| 1. |
- Almqvist, Daniel, et al.
(författare)
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Strategies for a safe interhospital transfer with an intubated patient or where readiness for intubation is needed: A critical incidents study
- 2023
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Ingår i: Intensive & Critical Care Nursing. - : Elsevier. - 0964-3397 .- 1532-4036. ; 74
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: The number of interhospital transports with intubated patients or where intubation readiness is required is increasing in Sweden and globally. Specialist nurses are often responsible for these transports, which involve numerous risks for critically ill patients.Aim: The aim of this study was to describe nurse anaesthetists’ and intensive care nurses’ strategies for safe interhospital transports with intubated patients or where intubation readiness is required.Method: A qualitative study was conducted using the critical incident technique. During March and April 2020, 12 semi-structured interviews were conducted with nurse anaesthetists and intensive care nurses. Data were analysed according to the critical incident technique, and a total of 197 critical incidents were identified. The analysis revealed five final strategies for safe interhospital transport.Results: Participants described the importance of ensuring clear and adequate information transfers between caregivers to obtain vital patient information that enables the nurse in charge to identify risks and problems in advance and create an action plan. Stabilising and optimising the patient's condition before departure and preparing drugs and equipment were other strategies described by the participants, as well as requesting assistance or support if questions or complications arose during transport.Conclusion: Transports with intubated patients or where intubation readiness is required are complex and require systematic patient-safety work to ensure that strategies for increasing patient safety and decreasing risks are visible to the nurses in charge, that they are applied, and that they are, indeed, effective.
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| 2. |
- Andersson, Viktor, et al.
(författare)
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The Impact of Preoperative Patient Anxiety on Postoperative Anxiety and Quality of Recovery After Orthopaedic Surgery
- 2020
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Ingår i: Journal of Perianesthesia Nursing. - : Elsevier. - 1089-9472 .- 1532-8473. ; 35:3, s. 260-264
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Tidskriftsartikel (refereegranskat)abstract
- PurposeTo study how preoperative anxiety affects postoperative recovery in orthopaedic surgery based on two specific issues: does preoperative anxiety affect postoperative anxiety, pain, and nausea in the postanesthesia care unit (PACU) and does preoperative anxiety affect the quality of recovery.DesignThis was a nonexperimental quantitative observational study.MethodsPatients (N = 37) were included through consecutive selection. Anxiety, pain, and nausea were measured preoperatively, 30 minutes after arrival at PACU and before discharge from PACU. Three days after discharge, participants completed the Quality of Recovery Questionnaire by telephone.FindingsThere was a significant correlation between preoperative anxiety and anxiety in PACU as well as anxiety, sadness, and depression 3 days after discharge from PACU.ConclusionsPatients who experience preoperative anxiety also experience anxiety in PACU. The quality of recovery 3 days after surgery is also affected by preoperative anxiety. Patients experience continued anxiety as well as sadness and depression.
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| 3. |
- Bråten, Beret, et al.
(författare)
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Guiding migrant parents in Nordic welfare states. Cases from Norway and Sweden
- 2020
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Ingår i: Family life in transition. - London : Routledge. - 9780429024832 - 9780367111014 ; , s. 23-35
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- This chapter addresses the legitimacy of public authorities to interfere in parenting when migrant parents are framed as a target group. The empirical data consist of three parenting programs developed and implemented in Norway and Sweden, specially designed to address migrant parents. The text analysis departs from three questions: Why migrant families are targeted? What kind of transition the programs promote? How are these transitions expected to be achieved? Based on the results from the text analysis we discuss how authorities guide but also govern through these programs. The defining of the target group and their needs, as well as addressing the parents can be understood as epistemic governance, a governance aimed for affecting other’s views of reality, their conceptions, aspirations, motivations and in the end practices. A conclusion is that the friendly bridging and mutual approaches used by the three parenting programs are elusive. The possible problem of oppression and racialisation is immanent in the programs and embedded in a theoretical framework about modernity that supports taken for granted standpoints about cultural differences (as better or worse). This makes it difficult for the participating parents to discuss on what premises they are selected as a target group.
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| 4. |
- Eklund, Ida, et al.
(författare)
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Patients' Experiences of Pain and Postoperative Nausea and Vomiting in the Early Postoperative Period After an Elective Knee Arthroplasty
- 2020
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Ingår i: Journal of Perianesthesia Nursing. - : Elsevier. - 1089-9472 .- 1532-8473. ; 35:4, s. 382-388
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Tidskriftsartikel (refereegranskat)abstract
- PurposeThe aim of this study is to explore patients' experience of pain and postoperative nausea and vomiting (PONV) in the early postoperative period after knee arthroplasties.DesignThis is a retrospective cohort study with a quantitative approach. Data from patients registered in the Swedish Perioperative Registry were used. We used the Strenghtening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines for cross-sectional studies.MethodsData were collected from patients (N = 439) undergoing knee arthroplasties. The analysis was performed with descriptive and analytic statistics.FindingsThe findings indicate that women experienced significantly higher levels of pain than men and suffered significantly more often from PONV. However, the relationship of postoperative pain and PONV was not significant. There was also no significance for the relationship among postoperative pain, PONV, and age.ConclusionsCare needs to be sensitive to differences in experiencing pain and PONV depending on sex or gender bias, with a goal of increasing the equality in care.
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| 5. |
- Gabrielsson, Sebastian, 1975-, et al.
(författare)
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Self-rated reflective capacity in post-registration specialist nursing education students
- 2022
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Ingår i: Reflective Practice. - London, UK : Taylor & Francis Group. - 1462-3943 .- 1470-1103. ; 23:5, s. 539-551
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Tidskriftsartikel (refereegranskat)abstract
- This study aimed to describe self-rated reflective capacity in students enrolled in post-registration specialist nursing education at the advanced level. We applied a non-experimental and cross-sectional design. A survey of 156 specialist nursing students at two universities in Northern Sweden was conducted. Data were collected in 2019 using a web-based questionnaire assessing self-rated reflective capacity through the Reflective Capacity Scale of the Reflective Practice Questionnaire. Data were analyzed descriptively using frequencies and proportions. Correlations were analyzed using Spearman’s rho. Results show that students specializing in psychiatric care and oncological care report a higher reflective capacity than students specializing in other areas. We found no significant correlations between reflective capacity and gender, and reflective capacity in total did not correlate with age or work experience. We conclude that reflective capacity might vary between nursing students in different areas of specialization. Further research is needed to understand causes and impacts of variations in nursing students’ reflective capacities.
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| 6. |
- Gustafsson, Silje, et al.
(författare)
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Factors Influencing Early Postoperative Recovery After Laparoscopic Cholecystectomy
- 2020
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Ingår i: Journal of Perianesthesia Nursing. - : Elsevier. - 1089-9472 .- 1532-8473. ; 35:1, s. 80-84
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Tidskriftsartikel (refereegranskat)abstract
- PurposeTo study the factors influencing early postoperative recovery after laparoscopic cholecystectomy.DesignA nonexperimental retrospective study.MethodsThe study was performed using records from all patients who had undergone laparoscopic cholecystectomy at a hospital in Northern Sweden in 2017 (219 patients in total). Nonparametric data were analyzed using Spearman's rho, Mann-Whitney U test, and logistic regression. Parametric data were analyzed using Pearson's correlation, an independent t test, and analysis of variance.FindingsThe length of stay in the postanesthesia care unit was not predicted by factors such as age, gender, body mass index, American Society of Anesthesiologists classification, postoperative nausea and vomiting, premedication, or type of surgery. Younger age and high classification level were significant predictors of pain during rest and pain when in motion. No significant predictors of postoperative nausea were found. The majority of study participants experienced little or no pain or nausea. The documentation of pain, nausea, and premedication was inadequate in many cases.ConclusionsNurses in postanesthesia care units should work to preventively identify and address patients’ medical and emotional needs so that optimal conditions for postoperative recovery can be provided.
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| 7. |
- Gustafsson, Silje, et al.
(författare)
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Parents’ strategies and advice for creating a positive sleep situation in the family
- 2022
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Ingår i: Scandinavian Journal of Caring Sciences. - : Nordic College of Caring Science. - 0283-9318 .- 1471-6712. ; 36:3, s. 830-838
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Tidskriftsartikel (refereegranskat)abstract
- AimThe aim of this study was to describe the experience-based knowledge of parents of children aged 0–3 years for creating a positive sleep situation in the family.DesignThis study has a qualitative design. Data were collected using an online survey and analysed using the critical incident technique.MethodsThe study participants were recruited through an announcement posted in parenting groups on a social media platform in September 2018. A total of 93 parents answered the questionnaire; 76 of the parents matched the study's selection criteria, and their responses were included in the analysis.ResultsThe results are presented from the two main questions in the survey: “Strategies for creating a positive sleep situation” and “Advice to new parents regarding sleep”. Having routines and reading the child's signals were important strategies, as were creating good conditions for sleep and making sure the child was well-fed and content at bedtime. Winding down and giving the child closeness and touch was described as important, and some parents would co-sleep to soothe the child quickly and create a sense of security and belonging. Parents’ most frequent advice to other parents was to accept the situation and to let go of the idea that the child should sleep without waking up in a separate bed or room.ConclusionPersonal preferences and needs are likely to vary among individuals, and it is important that nurses tailor sleep advice in accordance with families’ preferences and needs, taking individual variations and views into account.
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| 8. |
- Gustafsson, Silje, et al.
(författare)
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Patient Satisfaction With Telephone Nursing : A Call for Calm, Clarity, and Competence
- 2020
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Ingår i: Journal of Nursing Care Quality. - : Lippincott Williams and Wilkins. - 1057-3631 .- 1550-5065. ; 35:1, s. E6-E11
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Tidskriftsartikel (refereegranskat)abstract
- Background:Studies of patient satisfaction with telephone nursing can provide a better understanding of callers' needs and inform the improvement of services.Purpose:This study described patients' experiences and perceptions of satisfaction with telephone nursing.Methods:The design was nonexperimental and descriptive, with an inductive approach. Data were collected using open-ended questions in a questionnaire that was dispatched to 500 randomly selected callers to the Swedish Healthcare Direct in Northern Sweden.Results:Patients' satisfaction with telephone nursing was related to calm, clarity, and competence. Calm referred to the nurse remaining calm and composed during the call. Clarity was described as distinct, concrete, and practical advice on how to act, what to observe, and where to seek further assistance. Competence referred to both health care knowledge and caring skills.Conclusion:These aspects of nursing are dependent on each other and on-call telephone nursing services, which value patient satisfaction need to target all 3.
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| 9. |
- Gustafsson, Silje, et al.
(författare)
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Reflective capacity in nurses in specialist education : Swedish translation and psychometric evaluation of the Reflective Capacity Scale of the Reflective Practice Questionnaire
- 2021
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Ingår i: Nursing Open. - : John Wiley & Sons. - 2054-1058. ; 8:2, s. 546-552
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Tidskriftsartikel (refereegranskat)abstract
- AimThis study aimed to test the validity and reliability of the Swedish version of the Reflective Capacity Scale of the Reflective Practice Questionnaire in a nursing context.DesignNon‐experimental and cross‐sectional.MethodsThe instrument was translated from English to Swedish using a translation and back‐translation procedure. Data for the validity and reliability analysis were collected from Registered Nurses in specialist education (n = 156) at two Swedish universities.ResultsThe Swedish version of the Reflective Capacity Scale of the Reflective Practice Questionnaire is a valid and reliable instrument that assesses the reflective capacity of healthcare practitioners. Our findings suggest a unidimensional structure of the instrument, excellent internal consistency and good reliability.ConclusionThe Swedish version of the Reflective Capacity Scale of the Reflective Practice Questionnaire has a degree of reliability and validity that is satisfactory, indicating that the instrument can be used as an assessment of reflective capacity in nurses.
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| 10. |
- Jacobzon, Anna, et al.
(författare)
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Mothers’ strategies for creating positive breastfeeding experiences: a critical incident study from Northern Sweden
- 2022
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Ingår i: International Breastfeeding Journal. - : Springer Nature. - 1746-4358. ; 17:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Positive breastfeeding experiences positively influence subsequent attitudes towards breastfeeding, and increase mothers’ confidence, self-efficacy, motivation and intention to breastfeed. However, the strategies that mothers find useful and effective for creating positive breastfeeding experiences remain largely unknown. The aim of our study was thus to describe experience-based knowledge from mothers about strategies for creating positive breastfeeding experiences.Methods: The study followed a qualitative design involving the critical incident technique. Data were collected with an online survey containing open-ended questions that was administered to a Sweden-based parenting group on Facebook in September 2018. Ultimately, 340 incidents from 176 women were identified as offering strategies for creating positive breastfeeding experiences. Data from the written replies were extracted as textual units, condensed and categorised until categories were mutually exclusive, which resulted in six categories.Results: Participating women were on average 31.2 years old and the median number of children per participant was two. Mothers’ strategies for creating positive breastfeeding experiences generally included being calm and accepting that initiating breastfeeding takes time and can be difficult initially. Participants described feeling close to the baby by maintaining skin-to-skin contact and being present in the moment by taking time to appreciate the child and the breastfeeding situation, and temporarily forgetting about the world and simply being with the child in the here and now. Participants advocated baby-led breastfeeding and following correct techniques. They also described the importance of keeping an effortless mindset about breastfeeding to prevent perceiving breastfeeding as a compulsion. Mothers described acquiring knowledge about breastfeeding so that they could be prepared if breastfeeding problems occurred and getting support from professionals and family was described as significant for having a positive breastfeeding experience. Caring for oneself and one’s body, with aids if necessary, were described as important strategies, as were having a positive attitude and a strong desire to breastfeed.Conclusion: Because positive breastfeeding experiences and support are predictors of future breastfeeding initiation and duration, assisting women in creating positive breastfeeding experiences is important. Asking mothers to formulate strategies that they find useful could facilitate breastfeeding by making their approaches more conscious and visible.
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