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1.
  • Nilsson, Jan, 1963-, et al. (författare)
  • Development and validation of a new tool measuring nurses self-reported professional competence — The nurse professional competence (NPC) Scale
  • 2014
  • Ingår i: Nurse Education Today. - Midlothian, Scotland : Elsevier BV. - 0260-6917 .- 1532-2793. ; 34:4, s. 574-580
  • Tidskriftsartikel (refereegranskat)abstract
    • Objectives: To develop and validate a new tool intended for measuring self-reported professional competence among both nurse students prior to graduation and among practicing nurses. The new tool is based on formal competence requirements from the Swedish Board of Health and Welfare, which in turn are based on WHO guidelines. Design: A methodological study including construction of a new scale and evaluation of its psychometric properties. Participants and settings: 1086 newly graduated nurse students from 11 universities/university colleges. Results: The analyses resulted in a scale named the NPC (Nurse Professional Competence) Scale, consisting of 88 items and covering eight factors: “Nursing care”, “Value-based nursing care”, “Medical/technical care”, “Teaching/ learning and support”, “Documentation and information technology”, “Legislation in nursing and safety planning”, “Leadership in and development of nursing care” and “Education and supervision of staff/students”. All factors achieved Cronbach's alpha values greater than 0.70. A second-order exploratory analysis resulted in two main themes: “Patient-related nursing” and “Nursing care organisation and development”. In addition, evidence of known-group validity for the NPC Scale was obtained.
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2.
  • Nilsson, Jan, 1963-, et al. (författare)
  • Nursing in a globalized world : Nursing students with international study experience report higher competence at graduation
  • 2014
  • Ingår i: Open Journal of Nursing. - : Scientific Research Publishing, Inc.. - 2162-5336 .- 2162-5344. ; :4, s. 848-858
  • Tidskriftsartikel (refereegranskat)abstract
    • Due to globalization, there is a need for nurses with skills and competence in providing safe, competent and culturally appropriate care. The aim of the study was to investigate whether International Study Experiences (ISE) in other countries during basic nursing education had an impact on newly graduated nurses as regards to self-reported competence. Moreover, a second aim was to explore what background factors that facilitated or constituted a hindrance for nursing students to choose to conduct part of their basic nursing education abroad. At 11 Universities/University Colleges (henceforth called Higher Education Institutions [HEIs]) in Sweden, 565 nursing students responded to the Nurse Professional Competence (NPC) Scale. Students with ISE rated their competence significantly higher on three NPC competence areas; “Legislation in nursing and safety planning”, “Leadership and development of nursing” and “Education and supervision of staff/students”. Background factors that significantly seemed to enhance ISE were; living alone, not having children or other commitments, international focus at the HEI and previous international experience. Lack of financial means was reported to prevent students from choosing ISE. The study implies that several background factors are of importance whether students choose ISE or not. ISE during basic nursing education might result in better self-reported competence in leading and developing nursing care, including education of future nurses, and in providing safe care.
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3.
  • Uwe, Nicolay, et al. (författare)
  • Validation of a Disease-Specific Questionnaire for Measuring Parent-Reported Health-Related Quality of Life in Children with Allergies
  • 2012
  • Ingår i: Scandinavian Journal of Caring Sciences. - Oxford : Wiley. - 0283-9318 .- 1471-6712. ; 26:4, s. 679-687
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: To evaluate the properties and suitability of a disease-specific questionnaire to assess parent-reported health-related quality of life (HRQL) of children and parents of children suffering from food hypersensitivity (FHS) or allergy to furred pets (AFP). Methods: The parents of 202 children with FHS and of 131 children with AFP filled in questionnaires comprising the CHQ-PF28 and the Food-Pet-Allergy in Children (FPAC) Questionnaire. Psychometric properties of the FPAC questionnaire were evaluated separately for FHS and AFP. Results: Analyses resulted in five proposed scales: Limitations of Family/Child Activities (I), Parents Distress (II), Childs Emotions (III), Child in School (IV) and Family Conflicts (V). Convergent/discriminant validity for scales I, II and III of both questionnaires was high; for scale IV it was moderate. All five FHS and four AFP scales were able to distinguish significantly between children with and without clinical allergy symptoms (known-group validity). Internal consistency reliability was good for scales I, II and III, but poor for scale IV. Conclusion: Three valid scales were determined for both FHS and AFP (Limitations of Family/Child Activities, Parents Distress and Childs Emotions) and can be used in clinical research.
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4.
  • Gardulf, Ann, et al. (författare)
  • Factors of importance for work satisfaction among nurses in a university hospital in Sweden
  • 2008
  • Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 22:2, s. 151-160
  • Tidskriftsartikel (refereegranskat)abstract
    • The shortage of registered nurses in the healthcare sector is a problem in most countries. Swedish nurses tend to leave or seek new positions. However, few Swedish studies have addressed questions regarding what factors are of importance for nurses to perceive work satisfaction although satisfied nurses are linked to many positive organizational outcomes, e.g. improved quality of patient care. The aim of this study was to investigate what factors are of importance for nurses at a university hospital to perceive work satisfaction. Eight hundred and thirty-three nurses responded to the mailed Quality Work Competence questionnaire and the Huddinge University Hospital Model Questionnaire. Regression analyses identifies five factors linked to the head nurses leadership contributing to the nurses' feelings of work satisfaction: 'professional competence is made good use of', 'feeling of satisfaction with immediate superior regarding support for nursing research and development', 'opportunities for developing one's own competence for the current job', 'career opportunities in one's own profession' and 'yearly dialogue for performance appraisal with immediate superior'. The nurses also reported work-related exhaustion. Few saw opportunities for making a career as a nurse. In conclusion, the study identified specific amenable factors linked to the head nurses leadership that are of importance in creating attractive workplaces for nurses.
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6.
  • Gustafson, Rolf, et al. (författare)
  • Prevalence of Borrelia burgdorferi sensu lato infection in Ixodes ricinus in Sweden
  • 1995
  • Ingår i: Scandinavian Journal of Infectious Diseases. - : Informa UK Limited. - 0036-5548 .- 1651-1980. ; 27:6, s. 597-601
  • Tidskriftsartikel (refereegranskat)abstract
    • Between 1988-1991, a total of 3,141 Ixodes ricinus ticks, 2,740 adults and 401 nymphs, was collected from different localities in 23 of the 25 provinces of Sweden. The ticks were identified, dissected and examined for the presence of Borrelia spirochetes. Indirect immunofluorescence was performed, using an antiserum obtained from rabbits, immunized with sonicated, whole Borrelia burgdorferi spirochetes isolated from Swedish Ixodes ricinus ticks. Borrelia-positive I. ricinus were found in all 23 provinces. The prevalence of infection in adults ranged from 3% in Jämtland to 23% in Södermanland. In nymphs, the infection prevalence ranged from 0% in 9 provinces to 15% in Södermanland. A significantly greater proportion of the adult ticks were found to be positive for Borrelia in the southern and central parts of Sweden as compared to the northern part (Norrland). No significant difference in prevalence could be demonstrated between the western and eastern parts of Sweden. On average, 10% of the nymphs and 15% of the adult I. ricinus were positive for Borrelia. Of 41 non-I. ricinus ticks, none was positive for Borrelia. This study shows that Borrelia burgdorferi sensu lato is present throughout the distributional area of I. ricinus in Sweden. This should lead to increased awareness of signs and symptoms compatible with Lyme borreliosis in persons living in or visiting areas where I. ricinus is present.
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8.
  • Hammarström, L., et al. (författare)
  • Does IgG therapy prevent Alzheimer's disease?
  • 2009
  • Ingår i: Journal of Neuroimmunology. - : Elsevier BV. - 0165-5728 .- 1872-8421. ; 215:1-2, s. 122-124
  • Tidskriftsartikel (refereegranskat)
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9.
  • Iwarzon, Marie, et al. (författare)
  • Functional status, health-related quality of life and symptom severity in patients with chronic intestinal pseudo-obstruction and enteric dysmotility
  • 2009
  • Ingår i: Scandinavian Journal of Gastroenterology. - : Informa UK Limited. - 0036-5521 .- 1502-7708. ; 44:6, s. 700-707
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective. To investigate whether patients with chronic intestinal pseudo-obstruction (CIP) differ from those with enteric dysmotility (ED) regarding self-reported measures of functional status, health-related quality of life (HRQoL) and gastrointestinal symptoms. Material and methods. The study comprised 28 patients with CIP (median age 48, range 28-80 years) and 26 with ED (median age 50, range 20-75 years). Three self-administered questionnaires were used: the Sickness Impact Profile (SIP), the Swedish HRQoL Questionnaire (SWED-QUAL) and the Gastrointestinal Symptom Rating Scale (GSRS). Results. Patients with CIP reported significantly greater functional impairment in the aggregated physical dimension of SIP (15.4 SD 19.7) than did patients with ED (5.0 SD 7.2, p0.01). They also reported significantly poorer general health (SWED-QUAL) (28.0 SD 20.8) compared to those with ED (44.8 SD 25.2, p 0.01). Symptom severity correlated with several measures of HRQoL and functional status in patients with CIP but abdominal pain severity was the only independent predictor of HRQoL. Abdominal pain alone explained between 21% and 67% of the variance in SWED-QUAL subscales. Likewise, the severity of indigestion symptoms among patients with CIP explained 20-24% of the variance in the SIP subscales, emotional behaviour and work. Much less correlation between symptom severity and functional impairment or HRQoL was found in patients with ED. We found no difference in symptom severity (GSRS) between the two groups. Conclusions. Patients with CIP reported a greater impairment of functional status and HRQoL than did patients with ED. Symptom severity had a stronger influence on functional status and HRQoL in patients with CIP.
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10.
  • Leksell, Janeth, 1955-, et al. (författare)
  • Self-reported conflict management competence among nursing students on the point of graduating and registered nurses with professional experience
  • 2015
  • Ingår i: Journal of Nursing Education and Practice. - Toronto, Canada : Sciedu Press. - 1925-4040 .- 1925-4059. ; 5:8, s. 82-89
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective: It has been shown that specific competence is necessary for preventing and managing conflicts in healthcaresettings. The aim of this descriptive and correlation study was to investigate and compare the self-reported conflict managementcompetence (CMC) of nursing students who were on the point of graduating (NSPGs), and the CMC of registered nurses (RNs)with professional experience.Methods: The data collection, which consisted of soliciting answers to items measuring CMC in the Nurse ProfessionalCompetence (NPC) Scale, was performed as a purposive selection of 11 higher education institutions (HEIs) in Sweden. ThreeCMC items from the NPC Scale were answered by a total of 569 nursing students who were on the point of graduating and 227RN registered nurses with professional experience.Results: No significant differences between NSPGs and RNs were found, and both groups showed a similar score pattern, withthe lowest score for the item: “How do you perceive your ability to develop the group and strengthen competence in conflictmanagement and problem-solving, based on knowledge of group dynamics?”. RNs with long professional experience (>24months) rated their overall CMC as significantly better than RNs with short (<24 months) professional experience did (p = .05).NSPGs who had experience of international studies during their nursing education reported higher CMC, compared with thosewho did not have this experience (p = .03). RNs who reported a high degree of utilisation of CMC during the previous monthscored higher regarding self-reported overall CMC (p < .0001).Conclusions: Experience of international studies during nursing education, or long professional experience, resulted in higherself-reported CMC. Hence, the CMC items in the NPC Scale can be suitable for identifying self-reported conflict managementcompetence among NSPGs and RNs.
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11.
  • Lewen, Hanna, et al. (författare)
  • Documented assessments and treatments of patients seeking emergency care because of pain
  • 2010
  • Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 24:4, s. 764-771
  • Tidskriftsartikel (refereegranskat)abstract
    • Study rationale: Pain is one of the most frequent symptoms for which people seek emergency care. Studies show that pain management in emergency clinics is insufficient. No previous studies regarding pain documentation at emergency clinics in the Nordic countries have been undertaken. Objectives: The main purpose was to investigate the extent to which pain assessment, pain treatment and pain relief were documented in patient records. Design: Patient records were reviewed using a study-specific protocol. Setting: Emergency unit at a Swedish university hospital. Participants: A total of 698 patient records randomly selected were reviewed using a study-specific protocol. According to Swedish law and the university hospital's quality and safety guidelines, there should be a note in each patient record regarding whether or not the patient was in pain on arrival. The guideline stresses the importance of using patient self-assessment by a visual analogue scale (VAS). Results: In 361/698 (52%) records, there was a note by a doctor or a nurse as to whether or not the patient had been experiencing pain on arrival. In 319 of these 361 records 88%), a full pain assessment had been documented. In 15/319 (5%) cases, the pain assessment included patient VAS assessment. In 54/319 (17%) patient records, a note regarding pain treatment was found. Significantly more notes regarding pain treatment were found in the records with an initial documented pain assessment, when compared with the records without any such assessment (p < 0.01). In the 54 records with notes regarding pain treatment, 10 (19%) included documentation regarding the effect of the treatment. Conclusions: The results show an alarming lack of documentation regarding pain assessments, pain treatments and follow-ups. This is in marked contrast to Swedish law, which clearly stipulates the responsibility of health care staff to document information relevant to providing safe care. Prompt action to improve pain documentation is warranted.
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12.
  • Lindberg, Maria, 1977- (författare)
  • Methicillin-resistant Staphylococcus aureus (MRSA) an Unclear and Untoward Issue : Patient-Professional Interactions, Experiences, Attitudes and Responsibility
  • 2012
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The overall aim of the present thesis was to investigate experiences of living with multidrug-resistant bacteria (MDRB), using methicillin-resistant Staphylococcus aureus (MRSA) colonization as an illustration, and to develop and validate a tool to describe healthcare personnel’s attitudes towards patients with MDRB. A further objective was to study MRSA-colonized persons’ and healthcare personnel’s experiences of patient-professional interactions and responsibilities for infection prevention. Four empirical studies were conducted. A total of 18 MRSA-colonized persons and 20 healthcare personnel were interviewed regarding their experiences, and a total of 726 RNs responded the MDRB Attitude Questionnaire. The findings revealed the difficulties associated with living with MRSA colonization, which was described as something uncertain, and as an indefinable threat that has to be managed in both everyday life and in contacts with healthcare. Interactions with healthcare personnel were described as unprofessional owing to personnel’s inappropriate behaviour and insufficient information provision. According to the personnel, achieving adequate patient-professional interactions required having knowledge and experiences of MRSA. They also experienced difficulties in providing tailored information to patients. The MRSA-colonized persons described their unwanted responsibility to inform healthcare personnel about the colonization, but also felt responsible for limiting the spread of infection to others. Furthermore, responsibility for infection control was regarded as shared between healthcare personnel and patients. The personnel described such responsibility as a natural part of their daily work, although it was not always easy to adhere to hygiene precautions. The MRSA-colonized persons felt that healthcare personnel have insufficient knowledge of the bacteria and of hygiene precautions. The MDRB Attitude Questionnaire showed that registered nurses do have knowledge deficiencies. The MDRB Attitude Questionnaire has adequate psychometric properties. In conclusion, MRSA colonization constitutes a psychological strain for carriers, and interactions with healthcare personnel resulted in feelings of stigmatization. The present thesis indicates that there is a need to improve healthcare personnel’s knowledge, behaviour and emotional response in relation to patients with MDRB, in order to ensure patient safety and address patients’ needs. The heads of department is responsible for such improvements, and the MDRB Attitude Questionnaire is useful in identifying areas in need for improvement.
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13.
  • Martinsen, Randi, et al. (författare)
  • Self-reported competence among advanced practice nursing students in Denmark, Finland and Norway : a cross-sectional multicentre study
  • 2024
  • Ingår i: BMC Nursing. - : BioMed Central (BMC). - 1472-6955. ; 23:1
  • Tidskriftsartikel (refereegranskat)abstract
    • BackgroundThe health care systems in the Nordic countries and worldwide are under pressure due to increased longevity and a shortage of nurses. Providing nurses with a high level of education, such as advanced practice nursing, is of great importance to ensure effective, safe and high-quality care.AimThe aim of this study was to investigate self-reported competence using the Nurse Professional Competence Scale Short-Form for the first time among master’s students of advanced practice nursing in the Nordic countries and to relate the findings to age, work obligations, child-rearing responsibilities, level of education and clinical nursing experience.MethodsA multicentre, cross-sectional design was used in this study conducted at five universities in Denmark, Finland and Norway. The Nurse Professional Competence Scale Short-Form consisting of six competence areas was used with a maximum score of 7 per item for the analysis of single items and a transformed scale from 14.3 to 100 for analysing the competence areas (higher score equals higher self-reported competence). Descriptive and comparative statistics were used to analyse the data.ResultsThe highest mean score was found for the competence area ‘Value-based nursing care’. Students living with home-dwelling children (≤ 18 years) reported significantly higher competence in ‘Nursing care’, while students ≥33 years reported significantly higher competence in ‘Nursing care’ and ‘Value-based nursing care’. No significant differences were found between students working and those not working alongside their studies, between students with and without further nursing-related education, or between students with long and short experience as nurses.ConclusionsThe findings from this study might help to further develop curricula in advanced practice nursing master’s programmes to ensure high-quality nursing and sustainable health care in the future. Future high-quality master’s programmes might benefit from systematic collaboration between Nordic higher education institutions as also Sweden is planning master’s programme. Higher age, having children at home and working while studying should not be considered causes for concern.
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14.
  • Nilsson, Jan, 1963-, et al. (författare)
  • A 30 year follow-up on red cross and red crescent nursing educations and activites responding to local and global vulnerability and disasters
  • 2012
  • Ingår i: Conference book of abstracts. Nursing History in a Global Perspective, International Nursing History Conference in Denmark. - Denmark. - 9788772667867 ; , s. 70-71
  • Konferensbidrag (refereegranskat)abstract
    • Introduction: From its very inception in 1863, the Red Cross and Red Crescent (RCRC) Movement has worked towards assisting vulnerable people, and as long as the nursing profession has existed, nurses have been ready to respond to public health threats. The main aim of the current research project was to perform a 30-year follow-up to investigate to what extent nurses’ competences are utilized within the RCRC 186 National Societies and to identify Societies running nursing education programmes, including identification of education in nursing disaster preparedness and response. Methods: The questionnaire from 1979 was slightly adapted to reflect the current global health situation and sent to all 186 National Societies. The questionnaire was translated into all four of the International Federation’s official languages. After two reminders, 84/186 replies were received,giving a response rate of 45.2%. Among the 79 National Societies that responded to the 1979 survey, 43 (54.4%) responded to the 2009 survey.ResultsThe results showed that nurses’ competence was regarded as important by a majority (76%) of the National Societies. More than 50% of the National Societies considered nurses’ competence to be specifically important for the International Federation’s working areas, which includes ethics, pandemic/disaste,r preparedness/response and health and care in the community. However, 12% of the National Societies did not consider nurses’ competence important in achieving their national mission. Moreover, we found that there is approximately the same number of RCRC nursing education institutions throughout the world today, as compared with 30 years ago. However, at some institutions a higher level of education (up to PhD) is now offered. Some of the educational institutions are old, starting the nursing education in the mid 19th century, and already from this time with focus on nurses’ help in wars and disasters. Discussion and conclusionThe RCRC Movement is 150 years old and has through history gained a wealth of knowledge and experience of disaster preparedness and response. Most National Societies considered that nursesare important in responding to humanitarian needs and health threats in the community. However, a further utilization of nurses’ competence should be considered as one vehicle to reach the goalsset by national and international organizations to reach quality and access to health, especially among marginalized groups affected by wars and disasters.
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15.
  • Nilsson, Jan, et al. (författare)
  • A short version of the nurse professional competence scale for measuring nurses' self-reported competence
  • 2018
  • Ingår i: Nurse Education Today. - Amsterdam : Elsevier BV. - 0260-6917 .- 1532-2793. ; 71, s. 233-239
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: The Nurse Professional Competence (NPC) Scale with 88-items has been used to measure self-reported competence among nursing students and registered nurses in many national and international nursing research projects. However, a shorter version of the scale with maintained quality has been requested to further enhance its usability.Objectives: To develop and evaluate the construct validity and internal consistency of a shorter version of the NPC Scale. Design: A developmental and methodological design. Participants and Settings: The study was based on a sample of 1810 nursing students at the point of graduation from 12 universities in Sweden.Methods: The number of items in the original NPC Scale was reduced using several established research steps and then evaluated for data quality and construct validity using principal component analysis and confirmatory factor analysis. Reliability was measured as internal consistency using Cronbach's alpha.Results: The extensive process of reducing the number of items resulted in a version with 35 items. Principal component analysis resulted in six factors explaining 53.6% of the variance: “Nursing Care” “Value-based Nursing Care” “Medical and Technical Care” “Care Pedagogics” “Documentation and Administration of Nursing Care” and “Development, Leadership, and Organization of Nursing Care”. All factors showed Cronbach's alpha values of >0.70. The confirmative factor analysis goodness-of-fit indexes were for root mean square error of approximation 0.05 and for comparative fit index 0.89.Conclusions: The NPC Scale Short Form (NPC Scale-SF) 35-items revealed promising results with a six-factor structure explaining 53.6% of the total variance. This 35-item scale can be an asset when used alone and together with other instruments it can provide the possibility of more complex analyses of self-reported competence among nursing students and registered nurses. 
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16.
  • Nilsson, Jan, 1963-, et al. (författare)
  • Disaster response network. Nurses’ competence within the redcross and red crescent: disaster preparedness and response
  • 2012
  • Ingår i: Conference book of abstract. - Denmark. - 9788772667867
  • Konferensbidrag (refereegranskat)abstract
    • Introduction: Nursing education within the Red Cross/Red Crescent (RCRC) Movement was initiated already in the late 19th century as a response to situations of war and disasters. In a previous study we have shown that more than 50% of the RCRC National Societies consider nurses competence to be important for disasterpreparedness and disaster response. The aim of the current research project was to conduct a globalbase-line survey of the Red Cross and Red Crescent Nursing Education Institutions.MethodsThe data derives from an on-going study where a questionnaire has been sent to the existing RCRCNursing Education Institution in 30 countries from Africa, Asia, Europe, Middle East and South America.The survey includes questions in the following areas: History of Nursing Education, Administration ofNursing Education, Partnership and Cooperation.Results and conclusionsPreliminary results indicate that RCRC Nursing Education Institutions have a very long tradition andknowledge in teaching disaster preparedness and response, as they over time have emerged and developed in relation to disasters and armed conflicts. Nurses within the RCRC movement get unique experiences through their work as international delegates in disaster prone areas/armed conflicts. Among the Nursing Education Institutions, the Japanese Red Cross Nursing Schools stands out in terms of giving significantly more education in national as well as international disaster preparedness and response. Although some countries are performing on a relatively high level in providing education indisaster nursing, there is room for improvement. Belonging to the unique global network of National Societies, Nursing Education Institutions should focus more on education in  international disasterpreparedness and response to be ready to support each other in terms of catastrophic events.
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17.
  • Nilsson, Jan, 1963-, et al. (författare)
  • Process of translation and adaptation of the Nurse Professional Competence (NPC) Scale
  • 2016
  • Ingår i: Journal of Nursing Education and Practice. - : Sciedu Press. - 1925-4040 .- 1925-4059. ; 6:1, s. 100-103
  • Tidskriftsartikel (refereegranskat)abstract
    • Professional competence in nursing is of crucial importance for high quality care and patient related outcomes. A new instrument for measuring competence in nursing has been developed by a Swedish research group. The instrument is called the Nurse Professional Competence (NPC) Scale and is based on national guidelines, and the WHOs European Strategy for Nursing and Midwifery. The NPC Scale consists of 88 items distributed in eight competence areas, and measures self-reported professional competence. The target groups are nursing students at the point of graduation and registered nurses. As the NPC Scale has rendered great interest from researchers internationally, the NPC research group decided to translate the Scale into English to facilitate international use of the instrument. The aim of this article was to describe the translation process used to create an English version of the NPC Scale. This article describes the translation process from Swedish to English and its challenges. The translation process resulted in an English version of the NPC Scale ready for internationally usage.
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18.
  • Nilsson, Jan, 1963-, et al. (författare)
  • The development of nursing within the red cross and redcrescent movement from 1890 to 2011
  • 2012
  • Ingår i: Conference book of abstract. - Denmark. - 9788772667867 ; , s. 68-69
  • Konferensbidrag (refereegranskat)abstract
    • Introduction: In 1859, Henri Dunant from Switzerland, witnessed the battle in Solferino and the suffering amongthe soldiers. In 1863 the ”International Committee for Relief to the Wounded” held its first meeting.It later became the International Committee of the Red Cross (ICRC). Henry Dunant suggestedcreating national relief societies, recognizable by the common emblem, and an international treatyto protect the wounded on the battlefield. Shortly thereafter states responded by establishingnursing schools educating Red Cross/Red Crescent (RCRC) nurses. Methods: The historical data on RCRC nursing education derives mainly from two of our research projects; i)the 2009 international questionnaire-survey of nursing activities within the InternationalFederation of the RCRC 186 Societies, and ii) an on-going study where a questionnaire has beensent to RCRC nursing education institution in 30 countries from Africa, Asia, Europe, Middle Eastand South America. Results: Already during the late 19th century, Japan and Sweden as pioneer countries commenced RCRCnursing education, as a response to the humanitarian needs forced by wars and disasters. Later onin 1919, the International Federation of the RCRC established a Nursing Division at the headquarterin Geneva to support and guide its member societies in nursing related issues. In 1947 theNursing Division was reorganized as a respond to the situation after the Second World War and called Nursing and Social Service Bureau. In 1984 the Nursing Bureau was dissolved and nursing issues organized within the Health and Care Department. However, this reorganization did not support a focus on nursing issues including nursing education for the years to come. As a result the Red Cross Nursing Education institutions in Japan and Sweden invited RCRC nursing institutions from all over the world to set up a new Global RCRC Nursing Education network for educational issues with focus on disaster preparedness and response. This new and unique network was launched in connection to the ICN International Nursing Conference in 2011. Discussion and conclusion: Nursing education within the RCRC Movement has over time been responsive to local and globalvulnerability. Countries affected by unrest and disaster and with weak health systems couldbenefit from the experience of nursing education within the RCRC Movement and the newlycreated Global RCRC Nursing Network can be seen as a vehicle of such knowledge.
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20.
  • Nilsson Kajermo, Kerstin, et al. (författare)
  • Predictors of nurses' perceptions of barriers to research utilization
  • 2008
  • Ingår i: Journal of Nursing Management. - : Hindawi Limited. - 0966-0429 .- 1365-2834. ; 16:3, s. 305-314
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim: To identify predictors of nurses' self-reported barriers to using research findings in clinical practice. Background Several studies have shown that nurses perceive barriers to research utilization but to our knowledge predictors of nurses perceptions of barriers to research utilization have not been identified before. Methods Three questionnaires were answered by 833 nurses: the Barriers Scale, the Quality Work Competence questionnaire and a questionnaire including questions on professional issues. Results Dissatisfaction with support from immediate superiors for participating in research and/or development projects, having no academic degree and unclear and unrealistic workplace goals were identified as factors increasing the risk of perceiving barriers to the use of research findings in clinical practice. Conclusions The results imply that head nurses, nursing managers and other health care leaders should create strategies for supporting nurses' professional development and possibilities to implement research findings in clinical practice. Implications for nursing management To support research utilization and evidence-based care health care leaders, head nurses and nurse managers should create clear and realistic goals for the work place including demands on evidence-based care. It is also important for head nurses and nurse managers to create strategies for supporting nurses' professional development and possibilities to implement research findings in clinical practice.
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21.
  • Olsson, Pernilla Turonen, et al. (författare)
  • Standardized care plans in Swedish health care : their quality and the extent to which they are used.
  • 2009
  • Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley-Blackwell. - 0283-9318 .- 1471-6712. ; 23:4, s. 820-825
  • Tidskriftsartikel (refereegranskat)abstract
    • The objective was to investigate the quality of standardized care plans and the extent to which they are used within Swedish in-hospital somatic care. Further, to examine the quality of the knowledge summaries on which existing standardized care plans were supposed to be based. Submitted documents were reviewed with studyspecific protocols. The setting was a national survey, based on a structured selection of Swedish hospitals. A total of 25 Swedish hospitals participated, and were asked to submit all documents in use that were labelled standardized care plans. Only 4% (34 out of 782) of the reviewed documents fulfilled the criteria for being a standardized care plan. None of the 34 knowledge summaries (an accompanying document with a compilation of scientif facts and reliable experience) was evidence-based. the conclusion is that there is a lack of knowledge regarding what a standardized care plan is, and how such a document should emanate from evidence-based knowledge. Our results raise the question of how recent developments in research are used to create standardized care plans for the best possible care. In the process of developing standardized care plans it is important to acknowledge that staff who develop these plans need scientific training end experience. Standardized care plans are in the early stages of development, and at this stage it seems appropriate to initiate a discussion regarding possible cooperation at national level when developing standardized care plans for certain groups of patients suffering from specific diseases, or undergoing the same treatment.
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22.
  • Ostblom, E, et al. (författare)
  • The impact of food hypersensitivity reported in 9-year-old children by their parents on health-related quality of life
  • 2008
  • Ingår i: Allergy. European Journal of Allergy and Clinical Immunology. - : John Wiley & Sons. - 0105-4538 .- 1398-9995. ; 63:2, s. 211-218
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: There are only a few studies on the impact of food hypersensitivity (FHS) in children on health-related quality of life (HRQL). The present study was designed to examine this impact in a population-based birth cohort (BAMSE).METHODS: A nested case-control study was performed within the cohort. The parents of 1378 nine-year-old children filled out a generic questionnaire with 13 subscales (Child Health Questionnaire Parental Form 28 - CHQ-PF28) supplemented with disease-specific questions concerning FHS. There were 212 children with report of FHS. Another 221 children with allergic diseases but not FHS were examined for comparison. Furthermore, the impact of pronounced symptoms of FHS and of increasing levels of food-specific IgE antibodies on HRQL was also analysed.RESULTS: The children with FHS exhibited significantly lower scores on the subscales physical functioning, role/social limitations - physical and general health in the generic instrument. Furthermore, children with food-related symptoms from the lower airways were scored lower on Self Esteem, Parental Impact - time and Family Cohesion. Sensitization per se did not alter these patterns, but high levels of food-specific IgE-antibodies affected mental health and general health negatively. A physician's diagnosis of food allergy did not affect any of the subscales negatively.CONCLUSIONS: Parents reported that FHS exerts a negative impact on the HRQL of 9-year-old children, in particular in children with symptoms from the lower airways or if the FHS is associated with high levels of food-specific IgE-antibodies. Healthcare-givers must put major effort into improving and maintaining the HRQL of these children.
  •  
23.
  • Theander, Kersti, et al. (författare)
  • Adjusting to future demands in healthcare : Curriculum changes and nursing students' self-reported professional competence
  • 2016
  • Ingår i: Nurse Education Today. - : Elsevier BV. - 0260-6917 .- 1532-2793. ; 37, s. 178-183
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Nursing competence is of significant importance for patient care. Newly graduated nursing students rate their competence as high. However, the impact of different designs of nursing curricula on nursing students' self-reported nursing competence areas is seldom reported. Objectives: To compare newly graduated nursing students' self-reported professional competence before and after the implementation of a new nursing curriculum. The study had a descriptive comparative design. Nursing students, who graduated in 2011, having studied according to an older curriculum, were compared with those who graduated in 2014, after a new nursing curriculum with more focus on person-centered nursing had been implemented. Setting: A higher education nursing program at a Swedish university. Participants: In total, 119 (2011 n = 69, 2014 n = 50) nursing students responded. Methods: Nursing students' self-reported professional competencies were assessed with the Nurse Professional Competence (NPC) scale. Results: There were no significant differences between the two groups of nursing students, who graduated in 2011 and 2014, respectively, with regard to age, sex, education, or work experience. Both groups rated their competencies as very high. Competence in value-based nursing was perceived to be significantly higher after the change in curriculum. The lowest competence, both in 2011 and 2014, was reported in education and supervision of staff and students. Conclusions: Our findings indicate that newly graduated nursing students- both those following the old curriculum and the first batch of students following the new one - perceive that their professional competence is high. Competence in value-based nursing, measured with the NPC scale, was reported higher after the implementation of a new curriculum, reflecting curriculum changes with more focus on person-centered nursing. (C) 2015 Elsevier Ltd. All rights reserved.
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