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Lindberg, M., Carlsson, M., Engström, M., Kristofferzon, M.-L. & Skytt, B. (2020). Nursing student's expectations for their future profession and motivating factors - a longitudinal descriptive study from Sweden. Nurse Education Today, Article ID 104218.
Öppna denna publikation i ny flik eller fönster >>Nursing student's expectations for their future profession and motivating factors - a longitudinal descriptive study from Sweden
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2020 (Engelska)Ingår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, artikel-id 104218Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background

The shortage of registered nurses is a global concern. Motives to become registered nurses can be to help others, altruism, personal development and career security. Motives in combination with student expectations regarding the role are not explored.

Objective

To describe students' motives to become registered nurses and their expectations regarding their future profession.

Design

A longitudinal descriptive design with a qualitative approach was used to follow nursing students in the beginning, during and at the end of their education.

Participants and setting

A purposive sampling of a group with initially 75 students starting a three-year nursing program at a university in Sweden.

Methods

A study specific questionnaire with open-ended questions was used in the beginning, during and the end of the students' education. At data collection two and three, a copy of the earlier answers was attached. Data were analysed using manifest and latent content analysis.

Results

An important profession with career opportunities, interesting duties and team work were described. Students expected diversified duties, possibilities for development and work satisfaction. Increased concerns regarding their upcoming work life was described at the end of the education.

Conclusion

The students had a positive understanding of the profession and perceived their forthcoming role as interesting. The leading role of coordinating patient care was more comprehensive than expected. Supportive conditions and well planned transition periods could strengthen newly graduated nurses in their professional role and could be an important aspect in the future retention of RNs.

Ort, förlag, år, upplaga, sidor
Elsevier, 2020
Nyckelord
Expectations, Longitudinal qualitative study, Nursing students, Professional role
Nationell ämneskategori
Hälsovetenskaper Omvårdnad
Forskningsämne
Hälsofrämjande arbete
Identifikatorer
urn:nbn:se:hig:diva-30703 (URN)10.1016/j.nedt.2019.104218 (DOI)31698292 (PubMedID)
Tillgänglig från: 2019-09-27 Skapad: 2019-09-27 Senast uppdaterad: 2020-03-05Bibliografiskt granskad
Engström, M., Högberg, H., Strömberg, A., Hagerman, H. & Skytt, B. (2020). Staff working life and older persons' satisfaction with care: a multilevel, correlational design. Journal of Nursing Care Quality
Öppna denna publikation i ny flik eller fönster >>Staff working life and older persons' satisfaction with care: a multilevel, correlational design
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2020 (Engelska)Ingår i: Journal of Nursing Care Quality, ISSN 1057-3631, E-ISSN 1550-5065Artikel i tidskrift (Refereegranskat) Epub ahead of print
Abstract [en]

BACKGROUND: The importance of staff working life for staff well-being has been demonstrated in several studies; less research has focused on staff working life and older persons' satisfaction with care.

PURPOSE: The study aim was to study relationships between 1) staff assessments of their structural conditions/empowerment in elderly care, psychological empowerment, and job satisfaction and (2) older persons' satisfaction with care.

METHODS: A multilevel, cross-sectional, and correlational design was applied using questionnaire data on working life (1021 staff members) and unit-level data (40 elderly care units) on older persons' satisfaction with care.

RESULTS: Statistically significant relationships were found between all 3 working life variables and older persons' satisfaction with care. Furthermore, the results revealed an indirect/mediating effect of job satisfaction between structural empowerment and satisfaction with care, but not for psychological empowerment.

CONCLUSIONS: Staff structural empowerment, psychological empowerment, and job satisfaction are linked to older persons' satisfaction with care.

Nyckelord
elderly care, empowerment, job satisfaction, nurses, quality of care
Nationell ämneskategori
Hälsovetenskaper
Forskningsämne
Hälsofrämjande arbete
Identifikatorer
urn:nbn:se:hig:diva-31975 (URN)10.1097/NCQ.0000000000000463 (DOI)32079960 (PubMedID)
Tillgänglig från: 2020-03-02 Skapad: 2020-03-02 Senast uppdaterad: 2020-03-02Bibliografiskt granskad
Jarnulf, T., Skytt, B., Mårtensson, G. & Engström, M. (2019). District nurses experiences of precepting district nurse students at the postgraduate level. Nurse Education in Practice, 37, 75-80
Öppna denna publikation i ny flik eller fönster >>District nurses experiences of precepting district nurse students at the postgraduate level
2019 (Engelska)Ingår i: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 37, s. 75-80Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

District nurses are preceptors of district nurse students at the postgraduate level. These district nurse students are already registered nurses who have graduated and are now studying to become district nurses; this training is at the postgraduate level. As preceptors at the postgraduate level, district nurses play an important role in helping these students to achieve the learning outcomes of the clinical practice part of their education. However, there is a lack of studies on precepting at this level. Thus, the aim was to describe district nurses' experiences of precepting district nurse students at the postgraduate level. The study was descriptive in design and used a qualitative approach. Purposive sampling was used and nine district nurses from seven primary health care units in Sweden were interviewed. Data were analysed using qualitative content analysis. An overall theme ”Fluctuating between transferring knowledge and striving for reflective learning” and two subthemes emerged. The preceptors’ views on precepting and performance varied depending on the situation. The conclusions is that given the current learning outcomes for clinical practice education at the postgraduate level, district nurses need to bemore influenced by preception focused on reflective learning.

Nyckelord
Clinical practice education, District nurses, Postgraduate level, Preceptor
Nationell ämneskategori
Omvårdnad
Forskningsämne
Hälsofrämjande arbete
Identifikatorer
urn:nbn:se:hig:diva-29626 (URN)10.1016/j.nepr.2019.05.004 (DOI)000473840000011 ()31128519 (PubMedID)2-s2.0-85066121129 (Scopus ID)
Anmärkning

Funding: 

- University of Gävle

Tillgänglig från: 2019-06-01 Skapad: 2019-06-01 Senast uppdaterad: 2020-02-10Bibliografiskt granskad
Strömberg, A., Engström, M., Hagerman, H. & Skytt, B. (2019). First-line managers dealing with different management approaches. Leadership in Health Services, 32(4), 543-557
Öppna denna publikation i ny flik eller fönster >>First-line managers dealing with different management approaches
2019 (Engelska)Ingår i: Leadership in Health Services, ISSN 1751-1879, E-ISSN 1751-1887, Vol. 32, nr 4, s. 543-557Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose – The purpose of this paper is to contribute new knowledge about how first line managers (FLMs) in elderly care perceive their situation, with a focus on differences in management approaches at the intersection of the central and local parts of the organization.

Design/methodology/approach – The present study has a qualitative approach and is part of a larger project on FLMs in elderly care. The results presented here are based on a secondary analysis of 15 of the totalof 28 interviews carried out in the project.

Findings – Themain results are twofold: the majority of FLMs perceived differences in management approaches between local and central management; the differences caused some struggle because FLMs perceived that the management system did not support the differences. The two main aspects that caused the FLMs to struggle were differences in the foci of the management levels and difficulties in influencing the conditions ofmanagement.

Originality/value – The results contribute to the debate on what aspects are important to sustainable management of elderly care. It is common knowledge that FLMs have a complex position, intermediate to the central, upper level management and their subordinates at the local level – levels with different foci and interests. The study contributes new knowledge about what these differences consist of and the dilemmas they cause and offers suggestions as to what can be done to reduce both energy waste and the risk of low job satisfaction.

Ort, förlag, år, upplaga, sidor
Emerald Group Publishing Limited, 2019
Nyckelord
Leadership, Elderly care, Management, Value-orientation, First-line manager, Production-orientation
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:hig:diva-25926 (URN)10.1108/LHS-09-2018-0046 (DOI)000491144600004 ()31612787 (PubMedID)2-s2.0-85070257920 (Scopus ID)
Projekt
B-LONG
Tillgänglig från: 2018-01-04 Skapad: 2018-01-04 Senast uppdaterad: 2020-01-29Bibliografiskt granskad
Hagerman, H., Engström, M., Wadensten, B. & Skytt, B. (2019). How do first-line managers in elderly care experience their work situation from a structural and psychological empowerment perspective?: An interview study. Journal of Nursing Management, 27(6), 1208-1215
Öppna denna publikation i ny flik eller fönster >>How do first-line managers in elderly care experience their work situation from a structural and psychological empowerment perspective?: An interview study
2019 (Engelska)Ingår i: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 27, nr 6, s. 1208-1215Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BACKGROUND:

The work situation for first-line managers in elderly care is complex and challenging. Little is known about these managers' work situation from a structural and psychological empowerment perspective.

AIM:

To describe first-line managers' experiences of their work situation in elderly care from a structural and psychological empowerment perspective.

METHOD:

Interviews from 14 female first-line managers were analysed using qualitative content analysis.

RESULTS:

The theme described the managers' work situation as "It's not easy, but it's worth it." In the four subthemes, the managers described their work in terms of "Enjoying a meaningful job," "A complex and demanding responsibility that allows great authority within set boundaries," "Supported by other persons, organisational preconditions and confidence in their own abilities" and "Lacking organisational preconditions, but developing strategies for dealing with the situations."

CONCLUSION:

The managers described having various amounts of access to structural empowerment and experienced a feeling of meaning, competence, self-determination and impact, that is, psychological empowerment in their work.

IMPLICATIONS FOR NURSING MANAGEMENT:

It is vital that first-line managers have access to organisational support. Therefore, upper management and first-line managers need to engage in continuous dialogue to customize the support given to each first-line manager.

Ort, förlag, år, upplaga, sidor
John Wiley & Sons, 2019
Nyckelord
elderly care; empowerment; first-line manager; structures of proportions; work situation
Nationell ämneskategori
Omvårdnad
Forskningsämne
Hälsofrämjande arbete
Identifikatorer
urn:nbn:se:hig:diva-29363 (URN)10.1111/jonm.12793 (DOI)000486018500019 ()31102540 (PubMedID)2-s2.0-85072508669 (Scopus ID)
Forskningsfinansiär
AFA Försäkring
Tillgänglig från: 2019-03-08 Skapad: 2019-03-08 Senast uppdaterad: 2020-02-17Bibliografiskt granskad
Lian, Z., Skytt, B., Li, C. & Engström, M. (2019). Nursing students’ reflections on caring for end-of-life patients in a youth volunteer association. Nurse Education in Practice, 34, 204-209
Öppna denna publikation i ny flik eller fönster >>Nursing students’ reflections on caring for end-of-life patients in a youth volunteer association
2019 (Engelska)Ingår i: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 34, s. 204-209Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The aim of the study was to describe nursing students' reflections on caring for end-of-life patients in a youth volunteer service. A purposive sample of 11 nursing students in one province in China were interviewed and diaries were collected. The data were analysed using qualitative content analysis. The students described the service as “an empowering care that makes a difference – but not without challenges on different levels”. The service was said to provide devoted caring adjusted to the person's need, condition and wishes. According to the students, the service had an impact on them; the internal and/or external support was stimulating and rewarding, whereas deficient support was frustrating and made them feel helpless. They emphasized the need for improvements at different levels. In conclusions, the youth volunteer service empowers both patients and students and can be seen as person-centred care. The students' professional knowledge, skills and ability improved, while these aspects were still perceived as deficient. Appropriate curriculum and training for nursing students are necessary and should be tailored to improving students' caring ability and confidence. Expanding the service was emphasized and suggestions for improvements were identified.

Ort, förlag, år, upplaga, sidor
Elsevier, 2019
Nyckelord
End-of-life care, Nursing students, Nursing education, Reflections, Volunteers
Nationell ämneskategori
Omvårdnad
Forskningsämne
Hälsofrämjande arbete
Identifikatorer
urn:nbn:se:hig:diva-29036 (URN)10.1016/j.nepr.2018.12.006 (DOI)000459841600031 ()30605789 (PubMedID)2-s2.0-85059225110 (Scopus ID)
Anmärkning

Funding:

- Lishui University- University of Gävle 

Tillgänglig från: 2019-01-03 Skapad: 2019-01-03 Senast uppdaterad: 2020-02-10Bibliografiskt granskad
Lindberg, M., Skytt, B. & Lindberg, M. (2019). Perceptions of infection control practices and the use of vignettes to alter infection control behavior: A feasibility study: Infection control practices. Florence Nightingale Journal of Nursing, 27(3), 231-240
Öppna denna publikation i ny flik eller fönster >>Perceptions of infection control practices and the use of vignettes to alter infection control behavior: A feasibility study: Infection control practices
2019 (Engelska)Ingår i: Florence Nightingale Journal of Nursing, ISSN 2147-4923, Vol. 27, nr 3, s. 231-240Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aim: To explore the perceptions of infection control practices among healthcare personnel and evaluate the use of authentic vignettes as a means to alter infection control behavior.

Method: Four authentic vignettes were used as a part of reflective dialogues with healthcare personnel. An evaluation of the dialogues was performed with six healthcare personnel using the focus group technique. Qualitative content analysis was used to analyze the data.

Results: The mind-set to help one another and do one’s best in every situation was described as a core aspect in preventing the transmission of microorganisms. Having support, taking personal responsibility, being knowledgeable about infection control practices, and having a reasonable workload were seen to play decisive roles in controlling the spread of infection. Discussing authentic comprehensible vignettes with colleagues during the allotted time was considered a valuable method for improving infection control practices.

Conclusion: Meaningful insights on how best to use vignettes as a means to improve infection control practice were gained. These findings should be considered when designing theory-driven interventions in different contexts, which are aimed at improving infection control practices in health care.

Ort, förlag, år, upplaga, sidor
Istanbul: Istanbul University-Cerrahpaşa, 2019
Nyckelord
Feasibility test, healthcare-associated infection, healthcare personnel behavior, infection control practices, qualitative research
Nationell ämneskategori
Hälsovetenskaper
Identifikatorer
urn:nbn:se:hig:diva-30704 (URN)000492145700004 ()
Tillgänglig från: 2019-09-27 Skapad: 2019-09-27 Senast uppdaterad: 2020-01-29Bibliografiskt granskad
Silén, M., Skytt, B. & Engström, M. (2019). Relationships between structural and psychological empowerment, mediated by person-centred processes and thriving for nursing home staff. Geriatric Nursing, 40(1), 67-71
Öppna denna publikation i ny flik eller fönster >>Relationships between structural and psychological empowerment, mediated by person-centred processes and thriving for nursing home staff
2019 (Engelska)Ingår i: Geriatric Nursing, ISSN 0197-4572, E-ISSN 1528-3984, Vol. 40, nr 1, s. 67-71Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Person-centred care has been shown to have positive outcomes for patients and for staff. However, the complexity of the link between structural conditions, work in a person-centred manner and outcomes for staff is insufficiently described. We tested the relationship between structural empowerment and psychological empowerment, as mediated by nursing home staff members’ self-ratings of working in a person-centred manner, the person-centred climate and thriving. Questionnaires were distributed to staff working in 12 nursing homes in Sweden. A serial mediation model was tested. The results showed that higher access to structural empowerment was related to higher psychological empowerment mediated by staff working in a more person-centred manner, improved person-centred climate, and improved staff ratings of thriving. These results point to the importance of strengthening the preconditions for staff to work in a person-centred manner and nursing home managers play an important role in this.

Nyckelord
Nursing home staff, Outcomes, Person-centred processes, Structural conditions
Nationell ämneskategori
Annan medicin och hälsovetenskap
Forskningsämne
Hälsofrämjande arbete
Identifikatorer
urn:nbn:se:hig:diva-27863 (URN)10.1016/j.gerinurse.2018.06.016 (DOI)000459952500010 ()30120010 (PubMedID)2-s2.0-85051509200 (Scopus ID)
Anmärkning

Funding:

- University of Gävle- Uppsala University- Regional Development Council of Gävleborg 

Tillgänglig från: 2018-09-06 Skapad: 2018-09-06 Senast uppdaterad: 2020-01-30Bibliografiskt granskad
Engström, M., Högberg, H., Strömberg, A., Hagerman, H. & Skytt, B. (2019). Staff Working Life and Older Persons’ Satisfaction With Care: A Multilevel, Correlational Design. Journal of Nursing Care Quality
Öppna denna publikation i ny flik eller fönster >>Staff Working Life and Older Persons’ Satisfaction With Care: A Multilevel, Correlational Design
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2019 (Engelska)Ingår i: Journal of Nursing Care Quality, ISSN 1057-3631, E-ISSN 1550-5065Artikel i tidskrift (Refereegranskat) Accepted
Nationell ämneskategori
Omvårdnad
Forskningsämne
Hälsofrämjande arbete
Identifikatorer
urn:nbn:se:hig:diva-31143 (URN)
Tillgänglig från: 2019-11-28 Skapad: 2019-11-28 Senast uppdaterad: 2020-02-10Bibliografiskt granskad
Hagerman, H., Engström, M., Wadensten, B., Häggström, E. & Skytt, B. (2018). Male first-line managers experiences of the work situation in elderly care: An empowerment perspective. In: : . Paper presented at 6th World Nursing & Healthcare conference.
Öppna denna publikation i ny flik eller fönster >>Male first-line managers experiences of the work situation in elderly care: An empowerment perspective
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2018 (Engelska)Konferensbidrag, Enbart muntlig presentation (Refereegranskat)
Nationell ämneskategori
Omvårdnad
Forskningsämne
Hälsofrämjande arbete
Identifikatorer
urn:nbn:se:hig:diva-31144 (URN)
Konferens
6th World Nursing & Healthcare conference
Forskningsfinansiär
AFA Försäkring
Tillgänglig från: 2019-11-29 Skapad: 2019-11-29 Senast uppdaterad: 2020-02-10Bibliografiskt granskad
Organisationer
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0002-1495-4943

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