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A visual art museum in Sweden as pedagogical scenery: Gibbs’ reflective cycle guiding student nurses in the reflective process

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Open Journal of Nursing 2012年第2期2卷 130-137页

作者： britt-maj wikstrom Faculty of Health Nutrition and ManagementOslo and Akershus University CollegeOsloNorway Department of Public Health Sciences Karolinska InstituteStockholmSweden

The pedagogy employed in health care education must continually be questioned and expanded. Student nurses must be prepared for nursing practice that continually changes, consequently alternative concepts in nurse education must be considered. The aims were to provide student nurses with reflection skills and to evaluate the potential of studying the reflective process using visual art at a museum as an enriched activity in education. A pedagogical program with Gibbs’ reflection model was used as a complement. The study was conducted at a University College of Health Sciences in Sweden in collaboration with a visual art museum. Data were collected during a period of three years. A random sample (n = 35 of n = 98 students’ reports) was selected for qualitative analysis. The painting by George-Pierre Seurat, Seated woman was used as a source of inspiration. Analysis was conducted of the excerpts generated from the steps in Gibbs’ reflection model and from students’ evaluations of the teaching-learning structure. The results show that students were able to build hypothetical situations around the character depicted in the painting. They observed and described a great many aspects of the reflective process. The chosen painting was regarded as suitable for its purpose, and a source of inspiration. It could be interpreted as a patient you might meet in clinical practice. The students′ evaluations show that they became aware of knowledge they had not thought of before, and a way of taking a step closer to clinical practice. It could be concluded that art museum could be regarded as a stimulating environment that nurtured the reflective process. Consequently, visual art museums have to be considered as possible teaching learning milieus to be used in nurse education. It is to be hoped that this study will contribute to further development of visual art museums as teaching learning settings.

关键词： Student Nurses Visual Art Museum Education Reflection Works of Art

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Healthy lifestyle for people with intellectual disabilities through a health intervention program

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Open Journal of Nursing 2012年第3期2卷 157-164页

作者： Bente Lorentzen britt-maj wikstrom Faculty of Health Nutrition and ManagementOslo and Akershus University CollegeOsloNorway Department of Public Health Sciences College of Applied Sciences Karolinska InstituteStockholmSweden

There are well known gaps related to health care service and public health interventions for people with Intellectual Disabilities (ID), but there is still lack of research information of what nurses can do to reducing health disparities of persons with ID. The present study aimed at exploring the views of people with ID about a healthy lifestyle, exercise, and to take part in a health promotion program. A qualitative method was an appropriate method for capturing the informants’ points of view. Participants were adults with intellectual disability who would be able to give their consent verbally and in written form. Women (n = 7) and men (n = 6). Data were collected from focus group interviews and analysed according to a qualitative content analysis of the tape-recorded and verbatim transcribed interviews. The participants took part in four workshops about healthy food, and ten physical activities addressing the connection to physical, social and emotional health. The results of the focus group interviews show that participants have knowledge about the importance of a healthy lifestyle for good health including physical activity and healthy food. Participants also describe social interaction and self-determination as important aspects in their life. It could then be concluded that the health promotion program result point at consciousness about a healthy lifestyle. There is still lack of research information of what public health nurses can do to reducing health disparities of persons with ID. Public health nurses work in community-based services and therefore they also might support persons with ID through health intervention programs.

关键词： Intellectual Disability Nursing Care Healthy Lifestyle Physical Activities Social Interaction

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Gender Differences in Usage of Over-the-Counter Analgesics among Norwegian Adolescents

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Open Journal of Nursing 2018年第11期8卷 860-878页

作者： Sindre Lorentzen Bente Lorentzen britt-maj wikstrom University of Stavanger StavangerNorway Akershus University Hospital LorenskogNorway Department of Public Health Sciences Karolinska InstituteSolnaSweden Oslo Met(Oslo Metropolian University) OsloNorway

Introduction: Usage of over-the-counter (OTC) analgesic has increased among Norwegian adolescents since 2001. It has been noted that females tend to have a higher usage compared to males. In this paper we explore this gender difference. Data: Our dataset consists of 284,674 from Norwegian adolescents attending junior high school and high school between 2014 and 2017. Methods: The econometric approach consists of applying ordered logistic regressions with usage of OTC analgesics as the dependent variable and a dichotomous gender variable as the independent variable. Control variables include variables such as frequency of physical and mental health problems and other sociodemographic variables. Results: Gender, physical and mental health problems and various sociodemographic variables are found to have a significant effect on usage of OTC analgesics. Females are predicted to use significantly more analgesics. A large proportion of the gender difference evaporates when controlling for various other determinants. Conclusion: A considerable part of the observed gender difference in OTC analgesic usage can be traced back to differences in frequency and severity of physical and mental health problems. Part of the gender difference in usage, however remains unexplained.

关键词： Over-the-Counter Analgesics Cross-National Ungdata Adolescents Gender

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Voluntary Work for Public Health——Older Volunteers’ Participation in a Norwegian Society ——Motivation Factors for Participating——Enrich Life and Positive for Health

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Open Journal of Nursing 2014年第11期4卷 724-729页

作者： Bente Lorentzen britt-maj wikstrom Pal Joranger Department of Health Nutrition and ManagementOslo and Akershus University College of Applied SciencesOsloNorway Department of Public Health Sciences Karolinska InstituteStockholmSweden

Today there is a decreasing interest in contributing to general organizations. The purpose of this study is to examine participation in volunteer work in a municipality in Norway. The main focus is determinants of motivation factors for participation as well as non-participation. A first step was to conduct a focus group interview. The second step was to make questions for a survey based on the results of the focus group interview in order to provide an overall direction for the survey. A questionnaire was sent to six local organisations in a municipality in Norway. Analysis: Multivariate logistic and linearly regression analysis. Result: The total model was statistical significant, indicating that the model was able to distinguish between volunteers who reported to be respectively happy or not happy. The model explained 36% to 62% of the variance in this variable. The variables made a statistical significant contribution to the model. The strongest predictor of being happy was the variable “energy”. The variable “positive for my health” was the second strongest predictor. “Income” has a reverse association, meaning that the volunteers are less likely to be reported to be happy when their income increases. Network and illness explain years in voluntary work. Conclusion and implications for public health nurses: The present study shows the effectiveness of volunteering for elderly. Thus, it is an important element in public health nurses work to include strategies that focus on program stimulating elderly citizens in the municipality to stay healthy physically and psychologically.

关键词： Public Health Nurses Volunteer Work Elderly Citizens

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Gender Differences in Hope and Its Relevance to Depression Symptoms among Norwegian Adolescents

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Open Journal of Nursing 2018年第2期8卷 157-169页

作者： britt-maj wikstrom Bente Lorentzen Sindre Lorentzen Akershus University-College of Applied Science Norway Department of Public Health Sciences Karolinska InstitutePublic HealthSolnaSweden Akershus University Hospital LorenskogNorway University of Stavanger StavangerNorway

Introduction: Several studies indicate that the number of individuals experiencing depression symptoms is growing. There is a prevailing consensus in the literature that while depression is represented among both genders, it is consistently reported that females are more exposed to depression compared to males both in frequency and severity. Studies suggest that as many as 15 - 20 percent of adolescents in Norway exhibit depression or depression like symptoms. Furthermore, several studies indicate that the number of individuals experiencing depression symptoms is growing. There is a prevailing consensus in the literature that while depression is represented among both genders, it is consistently reported that females are more exposed to depression compared to males both in frequency and severity. Methods: All data utilized in this study were extracted from the Norwegian Ungdata survey conducted in 2014 among adolescents in Norway. The sample consists of 46,374 observations. Conclusions: The finding of significant differences in prevalence of self-diagnosed depression symptoms among Norwegian adolescents, showed females are more exposed. Furthermore, as hypothesized, there is a strong and significant relation between hope and depression, where hope is proxied through expectations regarding the individuals’ future education, happiness and wealth. Based on these findings, we apply hope as an instrument for addressing depression symptoms. Results from this analysis indicate that males are significantly less optimistic for the future.

关键词： Depression Symptoms Norwegian Cross-National Ungdata Adolescents Hope Future Expectations Gender

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The healthcare environment—The importance of aesthetic surroundings: Health professionals’ experiences from a surgical ward in Finland

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Open Journal of Nursing 2012年第3期2卷 188-195页

作者： britt-maj wikstrom Emma Westerlund Jaana Erkkila Department of Health Nutrition and ManagementFaculty of Health SciencesNorway Karolinska InstituteOslo and Akershus University College of Applied SciencesStockholmSweden Department of Photography Novia University of Applied SciencesWasaFinland Manager of Research and Development Novia University of Applied SciencesWasaFinland

There is a growing acceptance of the vital role patient centered design plays in shaping the environment. Art can be of use in every area of health care. It is within the power of each person to share and interpret experience by means of the arts, by viewing the work of others, and by using feelings and imagination. Health professionals [n = 24 of a total of n = 35], answered the Wheel Questionnaire test instrument. It measures structure, motivation/engagement, and degree of emotional investment in a situation. Participants were requested to describe, in their own words, their perception of the enrichment of the ward interiordesign and the double-sided photos with a short poetic text, and the photo-book placed at each patient room. The results demonstrate that participants are motivated, structured and emotionally engaged when describing the new enrichment. The domains and themes are: Social interaction domain;rising thoughts and conversations. Comfort domain;atmosphere. Aesthetic do main;enrichment of the working environment. It could be concluded that the surgical ward environmental enrichment stimulated conversations between health professionals and between health professionals and patients and should be regarded as an important aspect in hospital planning.

关键词： Hospital Ward Environment Enrichment Health Professionals

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Using narratives to express bereavement: An interview study on professional female writers experiences that in their middle age have lost their mothers

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Open Journal of Nursing 2012年第2期2卷 41-47页

作者： Birgitta Berg Wikander britt-maj wikstrom Teres Elfstrom The University of Gotland VisbySweden Faculty of Health Nutrition and ManagementOsloNorway Department of Public Health Sciences Karolinska InstituteStockholmSweden St.Botvids High School StockholmSweden

Objectives of the study were to increase the knowledge about women who in their middle age have lost their mothers and to investigate the therapeutic value of expressive writing in the grief process according to the women. Method: An interview was carried out with 18 professional female authors about their writings about death of a close relative, their mothers. They were asked to tell about the grief and what the writing meant to them. Results: All authors described in narratives. Some results were evident such as;feelings of relief by writing and their reflections and memories became clear. As authors of imaginative literature they were use to the process of writing. Conclusions: The evidence from this study offers useful information for nurses to plan and design programmes based on narrative structures in nursing care.

关键词： Bereavement Narrative Aesthetics Nursing Care Relief

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Seniors’ experiences of visual art environmental enrichment

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Open Journal of Nursing 2013年第2期3卷 163-168页

作者： Lars Olov Bygren Birgitta Nasman britt-maj wikstrom Benson BKonlaan Ann-Brith Karlsson Eva Elgh Andrej MGrjibovski Sven Sandström Department of Biosciences and Nutrition Karolinska InstituteHuddingeSweden Department of Community Medicine and Rehabilitation University of UmeaUmeaSweden Oslo and Akershus University College Faculty of Health SciencesOsloNorway Swedish Red Cross University College of Nursing StockholmSweden Norwegian Institute of Public Health OsloNorway International School of Public Health Northern State Medical UniversityArkhangelskRussia Department of Art History University of LundLundSweden

The present study aimed at determining whether short-term exposure to art in shared common areas in congregate housing units could affect health and health determinants among the residents. Ten residents (mean age 80.4 years) at one block were exposed to visual art environmental enrichment in common areas over a period of three months. Thirteen persons (mean age 86.6 years) living in another block played in-house boule. Cornell’s test, Mini-Mental tests (MMT), and face recognition test were performed to assess depression, cognition, and episodic memory, respectively before and after the intervention. The results show that visual art environmental enrichment in common areas and lack of stimulating and guiding dialogues show a change in depression scores in the intervention group (p = 0.018) and the control group (p = 0.009). MMT scores improved only in the control group (p = 0.003). No changes in episodic memory in any of the groups were observed. It could be concluded that in order to obtain a positive result of short term visual art environmental enrichment, guiding art dialogues conducted by nurses, as described in previous research, should be added to visual art environmental enrichment in healthcare settings.

关键词： Health Professionals Elderly Depression Visual Art Environmental Enrichment Memory

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Bone Loss in Women with Type 1 Diabetes

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Journal of Diabetes Mellitus 2015年第4期5卷 252-257页

作者： maj-britt Tanderup Jorgensen Jesper Olund Christensen Ole Lander Svendsen Department of Endocrinology I Bispebjerg University HospitalCopenhagenDenmark Steno Diabetes Center GentofteDenmark Center for Clinical and Basic Research BallerupDenmark

Background: Although osteoporosis has been investigated and debated in the diabetic population over the past decades, very little is known about the spontaneous changes in bone mineral density (BMD) and biochemical markers of bone turnover in pre- and postmenopausal type 1 diabetic (T1DM) women over time. Aim: To measure spontaneous changes in BMD and biochemical markers of bone turnover in pre- and postmenopausal T1DM women. Subjects: 53 T1DM women (31 premenopausal and 22 postmenopausal) from the outpatient clinic were enrolled in the study in 1993 and 35 (22 premenopausal, 13 postmenopausal) were reexamined in 1997. Method: BMD was measured at femoral neck (f.n.), spine (L2 - L4), total body and forearm with DXA or SXA in 53 T1DM women. 4 years later a re-scan was carried out on 35 T1DM. Results: In premenopausal subjects a yearly decrease less than 1% at f.n., spine, forearm and total body was observed, though only statistically significant (s.s.) at f.n., p ≤ 0.05. In postmenopausal subjects a s.s. decrease less than 2% was observed at f.n., forearm and total body, p ≤ 0.05. In general, osteopenic or osteoporotic values were observed at the measured skeletal sites. Only at f.n. a lower s.s. BMD compared to age-matched reference women was seen. Conclusion: Small or non-significant changes in BMD and biochemical markers of bone turnover were observed in pre- and postmenopausal T1DM subjects after a 4-year period.

关键词： Bone Turnover Bone Mineral Density Biochemical Markers of Bone Turnover Premenopausal Postmenopausal

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实验室的轻量级足迹

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科学新闻 2024年第2期 62-63页

作者： maj-britt Buchholz 倪伟波荷兰玛西玛公主儿童肿瘤医学中心

我沮丧地走进实验室开会。几个月来，我一直在尝试将实验室的一些塑料废物通过3D打印变为工具，但进展并不顺利。“我只打印了3个小物件。”我告诉同事。他们知道我致力于减少我们研究的环境足迹。于是有人问道：“也许我们首先应该考...

我沮丧地走进实验室开会。几个月来，我一直在尝试将实验室的一些塑料废物通过3D打印变为工具，但进展并不顺利。“我只打印了3个小物件。”我告诉同事。他们知道我致力于减少我们研究的环境足迹。于是有人问道：“也许我们首先应该考虑如何避免产生这么多的塑料垃圾？”另一个人插话道：“我们能弄清楚自己消耗了多少能源以及如何减少这种消耗吗？”他们的问题使我精神振奋，并引发了我们在实验室操作方式上的一系列变化。开始攻读博士学位时，我知道自己在癌症研究方面的工作产生了大量废物，

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