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- Granat, Lisa, et al.
(författare)
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Evaluation of the Swedish Self-Efficacy in Palliative Care Scale and exploration of nurses' and physicians' self-efficacy in Swedish hospitals : A cross-sectional study
- 2024
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Ingår i: Scandinavian Journal of Caring Sciences. - : John Wiley & Sons. - 0283-9318 .- 1471-6712.
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Tidskriftsartikel (refereegranskat)abstract
- Background: Previous research found that healthcare professionals had low preparedness for palliative care. Thus, it is necessary to explore healthcare professionals' self-efficacy. The Swedish Self-Efficacy in Palliative Care Scale (SEPC-SE) evaluates readiness in communication, patient management and multidisciplinary teamwork; however, it should be tested on a larger population. Furthermore, the constructs of the SEPC-SE should be compared to that of the original SEPC. Aim: This study aimed to evaluate the consensus between the construct validity and reliability of the SEPC and the translated and adapted SEPC-SE. Furthermore, it aimed to describe and compare the self-efficacy of nurses and physicians in hospitals and explore the associated factors. Methods: The nurses (n = 288) and physicians (n = 104) completed the SEPC-SE. Factor analysis with Cronbach's alpha evaluated validity and reliability, and an analysis using the Mann-Whitney U test compared self-efficacy and multiple linear regression-associated factors. Results: The SEPC-SE revealed three factors with high reliability. Education or experience in specialised palliative care was minor, especially for nurses. Self-efficacy was highest in patient management (nurses, median [md] = 74.57, physicians md = 81.71, p = 0.010) and communication (nurses md = 69.88, physicians md = 77.00, p = 0.141) and lowest in multidisciplinary teamwork (nurses md = 52.44, physicians md = 62.88, p = 0.001). The strongest associations with self-efficacy were education at work and advanced homecare experiences. In addition, there were significant associations between years in the profession, male sex, physicians and university education. Conclusion: The SEPC-SE is valid and reliable for measuring self-efficacy. Nurses had lower self-efficacy than physicians. Physicians were associated with higher self-efficacy and had more education and experience in palliative care settings, which may explain their levels of self-efficacy.
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2. |
- Åberg, Daniel, 1974-
(författare)
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Transition Properties of f-electrons in Rare-earth Optical Materials
- 2004
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The main purpose of this thesis is to theoretically study energy levels and intra-electronic transition intensities for various f-electron systems. The f-f electronic dipole transitions are parity-forbidden for a free ion but become non-zero when the ion is subject to a crystal-field. This is commonly described within the framework of Judd-Ofelt theory which accounts for the mixing of odd parity into the wave-functions. Some refinements and quantitative studies have been made by applying many-body perturbation theory, or the perturbed functions approach, to obtain effective dipole operators due to correlation, spin-orbit and higher order crystal-field effects not included in Judd-Ofelt theory. A software for the computation of f-electron multiplets and Stark levels was implemented and published as well. The single- and pair-functions used for the evaluation of intensity parameters were obtained by solving various inhomogeneous Schrödinger equations. The wave-functions and energies obtained by diagonalizing an effective Hamiltonian have been used together with the oscillator strength methods to simulate absorption spectrum. Consistent crystal-field parameters applied in some of the papers were obtained by fitting crystal polarizabilities to reflect the experimental Stark levels. The same crystal model was then used to generate odd crystal field parameters needed for the f-f transition intensities. The total effect of these refinements are spectral features that usually agree well with experimental findings. Some of these methods have also been applied and seen to be quite useful for the understanding of optical fiber amplifiers frequently used in today's optical networks. Finally, a finite-difference approach was applied for the Helium iso-electronic sequence. The exact wave-function was expanded in a sum of partial waves, and accurate ground- and excited state energies were obtained by using the iterative Arnoldi approach.
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