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  • 101.
    Petzäll, Kerstin
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Petzäll, J
    Jansson, J
    Tidsvinster vid utryckningskörning med ambulans2011Conference paper (Other (popular science, discussion, etc.))
  • 102.
    Petzäll, Kerstin
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Petzäll, J
    Jansson, J
    Tidsvinster vid utryckningskörning med ambulans - en experimentell studie2009Conference paper (Other (popular science, discussion, etc.))
  • 103.
    Petzäll, Kerstin
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Petzäll, Jan
    Swedish Transport Agcy, Rd Traff Dept, SE-78123 Borlange, Sweden.
    Jansson, Jörgen
    Karlstad University, Faculty of Social and Life Sciences.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Time saved with high speed driving of ambulances2010In: Accident Analysis and Prevention, ISSN 0001-4575, E-ISSN 1879-2057, Vol. 43, no 3, p. 818-822Article in journal (Refereed)
    Abstract [en]

    Transportation with road ambulances is increasing because of a concentration of hospitals to larger units, with high quality in the acute care of the patients. The concentration implies longer distances to receiving units, which increases the transportation time. The purpose of the present study was to investigate the time difference in ambulance transportation with high speed emergency driving, compared to non-emergency driving in normal traffic pace. Data was collected from 30 emergency high speed ambulance transportations in urban and rural areas. These transportations were then repeated experimentally with an ambulance driving at normal traffic pace. The average speed and duration for the emergency transportations were shorter than for the experimental driving, both in urban and rural areas. The mean time saved was 2.9 min (urban areas) and 8.9 min (rural areas). Regardless of the patient's clinical status or need of care the emergency transportations were carried out in higher speed than the experimental driving. However, patients with life threatening conditions were not included in this study. Procedures and methods should be developed to identify the patients for which fast transportation has clinical relevance to the outcomes.

  • 104. Ponzer, S
    et al.
    Hylin, U
    , Kusoffsky
    Lonka, K
    Mattiasson, A-C
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Interprofessional training in the context of clinical practice: goals and students´perceptions on clinical education wards2004In: Med Educ. 2004;38:727-736Article in journal (Refereed)
  • 105. Ponzer, S
    et al.
    Hylin, U
    Lonka, K
    Mattiasson, A-C
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Interprofessional training in the context of clinical practice: goals and students´perceptions on clinical education wards2004In: Medical Education. 2004;38:727-736Article in journal (Refereed)
  • 106.
    Rahm, GullBritt
    et al.
    Karlstad University, Faculty of Social and Life Sciences.
    Rystedt, Ingrid
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Strandmark K, Margaretha
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Workplace bullying in the health and social caresystems in Sweden: A descriptive study2012Conference paper (Refereed)
    Abstract [en]

    Abstract 

    Workplace bullying in the health and social care systems in Sweden. A descriptive study.

    Aims

    This study aims to map and describe the problem of bullying within the health and social care systems as a foundation for an intervention. In this presentation we will present the study and preliminary results concerning negative acts and work-place health in Sweden.   

    Methods

    Baseline data for this quantitative study was collected at nursing wards at five hospitals and five wards for eldercare in municipalities. Questionnaires were sent by post to 2810 employees.  Response-rate was 55% (n=1550).

    Bullying was measured both with an operationalized and a self-labelling method. The instrument used in the former were The Negative Acts Questionnaire, NAQ-R, and bullying was assessed according to the operational criterion suggested  by Leyman (1996) “exposure to at least one negative act/week during six months” and a stricter criterion by Mikkelsen & Einarsen, (2001)  suggesting 2 negative acts/week during six months.  

    As for the self-labelling of bullying a definition of bullying was presented and questions were asked whether the person had been bullied or had witnessed bullying the last 6 months. A further question was asked regarding previous life-time experiences of bullying.

    To assess work-place environment the Nordic Questionnaire for Psychological and Social Factors at work, QPSNordic34+ was utilized. In addition a questionnaire made for this study concerning demographic information and specific workplace related questions were included.

    Primarily descriptive statistics was used.

    Results

    Bullying measured by NAQ-R, using the operational criterion, reported results of bullying at 18,5 % (Leyman) and for the stricter criterion 6.8% (Mikkelsen & Einarsen). Four percent (4 %) reported bullying relating to the self-labelling question. A higher proportion, 22%, had witnessed bullying and an even higher proportion, 38%, reported having experienced bullying earlier in life.

     An association was shown between having been bullied earlier in life and experiencing bullying at the work-place at the present time. Also work-place environment, age, where you were born, living in a relationship, education and length of employment were, respectively, associated to more negative acts in the workplace.

    Conclusion

    The operationalized method yields a higher percent of bullying compared to the self-labelling method. This is also shown in earlier studies and might be due to bullying being stigmatizing and shameful and therefore difficult to express in a straight-forward way.

    A significant relationship was observed between being bullied earlier in life-time and current exposure. As far as we know this represents new knowledge and should be further investigated.

  • 107.
    Rahm, GullBritt
    et al.
    Karlstad University, Faculty of Social and Life Sciences.
    Strandmark K, Margaretha
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Rystedt, Ingrid
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    “Integrating an action program in daily practice to stop andprevent bullying”2012Conference paper (Refereed)
    Abstract [en]

    Integrating an action program in daily practice to stop and prevent bullying

    Background & Context: Bullying is a public health problem that negatively affects health at workplaces. In the public sectors, including health care, it is more common with bullying problems compared to other sectors. Earlier research has primarily focused on incidence, prevalence, risk factors and relationships between bullying and ill-health.  To a much lesser degree, research has focused on prevention. The aim of this study was to develop and implement an intervention to stop and prevent bullying at workplaces in collaboration with employees.

    Methodology

    This intervention study is integrated in a larger research project. Based on results from questionnaires targeting bullying, three workplaces in the healthcare sector were invited to participate. After approval from superiors, employees were invited to participate in focus-groups (FG), resulting in groups of 6-8 participants at one psychiatric ward in a county council, and two elderly care wards in respective municipalities. FG interviews were conducted twice; the first interview captured views on bullying, the second interview prepared for and developed the intervention. No superior participated in the first interview in order to have employees feel free expressing their views. Instead the department head was interviewed individually. The second included both employees and department heads. The FG interviews were analysed according to Grounded Theory.

    Findings: The first interview revealed that the employees had insufficient knowledge about bullying and how to manage it. The second FG demonstrated that there were insufficient opportunities for reflections about bullying problems.  Employees also expressed that they did not feel recognized and valued by superiors in higher levels of the organization.

     

    Given this, the researchers have, as part of the intervention, held half-day lectures on the phenomena of bullying, conflict management, communication and shame. The intervention also contained discussions in small groups focused around game-cards that were specifically designed to initiate discussions about specific situations where bullying may occur and how one may prevent or manage this.

     

    In the FGs, it was furthermore suggested to write a contract that ensured that everyone treats each other with tolerance and respect at the workplace. Both interviews revealed that managers play key roles in preventing workplace bullying.  Appropriate leadership creates safety at the work-places, whereas inappropriate leadership creates fear.

    Building on these findings from the FGs, next steps include plan of action, targeting e.g., compulsory, continuing discussions concerning bullying improved contact with the superior level and a workplace contract of mutual respect.

    Suggestions for the action plan will be discussed in one additional FG, upon which the plan will be introduced to the directors of the workplaces for their support.

     In summary the results of the findings are a developed intervention/action program consisting of lectures, game card-discussions and an action plan in collaboration with employees and managers.

     Implications for practice, training and organization: 

    Systematic longitudinal workplace interventions is one way of shouldering the responsibility of tackling bullying in workplaces, highlighting this often hidden problem.

     

     

    3 learning objectives:

    • Bullying in the workplace is prevalent, and yet  not acknowledged
    • Managers play key roles in preventing workplace bullying
    • Leadership can contribute to safety as well as fear in the workplace
  • 108. Ramfelt, E
    et al.
    Björvell, H
    Langius, A
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Treatment decision-making and its relationship to the Sense of Coherence and meaning of the disease in a group of patients with colo-rectal cancer2000In: European J Cancer Care. 2000;9:158-165Article in journal (Refereed)
  • 109. Ramfelt, E
    et al.
    Lützén, K
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Treatment decision-making in a group of patients with colo-rectal cancer before and one-year after follow-up2005In: Eur J Cancer Car. 2005;14(4):327-35Article in journal (Refereed)
  • 110. Richardsson, A.
    et al.
    Adner, N.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Patients with insulin-dependent diabetes mellitus - Acceptance and coping ability2001In: J Adv Nurs. 2001;33(6)758-763Article in journal (Refereed)
  • 111.
    Rosengren, Kristina
    et al.
    Högskolan i Jönköping.
    Bondas, T
    Nordholm, L
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nurses views of shared leadership in ICU: a case study2010In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 26, no 4, p. 226-233Article in journal (Refereed)
  • 112.
    Rosengren, Kristina
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nordholm, Lena
    Högskolan i Borås.
    Bondas, Terese
    Högskolan i Borås.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nurses' views of shared leadership in ICU: a case study2010In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 26, no 4, p. 226-233Article in journal (Refereed)
  • 113.
    Rystedt, Ingrid
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nordström, Gun
    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.
    Värmlänningarnas kontakter med vården2009In: Värmlänningarnas liv & hälsa 2008, Karlstad: Karlstad University Press , 2009, p. 187-197Chapter in book (Other academic)
  • 114.
    Rystedt, Ingrid
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nordström, Gun
    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.
    Associations between psychological wellbeing, sense of coherence, health service utilization and perceived health care quality in rural regions of Sweden: Implication for servce provision, where is our help most needed2009Conference paper (Refereed)
  • 115.
    Rystedt, Ingrid
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Notelaers, Guy
    School of Business and Economics, Maastricht University, Netherlands.
    Rahm, GullBritt
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Strandmark K, Margaretha
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    An Integrated Apporach to Identify Victims of Workplace Bullying2012Conference paper (Other academic)
  • 116.
    Rystedt, Ingrid
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Rahm, GullBritt
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Notelaers, Guy
    Institute for Management Research, Radboud University, The Netherlands.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Strandmark, Margareta
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Work-place bullying in the health and social care systems in Sweden: Perspectives on identifying and defining victims2012Conference paper (Other academic)
  • 117. Sjögren, R
    et al.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Oral health status in psychiatric patients2000In: J Clin Nurs 2000;9:632-638Article in journal (Refereed)
  • 118.
    Steffenak, Anne Kjersti Myhrene
    et al.
    Hedmark Univ Coll, Fac Publ Hlth, N-2418 Elverum, Norway..
    Nordström, Gun
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Hartz, Ingeborg
    Hedmark Univ Coll, Fac Publ Hlth, N-2418 Elverum, Norway..
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Public health nurses' perception of their roles in relation to psychotropic drug use by adolescents: a phenomenographic study2015In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, no 7-8, p. 970-979Article in journal (Refereed)
    Abstract [en]

    Aims and objectivesThe purpose of the paper was to describe the perceptions of public health nurses' roles in relation to psychotropic drug use by adolescents. BackgroundMental health problems among adolescents are documented with studies indicating an increased use of psychotropic drugs. In Norway, care for such adolescents may fall naturally into the remit of public health nurses. DesignA phenomenographic approach was used to analyse the data. MethodA qualitative interview study was made of 20 Norwegian public health nurses, strategically chosen using phenomenographic methodology. ResultsThe public health nurses described three categories: discovering public health nurses who become aware of psychotropic drug use in the health dialogue with adolescents and choose to either act or not act in relation to psychotropic drug use. Those public health nurses who take action are cooperating public health nurses, who cooperate with adolescents, their families, schools and others. If cooperation has been established, supporting public health nurses teach and support the adolescent in relation to psychotropic drug use. ConclusionThe public health nurses who do not act can hinder or delay further treatment. Public health nurses need to acquire knowledge about psychotropic drugs, to fulfil their role in nursing mental health problems among adolescents and the increasing use of psychotropic drugs. Relevance to clinical practiceThe results demonstrated that public health nurses, working in health centres and schools, have the responsibility and the opportunity to identify young people struggling with mental health problems and psychotropic drug use as well as teach and support significant others, e.g. parents and siblings. Intervention studies are needed with regard to health promotion programmes aimed at fortifying young people's mental health.

  • 119.
    Steffenak Myhrene, Anne Kjersti
    et al.
    Hedmark University College, Elverum, Norway.
    Nordström, Gun
    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.
    Skurtveit, Svetlana
    Division of Epidemiology, Norwegian Institute of Public Health, Norway.
    Furu, Kari
    Division of Epidemiology, Norwegian Institute of Public Health, Norway.
    Hartz, Ingeborg
    Hedmark University College, Elverum, Norway.
    Mental distress and subsequent use of psychotropic drugs among adolescents: a prospective register linkage study2012In: Journal of Adolescent Health, ISSN 1054-139X, E-ISSN 1879-1972, Vol. 50, no 6, p. 578-587Article in journal (Refereed)
    Abstract [en]

    Purpose

    To investigate the association between mental distress, other factors, and subsequent use of psychotropic drugs in adolescents aged 15–16 years.

    Methods

    This study is based on information retrieved from the Norwegian Youth Health Surveys (2000–2003) and linked to prescription data from the Norwegian Prescription Database (2004–2009). The study population included 11,620 adolescents aged 15–16 (87% response rate) years. Self-reported mental distress (Hopkins Symptom Checklist-10 score 1.85) was recorded along with health and lifestyle habits, education plans, and family economics. Incident psychotropic drug use (outcome measure) was defined ≥1 prescriptions of one of the following psychotropic drugs: anxiolytics, hypnotics, antidepressants, or phenothiazines registered in the Norwegian Prescription Database.

    Results

    Overall, 15.5% of the adolescents reported mental distress, 75% of them were girls. For both genders, incident psychotropic use was significantly higher among those reporting mental distresses at baseline, compared with the rest of the participants. The highest psychotropic drug use was observed among mentally distressed girls (27.7%). Mental distress was significantly associated with incident use of psychotropic drugs (odds ratio: 2.25, 95% confidence interval: 1.97–2.55). After adjustment for confounding factors and inclusion of potential mediating factors, the odds ratio attenuated to 1.59 (95% confidence interval: 1.35–1.86).

    Conclusions

    The prevalence of mental distress among adolescents may have consequences for health promotion. Public health nurses in Norway, working in health centers and schools, have a responsibility to promote health and prevent health problems. They have the opportunity and a responsibility to identify vulnerable young people.

  • 120.
    Steffenak Myhrene, Anne-Kjersti
    et al.
    Högskolan i Hedmark.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences. Högskolan i Hedmark.
    Nordström, Gun
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences. Högskolan i Hedmark.
    Skurtveit, Svetlana
    Natl Inst Publ Hlth, Div Epidemiol, Oslo, Norway.
    Hartz, Ingeborg
    Hedmark Univ Coll, Fac Publ Hlth, Elverum, Norway & Natl Inst Publ Hlth, Div Epidemiol, Oslo, Norway.
    Increase in Psychotropic Drug Use between 2006 and 2010 among Adolescents in Norway: A Nationwide Prescription Database Study2012In: Pharmacoepidemiology and Drug Safety, ISSN 1053-8569, E-ISSN 1099-1557, Vol. 21, p. 153-153Article in journal (Refereed)
  • 121.
    Steffenak Myhrene, Anne-Kjersti
    et al.
    Hedmark University College, Elverum, Norway.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Skurtveit, Svetlana
    Division of Epidemiology, Norwegian Institute of Public Health, Oslo, Norway.
    Hartz, Ingeborg
    Hedmark University College, Elverum, Norway.
    Increase in psychotropic drug use between 2006 and 2010 among adolescents in Norway: A nationwide prescription database study2012In: Clinical Epidemiology, ISSN 1179-1349, E-ISSN 1179-1349, Vol. 4, no 1, p. 225-231Article in journal (Refereed)
    Abstract [en]

    Background: The purposes of this study were to investigate the prevalence of psychotropic (hypnotic, antidepressant, and anxiolytic) drug use among adolescents aged 15–16 years during the period 2006–2010 according to gender and subcategories of psychotropics, and to study psychotropic drug use over the period 2007–2010 among incident users in 2007.Methods: This was a one-year prevalence and follow-up study based on information retrieved from the nationwide Norwegian prescription database for the period 2006–2010. The study population consisted of adolescents aged 15–16 years who had filled at least one prescription for a psychotropic drug in the study period. The main outcome measures were filling of hypnotic, antidepressant, and/or anxiolytic drug prescriptions.Results: Overall use of psychotropic drugs increased from 13.9 to 21.5 per 1000 among boys and from 19.7 to 24.7 per 1000 among girls during the 2006–2010 period. Hypnotic drugs, and melatonin in particular, accounted for most of the increase. For melatonin, the annual median amount dispensed was 180 defined daily doses through the period until 2010, at which time it decreased to 90 defined daily doses. In total, 16.4% of all incident psychotropic drug users in 2007 were still having prescriptions dispensed in 2010.Conclusion: This study shows an increase in hypnotic drugs dispensed for adolescents in Norway, mainly attributable to the increasing use of melatonin. The amount of melatonin dispensed indicates more than sporadic use over longer periods, despite melatonin only being licensed in Norway for use in insomnia for individuals aged 55 years or older.

  • 122.
    Strandmark K, Margaretha
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Rahm, GullBritt
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Nordström, Gun
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Rystedt, Ingrid
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Preventive Strategies and Processes to Counteract Bullying in Health Care Settings: Focus Group Discussions.2016In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 38, no 2, p. 113-121Article in journal (Refereed)
    Abstract [en]

    The aim of the present study was to explore preventive strategies and processes to counteract bullying in workplaces. Data were collected by individual interviews and focus group discussions at one hospital and two nursing home wards for elderly, a total of 29 participants. In the analysis of the interviews we were inspired by constructivist grounded theory. Persistent work with a humanistic value system by supervisor and coworkers, raising awareness about the bullying problem, strong group collaboration, and conflict management, along with an open atmosphere at the workplace, appears to be imperative for accomplishing a policy of zero tolerance for bullying.

  • 123.
    Theander, Kersti
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences. Hedmark Univ Coll, Dept Nursing & Mental Hlth, Fac Publ Hlth, Hedmark, Norway..
    Carlsson, Marianne
    Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden.;Univ Gavle, Fac Hlth & Occupat Studies, Gavle, Sweden..
    Florin, Jan
    Dalarna Univ, Sch Educ Hlth & Social Studies, Falun, Sweden..
    Gardulf, Ann
    Karolinska Univ Hosp, Karolinska Inst, Dept Lab Med, Unit Clin Nursing Res & Clin Res Immunotherapy,Di, Stockholm, Sweden.;Japan Red Cross Inst Humanitarian Studies, Tokyo, Japan..
    Johansson, Eva
    Karolinska Univ Hosp, Karolinska Inst, Dept Lab Med, Unit Clin Nursing Res & Clin Res Immunotherapy,Di, Stockholm, Sweden.;Japan Red Cross Inst Humanitarian Studies, Tokyo, Japan..
    Lindholm, Christina
    Sophiahemmet Univ, Stockholm, Sweden..
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nilsson, Jan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences. Japan Red Cross Inst Humanitarian Studies, Tokyo, Japan..
    Adjusting to future demands in healthcare: Curriculum changes and nursing students' self-reported professional competence2016In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 37, p. 178-183Article in journal (Refereed)
    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.

  • 124.
    Uwe, Nicolay
    et al.
    Karolinska institutet.
    Eva, Östblom
    Karolinska Institutet, Södersjukhuset, Stockholm Universitet.
    Ann-Charlotte, Egmar
    Red Cross University College, Sweden.
    Nordström, Gun
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Högskolan i Hedmark.
    Ann, Gardulf
    Karolinska Institutet.
    Validation of a Disease-Specific Questionnaire for Measuring Parent-Reported Health-Related Quality of Life in Children with Allergies2012In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 26, no 4, p. 679-687Article in journal (Refereed)
    Abstract [en]

    Purpose: To evaluate the properties and suitability of a disease-specific questionnaire to assess parent-reported health-related quality of life (HRQL) of children and parents of children suffering from food hypersensitivity (FHS) or allergy to furred pets (AFP). Methods: The parents of 202 children with FHS and of 131 children with AFP filled in questionnaires comprising the CHQ-PF28 and the Food-Pet-Allergy in Children (FPAC) Questionnaire. Psychometric properties of the FPAC questionnaire were evaluated separately for FHS and AFP. Results: Analyses resulted in five proposed scales: Limitations of Family/Child Activities (I), Parents Distress (II), Childs Emotions (III), Child in School (IV) and Family Conflicts (V). Convergent/discriminant validity for scales I, II and III of both questionnaires was high; for scale IV it was moderate. All five FHS and four AFP scales were able to distinguish significantly between children with and without clinical allergy symptoms (known-group validity). Internal consistency reliability was good for scales I, II and III, but poor for scale IV. Conclusion: Three valid scales were determined for both FHS and AFP (Limitations of Family/Child Activities, Parents Distress and Childs Emotions) and can be used in clinical research.

  • 125.
    Wallengren, Catarina
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Segersten, Kerstin
    University of Borås, School of Health Sciences.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Friberg, Febe
    University of Stavanger, Department of Health Studies / Sahlgrenska Academy at University of Gothenburg, Institute of Health and Care Studies.
    The Suitability, Readability and Content of Printed educational Materials - A National Survey Carried out at Swedish Stroke UnitsManuscript (Other (popular science, discussion, etc.))
  • 126. Waltersson, A
    et al.
    Carlsson, B
    Ihre, T
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Patient-controlled analgesia versus conventional analgesia for postoperative pain following abdominal surgery1999In: Vård i Norden 1999;19:15-19Article in journal (Refereed)
  • 127.
    Wangensteen, Sigrid
    et al.
    Gjovik Univ Coll, Dept Nursing, Fac Hlth Care & Nursing, Gjovik, Norway..
    Johansson, Inger
    Gjovik Univ Coll, Dept Nursing, Fac Hlth Care & Nursing, Gjovik, Norway.;Karlstad Univ, Dept Hlth Sci, Fac Hlth Sci & Technol, Karlstad, Sweden..
    Nordström, Gun
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Hedmark Univ Coll, Dept Nursing, Fac Publ Hlth, Elverum, Norway.
    Nurse Competence Scale: Psychometric testing in a Norwegian context2015In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 15, no 1, p. 22-29Article in journal (Refereed)
    Abstract [en]

    The aim was to test the construct validity of the Nurse Competence Scale. The Nurse Competence Scale has been used in hospital settings for various purposes in several countries. Despite this, confirmatory factor analyses are scarcely reported. The present study is based on re-analyses of data from 2007 (i.e. psychometric testing) and 593 newly graduated nurses working in various contexts were included. Confirmatory as well as exploratory factor analyses (Principal Component Analysis) were carried out. The original 7-factor model of the Nurse Competence Scale (73 items) was not confirmed. The exploratory factor analyses resulted in a Norwegian Nurse Competence Scale consisting of 46 items in the following competence categories: Planning and delivery of care, Teaching functions, Professional leadership, Research utilization and nursing values and Professional awareness. The results underline the needs for psychometric testing of an instrument after translation processes. The instrument is suitable for describing and comparing nurse competence for various reasons. It may also be helpful in creating competence development programs at an individual as well as at an organizational level. Further studies with a broader sample are recommended. (C) 2014 Elsevier Ltd. All rights reserved.

  • 128.
    Wangensteen, Sigrid
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Johansson, Inger
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    The first year as a graduated nurse - an experience of growth and development2008In: J Clin Nurse. 2008;17:1877-85Article in journal (Refereed)
  • 129.
    Wangensteen, Sigrid
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Johansson, Inger
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    The first year as a nurse: an experience of growth and development2008In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, no 17, p. 1877-1885Article in journal (Refereed)
  • 130.
    Wangensteen, Sigrid
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Johansson, Inger
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Björklund, M
    Critical thinking and research utilization and among newly graduated nurses: Does critical thinking predict research utilization?2009Conference paper (Refereed)
  • 131.
    Wangensteen, Sigrid
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Johansson, Inger S.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Björkström, Monica E.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Critical thinking dispositions among newly graduated nurses.2010In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648Article in journal (Refereed)
  • 132.
    Wangensteen, Sigrid
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. Gjovik Univ Coll, Gjovik, Norway.
    Johansson, Inger S.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. Gjovik Univ Coll, Gjovik, Norway.
    Björkström, Monica E.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nordström, Gun
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Newly Graduated Nurses' Perception Of Competence And Possible Predictors: A Cross-Sectional Survey2012In: Journal of Professional Nursing, ISSN 8755-7223, E-ISSN 1532-8481, Vol. 28, no 3, p. 170-181Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe newly graduated nurses' own perception of competence and to identify possible predictors influencing their perceptions. The target population included nurses who graduated from nursing colleges in June 2006. Data collection was carried out from October 2006 until April 2007 using the Nurse Competence Scale (NCS), the California Critical Thinking Disposition Inventory, and the Research Utilization Questionnaire. The response rate was 33% (n = 620). Pearson's chi-square test, Student t test, and regression analyses were used for statistical calculations. The respondents assessed their overall competence level as "good" and assessed themselves most competent in providing ethical and individualized nursing care. They assessed themselves least competent in evaluating outcomes and further development of patient care. Their use of competence explained between 40% (helping) and 10% (managing) of the variance within the NCS competence categories. Critical thinking (CT) was the most prominent predictor for perception of competence in all competence categories and the overall competence, alone explaining between 20% (NCS total score) and 9% (managing) of the variance. The finding that CT was a significant predictor for perception of competence may indicate that developing nursing students' CT abilities is valuable to increase newly graduated nurses' perception of competence.

  • 133.
    Wangensteen, Sigrid
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Johansson, Inger S.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Björkström, Monica E.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Research utilisation and critical thinking among newly graduated nurses: Predictors for research use. A quantitative cross-sectional study2011In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 20, no 17/18, p. 2436-2447Article in journal (Refereed)
    Abstract [en]

    AIM:The aim was to describe research utilisation among newly graduated nurses and to explore critical thinking dispositions and other individual and contextual factors as possible predictors for research use.

    BACKGROUND:Nurses are expected to be research users, and variations in research utilisation are explained by individual and contextual factors. To our knowledge, critical thinking dispositions have not earlier been explored as predictors for research use.

    DESIGN:A cross-sectional design was chosen.

    METHODS:Data collection was carried out from October 2006 to April 2007 using the Research Utilization Questionnaire (RUQ) and the California Critical Thinking Disposition Inventory (CCTDI). The response rate was 33% (n =617). Pearson's chi-square test and regression analyses were used for statistical calculations.

    RESULTS:The respondents reported a positive attitude towards research, but only 24% (n = 148) were defined as research users. A significantly higher proportion of research users reported high critical thinking scores. Critical thinking explained 20% of the variance in attitude towards research and 11% of the variance in research use. Availability and support to implement research findings was the second strongest predictor for research use.

    CONCLUSIONS:Critical thinking, a significant predictor for attitude towards research and for the use of research, should be recognised and strengthened in nursing education and clinical practice. Contextual factors seem to be important for newly graduated nurses' use of research.

    RELEVANCE TO CLINICAL PRACTICE:Nurse leaders play an important role in nurturing newly graduated nurses' critical thinking and assisting them in transferring their positive attitude towards research into research use. Nurse educators play a significant role in supporting, challenging and supervising nursing students to be critical thinkers and strong believers in research utilisation.

  • 134.
    Wilde-Larsson, Bodil
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Inde, Marianne
    Landstinget i Värmland.
    Carlson, Annica
    Department of Surgery, Central Hospital, Karlstad, Sweden.
    Nordström, Gun
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Larsson, Gerry
    Department of Security, Strategy and Leadership, Swedish National Defence College, Karlstad, Sweden.
    Rystedt, Ingrid
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Implementation of patient-focused care: before-after effects2014In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 27, no 7, p. 594-604Article in journal (Refereed)
    Abstract [en]

    PurposeThe purpose of this paper is to evaluate an organizationally oriented, patient-focused care (PFC) model's effects on care quality and work climate. Design/methodology/approach The study has a before-after (PFC implementation) design. The sample included 1,474 patients and 458 healthcare providers in six participating wards before and after PFC implementation, plus five additional randomly chosen wards, which only featured in the post-assessment.FindingsNo pre-post differences were found regarding care perceptions or provider work climate evaluations. Statistically significant improvements were noted among provider care evaluations. Using aggregate-level ward data, multiple regression analyses showed that high adherence to PFC principles and a positive work climate contributed significantly to variance among care quality ratings. Research limitations/implications Among healthcare providers, questions related to specific PFC aspects during evenings, nights and weekends had to be dropped owing to a low response rate. Practical implications An important requirement for both practice and research is to tailor PFC to various health and social care contexts. Originality/valueThe study is large-scale before-after PFC model review, where patient and provider data were collected using well-established measurements.

  • 135. Åkesdotter Gustavsson, B
    et al.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Ponser, S
    Lützén, K
    The role of affirmation in psychosocial rehabilitation after orthopaedic injuries2000In: J Orthopaedic Nurs. 2000;5:9-14Article in journal (Refereed)
  • 136. Örtenstrand, A
    et al.
    Winbladh, B
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Waldenström, U
    Early discharge of preterm babies followed by domiciliary nursing care: parents´experiences and breastfeeding2001In: Acta Paediatr. 2001;90:1190-1195Article in journal (Refereed)
123 101 - 136 of 136
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