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1.
  • Carlsson, Eva, et al. (författare)
  • Multidisciplinary recording and continuity of care for stroke patients with eating difficulties
  • 2010
  • Ingår i: Journal of Interprofessional Care. - New York, USA : Informa Healthcare. - 1356-1820 .- 1469-9567. ; 24:3, s. 298-310
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>Eating difficulties after stroke are common and can, in addition to being a risk for serious medical complications, impair functional capability, social life and self-image. Stroke unit care entails systematic multidisciplinary teamwork and continuity of care. The purpose of this study was to describe (i) multidisciplinary stroke care as represented in patient records for patients with eating difficulties, and (ii) the written information that was transferred from hospital to elderly care. Data from 59 patient records were analysed with descriptive statistics and by categorization of phrases. Signs of multidisciplinary collaboration to manage eating problems were scarce in the records. While two notes from physiotherapists were found, nurses contributed with 78% of all notes (n = 358). Screening of swallowing and body weight was documented for most patients, whereas data on nutritional status and eating were largely lacking. The majority of notes represented patients' handling of food in the mouth, swallowing and lack of energy. Care plans were unstructured and few contained steps for managing eating. Discharge summaries held poor information on care related to eating difficulties. The language of all professionals was mostly unspecific. However, notes from speech-language therapists were comprehensive and entailed information on follow-up and patient participation</p>
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6.
  • Drevenhorn, Eva, et al. (författare)
  • Folkhälsa, förebyggande vård
  • 2013
  • Ingår i: Omvårdnad på avancerad nivå. - Studentlitteratur AB. - 9789144071459
  • Bokkapitel (övrigt vetenskapligt)
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7.
  • Edberg, Anna-Karin, 1961-, et al. (författare)
  • Introduktion
  • 2013
  • Ingår i: Omvårdnad på avancerad nivå : kärnkompetenser inom sjuksköterskans specialistområden. - Lund : Studentlitteratur. - 9789144071459 ; s. 15-27
  • Bokkapitel (övrigt vetenskapligt)
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8.
  • Ehrenberg, Anna, et al. (författare)
  • Äldre personers rätt till omvårdnad - Behov, kompetenser, myter och evidens
  • 2015
  • Rapport (populärvet., debatt m.m.)abstract
    • År 2030 beräknas var fjärde person i Sverige vara 65 år eller äldre. Detta ställer stora krav på kunskapen om åldrandet och åldrandets sjukdomar och omvårdnad av äldre personer – i synnerhet när det gäller de allra äldsta. Äldre personer som bor på särskilda boenden är ofta multisjuka eller har nedsatt beslutsförmåga, i huvudsak till följd av demenssjukdom. De finns i dag goda kunskapsunderlag som visar att hög omvårdnadskompetens inte bara ger en kvalitativt bättre omvårdnad, det ger också en effektivare vård. Ändå förefaller varken stat, landsting eller kommuner ha en strategi för hur omvårdnadskompetensen i vården av äldre skall kunna säkras och utvecklas. Vård och omsorg av äldre skall vara personcentrerad och bygga på evidensbaserad kunskap där vetenskapliga metoder används för att förstå och bedöma den äldre personens komplexa vårdbehov. Trots det stora behovet har idag bara två procent av sjuksköterskorna en specialistutbildning inom äldrevård. Svensk sjuksköterskeförening har i mer än 100 år arbetat med att utveckla omvårdnad. Svensk sjuksköterskeförening vill gärna ha dialog med kommuner och landsting, staten, pensionärsorganisationer och alla som är intresserade av en god omvårdnad för äldre personer. Broschyren har utarbetats på uppdrag av Svensk sjuksköterskeförening av styrelseledamöterna: Anna Ehrenberg, leg sjuksköterska, professor Per Enarsson, leg sjuksköterska, doktor i omvårdnad Helle Wijk, leg sjuksköterska, docent i omvårdnad Ett varmt tack till Anna Condelius, leg sjuksköterska, doktor i medicinsk vetenskap, som författat avsnittet: Äldres överkonsumtion av vård och omsorg – en myt?
9.
  • Fossum, Mariann, 1970- (författare)
  • Computerized decision support system in nursing homes
  • 2012
  • Doktorsavhandling (övrigt vetenskapligt)abstract
    • <p>The overall aim of this thesis was to study the thinking strategies and clinical reasoning processes of registered nurses (RNs) and to implement and test a computerized decision support system (CDSS) integrated into the electronic health care record (EHR) to improve patient outcomes, i.e. to prevent pressure ulcers (PUs) and malnutrition among residents in nursing homes. </p><p>A think-aloud (TA) study with a purposeful sample of RNs (n=30) was conducted to explore their thinking strategies and clinical reasoning (Paper I). A quasi-experimental study with a convenience sample of residents (at baseline, n=491 and at follow-up, n=480) from nursing homes (n=15) allocated into two intervention groups and one control group was carried out in 2007 and 2009 (Paper II). In Paper III residents’ records were reviewed with three instruments. Nursing personnel (n=25) from four nursing homes that had used the CDSS for eight months were interviewed and the CDSS was tested by nursing personnel (n=5) in two usability evaluations (Paper IV).</p><p>The results showed that the RNs used a variety of thinking strategies and a lack of systematic risk assessment was identified (Paper I). The proportion of malnourished residents decreased significantly in one of the intervention groups after implementing the CDSS, however there were no differences between the groups (Paper II). The CDSS resulted in more complete and comprehensive documentation of PUs and malnutrition (Paper III). The nursing personnel considered ease of use, usefulness and a supportive work environment as the main facilitators of CDSS use in nursing homes. Barriers were lack of training, resistance to using computers and limited integration of the CDSS within the EHR system (Paper IV). In conclusion, the findings support integrating CDSSs into the EHR in nursing homes to support the nursing personnel.</p>
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10.
  • Göras, Camilla, 1969- (författare)
  • Open the door to complexity Safety climate and work processes in the operating room
  • 2019
  • Doktorsavhandling (övrigt vetenskapligt)abstract
    • <p>A complex adaptive system such as the operating room (OR), consists of different safety cultures, sub-cultures and ways of working. When measuring, a strong safety climate has been associated with lower rates of surgical complications. Teamwork is an important factor of safety climate. Discrepancies among professionals’ perceptions of teamwork climate exists. Hence it seems crucial to explore if diversity exists in the perception of factors related to safety climate and between managers and front-line staff in the OR. Complex work processes including multitasking and interruptions are other challenges with potential effect on patient safety. However, multitasking and interruptions may have positive impact on patient safety, but are not well understood in clinical work. Despite challenges a lot of things go well in the OR. Thus, the overall aim of this thesis was to evaluate an instrument for assessing safety climate, to describe and compare perceptions of safety climate, and to explore the complexity of work processes in the OR.</p><p>To evaluate the Safety Attitudes Questionnaire-operating room (SAQ-OR) version and elicit estimations of the surgical team a cross-sectional study design was used. How work was done was studied by observations using the Work Observation Method by Activity Timing and by group interviews with OR professionals.</p><p>The results show that the SAQ-OR is a relatively acceptable instrument to assess perceptions of safety climate within Swedish ORs. OR professionals´ perceptions of safety climate showed variations and some weak areas which cohered fairly well with managers' estimations. Work in the OR was found to be complex and consisting of multiple tasks where communication was most frequent. Multitasking and interruptions, mostly followed by communication, were common. This reflects interactions and adaptations common for a complex adaptive system. Managing complexity and creating safe care in the OR was described as a process of planning and preparing for the expected and preparedness to be able to adapt to the unexpected.</p>
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