. This study had its point of departure in an already established Community Based Participatory Research health promotion programme in a socially disadvantaged area in southern Sweden. The aim of this study was to explore how citizens and local lay health promoters living in vulnerable neighbourhoods responded to the COVID-19 pandemic a year from the start of the pandemic.Method In-depth interviews with the 5 lay health promoters and focus group discussions with 34 citizens from the neighbourhood who were involved in the activities within the programme were conducted in autumn 2020. The interviews and focus group discussions were transcribed verbatim and analysed using qualitative content analysis following an inductive approach.Results Four themes emerged including, 'balancing between different kinds of information', 'balancing between place-based activities and activities on social media', 'bridging between local authorities and the communities and community members', and 'balancing ambivalence through participatory dialogues'.Conclusion The study highlights that a Community Based Participatory Research programme with lay health promoters as community trust builders had a potential to work with communicable diseases during the pandemic. The lay health promoters played a key role in promoting health during the pandemic by deepening the knowledge and understanding of the role that marginalised citizens have in building resilience and sustainability in their community in preparation for future crises. Public health authorities need to take the local context into consideration within their pandemic strategies to reach out to vulnerable groups.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Health promotion, Culture brokers, Pandemic, Resilience, Vulnerable neighbourhood
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:mau:diva-58376 (URN)10.1186/s12889-022-14936-6 (DOI)000907148500001 ()36597039 (PubMedID)2-s2.0-85145429653 (Scopus ID)
Available from: 2023-02-27 Created: 2023-02-27 Last updated: 2024-02-05Bibliographically approved
Ljungbeck, B., Sjögren Forss, K. & Carlson, E. (2023). Nurse practitioner in Swedish municipal elderly care: A Delphi study of challenges and opportunities. Scandinavian Journal of Caring Sciences, 37(1), 216-228
Open this publication in new window or tab >>Nurse practitioner in Swedish municipal elderly care: A Delphi study of challenges and opportunities
2023 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 37, no 1, p. 216-228Article in journal (Refereed) Published
Abstract [en]

Introduction Worldwide, countries are struggling with strained healthcare systems, especially due to the growing number of frail elderly. Developing the role of nurse practitioner in the care of the frail elderly is therefore of interest to make the care chain more efficient. In Sweden, the role is in an early development phase, but more research is needed. Aim The aim was to investigate how stakeholders at the national level express the challenges and opportunities of the evolving nurse practitioner role in Swedish municipal elderly care. Method A Delphi survey technique with three rounds of electronic questionnaires was used. Twenty-seven experts responded to the first questionnaire, containing two open questions; what opportunities respectively challenges do you see in developing and implementing the nurse practitioner role in municipal elderly care? The following questionnaires consisted of statements to rate using a four-grade Likert scale, and 20 and 17 responded to the second and third, respectively. The first round was analysed using content analysis, and the other two with descriptive statistics. Results Thirty-four statements about challenges and opportunities related to the nurse practitioner role in municipal elderly care were identified and rated as important. Conclusion The findings provide knowledge that can contribute to discussions and decisions to refine the nurse practitioner role in Swedish municipal elderly care. The nurse practitioner role may contribute with much-needed competence to the elderly care. However, it is important to consider the challenges that need to be overcome before the development of the role. To solve this, it is necessary to have clear national guidelines concerning issues of education, title protection and the mandate and authority of the NP role.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
Delphi technique, frail elderly, municipal elderly care, nurse practitioner
National Category
Rheumatology and Autoimmunity
Identifiers
urn:nbn:se:mau:diva-54470 (URN)10.1111/scs.13116 (DOI)000837573400001 ()35942613 (PubMedID)2-s2.0-85135588410 (Scopus ID)
Available from: 2022-08-22 Created: 2022-08-22 Last updated: 2024-02-08Bibliographically approved
Ljungbeck, B., Carlson, E. & Sjögren Forss, K. (2023). Swedish stakeholders' views of the preparatory workneeded before introducing the nurse practitioner role inmunicipal healthcare–A focus group study. Scandinavian Journal of Caring Sciences
Open this publication in new window or tab >>Swedish stakeholders' views of the preparatory workneeded before introducing the nurse practitioner role inmunicipal healthcare–A focus group study
2023 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: The nurse practitioner role has become important globally in handlingthe growing healthcare needs of older adults with chronic diseases. Nevertheless,research shows that introducing the role is a complex process, and more studies areneeded to prepare for its introduction into different healthcare contexts, such as municipalhealthcare.Aim: The aim is to investigate what Swedish stakeholders identify as the preparatorywork needed before introducing the nurse practitioner role into municipalhealthcare.Methods: Data were collected through four focus group interviews conducted virtuallyon the TEAMS digital platform, with three to six participants in each groupand 18 participants total. The transcribed interviews were analysed using a six-stepthematic approach: familiarisation with the data, coding the data, generating initialthemes, reviewing themes, defining and naming the themes and producing thereport.Findings: The findings are divided into two main themes, each with two sub-themes.In the first, clarifying why the nurse practitioner role is needed, participants stressedthe importance of having a clear intention for introducing the role. The second, ensurea national framework to bolster the introduction at the local level, demonstratesthe need for collaboration among national actors to clarify the role's mandate andauthority before its introduction.Conclusions: Adding the nurse practitioner role to municipal healthcare can helpincrease the supply of nursing competence and the quality of patient care, but preparationfor introducing the role requires extensive work. The development of thenurse practitioner role requires decision-makers and leaders to take primary responsibilityfor its introduction. This study can support countries in the early phase ofdeveloping the nurse practitioner role by identifying both best practices and pitfalls.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2023
National Category
Nursing
Research subject
Care science
Identifiers
urn:nbn:se:mau:diva-63798 (URN)10.1111/scs.13224 (DOI)001109244400001 ()37984433 (PubMedID)2-s2.0-85177455643 (Scopus ID)
Available from: 2023-11-21 Created: 2023-11-21 Last updated: 2023-12-27Bibliographically approved
Avery, H., Sjögren Forss, K. & Rämgård, M. (2022). Empowering communities with health promotion labs: result from a CBPR programme in Malmö, Sweden. Health Promotion International (1), 1-15, Article ID daab069.
Open this publication in new window or tab >>Empowering communities with health promotion labs: result from a CBPR programme in Malmö, Sweden
2022 (English)In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, no 1, p. 1-15, article id daab069Article in journal (Refereed) Published
Abstract [en]

Health promotion is thus not only a participatory practice, but a practice forempowerment and social justice. The study describes findings from a community-basedparticipatory and challenge-driven research program. that aimed to improve health through healthpromotion platform in an ethnically diverse low-income neighbourhood of Malmö, Sweden. Localresidents together with lay health promoters living in the area were actively involved in theplanning phase and decided on the structure and content of the program. Academic, public sectorand commercial actors were involved, as well as NGOs and residents. Empowerment was usedas a lens to analyse focus group interviews with participants (n=322) in six co-creative healthpromotinglabs on three occasions in the period 2017-2019. The CBP R interview guide focusedon the dimensions of participation, collaboration and experience of the activities. The CBP Rapproach driven by community member contributed to empowerment processes within the healthpromotion labs: Health promotors building trust in social places for integration, Participantsmotivate each other by social support and Participants acting for community health in widercircle. CBP R Health promotion program should be followed up longitudielly with communityparticipants to be able to see the processes of change and empowerment on the community level.

Place, publisher, year, edition, pages
Oxford University Press, 2022
Keywords
CBPR, Sweden, empowerment, health promotion, immigrant background, inequity, urban neighbourhoods
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:mau:diva-45017 (URN)10.1093/heapro/daab069 (DOI)000756384500001 ()34263320 (PubMedID)2-s2.0-85124804866 (Scopus ID)
Available from: 2021-08-20 Created: 2021-08-20 Last updated: 2024-02-05Bibliographically approved
Sjögren Forss, K., Mangrio, E. & Hellström, L. (2022). Interprofessional Teamwork to Promote Health: First-Time Parents' Experiences of a Combined Home Visit by Midwife and Child Health Care Nurse. Frontiers in Pediatrics , 10, Article ID 717916.
Open this publication in new window or tab >>Interprofessional Teamwork to Promote Health: First-Time Parents' Experiences of a Combined Home Visit by Midwife and Child Health Care Nurse
2022 (English)In: Frontiers in Pediatrics , E-ISSN 2296-2360, Vol. 10, article id 717916Article in journal (Refereed) Published
Abstract [en]

Background: To achieve the requisites for a child’s healthy development and to reducehealth inequalities, it is important to promote health initiatives at an early stage in a child’slife and to include the parents. Home visits by healthcare professionals have been foundto have positive health effects for both the baby and the parents. From an extended homevisit programme in Sweden, our aim was to illuminate first-time parents’ experience of ahome visit conducted by a midwife and a child health care nurse 1–2 weeks postnatal.Methods: Data was collected by interviews (n = 13) with first-time parents. Thetranscribed texts were analyzed using inductive content analysis.Results: The participants’ experiences could be understood from the two themes, Atrust in the professionals and Feeling safe as a new parent. The participants experiencedthat the midwives and the child health care nurses complemented each other andappreciated to get knowledge and information from both professions. In their own home,they felt secured and relaxed, and the professionals could help them provide a safe homeenvironment for the child.Conclusion: By meeting both professionals at the same time and in their own home,the participants experienced that the needs of the baby and their needs and concernsas new parents were included and supported.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2022
National Category
Nursing
Research subject
Health and society
Identifiers
urn:nbn:se:mau:diva-50772 (URN)10.3389/fped.2022.717916 (DOI)000772096800001 ()35311059 (PubMedID)2-s2.0-85127208678 (Scopus ID)
Available from: 2022-03-25 Created: 2022-03-25 Last updated: 2024-02-05Bibliographically approved
Borglin, G. & Sjögren Forss, K. (2022). New year, new circumstances, new goals. Nordic journal of nursing research, 42(1), 1-2
Open this publication in new window or tab >>New year, new circumstances, new goals
2022 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 42, no 1, p. 1-2Article in journal, Editorial material (Other academic) Published
Place, publisher, year, edition, pages
Sage Publications, 2022
National Category
Nursing
Identifiers
urn:nbn:se:mau:diva-56294 (URN)10.1177/20571585221082353 (DOI)2-s2.0-85132289538 (Scopus ID)
Available from: 2022-11-29 Created: 2022-11-29 Last updated: 2024-02-05Bibliographically approved
Mangrio, E., Enskär, K., Ramji, R., Sjögren Forss, K., Tengland, P.-A., Theodoridis, K., . . . Rämgård, M. (2022). The Need for Parental Support for Migrant Parents in Transition Into Sweden: A Perspective. Frontiers In Public Health, 10, Article ID 680767.
Open this publication in new window or tab >>The Need for Parental Support for Migrant Parents in Transition Into Sweden: A Perspective
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2022 (English)In: Frontiers In Public Health, ISSN 2296-2565, Vol. 10, article id 680767Article in journal (Refereed) Published
Abstract [en]

Migration is a stressful experience and research shows that newly arrived migrants in Sweden suffer from different challenges and struggle to relate to parenting in a new culture that is different from their own. The Swedish Child Health Services (CHS) focuses on promoting health among children, as well as supporting parents in parenting. Although this is a goal, migrant parents participate at lower rates in parental support groups. This paper aims to discuss how the Swedish CHS can support these families and address the need for improvement in the parental support offered to migrant parents during transition into their host country. In addition, this paper also aims to review and discuss the advantages of using a community-based participatory research approach together with the Swedish CHS to identify and apply culturally appropriate support programs to increase health literacy among migrant parents.  

The Swedish government decided to place greater emphasis and resources on supporting parents and promoting equal health among families in Sweden, with special emphasis on migrants and other vulnerable groups. This report from the Swedish government indicates the importance of creating knowledge about new ways, methods, and actions that may be needed to increase this support. One suggestion of this paper is to provide culturally appropriate healthcare work using a community-based participatory research approach, where migrant parents themselves are actively involved in the development of support programs. This approach will not only provide migrant families knowledge and support, it will also build on their needs and the challenges they can share, and receive support to overcome.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2022
National Category
Health Sciences
Research subject
Care science
Identifiers
urn:nbn:se:mau:diva-51484 (URN)10.3389/fpubh.2022.680767 (DOI)000795620600001 ()35570884 (PubMedID)2-s2.0-85130038294 (Scopus ID)
Available from: 2022-05-17 Created: 2022-05-17 Last updated: 2024-02-05Bibliographically approved
Mangrio, E., Maneesh, P.-S., Sjögren Forss, K., Zdravkovic, S. & Strange, M. (2021). Antimicrobial Resistance & Migrants in Sweden: Poor Living Conditions Enforced by Migration Control Policies as a Risk Factor for Optimal Public Health Management. Frontiers In Public Health, 9, Article ID 642983.
Open this publication in new window or tab >>Antimicrobial Resistance & Migrants in Sweden: Poor Living Conditions Enforced by Migration Control Policies as a Risk Factor for Optimal Public Health Management
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2021 (English)In: Frontiers In Public Health, ISSN 2296-2565, Vol. 9, article id 642983Article in journal (Refereed) Published
Abstract [en]

Infectious diseases exacerbated by Antimicrobial Resistance (AMR) are of increasing concern in Sweden, with multi-drug resistant strains associated with new resistance mechanisms that are emerging and spreading worldwide. Existing research has identified that sub-optimal living conditions and poor access to healthcare are significant factors in the spread and incubation of AMR strains. The article considers this linkage and the effort to control the spread of AMR in relation to migrants, highlighting deficiencies in public policy where such individuals are often increasingly exposed to those conditions that exacerbate AMR. In many of the richest countries, those conditions are not accidental, but often direct goals of policies designed with the goal of deterring migrants from staying within host countries. Without engaging with the politics around migration control, the article points to urgent need for more holistic assessment of all public policies that may, however unintentionally, undermine AMR control through worsening living conditions for vulnerable groups. The consequences of prioritizing policies meant to deliberately worsen the living conditions of migrants over avoiding those conditions that accelerate AMR spread, are today made ever apparent where new AMR strains have the potential to dwarf the societal effects of the current Covid-19 pandemic.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2021
Keywords
antimicrobial resistance, health assessment, health policy, migration, precarity
National Category
Infectious Medicine
Identifiers
urn:nbn:se:mau:diva-44936 (URN)10.3389/fpubh.2021.642983 (DOI)000673612900001 ()34277534 (PubMedID)2-s2.0-85110616491 (Scopus ID)
Available from: 2021-08-18 Created: 2021-08-18 Last updated: 2024-02-05Bibliographically approved
Sjögren Forss, K., Kottorp, A. & Rämgård, M. (2021). Collaborating in a penta-helix structure within a community based participatory research programme: 'Wrestling with hierarchies and getting caught in isolated downpipes'. Archives of Public Health, 79(1), Article ID 27.
Open this publication in new window or tab >>Collaborating in a penta-helix structure within a community based participatory research programme: 'Wrestling with hierarchies and getting caught in isolated downpipes'
2021 (English)In: Archives of Public Health, ISSN 0778-7367, E-ISSN 2049-3258, Vol. 79, no 1, article id 27Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: In the light of the existence of social inequalities in health, a CBPR (Community Based Participatory Research) programme for health promotion started in Malmö, Sweden, in 2017. The programme was based on a penta-helix structure and involved a strategic steering group with representatives from academia, voluntary organisations, the business sector, the public sector, and citizens from the community where the programme took place. The aim of this study was to explore how the penta-helix collaboration worked from the perspectives of all partners, including the citizens.

METHODS: Individual interviews, that were based on a guide for self-reflection and evaluation of CBPR partnerships, were conducted with the representatives (N = 13) on three occasions, during the period 2017-2019. A qualitative content analysis was used to analyse the interviews.

RESULTS: Six themes emerged from the analysis, including Challenges for the partners in the penta-helix collaboration; Challenges for the professionals at the local level; Citizen-driven processes are important for the penta-helix collaboration; Health promoters are essential to build trust between different sectors of society; Shift of power; and System changes take time. The analysis shows that the penta-helix collaboration worked well at the local level in a governance-related model for penta-helix cooperation. In the overall cooperation it was the citizen-driven processes that made the programme work. However, the findings also indicated an inflexibility in organisations with hierarchical structures that created barriers for citizen involvement in the penta-helix collaboration.

CONCLUSION: The main issue uncovered in this study is the problem of vertically organised institutions where discovery and innovation processes flow down from the top, thereby eliminating the essential input of the people and community that they are supposed to serve. The success of the programme was based on an interprofessional cooperation at a local level, where local professions worked together with voluntary organisations, social workers, CBPR researchers from the university, citizens and local health promoters.

Place, publisher, year, edition, pages
BioMed Central, 2021
Keywords
CBPR, Collaboration, Health promotion, Penta-helix
National Category
Information Systems, Social aspects
Identifiers
urn:nbn:se:mau:diva-41198 (URN)10.1186/s13690-021-00544-0 (DOI)000626520600001 ()33676556 (PubMedID)2-s2.0-85102201404 (Scopus ID)
Available from: 2021-03-10 Created: 2021-03-10 Last updated: 2024-02-05Bibliographically approved
Projects
Existential loneliness from the perspective of older migrantsGrow safely - a research project within the Child Health Care in Skåne; Malmö University; Publications
Mangrio, E. & Hjortsjö, M. (2023). Meeting families in various social situations: Reflections from healthcare staff working with an extended home-visiting program in Sweden. Discover Health Systems, 2, 1-6, Article ID 38. Mangrio, E. & Norberg, J. (2023). Växa tryggt: Slutrapport från Malmö universitets forskargrupp. Malmö: Region SkåneFranzén, C., Nilsson, E.-L., Norberg, J. & Peterson, T. (2020). Trust as an analytical concept for the study of welfare programmes to reduce child health disparities: the case of a Swedish postnatal home visiting programme. Children and youth services review, 118, 1-7, Article ID 105472.
Citizens building local resilience by health promotion during the COVID-19 pandemic; Malmö University
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-3594-3944

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