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1.
  • Larsson, Lise-Lott, et al. (författare)
  • Healthcare Professionals Use of Mobile Phones in the Operating Theatre
  • 2019
  • Ingår i: Acta Scientific Paediatrics. - USA : Acta Scientific. - 2581-883X. ; 2:12, s. 66-72
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Today mobil phones has been incorporated in our daily lives to such an extent that they are used in the operating theater for both professional and private matters. The advantages and disadvantages associated with the use of mobile phones in the healthcare sector are described in studies.Aim: To describe healthcare professionals use and managing of professional phones and private mobile phones in the operating theater.Method: The design is a descriptive cross-sectional study with 40 structured observations in the operating theater and a questionnaire survey. The study was conducted in three surgical departments at a Swedish children's hospital. The participants were anesthetic nurses, physicians, operating theater nurses and assistant nurses. Data was analyzed descriptively in SPSS.Result: The observations showed that of 477 phone uses, 287 (60.2%) were private mobile phones and 190 (39.8%)professional phones. The adherence to basal hygiene guidelines before and after telephone use, n = 477, was 93 (19.4%) and 103 (21.5%), respectively. The questionnaire showed that 9 (27.2%) of the participants experienced daily that the use of private mobile phones disturbed team members in the operating theater. Eight (24, 2%) of participants experienced daily, 7 (21.7%) weekly, employees became less concentrated due to the use of private mobile phones.Conclusion: Increased compliance with basic hand hygiene guidelines, designing policies regarding the use of private mobile phones in the operating theater and a discussion concerning what is ethically correct in relation to the patients can be considered essential. Further studies are needed for continued exploration of the use and managing of mobile phones in the operating theater.
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2.
  • Mattsson, Janet, 1967- (författare)
  • It is Time we Become Child Centered at all Children’s Hospitals
  • 2019
  • Ingår i: Acta Scientific Paediatrics. - : Acta Scientific. - 2581-883X. ; 2:9, s. 01-02
  • Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
    • In the Pediatric Intensive Care Unit (PICU) family- and childcentered care does not have the same prepared tools to relay on as, for example, neonatal care. In neonatal care the parents are quickly involved in the child's care. The caring philosophy NIDCAP (Newborn individualized Developmental Care and Assessment Program) and SFS-Situation adapted family co-operation, are both adapted for the child and for the parents. Both these "utensils" are based on individualizing the nursing care from a family-centered perspective. However, the same prepared tools or tools are not available from a child-centered care perspective, which gives the child a disadvantage and every act of involvement rests upon the nurse’s knowledge and ability to vindicate such child centered care in the caring situation [1]. According to the United Nations Convention on Children's Rights [2], the child´s best interest needs to be put firsthand when health and medical care is given to children. The idea is that the child should be in the center. The focus is thus moved from a family-centered perspective, to a child-centered perspective.
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3.
  • Mattsson, Janet, 1967- (författare)
  • Team Training, A Prerequisite of Being Safe in a Technological Environment, A Pediatric Operating Theater
  • 2018
  • Ingår i: Acta Scientific Paediatrics. - : Acta Scientific. - 2581-883X. ; 1:4, s. 18-19
  • Tidskriftsartikel (refereegranskat)abstract
    • We all know that the digitalization is here to stay, so also in the children’s operating theater. We also know that effective teamwork is crucial for safe surgery. Changes in demographic trends and new surgical and technological innovations require close collaboration with other disciplines for a number of reasons [1]. Despite the advances in technology, making healthcare safer depends, not on minimizing the human contribution but on understanding how people, look ahead, overcome hazards and, in effect, create safety [2]. This is very true in a high technological environment that has become utterly specialized and digitalized during the last decade. As the technical devices becomes more and more complex we require another approach for interprofessional collaboration in the operating theater to keep the child safe during the operation. Especially a breakdown in communication, poor teamwork, lack of leadership and poor decision making by individuals and teams have all been shown to be major contributors to adverse events [3].
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4.
  • Mattsson, Janet, 1967-, et al. (författare)
  • They have their whole life in front of them
  • 2019
  • Ingår i: Acta Scientific Paediatrics. - : Acta Scientific. - 2581-883X. ; 2:6, s. 28-36
  • Tidskriftsartikel (refereegranskat)abstract
    • Objectives: The objectives for the study was to describe challenges in caring for children in adult intensive care units as perceived by the intensive care nurse.Research Methodology: A phenomenographic method was used since the aim of this study was to uncover nurses´ experiences of a phenomenon in their everyday clinical lifeworld. Setting, eight semi-structured interviews were conducted with intensive care nurses working in two different hospitals in Mid Sweden.Result: The result revealed several qualitatively different internal challenges connected to caring for a critically ill child. Two qualitatively different main categories: Internal Challenges with subcategories Fear and Empowerment and External Challenges with subcategories Learning environment, Another way of working. and Environment.Conclusion: Children’s vulnerable position in health care is clearly revealed in this study as it uncovers intensive care nurses face fear and uncertainty as a result of lack of adequate experience and knowledge when caring for children in the AICU.Clinical Relevance: The external challenges perceived by AICU nurses when caring for critically ill children are closely linked to the internal challenges. And highlights the need of a systematic and well-designed in-service training and learning environment for nurses working in an AICU. A systematic and close collaboration with a PICU with possibilities to interchange should be a prerequisite when caring for children in the AICU. 
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