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  • 1.
    Backman, Annica C.
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Sjögren, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Lövheim, Hugo
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering. Umeå universitet, Medicinska fakulteten, Wallenberg centrum för molekylär medicin vid Umeå universitet (WCMM).
    Edvardsson, David
    School of Nursing and Midwifery, La Trobe University, Melbourne, Australia; Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.
    Moving between doing and being - Meanings of person-centredness as narrated by nursing home managers: A phenomenological hermeneutical study2024Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 11, nr 1, artikel-id e2073Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: This study aimed to illuminate meanings of person-centredness as narrated by nursing home managers in nursing homes rated as highly person-centred.

    Design: A phenomenological hermeneutical approach was used.

    Methods: Twelve nursing home managers in 11 highly person-centred nursing homes in 7 municipalities in Sweden were included in this interview study. The findings were interpreted, reflected and discussed through the lens of Ricoeur.

    Results: Meanings of person-centredness could be understand as moving between doing and being through knowing, sensing, sharing and giving for person-centredness. These aspects contributed via knowledge, understanding, interaction and action that involved doing for and being with older persons through these caring dimensions. By moving between doing for, being with and being part of the overall nursing home narrative, knowing, sensing, sharing and giving could support the persons' identity in different ways. This may also contribute to sense-making, preserving dignity and promoting self-esteem when aiming to provide a good life for older persons in nursing homes, within an ever-present ethical frame.

    No Patient or Public Contribution: This study illuminated meanings of person-centredness as narrated by nursing home managers. No patient of public contribution was investigated.

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  • 2.
    Backman Lönn, Beatrice
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad. Department of Research & Development, Region Västernorrland, Sundsvall Hospital, Sundsvall, Sweden.
    Hajdarevic, Senada
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Olofsson, Niclas
    Department of Health Science, Mid Sweden University, Östersund, Sweden.
    Hörnsten, Åsa
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Styrke, Johan
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Urologi och andrologi.
    Clarifying the role of clinical research nurses working in Sweden, using the clinical trial nursing questionnaire: swedish version2022Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 9, nr 5, s. 2434-2443Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim:  To explore the role of CRNs in Sweden and differences in competences and tasks, using the Clinical Trial Nursing Questionnaire - Swedish version (CTNQ-SWE).

    Design:  A cross-sectional survey.

    Methods:  Participants were identified through strategic sampling. Data were analysed by descriptive and comparative statistics.

    Results:  The respondents were experienced nurses who felt proficient in their role, they felt more acceptance by the principal investigators than by nursing colleagues. A majority of CRNs are involved in all procedures specified in the CTNQ-SWE. The most often performed tasks, also rated as the most important by the CRNs, concerned informed consent and management of investigational products. The education was often informal: with a lack of job descriptions and professional development plans. Need of formal specialist education was expressed.

    Conclusions:  Knowledge about the role description can be used by clinical research enterprise internationally and healthcare organizations aiming to support CRNs in their role.

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  • 3. Gustafsson, Silje
    et al.
    Engström, Åsa
    Lindgren, Britt-Marie
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Gabrielsson, Sebastian
    Reflective capacity in nurses in specialist education: Swedish translation and psychometric evaluation of the Reflective Capacity Scale of the Reflective Practice Questionnaire2021Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 8, nr 2, s. 546-552Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: This study aimed to test the validity and reliability of the Swedish version of the Reflective Capacity Scale of the Reflective Practice Questionnaire in a nursing context. Design Non-experimental and cross-sectional.

    Methods: The instrument was translated from English to Swedish using a translation and back-translation procedure. Data for the validity and reliability analysis were collected from Registered Nurses in specialist education (n = 156) at two Swedish universities.

    Results: The Swedish version of the Reflective Capacity Scale of the Reflective Practice Questionnaire is a valid and reliable instrument that assesses the reflective capacity of healthcare practitioners. Our findings suggest a unidimensional structure of the instrument, excellent internal consistency and good reliability.

    Conclusion: The Swedish version of the Reflective Capacity Scale of the Reflective Practice Questionnaire has a degree of reliability and validity that is satisfactory, indicating that the instrument can be used as an assessment of reflective capacity in nurses.

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  • 4. Harris, Sansha J.
    et al.
    Papathanassoglou, Elizabeth D. E.
    Gee, Melanie
    Hampshaw, Susan M.
    Lindgren, Lenita
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Haywood, Annette
    Interpersonal touch interventions for patients in intensive care: A design-oriented realist review2019Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 6, nr 2, s. 216-235Artikel, forskningsöversikt (Refereegranskat)
    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.

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  • 5.
    Holmlund, Lena
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Brännström, Margareta
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Lindmark, Krister
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Kardiologi.
    Sandberg, Camilla
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Kardiologi.
    Hellström Ängerud, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Health‐related quality of life in patients with heart failure eligible for treatment with sacubitril–valsartan2020Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 7, nr 2, s. 556-562Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To describe and compare self‐reported health‐related quality of life between younger and older patients with severe heart failure eligible for treatment with sacubitril–valsartan and to explore the association between health‐related quality of life and age, NYHA classification, systolic blood pressure and NT‐proBNP level.

    Design: Cross‐sectional study.

    Methods: A total of 59 patients, eligible for treatment with sacubitril–valsartan were consecutively included and divided into a younger (≤75 years) and older group (>75 years). Health‐related quality of life was assessed using the Kansas City Cardiomyopathy Questionnaire and the EuroQol 5‐dimensions. Data were collected between June 2016 and January 2018. The STROBE checklist was used.

    Results: There were no differences in overall health‐related quality of life between the age groups. The older patients reported lower scores in two domains measured with the Kansas City Cardiomyopathy Questionnaire, namely self‐efficacy (67.0 SD 22.1 vs. 78.8 SD 19.7) and physical limitation (75.6 SD 19.0 vs. 86.3 SD 14.4). Higher NYHA class was independently associated with lower Kansas City Cardiomyopathy Questionnaire Overall Summary Score.

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  • 6.
    Holmlund, Lena
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Hellström Ängerud, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Hörnsten, Åsa
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Valham, Fredrik
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Avdelningen för medicin.
    Olsson, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Avdelningen för medicin.
    Experiences of living with symptomatic atrial fibrillation2023Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 10, nr 3, s. 1821-1829Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: To explore the experiences of living with symptomatic atrial fibrillation.

    DESIGN: This study, with a descriptive qualitative adesign, was performed using semi-structured individual interviews.

    METHOD: Six women and nine men with symptomatic atrial fibrillation were included. The transcribed interviews were analysed using qualitative content analysis. The COREQ checklist was followed.

    RESULTS: The analysis resulted in a main theme, namely balancing life and included the themes striving for illness control, becoming a receiver or an active partner in care and dealing with changed self-image. The participants strived to understand their illness, prevent attacks and manage anxiety. Some of the participants were not involved in decision-making, were uninformed about self-care measures, reported a lack of continuity in care and felt that the doctors focused on information about the medical part of care.

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  • 7.
    Hägglund, Lena
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Boman, Kurt
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Avdelningen för medicin. Department of Medicine-Geriatric, Skellefteå County Hospital, Skellefteå, Sweden.
    Brännström, Margareta
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    A mixed methods study of Tai Chi exercise for patients with chronic heart failure aged 70 years and older2018Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 5, nr 2, s. 176-185Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aims and objectives

    This study aimed to evaluate Tai Chi group training among patients with chronic heart failure (CHF) aged 70 years and older.

    Background

    Physical activity is recommended for CHF treatment. Tai Chi is found to be beneficial to different patient groups, although few studies focus on older patients with CHF.

    Design

    A mixed methods study. Participants were randomly assigned to Tai Chi training twice a week for 16 weeks (= 25) or control (= 20). Quantitative data were collected at baseline, at the end of the training period and 6 months after training, assessing self-rated fatigue and quality of life, natriuretic peptides and physical performance. Individual qualitative interviews were conducted with participants (= 10) in the Tai Chi training group.

    Results

    No statistical differences between the Tai Chi training group and the control group in quality of life or natriuretic peptides was found. After 16 weeks, the training group tended to rate more reduced activity and the control group rated more mental fatigue. Participants in the training group rated increased general fatigue at follow-up compared with baseline. Qualitative interviews showed that Tai Chi training was experienced as a new, feasible and meaningful activity. The importance of the leader and the group was emphasized. Improvements in balance were mentioned and there was no physical discomfort.

    Conclusion

    Tai Chi was experienced as a feasible and meaningful form of physical exercise for patients with CHF aged over 70 years despite lack of achieved health improvement. Further investigations, using feasibility and meaningfulness as outcome variables seems to be useful.

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  • 8.
    Ludvigsson, Carola
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Isaksson, Ulf
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad. Umeå universitet, Arktiskt centrum vid Umeå universitet (Arcum).
    Hajdarevic, Senada
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Experiencing improved assessment and control of pain in end-of-life care when using the Abbey Pain Scale systematically2020Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 7, nr 6, s. 1798-1806Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To describe staff's reflections on aspects influencing pain assessment at end‐of‐life (EoL) care in nursing homes before and after the implementation of the Abbey Pain Scale (APS).

    Background: People with cognitive impairment in the EoL care often suffer from underdiagnosed and undertreated pain due to the lack of knowledge and guidelines for systematic pain assessment.

    Methods: Semi‐structured focus group interviews were conducted and analysed using qualitative content analysis.

    Results: The staff described their experiences before the implementation of APS as striving to achieve control of pain by trusting in themselves and the team, while the experiences after the implementation of APS were described as improving symptom control with remaining weak confidence in the team .

    Conclusions: Implementation of APS was experienced as improving systematic pain assessment. Efforts to establish clear routines and improve confidence in the care team would be prioritized to optimize pain assessment and pain relief in EoL care.

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  • 9.
    Lundmark, Robert
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
    Nordin, Maria
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
    Yepes-Baldó, Montserrat
    Romeo, Marina
    Westerberg, Kristina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
    Cold wind of change: associations between organizational change, turnover intention, overcommitment and quality of care in Spanish and Swedish eldercare organizations2021Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 8, nr 1, s. 163-170Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To examine the association between organizational change, turnover intentions, overcommitment and perceptions of quality of care among nurses and nursing assistants employed in eldercare organizations.

    Design: A longitudinal survey (baseline, 12‐month follow‐up) was used.

    Methods: A panel sample of 226 eldercare employees in Spain and Sweden responded to survey questions concerning organizational change, turnover intentions, overcommitment and perceptions of quality of care. The data were analysed using structural equational modelling.

    Results: We found a statistically significant positive relationship between organizational change, employees’ turnover intention and overcommitment. We also found a statistically significant negative relationship between organizational change and perceived quality of care.

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  • 10. Möllerberg, Marie-Louise
    et al.
    Langegård, Ulrica
    Ohlsson-Nevo, Emma
    Fransson, Per
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad. Department of Cancercentrum, Norrlands University Hospital, Umeå, Sweden.
    Johansson, Birgitta
    Ahlberg, Karin
    Sjövall, Katarina
    Managing an altered social context-Patients experiences of staying away from home while undergoing proton beam therapy2020Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 7, nr 4, s. 1157-1163Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To illuminate the experience of an altered social context for patients with primary brain tumours living away from home while undergoing proton beam therapy.

    Design: A descriptive, qualitative cross-sectional interview study.

    Methods: Nineteen patients were interviewed between December 2015-August 2016, either during (N = 7) or before and after (N = 12) their proton beam therapy. A hermeneutical analysis was performed.

    Results: Participants made adjustments to achieve control and well-being during the treatment period. The analysis also revealed two interrelated patterns that helped participants adjust: being part of the family from a distance and seeking affinity.

    Conclusion: It is important that patients receiving treatment far from home find a way to remain a part of their family and find affinity in the altered social context. Health professionals can prepare patients for the treatment period and can implement interventions to promote well-being for both patients and their relatives.

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  • 11. Oftedal, Bjorg
    et al.
    Kolltveit, Beate-Christin Hope
    Zoffmann, Vibeke
    Hörnsten, Åsa
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Graue, Marit
    Learning to practise the Guided Self-Determination approach in type 2 diabetes in primary care: A qualitative pilot study2017Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 4, nr 3, s. 134-142Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To describe how diabetes nurses in primary care experience the process of learning to practise the person-centred counselling approach Guided Self-Determination among adults with type 2 diabetes. Design: A descriptive qualitative design. Method: Data were collected in 2014-2015 by means of individual interviews with four diabetes nurses at two points in time. The data were analysed using qualitative content analysis. Results: Three themes that reflect nurses' processes in learning to use the Guided Self-Determination approach were identified: (1) from an unfamiliar interaction to cracking the code; (2) from an unspecific approach to a structured, reflective, but demanding approach; and (3) from a nurse-centred to a patient-centred approach. The overall findings indicate that the process of learning to practise Guided Self-Determination increased the nurses' counselling competence. Moreover, the nurses perceived the approach to be generally helpful, as it stimulated reflections about diabetes management and about their own counselling practices.

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  • 12.
    Olsson, Karin
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Avdelningen för medicin.
    Hörnsten, Åsa
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Hellström Ängerud, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Treated with preventive anticoagulation therapy in atrial fibrillation: the patients’ perspective2022Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 9, nr 6, s. 2657-2664Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aim of this study was to explore patients’ experiences of preventive anticoagulation therapy in atrial fibrillation.

    Design: This was a descriptive qualitative study based on interviews.

    Methods: Individual interviews with 15 patients, 6 women and 9 men, treated with preventive oral anticoagulant due to atrial fibrillation, were conducted. The interviews were analysed with qualitative content analysis.

    Results: Based on the analysis, the theme Managing a necessary evil emerged. The theme comprised the three categories: Coping with anxiety and changes in daily life, Having confidence in care and Being a partner or only a receiver of treatment. Patients described it like being faced with a situation where a treatment perceived as vital was weighed against undesirable consequences and risks. Patients trusted caregivers and had confidence in care, but there was a risk of being a receiver of care instead of becoming a partner.

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  • 13.
    Olsson, Karin
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Kardiologi. Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Näslund, Ulf
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Kardiologi.
    Nilsson, Johan
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Kardiologi.
    Hörnsten, Åsa
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Patients' experiences of the transcatheter aortic valve implantation trajectory: A grounded theory study2018Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 5, nr 2, s. 149-157Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aim of this study was to explore how patients experienced the recovery process from transcatheter aortic valve implantation. Design: A qualitative approach where in-depth interviews were used. Method: Eleven men and eight women undergoing transcatheter aortic valve implantation were individually interviewed 6 months after transcatheter aortic valve implantation. Grounded theory was used for the analysis. Results: The analysis generated the core concept "A journey of balancing between life-struggle and hope" connected to descriptive, bipolar categories. Before transcatheter aortic valve implantation patients not only felt threatened but also experienced hope. The rehabilitation phase was described as demanding or surprisingly simple. At the 6 months follow-up patients were pleased to return to life, however, still struggling with limitations. To feel hope is essential for transcatheter aortic valve implantation patients' well-being, both before and during the recovery process. It is important that healthcare professionals not only support hopeful thinking but also take time to discuss and prepare patients, talk about concerns and build confidence. Individual plans for rehabilitation should be designed.

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  • 14.
    Sjögren, Karin
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Bergland, Ådel
    Lovisenberg Diaconal University College, Oslo, Norway.
    Kirkevold, Marit
    Department of Nursing Science, Faculty of Medicine, Institute of Health and Society, Oslo University, Oslo, Norway; Institute of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway.
    Lindkvist, Marie
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.
    Lood, Qarin
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad. Department of Health and Rehabilitation, Centre for Ageing and Health – AgeCap, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; School of Nursing and Midwifery, La Trobe University, VIC, Melbourne, Australia.
    Sandman, Per-Olof
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Vassbø, Tove Karin
    Lovisenberg Diaconal University College, Oslo, Norway; Faculty of Medicine, Institute of Health and Society, Oslo University, Oslo, Norway.
    Edvardsson, David
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad. School of Nursing and Midwifery, La Trobe University, VIC, Melbourne, Australia.
    Effects of a person-centred and thriving-promoting intervention on nursing home residents’ experiences of thriving and person-centredness of the environment2022Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 9, nr 4, s. 2117-2129Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To evaluate the effects of a person-centred and thriving-promoting intervention on nursing home residents´ experiences of thriving and person-centredness of the environment, and to evaluate if the effects varied between female and male residents.

    Design: A multi-centre, non-equivalent controlled group before-after intervention design.

    Methods: Six nursing homes in Australia, Norway and Sweden were allocated to either intervention or control group. The intervention comprised a staff educational programme. A survey using proxy-ratings by staff was administered before (T0), immediately after (T1) and six months after (T2) the intervention. The sample varied between 205 and 292 residents. Linear regression models were used to explore effects.

    Results: Statistically significant effects were found on experiences of thriving and person-centredness of the environment. These effects were significant for male residents but not for female residents. The results emphasize the importance of individually tailored social and recreational activities.

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  • 15.
    Stridsman, Caroline
    et al.
    Division of Nursing Department of Health Sciences Luleå University of Technology Luleå Sweden..
    Dahlberg, Elisabeth
    Division of Nursing Department of Health Sciences Luleå University of Technology Luleå Sweden..
    Zandrén, Karin
    Division of Nursing Department of Health Sciences Luleå University of Technology Luleå Sweden..
    Hedman, Linnéa
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Yrkes- och miljömedicin.
    Asthma in adolescence affects daily life and school attendance: two cross-sectional population-based studies 10 years apart2017Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 4, nr 3, s. 143-148Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: The aim of this study was to study the impact of asthma on daily life, school absenteeism and physical education. In addition, to describe asthma triggers at school.

    DESIGN: Two cross-sectional population-based studies ten years apart.

    METHOD: Within the OLIN-studies, in 2003 (n = 3,327) and in 2013 (n = 2,345) adolescents (14-15 years) answered an expanded ISAAC questionnaire. Of these, 8% and 11%, respectively with current asthma participated in this study.

    RESULTS: Between the years 2003-2013, the proportion of adolescents reporting that asthma interfered with daily life had increased, in 2013, girls were significantly more affected than boys. The proportion reporting a worsening of asthma at school had decreased, but it was still over a quarter. The proportion of absenteeism from school and from physical education was at the same level both years. Asthma triggers were described to be poor air quality, poorly cleaned environment, allergens, strong fragrance, rebuilding projects, physical education and stress.

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  • 16.
    Susanne, Johansson
    et al.
    Operating department, Västerås Hospital, Västerås, Sweden.
    Hörnsten, Åsa
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Preventing well leg compartment syndrome among patients in the lithotomy position - operating room nurses' perspectives: a qualitative study2023Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 10, nr 10, s. 7092-7101Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To describe operating room nurses' experiences of well leg compartment syndrome and how they work perioperative to prevent it during the lithotomy position.

    Design: The study had a qualitative design.

    Methods: Focus group interviews were performed with 10 operating room (OR) nurses. The interviews were semi-structured and analysed by qualitative content analysis. The study complied with the Consolidated Criteria for Reporting Qualitative Research (COREQ).

    Results: The main theme showed that the OR nurses shoulder duty and responsibility, independently and in the team, but they need more structural support and knowledge. The themes showed that they follow routines whenever possible and take responsibility for positioning; however, they have to balance between flexibility and strict routines. Although they also develop and participate in teamwork, they still need further knowledge.

    Conclusion: The severe complication of well leg compartment syndrome (WLCS) can occur when the patient is in the lithotomy position. Maintaining the same routines and paying attention to the WHO's surgical safety checklist were described as actions that could prevent well leg compartment syndrome.

    Patient or Public Contribution: No patient or public contribution. We have interviewed nurses but without financial support since the study was performed and supervised within a master programme.

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  • 17.
    Tegenborg, Sussi
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för strålningsvetenskaper, Onkologi.
    Fransson, Per
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Martinsson, Lisa
    Umeå universitet, Medicinska fakulteten, Institutionen för strålningsvetenskaper, Onkologi.
    Translation, cultural adaptation and recommendations for clinical implementation of the Abbey Pain Scale to a Swedish dementia care context2023Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 10, nr 3, s. 1367-1374Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To translate and culturally adapt the APS for people with end-stage dementia in various care settings in Sweden and to investigate factors important for clinical implementation.

    Design: Qualitative study design with interviews with care staff.

    Methods: After an initial discussion of concepts, the Abbey Pain Scale was translated into Swedish and back into English to check for accuracy. The resulting Swedish version was then revised and culturally adapted through a series of interviews with nursing assistants, nurses and physicians (n = 11) to develop the final Swedish version.

    Results: A Swedish version of the Abbey Pain Scale was developed. The instrument was considered straightforward and easy to use, but needed adjustments to make it more comprehensible to staff with less education in health care or with other first languages than Swedish. It was found important to carefully introduce new staff members to the instrument, to ensure they understand all the words and items.

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  • 18. Vassbo, Tove Karin
    et al.
    Bergland, Ådel
    Kirkevold, Marit
    Lindkvist, Marie
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.
    Lood, Qarin
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad. Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, Centre for Ageing and Health (AgeCap), University of Gothenburg, Gothenburg, Sweden; School of Nursing and Midwifery, La Trobe University, Melbourne, Vic., Australia.
    Sandman, Per-Olof
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad. NVS, Department of Nursing, Karolinska Institutet, Stockholm, Sweden.
    Sjögren, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Edvardsson, David
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad. School of Nursing and Midwifery, La Trobe University, Melbourne, Vic., Australia.
    Effects of a person-centred and thriving-promoting intervention on nursing home staff job satisfaction: A multi-centre, non-equivalent controlled before-after study2020Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 7, s. 1787-1797Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To evaluate the effects of a person‐centred and thriving‐promoting intervention in nursing homes on staff job satisfaction, stress of conscience and the person‐centredness of care and of the environment.

    Design: A multi‐centre, non‐equivalent control group, before–after trial design.

    Methods: Staff ( = 341) from six nursing homes in Australia, Norway and Sweden were assigned to the intervention or the control group and both groups were evaluated before the intervention, immediately after and by 6 months follow‐up. Staff completed a questionnaire about job satisfaction (primary endpoint), stress of conscience and the person‐centredness of care and of the environment (secondary endpoints). Linear regression models were used to identify the mean scores and to analyse group differences to test the effects of the intervention.

    Results: The intervention had no statistically significant effects on staff job satisfaction, level of stress of conscience or the perceived person‐centredness of care and of the environment.

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  • 19.
    Westerlund, Anna
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.
    Sparring, Vibeke
    Hasson, Henna
    Weinehall, Lars
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.
    Nyström, Monica E.
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa. Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, Stockholm, Sweden.
    Working with national quality registries in older people care: A qualitative study of perceived impact on assistant nurses' work situation2021Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 8, nr 1, s. 130-139Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aim was to investigate assistant nurses’ perceptions of how working with national quality registries affected their work situation in care of older people.

    Design: Qualitative interview study.

    Methods: Sixteen semi‐structured interviews were conducted at four special housing units in Sweden, and a conventional content analysis, with elements of thematic analysis, was applied.

    Results: The introduction of national quality registries contributed to role clarifications and the development of new formal work procedures in terms of documentation and arenas and routines for communication. The increased systematics and effectiveness gained from these changes had a perceived positive effect on the work situation, workload, work satisfaction, staff interactions and learning and reflection.

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  • 20.
    Öberg, Ulrika
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Hörnsten, Åsa
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Isaksson, Ulf
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    The Self‐Management Assessment Scale: development and psychometric testing of a screening instrument for person‐centred guidance and self‐management support2019Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 6, s. 504-513Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To develop and psychometrically test the Self‐Management Assessment Scale (SMASc), a screening instrument for person‐centred guidance and self‐management support of persons with type 2 diabetes (T2D).

    Background: T2D is a common and globally increasing chronic condition. Improved self‐management is a vital and integral component of diabetes care to prevent complications from poorly managed diabetes. For diabetes nurses to better understand persons with diabetes experienced challenges and needs regarding self‐management and further for persons with T2D to take an active role in managing their condition, an instrument measuring this is needed.

    Design: Instrument development and psychometric testing of the content and construct validity, factor structure and reliability.

    Method: The SMASc was psychometric tested on a sample of participants (September 2017–November 2017) with a confirmed diagnosis of T2D (N = 104).

    Results: Psychometric findings were satisfactory and supported the scale´s reliability. Cronbach's alpha, CVI and goodness‐of‐fit were acceptable.

    Conclusion: Self‐Management Assessment Scale is a short validated screening instrument, which can indicate possible barriers for self‐management that ought to be approached during the conversation between the person with T2D and the primary healthcare nurses. Therefore, it is a promising instrument to be used to facilitate person‐centred guidance and to improve self‐management of people living with T2D.

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