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Högberg, Hans
Publications (10 of 13) Show all publications
Richter, H., Domkin, D., Elcadi, G. H., Andersson, H. W., Högberg, H. & Englund, M. (2019). A Comparison of Mental and Visual Load Resulting from Semi-automated and Conventional Forest Forwarding: An Experimental Machine Simulation Study (827ed.). In: Sebastiano Bagnara Riccardo Tartaglia · Sara Albolino Thomas Alexander · Yushi Fujita (Ed.), Bagnara S., Tartaglia R., Albolino S., Alexander T., Fujita Y. (Ed.), Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018): Volume X: Auditory and Vocal Ergonomics, Visual Ergonomics, Psychophysiology in Ergonomics, Ergonomics in Advanced Imaging. Paper presented at 20th Congress of the International Ergonomics Association, IEA 2018, 26-30 August 2018, Florence, Italy (pp. 199-208). Cham, X
Open this publication in new window or tab >>A Comparison of Mental and Visual Load Resulting from Semi-automated and Conventional Forest Forwarding: An Experimental Machine Simulation Study
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2019 (English)In: Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018): Volume X: Auditory and Vocal Ergonomics, Visual Ergonomics, Psychophysiology in Ergonomics, Ergonomics in Advanced Imaging / [ed] Bagnara S., Tartaglia R., Albolino S., Alexander T., Fujita Y., Cham, 2019, 827, Vol. X, p. 199-208Conference paper, Published paper (Refereed)
Abstract [en]

The purpose of the present study was to extend the knowledge offunctional linkages between visual and mental load, performance, and prefrontalcortex (PFC) activity, during forestry forwarding work. Eleven healthy participants,range 21–51 years old, with a minimum of 1-year work experience,carried out the task of loading logs along a standardized path in a machinesimulator during two counterbalanced test conditions: (i) conventional cranecontrol, and; (ii) semi-automated crane control. Mental load was assessed byquantification of oxygenated hemoglobin (HbO2) concentration changes overthe right dorsolateral prefrontal cortex (dlPFC) via non-invasive functional nearinfrared spectrometry (fNIRS). Visual, autonomic, and motoric control variableswere measured and analyzed in parallel along with the individual level of performance.Linear Mixed Models (LMM) analysis indicated more mental loadduring conventional crane work. Collectively, our data suggest that fNIRS is aviable tool which can be used in neuroergonomic research to evaluate physiologicalactivity levels in PFC.

Place, publisher, year, edition, pages
Cham: , 2019 Edition: 827
Series
Advances in Intelligent Systems and Computing, ISSN 21945357, E-ISSN 2194-5365 ; 827
Keywords
Visual ergonomics, neuroergonomics, Nirs, robotics
National Category
Other Medical Sciences
Identifiers
urn:nbn:se:hig:diva-27848 (URN)10.1007/978-3-319-96059-3_22 (DOI)2-s2.0-85051781837 (Scopus ID)978-3-319-96058-6 (ISBN)978-3-319-96059-3 (ISBN)
Conference
20th Congress of the International Ergonomics Association, IEA 2018, 26-30 August 2018, Florence, Italy
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2009-1761
Note

Södra Skogsägarnas Stiftelse för Forskning, Utveckling och Utbildning Grant no: 2009-1761

Available from: 2018-09-05 Created: 2018-09-05 Last updated: 2018-12-05Bibliographically approved
Wiitavaara, B., Rissén, D., Högberg, H. & Nilsson, A. (2019). Psychometric testing of a short form questionnaire for measurement of health experiences among people with musculoskeletal disordersundergoing multimodal rehabilitation. BMJ Open
Open this publication in new window or tab >>Psychometric testing of a short form questionnaire for measurement of health experiences among people with musculoskeletal disordersundergoing multimodal rehabilitation
2019 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055Article in journal (Refereed) Accepted
Abstract [en]

Aim

The aim of present study was to assess if a previously suggested short-form questionnaire tested among women with non-specific neck-shoulder pain is suitable also for use among men and women with non-specific musculoskeletal disorders in any part of the body, by testing its construct validity by a confirmatory factor analysis. If not, the secondary aim was to investigate the evolving factor structure when performing an explorative factor analysis of data in the expanded sample.

Methods

Questionnaire data was collected in three different contexts, in primary care via eight different multimodal rehabilitation teams, in specialised care via two different specialist care centres. The sample consisted of 116 participants, male (n=29) and female (n=87) with non-specific musculoskeletal disorders.

Data was analysed using confirmatory and exploratory factor analysis and a visual comparison between the result of the Principal Component Analysis in present study, and the results attained in a previous study with a similar aim and design.

Results

The confirmatory factor analyses did not end up in a model with acceptable measures for validity. Three models were tested, none of them met the criterion for an acceptable model and the goodness-of-fit statistics were not fully acceptable. The exploratory factor analysis had an only partly comparable result, compared to previous study.

Conclusion

The results of present study did not prove the suggested short form questionnaire to be suitable for evaluation of symptoms among men and women with non-specific musculoskeletal disorders in any part of the body. Further studies including larger samples are recommended.

Keywords
musculoskeletal disorders, outcome measure, questionnaire, validation, psychometric test
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hig:diva-27466 (URN)
Available from: 2018-06-29 Created: 2018-06-29 Last updated: 2019-04-02
Richter, H., Domkin, D., Elcadi, G. H., Anderson, H. W., Högberg, H. & Englund, M. (2018). A comparison of mental and visual loads resulting from semi-automated and conventional forest harvesting: An experimental machine simulation study. In: : . Paper presented at IEA 2018 - 20th Congress International Ergonomics Association - Florence, 26th - 30th August 2018, Florence, Italy.
Open this publication in new window or tab >>A comparison of mental and visual loads resulting from semi-automated and conventional forest harvesting: An experimental machine simulation study
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2018 (English)Conference paper, Oral presentation only (Other academic)
Abstract [en]

This study is concerned with a new method for partly automating forestry harvesting work. Work-related injuries and constant demands for a higher productivity are two of the many arguments for why forestry work must be improved. Forestry work places great mental demands on the driver because they must continuously evaluate and act on relevant parts in a heavy visual information flow. Against this background the purpose of the present study was to extend the knowledge of functional linkages between visual and mental fatigue, performance, and prefrontal cortex activity, during semi-automated and conventional forestry harvesting work. Eleven healthy participants, range 21–51 years old, with a minimum of 1-year work experience, carried out the task of loading logs along a standardized path in a machine simulator during two counterbalanced 45-min periods: (i) conventional forest harvesting, and; (ii) semi-automated forest harvesting. Equal emphasizes was put on accuracy and speed. During manual forest harvesting the driver controlled the crane arm, used to load logs into the load space of the forest vehicle (“forwarder”), by manually operating the joysticks and so guide the crane to the location of the log and then back to the load space. During semi-automatic forest harvesting the driver moved the crane with the press of a button to a pre-programmed location near the log and then, after another button press, to a pre-programmed location within the load space. The following joystick usage parameters were considered for the statistical analysis: Sequential work cycle number, work phase (1-loading in basket, 2-movement to log, 3-picking up log, 4-movement to load space), number of simultaneously used controls across samples of one phase, number of direction changes of joystick movements per phase. Mental load was assessed by quantification of oxygenated hemoglobin (HbO2) concentration changes over the right dorsolateral prefrontal cortex (dlPFC) via non-invasive functional near infrared spectrometry (fFNIRS: PortaLite mini, Artinis Medical Systems, Zetten, the Netherlands). The frequency and duration of horizontal amplitudes of eye/head/neck angles was assessed continuously with 8 SmartEye cameras and used as a measure of visual load. NASA-TLX and Borg CRS was used to assess perceived mental and physical fatigue. Linear Mixed Model will be used to test and to analyze the effect of the duration of work, joystick usage, work type (manual or semi-automated) and perceived mental and physical effort on the outcome of oxygenated hemoglobin concentration. This study contributes with new knowledge of the consequences of the current increase in automation. The 4th industrial revolution can have tremendous implications on how we perceive and organize work in the future, but little is still known about the impact on human body and brain.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hig:diva-25769 (URN)
Conference
IEA 2018 - 20th Congress International Ergonomics Association - Florence, 26th - 30th August 2018, Florence, Italy
Projects
Skogsmaskinförares mentala och fysiska belastningsnivåer under arbete med delautomatiserad skotarkran – en experimentell studie i skogsmaskinsimulator (MentAuto)
Note

Abstract submitted to: IEA 2018 - 20th Congress International Ergonomics Association - Florence, 26th - 30th August 2018

Available from: 2017-12-08 Created: 2017-12-08 Last updated: 2018-03-22Bibliographically approved
Richter, H., Domkin, D., Elcadi, G. H., Andersson, H., Högberg, H., Forsman, M. & Englund, M. (2018). A comparsion of mental and visual loads resulting from semi-automated and conventional forest harvesting: An experimental machine simulation study. In: Per Lindberg (Ed.), FALF Konferens 2018: Arbetet - problem eller potential för en hållbar livsmiljö?: Program och Abstracts. Paper presented at FALF KONFERENS 2018 'Arbetet - problem eller potential för en hållbar livsmiljö?',10-12 juni 2018, Gävle (pp. 96). Gävle: Gävle Universtiy Press
Open this publication in new window or tab >>A comparsion of mental and visual loads resulting from semi-automated and conventional forest harvesting: An experimental machine simulation study
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2018 (English)In: FALF Konferens 2018: Arbetet - problem eller potential för en hållbar livsmiljö?: Program och Abstracts / [ed] Per Lindberg, Gävle: Gävle Universtiy Press , 2018, p. 96-Conference paper, Oral presentation with published abstract (Other academic)
Abstract [en]

This study is concerned with a new method for partly automating forestry harvesting work. Work-related injuries and constant demands for a higher productivity are two of the many arguments for why forestry work must be improved. Forestry work places great mental demands on the driver because they must continuously evaluate and act on relevant parts in a heavy visual information flow. Against this background the purpose of the present study was to extend the knowledge of functional linkages between visual and mental fatigue, performance, and prefrontal cortex activity, during semi-automated and conventional forestry harvesting work. Eleven healthy participants, range 21–51 years old, with a minimum of 1-year work experience, carried out the task of loading logs along a standardized path in a machine simulator during two counterbalanced 45-min periods: (i) conventional forest harvesting, and; (ii) semi-automated forest harvesting. Equal emphasizes was put on accuracy and speed. During manual forest harvesting the driver controlled the crane arm, used to load logs into the load space of the forest vehicle (“forwarder”), by manually operating the joysticks and so guide the crane to the location of the log and then back to the load space. During semi-automatic forest harvesting the driver moved the crane with the press of a button to a pre-programmed location near the log and then, after another button press, to a pre-programmed location within the load space. The following joystick usage parameters were considered for the statistical analysis: Sequential work cycle number, work phase (1-loading in basket, 2-movement to log, 3-picking up log, 4-movement to load space), number of simultaneously used controls across samples of one phase, number of direction changes of joystick movements per phase. Mental load was assessed by quantification of oxygenated hemoglobin (HbO2) concentration changes over the right dorsolateral prefrontal cortex (dlPFC) via non-invasive functional near infrared spectrometry (fFNIRS: PortaLite mini, Artinis Medical Systems, Zetten, the Netherlands). The frequency and duration of horizontal amplitudes of eye/head/neck angles was assessed continuously with 8 SmartEye cameras and used as a measure of visual load. NASA-TLX and Borg CRS was used to assess perceived mental and physical fatigue. Linear Mixed Model will be used to test and to analyze the effect of the duration of work, joystick usage, work type (manual or semi-automated) and perceived mental and physical effort on the outcome of oxygenated hemoglobin concentration. This study contributes with new knowledge of the consequences of the current increase in automation. The 4th industrial revolution can have tremendous implications on how we perceive and organize work in the future, but little is still known about the impact on human body and brain.

Place, publisher, year, edition, pages
Gävle: Gävle Universtiy Press, 2018
National Category
Medical and Health Sciences Health Sciences
Identifiers
urn:nbn:se:hig:diva-27224 (URN)978-91-88145-28-4 (ISBN)
Conference
FALF KONFERENS 2018 'Arbetet - problem eller potential för en hållbar livsmiljö?',10-12 juni 2018, Gävle
Projects
MentAuto
Available from: 2018-06-20 Created: 2018-06-20 Last updated: 2018-12-06Bibliographically approved
Svennberg, L. & Högberg, H. (2018). Who gains?: Sociological parameters for obtaining high grades in physical education. Nordic Journal of Studies in Educational Policy, 4(1), 48
Open this publication in new window or tab >>Who gains?: Sociological parameters for obtaining high grades in physical education
2018 (English)In: Nordic Journal of Studies in Educational Policy, ISSN 2002-0317, Vol. 4, no 1, p. 48-Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to investigate factors contributing to higher grades in Swedish physical education (PE) by analysing register data from the Swedish National Agency for Education for all students graduating from compulsory school in 2014 (n = 95,317). The results show that the chances of gaining a high grade in PE are affected by (in decreasing order) migration background, parents? education, attending an independent or a municipally operated school and gender, and that this also holds true after controlling for the other background factors. The results also show that PE grade differences between boys and girls are bigger in the group that moved to Sweden after school start than in the group that had lived in Sweden since school start. In addition, the results point to substantial inequalities between students with a combination of the highest odds and those with a combination of the lowest odds. Bernstein?s concept of the pedagogic device is used to discuss ways of understanding what knowledge becomes valued in PE and which groups have better possibilities to assimilate this valued knowledge.

Place, publisher, year, edition, pages
Routledge, 2018
Keywords
Assessment; Bernstein; equity; school marketization; standards-based grading
National Category
Sport and Fitness Sciences Educational Sciences
Identifiers
urn:nbn:se:hig:diva-26210 (URN)10.1080/20020317.2018.1440112 (DOI)
Available from: 2018-03-06 Created: 2018-03-06 Last updated: 2018-12-13Bibliographically approved
Nordlöf, H., Wiitavaara, B., Högberg, H. & Westerling, R. (2017). A cross-sectional study of factors influencing occupational health and safety management practices in companies. Safety Science, 95, 92-103
Open this publication in new window or tab >>A cross-sectional study of factors influencing occupational health and safety management practices in companies
2017 (English)In: Safety Science, ISSN 0925-7535, E-ISSN 1879-1042, Vol. 95, p. 92-103Article in journal (Refereed) Published
Abstract [en]

Companies need to ensure a functioning occupational health and safety management (OHSM) system to protect human health and safety during work, but generally there are differences in how successful they are in this endeavor. Earlier research has indicated that factors like company size, safety culture, and different measures of financial performance may be related to the quality of OHSM practices in companies. Therefore, the aim of this study was to investigate whether these factors are associated with OHSM practices in companies. A postal questionnaire was used to collect data from a sample of Swedish manufacturing companies, and complementary data regarding the companies were retrieved from a credit bureau database. The statistical analysis was performed with ordinal regression analysis using generalized estimating equations. Different predictor variables were modeled with OHSM practices as the outcome variable, in order to calculate p-values and to estimate odds ratios. Company size, safety culture, and creditworthiness were found to be associated with better, as well as worse, OHSM practices in companies (depending on directionality). Practical implications for industry and future research are discussed.

Keywords
Occupational health and safety (OHS), Safety culture, Manufacturing, Work environment, Financial performance, Generalized estimating equations (GEE)
National Category
Work Sciences Production Engineering, Human Work Science and Ergonomics
Identifiers
urn:nbn:se:hig:diva-20416 (URN)10.1016/j.ssci.2017.02.008 (DOI)000399852500009 ()2-s2.0-85014176338 (Scopus ID)
Available from: 2015-10-13 Created: 2015-10-13 Last updated: 2018-12-03Bibliographically approved
Hagerman, H., Högberg, H., Skytt, B., Wadensten, B. & Engström, M. (2017). Empowerment and performance of managers and subordinates in elderly care: a longitudinal and multilevel study. Journal of Nursing Management, 25(8), 647-656
Open this publication in new window or tab >>Empowerment and performance of managers and subordinates in elderly care: a longitudinal and multilevel study
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2017 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 25, no 8, p. 647-656Article in journal (Refereed) Published
Abstract [en]

AIM: To investigate relationships between first-line managers' ratings of structural and psychological empowerment, and the subordinates' ratings of structural empowerment, as well as their ratings of the managers' leadership-management performance.

BACKGROUND: Work situations in elderly care are complex. To date, few studies have used a longitudinal, correlational and multilevel design to study the working life of subordinates and managers.

METHOD: In five Swedish municipalities, questionnaires were answered twice during 2010-12 by 56 first-line managers and 769 subordinates working in nursing homes or home-help services.

RESULTS: First-line managers' empowerment at Time 1 partially predicted subordinate's structural empowerment and ratings of their managers' leadership-management performance at Time 2. Changes over time partially revealed that the more access managers had to structural empowerment, i.e. increase over time, the higher the ratings were for structural empowerment and managerial leadership-management performance among subordinates.

CONCLUSIONS: Findings strengthen research and theoretical suggestions linking first-line managers' structural empowerment to their subordinates' structural empowerment and ratings of their manager's leadership-management performance.

IMPLICATIONS FOR NURSING MANAGEMENT: Managers with high access to structural empowerment are more likely to provide subordinates access to structural empowerment.

Keywords
first-line manager, leadership-management performance, linear mixed model, structural and psychological empowerment, subordinate
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hig:diva-24874 (URN)10.1111/jonm.12504 (DOI)000414511300009 ()28714218 (PubMedID)2-s2.0-85024843093 (Scopus ID)
Projects
B-LONG
Funder
AFA Insurance
Available from: 2017-08-17 Created: 2017-08-17 Last updated: 2019-04-23Bibliographically approved
Essner, A., Zetterberg, L., Hellström, K., Gustås, P., Högberg, H. & Sjöström, R. (2017). Psychometric evaluation of the canine brief pain inventory in a Swedish sample of dogs with pain related to osteoarthritis. Acta Veterinaria Scandinavica, 59(1), Article ID 44.
Open this publication in new window or tab >>Psychometric evaluation of the canine brief pain inventory in a Swedish sample of dogs with pain related to osteoarthritis
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2017 (English)In: Acta Veterinaria Scandinavica, ISSN 1751-0147, E-ISSN 1751-0147, Vol. 59, no 1, article id 44Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: To evaluate intervention, implement evidence-based practice and enhance the welfare of dogs with naturally occurring osteoarthritis (OA), access to valid, reliable and clinically relevant outcome measures is crucial for researchers, veterinarians and rehabilitation practitioners. The objectives of the present study were to translate and evaluate psychometric properties, in terms of internal consistency and construct validity, of the owner-reported measure canine brief pain inventory (CBPI) in a Swedish sample of dogs with pain related to OA.

RESULTS: Twenty-one owners of clinically sound dogs and 58 owners of dogs with pain related to OA were included in this observational and cross-sectional study. After being translated according to the guidelines for patient-reported outcome measures, the CBPI was completed by the canine owners. Construct validity was assessed by confirmatory factor analysis, by repeating the principal component analysis and by assessing for differences between clinically sound dogs and dogs with pain related to OA. Internal consistency was estimated by Cronbach's α. Confirmatory factor analysis was not able to confirm the factor-structure models tested in our sample. Principal component analysis showed a two-component structure, pain severity and pain interference of function. Two components accounted for 76.8% of the total variance, suggesting an acceptable fit of a two-component structure. The ratings from the clinically sound dogs differed from OA dogs and showed significantly lower CBPI total sum. Cronbach's α was 0.94 for the total CBPI, 0.91 for the pain severity and 0.91 for the pain interference of function.

CONCLUSIONS: The results indicate that the translated version of the CBPI is valid for use in the Swedish language. The findings suggest satisfying psychometric properties in terms of high internal consistencies and ability to discriminate clinically sound dogs from OA dogs. However, based on the confirmatory factor analysis, the original factor structure in the CBPI is not ideally suited to measure pain related to OA in our sample and the hypothesis of the presented two-factor structure was rejected. Further research needs to be conducted to determine whether the original psychometric results from CBPI can be replicated across different target groups and particularly with larger sample size.

Keywords
CBPI, Dogs, Measurement properties, Osteoarthritis, Pain, Physiotherapy, Rehabilitation
National Category
Other Veterinary Science
Identifiers
urn:nbn:se:hig:diva-24863 (URN)10.1186/s13028-017-0311-2 (DOI)000404805500001 ()28668080 (PubMedID)2-s2.0-85021649059 (Scopus ID)
Note

Erratum to this article has been published in Acta Veterinaria Scandinavica 2017, 59:50. DOI: 10.1186/s13028-017-0319-7

ScopusId: 2-s2.0-85025447370

ISI-id: 000406952800001

Funding Agency:

Jan Skogsborg Foundation  

Agria Animal Insurance 

Swedish Kennel Club joint research fund 

Available from: 2017-08-17 Created: 2017-08-17 Last updated: 2019-01-08Bibliographically approved
Dahlkvist, E., Hartig, T., Nilsson, A., Högberg, H., Skovdahl, K. & Engström, M. (2016). Garden greenery and the health of older people in residential care facilities: A multi-level cross-sectional study. Journal of Advanced Nursing, 72(9), 2065-2076
Open this publication in new window or tab >>Garden greenery and the health of older people in residential care facilities: A multi-level cross-sectional study
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2016 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, no 9, p. 2065-2076Article in journal (Refereed) Published
Abstract [en]

AIMS:

To test the relationship between greenery in gardens at residential facilities for older people and the self-perceived health of residents, mediated by experiences of being away and fascination when in the garden and the frequency of visitation there. To examine how these indirect effects vary with the number of physical barriers to visiting the garden.

BACKGROUND:

Many older people in residential facilities suffer from complex health problems. Access to a green outdoor environment may enable psychological distance, engage effortless attention, encourage more frequent visitation and promote resident health.

DESIGN:

A multi-level, cross-sectional, correlational design.

METHODS:

Questionnaires were administered June-August, 2011 to convenience samples of residents at 72 facilities for older people with complex healthcare needs. One to 10 eligible residents were sampled during self-motivated garden visits at each facility (n = 290). They reported on their garden experiences and health. Facility staff reported on objective garden characteristics and barriers to access. A serial mediation model was tested with multiple linear regression analysis.

RESULTS:

The total indirect effect of greenery on self-perceived health was positive and significant. Garden greenery appears to affect health by enhancing a sense of being away, affording possibilities to experience the outdoor environment as interesting and encouraging visitation. Among residents in homes with multiple barriers, only fascination mediated the relationship between greenery and self-perceived health.

CONCLUSION:

Ample greenery in outdoor space at residential facilities for older people appears to promote experiences of being away and fascination, more frequent visitation and better health.

Keywords
health, nurses, nursing, outdoor environment, residential facilities, serial mediation
National Category
Nursing
Identifiers
urn:nbn:se:hig:diva-21204 (URN)10.1111/jan.12968 (DOI)000383625800009 ()27028976 (PubMedID)2-s2.0-84978983258 (Scopus ID)
Projects
Trädgården en integrerad del i äldreomsorgen?
Note

Funded by:

- University of Gävle- Örebro University; Swedish Society of Nursing; Maja Johansson & Maja Brantefors Foundation; Annalisa Detlow-Bergs Foundation; Göranssonska Foundation

Available from: 2016-02-06 Created: 2016-02-06 Last updated: 2018-03-13Bibliographically approved
Randmaa, M., Leo Swenne, C., Mårtensson, G., Högberg, H. & Engström, M. (2016). Implementing situation-background-assessment-recommendation in an anaesthetic clinic and subsequent information retention among receivers: a prospective interventional study of postoperative handovers. European Journal of Anaesthesiology, 33(3), 172-178
Open this publication in new window or tab >>Implementing situation-background-assessment-recommendation in an anaesthetic clinic and subsequent information retention among receivers: a prospective interventional study of postoperative handovers
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2016 (English)In: European Journal of Anaesthesiology, ISSN 0265-0215, E-ISSN 1365-2346, Vol. 33, no 3, p. 172-178Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Communication errors cause clinical incidents and adverse events in relation to surgery. To ensure proper postoperative patient care, it is essential that personnel remember and recall information given during the handover from the operating theatre to the postanaesthesia care unit. Formalizing the handover may improve communication and aid memory, but research in this area is lacking.

OBJECTIVE: The objective of this study was to evaluate whether implementing the communication tool Situation-Background-Assessment-Recommendation (SBAR) affects receivers' information retention after postoperative handover.

DESIGN: A prospective intervention study with an intervention group and comparison nonintervention group, with assessments before and after the intervention.

SETTING: The postanaesthesia care units of two hospitals in Sweden during 2011 and 2012.

PARTICIPANTS: Staff involved in the handover between the operating theatre and the postanaesthesia care units within each hospital.

INTERVENTION: Implementation of the communication tool SBAR in one hospital.

MAIN OUTCOME MEASURES: The main outcome was the percentage of recalled information sequences among receivers after the handover. Data were collected using both audio-recordings and observations recorded on a study-specific protocol form.

RESULTS: Preintervention, 73 handovers were observed (intervention group, n = 40; comparison group, n = 33) involving 72 personnel (intervention group, n = 40; comparison group, n = 32). Postintervention, 91 handovers were observed (intervention group, n = 44; comparison group, n = 47) involving 57 personnel (intervention group, n = 31; comparison group, n = 26). In the intervention group, the percentage of recalled information sequences by the receivers increased from 43.4% preintervention to 52.6% postintervention (P = 0.004) and the SBAR structure improved significantly (P = 0.028). In the comparison group, the corresponding figures were 51.3 and 52.6% (P = 0.725) with no difference in SBAR structure. When a linear regression generalised estimating equation model was used to account for confounding influences, we were unable to show a significant difference in the information recalled between the intervention group and the nonintervention group over time.

CONCLUSION: Compared with the comparison group with no intervention, when SBAR was implemented in an anaesthetic clinic, we were unable to show any improvement in recalled information among receivers following postoperative handover.

TRIAL REGISTRATION: Current controlled trials http://www.controlled-trials.com Identifier: ISRCTN37251313.

Keywords
postoperative care, postanaesthesia care, communication, Situation-Background-Assessment-Recommendation, SBAR
National Category
Anesthesiology and Intensive Care
Identifiers
urn:nbn:se:hig:diva-20602 (URN)10.1097/EJA.0000000000000335 (DOI)000369548100003 ()26760400 (PubMedID)2-s2.0-84957092321 (Scopus ID)
Projects
KPA
Available from: 2015-11-17 Created: 2015-11-17 Last updated: 2018-03-13Bibliographically approved
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