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Haglund, Kristina
Publications (10 of 14) Show all publications
Bäckström, J., Willebrand, M., Sjöberg, F. & Haglund, K. (2018). Being a family member of a burn survivor –: Experiences and needs. Paper presented at 2018/11/29. Burns Open, 2(4), 193-198
Open this publication in new window or tab >>Being a family member of a burn survivor –: Experiences and needs
2018 (English)In: Burns Open, ISSN 2468-9122, Vol. 2, no 4, p. 193-198Article in journal (Refereed) Published
Abstract [en]

Background

Family members are important in the recovery process of persons with severe burns; however, few previous studies have focused on how this group experiences care and rehabilitation.

Objective

To explore family members’ experiences and needs, during the time in hospital and after discharge.

Methodology

Explorative study with a qualitative descriptive design. Ten semi-structured interviews with family members of injured persons treated at the national burn centres were recorded digitally, transcribed verbatim, and analysed using content analysis.

Findings

Five categories were related to experiences during care: Experiencing excellent treatment and support, Experiencing mistrust and a rejecting attitude, Feelings of chaos and shock, Being the hub of the family network, Feeling hope and thankfulness. Three categories were related to experiences during rehabilitation: Ambiguous feelings, Multifaceted support and Handling the situation.

Conclusion

The experiences of the time in hospital and during rehabilitation are individual and comprise a mixture of positive and negative experiences and a diversity of needs. The results suggest that healthcare professionals should be proactive and identify specific needs for support as well as provide individualized treatment of family members.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
Burns, Critical care, Family centred care, Family members, Needs, Experiences
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-367302 (URN)10.1016/j.burnso.2018.07.001 (DOI)
Conference
2018/11/29
Available from: 2018-11-29 Created: 2018-11-29 Last updated: 2019-01-23Bibliographically approved
Bergdahl, L., Broman, J.-E., Berman, A. H., Haglund, K., von Knorring, L. & Markström, A. (2017). Auricular acupuncture versus cognitive behavioural therapy in the discontinuation of hypnotic drug usage and treatment effects of anxiety-, depression and insomnia symptoms. European Journal of Integrative Medicine, 16, 15-21
Open this publication in new window or tab >>Auricular acupuncture versus cognitive behavioural therapy in the discontinuation of hypnotic drug usage and treatment effects of anxiety-, depression and insomnia symptoms
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2017 (English)In: European Journal of Integrative Medicine, ISSN 1876-3820, E-ISSN 1876-3839, Vol. 16, p. 15-21Article in journal (Refereed) Published
Abstract [en]

Introduction: The interest in non-pharmacological interventions for insomnia disorder has increased. The aim was to assess the immediate treatment effects of auricular acupuncture (AA) and cognitive behavioural therapy for insomnia (CBT-i) regarding discontinuation of hypnotic usage and symptoms of anxiety, depression and insomnia.

Method: Prospective randomised controlled study. Fifty-seven participants (mean age 61 years (SD 8.6)) with insomnia disorder and long-term use of non-benzodiazepine hypnotics received group-treatment with AA or CBT-i. Pre- and post-treatment measures included symptoms of anxiety, depression and insomnia via self-report questionnaires: Hospital Anxiety and Depression scale (HAD-A, HAD-D) and Insomnia Severity Index (ISI). Other sleep parameters and hypnotic consumption were measured with a sleep diary. Linear mixed models were performed to examine treatment effect over time within and between the groups.

Results: Seventy-one percent of the AA participants and 84% of the CBT-i participants managed to discontinue their hypnotic drug consumption post-treatment. Symptoms of anxiety and depression decreased within the AA group (HAD-A (p < 0.05), HAD-D (p < 0.05)) and insomnia symptoms decreased within the CBT-i group (ISI (p < 0.001)). The only between-group difference occurred in ISI (p < 0.001), in favour of CBT-i. According to the within-group sleep diary results, the CBT-i group went to bed later (p < 0.001), fell asleep quicker (p < 0.05), increased their sleep efficiency (p < 0.001) and self-rated sleep quality (p < 0.05) post-treatment.

Conclusions: Both groups ended/maintained low hypnotic drug consumption post-treatment. Short-term reductions occurred in the AA group in anxiety and depression symptoms and in the CBT-i group regarding insomnia symptoms.

Keywords
Auricular acupuncture, Cognitive behavioural therapy, Hypnotic consumption, Anxiety Insomnia Depression
National Category
Medical and Health Sciences Psychiatry
Research subject
Psychiatry
Identifiers
urn:nbn:se:uu:diva-319923 (URN)10.1016/j.eujim.2017.10.002 (DOI)000417392500003 ()
Available from: 2017-04-12 Created: 2017-04-12 Last updated: 2018-03-08Bibliographically approved
Bergdahl, L., Broman, J.-E., Berman, A. H., Haglund, K., von Knorring, L. & Markström, A. (2016). A randomised controlled trial of auricular acupuncture and cognitive behavioural therapy for insomnia: a short-term self-assessment. Paper presented at 23rd Congress of the European-Sleep-Research-Society, SEP 13-16, 2016, Bologna, ITALY. Journal of Sleep Research, 25, 213-213
Open this publication in new window or tab >>A randomised controlled trial of auricular acupuncture and cognitive behavioural therapy for insomnia: a short-term self-assessment
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2016 (English)In: Journal of Sleep Research, ISSN 0962-1105, E-ISSN 1365-2869, Vol. 25, p. 213-213Article in journal, Meeting abstract (Other academic) Published
National Category
Neurology
Identifiers
urn:nbn:se:uu:diva-309494 (URN)000383445201008 ()
Conference
23rd Congress of the European-Sleep-Research-Society, SEP 13-16, 2016, Bologna, ITALY
Available from: 2016-12-05 Created: 2016-12-05 Last updated: 2017-04-18Bibliographically approved
Bergdahl, L., Broman, J.-E., Berman, A. H., Haglund, K., von Knorring, L. & Markström, A. (2016). Auricular acupuncture and cognitive behavioural therapy for insomnia - a randomised controlled study. Paper presented at 23rd Congress of the European-Sleep-Research-Society, SEP 13-16, 2016, Bologna, ITALY. Journal of Sleep Research, 25, 214-214
Open this publication in new window or tab >>Auricular acupuncture and cognitive behavioural therapy for insomnia - a randomised controlled study
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2016 (English)In: Journal of Sleep Research, ISSN 0962-1105, E-ISSN 1365-2869, Vol. 25, p. 214-214Article in journal, Meeting abstract (Other academic) Published
National Category
Neurology
Identifiers
urn:nbn:se:uu:diva-309495 (URN)000383445201011 ()
Conference
23rd Congress of the European-Sleep-Research-Society, SEP 13-16, 2016, Bologna, ITALY
Available from: 2016-12-05 Created: 2016-12-05 Last updated: 2017-04-18Bibliographically approved
Bergdahl, L., Broman, J.-E., Berman, A. H., Haglund, K., von Knorring, L. & Markström, A. (2016). Auricular Acupuncture and Cognitive Behavioural Therapy for Insomnia: A Randomised Controlled Study. Sleep Disorders, 2016, Article ID 7057282.
Open this publication in new window or tab >>Auricular Acupuncture and Cognitive Behavioural Therapy for Insomnia: A Randomised Controlled Study
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2016 (English)In: Sleep Disorders, ISSN 2090-3545, E-ISSN 2090-3553, Vol. 2016, article id 7057282Article in journal (Refereed) Published
Abstract [en]

Objective. The most effective nonpharmacological treatment for insomnia disorder is cognitive behavioural therapy-insomnia (CBT-i). However CBT-i may not suit everyone. Auricular acupuncture (AA) is a complementary treatment. Studies show that it may alleviate insomnia symptoms. The aim of this randomised controlled study was to compare treatment effects of AA with CBT-i and evaluate symptoms of insomnia severity, anxiety, and depression. Method. Fifty-nine participants, mean age 60.5 years (SD 9.4), with insomnia disorder were randomised to group treatment with AA or CBT-i. Self-report questionnaires, the Insomnia Severity Index (ISI), Dysfunctional Beliefs and Attitudes about Sleep scale (DBAS-16), Epworth Sleepiness Scale (ESS), and Hospital Anxiety and Depression scale (HAD), were collected at baseline, after treatment, and at 6-month follow-up. A series of linear mixed models were performed to examine treatment effect over time between and within the groups. Results. Significant between-group improvements were seen in favour of CBT-i in ISI after treatment and at the 6-month follow-up and in DBAS-16 after treatment. Both groups showed significant within-group postintervention improvements in ISI, and these changes were maintained six months later. The CBT-i group also showed a significant reduction in DBAS-16 after treatment and six months later. Conclusions. Compared to CBT-i, AA, as offered in this study, cannot be considered an effective stand-alone treatment for insomnia disorder.

Place, publisher, year, edition, pages
Hindawi Publishing Corporation, 2016
Keywords
non-pharmacological, sleep disorder, treatment, auricular acupuncture, cognitive-behavioural therapy, insomnia
National Category
Medical and Health Sciences Psychiatry
Research subject
Psychiatry
Identifiers
urn:nbn:se:uu:diva-292961 (URN)10.1155/2016/7057282 (DOI)
Funder
Ekhaga Foundation, 2011 59
Available from: 2016-05-11 Created: 2016-05-11 Last updated: 2017-11-30Bibliographically approved
Silén, M., Ramklint, M., Hansson, M. G. & Haglund, K. (2016). Ethics rounds: An appreciated form of ethics support. Nursing Ethics, 23(2), 203-213
Open this publication in new window or tab >>Ethics rounds: An appreciated form of ethics support
2016 (English)In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 23, no 2, p. 203-213Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Ethics rounds are one way to support healthcare personnel in handling ethically difficult situations. A previous study in the present project showed that ethics rounds did not result in significant changes in perceptions of how ethical issues were handled, that is, in the ethical climate. However, there was anecdotal evidence that the ethics rounds were viewed as a positive experience and that they stimulated ethical reflection.

AIM: The aim of this study was to gain a deeper understanding of how the ethics rounds were experienced and why the intervention in the form of ethics rounds did not succeed in improving the ethical climate for the staff.RESEARCH DESIGN:An exploratory and descriptive design with a qualitative approach was adopted, using individual interviews.

RESEARCH DESIGN: An exploratory and descriptive design with a qualitative approach was adopted, using individual interviews.

PARTICIPANTS AND RESEARCH CONTEXT: A total of 11 healthcare personnel, working in two different psychiatry outpatient clinics and with experience of participating in ethics rounds, were interviewed.

ETHICAL CONSIDERATIONS: The study was based on informed consent and was approved by one of the Swedish Regional Ethical Review Boards.

FINDINGS: The participants were generally positive about the ethics rounds. They had experienced changes by participating in the ethics rounds in the form of being able to see things from different perspectives as well as by gaining insight into ethical issues. However, these changes had not affected daily work.

DISCUSSION: A crucial question is whether or not increased reflection ability among the participants is a good enough outcome of ethics rounds and whether this result could have been measured in patient-related outcomes. Ethics rounds might foster cooperation among the staff and this, in turn, could influence patient care.

CONCLUSION: By listening to others during ethics rounds, a person can learn to see things from a new angle. Participation in ethics rounds can also lead to better insight concerning ethical issues.

National Category
Ethics
Research subject
Caring Sciences
Identifiers
urn:nbn:se:uu:diva-244888 (URN)10.1177/0969733014560930 (DOI)000372636200008 ()25527354 (PubMedID)
Funder
AFA Insurance
Available from: 2015-02-23 Created: 2015-02-23 Last updated: 2017-12-04Bibliographically approved
Silén, M., Haglund, K., Hansson, M. G. & Ramklint, M. (2015). Ethics rounds do not improve the handling of ethical issues by psychiatric staff. Nordic Journal of Psychiatry, 69(6), 1700-1707
Open this publication in new window or tab >>Ethics rounds do not improve the handling of ethical issues by psychiatric staff
2015 (English)In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 69, no 6, p. 1700-1707Article in journal (Refereed) Published
Abstract [en]

Background. One way to support healthcare staff in handling ethically difficult situations is through ethics rounds that consist of discussions based on clinical cases and are moderated by an ethicist. Previous research indicates that the handling of ethically difficult situations in the workplace might have changed after ethics rounds. This, in turn, would mean that the “ethical climate”, i.e. perceptions of how ethical issues are handled, would have changed. Aim. To investigate whether ethics rounds could improve the ethical climate perceived by staff working in psychiatry outpatient clinics. Methods. In this quasi-experimental study, six inter-professional ethics rounds led by a philosopher/ethicist were conducted at two psychiatry outpatient clinics. Changes in ethical climate were measured at these clinics as well as at two control clinics at baseline and after the intervention period using the instrument Hospital Ethical Climate Survey. Results. Within-groups comparisons of median sum scores of ethical climate showed that no statistically significant differences were found in the intervention group before or after the intervention period. The median sum scores for ethical climate were significantly higher, both at baseline and after the intervention period (P ≤ 0.001; P = 0.046), in the intervention group. Conclusions. Ethics rounds in psychiatric outpatient clinics did not result in significant changes in ethical climate. Outcomes of ethics rounds might, to a higher degree, be directed towards patient-related outcomes rather than towards the staff's working environment, as the questions brought up for discussion during the ethics rounds concerned patient-related issues.

Keywords
Attitude of health personnel; Ethics; Clinical; CommunityMentalHealthCenters
National Category
Medical Ethics
Identifiers
urn:nbn:se:uu:diva-237523 (URN)10.3109/08039488.2014.994032 (DOI)000366300600002 ()25592287 (PubMedID)
Funder
AFA Insurance
Available from: 2014-12-03 Created: 2014-12-03 Last updated: 2017-12-05Bibliographically approved
Bergdahl, L., Berman, A. H. & Haglund, K. (2014). Patients’ experience of auricular acupuncture during protracted withdrawal. Journal of Psychiatric and Mental Health Nursing, 21(2), 163-169
Open this publication in new window or tab >>Patients’ experience of auricular acupuncture during protracted withdrawal
2014 (English)In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 21, no 2, p. 163-169Article in journal (Refereed) Published
Abstract [en]

Over the last decades interest in using auricular acupuncture for substance dependence care has increased. The specific auricular acupuncture protocol used follows the National Acupuncture Detoxification Association (NADA) definition. This paper describes patients’ experiences of receiving auricular acupuncture during protracted withdrawal. Interviews were conducted with fifteen patients treated at an outpatient clinic for substance dependence. Content analysis was used to analyze the interviews. The analysis resulted in eight categories of positive experiences and five categories of negative experiences. The positive experiences were: Relaxation and wellbeing, Peacefulness and harmony, New behaviours, Positive physical impact, Importance of context, Anxiety reduction and Reduced drug- and alcohol consumption. The negative experiences were: Nothing negative, Disturbing context, Short term effect, Depending on someone else, Time consuming, Physical distrations and Remaining cravings. The conclusion of this study is that all respondents appreciated NADA treatment. This study supports further research on using NADA in addiction treatment to reduce suffering during protracted withdrawal and in other contexts.

Keywords
Auricular acupuncture, Substance dependence, Auricular acupuncture, Substance dependence
National Category
Nursing Neurology
Research subject
Psychiatry
Identifiers
urn:nbn:se:uu:diva-188482 (URN)10.1111/jpm.12028 (DOI)000330798000009 ()23230968 (PubMedID)
Available from: 2012-12-17 Created: 2012-12-17 Last updated: 2017-04-18Bibliographically approved
Eriksson, H., Haglund, K., Leo Swenne, C. & Arakelian, E. (2014). Patients' experiences of postoperative health related to cytoreductive surgery and hyperthermic intraoperative chemotherapy. Journal of Clinical Nursing, 23(1-2), 201-210
Open this publication in new window or tab >>Patients' experiences of postoperative health related to cytoreductive surgery and hyperthermic intraoperative chemotherapy
2014 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 23, no 1-2, p. 201-210Article in journal (Refereed) Published
Abstract [en]

Aims and objectives.To study patients’ descriptions of their health after cytoreductive surgery (CRS) before discharge.

Background. Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (HIPEC) affects the patient’s recovery. The hospital stay is long, and it is important to study how patients experience their health postoperatively.

Design. Qualitative descriptive design.

Methods. Between January–May 2012, individual interviews were conducted with 20 patients in a university hospital in cen- tral Sweden using a semi-structured interview guide. Data were analysed using qualitative content analysis.

Results. Three themes (a process, body and mind, and support) and nine categories emerged. The surgery was described as a turning point, followed by a period of hope and thankfulness. Nevertheless, patients had difficulty taking in their positive feelings because they were overwhelmed by their bodily ailments. Despite the patients’ descriptions of being on an emotional roller coaster, thinking about death and an uncertain future, or being in a state somewhere between sleep and wakefulness, they described them- selves as being in good mental health. Continuous individualised information and support from the surgeon and staff members were described as being important for the recovery process, and none of the patients asked for counselling before discharge.

Conclusion. Surgery was described as a turning point followed by an uncertain future. Despite the overwhelming nature of their bodily ailments and being on an emotional roller coaster postoperatively, patients described themselves as being in good psychological health and not needing any professional counselling. Continuous individualised information from the surgeon and staff members played an important role in the recovery process.

Relevance to clinical practice. Both staff and future patients may benefit from the patients’ experiences after CRS and HIPEC described in this study. The knowledge gained from this study could be used in designing a care plan for future patients undergoing CRS and HIPEC.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-212662 (URN)10.1111/jocn.12360 (DOI)000327883400021 ()
Available from: 2013-12-13 Created: 2013-12-13 Last updated: 2017-12-06Bibliographically approved
Muir-Cochrane, E., van der Merwe, M., Nijman, H., Haglund, K., Simpson, A. & Bowers, L. (2012). Investigation into the acceptability of door locking to staff, patients, and visitors on acute psychiatric wards. International Journal of Mental Health Nursing, 21(1), 41-49
Open this publication in new window or tab >>Investigation into the acceptability of door locking to staff, patients, and visitors on acute psychiatric wards
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2012 (English)In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 21, no 1, p. 41-49Article in journal (Refereed) Published
Abstract [en]

There is disagreement among psychiatric professionals about whether the doors of acute psychiatric wards should be kept locked to prevent patients from leaving and harming themselves or others. This study explored patient, staff, and visitor perceptions about the acceptability of locking the ward door on acute psychiatric inpatient wards. Interviews were conducted with 14 registered nurses, 15 patients, and six visitors from three different acute wards. Findings revealed commonalities across all groups, with general agreement that locking the door reduced absconding. Staff expressed feelings of guilt, embarrassment, and fear of being blamed when a patient absconded. Staff also reported that open wards created anxious vigilance to prevent an abscond and increased workload in allocating staff to watch the door, whereas staff on partially-locked doors also perceived an increased workload in letting people in and out of the ward. Patients had mixed feelings about the status of the door, expressing depression, a sense of stigma, and low self-esteem when the door was locked. The issue of balancing safety and security on acute psychiatric wards against the autonomy of patients is not easily resolved, and requires focused research to develop innovative nursing practices.

Keywords
absconding, acute psychiatric ward, locked door
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-169100 (URN)10.1111/j.1447-0349.2011.00758.x (DOI)000298791800006 ()
Available from: 2012-02-27 Created: 2012-02-23 Last updated: 2017-12-07Bibliographically approved
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