| 1. |
- Bjørk, Ida Torunn, et al.
(författare)
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Development and Testing of an Instrument for Summative Assessment of Practical Skill Performance : A Generalizability Theory Approach
- 2021
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Ingår i: Journal of Nursing Measurement. - : Springer. - 1061-3749 .- 1945-7049. ; 29:3, s. E162-E191
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND AND PURPOSE: Many newly graduated nurses lack proficiency in practical skill performance. Presently, nursing students' practical skill is assessed by summative instruments with overarching items. The purpose of this study was to develop a more detailed instrument to use in summative assessment of nursing students' practical skill performance and to assess its psychometric properties.METHODS: A 50-item instrument was developed. Video-recorded performances were rated by experienced clinical supervisors. A multifacet measurement design was developed. Relevant parameters were estimated by generalizability analysis.RESULTS: Findings indicated that error of measurement were mainly caused by raters far more than by items.CONCLUSIONS: The present study suggested that summative assessment in realistic settings may not apply one rater only. Two to three/four raters appear necessary to dependably measure most skills.
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| 2. |
- Lindgren Eneflo, Elisabeth, 1956-
(författare)
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Dokumentationens dilemman : förskollärare samtalar om pedagogisk dokumentation
- 2014
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Pedagogical documentation is a certain procedure for documenting that, in recent years, has been embraced in several Swedish preschools. Teachers document children’s actions and conversations usually by photos or video recordings. This documentation is to be used for a pedagogical purpose. However, studies and governmental inspections have shown that pedagogical documentation gives rise to many questions among preschool teachers. The purpose of this study is to gain insight into what is being expressed when preschool teachers discuss pedagogical documentation, focusing on themes of content and on the participants’ expressions of their points of view. The data is comprised of transcriptions from audio recordings of discussions conducted in a research circle. The participants are eight preschool teachers that met over the course of one year. Each meeting focused on the documentation provided by a different participant. In that way the contents of the discussions were framed by the teachers own questions and narratives. Theoretically, the study departs from Social Constructionism and Discursive Psychology. The preschool teachers’ utterances have been analyzed using concepts of interpretative repertoires and ideological dilemmas. The results show the main themes to be: Knowledge content in a preschool setting, children’s learning, the teacher’s role and implementation of pedagogical documentation. The participants’ joint position is that the knowledge content at the preschool level is defined by the curriculum for the preschool. Concerning children’s learning and the teacher’s role, two main standpoints are disclosed. Ideologically those standpoints derive from two opposing theories of education. Based on how the standpoints have been expressed I have called them ”predetermined learning” versus ”non-predetermined learning”. One main distinction between the standpoints is that predetermined learning emphasizes the results of learning, while non-predetermined learning emphasizes the processes of learning. The participants’ utterances show that teachers tend to subscribe to the idea that there is only one acceptable way of working with pedagogical documentation. This sometimes creates performance anxiety and feelings of not succeeding and has led to arguments advocating an alternate approach; pedagogical documentation can be done in many ways. The ideological dilemmas within the discourse can be perceived as resources by which the participants argue about knowledge, learning, teaching and about the implementation of pedagogical documentation.
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| 3. |
- Lundgaard Andersen, Linda, et al.
(författare)
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Samarbejde omkring unges indtræden på arbejdsmarkedet : en tværsektoriel Øresundsmodel
- 2014
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- På båda sidor sundet, i Danmark och i Sverige, står vi inför samma utmaningar, när det gäller unga i utanförskap. Därför är uppgiften om att förbättra möjligheterna för dessa unga att komma in på arbetsmarknadenen av de viktigaste. Vi har genom de sista 20 åren sett att ungdomsarbetslösheten har varit konstant, och det betyder att vi måste göra något annat än det, vi brukar att göra. Vi måste skapa en större synergi och förenkla vägarna till samverkan för den offentliga sektorn, för näringslivet, för den idéburna sektorn och inte minst för de unga. Detta har varit utgångspunkten för arbetet i projekt NEO. Denna skrift utgör projektets slutrapport.
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| 4. |
- Mahlapuu, Margit, et al.
(författare)
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Evaluation of LL-37 in healing of hard-to-heal venous leg ulcers : A multicentric prospective randomized placebo-controlled clinical trial
- 2021
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Ingår i: Wound Repair and Regeneration. - : Wiley. - 1067-1927 .- 1524-475X. ; 29:6, s. 938-950
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Tidskriftsartikel (refereegranskat)abstract
- Many patients with venous leg ulcers do not reach complete healing with compression treatment alone, which is current standard care. This clinical trial HEAL LL-37 was a phase IIb double-blind, randomized, placebo-controlled study, with the aim to evaluate the efficacy and safety of a new drug LL-37 for topical administration, in combination with compression therapy, in 148 patients suffering from hard-to-heal venous leg ulcers. The study had three arms, consisting of two groups treated with LL-37 at concentrations of 0.5 or 1.6 mg/mL, and a placebo cohort. Patients had a mean age of 67.6 years, a median ulcer duration of 20.3 months, and a mean wound size at the time of randomization of 11.6 cm(2). Efficacy analysis performed on the full study population did not identify any significant improvement in healing in patients treated with LL-37 as compared with the placebo. In contrast, a post hoc analysis revealed statistically significant improvement with LL-37 treatment in several interrelated healing parameters in the subgroup of patients with large target wounds (a wound area of at least 10 cm(2) at randomization), which is a known negative prognostic factor for healing. The study drug was well tolerated and safe in both dose strengths. In summary, this clinical trial did not detect any significant differences in healing of venous lower leg ulcers in the entire study cohort comparing patients treated with LL-37 versus placebo. A subgroup analysis provided an interesting observation that LL-37 could offer a treatment benefit in patients with large ulcers, exigently warranting a further study adequately powered to statistically assess the treatment outcome in this patient group.
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| 5. |
- Reierson, Inger Åse, et al.
(författare)
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Comparing didactic approaches for practical skills learning in Scandinavian nursing simulation centres : A qualitative comparative study
- 2024
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Ingår i: Journal of Advanced Nursing. - : John Wiley & Sons. - 0309-2402 .- 1365-2648.
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Tidskriftsartikel (refereegranskat)abstract
- AIM: To explore and compare the didactic approaches to practical skills learning at simulation centres in Scandinavian universities and university colleges.BACKGROUND: Academic simulation centres are an important arena for learning practical nursing skills which are essential to ensure competent performance regarding patient safety and quality of care. Knowledge of didactic approaches to enhance learning is essential in promoting the provision and retention of students' practical nursing skills. However, research on didactical approaches to practical nursing skills learning is lacking.DESIGN: A qualitative comparative design was used.METHODS: During November and December 2019, interviews were conducted with a total of 37 simulation centre directors or assistant directors, each of whom possessed in-depth knowledge of practical skills in teaching and learning. They represented bachelor nursing education in Denmark, Norway and Sweden. A qualitative deductive content analysis was conducted.RESULTS: The results revealed all five predetermined didactical components derived from the didactical relationship model. Twenty-two corresponding categories that described a variation in didactic approaches to practical skills learning in Scandinavian nursing simulation centres were identified. The didactical components of Learning process revealed mostly similarities, Setting mostly differences and Assessment showed only differences in didactic approaches.CONCLUSION: Although various didactic approaches were described across the countries, no common approach was found. Nursing educational institutions are encouraged to cooperate in developing a shared understanding of how didactic approaches can enhance practical skills learning.IMPLICATIONS FOR PROFESSION AND/OR PATIENT CARE: Cross-country comparisons of practical nursing skills learning in Scandinavian countries highlight the importance of educator awareness concerning the impact diverse didactic approaches may have on competent performance in nursing education. Competent performance is pivotal for ensuring patient safety and the provision of high-quality care.PATIENT OR PUBLIC CONTRIBUTION: No Patient or Public Contribution.REPORTING METHOD: This study followed the Consolidated Criteria for Reporting Qualitative Research reporting guidelines.
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| 6. |
- Svanholm, Frida, et al.
(författare)
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Acceptability of the eHealth Intervention Sustainable Worker Digital Support for Persons With Chronic Pain and Their Employers (SWEPPE): Questionnaire and Interview Study
- 2023
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Ingår i: JMIR Human Factors. - : JMIR PUBLICATIONS, INC. - 2292-9495. ; 10
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Tidskriftsartikel (refereegranskat)abstract
- Background: Sick leave and decreased ability to work are the consequences of chronic pain. Interdisciplinary pain rehabilitation programs (IPRPs) aim to improve health-related quality of life and participation in work activities, although implementing rehabilitation strategies at work after IPRPs can be difficult. Employers knowledge about pain and the role of rehabilitation needs to be strengthened. The self-management of chronic pain can be improved through eHealth interventions. However, these interventions do not involve communicating with employers to improve work participation. To address this deficiency, a new eHealth intervention, Sustainable Worker Digital Support for Persons with Chronic Pain and Their Employers (SWEPPE), was developed.Objective: This study aimed to describe the acceptability of SWEPPE after IPRPs from the perspective of patients with chronic pain and their employers.Methods: This study included 11 patients and 4 employers who were recruited to test SWEPPE in daily life for 3 months after IPRPs. Data were collected using individual interviews at the end of the 3-month test period and questionnaires, which were completed when SWEPPE was introduced (questionnaire 1) and at a 3-month follow-up (questionnaire 2). Data were also collected on how often SWEPPE was used. Qualitative data were analyzed through a qualitative content analysis using an abductive approach. The framework used for the deductive approach was the theoretical framework of acceptability. Quantitative data were analyzed through descriptive statistics and the differences between the responses to questionnaires 1 and questionnaire 2 using the Wilcoxon signed rank test.Results: Both patients and employers reported that SWEPPE increased their knowledge and understanding of how to improve work participation and helped them identify goals, barriers, and strategies for return to work. In addition, participants noted that SWEPPE improved employer-employee communication and collaboration. However, experiences and ratings varied among participants and the different SWEPPE modules. The acceptability of SWEPPE was lower in patients who experienced significant pain and fatigue. A high degree of flexibility and choice of ratings in SWEPPE were generally described as helpful. Conclusions: This study shows promising results on the user acceptability of SWEPPE from both patient and employer perspectives. However, the variations among patients and modules indicate a need for further testing and research to refine the content and identify the group of patients who will best benefit from SWEPPE.
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| 7. |
- Svanholm, Frida, et al.
(författare)
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Factors of importance for return to work, experienced by patients with chronic pain that have completed a multimodal rehabilitation program - a focus group study
- 2022
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Ingår i: Disability and Rehabilitation. - : Taylor & Francis. - 0963-8288 .- 1464-5165. ; 44:5, s. 736-744
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Tidskriftsartikel (refereegranskat)abstract
- Background and purpose:To reduce the individual, societal, and economic burden of the high sick leave rates due to chronic pain, it is essential to find effective strategies for increasing return to work (RTW). Although multimodal rehabilitation programs (MMRPs) may have positive effects on RTW, the results are inconsistent. This study explores the factors that contribute to decreasing sick leave and increasing RTW in patients with chronic pain who completed a MMRP. Method:Four focus groups and three individual interviews were conducted. In total, 18 patients were interviewed. All patients had chronic pain and had completed a MMRP. They were either employed or unemployed, either working to some degree or fully on sick leave. The data were analysed using qualitative content analysis. Results:Three main categories were identified: Knowledge and understanding-prerequisites for tailored solutions; Individual adaptations-necessary but difficult to implement; and Stakeholder collaboration-needs improvement. Conclusion:The participants described a variety of facilitating and limiting factors that created complex prerequisites for RTW. This finding makes it clear that these patients need tailored interventions and strong collaboration among all stakeholders throughout the rehabilitation process. Tailored interventions and collaborations could improve the effectiveness of MMRPs.
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| 8. |
- Svanholm, Frida, 1979-, et al.
(författare)
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Stakeholders experience of collaboration in the context of interdisciplinary rehabilitation for patients with chronic pain aiming at return to work
- 2022
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Ingår i: Disability and Rehabilitation. - : Taylor & Francis Ltd. - 0963-8288 .- 1464-5165. ; 44:26, s. 8388-8399
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Tidskriftsartikel (refereegranskat)abstract
- Background and purpose Chronic pain is a major reason for sick leave worldwide. Interdisciplinary pain rehabilitation programs (IPRPs), workplace interventions, and stakeholder collaboration may support patients in their return to work (RTW). Few studies have examined stakeholders experiences of important components in the RTW rehabilitation process for patients with chronic pain, especially in the context of IPRP. This study explores and describes stakeholders experiences with stakeholder collaboration and factors related to RTW for patients with chronic pain who have participated in IPRP. Methods Six focus groups, three pair and four individual interviews were conducted with a total of 28 stakeholder representatives from three societal and three health care stakeholders. Data were analyzed using qualitative content analysis. Results The participants revealed that stakeholder collaboration and a tailored RTW rehabilitation plan were important strategies although they noted that these strategies were not working sufficiently efficient as presently implemented. The different stakeholders paradigms and organizational prerequisites were described as hindrances of such strategies and that the degree of tailoring depended on individual attitudes. Conclusions More knowledge transfer and flexibility, clearer responsibilities, and better coordination throughout the RTW rehabilitation process may increase the efficiency of stakeholder collaboration and support for patients.
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| 9. |
- Svanholm, Frida, 1979-
(författare)
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Work Interventions in the Context of Interdisciplinary Pain Rehabilitation
- 2023
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Chronic pain often leads to difficulties performing daily life and work activities. Sick-leave rates are high and work activities are valued both by people in general and patients with chronic pain. Therefore, it is important to find efficient ways to support patients to stay at work and return to work. Interdisciplinary pain rehabilitation programs (IPRP) aim to improve work participation for patients with chronic pain. However, results are diverging and it is unclear to what extent work interventions are part of IPRP. The overall aim with this thesis was to study work interventions in the context of interdisciplinary pain rehabilitation and identify how it can be improved to better support patients with chronic pain in their return to work (RTW) rehabilitation process. Participants were included from IPRPs at both primary and specialist care level in Sweden. Data were collected from focus groups, pair- and individual interviews, questionnaires, and the Swedish Quality Registry for Pain Rehabilitation. This thesis highlight four important factors to consider when planning and performing work interventions in the context of IPRP: Knowledge and understanding of patients and stakeholders, A RTW rehabilitation plan being anchored between stakeholders Tailored solutions in relation to patient’s needs Collaboration, coordination, and continuity during the RTW rehabilitation process. Knowledge and understanding are important as base for solid, concrete, and tailored RTW plans, and for increasing self-efficacy and empowerment of the patients. The RTW plan is a common and important work intervention within IPRP in Sweden. RTW plans need to be more concrete, and include tailored strategies and interventions aimed at the needs of patients. Tailoring interventions also need to consider employment status. In addition, RTW rehabilitation plans should be tightly anchored with stakeholders and followed-up continually during the RTW rehabilitation process. The context of IPRP has potential that should be taken care of, for example when improving knowledge transfer and collaboration. SWEPPE, a new e-health intervention designed to support patients with chronic pain and their employers includes the four factors described above and should be acceptable for users after they complete an IPRP, however, further development of content and identification of patients that best benefit from SWEPPE are needed.
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| 10. |
- Svanholm, Frida, et al.
(författare)
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Work Interventions Within Interdisciplinary Pain Rehabilitation Programs (IPRP) - Frequency, Patient Characteristics, and Association with Self-Rated Work Ability
- 2023
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Ingår i: Journal of Pain Research. - : DOVE MEDICAL PRESS LTD. - 1178-7090. ; 16, s. 421-436
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Tidskriftsartikel (refereegranskat)abstract
- Background: Interdisciplinary pain rehabilitation programs (IPRPs) help people with chronic pain improve their health and manage their work; however, the way IPRPs address sick leave could be improved. Although work interventions can be a part of IPRP, it is not well known how and to what extent.Aim: This study explores the frequency of work interventions and the characteristics of patients who participate in work interventions as part of IPRP at specialist pain rehabilitation departments in Sweden. In addition, this study explores the association between participation in work interventions and change in patients self-rated work ability after IPRP.Methods: Data from the Swedish quality registry for pain rehabilitation (SQRP), which includes 3809 patients between 2016 and 2018, were analysed with descriptive statistics and regression analyses.Results: The results indicate a high participation rate in work interventions (90%). Some differences were evident concerning characteristics of patients who participated in different work interventions. The return-to-work (RTW) plan, the most frequently used work intervention, had the strongest association with change in self-rated work ability after IPRP. However, the effect sizes were small, and the initial score best explained the change. Furthermore, there were differences between employed and unemployed patients and employment had a positive association with change in self-rated work ability.Conclusion: More research is needed to understand IPRPs mechanisms and work interventions to support patients with chronic pain, reduce sick leave, and manage work. Employment status needs to be considered and interventions should be tailored to match the individual needs.
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