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  • 151.
    Sandin-Bojö, Ann-Kristin
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Hall-Lord, Marie-Louise
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Axelsson, O.
    Udèn, G
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Development of an instrument taht measure quality of midwifery care based on the World Health Organisations Classification of Care in Normal Birth: A Delhpi study2004Inngår i: Journal of Clinical Nursing, 13: 75-83Artikkel i tidsskrift (Fagfellevurdert)
  • 152.
    Sandin-Bojö, Ann-Kristin
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Hall-Lord, Marie-Louise
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Axelsson, O.
    Udén, G.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Development of an instrument in relation to WHO:s recommendations for care in normal birth2002Konferansepaper (Fagfellevurdert)
  • 153.
    Sandin-Bojö, Ann-Kristin
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper.
    Hall-Lord, Marie-Louise
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper.
    Axelsson, Ove
    Wilde Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper.
    Intrapartal care in a Swedish maternity unit after a quality-improvement programme2007Inngår i: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 23, nr 2, s. 113-122Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVES: to study the effects of a quality-improvement programme (QIP) on documented intrapartal midwifery care in the context of a conventional maternity unit. The aim of the QIP was to improve intrapartal midwifery care in accordance with the World Health Organization (WHO)'s recommendations for care in normal birth, without decreasing the number of spontaneous vaginal births. DESIGN: an audit instrument, developed from WHO recommendations for care in normal birth, was used to compare birth records from before and after the implementation of a QIP. Two hundred and twelve consecutive birth records were examined in the pre-test and 240 in the post-test period. SETTING: a conventional maternity unit in Western Sweden. FINDINGS: an overall documented improvement towards the recommendations by WHO was observed, especially in items for which guidelines were developed; more women were in active labour, intermittent auscultation increased in first and second stage, and oxytocin augmentation decreased in the first stage. The improved care did not influence the number of spontaneous vaginal deliveries or the duration of active labour and second stage. CONCLUSION AND IMPLICATIONS FOR PRACTICE: a QIP facilitated implementation of WHO's recommendations for care in normal birth. Most of the documented care changed in favour of the WHO recommendations. The findings highlight the importance of professional discussions and use of guidelines to implement changes and to show how midwifery care can change in a conventional ward. However, the findings must be interpreted with some caution because of the sample size and because the findings are based on documented, not observed, care.

  • 154.
    Sandin-Bojö, Ann-Kristin
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Hall-Lord, Marie-Louise
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Retrospektiv granskning av dokumenterad vård i samband med förlossning med utgångspunkt från WHO riktlinjer för normal förlossning2003Konferansepaper (Fagfellevurdert)
  • 155.
    Sandin-Bojö, Ann-Kristin
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Kvist, JL
    Berg, M
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    What is, could be better: Swedish womens perceptions of their intrapartal care during planned vaginal birth2011Inngår i: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 24, nr 1, s. 81-95Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: The aim of this study was to describe Swedish womens perceptions of the qualityof intrapartal care that they received and the subjective importance they ascribe to their care.Design: The study was nested within a Swedish national survey of intrapartal care. Thewomen whose care was investigated were invited to participate in the current study by themidwife who attended the birth. A total of 1173 women agreed to answer a questionnaireabout quality of general care and quality of specific intrapartal care two months postpartum. The questions were posed in two ways, perceived reality (PR) and subjectiveimportance (SI).Findings: 739 women (63%) returned their questionnaires. PR and SI for quality of generalcare were generally high (PR range 2.98 -3.81; SI range 2.85-3.85 , out of a possible 4) andfor quality of specific intrapartal care (PR range 3.15-3.86; SI range 3.23-3.86, out of apossible 4). Twelve items had statistically significantly higher scores for SI compared to PR.Eighty-one percent of the women fully or mostly agreed that the birth of their child was apositive experience.Orginality: The way in which questions about intrapartal care are posed is reflected in theway they are answered answers. In this study we have therefore asked not only how care wasperceived but also what importance individual women ascribed to different areas of their care.The questionnaire in this study allow identification of areas where what is, could be better.

  • 156.
    Sandin-Bojö, Ann-Kristin
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Wilde Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Hall-Lord, Marie-Louise
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Women’s perception of intrapartal care  in relation to WHO’s recommendations2008Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Journal of Clinical Nursing, Vol. 17, nr 22, s. 2993-3003Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background. The aim of intrapartal care in normal birth is to achieve a healthy mother and child using the least possible number of interventions that is compatible with safety. Aim. The aims of this study were to elucidate women’s perception of intrapartal care and women’s perceptions of normal birth. Methods. A questionnaire developed from the WHO’s recommendations for care in normal birth was answered by 138 (response rate 66·0% Swedish women. The women were asked to evaluate items in two ways: their perceived reality of care received and the subjective importance of each item. Results. Most women reported receiving care in the category (A) practices that are good and should be encouraged. However, women to a minor degree reported assessment for physical health, enquiring about support needs and pain assessment on admission. Many women received electronic foetal monitoring, repeated vaginal examinations, oxytocin augmentation and suturing after birth which fall under the category (B) practices that are harmful, (C) insufficient evidence exists and (D) practices frequently used inappropriately. The women who reported ‘Yes’ for perceived reality also reported high subjective importance for those items regardless of category A–D. Eighty-four per cent of the women perceived that they had a normal delivery. Conclusion. The result suggests that women have great trust that the care midwives give them is the best care. Midwives, therefore, have an ethical responsibility to keep themselves informed about the best evidence-based care and to implement critical reviewing of their practice as part of continuing professional development. The women’s perceptions of a normal birth allows for a wide range of interventions. Relevance for clinical practice. The result emphasises the importance of midwives’ knowledge of evidence-based care and how to implement this into practice. Further research should include elucidation of the meaning of normal childbirth to childbearing women.

  • 157.
    Sandin-Bojö, Ann-Kristin
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Berg, Marie
    Sahlgrenska universitetssjukhuset.
    Kvist, Linda
    Lunds universitet.
    What is could be better: Swedish women´s perception of intrapartal care during planned vaginal birth2010Konferansepaper (Fagfellevurdert)
  • 158.
    Sandin-Bojö, Ann-Kristin
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Hall-Lord, Marie-Louise
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Some Swedish women´s perception of childbirth2008Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Background: The aim of intrapartal care in normal birth is to achieve a healthy mother and child using the least possible number of interventions that is compatible with safety.

    Aim: The aims of this study were to elucidate womens perceptions of intrapartal care and womens perceptions of normal birth.

    Methods: A questionnaire developed from the WHOs recommendations for care in normal birth were answered by 138 (response rate 66.0%) Swedish women. The women were asked to evaluate items in two ways; their perceived reality (PR) of care received and the subjective importance (SI) of each item.

    Results: Most women reported received care in the category (A) Practices that are good and should be encouraged. However, women to a minor degree reported assessment for physical health, enquiring about support needs and pain assessment on admission. Many women received electronic fetal monitoring, repeated vaginal examinations, oxytocin augmentation and suturing after birth which fall under the categories (B) practices that are harmful, (C) insufficient evidence exists and (D) practices frequently used inappropriately. The women who reported Yes for perceived reality also reported high subjective importance for those items regardless of category A-D. Eighty-four percent of the women perceived that they had a normal delivery.

    Conclusion: The result suggests that women have great trust that the care that midwives give them is the best care. Midwives have therefore an ethical responsibility to keep themselves informed about the best evidence-based care and to implement critical reviewing of their practice as part of ongoing professional development. The womens perceptions of a normal birth allows for a wide range of interventions.

  • 159.
    Sandin-Bojö, Ann-Kristin
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Hall-Lord, Marie-Louise
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Axelsson, O
    Undèn, G
    Validity of an instrument developed to measure quality of midwifery care based on the WHO classification of care in normal birth2003Konferansepaper (Fagfellevurdert)
  • 160.
    Sandsdalen, Tuva
    et al.
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013). Högskolan i Hedmark.
    Grøndahl, Vigdis Abrahamsen
    Østfold University College Norway.
    Hov, Reidun
    Hedmark University Norway.
    Høye, Sevald
    Hedmark University Norway.
    Rystedt, Ingrid
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013).
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013).
    Patients' perceptions of palliative care quality in hospice inpatient care, hospice day care, palliative units in nursing homes, and home care: a cross-sectional study2016Inngår i: BMC Palliative Care, ISSN 1472-684X, E-ISSN 1472-684X, Vol. 15, nr 1Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Patients' perceptions of care quality within and across settings are important for the further development of palliative care. The aim was to investigate patients' perceptions of palliative care quality within settings, including perceptions of care received and their subjective importance, and contrast palliative care quality across settings.

    METHOD: A cross-sectional study including 191 patients in late palliative phase (73 % response rate) admitted to hospice inpatient care, hospice day care, palliative units in nursing homes, and home care was conducted, using the Quality from the Patients' Perspective instrument-palliative care (QPP-PC). QPP-PC comprises four dimensions and 12 factors; "medical-technical competence" (MT) (2 factors), "physical-technical conditions" (PT) (one factor), "identity-orientation approach" (ID) (4 factors), "sociocultural atmosphere" (SC) (5 factors), and three single items (S); medical care, personal hygiene and atmosphere. Data were analysed using paired-samples t-test and analysis of covariance while controlling for differences in patient characteristics.

    RESULTS: Patients' perceptions of care received within settings showed high scores for the factors and single items "honesty" (ID) and "atmosphere" (S) in all settings and low scores for "exhaustion" (MT) in three out of four settings. Patients' perceptions of importance scored high for "medical care" (S), "honesty" (ID), "respect and empathy" (ID) and "atmosphere" (S) in all settings. No aspects of care scored low in all settings. Importance scored higher than perceptions of care received, in particular for receiving information. Patients' perceptions of care across settings differed, with highest scores in hospice inpatient care for the dimensions; ID, SC, and "medical care" (S), the SC and "atmosphere" (S) for hospice day care, and "medical care" (S) for palliative units in nursing homes. There were no differences in subjective importance across settings.

    CONCLUSION: Strengths of services related to identity-orientation approach and a pleasant and safe atmosphere. Key areas for improvement related to receiving information. Perceptions of subjective importance did not differ across settings, but perceptions of care received scored higher in more care areas for hospice inpatient care, than in other settings. Further studies are needed to support these findings, to investigate why perceptions of care differ across settings and to highlight what can be learned from settings receiving high scores.

  • 161.
    Sandsdalen, Tuva
    et al.
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper. Högskolan i Hedmark.
    Hov, Reidun
    Högskolan i Hedmark.
    Höye, S
    Högskolan i Hedmark.
    Rystedt, Ingrid
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper.
    Patients’ preferences in palliative care: A systematic mixed studies review2015Inngår i: Palliative Medicine: A Multiprofessional Journal, ISSN 0269-2163, E-ISSN 1477-030X, Vol. 29, nr 5, s. 399-417Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND:

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

    AIM:

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

    DATA SOURCES:

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

    DESIGN:

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

    RESULTS:

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

    CONCLUSION:

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

  • 162.
    Sandsdalen, Tuva
    et al.
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013). Faculty of Public Health, Inland Norway University of Applied Science.
    Höye, Sevald
    Faculty of Public Health, Inland Norway University of Applied Science.
    Rystedt, Ingrid
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013).
    Abrahamsen Grøndahl, Vigdis
    Högskolan i Östfold, Norge.
    Hov, Reidun
    Department of Health Studies, Faculty of Public Health, Inland Norway University of Applied Sciences, Elverum, Norway.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013). Faculty of Public Health, Inland Norway University of Applied Science.
    The relationships between the combination of person- and organization-related conditions and patients' perceptions of palliative care quality2017Inngår i: BMC Palliative Care, ISSN 1472-684X, E-ISSN 1472-684X, Vol. 16, nr 66Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background:Little is known about the combination of person- and organization- related conditions and the relationshipswith patients'perspectives of care quality. Such a combination could contribute knowledge reflecting the complexity ofclinical practice, and enhance individualized care. The aim wasto investigate the relationships between the combination ofperson- and organization-related conditions and patients'perceptions of palliative care quality.Methods:A cross-sectional study, including 191 patients in the latepalliative phase (73% response rate) admitted to hospiceinpatient care (n= 72), hospice day care (n= 51), palliative units in nursing homes (n= 30) and home care (n=38),wasconducted between November 2013 and December 2014, using the instrument Quality from the Patients'Perspectivespecific to palliative care (QPP-PC). Data were analysed, using analysis of covariance, to explore the amount of the variancein the dependent variables (QPP-PC) that could be explained by combination of the independent variables–Person- andorganization-related conditions,−while controlling for differences in covariates.Results:Patients scored the care received and the subjective importance as moderate to high. The combination of person-and organization - related conditions revealed that patients with a high sense of coherence, lower age (person–relatedconditions) and being in a ward with access to and availabilityof physicians (organization-related condition) might beassociated with significantly higher scores for the quality ofcare received. Gender (women), daily contact with family andfriends, and low health-related qualityof life (person-related conditions) might be associated with higher scores forsubjective importance of the aspects of care quality.Conclusion:Healthcare personnel, leaders and policy makers need to pay attention to person- and organization-relatedconditions in order to provide person-centered palliative care ofhigh quality. Further studies from palliative care contexts areneeded to confirm the findings and to investigate additional organizational factors that might influence patients'perceptions of care quality.

  • 163.
    Sandsdalen, Tuva
    et al.
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013). Högskolan i Hedmark.
    Høye, Sevald
    Högskolan i Hedmark.
    Rystedt, Ingrid
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013).
    Abrahamsen Gröndal, Vigdis
    Högskolan i Östfold.
    Hov, Reidun
    Högskolan i Hedmark.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013). Högskolan i Hedmark.
    The relationships between the combination of person- and organization-related conditions and patients’ perceptions of palliative care qualityManuskript (preprint) (Annet (populærvitenskap, debatt, mm))
  • 164.
    Sandsdalen, Tuva
    et al.
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper. Högskolan i Hedmark.
    Rystedt, Ingrid
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper.
    Abrahamsen Gröndal, V
    Hov, Reidun
    Högskolan i Hedmark.
    Höye, S
    Högskolan i Hedmark.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper.
    Patients’ perceptions of palliative care: Adaptation of the Quality from the Patient’s Perspective instrument for use in palliative care, and description of patients’ perceptions of care received2015Inngår i: BMC Palliative Care, ISSN 1472-684X, E-ISSN 1472-684X, Vol. 14, artikkel-id 54Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 165. Schmidt, I.
    et al.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Kallika, I.
    Socialt klimat, läkemedel och vårdkvalitet på tio svenska sjukhem2001Rapport (Annet vitenskapelig)
  • 166. Schröder, A.
    et al.
    Ahlström, G.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Anhörigas uppfattning av begreppet vårdkvalitet inom psykiatrisk vård: En fenomenografisk studie2007Konferansepaper (Fagfellevurdert)
  • 167. Schröder, A.
    et al.
    Ahlström, G.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Patients' perceptions of the concept of quality of care in the psychiatric setting: : A phenomenographic study2005Inngår i: International Journal of Clinical Nursing, accepted 2005Artikkel i tidsskrift (Fagfellevurdert)
  • 168. Schröder, A.
    et al.
    Ahlström, G.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Patients' perceptions of the concept quality of care in psychiatric setting: A phenomenographic study2006Inngår i: Journal of Clinical Nursing, 2006, 15, 93-102Artikkel i tidsskrift (Fagfellevurdert)
  • 169. Schröder, A
    et al.
    Ahlström, G
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Lundqvist, L-O
    Psychometric properties of the Quality in Psychiatric care, Outpatient (QPC-OP) instrument2011Inngår i: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 20, s. 445-453Artikkel i tidsskrift (Fagfellevurdert)
  • 170. Schröder, A.
    et al.
    Ahlstöm, G.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Patienters uppfattningar om begreppet vårdkvalitet inom psykiatrisk vård: en fenomenografisk studie2005Konferansepaper (Fagfellevurdert)
  • 171. Schröder, A.
    et al.
    Ahlstöm, G.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    What psychiatric patients think about the concept quality of care:: A phenomenographic interview study2005Konferansepaper (Fagfellevurdert)
  • 172. Schröder, A.
    et al.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Ahlström, G.
    Next of kin´s conceptions of the quality of care in the psyciatric setting:: a phenomenographic study2007Inngår i: International Journal of Mental Health, Nursing, 2007, 16, 307-317Artikkel i tidsskrift (Fagfellevurdert)
  • 173. Schröder, A.
    et al.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Ahlström, G.
    Patienters perspektiv på vårdkvalitet inom psykiatrisk vård: Ett instrument för förväntningar och upplevelser2007Konferansepaper (Fagfellevurdert)
  • 174. Schröder, A.
    et al.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Ahlström, G.
    Quality in psychiatric care: an instrument evaluating patients' expectations and experiences2007Inngår i: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 20, nr 2, s. 141-160Artikkel i tidsskrift (Fagfellevurdert)
  • 175. Schröder, A
    et al.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Ahlström, G
    Lundqvist, L-O
    Kvalitet i psykiatrisk vård: Ett nytt mätinstrument som utgår från patientens egna upplevelser2011Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 176. Schröder, A
    et al.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper.
    Ahlström, G
    Lundqvist, L-O
    Kvalitet i psykiatrisk vård: Från ett teoretiskt begrepp till ett nytt mätinstrument baserad på patienters egna upplevelser2010Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 177. Schröder, A
    et al.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Ahlström, G
    Lundqvist, L-O
    Kvalitet i psykiatrisk vård: från ett teoretiskt begrepp till ett nytt mätinstrument baserat på patientens egna upplevelser2010Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 178. Schröder, A
    et al.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Ahlström, G
    Lundqvist, L-O
    Psychometric properties of the instrument Quality in Psychiatric Care (QPC). Poster presentation2008Konferansepaper (Fagfellevurdert)
  • 179. Schröder, A
    et al.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper.
    Ahlström, G
    Lundqvist, L-O
    Quality in Psychiatric Care: From theoretical concepts to a new measuring instrument based on patients´own experiences2010Konferansepaper (Fagfellevurdert)
  • 180. Schröder, A
    et al.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Ahlström, G
    Lundqvist, L-O
    Quality of Psychiatric Care: A new instrument in three versions based on patients own experiences2011Konferansepaper (Fagfellevurdert)
  • 181. Schröder, Agneta
    et al.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper.
    Ahlström, Gerd
    Jönköping.
    Lundqvist, Lars-Olov
    Psychometric properties of the instrument Quality in Psychiatric Care and descriptions of quality of care among in-patients2010Inngår i: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 23, nr 6, s. 554-570Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose – The purpose of this paper is to test the psychometric properties and dimensionality of a new instrument, quality in psychiatric care (QPC), and to describe and compare quality of care among in-patients as measured by this instrument.

    Design/methodology/approach – The instrument quality in psychiatric care measures patients' experiences regarding quality of care. The instrument is based on a definition of quality of care from the patients' perspective. A sample of 265 in-patients at eight general psychiatric wards in Sweden was assessed.

    Findings – Exploratory factor analysis revealed that the original five-dimensional 69-item QPC was better with six dimensions and reduced to 30 items, hereinafter denoted quality in psychiatric care-in-patients (QPC-IP) with retained internal consistency. The patients' ratings of quality of care were generally high; the highest rating was for quality of encounter and the lowest for participation.

    Research limitations/implications – Analysis of the dropouts was not possible because of incomplete registrations at the wards.

    Practical implications – QPC-IP is a simple, inexpensive and quick way to evaluate quality of care and thus contributes to health care improvement in the field of psychiatry.

    Originality/value – The new 30 items instrument, QPC-IP includes important aspects of patients' perceptions of quality of care. The QPC-IP is psychometrically adequate and thus recommended for evaluating patients' experiences of the quality of psychiatric care.

  • 182.
    Steffenak, Anne Kjersti Myhrene
    et al.
    Hedmark Univ Coll, Fac Publ Hlth, N-2418 Elverum, Norway..
    Nordström, Gun
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper.
    Hartz, Ingeborg
    Hedmark Univ Coll, Fac Publ Hlth, N-2418 Elverum, Norway..
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper.
    Public health nurses' perception of their roles in relation to psychotropic drug use by adolescents: a phenomenographic study2015Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, nr 7-8, s. 970-979Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 183.
    Steffenak Myhrene, Anne Kjersti
    et al.
    Hedmark University College, Elverum, Norway.
    Nordström, Gun
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    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 study2012Inngår i: Journal of Adolescent Health, ISSN 1054-139X, E-ISSN 1879-1972, Vol. 50, nr 6, s. 578-587Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 184.
    Steffenak Myhrene, Anne-Kjersti
    et al.
    Högskolan i Hedmark.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper. Högskolan i Hedmark.
    Nordström, Gun
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper. 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 Study2012Inngår i: Pharmacoepidemiology and Drug Safety, ISSN 1053-8569, E-ISSN 1099-1557, Vol. 21, s. 153-153Artikkel i tidsskrift (Fagfellevurdert)
  • 185.
    Steffenak Myhrene, Anne-Kjersti
    et al.
    Hedmark University College, Elverum, Norway.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Nordström, Gun
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    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 study2012Inngår i: Clinical Epidemiology, ISSN 1179-1349, E-ISSN 1179-1349, Vol. 4, nr 1, s. 225-231Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 186.
    Strandmark K, Margaretha
    et al.
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013).
    Rahm, GullBritt
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013).
    Rystedt, Ingrid
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013).
    Nordström, G.
    University of Applied Sciences, Elverum.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013).
    Managing bullying in Swedish workplace settings: A concealed and only partially acknowledged problem2019Inngår i: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 27, s. 339-346Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 187.
    Strandmark K, Margaretha
    et al.
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013).
    Rahm, GullBritt
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013).
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013).
    Nordström, Gun
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013).
    Rystedt, Ingrid
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013).
    Preventive Strategies and Processes to Counteract Bullying in Health Care Settings: Focus Group Discussions.2016Inngår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 38, nr 2, s. 113-121Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 188.
    Theander, Kersti
    et al.
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper. 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
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Nilsson, Jan
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper. Japan Red Cross Inst Humanitarian Studies, Tokyo, Japan..
    Adjusting to future demands in healthcare: Curriculum changes and nursing students' self-reported professional competence2016Inngår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 37, s. 178-183Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 189. Tishelman, Carol
    et al.
    Lundgren, Eva-Lisa
    Skald, Ann
    Törnberg, Sven
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Quality of care from a patient perspective in population-based cervical cancer screening2002Inngår i: Acta Oncologica Vol 41, No 3, pp 253-261, 2002Artikkel i tidsskrift (Fagfellevurdert)
  • 190. Udén, G
    et al.
    Johansson, Inger
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Athlin, Elsy
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Kvalitetssäkring I omvårdnad1998Rapport (Fagfellevurdert)
  • 191.
    Wentzel Persenius, Mona
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Bååth, Carina
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Hall-Lord, Marie-Louise
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Medicinskt ansvariga sjuksköterskor och avdelningschefers uppfattningar om bedömning av malnutrition2003Konferansepaper (Fagfellevurdert)
  • 192.
    Wentzel Persenius, Mona
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Bååth, Carina
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Hall-Lord, Marie-Louise
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Nurses' Perceptions in Assessment of Malnutrition2003Konferansepaper (Fagfellevurdert)
  • 193.
    Wentzel Persenius, Mona
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad. Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper.
    Bååth, Carina
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Hall-Lord, Marie-Louise
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Nurses' Perceptions of Assessment of Nutritional Status2004Inngår i: Clinical Nutriton 23(4):759, 2004, Vol. 23Konferansepaper (Fagfellevurdert)
  • 194.
    Wentzel Persenius, Mona
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Bååth, Carina
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Hall-Lord, Marie-Louise
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    RN's perceptions of nutritional assessment: -who is assessed and when?2005Konferansepaper (Fagfellevurdert)
  • 195.
    Wentzel Persenius, Mona
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Bååth, Carina
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Hall-Lord, Marie-Louise
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Sjuksköterskors uppfattningar om bedömning av nutritionstillstånd2005Inngår i: Abstractboken, 2005, s. 340-Konferansepaper (Fagfellevurdert)
  • 196.
    Wentzel Persenius, Mona
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Hall-Lord, Marie-Louise
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Bååth, Carina
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Wilde Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Assessment and documentation of patients' nutritional status: perceptions of registered nurses and their chief nurses2008Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 17, nr 16, s. 2125-2136Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    To study, within municipal care and county council care, (1) chief nurses' and registered nurses' perceptions of patient nutritional status assessment and nutritional assessment/screening tools, (2) registered nurses' perceptions of documentation in relation to nutrition and advantages and disadvantages with a documentation model.

    BACKGROUND:

    Chief nurses and registered nurses have a responsibility to identify malnourished patients and those at risk of malnutrition.

    DESIGN AND METHODS:

    In this descriptive study, 15 chief nurses in municipal care and 27 chief nurses in county council care were interviewed by telephone via a semi-structured interview guide. One hundred and thirty-one registered nurses (response rate 72%) from 14 municipalities and 28 hospital wards responded to the questionnaire, all in one county.

    RESULTS:

    According to the majority of chief nurses and registered nurses, only certain patients were assessed, on admission and/or during the stay. Nutritional assessment/screening tools and nutritional guidelines were seldom used. Most of the registered nurses documented nausea/vomiting, ability to eat and drink, diarrhoea and difficulties in chewing and swallowing, while energy intake and body mass index were rarely documented. However, the majority documented their judgement about the patient's nutritional condition. The registered nurses perceived the VIPS model (Swedish nursing documentation model) as a guideline as well as a model obstructing the information exchange. Differences were found between nurses (chief nurses/registered nurses) in municipal care and county council care, but not between registered nurses and their chief nurses.

    CONCLUSIONS:

    All patients are not nutritionally assessed and important nutritional parameters are not documented. Nutritionally compromised patients may remain unidentified and not properly cared for.

    RELEVANCE TO CLINICAL PRACTICE:

    Assessment and documentation of the patients' nutritional status should be routinely performed in a more structured way in both municipal care and county council care. There is a need for increased nutritional nursing knowledge.

  • 197.
    Wentzel Persenius, Mona
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Hall-Lord, Marie-Louise
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Wilde Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Grasping the nutritional situation: A grounded theory study of patients' experiences in intensive care2009Inngår i: Nursing in Critical Care, ISSN 1362-1017, E-ISSN 1478-5153, Vol. 14, nr 4, s. 166-174Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim and objectives:  The aim of this study was to provide a theoretical understanding of nutritional experiences for patients with enteral nutrition (EN) during their stay in the intensive care unit (ICU).

    Background:  It is well known that EN can result in underfeeding for patients in ICUs. How the patients experience their nutritional care during their stay in the ICU remains somewhat unclear.

    Design and methods:  In this study, a grounded theory approach was chosen to conduct and analyse 14 interviews with patients and 21 observations of nutritional care during the patients’ stay in an ICU.

    Findings:  The core category ‘grasping nutrition during the recovery process’ was reflected in, and related to, the categories ‘facing nutritional changes’, ‘making sense of the nutritional situation’ and ‘being involved with nutritional care’. While grasping the nutrition, the patients were emotionally shifting between worry, fear and failure, and relief and hope. Turning points were having the appetite back, getting rid of the feeding tube and regaining a functioning gut.

    Conclusions:  The patients’ views of nutritional care during their stay in the ICU may contribute to understanding of how patients make sense of their nutritional changes and how they are involved in their nutritional care. This study shows that grasping the nutrition can be a way to regain some control in a situation where the patients are highly dependent on professional care. Further research is needed to develop this substantive theory in other intensive care settings to support patients’ nutritional journey in intensive care.

    Relevance to clinical practice:  Nurses can promote patients’ abilities to grasp their nutritional situation during their recovery process. There is a need to focus not only on the patients’ physical needs but also on their emotional and social needs.

  • 198.
    Wentzel Persenius, Mona
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Hall-Lord, Marie-Louise
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    ICU-nurse' perception of knowledge, responsibility and documentation concerning enteral nutrition2002Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 199.
    Wentzel Persenius, Mona
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Hall-Lord, Marie-Louise
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Wilde-Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    IVA-sjuksköterskors uppfattning om kunskaper, ansvar och dokumentation beträffande enteral nutrition2003Konferansepaper (Fagfellevurdert)
  • 200.
    Wentzel Persenius, Mona
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Wilde Larsson, Bodil
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Hall-Lord, Marie-Louise
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    To have and to hold nutritional control: Balancing between individual and routine care. A grounded theory study2009Inngår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 25, nr 3, s. 155-162Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVES:Gaining insight into nutritional processes can help nurses and other staff in their work. The aim was to provide a theoretical understanding of the concerns and strategies of nutritional nursing care for patients with enteral nutrition in intensive care units.

    DESIGN: A grounded theory approach was used. Observations of patient's nutritional care and twelve interviews with eight registered nurses and four enrolled nurses were conducted.

    SETTING: The study was carried out in one intensive care unit at a medium sized hospital in Sweden.

    RESULTS: The substantive theory developed included the core category "To have and to hold nutritional control - balancing between individual care and routine care". The core category was reflected in and related to the categories "knowing the patient", "facilitating the patient's involvement", "being a nurse in a team", "having professional confidence" and "having a supportive organisation". Finding a balance between individual care and routine care was a way of enhancing the patient's well-being, security and quality of care.

    CONCLUSION: To have and to hold nutritional control over the patient's nutrition was found to be a balancing act between individual care and routine care. Organisation and teamwork are both challenging and supporting the provision, maintenance and development of nutritional care.

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