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Wilde-Larsson, BodilORCID iD iconorcid.org/0000-0001-7082-6834
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Publications (10 of 258) 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)
Note

Conflict of interest statement: https://doi.org/10.1016/j.iccn.2019.02.001

Available from: 2018-11-22 Created: 2018-11-22 Last updated: 2019-05-28Bibliographically approved
Strandmark K, M., Rahm, G., Rystedt, I., Nordström, G. & Wilde-Larsson, B. (2019). Managing bullying in Swedish workplace settings: A concealed and only partially acknowledged problem. Journal of Nursing Management, 27, 339-346
Open this publication in new window or tab >>Managing bullying in Swedish workplace settings: A concealed and only partially acknowledged problem
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2019 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 27, p. 339-346Article in journal (Refereed) Published
Abstract [en]

Aim: The purpose of this article was to explore workplace routines and strategies for preventing and managing bullying in the context of health and elderly care. Background: Bullying is a serious problem in workplaces with consequences for the individual, the organisation and the quality of care. Method: Open-ended interviews were conducted with 12 participants, including managers and specialists within one hospital and three municipalities. The interviews were analysed with qualitative content analysis. Results: Bullying was often concealed, due to avoidance, unclear definition and lack of direct strategies against bullying. No preventative work focusing on bullying existed. Psychosocial issues were not prioritized at workplace meetings. The supervisor had the formal responsibility to identify, manage and solve the bullying problem. The most common decision to solve the problem was to split the group. Conclusions: The findings showed that bullying was a concealed problem and was first acknowledged when the problem was acute. Implications for Nursing Management: Crucial strategies to prevent and combat bullying consist of acknowledgement of the problem, transformational leadership, prioritization of psycho-social issues, support of a humanistic value system and work through bullying problems to achieve long-term changes. © 2018 John Wiley & Sons Ltd

Place, publisher, year, edition, pages
Blackwell Publishing Ltd, 2019
Keywords
management, preventative work, solutions, workplace bullying, aged, article, avoidance behavior, bullying, clinical article, content analysis, elderly care, female, human, human experiment, interview, leadership, male, manager, nursing management, responsibility, workplace
National Category
Health Sciences
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-70245 (URN)10.1111/jonm.12668 (DOI)000461576900014 ()2-s2.0-85054593876 (Scopus ID)
Available from: 2018-11-22 Created: 2018-11-22 Last updated: 2019-04-05Bibliographically 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. (2019). Women's labour experiences and quality of care in relation to a prolonged latent phase of labour. Midwifery, 155-164
Open this publication in new window or tab >>Women's labour experiences and quality of care in relation to a prolonged latent phase of labour
2019 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, p. 155-164Article in journal (Other academic) Published
Abstract [en]

im: To describe primiparous and multiparous women's labour experiences and their perception of quality of intrapartum care, in relation to background characteristics and length of latent phase of labour prior to admittance to labour ward. Design: A cross-sectional study. Setting: A middle-sized hospital in a rural county in western part of Sweden. Participants: Primiparous and multiparous women, both low-risk and risk, with a spontaneous onset of labour after gestational week 37+0 were included. In total, n =1193 women were invited, and n = 757 responded the questionnaire, n = 342 primiparous and n = 415 multiparous women. Methods: The Intrapartal-specific Quality from Patient Perspective (QPP-I), with responses on perceived reality and subjective importance, was used for data collection. QPP-I covers ten factors of quality of care. Background characteristics, length of latent phase of labour, global items about labour experience and items regarding feelings during labour and birth were included. Data were analysed with descriptive and analytic statistics. Findings: All factors in QPP-I were rated higher for subjective importance than perceived reality, except for information about selfcare, for both primi- and multiparous women. Labour experience, perceived reality of quality of care, and feelings were related to length of the latent phase of labour. Primiparous women with a prolonged latent phase (>18 h) had significantly lower scores regarding six out of ten QPP-I factors (PR); Information procedures, Information self-care, Commitment (midwives), Commitment (enrolled nurses), Midwives present, and Partner/ significant others. They scored lower on Experience birth as normal and Safe during labour and birth. The felt less proud and felt more ignored by professionals. Multiparous women with a prolonged latent phase of labour scored significantly lower on one QPP-I factor, Commitment (midwives). They also scored lower on Control over the situation and felt less safe during labour and birth. Key Conclusion: Women's perception of quality of intrapartum care, the birth experience and feelings are related to length of the latent phase of labour. Women perceive quality of intrapartum care as being lower than its subjective importance. Implications for Practice: A prolonged latent phase of labour can be regarded as a risk factor for a more negative birthing experience. 

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Prolonged latent phase of labour; Quality of care; Birth experience; Early labour
National Category
Health Sciences Obstetrics, Gynecology and Reproductive Medicine
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-69839 (URN)10.1016/j.midw.2019.07.006 (DOI)000478779100021 ()31369936 (PubMedID)
Note

I avhandlingen med titeln: Women’s labour experiences and quality of care in relation to prolonged latent phase of labour and early labour contact with the labour ward

Available from: 2018-10-23 Created: 2018-10-23 Last updated: 2019-08-15Bibliographically approved
Rahm, G., Rystedt, I., Wilde-Larsson, B. & Strandmark, M. (2019). Workplace bullying among healthcare professionals in Sweden: a descriptive study. Scandinavian Journal of Caring Sciences
Open this publication in new window or tab >>Workplace bullying among healthcare professionals in Sweden: a descriptive study
2019 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Epub ahead of print
Abstract [en]

Workplace bullying is a taboo event which occurs worldwide, although the prevalence varies significantly between and within countries. Nurses have been regarded an occupational risk group for bullying at the work place. Bullying in health and social care contexts is sometimes reported as frequent and, other times, as not occurring, which sparked our interest in mapping the occurrence of bullying in the health and social care system in Sweden. Thus, the purpose of the study was to examine the prevalence of bullying, and to discuss cultural traditions and environmental factors that affect bullying in workplaces. The sample (n = 2810) consisted of employees at inpatient wards at four hospitals, and employees at municipal eldercare wards in Sweden. A questionnaire including NAQ‐22 R was distributed and subsequently analysed with descriptive statistics using SPSS. The youngest group of respondents scored higher than the older groups. Using contrasting estimates of bullying, the prevalence varied between 4.1 and 18.5%, with the lowest prevalence in regards to self‐reported exposure. According to the cut‐off scores, NAQ‐22 R, 8.6% of the respondents were occasionally exposed to bullying while 2.3% were considered to be victims of severe bullying. Work‐related negative acts were more common than personal negative acts. The variations in prevalence of bullying as a result of contrasting estimation strategies are discussed from perspective of the 'law of Jante', the 'tall poppy syndrome' and shame. Bullying deteriorates the working conditions which may have an impact on quality of patient care.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2019
National Category
Health Sciences
Identifiers
urn:nbn:se:kau:diva-71542 (URN)10.1111/scs.12633 (DOI)000486090000007 ()
Available from: 2019-03-18 Created: 2019-03-18 Last updated: 2019-10-10Bibliographically approved
Wilde-Larsson, B., Aiyub, I., Hermansyah, H., Hov, R., Höye, S., Valen Gillund, M., . . . Nordström, G. (2018). Critical thinking, research utilization and barriers to this among nursing students in Scandinavia and Indonesia. Nordic journal of nursing research, 38(1), 28-37
Open this publication in new window or tab >>Critical thinking, research utilization and barriers to this among nursing students in Scandinavia and Indonesia
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2018 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 38, no 1, p. 28-37Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to describe and compare perceptions of critical thinking, attitudes to and availability of research,research utilization and barriers to this among nursing students in Scandinavia and Indonesia. Data were collected at thebeginning, middle and end of education from nursing students in Norway, Sweden (bachelor's diploma) and Banda Aceh(bachelor's diploma). Critical Thinking and Research Utilization Questionnaires were used along with the Barrier Scale.Descriptive analyses, comparisons between and within groups were performed. At the end of education, all samples exhibitedpositive attitudes to research and the main barrier was related to the setting. Scandinavian students reported higher criticalthinking. Indonesian students perceived greater barriers on two Barrier subscales. No differences were found between thesamples regarding research utilization. Significant changes over time varied among the samples except for the Norwegiansample. Indonesian students (diploma) exhibited most changes over time. Teachers must support nursing students to strengthentheir critical thinking ability and develop professional competence.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
barriers to research, critical thinking, Indonesia, nursing students, research utilization, Scandinavia
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-62794 (URN)10.1177/2057158517704398 (DOI)
Available from: 2017-08-24 Created: 2017-08-24 Last updated: 2018-06-12Bibliographically 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
Finbråten, H. S., Wilde-Larsson, B., Nordström, G., Pettersen, K. S., Trollvik, A. & Guttersrud, Ö. (2018). Establishing the HLS-Q12 short version of the European Health Literacy Survey Questionnaire: Latent trait analyses using Rasch modelling and confirmatory factor modelling. BMC Health Services Research, 18(506)
Open this publication in new window or tab >>Establishing the HLS-Q12 short version of the European Health Literacy Survey Questionnaire: Latent trait analyses using Rasch modelling and confirmatory factor modelling
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2018 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 18, no 506Article in journal (Other academic) Published
Abstract [en]

The European Health Literacy Survey Questionnaire (HLS-EU-Q47) is widely used in assessing health literacy (HL). There has been some controversy whether the comprehensive HLS-EU-Q47 data, reflecting a conceptual model of four cognitive domains across three health domains (i.e. 12 subscales), fit unidimensional Rasch models. Still, the HLS-EU-Q47 raw score is commonly interpreted as a sufficient statistic. Combining Rasch modelling and confirmatory factor analysis, we reduced the 47 item scale to a parsimonious 12 item scale that meets the assumptions and requirements of objective measurement while offering a clinically feasible HL screening tool. This paper aims at (1) evaluating the psychometric properties of the HLS-EU-Q47 and associated short versions in a large Norwegian sample, and (2) establishing a short version (HLS-Q12) with sufficient psychometric properties.MethodsUsing computer-assisted telephone interviews during November 2014, data were collected from 900 randomly sampled individuals aged 16 and over. The data were analysed using the partial credit parameterization of the unidimensional polytomous Rasch model (PRM) and the 'between-item' multidimensional PRM, and by using one-factorial and multi-factorial confirmatory factor analysis (CFA) with categorical variables.ResultsUsing likelihood-ratio tests to compare data-model fit for nested models, we found that the observed HLS-EU-Q47 data were more likely under a 12-dimensional Rasch model than under a three- or a one-dimensional Rasch model. Several of the 12 theoretically defined subscales suffered from low reliability owing to few items. Excluding poorly discriminating items, items displaying differential item functioning and redundant items violating the assumption of local independency, a parsimonious 12-item HLS-Q12 scale is suggested. The HLS-Q12 displayed acceptable fit to the unidimensional Rasch model and achieved acceptable goodness-of-fit indexes using CFA.ConclusionsUnlike the HLS-EU-Q47 data, the parsimonious 12-item version (HLS-Q12) meets the assumptions and the requirements of objective measurement while offering clinically feasible screening without applying advanced psychometric methods on site. To avoid invalid measures of HL using the HLS-EU-Q47, we suggest using the HLS-Q12. Valid measures are particularly important in studies aiming to explain the variance in the latent trait HL, and explore the relation between HL and health outcomes with the purpose of informing policy makers.

Place, publisher, year, edition, pages
BioMed Central, 2018
Keywords
Confirmatory factor analysis of categorical data; Health literacy; HLS-EU-Q47; HLS-Q12; Rasch modelling; Short version; Validation
National Category
Health Sciences Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-66962 (URN)10.1186/s12913-018-3275-7 (DOI)000436841600003 ()
Note

I avhandlingen publicerad med manuskripttiteln: Proposing the HLS-N-Q12 based on a review of the European Health Literacy Survey Questionnaire and associated short versions : Latent trait analyses using Rasch modelling and confirmatory factor modelling

Available from: 2018-04-10 Created: 2018-04-10 Last updated: 2018-12-10Bibliographically approved
Larsson, M., Lee, S. H., Grov, E. K., Hov, R., Wilde-Larsson, B., Olsson, C., . . . Kennedy, C. (2018). Family Carers Preferences for Support When Caring for a Family Member at the End of Life at Home: An Integrative Literature Review. Journal of Pain and Symptom Management, 56(6), e95
Open this publication in new window or tab >>Family Carers Preferences for Support When Caring for a Family Member at the End of Life at Home: An Integrative Literature Review
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2018 (English)In: Journal of Pain and Symptom Management, ISSN 0885-3924, E-ISSN 1873-6513, Vol. 56, no 6, p. e95-Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
Amsterdam, Netherlands: Elsevier, 2018
National Category
Medical and Health Sciences Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-75227 (URN)
Available from: 2019-10-11 Created: 2019-10-11 Last updated: 2019-10-17Bibliographically approved
Hov, R., Kvigne, K., Aiyub, I., Gillund, M. V., Hermansyah, H., Nordström, G., . . . Höye, S. (2018). Nurses' contributions to health: Perceptionsof first-year nursing students in Scandinaviaand Indonesia. Nordic journal of nursing research
Open this publication in new window or tab >>Nurses' contributions to health: Perceptionsof first-year nursing students in Scandinaviaand Indonesia
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2018 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, p. -9Article in journal (Refereed) Published
Abstract [en]

Nursing students need an understanding of how nurses care for people’s health from a global perspective. The aim of this studywas to explore how nurses can contribute to health from the perspectives of first-year nursing students in Scandinavia (Sweden,Norway) and Indonesia. Data were collected using an open-ended question about nurses’ contribution to health, and analysedusing qualitative content analysis. Three common categories emerged: ‘Promoting health and preventing disease’, ‘Performingcare and treatment’, ‘Establishing a relationship with patients and being compassionate’. ‘Possessing and implementing knowledgeand skills’ was common to Norway and Indonesia. ‘Being a team member’ was emphasised by the Indonesian participants.The Norwegian participants focused on health promotion, whereas those from Indonesia prioritised disease prevention. TheScandinavian participants emphasised individuality, while those from Indonesia focused on the community. The findings indicatethat nursing education should take account of different cultures and include student exchange programmes.

Keywords
health, Indonesia, nurses, nursing students, qualitative research, Scandinavia
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-65595 (URN)10.1177/2057158517747181 (DOI)
Available from: 2018-01-15 Created: 2018-01-15 Last updated: 2018-01-15Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0001-7082-6834

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