| 1. |
- Johansson, Maria Eiman, et al.
(författare)
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Nurses' clinical reasoning concerning management of peripheral venous cannulae
- 2009
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Ingår i: Journal of Clinical Nursing. - : Blackwell. - 0962-1067 .- 1365-2702. ; 18:23, s. 3366-3375
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to describe nurses´clinical reasoning regarding peripheral venous cannulae management by focusing on the clinical information and circumstances considered during the decision-making process. On every shift nurses make several decisions, among others concerning the management of peripheral venous cannuae. Thrombophlebitis is a common complication associated with its use, although more severe complications can arise. There are clinical practice guidelines within the area, but they are not always adhered to. Previous studies have examined decisions related to the management of peripheral venous cannulae, but did not include observations in a naturalistic setting. A qualitative study combining observations and interviews was designed. Methods: Participant observation facilitated open interviews about the clinical reasoning behind decision-making in observed situations, as well as semi-structured interviews regarding clinical reasoning about the general management of peripheral venouscannulae. transcribed interview texts were analysed with content analysis. Three main categories describe clinical information and circumstances: the individual patient situation, the nurse´s work situation and experience of peripheral venous cannulae management. The overall theme of the interview texts was that the clinical reasoning was a balancing act between minimising patient discomfort and preventing complications from the peripheral venous cannulae. Conclusion: At all times the patients´well-being was considered, but the ways the nurses approached this differed depending on how they considered clinical information in the individual patient situation, circumstances in their own work situation and their experience of peripheral venous cannulae management. Relevance toclinical practice: Knowledge of the clinical information and circumstances considered in naturalistic settings, is valuable when implementing and adjusting clinical practice guidelines to local settings. This knowledge is also useful in nursing education as student nurses´and nurses´ability tobalance between preventing complications and avoiding discomfort is important for enhancing patient care.
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| 2. |
- Johansson, Maria Eiman, et al.
(författare)
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Registered Nurses´Adherence to Clinical Guidelines Regarding Peripheral Venous Catheters : A Structured Observational Study
- 2008
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Ingår i: Worldviews on Evidence-Based Nursing. - : Blackwell. - 1545-102X .- 1741-6787. ; 5:3, s. 148-159
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Tidskriftsartikel (refereegranskat)abstract
- peripheral catheterization is a common procedure, which affects numerous patients in health care today. having peripheral venous catheters in situ might lead to complications such as thrombophlebitis and sepsis, and clinical guidelines have been developed to assist nurses in their decisionmaking. Several reasons are given for clinicians not always adhering to clinical guidelines, although such adherence might lead to fewer complications. This papaer aims to describe registered nurses´adherence to national and local guidelines on peripheral venous catheters by focusing on time in situ, site, size, and documentation at the dressing. An additional aim is to describe the thrombophlebitis frequency associated with peripheral venous catheters in situ. Structured observational study of patients with peripheral venous catheters in situ, conducted from December 2004 to June 2005. data of 343 peripheral venous catheters were analyzed. Nurses partly adhered to national and local guidelines concerning size and site. Guideline adherence concerning documentation at the dressing was low. The results showed that non-adherence pertaining to time in situ varied between 5% and 26.3%. Differences between adherence to national or local guidelines were shown for size, site, and documentation at the dressing. Mild thrombophlebitis (Grades 1 and 2) was observed in 7.0%. Nurses partly adhered to clinical guidelines. Differences in guideline adherence were observed for wards with local or national guigelines, as well as for wards with different specialities. In accordance with clinical guidelines, the nurses seemed to replace or remove peripheral venous catheters before any severe complications arose. Adherence to clinical guidelines has an impact for preventing patient complications and thus it is essential that nurses are aware of their existence. Feedback and discussions of guideline adherence or of complication rates might influence nurses´clinical decision-making.
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| 3. |
- Rydhagen, Birgitta, et al.
(författare)
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Who Loves Sewage? Matching Expectations on Communication Between Households and Sanitation Professionals
- 2009
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Ingår i: Guzovic, Zvonimir, Duic, Neven and Ban, Marko (Eds.), Proceedings of 5th Dubrovnik Conference on Sustainable Development of Energy, Water and Environment Systems. - Dubrovnik. - 9789536313983
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Konferensbidrag (refereegranskat)abstract
- In Swedish municipalities, householders are addressed as important actors in the efforts to improve the quality of sewage sludge. Householders and sanitation professionals are regarded as integrated and active co-producers of the sanitation system, while limited by the functions offered by the technical and organizational structure. Through interviews with both householders and sanitation professionals, recognition of interdependence was identified in both groups although more communication with counterpart was asked for. If the aim is to increase sustainability in the sanitation system, regardless of technical changes, we argue that two-way communication between householders and sanitation professionals needs to increase and embrace not only advice about choice of products and ways to carry out water related activities, but also planning of activities, feedback on results and other aspects of interest.
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| 4. |
- Skärsäter, Ingela, 1952, et al.
(författare)
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The Recovery Process in Major Depression : an Analysis Employing Meleis´Transition Framework for Deeper Understanding as a Foundation for Nursing Interventions.
- 2006
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Ingår i: Advances in Nursing Science. - Philadelphia, USA : Lippincott Williams & Wilkins. - 0161-9268 .- 1550-5014. ; 29:3, s. 245-259
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Tidskriftsartikel (refereegranskat)abstract
- The number of persons with mental illness is increasing globally; despite this fact, nursing research on research-based interventions to prevent or minimize illness and increase quality of life is sparse. The purpose of this secondary analysis of men and women recovering from major depression (N=25) was to gain a deeper understanding of the concept of transition in the recovery process associated with major depression as well as to develop and suggest nursing interventions that support the recovery process. The transition framework was useful, as it was describing the transition process as fluid, going back and forth, which was confirmed by the respondents´statements. Transition planning is a feasible way of supporting both the recovery process and health promotion, thus laying the foundation for a good quality of life.
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| 5. |
- Sourrouille, Jean Louis, et al.
(författare)
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Third International Workshop on Quality in Modeling
- 2009
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Konferensbidrag (refereegranskat)abstract
- Software quality management is widely researched within Model Driven Software Development (MDD), from both industry practices and academic research viewpoints. The goal of this workshop was to gather researchers and practitioners interested in the emerging issues of quality in the context of MDD. During the first part of the workshop, selected papers were presented and discussed. The second part was divided into two working sessions. The first session was devoted to the introduction of model quality into the software development process by drawing a parallel with quality of code. An invited practitioner introduced issues related to quality of code, followed by a guided discussion based on a list of predefined questions. The second session was dealing with future work and research interests of the participants.
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| 6. |
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| 7. |
- Staron, Miroslaw, 1977, et al.
(författare)
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Nordic Workshop on Model Driven Engineering
- 2007
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Modeling is an integral part of software engineering. Models are built to both specify details for construction of software systems and to document software designs. The models are constructed using various methods and tools, such as the popular Unified Modeling Language, or emerging Domain Specific Modeling Languages. Modeling is intended to shrink the gap between the problem domain and the solution space by raising the levels of abstraction in software development and increasing the degree of automation. These, consequently, require new ways of developing the software, influencing such activities as requirements engineering, designing, testing, or running projects. Nordic Workshop on Model Driven Engineering – NWMODE – aims to continue the traditions of the past series of Nordic workshops on UML (NWUML) held throughout the Nordic region. The intention of the workshop is to bring together researchers and practitioners working with modeling. The workshop topics include the emerging trends in modeling as well as empirical experiences of the existing methods. This year’s edition of the workshop contains a series of papers on the topics related to Software Product Lines, Domain Specific Modeling, model comparison techniques, or modeling of Service Oriented Architectures. It also contains two dedicated discussion sessions on the topics of quality in modeling and model comparison.
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| 8. |
- Stoltz, Peter, et al.
(författare)
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"Insufficient Evidence of Effectiveness" Is Not "Evidence of No Effectiveness:" Evaluating Computer-Based Education for Patients with Severe Mental Illness
- 2009
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Ingår i: WORLDVIEWS ON EVIDENCE-BASED NURSING. - Hoboken, USA : Wiley-Blackwell. - 1545-102X .- 1741-6787. ; 6:4, s. 190-199
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Forskningsöversikt (refereegranskat)abstract
- ABSTRACT Rationale: This article reports on commissioned research funded by the Swedish Council of Technology Assessment in Health Care (SBU) and the Swedish Nursing Society (SSF). The objective was to review computer-based education programs. However, as the review produced insufficient evidence of effectiveness, the publication was withheld due to a previous incident where such evidence was misunderstood by Swedish policy and health care decision makers. Aims: This article highlights the concept of evidence with regard to the consequences of insufficient evidence of effectiveness being mistaken for evidence of no effectiveness. The aim is also to present a systematic review evaluating a computer-based education program for patients suffering from severe mental illness. Methods: Systematic database searches in Medline, CINAHL, PsycINFO and the Cochrane Library identified a total of 131 potentially relevant references. Thereafter, 27 references were retrieved as full-text documents, of which 5 were finally included and co-reviewed by two independent researchers. Findings: The review found no decisive evidence of effectiveness regarding computer-based education programs designed to assist persons suffering from severe mental illness. Implications for Practice and Policy: Failing to see the difference between insufficient evidence and evidence of no effectiveness may have unexpected consequences. As a result, practice may be misguided and treatments withheld, which at worse may have harmful consequences for patients. In the end, it is of utmost importance that researchers do good quality research by ensuring statistical power and quality of outcome measurement. For example, this review of computer-based education programs could have revealed effective ways of dealing with severe mental illness if the studies included had been conducted using more sophisticated designs.
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| 9. |
- Wijk, Helle, 1958, et al.
(författare)
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Verksamhetsförlagd utbildning på avancerad nivå : ny utmaning för specialistutbildningar för sjuksköterskor
- 2009
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Ingår i: Vård i Norden. - København : Sjuksköterskornas samarbete i Norden. - 0107-4083 .- 1890-4238. ; 29:94, s. 41-43
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- The aim of this article is to discuss challenges in the development of Specialist Nursing Educations as a result of the 2007 Swedish Higher EducationReform: the implementation of the so-called Bologna process. Certain challenges follow this reform, particularly since the specialist nursingprogrammes will be part of the second cycle of the higher education system, and it will be possible to combine the professional degree witha masters degree (one year). Possible strategies in four areas related to the Specialist Nursing Education are discussed: integration of researchbasedknowledge, experienced-based knowledge, improvement knowledge, and strategies for collaboration between university institutions andclinics. Specific didactical issues are raised.
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