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Määttä S, Björkman I. We are not even allowed to call them patients anymore: Conceptions about person-centred care. Health Expect 2023; 27:e13887. [PMID: 37854003 PMCID: PMC10726140 DOI: 10.1111/hex.13887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Revised: 09/04/2023] [Accepted: 09/28/2023] [Indexed: 10/20/2023] Open
Abstract
Although the implementation of person-centred care (PCC) has gained momentum in healthcare systems, it is not always obvious why it is an important objective in clinical settings and educational institutions that train future healthcare professionals. Various conceptions about PCC have flourished, such as that it only works in certain healthcare contexts, it is the same as the patient making all their own healthcare decisions, it is too demanding for most patients, the word 'patient' may no longer be used, the care provided is already person-centred, and that there is simply not enough time and resources to achieve it. This viewpoint paper aims to problematize these conceptions and may be used for didactical and reflective exercises that support the transition towards more person-centred healthcare. PATIENT OR PUBLIC CONTRIBUTION: The Person Council for patients and carers at the University of Gothenburg provided focus group input on and validated the occurrence of the conceptions discussed in the present paper. The person council consists of a group of persons with many years of personal experiences of health care, either as patients and/or relatives/carers. One member of the person council who is also a designer and artist created the illustration for the article.
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Affiliation(s)
- Sylvia Määttä
- Institute of Health and Care Sciences, Sahlgrenska AcademyUniversity of GothenburgGothenburgSweden
- University of Gothenburg Centre for Person‐Centred Care (GPCC), Sahlgrenska AcademyUniversity of GothenburgGothenburgSweden
| | - Ida Björkman
- Institute of Health and Care Sciences, Sahlgrenska AcademyUniversity of GothenburgGothenburgSweden
- University of Gothenburg Centre for Person‐Centred Care (GPCC), Sahlgrenska AcademyUniversity of GothenburgGothenburgSweden
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2
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Säisänen L, Haapala E, Lakka T, Määttä S. P155 Cortical inhibition in healthy adolescents. Clin Neurophysiol 2020. [DOI: 10.1016/j.clinph.2019.12.266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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3
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Friberg IO, Mårtensson L, Haraldsson B, Krantz G, Määttä S, Järbrink K. Patients’ Perceptions and Factors Affecting Dialysis Modality Decisions. Perit Dial Int 2020; 38:334-342. [DOI: 10.3747/pdi.2017.00243] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2017] [Accepted: 05/05/2018] [Indexed: 02/07/2023] Open
Abstract
Background Home-based dialysis, including peritoneal dialysis (PD) and home hemodialysis (HHD), has been shown to be associated with lower costs and higher health-related quality of life than in-center HD. However, factors influencing the choice of dialysis modality, including gender, are still not well understood. Methods A questionnaire was sent out to all dialysis patients in the western region of Sweden in order to investigate factors affecting choice of dialysis modality. Logistic regression was used to analyze the data. Results Patients were more likely to have home dialysis if they received predialysis information from 3 or more sources and, to a greater extent, perceived the information as comprehensive and of high quality. In addition, patients had a lower likelihood of receiving home dialysis with increasing age and if they lived closer to a dialysis center. Men had in comparison with women a greater likelihood of receiving home dialysis if they lived with a spouse. In-center dialysis patients more often believed that the social interaction and support provided through in-center HD treatment influenced the choice of dialysis modality. Conclusion This study highlights the need for increased awareness of various factors that influence the choice of dialysis modality and the importance of giving repeated, comprehensive, high-quality information to dialysis and predialysis patients and their relatives. Information and support must be adapted to the needs of individual patients and their relatives if the intention is to improve patients’ well-being and the proportion of patients using home dialysis.
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Affiliation(s)
- Ingrid O. Friberg
- Institute of Medicine, Department of Public Health and Community Medicine, Section for Epidemiology and Social Medicine, Sahlgrenska Academy, Gothenburg University, Sweden
- Centre for Equity in Healthcare, Region Västra Götaland, Sweden
| | - Lena Mårtensson
- Institute of Neuroscience and Physiology, Department of Clinical Neuroscience and Rehabilitation, Sahlgrenska Academy, University of Gothenburg, Sweden
| | - Börje Haraldsson
- Institute of Neuroscience and Physiology, Department of Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden
| | - Gunilla Krantz
- Institute of Medicine, Department of Public Health and Community Medicine, Section for Epidemiology and Social Medicine, Sahlgrenska Academy, Gothenburg University, Sweden
| | - Sylvia Määttä
- Department of Systems Development and Strategy, Region Västra Götaland, Sweden
| | - Krister Järbrink
- Centre for Population Health Sciences (CePHaS), Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore
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4
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Vaughn LM, Whetstone C, Boards A, Busch MD, Magnusson M, Määttä S. Partnering with insiders: A review of peer models across community-engaged research, education and social care. Health Soc Care Community 2018; 26:769-786. [PMID: 29512217 DOI: 10.1111/hsc.12562] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/31/2018] [Indexed: 06/08/2023]
Abstract
Within community-engaged research, education and social care, peer models that partner with local "insiders" are increasingly common. Peer models are composed of insider "lay" community members who often share similarities or background with a project's target population. Peers are not academically trained, but work alongside researchers and professionals to carry out specific tasks within a project, or in the truest sense of partnership, peers collaborate throughout the project from start to finish as an equal member of the team. Although peer models are used widely, the literature lacks consistency and clarity. This systematic review of literature used a qualitative thematic synthesis to examine and report how, where and why peer models have been used in research, education and social care. We examined the language and titles used to describe the peers, details of their involvement in community-engaged projects, the setting, content/topic of study, level of engagement and related benefits/outcomes of such models. Focusing on the last 10 years, we conducted a comprehensive literature search twice between September 2016 and June 2017. The search resulted in 814 articles which were assessed for eligibility. Overall, 251 articles met our inclusion criteria and were categorised into three categories: empirical (n = 115); process/descriptive (n = 93); and "about" peers (n = 43). Findings suggest that there is a wide variety of peers, titles and terminology associated with peer models. There is inconsistency in how these models are used and implemented in research studies and projects. The majority of articles used an employment peer model, while only a handful involved peers in all phases of the project. The results of this literature review contribute to understanding the use, development and evolution of peer models. We highlight potential benefits of peer models for peers, their communities and community-engaged work, and we offer recommendations for future implementation of peer models.
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Affiliation(s)
- Lisa M Vaughn
- Pediatrics, Cincinnati Children's Hospital Medical Center/University of Cincinnati College of Medicine, Cincinnati, OH, USA
| | | | - Alicia Boards
- Educational and Community-Based Action Research, University of Cincinnati, Cincinnati, OH, USA
| | - Melida D Busch
- Edward L. Pratt Research Library, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | | | - Sylvia Määttä
- Department of Healthcare Improvement, Western Region, Gothenburg, Sweden
- Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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5
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Kallioniemi E, Määttä S, Könönen M, Julkunen P, Mervaala E, Kaarre O, Laukkanen E, Tiihonen J, Tuppurainen H. Abnormal response to a high frequency TMS partly restores to a healthy level after rTMS treatment in Schizophrenic patients. Brain Stimul 2017. [DOI: 10.1016/j.brs.2017.01.236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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6
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Määttä S, Lützén K, Öresland S. Contract theories and partnership in health care. A philosophical inquiry to the philosophy of John Rawls and Seyla Benhabib. Nurs Philos 2016; 18. [PMID: 28009093 DOI: 10.1111/nup.12164] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2016] [Revised: 10/11/2016] [Accepted: 11/14/2016] [Indexed: 11/27/2022]
Abstract
Over the last 20 years, a paternalistic view in health care has been losing ground. The question about less asymmetrical positions in the healthcare professional-patient relationship is, for example, being addressed by the increased emphasis on person-centred care, promoted in disciplines such as medicine and nursing. Partnership is considered as a key component in person-centred care. Although the previous studies have addressed the attributes inherent in partnership, there is still potential for further discussion on how the various interpretations of partnership influence their use in healthcare literature. A vague understanding might also affect education and evaluation. As we see it, the philosophical underpinnings of the idea of partnership have not been sufficiently explored and discussed. The study reveals that partnership originates in the term "partener" defined as a relationship between individuals or groups characterized by cooperation and responsibility. Etymologically speaking, partnership is hence bound by a contract, which in this study is discussed in the frame of Rawls' contract theory, which in turn intersects with Benhabib and her distinction between "the abstract" and "the concrete Other." Further, the expression "equal partnership," which often appears in the context of person-centredness, is explored in relation to the philosophies of Rawls and Benhabib. The opportunity for partnership, as well as the risk of partnership becoming a tempting magnet with a vague and imprecise meaning, is discussed. Without exploration, reflection and discussion of the philosophical underpinnings, partnership carries a substantial risk of becoming an indistinct idea used in health care.
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Affiliation(s)
- Sylvia Määttä
- Associate Professor, Centre for Equity in Healthcare/Institute for Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden
| | - Kim Lützén
- Senior professor, Department of Women's and Children's Health, Pediatric Oncology Research, Karolinska Institutet, Stockholm, Sweden
| | - Stina Öresland
- University College of Southeast Norway, Health and social work, Oslo, Norway
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7
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Friberg IO, Mårtensson L, Krantz G, Määttä S, Järbrink K. Comprehensive information to dialysis patients increase the number that chose home dialysis. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw164.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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8
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Ray C, Määttä S, Lehto R, Kaukonen R, Sajaniemi N, Erkkola M, Roos E. Developing an intervention to diminish socioeconomic differences in health behaviors in preschool. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw174.195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- C Ray
- Folkhälsan Research Center, Helsinki, Finland
| | - S Määttä
- Folkhälsan Research Center, Helsinki, Finland
| | - R Lehto
- Folkhälsan Research Center, Helsinki, Finland
| | - R Kaukonen
- Folkhälsan Research Center, Helsinki, Finland
| | - N Sajaniemi
- Division of Early Education, University of Helsinki, Helsinki, Finland
| | - M Erkkola
- Department of Food and Environmental Sciences, University of Helsinki, Helsinki, Finland
| | - E Roos
- Folkhälsan Research Center, Helsinki, Finland
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9
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10
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Eriksson EM, Eliasson K, Hellström A, Määttä S, Vaughn L. When they talk about motherhood: a qualitative study of three groups' perceptions in a Swedish child health service context. Int J Equity Health 2016; 15:99. [PMID: 27342849 PMCID: PMC4920994 DOI: 10.1186/s12939-016-0387-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2016] [Accepted: 06/20/2016] [Indexed: 12/03/2022] Open
Abstract
Background In light of the growing emphasis on individualization in healthcare, it is vital to take the diversity of inhabitants and users into consideration. Thus, identifying shared perceptions among group members may be important in improving healthcare that is relevant to the particular group, but also perceptions of the staff with whom interactions take place. This study investigates how motherhood is perceived among three groups: Somali-born mothers; Swedish-born mothers; and nurses at Swedish child health centers. Inequities in terms of access and satisfaction have previously been identified at the health centers. Methods Participants in all three groups were asked to finalize two statements about motherhood; one statement about perfect motherhood, another about everyday motherhood. The responses were analyzed using qualitative coding and categorization to identify differences and similarities among the three groups. Results The responses to both statements by the three groups included divergences as well as convergences. Overall, biological aspects of motherhood were absent, and respondents focused almost exclusively on social matters. Working life was embedded in motherhood, but only for the Somali-born mothers. The three groups put emphasis on different aspects of motherhood: Somali-born mothers on the community; the Swedish-born mothers on the child; and the nurses on the mother herself. The nurses – and to some extent the Swedish-born mothers – expected the mother to ask for help with the children when needed. However, the Somali-born mothers responded that the mother should be independent, not asking for such help. Nurses, more than both groups of mothers, largely described everyday motherhood in positively charged words or phrases. Conclusion The findings of this paper suggest that convergences and divergences in perceptions of motherhood among three groups may be important in equitable access and utilization of healthcare. Individualized healthcare requires nuance and should avoid normative or stereotypical encounters by recognizing social context and needs that are relevant to specific groups of the population.
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Affiliation(s)
- Erik Masao Eriksson
- Department of System Development and Strategy, Western Region of Sweden/Västra Götalandsregionen, Regionens Hus, SE-405 44, Göteborg, Sweden. .,Centre for Healthcare Improvement and Division of Service Management and Logistics, Chalmers University of Technology, Teknikens ekonomi och organisation, SE-412 96, Göteborg, Sweden.
| | - Kristin Eliasson
- Department of System Development and Strategy, Western Region of Sweden/Västra Götalandsregionen, Regionens Hus, SE-405 44, Göteborg, Sweden
| | - Andreas Hellström
- Centre for Healthcare Improvement and Division of Service Management and Logistics, Chalmers University of Technology, Teknikens ekonomi och organisation, SE-412 96, Göteborg, Sweden
| | - Sylvia Määttä
- Department of System Development and Strategy, Western Region of Sweden/Västra Götalandsregionen, Regionens Hus, SE-405 44, Göteborg, Sweden
| | - Lisa Vaughn
- Cincinnati Children's Hospital Medical Center/University of Cincinnati College of Medicine, 3333 Burnet Ave ML 2008, Cincinnati, OH, 45229, USA
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11
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Julkunen P, Säisänen L, Määttä S, Könönen M, Kallioniemi E, Vanninen R, Jäkälä P, Vaalto S. ID 12 – Cortical recovery from primary motor cortex (stroke) infarction evaluated at chronic stage. Clin Neurophysiol 2016. [DOI: 10.1016/j.clinph.2015.11.262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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12
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Kallioniemi E, Säisänen L, Julkunen P, Könönen M, Vanninen R, Jäkälä P, Määttä S, Vaalto S. ID 29 – Focal lesion on the hand knob re-localizes motor function laterally compared to the unaffected hemisphere. Clin Neurophysiol 2016. [DOI: 10.1016/j.clinph.2015.11.220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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13
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Säisänen L, Könönen M, Anttonen M, Niskanen E, Lintu N, Lindi V, Lakka T, Vanninen R, Makkonen I, Julkunen P, Määttä S. ID 130 – Motor cortical alterations in children with Asperger’s syndrome studied with navigated TMS. Clin Neurophysiol 2016. [DOI: 10.1016/j.clinph.2015.11.196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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14
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Osika Friberg I, Krantz G, Määttä S, Järbrink K. Sex differences in health care consumption in Sweden: A register-based cross-sectional study. Scand J Public Health 2015; 44:264-73. [DOI: 10.1177/1403494815618843] [Citation(s) in RCA: 48] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/12/2015] [Indexed: 11/15/2022]
Abstract
Background: Generally, health care consumption, especially primary care, is greater among women than men. The extent to which this sex difference is explained by reproduction and sex-specific morbidity is unclear. Methods: We examined age- and sex-specific health care service utilization and costs in the western region of Sweden. Data were retrieved from a regional health care database of information on total health care consumption in the population. Use of health care resources was divided into the following diagnosis categories: health care associated with reproduction; health care received for sex-specific morbidity; and health care provided for all other conditions. Results: Total per capita cost for health care was 20% higher for women than for men. When adjusted for reproduction and sex-specific morbidity, the cost-difference decreased to 8%. The remaining cost-difference could be explained by women’s substantially higher costs for mental and behavioral disorders and diseases of the musculoskeletal system. Women were more likely to receive more accessible, less expensive primary care, while men were more likely to receive specialist inpatient care. Conclusions: The substantially greater use of reproduction-associated care among women, which largely occurs within primary care, might make it easier to also seek health care for other reasons. Efforts to eliminate barriers that prevent men from investing in their health and seeking primary care could reduce future morbidity and costs for specialist care. More studies and appropriate actions are needed to determine why women are overrepresented in mental, behavioral and musculoskeletal disorders.
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Affiliation(s)
- Ingrid Osika Friberg
- Institute of Medicine, Department of Public Health and Community Medicine, Section for Epidemiology and Social Medicine, Sahlgrenska Academy, Gothenburg University, Sweden
- Centre for Equity in Health, Region Västra Götaland, Sweden
| | - Gunilla Krantz
- Institute of Medicine, Department of Public Health and Community Medicine, Section for Epidemiology and Social Medicine, Sahlgrenska Academy, Gothenburg University, Sweden
| | - Sylvia Määttä
- Department of Systems Development and Strategy, Region Västra Götaland, Sweden
| | - Krister Järbrink
- Institute of Medicine, Department of Public Health and Community Medicine, Section for Epidemiology and Social Medicine, Sahlgrenska Academy, Gothenburg University, Sweden
- Department of Systems Development and Strategy, Region Västra Götaland, Sweden
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15
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Gyberg A, Björck L, Nielsen S, Määttä S, Falk K. Women's help-seeking behaviour during a first acute myocardial infarction. Scand J Caring Sci 2015; 30:670-677. [PMID: 26582252 DOI: 10.1111/scs.12286] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2015] [Accepted: 08/04/2015] [Indexed: 11/27/2022]
Abstract
Studies indicate that the time from onset of symptoms to medical treatment has decreased in acute myocardial infarction (AMI). However, there are still variations indicating that women wait longer than men before making the decision to seek medical care. Multidimensional factors hindering and facilitating the decision have been identified in previous studies, though few have fully explored how social context affects women's expectations, interpretations and actions and so influences the decision-making process. The aim of this study was therefore to identify how women's experiences interacted and influenced the decision to seek medical care at their first AMI. Seventeen women, aged 38-75 years, were interviewed, at home or in the hospital, between June 2011 and May 2012. Grounded theory was used as a method, and data collection and analysis were carried out simultaneously. The results showed that before deciding to seek medical care, these women went through three defined but interrelated processes that together hindered their normal activities and made them act according to existential needs. The women's experiences of the progression of the disease, in terms of both symptoms and time, were very different, so they sought medical care at different times, sometimes life-threateningly late and sometimes before developing an AMI. Three mechanisms had to coincide if the women were to receive medical care. First, the women had to acknowledge their symptoms as something more than common bodily changes. Second, the healthcare system had to be accessible when the women made their decision to seek care. Third, the women must have come into contact with healthcare providers when the heart muscle had taken enough damage to measure.
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Affiliation(s)
- Anna Gyberg
- Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden
| | - Lena Björck
- Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.,Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Susanne Nielsen
- Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Sylvia Määttä
- Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden
| | - Kristin Falk
- Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden
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16
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Wallström S, Ulin K, Määttä S, Omerovic E, Ekman I. Impact of long-term stress in Takotsubo syndrome: Experience of patients. Eur J Cardiovasc Nurs 2015; 15:522-528. [PMID: 26572162 PMCID: PMC5134193 DOI: 10.1177/1474515115618568] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2015] [Revised: 10/19/2015] [Accepted: 10/28/2015] [Indexed: 11/16/2022]
Abstract
Background: The connection between stress and disease has been part of folk wisdom for a long time and has even made its way into our language with phrases such as ‘scared to death’ and ‘a broken heart’. Takotsubo syndrome is a form of acute, reversible heart failure characterized by ballooning of the left ventricle. Post-menopausal women are primarily affected, but cases have been described in both sexes and at all ages. The complete pathophysiology is unknown, but the disease has been connected to psychological or physical stress and a surge in catecholamines. Despite the strong connection with stress, knowledge about the life of patients before the onset of Takotsubo syndrome is lacking. Aim: The aim of this study was to describe and interpret patients’ narratives about long-term stress experienced before the onset of Takotsubo syndrome. Method: Nineteen people diagnosed with Takotsubo syndrome were interviewed. The narrative interviews were recorded and transcribed verbatim. The resulting texts were analysed using phenomenological hermeneutics. Results: The analysis revealed that the interviewees lived under stressful circumstances, characterized by feeling burdened by responsibilities, injustice and uncertainty, long before the onset of Takotsubo syndrome. This long-term stress wore down the defences of the interviewees to the degree that their capacity was exhausted and the smallest stressor could ‘tip them over the edge’. The findings indicated that the social structure of gender possibly contributed to the interviewees’ condition. Conclusions: These findings indicated that long-term stressful circumstances may cause vulnerability to acute psychological or physical stressors and, subsequently, to the onset of Takotsubo syndrome.
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Affiliation(s)
- Sara Wallström
- Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden .,University of Gothenburg Centre for Person-Centred Care, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Kerstin Ulin
- Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.,University of Gothenburg Centre for Person-Centred Care, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Sylvia Määttä
- Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Elmir Omerovic
- Department of Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden.,Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Inger Ekman
- Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.,University of Gothenburg Centre for Person-Centred Care, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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17
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Kokki M, Westeren-Punnonen S, Hautajärvi H, Heinonen S, Mazzei M, Määttä S, Paalanen E, Kokki H. Neonatal safety of maternal fentanyl during labour. Br J Anaesth 2015; 115:636-8. [DOI: 10.1093/bja/aev314] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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18
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Määttä S, Schenck-Gustafsson K, Trollvik M, Karlsson Å, Evengård B. [We welcome a discussion about DRG codes and CPP]. Lakartidningen 2015; 112:DIER. [PMID: 26035545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Affiliation(s)
- Sylvia Määttä
- Kunskapscentrum för Jämlik vård - Västra Götalandsregionen Göteborg, Sweden Kunskapscentrum för Jämlik vård - Västra Götalandsregionen Göteborg, Sweden
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19
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Öresland S, Friberg F, Määttä S, Öhlen J. Disclosing discourses: biomedical and hospitality discourses in patient education materials. Nurs Inq 2015; 22:240-8. [PMID: 25847051 DOI: 10.1111/nin.12097] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/24/2015] [Indexed: 01/26/2023]
Abstract
Patient education materials have the potential to strengthen the health literacy of patients. Previous studies indicate that readability and suitability may be improved. The aim of this study was to explore and analyze discourses inherent in patient education materials since analysis of discourses could illuminate values and norms inherent in them. Clinics in Sweden that provided colorectal cancer surgery allowed access to written information and 'welcome letters' sent to patients. The material was analysed by means of discourse analysis, embedded in Derrida's approach of deconstruction. The analysis revealed a biomedical discourse and a hospitality discourse. In the biomedical discourse, the subject position of the personnel was interpreted as the messenger of medical information while that of the patients as the carrier of diagnoses and recipients of biomedical information. In the hospitality discourse, the subject position of the personnel was interpreted as hosts who invite and welcome the patients as guests. The study highlights the need to eliminate paternalism and fosters a critical reflective stance among professionals regarding power and paternalism inherent in health care communication.
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Affiliation(s)
- Stina Öresland
- Buskerud and Vestfold University College, Drammen, Norway.,University of Gothenburg Centre for Person-Centred Care, Gothenburg, Sweden
| | - Febe Friberg
- University of Gothenburg Centre for Person-Centred Care, Gothenburg, Sweden.,University of Stavanger, Stavanger, Norway
| | - Sylvia Määttä
- University of Gothenburg Centre for Person-Centred Care, Gothenburg, Sweden.,Centre for Equity in Health Care/Institute of Ersta Sköndal University College and Ersta Hospital, Stockholm, Sweden
| | - Joakim Öhlen
- University of Gothenburg Centre for Person-Centred Care, Gothenburg, Sweden.,The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden
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Nielsen S, Björck L, Berg J, Giang KW, Zverkova Sandström T, Falk K, Määttä S, Rosengren A. Sex-specific trends in 4-year survival in 37 276 men and women with acute myocardial infarction before the age of 55 years in Sweden, 1987-2006: a register-based cohort study. BMJ Open 2014; 4:e004598. [PMID: 24793251 PMCID: PMC4025457 DOI: 10.1136/bmjopen-2013-004598] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVE To examine sex-specific trends in 4-year mortality among young patients with first acute myocardial infarction (AMI), 1987-2006. DESIGN Prospective cohort study. SETTING Sweden. PARTICIPANTS We identified 37 276 cases (19.4% women; age, 25-54 years) from the Swedish Inpatient Register, 1987-2006, who had survived 28 days after an AMI. OUTCOME MEASURES 4-year mortality from all causes and standard mortality ratio (SMR). RESULTS From the first to last 5-year period, the absolute excess risk decreased from 1.38 to 0.50 and 1.53 to 0.59 per 100 person-years among men aged 25-44 and 45-54 years, respectively. Corresponding figures for women were a decrease from 2.26 to 1.17 and from 1.93 to 1.45 per 100 person-years, respectively. Trends for women were non-linear, decreasing to the same extent as those for men until the third period, then increasing. For the last 5-year period, the standardised mortality ratio for young survivors of AMI compared with the general population was 4.34 (95% CI 3.04 to 5.87) and 2.43 (95% CI 2.12 to 2.76) for men aged 25-44 and 45-54 years, respectively, and 13.53 (95% CI 8.36 to 19.93) and 6.42 (95% CI 5.24 to 7.73) for women, respectively. Deaths not associated with cardiovascular causes increased from 21.5% to 44.6% in men and 41.5% to 65.9% in women. CONCLUSIONS Young male survivors of AMI have low absolute long-term mortality rates, but these rates remain twofold to fourfold that of the general population. After favourable development until 2001, women now have higher absolute mortality than men and a 6-fold to 14-fold risk of death compared with women in the general population.
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Affiliation(s)
- S Nielsen
- Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Lehto R, Määttä S, Lehto E, Ray C, Roos E, te Velde S, Thorsdottir I, Lien N, Yngve A. Mediating factors and impact of the degree of implementation in a school-based fruit and vegetable intervention in Finland. Eur J Public Health 2013. [DOI: 10.1093/eurpub/ckt126.266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Krupic F, Määttä S, Garellick G, Lyckhage ED, Kärrholm J. Preoperative information provided to Swedish and immigrant patients before total hip replacement. Med Arch 2013; 66:399-404. [PMID: 23409521 DOI: 10.5455/medarh.2012.66.399-404] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
BACKGROUND Total hip replacement is an operation that usually leads to pain relief and improved health related quality of life (HRQoL). Previous studies have demonstrated the importance of information about upcoming surgery. Therefore, it was of interest to study how both immigrants, whose first language was not Swedish, and Swedish patients described pre-operative information. MATERIAL AND METHODS Individual interviews were conducted with 10 immigrants and 10 Swedish participants. The data were analysed using qualitative content analysis. The study was carried out in western Sweden from March to November 2010. RESULTS The findings revealed that pre-operative information for all patients undergoing elective total hip replacement was limited. Patients from both groups expressed concern about inadequate preoperative information pertaining to the surgery, implant selection, pain relief, choice of anaesthesia, no or too short a time to put questions to the surgeon and an overall stressful situation. CONCLUSIONS Adequate preoperative information is important for optimising pain relief and shortening the hospital stay. The fact that the patients overwhelmingly rated the preoperative information as inadequate may be due to several reasons. Mental distress and the two-week interval between the time when the patient received the information and the operation might have contributed to the low degree of retention.
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Affiliation(s)
- Ferid Krupic
- Department of Orthopaedics, Institute of Surgical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.
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Öresland S, Lutzén K, Norberg A, Rasmussen BH, Määttä S. Nurses as ‘guests’- a study of a concept in light of Jacques Derrida's philosophy of hospitality. Nurs Philos 2013; 14:117-26. [DOI: 10.1111/j.1466-769x.2012.00557.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Abstract
This study describes the care provided by a diabetes nurse specialist, and the care needs expressed by people with type 2 diabetes mellitus and an immigrant background. Clinical encounters between a diabetes nurse specialist and 10 people diagnosed with type 2 diabetes mellitus were observed and analyzed by means of qualitative content analysis. One theme, "the diabetes nurse specialist as the conductor of the visit", and four categories emerged from the findings, illustrating the power imbalance between the patients and the diabetes nurse specialist, as well as the lack of an individual perspective. Shifting from a medical perspective to one of openness towards the people's experiences provides a possibility for caregivers to empower patients suffering from type 2 diabetes mellitus. The medical perspective seemed to steer the visit towards curative activities. Thus, technique-centered care should be developed by including individualized care.
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Affiliation(s)
- Elisabeth Björk Brämberg
- Institution of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
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Tamsi N, Säisänen L, Kemppainen S, Niskanen E, Määttä S, Hukkanen T, Aikiä M, Jutila L, Kälviäinen R, Könönen M, Mervaala E. P20.15 Navigated transcranial magnetic stimulation is suitable for mapping posterior frontal lobe speech areas in healthy volunteers. Clin Neurophysiol 2011. [DOI: 10.1016/s1388-2457(11)60537-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Vaalto S, Julkunen P, Könönen M, Säisänen L, Määttä S, Karhu J. P22.17 Cortical reorganization differs depending on the nature of the motor skill. Clin Neurophysiol 2011. [DOI: 10.1016/s1388-2457(11)60578-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Ferreri F, Ponzo D, Hukkanen T, Könönen M, Mervaala E, Pasqualetti P, Rossini P, Määttä S. P26.5 Human brain cortical effective connectivity and excitability during short-latency afferent inhibition: a combined EEG TMS study. Clin Neurophysiol 2011. [DOI: 10.1016/s1388-2457(11)60649-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Abstract
The aim of this study was to explore metaphors for discovering values and norms held by nurses in home-based nursing care. Ten interviews were analysed and interpreted in accordance with a metaphor analytical method. In the analysis, metaphoric linguistic expressions and two entailments emerged, grounded in the conceptual metaphor ‘home-based nursing care is an endless journey’, which were created in a cross-domain mapping between the two conceptual domains of home-based nursing care and travel. The metaphor exposed home-based nursing care as being in constant motion, thereby requiring nurses to adjust to circumstances that demand ethical maturity. The study focuses on the importance of developing further theories supporting nurses’ expressions of their experiences of everyday ethical issues.
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Affiliation(s)
- Stina Öresland
- Umeå University, Sweden & Buskerud University College, Norway,
| | | | - Astrid Norberg
- Umeå University & Ersta Sköndal University College, Sweden
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Sarasso S, Määttä S, Poryazova R, Ferrarelli F, Tononi G, Small SL. Hd-EEG investigation of local sleep changes following behavioral speech therapy for non-fluent aphasia. Neuroimage 2009. [DOI: 10.1016/s1053-8119(09)70510-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Abstract
In a critical analysis of the literature, this paper aimed to explore male and female patients' experiences of psychiatric hospital care. A method for a systematic review of research was used and five articles fitting the inclusion criteria were found. Three themes emerged in the analysis: "Treatment specifically related to women," "To keep a façade," and "Single-sex or mixed ward." The findings were explored by highlighting some knowledge gaps and gender bias. This paper can be used in the planning of psychiatric wards, give incitements to develop strategies for caring, and promote nurses' gender sensitivity.
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Affiliation(s)
- Sylvia Määttä
- School of Health Science, University of Borås, Borås, Sweden.
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Abstract
One aim of this study was to explore the role, or subject position, patients take in the care they receive from nurses in their own home. Another was to examine the subject position that patients say the nurses take when giving care to them in their own home. Ten interviews were analysed and interpreted according to a discourse analytical method. The findings show that patients constructed their subject position as `safeguard', and the nurses' subject position as `substitute' for themselves. These subject positions provided the opportunities, and the obstacles, for the patients' possibilities to receive care in their home. The subject positions described have ethical repercussions and illuminate that the patients put great demands on tailored care.
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Henricson M, Ersson A, Määttä S, Segesten K, Berglund AL. The outcome of tactile touch on stress parameters in intensive care: A randomized controlled trial. Complement Ther Clin Pract 2008; 14:244-54. [DOI: 10.1016/j.ctcp.2008.03.003] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Henricson M, Berglund AL, Määttä S, Ekman R, Segesten K. The outcome of tactile touch on oxytocin in intensive care patients: a randomised controlled trial. J Clin Nurs 2008; 17:2624-33. [DOI: 10.1111/j.1365-2702.2008.02324.x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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Abstract
The aim of this study was to explore and interpret the diverse subject of positions, or roles, that nurses construct when caring for patients in their own home. Ten interviews were analysed and interpreted using discourse analysis. The findings show that these nurses working in home care constructed two positions: ;guest' and ;professional'. They had to make a choice between these positions because it was impossible to be both at the same time. An ethics of care and an ethics of justice were present in these positions, both of which create diverse ethical appeals, that is, implicit demands to perform according to a guest or to a professional norm.
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Teitti S, Määttä S, Säisänen L, Könönen M, Vanninen R, Hannula H, Mervaala E, Karhu J. Non-primary motor areas in the human frontal lobe are connected directly to hand muscles. Neuroimage 2008; 40:1243-50. [PMID: 18289883 DOI: 10.1016/j.neuroimage.2007.12.065] [Citation(s) in RCA: 56] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2007] [Revised: 12/21/2007] [Accepted: 12/31/2007] [Indexed: 11/25/2022] Open
Abstract
Structural studies in primates have shown that, in addition to the primary motor cortex (M1), premotor areas are a source of corticospinal tracts. The function of these putative corticospinal neuronal tracts in humans is still unclear. We found frontal non-primary motor areas (NPMAs), which react to targeted non-invasive magnetic pulses and activate peripheral muscles as fast as or even faster than those in M1. Hand muscle movements were observed in all our subjects about 20 ms after transcranial stimulation of the superior frontal gyrus (Brodmann areas 6 and 8). Stimulation of NPMA could activate both proximal and distal upper limb muscles with the same delay as a stimulation of the M1, indicating converging motor representations with direct functional connections to the hand. We suggest that these non-primary cortical motor representations provide additional capacity for the fast execution of movements. Such a capacity may play a role in motor learning and in recovery from motor deficits.
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Affiliation(s)
- S Teitti
- Clinical Neurophysiology, NBS Laboratory, Kuopio University Hospital, Finland.
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Eskola L, Pirinen E, Teitti S, Könönen M, Määttä S, Karhu J. P39.4 The effect of muscle activation on duration of the silent period. Clin Neurophysiol 2006. [DOI: 10.1016/j.clinph.2006.06.704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Teitti S, Määttä S, Eskola L, Könönen M, Vanninen R, Karhu J. FC5.3 Navigated brain stimulation for exact mapping of several discrete motor areas. Clin Neurophysiol 2006. [DOI: 10.1016/j.clinph.2006.06.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Karhu J, Könönen M, Määttä S, Sandell K, Juhakoski M, Peurala S, Tarkka I, Sivenius J. P37.14 Navigated brain stimulation (NBS) in stroke and rehabilitation. Clin Neurophysiol 2006. [DOI: 10.1016/j.clinph.2006.06.668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Pirinen E, Westeren-Punnonen S, Määttä S, Soininen H, Karhu J. P08.6 Navigated brain stimulation (NBS) in MCI and Alzheimer. Clin Neurophysiol 2006. [DOI: 10.1016/j.clinph.2006.06.298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Mervaala E, Könönen M, Eskola L, Teitti S, Määttä S, Herrgård E, Jutila L, Immonen A, Kälviäinen R, Karhu J. P02.4 Navigated brain stimulation (NBS) shows increased motor thresholds in intractable focal epilepsy due to cortical dysplasia. Clin Neurophysiol 2006. [DOI: 10.1016/j.clinph.2006.06.191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Karhu J, Könönen M, Määttä S, Teitti S, Sandell PE, Immonen A, Mervaala E, Jääskeläinen J. P37.11 Navigated brain stimulation (NBS) in presurgical mapping. Clin Neurophysiol 2006. [DOI: 10.1016/j.clinph.2006.06.665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Henricson M, Berglund AL, Määttä S, Segesten K. A transition from nurse to touch therapist--a study of preparation before giving tactile touch in an intensive care unit. Intensive Crit Care Nurs 2006; 22:239-45. [PMID: 16542838 DOI: 10.1016/j.iccn.2006.01.002] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2005] [Revised: 12/14/2005] [Accepted: 01/18/2006] [Indexed: 11/27/2022]
Abstract
Tactile touch is a complementary therapy that is rarely undertaken in intensive care units (ICUs) in Sweden. This study was a part of a larger project that examines whether tactile touch can relieve the suffering of patients in the ICU. The aim of this study was to describe nurses' lived experience of preparation before giving tactile touch in an ICU. Four assistant nurses and one registered nurse, each with diplomas in tactile touch working at three different ICUs in Sweden, participated in the study. A phenomenological approach was chosen to achieve experience-based and person-centred descriptions. Data were collected through interviews and analysed following Giorgi's method. The main finding was that before providing tactile touch, the nurses needed to add the new role as touch therapists, to their professional one. The essential aspect being the transition from nurse to touch therapist. Findings included a general structure, with four constituents; a sense of inner balance, an unconditional respect for the patients' integrity, a relationship with the patient characterised by reciprocal trust, and a supportive environment. Furthermore, the study underlines the difficulties to integrate a complementary caring act, such as tactile touch, in a highly technological environment.
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Affiliation(s)
- Maria Henricson
- University College of Borås, School of Health Science, Allegatan, SE-501 90 Borås, Sweden.
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Tähtinen T, Määttä S, Rintamäki H, Virokannas H, Keinänen-Kiukaanniemi S. Effect of amlodipine on blood pressure responses in local and whole-body cooling in normotensive men. Arzneimittelforschung 1999; 49:494-9. [PMID: 10417864 DOI: 10.1055/s-0031-1300449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
The objective of this study was to determine the ability of amlodipine (CAS 88150-42-9, Norvasc) to affect the cold-induced rise of blood pressure and heart rate in normotensive men. Fourteen normotensive men underwent a one-hand cold pressor test (+10 degrees C, 5 min) and a whole-body cold air exposure test (+5 degrees C, 45 min) in a crossover study with and without amlodipine at a seven-day interval. Amlodipine decreased the levels of initial systolic and diastolic blood pressure before both tests, but it had no influence on heart rate. During the cold pressor test, amlodipine lowered the peak diastolic pressure from 96 +/- 10 mmHg (mean +/- SD) to 92 +/- 10 mmHg (p = 0.024). The rise of diastolic blood pressure was 13 +/- 7 mmHg with amlodipine and 16 +/- 8 mmHg without amlodipine (p = 0.138). During the whole-body cold air exposure test, amlodipine decreased the systolic pressure from 135 +/- 2 mmHg to 133 +/- 3 mmHg (p = 0.008) and the diastolic pressure from 88 +/- 2 mmHg to 86 +/- 1 mmHg (p = 0.005). However, the cold-induced rise of blood pressure in whole-body cooling was not affected by amlodipine, because it also decreased the initial values. Amlodipine did not affect the initial or cold-induced changes of heart rate in these tests. In conclusion, in normotensive men amlodipine lowers the peak of diastolic blood pressure in a cold pressor test. In whole-body cold air exposure, amlodipine slightly decreases the levels of both systolic and diastolic pressures, but has no effect on the cold-induced rise of blood pressure. Amlodipine does not prevent the cold-induced physiological responses of blood pressure or heart rate.
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Affiliation(s)
- T Tähtinen
- Department of Public Health Science and General Practice, University of Oulu, Finland.
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