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  • 1.
    Asp, Margareta
    et al.
    Mälardalens Högskola.
    Wiklund Gustin, Lena
    Mälardalens Högskola.
    Almerud Österberg, Sofia
    Linnéuniversitet.
    Hörberg, Ulrica
    Linnéuniversitet.
    Lindberg, Elisabeth
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Palmér, Lina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Samvetsstress och dåliga villkor bakom sjuksköterskeflykten2017In: Dagens NyheterArticle in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Ge sjuksköterskor utrymme att göra kvalificerade bedömningar av patientens omvårdnadsbehov och låt dem också få gehör för de omvårdnadsinterventioner de föreslår. Det skulle inte bara bidra till att minska samvetsstress och arbetsrelaterad ohälsa hos sjuksköterskor utan också bidra till att de stannar i yrket, skriver sex forskare i vårdvetenskap.

  • 2.
    Dalheim Englund, Ann-Charlotte
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Carlsson, Gunilla
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Nyström, Maria
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Gillsjö, Catharina
    University of Skövde.
    Eriksson, Irene
    University of Skövde.
    Palmér, Lina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Life without professional work-perceptionsabout one’s self, interpersonal relations andsocial life after retirement2019In: Healthy Aging Research, Vol. 8, no 1, p. 1-18Article in journal (Refereed)
    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.

  • 3.
    Ericson, Jenny
    et al.
    Högskolan i Dalarna.
    Palmér, Lina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Being thrown into a lottery: Mothers of preterm infants' experiences of breastfeeding support2018Conference paper (Refereed)
  • 4.
    Ida, Gustafsson
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Palmér, Lina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Önskan att lyckas och risken att misslyckas : Barnmorskors upplevelser av att vårda kvinnor med amningssvårigheter.2017In: Konferensprogram: Reproduktiv hälsa 15-16 Maj 2018 / [ed] Mia Ahlberg, 2017Conference paper (Other academic)
  • 5.
    Lindberg, Elisabeth
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Karlsson, Katarina
    Palmér, Lina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Exploring existential phenomena as dimensions for sustainable caring – Examples from four lifeworld research projects2019Conference paper (Refereed)
  • 6.
    Lundvall, Maria
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Lindberg, Elisabeth
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Hörberg, Ulrica
    Linnéuniversitetet.
    Carlsson, Gunilla
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Palmér, Lina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Lost in an unknown terrain: a phenomenological contribution to the understanding of existential concerns as experienced by young women in Sweden2019In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631Article in journal (Refereed)
    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.

  • 7.
    Lundvall, Maria
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Lindberg, Elisabeth
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Hörberg, Ulrica
    Linneaus University .
    Carlsson, Gunilla
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Palmér, Lina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Lost in an unknown terrain: a phenomenological contribution to the understanding of existential concerns as experienced by young women in Sweden2019In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 14, no 1Article in journal (Refereed)
    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.

  • 8.
    Lundvall, Maria
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Lindberg, Elisabeth
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Hörberg, Ulrica
    Linnéuniversitetet.
    Palmér, Lina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Carlsson, Gunilla
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Healthcare professionals’ lived experiences of conversationswith young adults expressing existential concerns2018In: Scandinavian Journal of Caring Sciences, p. 1-7Article in journal (Refereed)
    Abstract [en]

    Introduction:

    This paper describes first-line department healthcare professionals’ experiences of conversations with young adults (16–25 years) who express existential concerns. Existential concerns encompass questions about the meaning of life and the choices people must make, and they are sometimes expressed during the period in which a child is becoming an adult. Sometimes the transition to adulthood can be difficult, and many young adults seek support from people in first-line departments, such as primary care providers, youth guidance centre personnel and student health service employees in high schools and universities. Conversations in which existential concerns are recognised may be important for preventing mental illness in the future.

    Aim:

    The study aimed to describe healthcare professionals’ lived experiences of conversations with young adults who express existential concerns.

    Approach and methods:

    This qualitative study utilises thematic meaning analysis. Interviews were conducted with healthcare professionals working in first-line departments, and data were analysed based on the principles of reflective lifeworld research. The study followed ethical codes of conduct and conformed to the ethical guidelines adopted by the Swedish Research Council.

    Findings:

    The results are presented in three themes of meaning: searching for innermost thoughts requires being present, uncertainty about the unpredictable and awakening of one’s own existential concerns.

    Conclusions and implications:

    Healthcare professionals are affected when young adults express their existential concerns, and they need more support to strengthen their ability to stay present and create inviting atmospheres

  • 9.
    Nyström, Maria
    et al.
    University of Borås, School of Health Science.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Karlsson, Katarina
    University of Borås, School of Health Science.
    Palmér, Lina
    University of Borås, School of Health Science.
    Creativity in Reflective Lifeworld Research: Empirical examples2013Conference paper (Refereed)
  • 10.
    Palmer, Lina
    et al.
    University of Borås, School of Health Science.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Brunt, David
    University of Borås, School of Health Science.
    Nyström, Maria
    University of Borås, School of Health Science.
    Existential vulnerability can be evoked by severe difficulties with initial breastfeeding: A lifeworld hermenutical single case study for research on complex breastfeeding phenomena2014In: Breastfeeding Review, ISSN 0729-2759, Vol. 22, no 3, p. 21-32Article in journal (Refereed)
  • 11.
    Palmér, Lina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Amning, feminism och sexualitet: en existentiell betraktelse2017Conference paper (Other academic)
  • 12.
    Palmér, Lina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Amning måste ses som en kvinnlig rättighet2016In: Dagens MedicinArticle in journal (Other (popular science, discussion, etc.))
  • 13.
    Palmér, Lina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Amning och existens: Moderskap, sårbarhet och ömsesidigt beroende vid inledande amning.2016Conference paper (Refereed)
  • 14.
    Palmér, Lina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV).
    Amning och existens: Moderskap, sårbarhet och ömsesidigt beroende vid inledande amning2015Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Aim: The overall aim of the thesis is to create knowledge about what it means for women to initiate breastfeeding and what consequences these meanings have from an existential perspective.

    Approach and method: A lifeworld approach based on the epistemology of phenomenology and hermeneutics was used. Lifeworld interviews and meaningoriented analysis in accordance with the chosen lifeworld approach were performed. A synthesis and a philosophical analysis were carried out that facilitates an understanding of the existential meaning of initial breastfeeding and its consequences as a whole.

    Main findings: Initiating breastfeeding, when it functions well, entails an existential challenge, a movement from a bodily performance to an embodied relationship with the infant and with oneself as a mother. When breastfeeding is experienced as being severely difficult, it entails an existential lostness as a mother, forcing her into a constant fight with herself, the infant, and others in order to find her way into motherhood. Severe breastfeeding difficulties can evoke existential vulnerability, forcing the mother to continue breastfeeding despite the difficulties, while hoping to be confirmed as a good mother; a fear of breastfeeding may be a consequence. Existential security is a necessary condition for continued breastfeeding whilst insecurity and fear of breastfeeding can lead to ceased attempts to breastfeed when experiencing severe initial difficulties. Initial breastfeeding and motherhood are intertwined in a way that affects the woman’s existence as a mother.

    Conclusions: Initial breastfeeding is a complex phenomenon that is more than just a biological adaptation or a cultural issue; it touches on and evokes existential aspects of being a woman and a mother. Though anchored in both biology and culture, breastfeeding cannot be reduced to one or the other: it is both. There is a struggle between biology and culture that has existential consequences for women’s experiences of breastfeeding, the breastfeeding decision, and the women’s existence as a mother. There is a need for health professionals to look beyond the statistics of breastfeeding and consider the existential dimensions of breastfeeding-as-lived when encountering mothers wanting to breastfeed.

  • 15.
    Palmér, Lina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Amningsrädsla eller amningslängtan – Betydelser av kvinnors tidigare amningssvårigheter2018Conference paper (Refereed)
    Abstract [sv]

    Bakgrund: Amningssvårigheter innebär en risk för tidigt amningsavslut och minskad tillit till den egna förmågan att amma. Kvinnor som ammar sitt första barn kort tid riskerar också amma nästa barn kort tid eller inte alls, likaså tyder befintlig forskning på att amningssvårigheter kan vara en riskfaktor för att inte amma ett framtida barn. För att ytterligare förstå hur tidigare amningssvårigheter påverkar kvinnors framtida amning behövs forskning ur kvinnors perspektiv.

    Syftet: Syftet är att förklara och förstå hur tidigare amningssvårigheter påverkar framtida amning så som det erfas av kvinnor.

    Metod: Studien utgår från en reflekterande livsvärldsansats med hermeneutisk analysmetod. Datainsamlingen genomfördes i form av en eller flera individuella livsvärldsintervjuer med åtta kvinnor som upplevt stora amningssvårigheter. Totalt 15 intervjuer ingår.

    Resultat: Huvudtolkningen visar att tidigare upplevda amningssvårigheter innebär ett existentiellt trauma för den enskilda kvinnan. I traumat utkristalliseras två möjliga vägar för framtiden; antingen utvecklas en amningsrädsla som innebär att framtida amning är otänkbart eller så uppstår en amningslängtan som innebär en möjlighet för amning i framtiden. Huvudtolkningen baseras på följande deltolkningar: Skrämmande tillvaro som måste undvikas, Kroppen som härbärge gör det svårt att glömma, Lockad av närhet och nytta men skrämd av distans, Erfarenhet ger beredskap att ta kommandot, Att våga igen kräver bearbetning samt Omformulering gör det möjligt att gå vidare

    .

    Konklusion: Kvinnor som upplevt tidigare amningssvårigheter bär med sig en negativ amningsupplevelse i form av ett förkroppsligat minne som etsats sig fast vilket får betydelse för tankar om och möjligheter till amning i framtiden. Det betyder att amningen både berör kvinnor efter avslutad amning och inför en framtida amning

    .

    Kliniska implikationer: Vård av kvinnor med tidigare amningssvårigheter bör riktas mot ett vårdande där amningsupplevelser bildar utgångspunkten och som möjliggör reflektion kring dessa.

  • 16.
    Palmér, Lina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Breastfeeding and Existence : Motherhood, Vulnerability, and Interdependency When Breastfeeding is Initiated2015In: Breastfeeding and Existence , 2015Conference paper (Refereed)
    Abstract [en]

    Background: Almost all mothers in Sweden initiate breastfeeding but many cease during the first weeks after birth. In order to understand why it is important to research the meanings of the initial stage of breastfeeding and in which ways these meanings contribute to mothers’ breastfeeding decisions.

     

    Aim: The overall aim of the thesis is to create knowledge about what it means for women to initiate breastfeeding and what consequences these meanings have from an existential perspective.

     

    Approach and method: A lifeworld approach was used. Lifeworld interviews and meaning oriented analysis were performed.

     

    Main findings: Initiating breastfeeding, when it functions well, entails an existential challenge. When breastfeeding is experienced as being severely difficult, it entails an existential lostness as a mother, forcing her into a constant fight in order to find her way into motherhood. Severe breastfeeding difficulties can evoke existential vulnerability, forcing the mother to continue breastfeeding, while hoping to be confirmed as a good mother; a fear of breastfeeding may be a consequence. Existential security is necessary for continued breastfeeding whilst insecurity and fear of breastfeeding can lead to ceased breastfeeding when experiencing severe initial difficulties. Initial breastfeeding and motherhood are intertwined in a way that affects the woman’s existence as a mother.

     

    Conclusions: Initial breastfeeding is a complex phenomenon that is more than just a biological adaptation or a cultural issue; it touches on and evokes existential aspects of being a woman and a mother which have consequences for women’s experiences of breastfeeding and breastfeeding decision.

     

  • 17.
    Palmér, Lina
    University of Borås, School of Health Science.
    Initiating breastfeeding is an existential challenge2011Conference paper (Refereed)
    Abstract [en]

    For most women in Sweden, breastfeeding is an essential part during the childbearing period. Nearly all women initiate breastfeeding but, due to different reasons, almost one fourth of the women stop or wean breastfeeding the first weeks or months after birth. That is often earlier than they had expected. Therefore few women follow the recommendations on breastfeeding. Until now, in-depth knowledge that aims to understand the meaning of initiating breastfeeding from women’s perspective is scantily explored. In order to develop care that enables mothers to breastfeed as recommended, or as long as they want to, it is thus necessary to complement previous research and explore breastfeeding from the percpective of the women.

  • 18.
    Palmér, Lina
    University of Borås, School of Health Science.
    Initiating breastfeeding under severe difficulties: Existential lostness as a mother2013Conference paper (Refereed)
  • 19.
    Palmér, Lina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Previous breastfeeding difficulties: an existential breastfeeding trauma with two intertwined pathways for future breastfeeding - fear and longing2019In: 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)
    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.

  • 20.
    Palmér, Lina
    University of Borås, School of Health Science.
    Stöd vid amning2010In: Att stödja och stärka. Vårdande vid barnafödande / [ed] Marie Berg, Ingela Lundgren, Studentlitteratur , 2010, p. 205-221Chapter in book (Other academic)
  • 21.
    Palmér, Lina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Underminerar kvinnor som vill amma2016In: BTArticle in journal (Other (popular science, discussion, etc.))
  • 22.
    Palmér, Lina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Why do Swedish women cease breastfeeding during the early weeks after birth? A matter of insecurity and fear of breastfeeding2016Conference paper (Refereed)
    Abstract [en]

    Background: The majority of new mothers in Sweden initiate breastfeeding but many experience initial difficulties. This experience is an important cause of early breastfeeding cessation. To increase understanding, there is a need to explore the lived experiences of the breastfeeding decision.

    Aim: The aim is to explain and understand how the breastfeeding decision is influenced by the meaning of severe initial difficulties.

    Methods: A lifeworld hermeneutical approach was used. The study was conducted by lifeworld interviews with mothers who experienced severe difficulties with initial breastfeeding.

    Results: Mothers who experience severe difficulties with initial breastfeeding feel both overtaken and violate; by their infants and their bodies but also by their anger, expectations, loneliness and care from health professionals. These feelings of being overtaken and invaded provoke an existential crisis and place mothers at a turning point in which these feelings are compared and put in relation to one another in the negotiation of the breastfeeding decision. This decision depends on the possibility of feeling secure with the breastfeeding relationship. Mothers’ responsibility for the mother-infant relationship guides the decision. If insecurity dominates, this can, in severe cases, create a feeling of fear of breastfeeding making it necessary to cease breastfeeding.

    Conclusions: This study highlights how women are situated in a complex cultural and biological context of breastfeeding that has existential consequences. Unresolved feelings of insecurity and fear of breastfeeding is a serious barrier to further breastfeeding. Health care professionals need to be aware of this existential situation and its effects on the breastfeeding decision when caring for mothers having initial breastfeeding difficulties.

  • 23.
    Palmér, Lina
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Carlsson, Gunilla
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Brunt, David
    Linneuniversitetet.
    Nyström, Maria
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Existential security is a necessary condition forcontinued breastfeeding despite severe initialdifficulties: a lifeworld hermeneutical study2015In: International Breastfeeding Journal, ISSN 1746-4358, E-ISSN 1746-4358, Vol. 10, no 17, p. 1-11Article in journal (Refereed)
    Abstract [en]

    Background:The majority of new mothers in Sweden initiate breastfeeding and many experience initial difficulties. This experience is an important cause of early breastfeeding cessation. To increase understanding, there is a need to explore the lived experiences of the decision to continue or cease breastfeeding. The aim of this study is therefore to explain and understand how this decision is influenced by the meaning of severe initial difficulties.

    Methods: A lifeworld hermeneutical approach was used for the study. The study was conducted in Sweden with eight mothers who experienced severe difficulties with initial breastfeeding. All except one were interviewed on two different occasions resulting in fifteen interviews. The interviews were conducted between 2010 and 2013.

    Results: Mothers who experience severe difficulties with initial breastfeeding feel both overtaken and violated not only by their own infants and their own bodies but also by their anger, expectations, loneliness and care from health professionals. These feelings of being overtaken and invaded provoke an existential crisis and place mothers at a turning point in which these feelings are compared and put in relation to one another in the negotiation of the decision to continue or cease breastfeeding. This decision thus depends on the possibility of feeling secure with the breastfeeding relationship. If insecurity dominates, this can, in severe cases, create a feeling of fear of breastfeeding that is so great that there is no alternative but to stop breastfeeding.

    Conclusions: Existential security in the breastfeeding relationship seems to be an underlying factor for confidence and therefore a necessary condition for continued breastfeeding when having severe initial breastfeeding difficulties. Unresolved feelings of insecurity may be a serious barrier to further breastfeeding that can result in a fear of breastfeeding. Such fear can force the mother to cease breastfeeding. This study highlights how women are situated in a complex cultural and biological context of breastfeeding that has existential consequences for them. An existential crisis forces mothers into a turning point for the breastfeeding decision. In the existential crisis, mothers’ responsibility for the mother-infant relationship guides continuing or ceasing breastfeeding.

  • 24.
    Palmér, Lina
    et al.
    University of Borås, School of Health Science.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Mollberg, Margareta
    University of Borås, School of Health Science.
    Nyström, Maria
    University of Borås, School of Health Science.
    Breastfeeding: An existential challenge—women's lived experiences of initiating breastfeeding within the context of early home discharge in Sweden2010In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 5, no 3Article in journal (Refereed)
    Abstract [en]

    For most Swedish women, breastfeeding is an essential part of the childbearing period. Yet, the meaning of breastfeeding from women's perspective is scantily explored. Therefore, the aim of this study is to describe women's lived experiences of initiating breastfeeding within the context of early home discharge. Eight women, two primiparous, and six multiparous were interviewed within 2 months after birth. A reflective lifeworld research design based on phenomenological philosophy was used during the data gathering and data analysis. The results show that the phenomenon, initiating breastfeeding, in spite of good conditions, i.e., early home discharge, is complex and entails an existential challenge. The essential meaning of the phenomenon is conceptualized as, “A movement from a bodily performance to an embodied relation with the infant and oneself as a mother.” This pattern is further described in its five constituents: “Fascination in the first encounter,” “Balancing the unknown,” “Devoting oneself and enduring the situation,” “Seeking confirmation in the unique,” and “Having the entire responsibility.” Caring for women initiating breastfeeding entails, from a caring science perspective, to help the mother meet insecurity and strengthen confidence to trust her ability to breastfeed the newborn infant. According to these findings, it is suggested in the discussion that it is time for health care professionals to reject the idea of breastfeeding merely as meals or eating for the infant. Instead, they ought to embrace its origin, namely as a way to closeness between mother and infant.

  • 25.
    Palmér, Lina
    et al.
    University of Borås, School of Health Science.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Mollberg, Margareta
    University of Borås, School of Health Science.
    Nyström, Maria
    University of Borås, School of Health Science.
    Breastfeeding as intertwining between mother and infant2011Conference paper (Refereed)
    Abstract [en]

    For most women, breastfeeding is an essential part of the childbearing period. Yet, the meaning of breastfeeding from women’s perspective is scantily explored. Therefore, the aim of this study is to describe women’s lived experiences of initiating breastfeeding.

  • 26.
    Palmér, Lina
    et al.
    University of Borås, School of Health Science.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Mollberg, Margareta
    University of Borås, School of Health Science.
    Nyström, Maria
    University of Borås, School of Health Science.
    Initiating breastfeeding: An existential challenge2011Conference paper (Refereed)
    Abstract [en]

    For most women, breastfeeding is an essential part of the childbearing period. Yet, the meaning of breastfeeding from women’s perspective is scantily explored. Therefore, the aim of this study is to describe women’s lived experiences of initiating breastfeeding within the context of early home-discharge in Sweden.

  • 27.
    Palmér, Lina
    et al.
    University of Borås, School of Health Science.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Mollberg, Margareta
    University of Borås, School of Health Science.
    Nyström, Maria
    University of Borås, School of Health Science.
    Severe breastfeeding difficulties: an existential lostness as a mother2012In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 7, p. 1-10Article in journal (Refereed)
    Abstract [en]

    A majority of women in Sweden initiate breastfeeding but almost a quarter stop or wean the infant in the first few weeks after birth because of difficulties. In order to develop care that facilitates initiation of breastfeeding and enables mothers to realize their expectations concerning breastfeeding, it is necessary to understand what having severe breastfeeding difficulties means for women who experience them. The aim of this study is to describe the lived experiences of initiating breastfeeding under severe difficulties. A reflective lifeworld research design was used. Eight women, seven primiparous and one multipara, were interviewed within 2 months of giving birth. The essential meaning of the phenomenon is described as "Existential lostness as a mother forcing oneself into a constant fight". This pattern is further explicated through its constituents; shattered expectations, a lost time for closeness, being of no use to the infant, being forced to expose oneself, and gaining strength through sharing. The results show that mothers with severe breastfeeding difficulties feel alone and exposed because of their suffering and are lost in motherhood. Thus, adequate care for mothers should enhance the forming of a caring relationship through sharing rather than exposing.

  • 28.
    Palmér, Lina
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Ericson, Jenny
    Högskolan i Dalarna.
    Experiences ofbreastfeeding support in mothers of preterm infants2018Conference paper (Refereed)
  • 29.
    Palmér, Lina
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Eriksson, Jenny
    Dalarna University.
    A qualitative study on the breastfeeding experience of mothers of preterm infants in the first 12 months after birth2019In: International Breastfeeding Journal, ISSN 1746-4358, Vol. 14, no 35, p. 1-8Article in journal (Refereed)
    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.

  • 30.
    Palmér, Lina
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Ida, Gustafsson
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Nyström, Maria
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Midwives' lived experience of caring for new mothers with initial breastfeeding difficulties: A phenomenological study2017In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 12, p. 9-15Article in journal (Refereed)
    Abstract [en]

    Objective: The aim of this study is to obtain a deeper understanding of midwives’ lived experiences of caring for new mothers with initial breastfeeding difficulties.

    Methods: A reflective lifeworld approach was used. Six midwives were recruited from a hospital in western Sweden. Data were collected via individual lifeworld interviews and analysed using phenomenological methods.

    Results: The essential meaning can be described as a midwife’s wish to help new mothers reach their breastfeeding goals by trying to interact with them as individual women in unique breastfeeding situations. This wish constitutes a contradiction to the midwife’s own desire to succeed in enabling mothers to breastfeed and the perceived risk of failure as a midwife if the mothers decide not to breastfeed. This is further described by five constituents: striving to provide individualised care, collegial and personal responsibility both enables and prevents care, a struggle to be sufficient, an uphill struggle and mutual joy becomes the motivation to care.

    Conclusions: Caring for new mothers with initial breastfeeding difficulties is a balancing act between the midwife’s personal desire to succeed in enabling mothers to breastfeed, the mothers’ wishes, the infants’ needs, the importance of collective collegial competence and the limitations in the health care organisation. This makes the midwife’s efforts to provide individualised care frustrating and demanding as well as motivating.

  • 31.
    Palmér, Lina
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Jenny, Ericson
    Högskolan Dalarna.
    Mothers of preterm infants' experiences of breastfeeding support in the first 12 months after birth: A qualitative study2018In: Birth, ISSN 0730-7659, E-ISSN 1523-536X, p. 1-8Article in journal (Refereed)
    Abstract [en]

    AbstractBackground:  Breastfeeding  support  is  important  for  breastfeeding  mothers;  how-ever, it is less clear how mothers of preterm infants (< 37 gestational weeks) experi-ence breastfeeding support during the first year. Thus, the aim of this study was to describe how mothers of preterm infants in Sweden experience breastfeeding support during the first 12 months after birth.Methods:  This  qualitative  study  used  data  from  151  mothers  from  questionnaires  with open- ended questions and telephone interviews. The data were analyzed using an inductive thematic network analysis with a hermeneutical approach.Results: The results exposed two organizing themes and one global theme. In the organizing  theme  “genuine  support  strengthens,”  the  mothers  described  how  they  were  strengthened  by  being  listened  to  and  met  with  respect,  understanding,  and  knowledge.  The  support  was  individually  adapted  and  included  both  practical  and  emotional  support.  In  the  organizing  theme  “inadequate  support  diminishes,”  the  mothers described how health professionals who were controlling and intrusive di-minished them and how the support they needed was not provided or was inappropri-ate.  Thus,  the  global  theme  “being  thrown  into  a  lottery—dependent  on  the  health  professional  who  provided  breastfeeding  support”  emerged,  meaning  that  the  sup-port received was random in terms of knowledge and support style, depending on the individual health professionals who were available.Conclusion: Breastfeeding support to mothers of preterm infants was highly varia-ble, either constructive or destructive depending on who provided support. This find-ing clearly shows major challenges for health care, which should make breastfeeding support more person- centered, equal, and supportive in accordance with individual needs.

  • 32.
    Palmér, Lina
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Jutengren, Göran
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Development and psycometric testing of an instrument to assess existential aspects of mother's initial breastfeeding difficulties (ExBreastS)2019In: Sexual and reproductive healthcare, Vol. 19, p. 88-94Article in journal (Refereed)
    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.

  • 33.
    Palmér, Lina
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Lindberg, Elisabeth
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Karlsson, Katarina
    The lifeworld story as an opportunity to understand existential dimensions of importance for caring practice — from the perspective of children, new mothers and older people2019Conference paper (Refereed)
    Abstract [en]

    With a common ground in the epistemology of lifeworld phenomenological and hermeneutical approaches, we explored the possibility of understanding existential phenomena in different stages of human life, such as children’s illness and experience of medical procedures, childbirth and breastfeeding and old age. Through various forms of lifeworld theory-based data collection methods, examples of how lifeworld stories can emerge are presented. There is humbleness and an understanding that there may be more to be understood than what may be directly apparent in the story of a patient. This gives rise to the fact that analyses may sometimes need to be further developed with the aid of philosophical examination and interpretation, which open up opportunities to understand what is unspoken and hidden in stories. Such examination and interpretation also make it possible to deepen what is said. The philosophy of existence can help researchers get hold of what does not appear immediately and what is hinted at but not stated directly, and uncover hidden meanings in stories. Such in-depth understanding may have significance for developing caring practice by potentially bridging the dualistic view of human beings as body and soul. Through a lifeworld theory-based research approach, caring that takes into account existential dimensions in people's lives in relation to caring can be developed and stimulated.

  • 34.
    Palmér, Lina
    et al.
    University of Borås, School of Health Science.
    Lundgren, Ingela
    University of Borås, School of Health Science.
    Kvinnors upplevelse av amning första veckan efter förlossningen2007Conference paper (Other academic)
  • 35.
    Palmér, Lina
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Nyström, Maria
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Carlsson, Gunilla
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Gillsjö, Catharina
    University of Skövde.
    Eriksson, Irene
    University of Skövde.
    Dalheim Englund, Ann-Charlotte
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    The meaning of growing old: A lifeworld hermeneutic study on existential matters during the third age of life2019In: Healthy Aging Research, ISSN 2261-7434, Vol. 8, no 8, p. 1-7Article in journal (Refereed)
    Abstract [en]

    This study investigates existential matters in the third age of life, which encompasses the years after retirement and ends when extensive support needs emerge in the fourth age. As the theoretical starting point in a lifeworld hermeneutic approach, 18 healthy older adults were interviewed about what it means for them to grow old. The interviews were interpreted according to Gadamer’s principles of openness and Ricoeur’s proposal to provide suggestions on how meaning can be explained. The findings are presented in three interpreted themes: Feeling free, Becoming vulnerable, and Existing in closeness to death. The themes are further interpreted, and a comprehensive understanding is reached with theoretical support from Jean-Paul Sartre’s idea of factuality and project. The meaning of growing old is discussed in terms of positive factors, such as healthy aging, transition and gerotranscendence, but also in respect to concerns over future suffering in relation to illness and dependence. It is concluded that the freedom of the third age is greatly appreciated for a healthy life, but also threatened by increased risks of ill health. It is not morbidity in itself that worries most, but the risk of being dependent on care and support from others. This is important to consider when planning and performing care in order to promote a healthy aging.

  • 36.
    Palmér, Lina
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Sterner, Anders
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Andersson Hagiwara, Magnus
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Kan komplex simuleringsträning öka patientsäkerheten? Vilken är högskolans och universitetens roll i patientsäkerhetsarbetet?2017Conference paper (Other (popular science, discussion, etc.))
  • 37.
    Sterner, Anders
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Ramstrand, Nerrolyn (Contributor)
    Jönköping University.
    Palmér, Lina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Factors developing nursing students and novice nurses’ ability to provide care in acute situations2019In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 35, p. 135-140Article in journal (Refereed)
    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.

  • 38.
    Sterner, Anders
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Nyström, Maria
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Ramstrand, Nerrolyn
    Andersson Hagiwara, Magnus
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Palmér, Lina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Novice Nurses Perceptions Of Their Ability To Care In Acute Situations2018Conference paper (Refereed)
    Abstract [en]

    Introduction

    Nurses have an essential role in acute care situations for preventing adverse events and improve patient outcomes as they typically have most patient contact and are often first to detect acute sickness (Della Ratta, 2016). Education and experience is highlighted as important for developing nurses ability in acute situations (Massey et al., 2017). The aim of this study was to describe what affects novice nurses’ ability to care in acute situations.

    Method: Qualitative descriptive design with a phenomenographic approach. Data consisted of 17 interviews of novice nurses working in acute care hospitals in Sweden. Novice are defined as less than 1 year of working experience. The context acute situations following Sterner et al. (2017) findings that acute situations is more than physical deterioration of patients.

    Results: Experience of acute situations is perceived as significant for developing the pivotal knowledge and ability to care in acute situations. Clinical practice is not a guarantee for this experience during nurse education. Reasons for this could be that nothing acute happened during allocated shifts. If an acute situation occurred the student could be allocated additional assignments or sent home. The skills obtained in acute situations are perceived as a lottery dependent upon where you get your clinical practice assigned.

    Discussion: Experience is perceived as significant for developing ability to care in acute situations. If nurse education can’t facilitate learning of and in acute situations during clinical practice, simulation can be a method for developing the ability. When nursing students train, it is important to include different factors such as time pressure, surprises, contact with different occupational groups and next of kin to facilitate the ability to care in acute situations.

    References

    DELLA RATTA, C. 2016. Challenging graduate nurses' transition: Care of the deteriorating

    patient. Journal of Clinical Nursing, 25, 3036-3048.

    MASSEY, D., CHABOYER, W. & ANDERSON, V. 2017. What factors influence ward nurses’ recognition of and response to patient deterioration? An integrative review of the literature.Nursing open, 4, 6-23.

    STERNER, A., RAMSTRAND, N., NYSTRÖM, M., HAGIWARA, M. A. & PALMÉR, L. 2017. Novice nurses’ perceptions of acute situations–a phenomenographic study. International emergency nursing.

  • 39.
    Sterner, Anders
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Ramstrand, Nerrolyn
    Jönköping University.
    Nyström, Maria
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Andersson Hagiwara, Magnus
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Palmér, Lina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Novice nurses' perceptions of acute situations - A phenomenographic study.2017In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, article id S1755-599X(17)30169-6Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Today's nurses face complex patient challenges and increased patient acuity. Novice nurses may feel unprepared for some of the tasks facing them. In order to prevent adverse events and improve patient outcomes, the management of acute situations has been identified as an area needing attention. Despite this, it is not yet clear what novice nurses themselves perceive as an acute situation. Therefore, the aim of this study is to describe novice nurses' perceptions of acute situations.

    METHOD: The study has a qualitative, descriptive design with a phenomenographic approach. Semi-structured interviews were conducted with twelve novice nurses, with less than a year of working experience, about their perceptions of acute situations.

    RESULTS: Acute situations are perceived as situations that occur suddenly, that involve shortage of time, or that generate a sense of insufficient personal competence. When acute situations arise, nurses experience a feeling of overwhelming responsibility. Acute situations involve not only deteriorating patient health but can also include challenging interpersonal relations or deficiencies in organisational procedures.

    CONCLUSION: An acute situation, as perceived by novice nurses, contains significantly more than medical manifestations related to the patient, a prominent perception being that interpersonal relations are crucial for appropriate management.

  • 40.
    Sundler, Annelie Johansson
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Lindberg, Elisabeth
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Nilsson, Christina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Palmér, Lina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Qualitative thematic analysis – based on phenomenology2018Conference paper (Refereed)
  • 41.
    Sundler, Annelie Johansson
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Lindberg, Elisabeth
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Nilsson, Christina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Palmér, Lina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Qualitative thematic analysis based on descriptive phenomenology.2019In: Nursing open, ISSN 2054-1058, Vol. 6, no 3, p. 733-739Article in journal (Refereed)
    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.

1 - 41 of 41
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