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  • 1.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Att ansvara för en annan människas liv2013Conference paper (Other (popular science, discussion, etc.))
  • 2.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Att bedöma patienter utsatta för trauma2013Conference paper (Other academic)
  • 3.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Att träna på en patient som går att starta om2015Conference paper (Other academic)
  • 4.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Den specialistutbildade ambulanssjuksköterskans uppfattning av att bedöma patienter utsatta för svårt trauma2013Conference paper (Other academic)
  • 5.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Developing ethical competence among students in nurse specialist programs2014Conference paper (Other academic)
  • 6.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Dom ser döda ut allihop: Att våga fatta svåra beslut2015In: Samverkan 112, ISSN 1650-7487, Vol. AprilArticle in journal (Other academic)
  • 7.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Full scale pre-hospital care scenario: Prehsopital workshop2015Conference paper (Refereed)
  • 8.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Mapping the use of simulation in prehospital care2013Conference paper (Refereed)
  • 9.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Nästa gång du hör sirener vill jag att du skall tänka på mig2014In: Vård i fokus, ISSN 0781-495X, Vol. 1Article in journal (Other academic)
  • 10.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Prehospital simulation differs from others: Prehospital workshop2015Conference paper (Refereed)
  • 11.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Prehospital simulering2014Conference paper (Other academic)
  • 12.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Simulering i ambulanssjukvården2013Conference paper (Other academic)
  • 13.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Simulering som lärande inom prehospital akutsjukvård2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of the research was to deepen the understanding of learning through simulation in prehospital emergency care.

    Method: In this research, qualitative and quantitative methods are used as well as integrative literature studies (I, II). Qualitative data from the interview studies (III, V) were analyzed by phenomenographic methodology. Quantitative data from the intervention study (IV) were analyzed using descriptive and analytical statistics.

    Results: Research on simulation and learning within the prehospital trauma care context is relatively rare (I). Simulation of realistic scenarios where the caregivers are exposed to stress contributes to strengthen caregiver knowledge, skills and experience (II). Caregivers request simulation opportunities regarding critical and emergency situations (III). They describe that learning through regular simulation provides in-depth knowledge and skills in the care of a patient exposed to high-energy trauma (V). Interventions with repeated simulation opportunities related to the care of the patient exposed to high-energy trauma give some improvement in care provided at the site of the accident (IV).

    Conclusion: Through simulation, the caregivers develop knowledge and skills and receive enhanced confidence in the care of an injured and sick patient. The research suggests several areas with potential for improvement with regard to the care of patients exposed to high-energy trauma. A model has been developed for systematic trauma simulation.

     

  • 14.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Simulering som pedagogisk metod: ett sätt att träna olika patientsituationer2015Conference paper (Refereed)
  • 15.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Så räddar du liv2014Conference paper (Other (popular science, discussion, etc.))
  • 16.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    The simulation used in prehospital care2013Conference paper (Refereed)
  • 17.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    To optimize prehospital CPR- performed by fire fighters2015Conference paper (Refereed)
  • 18.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    What do we need to train the ambulance staff in and how can we train them?2014In: Workshop vid Society in Europe for Simulation Applied to Medicine, Pre-Hospital Special Interest Group Pre-Conference Course., 2014Conference paper (Refereed)
  • 19.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Öppet samtal mellan Sveriges prehospitala doktorander och representanter för nationell prehospital forskning2013Conference paper (Other (popular science, discussion, etc.))
  • 20.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Bisholt, Birgitta
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Nurse students learning acute care by simulation: Focus on observation and debriefing2017In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 24, 6-13 p.Article in journal (Refereed)
    Abstract [en]

    Introduction: Simulation creates the possibility to experience acute situations during nursing education which cannot easily be achieved in clinical settings. Aim: To describe how nursing students learn acute care of patients through simulation exercises, based on observation and debriefing. Design: The study was designed as an observational study inspired by an ethnographic approach.MethodData was collected through observations and interviews. Data was analyzed using an interpretive qualitative content analysis.Results: Nursing students created space for reflection when needed. There was a positive learning situation when suitable patient scenarios were presented. Observations and discussions with peers gave the students opportunities to identify their own need for knowledge, while also identifying existing knowledge. Reflections could confirm or reject their preparedness for clinical practice. The importance of working in a structured manner in acute care situations became apparent. However, negative feedback to peers was avoided, which led to a loss of learning opportunity.Conclusion: High fidelity simulation training as a method plays an important part in the nursing students' learning. The teacher also plays a key role by asking difficult questions and guiding students towards accurate knowledge. This makes it possible for the students to close knowledge gaps, leading to improved patient safety.

  • 21.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Lindwall, Lillemor
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    What is dignity in prehospital emergency care?2017In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 24, no 3, 268-278 p.Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Ethics and dignity in prehospital emergency care are important due to vulnerability and suffering. Patients can lose control of their body and encounter unfamiliar faces in an emergency situation.

    OBJECTIVE: To describe what specialist ambulance nurse students experienced as preserved and humiliated dignity in prehospital emergency care.

    RESEARCH DESIGN: The study had a qualitative approach.

    METHOD: Data were collected by Flanagan's critical incident technique. The participants were 26 specialist ambulance nurse students who described two critical incidents of preserved and humiliated dignity, from prehospital emergency care. Data consist of 52 critical incidents and were analyzed with interpretive content analysis.

    ETHICAL CONSIDERATIONS: The study followed the ethical principles in accordance with the Declaration of Helsinki.

    FINDINGS: The result showed how human dignity in prehospital emergency care can be preserved by the ambulance nurse being there for the patient. The ambulance nurses meet the patient in the patient's world and make professional decisions. The ambulance nurse respects the patient's will and protects the patient's body from the gaze of others. Humiliated dignity was described through the ambulance nurse abandoning the patient and by healthcare professionals failing, disrespecting, and ignoring the patient.

    DISCUSSION: It is a unique situation when a nurse meets a patient face to face in a critical life or death moment. The discussion describes courage and the ethical vision to see another human.

    CONCLUSION: Dignity was preserved when the ambulance nurse showed respect and protected the patient in prehospital emergency care. The ambulance nurse students' ethical obligation results in the courage to see when a patient's dignity is in jeopardy of being humiliated. Humiliated dignity occurs when patients are ignored and left unprotected. This ethical dilemma affects the ambulance nurse students badly due to the fact that the morals and attitudes of ambulance nurses are reflected in their actions toward the patient.

  • 22.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Lindwall, Lillemor
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Suserud, Björn-Ove
    Högskolan i Borås.
    Rystedt, Ingrid
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Effect of repeated simulation on the quality of trauma careManuscript (preprint) (Other academic)
  • 23.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Lundberg, Lars
    CPR performed in the military environment2016In: Society in Europe for Simulation Applied to Medicine Lisbon 16/6 2016., Lisabon, 2016Conference paper (Refereed)
  • 24.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Rystedt, Ingrid
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Suserud, Björn-Ove
    Högskolan i Borås.
    Lindwall, Lillemor
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Experiences of simulation in prehospital emergency care settings, the paramedic and ambulance nurses` point of view2014Conference paper (Refereed)
  • 25.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Rystedt, Ingrid
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Suserud, Björn-Ove
    Högskolan i Borås.
    Lindwall, Lillemor
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Learning by simulation in prehospital emergency care: an integrative literature review2016In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 30, no 2, 234-240 p.Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Acquiring knowledge and experience on high-energy trauma is often difficult due to infrequent exposure. This creates a need for training which is specifically tailored for complex prehospital conditions. Simulation provides an opportunity for ambulance nurses to focus on the actual problems in clinical practice and to develop knowledge regarding trauma care. The aim of this study was to describe what ambulance nurses and paramedics in prehospital emergency care perceive as important for learning when participating in simulation exercises.

    METHODS: An integrative literature review was carried out. Criteria for inclusion were primary qualitative and quantitative studies, where research participants were ambulance nurses or paramedics, working within prehospital care settings, and where the research interventions involved simulation.

    RESULTS: It was perceived important for the ambulance nurses' learning that scenarios were advanced and possible to simulate repeatedly. The repetitions contributed to increase the level of experience, which in turn improved the patients care. Moreover, realism in the simulation and being able to interact and communicate with the patient were perceived as important aspects, as was debriefing, which enabled the enhancement of knowledge and skills. The result is presented in the following categories: To gain experience, To gain practice and To be strengthened by others.

    CONCLUSION: Learning through simulation does not require years of exposure to accident scenes. The simulated learning is enhanced by realistic, stressful scenarios where ambulance nurses interact with the patients. In this study, being able to communicate with the patient was highlighted as a positive contribution to learning. However, this has seldom been mentioned in a previous research on simulation. Debriefing is important for learning as it enables scrutiny of one's actions and thereby the possibility to improve and adjust one's caring. The effect of simulation exercises is important on patient outcome.

  • 26.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Rystedt, Ingrid
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Suserud, Björn-Ove
    Högskolan i Borås.
    Lindwall, Lillemor
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Simulation of high-energy trauma makes knowledge readily available from memoryManuscript (preprint) (Other academic)
  • 27.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Rystedt, Ingrid
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Suserud, Björ-Ove
    Lindwall, Lillemor
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Mapping the use of simulation in prehospital care: a literature review.2014In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, ISSN 1757-7241, E-ISSN 1757-7241, Vol. 22, no 22, 12- p.Article in journal (Refereed)
    Abstract [en]

    Background:High energy trauma is rare and, as a result, training of prehospital care providers often takes placeduring the real situation, with the patient as the object for the learning process. Such training could instead becarried out in the context of simulation, out of danger for both patients and personnel. The aim of this study wasto provide an overview of the development and foci of research on simulation in prehospital care practice.Methods:An integrative literature review were used. Articles based on quantitative as well as qualitative researchmethods were included, resulting in a comprehensive overview of existing published research. For publishedarticles to be included in the review, the focus of the article had to be prehospital care providers, in prehospitalsettings. Furthermore, included articles must target interventions that were carried out in a simulation context.Results:The volume of published research is distributed between 1984- 2012 and across the regions North America,Europe, Oceania, Asia and Middle East. The simulation methods used were manikins, films, images or paper, live actors,animals and virtual reality. The staff categories focused upon were paramedics, emergency medical technicians (EMTs),medical doctors (MDs), nurse and fire fighters. The main topics of published research on simulation with prehospitalcare providers included: Intubation, Trauma care, Cardiac Pulmonary Resuscitation (CPR), Ventilation and Triage.Conclusion:Simulation were described as a positive training and education method for prehospital medical staff. Itprovides opportunities to train assessment, treatment and implementation of procedures and devices under realisticconditions. It is crucial that the staff are familiar with and trained on the identified topics, i.e., intubation, trauma care,CPR, ventilation and triage, which all, to a very large degree, constitute prehospital care. Simulation plays an integralrole in this. The current state of prehospital care, which this review reveals, includes inadequate skills of prehospital staffregarding ventilation and CPR, on both children and adults, the lack of skills in paediatric resuscitation and the lack ofknowledge in assessing and managing burns victims. These circumstances suggest critical areas for further training andresearch, at both local and global levels

  • 28.
    Abrahamsen Grøndahl, Vigdis
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Patients’ perceptions of actual care conditions and patient satisfaction with care quality in hospital2012Doctoral 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.

  • 29.
    Abrahamsen Grøndahl, Vigdis
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hall-Lord, Marie-Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Karlsson, Ingela
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Appelgren, Jari
    Karlstad University, Faculty of Economic Sciences, Communication and IT, Department of Economics and Statistics.
    Wilde Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Exploring patient satisfaction predictors in relation to a theoretical model2013In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 26, no 1, 37-54 p.Article in journal (Refereed)
  • 30.
    Abrahamsen Grøndahl, Vigdis
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hall-Lord, Marie-Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Karlsson, Ingela
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Predictors of patients' satisfaction - basis for quality improvement work in hospital2010Conference paper (Refereed)
  • 31.
    Abrahamsen Grøndahl, Vigdis
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Karlsson, Ingela
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hall-Lord, Marie-Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Appelgren, Jari
    Karlstad University, Faculty of Economic Sciences, Communication and IT, Department of Economics and Statistics.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Quality of care from patients' perspective: impact of the combination of person-related and external objective care conditions2011In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 20, no 17/18, 2540-2551 p.Article in journal (Refereed)
    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.

  • 32.
    Abrahamsen Grøndahl, Vigdis
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Karlsson, Ingela
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hall-Lord, Marie-Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Quality of care from patient's perspective - how is it affected by the hospital's organisation and structure of nursing care?2009Conference paper (Refereed)
  • 33.
    Abrahamsen Grøndahl, Vigdis
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Wilde Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hall-Lord, Marie-Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Karlsson, Ingela
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    A pattern approach to analysing patients’ satisfaction and quality of care perceptions in hospital2011In: The International Journal of Person Centered Medicine, ISSN 2043-7730, E-ISSN 2043-7749, Vol. 1, no 4, 766-775 p.Article in journal (Refereed)
  • 34.
    Abrahamsen Grøndahl, Vigdis
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Wilde Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Karlsson, Ingela
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Hall-Lord, Marie-Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Patients' experiences of care quality and satisfaction satisfaction during hospital stay: a qualitative study2013In: European Journal for Person Centered Healthcare, ISSN 2052-5656, Vol. 1, no 1, 185-192 p.Article in journal (Refereed)
    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.

  • 35.
    Adolfsson, Marie
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Borg, Therese
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    "När det skaver"- Skolsköterskans erfarenhet av psykisk ohälsa hos barn och tonåringar2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 36.
    Ahlby, Josephin
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Hagbom, Ebba
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Vietnamese nurses´ conceptions of patient safety.: An empirical study about Vietnamese nurses´ conceptions of patient safety.2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Building a safety net, leadership and containing quality, are some of many responsibilities that comes with the profession nursing. To maintain health care of highest quality knowledge about patient safety is important. Patient safety means prevent medical errors that may cause the patient physical or psychological damage or in worst case scenario, death. Aim: To describe Vietnamese nurses’ conceptions of patient safety. Method: The study had a qualitative design. Data were collected from interviewing nurses at Hué University Hospital with open-ended questions. The collected data has been transcribed and condensed to categories through content analysis to find key sentences which explained Vietnamese nurses’ conception of patient safety. Result: Data analysis regarding Vietnamese nurse´s conception of patient safety resulted in seven categories which affect patient safety in Hue University Hospital, Equipment effecting the patient safety, Knowledge to provide safer care, Procedures used to increase patient safety, Infections in relation to poor patient safety, Nurses´ conception of communication, Documentation effecting patient safety and Inadequate number of nurses. Conclusion: This study shows that lack of good hygiene, insufficient equipment and the great number of patients are the most common factors to affect the patient safety in a negative way in Vietnam. The study shows that the nurses are well aware of what factors affecting the patient safety as well as how to improve patient safety.

  • 37.
    Ahlqvist, Margary
    et al.
    Karolinska Inst, Dept Clin Sci, Div Surg, Stockholm, Sweden..
    Berglund, Britta
    Karolinska Inst, Dept Clin Sci, Div Surg, Stockholm, Sweden..
    Nordström, Gun
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Klang, Birgitta
    Karolinska Inst, Care Sci & Soc, Div Nursing, Dept Neurobiol, Stockholm, Sweden..
    Johansson, Eva
    Karolinska Inst, Care Sci & Soc, Div Nursing, Dept Neurobiol, Stockholm, Sweden..
    Satisfactory reliability among nursing students using the instrument PVC ASSESS to evaluate management of peripheral venous catheters2014In: Journal of Vascular Access, ISSN 1129-7298, E-ISSN 1724-6032, Vol. 15, no 2, 128-134 p.Article in journal (Refereed)
    Abstract [en]

    Purpose: Nursing students should be given opportunities to participate in clinical audits during their education. However, audit tools are seldom tested for reliability among nursing students. The aim of this study was to present reliability among nursing students using the instrument PVC assess to assess management of peripheral venous catheters (PVCs) and PVC-related signs of thrombophlebitis. Methods: PVC assess was used to assess 67 inserted PVCs in 60 patients at ten wards at a university hospital. One group of nursing students (n= 4) assessed PVCs at the bedside (inter-rater reliability) and photographs of these PVCs were taken. Another group of students (n= 3) assessed the PVCs in the photographs after 4 weeks (test-retest reliability). To determine reliability, proportion of agreement [P(A)] and Cohen's kappa coefficient (k) were calculated. Results: For bedside assessment of PVCs, P(A) ranged from good to excellent (0.80-1.0) in 55% of the 26 PVC assess items that were tested. P(A) was poor (< 0.70) for two items: "adherence of inner dressing to the skin" and " PVC location." In 81% of the items, k was between moderate and almost perfect: moderate (n= 5), substantial (n= 3), almost perfect (n= 5). For edema at insertion site and two items on PVC dressing, k was fair (0.21-0.40). Regarding test-retest reliability, P(A) varied between good and excellent (0.81-1) in 85%-95% of the items, and the k ranged between moderate and almost perfect (0.41-1) in 90%-95%. Conclusions: PVC assess demonstrated satisfactory reliability among nursing students. However, students need training in how to use the instrument before assessing PVCs.

  • 38.
    Ahlqvist, Margary
    et al.
    Karolinska Univ Hosp Huddinge, Karolinska Inst, Div Surg, Dept Clin Sci Intervent & Technol, SE-14186 Stockholm, Sweden..
    Berglund, Britta
    Karolinska Univ Hosp Huddinge, Karolinska Inst, Div Surg, Dept Clin Sci Intervent & Technol, SE-14186 Stockholm, Sweden..
    Nordström, Gun
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Klang, Birgitta
    Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden..
    Wiren, Mikael
    Karolinska Univ Hosp Huddinge, Karolinska Inst, Div Surg, Dept Clin Sci Intervent & Technol, SE-14186 Stockholm, Sweden..
    Johansson, Eva
    Karolinska Univ Hosp Solna, Red Cross Univ Coll, Stockholm, Sweden.;Karolinska Univ Hosp Solna, Karolinska Inst, Dept Med, Div Hematol, Stockholm, Sweden..
    A new reliable tool (PVC assess) for assessment of peripheral venous catheters2010In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 16, no 6, 1108-1115 p.Article in journal (Refereed)
    Abstract [en]

    Rationale and aims To evaluate the extensive use of peripheral venous catheters (PVCs), including catheter-related complications, a reliable tool for PVC assessment is needed. The aim of this study was to develop such a tool to evaluate PVCs in relation to management, documentation and signs and symptoms of thrombophlebitis (TH), as well as to determine its inter-rater and test-retest reliability. Method The tool development included confirmation of content and face validity. Two groups of registered nurses used the new tool (PVC assess) to assess PVC management and signs of TH independently. Group A (n = 3) assessed 26 items in 67 PVCs bedside (inter-rater reliability). Group B (n = 3) assessed photographs (67 PVCs, 21 items) of the same PVCs as those in Group A with a 4-week interval (test-retest reliability). Proportion of agreement P(A) and Cohen's kappa were calculated to evaluate inter-rater and test-retest reliability. Results Among nurses assessing PVCs at bedside, the P(A) was good to excellent (0.80-1) in 96% of the items in PVC assess. In 80% of the items kappa was substantial to almost perfect (0.61-1). TH sign erythema fell into the fair range (kappa = 0.40). In test-retest reliability analysis the P(A) was within the good and excellent range (0.80-1.0) and kappa varied from moderate to almost perfect (0.41-1.0) in 95% of the items. One item 'outer dressing is clean' was in fair range (0.21-0.40). Conclusions The PVC assess instrument shows satisfactory inter-rater and test-retest reliability. Reliability tests on reviewing documentation remain to be performed.

  • 39.
    Ahlqvist, Margary
    et al.
    Division of Medicine and Surgery, Karolinska University Hospital, Stockholm, Sweden.
    Bogren, Agneta
    Department of Nursing in Gastroenterology and Endochrinology, Karolinska University Hospital, Stockholm, Sweden.
    Hagman, Sari
    Department of Nursing in Gastroenterology and Endochrinology, Karolinska University Hospital, Stockholm, Sweden.
    Nazar, Isabel
    Department of Nursing in Gastroenterology and Endochrinology, Karolinska University Hospital, Stockholm, Sweden.
    Nilsson, Katarina
    Department of Nursing in Gastroenterology and Endochrinology, Karolinska University Hospital, Stockholm, Sweden.
    Nordin, Karin
    Division of Clinical Pharmacology, Human Pharmacological Unit, Karolinska University Hospital, Stockholm, Sweden.
    Sunde Valfridsson, Berit
    Intensive Care Unit, Karolinska University Hospital, Stockholm, Sweden.
    Söderlund, Mona
    Lecturer, Ersta Sko¨ ndal University College, Stockholm, Sweden.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Handling of peripheral intravenous cannulae: effects of evidence-based clinical guidelines2006In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 15, no 11, 1354-1361 p.Article in journal (Refereed)
    Abstract [en]

    Aim. This study aimed at evaluating the outcome of implemented evidence-based clinical guidelines by means of surveying the frequency of thrombophlebitis, nurses’ care, handling and documentation of peripheral intravenous cannulae. Background. Peripheral intravenous cannulae are frequently used for vascular access and, thereby, the patients will be exposed to local and systemic infectious complications. Evidence-based knowledge of how to prevent these complications and how to care for patients with peripheral intravenous cannula is therefore of great importance. Deficient care, handling and documentation of peripheral intravenous cannulae have previously been reported. Design. A cross-sectional survey was conducted by a group of nurses at three wards at a university hospital before and after the implementation of the evidence-based guidelines. Method. A structured observation protocol was used to review the frequency of thrombophlebitis, the nurses’ care, handling and the documentation of peripheral intravenous cannulae in the patient's record. Results. A total of 107 and 99 cannulae respectively were observed before and after the implementation of the guidelines. The frequency of peripheral intravenous cannulae without signs of thrombophlebitis increased by 21% ( P < 0·01) and the use of cannula size 0·8 mm increased by 22% ( P < 0·001). Nurses’ documentation of peripheral intravenous cannula improved significantly ( P < 0·001). Conclusion. We conclude that implementation of the guidelines resulted in significant improvements by means of decreased frequency of signs of thrombophlebitis, increased application of smaller cannula size (0·8 mm), as well as of the nurses’ documentation in the patient's record. Relevance to clinical practice. Further efforts to ameliorate care and handling of peripheral intravenous cannulae are needed. This can be done by means of increasing nurses’ knowledge and recurrent quality reviews. Well-informed patients can also be more involved in the care than is common today.

  • 40. Ahlstedt, S.
    et al.
    Marklund, B.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Allergy-like conditions and quality of life in adolescents with emphasis on adverse reaction to food2004Conference paper (Refereed)
  • 41.
    Ahlzén, Camilla
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Walderot, Katrin
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Faktorer som påverkar sjuksköterskans användande av omvårdnadsplaner: en litteraturstudie2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 42.
    Aikio, Felix
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Andersson, Alvin
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Sjuksköterskestudenters upplevelser av att vårda patienter i livets slutskede: En empirisk studie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 43.
    Aitman, Therese
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Sjuksköterskans roll i omvårdnaden av patienter med terminal oro: en litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Terminal oro är i denna litteraturstudie en beteckning för en samling av symtom som utgör en särskild form av lidande i livets slutskede, sprunget ur fysisk, emotionell och existentiell utsatthet. Reversibla orsaker endast kan påvisas i uppskattningsvis hälften av fallen, vilket gör terminal oro till ett renodlat omvårdnadsproblem där sjuksköterskans roll är central.

    Syfte: Att belysa sjuksköterskans roll i omvårdnaden av patienter med terminal oro.

    Metod: Polit och Becks (2017) niostegsmodell. Litteratursökningar i Cinahl och PubMed resulterade i elva artiklar som kvalitetsgranskades och analyserades enligt Colaizzis (1978 refererad i Polit & Beck 2017) fenomenologiska metod.

    Resultat: Under databearbetningen framkom fem underkategorier (Att stå utanför, Att känna sig otillräcklig, Att söka samförstånd, Att vårda i relationen, Att skydda patienten), två huvudkategorier (Avstånd, Närhet) samt en övergripande kategori (Strävan efter att trösta).

    Slutsats: Resultatet visar utmaningar i omvårdnaden samt strategier för att hantera dessa. Medvetenhet och kompetens om terminal oro, tydliga rutiner för uppföljning av dess symtom samt reflektion tillsammans med arbetskamrater gav sjuksköterskorna större möjligheter att utföra omvårdnaden på ett tillfredsställande sätt. Närvaro i den dagliga omvårdnaden och ett respektfullt bemötande etablerade en tillitsfull relation med patienterna. När sjuksköterskorna hade god kännedom om patienterna kunde multidimensionella behov mötas och välbefinnande uppnås.

  • 44.
    Alex, Alexeev
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Katrin, Johansson
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Riskfaktorer som kan påverka patientsäkerheten när sjuksköterskor upplever arbetsrelaterad stress: En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Patientsäkerhet har en betydande roll i omvårdnaden och baseras på att skydda patienten från vårdskador. Årligen drabbas upp till 100 000 personer i Sverige av vårdskador, och vårdskador drabbar patienter dagligen. I den moderna omvårdnaden hanterar sköterskorna dagligen stress, som orsakas av stressfaktorer som påverkar sjuksköterskornas utförande av patientsäker vård. Syfte: Litteraturstudiens syfte var att beskriva riskfaktorer som kan påverka patientsäkerheten när sjuksköterskor upplever arbetsrelaterad stress. Metod: Litteraturstudiens grundades på Polit och Becks (2012) niostegsmodell med ett induktivt arbetssätt. Efter urval framkom det 13 artiklar som var relevanta för studien. Efter granskningen av artiklar skapades tre huvudkategorier och en underkategori. Resultat: Litteraturstudiens resultat visas i tre huvudkategorier och en underkategori av riskfaktorer som kan påverka patientsäkerheten negativt. Dessa kategorier var Arbetsbelastning, med underkategorin Tidsbrist, Avbrott i arbetet samt Kommunikation och samarbete. Resultatet visade att många sjuksköterskor upplever höga nivåer av utmattning och utbrändhet, vilket kan påverka patientsäkerheten negativt. Slutsats: När sjuksköterskor upplever arbetsrelaterad stress finns det flera riskfaktorer som kan leda till misstag och vårdskador. Dessa riskfaktorer kan leda till att den arbetsrelaterade stressen ökar, vilket kan leda till ökad utmattning, missnöje samt att sjuksköterskorna slutar på sitt arbete. Arbetsrelaterad stress och riskfaktorer som upplevs av sjuksköterskor på arbetsplatsen ökar även risker för att begå flera misstag och orsakar flera vårdskador som egentligen kunde undvikas.

  • 45.
    Alexandersson, Lisa
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Dahlström, Monica
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Distriktssköterskans erfarenhet av att vårda tillsammans med närstående: resurs eller börda?: En litteraturstudie2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: District nurses meet informal caregivers of different ages, family constellations and in diverse contexts such as health care centers, child health care centre, home care and school health care. In the home, informal caregivers care a large part of the care provider's nursing and healthcare. In addition to family members, there may also be friends who are close to the care recipient. The aim: To describe the district nurse's experiences of caring together with informal caregivers. Method: The method used was a literature study with manifest content analysis. 14 articles were included in the essay analysis. Results: Six categories emerged: building relationships (subcategory: trust and trust), good communication, cooperation (subcategory: involvement of close relatives), support and accessibility, lack of communication (subcategory: conflicts of interests), factors in the family. These categories are summarized in two themes: informal caregivers as resource and informal caregivers as a burden. Conclusion: The results of the study show that the district nurse's experience of caring with informal caregivers is that it can both be a resource and a burden. The district nurses experience is that informal caregivers are a resource if they are included. The results show that the relationship between the nurse and informal caregivers is important for the cooperation and planning of the patient's care in the absence of the district nurse. District nurses need to raise awareness for the encounter with informal caregivers and patients who have other cultural beliefs and lifestyles than their own.

  • 46.
    Alexandersson, Sanna
    et al.
    Karlstad University.
    Balldin, Annika
    Karlstad University.
    Ambulanssjuksköterskans upplevelse av hur och varför hot- och våldssituationer kan påverka omvårdnaden2013Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 47.
    Alfalk, Marjut
    et al.
    Karlstad University.
    Wäseby, Anna
    Karlstad University.
    Skolsköterskans arbete vid övervikt hos barn och ungdomar: Integrerad litteraturstudie2013Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 48.
    Ali, Nadira
    et al.
    Karlstad University, Faculty of Social and Life Sciences.
    Berg, Lisa
    Karlstad University, Faculty of Social and Life Sciences.
    Sjuksköterskans upplevelser av att arbeta med patientfokuserad vård: en litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 49. Alipour, Friya
    et al.
    Wieckowska, Izabela
    Omvårdnadsinterventioner i form av support till patienter med prostatacancer och deras partner: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 50.
    Allard, Gabriella
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Gustafsson, Alexander
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Närståendes upplevelser när en familjemedlem eller någon i närkretsen lever med HIV/AIDS - En litteraturstudie2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    I världen är det idag 30-35 miljoner människor som lever med HIV/AIDS och i Sverige lever idag 6 500 människor med HIV. Den HIV-drabbade är inte den enda som drabbas, då även de närstående drabbas av sjukdomens påfrestningar. Syftet med litteraturstudien var att beskriva närståendes upplevelser när en familjemedlem eller någon i närkretsen lever med HIV/AIDS. Metoden var litteraturstudie, som genomfördes med Polit och Becks niostegsmodell. Artikelrsökningen genomfördes på databaserna CINAHL och PubMed. De artiklar som inkluderades i litteraturstudien gick igenom en urvalsprocess med inklusionkriterier och granskningsmallar. Det var 11 artiklar som behölls efter urvalsprocessen med sex kvalitativa, tre kvantitativa och två med blandad metod. Resultatet är uppdelat i två huvudkategorier Emotioner samt Psykisk belastning. Underkategorierna var frustration/ilska, rädsla/oro, hopp och hopplöshet, sorg/besvikelse respektive stigmatisering, ansvar/brist på stöd samt stress. Slutsats: Dessa olika upplevelser påverkar den närstående negativt på olika sätt och kan medföra ohälsa och försämrad livskvalitet hos de närstående. Ytterligare forskning behövs.

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