| 1. |
- Andersson, Thomas, et al.
(author)
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Effects of chewing gum against postoperative ileus after pancreaticoduodenectomy - a randomized controlled trial.
- 2015
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In: BMC research notes. - : Springer Science and Business Media LLC. - 1756-0500. ; 8:1
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Journal article (peer-reviewed)abstract
- Postoperative ileus is common after surgery. One non-pharmacological intervention that has shown promising results in reducing the duration of postoperative ileus is chewing gum after surgery. However, this has not been investigated in upper gastrointestinal surgery such as pancreatic surgery. Hence the aim of this study was to investigate the effects of chewing gum treatment on patients undergoing pancreaticoduodenectomy ad modum whipple due to pancreatic or periampullary cancer.
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| 2. |
- Andersson, Thomas, et al.
(author)
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Health is belonging: Lived experiences during recovery after pancreaticoduodenectomy.
- 2012
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In: ISRN nursing. - : Hindawi Limited. - 2090-5483 .- 2090-5491. ; :Article ID 602323
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Journal article (peer-reviewed)abstract
- The aim of this study was to explore the lived experience of the symptoms, health, and illness reported by patients recovering after pancreaticoduodenectomy ad modum Whipple due to pancreatic or periampullary cancer. Thirteen patients with pancreatic or periampullary cancer who underwent pancreaticoduodenectomy ad modum Whipple between 2006 and 2008 were interviewed during postoperative recovery. Data were analysed using the phenomenological-hermeneutic method. The structural analysis of patient experiences revealed that recovery after pancreaticoduodenectomy was described as recapturing everyday life, being healthy, and looking to the future. Participants experienced symptoms but did not dwell on them, instead they stated that their general health was good. They strived to regain their former precancer selves and be a part of as well as contribute to the social context. Overall, the participants’ view of the future was positive, and improvement in their health generated further confidence and encouragement. This study suggests that persons recovering from pancreaticoduodenectomy ad modum Whipple due to a pancreatic or periampullary tumour experience health despite postoperative symptoms. They manage their symptoms by means of different strategies and express a positive view of the future. Nurses working with such patients should adopt a person-centred approach focusing on patient perspectives, participation, and possibilities.
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| 3. |
- Andersson, Thomas K., et al.
(author)
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Perceptions of Experiences of Recovery After Pancreaticoduodenectomy-A Phenomenographic Interview Study
- 2022
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In: Cancer Nursing. - : Ovid Technologies (Wolters Kluwer Health). - 0162-220X .- 1538-9804. ; 45:3, s. 172-180
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Journal article (peer-reviewed)abstract
- Background Pancreatic surgery in the context of enhanced recovery has mainly been evaluated using clinical variables. However, there is limited knowledge about patients' perceptions of recovery in this context. Hence, the aim of this study was to explore patients' perceptions of recovery after pancreatic surgery within an enhanced recovery program. Objective To explore the variations in patients' perceptions, a qualitatively designed study was undertaken. Methods Data in this phenomenographic study consisted of interviews with 19 patients at 4 to 6 weeks after surgery. Results Recovery after pancreatic surgery was classified into 5 categories, based on patients' perceptions: to be as before, affected by symptoms, physical activity, understanding the process, and facilitated by other people. Conclusion The study focused on various areas of recovery, which took place between the in-hospital and after-discharge phases. Physical experiences were found to disturb recovery, in contrast to social and emotional experiences, which facilitated recovery. Variations in perceptions of recovery suggest that care may need to be more individualized, both in the preoperative and the postoperative phase. Working with realistic expectations and early patient education might better prepare patients to continue working on their own recovery after discharge from the hospital. Implications for Practice Major cancer surgery needs to be perceived as a personal journey for the patient, even in enhanced recovery program care. Preoperative education is good, but adding continuous and individually adopted education during recovery is better. Knowledge about both hindering and facilitating factors for recovery is important for the healthcare personal.
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| 4. |
- Avander, Karin, et al.
(author)
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Trauma Nurses Experience of Workplace Violence and Threats: Short- and Long-Term Consequences in a Swedish Setting
- 2016
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In: JOURNAL OF TRAUMA NURSING. - : LIPPINCOTT WILLIAMS & WILKINS. - 1078-7496. ; 23:2, s. 51-57
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Journal article (peer-reviewed)abstract
- Violence in health care is increasing globally and Sweden is no exception. Still, this topic is sparsely studied in the Swedish trauma care setting. This focus group study examined nurses experience of violence and threats, and their consequences. The content analysis revealed two main categories, threatening situations and consequences, which led to a change in priorities in nursing care in order to avoid a potential violent situation. Furthermore, negative stress among the staff and greater vigilance and unwillingness to be near the patient resulted in altered communication and, in the end, a decreased quality of nursing care.
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| 5. |
- Bergström, Annika, et al.
(author)
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Comfort Theory in Practice-Nurse Anesthetists' Comfort Measures and Interventions in a Preoperative Context
- 2018
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In: Journal of Perianesthesia Nursing. - : Elsevier BV. - 1089-9472 .- 1532-8473. ; 33:2, s. 162-171
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Journal article (peer-reviewed)abstract
- Purpose: The Comfort Theory proposes a systematic work approach to respond to patients' holistic needs. The usefulness of the Comfort Theory in the perioperative setting should be investigated. The aim of this study was to describe and analyze the nurse anesthetist's comfort measures in the preoperative context on the basis of the Comfort Theory. Design: Qualitative observational study. Methods: Semi-structured, clinical observation data collection in the preoperative context and deductive thematic analysis. Findings: The nurse anesthetist's comfort measures in the preoperative phase in the operating room department aim to ensure the patient's needs of relief, ease and transcendence in the physical, psycho-spiritual, environmental and socio-cultural contexts. Conclusion: The application of the Comfort Theory to daily work in the preoperative phase is of value for the nurse anesthetist in becoming more aware of the individual holistic needs of the patient and in this way adapting and initiating comfort measures and interventions.
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| 6. |
- Bjerså, Kristofer, et al.
(author)
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Adjunct High Frequency Transcutaneous Electric Stimulation (TENS) for Postoperative Pain Management during Weaning from Epidural Analgesia Following Colon Surgery: Results from a Controlled Pilot Study.
- 2015
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In: Pain management nursing : official journal of the American Society of Pain Management Nurses. - : Elsevier BV. - 1532-8635 .- 1524-9042. ; 16:6, s. 944-950
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Journal article (peer-reviewed)abstract
- The potential benefit of nonpharmacological adjunctive therapy is not well-studied following major abdominal surgery. The aim of the present study was to investigate transcutaneous electrical nerve stimulation (TENS) as a complementary nonpharmacological analgesia intervention during weaning from epidural analgesia (EDA) after open lower abdominal surgery. Patients were randomized to TENS and sham TENS during weaning from EDA. The effects on pain at rest, following short walk, and after deep breath were assessed by visual analog scale (VAS) grading. Number of patients assessed was lower than calculated because of change in clinical routine. Pain scores overall were low. A trend of lower pain scores was observed in the active TENS group of patients; a statistical significance between the groups was found for the pain lying prone in bed (p<.05). This controlled pilot study indicate benefits of TENS use in postoperative pain management during weaning from EDA after open colon surgery. Further studies are warranted in order to verify the potential beneficial effects from TENS during weaning from EDA after open, lower abdominal surgery.
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| 7. |
- Bjerså, Kristofer
(author)
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Att få veta – en enkätstudie om intensivvårdssjuksköterskors behov av att följa upp utskrivna patienter
- 2007
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In: D-uppsats, Student essay..
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Journal article (other academic/artistic)abstract
- Introduktion Att arbeta på intensivvårdsavdelning är utmanande med höga krav på intensivvårdssjuksköterskans vård. För att få djupare förståelse och kunskap för sitt arbete och för patientens och den närståendes situation krävs samordning kring patientens varande efter utskrivning från intensivvårdsavdelningen. Syfte Syftet med studien var att undersöka intensivvårdssjuksköterskans behov av att följa upp utskrivna patienter från intensivvårdsavdelningen med fokus på varför behovet uppstår, hur uppföljningen ser ut, hur ofta den sker och om det finns hinder, och fördelar respektive nackdelar med uppföljning. Metod Med en enkät tillfrågades 154 intensivvårdssjuksköterskor på tre intensivvårdsavdelningar om sina uppfattningar kring behovet att följa upp utskrivna patienter. Av dessa besvarade 90 enkäten. Resultat Majoriteten av intensivvårdssjuksköterskorna hade ett behov av att följa upp utskrivna patienter. De vanligaste orsakerna var empati för patienten, att rätt omvårdnads- och medicinska åtgärder utförts och för att öka kunskapen. Uppföljning skedde mer sällan än då behovet uppstod. Hinder var framför allt tidsbrist och sekretesslagen. Nackdelar med att inte följa upp var uteblivet tillfälle till kvalitetssäkring. Diskussion Den empatiska anledningen till att behovet att följa upp uppstod kan ses utifrån Travelbees interaktionsteori. Organisatoriska hinder för uppföljning kan leda till bristande motivation och uteblivet tillfälle till lärande och förståelse. Uppföljning skulle kunna organiseras genom införandet av liaision nurse. Ytterligare forskning behövs för att se om behovet att följa upp patienten finns generellt hos sjuksköterskan och vilka effekter uppföljning kan innebära.
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| 8. |
- Bjerså, Kristofer
(author)
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Complementary and Alternative Therapies in Surgical Care
- 2012
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Doctoral thesis (other academic/artistic)abstract
- International and national use of complementary and alternative medicine (CAM) is high in the general population and among patients. The level of knowledge about CAM among health care professions is low, but an interest in receiving education about this field has been observed. Concerning surgical care, previous studies indicate a wide range of CAM use among patients, but the level of knowledge among health care professions is poorly investigated, both internationally and in Sweden. Concerning CAM therapies in the management of signs and symptoms in surgical care, transcutaneous electric nerve stimulation (TENS) was used with a variety of effectiveness and osteopathic medicine was found to be poorly investigated in this context. The overall objective of this thesis was to investigate CAM in the surgical context with a focus on health care professions’ perceptions and understanding and the usefulness of therapy in symptom management in clinical settings. Both inductive (paper I; semi structured interviews, n=16) and deductive (paper II; questionnaire, n=737) methods were used to investigate perceptions and understanding of CAM among Swedish health care professions in surgical care. TENS as a pain relieving complement during the transition from epidural analgesia (EDA) to general analgesia after major abdominal surgery was investigated in a randomized controlled trial design (paper III; n=20). Osteopathic intervention in management of chronic signs and symptoms after thoracotomy was investigated with a single-subject research design (paper IV; n=8). The results reveal that surgical health care professions understand and perceive CAM as a wide range of therapies, remedies and systems. Their self valued level of knowledge was low, both concerning CAM and CAM research, but a desire was found to gain knowledge about CAM. A majority of the participants would consider learning a CAM therapy. Dialog about and referral to CAM occurred, but to a limited extent. Concerning therapy usability, TENS was not found to significantly relieve pain, promote recovery or reduce consumption of analgesics. In addition, comments from nurses and patients indicated that TENS treatment obstructed postoperative care. A significant improvement was observed in the osteopathic intervention in stiffness and benefits for pain, but not in breathing. The comprehensive conclusion of the thesis is that Swedish health care professions recognise the concept of CAM and some of its therapies, but their knowledge is in general low. Concerning therapy usability and the effectiveness of CAM in surgical care, the context is essential; TENS after major abdominal surgery in EDA elimination is questionable as concerns pain and its clinical application, while osteopathy may be beneficial in the management of chronic signs and symptoms after thoracotomy.
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| 9. |
- Bjerså, Kristofer, et al.
(author)
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High frequency TENS as a complement for pain relief in postoperative transition from epidural to general analgesia after pancreatic resection
- 2014
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In: Complementary Therapies in Clinical Practice. - : Elsevier. - 1744-3881 .- 1873-6947. ; 20:1, s. 5-10
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Journal article (peer-reviewed)abstract
- Aim: This study investigated the effect of high frequency transcutaneous electric nerve stimulation (TENS) as a pain relieving complementary therapy at the transition from epidural (EDA) to general analgesia after pancreatic surgery by horizontal, abdominal incision. Method: Fifty-five consecutive patients undergoing pancreatic resection were enrolled in the study and randomly assigned to active or sham TENS treatment. Twenty subjects were included in the analysis. Pain, quality of recovery and additional analgesia consumption were measured during the 24hof transition from EDA to general analgesia. Results: Additional analgesic consumption and pain estimations at 24hafter EDA termination differed between the two groups, but was not statistically significant. Conclusion: This study did not find support to reject use of high frequency TENS as complement during transition from EDA to general analgesia after major abdominal surgery with horizontal incision.
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| 10. |
- Bjerså, Kristofer, et al.
(author)
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Knowledge about complementary, alternative and integrative medicine (CAM) among registered health care providers in Swedish surgical care: a national survey among university hospitals.
- 2012
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In: BMC complementary and alternative medicine. - : Springer Science and Business Media LLC. - 1472-6882. ; 12
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Journal article (peer-reviewed)abstract
- Background: Previous studies show an increased interest and usage of complementary and alternative medicine (CAM) in the general population and among health care workers both internationally and nationally. CAM usage is also reported to be common among surgical patients. Earlier international studies have reported that a large amount of surgical patients use it prior to and after surgery. Recent publications indicate a weak knowledge about CAM among health care workers. However the current situation in Sweden is unknown. The aim of this study was therefore to explore perceived knowledge about CAM among registered healthcare professions in surgical departments at Swedish university hospitals. Method: A questionnaire was distributed to 1757 registered physicians, nurses and physiotherapists in surgical wards at the seven university hospitals in Sweden from spring 2010 to spring 2011. The questionnaire included classification of 21 therapies into conventional, complementary, alternative and integrative, and whether patients were recommended these therapies. Questions concerning knowledge, research, and patient communication about CAM were also included. Result: A total of 737 (42.0%) questionnaires were returned. Therapies classified as complementary; were massage, manual therapies, yoga and acupuncture. Alternative therapies; were herbal medicine, dietary supplements, homeopathy and healing. Classification to integrative therapy was low, and unfamiliar therapies were Bowen therapy, iridology and Rosen method. Therapies recommended by > 40% off the participants were massage and acupuncture. Knowledge and research about CAM was valued as minor or none at all by 95.7% respectively 99.2%. Importance of possessing knowledge about it was valued as important by 80.9%. It was believed by 61.2% that more research funding should be addressed to CAM research, 72.8% were interested in reading CAM-research results, and 27.8% would consider taking part in such research. Half of the participants (55.8%) were positive to learning such therapy. Communication about CAM between patients and the health care professions was found to be rare. Conclusion: There is a lack of knowledge about CAM and research about it among registered health care professions in Swedish surgical care. However, in contrast to previous studies the results revealed that the majority perceived it as important to gain knowledge in this field.
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| 11. |
- Bjerså, Kristofer, et al.
(author)
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Osteopathic intervention for chronic pain, remaining thoracic stiffness and breathing impairment after thoracoabdominal oesophagus resection: A single subject design study.
- 2013
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In: International Journal of Osteopathic Medicine. - : Elsevier BV. - 1746-0689 .- 1878-0164. ; 16:2, s. 68-80
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Journal article (peer-reviewed)abstract
- Background Thoracic surgery can cause negative effects such as chronic pain, impaired thorax movement and/or impaired breathing. There are indications that manual therapies, such as osteopathy, may be beneficial for these conditions. Objective To investigate effects of osteopathic intervention on chronic pain and remaining limitations to thoracic range of motion and breathing in patients who had undergone thoracoabdominal resection of the oesophagus. Design In a single-subject research design (Aa-B-Ab), 8 participants with chronic postoperative thoracic pain, stiffness and/or breathing impairment after standardized oesophagus resection were given 10 sessions of osteopathic treatment of 45 min. Expiratory vital capacity, thorax mobility, pain experience, and subjective perception of treatment were measured on three occasions during each phase. The two-standard deviation band method was used to indicate significant change. Results A significantly increased range of motion in the thorax was observed in thoracic excursion and in lateral flexion. A positive change in pain was also noted. The results in expiratory vital capacity were contradictory. The participants were generally positive toward the treatment given. Conclusion Osteopathic intervention may affect thoracic impairment and pain among people with chronic pain and impaired thoracic range of motion after thoracoabdominal resection of the oesophagus.
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| 12. |
- Bjerså, Kristofer, et al.
(author)
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Perceptions of complementary therapies among Swedish registered professions in surgical care.
- 2011
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In: Complementary therapies in clinical practice. - London, UK : Elsevier BV. - 1873-6947 .- 1744-3881. ; 17:1, s. 44-9
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Journal article (peer-reviewed)abstract
- There is increasing interest in complementary and alternative medicine (CAM) among healthcare professions. However, no studies have been conducted in Sweden or in a surgical context. The aim of this study is to describe different perceptions of complementary therapies among registered healthcare professions in Swedish surgical care. Sixteen interviews were conducted with registered physicians, nurses, physiotherapists and clinical dieticians at a Swedish university hospital. Analysis was made with a phenomenographic research approach. The findings showed variations in perceptions of the definition of complementary therapies. A constructive approach toward use was observed, but there was a conflict in matters of indications and contraindications, and also criticism over a lack of knowledge. There was seen to be a need for education to be able to act professionally. Scepticism over high costs of treatment was highlighted. In conclusion, a need for policies on management, education and research in the field of CAM should be addressed.
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| 13. |
- Bjerså, Kristofer, et al.
(author)
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Physiotherapy undergraduate students’ experiences of bachelor’s thesis examination
- 2019
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In: European Journal of Physiotherapy. - : Informa UK Limited. - 2167-9169 .- 2167-9177. ; 21:1, s. 56-63
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Journal article (peer-reviewed)abstract
- © 2018 Informa UK Limited, trading as Taylor & Francis Group Background: The aim of the study was to explore undergraduate physiotherapist students´ experiences of the examination sessions of their bachelor´s theses. Methods: Qualitative, semistructured interviews with Swedish physiotherapy students from two universities after the examination of their theses. During these oral examinations, the theses are presented and discussed with fellow students who act as reviewers, the audience and the examiner. The interviews were analysed according to the content analysis. Results: Thirteen interviews were performed. The analysis resulted in three categories: •Beneficial; the examination session was seen as a positive learning experience, with students showing an interest in further studies. •Demotivating; contained experiences of unfairness and unnecessary aspects. •Improvement; suggestions were made based on the experiences of being present at examination sessions with both beneficial and destructive elements. Conclusion: Students perceived the examination session as promoting learning, giving insight into scientific work, and as a forum with possibilities for improvement of their thesis. On the other hand, it could be destructive for relationships when fellow students acted unfair during the review and the sessions need to be prepared and practiced. Better consensus and standardised settings for the lecturers acting as examiners and supervisors are needed in order to have a proper and fair assessment.
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| 14. |
- Bjerså, Kristofer, 1978-
(author)
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Specialistsjuksköterska med inriktning mot kirurgisk vård
- 2014. - 1
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In: Att bli specialistsjuksköterska eller barnmorska. - Lund : Studentlitteratur AB. - 9789144084497 ; , s. 107-126
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Book chapter (other academic/artistic)abstract
- Behovet av specialistutbildade sjuksköterskor ökar. I den här boken presenteras tolv utbildningar som leder till en examen som specialistsjuksköterska eller barnmorska. Vidare ger boken en inblick i vad de olika yrkena innebär. Boken presenterar arbetsplatser och karriärvägar och ger också konkreta exempel på vad specialistsjuksköterskor eller barnmorskor kan komma att möta en vanlig dag på jobbet. Därutöver presenteras Högskoleverkets examensmål för respektive inriktning samt länkar till fastställda kompetensbeskrivningar.Boken, som är skriven av sjuksköterskor med mångårig klinisk erfarenhet från olika specialistområden, riktar sig i första hand till grundutbildade sjuksköterskor som funderar på att fortbilda sig och erbjuder en inblick i såväl utbildning som yrke.De utbildningar som finns beskrivna är: Ambulanssjukvård, Anestesisjukvård, Barn och ungdom, Barnmorska, Distrikt, Intensivvård, Onkologisk vård, Kirurgisk vård, Medicinsk vård, Operationssjukvård, Psykiatrisk vård samt Vård av äldre.
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| 15. |
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| 16. |
- Boije, Karin, et al.
(author)
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Patients Perceptions of Experiences of Recovering From Acute Pancreatitis An Interview Study
- 2019
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In: Gastroenterology Nursing. - : LIPPINCOTT WILLIAMS & WILKINS. - 1042-895X .- 1538-9766. ; 42:3, s. 233-241
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Journal article (peer-reviewed)abstract
- The incidence of registered admissions in inpatient care with a diagnosis of acute pancreatitis was 58 per 100,000 capita in Sweden during the year 2013. Although acute pancreatitis is a well-explored area, there is a demand for research from the patients perceptions. The aim of this study was to describe patients perceptions of recovering from acute pancreatitis. Data collection for this phenomenographical study included 16 individual semistructured interviews. Analysis was done according to the 7 steps suggested by Sjostrom and Dahlgren (2002). Recovery after acute pancreatitis was perceived within 5 categories; a time of physical suffering, an emotional journey, challenges to the usual life and its good qualities, barriers and need for social support, and healthcare as an important factor. Physical and emotional symptoms influence recovery after acute pancreatitis by challenging the good things and things that are taken for granted in everyday life. Promoting factors toward good recovery was a proper support from the social network as well as healthcare providers.
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| 17. |
- Boije, K., et al.
(author)
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Patients' Perceptions of Experiences of Recovering From Acute Pancreatitis An Interview Study
- 2019
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In: Gastroenterology Nursing. - : Ovid Technologies (Wolters Kluwer Health). - 1042-895X. ; 42:3, s. 233-241
-
Journal article (peer-reviewed)abstract
- The incidence of registered admissions in inpatient care with a diagnosis of acute pancreatitis was 58 per 100,000 capita in Sweden during the year 2013. Although acute pancreatitis is a well-explored area, there is a demand for research from the patients' perceptions. The aim of this study was to describe patients' perceptions of recovering from acute pancreatitis. Data collection for this phenomenographical study included 16 individual semistructured interviews. Analysis was done according to the 7 steps suggested by Sjostrom and Dahlgren (2002). Recovery after acute pancreatitis was perceived within 5 categories; a time of physical suffering, an emotional journey, challenges to the usual life and its good qualities, barriers and need for social support, and healthcare as an important factor. Physical and emotional symptoms influence recovery after acute pancreatitis by challenging the good things and things that are taken for granted in everyday life. Promoting factors toward good recovery was a proper support from the social network as well as healthcare providers.
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| 18. |
- Carlsson, J. M., et al.
(author)
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Use of complementary and alternative medicine (CAM) among emergency department (ED) patients in Sweden
- 2020
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In: Bmc Complementary Medicine and Therapies. - : Springer Science and Business Media LLC. - 2662-7671. ; 20:1
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Journal article (peer-reviewed)abstract
- Background It has been suggested that the combination of complementary and alternative medicine (CAM) with conventional medicine carries a risk of adverse effects. The prevalence of CAM usage among patients in the Swedish emergency department (ED) is unknown. Hence, the aim of this study was to investigate CAM use among visiting patients at a Swedish ED. Method A cross-sectional descriptive study was performed between August and October 2016 at an ED in Sweden. The questionnaire included 16 items regarding CAM use, factors associated with CAM use and patient healthcare communication and was distributed to 1600 patients. Results A total of 1029 questionnaires was returned (RR 64.3%). Current CAM use was reported by 7.9%, during the last year by 38.0%, and within lifetime by 72.9%. Factors associated with CAM use were: being a woman, middle-aged, in full-time employment, with secondary education level, higher use of non-prescription drugs and lower use of prescription drugs. Patient healthcare personnel communication about CAM was found to be approximately 5%. Conclusion CAM usage exists among patients visiting Swedish EDs and almost one in ten uses CAM on the same day as the ED visit. CAM usage is associated with demographic factors. However, communication about CAM usage with ED personnel is poor.
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| 19. |
- Dillström, M., et al.
(author)
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Patients' experience of acute unplanned surgical reoperation
- 2017
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In: Journal of Surgical Research. - : Elsevier BV. - 0022-4804 .- 1095-8673. ; 209, s. 199-205
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Journal article (peer-reviewed)abstract
- Background Undergoing surgery always involves various risks of complications, often depending on the type of surgery. Because of complications, a second surgical intervention, a reoperation, must occasionally be done, which in turn often causes an extended hospital stay, a longer recovery phase, greater suffering for the patient, and higher health care costs. Even though complications after general surgery are relatively common, little is known regarding patient experience of a reoperation. Knowledge of this could impact on care models in the future. The aim of this study was to describe patients' experience of acute, unplanned reoperation during a planned hospital stay. Materials and methods A purposive sampling strategy was used, and 16 patients were included, all who had undergone acute unplanned reoperation during a planned hospital stay. Semi-structured interviews were used to collect data, and a content analysis with an inductive approach was used for data analysis. Results The analysis resulted in two main themes: (1) health professionals' importance, having its foundation in categories trust and information, and (2) reaction, based on the categories anxiety and sadness. Conclusions Unplanned reoperation caused psychological, social, and existential reactions. Health care professionals were perceived as important because good communication, accurate information, their presence, and creating feelings of confident and safe care were meaningful factors for the patients as they managed the situation. © 2016 Elsevier Inc.
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| 20. |
- Fagevik Olsén, Monika, et al.
(author)
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Undergraduate physical therapy students´ experiences of supervision during bachelor thesis course
- 2017
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In: Global Journal of Medical, Physical and Health Education. - 2449-1802. ; 5:1, s. 183-190
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Journal article (peer-reviewed)abstract
- Studies evaluating scientific supervision at the undergraduate level are few and heterogeneous. The aim of this study was to further explore undergraduate students´ experiences of and thoughts about scientific supervision. The sample of informants consisted of 13 physical therapy students from two Swedish universities. Data collection was done using semi-structured interviews covering the areas of supervision and collaboration. Data analysis was performed according to qualitative content analysis. Three theme emerged from the interviews- the role of the supervisor, the student's perception of uncertainty and structure of the supervision. Physical therapy students´ experience of their supervision was dependent on the supervisors’ attributes, both favourable and unfavourable, difficulties with communication, being disregarded and affected by the supervisors’ personal views. This was also put in the context of the current form of supervision, as individual and group supervision brought both positive and negative factors to the experience of the process.
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| 21. |
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| 22. |
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| 23. |
- Järbrink, Hanna, et al.
(author)
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Recovering from physical trauma in late life, a struggle to recapture autonomy: A grounded theory study
- 2023
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In: Journal of Advanced Nursing. - : John Wiley & Sons. - 0309-2402 .- 1365-2648. ; , s. 1-12
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Journal article (peer-reviewed)abstract
- Aim: The study aimed to explore the experiences of care and recovery among older patients treated for physical trauma. Design: A qualitative study with a constructivist grounded theory design. Methods: Fifteen in-depth interviews with older adults recovering from physical trauma were conducted and analysed between 2019 and 2023, in accordance with grounded theory methodology. Results: The findings show that for older patients who suffered physical trauma, the core category was the strive to recapture autonomy. This was achieved by means of Adaptation, Reflection and Interactions, which constitute the three main categories. Recovery involves facing and navigating various new life challenges, such as increased dependency on others, managing difficult symptoms and adapting in various ways to everyday life. The recovery process was influenced by fear, hope and the attitude towards new challenges. Conclusion: Older adults being cared for after a traumatic event have a difficult path to recovery ahead of them. Dealing with increased unwanted dependency on others was a main concern for the participants. Undertreated symptoms can lead to undesired isolation, delayed recovery and further increase unwanted dependency. On the other hand, hope, which was defined as having a positive approach to life and longing for the future, was a strong accelerating factor in the recovery process. Impact: As a result of this study, we have established that older patients experience the initial period after trauma as difficult and that support in the initial phase can be helpful when returning home. As healthcare services are under increasing pressure because of an ageing population, this study contributes by addressing an understudied population and clarifying their concerns. Reporting Method: Reporting adheres to the COREQ (COnsolidated criteria for REporting Qualitative research) Checklist. Patient or Public Contribution: No patient or public involvement
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| 24. |
- Magidy, Mahnaz, et al.
(author)
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Assessment of post-operative pain management among acutely and electively admitted patients - a Swedish ward perspective.
- 2016
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In: Journal of evaluation in clinical practice. - : Wiley. - 1365-2753 .- 1356-1294. ; 22:2, s. 283-289
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Journal article (peer-reviewed)abstract
- Swedish health care is regulated to involve the patient in every intervention process. In the area of post-operative pain, it is therefore important to evaluate patient experience of the quality of pain management. Previous research has focused on mapping this area but not on comparing experiences between acutely and electively admitted patients. Hence, the aim of this study was to investigate the experiences of post-operative pain management quality among acutely and electively admitted patients at a Swedish surgical department performing soft-tissue surgery.
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| 25. |
- Mako, T., et al.
(author)
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Patients' perceptions of the meaning of good care in surgical care: a grounded theory study
- 2016
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In: Bmc Nursing. - : Springer Science and Business Media LLC. - 1472-6955. ; 15
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Journal article (peer-reviewed)abstract
- Background: Patients in surgical care have reported a fear of being discharged prior to sufficient recovery and a lack of control of their situation. Establishing the patient-nurse relationship is essential in the context of the care. The Swedish National Board of Health and Welfare has established indicators for good care for comparison, evaluation and improvement of the quality of the health care system. These indicators are knowledge-based, appropriate, safe, effective and equal health care, as well as care within a reasonable time and patient-centred care. Current core competence in nursing education include quality improvement, patient-centred care, teamwork and collaboration, using evidence-based practice, safety and informatics. This study investigates patients' perceptions of the meaning of good care in inpatient surgical care. Methods: Grounded theory according to Charmaz was chosen as the study design. Interviews were conducted with 13 patients from six surgical wards in the south of Sweden in 2014-2015. Results: The results showed that patients in surgical care perceived good care as being safe, as they were vulnerable and anxious. This could be achieved through accessible care, reliable care, caring attitudes and participating in one's own care. Patient participation was achieved by information and education and the possibility to affect their care. Conclusion: Patients need safety to experience good care. Caring attitudes and patient participation can be attained through patient-centred care. Bedside handover can improve patients' perceptions of accessible care and reliable care and can increase patient participation. Continuously maintaining competence and using evidence-based practice are needed to achieve reliable care.
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| 26. |
- Markström, Ida, 1978-, et al.
(author)
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Diversities in perceived knowledge and practice of preoperative skin preparation in Swedish orthopaedic surgery
- 2015
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In: Journal of perioperative practice. - : Sage Publications. - 1750-4589 .- 2515-7949. ; 25:5, s. 101-106
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Journal article (peer-reviewed)abstract
- Preoperative skin preparations may reduce the risk of hospital-acquired infections. This cross sectional questionnaire study aimed to identify the practice and knowledge of preoperative skin preparation in Swedish orthopaedic surgery departments. One hundred and six respondents (response rate 68%) from 13 Swedish orthopaedic departments reported a diversity of current recommendations and evidence, and good knowledge of skin preparations. This study found variations in practice and deviations from recommendations, despite high levels of knowledge.
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| 27. |
- Markström, Ida, et al.
(author)
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Impact of postoperative skin disinfection with chlorhexidine on bacterial colonisation following shoulder arthroplasty surgery : a controlled randomised study
- 2024
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In: Infection Prevention in Practice. - : Elsevier. - 2590-0889. ; 6:2
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Journal article (peer-reviewed)abstract
- BACKGROUND: Surgical site infections are a significant threat to patient safety. Shoulder arthroplasty carries an increased risk due to foreign implants. Skin preparation in general is a key preoperative preventive intervention, and the use of chlorhexidine can have a prolonged effect on bacterial colonisation. There is a lack of evidence regarding whether postoperative disinfection has an impact on bacterial colonisation during the first 48 hours after surgery. Our hypothesis was that applying postoperative antiseptic with 5 mg/ml chlorhexidine in 70% ethanol would lead to reduced bacterial colonisation with Staphylococcus aureus, coagulase-negative staphylococcus and Cutibacterium acnes around the surgical wound within the initial 48 hours after elective shoulder surgery, compared with the use of sodium chloride. METHODS: A single-blinded, controlled study was conducted at a county hospital in Sweden. Swabs from the skin were collected four times: at baseline, preoperatively, after the intervention and after 48 hours.RESULTS: Our hypothesis was not confirmed. Although not statistically significant, the chlorhexidine group had a higher prevalence of bacterial colonisation of clinically relevant bacteria.CONCLUSIONS: Our study could not confirm that postoperative disinfection with chlorhexidine reduces bacterial colonisation compared with sodium chloride. The results highlight the complexity of SSIs and the importance of evidence-based preventive skin preparation to ensure patient safety. Further research is needed, considering the study's limitations, to explore and evaluate the effectiveness of different skin cleansing solutions and preventive strategies in diverse surgical contexts.
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| 28. |
- Markström, Ida, 1978-, et al.
(author)
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Operating room nurses' experiences of skin preparation in connection with orthopaedic surgery: A focus group study
- 2020
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In: International Journal of Nursing Practice. - : Wiley. - 1322-7114 .- 1440-172X. ; 26:5
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Journal article (peer-reviewed)abstract
- Background Preoperative skin preparation is performed differently by different operating room nurses. Aim To deepen the understanding of skin preparation within an orthopaedic surgical setting from the operating room nurse perspective and to explore their experiences. Methods A qualitative exploratory design was used. Four focus group interviews were conducted during 2016-2017, at four hospitals in Sweden, using procedures developed by Krueger and Casey. A total of 19 operating room nurses were recruited through purposive sampling. Results Statements were categorized into four categories of experiences: (1) Knowing, which related to learning and sources of knowledge; (2) Doing, which related to skin preparation and activities based on tradition and evidence; (3) The Team, which related to the assignment of responsibility and collaboration with patients and other professions; and (4) The Setting, which related to factors around the patient and included feelings of time pressure and access to supplies. Conclusions Theory and practice differ, and some skin preparation used are based on tradition rather than on evidence or recommendations. Elements both within the team in the operating room and within the organization influence the result. Operating room nurses' duty to perform safe skin preparation must be respected in the team.
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| 29. |
- Olsson, Camilla, et al.
(author)
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Safety climate and readiness for implementation of evidence and person centered practice - A national study of registered nurses in general surgical care at Swedish university hospitals
- 2016
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In: BMC Nursing. - : Springer Science and Business Media LLC. - 1472-6955. ; 15:1
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Journal article (peer-reviewed)abstract
- Background: The rationale behind this study is the increasing research on relationships between patient safety, evidence based practice and person centered care, and the growing interest in outcomes of surgical patients. The aim of this study was to explore the safety climate and readiness to implement evidence-based and person centered care as perceived by registered nurses in Swedish surgical care. Methods: The design was an exploratory, cross-sectional survey carried out in a national Swedish context. Data were collected through the Safety Attitudes Questionnaire (SAQ - Short form) and the Context Assessment Index (CAI). Results: In total, 1570 questionnaires were distributed, of which 727 were returned, giving a response rate of 46.3 %. The results revealed that in general, the safety climate in Swedish surgical care is positively related to readiness for evidence-based and person centered care, although specific management and cultural factors may be more sensitive and represent targets for improvement. Conclusion: This study presents new knowledge regarding the safety climate and readiness to implement evidence based practice and person centered care in general surgical wards in university hospitals and indicates important associations between these two areas. While RNs generally reported positive job satisfaction and a good team work culture in their units, there were indications that improvements in organizational management are needed. © 2016 The Author(s).
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| 30. |
- Serafin, Lena, et al.
(author)
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NURSE JOB SATISFACTION AT A SURGICAL WARD - A COMPARATIVE STUDY BETWEEN SWEDEN AND POLAND
- 2019
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In: MEDYCYNA PRACY. - : NOFER INST OCCUPATIONAL MEDICINE, SW. - 0465-5893 .- 2353-1339. ; 70:2, s. 155-167
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Journal article (peer-reviewed)abstract
- Background: Job satisfaction is a major issue in work psychology among nurses, and in the surgical nursing context, important factors leading to the perception of job satisfaction have been suggested. Two European Union neighboring countries (Sweden and Poland) were chosen for the purpose of this study due to similar nursing education but different health care systems, employment regulations and salaries. Recognition of the factors which are related to nurse job satisfaction may lead to improvements in the nurses working conditions. The aim of this study was to explore and compare job satisfaction and various factors among Polish and Swedish nurses in a surgical ward context. Material and Methods: The study had a cross-sectional survey design, with questionnaires among Polish and Swedish nurses in surgical care, and was conducted between April and December 2014. The main assessment tool was a Job Satisfaction Survey questionnaire. In total, 408 nurses returned the questionnaire (response rate - 59%). Results: Swedish nurses rated job satisfaction significantly higher than Polish nurses. The possibilities for professional development at the current workplace correlated with job satisfaction in both groups. Higher values of exhaustion due to nurses working duties were correlated with general job satisfaction. Conclusions: Swedish and Polish nurses showed ambivalence towards job satisfaction. Their job satisfaction increased when their exhaustion level was higher. The possibilities for achievements, developing professional skills, and promotion may be important factors affecting job satisfaction.
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| 31. |
- Sinderholm Sposato, Niklas, 1977, et al.
(author)
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Effectiveness of manual therapy interventions in cystic fibrosis care: a pilot study
- 2024
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In: JOURNAL OF BODYWORK AND MOVEMENT THERAPIES. - 1360-8592 .- 1532-9283. ; 39, s. 323-329
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Journal article (peer-reviewed)abstract
- Background: Cystic fibrosis (CF) is a severe genetic condition that affects multiple organ systems and imposes a substantial treatment burden. Regarding the lungs and airways, the progressive pathophysiological changes place a significant strain on the musculoskeletal components of the respiratory system for people with CF. This pilot study investigated the effectiveness of manual therapy interventions (MTIs) on thoracic mobility, respiratory muscle strength, lung function, and musculoskeletal pain. Method: A study with a pretest-posttest design was conducted with 15 eligible people with CF at the Sahlgrenska University Hospital CF Centre. After an initial set of diagnostic tests at baseline, the participants underwent eight weekly 30-min MTIs. The MTIs included passive joint mobilisation and soft tissue manipulation of primary and secondary anatomical areas of the musculoskeletal respiratory system. On the day of the final intervention, the baseline measurements were repeated. Results: Trends of increased thoracic mobility were observed following the intervention, with a statistically significant increase in respiratory muscle strength. No change in lung function was observed. Musculoskeletal pain before and after the intervention showed a significant decrease in tender points, and all participants reported positive experiences with MTIs. Conclusion: MTIs may improve thoracic mobility, alleviate pain, and enhance respiratory muscle strength in people with CF. Further research is needed to confirm their potential role as a CF physiotherapy supplement. Clinical trial id: NCT04696198.
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| 32. |
- Sinderholm Sposato, Niklas, 1977, et al.
(author)
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Manual therapies in cystic fibrosis care: a scoping review
- 2023
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In: Chiropractic & Manual Therapies. - : Springer Science and Business Media LLC. - 2045-709X. ; 31:1
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Journal article (peer-reviewed)abstract
- ObjectivesTo review the use of manual therapies (MT) for pain, respiratory muscle strength and pulmonary function in cystic fibrosis (CF) care.MethodsA search with a systematic approach was conducted by two independent reviewers, using the databases Medline, PubMed, Scopus and Cinahl from their respective inception dates to March 2021.ResultsA total of 199 publications were initially screened by title and abstract, after which 190 were excluded. Following a full-text review of the remaining articles, six studies with a total of 234 participants were included. Decreased pain levels following MT were observed in two studies and, in three studies, patient reports on improvement in ease of breathing and peak airflow were presented. No significant effects on spirometry measures were observed and none of the included studies investigated respiratory muscle strength.ConclusionCurrent research on MT in CF care indicates positive trends based on subjective measures. However, research in this context is sparse and disparate in terms of both interventions and methodology. Further investigations including MT as part of multimodal interventions are therefore suggested before any specific recommendations for clinical implementation of MT in CF can be provided.
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| 33. |
- Sinderholm Sposato, Niklas, 1977, et al.
(author)
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Musculoskeletal aspects of respiratory function in cystic fibrosis: a cross-sectional comparative study
- 2024
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In: EUROPEAN CLINICAL RESPIRATORY JOURNAL. - 2001-8525. ; 11:1
-
Journal article (peer-reviewed)abstract
- BackgroundRespiration is an intricate interaction between visceral and musculoskeletal structures. In cystic fibrosis (CF), the airways and lungs are subject to progressive obstruction and destruction. However, knowledge about the musculoskeletal aspects of respiratory function and symptoms is still limited in this patient group.MethodsIn a cross-sectional comparative study, 21 adults with CF enrolled at the Gothenburg CF Centre were matched with 42 healthy controls. The two groups were examined and compared in terms of thoracic mobility, respiratory muscle strength, lung function, and musculoskeletal pain in accordance with a predefined protocol.ResultsSignificant differences were observed between the groups in the number of tender points, thoracic excursion, forced vital capacity (FVC), and forced expiratory volume (FEV). The CF group also demonstrated a tendency toward reduced function in other measurements, although these were not statistically significant.ConclusionThis cross-sectional study revealed that people with CF have reduced thoracic mobility and an increased prevalence of muscular tender points, alongside decreased lung function, compared to healthy controls. These findings stress the need for greater emphasis on the often-overlooked musculoskeletal aspects of CF care, especially as people with CF are living longer and may require more musculoskeletal health support.
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| 34. |
- Sinderholm Sposato, Niklas, 1977, et al.
(author)
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Thoracic configuration in patients ageing with cystic fibrosis: A retrospective single-blinded cohort study.
- 2023
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In: Respiratory physiology & neurobiology. - : Elsevier BV. - 1569-9048 .- 1878-1519. ; 307
-
Journal article (peer-reviewed)abstract
- In patients with cystic fibrosis (CF), thoracic morphology and its role in respiratory function is conditioned by anthropometric factors, as well as by pathological changes. While the lungs are continuously monitored, examinations of potential thoracic cage adaptations to the disease are rare. Hence, the aim of this study was to investigate thoracic configuration, and its correlation to spirometry measures over time.In total, 344 high-resolution computed tomography (HRCT) examinations from 90 patients were assessed and analysed. Those results were subsequently related to spirometry measurements performed within the same period.The cohort displayed no homogenous change in thoracic configuration over time, and correlation between thoracic area and spirometry variables could not be supported statistically.Although the current study included a larger cohort of patients with CF compared to previous studies on thoracic morphology, no patient group-specific changes in thoracic configuration were revealed. Furthermore, no correlations between structural findings and functional respiratory measurements were found.
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| 35. |
- Sposato, Niklas, et al.
(author)
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Addressing the ongoing friction between anecdotal and evidence-based teachings in osteopathic education in Europe.
- 2018
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In: Journal of bodywork and movement therapies. - : Elsevier BV. - 1532-9283 .- 1360-8592. ; 22:3, s. 553-555
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Journal article (peer-reviewed)abstract
- Despite a growing interest in research and the implementation of standards for osteopathic education and practice in Europe, the inter-professional dialogue remains insubstantial. This article calls attention to the continuous challenges of reconciling anecdotal and evidence-based perspectives and offers suggestions on how to address these areas further.
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| 36. |
- Sposato, Niklas S, et al.
(author)
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Experiences of intervertebral motion palpation in osteopathic practice - A qualitative interview study among Swedish osteopaths.
- 2017
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In: Journal of bodywork and movement therapies. - : Elsevier BV. - 1532-9283 .- 1360-8592. ; 21:1, s. 101-108
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Journal article (peer-reviewed)abstract
- Assessment in manual therapy includes quantitative and qualitative procedures, and intervertebral motion palpation (IMP) is one of the core assessment methods in osteopathic practice. The aim of this study was to explore osteopathic practitioners' experiences of clinical decision-making and IMP as a diagnostic tool for planning and evaluation of osteopathic interventions.The study was conducted with semi-structured interviews that included eight informants. Content analysis was used as the analytical procedure.In total, three categories emerged from the analysis: strategic decision-making, diagnostic usability of IMP, and treatment applicability of IMP.The study indicated that IMP was considered relevant and was given particular importance in cases where IMP findings confirmed clinical information attained from other stages in the diagnostic process as a whole. However, IMP findings were experienced as less important if they were not correlated to other findings.
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| 37. |
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| 38. |
- Sposato, Niklas S, et al.
(author)
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Osteopathic Manipulative Treatment in Surgical Care: Short Review of Research Publications in Osteopathic Journals During the Period 1990 to 2017.
- 2018
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In: Journal of evidence-based integrative medicine. - : Sage Publications. - 2515-690X. ; 23
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Research review (peer-reviewed)abstract
- A growing trend in surgical care is the investigation and incorporation of multimodal interventions into standardized programs. Additionally, manual therapies such as osteopathic manipulative treatment (OMT) are being used with patients in surgical care. Yet the scientific dialogue and the use of OMT in surgical care are currently insubstantial.The aim of this study was to present an overview of published research articles within the subject field of OMT in surgical care.Summative review of peer-reviewed research articles published in osteopathic journals during the period 1990 to 2017. In total, 10 articles were identified.Previous research has been conducted within the areas of abdominal, thoracic, gynecological, and/or orthopedic surgery with measured outcomes such as pain, analgesia consumption, length of hospital stay, and range of motion. Heterogeneity was identified in usage of osteopathic techniques, treatment duration, and occurrence, as well as in the treating osteopath's experience.Despite the small number of research articles within this field, both positive measured effects as well as the absence of such effects were identified. Overall, there was a heterogeneity concerning surgical contexts, diagnoses, signs and symptoms, as well as surgical phases in current interprofessional osteopathic publications. In this era of multimodal surgical care, we argue that there is an urgent need to evaluate OMT in this context of care and with a proper research approach.
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| 39. |
- Vestin, M., et al.
(author)
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Emergency department staffs’ knowledge, attitude and patient communication about complementary and alternative medicine – A Swedish survey
- 2018
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In: European Journal of Integrative Medicine. - : Elsevier BV. - 1876-3820 .- 1876-3839. ; 19, s. 84-88
-
Journal article (peer-reviewed)abstract
- Introduction: International studies report high use of complementary and alternative medicine (CAM) by emergency department (ED) patients and low levels of knowledge about CAM among registered nurses (RNs) and physicians. However, the current situation in Swedish EDs is unknown. This study explored knowledge, attitudes, and patient communication about CAM among physicians and RNs working within the Swedish ED context. Method: This research was performed as a cross-sectional questionnaire study at six EDs in the middle of Sweden. Results: Both RNs and physicians (84.7% of all participants) rated their CAM knowledge as low, but wished to gain more knowledge in the area (62.7%). A majority (58.8%) of the participants believed it to be of some importance that they had knowledge about CAM. Of the participants, 68% were interested in taking part in CAM research, and 43.8% had the opinion that more research resources should be reserved for CAM research. 41.2% reported their patient communication about CAM as non-existent or low. Conclusion: Knowledge about CAM and CAM research among Swedish ED staff was indicated as very low, but with a presence of gaining more knowledge. The opinion that more funding should be allocated to CAM research existed. Communication with patients about CAM rarely occurred. © 2018 Elsevier GmbH
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