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- Bragstad, Line Kildal, et al.
(författare)
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Psychometric properties of a short version of Lee Fatigue Scale used as a generic PROM in persons with stroke or osteoarthritis : assessment using a Rasch analysis approach
- 2020
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Ingår i: Health and Quality of Life Outcomes. - : BioMed Central. - 1477-7525. ; 18:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Fatigue is a common symptom associated with a wide range of diseases and needs to be more thoroughly studied. To minimise patient burden and to enhance response rates in research studies, patient-reported outcome measures (PROM) need to be as short as possible, without sacrificing reliability and validity. It is also important to have a generic measure that can be used for comparisons across different patient populations. Thus, the aim of this secondary analysis was to evaluate the psychometric properties of the Norwegian 5-item version of the Lee Fatigue Scale (LFS) in two distinct patient populations.METHODS: The sample was obtained from two different Norwegian studies and included patients 4-6 weeks after stroke (n = 322) and patients with osteoarthritis on a waiting list for total knee arthroplasty (n = 203). Fatigue severity was rated by five items from the Norwegian version of the LFS, rating each item on a numeric rating scale from 1 to 10. Rasch analysis was used to evaluate the psychometric properties of the 5-item scale across the two patient samples.RESULTS: Three of the five LFS items ("tired", "fatigued" and "worn out") showed acceptable internal scale validity as they met the set criterion for goodness-of-fit after removal of two items with unacceptable goodness-of-fit to the Rasch model. The 3-item LFS explained 81.6% of the variance, demonstrated acceptable unidimensionality, could separate the fatigue responses into three distinct severity groups and had no differential functioning with regard to disease group. The 3-item version of the LFS had a higher separation index and better internal consistency reliability than the 5-item version.CONCLUSIONS: A 3-item version of the LFS demonstrated acceptable psychometric properties in two distinct samples of patients, suggesting it may be useful as a brief generic measure of fatigue severity.TRIAL REGISTRATION: Clinicaltrials.gov: NCT02338869; registered 10/04/2014 (stroke study).
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| 4. |
- Lundin Gurné, Frida, et al.
(författare)
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Striving to be in close proximity to the patient: An interpretive descriptive study of nursing practice from the perspectives of clinically experienced registered nurses
- 2021
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Ingår i: Nursing Inquiry. - : Wiley. - 1320-7881 .- 1440-1800. ; 28:2
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Tidskriftsartikel (refereegranskat)abstract
- © 2020 The Authors. Nursing Inquiry published by John Wiley & Sons Ltd This paper explores essential characteristics of current nursing practice from the perspectives of clinically experienced registered nurses in various fields of health care in Sweden. Nursing practice has been the subject of much debate in the past and because of its complexity as well as continuous changes in society it is important to continue the debate. A qualitative study, including 16 group interviews with altogether 74 participants, was conducted. Nursing practice was viewed as a multifaceted field. The participants struggled to define nursing but were able to describe it using concrete examples. The analysis, using interpretive description, identified current practice as essentially consisting of: ‘A practice pervaded by comprehensive responsibility’, ‘A practice that recognises a patient's unique needs’, ‘A practice based on multifaceted knowledge’ and ‘A practice that mediates between traditional values and changing demands’. Current nursing practice can be understood as striving to be in close proximity to the patient, but in tension with pervasive requirements and societal changes. Going forward, it is necessary to continue to reflect on and discuss the nature of nursing practice in an interprofessional context. Studies from primary and home care are also needed to broaden the understanding of nursing practice.
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| 5. |
- Vassbo, Tove Karin, et al.
(författare)
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Effects of a person-centred and thriving-promoting intervention on nursing home staff job satisfaction : A multi-centre, non-equivalent controlled before-after study
- 2020
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Ingår i: Nursing Open. - : John Wiley & Sons. - 2054-1058. ; 7, s. 1787-1797
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To evaluate the effects of a person‐centred and thriving‐promoting intervention in nursing homes on staff job satisfaction, stress of conscience and the person‐centredness of care and of the environment.Design: A multi‐centre, non‐equivalent control group, before–after trial design.Methods: Staff (N = 341) from six nursing homes in Australia, Norway and Sweden were assigned to the intervention or the control group and both groups were evaluated before the intervention, immediately after and by 6 months follow‐up. Staff completed a questionnaire about job satisfaction (primary endpoint), stress of conscience and the person‐centredness of care and of the environment (secondary endpoints). Linear regression models were used to identify the mean scores and to analyse group differences to test the effects of the intervention.Results: The intervention had no statistically significant effects on staff job satisfaction, level of stress of conscience or the perceived person‐centredness of care and of the environment.
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| 6. |
- Öhlén, Joakim, 1958, et al.
(författare)
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Complexities in Studying and Practicing Nursing-A Theoretical Elaboration Based on Reflections by Nurses and Nursing Students.
- 2021
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Ingår i: ANS. Advances in nursing science. - 1550-5014. ; 44:4, s. 368-383
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore nursing students' and clinically active nurses' experiential ideas about nursing to provide a foundation for a critical reflection on the complexities involved in studying and practicing nursing. Using a participatory approach, 9 experiential ideas about nursing as a subject, nursing practice, and being a nurse were identified and reflected upon with a total of 238 participants. This was followed by a theoretical analysis in relation to the clinical gaze in nursing and epistemology, which ends in an argument for a rediscovery of the broader Aristotelian view of knowledge in nursing education and practice.
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| 7. |
- Öhlén, Joakim, 1958, et al.
(författare)
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Personhood: Philosophies, applications and critiques in healthcare
- 2022
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Ingår i: Nursing Philosophy. - Chichester : Wiley. - 1466-7681 .- 1466-769X. ; 23:3
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- ‘Personhood’ is a notion often taken for granted and not explicated. The papers in this theme issue analyse personhood from a range of perspectives related to philosophies conceptualizing the idea of person. They look at how such philosophies have been applied in nursing and the broader healthcare, and also contribute with a critique thereof. The contributions in this theme issue aim to remedy this and advance the field of nursing philosophy as an internationally established discipline (e.g., Risjord, 2011). All contributions were presented in 2021 at the 24th International Philosophy of Nursing Conference, hosted by the University of Gothenburg in Sweden, and specifically, the Institute of Health and Care Sciences that hosts the University of Gothenburg Centre for Person-Centred Care. The 24th IPONS conference was actually the first one ever held online. The conference brought together scholars representing four continents and with an interest in philosophical inquiry as related to nursing and the wider healthcare practice, theory, research, education and policy from a wide range of perspectives and disciplinary backgrounds.
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