Primary care - throughout the life
Our research group focuses on issues in nursing care that arise in the primary care setting for children, adults, and the elderly. In Sweden primary healthcare and health promotion are carried out not only through primary healthcare clinics but also in a number of other branches of the Swedish healthcare system with long traditions and central roles in public health: Child Health Services, School Health Services, Home Health Services, and Municipal Elderly Care. Except for primary health care clinics, all of these services are staffed primarily by nurses with specialist training, all focus on prevention and health promotion as well as on the treatment of illness that doesn’t require specialist care or hospitalization, and all take into account individual, family and societal perspectives on health and illness.
Child Health Services provide regular check-ups, vaccinations, treatment of health problems, and referrals to specialist care when necessary for all children from birth to age six. The regular check-ups are also, crucially, an opportunity for parents to receive information, ask for advice and support, and discuss concerns about issues related to parenting and child development.
When children begin school at age six the School Health Services take over, following children through to the end of secondary school. School Health Services continue to, monitor growth and health, to provide vaccinations and to care for, support and refer pupils with physical or psychosocial health problems to specialist care when needed.
Many people with chronic conditions (ex diabetes, KOL, hypertension, allergic conditions, insomnia) as well as the elderly receive regular care from district nurses and geriatric nurses in Sweden. When it is impractical for patients to come to primary health care centers home health nurses visit patients at home.
Home health care is provided within municipal care often administrated by primary health care nurses.
General research questions of relevance to nursing in all these areas of primary care include understanding various patient populations and their needs, including the growing group of parents and children with backgrounds outside of Europe; evaluating the effectiveness of health promotion efforts, relieving suffering from chronic illness, and developing strategies to effectively prevent and treat public health problems.
Current research projects
Parenthood in a new context: concepts of parenting and childcare among Swedish Somalis (Anita Berlin & Rebecca Popenoe)
Quality of life among Swedish children with HIV (Lise-Lott Rydström & Anita Berlin)
Parent education & training within Child Health Services (Anita Berlin)
Concepts of illness among people undergoing treatment for celiac disease (Lisa Ring)
Research projects in the planning stage:
Stigma among Swedish children and adolescents among healthy and chronic ill children. (Lise-Lott Rydström, Lisa Jakobsson, Azar Tavallai)
Unaccompanied refugee children and adolescents way in to school and society. (Azar Tavallali & Marianna Moberg)
Cultural competence in child health services and child health care, School Health Services and Primary care. (Anita Berlin & Azar Tavallali)
Children’s participation in primary care. (Albertine Ranheim)
According to previous research professionals have difficulties in promoting children’s participation. An essential finding in this project is the significance of taking reflections on clinical everyday caring situations. These studies conveyed that the professionals’ undirected reflections of being with children in a care situation paid least attention towards the children themselves. This emphasizes the importance of proceeding with directed reflections to integrate theory and practice by which beliefs are reconsidered and new perspectives can be added.16 Such directed reflections are not about intellectualizing. Rather, reflections are about generating knowledge that engages professionals to implement the rights of the child18 in every situation, and to provide child-centred care. Consequently, the combination of deepening theoretical knowledge as well as increasing self-awareness in relation to experiences of caring situations with children seems to be what is needed.
For more information about a research project please contact the specific researchers.