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Brulin, Christine
Publications (10 of 84) Show all publications
Nilsson, K., Brulin, C., Grankvist, K. & Juthberg, C. (2022). Senior nursing students' reflections on deviations from guideline adherence regarding venous blood specimen collection practice: A qualitative study. Nurse Education Today, 115, Article ID 105375.
Open this publication in new window or tab >>Senior nursing students' reflections on deviations from guideline adherence regarding venous blood specimen collection practice: A qualitative study
2022 (English)In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 115, article id 105375Article in journal (Refereed) Published
Abstract [en]

Background: Venous blood specimen collection is a common procedure within healthcare and both diagnoses as well as treatment evaluation, are often based on results from these analyses. However, studies among both students and staff have demonstrated suboptimal adherence to venous blood specimen collection practice guidelines which in turn might jeopardize patient safety.

Objectives: This study aimed to describe final semester nursing students' experiences of deviations from venous blood specimen collection practice guidelines during clinical training.

Methods: This study adopted a qualitative design. Twentysix final (6th) semester nursing students were recruited through purposive sampling at a Swedish university. Data were collected through semi-structured, face-to-face, focus group interviews in September 2015. The transcribed interviews were analyzed using qualitative content analysis.

Results: The students' experiences generated two categories; 1) Striving to blend in (subcategories Feeling uncomfortable and Adapting to the prevailing practice culture) and 2) Diminished confidence (subcategories Being confused due to inconsistency and Being uncertain about guideline usefulness) forming the overall theme Being a copycat.

Conclusion: The research concludes that nursing students adapt to the prevailing practice culture encountered during clinical training, often at the expense of guidelines adherence. Since the students are being assessed during clinical training, the eagerness to belong to the team and be well-liked might be stronger than the ambition to follow guidelines. As a consequence, nursing students in clinical training might become copycats by aligning themselves with the prevailing practice culture which in turn might jeopardize adherence with VBSC guideline practice and thereby patient safety. With the ambition to support nursing students' learning in clinical training, facilitators of learning to comprise both students and supervisors need to be further addressed. Tweetable abstract: Nursing students adapt to the prevailing venous blood sample collection practice culture and become copycats.

Place, publisher, year, edition, pages
Elsevier, 2022
Keywords
Clinical training, Content analysis, Nursing students, Professional socialization, Venous blood specimen collection
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-203217 (URN)10.1016/j.nedt.2022.105375 (DOI)35653918 (PubMedID)2-s2.0-85131554870 (Scopus ID)
Available from: 2023-01-17 Created: 2023-01-17 Last updated: 2023-01-17Bibliographically approved
Jonsson, K., Brulin, C., Härgestam, M., Lindkvist, M. & Hultin, M. (2021). Do team and task performance improve after training situation awareness?: A randomized controlled study of interprofessional intensive care teams. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 29(1), Article ID 73.
Open this publication in new window or tab >>Do team and task performance improve after training situation awareness?: A randomized controlled study of interprofessional intensive care teams
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2021 (English)In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, E-ISSN 1757-7241, Vol. 29, no 1, article id 73Article in journal (Refereed) Published
Abstract [en]

Background: When working in complex environments with critically ill patients, team performance is influenced by situation awareness in teams. Moreover, improved situation awareness in the teams will probably improve team and task performance. The aim of this study is to evaluate an educational programme on situation awareness for interprofessional teams at the intensive care units using team and task performance as outcomes.

Method: Twenty interprofessional teams from the northern part of Sweden participated in this randomized controlled intervention study conducted in situ in two intensive care units. The study was based on three cases (cases 0, 1 and 2) with patients in a critical situation. The intervention group (n = 11) participated in a two-hour educational programme in situation awareness, including theory, practice, and reflection, while the control group (n = 9) performed the training without education in situation awareness. The outcomes were team performance (TEAM instrument), task performance (ABCDE checklist) and situation awareness (Situation Awareness Global Assessment Technique (SAGAT)). Generalized estimating equation were used to analyse the changes from case 0 to case 2, and from case 1 to case 2.

Results: Education in situation awareness in the intervention group improved TEAM leadership (p = 0.003), TEAM task management (p = 0.018) and TEAM total (p = 0.030) when comparing cases 1 and 2; these significant improvements were not found in the control group. No significant differences were observed in the SAGAT or the ABCDE checklist.

Conclusions: This intervention study shows that a 2-h education in situation awareness improved parts of team performance in an acute care situation. Team leadership and task management improved in the intervention group, which may indicate that the one or several of the components in situation awareness (perception, comprehension and projection) were improved. However, in the present study this potential increase in situation awareness was not detected with SAGAT. Further research is needed to evaluate how educational programs can be used to increase situation awareness in interprofessional ICU teams and to establish which components that are essential in these programs.

Trial registration: This randomized controlled trial was not registered as it does not report the results of health outcomes after a health care intervention on human participants.

Place, publisher, year, edition, pages
BioMed Central, 2021
Keywords
Critical care, Interdisciplinary health team, Leadership, Patient safety, Simulation training, Situation awareness, Team performance
National Category
Anesthesiology and Intensive Care
Identifiers
urn:nbn:se:umu:diva-177979 (URN)10.1186/s13049-021-00878-2 (DOI)000657440600003 ()34078432 (PubMedID)2-s2.0-85107224687 (Scopus ID)
Funder
Region Västerbotten, VLL-663801Region Västerbotten, VLL-836931Region Västerbotten, RVB-930528The Kempe Foundations
Note

Originally included in thesis in manuscript form with title: "Do team performance and task performance improve in intensive care teams after training situation awareness: a randomized controlled study with in situ simulation team training"

Available from: 2020-12-30 Created: 2020-12-30 Last updated: 2024-01-17Bibliographically approved
Shayesteh, A., Persson, M., Brulin, C. & Nylander, E. (2021). 'Excessive sweating is not a feminine thing': a qualitative study of women's experiences suffering from primary hyperhidrosis. PLOS ONE, 16(7), Article ID e0254689.
Open this publication in new window or tab >>'Excessive sweating is not a feminine thing': a qualitative study of women's experiences suffering from primary hyperhidrosis
2021 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 16, no 7, article id e0254689Article in journal (Refereed) Published
Abstract [en]

Background: Primary hyperhidrosis, excessive focal sweating is a common disease equally affecting men and women. Women tend to seek care more often and assess being more affected by hyperhidrosis in their daily life. The aim of this study was to explore experiences of living with primary hyperhidros in a sample of 15 women.

Methods: Individual, semi-structured interviews with a purposive sample of 15 women diagnosed with primary hyperhidrosis and analysed by qualitative content analysis utilising an inductive approach.

Results: The analysis resulted in a theme, constantly guarding the female image, based on three categories, misfitting the feminine norms, avoiding the attention of others and passing like any woman. Primary hyperhidrosis in women disrupted the ideal feminine appearance. Wearing clothes that concealed hyperhidrosis and distancing from social gatherings, in combination with negative remarks by others, created stress and anxiety and had a negative effect on self-esteem. Women felt poorly understood by others regarding the extent of their sweating and were misunderstood in intimate situations while trying to reduce the sweat production. Choices regarding education and career opportunities were affected, since being exposed and receiving attention due to primary hyperhidrosis was unwanted. Treatment with botulinum toxin liberated women from excessive sweating and removed a social handicap they described living with.

Conclusion: Primary hyperhidrosis in women disrupts the feminine appearance, lowers self-esteem and hinders social interactions. Clinicians assessing primary hyperhidrosis need to be aware that women may report the impairments from primary hyperhidrosis as being more associated with body image and appearance than with functional reductions in daily life. Educating patients, providing accurate information regarding the disease via media and cooperating with patient groups are important for increasing awareness and achieving progress in care for women with primary hyperhidrosis.

Place, publisher, year, edition, pages
Public Library of Science, 2021
National Category
Public Health, Global Health, Social Medicine and Epidemiology Nursing
Identifiers
urn:nbn:se:umu:diva-186432 (URN)10.1371/journal.pone.0254689 (DOI)000678120600010 ()34264995 (PubMedID)2-s2.0-85110579039 (Scopus ID)
Available from: 2021-08-02 Created: 2021-08-02 Last updated: 2023-09-05Bibliographically approved
Shayesteh, A., Gerdsdorff, F., Persson, M., Brulin, C. & Nylander, E. (2021). Navigating in the fog: facing delays, rejection and ignorance when seeking help for primary hyperhidrosis. International Journal of Qualitative Studies on Health and Well-being, 16(1), Article ID 1930642.
Open this publication in new window or tab >>Navigating in the fog: facing delays, rejection and ignorance when seeking help for primary hyperhidrosis
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2021 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 16, no 1, article id 1930642Article in journal (Refereed) Published
Abstract [en]

Primary hyperhidrosis (PH) is a disease characterized by focal and excessive sweating.

Purpose: The aim of this study was to describe the experiences of men and women with PH when seeking help for their condition.

Method: A qualitative interview study with 30 men and women diagnosed with PH was conducted. Data was inductively analysed using manifest and latent content analysis.

Results: The analysis resulted in a theme: Navigating in the fog, based on the categories doubtful encounters with health care professionals, helpful encounters with health care professionals, delays due to inadequate knowledge, and supported urge for help.

Conclusions: Deficient knowledge and understanding about PH create a sense of resignation in individuals, resulting in delay of seeking treatment. Support from others, life-changing events, and finding information about PH were important motivating factors in seeking help and demanding access to treatment. A holistic approach towards patients with PH is important to reduce stigma and acknowledge the problems that are encountered in their daily lives. Educating health care professionals and students so that patients can be identified and assessed without delay and making information available about PH in schools and pharmacies could improve the general knowledge and facilitate obtaining treatment for individuals with PH.

Place, publisher, year, edition, pages
Taylor & Francis, 2021
Keywords
Primary hyperhidrosis, care givers, experience of healthcare, healthcare, qualitative research
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-183887 (URN)10.1080/17482631.2021.1930642 (DOI)000656305300001 ()34053415 (PubMedID)2-s2.0-85107239997 (Scopus ID)
Funder
Region Västerbotten
Available from: 2021-06-03 Created: 2021-06-03 Last updated: 2021-06-14Bibliographically approved
Jonsson, K., Hultin, M., Härgestam, M., Lindkvist, M. & Brulin, C. (2020). Factors Influencing Team and Task Performance in Intensive Care Teams in a Simulated Scenario. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 16(1), 29-36
Open this publication in new window or tab >>Factors Influencing Team and Task Performance in Intensive Care Teams in a Simulated Scenario
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2020 (English)In: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, ISSN 1559-2332, E-ISSN 1559-713X, Vol. 16, no 1, p. 29-36Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Healthcare teams and their performance in a complex environment such as that of intensive care units (ICUs) are influenced by several factors. This study investigates the relationship between team background characteristics and team as well as task performance.

METHODS: This study included 105 professionals (26 teams), working at the ICUs of 2 hospitals in Northern Sweden. The team-based simulation training sessions were video recorded, and thereafter, team performance and task performance were analyzed based on ratings of the TEAM instrument and the ABCDE checklist.

RESULTS: The final analyses showed that a higher age was significantly associated with better total team performance (β = 0.35, P = 0.04), teamwork (β = 0.04, P = 0.04), and task management (β = 0.04, P = 0.05) and with a higher overall rating for global team performance (β = 0.09, P = 0.02). The same pattern was found for the association between age and task performance (β = 0.02, P = 0.04). In addition, prior team training without video-facilitated reflection was significantly associated with better task performance (β = 0.35, P = 0.04). On the other hand, prior team training in communication was significantly associated with worse (β = -1.30, P = 0.02) leadership performance.

CONCLUSIONS: This study reveals that a higher age is important for better team performance when caring for a severely ill patient in a simulation setting in the ICU. In addition, prior team training had a positive impact on task performance. Therefore, on a team level, this study indicates that age and, to some extent, prior team training without video-facilitated reflection have an impact on team performance in the care of critically ill patients.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2020
Keywords
Simulation, nontechnical skills, crisis resource management, clinical competence, teamwork, simulation-based team training, intensive care
National Category
Anesthesiology and Intensive Care
Identifiers
urn:nbn:se:umu:diva-171296 (URN)10.1097/SIH.0000000000000462 (DOI)000615898000005 ()32433185 (PubMedID)2-s2.0-85101896628 (Scopus ID)
Available from: 2020-06-01 Created: 2020-06-01 Last updated: 2023-09-05Bibliographically approved
Jacobsson, A., Backteman Erlandson, S., Brulin, C. & Egan Sjölander, A. (2020). Promoting and Hindering Health and Well-Being in Firefighter Discourse. SAGE Open, 10(4)
Open this publication in new window or tab >>Promoting and Hindering Health and Well-Being in Firefighter Discourse
2020 (English)In: SAGE Open, E-ISSN 2158-2440, Vol. 10, no 4Article in journal (Refereed) Published
Abstract [en]

The aim of this critical discourse analysis is to identify and discuss dominant and recurrent themes in firefighter discourse that promote and hinder firefighters' health and well-being. Using critical discourse analysis, the focus is directed toward routine work culture at the station, as well as how firefighters deal with extraordinary events. The empirical material was collected from rescue services in Sweden representing different geographical areas. In total, 28 firefighters participated in focus group discussions or individual interviews. We identified dominant themes in the discourse that promoted firefighters' health and well-being. We also identified recurrent themes that may serve as hindrances to health and well-being. We note that themes in the latter category also relate to changes in the profession and work culture, expressing external pressures on the rescue service. One reason for resistance toward change might be the health benefits that the current order of firefighter discourse brings.

Place, publisher, year, edition, pages
Sage Publications, 2020
Keywords
critical discourse analysis, firefighter, health, hindering health, promoting health, well-being, work culture
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-178409 (URN)10.1177/2158244020979170 (DOI)000599779300001 ()2-s2.0-85097444789 (Scopus ID)
Available from: 2021-01-11 Created: 2021-01-11 Last updated: 2024-01-17Bibliographically approved
Hultin, M., Jonsson, K., Härgestam, M., Lindkvist, M. & Brulin, C. (2019). Reliability of instruments that measure situation awareness, team performance and task performance in a simulation setting with medical students. BMJ Open, 9(9), Article ID e029412.
Open this publication in new window or tab >>Reliability of instruments that measure situation awareness, team performance and task performance in a simulation setting with medical students
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2019 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 9, no 9, article id e029412Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: The assessment of situation awareness (SA), team performance and task performance in a simulation training session requires reliable and feasible measurement techniques. The objectives of this study were to test the Airways-Breathing-Circulation-Disability-Exposure (ABCDE) checklist and the Team Emergency Assessment Measure (TEAM) for inter-rater reliability, as well as the application of Situation Awareness Global Assessment Technique (SAGAT) for feasibility and internal consistency.

DESIGN: Methodological approach.

SETTING: Data collection during team training using full-scale simulation at a university clinical training centre. The video-recorded scenarios were rated independently by four raters.

PARTICIPANTS: 55 medical students aged 22-40 years in their fourth year of medical studies, during the clerkship in anaesthesiology and critical care medicine, formed 23 different teams. All students answered the SAGAT questionnaires, and of these students, 24 answered the follow-up postsimulation questionnaire (PSQ). TEAM and ABCDE were scored by four professionals.

MEASURES: The ABCDE and TEAM were tested for inter-rater reliability. The feasibility of SAGAT was tested using PSQ. SAGAT was tested for internal consistency both at an individual level (SAGAT) and a team level (Team Situation Awareness Global Assessment Technique (TSAGAT)).

RESULTS: The intraclass correlation was 0.54/0.83 (single/average measurements) for TEAM and 0.55/0.83 for ABCDE. According to the PSQ, the items in SAGAT were rated as relevant to the scenario by 96% of the participants. Cronbach's alpha for SAGAT/TSAGAT for the two scenarios was 0.80/0.83 vs 0.62/0.76, and normed χ² was 1.72 vs 1.62.

CONCLUSION: Task performance, team performance and SA could be purposefully measured, and the reliability of the measurements was good.

Keywords
patient care team, resuscitation, situation awareness, task performance and analysis, teamwork
National Category
Other Medical Sciences not elsewhere specified
Identifiers
urn:nbn:se:umu:diva-163368 (URN)10.1136/bmjopen-2019-029412 (DOI)000497787600184 ()31515425 (PubMedID)2-s2.0-85072144998 (Scopus ID)
Available from: 2019-09-17 Created: 2019-09-17 Last updated: 2023-09-05Bibliographically approved
Shayesteh, A., Brulin, C. & Nylander, E. (2019). The Meaning of Living for Men Suffering From Primary Hyperhidrosis. American Journal of Men's Health, 13(6), Article ID 1557988319892725.
Open this publication in new window or tab >>The Meaning of Living for Men Suffering From Primary Hyperhidrosis
2019 (English)In: American Journal of Men's Health, ISSN 1557-9883, E-ISSN 1557-9891, Vol. 13, no 6, article id 1557988319892725Article in journal (Refereed) Published
Abstract [en]

Primary hyperhidrosis means excessive focal sweating and it has a negative effect on the mental health of those affected. Although there is no gender difference regarding the prevalence of the disease, men are less likely to seek help for this condition. The aim of this study was to explore the meaning of living with primary hyperhidrosis in men. Interviews with 15 men, selected by purposive sampling, were performed at Umeå University Hospital in Sweden between June 2016 and October 2017, and analyzed using qualitative content analysis technique according to Graneheim and Lundman (2004). This study found one theme, namely, to be captured in a filthy body, based on the categories: surrender to the condition reluctantly; prepare for a sweat attack; withdraw from close contacts; and worry about others’ perceptions. The theme describes men living with hyperhidrosis feeling filthy while they struggle to control or hide the excessive sweating. Insufficient understanding from others and being reminded from the sweating is stressful and results in a sense of captivity. Interpreting the result, we conclude that the disease could stigmatize the individual, which has a negative effect on mental health and the will to seek help. Meanwhile, providing information about the disease early, as in schools, could increase the willingness of men to seek medical help. The results of this study also reinforce quantitative studies reporting the negative effects of primary hyperhidrosis on mental health.

Place, publisher, year, edition, pages
Sage Publications, 2019
Keywords
general health and wellness, health-related quality of life, access to care, health awareness, qualitative research
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-167032 (URN)10.1177/1557988319892725 (DOI)000503491600001 ()31849276 (PubMedID)2-s2.0-85076849682 (Scopus ID)
Available from: 2020-01-09 Created: 2020-01-09 Last updated: 2023-03-24Bibliographically approved
Jacobsson, A., Backteman-Erlandson, S., Brulin, C. & Egan Sjölander, A. (2018). ’There is nothing wrong with diversity and equality as long as the right people are employed’. Promoting and hindering health in firefighter discourse. In: : . Paper presented at Conference in Nursing Research, Methods and Networks for the future, Oslo, Norway, June 13-15, 2018.
Open this publication in new window or tab >>’There is nothing wrong with diversity and equality as long as the right people are employed’. Promoting and hindering health in firefighter discourse
2018 (English)Conference paper, Oral presentation only (Other academic)
National Category
Medical and Health Sciences Media and Communications
Identifiers
urn:nbn:se:umu:diva-152474 (URN)
Conference
Conference in Nursing Research, Methods and Networks for the future, Oslo, Norway, June 13-15, 2018
Available from: 2018-10-05 Created: 2018-10-05 Last updated: 2020-03-06Bibliographically approved
Jacobsson, A., Backteman-Erlandson, S., Padyab, M., Egan Sjölander, A. & Brulin, C. (2017). Burnout and association with psychosocial work environment among Swedish firefighters. Global Journal of Health Science, 9(5), 214-225
Open this publication in new window or tab >>Burnout and association with psychosocial work environment among Swedish firefighters
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2017 (English)In: Global Journal of Health Science, ISSN 1916-9736, E-ISSN 1916-9744, Vol. 9, no 5, p. 214-225Article in journal (Refereed) Published
Abstract [en]

Firefighters are exposed to traumatic and stressful psychosocial and physical strain in their work, and thus they are considered to be a group at high risk of burnout. The aim of this study was to investigate burnout (emotional exhaustion (EE) and depersonalization (DP) among Swedish female and male firefighters and to examine the gender-stratified relationship between psychosocial work environment and burnout when considering the moderating effect of coping strategies among Swedish firefighters. The overall mean values of both EE and DP were notably low in comparison with the general population in Sweden. We found that psychosocial work environment factors increase the risk of burnout among male firefighters. Among men, EE was associated with high demands and lack of social support in work. The association was also confirmed with DP as the outcome and lack of good leadership as the exposure among men. However, among female firefighters the association between psychosocial work environment factors and burnout failed to appear. Among women, EE and DP were only associated with the coping strategy Psychological distancing (PDi). A negative association with DP and the coping strategy Positive Reappraisal (PRe) was also found among women. Regardless of the result from the regression analyses, we must consider that the majority of the female and male firefighters in our study had low scores on the outcome variables EE and DP. Future studies should explore female and male firefighters' context and possible health-protecting environment.

Place, publisher, year, edition, pages
Canadian Center of Science and Education, 2017
Keywords
burnout, coping strategies, firefighters, psychosocial work environment, Sweden
National Category
Nursing Occupational Health and Environmental Health
Research subject
Caring Sciences
Identifiers
urn:nbn:se:umu:diva-126032 (URN)10.5539/gjhs.v9n5p214 (DOI)
Available from: 2016-09-26 Created: 2016-09-26 Last updated: 2018-06-07Bibliographically approved
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