| 1. |
- Blomberg, Karin, 1970-, et al.
(författare)
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An appealing meal : creating conditions for older persons' mealtimes - a focus group study with healthcare professionals
- 2021
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Ingår i: Journal of Clinical Nursing. - : John Wiley & Sons. - 0962-1067 .- 1365-2702. ; 30:17-18, s. 2646-2653
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Health care professionals' knowledge and attitudes may have an impact on older persons' nutritional status. Therefore, it is important to explore different health care professionals' perspectives on older persons' meals.AIM: The aim of this study was to describe health care professionals' understanding of and views on the mealtime experience of older persons in municipal care.METHODS: Seven focus group discussions with various health care professionals (nurse assistants, registered nurses and occupational therapists) (n=52) working in nursing homes and/or home care for older persons were conducted and analysed using interpretive description. The COREQ checklist was used for reporting the findings.RESULTS: The results revealed a striving to create conditions for an appealing meal, regardless of profession. This overall theme, "An appealing meal - creating conditions for older persons' mealtimes", consisted of four sub-themes: "Food is crucial", "The mealtime as a social interaction", "Identifying the individual older person's needs" and "Integrating different perspectives of meal-related situations among the team".CONCLUSION: The findings show that the different professionals strive to prioritise meals in the everyday care of older persons, but at same time there is a lack of a common view on how to prioritise meal-related issues. This indicates that the care may be fragmented, being based on each professional's duties and interpretation of responsibility for older persons' meals, rather than constituting comprehensive integrated person-centred care provided by a multidisciplinary team.RELEVANCE TO CLINICAL PRACTICE: To enhance older persons' mealtimes we need to map how mealtimes are valued and implemented in clinical practice and approached in health care professionals' education. Education on older person's nutritional needs should be team-based, and not focus on the perspective of a single profession.
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| 2. |
- Brobeck, Elisabeth, et al.
(författare)
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Health promotion practice and its implementation in Swedish health care
- 2013
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Ingår i: International Nursing Review. - Chichester, United Kingdom : Blackwell Publishing. - 0020-8132 .- 1466-7657. ; 60:3, s. 374-380
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Health promotion practice is an important work assignment within the entire health and medical care sector. Nurses are important for the development and implementation of health promotion in clinical practice.Aim: The aim was to describe how district nurses view health promotion practice and how it was implemented in clinical practice following a training initiative.Design: The study has a descriptive design and a qualitative method.Methods: The sample consisted of three focus groups with 16 participants. The interviews were conducted as a conversation with focus on the district nurses view of health promotion and its implementation in clinical practice. The data have been processed using manifest qualitative content analysis.Results: Three categories, titled Training as motivation, Lack of grounding and Lack of scope were identified. The result demonstrated that training provides motivation, but also the importance of grounding in the organization and the need for scope in performing health promotion practice.Discussion: Our results show that the training initiative has contributed positively to the district nurses' view of health promotion practice, but that they also feel that there are obstacles. The district nurses in our study suggest that health promotion practice should be more visible, and not something that is done when time permits.Conclusion: The district nurses feel motivated and have an enthusiasm for health promotion practice but more time and resources are required to design successful health-promoting initiatives. Before implementing a major training initiative for healthcare personnel in health promotion, it is essential to examine whether the conditions for this exist in the organization.
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| 3. |
- Brobeck, Elisabeth, 1962-, et al.
(författare)
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Lifestyle advice and lifestyle change : to what degree does lifestyle advice of healthcare professionals reach the population, focusing on gender, age and education?
- 2015
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Ingår i: Scandinavian Journal of Caring Sciences. - Chichester : Wiley. - 0283-9318 .- 1471-6712. ; 29:1, s. 118-125
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Tidskriftsartikel (refereegranskat)abstract
- Health promotion practice in health care has a high priority in the endeavour to achieve equal opportunities for health and diversity in health among the population. The purpose of the study was to investigate whether there is any connection between the lifestyle advice given by healthcare professionals and the lifestyle change of the population, focusing on age, gender and education level. The study is based on the data from a national population survey in Sweden in which 52 595 patients who had attended health care were interviewed by phone. The participants were asked whether healthcare professionals had raised the subject of lifestyle during the visit and whether the advice they gave had contributed to a lifestyle change. The results indicated that lifestyle issues were raised with 32.2% of those who attended health care, particularly among men, younger patients and those with a high education level. When lifestyle issues were raised, the advice contributed to 39.2% of patients making a lifestyle change, to a higher extent among men, older patients and those with a low education level. The study shows that lifestyle advice given by healthcare professionals, during both emergency and outpatient healthcare visits, is an important contributor to patients' lifestyle change.
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| 4. |
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| 5. |
- Brobeck, Elisabeth, 1962-, et al.
(författare)
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Patients’ experiences of lifestyle discussions based on motivational interviewing : a qualitative study
- 2014
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Ingår i: BMC Nursing. - London : Springer Science and Business Media LLC. - 1472-6955. ; 13:13
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- According to World Health Organization about 75% of cardiovascular diseases and type 2 diabetes and 40% of all cases of cancer could be prevented if the risk factors tobacco use, unhealthy diets, physical inactivity and harmful use of alcohol could be eliminated. Patients often need help in monitoring themselves to make the proper lifestyle changes and it is important that adequate support is provided to enable the patients to take control over their health. Motivational interviewing is a framework that can help to facilitate this movement. The aim of this study was to describe how patients in primary health care settings experience lifestyle discussions based on motivationalinterviewing.Methods This study has a descriptive design and qualitative content analysis was used as the method. Sixteen patients who had each visited a registered nurse for lifestyle discussions were interviewed.Results The results show that the lifestyle discussions could enable self-determination in the process oflifestyle change but that certain conditions were required. Mutual interaction between the patient and the nurse that contributes to a sense of well-being in the patients was a necessary condition for the lifestyle discussion to be helpful. When the discussion resulted in a new way of thinking about lifestyle and when patient initiative was encouraged,the discussion could contribute to change. The patient’s free will to make a lifestyle change and the nurse’s sensitivity in the discussions created fertile soil for change.Conclusions This study focuses on MI-based discussions, and the result shows that a subset of patients, who self reported that they are motivated and aware of their role in making lifestyle changes, appreciate these strategies. However, it is not known whether discussions would be experienced in the same way if RNs used another method or if patients who were less motivated, engaged, or aware of their role in making lifestyle changes were interviewed.
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| 6. |
- Brobeck, Elisabeth, et al.
(författare)
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Primary healthcare nurses' experiences with motivational interviewing in health promotion practice
- 2011
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Ingår i: Journal of Clinical Nursing. - Oxford : Wiley-Blackwell. - 0962-1067 .- 1365-2702. ; 20:23-24, s. 3322-3330
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Tidskriftsartikel (refereegranskat)abstract
- Aim. The aim of the study was to describe primary healthcare nurses’ experiences with motivational interviewing as a method for health promotion practice.Background. A person’s lifestyle has a major effect on his or her health. Motivational interviewing is one way of working with lifestyle changes in health promotion practice. The basic plan of motivational interviewing is to help people understand their lifestyle problems and make positive lifestyle changes. Motivational interviewing has been proven to be more effective than conventional methods in increasing patient motivation.Design. This study has a descriptive design and uses a qualitative method.Methods. Twenty nurses who worked in primary health care and actively used motivational interviewing in their work were interviewed. Qualitative content analysis was used to process the data.Results. The primary healthcare nurses’ experiences with motivational interviewing as a method of health promotion practice demonstrate that motivational interviewing is a demanding, enriching and useful method that promotes awareness and guidance in the care relationship. The results also show that motivational interviewing is a valuable tool for primary healthcare nurses’ health promotion practice.Conclusion. This study shows that motivational interviewing places several different demands on nurses who use this method. Those who work with motivational interviewing must make an effort to incorporate this new method to avoid falling back into the former practice of simply giving advice. Maintaining an open mind while implementing motivational interviewing in real healthcare settings is crucial for nurses to increase this method’s effectiveness.Relevance to clinical practice. The nurses in the study had a positive experience with motivational interviewing, which can contribute to the increased use, adaption and development of motivational interviewing among primary healthcare professionals. Increased motivational interviewing knowledge and skills would also contribute to promotion of health lifestyle practices.
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| 7. |
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| 8. |
- Dahlberg, Karuna, 1979-, et al.
(författare)
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Holding It Together - Patients' Perspectives on Postoperative Recovery When Using an e-Assessed Follow-Up : Qualitative Study
- 2018
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Ingår i: JMIR mhealth and uhealth. - : JMIR Publications Inc.. - 2291-5222. ; 20:5
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Tidskriftsartikel (refereegranskat)abstract
- Background: There is an emerging trend to perform surgeries as day surgery. After a day surgery, most of the recovery period takes place at home, and patients are responsible for their own recovery. It has been suggested that electronic health (eHealth) technologies can support patients in this process. A mobile app has recently been developed to assess and follow up on postoperative recovery after a day surgery.Objective: The aim of this study was to explore experiences associated with postoperative recovery after a day surgery in patients using a mobile app to assess the quality of their recovery.Methods: This is a qualitative interview study with an explorative and descriptive design. Participants were recruited from 4 different day surgery units in different parts of Sweden. The study included 18 participants aged >17 years who had undergone day surgery and used the Recovery Assessment by Phone Points, a mobile app for follow-up on postoperative recovery after day surgery. Participants were purposively selected to ensure maximum variation. Semistructured individual interviews were conducted. Data were analyzed using thematic analysis.Results: A total of two themes and six subthemes emerged from the data: (1) the theme Give it all you’ve got with the subthemes Believing in own capacity, Being prepared, and Taking action, where participants described their possibilities of participating and themselves contributing to improving their postoperative recovery; and (2) the theme The importance of feeling safe and sound with the subthemes Feeling safe and reassured, Not being acknowledged, and Not being left alone, which describe the importance of support from health care professionals and next of kin. Conclusions: It is important that patients feel safe, reassured, and acknowledged during their postoperative recovery. They can achieve this themselves with sufficient support and information from the health care organization and their next of kin. Using a mobile app, both for assessment and to enable contact with the day surgery unit during the postoperative recovery period, can improve care and create a feeling of not being alone after surgery. We propose that postoperative recovery starts in the prerecovery phase when patients prepare for their recovery to get the best possible outcome from their surgery.
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| 9. |
- Dahlberg, Karuna, 1979-, et al.
(författare)
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Holding it together – patients’ perspectives on postoperative recovery when using an e-assessed follow-up
- 2019
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Konferensbidrag (refereegranskat)abstract
- Background: Today the majority of surgeries are performed as day surgery. After surgery patients are responsible for their own recovery and self-care is a central part of postoperative recovery after day surgery.Aim: To explore patients’ experience of postoperative recovery after day surgery when using a mobile phone application (app) for follow-up.Design: Qualitative interview study with a descriptive and explorative design.Settings: Four day surgery units in different parts of Sweden.Participants: Eighteen participants who had undergone day surgery, ≥18 years of age and used a mobile app for follow-up on postoperative recovery after day surgery. Participants were purposively selected.Methods: Interviews were individual and semi-structured. Thematic analysis as described by Braun and Clarke (2006) was used to analyze the data.Findings: From the data two themes and six subthemes emerged: 1) Give it all you´ve got, with the subthemes Believing in own capacity, Being prepared and Taking action, 2) The importance of feeling safe and sound, with the subthemes Feeling safe and reassured, Not being acknowledged and Not being left alone. The first theme, Give it all you´ve got, describes how participants themselves act and contribute to improve their recovery. The second theme, The importance of feeling safe and sound, describes the importance of support from next of kind and health care during patients postoperative recovery.Conclusions: Recovery after day surgery is a complex process, in which the patients need to prepare for and manage their recovery. This study highlights the importance of own preparation as crucial for a smooth recovery. Also, to have an easy way to get in contact with health care after day surgery, such as using digital follow up, may be a counteract for feeling left alone after surgery.Implications for perianaesthesia nurses and future researchIn perianesthesia nursing it is important to acknowledge patients need for support during postoperative recovery. It is also important to support patients in their preparation for surgery since this preparation has an impact on how the postoperative recovery is experienced. Further studies should explore how perianesthesia nurses can support patients to improve the pre-recovery phase in order to optimize postoperative recovery.
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| 10. |
- Nilsson, Ulrica, 1960-, et al.
(författare)
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RAPP, a systematic e-assessment of postoperative recovery in patients undergoing day surgery : study protocol for a mixed-methods study design including a multicentre, two-group, parallel, single-blind randomised controlled trial and qualitative interview studies
- 2016
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Ingår i: BMJ Open. - London, United Kingdom : B M J Group. - 2044-6055. ; 6:1
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Day surgery is a well-established practice in many European countries, but only limited information is available regarding postoperative recovery at home though there is a current lack of a standard procedure regarding postoperative follow-up. Furthermore, there is also a need for improvement of modern technology in assessing patient-related outcomes such as mobile applications. This article describes the Recovery Assessment by Phone Points (RAPP) study protocol, a mixed-methods study to evaluate if a systematic e-assessment follow-up in patients undergoing day surgery is cost-effective and improves postoperative recovery, health and quality of life.Methods and analysis: This study has a mixed-methods study design that includes a multicentre, two-group, parallel, single-blind randomised controlled trial and qualitative interview studies. 1000 patients >17 years of age who are undergoing day surgery will be randomly assigned to either eassessed postoperative recovery follow-up daily in 14 days measured via smartphone app including the Swedish web-version of Quality of Recovery (SwQoR) or to standard care (ie, no follow-up). The primary aim is cost-effectiveness. Secondary aims are (A) to explore whether a systematic e-assessment follow-up after day surgery has a positive effect on postoperative recovery, health-related quality of life (QoL) and overall health; (B) to determine whether differences in postoperative recovery have an association with patient characteristic, type of surgery and anaesthesia; (C) to determine whether differences in health literacy have a substantial and distinct effect on postoperative recovery, health and QoL; and (D) to describe day surgery patient and staff experiences with a systematic e-assessment follow-up after day surgery.The primary aim will be measured at 2 weeks postoperatively and secondary outcomes (A–C) at 1 and 2 weeks and (D) at 1 and 4 months.
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