hig.sePublikasjoner
Endre søk
Link to record
Permanent link

Direct link
BETA
Fläckman, Birgitta
Publikasjoner (9 av 9) Visa alla publikasjoner
Engström, M., Skytt, B., Ernesäter, A., Fläckman, B. & Mamhidir, A.-G. (2013). District nurses' self-reported clinical activities, beliefs about and attitudes towards obesity management. Applied Nursing Research, 26(4), 198-203
Åpne denne publikasjonen i ny fane eller vindu >>District nurses' self-reported clinical activities, beliefs about and attitudes towards obesity management
Vise andre…
2013 (engelsk)Inngår i: Applied Nursing Research, ISSN 0897-1897, E-ISSN 1532-8201, Vol. 26, nr 4, s. 198-203Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

AIM:

To describe district nurses' self-reported clinical activities, beliefs about and attitudes towards obesity management; and to examine associations between the variables.

BACKGROUND:

Obesity is increasing worldwide and primary care could play a central role in the management.

METHODS:

Questionnaire data were collected from 247 nurses in 33 centres.

RESULTS:

The most common activities performed weekly were; advice about physical activity (40.1%) and general lifestyle advice (34.8%). However, nearly one third seldom/never performed these activities. Approximately half seldom/never performed BMI assessment and even fewer waist circumference (78.1%). Values for the factors Importance of obesity and Personal effectiveness were skewed towards a positive view and Negative view close to neutral. Multivariate analysis revealed that nurses with specialized tasks, longer working experience and higher perceived personal effectiveness performed more clinical activities.

CONCLUSION:

Managers need to make efforts to engage all personnel in obesity management; and strategies to increase self-efficacy are called for.

HSV kategori
Identifikatorer
urn:nbn:se:hig:diva-14996 (URN)10.1016/j.apnr.2013.06.009 (DOI)000327804900008 ()2-s2.0-84887621343 (Scopus ID)
Tilgjengelig fra: 2013-08-12 Laget: 2013-08-12 Sist oppdatert: 2018-03-13bibliografisk kontrollert
Svedin, T., Norrlander, A. & Fläckman, B. (2012). Levnadsvanor, upplevd stress och hälsa hos personal inom ambulansens och räddningstjänstens verksamheter. Vård i Norden, 32(1), 16-21
Åpne denne publikasjonen i ny fane eller vindu >>Levnadsvanor, upplevd stress och hälsa hos personal inom ambulansens och räddningstjänstens verksamheter
2012 (svensk)Inngår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 32, nr 1, s. 16-21Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

There are comparable as well as non comparable factors for personnel involved in ambulance and emergency services. The aim of this study was to describe and compare the ambulance and emergency personnel-rated health, physical activity, diet and work-related stress factors and some physiological measurements. The groups were recruited through convenience sampling. Questionnaire was used as data collection method. In addition, physiological measurements of all participants were measured at one occasion. Important relationships emerged regarding health status, perceived fatigue and workload of ambulance personnel. Emergency services of physical activity showed a major difference in relation to ambulance personnel. Job satisfaction was perceived as good in both occupational groups, however, experienced ambulance personnel more psychologically stress. Significant difference was seen between the groups regarding fatigue after a session. Obese and those with high waistlines was over-represented in the ambulance. There were more ambulance personnel staffs that were treated for hypertension and /or diabetes. Differences were found between the groups regarding hypertension, diabetes and physical activity. It was concluded, the lifestyle factors that can prevent the risk of cardiovascular disease and metabolic syndrome, are the ones, were not overweight, exercise regularly, had a good diet and experienced a good job satisfaction.

sted, utgiver, år, opplag, sider
Oslo: , 2012
HSV kategori
Identifikatorer
urn:nbn:se:hig:diva-12621 (URN)
Tilgjengelig fra: 2012-08-20 Laget: 2012-08-20 Sist oppdatert: 2018-12-03bibliografisk kontrollert
Mamhidir, A.-G., Lindberg, M., Larsson, R., Fläckman, B. & Engström, M. (2011). Deficient knowledge of multidrug-resistant bacteria and preventive hygiene measures among primary healthcare personnel. Journal of Advanced Nursing, 67(4), 756-762
Åpne denne publikasjonen i ny fane eller vindu >>Deficient knowledge of multidrug-resistant bacteria and preventive hygiene measures among primary healthcare personnel
Vise andre…
2011 (engelsk)Inngår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 67, nr 4, s. 756-762Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

AIM:

This paper is a report of a study conducted to describe primary healthcare personnel's knowledge of multidrug-resistant and preventive hygiene measures.

BACKGROUND:

The group of patients at risk for multi-drug resistant bacteria is largely cared for in primary care. Knowledge of multidrug-resistant and hygiene preventive measures among primary healthcare personnel is therefore essential.

METHOD:

A descriptive and comparative questionnaire survey among primary healthcare personnel was performed in 2008. In total, five urban and rural primary healthcare centres situated in one county in central Sweden were included. Convenient sampling was used and 10 physicians, 38 district nurses and 10 nursing assistants participated. Knowledge/medical facts concerning multidrug-resistant and hygiene preventive measures were investigated and data were analysed using a quantitative approach.

RESULTS:

Knowledge/medical facts concerning several aspects of multidrug-resistant bacteria, particularly Extended-Spectrum-Beta-Lactamase producing bacteria, were deficient as was knowledge of different aspects of hygiene preventive measures. Physicians showed significantly better results than district nurses and nursing assistants did. Awareness of proper hand-washing as an effective preventive method and use of aprons in nursing care was high among all participants. Staff who knew they had cared for these patients had significantly better results than the others did.

CONCLUSION:

Our findings suggest that evidence-based education of multidrug-resistant and hygiene preventive measures, in primary health with subsequent follow-ups should become a prioritized clinician and management concern. Research is needed that focus implementation of evidence-based educations, staff attitudes and responsibilities related to the work with patients at risk of multidrug-resistant bacteria.

Emneord
District nurses, hand hygiene, infection control, multi professional care, primary care
HSV kategori
Identifikatorer
urn:nbn:se:hig:diva-10486 (URN)10.1111/j.1365-2648.2010.05533.x (DOI)000288502800008 ()21198802 (PubMedID)2-s2.0-79952715854 (Scopus ID)
Tilgjengelig fra: 2011-09-27 Laget: 2011-09-27 Sist oppdatert: 2018-03-13bibliografisk kontrollert
Fläckman, B., Hansebo, G. & Kihlgren, A. (2009). Struggling to adapt: Caring for older persons while under threat of organizational change and termination notice : Feature. Nursing Inquiry, 16(1), 82-91
Åpne denne publikasjonen i ny fane eller vindu >>Struggling to adapt: Caring for older persons while under threat of organizational change and termination notice : Feature
2009 (engelsk)Inngår i: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 16, nr 1, s. 82-91Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Organizational changes are common in elder care today. Such changes affect caregivers, who are essential to providing good quality care. The aim of the present study was to illuminate caregivers' experiences of working in elder care while under threat of organizational change and termination notice. Qualitative content analysis was used to examine interview data from 11 caregivers. Interviews were conducted at three occasions during a two-year period. The findings show a transition in their experiences from 'having a professional identity and self-confidence', to 'being a professional in a threatening situation caused by someone else' and to 'struggling to adapt to a changed working environment as a person and a professional'. The caregivers experienced a loss of pride and satisfaction. Previous literature indicates that this may have consequences for the quality of care and that employees may be at risk of negative health effects. However, the caregivers continued to struggle, doing their best to complete their duties. The study has implications for high-level decision-makers, managers and caregivers in similar work-life situations in that it deals with factors that facilitate or impede similar transitions.

Emneord
Caregivers' experience, nursing home, organizational changes, termination notice, transition
HSV kategori
Identifikatorer
urn:nbn:se:hig:diva-5195 (URN)10.1111/j.1440-1800.2009.00434.x (DOI)000263256900010 ()19228307 (PubMedID)2-s2.0-60049093601 (Scopus ID)
Tilgjengelig fra: 2009-09-02 Laget: 2009-09-02 Sist oppdatert: 2018-03-13bibliografisk kontrollert
Fläckman, B., Sørlie, V. & Kihlgren, M. (2008). Unmet expectations: why nursing home staff leave care work. International Journal of Older People Nursing, 3(1), 55-62
Åpne denne publikasjonen i ny fane eller vindu >>Unmet expectations: why nursing home staff leave care work
2008 (engelsk)Inngår i: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 3, nr 1, s. 55-62Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background. The shortages of healthcare professionals have been a common topic in care of older people.

Aim and objectives. The aim of the present study was to illuminate what caused the nursing home caregivers to decide to leave their employment.

Design. A two-year intervention study was performed in three nursing homes in Sweden.

Method. This qualitative interview study was conducted with 18 caregivers who decided to leave their employment during the first year. Content analysis was the method used to analyse the interviews.

Result. The caregivers’ decisions to leave their work in care of older people could be encompassed in one main category: ‘Unmet Expectations’. Their experiences were of lack of encouragement and trust and professional development. Feelings of insecurity, different opinions on the care delivered, being disregarded and betrayed followed as did thoughts of leaving work and pursuing other opportunities.

Conclusions. The main findings indicated that organizational work pressure with information about pending financial cutbacks caused the caregivers to leave the nursing homes.

Relevance to clinical practice. The study’s results show the value of meeting the needs of caregivers, as caregivers consider that they meet the needs of the older people. Optimal use of caregivers’ skills, experiences, competence and respect for their aspirations is also likely to result in cost-efficient care.

Emneord
expectations, leave employment, nursing homes, nursing workforce
Identifikatorer
urn:nbn:se:hig:diva-2027 (URN)10.1111/j.1748-3743.2007.00101.x (DOI)20925890 (PubMedID)
Tilgjengelig fra: 2008-06-18 Laget: 2008-06-18 Sist oppdatert: 2018-03-13bibliografisk kontrollert
Fläckman, B. (2008). Work in eldercare - staying or leaving: caregivers' experiences of work and support during organizational changes. (Doctoral dissertation). Stockholm: Karolinska institutet
Åpne denne publikasjonen i ny fane eller vindu >>Work in eldercare - staying or leaving: caregivers' experiences of work and support during organizational changes
2008 (engelsk)Doktoravhandling, med artikler (Annet vitenskapelig)
Abstract [en]

The overall aim of the present thesis was to reveal nursing home (NH) caregivers’ work ex-periences when receiving support through education and clinical supervision over a two-year period, while the workplace was undergoing organizational changes. The studies (I-IV) com-bine qualitative and quantitative methods in a longitudinal two-year follow-up project in three Swedish NHs (NH I - III), in which support was given to the staff at NH I-II. NH III was in-cluded as a comparison. The thesis is based on interviews (I-IV) and self-assessment ques-tionnaires (I), which were conducted at three occasions: at start, after 12 and 24 months at the respective NHs. As a result of political decisions, NH I was informed of organizational changes and pending financial cutbacks shortly after opening. The other NHs were informed at around 12 months. The numbers of caregivers willing to participate at start were 32, 21 and 22 at the respective NHs. No new participants were included to replace dropouts. Descriptive statistics (I) and qualitative content analyses (I-IV) were used. Study I focused on the organ-izational climate and the prevalence of burnout symptoms in the three NHs. The result from NH I revealed an improvement over time as opposed to NH II, which showed negative pro-gression at 12 months, despite support. This corresponded to the time at which they received information about financial cutbacks. The improvement based on the interviews at NH I was not as distinct as that based on the self-assessment scores. The support given seemed to have helped the caregivers at NH I, but was not able to alter the situation at NH II. The develop-ment based on self-assessments at NH III was more constant throughout the study. Results from interviews at NH II and III were more in accordance with the scores. In Study II, the caregivers’ work experiences at NH II, while receiving support through education and clinical supervision, showed that they valued the caring milieu and their own knowledge. The value of knowledge was related to their different backgrounds and to the knowledge gained through the support, and it seemed to be one factor underlying participants’ continued willingness to stay. In Study III, caregivers’ experiences and reflections on working at NH III, while under threat of organizational changes and termination notice, showed a transition from ‘having a professional identity and self-confidence’ to ‘being a professional in a threatening situation caused by someone else’. Finally they were ‘struggling to adapt to a changed working envi-ronment as a person and a professional’. The caregivers experienced a loss of pride and satis-faction. Included in Study II and III were interviews from those caregivers who had been interviewed on all three occasions. Study IV focused on what had caused caregivers at the three NHs to decide to leave their employment during the study period. Caregivers’ decisions to leave work could be encompassed in one main category: ‘Unmet expectations’. Their ex-periences were lack of encouragement, trust and professional development. Also reported were feelings of insecurity, different opinions on the care delivered, being disregarded and betrayed, followed by thoughts of leaving work and pursing other opportunities. It can be concluded that the changes at all three NHs seemed to have over-shadowed attempts to im-prove working conditions. Successful changes require a vision that justifies them. High-level decision-makers and managers ought to be conscious of the factors that facilitate or impede similar transitions. They should also focus on supporting caregivers during change processes, as the literature shows a risk for decreasing quality of care.

sted, utgiver, år, opplag, sider
Stockholm: Karolinska institutet, 2008. s. 51
Emneord
Nursing home, caregivers’ experiences and expectations, organizational climate, burnout, education and clinical supervision, cutbacks and organizational changes, termination notice, transition, nursing workforce
Identifikatorer
urn:nbn:se:hig:diva-2029 (URN)978-91-7409-049-9 (ISBN)
Disputas
(engelsk)
Tilgjengelig fra: 2008-06-18 Laget: 2008-06-18 Sist oppdatert: 2018-03-13bibliografisk kontrollert
Fläckman, B., Fagerberg, I., Häggström, E., Kihlgren, A. & Kihlgren, M. (2007). Despite shattered expectations a willingness to care for elders remains with education and clinical supervision. Scandinavian Journal of Caring Sciences, 21(3), 379-389
Åpne denne publikasjonen i ny fane eller vindu >>Despite shattered expectations a willingness to care for elders remains with education and clinical supervision
Vise andre…
2007 (engelsk)Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 21, nr 3, s. 379-389Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Despite shattered expectations a willingness to care for elders remains with  education and clinical supervision The aim was to describe nursing home (NH) caregivers’ work experiences while receiving education and clinical supervision for 2 years. Working in elder care seems to be losing its attraction especially with organizational changes, cutbacks and changes in work place conditions. Clinical supervision has been reported to increase job satisfaction and creativity. Semi-structured interviews from caregivers working at an NH in Sweden were conducted, at the start and again at 12 and 24 months. At about 12 months the caregivers were informed of planned cutbacks. Content analysis was the method used to analyse the interviews from seven caregivers who participated throughout the entire period. Findings show that the value of a caring milieu was one category generated by the subcategories: experiences related to work activities and changes, and experiences related to relationships. The value of knowledge was the other category that was influenced by the experiences related to the different backgrounds and the experiences related to increased knowledge gained from the support through education and clinical supervision. The categories contained positive as well as negative influences on care. The initial focus on practical duties associated with the opening of the NH shifted towards caregiver activities with the elders they spoke warmly about. After 2 years the caregivers’ willingness to care continued despite their disappointment in the worsened working conditions. The main theme that resulted was: Despite shattered expectations a willingness to care for elders remained. Continued education and clinical supervision seems to be one factor behind the retained willingness. These findings demonstrate that support and caregiver involvement in educational programmes are important during times of change and when disappointments arise in the workplace.

Emneord
caregiver, nursing home, education, clinical
HSV kategori
Identifikatorer
urn:nbn:se:hig:diva-987 (URN)10.1111/j.1471-6712.2007.00478.x (DOI)000249423800014 ()17727551 (PubMedID)2-s2.0-34548286366 (Scopus ID)
Tilgjengelig fra: 2008-06-16 Laget: 2008-06-16 Sist oppdatert: 2018-03-13bibliografisk kontrollert
Häggström, E., Skovdahl, K., Fläckman, B., Kihlgren, A. & Kihlgren, M. (2005). Work satisfaction and dissatisfaction: caregivers’ experiences after a two-year intervention in a newly opened nursing home. Journal of Clinical Nursing, 14(1), 9-19
Åpne denne publikasjonen i ny fane eller vindu >>Work satisfaction and dissatisfaction: caregivers’ experiences after a two-year intervention in a newly opened nursing home
Vise andre…
2005 (engelsk)Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 14, nr 1, s. 9-19Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Work satisfaction and dissatisfaction – caregivers’ experiences after a two-year intervention in a newly opened nursing home Aims and objectives. The aim of the study was to investigate, from the narratives of nine enrolled nurses and one nurses’ aide directly involved in patient care, the deeper meaning of work satisfaction and dissatisfaction when working with the older people.

Background. Both nationally and internationally, there is little research documented regarding the working situation of the enrolled nurses and nurses’ aides who make upthe majority of care for older people today. With this in mind, it is important to focus on how these occupational groups experience their work with the older residents in municipal care, following a two-year intervention.

Design. The study is part of a larger longitudinal study, with a quasi-experimental design within the municipal system of care for older people in Sweden. The investigation was carried out following a two-year intervention, which included: education, support and clinical supervision.

Method. The interviews were performed 12 and 24 months after start of the intervention and were analysed with a phenomenological–hermeneutic method inspired by Ricoeur’s philosophy.

Results. The findings from these narratives illustrated a change compared with the findings from the first interviews, when the nursing home had just opened. There was a 2005 Blackwell Publishing Ltd 9 shift from a dominance of dissatisfaction with work, to a dominance of work satisfaction and this was expressed in the following themes: experience of a changed perspective, experience of open doors, and experience of closed doors. Each theme emerged from several different subthemes and each subtheme that had been expressed in the caregivers’ narratives was interpreted.

Conclusions. The study shows that the caregivers’ experience of work satisfaction in the workplace exceeded their experience of dissatisfaction and that the intervention, consisting of: education, support, and supervision might have facilitated this positive development where the older residents were prioritized. It also shows that communication and understanding between management and staff had increased as the nursing home had opened.

Relevance to clinical practice. The findings can be used to help to prevent work dissatisfaction, and thereby increase work satisfaction for caregivers working in nursing homes.

Emneord
intervention, long-term care, supervision, work satisfaction
HSV kategori
Identifikatorer
urn:nbn:se:hig:diva-986 (URN)10.1111/j.1365-2702.2004.00977.x (DOI)000226399300002 ()15656843 (PubMedID)
Tilgjengelig fra: 2008-06-17 Laget: 2008-06-17 Sist oppdatert: 2018-03-13bibliografisk kontrollert
Häggström, E., Skovdahl, K., Fläckman, B., Kihlgren, A. & Kihlgren, M. (2004). To feel betrayed and to feel that you are betraying the older residents: caregivers' experiences at a newly opened nursing home. Journal of clinical nursing, 13(6), 687-696
Åpne denne publikasjonen i ny fane eller vindu >>To feel betrayed and to feel that you are betraying the older residents: caregivers' experiences at a newly opened nursing home
Vise andre…
2004 (engelsk)Inngår i: Journal of clinical nursing, Vol. 13, nr 6, s. 687-696Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

BACKGROUND:

In Sweden and internationally, little research has focused on the working situation of Enrolled Nurses and Nurses' Aides who form the majority of workers in geriatric care today. With this in mind, it is important to focus on how these occupational groups experience their working situation with older residents in municipal care.

AIMS AND OBJECTIVES:

The aim of the study was to investigate the deeper meaning of work satisfaction and work dissatisfaction at a newly opened nursing home for older residents. The study focused on the narratives supplied by the caregivers at the nursing home. The participants included: one Registered Nurse, sixteen Enrolled Nurses, and three Nurses' Aides. All were directly involved in patient care.

DESIGN:

The present study is part of a larger longitudinal study within the municipal geriatric care system in Sweden, with a quasi-experimental design.

METHOD:

The interviews were analysed with a phenomenological-hermeneutic method inspired by the philosophy of Ricoeur.

RESULT:

The caregivers experiences of work satisfaction and work dissatisfaction was expressed in four themes: (i) 'Experience of betrayal' describes how the staff felt let down in several ways; (ii) 'Experience of failing others' describes how the staff felt that they did not pay enough attention to older people, in several different ways; (iii) 'Experience of insufficiency' describes how the staff encountered overwhelming demands from several directions; (iv) 'Experience of work satisfaction' describes how the staff felt that they were given support in various ways. Each theme emerged from several subthemes that originated from the caregivers' narratives.

CONCLUSIONS:

The study shows that the caregivers' experience of work dissatisfaction overshadows their experience of work satisfaction. It also suggests that their feelings of failing the older residents are connected to their own experiences of feeling betrayed.

RELEVANCE TO CLINICAL PRACTICE:

The findings can be used when other nursing homes in municipal care are opened, as a means of preventing work dissatisfaction and increasing work satisfaction among future employees.

Emneord
long-term care, work dissatisfaction, work satisfaction
HSV kategori
Identifikatorer
urn:nbn:se:hig:diva-985 (URN)10.1111/j.1365-2702.2004.00939.x (DOI)000223404800005 ()15317508 (PubMedID)
Tilgjengelig fra: 2008-06-17 Laget: 2008-06-17 Sist oppdatert: 2018-03-13bibliografisk kontrollert
Organisasjoner