| 1. |
- Green, Sara, et al.
(author)
-
Nurses' Perceptions of Telephone Triage in Child and Adolescent Psychiatric Services - an Enhanced Critical Incident Technique Study
- 2023
-
In: Issues in Mental Health Nursing. - : Taylor & Francis. - 0161-2840 .- 1096-4673. ; 44:10, s. 974-983
-
Journal article (peer-reviewed)abstract
- In Sweden, units managed by nurses specialised in counselling and telephone triage, have been developed within the Child and Adolescent Mental Health services (CAMHS). This study has a qualitative design and illuminates the nurses' perceptions of what helps or hinders their assessments and telephone triage. The Enhanced Critical Incident Technique was utilised, eight nurses were interviewed in depth, to identify factors influencing triage. The study is the first to provide a comprehensive description of helpful and hindering factors while performing telephone triage. It illuminates telephone triage in Swedish CAMHS settings and provides insights how to enhance and implement this practice.
|
|
| 2. |
- Hansson, Linda, et al.
(author)
-
Challenges in the handover process of the new-born with congenital heart disease
- 2020
-
In: Intensive and Critical Care Nursing. - : Elsevier BV. - 0964-3397 .- 1532-4036. ; 59
-
Journal article (peer-reviewed)abstract
- Introduction: A new-born with congenital heart disease requires care that involves numerous specialists. Such care can be provided at tertiary referral hospitals and transportation is often needed. A crucial factor is the handover process, when the child is born at a distance, with transfer of both professional responsibility and continued care from one healthcare professional to another. Aim: The aim of this study was to identify crucial factors for the receiving healthcare professionals that influence the handover process of the new-born with congenital heart disease. Method: A cross-sectional questionnaire study with 53 receiving healthcare professionals at a paediatric intensive care unit at a tertiary referral university hospital in Sweden. The response rate was 48/53. Numerical variables were computed and a content analysis was performed. Findings: The handover process of the new-born with heart disease transferred to a tertiary referral hospital is complicated. A clear majority of the respondents identified one or more flaws in this process. Crucial factors identified were: relevant and structured information, clear communication, adequate patient knowledge and an enabling environment. Conclusion: A standardised procedure in the different phases of the handover process could improve communication, the working situation for healthcare professionals and thereby increase patient safety.
|
|
| 3. |
- Kristensen, Karl, et al.
(author)
-
Diagnosis of Gestational Diabetes Mellitus with Point-of-Care Methods for Glucose versus Hospital Laboratory Method Using Isotope Dilution Gas Chromatography-Mass Spectrometry as Reference
- 2020
-
In: Journal of Diabetes Research. - : Hindawi Limited. - 2314-6745 .- 2314-6753. ; 2020
-
Journal article (peer-reviewed)abstract
- Background. In Sweden, both glucose analyzers in accredited laboratories and point-of-care glucose devices are used for gestational diabetes mellitus (GDM) diagnosis. The aim of this study was to compare the diagnostic performance of the HemoCue Glucose 201+ (HC201+) and RT (HC201RT) systems with that of the hospital central laboratory hexokinase method (CL) based on lyophilized citrate tubes, using the isotope dilution gas chromatography-mass spectrometry (ID GC-MS) as reference. Methods. A 75 g oral glucose tolerance test was performed on 135 women screened positive for GDM. Diagnosis was based on the World Health Organization 2013 diagnostic thresholds for fasting (n=135), 1 h (n=52), and 2 h (n=135) glucose measurements. Bland-Altman analysis and surveillance error grids were used to evaluate analytical and clinical accuracy. Results. Significantly more women were diagnosed with GDM by HC201+ (80%) and CL (80%) than with the reference (65%, P<0.001) based on fasting and/or 2 h thresholds, whereas the percentage diagnosed by HC201RT (60%) did not differ significantly from the reference. In Bland-Altman analysis, a positive bias was observed for HC201+ (4.2%) and CL (6.1%) and a negative bias for HC201RT (-1.8%). In the surveillance error grid, 95.9% of the HC201+ values were in the no-risk zone as compared to 98.1% for HC201RT and 97.5% for CL. Conclusions. A substantial positive bias was found for CL measurements resulting in overdiagnosis of GDM. Our findings suggest better performance of HC201RT than HC201+ in GDM diagnosis. The results may have possible implications for GDM diagnosis in Sweden and require further elucidation.
|
|
| 4. |
- Löfgren, Annica, et al.
(author)
-
Women's experience of sexuality after radical cystectomy : a qualitative study
- 2023
-
In: Scandinavian journal of urology. - : Taylor & Francis. - 2168-1805 .- 2168-1813. ; 57:1-6, s. 24-28
-
Journal article (peer-reviewed)abstract
- PURPOSE: The aim of this study was to explore how women experienced sexuality after radical cystectomy due to bladder cancer.METHODS: We performed an interview study with qualitative design with content analysis. Inclusion criteria were age below 75 years. In total 10 women, with a median age of 64 years at surgery, were interviewed at median 24 months post radical cystectomy.RESULTS: The 10 women described sexual life as affected after surgery but they all tried to find ways to overcome the new situation together with their partner. The overall theme was 'A balance between emotional and physical closeness' emerged from 30 codes that were condensed into five subcategories and two categories: 'A sensual relationship' and 'A sexual relationship'. The first category constituted the subcategories 'Feeling of intimacy' and 'The importance of the relationship'. The category 'A sexual relationship' was revealed from the subcategories 'Reluctance to engage in sexual activity' and 'Partner inability to engage in sexual activity', and 'Acting for sexual rehabilitation'.CONCLUSIONS: The uncertainty that the women felt about their anatomical changes after radical cystectomy created a sexual anxiety and reluctance to resume intercourse. Even though the surgery had a major impact on their sexual life, the women tried to be sexually active. However, the meaning of sexual life was not just having sexual activity but also included closeness, affirmation, affection, and feeling attractive. Sexual counseling at an appropriate timepoint is essential to assure a balance between emotional and physical closeness, i.e. to regain sexual health.
|
|
| 5. |
- Sjöberg, Emma, et al.
(author)
-
Ambulance personnel's experiences of, and lessons learned from, out-of-hospital cardiac arrest missions during the COVID-19 pandemic : An interview study
- 2024
-
In: Nordic journal of nursing research. - : Sage Publications. - 2057-1585 .- 2057-1593. ; 44
-
Journal article (peer-reviewed)abstract
- During COVID-19, an increased incidence of out-of-hospital cardiac arrests was seen, resulting in decreased outcomes. In addition, altered attitudes to performing cardiopulmonary resuscitation among first responders were reported. The aim of this study was to explore ambulance personnel's experiences of, and lessons learned from, out-of-hospital cardiac arrest missions during the COVID-19 pandemic, in a Swedish context. Nine Swedish ambulance personnel were interviewed, and the data were analysed using thematic content analysis. The analysis illuminated professional, personal and relational consequences as well as lessons learned reported by the informants. The COREQ guideline was used to report the important aspects of the study. The ambulance personnel experienced several challenges, mainly due to the personal protective equipment. To enhance patient safety, they strived to remain resilient despite the challenges. The informants also expressed positive aspects of their experiences, such as having acquired increased competence through working under these circumstances. To strive for resilience and competence became the overarching theme. The experiences and the lessons learned described in the study, could contribute to helping ambulance organisations initiate new routines and/or improve existing ones, as well as developing a protective equipment that does not obstruct any aspect of an out-of-hospital cardiac arrest mission.
|
|
| 6. |
- Sjöberg, Johanna, et al.
(author)
-
Certified registered nurse anesthetists´ attitude towards and utilization of evidence-based practice, and factors influencing such practice : A cross-sectional study
- 2022
-
In: Perioperative Care and Operating Room Management. - : Elsevier. - 2405-6030. ; 29, s. 1-8
-
Journal article (peer-reviewed)abstract
- Purpose: The purpose of the study was to investigate certified registered nurse anesthetists’ attitude towards and utilization of evidence-based practice, and factors influencing such practice.Design: The study had a descriptive, cross-sectional, and web-based survey design.Methods: This study, conducted in September and October 2020, involved certified registered nurse anesthetists (n = 278) employed within 12 operation theater departments in southern Sweden. Data were collected by means of web-based questionnaires including a modified version of “Nurses’ attitudes towards research and development within nursing” (ATRAD-N, version II) with complementary questions. Descriptive statistics and manifest content analysis were used to analyze data.Findings: A high mean value in ATRAD-N, indicating positive attitudes towards research and improvement, was reported. However, there was a low level of applying research and working with improvement activities. Factors influencing the utilization were attitude and educational level and according to the qualitative data, certified registered nurse anesthetists were limited regarding their participation due to organizational factors, such as lack of time, hierarchical structures, or lack of support from leaders.Conclusions: Certified registered nurse anesthetists are expected to work in accordance with evidence-based practice to further develop nursing care. The main finding in the present study was that certified registered nurse anesthetists, although having a positive attitude towards research and improvement, are limited regarding their participation in evidence-based practice due to organizational factors. The findings clarify the value of continuous education for staff, and the importance of overcoming negative factors to better support certified registered nurse anesthetists in improving their ability to use evidence-based practice and increase their opportunities for integrating it into practice.
|
|
| 7. |
- Sjögran, Lotta, et al.
(author)
-
Self-Reported Experience of Abuse During the Life Course Among Men Seeking General Psychiatric or Addiction Care : A Prevalence Study in a Swedish Context.
- 2023
-
In: Violence and Victims. - : Springer Publishing Company. - 0886-6708 .- 1945-7073. ; 38:1, s. 111-129
-
Journal article (peer-reviewed)abstract
- A prevalence study was conducted using the NorVold Abuse Questionnaire for men (m-NorAQ) to estimate the prevalence of self-reported experience of life-course abuse and to identify the perpetrators of the abuse. This among men seeking general psychiatric and addiction care in a Swedish context. In total, 210 men completed the questionnaire, and were included in the study. The total prevalence of life-course abuse (i.e., any emotional, physical or sexual abuse during the life course) was 75% (n = 157). The results of this study indicate the importance of identifying experiences of life-course abuse among men in general psychiatric and addiction care settings.
|
|
| 8. |
- Sjögran, Lotta, et al.
(author)
-
Self-Reported Experience of Abuse During the Life Course Among Men Seeking General Psychiatric or Addiction Care—A Prevalence Study in a Swedish Context
- 2023
-
In: Violence and Victims. - : Springer Publishing Company. - 0886-6708 .- 1945-7073. ; 38:1, s. 111-129
-
Journal article (peer-reviewed)abstract
- A prevalence study was conducted using the NorVold Abuse Questionnaire for men (m-NorAQ) to estimate the prevalence of self-reported experience of life-course abuse and to identify the perpetrators of the abuse. This among men seeking general psychiatric and addiction care in a Swedish context. In total, 210 men completed the questionnaire, and were included in the study. The total prevalence of life-course abuse (i.e., any emotional, physical or sexual abuse during the life course) was 75% (n= 157). The results of this study indicate the importance of identifying experiences of life-course abuse among men in general psychiatric and addiction care settings.
|
|
| 9. |
|
|
| 10. |
|
|
