| 1. |
- Ehrenberg, Anna, et al.
(författare)
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Äldre personers rätt till omvårdnad : behov, kompetenser, myter och evidens
- 2015
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Rapport (populärvet., debatt m.m.)abstract
- År 2030 beräknas var fjärde person i Sverige vara 65 år eller äldre. Dettaställer stora krav på kunskapen om åldrandet och åldrandets sjukdomaroch omvårdnad av äldre personer – i synnerhet när det gäller de allra äldsta.Äldre personer som bor på särskilda boenden är ofta multisjuka ellerhar nedsatt beslutsförmåga, i huvudsak till följd av demenssjukdom.De finns i dag goda kunskapsunderlag som visar att hög omvårdnadskompetensinte bara ger en kvalitativt bättre omvårdnad, det ger också eneffektivare vård. Ändå förefaller varken stat, landsting eller kommuner haen strategi för hur omvårdnadskompetensen i vården av äldre skall kunnasäkras och utvecklas.Vård och omsorg av äldre skall vara personcentrerad och bygga påevidensbaserad kunskap där vetenskapliga metoder används för att förståoch bedöma den äldre personens komplexa vårdbehov. Trots det stora behovethar idag bara två procent av sjuksköterskorna en specialistutbildninginom äldrevård.Svensk sjuksköterskeförening har i mer än 100 år arbetat med att utvecklaomvårdnad. Svensk sjuksköterskeförening vill gärna ha dialog medkommuner och landsting, staten, pensionärsorganisationer och alla som ärintresserade av en god omvårdnad för äldre personer.
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| 2. |
- Elf, Marie, 1962, et al.
(författare)
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A systematic review of the psychometric properties of instruments for assessing the quality of the physical environment in healthcare
- 2017
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Ingår i: Journal of Advanced Nursing. - : Wiley. - 0309-2402 .- 1365-2648. ; 73:12, s. 2796-2816
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Tidskriftsartikel (refereegranskat)abstract
- Aim. To identify instruments measuring the quality of the physical healthcare environment, describe their psychometric properties. Background. The physical healthcare environment is regarded as a quality factor for health care. To facilitate evidence-based design there is a need for valid and usable instruments that can evaluate the design of the healthcare environment. Data sources. A systematic literature search in Medline, CINAHL, Psychinfo, Avery index and reference lists of eligible papers (1990-2016). Review method. Consensus based standards for selection of health measurement instruments guidelines were used to evaluate psychometric data reported. Results. Twenty-three instruments were included. Most of the instruments are intended for healthcare environments related to the care of older people. Many of the instruments were old, lacked strong, contemporary theoretical foundations, varied in the extent to which they had been used in empirical studies and in the degree to which their validity and reliability had been evaluated. Conclusions. Although we found many instruments for measuring the quality of the physical healthcare environment, none met all of our criteria for robustness. Of the instruments, The Multiphasic environmental assessment procedure, The Professional environment assessment protocol and The therapeutic environment screening have been used and tested most frequently. The Perceived hospital quality indicators are user centred and combine aspects of the physical and social environment. The Sheffield care environment assessment matrix has potential as it is comprehensive developed using a theoretical framework that has the needs of older people at the centre. However, further psychometric and user-evaluation of the instrument is required.
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| 3. |
- Elf, Marie, et al.
(författare)
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An assessment of briefs used for designing healthcare environments : a survey in Sweden
- 2012
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Ingår i: Construction Management and Economics. - : Taylor & Francis. - 0144-6193 .- 1466-433X. ; 30:10, s. 835-844
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Tidskriftsartikel (refereegranskat)abstract
- The brief is a central document in decision making during the early stages of the planning and construction (briefing/programming) of healthcare environments. Thus, the demand on the content and quality of these documents is high. This study aimed to assess the content and quality of initial briefs developed in Sweden to obtain an up-to-date picture of current practices of writing project statements in the early stages of designing healthcare environments. A study of 29 initial briefs was performed with a new instrument called the Content and Quality of Brief Instrument (CQB-I). The results showed that, in many cases, the documentation in the briefs was incomplete and that the information did not adequately address users’ needs. In addition, the briefs often did not include any measurable outcomes or explicitly evidence-based information. This study’s findings have implications for identifying areas for improvement in design teams’ documentation practices. Assessment can have a real impact on the quality of briefs and can raise awareness of the need to improve the briefing process itself. The present study is one of the first to assess the content and quality of briefs and provides a starting point for both practitioners and future researchers to explore the role of briefs in briefing process quality improvement.
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| 4. |
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| 5. |
- Elf, Marie, et al.
(författare)
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Development of an instrument measuring the quality of residential care facilities for older people
- 2016
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Ingår i: The 23rd Nordic Congress of Gerontology, 19-22 June 2016, in Tampere, Finland.
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Konferensbidrag (refereegranskat)abstract
- Aims. To validate the Swedish version of the Sheffield Care Environment Assessment Matrix (S-SCEAM). The instrument’s items measure environmental elements important for supporting the needs of older people, and conceptualized within eight domains.Methods. Item relevance was assessed by a group of experts and measured using content validity index (CVI). Test-retest and inter-rater reliability tests were performed. The domain structure was assessed by the inter-rater agreement of a second group of experts, and measured using Fleiss kappa.Results. All items attained a CVI above 0.78, the suggested criteria for excellent content validity. Test-retest reliability showed high stability (96% and 95% for two independent raters respectively), and inter-rater reliability demonstrated high levels of agreement (95% and 94% on two separate rating occasions). Kappa values were very good for test-retest (κ = 0.903 and 0.869) and inter-rater reliability (κ = 0.851 and 0.832). Domain structure was good, Fleiss’ kappa was 0.63 (range 0.45 to 0.75). Conclusion. The S-SCEAM of 210 items and eight domains showed good content validity and construct validity. The instrument is suggested for use in measuring of the quality of the physical environment in residential care facilities for older persons.
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| 6. |
- Elf, Marie, et al.
(författare)
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Development of the Content and Quality in Briefs Instrument (CQB-I)
- 2012
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Ingår i: Health Environments Research & Design Journal. - New York : Vendome Group LLC. - 1937-5867 .- 2167-5112. ; 5:3, s. 74-88
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The Content and quality of Briefs Instrument (CQB-I) was designed to develop a valid and reliable audit instrument to examine the content and quality of information in documents (briefs) created in the early stages of designing healthcare environments.Background: The importance of effective briefing has been emphasised in many research studies during the past two decades. However, there is no developed instrument for auditing the content and quality of the documents, which makes this paper interesting.Methods: The study had a methodological and developmental design based on an established methodology for instrument development and validation. The development process consisted of three main phases: item generation and scale construction, assessment of face and content validity, and finally, testing of the reliability. To obtain face and content validity, expert panels reviewed the CQB-I. Content validity was assessed by using the Content Validity Index (I-CVI=item level, S-CVI=scale level). The reliability was tested by test-retest and inter-rater reliability. Results: CQB-I was found to have good content validity (I-CVI =0.78 – 1.0 and S-CVI=0.98). Inter-rater reliability was acceptable (Spearman’s correlation = 0.62) and the stability was considered high for both raters (83% respectively 88%).Conclusions: The instrument can be used as a guide for the work process in the design team and contribute to the ongoing development of making the design process more user-oriented with the ultimate goal of healthcare environments designed for a patient-centered care.
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| 7. |
- Elf, Marie, et al.
(författare)
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Kan man kvalitetssäkra lokalprogram? : En grupp lokalplanerare om användbarheten av ett granskningsinstrument av lokalprogram
- 2012
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Konferensbidrag (refereegranskat)abstract
- I detta projekt har vi studerat en grupp lokalplanerares uppfattning av att använda ett nyutvecklat instrument (CQB-I - content and quality in briefs instrument) som syftar till att bedöma innehåll och kvalitet av lokalprogram för nya vårdmiljöer. Studien är en del i ett större projekt som avser att kvalitetssäkra tidiga och centrala skeden av planering av nya vårdmiljöer med fokus på styrdokument (lokalprogram, eng. briefs) som skapas i tidiga faser av planeringsprocessen. Instrumentet mäter huruvida det finns en tydlig målbeskrivning för projektet utifrån användarnas behov och de vårdaktiviteter som ska äga rum i den nya vårdmiljön. Vidare mäter instrumentet om det finns tydliga patientrelaterade resultatmått angivna och om informationen i dokumenten är personorienterad och kunskapsbaserad. Studien använde en mixad metod där relevansen av instrumentet skattades och en fokusgruppsintervju genomfördes. Studien visade att CQB-I uppfattades vara ett relevant instrument framförallt som en guide för lokalprogrammering men även för uppföljning av redan skrivna lokalprogram. Instrument kan bidra till att föra in forskningsresultat i lokalplanering och bidra till en dialog och samverkan i tidiga skeden genom att orientera processen mot användarnas behov, diskuterar och skriva ner klara resultatmått och därmed kvalitetssäkra processen.
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| 8. |
- Elf, Marie, et al.
(författare)
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Shared-decision making in designing new healthcare environments : ready to take off for improved quality
- 2015
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Ingår i: BMC Health Services Research. - : Springer Science and Business Media LLC. - 1472-6963. ; 15
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundSuccessful implementation of new methods and models of healthcare to achieve better patient outcomes and safe, person-centered care is dependent on the physical environment of the healthcare architecture in which the healthcare is provided. Thus, decisions concerning healthcare architecture are critical because it affects people and work processes for many years and requires a long-term financial commitment from society. In this paper, we describe and suggest several strategies (critical factors) to promote shared-decision making when planning and designing new healthcare environments.DiscussionThis paper discusses challenges and hindrances observed in the literature and from the authors extensive experiences in the field of planning and designing healthcare environments. An overview is presented of the challenges and new approaches for a process that involves the mutual exchange of knowledge among various stakeholders. Additionally, design approaches that balance the influence of specific and local requirements with general knowledge and evidence that should be encouraged are discussed.SummaryWe suggest a shared-decision making and collaborative planning and design process between representatives from healthcare, construction sector and architecture based on evidence and end-users’ perspectives. If carefully and systematically applied, this approach will support and develop a framework for creating high quality healthcare environments.
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| 9. |
- Elf, Marie, et al.
(författare)
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Space planners' perception of an assessment instrument for briefs in the pre-design phase of new healthcare environments
- 2014
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Ingår i: Health Environments Research & Design Journal. - 1937-5867 .- 2167-5112. ; 8:1, s. 67-80
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: The main purpose of the study was to investigate the usability of a new developed instrument designed to assess the content and quality in programs for new healthcare environments (CQB-I). We studied the perception of using the instrument on a group of space-planners. The study is part of a larger project designed to assure the quality of early and main stages of the planning of new care environments with a focus on policy documents (programs or briefs), created in the early phases of the planning process. The instrument measures whether there is a clear mission statement for the project based on user needs and care activities that will take place in the new healthcare environment. Furthermore, the instrument measures if there are clear patient-related outcome measures specified and if the information in the documents is person-oriented and knowledge-based.Method: The study used a mixed method where the relevance and usability of the instrument was estimated and a focus group interview was conducted.Findings: The study showed that CQB-I perceived to be a relevant instrument primarily as a guide for programming, but also for monitoring the produced programs. Instruments can help to bring research results into planning and contribute to dialogue and collaboration in the early stages by orienting process of user needs, discuss and write down clear performance indicators and related quality assurance process.
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| 10. |
- Gromark, Sten, et al.
(författare)
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SRE-AIDAH : Integrative ways of residing health and quality of residence
- 2015
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Ingår i: ARCH 14: International Conference on Research on Health Care Architecture - Conference Proceedings. - Helsinki. - 9789526062013
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Konferensbidrag (refereegranskat)abstract
- Healthcare architecture has grown rapidly in recent years. However, there are still many questions remaining. The commission, therefore, is to share the existing research knowledge and latest results and to carry out research projects focusing more specifically on the health care situation in a variety of contexts. The ARCH14 conference was the third conference in the series of ARCH conferences on Research on Health Care Architecture initiated by Chalmers University. It was realized in collaboration with the Nordic Research Network for Healthcare Architecture .It was a joint event between Aalto University, Finnish Institute of Occupational Health (FIOH) and National Institute of Health and Welfare (THL International).The conference gathered together more than 70 researchers and practitioners from across disciplines and countries to discuss the current themes.
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