| 1. |
- Blomqvist, Marjut, 1966-, et al.
(author)
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"Family in the waiting room" : A Swedish study of nurses' conceptions of family participation in acute psychiatric in-patient setting
- 2011
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In: International Journal of Mental Health Nursing. - Carlton, Vic. : Blackwell Publishing. - 1445-8330 .- 1447-0349. ; 20, s. 185-194
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Journal article (peer-reviewed)abstract
- Family plays an important role in the care provided for patients in all areas of nursing. However, relatively few studies deal with the focus of the present study: the ways that nurses experience family participation in acute psychiatric inpatient settings. Data were collected by interviewing 18 nurses who had experience working in such settings. A phenomenographical approach was used to analyse the interviews. Three descriptive categories were found: family participation as a part of the caring process, barriers to family participation, and nurses' resources in family participation. The findings show that the nurses' conceptions of family participation varied, and that the family was not always a priority in this caring context. The implementation of family participation was often only based on the nurses' own interests and insights. This could mean that family participation differed substantially, depending on which nurse a family encountered, and which unit the patient was admitted at. Finally, nurses had little professional autonomy, and organizational support and education were also lacking.
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| 2. |
- Carlsson, Ing-Marie, 1961-, et al.
(author)
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Maintaining power : women's experiences from labour onset before admittance to maternity ward
- 2012
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In: Midwifery. - Oxon, United Kingdom : Elsevier. - 0266-6138 .- 1532-3099. ; 28:1, s. 86-92
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Journal article (peer-reviewed)abstract
- Background: in Sweden pregnant women are encouraged to remain at home until the active phase of labour. Recommendation is based on evidence, that women who seek care and are admitted in the latent phase of labour are subjected to more obstetric interventions and suffer more complications than women who remain at home until the active phase of labour. The aim of this study was to obtain a deeper understanding of how women, who remain at home until the active phase of labour, experience the period from labour onset until admission to labour ward.Method: interviews were conducted with 19 women after they had given birth to their first child. A Constructivist Grounded theory method was used.Findings: ‘Maintaining power’ was identified as the core category, explaining the women's experience of having enough power, when the labour started. Four related categories: ‘to share the experience with another’, ‘to listen to the rhythm of the body’, ‘to distract oneself’ and ‘to be encased in a glass vessel’, explained how the women coped and thereby maintained power.Conclusions: the first time mothers in this study, who managed to stay at home during the latent phase of labour, had a sense of power that was expressed as a driving force towards the birth, a bodily and mental strength and the right to decide over their own bodies. This implies that women who maintain power have the ability to make choices during the birth process. The professionals need to be sensitive, supportive and respectful to women's own preferences in the health-care encounter, to promote the existing power throughout the birthing process.
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| 3. |
- Carlsson, Ing-Marie, et al.
(author)
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Psychometric properties of the Swedish childbirth self-efficacy inventory (Swe-CBSEI)
- 2014
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In: BMC Pregnancy and Childbirth. - London : BioMed Central. - 1471-2393 .- 1471-2393. ; 14, s. 1-
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Journal article (peer-reviewed)abstract
- Background: Previous research has reported that women who are admitted to delivery wards in early labour process before an active stage of labour has started run an increased risk of instrumental deliveries. Therefore, it is essential to focus on factors such as self-efficacy that can enhance a woman's own ability to cope with the first stage of labour. However, there was no Swedish instrument measuring childbirth self-efficacy available. Thus, the aim of the study was to translate the Childbirth Self-efficacy Inventory and to psychometrically test the Swedish version on first-time mothers within the Swedish culture. Methods: The method included a forward-backward translation with face and content validity. The psychometric properties were evaluated using a Principal Component Analysis and by using Cronbach's alpha coefficient and inter-item correlations. Descriptive statistics and non-parametric tests were used to describe and compare the scales. All data were collected from January 2011 to June 2012, from 406 pregnant women during the gestational week 35-42. Results: The Swedish version of the Childbirth Self-Efficacy Inventory indicated good reliability and the Principal Component Analysis showed a three-component structure. The Wilcoxon Signed-Ranks Test indicated that the women could differentiate between the concepts outcome expectancy and self-efficacy expectatancy and between the two labour stages, active stage and the second stage of labour. Conclusions: The Swedish version of Childbirth Self-efficacy Inventory is a reliable and valid instrument. The inventory can act as a tool to identify those women who need extra support and to evaluate the efforts of improving women's self-efficacy during pregnancy.
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| 4. |
- Carlsson, Ing-Marie, 1961-, et al.
(author)
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The relationship between childbirth self-efficacy and aspects of well-being, birth interventions and birth outcomes
- 2015
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In: Midwifery. - London : Elsevier. - 0266-6138 .- 1532-3099. ; 31:10, s. 1000-1007
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Journal article (peer-reviewed)abstract
- OBJECTIVE: this study aimed to examine how women׳s childbirth self-efficacy beliefs relate to aspects of well-being during the third trimester of pregnancy and whether there was any association between childbirth self-efficacy and obstetric factors.DESIGN: a cross-sectional design was used. The data was obtained through the distribution of a composite questionnaire and antenatal and birth records.SETTING: data were recruited from antenatal health-care clinics in Halland, Sweden.PARTICIPANTS: a consecutive sample of 406 pregnant women was recruited at the end of pregnancy at gestational weeks of 35-42.MEASUREMENTS: five different measures were used; the Swedish version of Childbirth Self-Efficacy Inventory, the Wijma Delivery Expectancy/Experience Questionnaire, the Sense of Coherence Questionnaire, the Maternity Social Support Scale and finally the Profile of Mood States.FINDINGS: results showed that childbirth self-efficacy was correlated with positive dimensions as vigour, sense of coherence and maternal support and negatively correlated with previous mental illness, negative mood states and fear of childbirth. Women who reported high childbirth self-efficacy had less epidural analgesia during childbirth, compared to women with low self-efficacy.KEY CONCLUSIONS: this study highlights that childbirth self-efficacy is a positive dimension that interplays with other aspects and contributes to well-being during pregnancy and thereby, acts as an asset in the context of childbirth. © 2015 Elsevier Ltd.
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| 5. |
- Forsberg, Elenita, 1961-, et al.
(author)
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Assessing progression of clinical reasoning through Virtual Patients
- 2014
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In: Ottawa Conference Abstracts. ; , s. 71-72
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Conference paper (peer-reviewed)abstract
- BackgroundThere have been discussions to use more formative assessments in health care education to contribute to students’ deep learning. Feedback is important, but a lot of student’s do not do anything with it. Thus, interventions which force students to reflect the new knowledge need to be introduced.In order to explore if formative VP-based exams had an impact on development of clinical reasoning ability and achievement of clinical decision making, we let postgraduate pediatric nurse students complete self-evaluation forms in connection with three VP- based assessments to follow their progress.Summary of WorkAfter performed assessment and before answering the self-evaluation form, the students’ were asked to take part of the feedback section of the VP-system and the recommended interactions in the VP system. Data was conducted using content analysis with a deductive approach. Kolb’s’ model of Learning Cycle guided the analysis.Summary of ResultsThe result showed a perceived progression of clinical reasoning skills by the students. After the first assessment the students described uncertainty and that knowledge gaps were exposed, at the second exam the awareness of clinical reasoning was obvious and the students were more certain of knowing how. Finally, self-efficacy in patient solving was expressed.ConclusionsVP-based assessments with self-evaluation early in the education resulted in a gain of students’ own identification of the concept of clinical reasoning, awareness of what to focus on, and pay attention to during clinical practice.Take-home Messages VP with reflective tools is excellent to use in formative assessments to identify progress and to visualize the expected clinical competence.
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| 6. |
- Forsberg, Elenita, 1961-, et al.
(author)
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Assessing progression of clinical reasoning through virtual patients : An exploratory study
- 2016
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In: Nurse Education in Practice. - Kidlington : Elsevier BV. - 1471-5953 .- 1873-5223. ; 16:1, s. 97-103
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Journal article (peer-reviewed)abstract
- To avoid test-driven learning, there have been discussions regarding the use of more formative assessments in health care education to promote students' deep learning. Feedback is important in formative assessment, but many students ignore it; therefore, interventions should be introduced which stimulate them to reflect on the new knowledge. The aim for this study was to explore if Virtual Patient (VP)-based formative assessments, in connection with self-evaluations, had an impact on postgraduate pediatric nursing students' development of clinical reasoning abilities. Students' self-evaluations served as the basis for measuring progress. Data was analysed using deductive content analysis. The findings showed a clear progression of the clinical reasoning ability of the students. After the first assessment, the students described feelings of uncertainty and that their knowledge gaps were exposed. At the mid-course assessment the awareness of improved clinical reasoning was obvious and the students were more certain of knowing how to solve the VP cases. In the final assessment, self-efficacy was expressed. VP -based assessments, in connection with self-evaluations, early in the education resulted in a gain of students' own identification of the concept of clinical reasoning, awareness of what to focus on during clinical practice and visualised expected clinical competence.
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| 7. |
- Forsberg, Elenita, 1961-, et al.
(author)
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Clinical reasoning in nursing, a think-aloud study using virtual patients – A base for an innovative assessment
- 2013
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In: Nurse Education Today. - Amsterdam : Elsevier. - 0260-6917 .- 1532-2793. ; 34:4, s. 538-542
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Journal article (peer-reviewed)abstract
- In health-care education, it is important to assess the competencies that are essential for the professional role. To develop clinical reasoning skills is crucial fornursing practice and therefore an important learning outcome in nursing education programmes. Virtual patients (VPs) are interactive computer simulations of real-life clinical scenarios and have been suggested for use not only for learning, but also for assessment of clinical reasoning. The aim of this study was to investigate how experienced paediatric nurses reason regarding complex VP cases and how they make clinical decisions. The study was also aimed to give information about possible issues that should be assessed in clinical reasoning exams for post-graduate students in diploma specialist paediatric nursing education. The information from this study is believed to be of high value when developing scoring and grading models for a VP-based examination for the specialist diploma in paediatricnursing education. Using the think-aloud method, data were collected from 30 RNs working in Swedish paediatric departments, and child or school health-care centres. Content analysis was used to analyse the data. The results indicate that experienced nurses try to consolidate their hypotheses by seeing a pattern and judging the value of signs, symptoms, physical examinations, laboratory tests and radiology. They show high specific competence but earlier experience of similar cases was also of importance for the decision making. The nurses thought it was an innovative assessment focusing on clinical reasoning and clinical decision making. They thought it was an enjoyable way to be assessed and that all three main issues could be assessed using VPs. In conclusion, VPs seem to be a possible model for assessing the clinical reasoning process and clinical decision making, but how to score and grade such exams needs further research. © 2013 Elsevier Ltd. All rights reserved.
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| 8. |
- Forsberg, Elenita, 1961-, et al.
(author)
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Evaluation of a novel scoring and grading model for vp-based exams in postgraduate nurse education
- 2015
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In: Nurse Education Today. - Kidlington : Elsevier BV. - 0260-6917 .- 1532-2793. ; 35:12, s. 1246-1251
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Journal article (peer-reviewed)abstract
- For Virtual Patient-based exams, several scoring and grading methods have been proposed, but none have yet been validated. The aim of this study was to evaluate a new scoring and grading model for VP-based exams in postgraduate paediatric nurse education. The same student group of 19 students performed a VP-based exam in three consecutive courses. When using the scoring and grading assessment model, which contains a deduction system for unnecessary or unwanted actions, a progression was found in the three courses: 53% of the students passed the first exam, 63% the second and 84% passed the final exam. The most common reason for deduction of points was due to students asking too many interview questions or ordering too many laboratory tests. The results showed that the new scoring model made it possible to judge the students' clinical reasoning process as well as their progress.
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| 9. |
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| 10. |
- Forsberg, Elenita, 1961-, et al.
(author)
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VP-based Final Examination : a model to reach advanced level standards for the degree of paediatric nursing in Sweden
- 2010
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In: MEDINFO 2010. - Amsterdam : IOS Press. - 9781607505884
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Conference paper (peer-reviewed)abstract
- Web-SP is a system for virtual patient, developed at Karolin- ska Institutet (KI) in Sweden. In this study, we examine Web- SP cases for assessing paediatric nursing students.To investi- gate the possibility of using Web-SP for assessing clinical reasoning skills and to study students acceptance and to de- termine whether the skills required of experienced paediatric registered nurses could be adequately assessed by the system. The intervention included a two-part of exams. The results show high levels of acceptance of the Web-SP as an examin- ation method. Students also thought it was a good way to practice their clinical skills. Findings have relevance in the development of clinical information systems where clinical decision making is important.
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