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  • 51.
    Kristofferzon, Marja-Leena
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Mårtensson, Gunilla
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Mamhidir, Anna-Greta
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Löfmark, Anna
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Stord/Haugesund University College, Department of Health Sciences, Haugesund, Norway.
    Nursing students' perceptions of clinical supervision: The contributions of preceptors, head preceptors and clinical lecturers2013Ingår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 33, nr 10, s. 1252-1257Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aims of the study were 1) to investigate to what extent nursing students were satisfied with the supervision provided by facilitators (preceptor, head preceptor, and clinical lecturer), 2) to compare nursing students' ratings of facilitators' contribution to supervision as supportive and challenging, and 3) to examine relationships between facilitators' supportive and challenging behavior in supervision and nursing students' perception of fulfillment of expected learning outcomes in clinical education.

    Background: Although there are many studies on support of students in clinical education, few have addressed this from the students' point of view or made comparisons between different facilitators.

    Methods: A cross-sectional survey study was conducted during April to November 2010, where 107 nursing students, from a university in central Sweden, answered a questionnaire about supervision immediately after their period of clinical education.

    Result: Supportive behavior in supervision was rated higher by students for all facilitator groups as compared with challenging behavior. The students rated preceptors and clinical lecturers as more supportive than head preceptors and clinical lecturers as providing more challenges than the two other facilitator groups. Supportive and challenging behavior in supervision explained 39% of the variance in students' overall learning outcomes. However, the regression coefficient was only significant for students' ratings of supportive behavior for the preceptor.

    Conclusions: Nursing students were satisfied with facilitators' supervision and by their contribution to fulfillment of overall learning outcomes. Comparisons showed that preceptors in a higher degree were perceived as supportive while clinical lecturers were perceived as more important as challengers for critical thinking, reflection and exchange of experiences between students. The model of supervision seems to be promising, but the roles across facilitators need to be made clearer, especially the head preceptor's role, which seemed to be the most unclear role in this model.

  • 52.
    Kristofferzon, Marja-Leena
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Uppsala universitet.
    Ternesten-Hasséus, Ewa
    Department of Respiratory Medicine and Allergology, Institution of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
    A study of two generic health-related quality of life questionnaires - Nottingham Health Profile and Short-Form 36 Health Survey - and of coping in patients with sensory hyperreactivity2013Ingår i: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 11, artikel-id 182Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    Sensory hyperreactivity (SHR) is one explanation for airway symptoms induced by chemicals and scents. Little is known about health-related quality of life (HRQOL) and coping, in this group of patients. A study was done in patients with SHR to (1) compare the Nottingham Health Profile (NHP) and the Short-Form 36 Health Survey (SF-36) in regard to their suitability, validity, reliability, and acceptability; (2) evaluate how the patients cope with the illness; (3) assess whether there are differences between women and men with respect to HRQOL and coping; and (4) assess whether there are differences between patients and normative data with respect to HRQOL and coping.

    Methods

    A total of 115 patients (91 women) with SHR were asked to answer five questionnaires: a study-specific questionnaire, the Chemical Sensitivity Scale for Sensory Hyperreactivity (CSS-SHR), the NHP, the SF-36, and the Jalowiec Coping Scale-60.

    Results

    Eighty-three patients (72%; 70 women) completed all questionnaires. The SF-36 scores were less skewed and more homogeneously distributed and showed fewer floor and ceiling effects than the NHP scores. The SF-36 was also discriminated better between patients with high and low CSS-SHR scores. The reliability standard for both questionnaires was satisfactory. There were no gender differences in HRQOL. Patients with SHR had significantly lower HRQOL scores than the normative data in comparable domains of the NHP and the SF-36: emotional reactions/mental health, energy/vitality, physical mobility/functioning, and pain/bodily pain. In social isolation/functioning, the results were different; the NHP scores were similar to the normative data and the SF-36 scores were lower. The most commonly used coping styles were optimistic, self-reliant, and confrontational. Women used optimistic coping more than men. Compared with the normative group, patients with SHR used confrontational and optimistic coping more and emotive coping less.

    Conclusions

    The current findings showed that both the NHP and the SF-36 were reliable instruments; but the results suggest that the SF-36 is a more sensitive instrument than the NHP for elucidating HRQOL in patients with SHR. Patients with SHR experienced a poor HRQOL and they followed the Western tradition of preferring problem-focused coping strategies to palliative and emotive strategies.

  • 53.
    Larsson, I. -M
    et al.
    Uppsala University, Department of Surgical Sciences, Anaesthesiology and Intensive Care, Uppsala, Sweden.
    Wallin, E.
    Uppsala University, Department of Surgical Sciences, Anaesthesiology and Intensive Care, Uppsala, Sweden.
    Kristofferzon, Marja-Leena
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Rubertsson, S.
    Uppsala University, Department of Surgical Sciences, Anaesthesiology and Intensive Care, Uppsala, Sweden.
    Health related quality of life improves during the first 6 month after cardiac arrest and hypothermia treatment2013Ingår i: Intensive Care Medicine, ISSN 0342-4642, E-ISSN 1432-1238, Vol. 39, nr Suppl. 2, s. S221-S221Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    INTRODUCTION

    Patients’ quality of life (QoL) after having survived a cardiac arrest hasbeen reported negatively influenced or acceptable to good [1–3]. Feelings of anxiety anddepression are present in CA patients [3] and depressions have been shown to be related toQoL [4]. There is little known, however about changes over time in anxiety, depression and health-related quality of life (HRQoL) after surviving CA treated with therapeutic hypothermia (TH). Therefore, the aim of the study was to investigate if there were any changes and correlation in anxiety, depression and HRQoL from hospital discharge until one and 6 months after CA in patients treated with TH.

    OBJECTIVES

    During a 4-year period at three hospitals in Sweden, 26 patients were prospectively included after CA treated with TH.

    METHODS

    The patients answered the questionnaires Hospital Anxiety and Depression Scale (HADS), Euroqol (EQ5D), Euroqol visual analogue scale (EQ-VAS) and Short Form12 (SF12) at three occasions; in connection with hospital discharge, and at one and 6 months after CA.

    RESULTS

    There was improvement over time in HRQoL, in EQ5D index (p=0.002) and SF12 physical component score (PCS) (p=0.005). Changes over time in anxiety and depression were not found. Seventy-three percentages scored overall health status with EQ-VAS below 70 (scale 0–100) at discharge from hospital and at 6 months this was found in 41 %. Physical problems were most common cause of affected HRQoL. Correlation was found between depression and HRQoL and this was strongest at 6 months (rs=-0.44 to-0.71,pB0.001).

    CONCLUSIONS

    HRQoL are affected negatively in patients after CA treated with TH, but improvement over the first 6 months can be seen. The patients scored lower self-reported levels of HRQoL in physical than in mental components. The result indicates that time is an important factor and patients may require more support the first time after discharge from hospital.

    REFERENCE(S)

    1. Torgersen J, Strand K, Bjelland TW, et al. Cognitive dysfunction and health-related quality of life after a cardiac arrest and therapeutic hypothermia. Acta Anaesthesiol Scand. 2010;54:721–8. 2. Horsted TI, Rasmussen LS, Meyhoff CS and Nielsen SL. Long-term prognosis after out-of-hospital cardiac arrest. Resuscitation. 2007;72:214–8.3. Wachelder EM, Moulaert VR, van Heugten C, Verbunt JA, Bekkers SC and Wade DT. Life after survival: long-term daily functioning and quality of life after an out-of-hospitalcardiac arrest. Resuscitation. 2009;80:517–22. 4. Moulaert VR, Wachelder EM, Verbunt JA, Wade DT and van Heugten CM. Determinants of quality of life in survivors of cardiac arrest. J Rehabil Med. 2010;42:553–8.

  • 54.
    Larsson, I.-M.
    et al.
    Department of Surgical Sciences/Anesthesiology & Intensive Care, Uppsala University, Uppsala, Sweden.
    Wallin, E.
    Department of Surgical Sciences/Anesthesiology & Intensive Care, Uppsala University, Uppsala, Sweden.
    Sellert-Rydberg, M.
    Department of Anesthesiology & Intensive Care, Intensive Care Unit, Falun, Sweden.
    Rubertsson, S.
    Department of Surgical Sciences/Anesthesiology & Intensive Care, Uppsala University, Uppsala, Sweden.
    Kristofferzon, Marja-Leena
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Therapeutic hypothermia after cardiac arrest: Relatives experiences during the first six weeks after cardiac arrest2011Ingår i: Intensive Care Medicine, ISSN 0342-4642, E-ISSN 1432-1238, Vol. 37, nr Suppl. 1, s. S74-S74, artikel-id 0274Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    INTRODUCTION

    The aim was to describe the relatives need for support and information during the acute phase when a next of kin has survived cardiac arrest treated with hypothermia at the intensive care unit (ICU). The aim was also to describe how everyday life is affected.

    OBJECTIVES

    Twenty relatives were interviewed at the time the person who had suffered acardiac arrest was discharged from hospital, 1.5–6 weeks after the cardiac arrest.

    METHODS

    The interviews were recorded and transcribed verbatim and were analyzed with qualitative content analysis.

    RESULTS

    Support and information.The relatives emphasized the importance of support from the family but they could also feel loneliness in difficult moments. The staff’s presence in the ICU was supportive but how much of support the relatives experienced varied among the groups of relatives. Several of them experienced that the contact with other relatives and friends was a requirement and that all telephone calls to other relatives and friends took a lot of time and also that they could not cope with it. The relatives described that the information received at the ICU was adequate and correct. They felt, however, difficulties to assimilate the information because of difficulties in concentration and language confusion affecting the interpretation of the information. They appreciated the opportunity to ask questions but felt that the answers they sought for was not available. In comparison with ICU, the relatives experienced less information and contact with the staff in the medical ward. The relatives wished more written information and were missing information about prevention. Impact on daily life. The relatives experienced that every day life was affected through increased responsibility for the home. They also experienced that they had to support other relatives and had difficulty to take care of other relatives’ worries. The injured person’s disease resulted in a lot of practical things to take care of, like certificate, absence from work and travels to the hospital. They felt worry for the injured person and how the disease had affected them, mostly they were concerned about personality changes. They felt responsible for the injured person and were also concerned about how to cope with daily life after the person being discharged from the hospital. The relatives felt uncertainty about the future but hopeful. The interviews also revealed that many of the relatives had not discussed with the person stricken by the disease what really had happened.

    CONCLUSIONS

    The most important support when a next of kin had suffered a cardiac arrest was from other family members. The relatives wished repeated and more written information. Increased responsibility for the home and for the person stricken by the disease was the experience by the relatives on how everyday life was affected

  • 55.
    Larsson, Ing-Marie
    et al.
    Department of Surgical Sciences, Uppsala University.
    Wallin, Ewa
    Department of Surgical Sciences, Uppsala University.
    Kristofferzon, Marja-Leena
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University.
    Niessner, Marion
    Roche Diagnostics GmbH, Penzberg, Germany.
    Zetterberg, Henrik
    Department of Psychiatry and Neurochemistry, The Sahlgrenska Academy at the University of Gothenburg; UCL Institute of Neurology, Queen Square, London.
    Rubertsson, Sten
    Department of Surgical Sciences, Uppsala University.
    Post-cardiac arrest serum levels of glial fibrillary acidic protein for predicting neurological outcome2014Ingår i: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 85, nr 12, s. 1654-1661Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim of the study: To investigate serum levels of glial fibrillary acidic protein (GFAP) for evaluation of neurological outcome in cardiac arrest (CA) patients and compare GFAP sensitivity and specificity to that of more studied biomarkers neuron-specific enolas (NSE) and S100B. Method: A prospective observational study was performed in three hospitals in Sweden during 2008-2012. The participants were 125 CA patients treated with therapeutic hypothermia (TH) to 32-34. °C for 24. hours. Samples were collected from peripheral blood (n. =. 125) and the jugular bulb (n. =. 47) up to 108. hours post-CA. GFAP serum levels were quantified using a novel, fully automated immunochemical method. Other biomarkers investigated were NSE and S100B. Neurological outcome was assessed using the Cerebral Performance Categories scale (CPC) and dichotomized into good and poor outcome. Results: GFAP predicted poor neurological outcome with 100% specificity and 14-23% sensitivity at 24, 48 and 72. hours post-CA. The corresponding values for NSE were 27-50% sensitivity and for S100B 21-30% sensitivity when specificity was set to 100%. A logistic regression with stepwise combination of the investigated biomarkers, GFAP, did not increase the ability to predict neurological outcome. No differences were found in GFAP, NSE and S100B levels when peripheral and jugular bulb blood samples were compared. Conclusion: Serum GFAP increase in patients with poor outcome but did not show sufficient sensitivity to predict neurological outcome after CA. Both NSE and S100B were shown to be better predictors. The ability to predict neurological outcome did not increased when combining the three biomarkers.

  • 56.
    Larsson, Ing-Marie
    et al.
    Department of Surgical Sciences, Anaesthesiology and Intensive Care, Uppsala University, Uppsala, Sweden.
    Wallin, Ewa
    Department of Surgical Sciences, Anaesthesiology and Intensive Care, Uppsala University, Uppsala, Sweden.
    Rubertsson, Sten
    Department of Surgical Sciences, Anaesthesiology and Intensive Care, Uppsala University, Uppsala, Sweden.
    Kristofferzon, Marja-Leena
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Health-related quality of life improves during the first six months after cardiac arrest and hypothermia treatment2014Ingår i: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 85, nr 2, s. 215-220Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim of the study:

    To investigate whether there were any changes in and correlations between anxiety, depression and health-related quality of life (HRQoL) over time, between hospital discharge and one and six months after cardiac arrest (CA), in patients treated with therapeutic hypothermia (TH). Method: During a 4-year period at three hospitals in Sweden, 26 patients were prospectively included after CA treated with TH. All patients completed the questionnaires Hospital Anxiety and Depression Scale (HADS), Euroqol (EQ5D), Euroqol visual analogue scale (EQ-VAS) and Short Form 12 (SF12) at three occasions, at hospital discharge, and at one and 6 months after CA. Result: There was improvement over time in HRQoL, the EQ5D index (p = 0.002) and the SF12 physical component score (PCS) (p = 0.005). Changes over time in anxiety and depression were not found. Seventy-three percent of patients had an EQ-VAS score below 70 (scale 0–100) on overall health status at discharge from hospital; at 6 months the corresponding figure was 41%. Physical problems were the most com-mon complaint affecting HRQoL. A correlation was found between depression and HRQoL, and this was strongest at six months (rs = −0.44 to −0.71, p ≤ 0.001). Conclusion: HRQoL improves over the first 6 months after a CA. Patients reported lower levels of HRQoL on the physical as compared to mental component. The results indicate that the less anxiety and depression patients perceive, the better HRQoL they have and that time can be an important factor in recovery after CA.

  • 57.
    Larsson, Ing-Marie
    et al.
    Inst. för kirurgiska vetenskaper, Uppsala universitet.
    Wallin, Ewa
    Inst. för kirurgiska vetenskaper, Uppsala universitet.
    Rubertsson, Sten
    Inst. för kirurgiska vetenskaper, Uppsala universitet.
    Kristofferzon, Marja-Leena
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Uppsala universitet.
    Relatives' experiences during the next of kin's hospital stay after surviving cardiac arrest and therapeutic hypothermia2013Ingår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 12, nr 4, s. 353-359Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To describe relatives’ experiences during the next of kin’s hospital stay after surviving a cardiac arrest (CA) treated with hypothermia at an intensive care unit (ICU).

    Methods: Twenty relatives were interviewed when the person having suffered the CA was discharged from hospital, 1.5 to 6 weeks post-CA. Data were analysed using qualitative content analysis.

    Results: Three themes are described: The first period of chaos, Feeling secure in a difficult situation, and Living in a changed existence. Relatives found it difficult to assimilate the medical information and wanted it in written form. They wanted honest and clear information about their next of kin’s condition and prognosis. They lacked rehabilitation plans after discharge from the medical ward. Relatives felt a need to maintain telephone contact with family members and friends, which was time-consuming. They felt guilty and had a conscience about these feelings. Relatives felt uncertain about the future, but still hopeful.

    Conclusion: Relatives asked for more information and individual rehabilitation plans. Booklets describing CA, the ICU stay and continuing care and rehabilitation directed at both the patients and their relatives are needed. Follow-up visits to the ICU staff, for both patients and relatives, need to be arranged. Hospitals should consider having a rehabilitation plan for this group of patients, which is presented by a team of healthcare professionals and that focuses on the individual’s situation, including the consequences of their heart disease and brain damage.

  • 58.
    Lindberg, Magnus
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Bäckström-Andersson, Helena
    Gävle Hospital, Gävle, Sweden.
    Lindström, Rosmarie
    Gävle Hospital, Gävle, Sweden.
    Lindberg, Maria
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Dry weight from the haemodialysis patient perspective2013Ingår i: Renal Society of Australasia Journal, ISSN 1832-3804, Vol. 9, nr 2, s. 68-73Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Background:The concept of dry weight is central to fluid control in patients on haemodialysis (HD). Few studies have explored the concept from the patient perspective. Thus, the aim of the present study was to explore how patients on HD perceive the concept of dry weight and how they act in relation to it.

    Methods:A purposive sample of 10 HD patients was interviewed once during a dialysis session in May–June 2009. The narratives were analysed using manifest qualitative content analysis.

    Findings: The findings indicated that the concept was regarded as either an aid to securing treatment-related health, as indicating the fluid surplus volume or as a reminder of the daily fluid allotment. Some informants, however, did not report any specific perception. Plans for dealing with the perceptions were expressed in terms of using self-care strategies to control fluid balance, transferring responsibility to the HD team, and managing the physical consequences or social and psychological concerns.

    Conclusion: Four ways in which HD patients perceived the dry weight concept were demonstrated. It is important that HD patients understand the significance of dry weight, both for their own wellbeing and for treatment adequacy. Prevalent misunderstandings about the dry weight concept have to be addressed by the dialysis team in order to prevent further suffering. By acknowledging the patient’s perspective of the dry weight concept, the dialysis team could help the patient to successfully develop self-care strategies for dealing with the consequences of chronic renal failure.

  • 59.
    Lindberg, Magnus
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Ludvigsen, Mette Spliid
    Skejby universitetssjukhus.
    Authors' response2013Ingår i: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 50, nr 1, s. 138-9Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 60.
    Lindberg, Magnus
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Ludvigsen, Mette Spliid
    Aarhus University Hospital.
    Ultrafiltration rate as a nursing-sensitive quality indicator in haemodialysis2012Ingår i: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 49, nr 10, s. 1320-1324Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Nursing quality indicators are widely used to demonstrate nurses' contributions to health care. Some studies in nephrology settings have addressed nursing quality, but indicators reflecting the nursing process quality in haemodialysis are lacking. This paper argues for considering ultrafiltration rate as a nursing-sensitive quality indicator in haemodialysis. Strategies and qualifications for considering ultrafiltration rate as a nursing quality indicator are established and discussed. It is argued that the indicator is associated with nursing practice, linked to both morbidity and mortality, and is within the scope of the nurse's responsibility. It is also argued that the indicator could be influenced by other factors than nursing care. Thus, further studies are needed to investigate the association between ultrafiltration rate and patient safety. The introduction of the ultrafiltration rate as a duty specific quality indicator is a coveted measure of nursing care quality in haemodialysis settings.

  • 61.
    Lindberg, Magnus
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Gävle sjukhus och Uppsala universitet.
    Ludvigsen, Mette Spliid
    Ultrafiltration rate is a poor indicator of haemodialysis nursing quality. Commentary on Lindberg and Ludvigsen (2012) Response2013Ingår i: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 50, nr 1, s. 138-139Artikel i tidskrift (Övrigt vetenskapligt)
  • 62.
    Lindberg, Maria
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, Vårdvetenskap.
    Methicillin-resistant Staphylococcus aureus (MRSA) an Unclear and Untoward Issue: Patient-Professional Interactions, Experiences, Attitudes and Responsibility2012Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    The overall aim of the present thesis was to investigate experiences of living with multidrug-resistant bacteria (MDRB), using methicillin-resistant Staphylococcus aureus (MRSA) colonization as an illustration, and to develop and validate a tool to describe healthcare personnel’s attitudes towards patients with MDRB. A further objective was to study MRSA-colonized persons’ and healthcare personnel’s experiences of patient-professional interactions and responsibilities for infection prevention.

    Four empirical studies were conducted. A total of 18 MRSA-colonized persons and 20 healthcare personnel were interviewed regarding their experiences, and a total of 726 RNs responded the MDRB Attitude Questionnaire.

    The findings revealed the difficulties associated with living with MRSA colonization, which was described as something uncertain, and as an indefinable threat that has to be managed in both everyday life and in contacts with healthcare. Interactions with healthcare personnel were described as unprofessional owing to personnel’s inappropriate behaviour and insufficient information provision. According to the personnel, achieving adequate patient-professional interactions required having knowledge and experiences of MRSA. They also experienced difficulties in providing tailored information to patients. The MRSA-colonized persons described their unwanted responsibility to inform healthcare personnel about the colonization, but also felt responsible for limiting the spread of infection to others. Furthermore, responsibility for infection control was regarded as shared between healthcare personnel and patients. The personnel described such responsibility as a natural part of their daily work, although it was not always easy to adhere to hygiene precautions. The MRSA-colonized persons felt that healthcare personnel have insufficient knowledge of the bacteria and of hygiene precautions. The MDRB Attitude Questionnaire showed that registered nurses do have knowledge deficiencies. The MDRB Attitude Questionnaire has adequate psychometric properties.

    In conclusion, MRSA colonization constitutes a psychological strain for carriers, and interactions with healthcare personnel resulted in feelings of stigmatization. The present thesis indicates that there is a need to improve healthcare personnel’s knowledge, behaviour and emotional response in relation to patients with MDRB, in order to ensure patient safety and address patients’ needs. The heads of department is responsible for such improvements, and the MDRB Attitude Questionnaire is useful in identifying areas in need for improvement.

  • 63.
    Lindberg, Maria
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University; Centre for Research and Development, Uppsala University/County Council of Gävleborg.
    Carlsson, Marianne
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University.
    Skytt, Bernice
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University.
    MRSA-colonized persons’ and healthcare personnel's experiences of patient-professional interactions in and responsibilities for infection prevention in Sweden2014Ingår i: Journal of Infection and Public Health, ISSN 1876-0341, Vol. 7, nr 5, s. 427-435Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Patient-professional interactions and adherence to infection control measures are central to the quality of care and patient safety in healthcare. Persons colonized with methicillin-resistant Staphylococcus aureus (MRSA) describe insufficient support and unprofessional behavior among healthcare personnel. Methods: A descriptive qualitative study was conducted to investigate managers', physicians', registered nurses' and MRSA-colonized persons' experiences of patient-professional interactions in relation to and responsibilities for infection prevention in the care of colonized patients. Five persons with MRSA colonization and 20 healthcare personnel employed within infection, hematology, nephrology or primary healthcare settings participated. The data were collected using open-ended semi-structured individual interviews with the MRSA-colonized persons and semi-structured focus group interviews with the healthcare personnel. Results: The participants perceived MRSA as an indefinable threat and described that the responsibility for infection prevention is important, but such adherence was a neglected and negotiable issue. The described actions that were acknowledged as unprofessional and inappropriate adherence to infection prevention resulted in stigmatized patients. Conclusion: Colonized persons' and healthcare personnel's understanding of MRSA determines whether the personnel's behavior is perceived as proper or improper. Individual responsibility for patient-professional interactions in relation to MRSA colonization and adherence to infection control measures should be more stringent.

  • 64.
    Lindberg, Maria
    et al.
    Centre for Research and Development, Uppsala University/Country Council of Gävleborg.
    Lindberg, Magnus
    Centre for Research and Development, Uppsala University/Country Council of Gävleborg.
    Skytt, Bernice
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Högman, Marieann
    Centre for Research and Development, Uppsala University/Country Council of Gävleborg.
    Carlsson, Marianne
    Department of Public Health and Caring Sciencies, Uppsla University.
    Attitudes toward patients with multidrug-resistant bacteria: scale development and psychometric evaluation2011Ingår i: Journal of Infection Prevention, ISSN 1757-1782, Vol. 12, nr 5, s. 196-203Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    There is a need for validated assessment tools for measuring attitudes towards patients with multidrug- resistant bacteria. Such an assessment tool was developed and psychometrically evaluated in the present study. A literature review and discussions with experts and key informants were used to develop the questionnaire. To ensure item adequacy and interpretability, face validity and pre-tests were performed. Item validity, content validity and internal consistency reliability were evaluated in a non-random sample of 329 hemodialysis nurses. The psychometric properties were satisfactory, indicating good item validity. The content validity revealed three appropriate factors with good internal consistency reliability. The haemodialysis nurses’ knowledge about multidrug-resistant bacteria was not suf. cient, and their intentional behaviour was unsatisfactory with respect to infection control precautions. The multidrug-resistant bacteria Attitude Questionnaire would be a valuable tool, in nursing practice and nursing education, in promoting quality improvements in patient safety with regard to healthcare associated infections.

  • 65.
    Lindberg, Maria
    et al.
    Centre for Research and Development, Uppsala University/Country Council of Gävleborg.
    Skytt, Bernice
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Högman, Marieann
    Centre for Research and Development, Uppsala University/Country Council of Gävleborg.
    Carlsson, Marianne
    Department of Public Health and Caring Sciencies, Uppsla University.
    The Multidrug-Resistant Bacteria Attitude Questionnaire: validity and understanding of responsibility for infection control in Swedish registered district, haematology and infection nurses2012Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 21, nr 3-4, s. 424-436Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim. To assess the discriminative and construct validity of the Multidrug-Resistant Bacteria Attitude Questionnaire and to study registered nurses knowledge of, behaviour toward and emotional responses to patients with multidrug-resistant bacteria in relation to how they understand their own, managers and politicians responsibility for adherence to preventive measures for infection control. Background. Multidrug-resistant organisms are a global problem and an essential topic in healthcare regarding patient safety improvement. Design. Descriptive and correlational cross-sectional survey. Method. Data were collected in a non-random sample consisting of 397 registered nurses; district, haematology or infection registered nurses. One-way analysis of variance and independent t-tests were used for comparisons and a principal component analysis was performed. Results. Discriminative and construct validity were supported, as the infection registered nurses generally had higher scores on knowledge, behaviour and emotional response, compared with district registered nurses and haematology registered nurses and the three-factor solution was confirmed. Registered nurses with higher scores on knowledge and emotional response attributed greater responsibility to themselves and to politicians. The Multidrug-Resistant Bacteria Attitude Questionnaire was translated using a forward-back translation process. Conclusion. The questionnaire has adequate psychometric properties. Insufficient knowledge of, behaviour toward and emotional response to patients with multidrug-resistant bacteria were described, but the registered nurses did estimate their own responsibility for adherence to preventive measures for infection control as being great or very great. Relevance to clinical practice. There is a considerable need to improve knowledge, behaviour and emotional response regarding infection prevention measures among healthcare workers. The hospital management are responsible for such improvements and the Multidrug-Resistant Bacteria Attitude Questionnaire is useful in identifying such needs, as it has adequate psychometric properties and is able to discriminate between groups. Evaluation among healthcare workers may indicate where to situate additional training, as this is of clinical significance for safe care.

  • 66.
    Löfmark, Anna
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Stord/Haugesund University College, Department of Health Sciences, Haugesund, Norway.
    H Larssen, Birte
    Centre of Nursing Research –Viborg, Denmark and Clinical Associate Professor School of Nursing, Faculty of Health, Medicine, Nursing and Behavioural Science, Deakin University, Australia.
    Slettebo, Åshild
    University of Agder, Faculty of Health and Sport Sciences, Grimstad and Oslo and Akershus University College of Applied Sciences, Faculty of Health Sciences, Oslo, Norway.
    Råholm, Maj-Britt
    Sogn og Fjordane University College, Faculty of Health Studies, Førde, Norway .
    Adjustment of the Clinical Part of Nursing Education in the Scandinavian Countries to Governing European Educational Reforms2013Konferensbidrag (Refereegranskat)
  • 67.
    Löfmark, Anna
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Mamhidir, Anna-Greta
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Master's level in primary health care education: students and preceptors perceptions and experiences of the alteration in the clinical areas2010Ingår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 9, artikel-id 11Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Many Western European countries are undergoing reforms with changes in higher education according to the Bologna declaration for Higher European Education Area. In accordance with these changes, the Master's degree was introduced in specialist nurse education in Sweden in 2007, and as a result changed the curriculum and modified theoretical and clinical areas. The aim of this study was to investigate students' and preceptors' perceptions and experiences of Master's level education in primary health care with a focus on the clinical area.

    Methods: A descriptive design and qualitative approach was used. Interviews with ten students and ten preceptors were performed twice, before and after the clinical practice period. Interviews were audio-recorded, transcribed verbatim and themes formulated.

    Results: Students perceived alteration in the content of the education at the Master's level such as more independence and additional assignments. The preceptors perceived benefits with the Master's level but were unsure of how to transform theoretical and abstract knowledge into practice. Writing the Master's thesis was seen by students to take time away from clinical practice. For some students and preceptors the content of the Master's level clinical practice area was experienced as vague and indistinct. The students had not expected supervision to be different from earlier experiences, while preceptors felt higher demands and requested more knowledge. Both students and preceptors perceived that education at the Master's level might lead to a higher status for the nurses' profession in primary health care.

    Conclusions: Students and preceptors experienced both advantages and disadvantages concerning the change in specialist nurse education in primary health care at the Master's level. The altered educational content was experienced as a step forward, but they also questioned how the new knowledge could be used in practice. The relevance of the Master's thesis was questioned. Supervision was seen by students as an introduction to the work of the district nurses' work. Preceptors perceived high demands and did not feel enough qualified for student supervision. Both groups considered it an advantage with the change in education that could result in higher status for nurses working in primary health care.

  • 68.
    Löfmark, Anna
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Mamhidir, Anna-Greta
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Vad betyder en utbildning på avancerad nivå i den kliniska verkligheten?2011Konferensbidrag (Övrigt vetenskapligt)
  • 69.
    Löfmark, Anna
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Stord/Haugesund University College, Department of Caring Sciences, Haugesund, Norge .
    Mårtensson, Gunilla
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Uppsala University, Sweden.
    Using peer learning in elderly care: exploring the experiences of an alternative supervision model2014Ingår i: NET 2014 25th International Networking for Healthcare Education Conference: Education in clinical practice and practice development 1, Core paper and theme paper abstracts, 2014, s. 16-17Konferensbidrag (Refereegranskat)
  • 70.
    Löfmark, Anna
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Stord/Haugesund University College, Department of Health Sciences, Haugesund, Norway .
    Thorell-Ekstrand, Ingrid
    Karolinska Institutet, Stockholm, Sweden .
    Nursing students' and preceptors' perceptions of using a revised assessment form in clinical nursing education2014Ingår i: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 14, nr 3, s. 275-280Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Assessment of students' learning is a crucial question when great changes occur in the higher education sector. One such educational reform is the Bologna declaration, the requirements of which have resulted in significant modifications in documents as assessment forms for clinical education. The aim of this study was to investigate students' and preceptors' perceptions of using the revised version of an assessment form, the AssCE form. Using convenience sampling, a questionnaire survey was completed by 192 nursing students and 101 preceptors. Most of the participants found that the revised AssCE form was possible to use during different years of the programme, and factors in the AssCE form were possible to combine with learning outcomes in the course syllabus. Most participants perceived that the scale added to each factor facilitated the assessment dialogue and offered possibilities to illustrate the students' development during clinical periods. Findings also showed that students were most often prepared with self-assessment before the assessment discussions. More information about the use of the AssCE form, also in combination with learning outcomes in the course syllabus, may further support the use of the form and contribute to students' development during clinical practice.

  • 71.
    Löfmark, Anna
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. epartment of Health, Stord/Haugesund University College, Stord, Norway.
    Thorell-Ekstrand, Ingrid
    Red Cross University College, Stockholm, Sweden.
    Strengthening and updating supervising staff nurses in educational workshops: an international partnership project2010Ingår i: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 10, nr 5, s. 262-267Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    As part of a collaborative project involving Tanzania and Sweden, workshops were arranged for staff nurses in order to develop a forum for discussing the raised demands for supervision of nursing students during their clinical education. The aim was to meet nurses in educational workshops to initiate a dialogue on their views and experiences of supporting and supervising nursing students in their clinical studies. Their experiences of the workshops were also requested. Two groups of nurses in Tanzania (n = 30), and six groups in Sweden (n = 60) participated. The content, which was agreed between the project leaders in Tanzania and Sweden was carried out either on a whole day workshops or divided at three different occasions. Questionnaires were given before and about two months after, and workshops were also evaluated with an open-ended question immediately after. The nurses both in Tanzania and in Sweden appreciated the workshops as a possibility to create a dialogue and to discuss challenges in the supervision of students. Their views and experiences of the supervision role showed awareness of staff nurses as role models and teachers. Accomplishment of this partnership co-operation through arranging workshops has shown to be an easy and simple way of giving support to staff nurses for the supervision task.

  • 72.
    Löfmark, Anna
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Department of Health, Stord/Haugesund University College, Norway .
    Thorkilsen, Kari
    Department of Health, Stord/Haugesund University College, Norway .
    Råholm, Maj-Britt
    Sogn og Fjordane University College, Faculty of Health Studies, Førde, Norway.
    Natvig, Gerd Karin
    Department of Public Health and Primary Health Care, University of Bergen, Norway.
    Nursing students' satisfaction with supervision from preceptors and teachers during clinical practice2012Ingår i: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 12, nr 3, s. 164-169Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The last two decades have seen widespread changes in nursing education. The clinical environment remains important for the development of nursing students' confidence in and fulfillment of intended learning outcomes. Preceptors and university teachers are an invaluable resource in preparing students for the reality of their professional roles. The current study examined Norwegian nursing students' perceptions of preceptors' and university teachers' supervision. Participants were invited to complete a version of the Nursing Facilitator Clinical Questionnaire (NFCQ) after the completion of their latest clinical practice periods. Three hundred and eighty students representing all three years of education completed the questionnaire. Data were analyzed with descriptive and inferential statistics. It was found that students highly valued teachers' and preceptors' supervision, although teachers' supervision was rated somewhat more highly. Fulfillment of learning outcomes for clinical practice was also rated highly, and the teachers' supervision was estimated, to some extent, more highly than the preceptors' supervision in this respect. The study underlines that, in addition to the estimation of satisfaction with supervision, it is important to relate supervision to the intended learning outcomes, which can be seen as a realization of that which students should know.

  • 73.
    Mamhidir, Anna-Greta
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Kihlgren, Mona
    Department of Neurobiology, Caring Sciences and Society, Karolinska Institute, Stockholm, Sweden, and Centre for Nursing Science, Örebro University Hospital, Örebro, Sweden.
    Soerlie, Venke
    Centre for Nursing Science, Örebro University Hospital, Örebro, Sweden, and Bodo University College, School of professional studies, Centre for Practical Knowledge, Norway.
    Malnutrition in elder care: qualitative analysis of ethical perceptions of politicians and civil servants2010Ingår i: BMC Medical Ethics, ISSN 1472-6939, E-ISSN 1472-6939, Vol. 11, nr 1, artikel-id 11Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    Few studies have paid attention to ethical responsibility related to malnutrition in elder care. The aim was to illuminate whether politicians and civil servants reason about malnutrition in elder care in relation to ethical responsibility, and further about possible causes and how to address them.     

    Method

    Eighteen elected politicians and appointed civil servants at the municipality and county council level from two counties in Sweden were interviewed. They worked at a planning, control and executive level, with responsibility for both the elder care budget and quality of care. Qualitative method was used for the data analysis.     

    Results

    Two themes emerged from their reasoning about malnutrition related to ethical responsibility. The theme assumed role involves the subthemes quality of care and costs, competent staff and govern at a distance. Old and ill patients were mentioned as being at risk for malnutrition. Caregivers were expected to be knowledgeable and stated primary responsible for providing adequate nutritional care. Extended physician responsibility was requested owing to patients' illnesses. Little was reported on the local management's role or on their own follow-up routines. The theme moral perception includes the subthemes discomfort, trust and distrust. Feelings of discomfort concerned caregivers having to work in a hurried, task-oriented         manner. Trust meant that they believed for the most part that caregivers had the competence to deal appropriately with nutritional care, but they felt distrust when nutritional problems reappeared on their agenda. No differences could be seen between the politicians and civil servants.     

    Conclusion

    New knowledge about malnutrition in elder care related to ethical responsibility was illuminated by persons holding top positions. Malnutrition was stressed as an important dimension of the elder care quality. Governing at a distance meant having trust in the staff, on the one hand, and discomfort and distrust when confronted with reports of malnutrition, on the other. Distrust was directed at caregivers, because despite the fact that education had been provided, problems reappeared. Discomfort was felt when confronted with examples of poor nutritional care and indicates that the participants experienced failure in their ethical responsibility because the quality of nutritional care was at risk.

  • 74.
    Mamhidir, Anna-Greta
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Kristofferzon, Marja-Leena
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Hellström-Hyson, Eva
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Persson, Elisabeth
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Mårtensson, Gunilla
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Nursing preceptors' experiences of two clinical education models2014Ingår i: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 14, nr 4, s. 427-433Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Preceptors play an important role in the process of developing students' knowledge and skills. There is an ongoing search for the best learning and teaching models in clinical education. Little is known about preceptors' perspectives on different models. The aim of the study was to describe nursing preceptors' experiences of two clinical models of clinical education: peer learning and traditional supervision. A descriptive design and qualitative approach was used. Eighteen preceptors from surgical and medical departments at two hospitals were interviewed, ten representing peer learning (student work in pairs) and eight traditional supervision (one student follows a nurse during a shift). The findings showed that preceptors using peer learning created room for students to assume responsibility for their own learning, challenged students' knowledge by refraining from stepping in and encouraged critical thinking. Using traditional supervision, the preceptors' individual ambitions influenced the preceptorship and their own knowledge was empathized as being important to impart. They demonstrated, observed and gradually relinquished responsibility to the students. The choice of clinical education model is important. Peer learning seemed to create learning environments that integrate clinical and academic skills. Investigation of pedagogical models in clinical education should be of major concern to managers and preceptors.

  • 75.
    Mamhidir, Anna-Greta
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Lindberg, Maria
    Uppsala universitet.
    Larsson, Rigmor
    Landstinget Gävleborg.
    Fläckman, Birgitta
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Engström, Maria
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Deficient knowledge of multidrug-resistant bacteria and preventive hygiene measures among primary healthcare personnel2011Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 67, nr 4, s. 756-762Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM:

    This paper is a report of a study conducted to describe primary healthcare personnel's knowledge of multidrug-resistant and preventive hygiene measures.

    BACKGROUND:

    The group of patients at risk for multi-drug resistant bacteria is largely cared for in primary care. Knowledge of multidrug-resistant and hygiene preventive measures among primary healthcare personnel is therefore essential.

    METHOD:

    A descriptive and comparative questionnaire survey among primary healthcare personnel was performed in 2008. In total, five urban and rural primary healthcare centres situated in one county in central Sweden were included. Convenient sampling was used and 10 physicians, 38 district nurses and 10 nursing assistants participated. Knowledge/medical facts concerning multidrug-resistant and hygiene preventive measures were investigated and data were analysed using a quantitative approach.

    RESULTS:

    Knowledge/medical facts concerning several aspects of multidrug-resistant bacteria, particularly Extended-Spectrum-Beta-Lactamase producing bacteria, were deficient as was knowledge of different aspects of hygiene preventive measures. Physicians showed significantly better results than district nurses and nursing assistants did. Awareness of proper hand-washing as an effective preventive method and use of aprons in nursing care was high among all participants. Staff who knew they had cared for these patients had significantly better results than the others did.

    CONCLUSION:

    Our findings suggest that evidence-based education of multidrug-resistant and hygiene preventive measures, in primary health with subsequent follow-ups should become a prioritized clinician and management concern. Research is needed that focus implementation of evidence-based educations, staff attitudes and responsibilities related to the work with patients at risk of multidrug-resistant bacteria.

  • 76.
    Mamhidir, Anna-Greta
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Wimo, Anders
    Karolinska Institutet, Stockholm.
    Kihlgren, Annica
    Institutionen för hälsovetenskap och medicin, Örebro.
    Fewer referrals to Swedish Emergency Departments among nursing home patients with dementia, comprehensive cognitive decline and multicomorbidity.2012Ingår i: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 16, nr 10, s. 891-897Artikel i tidskrift (Refereegranskat)
    Ladda ner fulltext (pdf)
    fulltext
  • 77.
    Mattsson, Anette
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Astmasjuksköterskor i primärvården: att stödja vuxna med astma till egenvård: En kvalitativ intervjustudie2017Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Ladda ner fulltext (pdf)
    fulltext
  • 78. Mogensen, Ester
    et al.
    Thorell-Ekstrand, Ingrid
    Löfmark, Anna
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Klinisk utbildning i högskolan: perspektiv och utveckling i verksamhetsförlagd utbildning2010 (uppl. 2)Bok (Övrig (populärvetenskap, debatt, mm))
  • 79. Muntlin Athlin, Åsa
    et al.
    Gunningberg, Lena
    Engström, Maria
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Bååth, Carina
    Pressure ulcer prevention – Why don’t we start from the beginning?2014Ingår i: Pressure Ulcers from Birth to Death : Prevention,Treatment and Rehabilitation: Programme and Abstract book, 2014Konferensbidrag (Refereegranskat)
  • 80.
    Mårtensson, Gunilla
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Etik och profession2014Ingår i: Sjuksköterskans omvårdnadskunnande: en praktisk och teoretisk grundbok / [ed] Birgitta Klang, Ingrid Thorell-Ekstrand, Harlow: Pearson Education , 2014, s. 24-32Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 81.
    Mårtensson, Gunilla
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    The Insider and Outsider Perspective - Clinical importance of agreement between patients and nurses in cancer care: 41st Nordic Hematology Spring Meeting.2010Konferensbidrag (Övrigt vetenskapligt)
  • 82.
    Mårtensson, Gunilla
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Carlsson, Marianne
    Uppsala universitet.
    Lampic, Claudia
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Are cancer patients whose problems are overestimated by nurses less satisfied with their care?2010Ingår i: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 19, nr 3, s. 382-392Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The main aim of the present study was to investigate whether patient-nurse dis/agreement concerning cancer patients' situation was of importance to patients' satisfaction with care. Another aim was to describe cancer patients' satisfaction with care and to investigate its relationship to cancer patients' emotional distress. A consecutive sample of individual patient-nurse pairs (n = 82) was recruited and followed during 3 days. Each pair consisted of a cancer patient newly admitted to an oncological/haematological ward and a nurse responsible for that patient's care. The known phenomenon of nurse overestimation of cancer patients' problems did not appear to be of importance to patients' satisfaction with care. However, patients whose depressive problems were underestimated by nurses were significantly less satisfied with the care they received. Furthermore, anxious and depressed patients were less satisfied with some aspects of the care they received than were the remaining patients. Although the patients' ratings and experiences of received care indicated a high degree of satisfaction, the patients also expressed negative experiences of care. To improve the quality of cancer care, nurses need to improve their ability to identify cancer patients' emotional distress if they are to satisfy patients' needs.

  • 83.
    Mårtensson, Gunilla
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Carlsson, Marianne
    Department of Public Health and Caring Sciences, Uppsala University.
    Lampic, Claudia
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Do oncology nurses provide more care to patients with high levels of emotional distress?2010Ingår i: Oncology Nursing Forum, ISSN 0190-535X, E-ISSN 1538-0688, Vol. 37, nr 1, s. E34-E42Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose/Objectives: To investigate nurses' planning and implementation of individualized patient care in relation to patients' emotional distress as assessed by nurses and whether nurses and patients perceived the implemented care in a similar manner. Design: Prospective, comparative. Setting: Five oncologic-hematologic wards in Sweden. Sample: 90 individual nurse-patient pairs were recruited and 81 were intact after three consecutive days. Each pair consisted of a patient with cancer and a nurse responsible for that patient's care. Methods: Nurse-patient pairs were followed using questionnaires. Outcome measures were nurses' identification of patients' emotional distress, care planning, and nursepatient ratings of implemented care. Main Research Variables: Patients' emotional distress andnurses' implemented care. Findings: Nurses identified a variety of emotional issuesamong patients and planned individual nursing interventions. Nurse and patient perceptions of implemented care demonstrated weak correlations for individually planned interventions and nurses' general caring behavior. With one exception, nurse self-reports did not indicate any differences in nurses' caring behavior directed to more and less distressed patients. Nurses reported providing comfort more frequently to patients with high levels of emotional distress, but this was not substantiated in patients' ratings. Conclusions: Nurses showed an intention to provide individualized care. However, with one exception, nurses did not report providing more care to patients with cancer with high levels of emotional distress than to less distressed patients. Implications for Nursing: To ensure individualized care, nurses in cancer care should closely validate the accuracy of their interpretation of patients' needs and their planning of care in collaboration with the patients.

  • 84.
    Mårtensson, Gunilla
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Carlsson, Marianne
    Uppsala University, Sweden.
    Lampic, Claudia
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Is nurse-patient agreement of importance to cancer nurses satisfaction with care?2010Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 66, nr 3, s. 573-582Artikel i tidskrift (Refereegranskat)
  • 85.
    Mårtensson, Gunilla
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Engström, Maria
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Mamhidir, Anna-Greta
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Kristofferzon, Marja-Leena
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    What are the structural conditions of importance to preceptors' performance?2013Ingår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 33, nr 5, s. 444-449Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND:

    Preceptors play a critical role in the process of developing nursing students' knowledge, skills and ability to make independent and critical judgments, however relatively little is known about what aspects are associated with nurses' performance as preceptors.

    OBJECTIVES:

    To investigate structural conditions and professional aspects of potential importance to nurses' perceptions of their performance as preceptors, and to evaluate the validity and reliability of a questionnaire measuring nurses' perceptions of being a preceptor.

    METHODS:

    The study had a correlational design. Total population sampling (N=1720) in a county council district in central Sweden was used to screen for nurses with recent preceptor experience, 933 nurses responded (response rate 54%), of those 323 nurses fulfilled the inclusion criteria. The present findings are based on data from 243 of these subjects. Data were collected with a questionnaire and analyzed using multiple regressions analyses, exploratory factor analyses and reliability coefficients.

    RESULTS:

    The results show that aspects such as receiving feedback on the function as a preceptor, being able to plan and prepare the clinical education period, receiving support from unit managers and having specific supervision education explain 31% of nurses' overall view of their performance as preceptors. However, structural conditions and professional experiences could not explain preceptors' use of reflection and critical thinking when acting as preceptors. These findings are discussed within the framework of Kanter's structural theory of power in organizations. Further, the psychometric evaluation showed that the questionnaire is a valid and reliable instrument for measuring nurses' structural conditions for and perceptions of their performance as preceptors.

    CONCLUSIONS:

    Structural conditions such as feedback and support seemed to strengthen nurses' general view of their performance as preceptors but did not seem to facilitate nurses' work toward the aim of higher education and helping nursing students develop critical thinking.

  • 86.
    Mårtensson, Gunilla
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Hellström-Hyson, Eva
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Peer learning och parhandledning: Studenters möjligheter och handledares utmaningar2012Ingår i: Verksamhetsförlagd utbildning i högskolans vårdutbildningar - möjligheter och utmaningar / [ed] SSF, 2012Konferensbidrag (Övrigt vetenskapligt)
  • 87.
    Mårtensson, Gunilla
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Löfmark, Anna
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Avslutande klinisk examination i sjuksköterskeprogrammet: OSCE samt "bedside" observation2012Ingår i: Verksamhetsförlagd utbildning i högskolans vårdutbildningar - möjligheter och utmaningar / [ed] SSF, 2012Konferensbidrag (Övrigt vetenskapligt)
  • 88.
    Mårtensson, Gunilla
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Löfmark, Anna
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Development, implementation and student evaluation of a model for clinical final examination in nursing education2013Konferensbidrag (Refereegranskat)
  • 89.
    Mårtensson, Gunilla
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Löfmark, Anna
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Development, Implementation and Student Evaluation of a Model for Clinical Final Examination in Nursing Education2013Konferensbidrag (Refereegranskat)
  • 90.
    Mårtensson, Gunilla
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Löfmark, Anna
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Stord Haugesund University College, Haugesund, Norway.
    Implementation and student evaluation of clinical final examination in nursing education2013Ingår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 33, nr 12, s. 1563-1568Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    Clinical examinations have a distinct focus, the overall aim being to demonstrate through action whether nursing students have acquired the knowledge and skills necessary to be safe and accountable practitioners. This complexity of knowledge cannot be assessed using single examinations, thus there is a need to develop multiple assessment approaches.

    Objectives

    To describe the process of developing valid clinical examinations for nursing students at the end of the final semester and to evaluate students' perceptions of these examination formats.

    Outline of the developmental process

    Based on earlier research, overall goals for the degree of Bachelor of Science in Nursing and guided by both task-related and relational aspects of nursing, two clinical final examinations were developed and tested. One was a standardized test of performance in vitro using Objective Structured Clinical Examination (OSCE) based on five specific areas in which newly graduated nurses had shown deficiencies. The other was a test of performance in real conditions, in vivo, using Bedside Observation Examination (BOE) assessing nurse–patient relation, entirely based on patients' needs.

    Nursing Students' Evaluation

    Three classes of students (n = 203) were asked to participate and answer a study-specific questionnaire. The students highly valued the two examinations and perceived that the knowledge and skills tested were relevant to nurses' work. They found the examinations stressful, but at the same time meaningful, and felt they could do themselves full justice through this form of examination.

    Recommendations

    The assessment test should be chosen depending on the preferred outcome. The OSCE, with its high degree of standardization, is appropriate to use to assess task-related aspects of nursing (show how), while the BOE, with its low degree of standardization, is suitable in real settings and has the potential to capture the relational aspects of nursing (does).

  • 91.
    Mårtensson, Gunilla
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Westerberg Jacobson, Josefin
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Engström, Maria
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Mental health nursing staff's attitudes towards mental illness: an analysis of related factors2014Ingår i: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 21, nr 9, s. 782-788Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Employer/workplaces have an impact on mental health nursing staff's general attitudes towards persons with mental illness. Staff have more positive attitudes if their knowledge about mental illness is less stigmatized and currently have or have once had a close friend with mental problem. More favourable attitudes among staff towards persons with mental illness could be developed and transmitted in the subculture at work places.

    ABSTRACT: There is growing awareness that mental illness is surrounded by negative attitudes and stigmas. The aim of the present study was to investigate factors associated with mental health nursing staff's attitudes towards persons with mental illness. Data were collected from 256 mental health nursing staff employed by one county council and 10 municipalities. The findings show that staff have more positive attitudes towards persons with mental illness if their knowledge about mental illness is less stigmatized, their work places are in the county council, and they currently have or have once had a close friend with mental health problems. The multiple regression model explained 16% of the variance; stigma-related knowledge and employer had significant Beta-coefficients. To account for unknown correlations in data, a linear generalized estimating equation was performed. In this model, stigma-related knowledge and employer remained significant, but a new significant factor also emerged: personal contact, i.e. currently having or having once had a close friend with mental health problems. This indicates correlations at unit level in the county council and in the municipalities. The conclusion is that more favourable attitudes among staff towards persons with mental illness could be developed and transmitted in the subculture at work places.

  • 92.
    Nilsson, Annika
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University.
    Andrén, Marianne
    Högskolan i Gävle, Akademin för hälsa och arbetsliv.
    Engström, Maria
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University.
    E-assessment of prior learning: a pilot study of interactive assessment of staff with no formal education who are working in Swedish elderly care2014Ingår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 14, s. 52-Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: The current paper presents a pilot study of interactive assessment using information and communication technology (ICT) to evaluate the knowledge, skills and abilities of staff with no formal education who are working in Swedish elderly care.

    Methods: Theoretical and practical assessment methods were developed and used with simulated patients and computer-based tests to identify strengths and areas for personal development among staff with no formal education.

    Results: Of the 157 staff with no formal education, 87 began the practical and/or theoretical assessments, and 63 completed both assessments. Several of the staff passed the practical assessments, except the morning hygiene assessment, where several failed. Other areas for staff development, i.e. where several failed (>50%), was the theoretical assessment of the learning objectives: Health, Oral care, Ergonomics, hygiene, esthetic, environmental, Rehabilitation, Assistive technology, Basic healthcare and Laws and organization. None of the staff passed all assessments. Number of years working in elderly care and staff age were not statistically significantly related to the total score of grades on the various learning objectives.

    Conclusion: The interactive assessments were useful in assessing staff members’ practical and theoretical knowledge, skills, and abilities and in identifying areas in need of development. It is important that personnel who lack formal qualifications be clearly identified and given a chance to develop their competence through training, both theoretical and practical.

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  • 93.
    Nilsson, Annika
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Denison, Eva
    Department of Caring and Public Health Sciences, Mälardalen University, Västerås, Sweden.
    Lindberg, Per
    Department of Psychology Uppsala University, Uppsala, Sweden.
    Life values as predictors of pain, disability and sick leave among Swedish registered nurses: a longitudinal study2011Ingår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 10, nr 17Artikel i tidskrift (Refereegranskat)
  • 94.
    Nilsson, Annika
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Lindberg, Per
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Denison, Eva
    Department of Caring and Public Health Sciences, Mälardalen University, Västerås, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Predicting of pain, disability, and sick leave regarding a non-clinical sample among Swedish nurses2010Ingår i: Scandinavian Journal of Pain, ISSN 1877-8860, E-ISSN 1877-8879, Vol. 1, nr 3, s. 160-166Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives: Health care providers, especially registered nurses (RNs), are a professional group with a high risk of musculoskeletal pain (MSP). This longitudinal study contributes to the literature by describing the prevalence and change in MSP, work-related factors, personal factors, self reported pain, disability and sick leave (> 7 days) among RNs working in a Swedish hospital over a three-year period. Further, results concerning prediction of pain, disability and sick leave from baseline to a three-year follow-up are reported. Method:  In 2003, a convenience sample of 278 RNs (97.5% women, mean age 43 years) completed a questionnaire. In 2006, 244 RNs (88% of the original sample) were located, and 200 (82%) of these completed a second questionnaire. Results: Logistic regression analyses revealed that pain, disability and sick leave at baseline best predicted pain, disability, and sick leave at follow-up. The personal factors self rated health and sleep quality during the last week predicted pain at follow-up, while age, self rated health, and considering yourself as optimist or pessimist predicted disability at follow-up, however weakly. None one of the work- related factors contributed significantly to the regression solution. Conclusions: The results support earlier studies showing that a history of pain and disability is predictive of future pain and disability. Attention to individual factors such as personal values may be needed in further research. 

  • 95.
    Nilsson, Jan
    et al.
    Karlstad University, Karlstad, Sweden.
    Johansson, Eva
    Karolinska Institutet, Huddinge, Sweden.
    Egmar, Ann-Charlotte
    The Red Cross University College, Stockholm, Sweden.
    Florin, Jan
    Dalarna University, Falun, Sweden.
    Leksell, Janeth
    Dalarna University, Falun, Sweden.
    Lepp, Margret
    University of Gothenburg, Gothenburg, Sweden.
    Lindholm, Christina
    Sophiahemmet University College, Stockholm, Sweden.
    Nordström, Gun
    Karlstad University, Karlstad, Sweden, and Hedmark University College, Hedmark, Norway.
    Theander, Kersti
    Karlstad University, Karlstad, Sweden.
    Wilde-Larsson, Bodil
    Karlstad University, Karlstad, Sweden, and Hedmark University College, Hedmark, Norway.
    Carlsson, Marianne
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University.
    Gardulf, Ann
    Karolinska Institutet, Karolinska University Hospital, Huddinge, Stockholm, Sweden.
    Development and validation of a new tool measuring nurses self-reported professional competence: the nurse professional competence (NPC) scale2014Ingår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 34, nr 4, s. 574-580Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: To develop and validate a new tool intended for measuring self-reported professional competence among both nurse students prior to graduation and among practicing nurses. The new tool is based on formal competence requirements from the Swedish Board of Health and Welfare, which in turn are based on WHO guidelines.

    DESIGN: A methodological study including construction of a new scale and evaluation of its psychometric properties.

    PARTICIPANTS AND SETTINGS: 1086 newly graduated nurse students from 11 universities/university colleges.

    RESULTS: The analyses resulted in a scale named the NPC (Nurse Professional Competence) Scale, consisting of 88 items and covering eight factors: "Nursing care", "Value-based nursing care", "Medical/technical care", "Teaching/learning and support", "Documentation and information technology", "Legislation in nursing and safety planning", "Leadership in and development of nursing care" and "Education and supervision of staff/students". All factors achieved Cronbach's alpha values greater than 0.70. A second-order exploratory analysis resulted in two main themes: "Patient-related nursing" and "Nursing care organisation and development". In addition, evidence of known-group validity for the NPC Scale was obtained.

    CONCLUSIONS: The NPC Scale, which is based on national and international professional competence requirements for nurses, was comprehensively tested and showed satisfactory psychometrical properties. It can e.g. be used to evaluate the outcomes of nursing education programmes, to assess nurses' professional competences in relation to the needs in healthcare organisations, and to tailor introduction programmes for newly employed nurses.

  • 96.
    Nyström, Anita
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Teamtraining in Swedish hospitals2011Konferensbidrag (Refereegranskat)
    Abstract [en]

    The purpose of this study was to survey the occurrence of, and obstacles of team training in neonatal life support in Swedish hospitals and to compare university hospitals with other hospitals about the occurrence of, and obstacles of training. The study was directed to all the managers in 37 pediatric wards and data was collected by telephone interviews with aid of a questionnaire. The results showed that 81 % of the Swedish hospitals which has a pediatric ward train the staff in neonatal life support. All of the university hospitals and 74 % of the other hospitals are running training in some form. The methods of training varied and so did the occurrence of training. All the managers’ thought it was important to train neonatal life support. There did not emerge any statistically significant difference between university hospitals and other hospitals concerning the methods of training, evaluation of training or in possibilities and obstacles of training. The conclusions are that training multidisciplinary teams in neonatal life support is going on in most of the Swedish hospitals. The team training in neonatal life support is a quite new method inSweden and several hospitals has started the training this year. Only one third is evaluating their training and that is done twice as often as oral reports compared to written reports. Another conclusion is that there must be a serious discussion about the certification for the professionals who are involved in neonatal life support.

  • 97.
    Nyström, Anita
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Pålsson, Ylva
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Hofsten, Anna
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Medicinvetenskap.
    Häggström, Elisabeth
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Bachelor nursing students' experiences of being video-recorded during examination in a simulated emergency care situation2013Konferensbidrag (Refereegranskat)
  • 98.
    Nyström, Anita
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Pålsson, Ylva
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Hofsten, Anna
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Medicinvetenskap.
    Häggström, Elisabeth
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Nursing students' experiences of being video-recorded during examination in a fictive emergency care situation2012Konferensbidrag (Refereegranskat)
    Abstract [en]

    Abstract

    Promoting bachelor nursing students’ learning in fictive care can be achieved through dynamic

    scenario-based training sessions that are documented using simple video equipment. One

    valuable aspect of this kind of training is the subsequent reflective dialogue that takes place

    between the teacher and the students.

    The aim of the present paper is to describe bachelor nursing students’ experiences of being videorecorded

    during an examination with a fictive patient in emergency care.

    The study was descriptive in design and used a qualitative approach with written answers to

    open-ended questions; 44 bachelor nursing students participated.

    A latent content analysis resulted in three themes: (1)

    Visualization may cause nervousness at

    first,

    (2) Visualization promotes dialogue and acknowledgement, and (3) Visualization promotes

    increased self-knowledge and professional growth.

    The conclusion is that video-recording is a good way for bachelor nursing students to develop

    skills in emergency care situations and to understand their own actions; it may also help them

    increase their self-knowledge

  • 99.
    Nyström, Anita
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Pålsson, Ylva
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Hofsten, Anna
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Medicinvetenskap.
    Häggström, Elisabeth
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Undergraduate nursing students experiences of beeing video-recorded during examination in a simulated emergency care situation2013Konferensbidrag (Refereegranskat)
  • 100.
    Olsson, Annakarin
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Örebro University, Örebro, Sweden.
    Daily life of persons with dementia and their spouses supported by a passive positioning alarm2013Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    The overall aim was to describe how persons with dementia (PwDs) reflecton being outdoors and to investigate the support provided by a passivepositioning alarm (PPA) in making daily life safer for PwDs and theirspouses.

    Repeated conversations were held with 11 PwDs living in their own homesregarding their reflections on being outdoors (Study I). Interview study with14 spouses to a person with dementia (PwD) with their reflections on differentkinds of information and communication technology (ICT) devicesthat were used or can be used in the daily care of PwDs (Study II). An ethnographicapproach with participant observations and conversations withfive couples, a PwD and his/her spouse, describing and exploring their useand experiences of using a PPA, over time, in daily life (Study III). An experimentalsingle-case ABAB-design with three cases, a PwD and hisspouse, investigating the effects of using tracking technology on independentoutdoor activities and psychological well-being (Study IV).

    In summary, the results of the thesis show that being outdoors was describedby the PwDs as a confirmation of their identity, the `Self´. The useof ICT in daily care of PwDs was described by the spouses as shifting betweentheir own needs for safety and security and the perceived need forsafety and security from the perspective of the PwD. The use of a PPA indaily life among PwDs living in their own homes can give a sense of freedom,support and strengthen the feeling of independence for both PwDsand their spouses as well as give a feeling of safety and security for themboth. Use of the PPA may also increase PwDs’ independent outdoor activitiesand decrease spouses’ worries.

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