Studiens syfte är att analysera hur man i förskolan använder lärplattan för att få barn att röra på sig, mer konkret om förskolans digitalisering kan komma att påverka barns möjligheter till fysisk aktivitet. Studien är baserad på en kvalitativ metod där vi genom intervjuer valt att fokusera på pedagogers syn och arbetssätt kring lärplattan samt om den används och isåfall även hur i förhållande till den fysiska aktiviteten. I studien deltog sex förskollärare på tre olika förskolor och intervjuerna som genomfördes var semistrukturerade. För att kunna bryta ner vårt syfte har vi använt oss av följande frågeställningar: Hur ser pedagoger på barns behov av fysisk aktivitet i förhållande till hur lärplattan kan användas i förskolan? Hur arbetar pedagoger för att stimulera fysisk aktivitet bland barn med hjälp av lärplattan? Vi tog avstamp i Lev Vygotskijs teori om samspelets betydelse i sociala sammanhang. Studien ställs även i relation till Agneta Ljung-Djärfs teori kring olika lärmiljöer som etableras runt digitala verktyg. Resultatet av studien visar att fysisk aktivitet är något som alltid finns i verksamheten och som alltid bör finnas där. Det samtliga förskollärare menar är att barns fysiska aktivitet inte blir lidande av en allt mer digitaliserad förskola. Vidare framgår det att sättet pedagoger stimulerar denna fysiska aktivitet bland barn är densamma på de olika förskolorna. Samtliga förskollärare tar alltså utgångspunkt i liknande aktiviteter när de både planerat som spontant utför dessa. Det som skiljer de olika förskolorna åt är förskollärarnas inställning kring vilken funktion lärplattan får under dessa aktiviteter och i verksamheten generellt.

Breast ironing (BI) practice is a common practice in Cameroon. Most villages and towns continue with BI because they believe it constitutes a positive cultural lifestyle. However, public health officials and other advocates have branded BI as a harmful traditional practice because of the traumatic impact it has on the women who experience it. The purpose of this quasi-experimental study was to examine the perceived long-term health-related outcomes of BI and the quality of life changes on these women. Underpinning this study was the betrayal theory of trauma. A survey was used to collect data from 230 women. Descriptive analysis of the data showed, BI was more prevalent in some regions of Cameroon and among some ethnic groups more than others. A chi-square test revealed a strong relationship that women who experienced BI perceived long-term physical, psycho-social, and emotional health-related outcomes and negative quality of life changes during and after the practice. A multiple logistic regression model was conducted to examine the relative odds of exposure of other independent predictors on the outcome variable. The chi-square test on severe pain and marital/ family health; breast scars and frequent pain; stress and feeling inferior; sadness and pain, revealed a P-value < .001. The odd ratio (OR) of the confounding predictors breast scars, frustration, shame, depression, self-esteem; burns; abscesses revealed an Exp(B)/ OR

People with psychotic disorders die earlier than expected due to physical illnesses such as cardiovascular diseases, diabetes, and cancer. Despite substantial evidence about managing physical health to improve quality of life and reduce morbidity and mortality, there is limited research from the perspectives of people living with psychotic disorders. Since discourses are attached to all areas of knowledge, I situated myself within the critical social paradigm to understand factors that subjugate voices of people with psychotic disorders in research, practices, and policies. I used postcolonial theory as a lens for my research to show power asymmetry that often oppresses and dominates patients based on exclusion. Postcolonial theory in general and Spivak’s theory more specifically helped draw the parallel between systems of power such as colonization and patriarchy that silence the subaltern in the context of colonization and people with mental illness in psychiatry. Committing to Spivak’s theory of subalternity for self-representation, I chose digital storytelling as a methodological approach for generating transformative knowledge that exposes forces that mediate health and illness. Digital storytelling has an epistemological commitment to self-representation and critical reflection through visual, audio, and other forms of expression that facilitate more accurate articulations of experiences. The overarching purpose of this thesis was to explore the process of digital storytelling with people with psychotic disorders as a means of expressing their voices and to understand how nurses and healthcare leaders engage with the digital stories and foresee the use of digital stories in healthcare practices and policies. Six short videos capturing personal stories of people with psychotic disorders about their physical health needs and concerns were produced. Digital stories are audio-visual vignettes of approximately 2-5 minutes in length, presenting first-person stories in conjunction with audiovisual material (photos, images, soundtracks, etc.). The digital stories were presented in 2 focus group sessions to understand their impact on nurses and nursing leaders (n=15). Findings from this research brought forth stories that spoke of deep struggles people with psychotic disorders experience in addressing their physical health concerns within the psychiatric system. Participants talked about their embodied experiences and invisibility in the healthcare system in their digital stories. They expressed that healthcare providers had paternalistic approaches when addressing their physical health problems and revealed how they compensated for their lack of power and loss of identity. Story makers embedded their experiences with notions of powerlessness and despair and the associated negative impact on significant aspects of their lives. By reflecting on the digital stories and placing the content of stories within the larger context of the psychiatric system and current practices, nurses were able to expose power relations and structures such as quantitative approaches to care, stigma, and the biomedical model of care that excluded the experiences of people with psychotic disorders in psychiatry. Meanwhile, reflecting on the stories exposed nurses’ passive stance in challenging and resisting the dynamics that exclude patients’ voices at every level of care. In this research, Spivak’s theory helped highlight the thematic centrality of epistemic violence and the role of the digital stories in overcoming epistemic injustice and opening a line of communication with those in positions of power in psychiatry.

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The purpose of this study was to summarize the effects of physical activity (PA) as a nonpharmacological preventative measure in people at risk of Alzheimer's disease (AD) or all-cause dementia. It was hypothesized that persons at risk of AD or all-cause dementia who engage in sustained and continuous PA would fare better in terms of physical health, cognition, and activities of daily living (ADLs). A systematic literature review was conducted in the Cumulative Index to Nursing and Allied Health Literature (CINAHL) using 12 keywords. Studies were included if they were randomized controlled trials with people at risk of AD or all-cause dementia reporting outcomes of PA on three domains, namely: physical health, cognition, or ADLs. Data was extracted using the Matrix Method and results were summarized using applied thematic analyses. Out of 55 records screened, eight met the inclusion criteria for data extraction. Findings indicate statistically significant improvement in four [HLC1] metrics of physical health such as balance, strength, stamina, and oxygenation. Findings also showed statistically significant improvement in four measures of cognition (short-term memory, lucidity, executive function, and language ability). Two studies reported statistically significant improvement in two measures of ADLs (less assistance to complete daily tasks and execution of instrumental activities). Overall, studies showed that physical health, cognition, and two measures of ADLs of people at risk of AD and all-cause dementia improve with sustained and continuous PA, although the interventions and measures were extremely heterogeneous. Future research and intervention efforts should align PA efforts with current universal recommendations to improve outcomes in the general population and in those at risk of AD and all-cause dementia.

The objective of this thesis is to assess the prevalence of low quality of life in adult cancer survivors and predictors for these low scores, separately for physical and mental quality of life. Possible predictors can include sociodemographic, clinical, and behavioral factors. The data source for this thesis is the National Health and Nutrition Examination Survey (NHANES) 2005-2012. The sample population included 1244 cancer survivors 20 years or older that answered “yes” to the question “have you ever been told by a doctor or other health professional that had cancer or malignancy of any kind?” Mental and physical health scores were determined based on the number of days physical and mental health was not good and dichotomized according to mean value. The four groups identified were low mental health and low physical health (n=148, 11.9%), low mental health and high physical health (n=239, 19.2%), high mental health and low physical health (n=143, 11.5%), and high mental health and high physical health (n=714, 57.4%). The diet quality was calculated using the Healthy Eating Index 2015, which measures adherence to the Dietary Guidelines for Americans 2015-2020. The SAS Survey Analysis Procedures was used to account for the random multi-stage sampling of NHANES. Also, ANOVA and chi-square tests were used to determine the possible predictors of low quality of life while multivariable logistic regression analysis was performed to examine the independent predictors of low physical and mental health. Statistical significance was set at a two-sided p-value of

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