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Wilde-Larsson, BodilORCID iD iconorcid.org/0000-0001-7082-6834
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Publications (10 of 232) Show all publications
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.

Keyword
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
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
Keyword
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: 2018-02-05Bibliographically approved
Theander, K., Wilde-Larsson, B., Carlsson, M., Florin, J., Gardulf, A., Johansson, E., . . . Nilsson, J. (2016). Adjusting to future demands in healthcare: Curriculum changes and nursing students' self-reported professional competence. Nurse Education Today, 37, 178-183
Open this publication in new window or tab >>Adjusting to future demands in healthcare: Curriculum changes and nursing students' self-reported professional competence
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2016 (English)In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 37, p. 178-183Article in journal (Refereed) Published
Abstract [en]

Background: Nursing competence is of significant importance for patient care. Newly graduated nursing students rate their competence as high. However, the impact of different designs of nursing curricula on nursing students' self-reported nursing competence areas is seldom reported. Objectives: To compare newly graduated nursing students' self-reported professional competence before and after the implementation of a new nursing curriculum. The study had a descriptive comparative design. Nursing students, who graduated in 2011, having studied according to an older curriculum, were compared with those who graduated in 2014, after a new nursing curriculum with more focus on person-centered nursing had been implemented. Setting: A higher education nursing program at a Swedish university. Participants: In total, 119 (2011 n = 69, 2014 n = 50) nursing students responded. Methods: Nursing students' self-reported professional competencies were assessed with the Nurse Professional Competence (NPC) scale. Results: There were no significant differences between the two groups of nursing students, who graduated in 2011 and 2014, respectively, with regard to age, sex, education, or work experience. Both groups rated their competencies as very high. Competence in value-based nursing was perceived to be significantly higher after the change in curriculum. The lowest competence, both in 2011 and 2014, was reported in education and supervision of staff and students. Conclusions: Our findings indicate that newly graduated nursing students- both those following the old curriculum and the first batch of students following the new one - perceive that their professional competence is high. Competence in value-based nursing, measured with the NPC scale, was reported higher after the implementation of a new curriculum, reflecting curriculum changes with more focus on person-centered nursing. (C) 2015 Elsevier Ltd. All rights reserved.

Keyword
Nurse competence, Professional nursing, Nursing education, Nursing curriculum, Nursing student, NPC scale
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-41200 (URN)10.1016/j.nedt.2015.11.012 (DOI)000371098300029 ()26703792 (PubMedID)
Available from: 2016-04-01 Created: 2016-04-01 Last updated: 2017-11-30Bibliographically approved
Ängeby, K., Sandin-Bojö, A.-K., Wilde-Larsson, B. & Hildingsson, I. (2016). Prevalence of prolonged lathent phase and labour outcome: review of birth records in a Swedish population. In: Svenska Barnmorskeförbundet (Ed.), NJF congress: Gothenburg May 12-14, 2016 Nordisk Jordmoderförbund (NJF). Paper presented at NJF kongress, Gothenburg May 12-14, 2016.
Open this publication in new window or tab >>Prevalence of prolonged lathent phase and labour outcome: review of birth records in a Swedish population
2016 (English)In: NJF congress: Gothenburg May 12-14, 2016 Nordisk Jordmoderförbund (NJF) / [ed] Svenska Barnmorskeförbundet, 2016Conference paper, Oral presentation with published abstract (Refereed)
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:kau:diva-43004 (URN)
Conference
NJF kongress, Gothenburg May 12-14, 2016
Available from: 2016-06-15 Created: 2016-06-15 Last updated: 2017-08-14Bibliographically approved
Gardulf, A., Nilsson, J., Florin, J., Leksell, J., Lepp, M., Lindholm, C., . . . Johansson, E. (2016). The Nurse Professional Competence (NPC) Scale: Self-reported competence among nursing students on the point of graduation. Nurse Education Today, 36, 165-171
Open this publication in new window or tab >>The Nurse Professional Competence (NPC) Scale: Self-reported competence among nursing students on the point of graduation
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2016 (English)In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 36, p. 165-171Article in journal (Refereed) Published
Abstract [en]

Background: International organisations, e.g. WHO, stress the importance of competent registered nurses (RN) for the safety and quality of healthcare systems. Low competence among RNs has been shown to increase the morbidity and mortality of inpatients. Objectives: To investigate self-reported competence among nursing students on the point of graduation (NSPGs), using the Nurse Professional Competence (NPC) Scale, and to relate the findings to background factors. Methods and participants; The NPC Scale consists of 88 items within eight competence areas (CAs) and two overarching themes. Questions about socio-economic background and perceived overall quality of the degree programme were added. In total, 1086 NSPGs (mean age, 28.1[20-56] years, 87.3% women) from 11 universities/university colleges participated. Results: NSPGs reported significantly higher scores for Theme I "Patient-Related Nursing" than for Theme II "Organisation and Development of Nursing Care". Younger NSPGs (20-27 years) reported significantly higher scores for the CAs "Medical and Technical Care" and "Documentation and Information Technology". Female NSPGs scored significantly higher for "Value-Based Nursing". Those who had taken the nursing care programme at upper secondary school before the Bachelor of Science in Nursing (BSN) programme scored significantly higher on "Nursing Care", "Medical and Technical Care", "Teaching/Learning and Support", "Legislation in Nursing and Safety Planning" and on Theme I. Working extra paid hours in healthcare alongside the BSN programme contributed to significantly higher self-reported scores for four CAs and both themes. Clinical courses within the BSN programme contributed to perceived competence to a significantly higher degree than theoretical courses (932% vs 875% of NSPGs). Summary and conclusion: Mean scores reported by NSPGs were highest for the four CAs connected with patient-related nursing and lowest for CAs relating to organisation and development of nursing care. We conclude that the NPC Scale can be used to identify and measure aspects of self-reported competence among NSPGs. (C) 2015 Elsevier Ltd. All rights reserved.

Keyword
Nurses' competence, Professional nursing, Nursing education, Nursing students, Graduate nurses, Quality in care, Safety in care, NPC Scale
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-40990 (URN)10.1016/j.nedt.2015.09.013 (DOI)000367117000028 ()
Available from: 2016-03-08 Created: 2016-03-08 Last updated: 2017-12-06Bibliographically 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
Myhrene Steffenak, A. K., Wilde-Larsson, B., Hartz, I. & Nordström, G. (2015). Experience of psychotropic drug use among young people with mental health problems. Nordic journal of nursing research, 35(4), 241-248
Open this publication in new window or tab >>Experience of psychotropic drug use among young people with mental health problems
2015 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 35, no 4, p. 241-248Article in journal (Refereed) Published
Abstract [en]

The aim of the study is to describe the experience of psychotropic drug use among young people with mental health problems. Young people experience mental health problems, and some will need to take psychotropic drugs for either a short or a long time. Psychotropic drugs may be effective in reducing mental distress, but raise questions about increasing use, side effects, long-term treatment and off-label use. Qualitative interviews were accomplished with eight young people who had taken psychotropic drugs. Three categories were identified: ‘Effects of psychotropic drugs’, ‘Access of professional care and follow-up’ and ‘Social life and psychotropic drug use’. The young people experienced both beneficial and undesired effects from the psychotropic drugs. They experienced lack of access to professional support and follow-up. Life with family and friends was influenced negatively by psychotropic drug use and the young people were afraid of being lonely and stigmatized. The results may have implications for those who work with young people. Young people striving with mental health problems and psychotropic drug use have to have access to professional support and follow-up. Knowledge about effects of psychotropic drug use among young people is needed. The work about openness about mental health problems among young people has to continue.

Place, publisher, year, edition, pages
Sage Publications, 2015
Keyword
mental health problems, Psychotropic drug use, adolescence
National Category
Medical and Health Sciences Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-30761 (URN)10.1177/0107408315592805 (DOI)
Available from: 2013-12-19 Created: 2013-12-19 Last updated: 2017-09-19Bibliographically approved
From, I., Wilde-Larsson, B., Nordström, G. & Johansson, I. (2015). Formal caregivers' perceptions of quality of care for older people: predicting factors. BMC Research Notes, 8(623)
Open this publication in new window or tab >>Formal caregivers' perceptions of quality of care for older people: predicting factors
2015 (English)In: BMC Research Notes, ISSN 1756-0500, E-ISSN 1756-0500, Vol. 8, no 623Article in journal (Refereed) Published
Abstract [en]

Background

Despite the growing number of studies concerning quality of care for older people, there is a lack of studies depicting factors associated with good quality of care from the formal caregivers’ perspective. The aim was to describe formal caregivers’ perceptions of quality of care for older people in the community and explore factors associated with these perceptions. In total, 70 nursing assistants, 163 enrolled nurses and 198 registered nurses from 14 communities in central Sweden participated in the study. They filled out the following questionnaires: a modified version of Quality from the Patient’s Perspective, Creative Climate Questionnaire, Stress of Conscience Questionnaire, items regarding education and competence, Health Index and Sense of coherence questionnaire. The overall response rate was 57 % (n = 431).

Results

In the perceived reality of quality of care respondents assessed the highest mean value in the dimension medical-technical competence and physical technical conditions and lower values in the dimensions; identity-oriented approach, socio-cultural atmosphere and in the context specific dimension. The caregivers estimated their competence and health rather high, had lower average values in sense of coherence and organizational climate and low values in stress of conscience.

Conclusions

The PR of quality of care were estimated higher among NA/ENs compared to RNs. Occupation, organizational climate and stress of conscience were factors associated with quality of care that explained 42 % of the variance. Competence, general health and sense of coherence were not significantly associated to quality of care. The mentioned factors explaining quality of care might be intertwined and showed that formal caregivers’ working conditions are of great importance for quality of care.

Keyword
Patient’s Perspective, Creative Climate Questionnaire, Stress of Conscience Questionnaire
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-8957 (URN)10.1186/s13104-015-1597-7 (DOI)
Note

This article was published as manuscript in the thesis.

Available from: 2011-12-15 Created: 2011-12-15 Last updated: 2017-12-08Bibliographically approved
Sandsdalen, T., Rystedt, I., Abrahamsen Gröndal, V., Hov, R., Höye, S. & Wilde-Larsson, B. (2015). Patients’ perceptions of palliative care: Adaptation of the Quality from the Patient’s Perspective instrument for use in palliative care, and description of patients’ perceptions of care received. BMC Palliative Care, 14, Article ID 54.
Open this publication in new window or tab >>Patients’ perceptions of palliative care: Adaptation of the Quality from the Patient’s Perspective instrument for use in palliative care, and description of patients’ perceptions of care received
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2015 (English)In: BMC Palliative Care, ISSN 1472-684X, E-ISSN 1472-684X, Vol. 14, article id 54Article in journal (Refereed) Published
Abstract [en]

Background: Instruments specific to palliative care tend to measure care quality from relative perspectives or have insufficient theoretical foundation. The instrument Quality from the Patient's Perspective (QPP) is based on a model for care quality derived from patients' perceptions of care, although it has not been psychometrically evaluated for use in palliative care. The aim of this study was to adapt the QPP for use in palliative care contexts, and to describe patients' perceptions of the care quality in terms of the subjective importance of the care aspects and the perceptions of the care received. Method: A cross-sectional study was conducted between November 2013 and December 2014 which included 191 patients (73 % response rate) in late palliative phase at hospice inpatient units, hospice day-care units, wards in nursing homes that specialized in palliative care and homecare districts, all in Norway. An explorative factor analysis using principal component analysis, including data from 184 patients, was performed for psychometric evaluation. Internal consistency was assessed by Cronbach's alpha and paired t-tests were used to describe patients' perceptions of their care. Results: The QPP instrument was adapted for palliative care in four steps: (1) selecting items from the QPP, (2) modifying items and (3) constructing new items to the palliative care setting, and (4) a pilot evaluation. QPP instrument specific to palliative care (QPP-PC) consists of 51 items and 12 factors with an eigenvalue >= 1.0, and showed a stable factor solution that explained 68.25 % of the total variance. The reliability coefficients were acceptable for most factors (0.79-0.96). Patients scored most aspects of care related to both subjective importance and actual care received as high. Areas for improvement were symptom relief, participation, continuity, and planning and cooperation. Conclusion: The QPP-PC is based on a theoretical model of quality of care, and has its roots in patients' perspectives. The instrument was developed and psychometrically evaluated in a sample of Norwegian patients with various diagnoses receiving palliative care in different care contexts. The evaluation of the QPP-PC shows promising results, although it needs to be further validated and tested in other contexts and countries.

Keyword
Palliative care; Quality of healthcare; Instrument development; Factor analysis; Statistical; Patient perspectives
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-38170 (URN)10.1186/s12904-015-0049-4 (DOI)000364624300001 ()26525048 (PubMedID)
Available from: 2015-10-14 Created: 2015-10-14 Last updated: 2017-12-01Bibliographically approved
Sandsdalen, T., Hov, R., Höye, S., Rystedt, I. & Wilde-Larsson, B. (2015). Patients’ preferences in palliative care: A systematic mixed studies review. Palliative Medicine: A Multiprofessional Journal, 29(5), 399-417
Open this publication in new window or tab >>Patients’ preferences in palliative care: A systematic mixed studies review
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2015 (English)In: Palliative Medicine: A Multiprofessional Journal, ISSN 0269-2163, E-ISSN 1477-030X, Vol. 29, no 5, p. 399-417Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

It is necessary to develop palliative care to meet existing and future needs of patients and their families. It is important to include knowledge of patient preferences when developing high-quality palliative care services. Previous reviews have focused on patient preferences with regard to specific components of palliative care. There is a need to review research on patient's combined preferences for all elements that constitute palliative care.

AIM:

The aim of this study is to identify preferences for palliative care among patients in the palliative phase of their illness, by synthesizing existing research.

DATA SOURCES:

Studies were retrieved by searching databases - the Cochrane Library, Medline, CINAHL, PsycINFO, Scopus and Sociological Abstracts - from 1946 to 2014, and by hand searching references in the studies included.

DESIGN:

A systematic mixed studies review was conducted. Two reviewers independently selected studies for inclusion and extracted data according to the eligibility criteria. Data were synthesized using integrative thematic analysis.

RESULTS:

The 13 qualitative and 10 quantitative studies identified included participants with different illnesses in various settings. Four themes emerged representing patient preferences for care. The theme 'Living a meaningful life' illustrated what patients strived for. The opportunity to focus on living required the presence of 'Responsive healthcare personnel', a 'Responsive care environment' and 'Responsiveness in the organization of palliative care'.

CONCLUSION:

The four themes may be useful for guiding clinical practice and measurements of quality, with the overall goal of meeting future needs and improving quality in palliative care services to suit patients' preferences.

Keyword
Patient preference; palliative care; quality of healthcare; review; systematic mixed studies review
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-38169 (URN)10.1177/0269216314557882 (DOI)000353209000002 ()25680380 (PubMedID)
Available from: 2015-10-14 Created: 2015-10-14 Last updated: 2017-12-01Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0001-7082-6834

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