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Persenius Wentzel, MonaORCID iD iconorcid.org/0000-0002-2667-4025
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Publications (10 of 40) Show all publications
Andersson, M., Wilde-Larsson, B. & Persenius Wentzel, M. (2019). Intensive care nurses fail to translate knowledge and skills into practice: A mixed-methods study on perceptions of oral care. Intensive & Critical Care Nursing, 52, 51-62
Open this publication in new window or tab >>Intensive care nurses fail to translate knowledge and skills into practice: A mixed-methods study on perceptions of oral care
2019 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 52, p. 51-62Article in journal (Refereed) Published
Abstract [en]

Objectives: To identify intensive care nurses’ perceptions of oral care according to Coker et al.'s (2013) conceptual framework and to contribute to the knowledge base of oral care in intensive care. Design/methods: This was a concurrent embedded mixed-methods design, with more weight given to the quantitative part. Participants responded to the Nursing Care related to Oral Health questionnaire, including perceptions of oral care antecedents (18 items), defining attributes (17 items), and consequences (6 items) and two open-ended questions. The data were analysed with descriptive and correlation statistics and qualitative content analysis. Setting: Intensive care nurses (n = 88) in six general intensive care units. Results: Intensive care nurses perceived that an important part of nursing care was oral care, especially to intubated patients. They perceived that the nursing staff was competent in oral care skills and had access to different kinds of equipment and supplies to provide oral care. The oral cavity was inspected on a daily basis, mostly without the use of any assessment instruments. Oral care seemed to be task-oriented, and documentation of the patients’ experiences of the oral care process was rare. Conclusions: The antecedents, knowledge and skills are available to provide quality oral care, but intensive care nurses seem to have difficulties translating these components into practice. Thus they might have to shift their task-oriented approach towards oral care to a more person-centred approach in order to be able to meet patients’ needs. © 2018 Elsevier Ltd

Place, publisher, year, edition, pages
Churchill Livingstone, 2019
Keywords
Conceptual framework, Intensive care nurses, Mixed-method, Oral care, adult, article, content analysis, controlled study, documentation, female, human, intensive care unit, language, major clinical study, male, mouth cavity, mouth hygiene, nursing care, nursing staff, perception, quantitative analysis, questionnaire, skill, statistics
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-70243 (URN)10.1016/j.iccn.2018.09.006 (DOI)30297151 (PubMedID)2-s2.0-85054505634 (Scopus ID)
Available from: 2018-11-22 Created: 2018-11-22 Last updated: 2019-05-02Bibliographically approved
Andersson, M., Wilde-Larsson, B. & Persenius Wentzel, M. (2019). Oral care: identifying quality improvement areas. International Journal of Health Care Quality Assurance, 32(1), 45-58
Open this publication in new window or tab >>Oral care: identifying quality improvement areas
2019 (English)In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 32, no 1, p. 45-58Article in journal (Refereed) Published
Abstract [en]

Purpose: To describe and compare nurses' and healthcare assistants' oral care qualityperceptions, including perceived reality and subjective importance, to identify improvementareas in intensive care and short-term care, and to explore potential nursing satisfactionpredictors regarding oral care.Design/methodology/approach: Swedish staff, 154 within intensive care and 278 withinshort-term care responded to a modified Quality of Care from a Patient Perspectivequestionnaire. Descriptive and analytical statistics were used.Findings: Staff scored oral care quality both high and low in relation to perceived reality andsubjective importance. Improvement areas were identified, despite high satisfaction valuesregarding oral care. Setting, subjective importance, and perceived reality explained 51.5% ofthe variance in staff satisfaction regarding oral care quality.Practical implications: Quality improvements could guide oral care development.Originality/value: This study describes oral care by comparing nurse perceptions of howimportant they perceive different oral care aspects and to what extent these oral care aspectsare performed.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2019
Keywords
Oral care; Quality improvement; Satisfaction; Oral health; Nurses.
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-70819 (URN)10.1108/IJHCQA-09-2017-0176 (DOI)000460932700005 ()
Available from: 2019-01-28 Created: 2019-01-28 Last updated: 2019-04-11Bibliographically approved
Ängeby, K., Sandin-Bojö, A.-K., Persenius Wentzel, M. & Wilde-Larsson, B. (2018). Early labour experience questionnaire: Psychometric testing and women's experiences in a Swedish setting. Midwifery, 64, 77-84
Open this publication in new window or tab >>Early labour experience questionnaire: Psychometric testing and women's experiences in a Swedish setting
2018 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 64, p. 77-84Article in journal (Refereed) Published
Abstract [en]

Objective: (a) to psychometrically test the Early Labour Experience Questionnaire (ELEQ) among both primi- and multiparous women giving birth in a Swedish setting, and (b) to describe and compare their experiences during early labour in relation to background characteristics. Design: a cross-sectional study. Setting: a county in Sweden. Participants: primi- and multiparous women with a spontaneous onset of labour after gestational week 37 + 0. In total, n = 1193 women were invited, and n = 754 responded the questionnaire, with a final total of n = 344 primi and n = 410 multiparous women. Methods: the ELEQ was translated with cross-cultural adaptation. The validity was determined using exploratory factor analysis with principal axis factoring analyses. Reliability was estimated from the internal consistency using Cronbach's alpha. The relationship between the questionnaire and the demographic characteristics of the participating women were analysed using ANOVA and t-test. Findings: an explorative factor analysis showed a three-factor solution for primiparas women (SWE-ELEQ-PP) consist of 23 items and a stable factor structure that explained 49.2% of the total variance with sufficient reliability coefficients (0.81–0.86). A four-factor solution for multiparous women (SWE-ELEQ-MP) consist of 22 items, with 52.62% of the total variance explained and with adequate internal consistency reliability coefficients (0.77–0.86) for three factors and relatively low stability (0.62) for the fourth factor with two items. Primiparous women scored significantly higher on items about feeling confused, and significantly lower on some items measuring emotional wellbeing and perceptions of midwifery care compared to multiparous women. Primiparous women with longer early labour (>18 h), scored significantly lower on the perceptions of midwifery care. Primi- and multiparous women who were dissatisfied with their telephone conversation or with not being admitted during early labour, scored significantly lower on emotional wellbeing, higher regarding emotional distress, and significantly lower about perceptions of midwifery care. Key conclusions: the SWE-ELEQ-PP and SWE-ELEQ-MP are considered valid questionnaires for use in a Swedish setting. Differences exist between parity and the factor structure and experiences in early labour vary. Women less content with early labour management decisions rated perceived midwifery care lower regardless of parity. Implication for practice: the questionnaire can be used to evaluate early labour care in a Swedish setting. The result suggests that differences according to parity exist and should be addressed when managing early labour care and a more individualised approach requires considerations.

Place, publisher, year, edition, pages
Churchill Livingstone, 2018
Keywords
Early Labour, Early Labour Experience, Factor analysis, Psychometric test, Questionnaire
National Category
Nursing
Identifiers
urn:nbn:se:kau:diva-69018 (URN)10.1016/j.midw.2018.06.008 (DOI)29966880 (PubMedID)2-s2.0-85049358036 (Scopus ID)
Available from: 2018-09-05 Created: 2018-09-05 Last updated: 2018-10-23Bibliographically approved
Andersson, M., Wilde-Larsson, B., Carlsson, E. & Wentzel Persenius, M. (2018). Older people's perceptions of the quality of oral care in short-term care units: A cross-sectional study. International Journal of Older People Nursing, 13(2), 1-14, Article ID e12185.
Open this publication in new window or tab >>Older people's perceptions of the quality of oral care in short-term care units: A cross-sectional study
2018 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 13, no 2, p. 1-14, article id e12185Article in journal (Refereed) Published
Abstract [en]

Background: There is a lack of knowledge about oral care among older people living in short-term care (STC) units and how the quality of oral care provided by nursing staff is perceived by the older people. Aim: To (i) describe person-related conditions among older people in STC, (ii) describe and compare perceptions of the quality of oral care (including perceptions of care received and the subjective importance of such care), within and between older people who have the ability to perform oral self-care and those who are dependent on help with oral care and (iii) examine the relationship between person-related conditions and the quality of oral care. Methods: A cross-sectional study was conducted with 391 older people in STC units in Sweden based on self-reported questionnaire and clinical assessments. Results: The older people were assessed as having normal oral health (2%), moderate oral health problems (78%) or severe oral health problems (20%). When comparing older people's perceptions of quality of oral care in terms of perceived reality and subjective importance, significant differences appeared within and between groups. Psychological well-being had a significant relationship with perception of the quality of oral care (both perceived reality and subjective importance), and gender and oral health status had a significant relationship with subjective importance. Conclusions: Older people's perceptions of areas for improvement regarding quality of oral care is a new and important knowledge for nursing staff in STC units. Older people want personalised information regarding oral health and oral care. Registered Nurses who take the responsibility in nursing care for older people's oral health may avoid unnecessary suffering by older people caused by oral health problems. Implications for practice: Older people's perspective is an important component for quality work and might lead to improvements in the quality of oral care in STC. © 2018 John Wiley & Sons Ltd.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018
Keywords
Nursing, Older people, Oral health, Person-centred care, Quality of care, adult, article, clinical assessment, controlled study, cross-sectional study, female, gender, human, human experiment, male, mouth hygiene, nursing care, nursing staff, perception, psychological well-being, questionnaire, registered nurse, responsibility, self care, Sweden
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-66214 (URN)10.1111/opn.12185 (DOI)000434118100008 ()2-s2.0-85040973929 (Scopus ID)
Available from: 2018-02-09 Created: 2018-02-09 Last updated: 2019-04-11Bibliographically approved
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
Show others...
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
Keywords
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
Abrahamsen Grøndahl, V., Persenius, M., Bååth, C. & Helgesen, A. K. (2017). The use of life stories and its influence on persons with dementia, their relatives and staff: A systematic mixed studies review. BMC Nursing, 16(28), Article ID 28.
Open this publication in new window or tab >>The use of life stories and its influence on persons with dementia, their relatives and staff: A systematic mixed studies review
2017 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 16, no 28, article id 28Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Dementia is an important predictor of nursing home admissions. Due to progressive dementia symptoms, over time it becomes difficult for persons with dementia to communicate their wishes and participate in decisions concerning their everyday lives. Their well-being, sense of dignity, integrity and personhood are at risk. The persons' life stories have been highlighted as particularly important in dementia care and are referred to as seeing the person beyond the dementia. The aim of this study was to explore and describe the use of life stories and its influence on persons with dementia living in nursing homes, their relatives and staff.

METHODS: A systematic mixed studies review was conducted. The literature searches were performed in the following databases: CINAHL, PubMed and PsycINFO and the Cochrane library, as well as by hand searching references in the studies included. An updated search was performed eight months after the first search. Data was synthesised inspired by integrative analysis.

RESULTS: Three studies using quantitative design and two studies (presented in three papers) using qualitative design representing research from 2006 to 2015 were included in the review. Life stories generally had a positive influence on the persons with dementia, their relatives, and staff. The use of life stories might contribute to 'Maintenance of the person with dementia as a whole person rather than a demented patient'. On the other hand, enabling persons with dementia to tell their own story could be a challenge. For the staff it could be challenging when sensitive information emerged uninvited. Involving relatives could also be difficult as to whose story were uncovered.

CONCLUSIONS: The use of person's life story might be of significance, but there is not enough evidence to make any statement about its importance as the research is scarce. Studies, including randomised controlled trials, are needed to measure the impact of life story work on the physiological and psychological aspects of persons with dementia, and also how it influences their relatives and staff.

Place, publisher, year, edition, pages
BioMed Central, 2017
Keywords
Dementia, Life stories, Nursing home, Systematic mixed studies review
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-62672 (URN)10.1186/s12912-017-0223-5 (DOI)28588424 (PubMedID)
Available from: 2017-08-16 Created: 2017-08-16 Last updated: 2018-11-06Bibliographically 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
Keywords
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
Keywords
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
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ORCID iD: ORCID iD iconorcid.org/0000-0002-2667-4025

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