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- Olsson, Cecilia, 1971-, et al.
(författare)
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Adaption of the Quality From the Patient’s Perspective Instrument for Use in Assessing Gynecological Cancer Care and Patients’ Perceptions of Quality Care Received
- 2022
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Ingår i: Cancer Care Research Online. - : Wolters Kluwer. - 2691-3623. ; 2:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Research focusing on patients’ perceptions of the quality of gynecological cancer care is needed.Objective: To adapt the Quality from the Patient’s Perspective instrument for use in gynecological cancer care (QPP-GynCa) and describe patients’ perceptions of their quality of care in terms of the care received and the subjective importance of the aspects of care.Methods: A cross-sectional study 6–8 months after diagnosis was conducted, involving 1511 patients (response rate of 50.4%) included in the Swedish quality registry for gynecologic cancer.Results: The exploratory factor analysis (n = 1431) resulted in the QPP-GynCa with a 5-factor structure and an eigenvalue of ≥1, explaining 73.1% of the total scale variance. The final 27-item version of the QPP-GynCa consisted of 18 items with 8 additional single items and 1 global single item. The Cronbach’s alpha was acceptable for most factors (>.80). Subjective importance scores were higher than corresponding quality of care scores for care received (P ≤ .01)in all dimensions, factors, and items.Conclusions: The QPP-GynCa instrument reflects all 4 dimensions of the theoretical model of quality of care and achieved good validity as a reliable instrument in assessing the quality of gynecological cancer care.Implication for Practice: Information related to self-care, aspects of sexuality, and reducing patient waiting times need improvement.What Is Foundational: This study contributes to a better understanding of quality of gynecological cancer treatment and care. The validated QPP-GynCa instrument will be a platform for more research on how this group of patients experience their received care, as well as importance of each aspect of care.
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- Wilde-Larsson, Bodil, 1951-, et al.
(författare)
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International comparisons of patients' views on quality of care
- 2005
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Ingår i: International Journal of Health Care Quality Assurance. - : Emerald Group Publishing Limited. - 0952-6862 .- 1758-6542. ; 18:1, s. 62-73
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Tidskriftsartikel (refereegranskat)abstract
- Purpose – To compare patients’ views on quality of care in different countries using a theory-based instrument, while at the same time controlling for the following potential confounders: type of care system (private vs public), type of care (kind of health problem), gender, age, and subjective wellbeing.Design/methodology/approach – Patients capable of communicating in wards (medical and surgical departments) and day surgery departments in England, France, Norway, and Sweden were recruited consecutively, to participate in a programme run by the health-care company Capio. Ward patients: England (n =1,236), France (n =1,051), Norway (n =226), and Sweden (n =428). Day surgery patients: England (n =887), France (n =544), Norway (n =101), and Sweden (n =742). Average response rate across settings: approximately 75 per cent. Patients evaluated the quality of the care they actually received and the subjective importance they ascribed to different aspects of care. The questionnaire “Quality from the patient's perspective” (QPP) was used (modified short version).Findings – Cross-national comparisons were made within each of the two care contexts (wards and day surgery) separately for men and women. Quality of care evaluations were adjusted for age and subjective wellbeing. English and French patients scored significantly higher than Norwegian and Swedish on both kinds of ratings (perceived reality and subjective importance), in both kinds of care contexts, and in both sexes.Originality/value – Cross-national comparisons of patients’ views on care can give meaningful guidance for practitioners only if they are context-specific and if well-known confounders are controlled for.
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- Andersson, Maria, 1969-
(författare)
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Oral care quality in intensive care units and short-term care units : Nursing staff and older people's perspectives
- 2019
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The overall aim of this thesis was to investigate oral care and its quality through the perspectives of nursing staff in intensive care units and short-term care units and from the perspectives of older people in short-term care units. Methods: The mix-method study (I) had a concurrent embedded design and was cross-sectional. Eighty-eight intensive care nurses (response rate (RR) 40%) responded to the Nursing Care related to Oral Health questionnaire, and the data were analysed with analytic statistics and qualitative content analysis. The quantitative studies (II-IV), which were also cross-sectional, included 432 nursing staff in intensive care and short-term care (RR 51–52%) and 391 older people (RR 77%) in short-term care units. Participants responded to the modified version of the Quality from Patients’ Perspective instrument and provided information about person-related conditions. Descriptive and analytical statistics were used. Main results: Intensive care nurses perceived having the antecedents, knowledge, and skills to provide optimal oral care quality, but the result indicated that they were having difficulties putting these into practice (I). Areas for improvement in oral care quality were identified in both care environments (II). Older people preferred personalised information about oral health and oral care (III). Nursing staff as well as older people’s perceptions of oral care quality and its humanity aspects, seemed to be related to person-related conditions and differed between the two care environments. In short-term care, nursing staff’s preferences for the humanity aspects of oral care quality were higher compared to older people’s preferences (IV). Conclusion: Oral care is complicated and proactive and requires registered nurses’ and other nursing staff’s attention as well as educational and organisational initiatives. Many older people were assessed to have oral health problems. With early identification and optimal oral care, unnecessary suffering might be prevented. The identified quality improvement areas might guide RNs, nurse managers, and other nursing staff to further oral care quality development.
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| 5. |
- Asp, Petter, et al.
(författare)
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25 kap. Om böter m.m.
- 2018
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Ingår i: Brottsbalken. - Stockholm : Karnov Group. - 9789176106686 ; , s. 1211-1231
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 6. |
- Asp, Petter, et al.
(författare)
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26 kap. Om fängelse
- 2018
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Ingår i: Brottsbalken. - Stockholm : Karnov Group. - 9789176106686 ; , s. 1233-1276
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 7. |
- Granrud, Marie Dahlen, et al.
(författare)
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Health Care Personnel's Perspectives on Quality of Palliative Care During the COVID-19 Pandemic - A Cross-Sectional
- 2023
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Ingår i: Journal of Multidisciplinary Healthcare. - : Dove Medical Press. - 1178-2390. ; 16, s. 2893-2903
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The provision of high-quality palliative care is challenging, especially during a pandemic like COVID-19. The latter entailed major consequences for health care systems and health care personnel (HCP) in both specialist and community health care services, in Norway and worldwide. The aim of this study was to explore how the HCP perceived the quality of palliative care in nursing homes, medical care units, and intensive care units during the COVID-19 pandemic. Methods: This study had a cross-sectional design. A total of 290 HCP from Norway participated in the study (RR = 25.8%) between October and December 2021. The questionnaire comprised items concerning respondents' demographics and quality of care, the latter measured by the short form of the Quality from the Patient's Perspective-Palliative Care instrument, adapted for HCP. The STROBE checklist was used. Results: This study shows that the HCP scored subjective importance as higher in all dimensions, items and single items than their perception of the actual care received. This could indicate a need for improvement in all areas. Information about medication, opportunity to participate in decisions about medical and nursing care and continuity regarding receiving help from the same physician and nurse are examples of areas for improvement. Conclusion: Study results indicate that HCP from nursing homes, medical care units, and intensive care units perceived that quality of palliative care provided was not in line with what they perceived to be important for the patient. This indicate that it was challenging to provide high-quality palliative care during the COVID-19 pandemic.
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| 9. |
- Granström, Karin, 1974-, et al.
(författare)
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Biogas from algae farmed in pulp and paper mill wastewater
- 2015
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Ingår i: GGROS 2015, Örnsköldsvik, Sweden, 23-25 March 2015..
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Konferensbidrag (refereegranskat)abstract
- Pulp and paper mills have waste streams that can be used for the farming of algae. The mills wastewater treatment provides heat to the algae ponds and the flue gas provides carbon dioxide. A current project is aiming at producing oil, for biodiesel or lubricating oil, from mill-farmed algae. Ten pools have been constructed and seeded with different strains of algae. After harvest and separation of oil, there is a leftover algae pulp. The fate of this algae remnant is an important part in achieving economic and energy viability for the whole process.The purpose of this work was to study the potential to produce biogas from algae grown in pulp and paper mill wastewaters, for different algae strains and pond conditions, with differing degrees of oil separation before the anaerobic digestion stage. The methane potential of the various algae pulps was tested by anaerobic digestion batch assays under thermophilic conditions for 23 days. Pre-treatment of substrate is sometimes done in order to reduce the necessary retention time of biogas production. One batch of algae was subjected to either thermal pre-treatment or NaOH or comminution, to assess the effect on these methods on methane production.Ammonia concentration and pH in the digestate was analyzed to monitor the anaerobic digestion process, and the algae pulp’s content of fat, protein and carbohydrates were analyzed to characterize the substrate. In addition, the dewaterability of algae and of algae digestate was examined, as the dewaterability affects transport costs and possible use of the digestate.During the first year of operation, the algae in the range pond produced 186 ml CH4/g VS. The pre-treatments did not significantly affect the methane potential. The second year of operation saw more adapted strains of algae which are expected to produce somewhat different results [data from these experiments can be presented at the conference]. The research is of importance for the development of the biogas market as new substrates are needed to reach the volumes that are necessary to achieve economic viability for biogas plants. By characterizing the algae, it should be easier to see which role they are suitable to play in a co-digestion mix. Furthermore, the production of bio-oil and biogas together benefit the bioenergy system as a whole.
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