hig.sePublications
Change search
Link to record
Permanent link

Direct link
Alternative names
Publications (10 of 30) Show all publications
Elm, A., Stake-Nilsson, K., Björkman, A. & Sjöberg, J. (2023). Academic teachers’ experiences of technology enhanced learning (TEL) in higher education – A Swedish case. Cogent Education, 10(2), Article ID 2237329.
Open this publication in new window or tab >>Academic teachers’ experiences of technology enhanced learning (TEL) in higher education – A Swedish case
2023 (English)In: Cogent Education, E-ISSN 2331-186X, Vol. 10, no 2, article id 2237329Article in journal (Refereed) Published
Abstract [en]

This article presents a Swedish study on the potential of technology to transform teaching and learning practices in higher education. Sweden is at the forefront of technological innovation and digitalization and when it comes to technology in education this is not an exception. Technology Enhanced Learning (TEL) has emerged as an important pedagogical aspect within higher education in recent years. The term TEL is used to demonstrate teaching experiences that intend to improve such support. Previous research has recognized bottom-up initiatives from academic staff with specialists in technology often addressed by individual enthusiasts. Also, most internal processes regarding digitalization are identified as top-down initiatives driven by policy rather than influenced teachers. Hence, the main aim of this study is to analyse academic teachers´ experiences with digital technologies that support students’ learning in higher education. To support this aim, following research questions are posed: 1) What factors facilitate TEL in teaching in higher education and why? 2) What factors limit TEL in higher education and why? Focus group interviews with 36 academic teachers from two Swedish universities were conducted. Results show that on the one hand teachers experience both benefits and limitations with TEL. On the other hand, important organisational aspects of using TEL are highlighted. The choices that academic teachers face and give expression to do not appear to be a matter of individual choice or stance in teaching situations. These results have relevance globally for all involved in teaching and learning in higher education.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
academic teacher, agency, higher education, teaching, technology, enhanced learning
National Category
Educational Sciences
Identifiers
urn:nbn:se:hig:diva-43319 (URN)10.1080/2331186x.2023.2237329 (DOI)001035411800001 ()2-s2.0-85165934749 (Scopus ID)
Available from: 2023-11-23 Created: 2023-11-23 Last updated: 2023-11-23Bibliographically approved
Trygged, S., Lindgren Ödén, B. & Björkman, A. (2022). Body. Grade. Relation. Understanding children’s needs through interprofessional learning. Nordic Social Work Research, 12(1), 153-165
Open this publication in new window or tab >>Body. Grade. Relation. Understanding children’s needs through interprofessional learning
2022 (English)In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588, Vol. 12, no 1, p. 153-165Article in journal (Refereed) Published
Abstract [en]

The aim of the study was to explore interprofessional learning among students from nursing, education, and social work programmes in Sweden. Four or five students from each programme participated in focus group interviews. Students were asked in homogenous and mixed groups to judge a fictitious case of a young schoolboy with multiple needs. Interviews were recorded, transcribed, and analysed with content analysis. We found that nursing students focused on nutrition and physi-cal well-being, education students on grades and course, and social work students on context, collaboration, and coordinating activities. Students in the mixed groups described the concept of interprofessional learning as opening their eyes to the need for later collaboration as professionals. To conclude, the study shows that students adopt a narrow professional way of thinking when socialized only within their own discipline as illu-strated by the theme: Body, Grade, Relation, with a risk of not taking full responsibility in a complex case such as a child in need. When exposed to other professions, students expand their perspectives and learn from each other to the benefit of their mutual clients.

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
Interprofessional learning, collaboration, nursing, education, social work
National Category
Other Social Sciences not elsewhere specified
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-33331 (URN)10.1080/2156857X.2020.1797857 (DOI)001026167300012 ()2-s2.0-85128398702 (Scopus ID)
Available from: 2020-08-17 Created: 2020-08-17 Last updated: 2023-09-08Bibliographically approved
Stake-Nilsson, K., Almstedt Jansson, M., Fransson, G., Masoumi, D., Elm, A., Toratti-Lindgren, M. & Björkman, A. (2022). Medication dosage calculation among nursing students: does digital technology make a difference? A literature review.. BMC Nursing, 21(1), Article ID 123.
Open this publication in new window or tab >>Medication dosage calculation among nursing students: does digital technology make a difference? A literature review.
Show others...
2022 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 21, no 1, article id 123Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Patient safety is a major part of nursing care and following patients' medication orders is considered one of the greatest responsibilities of individual nurses and nursing Failure to make safe drug calculations poses serious risks to patient safety. It is therefore important to strengthen nursing students' numeracy skills and conceptual abilities during their education. Research suggests that digital technologies play an increasingly important role in promoting nursing students' knowledge and medication dosage calculation (MDC) skills. The present review aims to identify and critically evaluate research investigating how the use of digital technologies informs the development of nursing students' MDC skills.

METHODS: A systematic literature review was performed within Scopus (Elsevier), Academic Search Elite (Ebsco), Cinahl (Ebsco), ERIC (Ebsco), Web of Science and PubMed. Research papers on MDC using digital technologies were considered for inclusion. Starting from 2843 sources, eighteen research articles met the inclusion criteria.

RESULTS: The results show that use of digital technologies can reduce nursing students' medication errors. Interestingly, web-based courses were the most commonly used digital technologies aimed at developing nursing students' MDC skills. However, such courses had limited impacts the development of these skills.

CONCLUSION: The present review concludes by mapping the current knowledge gaps and making suggestions for further research.

Place, publisher, year, edition, pages
BMC, 2022
Keywords
Digital technology, Medication dosage calculation
National Category
Health Sciences
Research subject
Health-Promoting Work, Digital shapeshifting
Identifiers
urn:nbn:se:hig:diva-38632 (URN)10.1186/s12912-022-00904-3 (DOI)000798594000001 ()35599313 (PubMedID)2-s2.0-85130387891 (Scopus ID)
Available from: 2022-05-30 Created: 2022-05-30 Last updated: 2023-09-15Bibliographically approved
Björkman, A., Engström, M., Winblad, U. & Holmström, I. K. (2021). Malpractice claimed calls within the Swedish Healthcare Direct: a descriptive – comparative case study. BMC Nursing, 20, Article ID 21.
Open this publication in new window or tab >>Malpractice claimed calls within the Swedish Healthcare Direct: a descriptive – comparative case study
2021 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 20, article id 21Article in journal (Refereed) Published
Abstract [en]

Background

Medical errors are reported as a malpractice claim, and it is of uttermost importance to learn from the errors to enhance patient safety. The Swedish national telephone helpline SHD is staffed by registered nurses; its aim is to provide qualified healthcare advice for all residents of Sweden; it handles normally about 5 million calls annually. The ongoing Covid-19 pandemic have increased call volume with approximate 30%. The aim of the present study was twofold: to describe all malpractice claims and healthcare providers’ reported measures regarding calls to Swedish Healthcare Direct (SHD) during the period January 2011–December 2018 and to compare these findings with results from a previous study covering the period January 2003–December 2010.

Methods

The study used a descriptive, retrospective and comparative design. A total sample of all reported malpractice claims regarding calls to SHD (n = 35) made during the period 2011–2018 was retrieved. Data were analysed and compared with all reported medical errors during the period 2003–2010 (n = 33).

Results

Telephone nurses’ failure to follow the computerized decision support system (CDSS) (n = 18) was identified as the main reason for error during the period 2011–2018, while failure to listen to the caller (n = 12) was the main reason during the period 2003–2010. Staff education (n = 21) and listening to one’s own calls (n = 16) were the most common measures taken within the organization during the period 2011–2018, compared to discussion in work groups (n = 13) during the period 2003–2010.

Conclusion

The proportion of malpractice claims in relation to all patient contacts to SHD is still very low; it seems that only the most severe patient injuries are reported. The fact that telephone nurses’ failure to follow the CDSS is the most common reason for error is notable, as SHD and healthcare organizations stress the importance of using the CDSS to enhance patient safety. The healthcare organizations seem to have adopted a more systematic approach to handling malpractice claims regarding calls, e.g., allowing telephone nurses to listen to their own calls instead of having discussions in work groups in response to events. This enables nurses to understand the latent factors contributing to error and provides a learning opportunity.

Place, publisher, year, edition, pages
Springer, 2021
Keywords
Telephone advice nursing, Patient safety, Medical errors
National Category
Health Sciences
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-34746 (URN)10.1186/s12912-021-00540-3 (DOI)000609475600001 ()33446213 (PubMedID)2-s2.0-85099402057 (Scopus ID)
Available from: 2021-01-18 Created: 2021-01-18 Last updated: 2021-02-04Bibliographically approved
Olsson, A., Thunborg, C., Björkman, A., Blom, A., Sjöberg, F. & Salzmann-Erikson, M. (2020). A scoping review of complexity science in nursing. Journal of Advanced Nursing, 76(8), 1961-1976
Open this publication in new window or tab >>A scoping review of complexity science in nursing
Show others...
2020 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 76, no 8, p. 1961-1976Article, review/survey (Refereed) Published
Abstract [en]

Abstract: Aim To describe how complexity science has been integrated into nursing.

Design: A scoping review. Data source/review method Academic Search Elite, Scopus, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, PubMed and Web of Science were searched November 2016, updated in October 2017 and January 2020. The working process included: problem identification, literature search, data evaluation, synthesizing and presentation. Results Four categories were found in the included 89 articles: 1) how complexity science is integrated into the nursing literature in relation to nursing education and teaching; 2) patients? symptoms, illness outcome and safety as characteristics of complexity science in nursing; 3) that leaders and managers should see organizations as complex and adaptive systems, rather than as linear machines; and 4) the need for a novel approach to studying complex phenomena such as healthcare organizations. Lastly, the literature explains how complexity science has been incorporated into the discourse in nursing and its development.

Conclusion: The review provided strong support for use in complexity science in the contemporary nursing literature. Complexity science is also highly applicable and relevant to clinical nursing practice and nursing management from an organizational perspective. The application of complexity science as a tool in the analysis of complex nursing systems could improve our understanding of effective interactions among patients, families, physicians and hospital and skilled nursing facility staff as well as of education.

Impact: Understanding complexity science in relation to the key role of nurses in the healthcare environment can improve nursing work and nursing theory development. The use of complexity science provides nurses with a language that liberates them from the reductionist view on nursing education, practice and management.

Place, publisher, year, edition, pages
John Wiley & Sons, Ltd, 2020
Keywords
complex adaptive systems, complexity science, nursing, scoping review
National Category
Health Sciences
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-32183 (URN)10.1111/jan.14382 (DOI)000531432900001 ()32281684 (PubMedID)2-s2.0-85084457347 (Scopus ID)
Available from: 2020-04-21 Created: 2020-04-21 Last updated: 2022-09-21Bibliographically approved
Björkman, A. & Salzmann-Erikson, M. (2019). Giving advice to callers with mental illness: adaptation among telenurses at Swedish Healthcare Direct. International Journal of Qualitative Studies on Health and Well-being, 14(1), Article ID 1633174.
Open this publication in new window or tab >>Giving advice to callers with mental illness: adaptation among telenurses at Swedish Healthcare Direct
2019 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 14, no 1, article id 1633174Article in journal (Refereed) Published
Abstract [en]

Purpose: Our aim was to describe Swedish Healthcare Direct (SHD) and its features as a complex system.

Methods: Qualitative interviews were conducted with 20 SHD telenurses, covering their experiences and skills when encountering and advising callers with mental illness. Complexity science was used as an a priori theoretical framework to enhance understanding of the complex nature of telenursing.

Results: SHD was described as a complex system as nurses were constantly interacting with other agents and agencies. During these interactions, dynamic processes were found between the agents in which the nurses adapted to every new situation. They were constantly aware of their impact on the care-seekers, and perceived their encounters with callers with psychiatric illness as "balancing on a thin line". SHD was also described as both an authority and a dumping ground. The openness of the system did not give the nurses possibility to control the number of incoming calls and the callers' intentions.

Conclusions: These new insights into SHD have important implications for organization developers and nursing management in terms of overcoming linear thinking.

Keywords
Complexity, nurses, organizations, qualitative, telemedicine
National Category
Other Medical Sciences
Research subject
Health-Promoting Work; Health-Promoting Work, Digital shapeshifting
Identifiers
urn:nbn:se:hig:diva-30559 (URN)10.1080/17482631.2019.1633174 (DOI)000473007100001 ()31242817 (PubMedID)2-s2.0-85068076028 (Scopus ID)
Available from: 2019-08-23 Created: 2019-08-23 Last updated: 2023-08-29Bibliographically approved
Chen, J. H., Björkman, A., Zou, J. H. & Engström, M. (2019). Self–regulated learning ability, metacognitive ability, and general self-efficacy in a sample of nursing students: A cross-sectional and correlational study. Nurse Education in Practice, 37, 15-21
Open this publication in new window or tab >>Self–regulated learning ability, metacognitive ability, and general self-efficacy in a sample of nursing students: A cross-sectional and correlational study
2019 (English)In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 37, p. 15-21Article in journal (Refereed) Published
Abstract [en]

The healthcare sector is fast-growing and knowledge-intensive, and to meet the demands associated with it, nursing students must have high levels of self-regulated learning (SRL), metacognition, and general self-efficacy (GSE). In this cross-sectional, correlational study, data were collected from 216 nursing students through a questionnaire. The aims were: 1) to describe the levels of SRL ability, metacognitive ability and GSE among second- and third-year nursing students; 2) to explore the relationships between the SRL ability, metacognitive ability and GSE of second- and third-year nursing students; 3) and to compare SRL ability, metacognitive ability and GSE between second- and third-year nursing students. Nursing students had moderate levels of SRL ability and metacognitive ability, but lower levels of GSE. Positive relationships between SRL ability, metacognitive ability, and GSE were observed. Third-year nursing students had a higher level of SRL ability but lower levels of GSE, compared to second-year students. In terms of metacognitive ability, no significant differences were observed between the student batches. Interventions are required for the improvement of nursing students’ SRL ability, metacognitive ability, and GSE.

Keywords
Nursing students, Self-regulated learning ability, Metacognitive ability, General self-efficacy, Self-directed learning
National Category
Nursing
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-29507 (URN)10.1016/j.nepr.2019.04.014 (DOI)000473840000003 ()31035075 (PubMedID)2-s2.0-85065077368 (Scopus ID)
Note

Funding agencies:

- University of Gävle

- Lishui University grant no. 15JY01 

Available from: 2019-04-30 Created: 2019-04-30 Last updated: 2021-05-31Bibliographically approved
Wahlberg, A. C. & Björkman, A. (2018). Expert in nursing care but sometimes disrespected — Telenurses' reflections on their work environment and nursing care. Journal of Clinical Nursing, 27(21/22), 4203-4211
Open this publication in new window or tab >>Expert in nursing care but sometimes disrespected — Telenurses' reflections on their work environment and nursing care
2018 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 21/22, p. 4203-4211Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: To describe telenurses' reflections on their work environment and how it impacts on their nursing care.

BACKGROUND: Telenursing is one of the largest healthcare settings in Sweden today; approximately 5.5 million care-seekers call the designated number-1177-each year. Telenursing is regarded as highly qualified nursing care, and providing care over the telephone is considered a complex form of nursing. Within other fields of nursing, the work environment has been shown to affect the outcome of care, patient safety, nurse job satisfaction and burnout.

DESIGN: The study used a descriptive design and followed the COREQ checklist.

METHODS: Twenty-four interviews were performed and analysed using qualitative content analysis.

RESULTS: The main theme concerned "feeling like a nursing care expert but sometimes being disrespected." The telenurses reported that their work environment supported their work as nursing care experts via the telephone in some respects, but also hindered them. Appreciation and respect they received from the vast majority of callers positively impacted the work environment and contributed to work satisfaction. However, they also felt disrespected by both their employers and healthcare staff; they sometimes felt like a dumping ground. Receiving support from colleagues seemed invaluable in helping them feel like and be a nursing care expert.

CONCLUSION: Work was perceived as cognitively demanding and sometimes exhausting, but appreciation from care-seekers and the feeling of being able to provide qualified nursing care made working as a telenurse worthwhile.

RELEVANCE TO CLINICAL PRACTICE: If telenurses are to perform good nursing care over the telephone, managers must provide them with resources, for example, support, education and opportunities for recovery during shifts. It seems that the role of the 1177 service has not been properly implemented and accepted within the healthcare system, and politicians need to anchor its mission within the healthcare organisation.

Keywords
ambulatory care nursing, nursing care, telenurses, telephone advice nursing, work environment
National Category
Nursing
Research subject
Health-Promoting Work; Health-Promoting Work, Digital shapeshifting
Identifiers
urn:nbn:se:hig:diva-27833 (URN)10.1111/jocn.14622 (DOI)000446561500037 ()29989235 (PubMedID)2-s2.0-85051214070 (Scopus ID)
Available from: 2018-09-04 Created: 2018-09-04 Last updated: 2023-08-29Bibliographically approved
Björkman, A., Andersson, K., Bergström, J. & Salzmann-Erikson, M. (2018). Increased Mental Illness and the Challenges This Brings for District Nurses in Primary Care Settings. Issues in Mental Health Nursing, 39(12), 1023-1030
Open this publication in new window or tab >>Increased Mental Illness and the Challenges This Brings for District Nurses in Primary Care Settings
2018 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 39, no 12, p. 1023-1030Article in journal (Refereed) Published
Abstract [en]

Patients with mental illness generally make their initial healthcare contact via a registered nurse. Although studies show that encountering and providing care to care-seekers with mental illness might be a challenge, little research exists regarding Primary Care Nurses' (PCN) view of the challenges they face. The aim of this study was to qualitatively explore PCNs' reflections on encountering care-seekers with mental illness in primary healthcare settings. The results consist of three themes: constantly experiencing patients falling through the cracks, being restricted by lack of knowledge and resources, and establishing a trustful relationship to overcome taboo, shame, and guilt.

Place, publisher, year, edition, pages
Taylor & Francis, 2018
National Category
Health Sciences
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-29325 (URN)10.1080/01612840.2018.1522399 (DOI)000461365600007 ()30624130 (PubMedID)2-s2.0-85059906887 (Scopus ID)
Available from: 2019-02-25 Created: 2019-02-25 Last updated: 2021-04-01Bibliographically approved
Björkman, A. & Salzmann-Erikson, M. (2018). The bidirectional mistrust - callers’ online discussions about their experiences of using the national telephone advice service. Internet Research, 28(5), 1336-1350
Open this publication in new window or tab >>The bidirectional mistrust - callers’ online discussions about their experiences of using the national telephone advice service
2018 (English)In: Internet Research, ISSN 1066-2243, Vol. 28, no 5, p. 1336-1350Article in journal (Refereed) Published
Abstract [en]

Purpose – The purpose of this paper is to explore and describe online communication about the experiencesand attitudes toward Swedish Healthcare Direct, a national telephone advice nursing (TAN) service.

Design/methodology/approach – A descriptive research design was adopted using a six-step netnographicmethod. Three Swedish forums were purposefully selected and data from the virtual discussions were collected.

Findings – Three themes emerged: expectancy and performativity of the nurses, absurdity in accessibilityand the scrutinizing game. The most prominent finding was the scrutinizing game, which included aspects ofbidirectional mistrust from both nurses and callers. Another salient finding was the attitudes that callers heldtoward nurses who used a technique interpreted as “passing the buck.”

Research limitations/implications – The use of a nethnographic method is novel in this area of research.Consequently, the body of knowledge has regarding telephone advise nursing service has significantly beenbroadened. A limitation in this study is that demographic data for the posters are not available.

Practical implications – Bidirectional distrust is an important issue that must be acknowledged by TANservices, since it might damage the service on a fundamental level. Healthcare providers, politicians, andresearchers should account for the power and availability of virtual discussions when seeking consumers’opinions and evaluating the quality of the care provided.

Originality/value – This analysis of the ongoing discussions that take place on the internet provides insightinto callers’ perceptions of a national TAN service. The bidirectional mistrust found from both the nurses andthe callers might be a threat to callers’ compliance with the advice given and their care-seeking behavior.

Keywords
Nursing, Antagonistic effects, Distrust, Cyber nursing, Internet forums, consumer attitudes
National Category
Nursing
Research subject
Health-Promoting Work; Health-Promoting Work, Digital shapeshifting
Identifiers
urn:nbn:se:hig:diva-24102 (URN)10.1108/IntR-11-2016-0330 (DOI)000446476500010 ()2-s2.0-85054127428 (Scopus ID)
Available from: 2017-06-09 Created: 2017-06-09 Last updated: 2023-08-29Bibliographically approved
Projects
Resebidrag: The International Forum on Quality and Safety in Health Care, Nice, Frankrike, 20-23 april 2010 [2010-01468_Forte]; Uppsala University
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-9513-3102

Search in DiVA

Show all publications