Malmö University Publications
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  • 1.
    Gard, Helena
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Enskär, Karin
    Department of Women's and Children's Health, Faculty of Medicine, Uppsala Universitet.
    Ingvarsdotter, Karin
    Malmö University, Faculty of Health and Society (HS), Department of Social Work (SA).
    Isma, Gabriella E
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Mangrio, Elisabeth
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Exploring young people's experiences of race, gender and socioeconomic status in relation to everyday challenges: A focus group study2023In: Children & society, ISSN 0951-0605, E-ISSN 1099-0860Article in journal (Refereed)
    Abstract [en]

    Reports indicate a decrease in youth mental health in Sweden but at the same time research suggests that what is interpreted as mental ill-health could be considered everyday challenges by young people themselves. The distribution of mental health and illness among young people is uneven based on inequities related to factors such as race, gender and socioeconomic status. Sweden in particular is a country with large socioeconomic inequities in youth mental health and in school results, compared to other European countries. The aim of this study was to explore young people's experiences of the role of race, gender and socioeconomic status in relation to everyday challenges. Sixty-five young people aged 13–15 years old were recruited by student health services and participated in focus group discussions at schools in the southernmost part of Sweden. Data were analysed by secondary analysis with deductive qualitative content analysis using Ecosocial theory of disease distribution as theoretical framework. The analysis resulted in one main theme; Navigating inequities to gain and keep social status, with three underlying themes; Guided by social norms, Negative impact in everyday life and Importance of family influence. Participants were aware and critical of norms and expectations related to race, gender and socioeconomic status. Experiences of prejudice and unfairness was both own lived experiences by the participants as well as observed through friends and classmates. Young people spontaneously identify everyday challenges related to race, gender and socioeconomic status, even when not asked directly about these issues. Conforming to sexist, racist and classist, expectations is a way to lose and gain status in a school setting. Many of the inequities discussed related to socioeconomic status and the direct consequences of having or not having money. Young people's everyday experience of inequities is important to consider in youth mental health promotion aiming to tackle health inequities. Further research is needed on those experiences and how this affects mental health.

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  • 2.
    Isma, Gabriella E
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Rämgård, Margareta
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Enskär, Karin
    Uppsala Univ, Dept Womens & Childrens Hlth, Uppsala, Sweden..
    Perceptions of health among school-aged children living in socially vulnerable areas in Sweden2023In: Frontiers In Public Health, ISSN 2296-2565, Vol. 11, article id 1136832Article in journal (Refereed)
    Abstract [en]

    Introduction: According to the Convention on the Rights of the Child, all children have the right to health. Since good health is a decisive factor for children's future, investing in children's health is important, especially children from vulnerable areas. The purpose of this study was to investigate the perceptions of health among school-aged children from socially vulnerable areas.

    Methods: The study has an explorative mixed-method design with a participatory and inductive approach based on focus group interviews with children and youth leaders, respectively, at Multi-activity Centers in three of the vulnerable areas in Malmö Municipality, as well as results from the Multi-activity Centers' own questionnaire. The data has been analyzed with inductive and deductive content analysis.

    Results: The children and the youth leaders described health in terms of well-being, participation, and activity. Well-being included feeling good and safe, having a healthy body, and having fun by doing things together with friends and leaders. Participating in activities was described as having a feeling of involvement, being able to have an influence on the organization of the activities and participating on one's own terms.

    Discussion: The result of this study shows that participating in activities increases the child's sense of well-being.

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  • 3.
    Ljunggren, Cecilia
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Carlson, Elisabeth
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV). Malmö University, Malmö Institute for Studies of Migration, Diversity and Welfare (MIM).
    Isma, Gabriella E
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Drama with a focus on professional communication: A phenomenographic study2021In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 52, article id 103022Article in journal (Refereed)
    Abstract [en]

    The nursing program is intended to prepare students for future occupational life. One role for nurses in thenursing occupation includes being prepared to communicate well in various patient situations. The aim of thisstudy was to describe variations in nursing students’ conceptions of a drama workshop to practically illustratecommunication in nurses’ work. This qualitative study was conducted at a university in southern Sweden. Interviewswith 15 nursing students were conducted and the data were analyzed using a phenomenographicapproach. Four descriptive categories were identified through the analysis: ‘Conceptions in relation to thedevelopment of empathy’, ‘Conceptions in relation to “my” learning’, ‘Conceptions in relation to personaldevelopment of professional identity’ and ‘Conceptions in relation to the understanding of applying pedagogythrough drama as a method’. This study illustrates that the use of drama in nursing education can increasenursing students’ understanding of professional communication relating to the care of patients. To use drama asan educational method provides opportunities to develop nurses’ professional identity and professional role.Moreover, drama can act as a teaching strategy that increases the understanding of theory through practical exercises.

  • 4.
    Enskär, Karin
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Isma, Gabriella E
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Rämgård, Margareta
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Safe environments: Through the eyes of nine-year-old schoolchildren from a socially vulnerable area in Sweden2021In: Child Care Health and Development, ISSN 0305-1862, E-ISSN 1365-2214, Vol. 47, no 1, p. 57-69Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Children are more vulnerable than adults to environmental risks. Also, children have little control over their environment. Unlike adults, they may be both unaware of risks and unable to make choices to protect their health. Children living in especially vulnerable areas might be even more at risk due to socioeconomic factors, immigration, and high crime rates. Therefore, the aim of this study was to describe the perceptions that schoolchildren from a socially vulnerable area have of safe environments.

    METHODS: 52 nine-year-old schoolchildren from a socially vulnerable area participated in this study. The data collection consisted of an environmental walk with photovoicing, followed by rating of the photos, and a focus-group discussion elaborating on the photos and ratings. Six focus groups, with 6-8 children in each group, were conducted and analyzed using an inductive content analysis.

    RESULTS: The results show that, according to the children, places that they think are bright and beautiful, where they can do fun things with others and do not risk being exposed to danger, create safety. To increase safety, the children suggested cleaning up, making the environment beautiful with grass and flowers, and painting it in nice colours. Furthermore, they suggested that building features that increase the opportunities to play and engage in activities together with others, would improve safety and enhance protection and surveillance.

    CONCLUSIONS: All children have the right to protection and safety. Therefore, it is important to create safe environments for all children by listening to children's own voices.

  • 5.
    Isma, Gabriella E
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Overweight and obesity in young children: preventive work in child health care with fokus on nurses´ perceptions and parental risk factors2016Doctoral thesis, comprehensive summary (Other academic)
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  • 6.
    Isma, Gabriella E
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Östman, M
    Ahlström, G
    Eek, F
    Dykes, A-K
    Risk factors among mothers and fathers for their young child to develop overweight and obesity in a Swedish multicultural context2016Manuscript (preprint) (Other academic)
  • 7.
    Isma, Gabriella E
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Östman, M
    Eek, F
    Dykes, A-K
    The impact of parents’ lifestyle habits on overweight and obesity in young children: a cross-sectional study in the south of Sweden2016Manuscript (preprint) (Other academic)
  • 8.
    Isma, Gabriella E
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV).
    Bramhagen, Ann-Cathrine
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV).
    Ahlström, Gerd
    Östman, Margareta
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV).
    Dykes, Anna-Karin
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV).
    Obstacles to the prevention of overweight and obesity in the context of child health care in Sweden2013In: BMC Family Practice, E-ISSN 1471-2296, no 14, article id 143Article in journal (Refereed)
    Abstract [en]

    Overweight and obesity in younger children could better be brought in focus through a deeper understanding of how Child Health Care nurses (CHC-nurses) perceive their work with the problems of overweight at the CHC Centers. The aim of this study was to elucidate the CHC-nurses conceptions of their preventive work with childhood overweight and obesity in Child Health Care. A qualitative study, based on open-ended interviews, involving 18 CHC-nurses strategically selected from 17 CHC Centres in the southern part of Sweden using a phenomenographic approach. Two categories of description emerged from the data: (i) Internal obstacles to the CHC- nurses' work with overweight in children and (ii) External obstacles to the management of overweight in children. The CHC-nurses conceived their work with overweight in Child Health Care to be complicated and constrained by several obstacles depending on the nurses' personal priorities, knowledge, responsibility and the absence of resources and cooperation, as well as the lack of uniform guidelines for preventing and managing childhood overweight and further a deficient management organisation. Nurses' attention to monitoring overweight in children, and their initiative for prevention, is based on their conceptions of the obstacles that hinder them in their efforts. An increased awareness of the CHC-nurses conceptions of the priorities, their sense of responsibility and prevention practices is warranted. If measures in this direction are not taken there is a growing risk that overweight children will pass through the CHC without any formal recognition of their situation. There is an indication that the present level of the CHC-nurses' preventive work with childhood overweight has room for improvement in several areas. It is suggested that the specialist education of these health care professionals should be supplemented and that organisation of the management of childhood overweight should be also revised at the primary health care level.

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  • 9.
    Isma, Gabriella E
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV).
    Bramhagen, Ann-Cathrine
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Ahlström, Gerd
    Östman, Margareta
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV).
    Dykes, Anna-Karin
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Swedish Child Health Care nurses conceptions of overweight in children: a qualitative study2012In: BMC Family Practice, E-ISSN 1471-2296, Vol. 13, no 57Article in journal (Refereed)
    Abstract [en]

    Abstract Background: Registered Sick Children’s Nurses and District Nurses employed at Child Health Care centres are in a position to help prevent childhood overweight and obesity. Prevention of this challenging public health threat could be improved through having a better understanding of how this group of nurses perceives childhood obesity. The aim of this study was to elucidate the conceptions of childhood overweight, including obesity, among nurses working in Child Health Care. Method: A qualitative study using a phenomenographic approach, based on open-ended interviews with 18 Child Health Care nurses (CHC-nurses) strategically selected from 17 Child Health Care Centres in the southern part of Sweden. Results: Four categories of description emerged from the data: Perception of childhood overweight changes, Overweight in younger children a neglected concern, Overweight a delicate issue and Importance of family lifestyle. The participating CHC-nurses conceived overweight in children, primarily obesity in children to be an extensive and serious problem which affects children, families and the surrounding society. Overweight in children was further perceived as a consequence of their parent’s lifestyle and their awareness of the problem, which was considered by the CHC-nurses as a sensitive and a provoking issue. It was also perceived that overweight in children is not taken seriously during the pre-school period and that concerns regarding overweight in younger children were mainly about the appearance and not the health of the child. The CHC-nurses perceived that the proportion of overweight children has increased, which Swedish society and the CHC-nurses have adapted to. This adaptation makes it difficult for CHC-nurses to define those children who are overweight. Conclusion: CHC-nurses provide a comprehensive and complex picture of childhood overweight, which includes several difficulties dealing with this issue. Attention to CHC-nurse’s conceptions of overweight in children is important since it can affect the parent-nurse relationship and thereby the nurse’s, as well as the parent’s efforts to influence the children’s weight. It is suggested that CHC- nurses should work with person centered counseling and empowerment concerning parent to child relations in cases involving overweight. Keywords: Child, Conceptions, Nurses, Overweight, Perceptions, Primary health care, Qualitative research

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1 - 9 of 9
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