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  • 151.
    Bååth, Carina
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Vara steget före: Bedömning av patienters smärta, näringstillstånd och hudkostym2008Doctoral thesis, comprehensive summary (Other scientific)
    Abstract [en]

    The overall aim was to describe and compare registered nurses’ (RNs’) and enrolled nurses’ (ENs’) assessments of pain, nutrition and skin and their perceptions of using assessment tools. Further to describe RNs’ and ENs’ perceptions of how they assess patients’ pain, nutrition and skin. Methods: One hundred and seventy patient records were reviewed for patients with hip fracture. Interviews were conducted with RNs (n=9) and ENs (n=9). Results of the RNs’ (n=34) and ENs’ (n=43) assessments of patients with hip fracture were compared. Interrater reliability was examined between and among RNs (n=50) and ENs (n=61) using assessment tools for assessments (n=228) of patients with hip fracture and stroke. Results: Sixty percent of patient records on admission and 78% at discharge had documentation of the patient’s skin status. Pressure ulcers were documented in 15% and 20% of patient records respectively. Patients at risk for developing pressure ulcers according to the Modified Norton Scale (MNS) received a mean of 4.6 nursing interventions, while those not at risk received a mean of 3.8. There were no established boundaries between RNs’ and ENs’ assessment who performed it and in what way it was done. There were no differences between RNs’ and ENs’ as­sessments of risk for malnutrition and pressure ulcer regarding screening or total scores. However, there were differences regarding their assessments on the subscales and patients’ pain.  RNs’ and ENs’ perceptions of using assessment tools varied. Interrater reliability regarding MNS total score was very good among RNs, good among ENs and between RNs and ENs. For Short- Form Mini Nutritional Assessment screening score, interrater reliability was good between RNs and ENs and among RNs, while it was moderate among ENs. Interrater reliability between and among RNs and ENs varied for Pressure Ulcer Card. Conclusions: RNs do not always document assessment of patients’ skin and risk for pressure ulcer. Patients at risk for pressure ulcers receive more nursing interventions than patients not at risk. There are both similarities and differences between RNs and ENs regarding how they perform their assessments and what the results of their assessments are. Interrater reliability between and among RNs and ENs varies regarding the different assessment tools. An important part of the work in establishing patient safety and high quality of care is to be one step ahead and continuously assess the patients’ pain, nutrition and skin.

  • 152.
    Bååth, Carina
    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.
    Idvall, Ewa
    Hedman-Wiberg, Katarina
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Interrater reliability using Modified Norton Scale and Pressure Ulcer Card in clinical practice2010Conference paper (Refereed)
  • 153.
    Bååth, Carina
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hall-Lord, Mari-Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Idvall, Ewa
    Institutionen för medicin och hälsa, Linköpings universitet.
    Wiberg-Hedman, Katarina
    Landstinget i Värmland.
    Wilde Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Interrater reliability using Modified Norton Scale, Pressure Ulcer Card, Short Form- Mini Nutritional Assessment by registered and enrolled nurses in clinical practice2008In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 17, no 5, p. 618-626Article in journal (Other academic)
    Abstract [en]

    Aim.  Examine the interrater reliability between and among registered and enrolled nurses using Modified Norton Scale, Pressure Ulcer Card and Short Form-Mini Nutritional Assessment.

    Background.  In Sweden, registered nurses and enrolled nurses usually co-operate in patient care. National guidelines emphasize that reliable and valid assessment tools should be used. Interrater reliability for regular use of assessment tools is seldom studied.

    Design cross-sectional.  Registered nurses and enrolled nurses made 228 assessments of patients’ skin, risk for pressure ulcer and malnutrition, in patients with hip fracture and patients who had suffered a stroke.

    Results.  The interrater reliability of the Modified Norton Score total score was very good among registered nurses, good among enrolled nurses and between both groups. There was good, moderate and fair agreement on the subscales. Interrater reliability of Short Form Mini-Nutritional Assesment screening score was very good between both groups, good among registered nurses and moderate among enrolled nurses. There was good and moderate agreement on the items. There was good, moderate and fair agreement between and among registered nurses and enrolled nurses when using the Pressure Ulcer Card.

    Conclusion.  The Modified Norton Scale and Short Form Mini-Nutritional Assessment were reasonably understandable and easy to utilize in clinical care. Therefore, it seems possible for nurses to accomplish assessment using these tools. The agreement level was low for most skin sites except sacrum when nurses assessed patients’ skin with the Pressure Ulcer Card.

    Relevance to clinical practice.  The utilize of reliable and valid assessment tools is important in clinical practice. The tools could be used as an aid to the clinical judgement and therefore identify patients at risk for pressure ulcers and malnutrition. Pressure ulcer grading is a difficult skill that requires training and time to develop.

  • 154.
    Bååth, Carina
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hall-Lord, M-L.
    Wilde-Larsson, B.
    Nurses Perceptions in assessment of Pressure Ulcer2003In: European Pressure Ulcer Advisory Panel, Review 2003 (6),10Article in journal (Refereed)
  • 155.
    Bååth, Carina
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Larsson, Maria
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Akuten och omvärlden – ett förbättringsprojekt i samarbete mellan Landstinget i Värmland och Karlstads universitet2014In: Universitetens, Högskolornas och Svensk sjuksköterskeförenings årliga konferens, Verksamhetsförlagd utbildning: Lärande i en föränderlig värld, 2014Conference paper (Other academic)
  • 156.
    Bååth, Carina
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Larsson, Maria
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Akuten och omvärlden- ett förbättringsprojekt i samarbete mellan Landstinget i Värmland och Karlstads universitet, Malmö 20142014In: Akuten och omvärlden- ett förbättringsprojekt i samarbete mellan Landstinget i Värmland och Karlstads universitet, 2014Conference paper (Other academic)
  • 157.
    Bååth, Carina
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Wentzel-Persenius, Mona
    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.
    Sjuksköterskors uppfattningar om bedömning av malnutrition och tryckrodnad/trycksår2005Conference paper (Other (popular science, discussion, etc.))
  • 158.
    Bååth, Carina
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Wentzel-Persenius, Mona
    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.
    Nurses' Perception of Prevalence and Assessment of Pressure Damage2005Conference paper (Refereed)
  • 159.
    Bååth, Carina
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Wentzel-Persenius, Mona
    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.
    Nurses' Perceptions of Assessment of Pressure Ulcer2003Conference paper (Refereed)
  • 160.
    Bååth, Carina
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Wentzel-Persenius, Mona
    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.
    Sjuksköterskors uppfattningar om bedömning av tryckrodnader/trycksår2005Conference paper (Refereed)
  • 161.
    Bååth, Carina
    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.
    Idvall, Ewa
    Malmö högskola.
    Hall-Lord, Marie Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Assessment of patients´pain, nutrition and skin in clinical practice: Registered and Enrolled Nurses Perceptions2012In: International Journal of Orthopaedic and Trauma Nursing, ISSN 1878-1241, E-ISSN 1878-1292, Vol. 16, no 1, p. 3-12Article in journal (Refereed)
  • 162.
    Bååth, Carina
    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.
    Idvall, Ewa
    Institutionen för medicin och hälsa, Linköpings universitet.
    Hall-Lord, Marie Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Registered nurses and enrolled nurses assessment of postoperative pain and risk for malnutrition and pressure ulcers in patients with hip fracture2010In: International Journal of Orthopaedic and Trauma Nursing, ISSN 1878-1241, E-ISSN 1878-1292, Vol. 14, no 1, p. 30-39Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to describe and compare registered (RNs’) and enrolled nurses’ (ENs’) assessments of postoperative pain, risk for malnutrition and pressure ulcers in patients with hip fracture. Furthermore, the aim was to describe and compare their perceptions of using assessment tools. Thirty-four (34) RNs and forty-three (43) ENs, working on orthopaedic wards in Sweden, took part in the study. The assessments were carried out on 82 patients with hip fracture. The assessment tools included the numerical rating scale (NRS), short-form nutritional assessment tool (MNA-SF), modified Norton scale (MNS) and pressure ulcer card. Many patients were assessed to be in postoperative pain and at possible risk for malnutrition. Around 50% were assessed as being at risk for pressure ulcer formation (PU). There is a difference between RNs and ENs assessments of patients’ postoperative pain, risk for malnutrition and PU. ENs assessed to a greater degree that patients were in intense pain currently. RNs assessed to a greater degree that patients had been in intense pain in the past 24 h. Single items on the tools showed differences. However, there was no statistically difference for MNA-SF screening score and MNS total score. ENs found it easier to assess postoperative pain with the NRS compared to RNs.

  • 163.
    Bååth, Carina
    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.
    Idvall, Ewa
    Hall-Lord, Marie-Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Registered nurses and enrolled nurses assessment of postoperative pain, risk for malnutrition and risk for pressure ulcers in patients with hip fracture2009Conference paper (Refereed)
  • 164.
    Davidsson, Sanna
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Josse Eklund, Ellen
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Faktorer inom det tvärprofessionella samarbetet som kan påverka patientsäkerheten: en litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Det tvärprofessionella teamet är en viktig del inom den svenska hälso- ochsjukvården och samverkan i team är en av sjuksköterskans åtta kärnkompetenser. Attteamet kan samarbeta över professionsgränserna är en grundförutsättning för att dettvärprofessionella teamet ska kunna upprätthålla en patientsäker hälso- och sjukvård.Patientsäkerhet är en av sjukvårdens grundstenar, den ses som frånvaro av vårdskador ochavvikelser. Det finns två huvudgrupper av vårdskador och avvikelser, de som skett pågrund av misstag och de som skett på grund av uteblivna åtgärder. Vårdskador sker till enkostnad av nio miljarder per år i Sverige.Syfte: Syftet med litteraturstudien var att belysa faktorer inom det tvärprofessionellateamets samarbete som kan påverka patientsäkerheten.Metod: Litteraturstudie utformad efter Polit och Beck (2017) nio steg. Artikelsökningarutfördes i CINAHL och PubMed. Artiklarnas kvalitet granskades med Polit och Beck(2017) granskningsmall. Fyra kvalitativa, fyra kvantitativa och två mixad metod artiklarvaldes och utgjorde resultatet.Resultat: Under databearbetningen framkom en huvudkategori (Kommunikation) medunderkategorier (strukturer för kommunikation, samsyn angående ansvar- ocharbetsfördelning och brist på respektfullt bemötande ).Slutsats: Studiens resultat visar på att kommunikation är grundläggande för ett gott,patientsäkert samarbete i det tvärprofessionella teamet. Det visade även på att begreppetkommunikation är multifacetterat, och dess framgång ligger på både individuell ochorganisatorisk nivå. För att uppnå en god patientsäker vård är det av stor vikt attorganisationen möjliggör forum för kommunikation samt att var och en av medlemmarna iteamet tar ett personligt ansvar för hur de kommunicerar med varandra.

  • 165. Dunlop, D
    et al.
    Sayakoumane, P
    Rystedt, Ingrid
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Report on the Oudomxai Province (Lao P.D.R) Health Survey 2003/20042004Report (Other academic)
  • 166.
    Duppils Sörensen, Gill
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. Högskolan Dalarna, Avdelningen för omvårdnad.
    Johansson, Inger
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Predictive value and validation of the NEECHAM Confusion Scale using DSM-IV criteria for delirium as gold standard2010In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 6, no 2, p. 133-142Article in journal (Refereed)
    Abstract [en]

    BACKGROUND:Delirium is common among older people in hospital and various instruments have been developed for detecting delirium. One of these, the NEECHAM Confusion Scale, is easy for nurses to administrate but needs to be tested further.

    AIMS AND OBJECTIVES:The aim of the present study was to assess the validity and predictive value of the NEECHAM Confusion Scale.

    METHODS:The study was conducted among 149 patients aged ≥ 65, who had undergone surgery for a hip fracture. The patients were observed daily using DSM-IV criteria for delirium. The NEECHAM Confusion Scale was performed upon admission and prior to discharge.

    RESULTS:The incidence of DSM-IV related delirium was 24%. Patients who scored below 25 points on the NEECHAM scale had a 12 times higher risk of developing DSM-IV related delirium. During admission, the sensitivity of NEECHAM was zero because all patients with DSM-IV delirium were excluded, the specificity was 75%. On discharge, it was 100% and 91% respectively.

    CONCLUSIONS:This study adds to the body of knowledge that NEECHAM discriminates for delirium. It is a valid and reliable screening instrument for predicting delirium. The instrument can be used for clinical practice to identify patients who are at risk of contracting delirium and when considering prevention measures.

  • 167.
    Edström, Elisabet
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Westerberg, Lisa
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Bedömning av riktlinjer för preoperativ helkroppstvätt2012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Preoperative bodywash is a part of reducing postoperative infections. There is a lack of knowledge about the importance of preoperative bodywash. To systematically collate, quality review, interpret and evaluate existing research for the application is what should be considered in developing guidelines.

    Aim: The purpose was that by using the AGREE-instrument to apprais guidelines that included preoperative bodywash, in a county council in southern Sweden.

    Method: An empirical study with quantitative approach was performed. A county council in Sweden, consisting of three hospitals, was included and gave rise to 35 guidelines that contained instructions for preoperative bodywash or preoperative preparation. The AGREE instrument were used to obtain a framework for quality assessment, which resulted in that the appraisal of the guidelines were comparable.

    Result: The results were based on the six domains of the AGREE-instrument and constituted support for measuring quality. They showed a low assessment rate, reaching a low achievement of all the assessed domains. The mean and median in the various domains were all below 50 percent in the assessment of each domain. Instructions regarding preoperative bodywash differed to the clarity and the drafting of the guidelines.

    Conclusion: The AGREE instrument is useful and functionally structured to evaluate the quality of clinical guidelines. Clinical operations need to be actively involved with development and evidence-base guidelines. Continued research is needed regarding clarity around processes of preoperative bodywash and how this should be performed to reduce postoperative infections.

  • 168. Eek, A-C
    et al.
    Lindgren, M
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Kvalitetsindikationer för patienter med eller med risk för trycksår2007Chapter in book (Refereed)
  • 169.
    Ekendahl, Sigrid
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Werling, Suzanna
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Sjuksköterskans bemötande - faktorer som påverkar äldre patienters värdighet: En litteraturstudie2012Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 170.
    Eklund, Anna Josse
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Petzäll, Kerstin
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Räty, Lena
    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.
    Patient Advocacy in Community Care of Older Patients: Psychometric testing of the Swedish version of Attitudes towards Patient Advocacy Scale (APAS) and registered nurses and nurse managers attitudes towards patient advocacy2010Conference paper (Refereed)
  • 171.
    Eklund, Anna Josse
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Petzäll, Kerstin
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Räty, Lena
    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.
    Sjuksköterskans advokatskap för patienter inom kommunal vård2010Conference paper (Other (popular science, discussion, etc.))
  • 172.
    Eklund, Anna Josse
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Petzäll, Kerstin
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Räty, Lena
    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.
    Sandin-Bojö, Ann-Kristin
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Sjuksköterskans advokatskap för patienter inom kommunal vård2011Conference paper (Other (popular science, discussion, etc.))
  • 173.
    Eklund, Anna Josse
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Petzäll, Kerstin
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Sandin-Bojö, Ann-Kristin
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Swedish registered nurses attitudes towards patient advocacy and individual influencing factors2011Conference paper (Refereed)
    Abstract [en]

    INTRODUCTIONPatient advocacy can be considered as a vital part of the registered nurses (RNs) profession. The RN advocates for the patients when she/he speaks or acts on behalf of the patients, support and protects the patients when they themselves cannot. According to Bu and Jezewski´s1 theory (2007) patient advocacy consists of three core attributes; safeguarding the patients autonomy, acting on behalf of patients and championing social justice in provision of health care. Factors on an individual and an organisational level can influence patient advocacy. Individual factors described in the literature are the RNs nursing competence, educational level and her/ his personality.AIMSThe aims of the study was to describe registered nurses (RNs) attitudes toward patient advocacy and to explore individual factors influencing attitudes toward patient advocacy in the context of community care of older patients.METHODSThe cross sectional study was carried out in 16 communities in a region of Sweden, between March and September in 2009. Mailed questionnaires were used to collect data and a total of 226 RNs participated in the study (rr=52 %). Besides demographics, the questionnaire consisted of the instruments the APAS2 (to measure RNs attitudes towards patient advocacy), the AssCe3 (to measure the RNs self assessed nursing competence) and the SIMP4 (to measure personality traits). Descriptive statistics and multiple regression analysis were used to analyze data.RESULTSThe RNs showed positive attitudes towards patient advocacy. Nursing competence proved to be an influencing factor to attitudes towards patient in the regression model. The model explained 18.4 % of the variance in attitudes toward patient advocacy.CONCLUSIONThe results from this study can contribute to the available knowledge about patient advocacy since new insights about influencing factors have been added. The vital results from this study are that RNs in a community context showed a positive attitude towards patient advocacy and that attitudes towards patient advocacy were influenced by the RNs nursing competence but not by their nursing experience, educational level or personality traits. The results can contribute to the knowledge about patient advocacy but further research regarding patient advocacy and influencing factors is needed.REFERENCES1. Bu X. & Jezewski MA. Developing a mid-range theory of patient advocacy through concept analysis. J Adv Nur 2007; 57(1): 101-110.2. Bu X. & Wu Y.B. Development and Psychometric Evaluation of the Instrument: Attitude Toward Patient Advocacy. Res Nurs Health 2008; 31(1): 63- 75.3. Löfmark A. & Thorell-Ekstrand I. An assessment form for clinical nursing education: a Delphi study. J Adv Nurs 2004; 48(3): 291-298.4. Woods S.A. & Hampson S.E. Measuring the Big Five with Single Items using a Bipolar Response Scale. Eur J Pers. 2005; 19: 373-390.

  • 174.
    Eklund, Anna Josse
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Petzäll, Kerstin
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Sandin-Bojö, Ann-Kristin
    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.
    Cross-cultural validation and psychometric testing of the Swedish version of the microsocial section of the Attitudes toward Patient Advocacy Scale2012In: The International Journal of Person Centered Medicine, ISSN 2043-7730, E-ISSN 2043-7749, Vol. 2, no 3, p. 473-481Article in journal (Refereed)
    Abstract [en]

    Rationale, aims and objectives: Patient advocacy can be defined as a process for maintaining and monitoring patients’ rights, values and best interests. To measure attitudes toward patient advocacy, Bu and Wu (2008) developed the Attitudes toward Patient Advocacy Scale (APAS), which required further testing and refining in different contexts. This two-phased study aimed to: (1) translate and cross-culturally validate the APAS section for microsocial patient advocacy (AMIA) in accordance with the Swedish context and (2) test the instrument’s psychometric properties in the community care of older patients.

    Methods and results: The first phase consisted of back-translation and cultural validation of the APAS-AMIA in accordance with the Swedish context and resulted in a 39-item Swedish version of the APAS-AMIA. In the second phase, data were collected using the 39-item APAS-AMIA in 2009 from a sample of 230 registered nurses and nurse managers covering 16 communities. Subsequently, psychometric testing was conducted with exploratory factor analysis and reliability analysis in a final sample of 201 RNs. The exploratory factor analysis revealed a 4-factor structure, explaining 52.1% of the total scale variance in a 33-item instrument called the APAS-AMIA/SE. The Cronbach’s alpha for the APAS-AMIA/SE was 0.92 and varied between 0.82 and 0.88 for the factors.

    Conclusion: When the APAS-AMIA/SE semantic and conceptual equivalence to the APAS-AMIA, its distinct factor structure, internal consistency values and theoretical attachment are all added together, the conclusion is that the APAS-AMIA/SE is an acceptably reliable and valid instrument.

  • 175.
    Eklund, Anna Josse
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Petzäll, Kerstin
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Sandin-Bojö, Ann-Kristin
    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.
    Swedish registered nurses’ and nurse managers’ attitudes towards patient advocacy in community care of older patients2013In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 21, no 5, p. 753-761Article in journal (Refereed)
    Abstract [en]

    Aim To describe and compare registered nurses’ (RNs) and nurse managers’ (NMs) attitudes towards patient advocacy in the community care of older patients.

    Background RNs may act as patients’ advocates in the care of older patients. NMs should support patient advocacy in order to make the best care available to patients.

    Method A modified Attitudes towards Patient Advocacy Scale was used to collect data from 207 RNs and 23 NMs in the Swedish community care of older patients. The response rate was 52%. Descriptive and inferential statistics were used.

    Results Both RNs and NMs showed positive attitudes towards patient advocacy. They were more positive towards patient advocacy for patients unable to help themselves than for competent patients.

    Conclusions This study showed that RNs and NMs did not differ in their attitudes towards patient advocacy. This result is consistent with the idea of giving the neediest and vulnerable patients greater care.

    Implications for Nursing Management It is important for NMs to clarify their own and RNs attitudes towards patient advocacy as disparities may affect cooperation between the groups. Any effects on cooperation may, by extension, affect the quality of care.

  • 176.
    Engdahl, Zandra
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Moberg, Sandra
    Karlstad University, Faculty of Health, Science and Technology (starting 2013). Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Omvårdnadsåtgärder vid fatigue under cytostatikabehandling: en litteraturstudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 177. Engström, B.
    et al.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Axelsson, K.
    Sandman, P.O.
    Mätning av omvårdnadskvalitet - bearbetning och utprövning av Rush Medicus Process Instrument1992In: Vård i Norden, 3/4; 45-49, 1992Article in journal (Refereed)
  • 178.
    Envall, Lena
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Haster, Annika
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Betydelsen av att upprätthålla patientens värdighet inom palliativ vård.: En litteraturstudie2012Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Varje människa har rätt till en död med värdigheten i behåll och det är därför viktigt att ha kunskap om vilka faktorer som innebär värdighet för patienten.

    Syfte: Belysa hur patientens värdighet bevaras i livets slutskede.

    Metod: Litteraturstudien utfördes enligt Polit och Becks (2008) nio steg. Litteratursökning skedde i databaserna CINAHL, PubMed, Academic Search Elite, AMED och PsykInfo. Litteratursökningen utmynnade i 14 vetenskapliga artiklar som litteraturstudiens slutresultat baserades på. De vetenskapliga artiklarna analyserades och bearbetades i flera steg och de valda nyckelmeningarna organiserades i tre kategorier, Autonomi, Bevara Personen och Bevara Personligheten.

    Resultat: Det som främst genomsyrar resultatet är hur viktig kommunikationen är mellan patient, anhöriga och vårdgivare. Studien utmynnade i kärntemat Kommunikation. Bearbetning av nyckelmeningar resulterade i tre kategorier, Bevara Autonomin, Bevara Personen och Bevara Personligheten. När patientens värdighet upprätthålls fram till döden leder det till att individen blir sedd och bekräftad och har fått den goda omvårdnad som denne har rätt till.

  • 179.
    Ericson, Elin
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Friberg, Natalie
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hur kvinnors sexualitet påverkas vid Ovarialcancer: En litteraturstudie.2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 180.
    Ericson, Lars
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Stenlund, Emma
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Intensivvårdssjuksköterskans samspel med patientens närstående2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    A critical care nurse will in the course of her work often meet relatives of severely ill patients. Previous studies have confirmed the importance of relatives in intensive care and how complex the interaction with these may be, due to the special conditions existing in an intensive care unit. The purpose of this study was to highlight the critical care nurse's experiences of aspects that help improve a sound relationship with the patient's relatives. A qualitative approach was used in the study. Data collection was conducted through semi-structured interviews, guided by an interview guide. Ten interviews were conducted with ICU nurses who worked in two different intensive care units in central Sweden. Inclusion criteria were nurses with specialist training in intensive care, with at least three years experience of working in the ICU. Content analysis was conducted and three main categories emerged: Aspects of the intensive care environment, Aspects of their own competence and Aspects of significant others. The results show that there are several aspects. Both the intensive care environment, the nurses themselves as well as the patients relatives can help promote a sound relationship. Intensive care nurses stressed the importance of being prepared and to establish a relationship with the relatives. How well this succeeds is affected by both external conditions in the intensive care environment and the nurses own competence. The results also indicate that skills in meeting relatives is obtained by work experience, which raises questions about how an inexperienced ICU nurse does interact with relatives of patients.

  • 181.
    Eriksson, Anna
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Moberg, Linus
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Prehospital vätsketerapi vid trauma2011Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 182.
    Eriksson, Jonas
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nilsson, Anton
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Copingstrategier som sjuksköterskor använder när de utsätts för stress: En litteraturstudie2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Stress tillhör livet och sjuksköterskans vardag. I arbetet konfronteras sjuksköterskan med många olika situationer och människor med olika behov. Höga stressnivåer påverkar sjuksköterskans arbetsförmåga och mentala hälsa. Strategier för att hantera den upplevda stressen kan bidra till en ökad arbetstillfredsställelse och mental hälsa. Syftet med litteraturstudien var att belysa copingstrategier som sjuksköterskor använder när de utsätts för stress. Metoden var litteraturstudie, vilket utformats utifrån Polit och Becks modell. Artiklarna söktes i databaserna CINAHL och PubMed, de bearbetades efter en urvalsprocess bestående av tre steg. I sista steget fastställdes artiklarnas vetenskapliga nivå med hjälp utav en granskningsmall för kvalitativa och kvantitativa artiklar. Efter urvalsprocessen kvarstod 14 artiklar som svarade mot studiens syfte. Av dessa var nio kvantitativa studier och fem kvalitativa studier, tillsammans har de format den här litteraturstudiens resultat. Utifrån studiernas resultat utformades två huvudkategorier varav en har fem tillhörande underkategorier, de två huvudkategorierna var: Emotionellt fokuserad coping och problemlösning. De tillhörande underkategorierna till emotionellt fokuserad coping var: självbevarelse, söka socialt stöd, undvikande, självkontroll och positiv omvärdering. Problemlösning och socialt stödsökande tillhörde de copingstrategier som användes i störst utsträckning. Resultatet visade att en copingstrategi inte ensam kan användas för att möta den upplevda stressen som sjuksköterskor kan utsättas för. Alla copingstrategier har sina fördelar och de tillämpas bäst då det används till ett ändamål som passar för den valda strategin.

  • 183. Eriksson, L
    et al.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Berglund, T
    Sandström, E
    The health related quality of life in a Swedish sample of HIV-infected persons2000In: J Adv Nurs. 2000;32(5):1213-1219Article in journal (Refereed)
  • 184. Eriksson, LE
    et al.
    Bratt, G
    Sandström, E
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    The two-year impact of first generation protease inhibitor based antiretroviral therapy (PI-art) on health-related quality of life2005In: Health Qual Life Outcomes. 2005;3(1):32Article in journal (Refereed)
  • 185. Eriksson, M.
    et al.
    Kästel, M.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Delegering av arbetsuppgifter inom kommunal hälso-och sjukvård: Sjuksköterskors uppfattningar2005Conference paper (Refereed)
  • 186. Falk, B
    et al.
    Theander, Kersti
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    En vårdavdelnings utveckling sedd ur patienters och personals behovsperspektiv1987Report (Other academic)
  • 187.
    Filipsson, Anna
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Henriksson, Ida
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Patientutbildningens betydelse för livskvalitèn hos patienter med hjärtsvikt: En litteratur studie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Runt 250 000 personer i Sverige är drabbade av hjärtsvikt. Det finns olika grader av hjärtsvikt som påverkar patienters dagliga liv på olika nivåer vilket kan påverka patienters livskvalité. Livskvalité är ett brett begrepp som är multidimensionellt. Patientutbildning är en del av sjuksköterskans profession och syftar till att hjälpa patienter förbättra sin egen hälsa. Syfte: Syftet med litteraturstudien var att belysa patientutbildningens betydelse för livskvalitén hos patienter med hjärtsvikt. Metod: Under litteraturstudien har Polit och Beck (2016) niostegsmodell använts. Till litteratursökningen användes databaserna Cinahl och PubMed. Databassökningen resulterade i 10 artiklar samt två artiklar som söktes manuellt. Artiklarna granskades kritiskt och utgjorde därefter materialet för litteraturstudiens resultat. Resultat: Det slutgiltiga resultatet delades in i två huvudteman vilka var En förändrad tillvaro och Kunskap och trygghet med totalt fem underteman. Slutsats: Litteraturstudien påvisar att patientutbildning kan påverka patienter med hjärtsvikt då livskvalitén generellt har förbättrats för de patienter som erhållit patientutbildning. Litteraturstudien visar att patientutbildning kan ge en förändrad fysisk funktion, socialt och emotionellt stöd, förmåga att utföra egenvård samt ge kunskap, förståelse och kontroll över tillståndet.

  • 188. Folin, A.
    et al.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Accidental blood contact during orthopedic surgical procedures1997In: Infect Control Hosp Epidemiol 1997;18:244-246Article in journal (Refereed)
  • 189. Folin, A
    et al.
    Nyberg, B
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Reducing blood exposures during orthopedic surgical procedures2000In: AORN 2000; 71:573-582Article in journal (Refereed)
  • 190. Forsberg, Erik
    et al.
    Hall-Lord, Marie-Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Deltagarbaserad handikappforskning. Personer med funktionshinder utvärderar handikappreformen i sex kommuner1997Report (Other academic)
  • 191. Forsberg, Erik
    et al.
    Hall-Lord, Marie-Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Från reform till verklighet. Deltagarbaserad handikappforskning i sex svenska kommuner1996Report (Refereed)
  • 192. Forsberg, Erik
    et al.
    Hall-Lord, Marie-Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Från reform till verklighet. Funktionshindrade personer i sex kommuner utvärderar handikappreformen1995Report (Other academic)
  • 193. Foss, J
    et al.
    Kvigne, K
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Collaboration model of best practice2011Conference paper (Refereed)
  • 194.
    Frankesson, Helena
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Kihl, Marie
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Följsamhet till kost och motionsråd hos patienter med diabetes typ 2 ur ett sjuksköterskeperspektiv: En litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Tre till fyra procent av Sveriges befolkning beräknas ha diabetes typ 2. Med stigande ålder ökar risken för diabetes och Svenska Diabetesförbundet (2012) räknar med att tio procent av svenskarna som är 75 år och äldre har diabetes typ 2. Syftet med denna litteraturstudie var att belysa faktorer som påverkar patienter med diabetes typ 2 till att följa sjuksköterskans råd om kost och motion. Metoden som användes var en litteraturstudie, utformad enligt Polit och Becks (2008) modell i nio steg. Databaserna CINAHL och PubMed användes för att få fram de tio vetenskapliga artiklar som kom att ingå i studien. Samtliga artiklar i litteraturstudien kvalitetsgranskades med hjälp av Karlstads Universitets granskningsmall. Efter bearbetning och dataanalys av artiklarna framträdde fyra kategorier: Demografi, Matvanor, Stöd och Hjälpmedel. Kategorierna beskriver faktorer som kan öka följsamheten till sjuksköterskans råd. Sjuksköterskan har en viktig roll i att anpassa omvårdnadsåtgärderna till hur de ges för att öka patientens förmåga till god egenvård och därigenom minska/fördröja eventuella biverkningar av sjukdomen.

  • 195. Frisk, U
    et al.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Patients´and nurses´perception of patients´sleep in an intensive care unit2003In: Intensive and Critical Care Nursing. 2003;19:342-349Article in journal (Refereed)
  • 196. From, I.
    et al.
    Johansson, Inger
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Elderly people's opinion on health and ill-health in community care2007In: Journal of Clinical NursingArticle in journal (Refereed)
  • 197.
    From, Ingrid
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Experiences of health and care when being old and dependent on community care2007Licentiate thesis, monograph (Other academic)
  • 198.
    From, Ingrid
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Health and quality of care from older peoples' and formal caregivers' perspective2011Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Aim: The overall aim of this thesis was to gain a deeper understanding of older people's view of health and care while dependent on community care. Furthermore to describe and compare formal caregivers' perceptions of quality of care, working conditions, competence, general health, and factors associated with quality of care from the caregivers' perspective.

    Method: Qualitative interviews were conducted with 19 older people in community care who were asked to describe what health and ill health((I), good and bad care meant for them (II). Data were analyzed using content analysis (I) and a phenomenological analysis (II).

    The formal caregivers; 70 nursing assistants (NAs) 163 enrolled nurses (ENs) and 198 registered nurses (RNs), answered a questionnaire consisting of five instruments: quality of care from the patient's perspective modified to formal caregivers, creative climate questionnaire, stress of conscience, health index, sense of coherence and items on education and competence (III). Statistical analyses were performed containing descriptive statistics, and comparisons between the occupational groups were made using Kruskal-Wallis ANOVA, Mann-Whitney U-test and Pearson's Chi-square test (III). Pearson's  product moment correlation analysis and multiple regression analysis were performed studying the associations between organizational climate, stress of conscience, competence, general health and sense of coherence with quality of care (IV).

    Results: The older people's health and well-being were related to their own ability to adapt to and compensate for their disabilities and was described as negative and positive poles of autonomy vs. dependence, togetherness vs. being an onlooker, security vs. insecurity and tranquility vs. disturbance (I).  The meaning of good care (II) was that the formal caregivers respected the older people as unique individuals, having the opportunity to live their lives as usual and receiving a safe and secure care. Good care could be experienced when the formal caregivers had adequate knowledge and competence in caring for older people, adequate time and continuity in the care organization (II).

    Formal caregivers reported higher perceived quality of care in the dimensions medical-technical competence and physical-technical conditions than in identity-oriented approach and socio-cultural atmosphere (III). In the organizational climate three of the dimensions were close to the value of a creative climate and in seven near a stagnant climate. The formal caregivers reported low rate of stress of conscience. The RNs reported to a higher degree than the NAs/ENs a need to gain more knowledge, but the NAs and the ENs more often received training during working hours. The RNs reported lower emotional well-being than the NAs/ENs (III). The formal caregivers' occupation, organizational climate and stress of conscience were associated with perceived quality of care (IV).

    Implications: The formal caregivers should have an awareness of the importance of kindness and respect, supporting the older people to retain control over their lives. The nursing managers should employ highly competent and adequate numbers of skilled formal caregivers, organize formal caregivers having round the clock continuity. Improvements of organizational climate and stress of conscience are of importance for good quality of care.

  • 199.
    From, Ingrid
    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.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Experiences of health and well-being - a question of adjustment and compensation: the views of elderly people dependent on community care2007In: JOurnal of Older People Nursing, 2, 1- 10Article in journal (Refereed)
  • 200.
    From, Ingrid
    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.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Experiences of health and well-being, a question of adjustment and compensation: views of older people dependent on community care2007In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 2, no 4, p. 278-287Article in journal (Refereed)
    Abstract [en]

    Most studies concerning older people’s health and well-being have focused on their ill health, disease and complaints and have mainly been conducted with a quantitative design. Hence, there is still a need for qualitative studies in which these peoples’ own views on health and well-being are shown, especially when they are dependent on health care in a community setting. A qualitative approach was used in the study reported here and aimed at obtaining a deeper understanding of older peoples’ own views about their health and well-being. Interviews were carried out on two occasions with 19 older people living in their own homes and in sheltered accommodation. The data were analysed using content analysis. The findings suggested that the possibility to feel healthy was dependent both on the older person’s own ability to adjust or compensate to their situation, and on how their caregivers, relatives and friends could compensate for the obstacles the older person faced. The subcategories that captured the informants’ experiences of health and ill health were described as positive and negative poles of autonomy, togetherness, tranquillity and security in daily life. The significance of the caregivers was clearly evident. Their competence, commitment and treatment were prerequisites for the older person’s ability to experience health in spite of being dependent on care.

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