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Wentzel Persenius, MonaORCID iD iconorcid.org/0000-0002-2667-4025
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Publications (10 of 34) Show all publications
Hagglund, P., Olai, L., Stahlnacke, K., Wentzel Persenius, M., Hagg, M., Andersson, M., . . . Carlsson, E. (2017). Study protocol for the SOFIA project: Swallowing function, Oral health, and Food Intake in old Age: a descriptive study with a cluster randomized trial. BMC Geriatrics, 17, Article ID 78.
Open this publication in new window or tab >>Study protocol for the SOFIA project: Swallowing function, Oral health, and Food Intake in old Age: a descriptive study with a cluster randomized trial
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2017 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 17, article id 78Article in journal (Refereed) Published
Abstract [en]

Background: Extensive studies have shown that older people are negatively impacted by impaired eating and nutrition. The abilities to eat, enjoy food, and participate in social activities associated with meals are important aspects of health-related quality of life (HRQoL) and recovery after illness. This project aims to (i) describe and analyze relationships between oral health and oral HRQoL, swallowing ability, eating ability, and nutritional risk among older individuals admitted to short-term care; (ii) compare the perceptions that older individuals and staff report on care quality related to oral hygiene and eating; and (iii) study the feasibility and effects of a training program for people with impaired swallowing (i.e., dysphagia). Methods/Design: This project consists of two parts, which will be performed in five Swedish counties. It will include approximately 400 older individuals and 200 healthcare professionals. Part 1 is a cross-sectional, descriptive study of older people admitted to short-term care. Subjects will be assessed by trained professionals regarding oral health status, oral HRQoL, eating and nutritional risk, and swallowing ability. Swallowing ability will be measured with a teaspoon test and a swallowing capacity test (SCT). Furthermore, subjects and staff will complete a questionnaire regarding their perceptions of care quality. Part 2 is a cluster randomized intervention trial with controls. Older participants with dysphagia (i.e., SCT < 10 ml/s, measured in part 1) will be recruited consecutively to either the intervention or control group, depending on where they were admitted for short-term care. At baseline, all subjects will be assessed for oral health status, oral HRQoL, eating and nutritional risk, swallowing ability, and swallowing-related QoL. Then, the intervention group will receive 5 weeks of training with an oral screen for neuromuscular training focused on orofacial and pharyngeal muscles. After completing the intervention, and at six months post-intervention, all assessments will be repeated in both study groups. Discussion: The results will make important contributions to rehabilitation knowledge, including approaches for improving swallowing function, oral health, and food intake and for improving the quality of oral care for older people.

Place, publisher, year, edition, pages
BioMed Central, 2017
Keyword
Aged, Deglutition, Eating, Oral health, Quality of health care, Quality of life, Oral screen, Short-term care, Swallowing disorders
National Category
Nursing Other Health Sciences
Research subject
Dental Hygiene; Nursing Science
Identifiers
urn:nbn:se:kau:diva-65294 (URN)10.1186/s12877-017-0466-8 (DOI)000397463200003 ()28335729 (PubMedID)
Available from: 2017-11-30 Created: 2017-11-30 Last updated: 2018-01-16Bibliographically approved
Persenius, M., Hall-Lord, M. L., Wilde-Larsson, B. & Carlsson, E. (2015). Clinical nursing leaders’ perceptions of nutritionquality in Swedish stroke wards: a national survey. Journal of Nursing Management, 23(6), 705-715.
Open this publication in new window or tab >>Clinical nursing leaders’ perceptions of nutritionquality in Swedish stroke wards: a national survey
2015 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 23, no 6, p. 705-715Article in journal (Refereed) Published
Abstract [en]

Aim

To describe nursing leaders' perceptions of nutrition quality in Swedish stroke wards.

Background

A high risk of undernutrition places great demand on nutritional care in stroke wards. Evidence-based guidelines exist, but healthcare professionals have reported low interest in nutritional care. The Donabedian framework of structure, process and outcome is recommended to monitor and improve nutrition quality.

Method

Using a descriptive cross-sectional design, a web-based questionnaire regarding nutritional care quality was delivered to eligible participants.

Result

Most clinical nursing leaders reported structure indicators, e.g. access to dieticians. Among process indicators, regular assessment of patients' swallowing was most frequently reported in comprehensive stroke wards compared with other stroke wards. Use of outcomes to monitor nutrition quality was not routine. Wards using standard care plans showed significantly better results.

Conclusion

Using the structure, process and outcome framework to examine nutrition quality, quality-improvement needs became visible. To provide high-quality nutrition, all three structure, process and outcome components must be addressed.

Implications for nursing management

The use of care pathways, standard care plans, the Senior Alert registry, as well as systematic use of outcome measures could improve nutrition quality. To assist clinical nursing leaders in managing all aspects of quality, structure, process and outcome can be a valuable framework.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2015
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-29502 (URN)10.1111/jonm.12199 (DOI)000360840300003 ()26340320 (PubMedID)
Available from: 2013-10-15 Created: 2013-10-15 Last updated: 2017-12-06Bibliographically approved
Persenius, M., Rystedt, I., Wilde-Larsson, B. & Bååth, C. (2015). Quality of life and sense of coherence in young people and adults with uncomplicated epilepsy: a longitudinal study. Epilepsy & Behavior, 47, 127-131.
Open this publication in new window or tab >>Quality of life and sense of coherence in young people and adults with uncomplicated epilepsy: a longitudinal study
2015 (English)In: Epilepsy & Behavior, ISSN 1525-5050, E-ISSN 1525-5069, Vol. 47, p. 127-131Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: The aim of the study was, in a ten-year follow-up, to describe and explore potential changes in quality of life and sense of coherence in relation to gender differences among persons with epilepsy in the transition from adolescence to adulthood. MATERIALS AND METHODS: A longitudinal study of sense of coherence (SOC) and quality of life with repeated measurement design (1999, 2004, and 2009) was conducted in a population of persons (n=69) who were aged 13-22years in 1999 and 23-33years in 2009. The Quality-of-Life Index (QLI) and the Sense of Coherence (SOC) scale were used. RESULTS:There was a significant decrease (p≤0.001) in seizures compared with the 2004 results, mainly among the women (p=0.003). When comparing the total QLI scores, no significant differences were found between the three data collections and there were no differences in total scores between men and women. There was a decrease in the SOC total score over the 10-year period study. Total SOC was significantly higher among those being 30-33years old compared to those being 23-29years old (p=0.014) and among those having a driving license (p=0.029) compared to those not having a driving license.CONCLUSIONS:Both quality of life and sense of coherence are important for maintaining health and well-being. Promoting health and well-being requires effective high-quality multidisciplinary person-centered care.

Place, publisher, year, edition, pages
Elsevier, 2015
Keyword
adolecsents, epilepsy, longitudinallly, quality of life, sence of coherence, adults
National Category
Nursing
Identifiers
urn:nbn:se:kau:diva-36537 (URN)10.1016/j.yebeh.2015.04.002 (DOI)000356366900023 ()25972130 (PubMedID)
Available from: 2015-06-18 Created: 2015-06-18 Last updated: 2017-12-04Bibliographically approved
Persenius, M., Glawing, G., Hermansson, H.-B. & Karlsson, I. (2014). Elderly Persons Aged 80 Years and Older and Their Nutritional Status. Open Journal of Nursing, 4(5), 356-365.
Open this publication in new window or tab >>Elderly Persons Aged 80 Years and Older and Their Nutritional Status
2014 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 4, no 5, p. 356-365Article in journal (Refereed) Published
National Category
Medical and Health Sciences Nursing
Identifiers
urn:nbn:se:kau:diva-34040 (URN)
Available from: 2014-10-06 Created: 2014-10-06 Last updated: 2017-10-31Bibliographically approved
Ballangrud, R., Persenius, M., Hedelin, B. & Hall-Lord, M. L. (2014). Exploring intensive care nurses' team performance in a simulation-based emergency situation, − expert raters' assessments versus self-assessments: an explorative study. BMC Nursing, 13(47).
Open this publication in new window or tab >>Exploring intensive care nurses' team performance in a simulation-based emergency situation, − expert raters' assessments versus self-assessments: an explorative study
2014 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 13, no 47Article in journal (Refereed) Published
Abstract [en]

Background

Effective teamwork has proven to be crucial for providing safe care. The performance of emergencies in general and cardiac arrest situations in particular, has been criticized for primarily focusing on the individual's technical skills and too little on the teams' performance of non-technical skills. The aim of the study was to explore intensive care nurses' team performance in a simulation-based emergency situation by using expert raters' assessments and nurses' self-assessments in relation to different intensive care specialties.

Methods

The study used an explorative design based on laboratory high-fidelity simulation. Fifty-three registered nurses, who were allocated into 11 teams representing two intensive care specialties, participated in a videotaped simulation-based cardiac arrest setting. The expert raters used the Ottawa Crisis Resource Management Global Rating Scale and the first part of the Mayo High Performance Teamwork Scale to assess the teams' performance. The registered nurses used the first part of the Mayo High Performance Teamwork Scale for their self-assessments, and the analyses used were Chi-square tests, Mann–Whitney U tests, Spearman's rho and Intraclass Correlation Coefficient Type III.

Results

The expert raters assessed the teams' performance as either advanced novice or competent, with significant differences being found between the teams from different specialties. Significant differences were found between the expert raters' assessments and the registered nurses' self-assessments.

Conclusions

Teams of registered nurses representing specialties with coronary patients exhibit a higher competence in non-technical skills compared to team performance regarding a simulated cardiac arrest. The use of expert raters' assessments and registered nurses' self-assessments are useful in raising awareness of team performance with regard to patient safety.

Place, publisher, year, edition, pages
England: BioMed Central, 2014
Keyword
Assessment; Emergency; Intensive care; Non-technical skills; Nursing; Patient safety; Simulation-based training; Team performance
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-29984 (URN)10.1186/s12912-014-0047-5 (DOI)25606023 (PubMedID)
Note

This paper was publish as manuscript in R. Ballangruds thesis.

Available from: 2013-11-11 Created: 2013-11-11 Last updated: 2017-12-06Bibliographically approved
Ballangrud, R., Hall-Lord, M. L., Persenius, M. & Hedelin, B. (2014). Intensive care nurses' perceptions of simulation-based team training for building pation safety in intensive care: A descriptive qualittaive study. Intensive & Critical Care Nursing, 30(4), 179-187.
Open this publication in new window or tab >>Intensive care nurses' perceptions of simulation-based team training for building pation safety in intensive care: A descriptive qualittaive study
2014 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 30, no 4, p. 179-187Article in journal (Refereed) Published
Abstract [en]

Objectives: To describe intensive care nurses' perceptions of simulation-based team training for building patient safety in intensive care. Background: Failures in team processes are found to be contributory factors to incidents in an intensive care environment. Simulation-based training is recommended as a method to make health-care personnel aware of the importance of team working and to improve their competencies. Design: The study uses a qualitative descriptive design. Methods: Individual qualitative interviews were conducted with 18 intensive care nurses from May to December 2009, all of which had attended a simulation-based team training programme. The interviews were analysed by qualitative content analysis. Results: One main category emerged to illuminate the intensive care nurse perception: "training increases awareness of clinical practice and acknowledges the importance of structured work in teams". Three generic categories were found: "realistic training contributes to safe care", "reflection and openness motivates learning" and "finding a common understanding of team performance". Conclusions: Simulation-based team training makes intensive care nurses more prepared to care for severely ill patients. Team training creates a common understanding of how to work in teams with regard to patient safety.

Place, publisher, year, edition, pages
Elsevier, 2014
Keyword
ntensive care; Nursing; Patient safety; Simulation-based training; Team performance
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-29985 (URN)10.1016/j.iccn.2014.03.002 (DOI)000349929800001 ()
Available from: 2013-11-11 Created: 2013-11-11 Last updated: 2017-12-06Bibliographically approved
Ballangrud, R., Hall-Lord, M.-L., Hedelin, B. & Persenius, M. (2014). Intensive care unit nurses' evaluation of simulation used for team training. Nursing in Critical Care, 19(4), 175-184.
Open this publication in new window or tab >>Intensive care unit nurses' evaluation of simulation used for team training
2014 (English)In: Nursing in Critical Care, ISSN 1362-1017, E-ISSN 1478-5153, Vol. 19, no 4, p. 175-184Article in journal (Refereed) Published
Abstract [en]

Aim

To implement a simulation-based team training programme and to investigate intensive care nurses' evaluations of simulation used for team training.

Background

Simulation-based training is recommended to make health care professionals aware of and understand the importance of teamwork related to patient safety.

Design

The study was based on a questionnaire evaluation design.

Methods

A total of 63 registered nurses were recruited: 53 from seven intensive care units in four hospitals in one hospital trust and 10 from an intensive care postgraduate education programme. After conducting a simulation-based team training programme with two scenarios related to emergency situations in the intensive care, the participants evaluated each simulation activity with regard to: (i) outcome of satisfaction and self-confidence in learning, (ii) implementation of educational practice and (iii) simulation design/development.

Result

Intensive care nurses were highly satisfied with their simulation-based learning, and they were mostly in agreement with the statements about self-confidence in learning. They were generally positive in their evaluation of the implementation of the educational practice and the simulation design/development. Significant differences were found with regard to scenario roles, prior simulation experience and area of intensive care practice.

Conclusion

The study indicates a positive reception of a simulation-based programme with regard to team training in emergency situations in an intensive care unit.

Relevance to clinical practice

The findings may motivate and facilitate the use of simulation for team training to promote patient safety in intensive care and provide educators with support to develop and improve simulation-based training programmes.

Keyword
simulation, team training, nurses, intensive care, patient safety
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-28671 (URN)10.1111/nicc.12031 (DOI)000337959400005 ()24750224 (PubMedID)000337959400005 (Scopus ID)
Available from: 2013-08-20 Created: 2013-08-20 Last updated: 2017-12-06Bibliographically approved
Persenius, M., Ekberg Andersson, A. & Karlsson, I. (2014). The use of Grounded theory in Swedish doctoral theses: a literarure review. In: : . Paper presented at Nordic conference in nursing research, methods and network for the future, Odense Danmark 10-12 juni. .
Open this publication in new window or tab >>The use of Grounded theory in Swedish doctoral theses: a literarure review
2014 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-32984 (URN)
Conference
Nordic conference in nursing research, methods and network for the future, Odense Danmark 10-12 juni
Available from: 2014-06-27 Created: 2014-06-27 Last updated: 2017-10-31Bibliographically approved
Carlsson, E., Ståhlnacke, K., Persenius, M., Olai, L. & Hägg, M. (2013). Aspects of eating, oral healt and quality of care among elderly people in short-term care units- before and after an intervention. In: : . Paper presented at World Congress of Gerontoligy and Geriatrics Seoul 23-27 juni. .
Open this publication in new window or tab >>Aspects of eating, oral healt and quality of care among elderly people in short-term care units- before and after an intervention
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2013 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Medical and Health Sciences Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-29503 (URN)
Conference
World Congress of Gerontoligy and Geriatrics Seoul 23-27 juni
Available from: 2013-10-15 Created: 2013-10-15 Last updated: 2017-10-31Bibliographically approved
Ballangrud, R., Hall-Lord, M.-L., Hedelin, B. & Persenius, M. (2013). ICU nurses' evaluation of simulation used for team training in cardiac arrest situation. In: : . Paper presented at SESAM Paris 12-15 June 2013. .
Open this publication in new window or tab >>ICU nurses' evaluation of simulation used for team training in cardiac arrest situation
2013 (English)Conference paper, Oral presentation with published abstract (Refereed)
Keyword
simulation, team training
National Category
Medical and Health Sciences Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-28287 (URN)
Conference
SESAM Paris 12-15 June 2013
Available from: 2013-06-26 Created: 2013-06-26 Last updated: 2017-10-31Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-2667-4025

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