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- Kindblom-Rising, Kristina, et al.
(author)
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Nursing staff's communication modes in patient transfer before and after an educational intervention
- 2010
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In: Ergonomics. - : Informa UK Limited. - 0014-0139 .- 1366-5847. ; 53:10, s. 1217-1227
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Journal article (peer-reviewed)abstract
- The objective was to explore and describe nursing staff's body awareness and communication in patient transfers and evaluate any changes made after an educational intervention to promote staff competence in guiding patients to move independently. In total, 63 nursing staff from two hospitals wrote weekly notes before and after the intervention. The topics were: A) reflect on a transfer during the last week that you consider was good and one that was poor; B) reflect on how your body felt during a good and a poor transfer. The notes were analysed with content analysis. The results showed five different communication modes connected with nursing staff's physical and verbal communication. These communication modes changed after 1 year to a more verbal communication, focusing on the patient's mobility. The use of instructions indicated a new or different understanding of patient transfer, which may contribute to a development of nursing staff's competence. Statement of Relevance: The present findings indicate that patient transfer consists of communication. Therefore, verbal and bodily communication can have an integral part of training in patient transfer; furthermore, the educational design of such programmes is important to reach the goal of developing new understanding and enhancing nursing staff's competence in patient transfer.
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| 2. |
- Källstrand-Eriksson, J., et al.
(author)
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Perceived functional visual impairment and risk of falling in a non-institutionalized elderly population in Sweden
- 2012
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In: European Journal of Public Health. - Oxford, United Kingdom : Oxford University Press. - 1101-1262 .- 1464-360X. ; 22:Suppl. 2, s. 106-106
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Journal article (other academic/artistic)abstract
- Background: Falls and fall injuries among the elderly population is an important public health issue today since ageing is an independent risk factor of falling and because of an increasing elderly population. Falls and fall injuries are associated with high healthcare costs but also considerable suffering for the individual. According to the Swedish National Health Institute the costs of deterioration in quality of life caused by accidental falls are calculated to be twice as high as the direct costs such as medical treatment, healthcare and rehabilitation. There are various predictive factors of falling and visual impairment isone of them. It is well known that visual impairment occurs increasingly as people age. Usually, only visual acuity is considered when measuring visual impairment, but nothing regarding a person’s functional visual ability is taken into account.Methods: Therefore, the aim of our study was to assess the perceived vision-targeted health status among non-institutionalized elderly living in the community using the 25-item National Eye Institute Visual Function Questionnaire (NEI VFQ-25) and to investigate whether there was any association between the vision-targeted health status and falls. There were 212 randomly selected elderly participants in the study.Results: The results showed that general health was the only variable significantly associated with falls both among men (p = 0.011) and women (p = 0.029). However, among men, distance activities (p = 0.033), such as going down steps, or curbs in dim light, and peripheral vision (p = 0.048) such as difficulties in noticing objects off to the side while walking along, were significantly associated with falling. Near activities (p = 0.005), color vision (p = 0.002) and dependency (p = 0.022) as well as social functioning (p = 0.014) and role difficulties (p = 0.000) were also significantly associated with falling among men.Conclusions: To meet the demands from an increasing elderly population, a more holistic approach of the visual function is needed when identifying elderly individuals at risk of falling.
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| 3. |
- Linton, Steven J., 1952-, et al.
(author)
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Pain-related fear, catastrophizing and pain in the recovery from a fracture
- 2010
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In: Scandinavian Journal of Pain. - Amsterdam, Netherlands : Elsevier. - 1877-8860 .- 1877-8879. ; 1:1, s. 38-42
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Journal article (peer-reviewed)abstract
- Background and aims: Pain-related fear and catastrophizing are prominently related to acute and persistent back pain, but little is known about their role in pain and function after a fracture. Since fractures have a clear etiology and time point they are of special interest for studying the process of recovery. Moreover, fracture injuries are interesting in their own right since patients frequently do not recover fully from them and relatively little is known about the psychological aspects. We speculated that catastrophizing and fear-avoidance beliefs might be associated with more pain and poorer recovery after an acute, painful fracture injury.Methods: To this end we conducted a prospective cohort study recruiting 70 patients with fractures of the wrist or the ankle. Participants completed standardized assessments of fear, pain, catastrophizing, degree of self-rated recovery, mobility and strength within 24 h of injury, and at 3- and 9-month follow-ups. Participants were also categorized as having high or low levels of fear-avoidance beliefs by comparing their scores on the first two assessments with the median from the general population. To consolidate the data the categorizations from the two assessments were combined and patients could therefore have consistently high, consistently low, increasing, or decreasing levels.Results: Results indicated that levels of fear-avoidance beliefs and catastrophizing were fairly low on average. At the first assessment 69% of the patients expected a full recovery within 6 months, but in fact only 29% were fully recovered at the 9-month follow-up. Similarly, comparisons between the affected and non-affected limb showed that 71% of those with a wrist fracture and 58% with an ankle fracture were not fully recovered on grip strength and heel-rise measures. Those classified as having consistently high or increasing levels of fear-avoidance beliefs had a substantially increased risk of more intense future pain (adjusted OR = 3.21). Moreover, those classified as having consistently high or increasing levels of catastrophizing had an increased risk for a less than full recovery of strength by almost six-fold (adjusted OR = 5.87).Conclusions and implications: This is the first investigation to our knowledge where the results clearly suggest that fear and catastrophizing, especially when the level increases, may be important determinants of recovery after an acute, painful, fracture injury. These results support the fear-avoidance model and suggest that psychological factors need to be considered in the recovery process after a fracture.
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