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Publications (10 of 38) Show all publications
Ringnér, A. & Rullander, A.-C. (2024). Barnortopedi (1ed.). In: Katarina Patriksson; Helena Wigert (Ed.), Omvårdnad för barn och unga - på avancerad nivå: (pp. 403-420). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Barnortopedi
2024 (Swedish)In: Omvårdnad för barn och unga - på avancerad nivå / [ed] Katarina Patriksson; Helena Wigert, Lund: Studentlitteratur AB, 2024, 1, p. 403-420Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2024 Edition: 1
National Category
Nursing Pediatrics
Research subject
Caring Sciences
Identifiers
urn:nbn:se:umu:diva-220722 (URN)9789144156057 (ISBN)
Available from: 2024-02-09 Created: 2024-02-09 Last updated: 2024-02-15Bibliographically approved
Ringnér, A., Björk, M. & Olsson, C. (2023). Effects of person-centered information for parents of children with cancer (the PIFBO study): a randomized controlled trial. Journal of Pediatric Hematology/Oncology Nursing, 40(6), 400-410
Open this publication in new window or tab >>Effects of person-centered information for parents of children with cancer (the PIFBO study): a randomized controlled trial
2023 (English)In: Journal of Pediatric Hematology/Oncology Nursing, ISSN 2752-7530, E-ISSN 2752-7549, Vol. 40, no 6, p. 400-410Article in journal (Refereed) Published
Abstract [en]

Background: Conveying information to parents is a core part of pediatric oncology nursing; however, most published interventions do not tailor information to individual parental needs. Objective: To evaluate the effect on parental illness-related stress of person-centered information provided to parents of children with cancer.

Methods: A multicenter, unblinded randomized controlled trial with two parallel arms recruiting parents of children diagnosed within the past two months from two tertiary children's cancer centers in Sweden. Parents were randomized using sealed envelopes prepared and opened by an independent person. Parents in the intervention arm met four times with experienced nurses trained in the intervention, whereas controls received standard care. The effect of the intervention was measured five times regarding parents’ illness-related stress. Secondary outcomes were psychosocial states, experiences with healthcare providers, and received information. Further, we collected process data on the intervention's content and fidelity.

Results: Of the 32 parents included and analyzed in the study, 16 were randomized to the intervention, which addressed a broad variety of topics. The intervention increased parents’ knowledge about the biophysiological and functional aspects of their child's illness, but it had no measurable effect on their distress.

Discussion: Although fidelity to the intervention protocol was sufficient, the study was flawed by recruitment difficulties, primarily due to organizational factors, which may have prevented us from observing any possible effects on psychosocial distress. Having a person-centered perspective could be promising for future studies aimed at parents of children with cancer.

Place, publisher, year, edition, pages
Sage Publications, 2023
Keywords
parents, person-centered information, questionnaires, randomized controlled study
National Category
Nursing
Research subject
caring sciences in social sciences
Identifiers
urn:nbn:se:umu:diva-204389 (URN)10.1177/27527530221115860 (DOI)000921986100001 ()36731493 (PubMedID)2-s2.0-85147513006 (Scopus ID)
Funder
Swedish Childhood Cancer Foundation, PR20130086
Available from: 2023-02-03 Created: 2023-02-03 Last updated: 2023-12-20Bibliographically approved
Ringnér, A., Björk, M. & Olsson, C. (2023). What was on the parents' minds?: Changes over time in topics of person-centred information for mothers and fathers of children with cancer. Comprehensive Child and Adolescent Nursing, 46(2), 114-125
Open this publication in new window or tab >>What was on the parents' minds?: Changes over time in topics of person-centred information for mothers and fathers of children with cancer
2023 (English)In: Comprehensive Child and Adolescent Nursing, ISSN 2469-4207, E-ISSN 2469-4193, Vol. 46, no 2, p. 114-125Article in journal (Refereed) Published
Abstract [en]

Acquiring information about one's child's cancer diagnosis is a complex and ever-changing process, and parents' needs change over time. As yet, we know little about what information parents require at different stages of their child's illness. This paper is part of a larger randomized control trial studying the parent-centered information given to mothers and fathers. The aim of this paper was to describe the topics addressed in person-centered meetings between nurses and parents of children with cancer and how those changed over time. Using qualitative content analysis, we analyzed nurses' written summaries of 56 meetings with 16 parents and then computed for each topic the percentage of parents who brought it up at any time during the intervention. The main categories were Child's disease and treatment (addressed by 100% of parents), Consequences of treatment (88%), Emotional management for the child (75%), Emotional management for the parent (100%), Social life of the child (63%), and Social life of the parent (100%). Different topics were addressed at different points in time, and fathers raised more concerns about the child's emotional management and the consequences of treatment than mothers. This paper suggests that parental information demands change over time and differ between fathers and mothers, implying that information should be person-centered. Registered at Clinicaltrials.gov (NCT02332226).

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
childhood cancer, Parents, person-centered information, process evaluation
National Category
Nursing Pediatrics Cancer and Oncology
Identifiers
urn:nbn:se:umu:diva-205346 (URN)10.1080/24694193.2023.2168790 (DOI)000935248300001 ()36811905 (PubMedID)2-s2.0-85148661261 (Scopus ID)
Funder
Swedish Childhood Cancer Foundation, PR2013-0068
Available from: 2023-04-03 Created: 2023-04-03 Last updated: 2023-08-17Bibliographically approved
Neyra Marklund, I., Rullander, A.-C., Lindberg, K. & Ringnér, A. (2022). Initial education for families with children diagnosed with type 1 diabetes: Consensus from experts in a Delphi study. Comprehensive Child and Adolescent Nursing, 45(3), 310-319
Open this publication in new window or tab >>Initial education for families with children diagnosed with type 1 diabetes: Consensus from experts in a Delphi study
2022 (English)In: Comprehensive Child and Adolescent Nursing, ISSN 2469-4207, E-ISSN 2469-4193, Vol. 45, no 3, p. 310-319Article in journal (Refereed) Published
Abstract [en]

A child’s diagnosis of type 1 diabetes can create major challenges for the family, and early education about the disease is crucial. The aim of this study was to identify and reach expert consensus about the priority of topics for the two initial weeks of education of families with a child diagnosed with type 1 diabetes. Specialist nurses (n = 15) working with children and adolescents with diabetes at Swedish pediatric clinics participated in a Delphi study. We sent these experts three rounds of a web survey and analyzed their answers using qualitative content analysis and descriptive statistics. The results show the experts’ consensus on the most important educational topics for families of a child diagnosed with type 1 diabetes. The highest priority topics were actions for hypo-/hyperglycemia, blood-glucose monitoring, symptoms of hypo-/hyperglycemia and adjustment of insulin. The experts’ top-ranked educational topics were in line with the International Society for Pediatric and Adolescent Diabetes guidelines for educating children with type 1 diabetes and also considered important by children and their families. The topics identified here can help nurses educate children with type 1 diabetes, contribute to further research into type 1 diabetes education, and inform the development of national guidelines.

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
children, Delphi study, education, nursing, parents, Type 1 diabetes
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-192959 (URN)10.1080/24694193.2022.2033351 (DOI)000755009200001 ()2-s2.0-85125218526 (Scopus ID)
Funder
Region Västerbotten, VLL-582751
Available from: 2022-03-07 Created: 2022-03-07 Last updated: 2023-08-17Bibliographically approved
Ringnér, A., Olsson, C., Eriksson, E., From, I. & Björk, M. (2021). A moment just for me: Parents’ experiences of an intervention for person-centred information in paediatric oncology. European Journal of Oncology Nursing, 51, Article ID 101923.
Open this publication in new window or tab >>A moment just for me: Parents’ experiences of an intervention for person-centred information in paediatric oncology
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2021 (English)In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 51, article id 101923Article in journal (Refereed) Published
Abstract [en]

Purpose: Information can help parents of children with cancer by reducing uncertainty and giving them a sense of control in a chaotic situation. Although providing information to parents is a core activity of paediatric oncology nursing, few studies focus on interventions for informing parents. Thus, the aim of this study is to evaluate parents’ experiences after participating in a person-centred information intervention for parents of children with cancer.

Method: This study is part of a process evaluation of a person-centred informational intervention in paediatric oncology for patients’ parents. Qualitative semi-structured interviews with 13 parents who had taken part in the intervention were analysed using qualitative content analysis.

Results: An opening for healing emerged as the overarching theme, consisting of three categories. Gaining a deeper understanding of the entire situation describes how parents benefitted from processing current topics and moving forward by learning. Caring reflections in a safe space describes how parents appreciated having a moment just for themselves and feeling better by venting their feelings. Meeting a competent and compassionate nurse describes how parents experienced trust and being listened to.

Conclusion: Having individual information meetings integrated as a primary nursing responsibility, mediated by competent and compassionate nurses also responsible for the care of the child, could enhance person-centred care and individualise parental education.

Place, publisher, year, edition, pages
Elsevier, 2021
Keywords
Intervention, Nursing, Paediatric oncology, Parental experience, Person-centred information, Qualitative content analysis, Semi-structured interview
National Category
Nursing
Research subject
caring sciences in social sciences
Identifiers
urn:nbn:se:umu:diva-180615 (URN)10.1016/j.ejon.2021.101923 (DOI)000634179100001 ()2-s2.0-85101074419 (Scopus ID)
Funder
Swedish Childhood Cancer Foundation
Available from: 2021-02-19 Created: 2021-02-19 Last updated: 2023-09-05Bibliographically approved
Ringnér, A. & Tiberg, I. (2021). När barnet insjuknar under uppväxten (1ed.). In: Carina Sparud Lundin; Ewa-Lena Bratt (Ed.), Övergångar i hälso- och sjukvård: ett livsloppsperspektiv och organisatoriska aspekter (pp. 123-139). Lund: Studentlitteratur AB
Open this publication in new window or tab >>När barnet insjuknar under uppväxten
2021 (Swedish)In: Övergångar i hälso- och sjukvård: ett livsloppsperspektiv och organisatoriska aspekter / [ed] Carina Sparud Lundin; Ewa-Lena Bratt, Lund: Studentlitteratur AB, 2021, 1, p. 123-139Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2021 Edition: 1
Keywords
transitioner, övergångar, cancer, diabetes, barn, föräldrar, tonåringar
National Category
Nursing
Research subject
caring sciences in social sciences
Identifiers
urn:nbn:se:umu:diva-189504 (URN)9789144138855 (ISBN)
Available from: 2021-11-12 Created: 2021-11-12 Last updated: 2023-07-03Bibliographically approved
Molin, J., Vestberg, M., Lövgren, A., Ringnér, A., Hällgren Graneheim, U. & Lindgren, B.-M. (2021). Rather a competent practitioner than a compassionate healer: patients’ satisfaction with interactions in psychiatric inpatient care. Issues in Mental Health Nursing, 42(6), 549-554
Open this publication in new window or tab >>Rather a competent practitioner than a compassionate healer: patients’ satisfaction with interactions in psychiatric inpatient care
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2021 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 42, no 6, p. 549-554Article in journal (Refereed) Published
Abstract [en]

Interactions with staff are important aspects in patients’ experiences of psychiatric inpatient care (PIC). This study aimed to evaluate patients’ satisfaction with their interactions with PIC staff and whether sociodemographic factors, depression and anxiety symptoms were associated with their perceptions of these interactions. In this cross-sectional study, we collected data from 84 patients receiving inpatient care in three psychiatric settings in Sweden. The patients’ perceptions of interactions with staff and self-reported degrees of depression and anxiety were evaluated through questionnaires. Overall, patients were satisfied with the patient–staff interaction. However, significantly higher scores were related to staffs’ practical competence than to their compassion. Older patients reported significantly more satisfaction than younger patients with their most recent meeting with staff. Tailored nursing interventions may improve staff’s compassionate capacity. Further research in larger samples is ne

Place, publisher, year, edition, pages
Taylor & Francis Group, 2021
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-174791 (URN)10.1080/01612840.2020.1820645 (DOI)000573104800001 ()32975473 (PubMedID)2-s2.0-85091612887 (Scopus ID)
Available from: 2020-09-08 Created: 2020-09-08 Last updated: 2024-02-02Bibliographically approved
Ringnér, A. & Olsson, C. (2021). Recruitment of Participants: Involving Stakeholders Cannot Be Overestimated [Letter to the editor]. Cancer Nursing, 44(2), 171-172
Open this publication in new window or tab >>Recruitment of Participants: Involving Stakeholders Cannot Be Overestimated
2021 (English)In: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 44, no 2, p. 171-172Article in journal, Letter (Refereed) Published
Place, publisher, year, edition, pages
Wolters Kluwer, 2021
Keywords
recruitment, research
National Category
Nursing
Research subject
caring sciences in social sciences
Identifiers
urn:nbn:se:umu:diva-180613 (URN)10.1097/NCC.0000000000000927 (DOI)
Available from: 2021-02-19 Created: 2021-02-19 Last updated: 2021-02-22Bibliographically approved
Olsson, C., Eklund, A. J., Larsson, M. & Ringnér, A. (2020). Sexuality After Treatment of Diffuse Large B-cell Lymphoma: Patients' Experiences and Psychometric Testing of the Sexual Adjustment Questionnaire-Swedish Version II. Cancer Nursing, 44(6), 499-508
Open this publication in new window or tab >>Sexuality After Treatment of Diffuse Large B-cell Lymphoma: Patients' Experiences and Psychometric Testing of the Sexual Adjustment Questionnaire-Swedish Version II
2020 (English)In: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 44, no 6, p. 499-508Article in journal (Refereed) Published
Abstract [en]

Background: Sexuality is an important part of health-related quality of life. To ensure adequate supportive interventions, valid and reliable instruments specific to sexual changes and adjustments after cancer treatment are needed.

Objectives: The aims of this study were to test the psychometric properties of the Sexual Adjustment Questionnaire-Swedish version II (SAQ-SII) in patients treated for diffuse large B-cell lymphoma and to describe and explore patients' experiences of sexuality after treatment.

Methods: A cross-sectional study was conducted in 2019, using SAQ-SII and data from the National Quality Registry for Leukemia–subregistry for Lymphoma, which included 257 patients (25% response rate). An exploratory factor analysis was performed for psychometric evaluation. Internal consistency was assessed by Cronbach's α. Independent t tests, analysis of variance, and multiple regression were used to describe patients' experiences of sexuality.

Results: The exploratory factor analysis resulted in a 4-factor structure, explaining 65.7% of the total scale variance (SAQ-SII). The Cronbach's α for the SAQ-SII was 0.88 and varied between 0.70 and 0.89 across subscales. Sexuality was affected in various ways and extent. Sexual Interest was most affected, whereas Sexual Function was least affected. Being male, of younger age, without comorbidities, and in a relationship were associated to a higher Sexual Interest.

Conclusions: The SAQ-SII is a valid and reliable instrument to measure changes and adjustments in sexuality in patients treated for lymphoma.

Implications for Practice: Assessments of sexuality in a broad sense should be an integrated part of cancer care to ensure timely interventions for those who need and want support.

Place, publisher, year, edition, pages
Wolters Kluwer, 2020
Keywords
cancer nursing, sexuality, psychometrics, nursing, omvårdnad
National Category
Nursing
Research subject
Caring Sciences
Identifiers
urn:nbn:se:umu:diva-175686 (URN)10.1097/NCC.0000000000000866 (DOI)000709987600025 ()32804757 (PubMedID)2-s2.0-85120924276 (Scopus ID)
Note

Blodcancerförbundet har finansierat studien.

Available from: 2020-10-06 Created: 2020-10-06 Last updated: 2022-01-12Bibliographically approved
Molin, J., Hällgren Graneheim, U., Ringnér, A. & Lindgren, B.-M. (2020). Time Together as an arena for mental health nursing - staff experiences of introducing and participating in a nursing intervention in psychiatric inpatient care. International Journal of Mental Health Nursing, 29(6), 1192-1201
Open this publication in new window or tab >>Time Together as an arena for mental health nursing - staff experiences of introducing and participating in a nursing intervention in psychiatric inpatient care
2020 (English)In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 29, no 6, p. 1192-1201Article in journal (Refereed) Published
Abstract [en]

A lack of meaningful activities for people with mental ill health admitted to psychiatric inpatient care has been related to feelings of boredom and 'doing nothing' and is not in line with recovery-oriented care. Staff in psychiatric inpatient care report having limited time, ambiguous responsibilities, and insufficient support that counteracts their ideals of good nursing care and puts them at risk for high levels of stress and stress of conscience. Research highlights a need for interactions between patients and staff, but few nursing interventions with such a focus are described in the literature. This qualitative study aimed to illuminate staff experiences of introducing and participating in the nursing intervention Time Together, via qualitative content analysis of 17 individual semi-structured interviews with nursing staff in psychiatric inpatient care. The results show that these staff members experienced Time Together as an arena for mental health nursing. They prepared for the introduction of the intervention by laying a framework for success. Although the actual implementation led to them feeling burdened, they found that Time Together fostered relationships between patients and staff. For successful implementation, mental health nurses need to advocate the intervention. As Time Together constitutes an arena for mental health nursing, play and conversations based on reciprocity and equality can contribute to patients' recovery.

Place, publisher, year, edition, pages
John Wiley & Sons, 2020
Keywords
engagement, mental health nursing, nursing intervention, psychiatric inpatient care, Time Together
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-173665 (URN)10.1111/inm.12759 (DOI)000545809700001 ()32618398 (PubMedID)2-s2.0-85087428615 (Scopus ID)
Available from: 2020-07-23 Created: 2020-07-23 Last updated: 2023-03-24Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-8801-5423

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