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Lundberg, Kristina
Publications (3 of 3) Show all publications
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
Lundberg, K., Kristiansen, L., Jong, M. C. & Jong, M. (2014). District Nurses Experiences of Working with Health Promotion and Lifestyle Interventions Among Patients at Risk of Developing Cardiovascular Disease. Paper presented at The Integrative Medicine and Health 2014 conference. Journal of Alternative and Complementary Medicine, 20(5), A118-A118
Open this publication in new window or tab >>District Nurses Experiences of Working with Health Promotion and Lifestyle Interventions Among Patients at Risk of Developing Cardiovascular Disease
2014 (English)In: Journal of Alternative and Complementary Medicine, ISSN 1075-5535, E-ISSN 1557-7708, Vol. 20, no 5, p. A118-A118Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Purpose: In preventive health work it is possible to map risk factors at healthy individuals which include information and advice aiming to decrease the risk of developing cardiovascular disease. This preventive health care is in Sweden carried out primarily by the district nurses and they have a key role in promoting health and prevent cardiovascular disease. The aim of the study was to examine district nurses' experiences of working with health promotion among patients with risk factors of cardiovascular disease, and to identify possibilities and obstacles for prevention work in the practical reality.

Methods: The study has been carried out with a qualitative approach where narrative interviews were performed with a total of 12 district nurses working at health centers in north Sweden. Data transcripts were analyzed with qualitative content analysis.

Results: The participants express that their work in health promotion is an essence of the job as district nurse. It gives an opportunity to promote healthier lifestyle on an individual level with direct effects on patients' health. Participants are clear about what should be included in the preventive work and mention the topics of diet, exercise, tobacco, alcohol habits and obesity. The district nurses state that education in Motivational Interviewing, (MI), in Physical Activity on Prescription, (PAP) and the colleagues attitudes are important facilitators for making the health promotive work to function in the practical reality. Lack of knowledge (own and among colleagues) and inadequate organizational structures constitute obstacles.

Conclusion: District nurses are unanimous about what should be included preventive health care. It is experienced as an important part of their duties but has sometimes difficulties to prioritize it. Furthermore, the district nurses consider that knowledge within MI, PAP and the employees' attitudes constitute possibilities while one sees lack of time, negative attitudes and inadequate structures that obstacles for the preventive work.

National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-23506 (URN)10.1089/acm.2014.5314.abstract (DOI)
Conference
The Integrative Medicine and Health 2014 conference
Available from: 2014-11-27 Created: 2014-11-27 Last updated: 2017-12-05Bibliographically approved
Sjöling, M., Lundberg, K., Englund, E., Westman, A. & Jong, M. C. (2011). Effectiveness of motivational interviewing and physical activity on prescription on leisure exercise time in subjects suffering from mild to moderate hypertension. BMC Research Notes, 4, Art. no. 352
Open this publication in new window or tab >>Effectiveness of motivational interviewing and physical activity on prescription on leisure exercise time in subjects suffering from mild to moderate hypertension
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2011 (English)In: BMC Research Notes, ISSN 1756-0500, E-ISSN 1756-0500, Vol. 4, p. Art. no. 352-Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:Physical inactivity is considered to be the strongest individual risk factor for poor health in Sweden. It has been shown that increased physical activity can reduce hypertension and the risk of developing cardiovascular diseases. The objective of the present pilot study was to investigate whether a combination of Motivational Interviewing (MI) and Physical Activity on Prescription (PAP) would increase leisure exercise time and subsequently improve health-related variables.METHODS:This pilot study was of a repeated measures design, with a 15 months intervention in 31 patients with mild to moderate hypertension. Primary outcome parameter was leisure exercise time and secondary outcome parameters were changes in blood pressure, Body Mass Index (BMI), waist circumference, lipid status, glycosylated haemoglobin (HbA1c) and maximal oxygen uptake (VO2max). Assessments of the outcome parameters were made at baseline and after 3, 9 and 15 months. RESULTS:Leisure exercise time improved significantly from <60 min/week at baseline to a mean activity level of 300 (+/- 165) minutes/week at 15 months follow up. Furthermore, statistically significant improvements (p<0.05) were observed in systolic (-14,5 +/- 8.3 mmHg) and diastolic blood pressure (-5,1 +/- 5.8 mmHg), heart rate (-4.9 +/- 8.7 beats/min, weight (-1.2 +/- 3.4 kg) BMI -0.6 +/- 1.2 kg/m2), waist circumference (-3.5 +/- 4.1 cm) as well as in VO2max (2.94 +/- 3.8 ml/kg and 0.23, +/- 0.34 lit/min) upon intervention as compared to baseline. CONCLUSIONS:A 15 month intervention period with MI, in combination with PAP, significantly increased leisure exercise time and improved health-related variables in hypertensive patients. This outcome warrants further research to investigate the efficacy of MI and PAP in the treatment of mild to moderate hypertension.

Keywords
Motivational interviews; exercise; hypertension, Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:miun:diva-15496 (URN)10.1186/1756-0500-4-352 (DOI)21906404 (PubMedID)2-s2.0-80052568922 (Scopus ID)
Available from: 2011-12-20 Created: 2011-12-20 Last updated: 2017-12-08Bibliographically approved
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