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  • 301.
    Ewertzon, Mats
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Andershed, B.
    Svensson, E.
    Lützen, Kim
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Family member's expectation of the psychiatric healthcare professionals' approach towards them2011In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 18, no 2, p. 146-157Article in journal (Refereed)
    Abstract [en]

    The importance of involving family members in the care of individuals with schizophrenia or other psychotic illnesses has received increasing attention within psychiatric healthcare services. However, investigations among family members suggest that they often experience a lack of involvement. The professionals' approach towards them may have bearing on whether they feel involved or not. The aim of this survey was to investigate what aspects family members of individuals receiving psychiatric care ascribe as important in relation to the healthcare professionals' approach towards them and how these aspects agree with their actual experiences. Seventy family members of individuals with schizophrenia or other psychotic illnesses from various parts of Sweden replied to a questionnaire that was developed in order carry out this survey. Results of this survey suggest that the participants valued openness, confirmation, cooperation and continuity as important aspects in the professionals' approach towards them. The results also show a low level of agreement between the participants' actual experience of the professionals' approach and what they consider as important. The knowledge produced in this survey can contribute to an understanding of the expectations family members have regarding the professionals' approach towards them. Such knowledge plays an important role in contributing to the development of a family-focused perspective within psychiatric healthcare services. Abstract The importance of involving family members in the care of individuals with schizophrenia or other psychotic illnesses has received increasing attention within psychiatric healthcare services. However, several studies suggest that family members often experience a lack of involvement. Furthermore, research indicates that family members' experience of the professional's approach has bearing on whether they feel involved or not. Thus, the aims of this study were to investigate the level of importance that the family members of individuals with schizophrenia or other psychotic illnesses ascribe to the professionals' approach, the level of agreement between their experiences and what they consider as important, and aspects they consider to be important with regards to contact with professionals. Seventy family members from various parts of Sweden participated. Data were collected by the Family Involvement and Alienation Questionnaire and open-ended questions. The median level and quartiles were used to describe the distribution, and percentage agreement was analysed. Open-ended questions were analysed by qualitative content analysis. The results reveal that the majority of the participants consider Openness, Confirmation, and Cooperation as important aspects of a professional's approach. Continuity emerged as an additional aspect. The results show a low level of agreement between the participants' experience and what they consider as important.

  • 302.
    Ewertzon, Mats
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Lützen, Kim
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Svensson, E.
    Andershed, B.
    Family members' involvement in psychiatric care: experiences of the healthcare professionals' approach and feeling of alienation2010In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 17, no 5, p. 422-432Article in journal (Refereed)
    Abstract [en]

    The results contribute knowledge of family member's (from a large geographic area) experiences of psychiatric healthcare professionals' approach towards them, an approach that is characterized by 'Openness', 'Confirmation' and 'Cooperation'. The results contribute knowledge that their experiences of the professional's approach is partly associated with a feeling of being alienated from professional care, characterized by 'Powerlessness' and 'Social isolation'. The result also contributes knowledge of relationships between family member's level of satisfaction in their contact with psychiatric care and their experience of the healthcare professionals' approach and feeling of alienation. Abstract The involvement of family members in psychiatric care is important for the recovery of persons with psychotic disorders and subsequently reduces the burden on the family. Earlier qualitative studies suggest that the participation of family members can be limited by how they experience the professionals' approach, which suggests a connection to the concept of alienation. Thus, the aim of this study was in a national sample investigate family members' experiences of the psychiatric health care professionals' approach. Data were collected by the Family Involvement and Alienation Questionnaire. The median level and quartiles were used to describe the distributions and data were analysed with non-parametric statistical methods. Seventy family members of persons receiving psychiatric care participated in the study. The results indicate that a majority of the participants respond that they have experiencing a negative approach from the professionals, indicating lack of confirmation and cooperation. The results also indicate that a majority of the participants felt powerlessness and social isolation in the care being provided, indicating feelings of alienation. A significant but weak association was found between the family members' experiences of the professionals' approach and their feelings of alienation.

  • 303.
    Fagrell, Dea
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Sjödén, Beatrice
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Patienters upplevelser av fysisk aktivitet som behandling vid depression: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Depression is a world-wide problem in today’s society and more than 350 million people are affected. The self-esteem can be affected negatively of depression and negative thoughts, lethargy and apathy can also be part of the symptomatology. Physical activity has a positive influence on mental health in healthy people and can be recommended as a treatment for depression. Personcentered care means that the persons own experience of their unique situation is put in focus, therefore can the wellbeing increase as well as the person gets more influence in their own care and also gets confirmed and seen.

    Aim: Describe how patients with depression experiences physical activity as a treatment for depression.

    Method: A literature review based on 16 scientific articles collected from CINAHL and PsycINFO. These were analysed in five stages and themes were created thereafter.

    Result: Patients with depression experienced improvement in their condition thanks to physical activity. Increased psychological wellbeing, distraction of negative thought patterns, increased self-confidence and sleep was described. Barriers for performing physical activity was described to be performance anxiety and lack of self-confidence. Individualized and motivating strategies, for example structured training programs, and also experiencing positive results increased the motivation in patients with depression.

    Conclusion: Physical activity has a positive impact on people with depression and increases wellbeing. It is important as a nurse to see underlying reasons why people with depression sometimes performs physical activity in a smaller extent. Through individualised, motivating and distinct strategies these people can recieve optimal conditions to improve depression over time. Through the nurses person centered work by motivating and supporting performance of physical activity, people with depression can feel confirmed, seen, respected as well as experience increased psychological wellbeing.

  • 304.
    Falegård Johansson, Mikaela
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Skansgård, Sara
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Sjuksköterskors erfarenheter av parenteral nutrition för patienter i livets slutskede: En litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Previous research shows that parenteral nutrition is administered to

    patients who are at the end of life, even though the medical benefit is unclear.

    Aim: Through a scientific literature review describe nurses' experiences of what is

    important in the work of parenteral nutrition for patients in the end of life.

    Method: A literature review, based on 13 articles with both qualitative and

    quantitative design. The articles were searched on databases CINAHL and

    PubMed

    Result: Participation in care team was of great importance, a working partnership

    where the nurse wanted and had the opportunity to work as a care manager

    experienced by nurse’s result in good person-centered care. Experience and own

    emotions play a significant role in how much the nurse dare and want to be

    involved in decisions regarding PN at the end of life , and the relationship that is

    created with the patient's relatives.

    Conclusion: Increased knowledge of parenteral nutrition in palliative care and

    person-centered care needed for nurses to dare to be actively involved and to

    strengthen the patient in the final stages of life.

  • 305.
    Falk, Amanda
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Lowén, Caroline
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Kvinnors upplevelser av omvårdnaden i samband med en abort: En litteraturöversikt2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Globally, approximately 56 million abortions were performed in 2014 and in Sweden about 35–38000 abortions are performed annually. There are various reasons why women choose to end their pregnancies. Some of the things are that there is the wrong time in life, socio-economic factors, lack of education and that the relationship with the partner is not stable. There are studies that show that one in four women and only half of their partners have been satisfied with the nursing care during an abortion. It is therefore important to describe women's experiences of nursing and to increase knowledge about their experiences in how to best support women who undergo an abortion.

    Aim: The aim of this literature review was to describe women´s experiences of nursing during an abortion.

    Method: A literature review based on 15 scientific articles from the databases CINAHL, PubMed and PsycINFO.

    Results: The women's experiences of the nursing care during an abortion were mainly that they received a lack of information and insufficient pain relief. The results also showed the importance of a good support and a neutral and non-judgmental treatment from the nurses and the relatives. It was also important for women being able to decide on their own abortion.

    Conclusion: An abortion is complex as it involves both physical and emotional pain. It is important that women get information about the abortion and how it can affect them physically and emotionally. Nurses must also be adaptable and responsive for different needs, as well as provide professional and neutral support. This because an abortion is often filled with guilt and shame.

  • 306.
    Falkenström, Anna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Hein, Terese
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Kvinnors upplevelser av fosterrörelser och upplevd anknytning med mindfetalness2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The movement pattern is unique to each individual child, and so even the woman's experiences of fetal movements. The patterns intensity and duration, provides important information about the unborn child's well-being. Different methods to document the child´s movement pattern, are used by pregnant women. The self-assessment method mindfetalness, means that you are paying attention to the fetal movement's strength, type and frequency.

     

    Aim: To examine women's experiences of fetal movements and perceived attachment with mindfetalness as self-assessment method.

     

    Method: Crossover trial with a qualitative and abductive approach. Systematic text condensation was used as analyzed method.

     

    Result: Three main categories and six subcategories could be identified in the results. Security was a major factor why the women wanted to feel fetal movements. Lightweight, stretchy and strong movements, was most abundant in the descriptions. Mindfetalness helped the women feel attachment with their child and create an expectation.

     

    Conclusion: Mindfetalness can be a good method to help women strengthen their connection to the unborn baby and her self-confidence. Living in the moment and take the time to get to know their child and its movements can be very helpful in the related process. Fetal movements are unique and the midwife can use mindfetalness, to get information about the movement pattern and the treatment of the woman.

     

    Clinical applicability: There is limited research on the topic mindfetalness and the authors believe that further research on the topic for it to be used in clinical practice.

  • 307.
    Fernström, Therese
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Ylitalo, Anitta
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Skolsköterskans erfarenhet av kommunikation med vårdnadshavare gällande ohälsa hos elev i kommunal grundskola: En kvalitativ intervjustudie2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: To describe the school nurse's experiences of communication with guardians regarding illness among pupils in local primary schools.

    Method: A qualitative descriptive method with the inductive approach was used. Semi-structured interviews were performed with seven nurses. The data were analyzed by content analysis with manifested direction.

    Findings: The nurse´s experience in this study shows that it was important to be available and accessible for guardians. A straight, honest and informative communication contributed to a common understanding in the relationship. The school nurse´s highlighted the importance of confirming, give advice and support in parenting and the importance of giving positive feedback. The school nurse´s exemplified aggravating factors in communications from several aspects. The communication is adversely affected when the denial of health problems were the guardians. Demands on the school nurse's flexibility and tolerance were large. Although language problems were considered to be a growing.

    Conclusion: The school nurses experience of being available to pupil’s guardians was considered very important for continued good communication and good cooperation. A relationship with open, honest and trustworthy communication made it possible for guardians to be heard, and in which school nurses could do themselves understood. An empathy for the guardian's situation and conditions were considered to be of great importance. The experience of inadequacy was particularly noticeable in the meeting with newly arrived where communication was hard to understand when resources such as interpreter support were not always available.

  • 308.
    Fix Olsson, Josefin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Ågren, Hanna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Hälso- och sjukvårdspersonalens upplevelser av attvårda patienter med multiresistenta bakterier: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Multiresistant bacteria is a global problem and a threat to public

    health. Infection prevention such as basic hygiene routines are a key part of

    preventive work against multiresistant bacteria. Patients who is a carrier of a

    multiresistant bacteria can experience feelings of insecurity and shame, therefore it

    is important that all healthcare professionals apply a person-centered care.

    Aim:

    To study the healthcare professionals' experience of caring for patients with

    multiresistant bacteria.

    Method:

    The study has been conducted as a literature review based on 15 articles.

    The articles were of both qualitative and quantitative method as well as mixed

    method with combined qualitative and quantitative method. Databases used in the

    search are PubMed and CINAHL. The analysis resulted in three themes.

    Result:

    The results are presented in three different themes: Experiences of fear

    and insecurity, experienced lack of knowledge and need for education and

    experiences of obstacles to the performance of infection prevention measures.

    Conclusion:

    Fear and insecurity in healthcare staff clearly emerged and led to

    shortcomings in the performance of nursing care. The result also showed an

    experienced ignorance of multiresistant bacteria and a need for education was

    requested. Knowledge through education would result in a greater understanding

    of multiresistant bacteria and reduce the fear among healthcare professionals

    ’.

  • 309.
    Fjägerås, Ida
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Villman, Julia
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Måltidssituationer hos personer med demenssjukdom – en litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Dementia is a global disease that increases for every year. Physical and psychological abilities reduce continuously during the disease course. It is usual that people with dementia is affected by malnutrition since they forget how and when to eat. Healthcare professionals’ need more knowledge about mealtime situations for people with dementia and how to customize their needs about increasing food intake.

    Aim:

    To illustrate aspect of healthcare professional’s knowledge about mealtime situations for people with dementia in nursing homes.

    Method:

    A literature review based on 15 research articles. Eleven articles were qualitative design and four were mixed design. Used databases were CINAHL and PubMed.

    Results:

    A main result showed that healthcare professionals needed more knowledge about mealtime situations and how to provide increased food intake. Healthcare professionals adjust mealtime situations according to the abilities that people with dementia had. Healthcare professionals did consideration about different kind of arrangement to reduce stimuli in mealtime situations for people living with dementia.

    Conclusion:

    Healthcare professionals had knowledge about nursing for people with dementia but not enough. The needs among people living with dementia are many and the lack of knowledge in healthcare professionals' work is not approval. In mealtime situations the lack of knowledge about optimal nutrition status among people with dementia and surrounded by healthcare professionals' is not clearly to sustain.

  • 310.
    Flacking, Renée
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    The neonatal environment and the long-term impact of neonatal care2018Other (Other (popular science, discussion, etc.))
  • 311.
    Flacking, Renée
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Breili C, C
    Eriksson, M
    Facilities for presence and provision of support to parents and significant others in neonatal units2019In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 108, no 12, p. 2186-2191Article in journal (Refereed)
    Abstract [en]

    AIM: To describe parental facilities for staying in neonatal units, visiting policies, and access to emotional support during hospitalization.

    METHODS: A cross-sectional design was used in which a survey was presented to all neonatal units in Sweden; 34 out of 38 units participated (89%).

    RESULTS: The findings showed that in 50% of the units, parents could stay 24/7 for the infant's entire hospital stay. In 32% of the units, siblings could stay the night with their parents. Units had policies on restrictions for visits by siblings (80%), grandparents (59%), friends and relatives (71%). All units offered counselling to parents, and some units offered peer-to-peer groups (24%), diaries (35%), relaxation techniques (6%) or internet parental forums (6%). All units enabled parents to be at home with their infant and to visit the unit for check-ups (35%) or to have staff visits at home (65%).

    CONCLUSION: Facilities for parents to stay with their infant during hospitalization and to have significant others visit are good, but there is room for improvement. During the transitional phase to being at home, parents are facilitated in being at home before the infant is discharged and are supported by the unit, which must be considered beneficial for parents. This article is protected by copyright. All rights reserved.

  • 312.
    Flacking, Renée
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Maternal and Infant Nutrition and Nurture Unit (MAINN), School of Health, University of Central Lancashire, Preston, Lancashire, UK.
    Dykes, Fiona
    University of Central Lancashire.
    ‘Being in a womb’ or ‘playing musical chairs’: the impact of place and space on infant feeding in NICUs2013In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 13, article id 179Article in journal (Refereed)
    Abstract [en]

    Background: Becoming a parent of a preterm baby requiring neonatal care constitutes an extraordinary life situation in which parenting begins and evolves in a medical and unfamiliar setting. Although there is increasing emphasis within maternity and neonatal care on the influence of place and space upon the experiences of staff and service users, there is a lack of research on how space and place influence relationships and care in the neonatal environment. The aim of this study was to explore, in-depth, the impact of place and space on parents’ experiences and practices related to feeding their preterm babies in Neonatal Intensive Care Units (NICUs) in Sweden and England.

    Methods: An ethnographic approach was utilised in two NICUs in Sweden and two comparable units in England, UK. Over an eleven month period, a total of 52 mothers, 19 fathers and 102 staff were observed and interviewed. A grounded theory approach was utilised throughout data collection and analysis.

    Results: The core category of ‘the room as a conveyance for an attuned feeding’ was underpinned by four categories: the level of ‘ownership’ of space and place; the feeling of ‘at-homeness’; the experience of ‘the door or a shield’ against people entering, for privacy, for enabling a focus within, and for regulating socialising and the; ‘window of opportunity’. Findings showed that the construction and design of space and place was strongly influential on the developing parent-infant relationship and for experiencing a sense of connectedness and a shared awareness with the baby during feeding, an attuned feeding.

    Conclusions: If our proposed model is valid, it is vital that these findings are considered when developing or reconfiguring NICUs so that account is taken of the influences of spatiality upon parent’s experiences. Even without redesign there are measures that may be taken to make a positive difference for parents and their preterm babies.

  • 313.
    Flacking, Renée
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Chinese University of Hong Kong, Hong Kong; Maternal and Infant Nutrition and Nurture Unit (MAINN), University of Central Lancashire, United Kingdom.
    Dykes, Fiona
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Maternal and Infant Nutrition and Nurture Unit (MAINN), University of Central Lancashire, United Kingdom; Chinese University of Hong Kong, Hong Kong; University of Western Sydney, Australia .
    Cross-national ethnography in neonatal intensive care units2015In: Ethnographic Research in Maternal and Child Health / [ed] Fiona Dykes and Renée Flacking, Taylor & Francis, 2015, p. 89-116Chapter in book (Other academic)
  • 314.
    Flacking, Renée
    et al.
    Department of Women's and Children's Health, Uppsala University, SE-751 85 Uppsala, Sweden; Center for Clinical Research Dalarna, SE-791 82 Falun, Sweden; Department of Paediatrics, Falun Hospital, SE-791 82 Falun Sweden.
    Dykes, Fiona
    Maternal and Infant Nutrition and Nurture Unit (MAINN), School of Public Health and Clinical Sciences, University of Central Lancashire, Preston, PR1 2HE, UK.
    Ewald, Uwe
    Department of Women's and Children's Health, Uppsala University, SE-751 85 Uppsala, Sweden.
    The influence of fathers’ socioeconomic status and paternity leave on breastfeeding duration: a population based cohort study2010In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 38, p. 337-343Article in journal (Refereed)
    Abstract [en]

    Aim: The propensity to breastfeed is a matter of public concern because of the favourable effects for infants. However, very few studies have described the influence of paternal variables upon duration of breastfeeding. The aim of this study was to describe the effects of fathers’ socioeconomic status and their use of paternity leave on breastfeeding duration for infants up to 1 year of age. Methods: A prospective population-based cohort study was undertaken. Data on breastfeeding, registered in databases in two Swedish counties for 1993—2001, were matched with data on socioeconomic status and paternity leave obtained from Statistics Sweden. Fathers of 51,671 infants were identified and included. Results: Infants whose fathers had a lower level of education, were receiving unemployment benefit and/or had a lower equivalent disposable household income were significantly less likely to be breastfed at 2, 4, 6, 9, and 12 months of age. Infants whose fathers did not take paternity leave during the infant’s first year were significantly less likely to be breastfed at 2 (p < 0.001), 4 (p < 0.001), and 6 months (p < 0.001). Conclusions: This paper shows that an enabling of an increased involvement from fathers during the infants’ first year of life, such as by paid paternity leave, may have beneficial effects on breastfeeding up to 6 months of age. A more systematic approach to supporting fathers’ involvement may be particularly valuable to those infants whose fathers have a lower socioeconomic status.

  • 315.
    Flacking, Renée
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Thomson, Gill
    Axelin, Anna
    Pathways to emotional closeness in neonatal units - a cross-national qualitative study.2016In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 16, no 1, article id 170Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Research shows evidence for the importance of physical and emotional closeness for the infant, the parent and the infant-parent dyad. Less is known about how, when and why parents experience emotional closeness to their infants in a neonatal unit (NU), which was the aim of this study.

    METHODS: A qualitative study using a salutogenic approach to focus on positive health and wellbeing was undertaken in three NUs: one in Sweden, England and Finland. An 'emotional closeness' form was devised, which asked parents to describe moments/situations when, how and why they had felt emotionally close to their infant. Data for 23 parents of preterm infants were analyzed using thematic networks analysis.

    RESULTS: A global theme of 'pathways for emotional closeness' emerged from the data set. This concept related to how emotional, physical, cognitive and social influences led to feelings of emotional closeness between parents and their infants. The five underpinning organising themes relate to the: Embodied recognition through the power of physical closeness; Reassurance of, and contributing to, infant wellness; Understanding the present and the past; Feeling engaged in the day to day and Spending time and bonding as a family.

    CONCLUSION: These findings generate important insights into why, how and when parents feel emotionally close. This knowledge contributes to an increased awareness of how to support parents of premature infants to form positive and loving relationships with their infants. Health care staff should create a climate where parents' emotions and their emotional journey are individually supported.

  • 316.
    Flacking, Renée
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Maternal and Infant Nutrition and Nurture Unit (MAINN), School of Health, University of Central Lancashire, Preston, Lancashire, UK ; Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden.
    Thomson, Gill
    University of Central Lancashire.
    Ekenberg, Linda
    Maternal and Infant Nutrition and Nurture Unit (MAINN), School of Health, University of Central Lancashire, Preston, Lancashire, UK.
    Löwegren, Linda
    Maternal and Infant Nutrition and Nurture Unit (MAINN), School of Health, University of Central Lancashire, Preston, Lancashire, UK.
    Wallin, Lars
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
    Influence of NICU co-care facilities and skin-to-skin contact on maternal stress in mothers of preterm infants2013In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 4, no 3, p. 107-112Article in journal (Refereed)
    Abstract [en]

    Objective: To investigate the influence of co-care facilities and amount of skin-to-skin contact during Neonatal Intensive Care Unit (NICU) stay on maternal stress in mothers of preterm infants at two months corrected age.

    Methods:  A prospective cohort study that involved 300 mothers of pre-term infants was conducted in four NICUs (two with co-care facilities and two with non co-care) in Sweden. Data on duration of skin-to-skin contact per day for all days admitted to the NICU were collected using self-reports. Maternal stress was measured by the Swedish Parental Stress Questionnaire (SPSQ) at two months of infant’s corrected age.

    Results: Mothers whose infants were cared for in a NICU with co-care facilities reported significantly lower levels of stress in the dimension of ‘incompetence’ compared to mothers whose infants had been cared for in non co-care NICUs.  The amount of skin-to- skin experienced during the neonatal stay was not significantly associated with levels of maternal stress at two months corrected age.

    Conclusion:  The finding that mothers who do not experience co-care facilities experience greater levels of stress in relation to feelings of incompetence is of concern. Improvements to NICU environments are needed to ensure that mother-infant dyads are not separated.

  • 317.
    Flodin, Pia
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Kristenson, Lina
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Sjuksköterskors kunskapsläge gällande trycksår och trycksårsprevention - en litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim was to investigate the nurses’ level of knowledge concerning pressure ulcers and pressure ulcer prevention.

    The study was conducted as a general literature review. The databases used were PubMed, Cinahl and Web of Science. In total, 16 pieces of articles formed the basis of the beas results. Articles were written in Swedish or English and were not older than ten years.

    The result showed that nurses´ level of knowledge was low concerning pressure ulcers and pressure ulcer prevention. Further education and updating on the subject showed an increased level of knowledge among the nurses, however, were dropped in a short time since the regulations and routines at the departments where not updated. The nurses put frequently over responsibility for pressure ulcers and pressure sores prevention in assistant nurses and argued that the assessment of pressure sores happened automatically. Risk assessment instrument for pressure ulcers were used rarely or not at all. The nurses’ had more knowledge of preventive measures, in comparison with assistant nurses. Nursing students priority pressure ulcer prevention high.

    Conclusion: The lack of knowledge of nurses´ concerning pressure ulcers and pressure ulcer prevention was shown on several levels. The nurses did not know how to document correct, they had poor knowledge about prevention and the risk assessment instruments that were current on their particular workplace. Delegation of tasks, from registered nurse to assistant nurse, concerning pressure ulcers and pressure ulcer prevention often happened.

  • 318.
    Florin, Jan
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Ehrenberg, Anna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Ehnfors, Margareta
    Univ Orebro, Sch Hlth & Med Sci, S-71082 Orebro, Sweden.
    Björvell, Catrin
    Karolinska Univ Hosp, S-17176 Stockholm, Sweden; Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden.
    A comparison between the VIPS model and the ICF for expressing nursing content in the health care record2013In: International Journal of Medical Informatics, ISSN 1386-5056, E-ISSN 1872-8243, Vol. 82, no 2, p. 108-117Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Multi-professional standardized terminologies are needed that cover common as well as profession-specific care content in order to obtain a full coverage and description of the contributions from different health professionals' perspectives in health care. Implementation of terminologies in clinical practice that do not cover professionals' needs for communication might jeopardize the quality of care. PURPOSE: The aim of the study was to compare the structure and content of the Swedish VIPS model for nursing documentation and the international classification of function, disability and health (ICF). METHOD: Mapping was performed between key words and prototypical examples for patient status in the VIPS model and terms in the ICF and its framework of domains, chapters and specific terms. The study had two phases. In the first phase 13 key words for patient status in the VIPS model and the 289 terms (prototypical examples) describing related content were mapped to comparable terms in the ICF. In phase two, 1424 terms on levels 2-4 in the ICF were mapped to the key words for patient status in the VIPS model. RESULTS: Differences in classification structures and content were found, with a more elaborated level of detail displayed in the ICF than in the VIPS model. A majority of terms could be mapped, but several essential nursing care concepts and perspectives identified in the VIPS model were missing in the ICF. Two-thirds of the content in the ICF could be mapped to the VIPS' key words for patient status; however, the remaining terms in the ICF, describing body structure and environmental factors, are not part of the VIPS model. CONCLUSION: Despite that a majority of the nursing content in the VIPS model could be expressed by terms in the ICF, the ICF needs to be developed and expanded to be functional for nursing practice. The results have international relevance for global efforts to implement unifying multi-professional terminologies. In addition, our results underline the need for sufficient coverage and level of detail to support different professional perspectives in health care terminologies.

  • 319. Forberg, Ulrika
    et al.
    Johansson, Eva
    Ygge, Britt-Marie
    Wallin, Lars
    Karolinska Institutet.
    Ehrenberg, Anna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Accuracy in documentation of peripheral venous catheters in paediatric care: an intervention study in electronic patient records2012In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 21, no 9-10, p. 1339-1344Article in journal (Refereed)
    Abstract [en]

    Aims. The aim of this study is to compare the accuracy and completeness in the recording of peripheral venous catheters before and after implementing a template in the electronic patient record in paediatric care.

    Background. As a basis for quality improvement and research purposes and to ensure patient safety, accurate clinical data need to be easily accessible in patient records. Several studies have concluded that the relation between performed care and what is documented in patient records is poor.

    Design. Before and after study.

    Method. The study took place at a large paediatric university hospital in Sweden. Inclusion criteria were patients who were admitted to one of the included wards, had one or several peripheral venous catheters and were available at the ward at the time for data collection. Data were collected by observations and record audits before and then four and 10 months after the introduction of a template for recording peripheral venous catheters in a structured and standardised way.

    Results. A significant increase in peripheral venous catheters with complete recording was observed after as compared with before the intervention. The percentage of peripheral venous catheters with recording of any kind was relatively stable (85-93%). The overall recording of peripheral venous catheters insertion did not improve, but there was an increase in the recording of side and size after the intervention. One of the 22 complications observed before the intervention was documented and none of the complications (n = 17 and n = 9) after.

    Conclusion. The electronic patient record did not provide accurate data on peripheral venous catheters in paediatric care neither before nor after the intervention. Relevance to clinical practice. Further efforts to increase the documentation of catheter-related complications are needed. Integrated decision support systems in electronic patient records that remind nurses to inspect peripheral venous catheters regularly could be one solution.

  • 320.
    Forslund, Sofia
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Ljungberg, Linnéa
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Patienters erfarenhet av perifert insatt central kateter: En litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Syftet med studien var att beskriva patienters erfarenheter av perifert insatt central kateter (PICC-line). Metod: Examensarbetet genomfördes som en litteraturöversikt och baserades på nio vetenskapliga originalartiklar med kvantitativ ansats och kvalitativ ansats. Litteratursökningen utfördes i databaserna CINAHL och PubMed. Resultat: Tre teman konstruerades: information och undervisning, patienters upplevelse av insättningsproceduren och erfarenheter av att leva med PICC-line. Studierna visade att patienterna generellt var nöjda med PICC-line och att de uppskattade den enkla insättningen. Eventuell oro minskade genom att patienterna fick individanpassad information. Beslutet att låta sätta in en PICC-line påverkades till stor del av att patienten kunde få behandling utanför sjukhus, att antalet venpunktioner minskade samt bekvämligheten av att ha PICC-line. Bekymmer som patienterna initialt upplevde minskade med tiden i takt med att de anpassade sig och accepterade sin PICC-line. Majoriteten av patienterna kunde fortsätta med de dagliga aktiviteterna och en del kunde fortsätta arbeta. Slutsats: Trots att PICC-line påverkar patientens dagliga liv anpassar majoriteten sig väl och är nöjda. För att insättningen ska bli en så behaglig upplevelse som möjligt för patienten krävs att hon får vara delaktig, får individuellt anpassad information och att det finns utrymme för frågor. Hur information ges, såväl muntligt som skriftligt, bör förbättras så att patienten förstår och förmår ta in. För att PICC-line ska fortsätta vara ett populärt alternativ hos de som behöver långvarig venös tillgång måste sjuksköterskan ha en helhetssyn och förebygga att bekymmersamma situationer uppstår, som till exempel vid dusch. Patienten måste känna att hon har ett gott stöd från sjukvårdspersonal och att hon har självförtroendet att klara sig hemma med PICC-line. Vården som ges ska vara evidensbaserad och då är det viktigt att vara kritisk vid användandet av metoder som inte är evidensbaserade, som exempelvis PICC-line.

  • 321.
    Forsman, Henrietta
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Nyutbildade sjuksköterskors användning av forskningsresultat2012Conference paper (Other academic)
  • 322.
    Forsman, Henrietta
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Gustavsson, Petter
    Ehrenberg, Anna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Rudman, Ann
    Wallin, Lars
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Research use in clinical practice: extent and patterns among nurses one and three years postgraduation2009In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 65, no 6, p. 1195-1206Article in journal (Refereed)
    Abstract [en]

    Aim.  This paper is a report of a study of nurses’ research use in clinical practice one and three years postgraduation in Sweden.

    Background.  Internationally, learning to critically appraise and use research is an educational objective within nursing training, with the aim of promoting research use in nursing practice. The extent to which these skills is acquired and used among relatively newly graduated nurses is largely unexplored, however.

    Method.  A descriptive study was conducted in 2006 using a national longitudinal survey of two nursing cohorts one (n = 1,365) and three (n = 933) years postgraduation. The self-reported extent of instrumental, conceptual and persuasive research use was measured. Data were analysed using both variable- and pattern-oriented approaches based on cluster analysis.

    Results.  Research use was reported to occur in about half or fewer of the working shifts. In both samples, seven clusters of nurses with different research use profiles were identified. Clusters representing overall low and very low users in all three types of research use were predominant both at one (45·6%) and three (51·6%) years postgraduation, whereas clusters of nurses reporting overall high research use were uncommon. The proportion of very low users was larger 3 years after graduation than 1 year after graduation.

    Conclusions.  The low extent of reported research use, raises the question of whether scientific perspectives included in nursing education are translated into clinical application. The pattern-oriented approach illustrates the complexity of research use and identification of typical research use profiles in specific contexts may have potential to guide interventions aimed at supporting evidence-based practice.

  • 323.
    Forsman, Henrietta
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Jansson, Inger
    Leksell, Janeth
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Uppsala University.
    Lepp, Margret
    Sundin Andersson, Christina
    Engström, Maria
    Nilsson, Jan
    Clusters of competence: Relationship between self-reported professional competence and achievement on a national examination among graduating nursing students.2019In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648Article in journal (Refereed)
    Abstract [en]

    AIMS: To identify clusters based on graduating nursing students' self-reported professional competence and their achievement on a national examination. Furthermore, to describe and compare the identified clusters regarding sample characteristics, students' perceptions of overall quality of the nursing programme and students' general self-efficacy.

    DESIGN: A cross-sectional study combining survey data and results from a national examination.

    METHODS: Data were collected at two universities and one university college in Sweden in January 2017, including 179 students in the final term of the nursing programme. The study was based on the Nurse Professional Competence Scale, the General Self-Efficacy scale and results from the National Clinical Final Examination. A Two-Step Cluster Analysis was used to identify competence profiles, followed by comparative analyses between clusters.

    RESULTS: Three clusters were identified illustrating students' different competence profiles. Students in Cluster 1 and 2 passed the examination, but differed in their self-assessments of competence, rating themselves under and above the overall median value respectively. Students in Cluster 3 failed the examination but rated themselves at the overall median level or higher.

    CONCLUSION: The study illustrates how nursing students' self-assessed competence might differ from competency assessed by examination, which is challenging for nursing education. Self-evaluation is a key learning outcome and is, in the long run, essential to patient safety.

    IMPACT: The study has identified clusters of students where some overestimate and others underestimate their competence. Students who assessed their competence low but passed the exam assessed their general self-efficacy lower than other students. The findings illuminate the need for student-centered strategies in nursing education, including elements of self-assessment in relation to examination to make the students more aware of their clinical competence.

  • 324.
    Forsman, Henrietta
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Rudman, Ann
    Gustavsson, Petter
    Ehrenberg, Anna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Wallin, Lars
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karolinska institutet.
    Nurses' research utilization two years after graduation: a national survey ofassociated individual, organizational, and educational factors2012In: Implementation Science, ISSN 1748-5908, E-ISSN 1748-5908, Vol. 7, article id 46Article in journal (Refereed)
    Abstract [en]

    Background. Nurses' research utilization (RU) as part of evidence-based practice is strongly emphasized in today's nursing education and clinical practice. The primary aim of RU is to provide high-quality nursing care to patients. Data on newly graduated nurses' RU are scarce, but a predominance of low use has been reported in recent studies. Factors associated with nurses' RU have previously been identified among individual and organizational/contextual factors, but there is a lack of knowledge about how these factors, including educational ones, interact with each other and with RU, particularly in nurses during the first years after graduation. The purpose of this study was therefore to identify factors that predict the probability for low RU among registered nurses two years after graduation.

    Methods. Data were collected as part of the LANE study (Longitudinal Analysis of Nursing Education), a Swedish national survey of nursing students and registered nurses. Data on nurses' instrumental, conceptual, and persuasive RU were collected two years after graduation (2007, n = 845), together with data on work contextual factors. Data on individual and educational factors were collected in the first year (2002) and last term of education (2004). Guided by an analytic schedule, bivariate analyses, followed by logistic regression modeling, were applied.

    Results. Of the variables associated with RU in the bivariate analyses, six were found to be significantly related to low RU in the final logistic regression model: work in the psychiatric setting, role ambiguity, sufficient staffing, low work challenge, being male, and low student activity.

    Conclusions. A number of factors associated with nurses' low extent of RU two years postgraduation were found, most of them potentially modifiable. These findings illustrate the multitude of factors related to low RU extent and take their interrelationships into account. This knowledge might serve as useful input in planning future studies aiming to improve nurses', specifically newly graduated nurses', RU.

  • 325.
    Forsman, Henrietta
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Rudman, Ann
    Gustavsson, Petter
    Ehrenberg, Anna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Wallin, Lars
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Use of research by nurses during their first two years after graduating2010In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 66, no 4, p. 878-890Article in journal (Refereed)
    Abstract [en]

    Aim. This paper reports on a study of research use among nurses two years after graduation, as well as changes over time in research use in relation to changes in working conditions. 

    Background. The demand for evidence-based practice is widely expressed, and newly graduated nurses should possess the skills to provide high-quality care based on the best knowledge available. The way in which nurses use research during the first few years after graduating is, however, largely unknown. 

    Method. As part of a national longitudinal survey, nurses reported their extent of instrumental, conceptual and persuasive research use in 2006 (n = 1365) and 2007 (n = 1256). Data were analysed cross-sectionally and prospectively, using variable- and pattern-oriented methods. 

    Results. Instrumental research was reported most frequently, on about half of the working shifts. Seven profiles of research use were found, showing structural stability over time when compared with results from year 1. Most typically, nurses maintained the same profile over time; moreover, low users tended to become even lower users. Two years after graduation, 54 center dot 9% reported overall low use. Changes in working conditions did not explain the decrease in research use. 

    Conclusion. The results support previous claims of a gap between research and clinical practice. The predominance of overall low users is alarming and requires further research, including investigation of individual and organizational factors, to study their impact on nurses' research use.

  • 326.
    Forsner, Maria
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Omvårdnad vid procedurer2015In: Pediatrisk omvårdnad / [ed] Inger Hallström och Tor Lindberg, Stockholm: Liber , 2015, 2Chapter in book (Other academic)
  • 327.
    Forsner, Maria
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Smärta hos barn2013In: Kvalitetsindikatorer inom omvårdnad / [ed] Ewa Idvall, Stockholm: Gothia Förlag AB, 2013, 6, p. 24-27Chapter in book (Other academic)
  • 328.
    Forsner, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Berggren, Jenny
    Masaba, Jennipher
    Ekbladh, Annelie
    Children's and Youths' Clinic, Central Lasarettet, Växjö, Sweden.
    Lindholm Olinder, Anna
    Department of Clinical Science and Education, Karolinska Institute, Södersjukhuset, Stockholm, Sweden; Uppsala University, Department of Medical Sciences, Akademiska Sjukhuset, Uppsala, Sweden.
    Parents’ experiences of caring for a child younger than two years of age treated with continuous subcutaneous insulin infusion2014In: European Diabetes Nursing, ISSN 1551-7853, E-ISSN 1551-7861, Vol. 11, no 1, p. 7-12Article in journal (Refereed)
    Abstract [en]

    Diabetes during infancy is uncommon and continuous subcutaneous insulin infusion (CSII) is the recommended treatment with such young children. However, this form of treatment has not been investigated previously from the perspective of the parents.

    The aim of this study was to determine parents' experiences of caring for a child less than two years old who had diabetes mellitus and was being treated with CSII therapy.

    Three pairs of parents were interviewed twice to elucidate their views on the initial period and on daily living. Data were submitted to qualitative content analysis and resulted in seven categories and one theme, the latter being: ‘The diabetes disease was threatening our baby's life, but then the insulin pump came as a rescuing, though challenging, angel’. Parents initially felt life had been turned upside down, but later they felt in control nearly all the time.

    It was concluded that parents of infants with diabetes are in great need of support in order to manage the disease and CSII technology. The fear of losing control and the lack of relief lead to social isolation. Educating someone close to the family could be a valuable intervention.

  • 329.
    Forsner, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Elvhage, Gudrun
    Stockholm Universitet.
    Narratives about concerns for child maltreatment.2016Conference paper (Refereed)
  • 330.
    Forsner, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Eriksson, Katarina
    Svedberg, Marianne
    Furingsten, Lovisa
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    When children die: a survey in Sweden about hospital guidelines related to care after death2014Conference paper (Refereed)
  • 331.
    Forsner, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Goodholm, Marie
    Andersson, Malin
    Karlsson, Pernilla
    Umeå Universitet.
    Lindh, Viveca
    Umeå Universitet.
    Nordyke, Katrina
    Umeå Universitet.
    Ivarsson, Anneli
    Umeå Universitet.
    Guided Imagery during venipuncture in twelve year old school children Guided Imagery during venipuncture, 12-year old children’s experiences from a CD screening: An intervention evaluated with FAS, VAS and written narratives2010Conference paper (Refereed)
  • 332.
    Forsner, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Heimdal, Sara
    Jacobsson, Marlene
    Furingsten, Lovisa
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Lûtzén, Kim
    Karolinska Institutet.
    Health care professionals’ experiences of moral stress when children are dying2014Conference paper (Refereed)
  • 333.
    Forsner, Maria
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Mörelius, Evalotte
    Linköpings universitet.
    Läkemedelshantering för barn2013In: Kvalitetsindikatorer inom omvårdnad / [ed] Idvall, Ewa, Stockholm: Gothia Förlag AB, 2013, 6, p. 62-64Chapter in book (Other academic)
  • 334.
    Forsner, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Mörelius, Evalotte
    Linköpings universitet.
    Hanberger, Lena
    Linköpings universitet.
    Kvalitetsindikatorer inom omvårdnad i barnsjukvården: en pilottest2013Conference paper (Refereed)
  • 335.
    Forsner, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Mörelius, Evalotte
    Linköpings universitet.
    Hanberger, Lena
    Linköpings Universitet.
    Ygge, Britt-Marie
    Karolinska Universitetet.
    Nursing quality indicators in paediatric hospital care2013Conference paper (Refereed)
  • 336.
    Forsner, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Nilsson, S
    Finnström, B
    Mörelius, E
    Expectation prior to human papilloma virus vaccination: 11 to 12-year-old girls' written narratives2016In: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 20, no 3, p. 365-373Article in journal (Refereed)
    Abstract [en]

    Expectations prior to needle-related procedures can influence individuals’ decision making and compliance with immunization programmes. To protect from human papilloma virus (HPV) and cervical cancer, the immunization needs to be given before sexual debut raising interest for this study’s aim to investigate how 11 to 12-year-old girls narrate about their expectations prior to HPV vaccination. A total of 27 girls aged 11 to 12 years participated in this qualitative narrative study by writing short narratives describing their expectations. The requirement for inclusion was to have accepted HPV vaccination. Data were subjected to qualitative content analysis. Findings showed the following expectations: going to hurt, going to be scared and going to turn out fine. The expectations were based on the girls’ previous experiences, knowledge and self-image. The latent content revealed that the girls tried to transform uneasiness to confidence. The conclusion drawn from this study is that most girls of this age seem confident about their ability to cope with possible unpleasantness related to vaccinations. However, nurses need to find strategies to help those children who feel uneasy about needle-related procedures.

  • 337.
    Forsner, Maria
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Nilsson, Stefan
    Göteborgs universitet.
    Kommunikation om smärta2014In: Kommunikation med barn och unga i vården / [ed] Söderbäck, Maja, Stockholm: Liber, 2014Chapter in book (Other (popular science, discussion, etc.))
  • 338.
    Forsner, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Nilsson, Stefan
    Göteborgs Universitet.
    Finnström, Berit
    Högskolan Väst.
    Mörelius, Evalotte
    Linköpings Universitet.
    Pain, anxiety and hope to manage, girl´s expectations prior to HPV vaccination2015Conference paper (Refereed)
  • 339.
    Forsner, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Siljebo, Petra
    Umeå Universitet.
    Björklund, Maria
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Medical fear in chronically ill children2010Conference paper (Refereed)
  • 340.
    Forsner, Maria
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Ygge, Britt-Marie
    Karolinska Institutet.
    Venösa infarter hos barn2013In: Kvalitetsindikatorer inom omvårdnad / [ed] Idvall, Ewa, Gothia Förlag AB, 2013, 6, p. 118-121Chapter in book (Other academic)
  • 341.
    Forsström, Elin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Sitoe, Milton
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Palliativ vård – en litteraturöversikt om närståendes upplevelser2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care means that all forms of curative treatment are completed, and the focus is on preventing and relieving the patient's suffering and supporting relatives. During palliative care, the health of relatives is affected. They should be able to participate and make decisions about care and treatment. Aim: The purpose of this literature study was to clarify the experiences of relatives who are living with a family member who receives nursing care in end-of-life care. Method: A literature review was conducted. CINAHL and PsycINFO were used for data collection. The result includes 15 articles. Results: Being relatives and caregivers in palliative care at home was seen both as an opportunity and a challenge. Relatives were prepared to take on responsibility in the midst of grief. Relatives wanted information to be able to make such a good decision about nursing as possible. There may be a clear uncertainty among relatives when it comes to the actual death and how they should act. Conclusion: Relatives have a large part in palliative care. This literature review has shown how important it is for relatives to receive support and guidance during their perhaps most difficult period of life. Nurses have a great responsibility in ensuring that the difficult life situation is perceived as understandable by related persons. If this nursing is handled professionally, it can be managed and made meaningful for relatives both during the time that the relative is severely ill and after death.

  • 342. Fossum, Mariann
    et al.
    Ehnfors, Margareta
    Fruhling, Ann
    Ehrenberg, Anna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    An evaluation of the usability of a computerized decision support system for nursing homes2011In: Applied Clinical Informatics, ISSN 1869-0327, Vol. 2, p. 420-436Article in journal (Refereed)
    Abstract [en]

    Background: Computerized decision support systems (CDSSs) have the potential to significantly improve the quality of nursing care of older people by enhancing the decision making of nursing personnel. Despite this potential, health care organizations have been slow to incorporate CDSSs into nursing home practices. Objective: This study describes facilitators and barriers that impact the ability of nursing personnel to effectively use a clinical CDSS for planning and treating pressure ulcers (PUs) and malnutrition and for following the suggested risk assessment guidelines for the care of nursing home residents. Methods: We employed a qualitative descriptive design using varied methods, including structured group interviews, cognitive walkthrough observations and a graphical user interface (GUI) usability evaluation. Group interviews were conducted with 25 nursing personnel from four nursing homes in southern Norway. Five nursing personnel participated in cognitive walkthrough observations and the GUI usability evaluation. Text transcripts were analyzed using qualitative content analysis. Results: Group interview participants reported that ease of use, usefulness and a supportive work environment were key facilitators of CDSS use. The barriers identified were lack of training, resistance to using computers and limited integration of the CDSS with the facility's electronic health record (EHR) system. Key findings from the usability evaluation also identified the difficulty of using the CDSS within the EHR and the poorly designed GUI integration as barriers. Conclusion: Overall, we found disconnect between two types of nursing personnel. Those who were comfortable with computer technology reported positive feedback about the CDSS, while others expressed resistance to using the CDSS for various reasons. This study revealed that organizations must invest more resources in educating nursing personnel on the seriousness of PUs and poor nutrition in the elderly, providing specialized CDSS training and ensuring that nursing personnel have time in the workday to use the CDSS.

  • 343.
    Frank, Kristofer
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Nordgren, Maria
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Sjuksköterskors syn på att vårda patienter med övervikt och fetma – en litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Overweight and obesity, increases throughout the world and is a major cause of death and burden for society. In society we meet with health campaigns that affect us. This consciously or unconsciously affects our view of what the norm is about weight. In hospital care, the equipment is not always adapted to patients with obesity, which may adversely affect the patient's experience negative.

    Purpose: The purpose is to illuminate the nurse attitudes / stigmatization of patients with obesity and how it can affect the patient's care.

    Method: Literature study. Pubmed, Chinahl, Psycinfo. 13 articles have been selected to answer the purpose of the literature review.

    Results: The results were divided into six categories. Nurses are not unaffected by these attitudes but can take part in the care of patients with overweight and obesity. Nurses perceived that they can not provide care of the same quality to patients with overweight and obesity as to other patients. Fear of injury during the work of the patient group occurs with the nurse in the care of patients with overweight and obesity. Nurses perceived that they can not provide care of the same quality to patients with overweight and obesity as to other patients and that the care of overweight and obese patients is time consuming

    Conclusion: Nurses have different views on obesity as a whole, as well as different experiences and perceptions about caring for overweight and obesity patients.

  • 344.
    Fransson, Erik
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Nyström, Michael
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Patienters upplevelser och livskvalitet vid behandling med urinkateter: En litteraturöversikt2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 345.
    Fransson, Helen
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Westin, Sara
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    ”Vi gör så gott vi kan”: Vårdpersonals upplevelser av amningsstöd till gravida ochnyblivna föräldrar2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Providing support and advice during lactation and breastfeeding complications are parts of the sexual and reproductive health.There are much research that describes new parents' experience of breastfeeding support, but not as much research that describes health professionals´ experiences of breastfeeding support that is given to pregnant and new parents. The purpose of this study was to investigate the health professionals´ experiences of breastfeeding support to pregnant and new parents.The study was conducted through a qualitative method based on an inductive approach.Data was collected from interviews with semi- structured questions in 11 focus groups. All data were processed by qualitative and inductive content analysis.The results of the study showed that healthcare professionals are experiencing breastfeeding support as an important part of their work.Breastfeeding support had flaws and a significant deficiency was reported to be continuity of breastfeeding support throughout the continuum of care.The informants felt that breastfeeding support should be improved and many suggestions were mentioned to promote breastfeeding among new parents and children.This study may highlight work professionals knowledge about their own and co-worker’s experiences of breastfeeding support which could lead to better cooperation and communication between units to promote and support breastfeeding.

  • 346.
    Fredborg, Elisabeth
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Raninen Jansson, Karin
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Sjuksköterskestudenters skattade upplevelser av lärandemiljön före och efter inrättandet av Kompetenscentrum2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In recent years, an increasing number of clinical training centers for skill

    training is available to allow for a safe and secure learning environment with simulation

    opportunities for students and staff. Clinical skill training is an important part of nursing at

    University College of Dalarna (HDa) where learning environment at the center of excellence

    (KC) can contribute to an improvement in this part of the training.

    Aim: The aim of this study was to investigate the nursing students ' experiences through the

    estimation of learning environment of clinical skill training before and after the establishment

    of center of excellence.

    Method: The study was conducted as a survey with quasiexperimental design.

    The questionnaire was based on Saarikoski and Leino-Kilpis gauges CLES where questions

    were modified with the help of Delphi method based on the three different dimensions:

    educational environment, relationship and the teacher's role. The measurement before the

    establishment was carried out during autumn 2010 and the measurement after establishment

    occurred in autumn of 2011. A total of 266 students were included in the study, of which 198

    (74%) responded to the questionnaire.

    Result: Nursing students estimated the experience of learning environment more favorable

    after the establishment of center of excellence where the results show a significantly higher

    estimate in 8 of the 16 questions. Nursing students´ believe that the training environment is

    more realistic, they are more satisfied with skill training and that inspires them to work as a

    nurse. The relationship between them and the teacher is based on respect and that opens up to

    a more positive atmosphere during skill training. On the other hand, no significant difference

    in the student’s experience of the clinical teacher's role was noticed.

    Conclusion: It is clear that the learning environment is important for nurse student's

    integration of theoretical as well as practical knowledge and skills improvement and provides

    a good basis for work as a nurse. Strategies should be taken to maintain and develop the

    learning environment at KC and focus more on the integration of theory and practice.

  • 347.
    Fredman, Robert
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Self-efficacys’ roll och påverkan vid drogberoende: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:  Drug dependent patients perceived ability to deal with where drug addiction, are assumed to influence the outcome of care. Self-efficacy is likely to play a prominent role, together with the nurse's attitude and support for this group of patients.  Purpose:  To describe the role of self-efficacy and its effects on patients with drug dependence.  Method:  Through literature overview create a knowledge overview of self-efficacy’s effect on drug dependent patients.  Results:  The result confirms self-efficacy as an important factor, but other factors seems to be autonomous and self-governing in its relationship with self-efficacy, in a complex context. Other important factors that emerge in the result set in addition to selfefficacy are social support and social context, cognitive factors and mental health, interventions and treatment.  Conclusion:  Self-efficacy is as a factor important and are included in a complex context with other factors. Self-efficacy is emerging as an important factor in his role for the impact on the drug dependent patients. In this context, the nurse's personcentered approach is important, because with an evidence informed work combine this with the necessary knowledge that the patient has about himself and in so support the patient in the best way. Nursing research should be done on various sequelae of drug dependent patients, early interventions and negative treatment outcome, with a focus on self-efficacy.

  • 348.
    Fredriksson, Marika
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Svedberg, Sara
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Motiverande samtal vid livsstilsförändringar: En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diseases partly depending on lifestyle is a global problem. Lifestyle changes

    with in the areas of tobacco, physical activity, diet and alcohol can reduce the risk of developing

    this diseases. To change habits and lifestyle is often difficult and takes time. Strengthening a

    person's belief in their ability to change can facilitate change. Motivational Interviewing (MI)

    is a counseling method that aims to provide support for lifestyle change. The person's own

    perspective is in focus. The counselor is trying to explore and understand it through

    empathically listening, and find the person's own motivation.

    Aim: To compile research of the usability of Motivational Interviewing at lifestyle change in

    the areas of tobacco, physical activity, diet and alcohol.

    Method: A literature study based on 13 articles of quantitative and qualitative approaches.

    Result: MI was useful at lifestyle change related to the areas of tobacco, physical activity, diet

    and alcohol, the highest usability was found at smoking cessation. No effect was found for

    diabetes and physical activity. MI improved the belief to commit lifestyle change. Emphatically

    listening facilitated lifestyle change.

    Conclusion: MI was useful at lifestyle change related to the areas of tobacco, physical

    activity, diet and alcohol, the highest usability was found at smoking cessation. MI improved

    the belief to commit lifestyle change and made persons more ready to change. Follow up

    improved the outcome.

  • 349. Fredriksson, Mio
    et al.
    Halford, Christina
    Eldh, Ann Catrine
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Uppsala University.
    Dahlström, Tobias
    Vengberg, Sofie
    Wallin, Lars
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karolinska Institutet; The Sahlgrenska Academy, University of Gothenburg.
    Winblad, Ulrika
    Are data from national quality registries used in quality improvement at Swedish hospital clinics?2017In: International Journal for Quality in Health Care, ISSN 1353-4505, E-ISSN 1464-3677, Vol. 29, no 7, p. 909-915Article in journal (Refereed)
    Abstract [en]

    Objective: To investigate the use of data from national quality registries (NQRs) in local quality improvement as well as purported key factors for effective clinical use in Sweden.

    Design: Comparative descriptive: a web survey of all Swedish hospitals participating in three NQRs with different levels of development (certification level).

    Setting and Participants: Heads of the clinics and physician(s) at clinics participating in the Swedish Stroke Register (Riksstroke), the Swedish National Registry of Gallstone Surgery and Endoscopic Retrograde Cholangiopancreatography (GallRiks) and the Swedish Lung Cancer Registry (NLCR).

    Main Outcome Measure(s): Individual and unit level use of NQRs in local quality improvement, and perceptions on data quality, organizational conditions and user motivation.

    Results: Riksstroke data were reported as most extensively used at individual and unit levels (x̅ 17.97 of 24 and x̅ 27.06 of 35). Data quality and usefulness was considered high for the two most developed NQRs (x̅ 19.86 for Riksstroke and x̅ 19.89 for GallRiks of 25). Organizational conditions were estimated at the same level for Riksstroke and GallRiks (x̅ 12.90 and x̅ 13.28 of 20) while the least developed registry, the NLCR, had lower estimates (x̅ 10.32). In Riksstroke, the managers requested registry data more often (x̅ 15.17 of 20).

    Conclusions: While there were significant differences between registries in key factors such as management interest, use of NQR data in local quality improvement seems rather prevalent, at least for Riksstroke. The link between the registry's level of development and factors important for routinization of innovations such as NQRs needs investigation.

  • 350.
    Fridell, Elin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Fridell, Rebecka
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Patienters upplevelser av att vårdas med resistenta bakterier inom slutenvården: En litteraturöversikt2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The development of antibiotic resistant bacteria is a global health problem. Methicillin-resistant Staphylococcus Aureus (MRSA) is one of the most common antibiotic resistant bacteria and is usually transmitted through contact infection. In Sweden MRSA is referred to as a dangerous disease that can cause life-threatening conditions as well as patient suffering. The spread of infection may be reduced by adherence to basic hygiene practices. The nurse’s responsibility involves infection prevention, patient safety, alleviation of suffering and maintaining current knowledge of the disease. Despite this, nurses may lack knowledge concerning MRSA and fear contracting it.

    Aim: The aim of this study is to highlight the patient’s experience during inpatient treatment of MRSA.

    Methods: The study was conducted as a literature review based on fifteen scientific articles with qualitative-, quantitative- and mixed method. The article search was conducted via the CINAHL and PubMed databases.

    Results: The result highlighted three themes involving patient experiences during isolated inpatient care of MRSA: Experience related to treatment by healthcare professionals, Experiences concerning the depth and correctness of information and knowledge by healthcare professionals and Experiences of being cared for in an isolation room. The result indicated that MRSA patients experience stigma experiences psychological distress as they felt stigmatized, violated and unprofessionally treated by healthcare professional due a lack of knowledge. Furthermore, it also showed that isolation room care was negatively experienced and that the care environment design significantly impacted the patient’s experiences and feelings of well-being.

    Conclusion: Healthcare professionals need further education to increase their knowledge of MRSA patient care and how the maintenance of a good care environment in isolation rooms is important for alleviation of suffering and ensuring the good and safe care of inpatient MRSA patients.

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