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Björkström, Monica E.
Alternative names
Publications (10 of 10) Show all publications
Björkström, M., Johansson, I. & Athlin, E. (2014). An attempt to improve nurses' interest in and use of research in clinical practice by means of network support to facilitator nurses. Journal of Nursing Education and Practice, 4(3), 58-68
Open this publication in new window or tab >>An attempt to improve nurses' interest in and use of research in clinical practice by means of network support to facilitator nurses
2014 (English)In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 4, no 3, p. 58-68Article in journal (Refereed) Published
Abstract [en]

Background: Scientific knowledge is expected to be used in clinical practice to ensure that patients are given evidence-based nursing care. Therefore, in order to improve nurses’ research utilisation in clinical practice a network had been provided for nurses especially interested in nursing development in eleven wards. These nurses were expected to take on the role of key person (facilitator) for nursing development in clinical practice.Aim: The study was aimed at describing nurses’ interest in nursing research, how network support to ‘facilitator nurses’ could improve development in patient care based on evidence, and what hindering factors for such development could be.Methods: One and a half years after onset of the project a follow-up study was conducted with a questionnaire answered by 75 (64%) nurses, and group interviews with nine facilitators and eleven head nurses.Findings: The nurses’ interest in research utilisation was in general high and in eight wards development work had started. The facilitator nurses had mostly worked without involving their colleagues. Hindering factors for nursing development were related to time, EBP knowledge, involvement and the interest of head nurses and colleagues. Education, work place, previous participation in research projects, and participation in the network impacted positively on nurses’ attitudes to and interest in research.Conclusion and implication for clinical practice: Providing networks to ‘facilitator nurses’ in the ward could be useful for developing nursing care based on research findings. However, support from nurse leaders, involvement of the whole nursing staff, and training in research utilisation are important factors for success.

Keywords
Clinical nursing, Evidence-based practice, Facilitator, Network support, Research utilisation
National Category
Medical and Health Sciences Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-34729 (URN)10.5430/jnep.v4n3p58 (DOI)
Available from: 2014-12-05 Created: 2014-12-05 Last updated: 2017-12-05Bibliographically approved
Wangensteen, S., Johansson, I. S., Björkström, M. E. & Nordström, G. (2012). Newly Graduated Nurses' Perception Of Competence And Possible Predictors: A Cross-Sectional Survey. Journal of Professional Nursing, 28(3), 170-181
Open this publication in new window or tab >>Newly Graduated Nurses' Perception Of Competence And Possible Predictors: A Cross-Sectional Survey
2012 (English)In: Journal of Professional Nursing, ISSN 8755-7223, E-ISSN 1532-8481, Vol. 28, no 3, p. 170-181Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to describe newly graduated nurses' own perception of competence and to identify possible predictors influencing their perceptions. The target population included nurses who graduated from nursing colleges in June 2006. Data collection was carried out from October 2006 until April 2007 using the Nurse Competence Scale (NCS), the California Critical Thinking Disposition Inventory, and the Research Utilization Questionnaire. The response rate was 33% (n = 620). Pearson's chi-square test, Student t test, and regression analyses were used for statistical calculations. The respondents assessed their overall competence level as "good" and assessed themselves most competent in providing ethical and individualized nursing care. They assessed themselves least competent in evaluating outcomes and further development of patient care. Their use of competence explained between 40% (helping) and 10% (managing) of the variance within the NCS competence categories. Critical thinking (CT) was the most prominent predictor for perception of competence in all competence categories and the overall competence, alone explaining between 20% (NCS total score) and 9% (managing) of the variance. The finding that CT was a significant predictor for perception of competence may indicate that developing nursing students' CT abilities is valuable to increase newly graduated nurses' perception of competence.

Place, publisher, year, edition, pages
Elsevier, 2012
Keywords
Critical thinking, Cross-sectional, Nurse competence, Nurse education, Regression analyses
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-38505 (URN)10.1016/j.profnurs.2011.11.014 (DOI)000305044800007 ()22640949 (PubMedID)
Available from: 2016-01-26 Created: 2015-11-23 Last updated: 2017-11-30Bibliographically approved
Wangensteen, S., Johansson, I. S., Björkström, M. E. & Nordström, G. (2011). Research utilisation and critical thinking among newly graduated nurses: Predictors for research use. A quantitative cross-sectional study. Journal of Clinical Nursing, 20(17/18), 2436-2447
Open this publication in new window or tab >>Research utilisation and critical thinking among newly graduated nurses: Predictors for research use. A quantitative cross-sectional study
2011 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 20, no 17/18, p. 2436-2447Article in journal (Refereed) Published
Abstract [en]

AIM:The aim was to describe research utilisation among newly graduated nurses and to explore critical thinking dispositions and other individual and contextual factors as possible predictors for research use.

BACKGROUND:Nurses are expected to be research users, and variations in research utilisation are explained by individual and contextual factors. To our knowledge, critical thinking dispositions have not earlier been explored as predictors for research use.

DESIGN:A cross-sectional design was chosen.

METHODS:Data collection was carried out from October 2006 to April 2007 using the Research Utilization Questionnaire (RUQ) and the California Critical Thinking Disposition Inventory (CCTDI). The response rate was 33% (n =617). Pearson's chi-square test and regression analyses were used for statistical calculations.

RESULTS:The respondents reported a positive attitude towards research, but only 24% (n = 148) were defined as research users. A significantly higher proportion of research users reported high critical thinking scores. Critical thinking explained 20% of the variance in attitude towards research and 11% of the variance in research use. Availability and support to implement research findings was the second strongest predictor for research use.

CONCLUSIONS:Critical thinking, a significant predictor for attitude towards research and for the use of research, should be recognised and strengthened in nursing education and clinical practice. Contextual factors seem to be important for newly graduated nurses' use of research.

RELEVANCE TO CLINICAL PRACTICE:Nurse leaders play an important role in nurturing newly graduated nurses' critical thinking and assisting them in transferring their positive attitude towards research into research use. Nurse educators play a significant role in supporting, challenging and supervising nursing students to be critical thinkers and strong believers in research utilisation.

Keywords
critical thinking, cross-sectional, nurse education, nurses, regression analyses, research utilisation
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-6255 (URN)10.1111/j.1365-2702.2010.03629.x (DOI)000293748900006 ()
Available from: 2010-08-20 Created: 2010-08-20 Last updated: 2017-12-12Bibliographically approved
Wangensteen, S., Johansson, I. S., Björkström, M. E. & Nordström, G. (2010). Critical thinking dispositions among newly graduated nurses.. Journal of Advanced Nursing
Open this publication in new window or tab >>Critical thinking dispositions among newly graduated nurses.
2010 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648Article in journal (Refereed) Published
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-6253 (URN)10.1111/j.1365-2648.2010.05282.x (DOI)000281557400005 ()20384637 (PubMedID)
Available from: 2010-08-20 Created: 2010-08-20 Last updated: 2017-12-12Bibliographically approved
Björkström, M. E., Athlin, E. E. & Johansson, I. S. (2008). Nurses' development of professional self - from being a nursing student in a baccalaureate programme to an experienced nurse. Journal of clinical studies, 17, 1380-1391
Open this publication in new window or tab >>Nurses' development of professional self - from being a nursing student in a baccalaureate programme to an experienced nurse
2008 (English)In: Journal of clinical studies, ISSN 1365-2702, Vol. 17, p. 1380-1391Article in journal (Other academic) Published
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-1921 (URN)
Note

Artikeln ej publicerad vid publicering av doktorsavhandlingen

Available from: 2007-10-09 Created: 2007-10-09 Last updated: 2014-08-12Bibliographically approved
Johansson, I., Björkström, M. & Athlin, E. (2006). Is the humanistic view of the nurse role still alive - in spite of an academic education?. Journal of Advanced Nursing 54(4), 502-510, 2006
Open this publication in new window or tab >>Is the humanistic view of the nurse role still alive - in spite of an academic education?
2006 (English)In: Journal of Advanced Nursing 54(4), 502-510, 2006Article in journal (Refereed)
Keywords
being a nurse, graduate, longitudinal study, nursing student
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-20582 (URN)
Available from: 2013-01-21 Created: 2013-01-21 Last updated: 2013-01-21
Björkström, M. (2005). Den professionella sjuksköterskan: i relation till den akademiska sjuksköterskeutbildningen. (Doctoral dissertation). Institutionen för hälsa och vård
Open this publication in new window or tab >>Den professionella sjuksköterskan: i relation till den akademiska sjuksköterskeutbildningen
2005 (Swedish)Doctoral thesis, comprehensive summary (Other scientific)
Abstract [en]

The Professional Nurse in Relation to Academic Nursing Education

The increasing demands on the nurse’s competence in the society are reflected in laws and ordinances as well as in the transition of the nursing education to universities. The overall aim of this thesis was to illuminate, describe and understand nurses’ professional awareness in relation to academic nursing education.

The longitudinal studies I and II of the thesis included novice nursing students (n= 164/163), senior students (n=123/124), and nurses three to five years after graduating (n=83/82). Study III of the thesis covered a nationally random selection of nurses graduated during four different years before and after the implementation of the academic education (n=289). Study IV focused on senior students (n=155). The data were collected by means of three questionnaires: open questions where the respondents were asked to describe their views of a good nurse and a bad nurse (I); a scale for assessing the professional self in relation to others (modified Nurse Self Description Form) (II); and finally, a questionnaire designed to asses the nurses’ (III) and the students’ (IV) attitudes to and awareness of research within nursing (as developed in study III). The data were analysed by means of content analysis (I) and parametric and non-parametric statistical methods (II, III, IV), and factor analysis (III).

The result was that the characteristic of a good nurse ”to do good for others” emerged strongly and retained its dominant position throughout the education and beyond. ”To be competent and skilled” was also highly favoured and gained ground during and after the training. ”To have professional courage and pride” and ”to seek professional development” were considerably less prominent but increased slightly in importance over time (I). The professional self in relation to others in similar situations were generally rated as both strong among students and experienced nurses (II). Also in this respect there was an emphasis on the aspect of doing good for others. The professional self grew stronger over time in the areas of drive, objectivity, flexibility, ability to teach, ability to communicate and sociability, whereas the desire to contribute through research and knowledge mastery decreased over time (II). The process of developing into an experienced nurse, however, entailed increased awareness of the complexity of the nursing profession. The instruments for measuring attitudes to nursing research were validated through factor analysis, which generated seven factors termed ”research language,” ”need of research knowledge,” ”participation,” ”the profession,” ”meaningfulness,” ”study literature,” and ”developing–resources” (III). Nurses (III) as well as students (IV) expressed a positive attitude to nursing research and its application to the nursing profession. However, the nurses in particular stated that they seldom read scientific journals and seldom applied nursing research in their daily work.

To sum up, the research in this thesis shows that students and nurses only to a moderate extent displayed the professional awareness that the academic nursing education aims for. The traditional image of a good nurse was the most clearly manifested form of awareness, whereas insufficient awareness was registered in areas related to own responsibility for research-based practice. The result indicates a need for further collaboration between the nursing education and the health care sector, as well as for academically highly qualified nurses as resource persons in nursing practice, to support quality development in nursing, and serve as role models for students.

Abstract [sv]

Den professionella sjuksköterskan i relation till den akademiska sjuksköterskeutbildningen

Kraven på en professionell sjuksköterska har ökat i samhället vilket synliggjorts genom olika lagar och författningar samt akademiseringen av sjuksköterskeutbildningen. Det övergripande syftet med avhandlingen var att belysa, beskriva och förstå sjuksköterskors professionella medvetenhet i relation till den akademiska sjuksköterskeutbildningen.

Delstudie I och II, som var longitudinella, inkluderade sjuksköterskestudenter i början av utbildningen (n=164/163), i slutet av utbildningen (n=123/124) samt sjuksköterskor tre till fem år efter examen (n=83/82). Delstudie III genomfördes med ett nationellt slumpmässigt urval av sjuksköterskor (n=289) examinerade vid fyra olika tillfällen före och efter det att sjuksköterskeutbildningen blev akademiserad. Delstudie IV inkluderade sjuksköterskestudenter strax före examen (n=155). Data har insamlats med hjälp av tre frågeformulär: ett med öppna svar där deltagarna beskrev sin syn på en bra sjuksköterska (I); ett med en skala för bedömning av det professionella jaget i förhållande till andra (modifierad Nurse Self Description Form) (II); ett om sjuksköterskors (III) respektive studenters (IV) inställning till och medvetenhet om omvårdnadsforskning (utvecklades i delstudie III). Data analyserades med hjälp av innehållsanalys (I) och parametriska och icke parametriska statistiska metoder (II, III, IV) samt faktoranalys (III).

Karaktäristiskt för en bra sjuksköterska var (I): ”att göra gott för andra”, vilket framträdde starkt och bibehölls till stora delar från nybörjarstudent till erfaren sjuksköterska; ”att vara kompetent och skicklig” framträdde också starkt samt ökade under och efter utbildningen; ”att vara modig och stolt i yrkesrollen” samt ”att sträva efter professionell utveckling” framkom i betydligt mindre grad men med en viss ökning över tid. Det professionella jaget i relation till andra i liknande situationer skattades generellt som starkt från nybörjarstudent till erfaren sjuksköterska (II). Även här fanns en betoning av att göra gott för andra. Det professionella jaget stärktes över tid inom arbetsförmåga, objektivitet, flexibilitet, undervisningsförmåga, kommunikationsförmåga och social förmåga medan det försvagades inom vilja att behärska kunskap och vilja att bidra till ny kunskap (II). Utvecklingen till erfaren sjuksköterska visade på en ökad medvetenhet om sjuksköterskeyrkets komplexitet. Instrumentutvecklingen för att skatta inställning till omvårdnadsforskning validerades genom faktoranalys som genererade sju faktorer benämnda ”forskningsspråket”, ”behov av forskningskunskap”, ”delaktighet”, ”professionen”, ”meningsfullhet”, ”studera litteratur” samt ”utveckling – resurs” (III). Såväl sjuksköterskor (III) som studenter (IV) angav en positiv attityd till omvårdnadsforskning och dess tillämpning i sjuksköterskans arbete. Däremot angav framför allt sjuksköterskorna att de i ringa grad läste vetenskapliga tidskrifter samt i ringa grad använde omvårdnadsforskning i det dagliga arbetet.

Sammanfattningsvis framkom att studenter och sjuksköterskor endast delvis uppvisade en professionell medvetenhet relaterat till intentionerna i den akademiska sjuksköterskeutbildningen. Den medvetenhet som tydligast framkom kan relateras till den traditionella bilden av en bra sjuksköterska medan de områden som framträdde som bristfälliga kan relateras till de krav som ställs på ett professionellt arbete grundat på vetenskap och beprövad erfarenhet. Resultatet påvisar behovet av fortsatt samverkan mellan sjuksköterskeutbildningen och vårdverksamheten samt behovet av sjuksköterskor med högre akademisk utbildning som resurspersoner för utveckling av en forskningsbaserad patientvård.

Place, publisher, year, edition, pages
Institutionen för hälsa och vård, 2005
Series
Karlstad University Studies, ISSN 1403-8099 ; 2005:57
Keywords
Professional, Awareness, Research-based nursing, Nursing students, Nurses, Professionell, Medvetenhet, Forskningsbaserad omvårdnad, Sjuksköterskestudenter, Sjuksköterskor
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-1201 (URN)91-7063-029-1 (ISBN)
Public defence
2006-02-10, Geijerssalen, 12 A 138, Karlstads universitet, Karlstad, 09:00
Opponent
Supervisors
Note

Vid disputationstillfället var delarbete 1, den professionella sjuksköterskan – i relation till den akademiska sjuksköterskeutbildningen, accepterat för publicering.

Available from: 2007-10-09 Created: 2007-10-09 Last updated: 2016-06-13
Björkström, M., Johansson, I. & Athlin, E. (2004). Expectations on being a nurse and how it turned out. Paper presented at WENR conference October 5-8 2004. Lissbon, Protugal. Paper presented at WENR conference October 5-8 2004. Lissbon, Protugal.
Open this publication in new window or tab >>Expectations on being a nurse and how it turned out
2004 (English)Conference paper, Published paper (Refereed)
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-19107 (URN)
Conference
WENR conference October 5-8 2004. Lissbon, Protugal
Available from: 2013-01-21 Created: 2013-01-21 Last updated: 2013-01-21
Björkström, M., Johansson, I., Athlin, E. & Hamrin, K. (2003). Swedish nursing students' attitudes to and awareness of research and development within nursing. Journal of Advanced Nursing, 41 (4), 393-402, 2003
Open this publication in new window or tab >>Swedish nursing students' attitudes to and awareness of research and development within nursing
2003 (English)In: Journal of Advanced Nursing, 41 (4), 393-402, 2003Article in journal (Refereed)
Keywords
students, nursing, attitude, research, development, awareness
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-24042 (URN)
Available from: 2013-01-22 Created: 2013-01-22 Last updated: 2013-01-22
Björkström, M. & Hamrin, K. (2001). Swedish nurses' attitudes towards research and development within nursing. Journal of Advanced Nursing 34(5), 706-714, 2001
Open this publication in new window or tab >>Swedish nurses' attitudes towards research and development within nursing
2001 (English)In: Journal of Advanced Nursing 34(5), 706-714, 2001Article in journal (Refereed)
Keywords
nursing, attitude, research, measurement, psychometrics, instrument development
Identifiers
urn:nbn:se:kau:diva-24041 (URN)
Available from: 2013-01-22 Created: 2013-01-22 Last updated: 2013-01-22
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