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Hedlund, Å. & Lindberg, M. (2024). A matter of research integrity: The reporting of statistical software used in studies published in nursing journals in 2023.
Öppna denna publikation i ny flik eller fönster >>A matter of research integrity: The reporting of statistical software used in studies published in nursing journals in 2023
2024 (Engelska)Ingår i: Artikel i tidskrift (Refereegranskat) Submitted
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:hig:diva-44028 (URN)
Tillgänglig från: 2024-04-09 Skapad: 2024-04-09 Senast uppdaterad: 2024-04-09Bibliografiskt granskad
Lindberg, M., Skytt, B., Lindberg, M., Wijk, K. & Strömberg, A. (2023). A complex challenge with unclear improvement: the need for involvement, contextualization and facilitation when managers implement a leadership model. Leadership in Health Services, 36(2), 236-246
Öppna denna publikation i ny flik eller fönster >>A complex challenge with unclear improvement: the need for involvement, contextualization and facilitation when managers implement a leadership model
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2023 (Engelska)Ingår i: Leadership in Health Services, ISSN 1751-1879, E-ISSN 1751-1887, Vol. 36, nr 2, s. 236-246Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose

Management and leadership in health care are described as complex and challenging, and the span of control is known to be a key component in the manager’s job demands. The implementation of change can be a challenge in health care, and managers often have roles as implementation leaders. Little attention has been given to how managers perceive the process of implementation. Thus, this study aims to explore second-line managers’ perceptions of, prerequisites for and experiences from the implementation of changes in their manager’s work conditions.

Design/methodology/approach

A grounded theory–based qualitative design was used. Data were collected from a purposive sample of nine second-line managers by individual semi-structured interviews. The three stages of initial coding, focus codes and axial coding were used in data analysis.

Findings

Three thematic areas were identified: engagement, facilitation and achievement. The second-line managers’ descriptions suggest that the change work entails a complex challenge with an unclear result. Involvement, consideration for the context and facilitation are needed to be able to conduct a cohesive implementation process.

Originality/value

This study findings outline that to succeed when implementing change in complex organizations, it is crucial that managers at different levels are involved in the entire process, and that there are prerequisites established for the facilitation and achievement of goals during the planning, implementation and follow-up.

Ort, förlag, år, upplaga, sidor
Emerald, 2023
Nyckelord
Change management; Health services; Implementation; Leadership; Organisation and administration; Qualitative research
Nationell ämneskategori
Hälsovetenskaper
Forskningsämne
Hälsofrämjande arbete
Identifikatorer
urn:nbn:se:hig:diva-40080 (URN)10.1108/lhs-05-2022-0055 (DOI)000863665800001 ()36193881 (PubMedID)2-s2.0-85139172682 (Scopus ID)
Tillgänglig från: 2022-10-07 Skapad: 2022-10-07 Senast uppdaterad: 2023-04-25Bibliografiskt granskad
Bjuhr, M., Lindberg, M., Engström, M., Welmer, A.-K. & Sjölund, B.-M. (2023). Antecedents of and experiences with voluntary early exit from working life before the expected retirement age in Sweden.
Öppna denna publikation i ny flik eller fönster >>Antecedents of and experiences with voluntary early exit from working life before the expected retirement age in Sweden
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2023 (Engelska)Ingår i: Artikel i tidskrift (Refereegranskat) Submitted
Nationell ämneskategori
Hälsovetenskaper
Identifikatorer
urn:nbn:se:hig:diva-42876 (URN)
Tillgänglig från: 2023-08-23 Skapad: 2023-08-23 Senast uppdaterad: 2023-09-14Bibliografiskt granskad
Widgren, Y., Silén, M., Wåhlin, I., Lindberg, M., Fransson, P. & Efverman, A. (2023). Chemotherapy-induced Emesis: Experienced Burden in Life, and Significance of Treatment Expectations and Communication in Chemotherapy Care. Integrative Cancer Therapies, 22
Öppna denna publikation i ny flik eller fönster >>Chemotherapy-induced Emesis: Experienced Burden in Life, and Significance of Treatment Expectations and Communication in Chemotherapy Care
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2023 (Engelska)Ingår i: Integrative Cancer Therapies, ISSN 1534-7354, E-ISSN 1552-695X, Vol. 22Artikel i tidskrift (Refereegranskat) Epub ahead of print
Abstract [en]

Objective: Because antiemetics have become more effective and integrative therapies such as acupuncture are used in combination with antiemetics, people receiving chemotherapy for cancer today might expect less emesis than in the past. It is not previously described if and how people receiving modern antiemetics during chemotherapy experience emesis. The objective of this study was to describe experiences regarding emesis among persons undergoing emetogenic chemotherapy, and how it affects their quality of life, daily life and work. A further aim was to describe views on the significance of treatment expectations and communication with healthcare personnel while undergoing chemotherapy for cancer.

Method: Fifteen participants (median age 62 years, n = 1 man and n = 14 women, with breast (n = 13) or colorectal (n = 2) cancer) undergoing adjuvant or neo-adjuvant highly or moderately emetogenic chemotherapy were interviewed individually. The data were then analyzed using inductive thematic analysis.

Results: Three themes described the participants’ experiences: “Your whole life is affected, or continues as usual,” covering descriptions of emesis limiting some participants’ everyday lives, while others experienced no emesis at all or had found ways to manage it. Overall, participants described satisfaction with their antiemetic treatment. “Experiences and expectations more important than information”, that is, the participants reported wanting all the information they could get about possible adverse effects of treatment, although they believed previous experiences were more important than information in creating expectations about treatment outcomes. The participants reported that being seen as a unique person was of utmost importance: “Meet me as I am.” This creates trust in healthcare personnel and a feeling of safety and security in the situation.

Conclusions: These findings underline the importance of person-centered care and support in creating positive treatment expectations. Future research is called for regarding the potential antiemetic effects of positive communication regarding strengthening positive treatment expectations during emetogenic chemotherapy.

Ort, förlag, år, upplaga, sidor
SAGE, 2023
Nationell ämneskategori
Cancer och onkologi
Forskningsämne
Hälsofrämjande arbete, Inkluderande arbetsliv; Hälsofrämjande arbete
Identifikatorer
urn:nbn:se:hig:diva-43484 (URN)10.1177/15347354231217296 (DOI)001125792800001 ()38098295 (PubMedID)2-s2.0-85179678460 (Scopus ID)
Tillgänglig från: 2023-12-19 Skapad: 2023-12-19 Senast uppdaterad: 2024-01-04Bibliografiskt granskad
Lindberg, M. & Lindberg, M. (2023). Development and Validation of the Infection Prevention Appraisal Scale. Nursing Reports, 13(1), 157-165
Öppna denna publikation i ny flik eller fönster >>Development and Validation of the Infection Prevention Appraisal Scale
2023 (Engelska)Ingår i: Nursing Reports, ISSN 2039-439X, E-ISSN 2039-4403, Vol. 13, nr 1, s. 157-165Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

It has been emphasized that future studies aimed at improving adherence to infection prevention guidelines should focus on beliefs in, e.g., self-efficacy. Reliable situation specific measures are needed to measure the phenomenon of self-efficacy, but there seems to be few valid scales available that are suitable for measuring one’s belief in self-efficacy regarding infection prevention measures. The purpose of the study was to develop a unidimensional appraisal scale to capture nurses’ beliefs in their abilities to practice medical asepsis in care situations. When creating the items, evidence-based guidelines for preventing healthcare-associated infections were used together with Bandura’s guide for constructing self-efficacy scales. Face validity, content validity, and concurrent validity were tested in various samples of the target population. Furthermore, dimensionality was evaluated on data collected from 525 registered nurses and licensed practical nurses recruited from the medical, surgical, and orthopaedic wards of 22 Swedish hospitals. The Infection Prevention Appraisal Scale (IPAS) consists of 14 items. Face and content validity were endorsed by target population representatives. The exploratory factor analysis suggested unidimensionality, and the internal consistency was good (Cronbach’s alpha 0.83). The total scale score correlated with the General Self-Efficacy Scale, as expected, and supported concurrent validity. The Infection Prevention Appraisal Scale demonstrates sound psychometric properties supporting a unidimensional measure of self-efficacy to medical asepsis in care situations.

Ort, förlag, år, upplaga, sidor
MDPI, 2023
Nyckelord
behaviour change; classic test theory; content validity index; exploratory factor analysis; infection prevention; organism transmission; scale development; self-efficacy
Nationell ämneskategori
Hälsovetenskaper
Identifikatorer
urn:nbn:se:hig:diva-41120 (URN)10.3390/nursrep13010017 (DOI)000959918300001 ()36810268 (PubMedID)2-s2.0-85151093564 (Scopus ID)
Tillgänglig från: 2023-02-23 Skapad: 2023-02-23 Senast uppdaterad: 2023-04-20Bibliografiskt granskad
Westergren, E. & Lindberg, M. (2023). Haemodialysis nurses' occupational health and work‐related musculoskeletal hand pain after work: A cluster analysis. Nursing Open, 10(6), 4064-4070
Öppna denna publikation i ny flik eller fönster >>Haemodialysis nurses' occupational health and work‐related musculoskeletal hand pain after work: A cluster analysis
2023 (Engelska)Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 10, nr 6, s. 4064-4070Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aim

To identify clusters based on haemodialysis nurses' self-rated work ability, work engagement and self-reported work hours and to compare the identified clusters regarding hand pain after work.

Design

Cross-sectional survey.

Methods

Data based on the Work Ability Index, Utrecht Work Engagement Scale and hand pain severity after work were collected through a web-based survey among 503 haemodialysis nurses working in Sweden and Denmark. A two-step cluster analysis was used to identify homogenous groups of cases within the dataset, followed by comparative analyses of the clusters.

Results

Four distinct clusters were identified, illustrating differing profiles of haemodialysis nurses' work ability, work engagement and working hours. Nurses who worked part-time and reported moderate work ability and average work engagement had significantly higher ratings of hand pain after work.

Conclusions

Haemodialysis nurses are a heterogeneous group as regards work ability, work engagement and self-reported work hours. The four distinct clusters of nurses indicate a need for customized interventions for retaining each subgroup at work.

Ort, förlag, år, upplaga, sidor
Wiley, 2023
Nyckelord
haemodialysis nurses; musculoskeletal pain; nursing; work ability; work capacity evaluation; work engagement
Nationell ämneskategori
Hälsovetenskaper
Identifikatorer
urn:nbn:se:hig:diva-41119 (URN)10.1002/nop2.1666 (DOI)000937046400001 ()36811450 (PubMedID)2-s2.0-85149228226 (Scopus ID)
Forskningsfinansiär
AFA Försäkring, 170075
Tillgänglig från: 2023-02-23 Skapad: 2023-02-23 Senast uppdaterad: 2023-06-16Bibliografiskt granskad
Arvidsson, L., Skytt, B., Lindberg, M. & Lindberg, M. (2023). Nurses’ assessed self-efficacy levels to medical asepsis and their relation to structural empowerment, work engagement and work-related stress. Work: A journal of Prevention, Assessment and rehabilitation, 74(2), 501-513
Öppna denna publikation i ny flik eller fönster >>Nurses’ assessed self-efficacy levels to medical asepsis and their relation to structural empowerment, work engagement and work-related stress
2023 (Engelska)Ingår i: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 74, nr 2, s. 501-513Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BACKGROUND: Nurses’ working conditions are important for their well-being at work and for their ability to provide patients with safe care. Self-efficacy can influence employees’ behaviour at work. Therefore, it is valuable to study self-efficacy levels to medical asepsis in relation to working conditions.

OBJECTIVE: To investigate the relationship between nurses assessed self-efficacy levels to medical asepsis in care situations and structural empowerment, work engagement and work-related stress.

METHODS: A cross-sectional study with a correlational design was conducted. A total of 417 registered nurses and licensed practical nurses at surgical and orthopaedic units responded to a questionnaire containing: the Infection Prevention Appraisal Scale, the Conditions of Work Effectiveness Questionnaire-II, Utrecht Work Engagement Scale-9 and the Health & Safety Executive Management Standards Indicator Tool. Correlational analyses and group comparisons were performed.

RESULTS: The nurses rated high levels of self-efficacy to medical asepsis in care situations. The correlational analyses revealed that correlation coefficients between structural empowerment, work engagement, work-related stress and self-efficacy to medical asepsis were 0.254–0.268. Significant differences in self-efficacy were found in the grouped working conditions.

CONCLUSIONS: This study revealed that nurses rated high self-efficacy levels to medical asepsis and, to some extent, this seemed related to structural empowerment, work engagement and work-related stress. This valuable knowledge could enable improvements at the managerial and organisational levels, benefiting both nurses and patients in the long run.

Ort, förlag, år, upplaga, sidor
IOS Press, 2023
Nyckelord
infection prevention, working conditions, registered nurses, licensed practical nurses
Nationell ämneskategori
Hälsovetenskaper
Forskningsämne
Hälsofrämjande arbete
Identifikatorer
urn:nbn:se:hig:diva-40325 (URN)10.3233/wor-211305 (DOI)000939517200013 ()36314182 (PubMedID)2-s2.0-85148963932 (Scopus ID)
Tillgänglig från: 2022-10-31 Skapad: 2022-10-31 Senast uppdaterad: 2023-03-24Bibliografiskt granskad
Widgren, Y., Silén, M., Wåhlin, I., Lindberg, M., Fransson, P. & Efverman, A. (2023). Patients’ experiences of emesis and the significance of treatment expectations and communication during chemotherapy for cancer. Paper presented at MASCC/JASCC/ISOO Annual Meeting 2023. Supportive Care in Cancer, 31(S1), s39, Article ID 399.
Öppna denna publikation i ny flik eller fönster >>Patients’ experiences of emesis and the significance of treatment expectations and communication during chemotherapy for cancer
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2023 (Engelska)Ingår i: Supportive Care in Cancer, ISSN 0941-4355, E-ISSN 1433-7339, Vol. 31, nr S1, s. s39-, artikel-id 399Artikel i tidskrift, Meeting abstract (Refereegranskat) Published
Abstract [en]

Introduction

Since antiemetics have become more effective, it seems plausible that patients nowadays expect less emesis than in the past. To gain a deeper understanding of the patients’ caring needs during emetogenic chemotherapy used today, the aim was to describe patients’ experiences of chemotherapy-induced emesis and how it afects quality of life, daily life, and work. Further, to describe views of the signifcance of their treatment expectations and the communication with the health care personnel when undergoing chemotherapy for cancer.

Methods

Fifteen patients (median age 62 years, n=1 man and n=14 women, with breast (n=13) or colorectal (n=2) cancer), undergoing adjuvantor neo-adjuvant highly or moderately emetogenic chemotherapy were interviewed individually. The data were then analyzed using inductive thematic analysis.

Results

Three themes described the patients’ experiences: ”The whole life gets affected, or goes on as usual”, covering descriptions of how some patients experienced the emesis to limit their everyday lives, while others experienced no emesis at all or had found ways to manage it; ”Information is important for creating expectations, but experiences even more”, i.e., the patients expressed that they wanted all the information they could get about possible adverse efects from the treatment, even though they believed previous experiences to be more important than information for creating expectations about treatment outcomes. Overall, the participants described satisfaction with their antiemetic treatment; and ”Meet me as I am”, including the participants expressed being seen as a unique person to be the of utterly importance. It creates trust in the health care personnel and a feeling of safety and security in the situation.

Conclusions

These findings underline the importance of person-centered care ands upport in creating positive treatment expectations. Future research is welcomed regarding potential antiemetic efects of positive communication, strengthening positive treatment expectations during emetogenic chemotherapy

Ort, förlag, år, upplaga, sidor
Springer, 2023
Nationell ämneskategori
Hälsovetenskaper
Identifikatorer
urn:nbn:se:hig:diva-43517 (URN)10.1007/s00520-023-07786-4 (DOI)
Konferens
MASCC/JASCC/ISOO Annual Meeting 2023
Tillgänglig från: 2024-01-05 Skapad: 2024-01-05 Senast uppdaterad: 2024-01-05Bibliografiskt granskad
Bjuhr, M., Lindberg, M., Engström, M., Welmer, K. & Sjölund, B.-M. (2023). Sustained health in working life among an aging population and an aging working force. In: : . Paper presented at Nordic Health Promotion Research Conference 2023, Halmstad, June 14–16.
Öppna denna publikation i ny flik eller fönster >>Sustained health in working life among an aging population and an aging working force
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2023 (Engelska)Konferensbidrag, Poster (med eller utan abstract) (Refereegranskat)
Abstract [en]

Background. A crucial factor for social sustainability is equal health and social justice. With an aging population andincreased expectations on senior workers to prolong their working life, research focusing on sustainable working life incombination with healthy aging is needed.

Purpose. To explore factors related to and experiences of prolonging working life after the expected retirement age of65 among Swedish people.Methods. Cross-sectional and longitudinal data were used to assess associations with participation in working life atages 66 and 72. Additionally, qualitative data, based on 18 individual semi-structured interviews with workers 67–90years were used to gain an extended understanding of incentives for prolonged working life.

Findings. Male gender and profession were associated with participating in working life at age 72, additionally, fewerdiagnosed diseases and a light level of physical activity at work at 66. Senior workers described that workingcontributed to sustained internal and external resources, added meaningfulness to life and flexible working conditionsenabled a satisfying balance between work and leisure. Altogether, these different aspects of working life wereinterpreted as contributing to increased feelings of vitality, the innermost dimension of health.

Conclusion. Regardless of biological age, being able to remain active in working life can be beneficial to vitality.Actions to provide flexible working conditions, especially for disadvantaged senior workers, may facilitate working lifeafter the expected retirement age with extended equality.

Nyckelord
extended working life, multidimensional health, older workers
Nationell ämneskategori
Sociologi Hälsovetenskaper
Forskningsämne
Hälsofrämjande arbete
Identifikatorer
urn:nbn:se:hig:diva-43410 (URN)
Konferens
Nordic Health Promotion Research Conference 2023, Halmstad, June 14–16
Tillgänglig från: 2023-12-07 Skapad: 2023-12-07 Senast uppdaterad: 2023-12-08Bibliografiskt granskad
Arvidsson, L., Lindberg, M., Skytt, B. & Lindberg, M. (2022). Healthcare personnel's working conditions in relation to risk behaviours for organism transmission: A mixed-methods study. Journal of Clinical Nursing, 31(7-8), 878-894
Öppna denna publikation i ny flik eller fönster >>Healthcare personnel's working conditions in relation to risk behaviours for organism transmission: A mixed-methods study
2022 (Engelska)Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 31, nr 7-8, s. 878-894Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

AIMS AND OBJECTIVES: To investigate healthcare personnel's working conditions in relation to risk behaviours for organism transmission.

BACKGROUND: Healthcare personnel's behaviour is often influenced by working conditions that in turn can impact the development of healthcare-associated infections. Observational studies are scarce, and further understanding of working conditions in relation to behaviour is essential for the benefit of the healthcare personnel and the safety of the patients.

DESIGN: A mixed-methods convergent design.

METHODS: Data were collected during 104 h of observation at eight hospital units. All 79 observed healthcare personnel were interviewed. Structured interviews covering aspects of working conditions were performed with the respective first-line manager. The qualitative and quantitative data were collected concurrently and given equal priority. Data were analysed separately and then merged. The study follows the GRAMMS guidelines for reporting mixed-methods research.

RESULTS: Regardless of measurable and perceived working conditions, risk behaviours frequently occurred especially missed hand disinfection. Healthcare personnel described staffing levels, patient-level workload, physical factors and interruptions as important conditions that influence infection prevention behaviours. The statistical analyses confirmed that interruptions increase the frequency of risk behaviours. Significantly higher frequencies of risk behaviours also occurred in activities where healthcare personnel worked together, which in the interviews was described as a consequence of caring for high-need patients.

CONCLUSIONS: These mixed-methods findings illustrate that healthcare personnel's perceptions do not always correspond to the observed results since risk behaviours frequently occurred regardless of the observed and perceived working conditions. Facilitating the possibility for healthcare personnel to work undisturbed when needed is essential for their benefit and for patient safety.

RELEVANCE FOR CLINICAL PRACTICE: The results can be used to enlighten healthcare personnel and managers and when designing future infection prevention work.

Ort, förlag, år, upplaga, sidor
Wiley, 2022
Nyckelord
healthcare personnel behaviour, healthcare-associated infections, infection prevention, interruptions, mixed methods, working conditions
Nationell ämneskategori
Hälsovetenskaper
Forskningsämne
Hälsofrämjande arbete
Identifikatorer
urn:nbn:se:hig:diva-36757 (URN)10.1111/jocn.15940 (DOI)000669380800001 ()34219318 (PubMedID)2-s2.0-85109108596 (Scopus ID)
Tillgänglig från: 2021-07-07 Skapad: 2021-07-07 Senast uppdaterad: 2022-09-21Bibliografiskt granskad
Projekt
Belastningsbesvär hos hemodialyssjuksköterskor i Sverige och Danmark [170075]; Högskolan i Gävle
Organisationer
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0003-1289-9896

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