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Palmér, Lina
Alternative names
Publications (10 of 42) Show all publications
Ericson, J. & Palmér, L. (2020). Cessation of breastfeeding in mothers of preterm infants—A mixed method study. PLoS ONE (5), 1-15
Open this publication in new window or tab >>Cessation of breastfeeding in mothers of preterm infants—A mixed method study
2020 (English)In: PLoS ONE, E-ISSN 1932-6203, no 5, p. 1-15Article in journal (Refereed) Published
Keywords
Breastfeeding, Caring, Cessation of breastfeeding, Hermeneutics, Lifeworld hermeneutics, mixed method
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-23216 (URN)10.1371/journal.pone.0233181 (DOI)
Available from: 2020-05-19 Created: 2020-05-19 Last updated: 2020-05-20Bibliographically approved
Sterner, A., Säfström, E., Palmér, L., Ramstrand, N. & Andersson Hagiwara, M. (2020). Development and initial validation of an instrument to measure novice nurses’ perceived ability to provide care in acute situations – PCAS. BMC Nursing, 19(13)
Open this publication in new window or tab >>Development and initial validation of an instrument to measure novice nurses’ perceived ability to provide care in acute situations – PCAS
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2020 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 19, no 13Article in journal (Refereed) Published
Abstract [en]

Background: Novice nurses need to be better prepared to provide care in acute situations. There is currently no validated scale specifically measuring nurses’ perception of their ability to provide care in acute situations. The aim of this study was to develop and examine the psychometric properties of a scale that measures novice nurses selfreported perception of ability to provide care in acute situations.

Method: Development and test of the psychometric properties of the Perception to Care in Acute Situations (PCAS) scale. Items were generated from interviews with novice nurses (n = 17) and validated using opinions of an expert panel and cognitive interviews with the target group. Two hundred nine novice nurses tested the final scale. Exploratory factor analysis (EFA) was used to test construct validity, item reduction and underlying dimensions between the measured variables and the latent construct.

Result: The PCAS scale contains 17 items grouped into three factors. EFA demonstrated a clean three factor logic construct solution with no cross-loadings, high correlation for the total scale in both Cronbach’s alfa 0.90 and ordinal alpha 0.92.

Conclusions: The PCAS scale has proven to have acceptable validity. The factors,” confidence in provision of care”, “communication” and “patient perspective” are likely to be important aspects of providing care in acute situations. Additional testing of the PCAS is needed to conclude if it is sensitive enough to evaluate interventions aimed at improving novice nurses competence and suitable as a guide for reflection for novice nurses.

Keywords
Nursing, Education, Educational measurement, Psychometrics, Self report, Acute
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-22837 (URN)
Available from: 2020-02-18 Created: 2020-02-18 Last updated: 2020-03-04Bibliographically approved
Palmér, L. & Eriksson, J. (2019). A qualitative study on the breastfeeding experience of mothers of preterm infants in the first 12 months after birth. International Breastfeeding Journal, 14(35), 1-8
Open this publication in new window or tab >>A qualitative study on the breastfeeding experience of mothers of preterm infants in the first 12 months after birth
2019 (English)In: International Breastfeeding Journal, ISSN 1746-4358, Vol. 14, no 35, p. 1-8Article in journal (Refereed) Published
Abstract [en]

Background: Being a mother of a preterm infant (< 37 gestational weeks) puts the mother in a vulnerable andfragile situation wherein breastfeeding is an important part of becoming a mother and bonding with the infant.Nevertheless, the breastfeeding experience of mothers during the first year after a preterm birth has not been wellstudied. To develop professional caring and supporting relationships, it is important to address this knowledge gap.The aim of this study was to describe the breastfeeding experience of mothers of preterm infants from birth upuntil 12 months after birth.Methods: The data in this qualitative study are derived from a multicentre randomized controlled trial where 270mothers of preterm infants provided 496 written comments through questionnaires containing open-endedquestions. The questionnaires were sent to the mother three times during the first 12 months after birth. Athematic network analysis based on hermeneutical philosophy was used to analyse and interpret the resulting datato describe the mothers’ experiences of breastfeeding.Results: Three organizing themes, namely, “navigating smoothly,” “navigating with a struggle” and “navigating inambiguity” were revealed in the mothers’ narratives regarding their breastfeeding experiences during the first 12months after birth. These organizing themes were further interpreted as one global theme that was deemed “Ajourney to finding one’s unique way in breastfeeding.”Conclusion: Mothers of preterm infants are in an exposed and vulnerable situation when initiating breastfeedingduring the first year. This situation leads to a unique journey wherein each mother navigates through breastfeedingdepending on her individual situation. An awareness of the diversity of breastfeeding experiences may contributeto the provision of professional caring and supportive relationships.

Keywords
Breastfeeding, Experiences, First year, Mothers, Preterm infant, Qualitative
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-21589 (URN)10.1186/s13006-019-0229-6 (DOI)000478670200001 ()
Available from: 2019-08-12 Created: 2019-08-12 Last updated: 2020-01-29Bibliographically approved
Palmér, L. & Jutengren, G. (2019). Development and psycometric testing of an instrument to assess existential aspects of mother's initial breastfeeding difficulties (ExBreastS). Sexual and reproductive healthcare, 19, 88-94
Open this publication in new window or tab >>Development and psycometric testing of an instrument to assess existential aspects of mother's initial breastfeeding difficulties (ExBreastS)
2019 (English)In: Sexual and reproductive healthcare, Vol. 19, p. 88-94Article in journal (Refereed) Published
Abstract [en]

Objective: Mothers who have negative breastfeeding experiences due to initial breastfeeding difficulties are indemanding existential situations. Therefore, it is important for healthcare professionals to identify and addresssuch breastfeeding problems. The aim of this study was to develop an instrument designed to assess existentialaspects of mothers’ initial breastfeeding difficulties and evaluate its psychometric properties.

Methods: This study reports on the development of a new instrument and was carried out in three steps: (1) aquestionnaire about various existential aspects of initial breastfeeding difficulties, based on 66 items derivedfrom two phenomenological studies, was developed; (2) information was collected using the questionnaire; (3)and the resulting data were statistically analysed. Spearman’s correlation coefficient was used to assess comparativevalidity; exploratory factor analysis with principal axis factoring and varimax rotation were used toassess construct validity; and Cronbach’s alfa was used to assess internal consistency and reliability. Threehundred and nine Swedish-speaking mothers aged 20–46 participated in the study.

Results: Correlation and factor analysis of the 66 items revealed that 16 of the items were of psychometric valueand valid. Factor analysis generated three factors that accounted for 62.9% of the total variance: Mother-Child Interdependency, Exposure and Vulnerability and Security and Trust. The instrument shows adequate sensitivity toidentify existential aspects of mothers’ initial breastfeeding difficulties.

Conclusion: The instrument satisfactorily assesses existential aspects of initial breastfeeding difficulties and canbe used as a sensitive tool by healthcare professionals to screen for and identify mothers who have negativebreastfeeding experiences.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Breastfeeding, existential, instrument, psycometric
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-15748 (URN)10.1016/j.srhc.2019.01.005 (DOI)000465365500015 ()2-s2.0-85060938451 (Scopus ID)
Available from: 2019-02-12 Created: 2019-02-12 Last updated: 2020-01-31Bibliographically approved
Lindberg, E., Karlsson, K. & Palmér, L. (2019). Exploring existential phenomena as dimensions for sustainable caring – Examples from four lifeworld research projects. In: : . Paper presented at NCCS Vasa FInland Nordic College of Caring Science, European Academy of Caring Science, Vaasa, 1-3 October, 2019.
Open this publication in new window or tab >>Exploring existential phenomena as dimensions for sustainable caring – Examples from four lifeworld research projects
2019 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Health Sciences Nursing
Identifiers
urn:nbn:se:hb:diva-21888 (URN)
Conference
NCCS Vasa FInland Nordic College of Caring Science, European Academy of Caring Science, Vaasa, 1-3 October, 2019
Available from: 2019-10-23 Created: 2019-10-23 Last updated: 2019-10-29Bibliographically approved
Sterner, A. (2019). Factors developing nursing students and novice nurses’ ability to provide care in acute situations. Nurse Education in Practice, 35, 135-140
Open this publication in new window or tab >>Factors developing nursing students and novice nurses’ ability to provide care in acute situations
2019 (English)In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 35, p. 135-140Article in journal (Refereed) Published
Abstract [en]

Nurses play an important role in detecting, interpreting and deciding appropriate actions to take in order to care for patients in acute situations. Nevertheless, novice nurses are reported as feeling unprepared to provide appropriate care in acute situations. In order to address this issue, it is important to describe factors in nursing education and first year of practice that enable nurses to provide appropriate care in acute situations. 17 novice nurses were interviewed in this qualitative study. A phenomenographic analysis was applied and four categories were discovered: Integrating theory into practice, access to adequate support, experience-based knowledge and personality traits. Results suggest that a variety of factors contribute to novice nurses’ ability to provide appropriate care in acute situations. Experience of acute situations and the integration of theory and practice are pivotal in acquiring skills to provide appropriate care. To accomplish this, reflection, practice and/or applied training with a patient perspective is recommended.

Place, publisher, year, edition, pages
Elsevier: , 2019
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-15891 (URN)10.1016/j.nepr.2019.02.005 (DOI)30818117 (PubMedID)2-s2.0-85062686089 (Scopus ID)
Available from: 2019-03-21 Created: 2019-03-21 Last updated: 2020-01-31Bibliographically approved
Dalheim Englund, A.-C., Carlsson, G., Nyström, M., Gillsjö, C., Eriksson, I. & Palmér, L. (2019). Life without professional work-perceptionsabout one’s self, interpersonal relations andsocial life after retirement. Healthy Aging Research, 8(1), 1-18
Open this publication in new window or tab >>Life without professional work-perceptionsabout one’s self, interpersonal relations andsocial life after retirement
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2019 (English)In: Healthy Aging Research, Vol. 8, no 1, p. 1-18Article in journal (Refereed) Epub ahead of print
Abstract [en]

The aim of this study is to understand how healthy, older adults in Sweden perceive their life situation after retirement. The study is based on a lifeworld approach, and a phenomenographic method was used. Eighteen participants were interviewed, and data were analysed according to the phenomenographic principle of qualitatively different categories. Two categories were developed. The first category, “perceptions that draw attention inward, towards one’s self”, was further described in three subcategories: Sense of decreased status in society, the desire to keep aging at a distance, and contemplation of one’s own existence. The second category, “perceptions that draw attention outward, away from one’s self” was further described in the following four subcategories: caretaking of family members, involvement in social relationships, finding of deep meaning in animals and nature and engagement with society. In the discussion, the findings are further illuminated through comparisons with concepts such as maturity, wisdom and gerotranscendence, and reflections on the findings ‘relevance to a caring context follow. The conclusion suggests this study can provide knowledge that will allow healthcare providers to bridge the gap between generations in order to provide high-quality care. However, for a more profound caring dialogue, for example, about the end of life, a deeper analysis is required.

National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-15888 (URN)10.12715/har.2019.8.2 (DOI)000467323300001 ()
Available from: 2019-03-21 Created: 2019-03-21 Last updated: 2020-01-31Bibliographically approved
Lundvall, M., Lindberg, E., Hörberg, U., Carlsson, G. & Palmér, L. (2019). Lost in an unknown terrain: a phenomenological contribution to the understanding of existential concerns as experienced by young women in Sweden. International Journal of Qualitative Studies on Health and Well-being, 14(1)
Open this publication in new window or tab >>Lost in an unknown terrain: a phenomenological contribution to the understanding of existential concerns as experienced by young women in Sweden
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2019 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 14, no 1Article in journal (Refereed) Published
Abstract [en]

Purpose: The aim of this study is to describe young women's (16-25 years old) experiences of living with existential concerns for which they have sought support from healthcare professionals, teachers, family, or friends, among others.

Methods: This phenomenological study is based on a reflective lifeworld research (RLR) approach. Nine young women were interviewed about their experience of living with existential concerns.

Results: The results show the essential meaning of the phenomenon of "existential concerns" that can be described as living a life that is marked in a profound way by a feeling of being lost in an unknown terrain. To further understand the essential meaning, four constituents are described: the unpredictable body, longing for comprehension, playing a game, and longing to share one's vulnerability.

Conclusions: Young women with existential concerns are vulnerable, as they are profoundly influenced by these concerns. They have to navigate through daily life while trying to fit in and to make their situation comprehensible. These young women have a longing to share their existential concerns with a trustworthy person, while at the same time they fear revealing their existential concerns and risking being rejected by others. A lifeworld-led, caring science approach, intertwined with the results of the present study, has the potential to direct caring practice.

Keywords
Caring science, existential concerns, mental health, phenomenology, reflective lifeworld research, young women
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-21736 (URN)10.1080/17482631.2019.1658843 (DOI)000482928300001 ()31451104 (PubMedID)2-s2.0-85071260290 (Scopus ID)
Available from: 2019-09-16 Created: 2019-09-16 Last updated: 2020-02-14Bibliographically approved
Palmér, L. (2019). Previous breastfeeding difficulties: an existential breastfeeding trauma with two intertwined pathways for future breastfeeding - fear and longing. International Journal of Qualitative Studies on Health and Well-being, 14(1), 1-13
Open this publication in new window or tab >>Previous breastfeeding difficulties: an existential breastfeeding trauma with two intertwined pathways for future breastfeeding - fear and longing
2019 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 14, no 1, p. 1-13Article in journal (Refereed) Published
Abstract [en]

PURPOSE:

Experiencing breastfeeding difficulties poses a risk for early cessation of breastfeeding and decreases the likelihood of breastfeeding a future child. To further understand breastfeeding outcomes, the aim of this study is to explain the phenomenon of breastfeeding difficulties in order to understand how women's previous experiences of breastfeeding difficulties relate to their decisions about future breastfeeding.

METHODS:

A reflective lifeworld hermeneutical approach was adopted. The study consisted of 15 lifeworld interviews with eight women who had previously experienced difficulties with initial breastfeeding.

RESULTS:

Previously experienced breastfeeding difficulties represent an existential breastfeeding trauma in an individual woman's life, from which there are two intertwined pathways for future breastfeeding: a fear of breastfeeding, which renders the idea of future breastfeeding unthinkable, and a longing for breastfeeding, which increases the likelihood of future breastfeeding. Fear and longing are intertwined in ambiguous ways in an individual woman's life.

CONCLUSION:

Women with previous breastfeeding difficulties may bring negative breastfeeding experiences with them, which are etched into the woman's being as a mother as an embodied memory. A lifeworld-led caring science perspective as a foundation for care can contribute to the development of caring practices, which grasp the existential nature of the breastfeeding trauma.

Keywords
Breastfeeding difficulties, breastfeeding story, breastfeeding trauma, existential, experiences, fear of breastfeeding, hermeneutics, lifeworld
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-15887 (URN)10.1080/17482631.2019.1588034 (DOI)000461803000001 ()30893016 (PubMedID)2-s2.0-85063217394 (Scopus ID)
Available from: 2019-03-21 Created: 2019-03-21 Last updated: 2019-04-12Bibliographically approved
Sundler, A. J., Lindberg, E., Nilsson, C. & Palmér, L. (2019). Qualitative thematic analysis based on descriptive phenomenology.. Nursing open, 6(3), 733-739
Open this publication in new window or tab >>Qualitative thematic analysis based on descriptive phenomenology.
2019 (English)In: Nursing open, ISSN 2054-1058, Vol. 6, no 3, p. 733-739Article in journal (Refereed) Published
Abstract [en]

Aim: The aim of this paper was to discuss how to understand and undertake thematic analysis based on descriptive phenomenology. Methodological principles to guide the process of analysis are offered grounded on phenomenological philosophy. This is further discussed in relation to how scientific rigour and validity can be achieved.

Design: This is a discursive article on thematic analysis based on descriptive phenomenology.

Results: This paper takes thematic analysis based on a descriptive phenomenological tradition forward and provides a useful description on how to undertake the analysis. Ontological and epistemological foundations of descriptive phenomenology are outlined. Methodological principles are explained to guide the process of analysis, as well as help to understand validity and rigour. Researchers and students in nursing and midwifery conducting qualitative research need comprehensible and valid methods to analyse the meaning of lived experiences and organize data in meaningful ways.

Keywords
healthcare research, lifeworld, lived experiences, meanings, midwifery, nursing, phenomenology, qualitative, thematic analysis
National Category
Nursing
Identifiers
urn:nbn:se:hb:diva-21890 (URN)10.1002/nop2.275 (DOI)000476917700008 ()31367394 (PubMedID)2-s2.0-85069758075 (Scopus ID)
Available from: 2019-10-23 Created: 2019-10-23 Last updated: 2019-10-29Bibliographically approved
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