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Karlsson, Ann-ChristinORCID iD iconorcid.org/0000-0003-0318-7942
Publications (10 of 19) Show all publications
Hermann, V., Osman, F., Durbeej, N., Karlsson, A.-C. & Sarkadi, A. (2024). How to Analyze Focus Group Interactions – Development of a Coding Scheme. International Journal of Qualitative Methods, 23
Open this publication in new window or tab >>How to Analyze Focus Group Interactions – Development of a Coding Scheme
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2024 (English)In: International Journal of Qualitative Methods, E-ISSN 1609-4069, Vol. 23Article in journal (Refereed) Published
Abstract [en]

The value of taking advantage of the participants’ interactions when analyzing focus group data is often stressed. However, there is a lack of detailed descriptions of how focus group data can be merged with interview data, and considered throughout a thematic analysis process. This article describes a systematic way to include focus group interactions in data analysis, using a coding scheme. The aim was threefold: to develop a coding scheme for focus group interactions; to test and describe a process for interaction analysis, merged into the thematic data analysis process, and to test the coding scheme on another dataset. Based on focus group literature a comprehensive coding scheme for analyzing focus group interactions, was developed, including symbols for these interactions. Data from five focus group interviews involving adolescents were subsequently coded using this scheme. Further analysis of the identified interactions was conducted simultaneously with thematic data analysis, using Systematic Text Condensation (STC) as an illustrative method. The coding scheme was then tested on data from a different focus group involving adolescents in another setting. A comparison between the two coders was made, leading to a slight modification of the coding scheme. The resulting coding scheme is a practical tool adding to the previous knowledge on focus group interaction analysis. More specifically, the scheme facilitates focus group interactions to be visible and accounted for thought the thematic analysis process.

Place, publisher, year, edition, pages
Sage Publications, 2024
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-538877 (URN)10.1177/16094069241286848 (DOI)001319672600001 ()
Available from: 2024-09-20 Created: 2024-09-20 Last updated: 2024-10-09Bibliographically approved
Bäckström, J., Pöder, U. & Karlsson, A.-C. (2024). I Was Merely a Brick in the Game: A Qualitative Study on Registered Nurses' Reasons for Quitting Their Jobs in Hospitals. Journal of Nursing Management, Article ID 6662802.
Open this publication in new window or tab >>I Was Merely a Brick in the Game: A Qualitative Study on Registered Nurses' Reasons for Quitting Their Jobs in Hospitals
2024 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, article id 6662802Article in journal (Refereed) Published
Abstract [en]

The aim was to explore why registered nurses (RNs) in Sweden choose to quit their jobs in hospitals, also in relation to experienced patient safety. Previous research has shown that nurse turnover, especially in hospital settings, is a serious challenge for society and health care globally. Insufficient staffing of RNs is linked to poorer patient outcomes and a general patient safety at risk. It is, therefore, important to continually explore how nurses describe their reasons for quitting their jobs. The study was conducted using a qualitative descriptive design, based on 11 semistructured interviews with RNs. The analysis generated four categories describing the results: Feeling that the profession is not valued; Psychological and physical symptoms related to work; An insufficient and unsupportive organization; and Unsatisfying leadership and teamwork. Specifically, the RNs participating in this study described a range of reasons for quitting, where the feeling of not being valued and treated as a respected and autonomous profession was a common thread throughout the results. RNs experienced that, overall, the insufficient work conditions, also resulting in lower patient safety, ultimately led to their decision to quit. The findings highlight the crucial need for employers to develop working conditions for RNs, to make sure that the profession is valued according to professional standards and provide the potential for autonomous nursing practice. To reduce nurse turnover, and instead attract and retain nurses, leadership and management in nursing need to be adjusted to meet the demands of a modern academic profession.

Place, publisher, year, edition, pages
Hindawi Publishing Corporation, 2024
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Caring Sciences
Identifiers
urn:nbn:se:uu:diva-524554 (URN)10.1155/2024/6662802 (DOI)
Funder
Uppsala University
Available from: 2024-03-07 Created: 2024-03-07 Last updated: 2024-10-24Bibliographically approved
Hermann, V., Söderqvist, F., Karlsson, A.-C., Sarkadi, A. & Durbeej, N. (2024). Mental health status according to the dual-factor model in Swedish adolescents: A cross sectional study highlighting associations with stress, resilience, social status and gender. PLOS ONE, 19(3), Article ID e0299225.
Open this publication in new window or tab >>Mental health status according to the dual-factor model in Swedish adolescents: A cross sectional study highlighting associations with stress, resilience, social status and gender
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2024 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 19, no 3, article id e0299225Article in journal (Refereed) Published
Abstract [en]

In this cross-sectional study, we aimed to I) investigate the dual-factor model of mental health by forming and describing four participant groups and II) examine associations between mental health status and background factors, school-related factors, stress, and resilience among adolescents in a community population in Sweden. Data were collected through a survey completed by 2,208 students in lower and upper secondary school on the Swedish island of Gotland. After missing data were removed, a total of 1,833 participants were included in the study. The survey included the Mental Health Continuum Short Form (MHC-SF) for the assessment of mental well-being and the Strengths and Difficulties Questionnaire (SDQ) for the assessment of mental health problems. These two measures were combined into a dual-factor model, forming four mental health status subgroups: Vulnerable (47.5%), Complete mental health (36.2%), Troubled (13.9%), and Symptomatic but content (2.5%). Associations between these groups were explored regarding background factors, school-related factors, stress, and resilience through chi-squared tests and logistic regressions. Girls (OR: 1.88) and participants with high stress levels (OR: 2.23) had elevated odds for Vulnerable mental health status, whereas higher resilience (OR: 0.87) and subjective social status in school (OR: 0.76) were factors associated with reduced odds for this mental health status classification. Female gender (OR: 5.02) was also associated with Troubled mental health status. Similarly, a high level of stress (ORs: 4.08 and 11.36) was associated with Symptomatic but content and Troubled mental health status, and participants with higher levels of resilience had decreased odds for being classified into these groups (ORs: 0.88 and 0.81). The findings highlight the importance of interventions to increase resilience, reduce stress, and address stereotypic gender norms as well as social status hierarchies to support adolescents’ mental health.

Place, publisher, year, edition, pages
Public Library of Science (PLoS), 2024
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Caring Sciences
Identifiers
urn:nbn:se:uu:diva-524403 (URN)10.1371/journal.pone.0299225 (DOI)001181701600057 ()38427682 (PubMedID)
Funder
Uppsala University, Planeringsrådet Campus Gotland 19-10-28 §5, 2019Länsförsäkringar AB, 19-12-16 #11 §139, 2019Region Gotland, RS2020/663, 2020
Available from: 2024-03-04 Created: 2024-03-04 Last updated: 2024-09-25Bibliographically approved
Jakobsson Larsson, B., Mannberg, M., Pöder, U., Hedström, M. & Karlsson, A.-C. (2024). Registered nurses' experiences on job satisfaction in nursing home settings. Nursing Open, 11(6)
Open this publication in new window or tab >>Registered nurses' experiences on job satisfaction in nursing home settings
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2024 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 11, no 6Article in journal (Refereed) Published
Abstract [en]

  Aim

To describe what registered nurses' experience to be important to job satisfaction in nursing home settings.

Design

This is a qualitative study based on data from individual interviews.

Methods

Sixteen registered nurses working in nursing homes were interviewed, and their responses were analysed with systematic text condensation.

Results

A total of six categories were developed to describe various aspects of job satisfaction among registered nurses at nursing homes: meaningfulness is essential, to possess control and manageability is central, a possibility to balance daily challenges with professional development, supportive leadership is imperative, the nursing team's competence and companionship, and being confident in one's own profession.

Conclusion

In the present study, meaningfulness was essential to job satisfaction, and work was experienced to be meaningful and engaging when the demands were manageable, the workload controllable, and when the registered nurses felt supported by management and co-workers. Conversely, if the demands were too high, the workload was beyond their control and the nurses felt unsupported, then the work felt meaningless and thus unsatisfactory.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-534132 (URN)10.1002/nop2.2224 (DOI)001252320300001 ()38923357 (PubMedID)
Available from: 2024-07-01 Created: 2024-07-01 Last updated: 2024-07-09Bibliographically approved
Hultin, L., Karlsson, A.-C., Löwenmark, M., Coleman, S. & Gunningberg, L. (2023). Feasibility of PURPOSE T in clinical practice and patient participation: a mixed-method study. International Wound Journal, 20(3), 633-647
Open this publication in new window or tab >>Feasibility of PURPOSE T in clinical practice and patient participation: a mixed-method study
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2023 (English)In: International Wound Journal, ISSN 1742-4801, E-ISSN 1742-481X, Vol. 20, no 3, p. 633-647Article in journal (Refereed) Published
Abstract [en]

This study aimed to evaluate the feasibility of implementing an electronic version of PURPOSE T, a risk assessment instrument for pressure ulcers, in a Swedish hospital ward. A mixed-method was used. Nursing staff received training in PURPOSE T and a record review was performed (n=30). PURPOSE T replaced the Modified Norton Scale, and after one month another record review was performed (n=30). Individual interviews with patients (n=15) and focus groups interviews with nursing staff (n=23) were performed after the implementation. The results of the record review and the focus groups interviews showed a good clinical feasibility of PURPOSE T. The record review showed that more patients were at risk of developing pressure ulcers and more nursing interventions were prescribed with PURPOSE T compared to the Modified Norton Scale. The focus group interviews showed that all nursing staff were satisfied with PURPOSE T. The instrument contributed to increased reflection and analysis as well as the opportunity for nursing staff to draw their own conclusions regarding patients´ risk status. The documentation encouraged the prescription of more preventive actions, and the nurses were more involved at bedside. However, almost all the patients experienced that they did not receive any information about pressure ulcers. 

Key Messages

· PURPOSE T demonstrates successful feasibility when implemented in clinical practice.

· The study provides evidence that an electronic version of PURPOSE T can replace pressure ulcer risk assessment instruments that are used today.

· Routines for sharing information with patients about pressure ulcers need to be prioritized in clinical practice.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
Feasibility, nurses, patient participation, pressure ulcer, risk assessment
National Category
Other Medical Sciences not elsewhere specified
Research subject
Health Care Research
Identifiers
urn:nbn:se:uu:diva-470003 (URN)10.1111/iwj.13904 (DOI)000829622000001 ()35859322 (PubMedID)
Funder
Konung Gustaf V:s och Drottning Victorias FrimurarestiftelseUppsala University
Available from: 2022-03-17 Created: 2022-03-17 Last updated: 2023-05-10Bibliographically approved
Hermann, V., Durbeej, N., Karlsson, A.-C. & Sarkadi, A. (2023). ‘Feeling down one evening doesn't count as having mental health problems’: Swedish adolescents' conceptual views of mental health. Journal of Advanced Nursing, 79(8), 2886-2899
Open this publication in new window or tab >>‘Feeling down one evening doesn't count as having mental health problems’: Swedish adolescents' conceptual views of mental health
2023 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 79, no 8, p. 2886-2899Article in journal (Refereed) Published
Abstract [en]

Aims

To explore Swedish adolescents' conceptual views of mental health and mental health problems.

Design

A qualitative descriptive study design.

Methods

Semi-structured focus group interviews and individual interviews were conducted with, in total, 32 Swedish adolescents (15–18 years old) in October–November 2020. Data were analysed using systematic text condensation.

Results

Three themes were identified through the analysis: Mental health is about how we feel; One's mental health depends on one's situation, thoughts and ways of coping; and Mental health problems should be taken seriously and can get severe.

Conclusion

The results indicate that adolescents understand the complexity and holistic nature of mental health and mental health problems. According to the participating adolescents, positive mental health and mental health problems should be considered simultaneously to understand a young person's mental health state. Good health was described as having both absence of mental health problems and high levels of well-being: feeling well. Mental health problems were defined as something other than normal difficulties in life, but ranging from minor difficulties to more severe conditions. However, all kinds of mental health problems were termed as feeling unwell. The results suggest that adolescents are in need of support to cope with normal difficulties in life rather than lectures about life sometimes being challenging. In addition, the results highlight the need to prevent school-related stress and offer adolescents support for minor mental health problems.

Impact

The findings have implications for nurses and other professionals who encounter adolescents in their profession, for example specialist nurses, school nurses and public health professionals. The findings add knowledge that could be useful for communication with adolescents about their mental health and methods to assess their mental health status.

Patient or Public Contribution

The preliminary results were presented to three classes, in year nine in lower secondary school, for validation.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
adolescents, focus group, mental health, mental health problems, nurses, public health, perceptions, qualitative interview
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Social Medicine
Identifiers
urn:nbn:se:uu:diva-477999 (URN)10.1111/jan.15496 (DOI)000881859400001 ()36369658 (PubMedID)
Funder
Uppsala University, 19-10-28 5Länsförsäkringar AB, 19-12-16 #11 139Region Gotland, RS2020/663
Note

Title in the list of papers in Veronica Hermann's thesis: ‘Feeling down one evening doesn’t count as having mental health problems’ - A study on adolescents’ conceptual views of mental health

Available from: 2022-06-23 Created: 2022-06-23 Last updated: 2024-08-06Bibliographically approved
Tengblad, J., Airosa, F., Karlsson, L., Rosenqvist, J., Elmqvist, C., Karlsson, A.-C. & Henricson, M. (2023). “I am Here”—The Importance of Caring Touch in Intensive Care. A Qualitative Observation and Interview Study. Journal of Holistic Nursing
Open this publication in new window or tab >>“I am Here”—The Importance of Caring Touch in Intensive Care. A Qualitative Observation and Interview Study
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2023 (English)In: Journal of Holistic Nursing, ISSN 0898-0101, E-ISSN 1552-5724Article in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose: The purpose of the study was to illuminate the experience of caring touch in intensive care from the perspectives of patients, next-of-kin, and healthcare professionals. Design and Method: This study was explorative, and data were collected through qualitative observations (n = 9) with subsequent interviews (n = 27) at two general intensive care units. An inductive approach was embraced to be open-minded to the participants’ experiences. Findings: The results are presented in one generic category—caring touch creates presence—which generated five subcategories: to touch and be touched with respect, touch as guidance and communication, touch causes suffering, touch creates compassion, and touch creates security. Conclusion: When the ability to communicate with words is lost, it is body language that reveals what a person is trying to express. Nurses create a way of being present with the patients by touching them, to communicate I am here for you. Caring touch is a tool to show compassion and respect and to protect the integrity of the lived body. The caring touch is soothing and comforting for the patient and next-of-kin and creates security. It also helps to awaken the motivation to get healthy, which is needed in an environment that is foreign.

Place, publisher, year, edition, pages
Sage Publications, 2023
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-513003 (URN)10.1177/08980101231198723 (DOI)
Available from: 2023-10-02 Created: 2023-10-02 Last updated: 2023-10-02Bibliographically approved
Hermann, V., Durbeej, N., Karlsson, A.-C. & Sarkadi, A. (2022). Feeling mentally unwell is the "new normal": A qualitative study on adolescents' views of mental health problems and related stigma. Children and youth services review, 143, Article ID 106660.
Open this publication in new window or tab >>Feeling mentally unwell is the "new normal": A qualitative study on adolescents' views of mental health problems and related stigma
2022 (English)In: Children and youth services review, ISSN 0190-7409, E-ISSN 1873-7765, Vol. 143, article id 106660Article in journal (Refereed) Published
Abstract [en]

Young people suffering from mental health problems is a public health issue, and it is important to listen to adolescents’ views on the issues that affect their lives. This qualitative study describes adolescents’ perceptions of the prevalence of and public stigma towards mental health problems among young people. A total of 32 Swedish adolescents, aged 15–18 years old, took part in either semi-structured focus groups or individual interviews. The data were analyzed using systematic text condensation, resulting in three themes: Having mental health problems is the new normal; What others think of you affects you; If others lack experience and knowledge, they don’t respond well. The adolescents considered mental health problems to be common in young people and a normal feature of their lives. They displayed an in-depth understanding for reasons of the increase in mental health problems in young people, and factors such as pressure from school, stereotypical gender norms, rumors and prejudice were suggested as possible explanations for the increase, alongside improved openness about mental health problems. The adolescents’ perceptions of the stigmatization of mental health problems were consistent with a trifold definition of stigma, comprising stereotypes, prejudice and discrimination. The adolescents suggested that better education about mental health problems, and more inclusive gender norms, would help reduce stigma and improve young people’s mental health.

Place, publisher, year, edition, pages
Elsevier, 2022
Keywords
adolescents, focus group, mental health problems, perception, qualitative interviews, stigma
National Category
Public Health, Global Health, Social Medicine and Epidemiology Psychiatry
Research subject
Social Medicine
Identifiers
urn:nbn:se:uu:diva-478168 (URN)10.1016/j.childyouth.2022.106660 (DOI)000933948300008 ()
Funder
Uppsala University, 19-10-28 5Länsförsäkringar AB, 19-12-16 11 139Region Gotland, RS2020/663
Note

Title in the list of papers of Hermann's thesis: Feeling mentally unwell is the "new normal". A qualitative study on adolescents' views of mental health problems and associated stigma

Available from: 2022-06-23 Created: 2022-06-23 Last updated: 2024-08-06Bibliographically approved
Hultin, L., Gunningberg, L., Coleman, S. & Karlsson, A.-C. (2022). Pressure ulcer risk assessment - registered nurses' experiences of using PURPOSE T: A focus group study. Journal of Clinical Nursing, 31(1-2), 231-239
Open this publication in new window or tab >>Pressure ulcer risk assessment - registered nurses' experiences of using PURPOSE T: A focus group study
2022 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 31, no 1-2, p. 231-239Article in journal (Refereed) Published
Abstract [en]

AIM: To evaluate the clinical usability of PURPOSE T among registered nurses in Sweden.

BACKGROUND: Pressure ulcers are an adverse event and a problem worldwide. Risk assessment is a cornerstone, and a first step in pressure ulcer prevention is to identify possible risk patients and/or pressure ulcers. There are many pressure ulcer risk assessment instruments; however, they are not updated and/or evidence-based. PURPOSE T has been psychometrically evaluated in the UK and in Sweden with good inter-rater and test-retest reliability, and convergent validity was reported as moderate.

DESIGN: A descriptive study design with a qualitative approach.

METHODS: A total of six focus group interviews with 29 registered nurses were conducted. They were recruited from May 2018 to November 2018 from a university hospital and two nursing homes in Sweden. Data analysis was performed as described by Krueger. The study adheres to the COREQ guidelines.

RESULTS: Four categories were identified: "An efficient risk assessment instrument performed at the bedside," "Deeper understanding and awareness of risk factors," "Benefits compared to the Modified Norton Scale" and "Necessity of integration of PURPOSE T in the electronic health record and team collaboration."

CONCLUSION: The registered nurses acknowledged an overall positive perception of PURPOSE T's clinical usability. Future research is needed to evaluate the feasibility of PURPOSE T.

RELEVANCE TO CLINICAL PRACTICE: PURPOSE T has the potential to replace outdated pressure ulcers risk assessment instruments that are used today.

Place, publisher, year, edition, pages
John Wiley & SonsWiley, 2022
Keywords
Focus groups, nurses, pressure ulcer, risk assessment, usability
National Category
Gastroenterology and Hepatology Nursing
Identifiers
urn:nbn:se:uu:diva-445263 (URN)10.1111/jocn.15901 (DOI)000659307200001 ()34109691 (PubMedID)
Funder
Konung Gustaf V:s och Drottning Victorias FrimurarestiftelseUppsala University
Available from: 2021-06-11 Created: 2021-06-11 Last updated: 2024-01-15Bibliographically approved
Karlsson, L., Rosenqvist, J., Airosa, F., Henricson, M., Karlsson, A.-C. & Elmqvist, C. (2022). The meaning of caring touch for healthcare professionals in an intensive care unit: A qualitative interview study. Intensive & Critical Care Nursing, 68, Article ID 103131.
Open this publication in new window or tab >>The meaning of caring touch for healthcare professionals in an intensive care unit: A qualitative interview study
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2022 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 68, article id 103131Article in journal (Refereed) Published
Abstract [en]

Background: The way health care professionals touch patients and relatives in the intensive care unit plays a significant role. A negative feeling can be caused by being touched in the wrong way, this is why a holistic approach with respect for the patient is important for the ability to make the patient and their relatives feel secure, avoiding unnecessary suffering.

Aim: The aim of the study was to describe the meaning of caring touch that is given in the ICU from the health care professionals perspective.

Method: Qualitative interview study with health care professionals in the intensive care unit, analysed using inductive content analysis, resulting in two themes and four main categories.

Findings: Two themes emerged: Imperative touch and emotional touch and four main categories: touch as a natural tool, create a prerequisite for touch, empathetic touch and conversant touch.

Conclusion: Caring touch can be used as a natural tool in the daily work in order to bring comfort and calm to the patient in the intensive care unit.

Place, publisher, year, edition, pages
ElsevierElsevier BV, 2022
Keywords
Caring touch, Experience, Healthcare professionals, Intensive care unit, Interviews
National Category
Nursing
Research subject
Caring Sciences
Identifiers
urn:nbn:se:uu:diva-457678 (URN)10.1016/j.iccn.2021.103131 (DOI)000734041300012 ()34456109 (PubMedID)
Available from: 2021-11-01 Created: 2021-11-01 Last updated: 2024-01-15Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0003-0318-7942

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