Högskolebiblioteket i Halmstad Publikationer
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Basic psychological needs as mediating factors in the relationship between leadership and psychological safety in active athletes : A cross-sectional design
Syften med studien var att studera om 1) behovstillfredsställelse medierar rollen mellan autonomistödjande ledarskap och upplevd psykologis trygghet hos män och kvinnor som är aktiva inom lag-och individuell idrott 2) om behovsfrustration medierar relationen mellan kontrollerat ledarskap och upplevd psykologisk trygghet hos män och kvinnor som är aktiva inom lag-och individuell idrott. Studien har en kvantitativ tvärsnittsdesign med digital webbenkät som datainsamlingsmetod. Sammanlagt deltog 144 deltagare i studien mellan18 och 36 åt (M=24.12, SD=3.97). Deltagarna var aktiva på internationell nivå, nationell nivå, regional nivå och lokal nivå. Resultatet av medieringsanalysen visade en indirekt effekt mellan oberoende variabeln autonomistödjande ledarskap och beroende variabeln psykologisk trygghet, när behovstillfredsställelse användes som mediator var signifikant. Den indirekta effekten mellan oberoende variabeln kontrollerat ledarskap och beroende variabeln psykologisk trygghet, när behovsfrustration användes som mediator var statistiskt signifikantResultatet visade också att autonomistödjande ledarskap hade en statistisk signifikant direkt effekt på psykologisk trygghet medan kontrollerande ledarskap hade en negativ statistisk signifikant direkt effekt på upplevd psykologisk. Samtliga hypoteser besvarades.The purpose of the study was to examine 1) whether need satisfaction mediates the relationship between autonomy-supportive leadership and perceived psychological safety among active men and women involved in team and individual sports, and 2) whether need frustration mediates the relationship between controlling leadership and perceived psychological safety among active men and women involved in team and individual sports. The study employed a quantitative cross-sectional design with a digital online survey as the data collection method. A total of 144 participants took part in the study, aged between 18 and 36 years (M = 24.12, SD = 3.97). The participants were active at international, national, regional, and local levels. The results of the mediation analysis showed an indirect effect between the independent variable autonomy-supportive leadership and the dependent variable psychological safety, when need satisfaction was used as the mediator, which was significant. The indirect effect between the independent variable controlling leadership and the dependent variable psychological safety, when need frustration was used as the mediator, was statistically significant. The results also showed that autonomy-supportive leadership had a statistically significant direct effect on psychological safety, while controlling leadership had a negative statistically significant direct effect on perceived psychological safety. All hypotheses were supported
Nurses’ experiences of working in home health care during thecovid-19 pandemic : A litterature review
Bakgrund: Covid-19 pandemin var ett internationellt hot mot människors hälsa och stora krav ställdes på hälso- och sjukvården. Hälso- och sjukvården behövde ställa om arbetssätten, omorganisera verksamheter och identifiera nya kunskapsbehov. Syfte: Syftet med litteraturstudien var att belysa sjuksköterskors erfarenheter av att arbeta i hemsjukvården under covid-19 pandemin. Metod: En allmän litteraturstudie genomfördes baserad på åtta vetenskapliga artiklar. Artiklarna analyserades utifrån en modell med tre steg för innehållsanalys och kvalitetsgranskades. Resultat: Tre huvudkategorier identifierades: Försämrad arbetsmiljö; Utmaningar i samspelet med patienter och anhöriga; och Oro och osäkerhet i rollen som sjuksköterska. Resultatet belyste att sjuksköterskor kände sig otillräckliga och att de erfor nya prioriteringar och utmaningar i arbetet under covid-19 pandemin vilket påverkade omvårdnaden negativt. Konklusion: Covid-19 pandemin var en krävande period för sjuksköterskor i hemsjukvården eftersom det fanns brister i hemsjukvårdens beredskap. Den personcentrerade vården, vårdkvaliteten och relationerna mellan sjuksköterskor och patienter påverkades negativt. Övergripande var sjuksköterskors erfarenheter från covid-19 pandemin negativa. Background: The covid-19 pandemic was an international threat to human health and significant demands were placed on healthcare organisations. Healthcare organisations had to adapt their working methods, reorganize departments and identify needs for new knowledge. Aim: This literature review aimed to highlight nurses’ experiences of working in home health care during the covid-19 pandemic. Method: A general literature review was conducted, based on eight scientific articles. The articles were analyzed using a three-step model for content analysis and were quality-assessed. Results: Three main categories were identified: Deteriorated work environment; Challenges in interactions with patients and relatives; and Concern and uncertainty regarding the professional role of the nurse. The results highlights that nurses felt inadequate and experienced new priorities and challenges in their work during the COVID-19 pandemic, which negatively affected the quality of care. Conclusion: The covid-19 pandemic was a demanding period for nurses in home health care, due to a lack of preparedness in the home health care system. Person-centred care, the quality of care, and the relationships between nurses and patients were negatively affected. Overall, nurses’ experiences from the covid-19 pandemic were negative.
Nurses experiences of providing care to people with dementia at the end of life : A general literature review
Bakgrund: Den ökande andelen äldre i befolkningen medför ett växande antal personer som kommer leva med demenssjukdom. Demenssjukdomar innebär successivt försämrade kognitiva funktioner vilket påverkar möjligheten till kommunikation och autonomi, särskilt i livets slutskede. Sjuksköterskor har en central roll i att säkerställa personcentrerad och värdig omvårdnad till patienter med demenssjukdom, men möter ofta komplexa utmaningar i den palliativa omvårdnaden. Syfte: Syftet med litteraturstudien var att beskriva sjuksköterskors upplevelser av att ge omvårdnad till personer med demenssjukdom i livets slutskede. Metod: Allmän litteraturstudie med induktiv ansats baserad på sju kvalitativa artiklar och tre artiklar med mixad-metod. Resultat: I resultatet framkom sex kategorier: (1) Osäkerhet kring vård i livets slutskede vid demenssjukdom, (2) Kännedom som grund för god omvårdnad, (3) Basal omvårdnad som kärna i omvårdnaden, (4) När kommunikationen brister mellan sjuksköterska och patient, (5) Sjuksköterskors upplevelser av anhörigas roll i livets slutskede vid demenssjukdom och (6) Organisatoriska och kunskapsmässiga hinder. Konklusion: Sjuksköterskor beskrev omvårdnaden av personer med demenssjukdom som komplex och känslomässigt krävande, där bristande kommunikation, otydliga riktlinjer och tidsbrist påverkade möjligheten att ge god omvårdnad. Background: The increasing proportion of older adults in the population leads to a growing number of people living with dementia. Dementia causes progressive cognitive decline, affecting communication and autonomy, particularly at the end of life. Nurses play a central role in ensuring person-centered and dignified care for patients with dementia but often face complex challenges in palliative care. Aim: The aim of this literature review was to describe nurses’ experiences of providing care to people with dementia at the end of life. Method: A general literature review with an inductive approach was conducted, based on seven qualitative studies and three mixed-method studies. Results: Six categories emerged: (1) Uncertainty regarding end-of-life care in dementia, (2) Knowledge as a foundation for good care, (3) Basic care as the core of nursing, (4) When communication breaks down between nurse and patient, (5) Nurses' experiences of relatives' roles at the end of life in dementia, (6) Organizational and knowledge-based barriers. Conclusion: Nurses described end-of-life care for people with dementia as complex and emotionally demanding. Limited communication, unclear guidelines, and lack of time affected the quality of care.
Distriktssköterskors erfarenheter av kontinuitet som förutsättning i behandling av svårläkta sår : En kvalitativ intervjustudie
Svårläkta sår utgör en omfattande utmaning för hälso- och sjukvården globalt och benämns ofta som en ”tyst epidemi” då det är ett växande folkhälsoproblem. Patientgruppen är komplex, med uttalad samsjuklighet och är i behov av vård som omfattar flera vårdnivåer. Distriktssköterskan har en nyckelroll i att arbeta hälsofrämjande och förebyggande samt säkerställa kontinuitet och trygghet. Det föreligger därför ett behov av att öka kunskapen om vilka förutsättningar som kan påverka kontinuitet ur distriktssköterskans perspektiv. Syfte: Beskriva distriktssköterskors erfarenheter av vilka förutsättningar som kan påverka kontinuitet i behandlingen av svårläkta sår. Metod: En kvalitativ intervjustudie genomfördes med 11 distriktssköterskor verksamma inom kommunal och regional primärvård i Hallands län. Resultat: Tre huvudkategorier identifierades: Organisatoriska förutsättningar, Kunskap och kompetens samt Vårdrelation. Konklusion: Distriktssköterskorna beskrev att kontinuitet i behandling av svårläkta sår påverkades av både organisatoriska och individuella förutsättningar. Patientansvar i hemsjukvård och tillgång till distriktssköterskemottagning på vårdcentral främjade kontinuiteten. Chefers stöd, nära teamarbete och ett öppet arbetsklimat bidrog till trygghet, kompetensutveckling och kvalitet i vården. Kontinuitet stärkte vårdrelationen och patientens delaktighet, medan dess frånvaro kunde leda till sämre behandlingsutfall. Primärvården behöver skapa förutsättningar som stärker kontinuiteten i distriktssköterskors arbete med svårläkta sår, bland annat genom tydliga strukturer och kontinuerlig kompetensutveckling. Vidare forskning behövs för att fördjupa förståelsen av kontinuitet ur distriktssköterskans perspektiv. Hard-to-heal wounds represent a significant challenge for healthcare systems worldwide and are often referred to as a “silent epidemic” due to being a growing public health concern. The patient group is complex, characterized by multiple comorbidities and requiring care across several levels of the healthcare system. District nurses play a key role in health promotion, prevention and ensuring continuity and safety in care. Therefore, there is a need to increase knowledge about the conditions that may influence continuity from the district nurses’ perspective. Aim: To describe district nurses’ experiences of the conditions that may influence continuity in the treatment of hard-to-heal wounds. Method: A qualitative interview study was conducted with 11 district nurses working in community and regional primary healthcare in Halland County. Results: Three main categories were identified: Organizational conditions, Knowledge and competence and Care relationship. Conclusion: District nurses described that continuity in the treatment of hard-to-heal wounds was influenced by both organizational and individual conditions. Patient responsibility in home healthcare and access to district nurse clinics at primary care centres promoted continuity. Support from managers, close teamwork and an open work environment contributed to safety, competence development and quality of care. Continuity strengthened the care relationship and patient involvement, whereas its absence could lead to poorer treatment outcomes. Primary care needs to create conditions that enhance continuity in district nurses’ work with hard-to-heal wounds, including clear structures and ongoing competence development. Further research is needed to deepen the understanding of continuity from the district nurse’s perspective.
A life cycle framework for recycled basalt aggregates : Adapting German Sustainable Construction Practices for India
The potential of recycled basalt aggregates (RBA) as an environmentally friendly substitute for natural basalt aggregates (NBA) in building materials is investigated in this thesis. The study addresses the rising need for environmentally friendly building methods brought on by resource depletion, excessive energy use, and expanding environmental concerns. It compares RBA's mechanical, physical, economic, and environmental performance to that of traditional aggregates through a thorough analysis. To ascertain porosity, density, durability, and strength, laboratory tests were carried out, including the Aggregate Crushing Value (ACV) Test and the Water Absorption Test. The outcomes attest to their appropriateness for high-performance uses such structural concrete, bridges, and pavements. The Life Cycle Assessment (LCA) and Cost-Benefit Analysis (CBA) frameworks were used to evaluate sustainability outcomes. Due to fewer requirements for quarrying, garbage disposal, and shipping, the results show that replacing NBA with RBA can lower CO₂ emissions by 1522%, energy consumption by up to 25%, and procurement prices by 10–15%. Comparative case studies from Dresden, Germany, and Pune, India, show that RBA can provide significant economic and environmental benefits while achieving mechanical performance comparable to natural basalt with the right mix design, treatment, and quality control. The study also suggests a staged adoption plan for India, with a focus on governmental incentives, stakeholder capacity-building, and pilot programs to promote widespread use. Overall, the study finds that RBA is a technically sound, economical, and environmentally conscious material that promotes the global shift to low-carbon and resource-efficient building methods and is consistent with the circular economy's tenets.
Animal-assisted interventions in the care of people with dementia : A general litterature study
Bakgrund: Demens är en progressiv kognitiv nedsättning som påverkar individens minne, kommunikation och förmåga att utföra dagliga aktiviteter. Sjukdomen leder ofta till lidande, isolering och minskad livskvalitet vilket ställer krav på vården att hitta alternativa, icke farmakologiska vårdinsatser. Djurunderstödda insatser har senaste åren fått ökad uppmärksamhet som ett komplement i omvårdnaden då djur kan bidra till närvaro, trygghet och social stimulans hos personer med demens. Syfte: Att belysa erfarenheter av djurunderstödda insatser i omvårdnad av personer med demenssjukdom. Metod: En allmän litteraturstudie med induktiv ansats genomfördes. Nio vetenskapliga artiklar publicerade mellan 2015-2025 analyserades tematiskt. Resultat: Tre huvudteman identifierades: Symtomlindring och emotionellt välbefinnande, Ökad social interaktion samt Ökad aktivitet. Djurens närvaro främjade lugn, glädje och meningsfullhet samtidigt som det minskade symtom som agitation och depression samt ökade kontakten mellan vårdpersonal och personer med demens. Slutsats/konklusion: Djurunderstödda insatser kan vara ett värdefullt komplement i demensvården. Det kan stärka personcentrerad omvårdnad och förbättra livskvaliteten men kräver utbildning, etiska överväganden och tydliga riktlinjer. Background: Dementia is a progressive cognitive impairment that affects an individual's memory, communication, and ability to perform daily activities. The disease often leads to suffering, isolation and reduced quality of life which places demands on healthcare to find alternative, non pharmalogical care interventions. Animal assisted interventions have in recent years gained increased attention as a complementary approach in nursing care as animals can contribute to presence, safety and social stimulation among people with dementia. Aim: The aim of this study was to highlight experiences of animal-assisted interventions in the nursing care of people with dementia. Method: A general literature review with an inductive approach was conducted. Nine scientific articles published between 2015-2025 were analyzed thematically. Results: Three main themes were identified: Symptom release and emotional well-being, Increased social interaction and Increased activity. The precense of animals promoted calmness, joy and sense of meaning while it decreased symptoms such as agitation and depression, as well as increasing contact between healthcare staff and people with dementia. Conclusion: Animal assisted interventions can be a valuable complement in dementia care. It can strengthen patient-centered care an improve quality of life but require education, ethical considerations and clear guidelines.
Meeting relatives in a emergency department: the nurse's experience : A literature review
Bakgrund: Akutmottagningen är en miljö med högt tempo där sjuksköterskor både vårdar svårt sjuka patienter och bemöter deras närstående. Detta dubbla ansvar kräver både medicinsk kompetens och kommunikativ förmåga från sjuksköterskan. Syfte: Syftet var att belysa sjuksköterskans erfarenhet av att bemöta närstående i akuta vårdsituationer på en somatisk akutvårdsmottagning. Metod: Litteraturstudien utfördes med induktiv ansats. Databaserna CINAHL och PubMed användes, totalt inkluderades 10 resultatartiklar, varav sex med kvalitativ metod och fyra med kvantitativ metod användes för att skapa resultatet. Resultat: I resultatet utformades tre kategorier: (1) Verbal och icke-verbal kommunikation för ökad delaktighet, (2) Emotionell belastning och empatitrötthet och (3) Tidsbrist och organisatoriska hinder. Konklusion: Litteraturstudien belyser sjuksköterskans erfarenhet av att bemöta närstående i akuta vårdsituationer. Kommunikation är avgörande men försvåras av tidsbrist och stress. Sjuksköterskor upplever emotionell belastning och brist på stöd, vilket visar behovet av fortbildning och ökad förståelse för både sjuksköterskans och närståendes behov i akuta vårdmiljöer.Background: The emergency department is a fast- paced environment where nurses both care for critically ill patients and interact with their families. This dual responsibility requires both medical competence and communication skills. Purpose: The aim was to explore nurses' experiences of interacting with relatives in acute care situations at a emergency department. Method: A general literature study with an inductive approach was used. The databases CINAHL and PubMed were used and a total of 10 articles were included. Six of the articles used a qualitative method and four used a quantitative method. Results: The results are presented in three categories: (1) Verbal and non-verbal communication for increased participation, (2) Emotional strain and empathy fatigue, and (3) Time pressure and organizational challenges. Conclusion: The result highlight the nurses' experiences of dealing with relatives in acute care situations. Communication is crucial but is hampered by time and stress. Nurses experience emotional strain and lack of support, which demonstrates the need for further education and increased understanding of both the nurses' and relatives' needs in acute care settings.
“I Believe That AI Will Recognize the Problem Before It Happens” : Qualitative Study Exploring Young Adults’ Perceptions of AI in Mental Health Care
Background: Globally, young adults with mental health problems struggle to access appropriate and timely care, which may lead to a poorer future prognosis. Artificial intelligence (AI) is suggested to improve the quality of mental health care through increased capacities in diagnostics, monitoring, access, advanced decision-making, and digital consultations. Within mental health care, the design and application of AI solutions should elucidate the patient perspective on AI. Objective: The aim was to explore the perceptions of AI in mental health care from the viewpoint of young adults with experience of seeking help for common mental health problems. Methods: This was an interview study with 25 young adults aged between 18 and 30 years that applied a qualitative inductive design, with content analysis, to explore how AI-based technology can be used in mental health care. Results: Three categories were derived from the analysis, representing the participants’ perceptions of how AI-based technology can be used in care for mental health problems. The first category entailed perceptions of AI-based technology as a digital companion, supporting individuals at difficult times, reminding and suggesting self-care activities, suggesting sources of information, and generally being receptive to changes in behavior or mood. The second category revolved around AI enabling more effective care and functioning as a tool, both for the patient and health care professionals (HCPs). Young adults expressed confidence in AI to improve triage, screening, identification, and diagnosis. The third category concerned risks and skepticism toward AI as a product developed by humans with limitations. Young adults voiced concerns about security and integrity, and about AI being autonomous, incapable of human empathy but with strong predictive capabilities. Conclusions: Young adults recognize the potential of AI to serve as personalized support and its function as a digital guide and companion between mental health care consultations. It was believed that AI would function as a support in navigating the help-seeking process, ensuring that they avoid the “missing middle” service gap. They also voiced that AI will improve efficiency in health care, through monitoring, diagnostic accuracy, and reduction of the workload of HCPs, while simultaneously reducing the need for young adults to repeatedly tell their stories. Young adults express an ambivalence toward the use of AI in health care and voice risks of data integrity and bias. They consider AI to be more rational and objective than HCPs but do not want to forsake personal interaction with humans. Based on the results of this study and young adults’ perceptions of the monitoring capabilities of AI, future studies should define the boundaries regarding information collection responsibilities of the health care system versus the individuals’ responsibility for self-care. © Lena Petersson, Mikael G Ahlborg, Katrin Häggström Westberg.This research is included in the CAISR Health research profile.</p
A commentary on high-performance athletes’ retirement and mental health : from mental health and transition literacy to athletic retirement literacy
In this commentary we introduce athletic retirement literacy (ARL) as a concept and a novel approach for summarizing and structuring athletic retirement competencies to inform sport psychology practice. Meta-reflections from three recent papers about athletes’ mental health, transition literacy, and transition interventions (Schinke et al., 2024; Stambulova et al., 2025; Stambulova & Schinke, 2025) helped to formulate rationale for a specific focus on ARL. Following the promotion of mental health literacy as well as transition literacy among athletes and their supporters in this commentary we (a) define ARL among high-performance athletes as a set of basic competencies helping them and their supporters to understand the transition to a post-sport career from the individual and ecological perspectives, communicate about it, and make informed decisions and planning; (b) propose a schematic illustration of ARL structure with four major clusters of competencies, and (c) promote ARL-informed interventions. We believe that ARL-informed sport psychology practice will lead to reduced mental health concerns, improved general resilience, and a healthy path forward among retired athletes. © 2025 The Author(s). Published with license by Taylor & Francis Group, LLC
Let the right one in : Nudging child participation in care contexts through norm-creative technology
This study addresses the knowledge gap concerning whether and how digital support tools can amplify children’s perspectives in care contexts while counteracting adult-centric and healthcare-grounded norms. Acknowledging the influential role and power position of care professionals, this paper explores 11 professionals’ perceptions of how a digital communication tool affected child participation in pediatric and social care meetings. Professionals’ narratives were analysed from a socio-technical perspective using Interpretive Description. We found that the tool’s affordances and materiality were perceived to improve the participation conditions for some children, though not all. In cases where professionals felt the tool helped facilitate participation, they described how conversing through the tool influenced topics, meeting dynamics, and parental involvement. Based on these experiences, professionals identified shortcomings in current approaches and practices, expressed an increased openness toward new tools, and ideated alternative ways of working. We discuss how design, affordances, and materiality were perceived to facilitate immediate participation, and what implications these experiences may have for norm transformation in care contexts over time. The insights can inform designers and care professionals aiming to enhance child participation in care settings. © 2025 Teleman, Isaksson, Nygren, & Svedberg