Evalotte Mörelius

Evalotte Mörelius
Edith Cowan University · Centre for Nursing, Midwifery and Health Services Research

Professor

About

82
Publications
13,187
Reads
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1,349
Citations
Introduction
Evalotte Mörelius is Professor of Nursing (Children and Young People) at Edith Cowan University (ECU) and Perth Children's Hopsital (PCH). Evalotte does research in Nursing Science and Pediatrics. The main research field is stress in childhood. The stress system develops during childhood in interaction with the surrounding environment. Effective interactions between children and parents promote not only secure bonding but also the ability to handle stress in the future.
Additional affiliations
October 2018 - present
Edith Cowan University
Position
  • Professor
Description
  • Evalotte holds a joint position with Perth Children's Hospital
January 2016 - September 2018
Linköping University
Position
  • Head of Department
January 2014 - January 2016
Linköping University
Position
  • Professor (Associate)

Publications

Publications (82)
Article
Purpose Priority settings are important to plan and direct future research. The aim of this study was to identify the top ten pediatric and child health nursing research priorities from the perspectives of consumers, community, and healthcare professionals in Western Australia. Design and methods This study used an adapted James Lind Alliance Prio...
Article
Background: Hypothalamic-pituitary-adrenal (HPA) axis adaptation is a potential mechanism linking early life exposures with later adverse health. This study tested the hypothesis that preterm birth is associated with adaptation of diurnal cortisol regulation across infancy. Methods: A secondary analysis was conducted of saliva cortisol measured...
Article
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Sleep is a common challenge for parents with sick children and can impact parents' health, wellbeing, and caregiving responsibilities. Despite the vast research around parental sleep when their child is sick, the concept is not clearly defined. A phased principle‐based concept analysis that includes triangulation of methods and quality criteria ass...
Article
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Aim: To explore mothers' experiences of the EArly Collaborative Intervention. Background: Preterm birth puts a considerable emotional and psychological burden on parents and families. Parents to moderate and late premature infants have shorter stays at the neonatal intensive care unit and have described a need for support. The EArly Collaborativ...
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Children with chronic conditions are experiencing improved survival worldwide, and it is well-known that their parents are stressed. Yet, despite this knowledge, parents continue to experience stress. Our study explored the lived experience of parental stress when caring for children with various chronic conditions to identify opportunities to pote...
Article
Childhood functional constipation (FC) is a worldwide problem with treatment regiments affecting everyday life. Aim To explore parents´ experiences of living with a child with FC and its impact on everyday family life. Method A qualitative phenomenological interview study using a reflective lifeworld research approach. Interviews with 15 parents...
Article
Introduction Functional abdominal pain disorders (FAPDs) are common among girls and has been associated with stress. Cortisol is one of the major stress hormones. Dance and yoga have been shown to reduce abdominal pain among girls with FAPDs. Aim To investigate the effect of an 8-month intervention with dance and yoga on cortisol levels in saliva...
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Objective To determine if preterm birth is associated with adaptation of the hypothalamic–pituitary–adrenal (HPA) axis and whether HPA axis programming relates to the degree of prematurity (defined as extremely preterm birth at <28 weeks or very preterm birth at 28–32 weeks gestation). Design This study reports findings from a prospective birth co...
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One major task in the neonatal intensive care unit (NICU) involves ensuring adequate nutrition and supporting the provision of human milk. The aim of this study was to explore nurses’ experiences of the oral feeding process in the NICU when the infant is born extremely or very preterm. We used a qualitative inductive approach. Nine nurses from thre...
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Background Parental health literacy is associated with child health outcomes. Parents are increasingly turning to the internet to obtain health information. In response, health care providers are using digital interventions to communicate information to assist parents in managing their child’s health conditions. Despite the emergence of interventio...
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Title: Seeing lockdown through the eyes of children from around the world: Reflecting on a children’s artwork project Mandie Jane Foster (1,2,14) PhD, RN, Senior Lecturer & Research Scholar, Nursing Mohammad Al-Motlaq (3) PhD RN. Associate Professor Maternal Child &Family Health Bernie Carter (4,5,1) PhD, RGN, RSCN, Professor of Children’s Nursing...
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The study aimed to provide a detailed description of a process to conduct a phased principle-based concept analysis and to introduce quality criteria assessment for a phased principle-based concept analysis. Concept analysis explores how a concept is described, used and measured in the literature. This conceptual understanding is important to guide...
Article
Background Having an infant in the neonatal intensive care unit (NICU) is associated with intense emotional stress for both mothers and fathers. However, with the right support from staff, this stress can be reduced significantly. Although evidence on needs of parents in the neonatal unit exists, there is lack of a systematic integrative review on...
Preprint
BACKGROUND Parental health literacy is associated with child health outcomes. Parents are increasingly turning to the internet to obtain health information. In response, health care providers are using digital interventions to communicate information to assist parents in managing their child’s health conditions. Despite the emergence of interventio...
Article
Full-text available
Moderate to late preterm infants are at risk of developing problems later in life. To support attachment and infants’ development, high quality parent-infant interaction is important. Parent-infant interaction is known to improve through intervention programs but since no such intervention program is addressed directly to moderate to late preterm i...
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Background Extremely preterm infants need advanced intensive care for survival and are usually not discharged before they reach the time of expected birth. In a family-centred neonatal intensive care unit both parents are involved at all levels of care including the feeding process. However, studies focusing on fathers in this situation are scarce....
Article
Patient experience surveys have a user focus and measure the quality of person-centered health care for hospital inpatients and consumers of community health services, providing a governance process to evaluate the quality of care and to action improvement. Experience of care has been described as effective communication, respect and dignity, and e...
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Background The self-care of type 1 diabetes (T1D) includes undergoing procedures with needles several times daily, which may cause pain and fear. Aims The aim was to identify the degree of perceived pain, affective reactions, fear, and emotional coping among children and adolescents with T1D. Design A cross-sectional survey was performed. Method...
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The quality of nursing care has a significant impact on the outcomes of care. The specific needs of children requiring hospital care make it essential to monitor and compare data not only on the medically oriented outcome measure but also on nursing care, structure, and process, requiring perspectives from registered nurses (RNs) and nurse managers...
Article
Background Functional abdominal pain disorders (FAPDs) affect many children worldwide, predominantly girls, and cause considerable long-term negative consequences for individuals and society. Evidence-based and cost-effective treatments are therefore strongly needed. Physical activity has shown promising effects in the practical management of FAPDs...
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Full-text available
Aim: The aim was to explore the lived experiences of parents who give oral and rectal pharmacological treatment to their children with functional constipation at home. Design: A phenomenological design with a reflective lifeworld research approach that describes phenomena as they are experienced by individuals. Methods: From January-May 2019,...
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Objectives Performing randomised controlled trials (RCTs) in neonatal intensive care is challenging in many ways. While restrictive inclusion criteria or busy study protocols are obvious barriers, external barriers leading to termination of a study are seldom discussed. The aim of this study was to describe barriers for inclusion of families in neo...
Preprint
BACKGROUND Functional abdominal pain disorders (FAPDs) affect many children worldwide, predominantly girls, and cause considerable long-term negative consequences for individuals and society. Evidence-based and cost-effective treatments are therefore strongly needed. Physical activity has shown promising effects in the practical management of FAPDs...
Article
Background As an integral part of simulation, debriefing helps learners to construct knowledge through reflecting, internalizing, and relating. Video-assisted debriefing (VAD) adds audio-visual captures and reviews to support traditional verbal debriefing (VD), but evidence evaluating its educational effects has been mixed, with limited attention f...
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Background: The tutorial group and its dynamics are a cornerstone of problem-based learning (PBL). The tutor's support varies according to the setting, and it is pertinent to explore group effectiveness in relation to different settings, for example online or campus-based. The PBL groups' effectiveness can partly be assessed in terms of cognitive...
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Aim To describe mother’s experiences of feeding their extremely preterm infant. Background When an infant is born extremely preterm, there is a long rocky road for the mother if she wants to breastfeed. Some manage to reach their goals, others do not. Studies of feeding extremely preterm infants in the neonatal intensive care unit (NICU) are scarc...
Article
Aim: This study aimed to test initial validity, reliability, and feasibility of the Mother-to-Infant Bonding Scale in a sample of Swedish mothers. Methods: A translation was performed through 11 steps using a forward–backward bilingual technique. For criterion validity, the Swedish translation of the Mother-to-Infant Bonding Scale (S-MIBS) was comp...
Article
Video-assisted debriefing (VAD) refers to using video capture and playback to support learning in debriefing. Despite being deemed as the gold standard in simulation, VAD has received little attention to its structure development. This paper aimed to describe the development process of a structured three-phase VAD and report its preliminary effects...
Article
Problem: Priority setting for pediatric nursing is important to plan, coordinate and direct future research. The aim of this scoping review was to systematically identify and synthesise the nature, range and extent of published pediatric nursing research priorities. Eligibility criteria: English language full text publications focusing generic n...
Article
Disruption of parental sleep in hospital, with frequent awakenings and poor sleep quality, limits the parents' resources to meet the child's needs and maintain parental wellbeing. The aim of the study was to explore and describe how parents perceive their sleep when staying overnight with their sick child in hospital. A further aim was to explore a...
Article
Background: Premature birth affects opportunities for interaction between infants and mothers. Skin-to-skin contact (SSC) is standard care in neonatal care but has not been sufficiently studied regarding the effects on interaction between preterm infant and mothers. Purpose: The purpose of this study was to compare interaction between preterm in...
Article
Background: Video-assisted debriefing has not attracted sufficient attention on exploring learners' perceptions. A full understanding of learners' attitudes and perceptions towards video-assisted debriefing sets the foundation for effective learning, which should be considered when integrating video-assisted debriefing to the nursing curricula. How...
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Aim To study the cortisol response in parents staying with their child in paediatric wards, to compare the parents’ cortisol levels between the paediatric ward and at home 4 weeks after discharge and to compare the parents’ cortisol levels with data of an adult reference population, reported by Wust et al., as there are few studies investigating pa...
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Background: Debriefing helps learners to gain knowledge through guided reflection and discussion. Video-assisted debriefing (VAD) refers to adding video review during the debriefing process. Purpose: This review evaluated the effectiveness of VAD on learners' reactions, learning, and behavior compared with verbal debriefing (if possible) and ide...
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Introduction Separation after preterm birth is a major stressor for infants and parents. Skin-to-skin contact (SSC) is a method of care suitable to use in the neonatal intensive care unit (NICU) to minimise separation between parents and infants. Less separation leads to increased possibilities for parent-infant interaction, provided that the paren...
Article
Background Transitioning into parenthood can be stressful for new parents, especially with the lack of continuity of care from health care professionals during the postpartum period. Short hospital stays limit the availability of support and time parents need to be well equipped with parenting and infant care skills. Poor parental adjustment may, i...
Article
Background: Supportive educational programs during the perinatal period are scarce in Singapore. There is no continuity of care available in terms of support from community care nurses in Singapore. Parents are left on their own most of the time, which results in a stressful transition to parenthood. There is a need for easily accessible technolog...
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Aims and objectives: To describe sleep quality and mood in parents accommodated with their sick child in a family-centred paediatric ward. Secondary aims were to compare mothers' and fathers' sleep quality and mood in the paediatric ward, and to compare the parents' sleep quality and mood between the paediatric ward and in a daily-life home settin...
Article
Healthy infants establish a salivary cortisol circadian rhythm (SCCR) at one month of age (1). This study investigated the development of SCCR in infants at high psychosocial risk, by measuring salivary cortisol levels during their first year of life and evaluating whether those were related to behavioural regularity. This article is protected by c...
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Objectives To investigate at what age preterm infants develop a salivary cortisol circadian rhythm and identify whether it is dependent on gestational age and/or postnatal age. To evaluate whether salivary cortisol circadian rhythm development is related to behavioral regularity. To elucidate salivary cortisol levels in preterm infants during the f...
Preprint
BACKGROUND Supportive educational programs during the perinatal period are scarce in Singapore. There is no continuity of care available in terms of support from community care nurses in Singapore. Parents are left on their own most of the time, which results in a stressful transition to parenthood. There is a need for easily accessible technology-...
Article
AimsThe aim of this study was to describe a study protocol that evaluates the effectiveness of the Home-but not Alone' educational programme delivered via a mobile health application in improving parenting outcomes. Background The development in mobile-based technology gives us the opportunity to develop an accessible educational programme that can...
Article
Objective: to summarise research evidence on the impact of father-infant skin-to-skin contact on infant and paternal outcomes. Design: an integrative literature review. Data sources: PubMed, ScienceDirect, PsycINFO, and Cumulative Index to Nursing & Allied Health. Review methods: studies included were: (1) published in English between Januar...
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Introduction: Early maternal contact can protect the infants' brain from harmful effects of stress while deprivation increases the stress level and leads to increased sensitivity to stress. Aim: To evaluate the effects of continuous skin-to-skin contact (SSC) after preterm birth on stress. Methods: Late preterm infants from two neonatal care u...
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Recently, more and more researchers have been using salivary cortisol reactivity to evaluate stress in preterm infants in the neonatal intensive care unit (NICU). The aim of this integrative literature review was to summarize the evidence of interventions leading to a change in salivary cortisol from the baseline in preterm infants in the NICU. The...
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Caring for an ill child at home gives the family the chance to be together in a familiar environment. However, this involves several nocturnal sleep disturbances, such as frequent awakenings and bad sleep quality, which may affect parents' ability to take care of the child and themselves. The aim of this study was to describe parents' perceptions o...
Article
Expectations prior to needle-related procedures can influence individuals' decision making and compliance with immunization programmes. To protect from human papilloma virus (HPV) and cervical cancer, the immunization needs to be given before sexual debut raising interest for this study's aim to investigate how 11 to 12-year-old girls narrate about...
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Cortisol concentrations in plasma display a circadian rhythm in adults and children older than one year. Earlier studies report divergent results regarding when cortisol circadian rhythm is established. The present study aims to investigate at what age infants develop a circadian rhythm, as well as the possible influences of behavioral regularity a...
Article
Aims and objectivesTo describe what nurses believe about almost continuous skin-to-skin contact for preterm infants between 320–360 weeks gestation.Background Skin-to-skin contact a few hours per day has become standard care for preterm infants in most high-technology neonatal intensive care units. However, few units practice Kangaroo Mother Care w...
Article
Relaxation and guided imagery is a distraction technique known to reduce discomfort during paediatric medical procedures. We examined whether its use decreased the stress experienced by 11 to 12-year-old girls receiving the human papilloma virus vaccination, as well as the intensity and unpleasantness of any pain. A randomised crossover trial was c...
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Aims and objectivesTo explore and describe how parents of preterm and/or sick infants in neonatal care perceive their sleep.Background Parents experience many stressful situations when their newborn infant is preterm and/or sick. This affects bonding. By developing more family-centred care units with single-family rooms, parents are given the oppor...
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Needle fear is a common problem in children undergoing immunization. To ensure that the individual child's needs are met during a painful procedure it would be beneficial to be able to predict whether there is a need for extra support. The self-reporting instrument facial affective scale (FAS) could have potential for this purpose. The aim of this...
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Family-based behavioural intervention programs (FBIPs) against childhood obesity have shown promising results, but the mediating mechanisms have not been identified. The aim of this study was to examine changes in obese childreńs lifestyle habits during a 2-year FBIP according to their own and parents' reports, the concordance between these reports...
Article
Background Approximately half of all children with moderate to severe physical disabilities have persistent sleep problems and many of these children need parental attention at night. AimTo study whether sleep problems and need for night-time attention among children with physical disabilities are associated with perceived parental health, headache...
Article
The need for non-invasive sampling and measurement methods catering for minute sample volumes is of uttermost importance in paediatric research and in paediatric clinical analysis. Unfortunately, this need of non traumatic sampling technique cannot always be met by commercially available methods, neither concerning sampling methods nor analytical p...
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Introduction. Nurses often experience work-related stress. High stress can negatively affect job satisfaction and lead to emotional exhaustion with risk of burnout. Aim. To analyse possible differences in biological stress markers, psychosocial working conditions, health, and well-being between nurses working in two different departments. Methods....
Article
Aim: To investigate whether nasopharyngeal suctioning produces a physiological and behavioural stress reaction in preterm infants and if a possible reaction can be dampened by sweet solution. Methods: Eleven preterm infants were randomly assigned to receive either 30% oral glucose or nothing prior to morning nasopharyngeal suctioning; the procedure...
Article
Aims and objectives: To explore and describe the experience of becoming a grandmother to a premature infant. Background: Becoming a grandmother involves a new perspective of life. Grandmothers of sick infants find themselves in a new situation with an adult child undergoing serious stress. Few studies have approached the grandmothers' own experi...
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To assess a 2-year family-based behavioural intervention programme against child obesity. Single-group pre- and post-intervention feasibility study. Swedish paediatric outpatient care. 26 obese children aged 8.3-12.0 years and their parents who had consented to actively participate in a 2-year intervention. 25 paediatric outpatient group sessions o...
Article
Parental involvement in the care of preterm infants in neonatal intensive care units (NICUs) is common, but little is known about the effect on stress responses in mothers and infants. The aim of this study is to evaluate the effect of family-centered care on salivary cortisol reactivity in mothers and preterm infants and the correlation between th...
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Objective: Parental involvement in the care of preterm infants in neonatal intensive care units (NICUs) is common, but little is known about stress responses in mothers and infants.
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To describe the time of first skin-to-skin contact in extremely preterm infants in a national perspective and to investigate possible factors affecting the time of first skin-to-skin contact. A population-based prospective descriptive study of extremely preterm infants (n = 520) in seven regional hospitals in Sweden. Extremely preterm infants in Sw...
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Screening examination for retinopathy of prematurity is distressing and painful. The aim of the present study was to investigate whether a Newborn Individualized Developmental Care and Assessment Program intervention during a retinopathy of prematurity examination results in less adverse behavioral, pain, and stress responses as compared with stand...
Article
The aims of the present study were to investigate (1) whether the salivary cortisol response could be dampened during a routine three-month immunization if the infant received sweet-tasting solution in combination with a pacifier and (2) stress experienced by parents during immunization of the infant. Ninety-eight infants were included into one of...