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van Vliet, M., Jong, M. C. & Jong, M. (2018). A Mind Body Skills Course Among Nursing and Medical Students: A Pathway for an Improved Perception of Self and the Surrounding World. Global Qualitative Nursing Research, 5
Open this publication in new window or tab >>A Mind Body Skills Course Among Nursing and Medical Students: A Pathway for an Improved Perception of Self and the Surrounding World
2018 (English)In: Global Qualitative Nursing Research, ISSN 2333-3936, Vol. 5Article in journal (Refereed) Published
Abstract [en]

Despite increased recognition of self-care and self-awareness as core competences for health care professionals, little attention is paid to these skills during their education. Evidence suggests that a Mind-Body (MB) skills course has the potential to enhance self-care and self-awareness among medical students. However, less is known about the meaning of this course for students and how it affects their personal and professional life. Therefore, we examined the lived experiences with an MB skills course among Dutch medical and Swedish nursing students. This course included various MB techniques, such as mindfulness meditation and guided imagery. Guided by a phenomenological hermeneutical method, three main themes were identified: "ability to be more present," "increased perception and awareness of self," and "connection on a deeper level with others." Overall, participation in the MB skills course served as a pathway to inner awareness and supported connecting with others as well as with the surrounding world.

Keywords
professional education, lived body, empathy, holistic care, resilience, self-care, stress, nurse–patient communication, doctor– patient communication, phenomenology
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-34910 (URN)10.1177/2333393618805340 (DOI)000447783900001 ()30349869 (PubMedID)
Available from: 2018-11-19 Created: 2018-11-19 Last updated: 2018-11-19Bibliographically approved
Valan, L., Sundin, K., Kristiansen, L. & Jong, M. (2018). Child health nurses’ experiences and opinions of parent Internet use. Early Child Development and Care, 188(12), 1736-1747
Open this publication in new window or tab >>Child health nurses’ experiences and opinions of parent Internet use
2018 (English)In: Early Child Development and Care, ISSN 0300-4430, E-ISSN 1476-8275, Vol. 188, no 12, p. 1736-1747Article in journal (Refereed) Published
Abstract [en]

ABSTRACT Background: On the basis of parents? growing use of the Internet as a resource for health-related information, and the total lack of scientific literature about how nurses in child healthcare experience how their work is affected, further information is needed.Purpose: This study describes child health nurses? (CHN) experiences and opinions of parent Internet use.Design and methods: Using a qualitative descriptive approach, CHNs (n?=?20) working at Health Centres in northern Sweden were interviewed.Results: An overarching theme named ?Parents? use of Internet has influenced Nurses? work? was identified. The theme comprises three categories; ?Internet facilitating care, access, and provision?; ?The Internet complicating the professional role and performance?; and ?Sensing an imperative for a new role as a CHN.Conclusions: These findings add a fresh perspective to understanding the new and transformed professional role of CHNs.

National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-32184 (URN)10.1080/03004430.2017.1278697 (DOI)000447301100010 ()2-s2.0-85009829462 (Scopus ID)
Available from: 2017-11-29 Created: 2017-11-29 Last updated: 2018-11-19Bibliographically approved
Valan, L., Kristiansen, L., Sundin, K. & Jong, M. (2018). Health-Related Internet Information Both Strengthens and Weakens Parents’ Potential for Self-Care: A Mixed-Methods Study on Parents’ Search Patterns. Open Journal of Nursing, 8(10), 731-745, Article ID 88148.
Open this publication in new window or tab >>Health-Related Internet Information Both Strengthens and Weakens Parents’ Potential for Self-Care: A Mixed-Methods Study on Parents’ Search Patterns
2018 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 8, no 10, p. 731-745, article id 88148Article in journal (Refereed) Published
Abstract [en]

Today’s parents belong to the digital generation and regularly use the Internet as a source of information. Parents’ quests for health-related online information comprise an effort to manage symptoms of illness or address questions about child development which may be an expression of self-management or self-care. Purpose: This study aims to describe health and child development related Internet search patterns used by parents of children ages zero to six, and further, how the obtained information was used in contacts with Child Health Care. Design and Methods: A two-step mixed- method approach is used in this study, comprising both a quantitative and a qualitative approach. First, a questionnaire was distributed to parents (n = 800) at 13 health centers in a medium sized county in Sweden. Second, one narrative interview with two parents total was conducted. Descriptive and non-parametric statistics were calculated, and qualitative manifest content analyses were performed. Results: A total of 687 completed the questionnaire, which corresponds to a response rate of 86%. The results show that 97% used the Internet for health-related and developmental child issues. The results show that parents often look at basic tips and the Internet is seen as a fast and accessible forum to obtain information. Parents often initiated their Internet searches using Google search for the specific subject, but the most common and most used website (used by 95% of parents), was the Swedish health site 1177.se. 98.4% of parents evaluated the general information searches they made on the Internet as reliable despite only 31% of the parents checking to see if the websites they used were scientifically based. Parents (81.7%) stated that they wanted their Child Health Nurses (CHN) to give them recommendations for valid websites. Conclusions: The results in this study show that, on the one hand, the Internet could strengthen parental knowledge (support self-care capacity), but, on the other hand, the found information could worry them and increase their anxiety—negatively affected self-care capacity. The parents suggested that the information should be double-checked to establish trust and develop self-care knowledge. Having a good resource to rely on, such as personal contact with a CHN, or using reliable websites seems to strengthen and reassure parents.

Place, publisher, year, edition, pages
Scientific Research Publishing, 2018
Keywords
Health Literacy, Internet Advice, Mixed-Method, Parenting, Self-Care
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:miun:diva-35216 (URN)10.4236/ojn.2018.810055 (DOI)
Available from: 2018-12-14 Created: 2018-12-14 Last updated: 2018-12-14Bibliographically approved
Klein-Laansma, C. T., Jong, M., von Hagens, C., Jansen, J. P., van Wietmarschen, H. & Jong, M. C. (2018). Semi-Individualized Homeopathy Add-On Versus Usual Care Only for Premenstrual Disorders: A Randomized, Controlled Feasibility Study. Journal of Alternative and Complementary Medicine, 24(7), 684-693
Open this publication in new window or tab >>Semi-Individualized Homeopathy Add-On Versus Usual Care Only for Premenstrual Disorders: A Randomized, Controlled Feasibility Study
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2018 (English)In: Journal of Alternative and Complementary Medicine, ISSN 1075-5535, E-ISSN 1557-7708, Vol. 24, no 7, p. 684-693Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: Premenstrual syndrome and premenstrual dysphoric disorder (PMS/PMDD) bother a substantial number of women. Homeopathy seems a promising treatment, but it needs investigation using reliable study designs. The feasibility of organizing an international randomized pragmatic trial on a homeopathic add-on treatment (usual care [UC] + HT) compared with UC alone was evaluated.

DESIGN: A multicenter, randomized, controlled pragmatic trial with parallel groups.

SETTINGS/LOCATION: The study was organized in general and private homeopathic practices in the Netherlands and Sweden and in an outpatient university clinic in Germany.

SUBJECTS: Women diagnosed as having PMS/PMDD, based on prospective daily rating by the daily record of severity of problems (DRSP) during a period of 2 months, were included and randomized.

INTERVENTIONS: Women were to receive UC + HT or UC for 4 months. Homeopathic medicine selection was according to a previously tested prognostic questionnaire and electronic algorithm. Usual care was as provided by the women's general practitioner according to their preferences.

OUTCOME MEASURES: Before and after treatment, the women completed diaries (DRSP), the measure yourself concerns and well-being, and other questionnaires. Intention-to-treat (ITT) and per protocol (PP) analyses were performed.

RESULTS: In Germany, the study could not proceed because of legal limitations. In Sweden, recruitment proved extremely difficult. In the Netherlands and Sweden, 60 women were randomized (UC + HT: 28; UC: 32), data of 47/46 women were analyzed (ITT/PP). After 4 months, relative mean change of DRSP scores in the UC + HT group was significantly better than in the UC group (p = 0.03).

CONCLUSIONS: With respect to recruitment and different legal status, it does not seem feasible to perform a larger, international, pragmatic randomized trial on (semi-)individualized homeopathy for PMS/PMDD. Since the added value of HT compared with UC was demonstrated by significant differences in symptom score changes, further studies are warranted.

Keywords
PMS/PMDD, homeopathy, pragmatic trials, premenstrual, randomized clinical trials
National Category
Other Health Sciences
Identifiers
urn:nbn:se:miun:diva-33471 (URN)10.1089/acm.2017.0388 (DOI)000428034200001 ()29565636 (PubMedID)2-s2.0-85050362520 (Scopus ID)
Available from: 2018-04-11 Created: 2018-04-11 Last updated: 2019-03-22Bibliographically approved
Häggström, M., Rising Holmström, M. & Jong, M. (2017). Establishing Patient Safety in Intensive Care -A Grounded Theory.: Building Trust-Important for Patient Safety. Open Journal of Nursing, 07(10)
Open this publication in new window or tab >>Establishing Patient Safety in Intensive Care -A Grounded Theory.: Building Trust-Important for Patient Safety
2017 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 07, no 10Article in journal (Refereed) Published
Abstract [en]

Background: The modern intensive care unit (ICU) is a complex and high-risk environment, and even small adverse events and changes may deteriorate the patient’s conditions and eventually cause harm. Many factors can potentially be associated within an increased amount of errors, leading to adverse events. Nurses, nurse managers, and other leaders all play important roles in establishing patient safety. Aim: This study aimed to obtain a deeper understanding of leaders’ and nurses’ main concerns in establishing patient safety in Swedish intensive care units. Method: A grounded theory methodology was used. Data from 15 interviews with leaders and nurses involved in critical care in Sweden were collected, analysed and constant compared. Findings: The main concern in establishing patient safety was promoting quality of care, work engagement, and staffs well-being in strained ICUs. The core category building trust explained how the leaders’ and nurses’ strove for quality of care and wished a healthy, safe work environment. This is further explained in the categories “Being an accessible and able leader”, “Creating knowledge and understanding”, and “Establishing collaborative practice”. Conclusion: Establishing patient safety in the ICU requires that staffs enjoy going to work, have good work relations, are committed and want to stay at the unit. A healthy, salutogenetic unit with a work environment marked by trust provides a better opportunity to establish patient safety, and various leaders have potential to achieve this.

Keywords
Critical Care, Grounded Theory, Nursing Management, Patient Safety, Organisational Trust
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-32473 (URN)10.4236/ojn.2017.710084 (DOI)
Available from: 2017-12-15 Created: 2017-12-15 Last updated: 2017-12-22Bibliographically approved
Lundberg, K., Jong, M. C., Kristiansen, L. & Jong, M. (2017). Health Promotion in Practice—District Nurses׳ Experiences of Working with Health Promotion and Lifestyle Interventions Among Patients at Risk of Developing Cardiovascular Disease. Explore: The Journal of Science and Healing, 13(2), 108-115
Open this publication in new window or tab >>Health Promotion in Practice—District Nurses׳ Experiences of Working with Health Promotion and Lifestyle Interventions Among Patients at Risk of Developing Cardiovascular Disease
2017 (English)In: Explore: The Journal of Science and Healing, ISSN 1550-8307, E-ISSN 1878-7541, Vol. 13, no 2, p. 108-115Article in journal (Refereed) Published
Abstract [en]

Objective Health Promotion Practice (HPP) has the objective to promote a healthier lifestyle and reduce the risk of disease. The aim of this study was to examine district nurses׳ experiences of working with health preventive actions among patients with risk factors for cardiovascular disease (CVD), and to identify facilitators and obstacles in HPP. Design/Setting The study was carried out with a qualitative approach where individual semistructured interviews were performed with a total of 12 district nurses in primary care. Data transcripts were analyzed with a manifest content analysis. Findings Five categories were identified. Firstly, informants regarded HPP as the core essence of their work. Secondly, counseling and coaching were reported as crucial elements in working with HPP. Thirdly, informants identified tools such as motivational interviewing (MI) to facilitate HPP. In the fourth category facilitators and barriers of HPP appeared, consisting of both positive and negative attitudes and presence as well as lack of organizational culture and structure. Finally, some informants were dissatisfied with HPP and viewed it as compulsory or as a burden, while others were satisfied and experienced it as a stimulating challenge. Conclusion This study identified that HPP is the core of the district nurses׳ work to promote a healthier lifestyle in individuals with CVD. Organizational structures and culture need to be improved in order to support district nurses to successfully work with HPP. To optimize health promotion and strengthen patients׳ self-care, it is recommended that HPP include holistic elements of care.

Keywords
cardiovascular disease, counseling, health behavior, primary care, risk reduction behavior
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-31135 (URN)10.1016/j.explore.2016.12.001 (DOI)000402588400011 ()28094228 (PubMedID)2-s2.0-85009788198 (Scopus ID)
Available from: 2017-07-03 Created: 2017-07-03 Last updated: 2019-04-04Bibliographically approved
van Vliet, M., Jong, M. & Jong, M. C. (2017). Long-term benefits by a mind–body medicine skills course on perceived stress and empathy among medical and nursing students. Medical teacher, 39(7), 710-719
Open this publication in new window or tab >>Long-term benefits by a mind–body medicine skills course on perceived stress and empathy among medical and nursing students
2017 (English)In: Medical teacher, ISSN 0142-159X, E-ISSN 1466-187X, Vol. 39, no 7, p. 710-719Article in journal (Refereed) Published
Abstract [en]

Background: A significant number of medical students suffer from burnout symptoms and reduced empathy. This controlled, quasi-experimental study aimed to investigate whether a mind–body medicine (MBM) skills course could reduce perceived stress and increase empathy and self-reflection in medical and nursing students.

Methods: The MBM course (consisting of experiential sessions of mind–body techniques and group reflections) was piloted among Dutch medical students and Swedish nursing students. Main outcome variables were perceived stress (PSS), empathy (IRI subscales perspective taking, fantasy, empathic concern, and personal distress), and self-reflection (GRAS). Participating and control students completed questionnaires at baseline, post-intervention, at 6 and 12 months follow-up.

Results: Seventy-four medical and 47 nursing students participated in the course. Participating medical students showed significantly increased empathic concern [1.42 (95% CI 0.05, 2.78), p = 0.042], increased fantasy [3.24 (95% CI 1.58, 4.90), p < 0.001], and decreased personal distress [−1.73 (95% CI −3.04, −0.35), p = 0.010] compared to controls until 12 months follow-up. Participating nursing students showed significantly decreased levels of perceived stress [−5.09 (95% CI −8.37, −1.82), p = 0.002] and decreased personal distress [−5.01 (95% CI −6.97, −3.06), p < 0.001] compared to controls until 12 months follow-up.

Conclusions: This study demonstrated long-term beneficial effects of the MBM course on perceived stress and empathy in medical and nursing students.

Keywords
medical education, nursing education, Mind-Body Medicine, complementary therapies, self-reflection, empathy, perceived stress
National Category
Other Health Sciences
Identifiers
urn:nbn:se:miun:diva-30606 (URN)10.1080/0142159X.2017.1309374 (DOI)000404352900007 ()28395570 (PubMedID)2-s2.0-85017451376 (Scopus ID)
Note

Published online: 10 Apr 2017

Available from: 2017-04-18 Created: 2017-04-18 Last updated: 2018-03-01Bibliographically approved
Jong, M., Ljadas, K., Englund, E., Jong, M. C. & Appelberg, J. (2016). Feasibility and Effects of Touch Massage and Nurse Led Sleep Counselling in the Treatment of Primary Insomnia. Journal of Sleep Disorders: Treatment and care, 5(1)
Open this publication in new window or tab >>Feasibility and Effects of Touch Massage and Nurse Led Sleep Counselling in the Treatment of Primary Insomnia
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2016 (English)In: Journal of Sleep Disorders: Treatment and care, ISSN 2325-9639, E-ISSN 2325-9639, Vol. 5, no 1Article in journal (Refereed) Published
Abstract [en]

Cognitive Behavioral Therapy (CBT) is basically the only evidence based treatment both in short- as well as long term treatment of insomnia. Previous studies suggest that massage may have a role in initiating sleep and relaxation. This pilot study investigated the feasibility and effects of tactile massage (TM) and nurse led sleep counselling (SC) in the treatment of primary insomnia. Method: Thirty women with primary insomnia were randomized into three different groups: TM, SC or ‘care as usual’ (CAU) followed by a six weeks intervention period. Sleep quality was assessed with sleep diary and polysomnography. The results show that it is feasible to treat primary insomnia with TM. ‘Within’ group analysis showed that the TM group experienced significant improvements in measures of subjective sleep, SC and CAU had no improvements. No significant differences were found in the ‘between’ group analysis. Conclusion: On the basis of the findings, we can conclude that it is feasible to use the methods of TM and SC in the treatment of primary insomnia. Especially TM shows preliminary improvements in subjective measures of sleep, results which needs confirmation in full scale research. Based on the observed effects the research protocol/design is recommended to be simplified and also to combine TM and SC as intervention in future studies.

Keywords
complementary and alternative medicine; nursing; primary insomnia; tactile massage
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-27009 (URN)10.4172/2325-9639.1000167 (DOI)
Available from: 2016-02-11 Created: 2016-02-11 Last updated: 2019-01-31Bibliographically approved
Pijl, A., de Gast, H., Jong, M., Hoen, M., Kluyver, E., van der Vegt, M., . . . Jong, M. (2016). Guided Imagery Intervention does not Affect Surgical Outcome of Patients Undergoing laparoscopic Cholecystectomy: A Multi-Centre, Randomised Controlled Study. Journal of Patient Care, 2(3), Article ID 10000119.
Open this publication in new window or tab >>Guided Imagery Intervention does not Affect Surgical Outcome of Patients Undergoing laparoscopic Cholecystectomy: A Multi-Centre, Randomised Controlled Study
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2016 (English)In: Journal of Patient Care, Vol. 2, no 3, article id 10000119Article in journal (Refereed) Published
Abstract [en]

Objective:To investigate if a “non-pharmacological” intervention with guided imagery could reduce postoperative analgesic consumption, pain perception and preoperative anxiety, compared to standard care, in patients undergoing laparoscopic cholecystectomy (LC). Methods: A randomized controlled study with two parallel groups was performed at two hospital departments of anesthesiology. A total of 140 patients (≥ 18 years) that were scheduled for LC were randomized to either receive guided imagery (N=70) or standard care instructions (N=70) as a control group. Patients in the guided imagery group were provided a CD to practice guided imagery once a day, 7 days prior to surgery. Primary outcome measurement was post-operative analgesic consumption. Secondary outcomes were preoperative anxiety, post-operative self-rated pain, patient satisfaction and adverse events.Results: Of 140 patients that were randomized, 95 patients completed the study, 43 in the guided imagery group and 52 in the control group. Both groups were comparable at baseline with respect to demographic data. Compliance with intervention was fairly good as 77% of the patients had listened to the CD according to instructions. No significant differences (p=0.34) were observed for postoperative morphine use between the intervention (15.8 ± 18.5 mg) and control group (12.5 ± 13.6 mg). Secondary outcomes such as preoperative anxiety (APAIS: 15.2 ± 5.9 vs. 16.4 ± 5.9; p=0.36)), postoperative pain (VAS: 3.4 ± 1.8 vs. 3.0 ± 1.8; p=0.31) and patient satisfaction (PSQ: 4.1 ± 0.9 vs. 3.9 ± 0.8; p=0.47) also demonstrated no significant differences. No adverse events were reported in both groups.Conclusion: A short preoperative guided imagery intervention demonstrated no additional beneficial effects compared to standard care for patients undergoing LC. It therefore seems not to be as simple as to provide patients with a CD before surgery in order to effectively self-manage postoperative pain.

Place, publisher, year, edition, pages
Henderson, USA: OMICS International, 2016
Keywords
Surgery; Post-operative pain; Preoperative anxiety; Non-pharmacological intervention; Cholecystectomy; Mind-body intervention; Randomized controlled trial
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-29121 (URN)
Available from: 2016-10-18 Created: 2016-10-18 Last updated: 2016-10-28Bibliographically approved
Blusi, M., Jong, M. & Dalin, R. (2016). Older People Using e-Health Services—Exploring Frequency of Use and Associations with Perceived Benefits for Spouse Caregivers. Informatics, 3(3), Article ID 15.
Open this publication in new window or tab >>Older People Using e-Health Services—Exploring Frequency of Use and Associations with Perceived Benefits for Spouse Caregivers
2016 (English)In: Informatics, ISSN 2227-9709, Vol. 3, no 3, article id 15Article in journal (Refereed) Published
Abstract [en]

ICT, information- and communication technologies, and e-health services are essential for meeting future care demands. Greater knowledge regarding the implementation of e-health services in long-term care for older people is needed. The purpose of the study was to explore older people’s use of e-health services and associations between frequency of use and perceived benefits. In the longitudinal comparative intervention study (n = 65), intervention group participants (n = 42) used an e-health service for 1.5 years. A control group (n = 23) used similar services provided in a traditional manner. Data was collected through questionnaires and analyzed using linear and logistic regressions. Although general use of the Internet was similar in both groups, the e-health group perceived significantly higher benefits. The component information- and education programs, developed specifically for the e-health service, had the highest association with benefits. Conclusion: e-health services targeted at supporting older people who care for a spouse at home can provide benefits which most likely will not be obtained without participation in an organized e-service. Care professionals play an essential role in encouraging spouse caregivers to become e-service users. Keywords: e-health; spouse caregiver; caregiver support; independence; frequency of use; benefits

Place, publisher, year, edition, pages
Basel: Multidisciplinary Digital Publishing Institute, 2016
Keywords
e-health; spouse caregiver; caregiver support; independence; frequency of use; benefits
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-29119 (URN)10.3390/informatics3030015 (DOI)
Available from: 2016-10-18 Created: 2016-10-18 Last updated: 2016-10-28Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-3907-2197

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