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  • 1.
    Abdirashid, Abdulle
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Detektion av kloratreduktas och kloritdismutas med hjälp av 2D elektrofores2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    2 minuters träning per arbetspass.2015In: Samverkan 112, ISSN 1650-7487, Vol. AprilArticle in journal (Other academic)
  • 3.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Att ansvara för en annan människas liv2013Conference paper (Other (popular science, discussion, etc.))
  • 4.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Att bedöma patienter utsatta för trauma2013Conference paper (Other academic)
  • 5.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Att träna på en patient som går att starta om2015Conference paper (Other academic)
  • 6.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Att vara doktorand2014Conference paper (Other (popular science, discussion, etc.))
  • 7.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Den specialistutbildade ambulanssjuksköterskans uppfattning av att bedöma patienter utsatta för svårt trauma2013Conference paper (Other academic)
  • 8.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Developing ethical competence among students in nurse specialist programs2014Conference paper (Other academic)
  • 9.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Dom ser döda ut allihop: Att våga fatta svåra beslut2015In: Samverkan 112, ISSN 1650-7487, Vol. AprilArticle in journal (Other academic)
  • 10.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Full scale pre-hospital care scenario: Prehsopital workshop2015Conference paper (Refereed)
  • 11.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Mapping the use of simulation in prehospital care2013Conference paper (Refereed)
  • 12.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Prehospital simulation differs from others: Prehospital workshop2015Conference paper (Refereed)
  • 13.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Simulering i ambulanssjukvården2013Conference paper (Other academic)
  • 14.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Simulering som lärande inom prehospital akutsjukvård2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

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

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

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

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

     

  • 15.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Simulering som pedagogisk metod: ett sätt att träna olika patientsituationer2015Conference paper (Refereed)
  • 16.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Så räddar du liv2014Conference paper (Other (popular science, discussion, etc.))
  • 17.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    The simulation used in prehospital care2013Conference paper (Refereed)
  • 18.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    To optimize prehospital CPR- performed by fire fighters2015Conference paper (Refereed)
  • 19.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Vad gör man när man jobbar på ett universitet och forskar om ambulansen?2013Conference paper (Other (popular science, discussion, etc.))
  • 20.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    What do we need to train the ambulance staff in and how can we train them?2014In: Workshop vid Society in Europe for Simulation Applied to Medicine, Pre-Hospital Special Interest Group Pre-Conference Course., 2014Conference paper (Refereed)
  • 21.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Öppet samtal mellan Sveriges prehospitala doktorander och representanter för nationell prehospital forskning2013Conference paper (Other (popular science, discussion, etc.))
  • 22.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Bisholt, Birgitta
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Nurse students learning acute care by simulation: Focus on observation and debriefing2017In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 24, p. 6-13Article in journal (Refereed)
    Abstract [en]

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

  • 23.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Blomberg, Ann-Catrin
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Rörelsen mellan teori och praxis2013In: Vård i fokus, ISSN 0781-495X, no 2, p. 26-28Article in journal (Other academic)
  • 24.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Lindwall, Lillemor
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    What is dignity in prehospital emergency care?2017In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 24, no 3, p. 268-278Article in journal (Refereed)
    Abstract [en]

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

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

    RESEARCH DESIGN: The study had a qualitative approach.

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

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

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

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

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

  • 25.
    Abelsson, Anna
    et al.
    Högskolan i Jönköping.
    Lindwall, Lillemor
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Suserud, Bjorn-Ove
    Högskolan i Borås.
    Rystedt, Ingrid
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Ambulance Nurses' Competence and Perception of Competence in Prehospital Trauma Care2018In: Emergency Medicine International, ISSN 2090-2840, E-ISSN 2090-2859, article id 5910342Article in journal (Refereed)
    Abstract [en]

    Introduction. We focus on trauma care conducted in the context of a simulated traumatic event. This is in this study defined as a four-meter fall onto a hard surface, resulting in severe injuries to extremities in the form of bilateral open femur fractures, an open tibia fracture, and a closed pelvic fracture, all fractures bleeding extensively. Methods. The simulated trauma care competence of 63 ambulance nurses in prehospital emergency care was quantitatively evaluated along with their perception of their sufficiency. Data was collected by means of simulated trauma care and a questionnaire. Results. Life-saving interventions were not consistently performed. Time to perform interventions could be considered long due to the life-threatening situation. In comparison, the ambulance nurses' perception of the sufficiency of their theoretical and practical knowledge and skills for trauma care scored high. In contrast, the perception of having sufficient ethical training for trauma care scored low. Discussion. This study suggests there is no guarantee that the ambulance nurses' perception of theoretical and practical knowledge and skill level corresponds with their performed knowledge and skill. The ambulance nurses rated themselves having sufficient theoretical and practical knowledge and skills while the score of trauma care can be considered quite low.

  • 26.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Lindwall, Lillemor
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Suserud, Bjorn-Ove
    Faculty of Caring Science, Work Life and Social Welfare, PreHospen, Centre for Prehospital Research, University of Borås, Sweden.
    Rystedt, Ingrid
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Effect of Repeated Simulation on the Quality of Trauma Care2017In: Clinical Simulation in Nursing, ISSN 1876-1399, E-ISSN 1876-1402, Vol. 13, no 12, p. 601-608Article in journal (Refereed)
    Abstract [en]

    Background: Simulation participants are not dependent on learning during an actual clinical situation. This allows for a learning environment that can be constructed to meet the knowledge and experience needs of the participant. Simulations in a prehospital emergency are an ideal way to address these needs without risking patient safety. Method: Nurses in prehospital emergency care (n = 63) participated in simulation interventions. During the simulation, the performed trauma care was assessed in two groups of participants with different frequency of simulation. Results: Several statistically significant differences and clinical improvements were found within and between the groups. Differences were noted in specific assessments, examinations, care actions, and time from assessment to action. Conclusion: The result suggested that repeated simulation may contribute to a clinical improvement in trauma care, and more frequent simulation may led to even greater improvements. (c) 2017 International Nursing Association for Clinical Simulation and Learning. Published by Elsevier Inc.

  • 27.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Lundberg, Lars
    CPR performed in the military environment2016In: Society in Europe for Simulation Applied to Medicine Lisbon 16/6 2016., Lisabon, 2016Conference paper (Refereed)
  • 28.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Rystedt, Ingrid
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Suserud, Björn-Ove
    Högskolan i Borås.
    Lindwall, Lillemor
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Experiences of simulation in prehospital emergency care settings, the paramedic and ambulance nurses` point of view2014Conference paper (Refereed)
  • 29.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Rystedt, Ingrid
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Suserud, Björn-Ove
    Högskolan i Borås.
    Lindwall, Lillemor
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Learning by simulation in prehospital emergency care: an integrative literature review2016In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 30, no 2, p. 234-240Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 30.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Rystedt, Ingrid
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Suserud, Björn-Ove
    Centre for prehospital Research, University of Borås, Borås, Sweden.
    Lindwall, Lillemor
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Learning High-Energy Trauma Care Through Simulation2018In: Clinical Simulation in Nursing, ISSN 1876-1399, E-ISSN 1876-1402, Vol. 17, p. 1-6Article in journal (Refereed)
    Abstract [en]

    Simulation provides the opportunity to learn how to care for patients in complexsituations, such as when patients are exposed to high-energy trauma such as motor vehicle accidents.The aim of the study was to describe nurses’ perceptions of high-energy trauma care through simulationin prehospital emergency care. The study had a qualitative design. Interviews were conductedwith 20 nurses after performing a simulated training series. Data were analyzed using a phenomenographicmethod. The result indicates that simulation establishes, corrects, and confirms knowledge andskills related to trauma care in prehosp ital emergency settings. Trauma knowledge is readily availablein memory and can be quickly retrieved in a future trauma situation.

  • 31.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Rystedt, Ingrid
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Suserud, Björn-Ove
    Högskolan i Borås.
    Lindwall, Lillemor
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Simulation of high-energy trauma makes knowledge readily available from memoryManuscript (preprint) (Other academic)
  • 32.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Rystedt, Ingrid
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Suserud, Björ-Ove
    Lindwall, Lillemor
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Mapping the use of simulation in prehospital care: a literature review.2014In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, ISSN 1757-7241, E-ISSN 1757-7241, Vol. 22, no 22, p. 12-Article in journal (Refereed)
    Abstract [en]

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

  • 33.
    Abrahamsen Grøndahl, Vigdis
    et al.
    Östfold university Norway.
    Persenius, Mona
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Bååth, Carina
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Helgesen, Ann Karin
    Östfold university, Norway.
    The use of life stories and its influence on persons with dementia, their relatives and staff: A systematic mixed studies review2017In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 16, no 28, article id 28Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Dementia is an important predictor of nursing home admissions. Due to progressive dementia symptoms, over time it becomes difficult for persons with dementia to communicate their wishes and participate in decisions concerning their everyday lives. Their well-being, sense of dignity, integrity and personhood are at risk. The persons' life stories have been highlighted as particularly important in dementia care and are referred to as seeing the person beyond the dementia. The aim of this study was to explore and describe the use of life stories and its influence on persons with dementia living in nursing homes, their relatives and staff.

    METHODS: A systematic mixed studies review was conducted. The literature searches were performed in the following databases: CINAHL, PubMed and PsycINFO and the Cochrane library, as well as by hand searching references in the studies included. An updated search was performed eight months after the first search. Data was synthesised inspired by integrative analysis.

    RESULTS: Three studies using quantitative design and two studies (presented in three papers) using qualitative design representing research from 2006 to 2015 were included in the review. Life stories generally had a positive influence on the persons with dementia, their relatives, and staff. The use of life stories might contribute to 'Maintenance of the person with dementia as a whole person rather than a demented patient'. On the other hand, enabling persons with dementia to tell their own story could be a challenge. For the staff it could be challenging when sensitive information emerged uninvited. Involving relatives could also be difficult as to whose story were uncovered.

    CONCLUSIONS: The use of person's life story might be of significance, but there is not enough evidence to make any statement about its importance as the research is scarce. Studies, including randomised controlled trials, are needed to measure the impact of life story work on the physiological and psychological aspects of persons with dementia, and also how it influences their relatives and staff.

  • 34.
    Abrahamsen Grøndahl, Vigdis
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Wilde Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Karlsson, Ingela
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Hall-Lord, Marie-Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Patients' experiences of care quality and satisfaction satisfaction during hospital stay: a qualitative study2013In: European Journal for Person Centered Healthcare, ISSN 2052-5656, Vol. 1, no 1, p. 185-192Article in journal (Refereed)
    Abstract [en]

    Rationale, aim and objectives: Patients experiencing high care quality and satisfied patients are more likely to follow treatments. Patient satisfaction is an important contributor to physical and mental health-related quality of life. Research emphasises the need to further study satisfaction from the patients’ perspective. The aim was to describe patients’ experiences of care quality and the relation to their satisfaction during hospital stay. 

    Methods: A qualitative descriptive design was used. Interviews were conducted with 22 patients discharged from hospital. Data was analysed by conventional content analysis.

    Results: Four categories and seven subcategories describing patients’ experiences of care quality and the relation to their satisfaction emerged. Desire to regain health comprised waiting for treatment, being cured, having hopes of being cured and described the treatment and health outcome of hospitalisation. Need to be met in a professional way as a unique person comprised receiving personalized knowledge, receiving healthcare by competent healthcare personnel and described the way patients need to be met by healthcare personnel. Need to be involved comprised taking responsibility for own health, leaving responsibility for own health and concerned the patients’ way of handling hospitalisation. Need to have balance between privacy and companionship concerned the relationship to fellow patients.

    Conclusions: Health condition is of great importance to patients’ experiences of quality of care and their satisfaction in relation to hospital stay. The healthcare personnel need to be aware that seriously ill patients may never be completely satisfied. Furthermore, healthcare personnel must do their utmost to provide the patients with person-centered care.  Hospital managers must consider the design of wards with respect to such matters as multiple-bed versus single-bed rooms and heads of nursing must carefully plan each patient’s accommodation.

  • 35.
    Ahlby, Josephin
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Hagbom, Ebba
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Vietnamese nurses´ conceptions of patient safety.: An empirical study about Vietnamese nurses´ conceptions of patient safety.2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 36.
    Ahlqvist, Margary
    et al.
    Karolinska Inst, Dept Clin Sci, Div Surg, Stockholm, Sweden..
    Berglund, Britta
    Karolinska Inst, Dept Clin Sci, Div Surg, Stockholm, Sweden..
    Nordström, Gun
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Klang, Birgitta
    Karolinska Inst, Care Sci & Soc, Div Nursing, Dept Neurobiol, Stockholm, Sweden..
    Johansson, Eva
    Karolinska Inst, Care Sci & Soc, Div Nursing, Dept Neurobiol, Stockholm, Sweden..
    Satisfactory reliability among nursing students using the instrument PVC ASSESS to evaluate management of peripheral venous catheters2014In: Journal of Vascular Access, ISSN 1129-7298, E-ISSN 1724-6032, Vol. 15, no 2, p. 128-134Article in journal (Refereed)
    Abstract [en]

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

  • 37.
    Ahlqvist, Margary
    et al.
    Karolinska Univ Hosp Huddinge, Karolinska Inst, Div Surg, Dept Clin Sci Intervent & Technol, SE-14186 Stockholm, Sweden..
    Berglund, Britta
    Karolinska Univ Hosp Huddinge, Karolinska Inst, Div Surg, Dept Clin Sci Intervent & Technol, SE-14186 Stockholm, Sweden..
    Nordström, Gun
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Klang, Birgitta
    Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden..
    Wiren, Mikael
    Karolinska Univ Hosp Huddinge, Karolinska Inst, Div Surg, Dept Clin Sci Intervent & Technol, SE-14186 Stockholm, Sweden..
    Johansson, Eva
    Karolinska Univ Hosp Solna, Red Cross Univ Coll, Stockholm, Sweden.;Karolinska Univ Hosp Solna, Karolinska Inst, Dept Med, Div Hematol, Stockholm, Sweden..
    A new reliable tool (PVC assess) for assessment of peripheral venous catheters2010In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 16, no 6, p. 1108-1115Article in journal (Refereed)
    Abstract [en]

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

  • 38.
    Aitman, Therese
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Sjuksköterskans roll i omvårdnaden av patienter med terminal oro: en litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

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

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

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

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

  • 39.
    Akervall, Elin
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Engström, Alexandra
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Copingstrategier hos patienter med kolorektalcancer: en litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 40.
    Alavian-Ghavanini, Ali
    et al.
    Karolinska Institutet.
    Lin, Ping-I
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Lind, P. Monica
    Uppsala University.
    Rimfors, Sabina Risen
    Karolinska Institutet.
    Lejonklou, Margareta Halin
    Uppsala University.
    Dunder, Linda
    Uppsala University.
    Tang, Mandy
    Karolinska Institutet.
    Lindh, Christian
    Lund University.
    Bornehag, Carl-Gustaf
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Icahn School of Medicine Mt Sinai, New York, USA.
    Rueegg, Joelle
    Karolinska Institutet.
    Prenatal Bisphenol A Exposure is Linked to Epigenetic Changes in Glutamate Receptor Subunit Gene Grin2b in Female Rats and Humans2018In: Scientific Reports, ISSN 2045-2322, E-ISSN 2045-2322, Vol. 8, article id 11315Article in journal (Refereed)
    Abstract [en]

    Bisphenol A (BPA) exposure has been linked to neurodevelopmental disorders and to effects on epigenetic regulation, such as DNA methylation, at genes involved in brain function. High doses of BPA have been shown to change expression and regulation of one such gene, Grin2b, in mice. Yet, if such changes occur at relevant doses in animals and humans has not been addressed. We investigated if low-dose developmental BPA exposure affects DNA methylation and expression of Grin2b in brains of adult rats. Furthermore, we assessed associations between prenatal BPA exposure and Grin2b methylation in 7-year old children. We found that Grin2b mRNA expression was increased and DNA methylation decreased in female, but not in male rats. In humans, prenatal BPA exposure was associated with increased methylation levels in girls. Additionally, Iow APGAR scores, a predictor for increased risk for neurodevelopmental diseases, were associated with higher Grin2b methylation levels in girls. Thus, we could link developmental BPA exposure and Iow APGAR scores to changes in the epigenetic regulation of Grin2b, a gene important for neuronal function, in a sexual dimorphic fashion. Discrepancies in exact locations and directions of the DNA methylation change might reflect differences between species, analysed tissues, exposure level and/or timing.

  • 41.
    Al-Azzawi, Tahreer
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    En undersökning av antibiotikaförskrivning till patienter med okomplicerad faryngotonsillit inom primärvården.: En enkätundersökning på en vårdcentral i Värmland.2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 42.
    Alfredsson, Elin
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Axelsson, Emma
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Att leva med fatigue vid cancersjukdom- ur ett patientperspektiv: En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

     Introduktion: Cancer är den andra vanligaste dödsorsaken i Sverige. Cancer drabbar alla åldersgrupper men är vanligare bland äldre. De tre vanligaste behandlingsmetoderna för cancer är strålning, cytostatika och kirurgi. Den vanligaste biverkningen är cancerrelaterad fatigue. Livskvalitet som påverkas definieras som en individs inställning till livet i relation till deras mål, förväntningar, normer och bekymmer. Syfte: Syftet med studien var att belysa patienters upplevelser av cancerrelaterad fatigue och hur den påverkar deras livssituation samt livskvalitet. Metod: Litteraturstudien genomfördes enligt Polit och Becks (2017) nio steg. Tio vetenskapliga artiklar valdes ut efter sökningar gjorda i databaserna CINAHL och PubMed, dessa artiklar presenteras i en artikelmatris (bilaga 1). Artiklarna som användes till studiens resultatdel var fem stycken kvantitativa, fyra stycken kvalitativa och en med mixad metod. Resultat: Utifrån det insamlade materialet utarbetades fem teman som svarade på patienternas upplevelser av cancerrelaterad fatigue och hur livssituationen påverkas samt livskvalitet. Dessa fem teman var värdelöshet/hopplöshet, ensamhet/inte känna sig förstådd, orkeslöshet/kroppslig svaghet, irritation/frustration, och förståelse/acceptans. Slutats: Cancerrelaterad fatigue påverkar patienternas hela tillvaro och hur det upplever olika aspekter i livet. De upplever en förändrad livssituation och att livskvaliteten påverkas negativt. Cancerrelaterad fatigue är ett symtom som påverkar alla patienter på något vis men alla drabbas inte lika hårt. Cancerrelaterad fatigue kan ses som ett holistiskt fenomen med mycket stor komplexitet. 

  • 43.
    Alipour, Farah
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Studier av effekter av epigallokatekingallat och extrakt av grönt te och kråkbär på enzymer involverade i prostaglandin bildning i humana monocyter och makrofager2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 44.
    Allard, Gabriella
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Gustafsson, Alexander
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Närståendes upplevelser när en familjemedlem eller någon i närkretsen lever med HIV/AIDS - En litteraturstudie2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

  • 45.
    Almqvist, Kjerstin
    et al.
    Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Social and Psychological Studies (from 2013).
    Källström, Åsa
    Örebro universitet.
    Appell, Petra
    Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Social and Psychological Studies (from 2013).
    Anderzen-Carlsson, Agneta
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Örebro universitet.
    Mothers’ opinions on being asked about exposure to intimate partner violence in child healthcare centres in Sweden2018In: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 22, no 2, p. 228-237Article in journal (Refereed)
    Abstract [en]

    Intimate partner violence (IPV) constitutes a hidden health risk for exposed mothers and children. In Sweden, screening for IPV in healthcare has only been routine during pregnancy, despite an increase in IPV following childbirth. The arguments against routine questions postpartum have concerned a lack of evidence of beneficial effects as well as fear of stigmatizing women or placing abused women at further risk. Increased understanding of women’s attitudes to routine questions may allay these fears. In this study, 198 mothers in 12 child healthcare centres (CHCs) filled in a short questionnaire about their exposure and received information on IPV at a regular baby check-up visit. The mothers’ lifetime prevalence of exposure to IPV was 16%. One hundred and twenty-eight mothers participated in a telephone interview, giving their opinion on the screening experience. The intervention was well-received by most of the mothers who reported that questions and information on IPV are essential for parents, considering the health risks for children, and that the CHC is a natural arena for this. Necessary prerequisites were that questioning be routine to avoid stigmatizing and be offered in privacy without the partner being present.

  • 46.
    Almstedt, Lisa
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Karlsson, Elin
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Patienters erfarenheter i samband med amputation av nedre extremitet: En litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 47.
    Alvinius, Aida
    et al.
    Försvarshögskolan.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Larsson, Gerry
    Försvarshögskolan.
    Managing boundaries in integrated care: A qualitative study of collaboration between municipalities and county councils in Sweden2016In: International Journal of Organization Theory and Behavior, ISSN 1093-4537, E-ISSN 1532-4273, Vol. 19, no 2, p. 139-165Article in journal (Refereed)
  • 48.
    Andersson, Amanda
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Persson, Johanna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Sjuksköterskors handhygien  för att förebygga vårdrelaterade infektioner: En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 49.
    Andersson, Carolina
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Felaktiga doseringstexter på e-recept.: Deskriptiv studie av felaktiga doseringstexter på ett apotek i Värmland.2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 50.
    Andersson, Elisabeth
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Jämställt föräldraskap: En kvalitativ litteraturstudie av aktuell forskning i Norden2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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