Sök i SwePub databas

  Utökad sökning

Träfflista för sökning "swepub ;lar1:(oru);lar1:(du)"

Sökning: swepub > Örebro universitet > Högskolan Dalarna

  • Resultat 1-10 av 353
Sortera/gruppera träfflistan
  • Tidskriftsartikel (refereegranskat)
  • Tistad, Malin, et al. (författare)
  • Developing Leadership in Managers to Facilitate the Implementation of National Guideline Recommendations: A Process Evaluation of Feasibility and Usefulness
  • 2016
  • Ingår i: International Journal of Health Policy and Management-Ijhpm. - 2322-5939. ; 5:8, s. 477-486
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Previous research supports the claim that managers are vital players in the implementation of clinical practice guidelines (CPGs), yet little is known about interventions aiming to develop managers’ leadership in facilitating implementation. In this pilot study, process evaluation was employed to study the feasibility and usefulness of a leadership intervention by exploring the intervention’s potential to support managers in the implementation of national guideline recommendations for stroke care in outpatient rehabilitation.Methods: Eleven senior and frontline managers from five outpatient stroke rehabilitation centers participated in a four-month leadership intervention that included workshops, seminars, and teleconferences. The focus was on developing knowledge and skills to enhance the implementation of CPG recommendations, with a particular focus on leadership behaviors. Each dyad of managers was assigned to develop a leadership plan with specific goals and leadership behaviors for implementing three rehabilitation recommendations. Feasibility and usefulness were explored through observations and interviews with the managers and staff members prior to the intervention, and then one month and one year after the intervention.Results: Managers considered the intervention beneficial, particularly the participation of both senior and frontline managers and the focus on leadership knowledge and skills for implementing CPG recommendations. All the managers developed a leadership plan, but only two units identified goals specific to implementing the three stroke rehabilitation recommendations. Of these, only one identified leadership behaviors that support implementation.Conclusion: Managers found that the intervention was delivered in a feasible way and appreciated the focus on leadership to facilitate implementation. However, the intervention appeared to have limited impact on managers’ behaviors or clinical practice at the units. Future interventions directed towards managers should have a stronger focus on developing leadership skills and behaviors to tailor implementation plans and support implementation of CPG recommendations.
  • Eldh, Ann Catrine, et al. (författare)
  • Conditions for patient participation and non-participation in health care
  • 2006
  • Ingår i: Nursing Ethics. - 0969-7330. ; 13:5, s. 503-514
  • Tidskriftsartikel (refereegranskat)abstract
    • This study explored patients' experiences of participation and non-participation in their health care. A questionnaire-based survey method was used. Content analysis showed that conditions for patient participation occurred when information was provided not by using standard procedures but based on individual needs and accompanied by explanations, when the patient was regarded as an individual, when the patient's knowledge was recognized by staff, and when the patient made decisions based on knowledge and needs, or performed self-care. Thus, to provide conditions for true patient participation, professionals need to recognize each patient's unique knowledge and respect the individual's description of his or her situation rather than just inviting the person to participate in decision making.
  • Memedi, Mevludin, et al. (författare)
  • Validity and Responsiveness of At-Home Touch Screen Assessments in Advanced Parkinson's Disease
  • 2015
  • Ingår i: IEEE Journal of Biomedical and Health Informatics. - IEEE--Institute of Electrical and Electronics Engineers Inc.. - 2168-2194. ; 19:6, s. 1829-1834
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to investigate if a telemetry test battery can be used to measure effects of Parkinson's disease (PD) treatment intervention and disease progression in patients with fluctuations. Sixty-five patients diagnosed with advanced PD were recruited in an open longitudinal 36-month study; 35 treated with levodopa-carbidopa intestinal gel (LCIG) and 30 were candidates for switching from oral PD treatment to LCIG. They utilized a test battery, consisting of self-assessments of symptoms and fine motor tests (tapping and spiral drawings), four times per day in their homes during week-long test periods. The repeated measurements were summarized into an overall test score (OTS) to represent the global condition of the patient during a test period. Clinical assessments included ratings on unified PD rating scale (UPDRS) and 39-item PD questionnaire (PDQ-39) scales. In LCIG-naive patients, the mean OTS compared to baseline was significantly improved from the first test period on LCIG treatment until month 24. In LCIG-non naive patients, there were no significant changes in the mean OTS until month 36. The OTS correlated adequately with total UPDRS (rho = 0.59) and total PDQ-39 (0.59). Responsiveness measured as effect size was 0.696 and 0.536 for OTS and UPDRS, respectively. The trends of the test scores were similar to the trends of clinical rating scores but the dropout rate was high. Correlations betweenOTS and clinical rating scales were adequate indicating that the test battery contains important elements of the information of well-established scales. The responsiveness and reproducibility were better for OTS than for total UPDRS.
  • Eldh, AC, et al. (författare)
  • Use of Evidence in Clinical Guidelines and Everyday Practice for Mechanical Ventilation in Swedish Intensive Care Units
  • 2013
  • Ingår i: Worldviews on Evidence-Based Nursing. - Wiley-Blackwell. - 1545-102X. ; 10:4, s. 198-207
  • Tidskriftsartikel (refereegranskat)abstract
    • Background and Aim: One way to support evidence-based decisions in health care is by clinical guidelines, in particular, in highly specialized care such as intensive care units (ICUs). The aim of this study was to explore the development and dissemination of guidelines regarding mechanical ventilation (MV) in Swedish ICUs, and the use of evidence on MV in guidelines and everyday practice.Methods: Inviting all general ICUs in Sweden (N = 65), a national survey was performed on occurrence of MV guidelines, and a review of submitted ICU guidelines by four evidence items from the AGREE instrument. In addition, ICU head nurses and senior physicians were interviewed using semistructured and open-ended questions to explore development and dissemination of MV guidelines, staff adherence or nonadherence to guidelines, and everyday practice of MV management bedside.Findings: Fifty-five ICUs (85%) participated in the study; 51 ICUs submitted a total of 245 guidelines, including recommendations for medical or nursing MV actions. None of the documents included how evidence had been sought or assessed, while 22% included a list of references (n = 54). No guidelines included patients' experiences of MV. According to the managers, the guidelines were most often compiled by a multiprofessional team sharing the information through the ICU's website. The guidelines were mainly used as a basis for MV management bedside, but variation occurred as a result of personal preferences, lack of awareness, and adjustment to patients' needs.Conclusions: Local MV guidelines seem to constitute a basis for healthcare practice in Swedish ICUs, even though the evidence proposed was limited with respect to how it was attained and lacked patient perspectives. In addition, the strategies used for dissemination were limited, suggesting that further initiatives are needed to support knowledge translation in advanced healthcare environments such as ICUs.
  • Eriksson, Henrik, 1967-, et al. (författare)
  • The core characteristics and nursing care activities in psychiatric intensive care units in Sweden
  • 2008
  • Ingår i: International Journal of Mental Health Nursing. - 1445-8330. ; 17:2, s. 98-107
  • Tidskriftsartikel (refereegranskat)abstract
    • Internationally, research on psychiatric intensive care units (PICUs) commonly reports results from demographic studies such as criteria for admission, need for involuntary treatment, and the occurrence of violent behaviour. A few international studies describe the caring aspect of the PICUs based specifically on caregivers' experiences. The concept of PICU in Sweden is not clearly defined. The aim of this study is to describe the core characteristics of a PICU in Sweden and to describe the care activities provided for patients admitted to the PICUs. Critical incident technique was used as the research method. Eighteen caregivers at a PICU participated in the study by completing a semistructured questionnaire. In-depth interviews with three nurses and two assistant nurses also constitute the data. An analysis of the content identified four categories that characterize the core of PICU: the dramatic admission, protests and refusal of treatment, escalating behaviours, and temporarily coercive measure. Care activities for PICUs were also analysed and identified as controlling - establishing boundaries, protecting - warding off, supporting - giving intensive assistance, and structuring the environment. Finally, the discussion put focus on determining the intensive aspect of psychiatric care which has not been done in a Swedish perspective before. PICUs were interpreted as a level of care as it is composed by limited structures and closeness in care. © 2008 Australian College of Mental Health Nurses Inc.
  • Catrine, A, et al. (författare)
  • A comparison of the concept of patient participation and patients' descriptions as related to healthcare definitions
  • 2010
  • Ingår i: International Journal of Nursing Terminologies and Classifications. - Malden, USA : Wiley-Blackwell. - 2047-3087. ; 21:1, s. 21-32
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: To depict what patients describe as patient participation and whether descriptions of patient participation are affected by gender, age, healthcare contact, and duration of disease.Data sources: Current patients (n= 362) responded to a questionnaire on participation.Data synthesis: Patients' descriptions focused on having knowledge, rather than being informed, and on interacting with health professionals, rather than merely partaking in decision making.Conclusions: Patients' descriptions of participation correspond with the International Classification of Functioning, Disability and Health's definition, which includes "being involved in a life situation." Healthcare legislation and professionals employ a narrower concept of patient participation as defined by, e.g., Medical Subject Headings.Practice implications: Findings suggest that health professionals need to embrace what patients describe as participation.
  • Memedi, Mevludin, et al. (författare)
  • Automatic Spiral Analysis for Objective Assessment of Motor Symptoms in Parkinson's Disease
  • 2015
  • Ingår i: Sensors. - 1424-8220. ; 15:9, s. 23727-23744
  • Tidskriftsartikel (refereegranskat)abstract
    • A challenge for the clinical management of advanced Parkinson’s disease (PD) patients is the emergence of fluctuations in motor performance, which represents a significant source of disability during activities of daily living of the patients. There is a lack of objective measurement of treatment effects for in-clinic and at-home use that can provide an overview of the treatment response. The objective of this paper was to develop a method for objective quantification of advanced PD motor symptoms related to off episodes and peak dose dyskinesia, using spiral data gathered by a touch screen telemetry device. More specifically, the aim was to objectively characterize motor symptoms (bradykinesia and dyskinesia), to help in automating the process of visual interpretation of movement anomalies in spirals as rated by movement disorder specialists. Digitized upper limb movement data of 65 advanced PD patients and 10 healthy (HE) subjects were recorded as they performed spiral drawing tasks on a touch screen device in their home environment settings. Several spatiotemporal features were extracted from the time series and used as inputs to machine learning methods. The methods were validated against ratings on animated spirals scored by four movement disorder specialists who visually assessed a set of kinematic features and the motor symptom. The ability of the method to discriminate between PD patients and HE subjects and the test-retest reliability of the computed scores were also evaluated. Computed scores correlated well with mean visual ratings of individual kinematic features. The best performing classifier (Multilayer Perceptron) classified the motor symptom (bradykinesia or dyskinesia) with an accuracy of 84% and area under the receiver operating characteristics curve of 0.86 in relation to visual classifications of the raters. In addition, the method provided high discriminating power when distinguishing between PD patients and HE subjects as well as had good test-retest reliability. This study demonstrated the potential of using digital spiral analysis for objective quantification of PD-specific and/or treatment-induced motor symptoms.
  • Hälleberg Nyman, M, et al. (författare)
  • Urinary incontinence and its management in patients aged 65 and older in orthopaedic care : what nursing and rehabilitation staff know and do
  • 2017
  • Ingår i: Journal of Clinical Nursing. - West Sussex, United Kingdom : Wiley-Blackwell Publishing Inc.. - 0962-1067. ; 26:21-22, s. 3345-3353
  • Tidskriftsartikel (refereegranskat)abstract
    • Aims and objectives: To describe what nursing and rehabilitation staff know and do with regards to urinary incontinence and risk of urinary incontinence in patients 65 years or older undergoing hip surgery.Background: Urinary incontinence is a common but often neglected issue for older people. Despite the existence of evidence-based guidelines on how to assess, manage and prevent UI, there are indications that these guidelines are not applied in hospital care.Design: A qualitative study with descriptive design was conducted in two orthopaedic units.Methods: 46 interviews and 36 observations of care were conducted from January to October 2014 and analysed with qualitative content analysis.Results: Enrolled nurses performed most of the care related to bladder function, with focus on urinary catheterisation and preventing urinary tract infection and urinary retention. Registered nurses' role in urinary matters mainly comprised documentation, while the rehabilitation staff focused on making it possible for the patient to be independent in toileting. The nursing staff considered urinary incontinence a common condition for older people and that it was convenient for the patients to have an indwelling catheter or incontinence pad/pant, although they acknowledged some of the risks associated with these procedures.Conclusions: Urinary incontinence is not a priority in orthopaedic care, and urinary incontinence guidelines are not applied. Further, attitudes and actions are mainly characterised by a lack of urinary incontinence knowledge and the nursing and rehabilitation staff do not take a team approach to preventing and managing UI.Relevance and clinical practive: An increased focus on knowledge on urinary incontinence and evidence-based guidelines is needed. To secure evidence-based practice, the team of nursing and rehabilitation staff and managers must be aligned and work actively together, also including the patient in the team.
  • Carleheden, Mikael, 1958-, et al. (författare)
  • Sociologförbundet har ordet
  • 2007
  • Ingår i: Sociologisk forskning. - Uppsala : Sveriges sociologförbund. - 0038-0342. ; :4, s. 85-86
  • Tidskriftsartikel (populärvet., debatt m.m.)
Skapa referenser, mejla, bekava och länka
  • Resultat 1-10 av 353
fritt online (126)
Typ av publikation
tidskriftsartikel (207)
konferensbidrag (68)
bokkapitel (33)
doktorsavhandling (23)
rapport (9)
bok (4)
visa fler...
licentiatavhandling (3)
samlingsverk (redaktörskap) (3)
annan publikation (2)
forskningsöversikt (1)
visa färre...
Typ av innehåll
refereegranskat (235)
övrigt vetenskapligt (106)
populärvet., debatt m.m. (12)
Memedi, Mevludin, (23)
Avdic, Anders, 1950- ... (22)
Hatakka, Mathias, 19 ... (22)
Ehrenberg, Anna, (21)
Nyholm, Dag, (20)
Ehnfors, Margareta, (19)
visa fler...
Sedelius, Thomas, (19)
Lundberg, Erik, 1980 ... (18)
Wedin, Åsa, (17)
Johansson, Viktor, 1 ... (15)
Lützén, Kim, (14)
Westin, Jerker, (14)
Grönlund, Åke, (11)
Hägglund, Doris, (9)
Asiimwe, Edgar Napol ... (8)
Salzmann-Erikson, Ma ... (8)
Eriksson, Henrik, (7)
Hatakka, Mathias, (7)
Eldh, Ann Catrine, (7)
Žabkar, Jure, (7)
Možina, Martin, (7)
Karlsson, Martin, 19 ... (6)
Grönlund, Åke, 1954- ... (6)
Bergquist, Filip, (6)
Memedi, Mevludin, 19 ... (6)
Ehnfors, M, (6)
Ewertzon, Mats, (6)
Daunfeldt, Sven-Olov ... (6)
Bagga-Gupta, Sangeet ... (6)
Hansson, Magnus, (5)
Johansson, Anders, (5)
Andershed, Birgitta, (5)
Johansson, Dan, (5)
Olsson, Helén (5)
Andersson, Annika, 1 ... (5)
Johansson, Dan, 1964 ... (5)
Florin, Jan, (5)
Wigblad, Rune (5)
Eldh, Ann Catrine, 1 ... (5)
Janson, Christer (4)
Ehrenberg, A (4)
Lutzen, K (4)
Aghanavesi, Somayeh, (4)
Senek, Marina, (4)
Dougherty, Mark, (4)
Ekman, Inger, (4)
Ask, Andréas, (4)
Hultin, Eva, 1964-, (4)
Wallin, Lars (4)
Messina Dahlberg, Gi ... (4)
visa färre...
Uppsala universitet (27)
Karolinska Institutet (24)
Ersta Sköndal Bräcke högskola (23)
Linköpings universitet (20)
visa fler...
Stockholms universitet (16)
Göteborgs universitet (15)
Mälardalens högskola (11)
Röda Korsets Högskola (9)
Högskolan i Jönköping (9)
Högskolan i Skövde (6)
Umeå universitet (5)
Linnéuniversitetet (4)
Lunds universitet (4)
Kungliga Tekniska Högskolan (4)
Mittuniversitetet (4)
Karlstads universitet (4)
Södertörns högskola (3)
Högskolan i Borås (2)
Högskolan i Gävle (2)
RISE (1)
VTI - Statens väg- och transportforskningsinstitut (1)
visa färre...
Engelska (284)
Svenska (69)
Forskningsämne (UKÄ/SCB)
Samhällsvetenskap (219)
Medicin och hälsovetenskap (113)
Naturvetenskap (67)
Humaniora (35)
Teknik (21)


pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy