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  • 1. Andersen, Pia
    et al.
    Olander, Ewy
    Blekinge Institute of Technology, School of Health Science.
    Utvärdering av implementeringen av hälsotorgen i Blekinge -med fokus på hälsotorgens utvecklingsmöjligheter2008Other (Other academic)
    Abstract [en]

    I den svenska folkhälsopolitiken betonas hälso- och sjukvårdens roll i folkhälsoarbetet genom ett eget målområde, ”En hälsofrämjande hälso- och sjukvård” År 2000 påbörjade Landstinget i Blekinge ett samarbete med Apoteket AB för utveckling av Hälsotorg som en ny typ av offentlig arena för hälsofrämjande och förebyggande arbete. Den är tänkt som en mötesplats för hälsoinformation, egenvårdsrådgivning och hälsosamtal med professionell personal från landsting och apotek. Syftet med denna utvärdering är att beskriva implementeringen av hälsotorgen i Blekinge och hälsotorgens utvecklingsmöjligheter. Enskilda intervjuer har genomförts med nyckelinformanter för att ta del av deras erfarenheter och upplevelser av hälsotorgsarbetet. Verksamhetschefer och hälsotorgspersonal intervjuades, sammanlagt tolv personer. Idag finns hälsotorg som har byggts upp i samverkan mellan Apoteket AB och Landstinget Blekinge i fyra av länets fem kommuner. Hälsotorgen har startat vid olika tidpunkter mellan år 2000 och 2006. De är något olika utformande, bemannade och lokaliserade. Resultatet visar en övervägande positiv bild av hälsotorgens verksamhet och det finns en framtidstro på fortsatt utveckling av hälsotorgen. Såväl ”uppifrån” stöd i form av direktiv och ekonomiska medel som ”underifrån” stöd genom lokalt engagemang och delaktighet har varit betydelsefulla faktorer i implementeringsprocessen. Det finns en ganska samstämmig uppfattning om hur de övergripande målen för hälsotorgen uppfyllts men målen är inte väl förankrade i verksamheten. Varje hälsotorg har utformat sin egen verksamhet utifrån befintligt avtal mellan Apoteket AB och Landstinget Blekinge samt utifrån hälsotorgspersonalens engagemang. Den mest framträdande svagheten är en otillräcklig marknadsföring, vilket har medfört att hälsotorgens verksamhet inte har blivit förankrad i önskvärd omfattning bland befolkningen och övrig personal på vårdcentralerna. Det råder en osäkerhet om hur det fortsatta samarbetet med Apoteket AB kan utvecklas med anledning av omregleringen av apoteksmarknaden 2009. Utvärderingen ger en positiv bild av hälsotorg både som fenomen och verksamhet. Informanterna anser att hälsotorgen har potential till att kunna vara en hälsofrämjande arena. För fortsatt utveckling till en sådan arena är det betydelsefullt med utbildningsinsatser som kan stärka hälsotorgspersonalens kompetens för hälsofrämjande arbete. Det är också betydelsefullt med informationsinsatser bland befolkning och hälso- och sjukvårdspersonal för att öka medvetenheten om hälsotorgens verksamhet och därmed skapa grund för samarbete och ett ökat utnyttjande av hälsotorgens service.

  • 2.
    Håkansson, Linda
    et al.
    Center of Excellence for Child Health Services, SWE.
    Derwig, Mariette
    Center of Excellence for Child Health Services, SWE.
    Olander, Ewy
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Parents' experiences of a health dialogue in the child health services: a qualitative study2019In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 19, no 1, article id 774Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The Child Health Services in Sweden is a well-attended health promoting setting, and thereby has an important role in promoting healthy living habits in families with young children. Due to lack of national recommendations for health dialogues, a Child Centred Health Dialogue (CCHD) model was developed and tested in two Swedish municipalities. The aim of this study was to explore parents' experiences of health dialogues based on the CCHD model focusing on food and eating habits during the scheduled child health visit at four years of age. METHODS: A qualitative design with purposeful sampling was used. Twelve individual interviews with parents were conducted and analysed with qualitative content analysis. RESULTS: The analysis resulted in three categories: The health dialogue provides guidance and understanding; Illustrations promote the health dialogue; and Space for children and parents in the health dialogue. In addition, analysis of the latent content resulted in a single theme reflecting the parents' voice on the importance of having a health dialogue on food and eating habits. The health dialogue, promoted by illustrations, provided guidance and understanding, and gave space for children's and parents' involvement. CONCLUSIONS: The results indicate that health dialogues using the CCHD- model create supportive conditions for family members' active participation in the visits, which may strengthen empowerment and health literacy. The study provides knowledge and guidance for further development, evaluation and implementation of the model.

  • 3.
    Jama Mahmud, Amina
    et al.
    Blekinge Institute of Technology, School of Health Science.
    Olander, Ewy
    Blekinge Institute of Technology, School of Health Science.
    Eriksén, Sara
    Blekinge Institute of Technology, School of Computing.
    Haglund, Bo
    Health communication in primary health care -A case study of ICT development for health promotion2013In: BMC Medical Informatics and Decision Making, ISSN 1472-6947, E-ISSN 1472-6947, Vol. 13, no 17, p. 1-15Article in journal (Refereed)
    Abstract [en]

    Background Developing Information and Communication Technology (ICT) supported health communication in PHC could contribute to increased health literacy and empowerment, which are foundations for enabling people to increase control over their health, as a way to reduce increasing lifestyle related ill health. However, to increase the likelihood of success of implementing ICT supported health communication, it is essential to conduct a detailed analysis of the setting and context prior to the intervention. The aim of this study was to gain a better understanding of health communication for health promotion in PHC with emphasis on the implications for a planned ICT supported interactive health channel. Methods A qualitative case study, with a multi-methods approach was applied. Field notes, document study and focus groups were used for data collection. Data was then analyzed using qualitative content analysis. Results Health communication is an integral part of health promotion practice in PHC in this case study. However, there was a lack of consensus among health professionals on what a health promotion approach was, causing discrepancy in approaches and practices of health communication. Two themes emerged from the data analysis: Communicating health and environment for health communication. The themes represented individual and organizational factors that affected health communication practice in PHC and thus need to be taken into consideration in the development of the planned health channel. Conclusions Health communication practiced in PHC is individual based, preventive and reactive in nature, as opposed to population based, promotive and proactive in line with a health promotion approach. The most significant challenge in developing an ICT supported health communication channel for health promotion identified in this study, is profiling a health promotion approach in PHC. Addressing health promotion values and principles in the design of ICT supported health communication channel could facilitate health communication for promoting health, i.e. ‘health promoting communication’.

  • 4.
    Mahmud, Amina Jama
    et al.
    Blekinge Institute of Technology, School of Health Science.
    Olander, Ewy
    Blekinge Institute of Technology, School of Health Science.
    Haglund, Bo
    Gustavsson, Rune
    Blekinge Institute of Technology, School of Computing.
    Virtual Health Square: a new Health Promotion Setting?2008Conference paper (Refereed)
    Abstract [en]

    Health Square is a new health promotion setting in Sweden. Health Squares are meeting places for health; offering activities such as information on health management, advice on lifestyle related health issues and advice on when and where to seek medical help in case of illness. Health Squares also provide access to Internet based health information from trustworthy sites through a “customer computer”. The concept was initiated in collaboration between Primary Health Care and the Pharmacy Association of Sweden in order to provide community members a supportive environment for health. Health communication is an integral part of Health Square activities. Technologies for health communication need to be adapted to the needs and local contexts of the consumers. Health Square integrates both the local context and uses interactive technology to support the visitors in their effort to make informed healthy lifestyle choices but there is a need to involve the community in order to make technology accessible, reliable and sustainable. The aim The aim of this paper is to present a planned intersectorial research project on the development of a multi-lingual- Health Square Channel (HS channel) using Participatory Action Research (PAR) methods. Background The information and communication landscape is rapidly changing, especially in developed countries such as Sweden. Information and communication technology (ICT) are widely used in the health sector. This has resulted in a great burden being placed on the individual to seek information on self-care and healthy lifestyle choices. This is not an easy task for the majority of the population despite the offensive health information in the public spheres. Information alone does not lead to better lifestyle choices. The consumer (of the information) must be health literate. Health literacy as a concept encompasses more than transmitting information and developing skills, it entails improving people’s access to health information and capacity to use it effectively. Accessibility also entails providing health information in other languages besides that of the majority. Health promotion and ICT have a long-standing and productive relationship. New technologies are revolutionizing health promotion by providing easily accessible and timely information to consumers in the comfort of their homes. Digital Interactive Television (DiTV) is a new platform for Health Communication. Little is known on the potential of DiTV as a tool for health promotion communication in communities. There is a need to explore the potential and application of modern technology in health promotion using health promotion principals. There is a call for the use of Participatory Action Research (PAR) in Health Promotion and information systems research. The underpinning essence of PAR is the concept of equity and social justice. Equity in health is also the central concept in the Swedish national health policy, whose overarching aim is to create social conditions to ensure good health on equal terms for the entire population, and it’s first goal is to ensure participation and influence of the citizens. Methods Health Square (HS) channel will be based on a Health Square in a small town in the South of Sweden. The HS channel will be developed in collaboration between different professional categories and laymen. This work will be done in a workshop physically based at the HS. The project will be implemented between 2008-2011. Symbolic interaction and PAR form the theoretical base for the proposed research project which will stretch over the period Multiple research methods will be used for data collection due to the complexity of the planned project. A modified adaptation of a model named; Spiral Technology Action Research (STAR) will be used in the different stages of the research project. STAR model is a developmental process model that combines health promotion, principles social theories, Participatory action research approach and Freire’s (1970) “critical pedagogy. The research studies will be carried in four phases: 1) Exploration of HS as a setting for Health Promotion. 2) Case study; needs assessment of the provider and user of the HS channel in an environment of open dialogue. 3) “Workshop” and collaborative process of developing the HS channel. 4) Testing the accessibility and usability of the developed HS channel to a selected population in stratified local residential areas. Corresponding author: Amina Jama Tel: 0046455385427 E-mail: amina.jama.mahmud@bth.se

  • 5. Mahmud, Amina Jama
    et al.
    Olander, Ewy
    Wallenberg, Lovisa
    Haglund, Bo
    Health promoting settings in primary health care - "hälsotorg": an implementation analysis2010In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 10, no 707Article in journal (Refereed)
    Abstract [en]

    Background Sweden, like many other western countries, faces increasing rates of lifestyle related diseases and corresponding rise in costs for health care. To meet these challenges, a number of efforts have been introduced at different societal levels. One such effort is "Hälsotorg" (HS). HS is a new health promotion setting that emerged in collaboration between the Swedish County Councils and Apoteket AB, a state-owned pharmacy company. HS's overall aim was to improve population health and facilitate inhabitants' responsibility for self-care. A new National Public Health Policy, introduced in 2008, emphasizes more focus on individual's needs and responsibility as well as strong need for county councils to provide supportive environment for individual-centred health services and increased health literacy among the population. In light of this policy, there is a need to examine existing settings that can provide supportive environment for individuals at community level. The aim of this study was to explore HS's policy implementation at local level and analyse HS's activities, in order to provide a deeper understanding of HS's potential as a health promoting setting. Methods Materials included a survey and key documents related to the development and nature of HS on local and national levels. A policy analysis inspired by Walt and Gilson was used in data analysis. In addition, an analysis using the principles of health promotion in relation to HS policy process and activities was also carried out. Results The analysis illuminated strengths and weaknesses in the policy process, its actors, contextual factors and activities. The health communication approach in the analysed documents contained health promoting intentions but the health promoting approach corresponding to a health promoting setting was neither apparent nor shared among the stakeholders. This influenced the interpretation and implementation of HS negatively. Conclusions The analysis indicates that HS has potential to be a valuable health promotion setting for both population and individuals, given the strong intentions for a health and empowerment building approach that is expressed in the documents. However, for a more sustainable implementation of HS, there is need for an in- depth understanding of the health promotion approach among HS stakeholders.

  • 6.
    Olander, Ewy
    Blekinge Institute of Technology, Department of Health, Science and Mathematics.
    Developing Health Counselling in Child Health Care. Participatory Action Research in the Primary Health Care.1998Conference paper (Refereed)
  • 7. Olander, Ewy
    Health counselling in Child Health Services – synthesising two missions.2005Conference paper (Refereed)
    Abstract [en]

    Child Health Services (CHS) form a strategic arena for Swedish health promotion, from a societal as well as individual perspective. The present study focuses on district nurses´ health counselling in CHS. The aim is to improve understanding of what is important in shaping and accomplishing health promotion, and to generate theory useful in a CHS context. Data were collected at CHS in primary health care. Data sources consist of video-observations with recalled interviews, field notes, notes from group discussions, individual interviews and data from my earlier study of health counselling. Data analysis followed the classic Grounded Theory (GT) method. Empirical data indicated that health promotion in CHS has two approaches, a population approach and an individual approach. District nurses thus have two missions: a public health mission (a government demand based on families as parts of the population), and a family health mission (a request from individual families). District nurses' main concern in CHS is to synthesise these two opposing missions and approaches in their practical work at the CHC (Child Health Centres). The category Population-individualisation evolved as the core category. Four dynamic fields between public and family health missions and four patterns for synthesis evolved. Through the generating analysis a substantive theory could be formulated. The generated theory grounded in empirical data within the context of CHS provides us with knowledge that can help district nurses understand and manage their main concern for synthesising these two missions. This theory may also contribute to increased awareness among administrators, decision makers and nurse- and health promotion educators with regard to the double mission in health promotion and the strategies for coping with it. In this way, generated theory should be able to contribute to improve health promotion and health counselling in CHS.

  • 8. Olander, Ewy
    Health Counselling in Primary Child Health C. Process and Context from a Practical Educational Perspective.2000Conference paper (Refereed)
  • 9. Olander, Ewy
    Hälsovägledning i barnhälsovården – syntetisering av två uppdrag2003Doctoral thesis, comprehensive summary (Other academic)
  • 10. Olander, Ewy
    Hälsovägledning i barnhälsovården, process och kontext ur ett praktiskt pedagogiskt perspektiv1998Licentiate thesis, comprehensive summary (Other academic)
  • 11. Olander, Ewy
    HÄLSOVÄGLEDNING I BARNHÄLSOVÅRDEN: syntetisering av två uppdrag2004Conference paper (Refereed)
    Abstract [sv]

    Barnhälsovården är en strategisk arena för landets folkhälsoarbete både ur ett samhälls- och individperspektiv. Det är en väl etablerad verksamhet och når en stor del av befolkningen. De flesta barnfamiljer utnyttjar erbjudandet om att gå till "sin" barnavårdscentral. Barnhälsovårdens sjuksköterskor är viktiga aktörer i detta folkhälsoarbete, det är de som utformar och genomför hälsoarbetet i möten med enskilda föräldrar och barn. Syftet med denna studie var att öka förståelsen för hur hälsovägledning utformas och genomförs, samt att generera teori, användbar för praktisk barnhälsovårdsverksamhet. Den barnhälsovårdsverksamhet som studerades, var den som primärvårdens distriktssköterskor ansvarar för jämsides med övrig hälso- och sjukvård. Data samlades in genom videoobservationer och efterföljande intervjuer med distriktssköterskor, fältanteckningar, anteckningar från gruppdiskussioner och enskilda intervjuer samt genom data från tidigare studier av hälsovägledning i barnhälsovården. Analysen följde den klassiska Grounded Theory metoden för teorigenerering. Studien gör tydligt att det finns ett dubbelsidigt uppdrag för barnhälsovårdens sjuksköterskor. Å ena sidan finns ett folkhälsouppdrag, som inriktas på barn och föräldrar som befolkning. Det hälsoarbetet följer det nationella barnhälsovårdsprogrammets riktlinjer och hälsoarbetet karakteriseras av allmän hälsoövervakning, "massundersökningar" allmän hälsoupplysning och generell rådgivning. Den andra aspekten på hälsoarbete kan härledas till data som visade att hälsoarbete är inriktat på barn och föräldrar som enskilda individer eller familjer. Det är familjens situation som diskuteras och som distriktssköterskors rådgivning utgår ifrån. Hälsoarbetet inriktas på hälsoundersökningar av det enskilda barnet och individuell hälsovägledning. De båda aspekterna benämner jag som barnhälsovårdens befolkningsinriktning och individinriktning. Studien visar att barnhälsovårdens distriktssköterskor är mycket angelägna om att syntetisera dessa båda uppdrag och dess inriktningar. Det sammansatta begreppet befolkningsindividualisering är ett teoretiskt begrepp för denna syntetisering. För att kunna arbeta parallellt med dessa båda inriktningar och bibehålla en syntetisering hanterar barnhälsovårdens distriktssköterskor dubbelsidigheten genom oscillerande mönster. Studien visar hur hälsovägledningen i en verksamhet med två motstående uppdrag och inriktningar påverkas av denna dubbelsidighet. Teorin som genererades är användbar både i den praktiska verksamheten och i utbildningar för att öka förståelsen för och hur detta komplexa hälsoarbete i barnhälsovården kan hanteras och syntetiseras. Genom att den belyser hantering av motstående uppdrag, kan den troligen också vara användbar inom andra verksamheter med dubbelsidighet i uppdraget.

  • 12. Olander, Ewy
    Improving health counselling in child health services – an implementation study2005Conference paper (Refereed)
    Abstract [en]

    With the purpose to improve health counselling a child health promotion project was carried out between 1997-1999 as participatory action research. The project followed the health action process and district nurses and researcher participated in all stages from investigation to evaluation. The investigation showed that health counselling is a multi-faced work with several interacting factors and therefore actions and improvements involved routines for child health services, collaboration and health counselling. When the project was finished, the developing work continued as parts in the ordinary development and quality work. During this time the researcher followed the action process and participated in yearly health counselling discussions and evaluations. During 2003-and 2004 the developing work was evaluated in purpose to get understanding for the developing working process, outcomes and impact on health counselling as well as strains and obstacles for maintaining.

  • 13. Olander, Ewy
    Transition practice: theory – practice for improving health counselling in Child Health Services2006Conference paper (Refereed)
    Abstract [en]

    Child Health Services (CHS) in Sweden form a strategic arena for Swedish health promotion, from a societal as well as individual perspective. CHS nurses are important health promotion actors and health counsellors. They give the final sharp to health promotion in the individual meetings with parents and children. CHS nurse’s educational activity is highly institutionalised, but not explicitly expressed, discussed or problematical from a health promotion aspect. During seven years Participatory Action Research (PAR) was accomplished in a Child Health Centre to improve health counselling in CHS. The Health Action process was used for the developing process. Grounded Theory (GT) was also used to increase theoretical understanding and to emerge theory for health counselling grounded in practice. The PAR and the Health Action process approach contributed to a learning process in which the nurses got more aware of the CHS context and got skills to continue improvement of health counselling. Through the GT studies the CHS nurses two missions: a public health mission (a government demand based on families as parts of the population), and a family health mission (a request from individual families) got obvious and how the CHS nurses' synthesise these two opposing missions and approaches in their practical work. PAR and GT are well corresponding for increased understanding of health promotion practice and development, and thereby supporting the transition practice - theory - practice for improving health counselling in CHS. Together a grounded theory and learning outcomes can be practice-based evidence useful to evolve evidence-based practice.

  • 14. Olander, Ewy
    Vård- och omvårdnadsvetenskap: hälsoarbete med individen i fokus2009In: Folkhälsa som tvärvetenskap: möten mellan ämnen / [ed] Andersson, I.; Ejlertsson, G., Lund: Studentlitteratur , 2009Chapter in book (Refereed)
    Abstract [en]

    Den vårdvetenskapliga disciplinen – innefattande vårdvetenskap och omvårdnadsvetenskap – samt den folkhälsovetenskapliga disciplinen är kunskapsområden som har människors hälsa i fokus. De kompletterar varandra och utgör tillsammans en bred kunskapsbas i det praktiska hälso- och sjukvårdarbetet i syfte att kunna erbjuda en god hälsa och vård på lika villkor. Under de senaste åren har hälso- och sjukvårdens roll som en betydelsefull arena och utvecklingen mot ett hälsofrämjande angreppssätt alltmer lyfts fram i hälsopolitiska styrdokument, såväl internationellt som nationellt. Härigenom blir hälso- och sjukvårdspersonal viktiga aktörer i landets folkhälsoarbete; de möter många människor som söker hälso- och sjukvård för att få stöd och råd med att kunna främja och bevara sin hälsa samt att förebygga sjukdom. Ur ett vård- och omvårdnadsvetenskapligt perspektiv finns en strävan efter att individualisera mötena med den enskilda patienten i fokus. Ur ett folkhälsovetenskapligt perspektiv är patienterna del av en befolkning och finns i ett samhällssammanhang med dess politik, strukturer och miljö. En hälsofrämjade hälso- och sjukvård och ett hälsofrämjande angreppssätt innefattar alla dessa perspektiv. Utvecklingen av hälso- och sjukvården som en hälsofrämjande arena gör det väsentligt att reflektera över hur vård- och omvårdnadsvetenskap samt folkhälsovetenskap kan bidra med kunskap för såväl individinriktat som befolkningsinriktat hälsoarbete. Det blir också viktigt att reflektera över hur det praktiska hälsoarbetet förhåller sig till övergripande mål om hälsa för såväl enskilda individer som befolkning. I det här kapitlet diskuteras därför olika aspekter på förhållandet mellan den vårdvetenskapliga och den folkhälsovetenskapliga disciplinen samt hur de tillsammans utgör en bas för utbildning och kompetens för sjuksköterskans hälsofrämjande och förebyggande arbete. I diskussionen används de folkhälsovetenskapliga begreppen såsom de definieras i bokens inledande kapitel. Det innebär att folkhälsovetenskap och hälsofrämjande arbete utgår från en modern syn på folkhälsovetenskap och hälsofrämjande arbete utifrån tankarna i ”the new public health”. Hälsofrämjande arbete inbegriper ett angreppssätt som främjar individernas och befolkningens hälsoprocesser genom att såväl stödja individer som att främja stödjande miljöer för individers hälsoprocesser.

  • 15. Olander, Ewy
    et al.
    Andersson, Åse
    Joelsson, Kerstin
    Liljekrantz, Anita
    Meijer, Anna
    Olsson, Lena
    Petersson, Stefan
    Pettersson, Ulrika
    Rubin, Örjan
    Sjögren, Ingegerd
    Hälsovägledning i barnhälsovården. Erfarenheter från sju års forsknings- och utvecklingsarbete.2006Other (Other academic)
    Abstract [en]

    Between 1997 -2005 a research and developing work has been carried out in collaboration between Child Health Services, Lyckeby Primary Health Area , County Council of Blekinge and a researcher at School of Health, Blekinge Institute of Technology with purpose to develop health counselling in Child Health Services and to study this process. Corner stones for the collaboration and developing process were a participatory approach, a Health Action process and improvement work evolving from practice. The present report describe the evaluation of improvement for seven years, two initial years as a project and five years in ordinary activity, the impact on health counselling and, strains and obstacles for maintaining. The evaluation suggests that the overall aim for the improvement has been achieved. The studies shows that health counselling is a multi-faced work and therefore actions and improvements can not only focus on the health counselling in the consultations. Several factors interact and influence on the routines for child health services, collaboration and health counselling. The process evaluation showed that the participatory action approach made that the district nurses felt that they “urge on together” to improve the health counselling and reach the goal, although the extra developing work took time. The health action working process and the group meetings developed the request of reflection and discussion. By active participating in the project the district nurses developed awareness, knowledge, skills and methods for action and changing and prerequisites for maintaining and application in the organisation increase. The “outsider” (researcher) is important as a reflection and analysis partner. The improving and changing process needs and takes time, for being emerged and not forced, sustainable and not a dayfly.

  • 16.
    Olander, Ewy
    et al.
    Blekinge Institute of Technology, School of Health Science.
    Nilsson, Lina
    Blekinge Institute of Technology, School of Health Science.
    Applied Health Technology – a New Research Discipline at Blekinge Institute of Technology2009Conference paper (Refereed)
    Abstract [en]

    Since spring 2008 is Applied Health Technology a new research discipline at Blekinge Institute of Technology. The discipline has been developed in collaboration between the School of Health Science and the School of Technology. In the general syllabus for third-cycle (doctoral research) studies in Applied Health Technology underlines the value of multidisciplinary as well as interdisciplinary research, focusing on how Caring and Nursing Sciences, Public Health Science and Clinical Medical Science, can be linked to research areas in technology. The formation of research teams and third-cycle programs are in progress. Applied Health Technology corresponds to increasing national and international stated societal needs of technology development in health promotion and prevention efforts as well as in health care and social services.

  • 17.
    Olander, Ewy
    et al.
    Blekinge Institute of Technology, School of Health Science.
    Olsen, Anders
    Optimus-modellen stärker egenmakt och trygghet med bibehållen vårdkvalitet.2012In: Vasculär medicin, ISSN 2000-3188, Vol. 28, no 2, p. 85-89Article in journal (Other (popular science, discussion, etc.))
    Abstract [en]

    Sammanfattning: Hypertoni är en vanligt förkommande riskfaktor för hjärt-kärl sjukdomar. Internationellt genomförs alltfler blodtrycksmätningar i hemmet. En utvärderingsrapport av SBU fastställer att hemblodtrycksmätning kan vara lika tillförlitlig som traditionell blodtrycksmätning om patienten har tillräcklig kunskap och fungerande utrustning. Denna artikel beskriver en pilotstudie av en ny modell för blodtrycksbehandling med blodtrycksskola, hemblodtrycksmätning och individuell support. Syftet var att undersöka deltagarnas erfarenheter av Optimus-modellen och dess betydelse för deltagarnas egenmakt och hälsobildning i blodtrycksrelaterade frågor, samt om blodtrycksvärdena förändrades vid hemblodtrycksmätning. Studien skall ge underlag för vidare modellutveckling och långsiktiga studier av modellens värde ur ett patient-, hälso- och sjukvårds- samt hälsoekonomiskt perspektiv. Studien omfattade patienter med högt blodtryck som deltog i ny form av blodtrycksbehandling enligt Optimus-modellen med blodtrycksskola, hemblodtrycksmätning och individuellt support. Datamaterialet bestod av blodtrycksprotokoll med hemblodtrycksvärden registrerade av deltagarna, två deltagarenkäter som bearbetades kvantitativt och kvalitativt samt två uppföljningssamtal i respektive deltagargrupp. Resultatet visar att Optimus-modellen stärkte deltagarnas helhetsförståelse för faktorer som påverkar deras hälsa och blodtryck, trygghetskänsla vid HBTM samt möjligheterna att ha kontroll och ta ansvar för sitt blodtryck och hälsotillstånd. Studien visar att Optimus-modellen har potential att kunna skapa det underlag med kunskap, färdigheter och trygghet för blodtrycksmätning som behövs enligt SBU för att HBTM skall kunna genomföras på ett tillförlitligt sätt. Studien visar också att modellen stödjer den utveckling av egenmakt (empowerment) och hälsobildning som hälsopolitiska dokument och riktlinjer framhåller som angelägen i insatser som avser att stödja människors förändring till mer hälsofrämjande livsstilar och att förebygga hjärt- kärlsjukdomar samt en mer hälsofrämjande hälso- och sjukvård.

  • 18.
    Olander, Ewy
    et al.
    Blekinge Institute of Technology, School of Health Science.
    Sander, Annette
    INTERNATIONAL HEALTH COMMUNICATORS: Supporting Health and Integration2007Conference paper (Refereed)
    Abstract [en]

    In an increasingly globalized world it is important to globalize in a narrow perspective “at home” in one’s own local health service. Since one year an International Health Communicator Project is running in the County Council of Blekinge, Sweden. The aim is to elaborate health promotion and disease prevention focusing immigrants with foreign languages and cultures to support integration in the Swedish society, improve health literacy and reduce health inequities among this population. In the project a group of immigrants from different countries learn to International Health Communicators and to work as health promoters with immigrants, both as a population and as individuals, in order to bridge a gap to health services, facilitate understanding and capability, and to promote health. To strengthen a health promotion approach the project has a participatory approach both for education and evaluation. Together the International Health Communicators, the project leaders and a researcher elaborate the education and training to International Health Communicators, and have monthly “developing and evaluation” meetings to support the learning process and the International Health Communication developing process. In this process the challenge is to develop a model for health communication that is flexible and useful for different immigrant groups and individuals, consistent with empowerment and integration building in the forth dimension of health promotion in the 21st century. A summative evaluation of the first project year with structure, process and impact evaluation will be reported in March.

  • 19.
    Olander, Ewy
    et al.
    Blekinge Institute of Technology, School of Health Science.
    Sander, Annette
    Internationella hälsokommunikatörer 2006-2007, Utvärdering av projektet2008Report (Other academic)
    Abstract [en]

    Utvärderingsrapporten är en sammanställning av Internationella Hälsokommunkatörsprojektet i Landstinget Blekinge,samt det uppföljnings- och utvärderingsarbete som har pågått under projekttiden 2006-2007.

  • 20.
    Olander, Ewy
    et al.
    Blekinge Institute of Technology, School of Health Science.
    Wallenberg, Lovisa
    Wandås, Inger
    Haglund, Bo
    Health Square – a new Setting for Health Communication2007Conference paper (Refereed)
    Abstract [en]

    In Sweden a new setting called “Health Square“ has been elaborated by the National Pharmacy Chain in collaboration with above all local pharmacies, county councils and municipalities. A Health Square aims to be an open meeting place where people can get easy accessible health information and have individual consultations for health and lifestyle issues with health professionals as primary health care nurses and pharmacists in order to improve health literacy and empowerment. Existing knowledge in reports and local evaluations do not provide a comprehensive view of the health squares policies and activities. The aim of this study is to describe the setting Health Square as phenomenon and activity related to policies, in purpose to enhance understanding of the Health Square’s potential as a health communication setting. Data were collected from national and local documents such as policies, contracts, health plans and guidelines, a health square personnel survey, and a report with experiences of five years Health Square activities in Sweden. Walt and Gilsons policy analysis triangle was used as a tool for the data analysis. The analysis suggests that Health Square has a potential as a valuable setting for both population and individual health communication. There are strong intentions to a health promotion and empowerment building approach, which also increasingly permeate health communication, which must be important to reach the aims. The results could be useful for prospective analysis for further development of Health Square settings.

  • 21. Ringsberg, karin C.
    et al.
    Olander, EwyBlekinge Institute of Technology, Faculty of Health Sciences, Department of Health. Blekinge Tekniska Högskola [bth.se], Faculty of Health Sciences - Department of Health.Tillgren, Per
    Health literacy. Teori och praktik i hälsobefrämjande arbete2014Collection (editor) (Other academic)
  • 22.
    Ringsberg, Karin
    et al.
    göteborgs universitet, SWE.
    Olander, Ewy
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Tillgren, Per
    Malardalens hogskola, SWE.
    Thualagant, Nicole
    Roskilde Universitetscenter, DEN.
    Trollvik, Anne
    Inland Norway University of Applied Sciences, NOR.
    Concerns and future challenges of health literacy in the Nordic countries: From the point of view of health promotion practitioners and researchers2018In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, no 20_suppl, p. 107-117Article in journal (Refereed)
    Abstract [en]

    Background: Health literacy is an essential social determinant for promoting and maintaining the health of a population. Aim: From a health promotion perspective, explore health literacy issues, concerns and future challenges among Nordic practitioners and researchers. Methods: Data were collected in a workshop at the 8th Nordic Health Promotion Conference, and in a literature review, with articles from five databases. The search included title and abstract with the search terms health literacy* and health literacy as a MeSH term and all the Nordic countries. Qualitative and quantitative analysis were used. Results: Twenty-five persons participated in the workshop. The discussions were summarized in six themes: concept of health literacy in national language; risk of victim blaming; measuring health literacy; content in school curricula on health literacy; new technologies for information and communication; communication and collaboration between different actors in support of health. Forty-three articles on health literacy were identified, mainly conducted within three fields: development, test and adaptation of instruments for measuring health literacy; measurement of health literacy among patients, or other defined target groups and on populations; and developing and evaluating methods/tools for the training of personnel groups or different target groups. Conclusions: There is a need for further studies providing a more in-depth understanding of the health literacy concept, knowledge on how to measure health literacy, ethical aspects, application in intersectoral collaboration as well as the adaptation to new technologies for information and communication in education supporting health literacy. As health literacy is an essential social health determinant, a concern and a future challenge must be, to make the health literacy concept familiar and visible in health promotion policies, research and practice such as health education. © 2018, © Author(s) 2018.

  • 23.
    Tell, Johanna
    et al.
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Anderberg, Peter
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Olander, Ewy
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Sanmartin Berglund, Johan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    The usage of web-based national guidelines for child healthcare: A web analytic study2018In: Article in journal (Refereed)
    Abstract [en]

    The development and dissemination of information- and communication technologies in healthcare is rapid. The purpose of web-based national guidelines is to support professionals in everyday work providing equivalent, safe and qualitative healthcare. Web-based national guidelines are often not implemented effectively in healthcare why studies reflecting different aspects of use and implementation is needed. The aim of this study was to investigate the usage of web-based national guidelines for child healthcare, Rikshandboken i barnhälsovård. In this case study with cross-sectional design, usage pattern of the web-based guidelineswas studied for one year using the web analytic tool, Google Analytics. The usage data were analysed with descriptive statistics. The study showed the general usage pattern of RHB, changes in usage through the year and various usage pattern in different user groups. The usage of RHB had increased, the web-based guidelines was used in all county councils/regions and the most common visited web-page was the new national child healthcare programme. This tendency suggests a positive direction towards the RHB aim to contribute to equal , equitable and high-qualitative CHC.The result also showed the importance to study different user groups as the usage pattern differs. This provide valuable knowledge in the development of web-based national guidelines making them useful and relevant for all its users. 

  • 24.
    Tell, Johanna
    et al.
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Olander, Ewy
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Anderberg, Peter
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Sanmartin Berglund, Johan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Implementation of a web-based national child health-care programme in a local context: A complex facilitator role2018In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, no 20_suppl, p. 80-86, article id suppl. 20Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to investigate child health-care coordinators’ experiences of being a facilitator for the implementation of a new national child health-care programme in the form of a web-based national guide. Methods: The study was based on eight remote, online focus groups, using Skype for Business. A qualitative content analysis was performed. Results: The analysis generated three categories: adapt to a local context, transition challenges and led by strong incentives. There were eight subcategories. In the latent analysis, the theme ‘Being a facilitator: a complex role’ was formed to express the child health-care coordinators’ experiences. Conclusions: Facilitating a national guideline or decision support in a local context is a complex task that requires an advocating and mediating role. For successful implementation, guidelines and decision support, such as a web-based guide and the new child health-care programme, must match professional consensus and needs and be seen as relevant by all. Participation in the development and a strong bottom-up approach was important, making the web-based guide and the programme relevant to whom it is intended to serve, and for successful implementation. The study contributes valuable knowledge when planning to implement a national web-based decision support and policy programme in a local health-care context. © 2018, © Author(s) 2018.

  • 25.
    Tell, Johanna
    et al.
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Olander, Ewy
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Anderberg, Peter
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Sanmartin Berglund, Johan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Nurses´ use and ways of understanding web-based national guidelines for child healthcareIn: Article in journal (Refereed)
    Abstract [en]

    The national Rikshandbokenfor child healthcare, is a web-based guideline for child health care in Sweden containing knowledge- and methodological guidance and a national child health care program in progress to be implemented. The aim with the study was to examine child health care nurses use and ways of understanding the national web-basedRikshandbokenfor child health care.  Mixed method with sequential explanatory design in two phases was used; a web-survey with descriptive statistic followed by telephone interviews with phenomenographic analysis. The study showed variations in use and contribute with deeper knowledge of child healthcare nurse´s ways of understanding the unit RHB whose varied parts interact with each other. To be reliable, useful and relevant for nurses in their context, Rikshandbokenmust be kept updated and involve the end-users in the development process. Access to technical devices and optimal use of the possibilities with information and communication technology, the national web-based Rikshandbokencan be a resource for continuing learning and a tool in everyday work and a possible determinant to an equal child healthcare. The study contributes with valuable knowledge when designing web-based clinical practice guidelines for healthcare, making them useful and relevant for the end-users

  • 26.
    Tell, Johanna
    et al.
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Olander, Ewy
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Anderberg, Peter
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Sanmartin Berglund, Johan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Nurses’ Use of a Web-Based National Guide for Child Health Care2016In: Computers, Informatics, Nursing, ISSN 1538-2931, E-ISSN 1538-9774, Vol. 34, no 5, p. 197-205Article in journal (Refereed)
    Abstract [en]

    Rikshandboken i BarnhÀlsovård is a Swedish Web-based guide for child healthcare, providing quality-ensured guidelines and support contributing to equality in child healthcare among all children. In 2015, a new child healthcare program was implemented and made available in this Web-based guide. The aim of this study was to investigate how child healthcare nurses use Rikshandboken i BarnhÀlsovård and factors affecting its use. The study was a comprehensive Web survey of 2376 child healthcare nurses in Sweden answered by 1309. Statistical processing was performed using descriptive and analytical methods. Rikshandboken i BarnhÀlsovård was widely used by the respondents, but regional differences and number of years in the profession affected the use. Almost all nurses were satisfied with the usability, content, and design and felt that a national guide for child healthcare is important. This indicates that an established Web-based national guide is an appropriate setting when a new national program is implemented. In order to achieve an equal and equitable child healthcare, it is essential that all nurses use the national guide to provide evidence-based practice. The value of main child healthcare units as regional facilitators in the innovation process of Rikshandboken i BarnhÀlsovård should not be underestimated.This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.

  • 27. Virveus, Annelie
    et al.
    Olander, Ewy
    Blekinge Institute of Technology, School of Health Science.
    Eggers, Thomas
    Blekinge Institute of Technology, School of Health Science.
    "Småprat" är inget hälsosamtal: En modell för att implementera hälsosamtal med stöd i motiverande samtal2012Report (Refereed)
    Abstract [sv]

    Bakgrund: Kravet om att hälso- och sjukvården skall arbeta hälsofrämjande beskrivs i åtskilliga policy- och styrdokument. Trots detta visar forskning att det hälsofrämjande arbetet är föga genomslaget i den kliniska verksamheten. Forskning visar också att patienter önskar samtal om sina levnadsvanor i mötet med hälso- och sjukvårdspersonal. Följaktligen förväntas personal inom Hälso- och sjukvården bedriva någon form av samtal om hälsa. Primärvården har haft problem med att leva upp till åtagandet om hälsofrämjande insatser. Resurser, kompetens och mandat för det hälsofrämjande arbetet har brustit men framför allt har det saknats strategier för hur insatserna skall implementeras. Syfte: Syftet med studien var att identifiera förutsättningar och hinder i den lokala kontexten för implementering av hälsosamtal med stöd i motiverande samtal (MI) och utifrån dessa utveckla en strategi som kan utgöra en grund för implementering. Metod: Fyra fokusgruppintervjuer genomfördes med personal vid en vårdcentral som är ålagda att genomföra hälsosamtal. Intervjuerna transkriberades och analyserades med en kvalitativ innehållsanalys. Resultat: Analysen visade såväl förutsättningar som hinder i implementeringsprocessen av hälsosamtal med stöd i motiverande samtal. Två teman med dess tillhörande kategorier och underkategorier kunde urskiljas. Det ena temat fokuserade på att skapa förutsättningar och undanröja hinder inför implementering av hälsosamtal och det andra på temat på att skapa förutsättningar och undanröja hinder i genomförandet av hälsosamtal. Diskussion: Analysen visade att tiden utgör ett hinder för att bedriva samtal med stöd i motiverande samtal. Forskning påvisar dock att det inte krävs mer tid i mötet med patienten för att tillämpa MI. Förmodligen förutsätts det då att personalen känner sig bekväm och har vana av att arbeta med MI för att kunna uppleva metoden som mindre tidskrävande. Utbildning i MI och med träning i tillämpning kan då tolkas vara en förutsättning för en hållbar implementering, vilket också denna studie visar. Organisationsklimatet som bland annat utgörs av relationer, värderingar och samarbete inom organisationen är också påverkar implementeringsprocessen. Föreliggande resultat påvisar att det finns en del otydligheter avseende organisationsklimatet som bör beaktas i implementeringen av MI. Slutsats: För att lyckas med implementering av hälsosamtal med stöd i MI och därmed kunna erbjuda patienter hälsosamtal som utgår från evidensbaserad kunskap, är det väsentligt att följa en strategi som utgår från befintligt kunskapsunderlag och är förankrad i den lokala kontexten.

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