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Abrahamsen Grøndahl, VigdisORCID iD iconorcid.org/0000-0002-8296-7682
Alternative names
Publications (9 of 9) Show all publications
Sandsdalen, T., Höye, S., Rystedt, I., Abrahamsen Grøndahl, V., Hov, R. & Wilde-Larsson, B. (2017). The relationships between the combination of person- and organization-related conditions and patients' perceptions of palliative care quality. BMC Palliative Care, 16(66)
Open this publication in new window or tab >>The relationships between the combination of person- and organization-related conditions and patients' perceptions of palliative care quality
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2017 (English)In: BMC Palliative Care, ISSN 1472-684X, E-ISSN 1472-684X, Vol. 16, no 66Article in journal (Refereed) Published
Abstract [en]

Background:Little is known about the combination of person- and organization- related conditions and the relationshipswith patients'perspectives of care quality. Such a combination could contribute knowledge reflecting the complexity ofclinical practice, and enhance individualized care. The aim wasto investigate the relationships between the combination ofperson- and organization-related conditions and patients'perceptions of palliative care quality.Methods:A cross-sectional study, including 191 patients in the latepalliative phase (73% response rate) admitted to hospiceinpatient care (n= 72), hospice day care (n= 51), palliative units in nursing homes (n= 30) and home care (n=38),wasconducted between November 2013 and December 2014, using the instrument Quality from the Patients'Perspectivespecific to palliative care (QPP-PC). Data were analysed, using analysis of covariance, to explore the amount of the variancein the dependent variables (QPP-PC) that could be explained by combination of the independent variables–Person- andorganization-related conditions,−while controlling for differences in covariates.Results:Patients scored the care received and the subjective importance as moderate to high. The combination of person-and organization - related conditions revealed that patients with a high sense of coherence, lower age (person–relatedconditions) and being in a ward with access to and availabilityof physicians (organization-related condition) might beassociated with significantly higher scores for the quality ofcare received. Gender (women), daily contact with family andfriends, and low health-related qualityof life (person-related conditions) might be associated with higher scores forsubjective importance of the aspects of care quality.Conclusion:Healthcare personnel, leaders and policy makers need to pay attention to person- and organization-relatedconditions in order to provide person-centered palliative care ofhigh quality. Further studies from palliative care contexts areneeded to confirm the findings and to investigate additional organizational factors that might influence patients'perceptions of care quality.

Place, publisher, year, edition, pages
London: BioMed Central, 2017
Keywords
Organization, Palliative care, Patient p erception, Person-related conditions, Quality of healthcare, Quality from the patients'
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-65334 (URN)10.1186/s12904-017-0240-x (DOI)000417539600001 ()
Available from: 2017-12-08 Created: 2017-12-08 Last updated: 2019-07-12Bibliographically 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)000403288500002 ()28588424 (PubMedID)
Available from: 2017-08-16 Created: 2017-08-16 Last updated: 2019-08-02Bibliographically approved
Abrahamsen Grøndahl, V., Hall-Lord, M.-L., Karlsson, I., Appelgren, J. & Wilde Larsson, B. (2013). Exploring patient satisfaction predictors in relation to a theoretical model. International Journal of Health Care Quality Assurance, 26(1), 37-54
Open this publication in new window or tab >>Exploring patient satisfaction predictors in relation to a theoretical model
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2013 (English)In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 26, no 1, p. 37-54Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2013
Keywords
Patient satisfaction, Healthcare quality, Public health service, Norway, Service delivery
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-9160 (URN)10.1108/09526861311288631 (DOI)
Available from: 2012-01-11 Created: 2012-01-11 Last updated: 2019-07-12Bibliographically approved
Abrahamsen Grøndahl, V., Wilde Larsson, B., Karlsson, I. & Hall-Lord, M.-L. (2013). Patients' experiences of care quality and satisfaction satisfaction during hospital stay: a qualitative study. European Journal for Person Centered Healthcare, 1(1), 185-192
Open this publication in new window or tab >>Patients' experiences of care quality and satisfaction satisfaction during hospital stay: a qualitative study
2013 (English)In: European Journal for Person Centered Healthcare, ISSN 2052-5656, Vol. 1, no 1, p. 185-192Article in journal (Refereed) Published
Abstract [en]

Rationale, aim and objectives: Patients experiencing high care quality and satisfied patients are more likely to follow treatments. Patient satisfaction is an important contributor to physical and mental health-related quality of life. Research emphasises the need to further study satisfaction from the patients’ perspective. The aim was to describe patients’ experiences of care quality and the relation to their satisfaction during hospital stay. 

Methods: A qualitative descriptive design was used. Interviews were conducted with 22 patients discharged from hospital. Data was analysed by conventional content analysis.

Results: Four categories and seven subcategories describing patients’ experiences of care quality and the relation to their satisfaction emerged. Desire to regain health comprised waiting for treatment, being cured, having hopes of being cured and described the treatment and health outcome of hospitalisation. Need to be met in a professional way as a unique person comprised receiving personalized knowledge, receiving healthcare by competent healthcare personnel and described the way patients need to be met by healthcare personnel. Need to be involved comprised taking responsibility for own health, leaving responsibility for own health and concerned the patients’ way of handling hospitalisation. Need to have balance between privacy and companionship concerned the relationship to fellow patients.

Conclusions: Health condition is of great importance to patients’ experiences of quality of care and their satisfaction in relation to hospital stay. The healthcare personnel need to be aware that seriously ill patients may never be completely satisfied. Furthermore, healthcare personnel must do their utmost to provide the patients with person-centered care.  Hospital managers must consider the design of wards with respect to such matters as multiple-bed versus single-bed rooms and heads of nursing must carefully plan each patient’s accommodation.

National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-9307 (URN)10.5750/ejpch.v1i1.650 (DOI)
Available from: 2012-01-24 Created: 2012-01-24 Last updated: 2019-07-12Bibliographically approved
Abrahamsen Grøndahl, V. (2012). Patients’ perceptions of actual care conditions and patient satisfaction with care quality in hospital. (Doctoral dissertation). Karlstad: Karlstads universitet
Open this publication in new window or tab >>Patients’ perceptions of actual care conditions and patient satisfaction with care quality in hospital
2012 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

There are theoretical and methodological difficulties in measuring the concepts of quality of care and patient satisfaction, and the conditions associated with these concepts. A theoretical framework of patient satisfaction and a theoretical model of quality of care have been used as the theoretical basis in this thesis.

Aim. The overall aim was to describe and explore relationships between person-related conditions, external objective care conditions, patients’ perceptions of quality of care, and patient satisfaction with care in hospital.

Methods. Quantitative and qualitative methods were used. In the quantitative study (I-III), 528 patients (83.7%) from eight medical, three surgical and one mixed medical/surgical ward in five hospitals in Norway agreed to participate (10% of total discharges). Data collection was conducted using a questionnaire comprising four instruments: Quality from Patients’ Perspective (QPP); Sense of Coherence scale (SOC); Big Five personality traits – the Single-Item Measures of Personality (SIMP); and Emotional Stress Reaction Questionnaire (ESRQ). In addition, questions regarding socio-demographic data and health conditions were asked, and data from ward statistics were included. Multivariate statistical analysis was carried out (I-III). In the qualitative study 22 informants were interviewed (IV). The interviews were analysed by conventional content analysis.

Main findings. Patients’ perceptions of quality of care and patient satisfaction ranged from lower to higher depending on whether all patients or groups of patients were studied. The combination of person-related and external objective care conditions explained 55% of patients’ perceptions of quality of care (I). 54.7% of the variance in patient satisfaction was explained, and the person-related conditions had the strongest impact, explaining 51.7% (II). Three clusters of patients were identified regarding their scores on patient satisfaction and patients’ perceptions of quality of care (III). One group consisted of patients who were most satisfied and had the best perceptions of quality of care, a second group of patients who were less satisfied and had better perceptions, and a third group of patients who were less satisfied and had the worst perceptions. The qualitative study revealed four categories of importance for patients’ satisfaction: desire to regain health, need to be met in a professional way as a unique person, perspective on life, and need to have balance between privacy and companionship (IV).

Conclusions. Patients’ perceptions of quality of care and patient satisfaction are two different concepts. The person-related conditions seem to be the strongest predictors of patients’ perceptions of quality of care and patient satisfaction. Registered nurses need to be aware of this when planning and conducting nursing care. There is a need of guidelines for handling over‑occupancy, and of procedures for emergency admissions on the wards. The number of registered nurses on the wards needs to be considered. Healthcare personnel must do their utmost to provide the patients with person‑centred care.

Place, publisher, year, edition, pages
Karlstad: Karlstads universitet, 2012. p. 94
Series
Karlstad University Studies, ISSN 1403-8099 ; 2012:2
Keywords
emotion, external care conditions, inpatient, patient perspective, patient satisfaction, person-related conditions, quality of care
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-9023 (URN)978-91-7063-406-2 (ISBN)
Public defence
2012-02-24, Lagerlöfsalen 1A 305, Karlstads universitet, Karlstad, 11:00 (Swedish)
Opponent
Supervisors
Available from: 2012-01-26 Created: 2012-01-02 Last updated: 2019-07-12Bibliographically approved
Abrahamsen Grøndahl, V., Wilde Larsson, B., Hall-Lord, M.-L. & Karlsson, I. (2011). A pattern approach to analysing patients’ satisfaction and quality of care perceptions in hospital. The International Journal of Person Centered Medicine, 1(4), 766-775
Open this publication in new window or tab >>A pattern approach to analysing patients’ satisfaction and quality of care perceptions in hospital
2011 (English)In: The International Journal of Person Centered Medicine, ISSN 2043-7730, E-ISSN 2043-7749, Vol. 1, no 4, p. 766-775Article in journal (Refereed) Published
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-9145 (URN)
Available from: 2012-01-10 Created: 2012-01-10 Last updated: 2019-07-12Bibliographically approved
Abrahamsen Grøndahl, V., Karlsson, I., Hall-Lord, M.-L., Appelgren, J. & Wilde-Larsson, B. (2011). Quality of care from patients' perspective: impact of the combination of person-related and external objective care conditions. Journal of Clinical Nursing, 20(17/18), 2540-2551
Open this publication in new window or tab >>Quality of care from patients' perspective: impact of the combination of person-related and external objective care conditions
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2011 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 20, no 17/18, p. 2540-2551Article in journal (Refereed) Published
Abstract [en]

Aims and objectives. To describe patients' perceptions of quality of care and to explore combinations of person-related and external objective care conditions as potential predictors of these perceptions. Background. Several studies have examined various single factors of person-related and external objective care conditions in relation to quality of care. None of these has included the effect of over-occupancy on patients' perception of quality of care. Furthermore, little is known about how combinations of different factors are related to each other and to the perception of quality of care using multivariate analysis. Design. A cross-sectional design. Method. A total of 528 patients (83·7%) from 12 medical, surgical or medical-surgical wards in five hospitals in Norway participated. Perceptions of quality of care and person-related conditions were measured with the 'Quality from Patient's Perspective' instrument. Data on external objective care conditions was collected from ward statistics provided by head nurses. Multivariate general linear modelling was used ( p < 0·05). Results. The combination of person-related and external objective care conditions revealed five factors that predict patients' perception of quality of care. Three of these are person-related conditions: sex, age and self-reported psychological well-being and two of them are external objective care conditions: RNs (headcount) on the wards and frequency of over-occupancy. These five factors explained 55% of the model. Patients rated the quality of care high. Conclusions. Sex, age, psychological well-being, frequency of over-occupancy and the number of RNs are important factors that must be emphasised if patients are to perceive the quality of care as high. Relevance to clinical practice. Head nurses and healthcare authorities must continually prepare the wards for over-occupancy and they must consider the number of RNs working on the wards.

National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-9305 (URN)10.1111/j.1365-2702.2011.03810.x (DOI)000293748900016 ()
Available from: 2012-01-24 Created: 2012-01-24 Last updated: 2019-07-12Bibliographically approved
Abrahamsen Grøndahl, V., Hall-Lord, M.-L., Karlsson, I. & Wilde-Larsson, B. (2010). Predictors of patients' satisfaction - basis for quality improvement work in hospital. Paper presented at 11th European Doctoral Conference in Nursing Sciences (EDCNS), Berlin, Germany, 17-18 september, 2010. Paper presented at 11th European Doctoral Conference in Nursing Sciences (EDCNS), Berlin, Germany, 17-18 september, 2010.
Open this publication in new window or tab >>Predictors of patients' satisfaction - basis for quality improvement work in hospital
2010 (English)Conference paper, Published paper (Refereed)
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-10322 (URN)
Conference
11th European Doctoral Conference in Nursing Sciences (EDCNS), Berlin, Germany, 17-18 september, 2010
Available from: 2012-02-08 Created: 2012-02-08 Last updated: 2019-07-12Bibliographically approved
Grøndahl Abrahamsen, V., Wilde-Larsson, B., Hall-Lord, M.-L. & Karlsson, I. (2010). Predictors of patients' satisfaction - basis for quality improvement work in hospitals. In: : . Paper presented at European doctoral conference in nursing science (EDCNS), Berlin, Tyskland, 17-18 september.
Open this publication in new window or tab >>Predictors of patients' satisfaction - basis for quality improvement work in hospitals
2010 (English)Conference paper, Published paper (Refereed)
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-12728 (URN)
Conference
European doctoral conference in nursing science (EDCNS), Berlin, Tyskland, 17-18 september
Available from: 2012-04-02 Created: 2012-04-02 Last updated: 2019-07-12Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-8296-7682

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