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Sökning: swepub > Malmö högskola > Engelska > Blekinge Tekniska Högskola

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  • Westergren, Albert, 1967-, et al. (författare)
  • Measurement properties of the Minimal Insomnia Symptom Scale as an insomnia screening tool for adults and the elderly.
  • 2015
  • Ingår i: Sleep Medicine. - 1389-9457 .- 1878-5506. ; :Jan 15
  • Tidskriftsartikel (refereegranskat)abstract
    • The psychometric properties of the three-item Minimal Insomnia Symptom Scale (MISS) were evaluated using the classical test theory. Different cut-offs for identifying insomnia were suggested in two age groups (≥6 and ≥7 among adult and elderly people, respectively). The aim of the present study was to test the measurement properties of the MISS using the Rasch measurement model, with special emphasis on differential item functioning by gender and age.
  • Woxenius, Johan, et al. (författare)
  • Utilising more of the loading space in intermodal line trains – measures and decision support
  • 2013
  • Ingår i: Computers in industry. - 0166-3615. ; 64:2, s. 146-154
  • Tidskriftsartikel (refereegranskat)abstract
    • The focus of this article is to identify, characterise and qualitatively evaluate the existing measures for increasing the utilisation of loading space in intermodal road–rail freight line trains. Normally, these trains operate like intercity passenger trains, because they make short unit load transhipment stops along rail corridors in order to travel comparatively small and short flows. The measures for loading space utilisation include adapting the train’s capacity, changing the departure times, altering the train routes and sending trucks to different terminals as well as replacing rail transport with trucks. Some of the measures require improved information sharing, and executives can strengthen the effect of the measures by adding decision support systems and price incentives to transport buyers.
  • Bjarnason, Elizabeth, et al. (författare)
  • Challenges and Practices in Aligning Requirements with Verification and Validation: A Case Study of Six Companies
  • 2014
  • Ingår i: Empirical Software Engineering. - Springer. - 1382-3256 .- 1573-7616. ; 19:6, s. 1809-1855
  • Tidskriftsartikel (refereegranskat)abstract
    • Weak alignment of requirements engineering (RE) with verification and validation (VV) may lead to problems in delivering the required products in time with the right quality. For example, weak communication of requirements changes to testers may result in lack of verification of new requirements and incorrect verification of old invalid requirements, leading to software quality problems, wasted effort and delays. However, despite the serious implications of weak alignment research and practice both tend to focus on one or the other of RE or VV rather than on the alignment of the two. We have performed a multi-unit case study to gain insight into issues around aligning RE and VV by interviewing 30 practitioners from 6 software developing companies, involving 10 researchers in a flexible research process for case studies. The results describe current industry challenges and practices in aligning RE with VV, ranging from quality of the individual RE and VV activities, through tracing and tools, to change control and sharing a common understanding at strategy, goal and design level. The study identified that human aspects are central, i.e. cooperation and communication, and that requirements engineering practices are a critical basis for alignment. Further, the size of an organisation and its motivation for applying alignment practices, e.g. external enforcement of traceability, are variation factors that play a key role in achieving alignment. Our results provide a strategic roadmap for practitioners improvement work to address alignment challenges. Furthermore, the study provides a foundation for continued research to improve the alignment of RE with VV.
  • Nystedt, Astrid, et al. (författare)
  • Epidural analgesia for pain relief in labour and childbirth - a review with a systematic approach.
  • 2004
  • Ingår i: Journal of Clinical Nursing. - 0962-1067. ; 13:4, s. 455-66
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: Clinical ambiguity concerning effects of epidural analgesia for pain relief in labour seems to reflect a need for evidence-based knowledge for midwives. AIMS: This study aimed to review, with a systematic approach, the literature about effects and risks associated with the use of epidural analgesia for pain relief in labour and childbirth. DESIGN: A structured question was formulated and used for deriving search terms, establishing the inclusion of certain criteria and retrieving articles, i.e. what are the effects of epidural analgesia for pain relief in labour and childbirth? References were obtained through searches using MeSH-terms in Medline and Subheadings (SH) in CINAHL (e.g. Obstetrical Analgesia combined either with psychology or adverse effects and together with, Dystocia, Caesarean Section, Infant Newborn and Breastfeeding). The articles were divided into prospective randomized trials (C), non-randomized prospective studies (P) and retrospective studies (R). Scientific quality of the studies was assessed on a three-grade scale: high scientific quality (I), moderate scientific quality (II) or low scientific quality (III). RESULTS: Twenty-four articles were retrieved and systematically assessed. Seven studies were judged as high quality, 15 as moderate quality and two as low quality. The majority of studies appraised in this review failed to obtain or establish a cause and effect relationship. According to the data, it seems clear that the use of epidural analgesia is considered to be an effective method of pain relief during labour and childbirth from the perspective of women giving birth. RELEVANCE TO CLINICAL PRACTICE: Midwives and doctors can recommend this form of pain relief. However, information about possible associations with adverse effects in mothers and infants must be provided to expectant couples.
  • Andersson, Ewa Kazimiera, et al. (författare)
  • Standing alone when life takes an unexpected turn : Being a midlife next of kin of a relative who has suffered a myocardial infarction
  • 2013
  • Ingår i: Scandinavian Journal of Caring Sciences. - Blackwell. - 0283-9318. ; 27:4, s. 864-871
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Suffering a myocardial infarction (MI) is a life-threatening event that impacts not only on the individual concerned but also on the next of kin. However, there seems to be a paucity of naturalistic inquiries that focus specifically on midlife next of kin and their experience of being close to a relative who has suffered an MI. This study aims to elucidate the experience of being a midlife next of kin of a relative who has suffered a myocardial infarction. Method: Nine women and four men in midlife participated in the focused interviews, which were conducted and analysed during 2010/2011 using Lindseths and Norbergs' description of the phenomenological hermeneutical method. Findings: Four themes - Solely responsible, Lurking unease, Left out of the picture and Life on hold - formed the basis of the core theme Standing alone when life takes an unexpected turn. The core theme was interpreted as a central phenomenon encompassing the experience of being solely responsible for the well-being of their relative and the family, thus putting their own life on hold. The core theme also reflected the next of kin's experience of being left out of the picture when it came to the relative's care before and after the MI. Conclusion: The next of kin's negative feelings of standing alone were further intensified by their experience of being left out of the picture by the healthcare professionals concerning their relative's care. As a cardiac nurse, it would seem essential to have knowledge about the experiences of next of kin in connection with a relative's MI event. Such knowledge can facilitate the planning and organisation of nursing care and at the same time address the next of kin's role in the recovery and rehabilitation process.
  • Andersson, Ewa Kazimiera, et al. (författare)
  • The experience of younger adults following myocardial infarction
  • 2013
  • Ingår i: Qualitative Health Research. - Sage Publications. - 1049-7323. ; 23:6, s. 762-772
  • Tidskriftsartikel (refereegranskat)abstract
    • Syftet med denna studie var att belysa meningsupplevelser för personer yngre än 55 år som överlevt sin första hjärtinfarkt. Vi har analyserat 17 intervjuer med fenomenologisk-hermeneutisk metod. Huvudtemat, och det centrala fenomenet var en daglig kamp för att återvinna balansen i livet, vilket inkluderar en existentiell, fysisk och emotionell kamp för att återfå fotfästet i dagligt liv. Efterspelet till denna livshotande händelse involverade en transition/förändringsprocess samtidigt som en ny livsmening skapades. Informanternas berättelser färgades av en energibrist som påverkade deras liv och interagerade med orimliga krav från arbetsgivare och vårdpersonal. Kunskapen från denna studie kan utgöra ett värdefullt tillskott till kvalitetsarbete inom omvårdnad och till utveckling av omvårdnadsinterventioner för hjärtrehabilitering av yngre personer efter hjärtinfarkt.
  • Eiman Johansson, Maria, et al. (författare)
  • Nurses' clinical reasoning concerning management of peripheral venous cannulae
  • 2009
  • Ingår i: JOURNAL OF CLINICAL NURSING. - 0962-1067. ; 18:23, s. 3366-3375
  • Tidskriftsartikel (refereegranskat)abstract
    • Studien syftar till att beskriva sjuksköterskors kliniska resonemang vid skötsel av perifer venkateter. varje dag fattar sjuksköterskor en mängd beslut, bland annat om skötsel av PVK. En vanlig komplikation till PVK är tromboflebit, även om det också kan förekomma allvarligare komplikationer. Det finns kliniska riktlinjer om skötsel av PVK men dessa följs inte alltid. Tidigare studier om skötsel av PVK har inte genomförts i naturlig miljö. Därför designades en studie med kvalitativ metos som kombinerar observationer med intervjuer. Deltagande observation underlättade efterföljande öppna intervjuer om observationen, liksom de semistrukturerade intervjuerna om skötsel av PVK. texten analyserades med innehållsanalys. resultatet redovisas i tre huvudkategorier och ett tema. Temat visar att sjuksköterskorna balanserar mellan att minimera obehag för patienten och förebygga komplikationer från PVKn. Patientens välbefinnande övervägdes varje gång, även om det skedde med olika utgångspunkter t ex i form av den individuella patientsituationen, egen arbetsbelastning och egna erfarenheter av PVKskötsel. Denna typ av kunskap kan vara värdefull vid implementering av kliniska riktlinjer och också vid utbildning av sjuksköterskor.
  • Eiman Johansson, Maria, et al. (författare)
  • Registered nurses' adherence to clinical guidelines regarding peripheral venous catheters: a structured observational study.
  • 2008
  • Ingår i: Worldviews on Evidence-Based Nursing. - 1741-6787. ; 5:3, s. 148-59
  • Tidskriftsartikel (refereegranskat)abstract
    • Perifer venkateter är vanligt bland en stor del patienter idag. Användandet av perifer venkateter (PVK) kan leda till komplikationer som t ex tromboflebit och sepsis och kliniska riktlinjer har utarbetats för att stödja sjuksköterskor som handhar PVK. Det finns flera orsaker till varför kliniskt verksamma inte följer kliniska riktlinjer även om detta skulle minska komplikationsfrekvensen. Den här artikeln beskriver sjuksköterskors följsamhet till nationella och lokala kliniska riktlinjer vad gäller PVK och fokuserar på tid in situ, placering och dokumentaion vid förbandet. Ett ytterligare asyfte är att beskriva förekomsten av tromboflebiter i anslutning till PVK in situ, Metoden är strukturerade observationer av patienter med PVK. Data som analyserades gäller 343 PVK och är insamlat mellan december 2004 till juni 2005. Resultatet visar att sjuksköterskorna delvis följer riktlinjerna vad gäller storlek och placering. det var låg följsamhet vad gäller dokumentationen. icke följsamheten vad gäller tid in situ varierade mellan 5-26,3%, skillnader visade för storlek, placering och dokumentation. Mild tromboflebit (grad 1 och 2) observerades i 7% av fallen. Slutsatserna är att sjuksköterskors följsamhet till kliniska riktlinjer varierar men att sjuksköterskorna verkar byta leer ta bort PVK innan det uppstår alvarliga komplikationer. Återkoppling och diskussioner om följsamhet eller om komplikationer kan ha ett inflytande på sjuksköterskors kliniska beslutsfattande . Nyckelord: kliniskt beslutsfattande, följsamhet till riktlinjer, perifer venkateter, strukturerade observationer
  • Nilsson, Helena, et al. (författare)
  • Tooth loss and cognitive functions among older adults
  • 2014
  • Ingår i: Acta Odontologica Scandinavica. - 0001-6357. ; 72:8, s. 639-644
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective: To evaluate the association between the number of teeth and cognitive functions adjusted for age and education level in a cohort of older adults living in Sweden.Materials and methods: The study employed a cross-sectional design in which 1147 individuals between 60-96 years underwent a clinical oral examination. The cognitive functions were assessed using Mini-Mental State Examination (MMSE) and Clock-test. The level of education was obtained from a questionnaire. Data were subjected to Chi-square tests and multivariate logistic regression analyses were employed, grouping the different variables into pre-determined categories.Results: The co-variables age and education were significantly associated with the number of teeth (p < 0.05). The multivariate logistic regression analysis revealed that the association between the number of teeth and the cognitive functions persisted even after adjusting for age and level of education.Conclusions: The findings suggest that the presence of teeth may be of importance for cognitive abilities in older adults.
  • Andersson, Ewa, et al. (författare)
  • Registered nurses views of caring in coronary care - a deductive and inductive content analysis.
  • 2015
  • Ingår i: Journal of Clinical Nursing. - Wiley-Blackwell Publishing. - 0962-1067 .- 1365-2702. ; 24:23-24, s. 3481-3493
  • Tidskriftsartikel (refereegranskat)abstract
    • To extend nurses' descriptions of how they understood caring, as reflected in the findings of an earlier study (i.e. the hierarchical outcome space) and to gain additional understandings and perspectives of nurses' views of caring in relation to a coronary care patient case.
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