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Lindgren, Lenita
Publikasjoner (10 av 21) Visa alla publikasjoner
Härgestam, M., Lindgren, L. & Jacobsson, M. (2024). Can equity in care be achieved for stigmatized patients? Discourses of ideological dilemmas in perioperative care. BMC Health Services Research, 24(1), Article ID 210.
Åpne denne publikasjonen i ny fane eller vindu >>Can equity in care be achieved for stigmatized patients? Discourses of ideological dilemmas in perioperative care
2024 (engelsk)Inngår i: BMC Health Services Research, E-ISSN 1472-6963, Vol. 24, nr 1, artikkel-id 210Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: In the perioperative care of individuals with obesity, it is imperative to consider the presence of risk factors that may predispose them to complications. Providing optimal care in such cases proves to be a multifaceted challenge, significantly distinct from the care required for non-obese patients. However, patients with morbidities regarded as self-inflicted, such as obesity, described feelings of being judged and discriminated in healthcare. At the same time, healthcare personnel express difficulties in acting in an appropriate and non-insulting way. In this study, the aim was to analyse how registered nurse anaesthetists positioned themselves regarding obese patients in perioperative care.

Methods: We used discursive psychology to analyse how registered nurse anaesthetists positioned themselves toward obese patients in perioperative care, while striving to provide equitable care. The empirical material was drawn from interviews with 15 registered nurse anaesthetists working in a hospital in northern Sweden.

Results: Obese patients were described as “untypical”, and more “resource-demanding” than for the “normal” patient in perioperative care. This created conflicting feelings, and generated frustration directed toward the patients when the care demanded extra work that had not been accounted for in the schedules created by the organization and managers.

Conclusions: Although the intention of these registered nurse anaesthetists was to offer all patients equitable care, the organization did not always provide the necessary resources. This contributed to the registered nurse anaesthetists either consciously or unconsciously blaming patients who deviated from the “norm”.

sted, utgiver, år, opplag, sider
BioMed Central (BMC), 2024
Emneord
Discourse psychology, Discrimination, Equity, Ideological dilemma, Perioperative care, Stigmatization, Weight bias
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-221533 (URN)10.1186/s12913-024-10580-5 (DOI)001163304600005 ()38360678 (PubMedID)2-s2.0-85185237227 (Scopus ID)
Tilgjengelig fra: 2024-03-19 Laget: 2024-03-19 Sist oppdatert: 2024-03-19bibliografisk kontrollert
Glans, A., Wilén, J., Hansson, B., Audulv, Å. & Lindgren, L. (2024). Managing acoustic noise within MRI: a qualitative interview study among Swedish radiographers. Radiography, 30(3), 889-895
Åpne denne publikasjonen i ny fane eller vindu >>Managing acoustic noise within MRI: a qualitative interview study among Swedish radiographers
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2024 (engelsk)Inngår i: Radiography, ISSN 1078-8174, E-ISSN 1532-2831, Vol. 30, nr 3, s. 889-895Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Introduction: Acoustic noise from magnetic resonance imaging (MRI) can cause hearing loss and needs to be mitigated to ensure the safety of patients and personnel. Capturing MR personnel's insights is crucial for guiding the development and future applications of noise-reduction technology. This study aimed to explore how MR radiographers manage acoustic noise in clinical MR settings.

Methods: Using a qualitative design, we conducted semi-structured individual interviews with fifteen MR radiographers from fifteen hospitals around Sweden. We focused on the clinical implications of participants’ noise management, using an interpretive description approach. We also identified sociotechnical interactions between People, Environment, Tools, and Tasks (PETT) by adopting a Human Factors/Ergonomics framework. Interview data were analyzed inductively with thematic analysis (Braun and Clarke).

Results: The analysis generated three main themes regarding MR radiographers’ noise management: (I) Navigating Occupational Noise: Risk Management and Adaptation; (II) Protecting the Patient and Serving the Exam, and (III) Establishing a Safe Healthcare Environment with Organizational Support.

Conclusion: This study offers insights into radiographers’ experiences of managing acoustic noise within MRI, and the associated challenges. Radiographers have adopted multiple strategies to protect patients and themselves from adverse noise-related effects. However, they require tools and support to manage this effectively, suggesting a need for organizations to adopt more proactive, holistic approaches to safety initiatives.

Implications for practice: The radiographers stressed the importance of a soundproofed work environment to minimize occupational adverse health effects and preserve work performance. They acknowledge noise as a common contributor to patient distress and discomfort. Providing options like earplugs, headphones, mold putty, software-optimized “quiet” sequences, and patient information were important tools. Fostering a safety culture requires proactive safety efforts and support from colleagues and management.

sted, utgiver, år, opplag, sider
Elsevier, 2024
Emneord
Acoustic noise, Human factors, MRI safety, Occupational health, Patient safety, Thematic analysis
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-223498 (URN)10.1016/j.radi.2024.04.002 (DOI)2-s2.0-85189915794 (Scopus ID)
Tilgjengelig fra: 2024-04-25 Laget: 2024-04-25 Sist oppdatert: 2024-04-25bibliografisk kontrollert
Olofsson, E., Gustafson, Y., Mukka, S., Tengman, E., Lindgren, L. & Olofsson, B. (2023). Association of depressive disorders and dementia with mortality among older people with hip fracture. BMC Geriatrics, 23(1), Article ID 135.
Åpne denne publikasjonen i ny fane eller vindu >>Association of depressive disorders and dementia with mortality among older people with hip fracture
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2023 (engelsk)Inngår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 23, nr 1, artikkel-id 135Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

BACKGROUND: Hip fracture (HF) is a significant cause of mortality among older people. Almost half of the patients with HF have dementia, which increases the mortality risk further. Cognitive impairment is associated with depressive disorders (DDs) and both dementia and DDs are independent risk factors for poor outcome after HF. However, most studies that evaluate mortality risk after HF separate these conditions.

AIMS: To investigate whether dementia with depressive disorders (DDwD) affects the mortality risk at 12, 24, and 36 months after HF among older people.

METHODS: Patients with acute HF (n = 404) were included in this retrospective analysis of two randomized controlled trials performed in orthopedic and geriatric departments. Depressive symptoms were assessed using the Geriatric Depression Scale and cognitive function was assessed using the Mini-Mental State Examination. A consultant geriatrician made final depressive disorder and dementia diagnoses using the Diagnostic and Statistical Manual of Mental Disorders criteria, with support from assessments and medical records. The 12-, 24- and 36-month mortality after HF was analyzed using logistic regression models adjusted for covariates.

RESULTS: In analyses adjusted for age, sex, comorbidity, pre-fracture walking ability, and fracture type, patients with DDwD had increased mortality risks at 12 [odds ratio (OR) 4.67, 95% confidence interval (CI) 1.75-12.51], 24 (OR 3.61, 95% CI 1.71-7.60), and 36 (OR 4.53, 95% CI 2.24-9.14) months. Similar results were obtained for patients with dementia, but not depressive disorders, alone.

CONCLUSION: DDwD is an important risk factor for increased mortality at 12, 24, and 36 months after HF among older people. Routinely assessments after HF for cognitive- and depressive disorders could identify patients at risk for increased mortality, and enable early interventions.

TRIAL REGISTRATION: RCT2: International Standard Randomized Controlled Trial Number Register, trial registration number: ISRCTN15738119.

sted, utgiver, år, opplag, sider
BioMed Central (BMC), 2023
Emneord
Dementia, Depressive disorders, Hip fracture, Mortality, Older people
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-205678 (URN)10.1186/s12877-023-03862-w (DOI)000945613200001 ()36890449 (PubMedID)2-s2.0-85149626612 (Scopus ID)
Forskningsfinansiär
Vårdal FoundationVisare NorrThe Kempe FoundationsUmeå UniversityRegion VästerbottenSwedish Research Council, K2005‐27VX‐15357‐01A
Tilgjengelig fra: 2023-03-14 Laget: 2023-03-14 Sist oppdatert: 2023-04-03bibliografisk kontrollert
Dahlberg, K., Månsson, S., Lyckner, S., Lindgren, L. & Alm, F. (2023). The effect of COVID-19 pandemic on perioperative factors: data from the Swedish Perioperative Register. Perioperative Medicine, 12(1), Article ID 50.
Åpne denne publikasjonen i ny fane eller vindu >>The effect of COVID-19 pandemic on perioperative factors: data from the Swedish Perioperative Register
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2023 (engelsk)Inngår i: Perioperative Medicine, E-ISSN 2047-0525, Vol. 12, nr 1, artikkel-id 50Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: The COVID-19 pandemic has affected healthcare organizations in many areas. The aim of this study was to describe surgical interventions, anesthesia, and postoperative outcomes in adult patients during the first wave and 1 year into the COVID-19 pandemic in Sweden, and to compare these outcomes with outcomes during the same period the year before the pandemic.

Methods: Data were collected from the Swedish PeriOperative Register, and included 417, 233 perioperative registration of patients = 18 years old between period 1 (March-June 2019), period 2 (March-June 2020), and period 3 (March-June 2021).

Results: Compared with pre-pandemic (period 1), the number of surgical interventions decreased by 28% in the first wave (period 2); 1 year into the pandemic (period 3), the number of interventions was still 7.5% lower than pre-pandemic. The largest drops between periods 1 and 2 were noted in the specialties of ear, nose, and larynx surgery, - 55.6%; teeth, jaws, mouth, and pharynx surgery, - 45.0%; endocrine system surgery, - 38.8%. The number of acute surgeries remained stable during all three periods. Volatiles were more frequently used for the maintenance of general anesthesia in period 2 than in either period 1 or 3 (p < 0.001). Minor differences were noted throughout the periods in postoperative nausea and vomiting as well as postoperative pain.

Conclusions: The COVID-19 pandemic has had an impact on perioperative care in Sweden. During the first wave of the pandemic, the number of surgical interventions decreased, but the number of acute surgeries remained stable compared with pre-pandemic numbers. Perioperative organizations have had and will continue to have challenges handling the increased number of patients needing perioperative care.

sted, utgiver, år, opplag, sider
BioMed Central (BMC), 2023
Emneord
COVID-19 pandemic, Perioperative period, Postoperative outcomes, Anesthesia, Surgical interventions
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-218933 (URN)10.1186/s13741-023-00340-0 (DOI)001068887600001 ()37715220 (PubMedID)
Tilgjengelig fra: 2024-01-03 Laget: 2024-01-03 Sist oppdatert: 2024-01-03bibliografisk kontrollert
Glans, A., Wilén, J., Lindgren, L., Björkman-Burtscher, I. M. & Hansson, B. (2022). Health effects related to exposure of static magnetic fields and acoustic noise—comparison between MR and CT radiographers. European Radiology, 32(11), 7896-7909
Åpne denne publikasjonen i ny fane eller vindu >>Health effects related to exposure of static magnetic fields and acoustic noise—comparison between MR and CT radiographers
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2022 (engelsk)Inngår i: European Radiology, ISSN 0938-7994, E-ISSN 1432-1084, Vol. 32, nr 11, s. 7896-7909Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objectives: We explored the prevalence of health complaints subjectively associated with static magnetic field (SMF) and acoustic noise exposure among MR radiographers in Sweden, using CT radiographers as a control group. Additionally, we explored radiographers’ use of strategies to mitigate adverse health effects.

Methods: A cross-sectional survey was sent to all hospitals with MR units in Sweden. MR and/or CT personnel reported prevalence and attribution of symptoms (vertigo/dizziness, nausea, metallic taste, illusion of movement, ringing sensations/tinnitus, headache, unusual drowsiness/tiredness, forgetfulness, difficulties concentrating, and difficulties sleeping) within the last year. We used logistic regression to test associations between sex, age, stress, SMF strength, working hours, and symptom prevalence. Data regarding hearing function, work-environmental noise, and strategies to mitigate adverse symptoms were also analysed.

Results: In total, 529 out of 546 respondents from 86 hospitals were eligible for participation. A ≥ 20 working hours/week/modality cut-off rendered 342 participants grouped into CT (n = 75), MR (n = 121), or mixed personnel (n = 146). No significant differences in symptom prevalence were seen between groups. Working at ≥ 3T increased SMF-associated symptoms as compared with working at ≤ 1.5T (OR: 2.03, CI95: 1.05–3.93). Stress was a significant confounder. Work-related noise was rated as more troublesome by CT than MR personnel (p < 0.01). MR personnel tended to use more strategies to mitigate adverse symptoms.

Conclusion: No significant differences in symptom prevalence were seen between MR and CT radiographers. However, working at 3T increased the risk of SMF symptoms, and stress increased adverse health effects. Noise nuisance was considered more problematic by CT than MR personnel.

Key Points:

  • No significant differences in symptom prevalence were seen between MR and CT radiographers.
  • Working at ≥ 3 T doubled the odds of experiencing SMF symptoms (vertigo/dizziness, nausea, metallic taste, and/or illusion of movement) as compared to working exclusively at ≤ 1.5 T.
  • Work-related acoustic noise was less well mitigated and was rated as more troublesome by CT personnel than by MR personnel.
sted, utgiver, år, opplag, sider
Springer, 2022
Emneord
Electromagnetic fields, Magnetic resonance imaging, Occupational health, Surveys and questionnaires, Tomography, X-ray computed
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-203281 (URN)10.1007/s00330-022-08843-y (DOI)000807990400001 ()35674823 (PubMedID)2-s2.0-85131511465 (Scopus ID)
Tilgjengelig fra: 2023-01-18 Laget: 2023-01-18 Sist oppdatert: 2023-01-18bibliografisk kontrollert
Fontan, A., Lindgren, L., Pedale, T., Brorsson, C., Bergström, F. & Eriksson, J. (2021). A reduced level of consciousness affects non-conscious processes. NeuroImage, 244, Article ID 118571.
Åpne denne publikasjonen i ny fane eller vindu >>A reduced level of consciousness affects non-conscious processes
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2021 (engelsk)Inngår i: NeuroImage, ISSN 1053-8119, E-ISSN 1095-9572, Vol. 244, artikkel-id 118571Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Being conscious is a profound aspect of human existence, and understanding its function and its inception is considered one of the truly grand scientific challenges. However, the nature of consciousness remains enigmatic, to a large part because “being conscious” can refer to both the content (phenomenology) and the level (arousal) of consciousness, and how these different aspects are related remains unclear. To empirically assess the relation between level and content of consciousness, we manipulated these two aspects by presenting stimuli consciously or non-consciously and by using Propofol sedation, while brain activity was measured using fMRI. We observed that sedation affected both conscious and non-conscious processes but at different hierarchical levels; while conscious processing was altered in higher-order regions (the intraparietal sulcus) and spared sensory areas, the opposite effect was observed for non-conscious processing. The observation that Propofol affected non-conscious processing calls for a reconsideration of what kind of information one can gain on “consciousness” from recording neural responses to sedation without considering both (content) conscious and (content) non-conscious processing.

sted, utgiver, år, opplag, sider
Elsevier, 2021
Emneord
Brain activity, Consciousness, fMRI, Sedation, Unconscious
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-187741 (URN)10.1016/j.neuroimage.2021.118571 (DOI)000696967000002 ()34509624 (PubMedID)2-s2.0-85114794464 (Scopus ID)
Forskningsfinansiär
Riksbankens Jubileumsfond, P17-0772:1
Tilgjengelig fra: 2021-09-28 Laget: 2021-09-28 Sist oppdatert: 2023-05-02bibliografisk kontrollert
Glans, A., Wilén, J. & Lindgren, L. (2021). Maintaining Image Quality While Reducing Acoustic Noise and Switched Gradient Field Exposure During Lumbar MRI. Journal of Magnetic Resonance Imaging, 54(1), 315-325
Åpne denne publikasjonen i ny fane eller vindu >>Maintaining Image Quality While Reducing Acoustic Noise and Switched Gradient Field Exposure During Lumbar MRI
2021 (engelsk)Inngår i: Journal of Magnetic Resonance Imaging, ISSN 1053-1807, E-ISSN 1522-2586, Vol. 54, nr 1, s. 315-325Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: MR-generated acoustic noise can contribute to patient discomfort and potentially be harmful. One way to reduce this noise is by altering the gradient output and/or waveform using software optimization. Such modifications might influence image quality and switched gradient field exposure, and different techniques appear to affect sound pressure levels (SPLs) to various degrees.

Purpose: To evaluate SPLs, image quality, switched gradient field exposure, and participants' perceived noise levels during two different acoustic noise reduction (ANR) techniques, Quiet Suite (QS) and Whisper Mode (WM), and to compare them with conventional T2-weighted turbo spin echo (T2W TSE) of the lumbar spine.

Design: Prospective.

Subjects: Forty adults referred for lumbar MRI.

Field strength/sequence: Conventional T2W TSE, T2W TSE with QS, and T2W TSE with WM were acquired at 1.5 T.

Assessment: Peak SPL (A-weighted decibels, dBA), perceived noise levels (Borg CR10®-scale), signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), three radiologists' qualitative assessments in image quality on an ordinal scale 1-4, switched gradient field exposure (% general public), and gradient currents were measured. Interobserver reliability was reported as percentage agreement.

Statistical tests: Repeated measures ANOVA, Friedman's ANOVA, and Wilcoxon's Signed-Rank Test for acoustic noise measurements and image quality assessments.

Results: Mean peak SPLs were 89.9 dBA, 74.3 dBA, and 78.8 dBA for conventional, QS, and WM, respectively (P < 0.05). Participants perceived QS as the quietest and conventional as the loudest sequence (P < 0.05). No qualitative differences in image quality were seen (P > 0.05), although QS showed significantly improved SNR and CNR (P < 0.05). Switched gradient field exposure was reduced by 66% and 48% for QS and WM, respectively.

Data conclusion: Without degrading image quality, both QS and WM are viable ANR techniques in lumbar T2W TSE. QS provided the lowest SPL, the lowest gradient field exposure and was perceived as the most silent among the three sequences.

Level of evidence: 1 TECHNICAL EFFICACY STAGE: 5.

sted, utgiver, år, opplag, sider
John Wiley & Sons, 2021
Emneord
MRI safety, magnetic field, patient comfort, quiet suite, whisper mode
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-179857 (URN)10.1002/jmri.27527 (DOI)000616367300001 ()33565199 (PubMedID)2-s2.0-85100635401 (Scopus ID)
Tilgjengelig fra: 2021-02-11 Laget: 2021-02-11 Sist oppdatert: 2022-05-12bibliografisk kontrollert
Awad, A., Levi, R., Waller, M., Westling, G., Lindgren, L. & Eriksson, J. (2020). Preserved somatosensory conduction in complete spinal cord injury: Discomplete SCI. Clinical Neurophysiology, 131(5), 1059-1067
Åpne denne publikasjonen i ny fane eller vindu >>Preserved somatosensory conduction in complete spinal cord injury: Discomplete SCI
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2020 (engelsk)Inngår i: Clinical Neurophysiology, ISSN 1388-2457, E-ISSN 1872-8952, Vol. 131, nr 5, s. 1059-1067Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objective: Spinal cord injury (SCI) disrupts the communication between brain and body parts innervated from below-injury spinal segments, but rarely results in complete anatomical transection of the spinal cord. The aim of this study was to investigate residual somatosensory conduction in clinically complete SCI, to corroborate the concept of sensory discomplete SCI.

Methods: We used fMRI with a somatosensory protocol in which blinded and randomized tactile and nociceptive stimulation was applied on both legs (below-injury level) and one arm (above-injury level) in eleven participants with chronic complete SCI. The experimental design accounts for possible confounding mechanical (e.g. vibration) and cortico-cortical top-down mechanisms (e.g. attention/expectation).

Results: Somatosensory stimulation on below-level insensate body regions activated the somatotopically corresponding part of the contralateral primary somatosensory cortex in six out of eleven participants.

Conclusions: Our results represent afferent-driven cortical activation through preserved somatosensory connections to the brain in a subgroup of participants with clinically complete SCI, i.e. sensory discomplete SCI.

Significance: Identifying patients with residual somatosensory connections might open the door for new rehabilitative and restorative strategies as well as inform research on SCI-related conditions such as neuropathic pain and spasticity.

sted, utgiver, år, opplag, sider
Elsevier, 2020
Emneord
Spinal cord injury, Functional MRI, Somatosensory, Discomplete, Non-conscious
HSV kategori
Forskningsprogram
neurologi; neurokirurgi; rehabiliteringsmedicin; fysiologi
Identifikatorer
urn:nbn:se:umu:diva-169138 (URN)10.1016/j.clinph.2020.01.017 (DOI)000525862400011 ()32197128 (PubMedID)2-s2.0-85082123930 (Scopus ID)
Tilgjengelig fra: 2020-03-22 Laget: 2020-03-22 Sist oppdatert: 2022-07-15bibliografisk kontrollert
Sandin, P., Johansson, S., Backman, H., Blomberg, A., Lindgren, L., Lindberg, A. & Nilsson, U. (2019). Elevated serum high sensitive cardiac Troponin I is associated with mortality among adults with Restrictive Spirometric Pattern. Paper presented at European-Respiratory-Society (ERS) International Congress, Madrid, SPAIN, SEP 28-OCT 02, 2019.. European Respiratory Journal, 54
Åpne denne publikasjonen i ny fane eller vindu >>Elevated serum high sensitive cardiac Troponin I is associated with mortality among adults with Restrictive Spirometric Pattern
Vise andre…
2019 (engelsk)Inngår i: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 54Artikkel i tidsskrift, Meeting abstract (Annet vitenskapelig) Published
sted, utgiver, år, opplag, sider
Sheffield: European Respiratory Society Journals, 2019
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-168161 (URN)10.1183/13993003.congress-2019.PA2807 (DOI)000507372403304 ()
Konferanse
European-Respiratory-Society (ERS) International Congress, Madrid, SPAIN, SEP 28-OCT 02, 2019.
Merknad

Supplement: 63. Meeting Abstract: PA2807.

Tilgjengelig fra: 2020-03-18 Laget: 2020-03-18 Sist oppdatert: 2024-04-08bibliografisk kontrollert
Harris, S. J., Papathanassoglou, E. D. E., Gee, M., Hampshaw, S. M., Lindgren, L. & Haywood, A. (2019). Interpersonal touch interventions for patients in intensive care: A design-oriented realist review. Nursing Open, 6(2), 216-235
Åpne denne publikasjonen i ny fane eller vindu >>Interpersonal touch interventions for patients in intensive care: A design-oriented realist review
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2019 (engelsk)Inngår i: Nursing Open, E-ISSN 2054-1058, Vol. 6, nr 2, s. 216-235Artikkel, forskningsoversikt (Fagfellevurdert) Published
Abstract [en]

Aim: To develop a theoretical framework to inform the design of interpersonal touch interventions intended to reduce stress in adult intensive care unit patients.

Design: Realist review with an intervention design-oriented approach.

Methods: We searched CINAHL, MEDLINE, EMBASE, CENTRAL, Web of Science and grey literature sources without date restrictions. Subject experts suggested additional articles. Evidence synthesis drew on diverse sources of literature and was conducted iteratively with theory testing. We consulted stakeholders to focus the review. We performed systematic searches to corroborate our developing theoretical framework.

Results: We present a theoretical framework based around six intervention construction principles. Theory testing provided some evidence in favour of treatment repetition, dynamic over static touch and lightening sedation. A lack of empirical evidence was identified for construction principles relating to intensity and positive/negative evaluation of emotional experience, moderate pressure touch for sedated patients and intervention delivery by relatives versus healthcare practitioners.

sted, utgiver, år, opplag, sider
John Wiley & Sons, 2019
Emneord
design propositions, hypnotics and sedatives, ICU, nursing, pain, realist review, stress, touch
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-157940 (URN)10.1002/nop2.200 (DOI)000461835600003 ()30918674 (PubMedID)
Tilgjengelig fra: 2019-04-18 Laget: 2019-04-18 Sist oppdatert: 2019-04-18bibliografisk kontrollert
Organisasjoner