| 1. |
- Persenius, Mona, 1958-, et al.
(author)
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Clinical nursing leaders’ perceptions of nutritionquality in Swedish stroke wards : a national survey
- 2015
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In: Journal of Nursing Management. - : Wiley-Blackwell. - 0966-0429 .- 1365-2834. ; 23:6, s. 705-715
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Journal article (peer-reviewed)abstract
- AimTo describe nursing leaders' perceptions of nutrition quality in Swedish stroke wards.BackgroundA high risk of undernutrition places great demand on nutritional care in stroke wards. Evidence-based guidelines exist, but healthcare professionals have reported low interest in nutritional care. The Donabedian framework of structure, process and outcome is recommended to monitor and improve nutrition quality.MethodUsing a descriptive cross-sectional design, a web-based questionnaire regarding nutritional care quality was delivered to eligible participants.ResultMost clinical nursing leaders reported structure indicators, e.g. access to dieticians. Among process indicators, regular assessment of patients' swallowing was most frequently reported in comprehensive stroke wards compared with other stroke wards. Use of outcomes to monitor nutrition quality was not routine. Wards using standard care plans showed significantly better results.ConclusionUsing the structure, process and outcome framework to examine nutrition quality, quality-improvement needs became visible. To provide high-quality nutrition, all three structure, process and outcome components must be addressed.Implications for nursing managementThe use of care pathways, standard care plans, the Senior Alert registry, as well as systematic use of outcome measures could improve nutrition quality. To assist clinical nursing leaders in managing all aspects of quality, structure, process and outcome can be a valuable framework.
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| 2. |
- Aaberg, Oddveig Reiersdal, et al.
(author)
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An interprofessional team training intervention with an implementation phase in a surgical ward : A controlled quasi-experimental study
- 2019
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In: Journal of Interprofessional Care. - : Taylor & Francis. - 1356-1820 .- 1469-9567. ; , s. 1-10
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Journal article (peer-reviewed)abstract
- Despite a growing awareness of the importance of interprofessional teamwork in relation to patient safety, many hospital units lack effective teamwork. The aim of this study was to explore if an interprofessional teamwork intervention in a surgical ward changed the healthcare personnel's perceptions of patient safety culture, perceptions of teamwork, and attitudes toward teamwork over 12 months. Healthcare personnel from surgical wards at two hospitals participated in a controlled quasi-experimental study. The intervention consisted of six hours of TeamSTEPPS team training and 12 months for the implementation of teamwork tools and strategies. The data collection was conducted among the healthcare personnel in the intervention group and the control group at baseline and at the end of the 12 month study period. The results within the intervention group showed that there were significantly improved scores in three of 12 patient safety culture dimensions and in three of five perceptions of teamwork dimensions after 12 months. When comparing between groups, significant differences were found in three patient safety culture measures in favor of the intervention group. The results of the study suggest that the teamwork intervention had a positive impact on patient safety culture and teamwork in the surgical ward.
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| 3. |
- Aaberg, Oddveig Reiersdal, et al.
(author)
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Collaboration and Satisfaction About Care Decisions in Team questionnaire : Psychometric testing of the Norwegian version, and hospital healthcare personnel perceptions across hospital units
- 2019
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In: Nursing Open. - HOBOKEN, USA : John Wiley & Sons. - 2054-1058. ; 6:2, s. 642-650
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Journal article (peer-reviewed)abstract
- Aim To translate "The Collaboration and Satisfaction About Care Decisions in Team" questionnaire (CSACD-T) into Norwegian and test it for psychometric properties. The further aim was to describe and compare healthcare personnel's collaboration and satisfaction about team decision-making (TDM) across hospital units. Design A cross-sectional study. Methods The questionnaire was translated into Norwegian. A total of 247 healthcare personnel at two hospitals responded to the questionnaire. An explorative factor analysis was performed to test the factor structure of the questionnaire, while a Cronbach's alpha analysis was used to test for internal consistency. A one-way ANOVA analysis and a Kruskal-Wallis test were applied to test for differences between hospital units. Results The results demonstrate that the Norwegian version of the CSACD-T has promising psychometric properties regarding construct validity and internal consistency. The mean score of the CSACD-T was significantly higher in the maternity ward group than in the emergency room group.
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| 4. |
- Ballangrud, Randi, 1959-, et al.
(author)
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Cross-cultural validation and psychometric testing of the Norwegian version of the TeamSTEPPS (R) teamwork perceptions questionnaire
- 2017
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In: BMC Health Services Research. - : BioMed Central. - 1472-6963. ; 17, s. 1-10
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Journal article (peer-reviewed)abstract
- Background: Teamwork is an integrated part of today's specialized and complex healthcare and essential to patient safety, and is considered as a core competency to improve twenty-first century healthcare. Teamwork measurements and evaluations show promising results to promote good team performance, and are recommended for identifying areas for improvement. The validated TeamSTEPPS (R) Teamwork Perception Questionnaire (T-TPQ) was found suitable for cross-cultural validation and testing in a Norwegian context. T-TPQ is a self-report survey that examines five dimensions of perception of teamwork within healthcare settings. The aim of the study was to translate and cross-validate the T-TPQ into Norwegian, and test the questionnaire for psychometric properties among healthcare personnel. Methods: The T-TPQ was translated and adapted to a Norwegian context according to a model of a back-translation process. A total of 247 healthcare personnel representing different professionals and hospital settings responded to the questionnaire. A confirmatory factor analysis was carried out to test the factor structure. Cronbach's alpha was used to establish internal consistency, and an Intraclass Correlation Coefficient was used to assess the test - retest reliability. Result: A confirmatory factor analysis showed an acceptable fitting model (chi(2) (df) 969.46 (546), p < 0.001, Root Mean Square Error of Approximation (RMSEA) = 0.056, Tucker-Lewis Index (TLI) = 0.88, Comparative fit index (CFI) = 0.89, which indicates that each set of the items that was supposed to accompany each teamwork dimension clearly represents that specific construct. The Cronbach's alpha demonstrated acceptable values on the five subscales (0.786-0.844), and test-retest showed a reliability parameter, with Intraclass Correlation Coefficient scores from 0.672 to 0.852. Conclusion: The Norwegian version of T-TPQ was considered to be acceptable regarding the validity and reliability for measuring Norwegian individual healthcare personnel's perception of group level teamwork within their unit. However, it needs to be further tested, preferably in a larger sample and in different clinical settings.
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| 5. |
- Ballangrud, Randi, et al.
(author)
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"Teamwork in hospitals" : a quasi-experimental study protocol applying a human factors approach
- 2017
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In: BMC Nursing. - : BioMedCentral. - 1472-6955. ; 16
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Journal article (peer-reviewed)abstract
- Background: Effective teamwork and sufficient communication are critical components essential to patient safety in today's specialized and complex healthcare services. Team training is important for an improved efficiency in inter-professional teamwork within hospitals, however the scientific rigor of studies must be strengthen and more research is required to compare studies across samples, settings and countries. The aims of the study are to translate and validate teamwork questionnaires and investigate healthcare personnel's perception of teamwork in hospitals (Part 1). Further to explore the impact of an inter-professional teamwork intervention in a surgical ward on structure, process and outcome (Part 2). Methods: To address the aims, a descriptive, and explorative design (Part 1), and a quasi-experimental interventional design will be applied (Part 2). The study will be carried out in five different hospitals (A-E) in three hospital trusts in Norway. Frontline healthcare personnel in Hospitals A and B, from both acute and non-acute departments, will be invited to respond to three Norwegian translated teamwork questionnaires (Part 1). An inter-professional teamwork intervention in line with the TeamSTEPPS recommend Model of Change will be implemented in a surgical ward at Hospital C. All physicians, registered nurses and assistant nurses in the intervention ward and two control wards (Hospitals D and E) will be invited to to survey their perception of teamwork, team decision making, safety culture and attitude towards teamwork before intervention and after six and 12 months. Adult patients admitted to the intervention surgical unit will be invited to survey their perception of quality of care during their hospital stay before intervention and after six and 12 month. Moreover, anonymous patient registry data from local registers and data from patients' medical records will be collected (Part 2). Discussion: This study will help to understand the impact of an inter-professional teamwork intervention in a surgical ward and contribute to promote healthcare personnel's team competences with an opportunity to achieve changes in work processes and patient safety.
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| 6. |
- Hall-Lord, Marie-Louise, 1951-, et al.
(author)
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Hva sier forskning om simulering
- 2015. - 1
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In: Pasientsimulering i helsefag. - Oslo : Gyldendal Norsk Forlag A/S. - 9788205464445 ; , s. 107-114
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Book chapter (other academic/artistic)
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| 7. |
- Hall-Lord, Marie Louise, 1951-, et al.
(author)
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Norwegian and Swedish nursing students’ concerns about dying
- 2018
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In: Nordic journal of nursing research. - : Sage Publications. - 2057-1585 .- 2057-1593. ; 38:1, s. 18-27
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Journal article (peer-reviewed)abstract
- Providing care for dying patients is demanding for nurses. The aim of this study was to investigate Norwegian and Swedishnursing students’ concerns about dying and sense of coherence in their first and third year. Further, to describe the students’experiences of caring for dying patients during their education. Nursing students in their first and third year in Norway (n¼64)and Sweden (n¼79) responded to the questionnaire Concerns about Dying and Sense of Coherence Scale. Interviews wereconducted with 11 students. In their third year, both groups reported reduced concerns with regard to their own death.Norwegian students with no experience in healthcare before education reported more concerns about dying patients. Caringfor a dying patient was experienced as a challenge to endure, perform and learn. There is a need to develop teaching methodsand to give individualized support to nursing students during their education.
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| 8. |
- Lovlien, Mona, et al.
(author)
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Health-related quality of life, sense of coherence and leisure-time physical activity in women after an acute myocardial infarction
- 2017
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In: Journal of Clinical Nursing. - : John Wiley & Sons. - 0962-1067 .- 1365-2702. ; 26:7-8, s. 975-982
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Journal article (peer-reviewed)abstract
- Aims and objectivesTo examine the relationship between leisure-time physical activity, health-related quality of life and sense of coherence in women after an acute myocardial infarction, and further to investigate whether these aspects were associated with age. BackgroundPhysical activity and health-related quality of life are vital aspects for patients after an acute myocardial infarction. DesignCross-sectional. MethodAll eligible women diagnosed with acute myocardial infarction received a postal questionnaire two to three months after hospital discharge, and 142 women were included. To measure health-related quality of life and sense of coherence, The MacNew Heart disease questionnaire and the Sense of coherence-13 scale was used. ResultsRespondents reporting at least one type of physical activity had significantly higher health-related quality of life as compared to respondents reporting no kind of physical activity. Respondents reporting physical activity for at least 30minutes twice a week had significantly higher health-related quality of life scores than respondents being active less than twice a week. A weak association was found between physical activity level and sense of coherence. Reduction in physical activity after the acute myocardial infarction was associated with reduced health-related quality of life and sense of coherence. Sense of coherence was significantly associated with age, as respondents 75years and older had significantly higher scores than respondents younger than 75years. ConclusionsPhysical activity, even at a low level, is significantly associated with increased health-related quality of life and to some extent to sense of coherence. Relevance to clinical practiceTailoring women after an acute myocardial infarction about lifestyle changes must include knowledge about the benefits of leisure-time physical activity, and that even a small amount of activity is associated with a better health-related quality of life. The utmost important assignment is to motivate the women for regular physical activity in their leisure-time. Older women need special attention.
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| 9. |
- Moen, Öyfrid, 1969-, et al.
(author)
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Adolescents’ mental health, help seeking and service use and parents’ perception of family functioning
- 2018
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In: Nordic journal of nursing research. - : Sage Publications. - 2057-1585 .- 2057-1593. ; 39:1, s. 1-8
-
Journal article (peer-reviewed)abstract
- The adolescent population is facing mental-health challenges such as depression and anxiety. The aim of this study was to describe and investigate the mental health of adolescents, their relation to their parents, who they contact for help and their healthcare service use. A further objective was to describe and investigate family functioning in parents. A cross-sectional design was employed using register data from a survey of adolescents (n = 46,961), and surveys were conducted of two groups of parents – one group of parents with children with attention deficit hyperactivity disorder (n = 264) and one group of parents with school children (n = 157). Descriptive and comparative statistics were used. Of the adolescents, 5.65% were quite distressed. This group of adolescents would be less likely to seek help from friends and parents than the other adolescents. They were also more likely to use all types of healthcare services, and parents reported that they avoided discussing fears and concerns. School nurses are low-threshold professionals who can contribute in early support and interventions, providing service to all school pupils with an open-door policy. The use of family conversations focusing on strengths and resources may help the families to talk about difficult matters and highlight the resources in the family.
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| 10. |
- Moen, Öyfrid, 1969-, et al.
(author)
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Reliability and Validity of the Norwegian Family Sense of Coherence Scale
- 2016
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In: Open Journal of Nursing. - : Scientific Research Publishing. - 2162-5336 .- 2162-5344. ; 6, s. 1075-1086
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Journal article (peer-reviewed)abstract
- To investigate reliability and validity of the translated Norwegianversion of the Family Sense of Coherence scale. Background: The Family Senseof Coherence scale measures the global sense of coherence in families and might helphealth professionals to identify vulnerable families and to facilitate the strengtheningof coping strategies in families. Design: Cross-sectional. Methods: In total, 264 parentsof children with Attention Deficit Hyperactivity Disorder (ADHD) and 157parents of children in secondary schools in three municipalities responded to a questionnaireregarding the characteristics of the parent and the child, with four scales:Family Sense of Coherence, Sense of Coherence, Family Assessment Device andWell-being. Statistics with Cronbach alpha, intra-class correlation coefficient, independentsample t-test and Pearson’s correlation coefficient were used to establish thereliability and validity of the scale. Results: Internal consistency with Cronbach’s alphawas acceptable and test-retest reliability with intra-class correlation coefficientwas sufficient. Known-groups test revealed statistical differences between the twogroups of parents as pre-considered and significant correlations between FamilySense of Coherence and Sense of Coherence, Family Assessment Device andWell-being were found. Conclusion: The Norwegian version of Family Sense of Coherencescale can be considered as reliable and valid for the studied population. Relevanceto Clinical Practice: The Family Sense of Coherence scale appears to be anappropriate instrument for evaluating and assessing to find vulnerable families whoare in need of interventions strengthening the family’s resources.
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