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Asplund, Kenneth
Publications (10 of 15) Show all publications
Häggström, M., Asplund, K. & Kristiansen, L. (2014). Important quality aspects in transfer process. International Journal of Health Care Quality Assurance, 27(2), 123-139
Open this publication in new window or tab >>Important quality aspects in transfer process
2014 (English)In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 27, no 2, p. 123-139Article in journal (Refereed) Published
Abstract [en]

Purpose: Admission to and transfer from an intensive care unit affects not only the patient but also his or her relatives. The authors aimed to investigate relatives' perceptions of quality of care during a patient's transfer process from an intensive care unit to a general ward. Design/methodology/approach: The study had a mixed method design that included quantitative data and answers to open questions. The participants were 65 relatives of patients who received care in an ICU. They were recruited from two hospitals in Sweden. Findings: A majority perceived the transfer process as important, but analysis also showed that the participants rated it as an area for improvements. The relatives wanted participation, personal insight and control, respectful encounters, proximity, reassurance, continuous quality, reconnection and feedback. The relatives' participation in the transfer process was perceived as inadequate by 61 per cent, and the support that was received after the ICU discharge was perceived as inadequate by 53 per cent. The patients' length of stay in the ICU affected the relatives' perceptions of the quality of care. Overall, the relatives seemed to desire that the transfer process includes a continuous care, a competent staff, available information throughout the transfer process and personal involvement in the care, both before and after the transfer from the ICU. Research limitations/implications: The conclusion of this study is that relatives' needs and seeking for a well-planned ICU transitional process organisation with continuous quality before and after transfer, informational strategies that encourage the relatives to be involved and an organisation with competence throughout the healthcare chain are vital for quality. Practical implications: The conclusion of this study is that relatives' needs and seeking for a well-planned ICU transitional process organisation with continuous quality before and after transfer, informational strategies that encourage the relatives to be involved and an organisation with competence throughout the healthcare chain are vital for quality. Originality/value: The findings have important implications for nursing and nursing management. A relative's perception of the quality of care before and after transfer from ICU may be a valuable source to evaluate the ICU transitional care.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2014
Keywords
Critical care, intensive care, transfer process, transition, length-of-stay, relatives, quality in care
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-28955 (URN)10.1108/IJHCQA-09-2012-0090 (DOI)2-s2.0-84897031560 (Scopus ID)
Available from: 2019-01-07 Created: 2019-01-07 Last updated: 2019-01-07Bibliographically approved
Rising Holmström, M., Olofsson, N., Asplund, K. & Kristiansen, L. (2014). Transitions in the Swedish school system and the impact on student's positive self-reported-health. BMC Public Health, 14, Article ID 1045.
Open this publication in new window or tab >>Transitions in the Swedish school system and the impact on student's positive self-reported-health
2014 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 14, article id 1045Article in journal (Refereed) Published
Abstract [en]

Background: To explore three school based transitions and their impact on positive self-reported-health (SRH), pre-school to elementary school (6-10 y), elementary school to junior high school (10-13y), and junior high school to upper secondary school/high school (13-16y), in a long-term longitudinal population based study. Methods: The study followed three cohorts through one school transition each. A longitudinal study with data from 6693 Health Dialogue questionnaires were used. Data were collected in the middle of Sweden during 2007-2012 with school children age 6-16 years old. Results: Several significant factors were identified with an impact for a positive self-reported-health among children age 6-16y; not feeling sad or depressed, afraid or worried, positive school environment (schoolyard and restrooms), not bullied, good sleep, daily physical activity and ability to concentrate. There was no single factor identified, the factors differed according to gender and age. Conclusion: The study have identified several gender and age specific factors for successful school transitions relevant for a positive SRH. This is valuable information for school staff, parents and school children and provides a possibility to provide support and assistance when needed.

Keywords
Health dialogue, Health promotion, Longitudinal, School nurse
National Category
Nursing
Identifiers
urn:nbn:se:hig:diva-28958 (URN)10.1186/1471-2458-14-1045 (DOI)000343285600001 ()2-s2.0-84940566397 (Scopus ID)
Available from: 2019-01-07 Created: 2019-01-07 Last updated: 2019-01-07Bibliographically approved
Olsson, H., Strand, S., Asplund, K. & Kristiansen, L. (2014). Turning points and treatment readiness in forensic patients: A study based on staff experiences.. Nordisk sygeplejeforskning, 4(3), 175-188
Open this publication in new window or tab >>Turning points and treatment readiness in forensic patients: A study based on staff experiences.
2014 (English)In: Nordisk sygeplejeforskning, ISSN 1892-2678, E-ISSN 1892-2686, Vol. 4, no 3, p. 175-188Article in journal (Refereed) Published
Abstract [en]

Many individuals sentenced to forensic psychiatric care fail in the rehabilitation process, resulting in long-term inpatient hospital care. The concepts of turning points and treatment readiness in forensic settings should therefore be afforded more attention. Much can be learned from the features that characterize trajectories of recovery and processes related to turning points. The aim of this study was to explore forensic nursing staff’s experiences of forensic psychiatric patients’ turning towards recovery. A qualitative content analysis was used to analyse interviews with 13 forensic psychiatric nursing staff. Analysis of the data revealed two main themes with implications for clinical practice: promoting a turning point and recognizing a turning point. In the first of these, the emphasis was on actions and conditions that must exist to promote a turning. In the second, the main experiences related to recognizing a turning point were stories about visible and perceptible changes in the patient. The experiences that stood out most distinctly were those of being able to wait out the patient, and having patience when there was a lack of progression. The composition of staff and patients contributed to whether or not the environment was perceived as salutary.

Keywords
Forensic Nursing, changing process, forensic psychiatric care, interviews, recovery
National Category
Nursing
Identifiers
urn:nbn:se:hig:diva-28959 (URN)
Available from: 2013-08-28 Created: 2019-01-07Bibliographically approved
Olsson, H., Strand, S., Kristiansen, L., Sjöling, M. & Asplund, K. (2013). Decreased risk for violence in patients admitted to forensic care, measured with the HCR-20. Archives of Psychiatric Nursing, 27(4), 191-197
Open this publication in new window or tab >>Decreased risk for violence in patients admitted to forensic care, measured with the HCR-20
Show others...
2013 (English)In: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 27, no 4, p. 191-197Article in journal (Refereed) Published
Abstract [en]

Aim: To explore if patients admitted to forensic psychiatric care decreased their assessed risk for violence over time, to identify patients who decreased their assessed risk for violence exceptionally well (30% or more) on the Clinical (C) and Risk management (R) scales in the (HCR-20), and to compare them in terms of demographic data.

Methods: The HCR-20 risk assessment instrument was used to assess the risk for violence in 267 patients admitted to a Swedish forensic psychiatric clinic between 1997 and 2010. Their assessments at admission were compared with a second, and most recent, risk assessment.

Results: The risk for violence decreased over time. Demographic criteria had no impact on differences on decreased risk. Only two factors, namely gender and psychopathy showed a difference. Risk factors associated with stress and lack of personal support were the items that turned out to be the most difficult to reduce.

Conclusion: The results show that risk prevention in forensic care does work and it is important to continue to work with risk management. The study highlights the importance of a careful analysis of the patient's risk for violence in order to work with the patient's specific risk factors to reduce the risk.

Keywords
forensic nursing, risk assessment, violence
National Category
Nursing Forensic Science
Identifiers
urn:nbn:se:hig:diva-28961 (URN)10.1016/j.apnu.2013.03.004 (DOI)000322847900007 ()2-s2.0-84881023819 (Scopus ID)
Available from: 2013-08-28 Created: 2019-01-07Bibliographically approved
Rising Holmström, M., Asplund, K. & Kristiansen, L. (2013). Promoting a relationship-based health practice: A challenge for school nurses. British Journal of School Nursing, 8(1), 30-38
Open this publication in new window or tab >>Promoting a relationship-based health practice: A challenge for school nurses
2013 (English)In: British Journal of School Nursing, ISSN 1752-2803, E-ISSN 2052-2827, Vol. 8, no 1, p. 30-38Article in journal (Refereed) Published
Abstract [en]

Background:

School nurses have a unique opportunity to promote health when they meet school children during the Health Dialogue. The Health Dialogue concept is used by all the school nurses in a county in Mid Sweden.

Aim:

To describe school nurses' experiences of the Health Dialogue concept.

Methods:

A qualitative descriptive study with latent content analysis of interviews performed during February–April 2012, where 16 school nurses participated.

Findings:

The school nurses experienced the Health Dialogue concept as a useful tool to work with school children's health in a relationship-based, child focused, structured, and systematic way, which was reflected in one overarching theme: 'To be in a relationship-based, health-promoting practice.' However, school nurses also experienced loneliness and frustration from the many difficult situations with school children, and they indicated needs for further collaboration.

Conclusions:

The Health Dialogue concept is child-focused, systematic and structured, but it requires further development and continuing work on statistical feedback. School nurses indicated a need for collaboration with teachers, parents, and other health professionals, as well as professional-reflective supervision.

Keywords
Health dialogue, School children, School nurses, Sweden
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-28962 (URN)10.12968/bjsn.2013.8.1.30 (DOI)
Available from: 2013-11-04 Created: 2019-01-07Bibliographically approved
Häggström, M., Asplund, K. & Kristiansen, L. (2013). To reduce technology prior discharge from intensive care –important but difficult?: A grounded theory. Scandinavian Journal of Caring Sciences, 27(3), 506-515
Open this publication in new window or tab >>To reduce technology prior discharge from intensive care –important but difficult?: A grounded theory
2013 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 27, no 3, p. 506-515Article in journal (Refereed) Published
Abstract [en]

Aim: The aim of this study was to provide a deeper understanding of the experience of intensive care staff regarding the reduction in the use of medical technology prior to patients’ transfer from the ICU.

Background: The goal of ICU transitional care, provided for intensive care patients before, during and after the transfer from the ICU to another care unit, is to ensure minimal disruption and optimal continuity of care for the patient. To smooth this transition, there is a need to prepare for a less technological environment and therefore also a need for a gradual reduction in the use of monitoring equipment.

Method: Group interviews and individual interviews, together with participant observations, were conducted with ICU staff in two hospitals in Sweden. The data were analysed using classic grounded theory.

Results: The main concern was the ICU staff’s ambiguity regarding whether and how to reduce the use of medical technology devices. Insecurity about weaning patients from medical equipment combined with a lack of standardized routines made it difficult for staff to reduce the technical support. The core category describes how the ambiguity was solved primarily by ’prioritizing control’. However, this often caused the ICU staff to use advanced technology while the patients were in the ICU until the ward staff arrived, even if this should have been handled otherwise. Why and how the ICU staff used the strategy of ’prioritizing control’ is further explained in the categories ’being affected by cultural/contextual aspects’, ’searching for guidance and a shared understanding’ and ’weighing advantages with more v s less technology’.

Conclusion: It is important to consider ICU staff ambiguity concerning the reduction in technology and to establish strategies for a safe and structured transitional phase with step-down procedures in which technology and monitoring is gradually reduced prior to transfer from ICU.

Keywords
continuity of care, grounded theory, patient discharge, patient transfer, intensive care, health care technology, patient safety, step-down unit
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-28963 (URN)10.1111/j.1471-6712.2012.01063.x (DOI)000321625800003 ()2-s2.0-84880287552 (Scopus ID)
Available from: 2012-09-27 Created: 2019-01-07Bibliographically approved
Holmström, M., Olofsson, N., Asplund, K. & Kristiansen, L. (2012). Exploring the development of school children´s health. British Journal of School Nursing, 7(4), 189-197
Open this publication in new window or tab >>Exploring the development of school children´s health
2012 (English)In: British Journal of School Nursing, ISSN 1752-2803, E-ISSN 2052-2827, Vol. 7, no 4, p. 189-197Article in journal (Refereed) Published
Abstract [en]

Aim: To explore the association between positive self-reported health (SRH) in pre-school and 4th grade SRH in a long–term prospective population-based study in Sweden.

Methods: Data originated from the Health Dialogue (HD) a structured instrument used by school nurses. 1084 children participated. Odds ratios were analyzed.

Results: In 10-year-old children’s SRH, comfort in school, normal BMI and absence of headaches were shown to be significantly important health indicators. Normal BMI showed to have a potentially causal effect on 10-year-old girls and absence of headaches showed a potentially causal effect among 10-year-old boys.

Conclusion: Schools should be designed to meet the children’s needs so that they are perceived as comfortable, safe and secure places. Schools should advocate physical activity and play, serve healthy nutritious food in order to motivate, support and promote a healthy lifestyle. Schools are a unique arena for health promotion as they reach practically all school-age children.

Place, publisher, year, edition, pages
London: Pensord Press Ltd., 2012
Keywords
health promotion
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-28964 (URN)10.12968/bjsn.2012.7.4.189 (DOI)
Available from: 2012-11-22 Created: 2019-01-07Bibliographically approved
Rising Holmström, M., Olofsson, N., Kristiansen, L. & Asplund, K. (2012). Health among 6-year-old children in a Swedish county: based on the health Dialogue. Vulnerable Groups & Inclusion, 3(1), Article ID 8416.
Open this publication in new window or tab >>Health among 6-year-old children in a Swedish county: based on the health Dialogue
2012 (English)In: Vulnerable Groups & Inclusion, ISSN 2000-8023, E-ISSN 2000-8023, Vol. 3, no 1, article id 8416Article in journal (Refereed) Published
Abstract [en]

Aim: To explore the experiences of self-reported health (SRH) of 6-year-old boys and girls.

Background: The goals for the Swedish School Health Services (SHS) are to identify health problems, take measures to prevent illness, and promote health. One approach used to achieve this is the use of the Health Dialogue (HD) questionnaire. The HD is offered at three occasions during compulsory school and once in high school; it follows the child’s development and growth from 6 to 16 years old.

Methods: The HD is a structured questionnaire consisting of 15 questions related to health, each phrased in a positive manner. The HD represents a cross-sectional image of the child’s SRH according to the child and parents. The SRH in this study is based on the results from the 5259 HD questionnaires conducted during 20062009 with 6-year-old children and parents. OR were analyzed for the HD.

Results: Experiencing comfortableness in preschool, good sleep, absence of severe headaches, being physical active/play every day, and not being a victim for bullying shows to be important preschool indicators for boys and girls. Discussion: The most important health variable tagging in the preschool children’s positive SRH was comfortableness in preschool. Both boys and girls need to feel comfortable in preschool to report a positive SRH in school. The girls seem to be more dependent on comfortableness, being physical active, and not being bullied while the boys need to have lunch in school every day and not to show symptoms like severe headaches.

Conclusion: The most important health variable tagging the preschool children’s SRH is comfortableness in school. The HD can increase the knowledge of 6-year-old children’s SRH and also be a tool to gain further insight into children’s health by highlighting patterns in children’s SRH

Keywords
Preschool, self-reported health, odds ratio, school nurse, health promotion
National Category
Nursing
Identifiers
urn:nbn:se:hig:diva-28965 (URN)10.3402/vgi.v3i0.8416 (DOI)
Available from: 2019-01-07 Created: 2019-01-07 Last updated: 2019-01-07Bibliographically approved
Häggström, M., Asplund, K. & Kristiansen, L. (2012). How can nurses facilitate patient’s transitions from intensive care?: A grounded theory of nursing. Intensive & Critical Care Nursing, 28(4), 224-233
Open this publication in new window or tab >>How can nurses facilitate patient’s transitions from intensive care?: A grounded theory of nursing
2012 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 28, no 4, p. 224-233Article in journal (Refereed) Published
Abstract [en]

Objectives: Intensive care patients often experience feelings of powerlessness and vulnerability when being transferred from an intensive care unit to a general ward. The aim of this study was to develop a grounded theory of nurses care for patients in the ICU transitional care process.

Methods: Group interviews, individual interviews and participant observations were conducted with nurses in two hospitals in Sweden and were analysed using grounded theory.

Result: The substantive theory shows the process of nursing care activities — from the contexts of the ICU and the general ward. The main concern was to achieve a coordinated, strengthening, person-centered standard of care to facilitate patient transitions. The core category ‘‘being perceptive and adjustable’’ was a strategy to individualise, that was related to the other categories; ‘‘preparing for a change’’ and ‘‘promoting the recovery’’. However, the nurses were forced to ‘‘balance between patient needs and the caregivers’ resources’’ and consequently were compromising their care.

Conclusions: To facilitate an ICU-patient’s transition, individual care planning is needed. It is also essential that the patients are adequately prepared for the change to facilitate the transitional care. Knowledge about transitional needs, empowerment and patient-education seems to be important issues for facilitating transitions.

Keywords
Critical care; Discharge; Healthcare transitions; Person-centered care
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-28966 (URN)10.1016/j.iccn.2012.01.002 (DOI)2-s2.0-84863838714 (Scopus ID)
Available from: 2012-09-27 Created: 2019-01-07 Last updated: 2019-01-07Bibliographically approved
Rising Holmström, M., Olofsson, N., Kristiansen, L. & Asplund, K. (2011). Health among 6-year-old children in a Swedish county: Based on the Health dialogue. Paper presented at 1st PNAE Congress on Paediatric Nursing, 1-2 December 2011, Istanbul, Turkey. Acta Paediatrica. Supplement, 100(463), 105-106
Open this publication in new window or tab >>Health among 6-year-old children in a Swedish county: Based on the Health dialogue
2011 (English)In: Acta Paediatrica. Supplement, ISSN 0803-5326, Vol. 100, no 463, p. 105-106Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
Wiley-Blackwell, 2011
National Category
Nursing
Identifiers
urn:nbn:se:hig:diva-28968 (URN)000297503200214 ()
Conference
1st PNAE Congress on Paediatric Nursing, 1-2 December 2011, Istanbul, Turkey
Available from: 2011-12-20 Created: 2019-01-07Bibliographically approved
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