| 1. |
- Berglund, Mia, 1964-, et al.
(författare)
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The best of both worlds – entering the nursing profession with support of a transition programme
- 2022
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Ingår i: Scandinavian Journal of Caring Sciences. - : John Wiley & Sons. - 0283-9318 .- 1471-6712. ; 36:2, s. 446-455
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Tidskriftsartikel (refereegranskat)abstract
- Background: Transition into clinical practice for newly graduated nurses is a difficult time, with high stress levels defined by a demanding period of personal and professional acclimatisation. Transitions are complicated and multi-dimensional, and to understand this process, it is crucial to identify the factors that facilitate or stand in the way of a healthy transition.Aim: The phenomenological study aimed to describe newly graduated nurses’ expectations of transitioning into the nursing profession at the start of a clinical nursing introduction programme, including education, supervision, and critical reflection with peers.Method: The study was based on seven group interviews with newly graduated nurses. The interviews utilised open-ended and follow-up questions and were carried out as a dialogue to enable reflection on the phenomenon of interest. This was explored and illuminated using the reflective lifeworld research approach, based on phenomenological epistemology.Findings: “Expectations of transition into the nursing profession viathe Clinical Nursing Introduction Programme” is signified by an oscillating movement between uncertainty, security, challenge, and growth on the threshold of a new identity. The phenomenon is constituted by the courage to grow, responsibility and fear, belonging and vulnerability, and support and challenge.Conclusion: Transitioning into the nursing profession viathe Clinical Nursing Introduction Programme means having the best of both worlds. Newly graduated nurses have the opportunity to receive education and structured support at the same time as they work independently in clinical practice.
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| 2. |
- Gunnarsson, Anita, et al.
(författare)
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Liming alkaline clay soils: effects on soil structure, nutrients, barley growth and yield
- 2022
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Ingår i: Acta Agriculturae Scandinavica, Section B - Soil and Plant Science. - : Informa UK Limited. - 0906-4710 .- 1651-1913. ; 72, s. 803-817
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Tidskriftsartikel (refereegranskat)abstract
- Liming before cultivation of sugar beets is favourable even on alkaline soils but knowledge of response in other crops is lacking. Therefore, effects of ground limestone (GL) and structure lime (SL1 slaked lime or SL2 mix of ground limestone and slaked lime) were evaluated in southern Sweden on soil structure, growth and nutrient concentration in barley under four fertilisation strategies 1.5–2 years after application. All lime products increased aggregate stability, but with variations between locations. A lower proportion of large aggregates was found in both limed treatments, and a higher proportion of small aggregates in SL. In barley, grain yield was unaffected while shoot numbers and biomass in first node stage increased for GL and biomass increased further for SL. Structure lime increased potassium concentration in plants in first node stage, due to more potassium in the product. Both lime types increased molybdenum concentration. Ground limestone reduced zinc concentration compared with no liming. Finer seedbed tilth and increased aggregate stability may explain increased biomass for GL. Higher potassium content in SL might be a further explanation. No interactions between liming and fertilisation were found. In conclusion, on the soil types studied, no change of fertilisation strategy is needed due to liming.
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| 3. |
- Johansson, Anita, et al.
(författare)
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Clinical nursing introduction program for new graduate nurses in Sweden : Study protocol for a prospective longitudinal cohort study
- 2021
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Ingår i: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 11:2
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Tidskriftsartikel (refereegranskat)abstract
- Introduction High levels of nursing turnover represent a problem for healthcare organisations and patient safety. Experiences during the first years in the nursing profession have a significant impact on nurses' future decisions concerning their careers. Nurses at the start of their professional career need to practise their hands-on skills as well as their theoretical knowledge. In addition, new graduate nurses need regular support and opportunities to reflect on experiences in their new profession. The aim of the present study is to describe the Clinical Nursing Introduction Program (CNIP) and present a study design in which the programme is used to support new graduate nurses' transition into the nursing profession. Method and analysis The present study examines the CNIP at a general hospital in southwest Sweden, which lasts for 14 months. The programme has a unique profile based on a person-centred approach and consists of five components: employment and organisation, a compulsory introduction week, two placements in different clinical settings, education days and process-oriented nursing supervision. The present study presents a protocol for a prospective longitudinal cohort study, using qualitative and quantitative methods in the collection and analysis of data. Measurements will include data collection between 2019 and 2023 when the nurses start the CNIP (baseline) and then after 1 and 2 years. Ethics and dissemination This study has been approved by the Regional Ethical Review Board in Gothenburg (Dnr 1056-18). Study findings will be presented at national and international conferences and published in peer-reviewed journals. Trial registration number 273573 (https://www.researchweb.org/is/vgr).
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| 4. |
- Matthews, Anthony A, et al.
(författare)
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Benchmarking Observational Analyses Before Using Them to Address Questions Trials Do Not Answer : An Application to Coronary Thrombus Aspiration.
- 2022
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Ingår i: American Journal of Epidemiology. - : Oxford University Press (OUP). - 0002-9262 .- 1476-6256. ; 191:9, s. 1652-1665
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Tidskriftsartikel (refereegranskat)abstract
- To increase confidence in the use of observational analyses when addressing effectiveness questions beyond those addressed by randomized trials, one can first benchmark the observational analyses against existing trial results. We used Swedish registry data to emulate a target trial similar to the Thrombus Aspiration in ST-Elevation Myocardial Infarction in Scandinavia (TASTE) randomized trial, which found no difference in the risk of death or myocardial infarction by 1 year with or without thrombus aspiration among individuals with ST-elevation myocardial infarction. We benchmarked the emulation against the trial at 1 year and then extended the emulation's follow-up to 3 years and estimated effects in subpopulations underrepresented in the trial. As in the TASTE trial, the observational analysis found no differences in risk of outcomes by 1 year between groups (risk difference = 0.7 (confidence interval, -0.7, 2.0) and -0.2 (confidence interval, -1.3, 1.0) for death and myocardial infarction, respectively), so benchmarking was considered successful. We additionally showed no difference in risk of death or myocardial infarction by 3 years, or within subpopulations by 1 year. Benchmarking against an index trial before using observational analyses to answer questions beyond those the trial could address allowed us to explore whether the observational data can be trusted to deliver valid estimates of treatment effects.
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| 5. |
- Matthews, Anthony A., et al.
(författare)
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Comparing Effect Estimates in Randomized Trials and Observational Studies From the Same Population : An Application to Percutaneous Coronary Intervention
- 2021
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Ingår i: Journal of the American Heart Association. - : John Wiley & Sons. - 2047-9980. ; 10:11, s. 020357-020357
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Tidskriftsartikel (refereegranskat)abstract
- Background To understand when results from observational studies and randomized trials are comparable, we performed an observational emulation of a target trial designed to ask similar questions as the VALIDATE (Bivalirudin Versus Heparin in ST-Segment and Non-ST-Segment Elevation Myocardial Infarction in Patients on Modern Antiplatelet Therapy) randomized trial. The VALIDATE trial compared the effect of bivalirudin and heparin during percutaneous coronary intervention on the risk of death, myocardial infarction, and bleeding across Sweden. Methods and Results We specified the protocol of a target trial similar to the VALIDATE trial, then emulated the target trial in the period before the VALIDATE trial took place using data from the SWEDEHEART (Swedish Web System for Enhancement and Development of Evidence-Based Care in Heart Disease Evaluated According to Recommended Therapies) registry-the same registry in which the trial was undertaken. The target trial emulation and the VALIDATE trial both estimated little or no effect of bivalirudin versus heparin on the risk of death or myocardial infarction by 180 days (target trial emulation risk ratio for death, 1.21 [95% CI, 0.88 - 1.54]; VALIDATE trial hazard ratio for death, 1.05 [95% CI, 0.78 - 1.41]). The observational data, however, could not capture less severe cases of bleeding, resulting in an inability to define a bleeding outcome like the trial, and could not accurately estimate the comparative risk of death by 14 days, which may be the result of intractable confounding early in follow-up or the inability to precisely emulate the trial's eligibility criteria. Conclusions Using real-world data to emulate a target trial can deliver accurate effect estimates. Yet, even with rich observational data, it is not always possible to estimate the short-term effect of interventions or the effect on outcomes for which data are not routinely collected.
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| 6. |
- Matthews, Anthony, et al.
(författare)
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Extending treatment effects from a randomized trial using observational data
- 2022
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Ingår i: Pharmacoepidemiology and Drug Safety. - : John Wiley & Sons. - 1053-8569 .- 1099-1557. ; 31:Suppl. 2, s. 211-211
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Background: To increase confidence in the use of observational data for extending inferences from randomized trials, one can first benchmark. That is, demonstrate the observational analysis can replicate an index trial's findings, before using the observational data to estimate what the trial could not.Objectives: To benchmark an observational study designed to ask the questions to the TASTE trial against results from the TASTE trial itself. Then, if benchmarking is successful, use the observational data to extend the inferences made in the trial.Methods: We use Swedish registry data to emulate a target trial similar to the TASTE randomized trial, which found no difference in the risk of death or myocardial infarction by 1 year with or without thrombus aspiration among individuals with ST-elevation myocardial infarction. We benchmark the emulation against the trial at 1 year, then extend the emulation's follow-up to 3 years and estimate effects in subpopulations underrepresented in the trial.Results: Like TASTE, the observational analysis found no differences in risk of outcomes by 1 year between groups (risk difference 0.7 (0.7, 2.0) and0.2 (1.3, 1.0) for death and myocardial infarction respectively), so benchmarking was considered successful. We additionally show no difference in risk of death or myocardial infarction by 3 years, or within subpopulations by 1 year.Conclusions: Benchmarking before using observational data to extend treatment effects from a randomized trial allows us to understand if the observational data can be trusted to deliver valid estimates of treatment effects.
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| 7. |
- Ståhle, Alexander, et al.
(författare)
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Designguide för Smarta gator
- 2022
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Bok (övrigt vetenskapligt/konstnärligt)abstract
- Designguiden för smarta gator konkretiserar hur de fyra megatrenderna urbanisering, digitalisering, samhällsförändringar och miljöförändringar leder till nya krav och utformningsprinciper för framtidens gator. Guiden är tänkt att fungera som en inspiration och ett underlag för att förnya svensk gatupolicy på nationell, regional och kommunal nivå.Guiden innehåller utöver en inledning följande kapitel: en historisk tillbakablick (gatans utveckling), gatans användning, gatans delar, gatans design, designprocessen, guidens genomförande.
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