| 1. |
- Ding, Yunmei, et al.
(författare)
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Factors influencing kinesiophobia during the “blanking period” after radiofrequency catheter ablation in patients with atrial fibrillation by the fear-avoidance model
- 2022
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Ingår i: International Journal of Cardiology. - : Elsevier BV. - 0167-5273. ; 363, s. 49-55
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Tidskriftsartikel (refereegranskat)abstract
- Background: The influencing factors of kinesiophobia (fear of movement) in patients with atrial fibrillation(AF)during the post-operative “Blanking Period” are not known. The aims were to investigate the status of kinesiophobia in patients with AF during the post-operative “Blanking Period”, then further describe the occurrence and analyze the influencing factors of patients' kinesiophobia by the Fear-Avoidance Model. Materials and methods: In total,400 patients diagnosed with atrial fibrillation, during the post-operative “Blanking Period” from the selected hospital were included in this study. The Tampa Scale for Kinesiophobia Heart (TSK-SV Heart), the Self-efficacy for Exercise (SEE) scale, and the Geriatric Locomotive Function Scale (GLFS) were used to assess kinesiophobia, exercise self-efficacy, and physical function. The study adopted a cross-sectional design. Results: The score of kinesiophobia during the “Blanking Period” after operation in patients with atrial fibrillation was (44.06 ± 10.77), and the rate of high kinesiophobia was 71.61%.Logistic regression results showed that age, education, household monthly income, resting heart rate, EHRA symptom classification, exercise self-efficacy, and physical function influenced the kinesiophobia of patients during the post-operative “Blanking Period”(p<0.05， p<0.01). Conclusions: Kinesiophobia is common in patients with atrial fibrillation during the postoperative “Blanking Period”, and the fear of movement is related to age, education, household monthly income, resting heart rate, EHRA symptom classification, exercise self-efficacy, and physical function. Clinical and nursing staff should pay close attention to the psychological problems in the post-operation “Blanking Period” of exercise rehabilitation in patients with atrial fibrillation, make timely interventions to reduce patients' fear of movement, and improve patients' compliance with exercise rehabilitation.
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| 2. |
- Ding, Yunmei, et al.
(författare)
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Factors influencing self-management behavior during the “Blanking Period” in patients with atrial fibrillation : A cross-sectional study based on the information-motivation-behavioral skills model
- 2023
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Ingår i: Heart and Lung. - : Elsevier BV. - 0147-9563. ; 58, s. 62-68
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Tidskriftsartikel (refereegranskat)abstract
- Background: Atrial fibrillation (AF) is becoming increasingly common. Effective self-management during the “Blanking Period” is critical. The Information-Motivation-Behavioral skills (IMB) model can be used to study health behaviors in chronic disease patients, but it has not been studied in AF patients. Objective: The goal of this study was to explore the influencing factors and interaction pathways of self-management behavior in AF patients during the "Blanking Period" using the IMB model. Methods: From June to December 2021, a cross-sectional design was conducted. Patients with AF during the "Blanking Period" (N=220) were recruited. They filled out several quantitative questionnaires, including the Jessa Atrial Fibrillation Knowledge Questionnaire, the Confidence in Atrial Fibrillation Management Scale, the Perceived Social Support Scale, the All Aspects of Health Literacy Scale, and the Self-care Scale for Chronic Atrial Fibrillation Patients. Data were analyzed using correlation analysis, multiple regression analysis, and path analysis. Results: Total score of self-management behavior was (33.83 ± 10.66). AF knowledge (β = 0.252, P < 0.001), self-management confidence (β = 0.219, P < 0.001), social support (β = 0.291, P < 0.001), and health literacy (β = 0.262, P < 0.001) were all positively correlated with patients' self-management behavior, accounting for 66.50 percent of the total variance. Conclusions: During the "Blanking Period", the IMB model can be used to predict the factors that influence self-management behavior in AF patients. By using IMB model, interventions targeting patient-specific influencing factors could improve self-management behavior and quality of life in AF patients.
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| 3. |
- Fu, Cong, et al.
(författare)
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A Qualitative Systematic Review About Children’s Everyday Lives when a Parent Is Seriously Ill with the Prospect of Imminent Death - Perspectives of Children and Parents
- 2024
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Ingår i: OMEGA - Journal of Death and Dying. - : SAGE Publications. - 1541-3764 .- 0030-2228. ; , s. 1-45
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Tidskriftsartikel (refereegranskat)abstract
- Parental dying is a life changing experience for children. This study explores children’s strategies and (inter)actions in their everyday life when facing critically ill parents and imminent death, from the children’s and parents’ perspectives. A qualitative systematic review was carried out, registered in PROSPERO (CRD42022306862). A literature search and screening in six databases resulted in eighteen articles. Thematic analysis showed that children were capable of developing various strategies to cope in everyday life, even in vulnerable situations. From parents’ and children’s perspectives, inclusion, openness, and communication about parents’ situations, taking children’s age and needs into consideration, were important to face and cope with the situation. Children were life-capable, also in vulnerable and difficult situations. This calls for the necessity of developing children-led support, by acknowledging, and taking the children’s experiences, and resources, as starting points to tailor adequate support for children of critically ill parents.
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| 4. |
- Glasdam, Stinne, et al.
(författare)
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A call for theory-inspired analysis in qualitative research: Ways to construct different truths in and about healthcare
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Ingår i: Nursing Inquiry. - 1440-1800. ; , s. 1-12
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Tidskriftsartikel (refereegranskat)abstract
- Over the last 50 years, there has been significant development of qualitative research and related methods in healthcare. Theoretical frameworks support researchers in selecting appropriate research approaches, procedures and analytical tools. However, the implications of the choice of theory are sparsely elucidated. Based on a text excerpt from a public debate article, the study aimed to show how different theory-inspired analytical perspectives produced varied understandings of the same text. The study presented three subanalyses inspired by Bourdieu's sociological theory, Lazarus and Folkman's psychological theory and utilitarian ethics, respectively. The analyses showed that by using different theoretical analytical perspectives in inductive processes, an immediate interpretation of the text was not obvious. It became possible to spot the underlying meta-theoretical assumptions, as the interpretations were not taken for granted or indisputable. Our analyses suggest that different theoretical lenses lead to different interpretations of the same empirical material, recognising the existence of multiple truths or realities. Thus, utilising a theoretical perspective in inductive analyses can enhance transparency and rigour because the analytical optics are made explicit to the reader. This allows the reader to follow the analysis processes and comprehend from which theoretical starting point a truth arises.
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| 5. |
- Glasdam, Stinne, et al.
(författare)
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Reflections about handling interview data from third countries at European universities: Collaboration opportunities and/or risky business for participants and researchers?
- 2023
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Ingår i: Nordic Journal of Nursing Research. - : SAGE Publications. - 2057-1585 .- 2057-1593. ; 43:1
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Tidskriftsartikel (refereegranskat)abstract
- Through reflections about a case study concerning an unfeasible, planned research study on nurses’ working days during the COVID-19 pandemic, the article aims to describe and discuss legal and ethical challenges when conducting European-based research together with nurses in third countries. The article highlights how the General Data Protection Regulation challenges EU and non-EU research collaborations and research across borders in healthcare research. Digitally recorded interview data can be traced, putting both research participants and researchers at risk in relation to confidentiality, safety and potential critical views by national regimes. This raises ethical claims for research collaborations between EU and third countries and hampers the possibilities to make silent voices discernible through research. It is a questionable solution both to collaborate and not to collaborate with third countries such as China. Further reflections on the ways forward to facilitate research collaboration between EU and third countries are needed.
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| 6. |
- Glasdam, Stinne, et al.
(författare)
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Scandinavian trade unions’ guidelines regarding nurses’ use of social media: a Fairclough-inspired critical discourse analysis
- 2024
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Ingår i: Frontiers in Communication. - 2297-900X. ; 9
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Social media provides nurses with tools to share information, debate healthcare policy and practice issues, and engage in interpersonal interactions. Historically, also in Scandinavia, nurses’ trade unions have taken the lead in defining nursing as a profession and supporting nurses in ‘conducting good nursing’. However, it is unexplored how trade unions guide nurses in social media use.Aim: To explore the explicitly formulated guidance documents provided by Scandinavian nurses’ trade unions, specifically focusing on how the trade unions guided nurses’ social media use.Materials and methods: Trade union guidelines for social media use were searched on the Scandinavian nurses’ organisations’ websites. A textual discourse analysis inspired by Fairclough’s critical approach was conducted. The analysis considered three levels: the social practice level, focusing on connections between the texts and the surrounding society; the discursive practice level, focusing on the processes of production and distribution of the texts; and the textual level, capturing how grammatical formulations and single words work in the (re) construction of social structures.Results: At the social practice level, the trade union documents guiding nurses’ social media uses were embedded in platfomised public communication, laws about confidentiality and data protection, and ethical codes for nurses. At the discursive practice level, the guidelines were constructed to support nurses’ social media uses in adhering to their profession’s ethical principles. The trade unions’ implicit and explicit representations of nurses blurred the distinction between nurses as professionals and nurses as private persons. At the textual level, the guidelines tapped into the potential risks of using social media and how nurses ought to act on social media. Unlike the Danish and Swedish trade unions, the Norwegian trade union did not develop specific guidelines for nurses’ social media use.Conclusion: The guidelines emphasized risks stemming from social media use that did not adhere to the profession’s politically defined guidelines, norms, and values, although nurses’ conditions are already framed by the national legislations and ethical standards. The study advocates for the development of guidelines that support beneficial uses of social media in relation to nurses and the nursing profession.
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| 7. |
- Glasdam, Stinne, et al.
(författare)
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Socialisation of children to nurse and nursing images: A Goffman-inspired thematic analysis of children's picture books in a Swedish context
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Ingår i: Nursing Inquiry. - 1440-1800. ; , s. 1-12
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Tidskriftsartikel (refereegranskat)abstract
- Picture books are often part of children's socialisation processes, contributing to the children forming images of the world, including ideas about (categories of) people, such as nurses. The study aims to explore how nurses/nursing are portrayed in children's picture books in a Swedish context. Through a systematic search, 44 books were included for analysis using thematic analysis and a theoretical lens inspired by Goffman. The results were presented in three themes: ‘The costume characterised and designated nurses’, ‘Nurses and nursing were defined through specific activities and accessories’, and ‘Nurses’ role as caregivers and decency practitioners'. The results showed that nurses were depicted/described in varied contexts, performing their roles mainly front stage in ‘hands-on work’ in close contact with patients and relatives. Nurses were attributed different accessories and personality characteristics. Nurses/nursing were generally set within a healthcare context, oftentimes within an overarching medical logic. Historical depictions of nurses' uniforms still appeared as a signifier for nurses/nursing. The presentation of nurses/nursing might have potential implications on children's understanding of and for reputations of nurses/nursing in the long term as primary socialisation and related understandings of the (sub)world(s) are deeply rooted in humans.
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| 8. |
- Xu, Hongxuan, et al.
(författare)
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Circumstances affecting patients’ euthanasia or medically assisted suicide decisions from the perspectives of patients, relatives, and healthcare professionals: A qualitative systematic review
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Ingår i: Death Studies. - 0748-1187.
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Tidskriftsartikel (refereegranskat)abstract
- This study aims to explore circumstances affecting patients’ euthanasia and medically assisted suicide (MAS) decisions from the perspectives of patients, relatives, and healthcare professionals. A qualitative systematic review was performed following PRISMA recommendations. The review protocol is registered in PROSPERO (CRD42022303034). Literature searches were conducted in MEDLINE, EMBASE, CINAHL Complete, Eric, PsycInfo, and citation pearl search in Scopus from 2012 to 2022. In total, 6840 publications were initially retrieved. The analysis included a descriptive numerical summary analysis and a qualitative thematic analysis of 27 publications, resulting in two main themes—Contexts and factors influencing actions and interactions, and Finding support while dealing with resistance in euthanasia and MAS decisions—and related sub-themes. The results illuminated the dynamics in (inter)actions between patients and involved parties that might both impede and facilitate patients’ decisions related to euthanasia/MAS, potentially influencing patients’ decision-making experiences, and the roles and experiences of involved parties.
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| 9. |
- Xu, Hongxuan, et al.
(författare)
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Psychosocial experiences of frontline nurses working in hospital-based settings during the COVID-19 pandemic - A qualitative systematic review
- 2021
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Ingår i: International Journal of Nursing Studies Advances. - : Elsevier BV. - 2666-142X. ; 3
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Forskningsöversikt (refereegranskat)abstract
- Background: Frontline nurses have been directly exposed to the SARS-CoV-2 virus and come in close contact with patients during the COVID-19 pandemic. Nurses execute tasks related to disease control and face multiple psychosocial challenges in their frontline work, potentially affecting their mental well-being and ability to satisfyingly perform their tasks.Objectives: To explore the psychosocial experiences of frontline nurses working in hospital-based settings during the COVID-19 pandemic.Design: The qualitative systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations. Registered in PROSPERO (CRD42021259111).Data sources: Literature searches were performed through PubMed, CINAHL, and the WHO COVID-19 database. Inclusion criteria were: All types of nurses having direct contact with or taking care of patients; Primary, secondary, and tertiary health-care services admitting and treating COVID-19 patients; Experiences, perceptions, feelings, views in psychosocial aspects from the identified population group; Qualitative studies; Mixed methods studies; Language in English; Published date 2019–2021. Exclusion criteria were: Commentaries; Reviews; Discussion papers; Quantitative studies; Language other than English; Published in 2018 or earlier; Studies without an ethical approval and ethical statement.Review methods: The studies were screened and selected based on the inclusion and exclusion criteria. Quality appraisal was conducted according to the Critical Appraisal Skills Program qualitative study checklist. Data was extracted from included studies and a thematic synthesis was made.Results: A total of 28 studies were included in the review. The experiences of 1141 nurses from 12 countries were synthesised. Three themes were constructed: ‘Nurses’ emotional, mental and physical reactions to COVID-19′, ‘Internally and externally supported coping strategies’, and ‘A call for future help and support’.Conclusion:Nurses working frontline during the COVID-19 pandemic have experienced psychological, social, and emotional distress in coping with work demands, social relationships, and their personal life. The results pointed to a need for increased psychological and social support for frontline nurses to cope with stress and maintain mental well-being, which may subsequently affect nursing care outcomes.
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