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1.
  • Paulsson, Gun, et al. (creator_code:aut_t)
  • Comparison of oral health assessments between nursing staff and patients on medical wards
  • 2008
  • record:In_t: European Journal of Cancer Care. - Oxford : Blackwell Publishing. - 0961-5423 .- 1365-2354. ; 17:1, s. 49-55
  • swepub:Mat_article_t (swepub:level_refereed_t)abstract
    • The maintenance of good oral health is essential for nutrition, recovery and well-being. This requires the involvement of the nursing staff, especially in cases where oral care and any necessary dental treatment are vital to ensure medical treatment. The aim of this study was to evaluate the validity of oral assessments performed by nursing staff using the revised oral assessment guide (ROAG), using comparisons with patients' self-assessment of oral problems. When a comparison was made of how the staff and patients assessed their oral status, a high level of agreement was found. In these assessments, with the exception of oral mucosa and teeth, the percentage agreement was >80. The kappa coefficient revealed slight to moderate agreement. When there was a disagreement, the staff assessed the oral health as being significantly poorer than the patients did. In the present study, it was shown that few oral assessments performed by the nursing staff and patient disagreed. The ROAG may therefore be useful for the nursing staff to make the patients' oral health problems visible. © 2007 The Authors; Journal compilation © 2007 Blackwell Publishing Ltd.
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2.
  • Nilsson, Magnus (creator_code:aut_t)
  • Pensioner and "elderly" as political identities
  • 2005
  • record:In_t: 5th International Symposium on Cultural Gerontology: Current and Future Pasts, The Open University, Milton Keynes, UK, 19-21 maj 2005.
  • swepub:Mat_conferencepaper_t (swepub:level_refereed_t)
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3.
  • Josefsson, Karin, et al. (creator_code:aut_t)
  • Competence development of registered nurses in municipal elderly care in Sweden : a questionnaire survey
  • 2008
  • record:In_t: International Journal of Nursing Studies. - : Elsevier BV. - 0020-7489 .- 1873-491X. ; 45:3, s. 428-441
  • swepub:Mat_article_t (swepub:level_refereed_t)abstract
    • Background: Skilled and specialist registered nurses (RNs) are central to evolving elderly care. The past decades' organisational and structural changes have altered RNs' roles and work situations in municipal elderly care in Sweden. This calls for appropriate educational preparation. However, a substantial proportion of RNs in municipal elderly care lack adequate specialist competence. Aim: The focus of this study was to describe RNs' perceptions of needs and possibilities for competence development in municipal elderly care and compare the perceptions of RNs' who work solely in dementia care (DC) with those who work in general elder care (GC) where older persons have diverse diagnoses. Design: A non-experimental, descriptive and comparative design was used. Settings: Sixty special housing with subunits in a large city in the middle of Sweden. Participants: Participating RNs were a total of 213, with a response rate of 62.3%. Of the 213 RNs, 95 (44.6%) worked in DC and 118 (55.4%) in GC. Method: A structured questionnaire that was specifically designed for this study and focused on needs and possibilities for competence development in nursing. Results: The RNs were on average not lacking or were hardly lacking knowledge in examined domains. However, RNs in GC lacked knowledge of dementia, falls, and fall injures to a greater extent than RNs in DC. RNs in DC perceived greater possibilities for competence development at work. Most RNs requested a better organisation for competence development, especially in GC. The majority of RNs had no supervision. The use of RNs' competence was high, although they used their highest competence about half of the working hours. The employers' financial contribution to RNs' continuing education was poor. Conclusion: A better organisation and greater possibilities for RNs' competence development is needed. The employers need to make a greater contribution financially to RNs' continuing education. It is essential to provide RNs with supervision. (C) 2006 Elsevier Ltd. All rights reserved.
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4.
  • Josefsson, Karin, et al. (creator_code:aut_t)
  • Registered nurses' education and their views on competence development in municipal elderly care in Sweden : a questionnaire survey
  • 2007
  • record:In_t: International Journal of Nursing Studies. - : Elsevier BV. - 0020-7489 .- 1873-491X. ; 44:2, s. 245-258
  • swepub:Mat_article_t (swepub:level_refereed_t)abstract
    • Background: Recent changes of municipal elderly care in Sweden have resulted in that persons 65 years and older, previously nursed in hospital facilities, are now being cared for in the municipality. This change has had a significant impact on the work situation of registered nurses (RNs) and calls for appropriate educational preparation to enable RNs to undertake their new roles effectively. Aim: The main focus was to describe RNs' education and their view of competence development in municipal elderly care. Another aim was to compare RNs working solely in dementia care (DC) with those working in general elder care (GC) of older persons with diverse diagnoses. Design: A non-experimental, descriptive design with a survey research approach was used. Settings: Sixty special housing with subunits including those offering daytime activities in a large city in the middle of Sweden. Participants: The number of participating RNs was a total of 213, with a response rate of 62.3%. Of the 213 RNs, 95 (44.6%) worked in DC, and 118 (55.4%) in GC. Method: A questionnaire survey. Results: The findings showed that RNs possessed a broad range of competence. The majority lacked a bachelor's degree in nursing. Few had adequate specialist competence. RNs' in DC wanted to invest more in competence development whereas RNs in GC were more motivated to attain greater authority in the making of important decisions and to seek another position. Conclusion: An important future prospect is to develop the competence of RNs in elderly care. In order to ensure high quality and security in elderly care, it is also essential to increase the number of RNs with specialist competence. (c) 2005 Elsevier Ltd. All rights reserved.
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5.
  • Josefsson, Karin, et al. (creator_code:aut_t)
  • Work situation of registered nurses in municipal elderly care in Sweden : a questionnaire survey
  • 2007
  • record:In_t: International Journal of Nursing Studies. - : Elsevier BV. - 0020-7489 .- 1873-491X. ; 44:1, s. 71-82
  • swepub:Mat_article_t (swepub:level_refereed_t)abstract
    • Background: Organizational changes have occurred in municipal elderly care in Sweden during the past decades. The 'Adel' reform transferred responsibility for the care of older persons from the county councils to the municipalities. Furthermore, the specialisation in dementia care divided elderly care into two groups: dementia and general care. This change has had a significant impact on the work situation of registered nurses (RNs). Aim: The main focus was to describe RNs' work situation and their characteristics in municipal elderly care. Another aim was to compare RNs working solely in dementia care with those working in general care of older persons with diverse diagnoses. Design: A non-experimental, descriptive design with a survey research approach was used. Settings: Sixty special housing units with underlying units including those offering daytime activities in a large city in the middle of Sweden. Participants: The number of participating RNs was a total of 213, with a response rate of 62.3%. Of the 213 RNs, 95 (44.6%) worked in dementia care, and 118 (55.4%) in general care. Method: A questionnaire survey. Results: The results indicated high levels of time pressure in both groups. Greater knowledge and greater emotional and conflicting demands were found in dementia care. The majority perceived a greater opportunity to plan and perform daily work tasks than to influence the work situation in a wider context. Support at work was perceived as generally high from management and fellow workers and higher in dementia care. Conclusion: It is important to decrease RNs' time pressure and increase their influence on decisions made at work. (c) 2005 Elsevier Ltd. All rights reserved.
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6.
  • Modig, M., et al. (creator_code:aut_t)
  • Patients' perception of improvement after orthognathic surgery : Pilot study
  • 2006
  • record:In_t: British Journal of Oral & Maxillofacial Surgery. - : Elsevier BV. - 0266-4356 .- 1532-1940. ; 44:1, s. 24-27
  • swepub:Mat_article_t (swepub:level_refereed_t)abstract
    • We aimed to find out what patients thought of their quality of life after they had had an orthognathic operation. Thirty-two patients returned three questionnaires and 15 were further interrogated by telephone. Preoperatively the patients mentioned mainly functional problems as a reason for asking for the operation, but expectation of aesthetic improvement was also an important factor. They were generally satisfied with the outcome of the operation. Postoperative improvement was mentioned in terms of chewing, appearance, headaches, and bullying. Patients felt more secure in company with other people postoperatively. We conclude that patients' perceptions after orthognathic operations were generally favourable but there is a need for improved information to patients during the treatment.
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7.
  • Wårdh, Inger, et al. (creator_code:aut_t)
  • Nursing staff's understanding of oral health care for patients with cancer diagnoses : an intervention study
  • 2009
  • record:In_t: Journal of Clinical Nursing. - Oxford : Wiley-Blackwell. - 0962-1067 .- 1365-2702. ; 18:6, s. 799-806
  • swepub:Mat_article_t (swepub:level_refereed_t)abstract
    • Aims and objectives. The aim of this study was to evaluate long-lasting changes in the nursing staff's understanding of oral health care for cancer patients after an oral health care intervention. The study also assessed whether there were changes between registered nurses and auxiliary nurses. Background. The maintenance of good oral health care in cancer patients is essential for nutrition, recovery and wellbeing and requires the involvement of nursing staff. However, several studies reveal that the need to prioritize oral health care has not been made sufficiently clear. Methods. The nursing staff (registered nurses, n = 133 and auxiliary nurses, n = 109) on five wards at different hospitals providing cancer care took part in a four-hour oral healthcare training session, including the use of an oral assessment guide and answered a questionnaire initially and after this intervention. The data were statistically analyzed. Results. Several aspects of implementation opportunities improved, but they did not include attitudes to oral health care. Knowledge of oral diseases decreased, more for auxiliary nurses than for registered nurses. Conclusions. A four-hour oral health training session and subsequent activities improve the nursing staff's understanding of oral health care for patients with cancer diagnoses in some respects but not in terms of attitudes to oral health care or specific oral knowledge. Relevance to clinical practice. Oral healthcare education and training activities for nursing staff can produce some improvements in the understanding of oral health care for cancer patients but not in attitudes and specific oral knowledge. These areas must be covered during the basic education period or/and by a routine oral healthcare programme for nursing staff, probably including an oral healthcare standard.
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8.
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9.
  • Fjelstad, Jens, 1971-, et al. (creator_code:aut_t)
  • TFT construction of RCFT correlators V: Proof of modular invariance and factorisation
  • 2006
  • record:In_t: Theory and Appl. of Categories 16 (2006). - Sackville, N.B. : R. Rosebrugh. ; 16:16, s. 342-433
  • swepub:Mat_article_t (swepub:level_refereed_t)abstract
    • The correlators of two-dimensional rational conformal field theories that are obtained in the TFT construction of [FRSI,FRSII,FRSIV] are shown to be invariant under the action of the relative modular group and to obey bulk and boundary factorisation constraints. We present results both for conformal field theories defined on oriented surfaces and for theories defined on unoriented surfaces. In the latter case, in particular the so-called cross cap constraint is included
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10.
  • Fjelstad, Jens, 1971-, et al. (creator_code:aut_t)
  • Uniqueness of open/closed rational CFT with given algebra of open states
  • 2008
  • record:In_t: Adv. in Theor. and Math. Phys. 12 (2008). - : International Press. ; 12:6, s. 1283-1375
  • swepub:Mat_article_t (swepub:level_refereed_t)abstract
    • We study the sewing constraints for rational two-dimensional conformal fieldtheory on oriented surfaces with possibly non-empty boundary. The boundarycondition is taken to be the same on all segments of the boundary.The following uniqueness result is established: For a solution to the sewingconstraints with nondegenerate closed state vacuum and nondegenerate two-pointcorrelators of boundary fields on the disk and of bulk fields on the sphere, upto equivalence all correlators are uniquely determined by the one-, two,- andthree-point correlators on the disk. Thus for any such theory every consistentcollection of correlators can be obtained by the TFT approach of [hep-th/0204148] and [hep-th/0503194].As morphisms of the category of world sheets we includenot only homeomorphisms, but also sewings; interpreting the correlatorsas a natural transformation then encodes covariance both under homeomorphismsand under sewings of world sheets.
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