S. Béatrice Marianne Ewalds-Kvist

• Art Ed, PhD, LP, Associate professor
• researcher at Stockholm University

Exposing the Hidden Torment: The Unseen Struggles of Enduring Hatred and Marital Rape in Domestic Violence

Patients undergoing hemodialysis often face physical, emotional, and psychological challenges that can reduce their quality of life. However, their spiritual needs are often overlooked. Spiritual care can improve mental health in these patients, reduce distress, and enhance resilience. By integrating this approach into routine care, it is possible...

Introduction: Music is commonly played in operating theatres. Music was shown to diminish stress of the surgical team along with reducing the patient's anxiety before surgery. On the other hand, it has been revealed that music might give rise to negative effects of divided attention causing distraction in surgical routines. Therefore, we aimed to s...

Negative and stigmatizing attitudes towards persons with mental illness must be dealt with to facilitate the sufferers' social acceptance. The present study aimed at survey Swedish attitudes towards persons with mental illness related to factors impacting these attitudes. New CAMI-S based on the questionnaire "Community Attitudes to Mental Illness...

recognizing marital rape as a crime is both a legal necessity and a moral obligation that demonstrates our commitment to upholding the dignity, autonomy, and rights of individuals within a marriage. Therefore, it is imperative to acknowledge marital rape as a significant and serious form of DV. Denying or minimizing the criminal nature of marital r...

IPV and CM are interrelated issues that harm young girls and limit their future opportunities and wellbeing. Gender inequality, cultural norms, and societal expectations perpetuate these practices. While CM rates may decrease, victims still face high risks of IPV due to couple power imbalances and lack of support. Addressing these challenges invol...

Letter to Editor Punishing Women for Self-Immolation Raises a Critical Question: Where is the Necessary Social Support?

Acute appendicitis is a common surgical emergency, with complicated cases carrying an increased risk of infections and morbidity. Whilst preoperative antibiotics help reduce infections, the optimal postoperative regimen remains undefined. Variability exists in antibiotic choice, route and duration. This review aimed to examine recent evidence on po...

Navigating Ethical Challenges in healthcare with focus on nursing

Introduction Imposter syndrome (IS) refers to the psychological experience of imagining that one’s achievements do not originate from one’s own authentic competence. Surgeons are constantly faced with life-threatening decisions and can easily feel inadequate or insecure despite their years of training and experience. Imposter syndrome can distress...

The COVID-19 pandemic is highly contagious, with symptoms such as myalgia, cough, fever, and weakness, posing a greater risk to older adults and individuals with chronic conditions. Effective management requires meaningful community involvement to reduce health inequalities and ensure people-centered health care. Engaging local voices, including le...

Healthcare professionals may experience moral distress when involved in end-of-life procedures, particularly when their personal beliefs conflict with patient choices or institutional policies.

Aim The outbreak of the virus infection Monkeypox (Mpox) in England was on transmission level 2. Mpox and HIV infections may occur simultaneously among the MSM population, exacerbating the symptoms along with treating problems. We aimed to study if Mpox painful genital symptoms correlated with immunocompromised status, sexuality and length of hospi...

This study explored the self-rated competence of 52 Swedish psychiatric nurses in three clinical environments: forensic psychiatry, general psychiatric inpatient care, and clinical non-residential psychiatric care. A questionnaire wtih 56 statements from nine areas of expertise was completed. Forensic nurses were more skilled in safety and quality...

Introduction: Doctors with disability are likely to face major life crises, challenges and distressing emotions from unforeseen circumstances that threaten their physical well-being. We aimed to identify the existence of work-related pain and discomfort that may cause surgeon's disability. Surgeons who were struck with unpredictable disasters lead...

Objectives: The outbreak of the virus infection Monkeypox (Mpox) in England was on transmission level 2. Mpox and HIV infections may occur simultaneously among the MSM population, exacerbating the symptoms along with treating problems. We aimed to study if Mpox painful genital symptoms correlated with immunocompromised status, sexuality, admissions...

Introduction Disruptive physician behaviour can affect patients’ safety. If surgical trainees throughout higher education experience disruptive behaviour, impaired work-life may follow. Therefore, we aimed to study surgeons' level of narcissism (N), hostility, and stress in relation to their work environment and potential experience of bullying. We...

Introduction Racial discrimination indicates the unkind conduct towards other persons based on their race or skin color. We aimed to systematically review racial discrimination in surgery and answer the following questions:1) Does racial/ethnic discrimination in surgery exist in the last 5 years. 2) If yes, are ways suggested to reduce racial/ethni...

Abstract Introduction Disruptive physician behaviour can affect patients’ safety. If surgical trainees throughout higher education experience disruptive behaviour, impaired work-life may follow. Therefore, we studied if surgeons were prone to disruptive behaviour in form of narcissism (N), hostility, perceived stress and the presence of meaning in...

Introduction: Racial/ethnic discrimination indicates the stereotyped or unkind conduct of superiority towards other persons based on their race or skin color. The UK General Medical Council published a statement supporting zero-tolerance approach to racism in the workplace. We aimed to systematically review racial discrimination in surgery and ans...

Background. Acute cutaneous abscess is a common surgical condition that mostly requires incision and drainage. Despite this, there is no standardized national or international guidance on post-operative antibiotics prescription. Traditionally, antibiotics are not indicated unless complications and/or risk factors such as immunocompromisation, diabe...

Aim Surgery is a craft profession requiring individuals with specific innate aptitudes for manipulative skills, visuospatial and psychomotor abilities. The selection process of surgical trainees excludes aptitude testing for the psychomotor and manual manipulative skills of candidates for required abilities. We scrutinize the effect of innate aptit...

Aim Postoperative moderate to severe pain disrupts patients’ sleep and affects their quality of life. Non-pharmacologic pain relief such as music therapy were considered beneficial. We therefore evaluated preferred type of music as pain relief in patients with abdominal surgery in a non-UK teaching hospital. Method Patients undergoing open abdomin...

Aim Postoperative hernia-repair complications are frequent in patients with inflammatory bowel disease (IBD). This fact challenges surgeons’ decision about hernia mesh management in these patients. Therefore, we systematically reviewed the hernia mesh repair in IBD patients with emphasis on risk factors for postoperative complications. Method A sy...

Background Postoperative hernia-repair complications are frequent in patients with inflammatory bowel disease (IBD). This fact challenges surgeons’ decision about hernia mesh management in these patients. Therefore, we systematically reviewed the hernia mesh repair in IBD patients with emphasis on risk factors for postoperative complications. Meth...

Aims Postoperative hernia-repair complications are frequent in patients with inflammatory bowel disease (IBD). This fact challenges surgeons’ decision about hernia mesh management in these patients. Therefore, we systematically reviewed the hernia mesh repair in IBD patients with emphasis on risk factors for postoperative complications. Method A s...

Aims Postoperative moderate to severe pain disrupts patients’ sleep and affects their quality of life. Non-pharmacologic pain relief such as music therapy were considered beneficial. We therefore evaluated preferred type of music as pain relief in patients with abdominal surgery in a non-UK teaching hospital. Methods Patients undergoing open abdom...

Aims Surgery is a craft profession requiring individuals with specific innate aptitudes for manipulative skills, visuospatial and psychomotor abilities. The selection process of surgical trainees excludes aptitude testing for the psychomotor and manual manipulative skills of candidates for required abilities. We scrutinize the effect of innate apti...

Background Retrograde ‘fundus-first’ cholecystectomy (FF) signifies the dissection that starts from the fundus of the gallbladder to the infundibulum in case structures of Calot's triangle cannot be identified. Although feasible in laparoscopic cholecystectomy (LC), FF remains an underutilized approach in difficult cases. We aimed to systematically...

The World Health Organization (WHO), concludes that child maltreatment is a global concern calling for a multi sectoral interdisciplinary approach. School professionals, such as social workers, teachers, and health care professionals are in positions to discover and report maltreatment enabling social workers to intervene. However, a variety of rep...

Background: Frontline healthcare workers are on high risk since the Covid-19 virus outbreak. A frontline healthcare professional (HP) combatted patients’ deaths and disasters from the virus. Own injury, potential complications, and isolation were anticipated. Methods: This is a case report of a HP who withdrew to self-isolation for 2-weeks with an...

Aims A higher surgical trainee combatted patients’ deaths and disasters from COVID-19. The trainee treated daily COVID-19-positive patients. In May 2020, he recognized symptoms of COVID-19. Throat swab test confirmed the suspicion of contagion. We aimed to study the acute stress disorder (ASD) during the COVID-19 pandemic in the surgical trainee....

Surgery is known to be a craft profession requiring individuals with specific innate aptitude for manipulative skills, and visuospatial and psychomotor abilities. The present-day selection process of surgical trainees does not include aptitude testing for the psychomotor and manual manipulative skills of candidates for required abilities. We aimed...

the present study demonstrated that the patients who listened to their favorite music after surgery experienced less pain compared to their controls. Research with a long-term follow-up and a larger sample size could shed more light over the efficacy of listening to favorite type of music on postoperative pain.

Introduction Aerosol generating procedures such as laparoscopic surgery are known to be associated with increased risks of viral transmission to the healthcare workers. The safety of laparoscopy during the COVID-19 pandemic was therefore debated. We aimed to systematically review the literature regarding the safe use of laparoscopy during COVID-19....

Introduction: Laparoscopic surgery may be advantageous for cystic fibrosis (CF) patients because it leads to fewer complications than open surgery. However, it could still lead to pulmonary and cardiovascular complications in CF patients. We aimed to systematically review the use of laparoscopic surgery in CF patients. Methods: A systematic review...

Introduction The transmission of COVID-19 virus since the outbreak of viral pneumonia due to SARS-CoV-2 gave rise to protective operative measures. Aerosol generating procedures such as laparoscopic surgery are known to be associated with increased risks of viral transmission to the healthcare workers (HCW). The safety of laparoscopy during the pan...

Medical students’ specialty preference (SP) for future areas of expertise in the context of their profession has always been in focus of interest. The purpose of this study was fourfold: 1. To disclose medical students’ SP; 2. To reveal SP’s underlying extrinsic, intrinsic or dual motivations; 3. To assess medical students’ trait emotional intellig...

Background: There are concerns and diverse experiences related to infertility and childlessness. The lived experience of infertile people from various cultures needs to be explored. Objective: The aim of this qualitative study was to explore Iranian women experiences of their infertility. Materials and Methods: The data comprised interviews about f...

Altogether 700 college students aged 18 to 24 years (M = 20.81, SD = 1.29) originating from six universities in China participated in this study. The current aim was to find out whether a student’s sense of purpose in life mediated the relationship between his/her psychological capital (PsyCap) comprising hope, generalized self-efficacy, resilience...

Introduction The use of technology in surgical education has rapidly evolved. Blended learning refers to provision of online instruction platforms by international technology companies, prompting a combination of face-to-face teaching with computer-mediated tuition. This nonsystematic literature review focuses on online teaching platforms with appl...

Interparental Conflict Relative to Suicidal Ideation in Chinese Adolescents: The Roles of Coping Strategies and Meaning in Life Rongwei Zhang1,2, Dan Li1*, Fei Chen3, Béatrice M. Ewalds-Kvist4,5 and Shihong Liu1 1 Department of Psychology, Shanghai Normal University, Shanghai, China, 2 Department of Social Science, Fujian Polytechnic of Information...

The aim of this study was to explore the paths between interparental conflict and Chinese adolescents’ suicidal ideation. Altogether 931 adolescents (Mage = 17.84, SD = 0.77, females = 531) completed the Dyadic Consensus Scale, Self-Report Coping Scale, Meaning in Life Questionnaire, and Positive and Negative Suicide Ideation questionnaires. Mediat...

Erik Ewalds spends five years in the Finnish wars between 1940-to 1944: winter war, armistice and continuation war. He is summoned to military service on January 17, 1940, and is unarmed during the winter war. On January 20, he writes his first letter to the 17-year-old Gunvor Hällfors. Their war experiences are documented on over 4,000 handwritten...

Ms B’s in United Kingdom and Ms P’s in Finland choices in life when dealing with acute ventilator-assisted tetraplegia were analyzed by means of Viktor E. Frankl’s existential analysis/logotherapy. The freedom of will to existential meaning and to worth in one’s suffering realizes in the attitudinal change the person chooses or is forced to adopt w...

Background. Illicit drug use influences people’s lives and elicits unwanted behaviour. Current research shows that there is an increase in young people’s drug use in Sweden. The aim was to investigate Swedish high-school pupils’ attitudes, impulsiveness and gender differences linked to drug use. Risk and protective factors relative to drug use were...

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Altogether 23 generations of selectively bred mice were analyzed by means of repeated measures

Moral stress, moral climate and moral sensitivity among psychiatric professionals

Background: Illicit drug use influences people’s lives and elicits unwanted here is an increase in young people’s drug use in Sweden. This study aimed to investigate Swedish high-school pupils’ attitudes, impulsiveness and gender differences linked to drug use. Also risk and protective factors relative to drug use were a focus of interest. Method:...

Background: Illicit drug use influences people’s lives and elicits unwanted here is an increase in young people’s drug use in Sweden. This study aimed to investigate Swedish high-school pupils’ attitudes, impulsiveness and gender differences linked to drug use. Also risk and protective factors relative to drug use were a focus of interest. Method:...

The interconnection between moral distress, moral sensitivity, and moral resilience was explored by constructing two hypothetical scenarios based on a recent Swedish newspaper report. In the first scenario, a 77-year-old man, rational and awake, was coded as "do not resuscitate" (DNR) against his daughter's wishes. The patient died in the presence...

Background: Factors such as respondent's sex, age, experience of mental illness and marital status have been found to impact public prejudices toward persons with mental illness. Aims: The impact of respondents' sex, age, real-life experience and marital status on their attitudes towards mental illness was the focus of this study. Methods: Alt...

Objective: To evaluate attitudes towards mental illness displayed by student nurses' with previous contact with mentally disordered persons prior to education in psychiatric nursing and to evaluate trends in attitudes towards mental illness exhibited by student nurses and the public in Sweden. Methods: Altogether 246 student nurses enrolled in t...

This study explored the self-rated competence of 52 Swedish psychiatric nurses in three clinical environments: forensic psychiatry, general psychiatric inpatient care, and clinical non-residential psychiatric care. A questionnaire wtih 56 statements from nine areas of expertise was completed. Forensic nurses were more skilled in safety and quality...

Research on ethical dilemmas in health care has become increasingly salient during the last two decades resulting in confusion about the concept of moral distress. The aim of the present paper is to provide an overview and a comparative analysis of the theoretical understandings of moral distress and related concepts. The focus is on five concepts:...

Wheel-running and treadmill running physical exercise have been shown to alleviate parkinsonism in both laboratory and clinical studies. MPTP was administered to C57/BL6 mice using two different procedures: (a) administration of a double-dose regime (MPTP 2 × 20 or 2 × 40 mg/kg, separated by a 24-h interval), vehicle (saline 5 ml/kg) or saline (veh...

The aim of the present study was to investigate the association between work-related moral stress, moral climate and moral sensitivity in mental health nursing. By means of the three scales Hospital Ethical Climate Survey, Moral Sensitivity Questionnaire and Work-Related Moral Stress, 49 participants' experiences were assessed. The results of linea...