hig.sePublications
Change search
Refine search result
3456789 251 - 300 of 1288
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard-cite-them-right
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • sv-SE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • de-DE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 251.
    Engström, Maria
    et al.
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Lindqvist, Ragny
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    Ljunggren, Birgitta
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    Carlsson, Marianne
    Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Relatives’ opinions of IT support, perceptions of irritations and life satisfaction in dementia care2006In: Journal of Telemedicine and Telecare, ISSN 1357-633X, E-ISSN 1758-1109, Vol. 12, no 5, p. 246-250Article in journal (Refereed)
    Abstract [en]

    We studied relatives' opinions of IT support at a residential home for persons with dementia. We also investigated the relatives' perceptions of irritations and life satisfaction before and after increased IT support. This was accomplished using an experimental group (n = 14) and a control group (n = 8) of subjects in dementia care. The design was quasi-experimental with baseline assessments and three follow-ups. Data were collected using two questionnaires measuring opinions of the IT support: irritations in care (the Nursing Home Hassles Scale) and life satisfaction (the Life Satisfaction Questionnaire). Results showed that relatives' opinions of IT support were generally positive. In the experimental group, relatives' perceptions of practical/logistical irritations decreased between baseline and 12-month follow-up. In the control group, there was an increase in the total Nursing Home Hassles score between baseline and three-month follow-up. This difference did not persist at seven- and 12-month follow-ups. No significant differences were found for life satisfaction. We conclude that relatives had positive opinions of IT support, and their perceptions of practical/logistical irritations decreased after implementation of the IT support package.

  • 252.
    Engström, Maria
    et al.
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Lindqvist, Ragny
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Ljunggren, Birgitta
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Carlsson, Marianne
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Staff members' perceptions of a ICT support package in dementia care during the process of implementation2009In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 17, no 7, p. 781-789Article in journal (Refereed)
    Abstract [en]

    Aim The aim of the present study was to describe staff members' perceptions of an information and communication technology (ICT) support package during the process of implementation. Background ICT in dementia care will likely increase in the future. The diffusion of new innovations can be better understood through diffusion research. Methods Fourteen staff members in dementia care were interviewed, in groups, once before the new ICT, twice during its implementation and once after. Data were analysed using qualitative content analyses. The ICT included monitors/alarms: passage alarms, fall detectors, sensor-activated night-time illumination of the lavatory, and communication technology: Internet communication and additional computers. Results The results showed two themes 'Moving from fear of losing control to perceived increase in control and security' and 'Struggling with insufficient/deficient systems'. Conclusions Staff perceptions of ICT were diverse and changed during the implementation. Benefits were more pronounced than disadvantages, and improvements were described both in care and in staff job situation. Implications for nursing management Functioning and use of ICT may relate to design as well as by application and the surrounding structure, and the whole system: the organizational structure, the employers and the new product needs to be taken into consideration when implementing new technology.

  • 253.
    Engström, Maria
    et al.
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Ljunggren, Birgitta
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    Lindqvist, Ragny
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    Carlsson, Marianne
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Staff satisfaction with work, perceived quality of care and stress in elderly care: psychometric assessments and associations2006In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 14, no 4, p. 318-328Article in journal (Refereed)
    Abstract [en]

    AIMS: To evaluate validity and reliability of three questionnaires measuring 'work satisfaction', 'patient care' and 'staff health' for staff in elderly care and to study the relationship between staff members' satisfaction with work and perceived stress.

    BACKGROUND: Increased workload, difficulties in recruiting and retaining nurses are reported in elderly care. Valid and reliable instruments measuring staffs' perceptions of work are needed.

    METHODS: A convenience sample of 299 staff answered the questionnaires.

    RESULTS: Factor analysis of 'work satisfaction' gave eight factors, 'patient care' four factors and 'staff health' two factors, explaining 52.2%, 56.4% and 56.8% of the variance. Internal consistency was mostly satisfactory. Multiple regression analysis revealed a model that explained 41% of the variance in perceived stress symptoms.

    CONCLUSIONS: There was support for the instruments' validity and reliability. Older age, higher scores/satisfaction with workload, cooperation, expectations and demands, personal development and lower scores on internal motivation contributed to less stress.

  • 254.
    Engström, Maria
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Sweden; Nursing Department, Medicine and Health College, Lishui University, China .
    Löfmark, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Faculty of Health Education, Stord/Haugesund University College, Norway.
    Ugland Vae, Karen Johanne
    Faculty of Health Education, Stord/Haugesund University College, Norway.
    Mårtensson, Gunilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Nursing students' perceptions of using the Clinical Education Assessment tool AssCE and their overall perceptions of the clinical learning environment: a cross-sectional correlational study2017In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 51, p. 63-67Article in journal (Refereed)
    Abstract [en]

    Background

    Clinical education is a vital part of nursing students' learning; the importance of assessment tools and feedback in stimulating student learning has been stressed, but this needs to be studied in more detail.

    Objectives

    To examine relationships between nursing students' perceptions of using an Assessment tool in Clinical Education (AssCE) during their mid-course discussion and final assessment, the content discussed during these meetings between the student, preceptor and nurse teacher and the students' overall perception of the clinical learning environment.

    Design

    A cross-sectional, correlational design was used.

    Setting and Participants

    A convenience sample of 110 nursing students from one Norwegian university college with two campuses.

    Methods

    Data were collected with self-developed questionnaires and analysed using logistic regression with SPSS and the PROCESS macro for mediation analysis.

    Results

    There was a positive relationship between nursing students' perceptions of using the assessment tool AssCE and their overall perception of the clinical learning environment. This relationship was, in turn, mediated by the content discussed during the formative mid-course discussion and summative final assessment.

    Conclusions

    Our conclusion is that the assessment tool AssCE supported students' clinical learning and that this relationship, in turn, was mediated by the degree to which the conversation during the assessment meeting focused on the student's knowledge, skills and professional judgement.

  • 255.
    Engström, Maria
    et al.
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Scandurra, Isabella
    Centre for eHealth, Uppsala University, Uppsala, Sweden.
    Ljunggren, Birgitta
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Lindqvist, Ragny
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Swedentet.
    Koch, Sabine
    Centre for eHealth, Uppsala University, Uppsala, Sweden.
    Carlsson, Marianne
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Evaluation of OLD@HOME virtual health record: staff opinions of the system and satisfaction with work2009In: Telemedicine journal and e-health, ISSN 1530-5627, E-ISSN 1556-3669, Vol. 15, no 1, p. 53-61Article in journal (Refereed)
    Abstract [en]

    The aim of the present research was to study outcomes of use of the OLD@HOME Virtual Health Record with regard to staff opinions about information, communication technology, and satisfaction with work. A quasi-experimental design was used. Staff opinions about the information and communication technology were assessed using a study-specific questionnaire at the test site (n =22) and at other settings in the municipality (n =172). Staff (n =22) job satisfaction, perceived quality of care, and psychosomatic health were assessed using the Satisfaction with Work Questionnaires before and after a 5-month period of testing the technology in an intervention and a comparison group. Staff opinions about the information and communication technology were significantly more positive at the test site compared to other settings in the municipality. For the total scale of quality of care and the factor documentation, there were significant differences in change scores between intervention and comparison groups, with improvements for the comparison group. For job satisfaction and psychosomatic health, there were no differences in change scores between the groups. Participatory design enhances staff opinions about information and communication technology. However, a 5-month test period showed no benefits regarding staff satisfaction with work when compared to a comparison group. On the contrary, the comparison group improved in documentation, and for the intervention group, there was a trend toward deterioration, which may be due to their knowing how to document, but not having time when using both paper-based and electronic systems.

  • 256.
    Engström, Maria
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science.
    Skytt, Bernice
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science.
    Ernesäter, Annica
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science.
    Fläckman, Birgitta
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science.
    Mamhidir, Anna-Greta
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science.
    District nurses' self-reported clinical activities, beliefs about and attitudes towards obesity management2013In: Applied Nursing Research, ISSN 0897-1897, E-ISSN 1532-8201, Vol. 26, no 4, p. 198-203Article in journal (Refereed)
    Abstract [en]

    AIM:

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

    BACKGROUND:

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

    METHODS:

    Questionnaire data were collected from 247 nurses in 33 centres.

    RESULTS:

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

    CONCLUSION:

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

  • 257.
    Engström, Maria
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden .
    Skytt, Bernice
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden .
    Nilsson, Annika
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden .
    Working life and stress symptoms among caregivers in elderly care with formal and no formal competence2011In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 19, no 6, p. 732-741Article in journal (Refereed)
    Abstract [en]

    Working life and stress symptoms among caregivers in elderly care with formal and no formal competence Aim  The aim of the present study was to describe and compare caregivers with formal and no formal competence on job satisfaction, psychosomatic health, structural and psychological empowerment and perceptions of care quality. A further aim was to study relationships among study variables. Methods  A convenience sample of 572 caregivers in elderly care participated. Results  Caregivers with no formal competence perceived higher workload, more communication obstacles, less competence, poorer sleep and more stress symptoms than did their colleagues. Linear regression analyses revealed that the factor self-determination was an explanatory variable of stress levels among caregivers with no formal competence, and self-determination and impact among caregivers with formal competence. Linear regression analysis revealed that different dimensions in structural and psychological empowerment explained the variance in staff job satisfaction, perceived stress symptoms and quality of care. Conclusions  No formal competence seems to be a risk factor for psychosomatic health problems. Implications for nursing management  Managers need to have a strategic plan for how to create a working environment for caregivers with no formal competence. Caregivers' self-determination seems to be important for stress symptoms. Meaning, self-determination, impact and opportunities appear to be important for job satisfaction and competence, opportunities, resources and formal power for quality of care.

  • 258.
    Engström, Maria
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science.
    Wadensten, Barbro
    Department of Public Health and Caring Sciences, Uppsala universitet.
    Häggström, Elisabeth
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science.
    Caregivers' job satisfaction and empowerment before and after an intervention focused on caregiver empowerment2010In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 18, no 1, p. 14-23Article in journal (Refereed)
    Abstract [en]

    Aims: To evaluate a training programme aimed at strengthening caregivers' self-esteem and empowering them, and also to study correlations between psychological empowerment and job satisfaction.

    Background: Structural and psychological empowerment have received increased attention in nursing management, yet few intervention studies on this topic, based on theoretical assumptions, have been conducted in elderly care.

    Method: Data on self-assessed psychological empowerment and job satisfaction were collected in an intervention (n = 14) and a comparison group (n = 32), before and after the intervention.

    Results: When compared over time in the respective groups, there were significant improvements in the intervention group regarding the factor criticism (job satisfaction scale). There were no statistically significant differences in the comparison group. Total empowerment and all factors of empowerment correlated positively with total job satisfaction. Six out of eight factors of job satisfaction correlated positively with total empowerment.

    Conclusions: Caregivers' perception of criticism can improve through an intervention aimed at strengthening their self-esteem and empowering them.

    Implications for nursing management: Intervention focused on psychological empowerment and especially caregivers' communication skills seems to be beneficial for caregivers. Recommendations are to increase the programme's length and scope and to include all staff at the unit. However, these recommendations need to be studied further.

  • 259.
    Engström, Maria
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Westerberg Jacobson, Josefin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Mårtensson, Gunilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Uppsala University and University Hospital, Uppsala, Sweden.
    Staff assessment of structural empowerment and ability to work according to evidence-based practice in mental health care2015In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 23, no 6, p. 765-774Article in journal (Refereed)
    Abstract [en]

    Aim: To study associations between staff members' self-rated structural empowerment in mental health care, organisational type, and the ability and willingness to work according to evidence-based practice.

    Method: Questionnaire data were collected from 253 mental health staff members.

    Result: Multivariate logistic regressions analyses revealed that participants who scored higher on opportunity (OR 2.5) and were employed by the county council (OR 1.9) vs. the municipality were more likely to report high evidence-based practice ability. A generalised estimating equation taking into account unknown correlations within units found opportunity and resources to be significant predictors of evidence-based practice ability. Regarding evidence-based willingness, increased odds were found for higher scores of opportunity (OR 2.2) and being employed by the county council (OR 2.9). The generalised estimating equation also found resources to be a significant predictor of evidence-based willingness. In both organisations, the values for empowerment were moderate.

    Conclusion: Structural conditions such as access to opportunities and resources are important for creating supporting structures for practice to be evidence-based. Implications for nursing management: Our results emphasise the managers' essential role in creating empowering structures, and especially access to opportunities and resources, for their staff to carry out evidence-based practice.

  • 260.
    Engström, Matilda
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Eklund, Sofia
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskors upplevelse av att vårda vuxna palliativa patienter inneliggande på sjukhus2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:

    För lindring av lidande och en förbättring av livskvaliten i livetsslut gavs palliativ vård något som grundades på kunskap, teamarbete, kommunikation och samspel. Inom palliativ vård såg döden som en naturlig process med fokus på att leva aktivt så länge som möjligt. I Sverige fanns det brister i grundutbildningen inom palliativ vård.

  • 261.
    Engström, Therese
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Wallström, Madelene
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Patienters upplevelser av hälsosamtal för 40-åringar: En intervjustudie2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Forskning har visat att risken för livsstilsrelaterade sjukdomar påverkas av en persons levnadsvanor. Folkhälsan i Sverige är globalt sett god, trots det insjuknar tiotusentals människor varje år i sjukdomar som hade kunnat förhindras med förebyggande hälso- och sjukvård. Ohälsan rapporteras vara som allra störst i Gävleborgs län. I Gävleborgs län blir alla som fyllt 40 år erbjudna ett kostnadsfritt hälsosamtal via sin hälsocentral. Samtalet kan hållas av en distriktsköterska och huvudfokus i hälsosamtalet är patientens levnadsvanor. Syfte: Syftet med denna studie var att beskriva patienters upplevelser av hälsosamtal för 40-åringar på hälsocentraler i Gävleborgs län. Metod: Tio deltagare som uppfyllde inklusionskriterierna deltog i studien. Datainsamlingen skedde genom semistrukturerade telefonintervjuer. Materialet analyserades med kvalitativ innehållsanalys. Huvudresultat: Resultatet presenteras utifrån tre huvudkategorier: Tydlig struktur på hälsosamtalet, nytändning och motivation efter hälsosamtalet och brister i hälsosamtalet. Deltagarna upplevde en tydlig struktur på hälsosamtalet då stjärnprofilen visualiserade patienternas totala hälsostatus på ett tydligt sätt. Flertalet deltagare hade blivit mer motiverade till att göra en livsstilsförändring efter hälsosamtalet, hälsosamtalet hade startat en reflektion angående deras hälsa. De hade också en förhoppning om att hälsosamtalet skulle ge de en nytändning. Majoriteten av deltagarna uppgav att det fanns brister i hälsosamtalet, de saknade erbjudande om uppföljning och de önskade även mer individanpassad rådgivning. Slutsats: Patienters upplevelser av hälsosamtal för 40-åringar sågs som en positiv ”hälsocheck-up”. Samtalsledarens roll har betydelse för upplevelsen av hälsosamtalet. Det framkom att hälsosamtalet har brister gällande uppföljning. Deltagarna saknade individanpassad rådgivning. 40-årssamtalet levde inte upp till patientens förväntningar och förhoppningar.

  • 262.
    Enmarker, Ingela
    Fakultet for sykepleie og helsevitenskap - Nord universitet.
    How will the nurse students be prepared to meet the older patient?2008Conference paper (Other academic)
  • 263.
    Enmarker, Ingela
    et al.
    Faculty of Health Sciences, Nord-Trøndelag University College, Namsos, Norway; Center for Care Research, Norway.
    Hellzén, Ove
    Faculty of Health Sciences, Nord-Trøndelag University College, Namsos, Norway; Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden.
    Ekker, Knut
    Faculty of Agriculture and Information Technology, Nord-Trøndelag University College, Steinkjer, Norway.
    Berg, Anne Grethe
    Faculty of Health Sciences, Nord-Trøndelag University College, Namsos, Norway; Norwegian Food Safety Authority, Steinkjer, Norway.
    Health in older cat and dog owners: The Nord-Trondelag Health Study (HUNT)-3-study2012In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 40, no 8, p. 718-724Article in journal (Refereed)
    Abstract [en]

    Aim: The main objective was to compare older male and female cat, dog, and non-owners with regard to demographic and health-related characteristics. Method : Data in the present cross-sectional population study were drawn from HuNT-3 in Norway. A total of 12,297 persons (5631 men; 6666 women) between the ages of 65 and 101 years were included, of whom 2358 were pet owners. Results : The main finding was that owning a dog demonstrated several health-related characteristics to a higher positive degree than both non-pet and cat ownership among the participants. Cat owners showed higher body mass index values and higher systolic blood pressure, and reported worse general health status. They also exercised to a lower degree than the others. Conclusions : As the result implies that older cat owners are negatively outstanding in many aspects of health compared with the dog owners, in the future, more focus must be put on the worse health of those. Further, there were more married male than female cat and dog owners. This probably depends on traditional cultural thinking; the man is the owner of the pet even if the woman lives with and cares about it. It is important to point out that different groups in the population might select different pets. Consequently, the findings showing a correlation between pet ownership and health may be owing to unrelated confounding factors.

  • 264.
    Enmarker, Ingela
    et al.
    Faculty of Health Sciences, Nord-Trøndelag University College, Namsos, Norway; Center for Care Research, Mid-Norway, Norway.
    Hellzén, Ove
    Center for Care Research, Mid-Norway, Norway; Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden.
    Ekker, Knut
    aculty of Agriculture and Information Technology, Nord-Trøndelag University College, Steinkjer, Norway.
    Berg, Anne-Grethe T.
    Norwegian Food Safety Authority, Steinkjer, Norway.
    Personalities and health in older cat and dog owners: A HUNT-study2013In: Health, ISSN 1363-4593, E-ISSN 1461-7196, Vol. 5, no 9, p. 1449-1454, article id 36906Article in journal (Refereed)
    Abstract [en]

    The aim of this population study was to identify personality traits among older (>65 years) male and female owners of cats and dogs and to compare their general health status in relation to their personality. Further, the aim was to examine whether current cat and dog ownership could be predicted by the owners’ personality and health. Data were collected from the NorthTrøndelag Health Study (HUNT) in Norway. Included were a total of 1897 cat or dog owners between the ages of 65 years and 101 years. The results showed that there were a higher proportion of introverted male cat owners than extraverted ones. Moreover, a majority of women with cats reported that their health was not good. Furthermore, female cat owners who displayed higher scores on neurotic traits experienced significantly poorer health compared to those female cat owners that experienced good health. The same was true for female cat owners who considered themselves to be introverted. Neither personality nor health could predict pet-ownership, but it was more likely for older individuals (80 - 101 years) to own a cat than a dog. This study has shown that human personality is associated with cat and dog ownership, but there are other factors connected with pet ownership as well.

  • 265.
    Erikson, Henrik
    et al.
    Department of Nursing and Care, Swedish Red Cross University College, Stockholm, Sweden.
    Salzmann-Erikson, Martin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Future Challenges of Robotics and Artificial Intelligence in Nursing: What Can We Learn from Monsters in Popular Culture?2016In: The Permanente Journal, ISSN 1552-5767, E-ISSN 1552-5775, Vol. 20, no 3, article id 15-243Article in journal (Refereed)
    Abstract [en]

    It is highly likely that artificial intelligence (AI) will be implemented in nursing robotics in various forms, both in medical and surgical robotic instruments, but also as different types of droids and humanoids, physical reinforcements, and also animal/pet robots. Exploring and discussing AI and robotics in nursing and health care before these tools become commonplace is of great importance. We propose that monsters in popular culture might be studied with the hope of learning about situations and relationships that generate empathic capacities in their monstrous existences. The aim of the article is to introduce the theoretical framework and assumptions behind this idea. Both robots and monsters are posthuman creations. The knowledge we present here gives ideas about how nursing science can address the postmodern, technologic, and global world to come. Monsters therefore serve as an entrance to explore technologic innovations such as AI. Analyzing when and why monsters step out of character can provide important insights into the conceptualization of caring and nursing as a science, which is important for discussing these empathic protocols, as well as more general insight into human knowledge. The relationship between caring, monsters, robotics, and AI is not as farfetched as it might seem at first glance.

  • 266.
    Eriksson, Amanda
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Walldén, Matilda
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Personers upplevelser efter överviktskirurgi, med psykosocialt fokus2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 267.
    Eriksson, Ann-Christine
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Eriksson, Kristina
    University of Gävle, Department of Caring Sciences and Sociology.
    LIVET EFTER EN HJÄRTINFARKT- en litteraturstudie gällande patienters behov av stöd2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    The aim of this literature review was to examine and compile existing research from the

    beginning of the 21 st century about patients needs for different kind of support after a

    myocardial infarction. This literature review included 14 scientific articles who where

    analyzed. The result showed two main categories; individual/information support and

    group/social support. Individual/information support showed a wish for more information

    about the heart, its function and the consequences of the myocardial infarction. Advice and

    information about lifestyle changes, readjustment to daily life and to cope with stress as well

    as information about the medical treatment and its effects was asked for. That would have

    helpt uring the process of recovery. Under the category of group/social support it emerged

    that supportgroups and rehabilitationprograms had an significant part for the recovery after

    the myocardial infarction. Through sharing experiences with others in the same situation, not

    feeling alone and to have a continuous contact with health care professionals the zest for life

    increased. Support from family and friends also had an important meaning for recovery. At

    the same time it also often emerged an overprotective role in relatives that by most of the

    patients seemed to have a negative effect and influence on the recovery. The conclusion

    show´s that nurses have an important role to handle, treat, show understanding and support

    every persons individual needs.

    Keywords:

  • 268.
    Eriksson, Annelie
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences. Vestre Viken HF, Baerum, Norway.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Distriktssköterskors beskrivningar av sjukdomsförebyggande arbete i daglig verksamhet och strukturella förutsättningar för detta arbete: [District nurses’ perceptions of their preventive work and structural conditions for this work]2015In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 35, no 2, p. 77-84Article in journal (Refereed)
    Abstract [en]

    Background There is much research about district nurses’ preventive work, effects of it and their perceptions of the preventive work. Less is known about how district nurses perceive their preventive work in relation to structural conditions for this work.

    Aim The aim was to describe district nurses’ perceptions of their preventive work in daily practice; and structural conditions for this using Kanter’s theory of structural empowerment.

    Methods Interviews were conducted 2012 with nine Swedish district nurses. Data were analysed using qualitative content analysis.

    Findings The analysis resulted in one theme; ‘To experience stimulation versus frustration; a consistency versus a discrepancy between will and structural conditions’. District nurses who worked with specialized tasks felt that they mostly had the structural conditions required to work in a preventive manner and that they could prioritize which unhealthy living habits to discuss with their patients. District nurses without specialized tasks described that their structural conditions for preventive work was limited in the present streamlined organization. This in turn led to a feeling of frustration.

    Conclusion Preventive work is described as stimulating when district nurses have the conditions required, yet the conditions required are sometimes lacking and especially for district nurses without specialized tasks. There is a will to work in a preventive manner but structural conditions need to be improved.

  • 269.
    Eriksson, Anne-Sofie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Kvinnors erfarenheter av att leva med självskadebeteende: En deskriptiv litteraturstudie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Självskadebeteende är en avsiktlig handling av vävnadsskada genom att rispa, skära eller bränna huden utan avsikt till suicid. I Sverige under 2016 vårdades cirka 6900 personer på sjukhus till följd av avsiktlig destruktiv handling, varav 62 % var kvinnor.

    Resultat: Kvinnor med självskadebeteende hade ofta växt upp i en otrygg miljö, varit med om trauma eller saknat vuxenstöd. Självskada hade varit ett sätt för att lindra emotionellt lidande och för att kunna fortsätta att leva. Effekten av självskada avtog och blev som ett beroende innan det eskalerade. Känslor av skam, skuld och ensamhet var vanliga. Stigmatisering hindrade hjälpsökande. Bristande bemötande och vård upplevdes. Främjade för tillfrisknad var att behandla bakomliggande orsak till beteendet, finna alternativa åtgärder till att hantera det emotionella och ha ett holistiskt synsätt.

    Slutsatser: Självskadebeteende har för kvinnor inneburit ett oavbrutet lidande, psykiskt och fysiskt. För sjuksköterskan och övrig vårdpersonal är det viktigt att ha kunskap om orsaker till att kvinnor inte söker hjälp för sitt självskadebeteende för att kunna nå och hjälpa dem. I föreliggande studie framkom att hinder för att söka hjälp hade varit vårdens bristande bemötande och okunskap om självskadebeteendet. Sjuksköterskan behöver ökade kunskaper om självskadebeteendet, sträva efter ett empatiskt bemötande och utföra god holistisk omvårdnad.

  • 270.
    Eriksson, Elin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Hellberg, Frida
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Kvinnors erfarenheter av att leva med endometrios: En litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Endometriosis is a chronic disease affecting about 176 million fertile women worldwide. Severe menstrual pain and pain during intercourse are the primary symptoms that characterizes the disease. It often takes a long time to get the diagnosis, the nurse should be responsive and identify the patient's needs.

    Aim: The aim of this literature study was to describe women's experiences of living with endometriosis and the included articles data collection methods.

    Method: Literature study with descriptive design. Data were collected through the databases PubMed and Cinahl, the result is built on eleven scholarly articles with qualitative and mixed designs.

    Main Results: The woman who lives with endometriosis experiences severe pain at different time at the menstrual cycle. The diagnosis could take up to several years for some women to receive, where a common occurrence for most of them were mistrust and normalization of the symptoms from the healthcare. Endometriosis has a major impact on women's everyday life where they are both mentally and socially affected by the disease. Most of the women used their own self-strategies as dietary changes to prevent the symptoms. The eleven scholarly articles in this study used different interview methods to collect the data.

    Conclusion: Endometriosis has a major negative impact on women's everyday life and relationships, the disease causes infertility and social constraints. Increased knowledge in society and in health care can contribute to reduced suffering in these women.

  • 271.
    Eriksson, Elin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Häglund, Magnus
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Organisatoriska orsaker till vårdtagares missnöje med vården2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    The health care system is an complex structure with many different actors and professions, who are subject to different management and different conditions. Within this organisation, many situations may arise that can cause dissatisfaction among care recipients.

     

    Aim

    To describe organisational factors in healthcare that cause dissatisfaction with carers, as well as to describe the selection processes for the selected articles' sample groups.

     

    Design

    Literature review based on twelve articles, both quantitative and qualitative, from 2007-2017.

     

    Main results

    The main problem area for patients was accessibility. Waiting times of various kinds were common: waiting to get an appointment, long time in the waiting room, waiting for treatment, and more. Specific to primary care were difficulties in getting appointments at all, and perceptions in patients that primary care could not help them with their problems. Dissatisfaction with the physical care environment was mentioned mainly in the form of understaffing and unavailability of hospital beds, but there were also other complaints related to the physical environment. Lack of coordination between different actors cause discontent in some patients, for instance due to poor continuity of care.

     

    Conclusions

    There are a number of reasons for care recipients’ dissatisfaction that have their foundation in the health care organization. Focusing on the patient's emotions, the nurse can help the patient in developing and improving the handling of the problematic situation and the feelings that arise. This is facilitated by the nurse having knowledge of how the organisation is structured, and understanding of its complexity. This knowledge and understanding is also a good prerequisite for organisational improvement.

  • 272.
    Eriksson, Elisabet
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Internationally educated nurses’ descriptions of their access to structural empowerment while working in another country’s health care context2018In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 26, no 7, p. 866-873Article in journal (Refereed)
    Abstract [en]

    AIM:

    To examine internationally educated nurses' experiences of empowerment structures using Kanter's theory of structural empowerment.

    BACKGROUND:

    There has been an increase in the number of nurses working in other countries worldwide and concerns have been raised regarding their working conditions.

    METHOD:

    Semi-structured interviews were conducted with a purposive sample of 11 internationally educated nurses. Directed content analysis was used to analyse the data and Kanter's theory of empowerment was used as a framework.

    RESULTS:

    Access to information was generally good. Access to support for their relationship with their managers varied. Regarding access to resources, nurses unfamiliar with clinical leadership found team leadership challenging. Access to in-house learning opportunities were reported as good. Access to informal power was more common than access to formal power.

    CONCLUSIONS:

    The findings support Kanter's theory and demonstrate that internationally experienced nurses encountered varying degrees of access to empowering structures. Access to information and formal power was more general and related to the unit. Access to resources, support, opportunities and informal power were related to both the unit and the informants' specific situation as IENs.

    IMPLICATIONS FOR NURSING MANAGEMENT:

    Managers need to support IENs when having a team leadership role, facilitate encounters between IENs and ordinary staff, and establishing mentorship for IENs.

  • 273.
    Eriksson, Elisabet
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    The challenges of interviewing internationally educated nurses and doctors in another language than their native language2018Conference paper (Other academic)
    Abstract [en]

    Background: Globalization has increased the migration of internationally educated nurses’ (IENs) and International Medical Graduates (IMG) to high-income countries.

    Objective: To highlight the challenges of interviewing internationally educated nurses and doctors in another language than their native language regarding their working experiences in the Swedish health and social care system.

    Method: Semi-structured interviews with eleven IENs and eleven IMGs. Data were analyzed with qualitative content analysis.

    Results: Interviews with non-Swedish trained nurses and doctors provide important information about their working experiences in the host country, even if their language skills in the host country’s language can be poor. However, the data had a less nuanced language, the same word could be used repeatedly, English words were sometimes used when not finding the Swedish words and some questions were difficult for the informants to understand and had to be omitted. Performing the interview, transcribing and analyzing them took more time compared to interviews with native speakers. The informants clearly stated that they wanted the interview to be in Swedish and not in for example English.

  • 274.
    Eriksson, Elisabet
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Wejåker, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Danhard, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Nilsson, Annika
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Kristofferzon, Marja-Leena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Living with a spouse with chronic illness – the challenge of balancing demands and resources2019In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 19, no 1, article id 422Article in journal (Refereed)
    Abstract [en]

    Aims and objectives. To describe the partners’ experiences of living with a person with chronic illness and how they manage everyday life.

    Background. The number of partners providing informal care for their chronically ill spouse is rising, and they describe their daily life as demanding.

    Design. A descriptive design with a qualitative approach was used.   

    Methods. A purposive sample of 16 partners with a chronically ill spouse were interviewed. The interviews were recorded, transcribed, and analyzed using qualitative content analysis.

    Results Four main themes were identified: ‘Living with challenges caused by the spouse's disease,’ ‘Seeking support for living with the spouse’s illness,’ ‘Appreciating the good parts of life’ and ‘Adapting to constant changes and an uncertain future.’ The participants rated their health as rather good and had great confidence in their own ability to cope with daily life. Their experiences of support from formal care providers varied; they expressed the need for more assistance from the health care sector.

    Conclusions. The partners experienced many challenges in everyday life when providing informal care for their chronically ill spouse. This affected both their physical and psychological health, as they had limited time for themselves. The partners seemed to receive more support from their informal network than from formal care providers. In handling daily life, the partners balanced demands and resources to identify possibilities to move forward and find meaning in life.

    Relevance to clinical practice. Formal care providers must acknowledge partners' needs, develop evidence-based assessment guidelines, and provide efficient support to partners with a chronically ill spouse. 

  • 275.
    Eriksson, Helena
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Jonsson, Ann-Sofi
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Intensivvårdssjuksköterskors upplevelser av patientbedömning i samband med MIG-uppdrag2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background: The intensive care nurse, together with an anesthetist, is included in a Medical emergency team (MET). If a patient in a ward demonstrates deterioration in vital parameters and is suspected having organ failure, MET is consulted, which together with the patient-responsible doctor and nurse evaluates and assesses the patient. Thereafter MET recommends treatment or move the patient to intensive care unit.

    Aim: The aim of this study was to describe intensive care nurses experiences of assessing patients and what they consider in connection with the MET assessments.

    Method: The study was performed with a qualitative approach and descriptive design. Eleven intensive care nurses were interviewed with semi-structured interviews.

    Result: Six main categories appeared in the result: To be prepared and have information is important for assessment, To use senses and experience when assessing, To cooperate with other staff categories is important, To use assessment tools, To have experiences of the environment around the patient in connection with the assessment, and that limitations affect the assessment and further care. The intensive care nurses described that structured patient-information, good teamwork, using assessment tools, clinical judgement and experience made the assessment easier. The result also showed that there appeared to be individual differences in how the assessment was carried out and on what grounds the decisions were taken. High workload, stress, lack of resource, limitations in care and distraction in the environment could have an impact on assessment.

    Conclusion: The results have contributed to increasing the understanding of the intensive care nurses experiences of assessing patients in connection with MET assignments. The results have also drawn attention to the fact that high workload, stress, environment, limitations in care and lack of resource can have an impact on patient assessment.

    Key words: Intensive care nurse, Medical emergency team, Nursing assessment

  • 276.
    Eriksson, Henrik
    et al.
    Röda Korset Högskola.
    Christiansen, Mats
    Karolinska Institutet, Stockholm, Sweden.
    Holmgren, Jessica
    Röda Korset Högskola; Karolinska Institutet, Stockholm, Sweden.
    Engström, Annica
    Mälardalens Högskola.
    Salzmann-Erikson, Martin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science. Oslo University Hospital.
    Nursing under the skin: a netnographic study of metaphors and meanings in nursing tattoos2014In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 21, no 4, p. 318-326Article in journal (Refereed)
    Abstract [en]

    The aims of this study were to present themes in nursing motifs as depicted in tattoos and to describe how it reflects upon nursing in popular culture as well as within professional nursing culture. An archival and cross-sectional observational study was conducted online to search for images of nursing tattoos that were freely available, by utilizing the netnographic methodology. The 400 images were analyzed in a process that consisted of four analytical steps focusing on metaphors and meanings in the tattoos.

    The findings present four themes: angels of mercy and domination; hegemonic nursing technology; embodying the corps; and nurses within the belly of the monster. The tattoos serve as a mirror of popular culture and the professional culture of nurses and nursing practice within the context of body art. Body art policy statements have been included in nursing personnel dress code policies. Usually these policies prohibit tattoos that are sexist, symbolize sex or could contribute and reproduce racial oppression. The results show that the tattoos can be interpreted according to several layers of meanings in relation to such policies. We therefore stress that this is an area highly relevant for further analyses in nursing research.

  • 277.
    Eriksson, Henrik
    et al.
    Röda Korsets Högskola.
    Salzmann-Erikson, Martin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Cyber nursing: a conceptual framework2016In: Journal of Research in Nursing, ISSN 1744-9871, E-ISSN 1744-988X, Vol. 21, no 7, p. 505-514Article, review/survey (Refereed)
    Abstract [en]

    There have been few attempts to express in words and conceptualise ‘the Internet’ and ‘health’ within a framework. The aim of this study was to present a conceptual framework concerning virtual self-care and online caring. The results show that the concepts of virtual communities, virtual self-care and torrenting frame these very specific interactions and environments and that the concepts of keyboard cowboy, cyber aid and health interests trader stipulate different ways in which to express expertise in cyber nursing. Alongside cyber-bullying, cyber nursing is also present in virtual arenas. Nursing researchers need to explore and monitor cyber nursing activities using concepts developed within the field of nursing.

  • 278.
    Eriksson, Henrik
    et al.
    Department of Nursing and Care, The Red Cross University College, Stockholm, Sweden.
    Salzmann-Erikson, Martin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    The digital generation and nursing robotics: a netnographic study about nursing care robots posted on social media2017In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 24, no 2, article id e12165Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to present the functionality and design of nursing care robots as depicted in pictures posted on social media. A netnographic study was conducted using social media postings over a period of 3 years. One hundred and Seventy-two images were analyzed using netnographic methodology. The findings show that nursing care robots exist in various designs and functionalities, all with a common denominator of supporting the care of one's own and others' health and/or well-being as a main function. The results also show that functionality and design are influenced by recent popular sci-fi/cartoon contexts as portrayed in blockbuster movies, for example. Robots'designs seem more influenced by popular sci-fi/cartoon culture than professional nursing culture. We therefore stress that it is relevant for nursing researchers to critically reflect upon the development of nursing care robots as a thoughtful discussion about embracing technology also might generate a range of epistemological possibilities when entering a postmodern era of science and practice.

  • 279.
    Eriksson, Henrik
    et al.
    Swedish Red Cross University College.
    Salzmann-Erikson, Martin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Turning to monster to learn about humanity: presentation of findings from caring monsters - the research project2015In: Human Rights and Health and the Astrid Janzon Symposium: Abstract Book, 2015, p. 22-22Conference paper (Refereed)
    Abstract [en]

    Popular culture; literature, movies and comics, is full of monsters. Monsters that both scare and amuse. Through history people has been fascinated, feared and amused by the idea of mysterious creatures, the monsters. Passing stories and constructing the “monsters” are part of all cultures and over times, although the representation of monsters are projected in variance over time and are historical and contextual bounded. Just as monsters are the binary opposition of the ‘good citizen’, monsters also perform as embodied representations of the “Other”. Monster is therefore best understood as embodiment of difference, a breaker of categories and a resistant other. Monsters are “tricksters” challenging our coding of the world by challenging our knowledge. The monster ask us how we as humans perceive the world and about our perception of difference. The aim of this project is to explore the caring activities of monsters in popular culture. The project will catalog monsters’ caring activities around the globe and analyze why, when and under what circumstances monster characters actually do care. In this presentation the initial analyzes of data gathered from the project website (http://www.caringmonsters.com/) will be presented. The initial readings based on a straight forward content analysis of why monsters sometimes go out of character and suddenly engage in some kind of caring activities will be presented. The result will contribute to a critical discussion of the impact of caring and the ethics of caring from which we could learn about humanity, when reflecting upon it from an “outside” and monstrous perspective.

  • 280.
    Eriksson, Henrik
    et al.
    Röda Korsets Högskola.
    Salzmann-Erikson, Martin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Twitter discussions as predicament of robots in geriatric nursing and forecast of nursing robotics in older care2018In: Contemporary Nurse: health care across the lifespan, ISSN 1037-6178, E-ISSN 1839-3535, Vol. 54, no 1 (SI), p. 97-107Article in journal (Refereed)
    Abstract [en]

    Background: People use social media to express perceptions, attitudes and a wide range of concerns regarding human life. Aim: This study aims at analysing the ongoing discussions on the internet microblog Twitter and offers some coming predicaments regarding developments in geriatric nursing regarding nursing robots.

    Methods: Data were retrospectively collected from Twitter. 1322 mentions were included in the final analyses, where principles of interpreting data by using netnography were utilized.

    Results: Many ideas are presented expressing functional, psychological and social aspects of robots in nursing care. Most postings come from metropolitan cities around the globe. The discussion focuses on market-driven, science fiction solutions for aged care. Twitter users overall seem to be positive using various nursing robots in aged care. These discussions offer a window into the attitudes and ideas of this group of users.

    Conclusion: We suggest that monitoring Twitter discussions on social media can provide valuable insights into current attitudes as well as forecast coming trends.

  • 281.
    Eriksson, Jessica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Larsson, Louise
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskans bedömning av smärta utifrån patientens kön och kulturella bakgrund2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: To see if the patient's gender and cultural background are important in the nurse's assessment of pain. Method: A descriptive literature study. Article Search with search terms that were based on purpose and the research questions and conducted in the databases PubMed and Cinahl. The sample of 13 articles were determined by examining the articles title and abstract for a later examination of the hole content. Results: Seven of the studies showed that patient’s gender is relevant to how nurses assess pain. One of the studies regarding gender reviles the opposite. Six of the studies described the subject cultural background were five of them revealed that the subject was important for the nurse's assessment, while the result in one article showed that it had no significance. The results came from different parts of the world during the same period. Conclusion: The patient's gender and cultural background are important in nursing assessment and treatment of pain, however, two articles revealed that no differences could be detected. More in-depth studies are needed to obtain a more comprehensive result.

  • 282.
    Eriksson, Jessica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Westrin, Jessica
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Personers upplevelser av att leva med diabetes typ 1: en litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Today, approximately 50,000 people with diabetes type 1 live in Sweden. Type 1 diabetes is a chronic disease, and in most cases, the individual with type 1 diabetes experiences a variety of transitions, including lifestyle changes. Current diabetes care highlights the importance of patient involvement and self-care which is an important aspect for the individual's treatment. It is the duty of the nurse to have a general understanding and knowledge of his / her condition as well as provide information on the care and treatment needed. Aim: The aim of this literature study was to describe patients’ experience of living with type 1 diabetes and to review the study groups in the included studies. Method: A descriptive literature study which is based on 10 articles. Main result: The result showed that people have different experiences of living with type 1 diabetes. Including feelings such as anxiety and fear of complications in everyday life, which also bring forth of feeling safe at others' closeness. The patient has a responsibility towards them self and others by, among other things, informing about their diabetes. In order to know a controlled treatment of their diabetes, good planning is also required in advance. Another important aspect is to have a good relationship with health care. Conclusion: People with type 1 diabetes experience both positive and negative lifestyle changes, but above all, the person himself has to take his own responsibility over his chronic disease. With the help of healthcare support, a professional care can be given that is tailored to the needs of the individual.

  • 283.
    Eriksson, Lars
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Andersson, Anna-Carin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Nyligen examinerade distriktssköterskors upplevelse av telefonrådgivning: En intervjustudie2018Independent thesis Advanced level (degree of Master (One Year)), 60 credits / 90 HE creditsStudent thesis
    Abstract [en]

    Background: Telephone consultation started in Sweden in the 1970’s to reduce the amount of doctors appointments in the increasingly burdened primary health care. And also to be able to refer the patient to the appropriate level of care early in the disease process.

    Aim: The aim of the study was to describe how newly graduated district nurses, both novices and advanced beginners, experiences the work and practice of nursing via telephone consultation.

    Method: Semistructured interviews were conducted with ten newly graduated district nurses. A qualitative, inductive content analysis was used to interpret the collected material.

    Main findings: The study have shown that newly graduated district nurses experienced telephone consultation as a difficult task. Crucial for a good result and for a satisfying personal development was the support from the senior colleagues. The experiences that emerged as most aggravating was lack of time, resources and guidelines to perform good care. A decision support tool would likely save time and increase the security for the patients.

    Conclusion: The study have shown that newly graduated district nurces had a positive feeling about their new profession. But the difficulty to work with telephone consultation as newly graduated showed that a guideline was required alongside support from the management to be able to carry out the work in a manner that was safe for the patients. Support from the senior colleagues had a generally positive effect on the ability to be able to grow into their new profession.

  • 284.
    Eriksson, Lena
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Persson, Sara
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Kunskaper om och attityder till prevention av trycksår hos distriktssköterskor och sjuksköterskor inom kommunal hälso- och sjukvård2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Pressure ulcer is a common and expensive problem for society which causes suffering and pain for the patient. Registered nurses should promote health, prevent illness and relieve suffering and is responsible for identifying risk and prescribing measures for pressure ulcer prevention. The purpose of this study was to describe and compare district nurses and registered nurses knowledge and attitude to pressure ulcer prevention in municipal health care. The method: Descriptive and comparative design with quantitative approach. A questionnaire was distributed to district nurses and registered nurses who worked in nursing homes and home healthcare in five municipalities. It was 67 out of 150 respondents who participated in the study. The result: The result showed that district nurse and registered nurse’s lack in knowledge about pressure ulcer prevention. Specific in the question about position change that reduces pressure ulcer risk the most, relief of heels on pressure-reducing mattress, the right way to reduce the pressure force when a patient slides down in a chair and that oxygen deficiency causes pressure ulcer. No significant difference between the groups knowledge on pressure ulcer prevention was found. The attitude of both the district nurse and the registered nurse was positive and a significant difference was found between the groups. The district nurse had a more positive attitude compared to the registered nurse. Nurses felt less confident of their ability to prevent pressure ulcer and district nurses responded to a greater extent that pressure ulcer prevention is an important task. Conclusion: In this study, participants have insufficient knowledge about pressure ulcers prevention and the attitude of both the district nurse and the registered nurse was positive to pressure ulcer prevention. A difference between the groups was where the district nurse had a more positive attitude compared to the registered nurse.

  • 285.
    Eriksson, Lyudmyla
    University of Gävle, Department of Caring Sciences and Sociology.
    Sjuksköterskors upplevelse av arbetstillfredsställelse vid en medicinavdelning2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    Abstract:

    Job satisfaction has great significance for nurses. The job is very demanding and requires a great deal of responsibility. Low job satisfaction and organisation changes affect their work negatively. The aim of the study was to investigate the nurses’ job satisfaction and job situation. Legitimate nurses at a medicine department of a hospital situated in the middle of Sweden were interviewed for this purpose. The study is descriptive and the qualitative approach has been used. The data was analysed with content analysis as described by Graneheim and Lundman. The study investigates the factors affecting nurses’ experiences as far as job satisfaction and job situation are concerned. The nurses’ opinions on what should be done to improve their work environment are also discussed in the study. The result shows that the nurses’ job satisfaction and job situation is affected by the collaboration between the colleagues and the management, as well as job related stress and work environment.

  • 286.
    Eriksson, Maarit
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Höglund, Camilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskans roll och upplevelser vid vård i livets slutskede: en litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: To describe the nurse's role and experiences of end-of-life care.The aim was also to value which significance data collection method have for the included articles.

    Method: Descriptive study based on 13 scientific articles which were searched in the databases Cinahl and PubMed through the University of Gävle. Methodological examinations of the included articles data collection method were performed.

    Results: End-of-life care required teamwork where healthcare professionals, patients and families are included. Nurse's role comprised a professional approach in which the dying patient and relatives were included as a whole. The results showed the importance of the nurse's presence and responsiveness of care but also described the importance of maintaining a balance between presence and distance. Nurses' experiences included both positive and negative experiences, which affected the nurse both in private and professional life. Lack of time and knowledge were experienced by nurses as barriers to achieve good care. End-of-life care was perceived also as unique and a privilege that gave nurses a personal development. Semistructured interviews occurred in 6 articles and the remaining 7 articles used unstructured interviews.

    Conclusion: Nurses role includes several elements and to practice good care in end-of-life care requires a professional approach. End-of-life care give nurses both positive and negative experiences. Selected data collection method in the included articles provides a deeper understanding of the phenomenon being studied.

  • 287.
    Eriksson, Maria
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Björklund, Mattias
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskans trycksårspreventiva omvårdnadsåtgärder - En litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The aim of this literature study was to describe preemptive measures that can be performed by the nurse in order to prevent the development of pressure ulcers. The aim was also to study the sampling methods used in the reviewed studies.

    Method: The articles for this literature study were gathered from the CINAHL and PubMed databases. Only publications from the years 2007 to 2013 were considered. In total 13 articles were included.

    Results: The results were divided into four categories: 1) Risk assessment; the use of risk assessment tools was effective in identifying patients at risk for pressure ulcer development. However, it is evident that the nurse experience is an important contributor to identify patients at risk for pressure ulcer formation. 2) Support surfaces; support surfaces is an important measure for prevention of pressure ulcers. Pressure relief mattresses with periodically changing pressure were shown to be the most effective for prevention of pressure ulcers. 3) Reposition; a change of 30 degrees in supine position was the most effective to unload risk areas of pressure ulcers. When the responsibility for changing patient position was clearly defined the frequency of pressure ulcers decreased. 4) Nutrition; with an increaseed caloric intake the risk of developing pressure ulcers clearly decreased. Methodological aspect: The sampling method was clearly described in eight articles and less clear in five articles.

    Conclusion: This literature study shows that the nurse can use risk assessment, support surfaces, reposition and nutrition to prevent development of pressure ulcers.

  • 288.
    Eriksson, Mats
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Belin Larsson, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Familjecentreradvård på en neonatalavdelning-utifrån föräldrars och sjuksköterskors perspektiv2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Syftet med denna litteraturstudie var att beskriva familjecentrerad vård inom neonatalvård utifrån föräldrarnas respektive sjuksköterskans perspektiv. Metod: Studien genomfördes som en beskrivande litteraturstudie. Databaserna som användes för att identifiera relevanta artiklar var Cinahl och PubMed och utmynnade i 16 vetenskapliga artiklar, vilka resultatet bygger på. Författarna bearbetade de valda artiklarna utifrån upplevelsen av familjecentrerad neonatalvård, dels ur sjuksköterskans perspektiv och dels ur föräldrarnas perspektiv. Resultat: Upplevelserna kunde delas upp i 5 varsina underkategorier, olika för föräldrarna respektive sjuksköterskorna. Sjuksköterskan upplever familjecentrerad neonatalvård, som något positivt, men denna vårdform ställer nya krav på kunskaper samt på hur man bemöter och handleder de anhöriga. Föräldrarna upplever i det stora hela familjecentrerad vård som något positivt och som kan minska deras oro. Avdelningens utformning och att de får en naturlig plats där de kan vara tillsammans med barnet har stor betydelsen för närvaron samt för föräldra-barn anknytningen.  Slutsats: För barnets utveckling är familjecentrerad vård något att sträva efter, dock finns det få studier som verkligen belyser föräldrarnas och sjuksköterskornas upplevelse av denna typ av vård. Detta är något som författarna tycker behövs för att optimera den familjecentrerade vården inom neonatalvården.

    Nyckelord: Förälder, familjecentrerad vård, neonatalavdelning.

  • 289.
    Eriksson, Sara
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Tunc, Evin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Kvinnor som har blivit utsatta för sexuella övergrepp – upplevelser av vården2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sexual assault is a major public health problem and the rate of sexual assault on women continues to increase. Sexual assault can lead to unhealthy consequences and suffering for those involved. Aim: To describe how women experience the healthcare after sexual assault and to describe the study groups in the included studies.

    Method: The study´s design is a descriptive design and 10 scientific articles with both qualitative and quantitative approach have been used.

    Main Results: Women who have survived sexual assault, experience both positive and negative experiences of healthcare. Several women perceived that healthcare staff were present, respectful and explained in detail all the procedures of the medical forensic examination. Some women thought that the examination was very hurtful and traumatizing. Lack of information from staff members lead to confusion and feelings of having no control over the situation, and well-informed and clear explanations of the examination lead to feelings of safety. Many women described the importance of the nurse’s attendance during care and how significant it was for their recovery. In the study groups the ages of the participants are demonstrated as average age and age range. The women had been exposed to different types of sexual assault, like rape and violence.

    Conclusion: Sexual assault often leads to feelings of fear, anxiety and isolation and other unhealthy consequences. The presence of the nurse and their support are of great importance to the women and their well-being. It's important that the nurse meets these women with respect and empathy. In care of these women who have been sexually assaulted, the nurse should work with a professional approach and adapt the care of each individual. 

  • 290.
    Eriksson Svenne, Anna
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Olsson, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Patienters upplevelser av tidig palliativ vård: En litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Palliativ vård är en behandling som inte kan bota sjukdom, men kan i det tidiga stadiet förlänga livet och förbättra livskvaliteten. Palliativ vård har också en senare fas som går ut på att lindra lidandet och ge smärtlindring. Den allra vanligaste sjukdomen inom palliativ vård är cancer men det finns också andra vanligt förekommande sjukdomar som kol och hjärtsvikt.

    Syfte: Syftet är att beskriva hur patienter upplever tidig palliativ vård samt beskriva undersökningsgruppen i de utvalda artiklarna.

    Metod: En beskrivande litteraturstudie som innehåller 10 vetenskapliga artiklar med kvalitativ ansats.

    Huvudresultat: Patienter i palliativ vård fann stöd av sin partner, sina barn, grannar, vårdgivare samt en gudstro. Vissa patienter hade en god relation till vårdgivare och upplevde trygghet. Informationsutbyte var ett bekymmer för några patienter då trötthet blev ett hinder, medan flera satte ett stort värde på öppen kommunikation. Olika sätt förekom för att minska lidandet i vardagen. Ett var att klara så mycket som möjligt själv, ett annat var smärtlindring. Behovet av social gemenskap var stort men även behov av enskildhet. Framtidsplaner fanns med en önskan om ökad hälsa. Ökade symtom medförde negativa känslor och tankar om döden.

    Slusats: Patienter i behandling av palliativ vård upplever att stöd och trygghet är av stor betydelse för hälsan. Deras vardag påverkas av lidande i olika grad. Mer kunskap och utbildning om palliativ vård till omvårdnadspersonal kan bidra till ökad förståelse och minska lidandet i denna patientgrupp.

  • 291.
    Eriksson, Terja
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Gustavsson, Erika
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Distriktssköterskans dokumenterade följsamhet till vårdprogrammet för bensår: En jämförelse mellan privata och offentliga vårdgivare2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 292.
    Eriksson, Terja
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Larshans, Madelene
    University of Gävle, Department of Caring Sciences and Sociology.
    Familjelycka?: En litteraturstudie om föräldrars upplevelser av Postnatal depression.2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    Postnatal depression (PND) is a condition which affects about 8-15% of recent parents. The cause of PND is unknown but several underlying factors have been purposed through different studies. This descriptive literature review aims to illuminate the parent’s situation when the mother is affected with PND. In search of literature, the databases Medline (via PubMed), Academic Search Elite, Cinahl, PsycINFO, PsycARTICLES and SweMed+ were used. Fourteen articles were finally included in this study. The result of the chosen articles, both from the woman’s and the men’s perspective, could be divided into three categories; thoughts and feelings about the own situation, thoughts and feelings surrounding the partner and the baby and thoughts and feelings about the perception of support. The women felt that the expectations they had of motherhood, before the baby was born, was not matched by later experiences and they perceived themselves as bad mothers. They also found it hard to talk about their feelings with both their partner and with people outside the family, thinking that no one would understand. The men felt as though they, due to their partner’s condition, had lost control of life and that there, for them, was no organized help or support available.

  • 293.
    Eriksson, Titti
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    BVC-sköterskans erfarenheter och reflektioner i sitt arbete med övervikt och fetma hos barn: En intervjustudie2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Children's overweight and obesity is one of the greatest public health challenges, which can affect children's health and quality of life negatively and can also cause serious consequences. Children who are overweighed and obese may also experience alienation, insecurity, low self-esteem and mental health. These children have an increased risk of cardiovascular disease and to ultimately suffer an untimely death. The aim was to describe the child health care nurse's experiences and reflections in the work on overweight and obesity among children aged 3-5 years. The method consisted of interviews, with in total eight participants. The study had a descriptive design with a qualitative approach and qualitative content analysis was used for the data analysis. The result showed that the child health care nurse worked to identify children with overweight and obesity by using the growth curve and supporting health calls. Experiences and a clinical eye were also used while capturing overweighed and obese children. Overweight and obesity in children is a sensitive topic and the results emphasize that it is important to have the courage to raise the issue with the parents, at the same time the call must be prudent and adapted to the children's and parents' needs. The results also highlighted that the child health care nurses felt that they could make a difference when they are working with parents with a positive attitude and a willingness to change. Conclusion Obesity in children is usually about an unhealthy lifestyle of the whole family and parents are responsible for the child's health. Clearer local guidelines are needed to increase security for the child health care nurse in her work with children overweight and obesity and their parents.

  • 294.
    Eriksson, Ulla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Reflektion vid handledning av sjuksköterskestudenter i VFU - En utmaning för sjuksköterskan: En intervjustudie2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med föreliggande studie var att beskriva hur sjuksköterskor som gått en handledarutbildning upplever användandet av reflektion när de handleder sjuksköterskestudenter i VFU. Studien hade en kvalitativ ansats med beskrivande design. Tio legitimerade sjuksköterskor som gått en handledarutbildning på minst 7,5hp och var verksamma på olika vårdavdelningar på ett sjukhus i Mellansverige deltog i studien. Data samlades in via semistrukturerade intervjuer och analyserades genom kvalitativ innehållsanalys. Tre olika kategorier bildades vid analys och dessa var: Reflektionens användningsområden, Yttre och inre faktorer som möjliggör användandet av reflektion och Reflektion för lärande och som del i en handledarmodell. Resultatet visade att sjuksköterskorna var positiva till att använda reflektion tillsammans med sjuksköterskestudenter och att de använde reflektion för att sammanfatta dagen och även kontinuerligt i olika omvårdnadssituationer som uppstått. En förutsättning för att få en fungerande reflektion var att sjuksköterskorna hade tid till det. En annan faktor som påverkade användandet av reflektion var hur personkemin stämde överens mellan student och handledare. Alla sjuksköterskor var överens om att reflektion förde studentens lärande framåt genom att skapa förståelse kring olika omvårdnadssituationer. Slutsatsen var att de handledande sjuksköterskorna upplevde reflektion som positivt för studentens lärande och även för relationen mellan student och handledare. Tid för reflektion och ett tillåtande arbetsklimat, där kollegorna har förståelse för vad som krävs för att handleda, var dock förutsättningar för att lyckas.

  • 295.
    Eriksson, Victoria
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Persson, Lotta
    University of Gävle, Department of Caring Sciences and Sociology.
    Föräldrars upplevelse av kontakten med barnavårdscentralen2008Independent thesis Advanced level (degree of Magister), 10 points / 15 hpStudent thesis
    Abstract [en]

    The aim of the study was to describe how mothers and fathers experience their contact with the child health center. Ten mothers and ten fathers participated and the data were gathered via interviews. The results showed that both mothers and fathers were satisfied with the response at the child health center. Most of the respondents considered that the child health center activity was aimed more to the mothers. The fathers described that they wanted an extended possibility to participate in the activitys at the child health center. Several parents were dissatisfied with the organisation and the structure of the child health center mainly concerning opening hours and telephone hours. They expressed a strong will that opening hours at the child health center should be changed. When it concerned information contents regarding support the parents had different views. The mothers experienced that they recived too little information and that the information given not was relevant for the occasion. The fathers described that they recived too much information at one and the same time and that the information became difficult to incorporate. Both mothers and fathers described that they were pleased with the frequent health controls. The participants in the study were also pleased with the parent groups and the social community they provided. The fathers in the study considered it as very important to participate but experienced opening hours as an obstacle for this. They also expressed a strong will about support in their new role as fathers and also requested special groups for fathers with a male leader. A lot of the child health centers activity turns itself to the mothers and in order to avoid fathers feel out of it the fathers should be supported through father- focused programs.

  • 296.
    Erlingmark, Julia
    et al.
    University Hospital, Uppsala, Sweden.
    Hedström, Mariann
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Lindberg, Magnus
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Nurse staffing and renal anaemia outcomes in haemodialysis care2016In: Journal of Renal Care, ISSN 1755-6678, E-ISSN 1755-6686, Vol. 42, no 3, p. 185-189Article in journal (Refereed)
    Abstract [en]

    Background

    Current trends in renal anaemia management place greater emphasis, and thus increased workload, on the role of the nurse in haemodialysis settings. However, there is little evidence that demonstrates the relationship between nurse staffing and patient outcomes.

    Objectives

    To describe nurse staffing in haemodialysis settings, its relationship with target levels of renal anaemia management and to describe target level achievement for different ways of organising anaemia management.

    Design

    Cross-sectional audit. Participants Forty (out of 78) haemodialysis centres in Sweden reported quality assurance data. Measurements The numbers of bedside registered nurses, licensed nurse assistants and patients undergoing haemodialysis during a predefined morning shift; type of anaemia management and achieved target levels of anaemia management.

    Results

    The mean patient:registered nurse ratio was 2.4 and the mean patient:nurse assistant ratio was 12.8. There were no significant relationships between registered nurse staffing and target level achievement. On average, 45.6% of the patients had haemoglobin within the target levels at centres applying nurse-driven anaemia management, compared with 47.3% at physician-driven centres.

    Conclusions

    These cross-sectional data suggest that renal anaemia outcomes are unrelated to the patient:registered nurse ratio. There is, however, room for improvement in renal anaemia management in the units included in this study, particularly the achievement of target levels of haemoglobin and transferrin saturation.

  • 297.
    Ernesäter, Annica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science.
    Holmström, Inger
    Winblad, Ulrika
    Comparison of malpractice claimed calls versus “normal calls” within Swedish HealthcareDirect – open-ended questions matters2014In: 12thInternational Conference on Communication in Healthcare (ICCH) Amsterdam- theNetherlands, 28 September to 1 October 2014, 2014Conference paper (Refereed)
  • 298.
    Ernesäter, Annica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Holmström, Inger
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Winblad, Ulrika
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Incident reporting in nurse-led national telephone triage in Sweden: The reported errors reveal a pattern that needs to be broken2010In: Journal of Telemedicine and Telecare, ISSN 1357-633X, E-ISSN 1758-1109, Vol. 16, no 5, p. 243-247Article in journal (Refereed)
    Abstract [en]

    We conducted a retrospective study of incident reports concerning the national, nurse-led telephone triage system in Sweden. The Swedish Health Care Direct organization (SHD) is staffed by registered nurses who act as telenurses and triage the callers' need for care, using a computerized decision support system. Data were collected during 2007 from all county councils that participated in the SHD and were analysed using content analysis. Incident reports were then compared concerning differences in reported categories and who reported the errors. The 426 incident reports included 452 errors. Of the analysed incident reports, 41% concerned accessibility problems, 25% incorrect assessment, 15% routines/guidelines, 13% technical problems and 6% information and communication. The most frequent outgoing incident reports (i.e. sent from SHD to other health-care providers) concerned accessibility problems and the most frequently incoming reports (i.e. sent to SHD from other health-care providers) concerned incorrect assessment. There was a significant difference (P < 0.001) between outgoing and incoming reports regarding the main category. Telenurses have limited possibilities for referring the caller to their primary health-care provider or specialist, which may cause them to over-triage or under-triage the callers' need for care. This over-triage or under-triage may in turn cause other health-care providers to report incorrect assessment to SHD. The implications for practice are that poor accessibility is a matter that should be addressed and that the reasons for incorrect assessment should be explored.

  • 299.
    Ernesäter, Annica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science. Uppsala universitet.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science. Uppsala universitet.
    Winblad, Ulrika
    Uppsala universitet.
    Holmström, Inger
    Mälardalens Högskola, Uppsala universitet.
    A comparison of calls subjected to a malpractice claim versus 'normal calls' within the Swedish Healthcare Direct: a case–control study2014In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 4, no 10, p. e005961-Article in journal (Refereed)
    Abstract [en]

    Objectives: The purpose of this study is to compare communication patterns in calls subjected to a malpractice claim with matched controls. Setting: In many countries, telephone advice nursing is patients' first contact with healthcare. Telenurses' assessment of callers' symptoms and needs are based on verbal communication only, and problems with over-triage and under-triage have been reported. Participants: A total sample of all reported medical errors (n=33) during the period 2003-2010 within Swedish Healthcare Direct was retrieved. Corresponding calls were thereafter identified and collected as sound files from the manager in charge at the respective call centres. For technical reasons, calls from four of the cases were not possible to retrieve. For the present study, matched control calls (n=26) based on the patient's age, gender and main symptom presented by the caller were collected. Results: Male patients were in majority (n=16), and the most common reasons for calling were abdominal pain (n=10) and chest pain (n=5). There were statistically significant differences between the communication in the cases and controls: telenurses used fewer open-ended medical questions (p<0.001) in the cases compared to the control calls; callers provided telenurses with more medical information in the control calls compared to the cases (p=0.001); and telenurses used more facilitation and patient activation activities in the control calls (p=0.034), such as back-channel response (p=0.001), compared to the cases. Conclusions: The present study shows that telenurses in malpractice claimed calls used more closed-ended questioning compared to those in control calls, who used more open-ended questioning and back-channel response, which provided them with richer medical descriptions and more information from the caller. Hence, these communicative techniques are important in addition to solid medical and nursing competence and sound decision aid systems.

  • 300.
    Ernesäter, Annica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Winblad, Ulrika
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Rahmqvist, Mikael
    Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Holmström, Inger K.
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden .
    Telephone nurses' communication and response to callers' concern: a mixed methods study2016In: Applied Nursing Research, ISSN 0897-1897, E-ISSN 1532-8201, Vol. 29, p. 116-121Article in journal (Refereed)
    Abstract [en]

    Aims

    To describe telephone nurses’ and callers’ communication, investigate relationships within the dyad and explore telephone nurses’ direct response to callers’ expressions of concern

    Background

    Telephone nurses assessing callers’ need of care is a rapidly growing service. Callers with expectations regarding level of care are challenging.

    Method

    RIAS-and content analysis was performed on a criterion sampling of calls (n=25) made by callers who received a recommendation from telephone nurses of a lower level of care than expected.

    Results

    Telephone nurses mainly ask close-ended questions, whilst open-ended questions are sparsely used. Relationships between callers’ expressions of Concern and telephone nurses responding with Disapprovalwere found. Telephone nurses mainly responded to concern with close-ended medical questions whilst exploration of callers’ reason for concern was sparse.

    Conclusion

    Telephone nurses’ reluctance to use open-ended questions and to follow up on callers’ understanding might be a threat to concordance, and a potential threat to patient safety.

3456789 251 - 300 of 1288
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard-cite-them-right
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • sv-SE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • de-DE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf