| 1. |
|
|
| 2. |
- Abrahamsen Grøndahl, Vigdis, 1964-, et al.
(författare)
-
Exploring patient satisfaction predictors in relation to a theoretical model
- 2013
-
Ingår i: International Journal of Health Care Quality Assurance. - : Emerald Group Publishing Limited. - 0952-6862 .- 1758-6542. ; 26:1, s. 37-54
-
Tidskriftsartikel (refereegranskat)abstract
- The aim is to describe patients' care quality perceptions and satisfaction and to explore potential patient satisfaction predictors as person‐related conditions, external objective care conditions and patients' perception of actual care received (“PR”) in relation to a theoretical model.Design/methodology/approachA cross‐sectional design was used. Data were collected using one questionnaire combining questions from four instruments: Quality from patients' perspective; Sense of coherence; Big five personality trait; and Emotional stress reaction questionnaire (ESRQ), together with questions from previous research. In total, 528 patients (83.7 per cent response rate) from eight medical, three surgical and one medical/surgical ward in five Norwegian hospitals participated. Answers from 373 respondents with complete ESRQ questionnaires were analysed. Sequential multiple regression analysis with ESRQ as dependent variable was run in three steps: person‐related conditions, external objective care conditions, and PR (p < 0.05).FindingsStep 1 (person‐related conditions) explained 51.7 per cent of the ESRQ variance. Step 2 (external objective care conditions) explained an additional 2.4 per cent. Step 3 (PR) gave no significant additional explanation (0.05 per cent). Steps 1 and 2 contributed statistical significance to the model. Patients rated both quality‐of‐care and satisfaction highly.Originality/valueThe paper shows that the theoretical model using an emotion‐oriented approach to assess patient satisfaction can explain 54 per cent of patient satisfaction in a statistically significant manner.
|
|
| 3. |
- Abrahamsen Grøndahl, Vigdis, 1964-, et al.
(författare)
-
Patients' experiences of care quality and satisfaction satisfaction during hospital stay : a qualitative study
- 2013
-
Ingår i: European Journal for Person Centered Healthcare. - : University of Buckingham Press. - 2052-5656 .- 2052-5648. ; 1:1, s. 185-192
-
Tidskriftsartikel (refereegranskat)abstract
- Rationale, aim and objectives: Patients experiencing high care quality and satisfied patients are more likely to follow treatments. Patient satisfaction is an important contributor to physical and mental health-related quality of life. Research emphasises the need to further study satisfaction from the patients’ perspective. The aim was to describe patients’ experiences of care quality and the relation to their satisfaction during hospital stay. Methods: A qualitative descriptive design was used. Interviews were conducted with 22 patients discharged from hospital. Data was analysed by conventional content analysis.Results: Four categories and seven subcategories describing patients’ experiences of care quality and the relation to their satisfaction emerged. Desire to regain health comprised waiting for treatment, being cured, having hopes of being cured and described the treatment and health outcome of hospitalisation. Need to be met in a professional way as a unique person comprised receiving personalized knowledge, receiving healthcare by competent healthcare personnel and described the way patients need to be met by healthcare personnel. Need to be involved comprised taking responsibility for own health, leaving responsibility for own health and concerned the patients’ way of handling hospitalisation. Need to have balance between privacy and companionship concerned the relationship to fellow patients. Conclusions: Health condition is of great importance to patients’ experiences of quality of care and their satisfaction in relation to hospital stay. The healthcare personnel need to be aware that seriously ill patients may never be completely satisfied. Furthermore, healthcare personnel must do their utmost to provide the patients with person-centered care. Hospital managers must consider the design of wards with respect to such matters as multiple-bed versus single-bed rooms and heads of nursing must carefully plan each patient’s accommodation.
|
|
| 4. |
- Abrahamsen Grøndahl, Vigdis, 1964-, et al.
(författare)
-
Quality of care from patients' perspective : impact of the combination of person-related and external objective care conditions
- 2011
-
Ingår i: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 20:17/18, s. 2540-2551
-
Tidskriftsartikel (refereegranskat)abstract
- Aims and objectives. To describe patients' perceptions of quality of care and to explore combinations of person-related and external objective care conditions as potential predictors of these perceptions. Background. Several studies have examined various single factors of person-related and external objective care conditions in relation to quality of care. None of these has included the effect of over-occupancy on patients' perception of quality of care. Furthermore, little is known about how combinations of different factors are related to each other and to the perception of quality of care using multivariate analysis. Design. A cross-sectional design. Method. A total of 528 patients (83·7%) from 12 medical, surgical or medical-surgical wards in five hospitals in Norway participated. Perceptions of quality of care and person-related conditions were measured with the 'Quality from Patient's Perspective' instrument. Data on external objective care conditions was collected from ward statistics provided by head nurses. Multivariate general linear modelling was used ( p < 0·05). Results. The combination of person-related and external objective care conditions revealed five factors that predict patients' perception of quality of care. Three of these are person-related conditions: sex, age and self-reported psychological well-being and two of them are external objective care conditions: RNs (headcount) on the wards and frequency of over-occupancy. These five factors explained 55% of the model. Patients rated the quality of care high. Conclusions. Sex, age, psychological well-being, frequency of over-occupancy and the number of RNs are important factors that must be emphasised if patients are to perceive the quality of care as high. Relevance to clinical practice. Head nurses and healthcare authorities must continually prepare the wards for over-occupancy and they must consider the number of RNs working on the wards.
|
|
| 5. |
|
|
| 6. |
- Bjorvell, Catrin, et al.
(författare)
-
Creating Subsets of International Classification for Nursing Practice Precoordinated Concepts
- 2024
-
Ingår i: Computers, Informatics, Nursing. - : Lippincott Williams & Wilkins. - 1538-2931 .- 1538-9774. ; 42:1, s. 21-26
-
Tidskriftsartikel (refereegranskat)abstract
- The International Classification for Nursing Practice is a comprehensive terminology representing the domain of nursing practice. A categorization of the diagnoses/outcomes and interventions may further increase the usefulness of the terminology in clinical practice. The aim of this study was to categorize the precoordinated concepts of the International Classification for Nursing Practice into subsets for nursing diagnoses/outcomes and interventions using the structure of an established documentation model. The aim was also to investigate the distribution of the precoordinated concepts of the International Classification for Nursing Practice across the different areas of nursing practice. The method was a descriptive content analysis using a deductive approach. The VIPS model was used as a theoretical framework for categorization. The results showed that all the precoordinated concepts of the International Classification for Nursing Practice could be categorized according to the keywords in the VIPS model. It also revealed the parts of nursing practice covered by the concepts of the International Classification for Nursing Practice as well as the parts that needed to be added to the International Classification for Nursing Practice. This has not been identified in earlier subsets as they covered only one specific area of nursing.
|
|
| 7. |
- Duhalde, Henrik, et al.
(författare)
-
Missed nursing care in emergency departments : A scoping review
- 2023
-
Ingår i: International Emergency Nursing. - : Elsevier. - 1755-599X .- 1878-013X. ; 69
-
Forskningsöversikt (refereegranskat)abstract
- Background: Patient safety is a global health priority. Errors of omission, such as missed nursing care in hospitals, are frequent and may lead to adverse events. Emergency departments (ED) are especially vulnerable to patient safety errors, and the significance missed nursing care has in this context is not as well known as in other contexts. Aim: The aim of this scoping review was to summarize and disseminate research about missed nursing care in the context of EDs. Method: A scoping review following the framework suggested by Arksey and O’Malley was used to (1) identify the research question; (2) identify relevant studies; (3) select studies; (4) chart the data; (5) collate, summarize, and report the results; and (6) consultation. Results: In total, 20 themes were derived from the 55 included studies. Missed or delayed assessments or other fundamental care were examples of missed nursing care characteristics. EDs not staffed or dimensioned in relation to the patient load were identified as a cause of missed nursing care in most included studies. Clinical deteriorations and medication errors were described in the included studies in relation to patient safety and quality of care deficiencies. Registered nurses also expressed that missed nursing care was undignified and unsafe. Conclusion: The findings from this scoping review indicate that patients’ fundamental needs are not met in the ED, mainly because of the patient load and how the ED is designed. According to registered nurses, missed nursing care is perceived as undignified and unsafe.
|
|
| 8. |
|
|
| 9. |
- Glawing, Carina, et al.
(författare)
-
Work-related stress, stress reactions and coping strategies in ambulance nurses : A qualitative interview study
- 2024
-
Ingår i: Journal of Advanced Nursing. - : John Wiley & Sons. - 0309-2402 .- 1365-2648. ; 80:2, s. 538-549
-
Tidskriftsartikel (refereegranskat)abstract
- Aim: To describe experiences of work-related stress, stress reactions and coping strategies among registered nurses (RNs) in the ambulance service (AS).Design: A descriptive and qualitative design.Methods: Participants were recruited from eight different ambulance stations from different geographical locations in central Sweden. Data were collected from 14 RNs during the period from January 2022 to May 2022 using a semi-structured interview guide. Qualitative content analysis was used to analyse data using an abductive approach.Results: Three categories describe the RNs' experiences; (1) Situations that cause work-related stress, (2) Reactions and feelings that occur and (3) Management of work-related stress. These three main categories included a total of 12 subcategories. Work-related stress was experienced when participants were a part of traumatic events or experienced insufficient cooperation or a disturbing event in the work environment. The different causes lead to different kinds of reactions with feelings of frustration, fear and loneliness being prominent. To manage the work-related stress, RNs used different kinds of strategies and support from colleagues or lack thereof seemed to have a major impact.Conclusions: Findings revealed the importance of having competent colleagues in the AS. Working with a competent colleague can reduce experiences of stress and prevent feelings of loneliness. It is important for the AS to provide stress-reduction support, to promote cooperation and to maintain and develop RNs' professional competence to ensure quality care and patient safety in the AS.
|
|
| 10. |
|
|
| 11. |
- Helmfrid, Ingela, 1964-
(författare)
-
Exposure and body burden of environmental pollution and risk of cancer in a historically contaminated areas
- 2019
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- There are many villages where environmental contamination is substantial due to historical industrial activities. According to the European Environment Agency, there are about 2.5 million potentially contaminated sites in the European member states. In Sweden, there are about 80 000 more or less contaminated areas. About 1000 of them are classified into the highest risk category, Hazard Class 1, and should be remediated. Population exposure due to these industrially contaminated sites may contribute to adverse health effects and is a global environmental problem.The general aim of this thesis was to evaluate the occurrence of cancer in populations residing in contaminated areas in relation to indirect exposure via the long-term consumption of locally produced food, taking into account residential, occupational and lifestyle factors. Associations between reported local food consumption frequencies, biomarker concentrations and environmental and lifestyle factors were explored. The Swedish national cancer registers and questionnaire information was used to identify cancer risk groups in the study population. The questionnaire was evaluated regarding how well it reflected measured levels of biomarkers in human biological samples, and how the consumption of local food from contaminated areas contributed to the total body burden of contaminants.Despite historically high environmental levels of contaminants in the soil and sediments, current contaminant exposure in the studied population living in the contaminated areas was similar to or only moderately higher than that of the general population.No significant associations with increased cancer risk were detected in the highest tertile of metals concentrations in blood or PAH in urine.Reported long-term high consumption of certain local foods was associated with higher cadmium (vegetarian food) and lead (fish, meat) concentrations in blood and urine. Long-term high consumption of non-local food from places outside the study areas was not associated with increased concentrations of metals compared with consumers of local food. It was concluded that the questionnaire information on consumption of locally produced food describes differences in food consumption in the study population reasonably well.An increased risk of cancer was associated with smoking, family history of cancer and obesity. Residing in a contaminated area during the first five years of life was associated with an increased risk of cancer, which may indicate exposure to contaminants in early life. Also, long-term high consumption of particular local foods (fish, chicken, lamb, game meat) was associated with an increased risk of various forms of cancer, while reported high consumption of these foods from non-local sources was not associated with increased risk of cancer. The associations between habitual consumption of local food and different types of cancer may reflect a higher exposure in the past, and thus, if consumption of local food contributes to the risk of acquiring cancer, that contribution is probably lower today than previously. Furthermore, it cannot be ruled out that other contaminants in the food contribute to the increased cancer risks observed.In conclusion, the questionnaire that was developed for the present thesis can identify risk groups within populations and can be used as a tool in a health-risk assessment.
|
|
| 12. |
- Helmfrid, Ingela, 1964-, et al.
(författare)
-
Exposure of metals and PAH through local foods and risk of cancer in a historically contaminated glassworks area
- 2019
-
Ingår i: Environment International. - : Elsevier. - 0160-4120 .- 1873-6750. ; 131, s. 1-10
-
Tidskriftsartikel (refereegranskat)abstract
- BackgroundProduction of crystal glass and colored art glassware have been going on in the south-eastern part of Sweden since the 1700s, at over 100 glassworks and smaller glass blowing facilities, resulting in environmental contamination with mainly arsenic (As), cadmium (Cd), lead (Pb) and polycyclic hydrocarbons (PAH). High levels of metals have been found in soil, and moderately elevated levels in vegetables, mushrooms and berries collected around the glassworks sites compared with reference areas. Food in general, is the major exposure source to metals, such as Cd and Pb, and PAHs. Exposure to these toxic metals and PAH has been associated with a variety of adverse health effects in humans including cancer.ObjectiveThe aim of the present study was to evaluate the occurrence of cancer in a cohort from the contaminated glasswork area in relation to long-term dietary intake of locally produced foods, while taking into account residential, occupational and life styles factors.MethodsThe study population was extracted from a population cohort of 34,266 individuals who, at some time between the years 1979–2004, lived within a 2 km radius of a glassworks or glass landfill. Register information on cancer incidence and questionnaire information on consumption of local foods (reflecting 30 years general eating habits), life-time residence in the area, life style factors and occupational exposure was collected. Furthermore, blood (n = 660) and urine (n = 400) samples were collected in a subsample of the population to explore associations between local food consumption frequencies, biomarker concentrations in blood (Cd, Pb, As) and urine (PAH metabolite 1-OHPy) as well as environmental and lifestyle factors. The concurrent exposure to persistent organic pollutants (POPs) from food was also considered. A case-control study was performed for evaluation of associations between intakes of local food and risk of cancer.ResultsDespite high environmental levels of Cd, Pb and As at glasswork sites and landfills, current metal exposure in the population living in the surrounding areas was similar or only moderately higher in our study population compared to the general population. Reported high consumption of certain local foods was associated with higher Cd and Pb, but not As, concentrations in blood, and 1-OHPy in urine. An increased risk of cancer was associated with smoking, family history of cancer, obesity, and residence in glasswork area before age 5 years. Also, a long-term high consumption of local foods (reflecting 30 years general eating habits), i.e. fish and meat (game, chicken, lamb), was associated with increased risk of various cancer forms.ConclusionsThe associations between consumption of local food and different types of cancer may reflect a higher contaminant exposure in the past, and thus, if consumption of local food contributes to the risk of acquiring cancer, that contribution is probably lower today than before. Furthermore, it cannot be ruled out that other contaminants in the food contribute to the increased cancer risks observed.
|
|
| 13. |
- Johnson, Urban, 1961-, et al.
(författare)
-
An ultra-runner's experience of physical and emotional challenges during a 10-week continental run
- 2016
-
Ingår i: International Journal of Sport and Exercise Psychology. - New York, NY : Taylor & Francis. - 1612-197X .- 1557-251X. ; 14:1, s. 72-84
-
Tidskriftsartikel (refereegranskat)abstract
- The main purpose of this study was to investigate relationships between self-report measures such as mood state, emotional recovery, and perceived exertion for a runner during a continental run. Second, the purpose was to examine psychological factors that enable an ultra-distance runner during an event. A case study report from a 49-year-old female ultra-distance runner, running a 3641 kilometre adventure event during a 10-week period was made. Data were collected during 15 weeks with three self-report questionnaires – more specifically, an initial report 3 weeks prior to the run, a weekly report during the 10 weeks of running, and, finally, a report 2 weeks after the run. In addition, a follow-up narrative interview was performed nine months after the run was completed. The main result showed that perceived exertion level had a statistically significant negative relationship with negative mood and a positive statistically significant relationship with positive mood. Results also showed a statistically significant difference between the three measurement points based on the variable perceived exertion level. In addition, the runner's narration suggested four main categories of psychologically assisting attributes: motivation, group cohesiveness, self-awareness, and mental stamina. The findings highlight the complex balance between extreme physical load and feelings of comfort and elevated mood. Another finding is that the joint effect of different psychological factors – especially the runner's high self-awareness, strong-minded attitude, and ability to use humour in problematic situations – was helpful during the run. Practical and methodological implications, as well strategies for further research, are provided. © 2015 International Society of Sport Psychology
|
|
| 14. |
|
|
| 15. |
- Karlsson, Ingela, 1961
(författare)
-
Studies on sense of coherence, experienced chest pain, psychological well-being, and social support in coronary artery bypass grafting patients. A longitudinal and cross-sectional study
- 2003
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Coronary artery bypass grafting (CABG) surgery is a treatment of patients with coronary artery disease. The majority of patients are relieved of their symptoms, although subgroups have persistent/recurrent chest pain. Earlier findings indicate excellent outcome in regard to quality of life (QoL) after CABG. Nevertheless, patients who have poor QoL postoperatively, constitute a large group considering the number of CABG operations performed. Few studies have investigated relationship between chest pain and QoL. Coping capacity, represented here by the sense of coherence concept (SOC), is crucial for QoL. The aims of this study were: to describe coping capacity and psychological well-being before and after CABG; to find preoperative predictors for experience of chest pain one year after CABG; to examine relationships between experience of chest pain, coping capacity, and psychological well-being, and to examine if any relationships were moderated by coping capacity or social support. Two groups were included. Group I (N=111) answered a questionnaire: before the angiography, the day before surgery, and 3, 6, and 12 months postoperatively. Group II (N=102) answered once, 3 years postoperatively. The questionnaire included parts of the Seattle angina questionnaire, one question concerning experience of chest pain, the SOC scale, emotional state (4 questions regarding loneliness, depressed mood, stress, anxiety), the Psychological general well-being index, a global QoL question, and the Multidimensional scale of perceived social support. Medical data were obtained from the medical records.The SOC changed more than + 10% from before to one year after surgery in 41 per cent of the patients, implying that SOC is not a stable construct in adults. High or increased SOC was positively related to less experience of loneliness, depressed mood, stress, anxiety, and to less experience of chest pain at one year. Chest pain was experienced in the first postoperative year by 34 per cent of the patients and by 51 per cent at three years. Independent predictors at one year were moderate/low SOC, ejection fraction <50%, body mass index >25, and moderate/high mood depression. Experience of chest pain was related to lower SOC, emotional state, and psychological well-being index scores. This relation was moderated by high SOC and high social support scores in somewhat different ways. At one year the effect of SOC was unclear while no effect was found of social support. At three years SOC had a positive effect. Among patients without chest pain, at one year both SOC and social support had a positive effect on emotional state and at three years social support had a positive effect in some of the psychological well-being index variables. In conclusion, psychological well-being after CABG is not only dependent on freedom from chest pain. The patient's coping capacity is of great importance for a successful outcome.
|
|
| 16. |
|
|
| 17. |
|
|
| 18. |
|
|
| 19. |
- Theander, Kersti, 1956-, et al.
(författare)
-
Symptoms and impact of symptoms on function and health in patients with chronic obstructive pulmonary disease and chronic heart failure in primary health care
- 2014
-
Ingår i: The International Journal of Chronic Obstructive Pulmonary Disease. - Auckland, New Zealand : Dove Medical Press Ltd.. - 1176-9106 .- 1178-2005. ; 9, s. 785-794
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Patients with chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF) seem to have several symptoms in common that impact health. However, methodological differences make this difficult to compare.Aim: Comparisons of symptoms, impact of symptoms on function and health between patients with COPD and CHF in primary health care (PHC).Method: The study is cross sectional, including patients with COPD (n=437) and CHF (n=388), registered in the patient administrative systems of PHC. The patients received specific questionnaires - the Memorial Symptom Assessment Scale, the Medical Research Council dyspnea scale, and the Fatigue Impact Scale - by mail and additional questions about psychological and physical health.Results: The mean age was 70 +/- 10 years and 78 +/- 10 years for patients with COPD and CHF respectively (P=0.001). Patients with COPD (n=273) experienced more symptoms (11 +/- 7.5) than the CHF patients (n=211) (10 +/- 7.6). The most prevalent symptoms for patients with COPD were dyspnea, cough, and lack of energy. For patients with CHF, the most prevalent symptoms were dyspnea, lack of energy, and difficulty sleeping. Experience of dyspnea, cough, dry mouth, feeling irritable, worrying, and problems with sexual interest or activity were more common in patients with COPD while the experience of swelling of arms or legs was more common among patients with CHF. When controlling for background characteristics, there were no differences regarding feeling irritable, worrying, and sexual problems. There were no differences in impact of symptoms or health.Conclusion: Patients with COPD and CHF seem to experience similar symptoms. There were no differences in how the patients perceived their functioning according to their cardinal symptoms; dyspnea and fatigue, and health. An intervention for both groups of patients to optimize the management of symptoms and improve function is probably more relevant in PHC than focusing on separate diagnosis groups.
|
|
