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- Klarare, Anna
(author)
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Specialized palliative home care teams : Complementary perspectives of team functions and influences on patients and families
- 2016
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Doctoral thesis (other academic/artistic)abstract
- Persons with life-threatening illness are increasingly being cared for and dying at home. Palliative care strives to cater to multiple dimensions such as physical, psychosocial and spiritual or existential, and meeting these needs in patients and families requires multiple competencies. Palliative care organizations propose organization and delivery of care in teamwork models; however, teamwork is complex and can be approached from various perspectives. Previous research has identified gaps in palliative care regarding which components of teamwork are most effective. The overall aim of this thesis was to explore perspectives of team function in specialized palliative care teams, among health care professionals, families and patients. Study I entailed translation and cultural adaptation of a research questionnaire. Study II entailed qualitative interviews with health care professionals (n=15) working in specialized palliative home care and Study III interviews with patients (n=6) and family members (n=7). In Study IV, an exploratory design was used. Initially team leaders (n=77) in palliative care reported team function. Next, health care professionals (n=61) reported team development in the group development questionnaire, patients (n=43) reported symptoms in the Edmonton Symptom Assessment System and family members (n=45) reported satisfaction with care in the translated and culturally adapted FAMCARE-2 questionnaire. Results of the studies are: (I) a translated culturally adapted and initially tested Swedish language version of the FAMCARE-2 scale, (II) health care professionals report that competence, communication and organization are crucial components of teamwork in specialized palliative homecare, (III) patients and families report that they experience security and continuity of care due to 24/7 care, sensitivity to changing needs and demonstrating caring, and (IV) specialized palliative home care teams have a core of registered nurses, physicians and social workers. Positive associations were found between team maturity and team effectiveness.
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| 2. |
- van der Beek, Allard, et al.
(author)
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Efficient assessment of exposure to manual lifting using company data
- 2013
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In: Applied Ergonomics. - : Elsevier BV. - 0003-6870 .- 1872-9126. ; 44:3, s. 360-365
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Journal article (peer-reviewed)abstract
- The objective of this study, based on an extensive dataset on manual materials handling during scaffolding, was to explore whether routinely collected company data can be used to estimate exposure to manual lifting.The number of manual lifts of scaffold parts while constructing/dismantling scaffolds was well predicted by the number of scaffolders in the team and the type of worksite, in combination with company data of either the number of scaffold parts or the scaffold volume. The proportion of explained variance in the number of lifts ranged from 77% to 92%, depending on the variables in the model. Data on scaffold parts and scaffold volume can easily be obtained from the company’s administration, since this is its usual paperwork supporting logistics and customer invoicing, respectively.We conclude that company data can be a promising source of information for ergonomic practitioners and researchers, to support assessment of manual lifting in scaffolding.
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