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Randmaa, Maria
Publications (8 of 8) Show all publications
Randmaa, M., Engström, M., Mårtensson, G., Leo Swenne, C. & Högberg, H. (2019). Psychometric properties of an instrument measuring communication within and between the professional groups licensed practical nurses and registered nurses in anaesthetic clinics.. BMC Health Services Research, 19(1), Article ID 950.
Open this publication in new window or tab >>Psychometric properties of an instrument measuring communication within and between the professional groups licensed practical nurses and registered nurses in anaesthetic clinics.
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2019 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 19, no 1, article id 950Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The most common cause of clinical incidents and adverse events in relation to surgery is communication error. There is a shortage of studies on communication between registered nurses and licenced practical nurses as well as of instruments to measure their perception of communication within and between the professional groups. The aim of the present study was to evaluate the psychometric properties of the Swedish version of the adapted ICU Nurse-Physician Questionnaire, designed to also measure communication within and between two professional groups: licensed practical nurses and registered nurses. Specifically, the aim was to examine the instrument's construct validity using confirmatory factor analysis and its internal consistency using Cronbach's Alpha.

METHODS: A cross-sectional and correlational design was used. The setting was anaesthetic clinics in two Swedish hospitals. A total of 316 questionnaires were delivered during spring 2011, of which 195 were analysed to evaluate the psychometric properties of the questionnaire. Construct validity was assessed using confirmatory factor analysis and internal consistency using Cronbach's Alpha. To assess items with missing values, we conducted a sensitivity analysis of two sets of data, and to assess the assumption of normally distributed data, we used Bayesian estimation.

RESULTS: The results support the construct validity and internal consistency of the adapted ICU Nurse-Physician Questionnaire. Model fit indices for the confirmative factor analysis were acceptable, and estimated factor loadings were reasonable. There were no large differences between the estimated factor loadings when comparing the two samples, suggesting that items with missing values did not alter the findings. The estimated factor loadings from Bayesian estimation were very similar to the maximum likelihood results. This indicates that confirmative factor analysis using maximum likelihood produced reliable factor loadings. Regarding internal consistency, alpha values ranged from 0.72 to 0.82.

CONCLUSIONS: The tests of the adapted ICU Nurse-Physician Questionnaire indicate acceptable construct validity and internal consistency, both of which need to be further tested in new settings and samples.

TRIAL REGISTRATION: Current controlled trials http://www.controlled-trials.com Communication and patient safety in anaesthesia and intensive care. Does implementation of SBAR make any differences? Identifier: ISRCTN37251313, retrospectively registered (assigned 08/11/2012).

Keywords
Anaesthetic clinic, Communication, Confirmatory factor analysis, ICU nurse-physician questionnaire, Methodological, Psychometric, Validation
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-31286 (URN)10.1186/s12913-019-4805-7 (DOI)000506198900003 ()31823775 (PubMedID)2-s2.0-85076376500 (Scopus ID)
Available from: 2019-12-13 Created: 2019-12-13 Last updated: 2020-01-29Bibliographically approved
Randmaa, M., Engström, M., Leo Swenne, C. & Mårtensson, G. (2017). The postoperative handover: a focus group interview study with nurse anaesthetists, anaesthesiologists, and PACU nurses. BMJ Open, 7(8), Article ID e015038.
Open this publication in new window or tab >>The postoperative handover: a focus group interview study with nurse anaesthetists, anaesthesiologists, and PACU nurses
2017 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 7, no 8, article id e015038Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES To investigate different professionals’ (nurse anaesthetists’, anaesthesiologists’, and postanaesthesia care unit nurses’) descriptions of and reflections on the postoperative handover.

DESIGN A focus group interview study with a descriptive design using qualitative content analysis of transcripts.

SETTING One anaesthetic clinic at two hospitals in Sweden.

PARTICIPANTS Six focus groups with 23 healthcare professionals involved in postoperative handovers. Each group was homogeneous regarding participant profession, resulting in two groups per profession: nurse anaesthetists (n=8), anaesthesiologists (n=7) and postanaesthesia care unit nurses (n=8).

RESULTS Patterns and five categories emerged: 1) Having different temporal foci during handover, 2) Insecurity when information is transferred from one team to another, 3) Striving to ensure quality of the handover, 4) Weighing the advantages and disadvantages of the bedside handover, and 5) Having different perspectives on the transfer of responsibility. The professionals’ perceptions of the postoperative handover differed with regard to temporal foci and transfer of responsibility. All professional groups were insecure about having all information needed to ensure the quality of care. They strived to ensure quality of the handover by: focusing on matters that deviated from the normal course of events, aiding memory through structure and written information, and cooperating within and between teams. They reported that the bedside handover enhances their control of the patient, but also that it could threaten the patient’s privacy and that frequent interruptions could be disturbing.

CONCLUSIONS The present findings revealed variations in different professionals’ views on the postoperative handover. Healthcare interventions are needed to minimize the gap between professionals’ perceptions and practices and to achieve a shared understanding of postoperative handover. Furthermore, to ensure high-quality and safe care, stakeholders/decision-makers need to pay attention to the environment and infrastructure in postanaesthesia care.

Keywords
Anaesthetic clinic, Handover, Postoperative, Qualitative study
National Category
Nursing
Identifiers
urn:nbn:se:hig:diva-24184 (URN)10.1136/bmjopen-2016-015038 (DOI)000411802700046 ()28780540 (PubMedID)2-s2.0-85027260588 (Scopus ID)
Projects
Patientsäkerhet och kommunikation (KPA)
Note

Funding: Faculty of Health and Occupational Studies, University of Gavle; County Council Gavleborg; Patient Insurance LOF; Swedish Society of Nursing

Available from: 2017-06-13 Created: 2017-06-13 Last updated: 2020-01-29Bibliographically approved
Randmaa, M. (2016). Communication and Patient Safety: Transfer of information between healthcare personnel in anaesthetic clinics. (Doctoral dissertation). Uppsala: Acta Universitatis Upsaliensis
Open this publication in new window or tab >>Communication and Patient Safety: Transfer of information between healthcare personnel in anaesthetic clinics
2016 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Communication errors are frequent during the perioperative period and cause clinical incidents and adverse events. The overall aim of the thesis was to study communication – the transfer of information, especially the postoperative handover – between healthcare personnel in an anaesthetic clinic and the effects of using the communication tool SBAR (Situation-Background-Assessment-Recommendation) from a patient safety perspective.

The thesis is based on studies using a correlational (Paper I), quasi-experimental (Paper II and III) and descriptive (Paper IV) design. Data were collected using digitally recorded and structured observations of handovers, anaesthetic records, questionnaires, incident reports and focus group interviews.

The results from baseline data showed that lack of structure and long duration of the verbal postoperative handover decreased how much the receiver of postoperative handover remembered; the item most likely not to be remembered by the receiver was anaesthetic drugs. The variation in remembered information showed that there were room for improvement (Paper I). Implementing the communication tool SBAR increased memorized information among receivers following postoperative handover. Interruptions were frequent during postoperative handover, which negatively affected memorized information (Paper III). Furthermore, after implementation of SBAR, the personnel’s perception of communication between professionals and the safety climate improved, and the proportion of incident reports related to communication errors decreased in the intervention group (Paper II). The results of the focus group interviews revealed that the nurse anaesthetists, anaesthesiologists and post-anaesthesia care unit nurses had somewhat different focuses and views of the postoperative handover, but all professional groups were uncertain about having all information needed to secure the quality of postoperative care (Paper IV).

The findings indicate that using a predictable structure during postoperative handover may improve the information memorized by the receiver, perception of communication between professionals and perception of safety climate. Incidents related to communication errors may also decrease. Long duration of the handover and interruptions may negatively affect the information memorized by receiver. To ensure high quality and safe care, there is a need to achieve a shared understanding across professionals of their work in its entirety.  

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2016. p. 70
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 1186
Keywords
anaesthesiologist, anaesthetic clinic, communication, handover, incident reports, information transfer, interruption, memory, nurse, operating theatre, patient safety, post-anaesthesia care unit, safety attitudes, SBAR
National Category
Nursing Anesthesiology and Intensive Care
Identifiers
urn:nbn:se:hig:diva-21387 (URN)978-91-554-9489-6 (ISBN)
Public defence
2016-04-20, Museum Gustavianum, Akademigatan 3, Uppsala, 13:00 (Swedish)
Opponent
Supervisors
Projects
Kommunikation och patientsäkerhet (KPA)
Available from: 2016-04-07 Created: 2016-04-05 Last updated: 2020-03-25Bibliographically approved
Randmaa, M., Leo Swenne, C., Mårtensson, G., Högberg, H. & Engström, M. (2016). Implementing situation-background-assessment-recommendation in an anaesthetic clinic and subsequent information retention among receivers: a prospective interventional study of postoperative handovers. European Journal of Anaesthesiology, 33(3), 172-178
Open this publication in new window or tab >>Implementing situation-background-assessment-recommendation in an anaesthetic clinic and subsequent information retention among receivers: a prospective interventional study of postoperative handovers
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2016 (English)In: European Journal of Anaesthesiology, ISSN 0265-0215, E-ISSN 1365-2346, Vol. 33, no 3, p. 172-178Article in journal (Refereed) Published
Abstract [en]

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

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

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

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

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

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

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

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

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

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

Keywords
postoperative care, postanaesthesia care, communication, Situation-Background-Assessment-Recommendation, SBAR
National Category
Anesthesiology and Intensive Care
Identifiers
urn:nbn:se:hig:diva-20602 (URN)10.1097/EJA.0000000000000335 (DOI)000369548100003 ()26760400 (PubMedID)2-s2.0-84957092321 (Scopus ID)
Projects
KPA
Available from: 2015-11-17 Created: 2015-11-17 Last updated: 2018-03-13Bibliographically approved
Randmaa, M., Mårtensson, G., Leo Swenne, C. & Engström, M. (2015). An Observational Study of Postoperative Handover in Anesthetic Clinics: The Content of Verbal Information and Factors Influencing Receiver Memory. Journal of Perianesthesia Nursing, 30(2), 105-115
Open this publication in new window or tab >>An Observational Study of Postoperative Handover in Anesthetic Clinics: The Content of Verbal Information and Factors Influencing Receiver Memory
2015 (English)In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 30, no 2, p. 105-115Article in journal (Refereed) Published
Abstract [en]

Purpose: The aim was to examine the handover process in the postanesthesia care unit, how much the receiver remembered, and what factors influenced memory. Design: An observational study with a descriptive and correlational design. Methods: A total of 73 handovers were investigated, and data were collected using observation, audiotape recordings of the handovers, and the patient's anesthetic record. Finding: Interruptions occurred at 56 (77%) handovers and the sender expressed unclear information at 51 (70%) handovers. The mean of the verbally given information remembered by the receivers was 47%; the items mostly likely not to be remembered were the drugs used during anesthesia. A linear generalized estimating equation was used and identified variables that were significantly associated with receivers' retention of information were structure and handover duration. Conclusion: Lack of structure and long duration of the verbal handover decrease how much the receiver will remember.

Keywords
Communication, Handover, Memory, Postanesthesia care unit
National Category
Nursing Anesthesiology and Intensive Care
Identifiers
urn:nbn:se:hig:diva-18918 (URN)10.1016/j.jopan.2014.01.012 (DOI)000351842600002 ()25813296 (PubMedID)2-s2.0-84925354569 (Scopus ID)
Projects
KPA
Available from: 2015-02-04 Created: 2015-02-04 Last updated: 2018-03-13Bibliographically approved
Randmaa, M., Mårtensson, G., Leo Swenne, C. & Engström, M. (2015). An Observational Study of Postoperative Handover in Anesthetic Clinics: The Content of Verbal Information and Factors Influencing Receiver Memory. In: : . Paper presented at 3rd International Conference for PeriAnaesthesia Nurses (ICPAN 2015), Sharing and Caring – Inspiring Global Connections, Copenhagen, Denmark, 9-12 September 2015.
Open this publication in new window or tab >>An Observational Study of Postoperative Handover in Anesthetic Clinics: The Content of Verbal Information and Factors Influencing Receiver Memory
2015 (English)Conference paper, Oral presentation only (Refereed)
Abstract [en]

Purpose The aim was to examine the handover process at the post-anaesthesia care unit, how much the receiver remembers and what factors influence memory.

Design An observational study with a descriptive and correlational design.

Methods Seventy-three handovers were investigated, and data were collected using observation, audio-tape recordings of the handovers and the patient´s anaesthetic record.

Finding Interruptions occurred at 56 (77%) handovers and the sender expressed unclear information at 51 (70%) handovers. The mean of the verbally given information remembered by the receivers was 47%; the items mostly likely not to be remembered were the drugs used during anaesthesia. A linear generalized estimating equation was used and identified variables that were significantly associated with in receivers´ retention of information were structure and handover duration.

Conclusion Lack of structure and long duration of the verbal handover decrease how much the receiver will remember.

Keywords
Communication, handover, memory, post-anaesthesia care unit
National Category
Nursing Anesthesiology and Intensive Care
Identifiers
urn:nbn:se:hig:diva-20672 (URN)
Conference
3rd International Conference for PeriAnaesthesia Nurses (ICPAN 2015), Sharing and Caring – Inspiring Global Connections, Copenhagen, Denmark, 9-12 September 2015
Projects
Communication and Patient safety: transfer of information between healthcare personnel in Anaesthetic clinics
Available from: 2015-11-26 Created: 2015-11-26 Last updated: 2018-03-13Bibliographically approved
Randmaa, M., Mårtensson, G., Leo Swenne, C. & Engström, M. (2014). SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study. BMJ Open, 4(1)
Open this publication in new window or tab >>SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study
2014 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 4, no 1Article in journal (Refereed) Published
Abstract [en]

Objectives: We aimed to examine staff members’ perceptions of communication within and between different professions, safety attitudes and psychological empowerment, prior to and after implementation of the communication tool Situation-Background-Assessment-Recommendation (SBAR) at an anaesthetic clinic. The aim was also to study whether there was any change in the proportion of incident reports caused by communication errors.

Design: A prospective intervention study with comparison group using preassessments and postassessments. Questionnaire data were collected from staff in an intervention (n=100) and a comparison group (n=69) at the anaesthetic clinic in two hospitals prior to (2011) and after (2012) implementation of SBAR. The proportion of incident reports due to communication errors was calculated during a 1-year period prior to and after implementation.

Setting: Anaesthetic clinics at two hospitals in Sweden.

Participants: All licensed practical nurses, registered nurses and physicians working in the operating theatres, intensive care units and post anaesthesia care units at anaesthetic clinics in two hospitals were invited to participate.

Intervention: Implementation of SBAR in an anaesthetic clinic.

Primary and secondary outcomes: The primary outcomes were staff members’ perception of communication within and between different professions, as well as their perceptions of safety attitudes. Secondary outcomes were psychological empowerment and incident reports due to error of communication.

Results: In the intervention group, there were statistically significant improvements in the factors “Between-group communication accuracy” (p=0.039) and “Safety climate” (p=0.011). The proportion of incident reports due to communication errors decreased significantly (p<0.0001) in the intervention group, from 31% to 11%.

Conclusions: Implementing the communication tool SBAR in anaesthetic clinics was associated with improvement in staff members’ perception of communication between professionals and their perception of the safety climate as well as with a decreased proportion of incident reports related to communication errors.

Keywords
Anaesthetic clinic, Communication, Incident reports, Safety attitudes, SBAR
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hig:diva-16185 (URN)10.1136/bmjopen-2013-004268 (DOI)000337363700043 ()2-s2.0-84892875420 (Scopus ID)
Projects
KPA
Available from: 2014-01-26 Created: 2014-01-26 Last updated: 2018-03-13Bibliographically approved
Randmaa, M., Engström, M., Leo Swenne, C. & Mårtensson, G.Different professionals´descriptions of and reflections on postoperative handover: a focus group interview study with nurse anaesthetists, anaesthesiologists, and PACU nurses.
Open this publication in new window or tab >>Different professionals´descriptions of and reflections on postoperative handover: a focus group interview study with nurse anaesthetists, anaesthesiologists, and PACU nurses
(English)Manuscript (preprint) (Other academic)
Keywords
Anaesthetic clinic, Handover, Postoperative, Qualitative study
National Category
Nursing Anesthesiology and Intensive Care
Identifiers
urn:nbn:se:hig:diva-21394 (URN)
Available from: 2016-02-22 Created: 2016-04-07 Last updated: 2018-03-13Bibliographically approved
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