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  • 1. Athlin, Elsy
    et al.
    Sörensen Duppils, Gill
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Borch, Ellen
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Danielsson, Agneta
    Sundin Andersson, Christina
    Bensen, Gro
    Hov, Reidun
    Martinsen, Randi
    Grupphandledning i klinisk sjuksköterskeutbildning: Ett samverkanprojekt inom UNISKA mellan Högskolan Dalarna, Högskolan i Gjövik, Högskolan i Hedmark och Karlstads universitet 2004-20082008Report (Other academic)
    Abstract [sv]

    I ett samarbetsprojekt finansierat av UNISKA deltog 2 högskolor från Norge, Högskolan Dalarna och Karlstads universitet. Syftet var att stötta kliniska handledare till studenter inom sjuksköterske-program. Sammanlagt 49 sjuksköterskor deltog i grupphandlednng under ett år. Rapporten beskriver och utvärderar projektet.

  • 2.
    Borch, Ellen
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Sörensen Duppils, Gill
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Hov, Reidun
    Athlin, Elsy
    Group supervision to strengthen nurses in their preceptor role in the bachelor nursing education: Perceptions before and after participation2013In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 13, no 2, p. 101-105Article in journal (Refereed)
    Abstract [en]

    Background: A collaborative project was carried out at four bachelor nursing colleges in Sweden and Norway, to support preceptors in the clinical fields by means of group supervision.

    The aim of this study was to investigate the preceptors’ views on their own ability and satisfaction in the role before and after taking part in group supervision during one year and to describe their perception of the supervision model used.

    Method: Forty-five preceptors participated in the study. Baseline and endpoint questionnaires were used for data collection. 

    Results: Before taking part in group supervision most preceptors expressed that they were content with their ability and knowledge with regards to the preceptor role.  Despite this most of them considered that the participation had increased their ability to supervise students, and more than half of them considered that it also had promoted to their personal development. At the end of the project a majority of them had positive experiences of group supervision. Most of the structure and climate factors in the supervision model were considered important and almost all were highly realised. Conclusion: The study showed that group supervision could be a valuable tool to provide support to preceptors in bachelor nursing education.

  • 3.
    Engwall, Margareta
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Sörensen Duppils, Gill
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Music as a nursing intervention for postoperative pain: a systematic review2009In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 24, no 6, p. 370-383Article in journal (Refereed)
    Abstract [en]

    The purpose of this systematic review was to examine the effect of music on postoperative pain. A search for scientific articles was conducted using online databases. Included were quantitative studies published from 1998 through 2007 that considered the effect of music interventions on postoperative pain in adult patients. After the search and appraisal of quality, 18 studies were included in the review. The results in 15 of the studies included indicated a significant positive effect of music on postoperative pain. Four studies found that the use of analgesics was lower for the intervention groups. The patients in the studies were scheduled for different kinds of surgery and assessments and the interventions were performed at different times. Various types of music were used, mostly chosen by the researchers. The conclusion is that music can be used as an adjuvant for the relief of postoperative pain.

  • 4.
    Lindholm, Christina
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Ehrenberg, Anna
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Sörensen Duppils, Gill
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Florin, Jan
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Trycksårsprevention - en regional forskningssatsning2010In: Regionala forskningsrådets konferens, Örebro, 2010Conference paper (Refereed)
  • 5.
    Sörensen Duppils, Gill
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Delirium during Hospitalisation: Incidence, Risk Factors, Early Signs and Patients' Experiences of Being Delirious2003Doctoral thesis, monograph (Other academic)
    Abstract [en]

    Delirium is common among old patients admitted to hospital, but is often a neglected problem in patient care. The principal aim of this thesis was to evaluate aspects of delirium in relation to incidence, risk factors, behavioural changes, cognitive function and health-related quality of life (HRQOL). A further aim was to describe patients’ experiences of being delirious. The study was prospective, descriptive and comparative, with repeated measures (six-month follow up). The sample consisted of 225 consecutive patients, aged 65 years or older, who were to be operated on due to hip fracture or hip replacement. Exclusion criteria were serious cognitive disorder or delirium on admission. Data were collected via frequent daily observations, cognitive functioning tests (MMSE), HRQOL questionnaires (SF-36) and interviews. Delirium was assessed according to the DSM-IV criteria. A total of 45/225 became delirious, with an incidence of 24.3% among patients undergoing hip fracture surgery and 11.7% among those with hip replacement surgery. A predictive model for delirium included four factors: impaired hearing, passivity, low cognitive functioning, and waiting more than 18h for hip fracture surgery. Disorientation and urgent calls for attention were the most frequent behavioural changes in the prodromal phase prior to delirium. Delirium in connection with hip fracture revealed deteriorated HRQOL and cognitive functioning when measured at a six-month follow-up. The experience of being delirious was described by the patients as a sudden change of reality. Such an experience gave rise to strong emotional feelings, as did recovery from delirium. Nurses’ observations of behavioural changes in old patients with impaired cognitive function may be the first step in managing and reducing delirium. The predictive model of delirium ought to be tested further before use in clinical practice.

  • 6.
    Sörensen Duppils, Gill
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Den akut förvirrade äldre mannen och den okonventionella vårdaren2004In: Att vara i omsorgens mitt / [ed] Sörensdotter, Renita; Michaeli, Inga, 2004, p. 17-18Chapter in book (Other academic)
  • 7.
    Sörensen Duppils, Gill
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Early detection and prevention of delirium in old patients with cancer: the role of nursing2004In: The 9th International Conference om Geriatric Oncology: Cancer in the Elderly, San Fransisco, USA, 2004Conference paper (Refereed)
  • 8.
    Sörensen Duppils, Gill
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Upplevelser av konfusion/akut förvirring/delirium. En resa från skymning genom nattens mörker till gryning och dagsljus2003In: Vårdstämman -03, Stockholm, 2003Conference paper (Other academic)
  • 9.
    Sörensen Duppils, Gill
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Johansson, Inger
    NEECHAM Confusion Scale för bedömning av akut förvirringstillstånd2010In: Geriatrisk Sykepleie, ISSN 0809-697x, Vol. 2, no 3, p. 9-12Article in journal (Other academic)
    Abstract [un]

    Akut förvirringstillstånd/ delirium är ett tillstånd uppmärksammats som ett allvarligt och ofta förekommande vårdproblem hos äldre i samband med akut sjukdom. Tillståndet kan bedömas med olika skalor. Syftet med denna studie var att undersöka om NEECHAM Confusion Scale kunde predicera akut förvirringstillstånd. Sammanlagt 149 patienter med höftfraktur inkluderades i studien, de som bedömdes ha akut förvirringstillstånd och/eller grav kognitiv nedsättning exkluderades. NEECHAM skalan användes vid ankomst och utskrivning och jämfördes med DSM-IV diagnoskriterier för delirium. NEECHAM skalan visade sig ha en mycket god prediktiv förmåga. Risken att drabbas av svårt förvirringstillstånd var nära 3 ggr så hög för patienter som bedömdes ha hög risk för akut förvirringstillstånd enligt NEECHAM skalan än för dem som hade normal funktion. För patienter som hade lägre än 25 poäng var risken mer än 12 ggr så hög. Studien ger stöd för att NEECHAM är ett viktigt instrument för att predicera akut förvirring bland patienter med höftfraktur. Det finns dock behov av fortsatta studier avseende NEECHAM skalans predicerade förmåga med fokus på andra patientgrupper där risk för akut förvirringstillstånd föreligger.

  • 10.
    Sörensen Duppils, Gill
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Johansson, Inger
    Predictive Value and Validation of NEECHAM Confusing Scale using DSM-IV Criteria for Delirium as Gold Standard2011In: International Journal of Older People Nursing, ISSN 1748-3743, Vol. 6, no 2, p. 133-42Article in journal (Refereed)
    Abstract [en]

    Delirium is common among old patients in hospital, especially those who undergo hip surgery. Various instruments have been developed for detecting delirium. One of these, the NEECHAM Confusion Scale, is easy for nurses to administrate but needs to be tested further. The aim of the present study was to assess the validity and predictive value of the NEECHAM Confusion Scale. Methods: The study was conducted in an orthopaedic clinic in Sweden among 149 patients aged >65, who had undergone surgery for a hip fracture. The patients were observed daily regarding DSM-IV criteria for delirium. The NEECHAM Confusion Scale was performed upon admission and prior to discharge. Results: The incidence of DSM-IV related delirium was 24%. Patients who scored below 25p on the NEECHAM scale had a 12 times higher risk of developing DSM-IV related delirium. In relation to delirium, according DSM-IV, the sensitivity upon admission of NEECHAM scale was 0 and the specificity was 75%. On discharge it was 100% and 91% respectively. Conclusions: This study compliments the topics that NEECHAM Confusions Scale discriminates for delirium. It is a valid and reliable screening instrument for predicting delirium. However, there are views on whether its physiological measurements should be excluded or not. The instrument should be used within clinical practice to identify older patients who are at risk of contracting delirium and when considering prevention measures.

  • 11.
    Sörensen Duppils, Gill
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Wikblad, K.
    Behavioural changes before and during the prodromal phase of delirium2004In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 13, no 5, p. 609-16Article in journal (Refereed)
  • 12.
    Sörensen Duppils, Gill
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Wikblad, K.
    Cognitive function and health-related quality of life after delirium in connection with hip surgery: a six-month follow-up2004In: Orthopedic Nursing, ISSN 0744-6020, E-ISSN 1542-538X, Vol. 23, no 3, p. 195-203Article in journal (Refereed)
  • 13.
    Sörensen Duppils, Gill
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Wikblad, Karin
    Acute confusional states after admission to hospital1998In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 7, no 2, p. 195-196Article in journal (Refereed)
  • 14.
    Sörensen Duppils, Gill
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Wikblad, Karin
    Acute confusional states in patients undergoing hip surgery: a prospective observation study2000In: Gerontology, ISSN 0304-324X, E-ISSN 1423-0003, Vol. 46, no 1, p. 36-43Article in journal (Refereed)
  • 15.
    Sörensen Duppils, Gill
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Wikblad, Karin
    Patients' experience of being delirious2007In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 16, no 5, p. 810-818Article in journal (Refereed)
    Abstract [en]

    The aim was to describe patients" experiences of being delirious.

    Background. Delirium is a serious psychiatric disorder that is frequently reported from hospital care settings, particularly among older patients undergoing hip surgery. It involves disturbances of consciousness and changes in cognition, a state which develops over a short period of time and tends to fluctuate during the course of the day. It is a certified fact that delirium is poorly diagnosed and recognized although the state often is described as terrifying. To be able to give professional care, it is of the utmost importance to know more about patients" experience of delirium.

    Method. Included in the interviews were patients who had undergone hip-related surgery and during the hospital stay experienced delirium. Fifteen patients participated in the interviews. Of these, six had experienced episodes of nightly delirium (sundown syndrome) and nine experienced delirium during at least one day. The interviews were analysed by qualitative content analysis.

    Results. The entry of delirium was experienced as a sudden change of reality that, in some cases, could be connected to basic unfulfilled physiological needs. The delirium experiences were like dramatic scenes that gave rise to strong emotional feelings of fear, panic and anger. The experiences were also characterized by opposite pairs; they took place in the hospital but at the same time somewhere else; it was like dreaming but still being awake. The exit from the delirium was associated with disparate feelings.

    Relevance to clinical practice. It is necessary to understand patients" thoughts and experiences during the delirious phase to be able to give professional care, both during the delirium phase and after the recovery.

1 - 15 of 15
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