| 11. |
- Lewen, Hanna, et al.
(författare)
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Documented assessments and treatments of patients seeking emergency care because of pain
- 2010
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 24:4, s. 764-771
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Tidskriftsartikel (refereegranskat)abstract
- Study rationale: Pain is one of the most frequent symptoms for which people seek emergency care. Studies show that pain management in emergency clinics is insufficient. No previous studies regarding pain documentation at emergency clinics in the Nordic countries have been undertaken. Objectives: The main purpose was to investigate the extent to which pain assessment, pain treatment and pain relief were documented in patient records. Design: Patient records were reviewed using a study-specific protocol. Setting: Emergency unit at a Swedish university hospital. Participants: A total of 698 patient records randomly selected were reviewed using a study-specific protocol. According to Swedish law and the university hospital's quality and safety guidelines, there should be a note in each patient record regarding whether or not the patient was in pain on arrival. The guideline stresses the importance of using patient self-assessment by a visual analogue scale (VAS). Results: In 361/698 (52%) records, there was a note by a doctor or a nurse as to whether or not the patient had been experiencing pain on arrival. In 319 of these 361 records 88%), a full pain assessment had been documented. In 15/319 (5%) cases, the pain assessment included patient VAS assessment. In 54/319 (17%) patient records, a note regarding pain treatment was found. Significantly more notes regarding pain treatment were found in the records with an initial documented pain assessment, when compared with the records without any such assessment (p < 0.01). In the 54 records with notes regarding pain treatment, 10 (19%) included documentation regarding the effect of the treatment. Conclusions: The results show an alarming lack of documentation regarding pain assessments, pain treatments and follow-ups. This is in marked contrast to Swedish law, which clearly stipulates the responsibility of health care staff to document information relevant to providing safe care. Prompt action to improve pain documentation is warranted.
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| 12. |
- Lindberg, Maria, 1977-
(författare)
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Methicillin-resistant Staphylococcus aureus (MRSA) an Unclear and Untoward Issue : Patient-Professional Interactions, Experiences, Attitudes and Responsibility
- 2012
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The overall aim of the present thesis was to investigate experiences of living with multidrug-resistant bacteria (MDRB), using methicillin-resistant Staphylococcus aureus (MRSA) colonization as an illustration, and to develop and validate a tool to describe healthcare personnel’s attitudes towards patients with MDRB. A further objective was to study MRSA-colonized persons’ and healthcare personnel’s experiences of patient-professional interactions and responsibilities for infection prevention. Four empirical studies were conducted. A total of 18 MRSA-colonized persons and 20 healthcare personnel were interviewed regarding their experiences, and a total of 726 RNs responded the MDRB Attitude Questionnaire. The findings revealed the difficulties associated with living with MRSA colonization, which was described as something uncertain, and as an indefinable threat that has to be managed in both everyday life and in contacts with healthcare. Interactions with healthcare personnel were described as unprofessional owing to personnel’s inappropriate behaviour and insufficient information provision. According to the personnel, achieving adequate patient-professional interactions required having knowledge and experiences of MRSA. They also experienced difficulties in providing tailored information to patients. The MRSA-colonized persons described their unwanted responsibility to inform healthcare personnel about the colonization, but also felt responsible for limiting the spread of infection to others. Furthermore, responsibility for infection control was regarded as shared between healthcare personnel and patients. The personnel described such responsibility as a natural part of their daily work, although it was not always easy to adhere to hygiene precautions. The MRSA-colonized persons felt that healthcare personnel have insufficient knowledge of the bacteria and of hygiene precautions. The MDRB Attitude Questionnaire showed that registered nurses do have knowledge deficiencies. The MDRB Attitude Questionnaire has adequate psychometric properties. In conclusion, MRSA colonization constitutes a psychological strain for carriers, and interactions with healthcare personnel resulted in feelings of stigmatization. The present thesis indicates that there is a need to improve healthcare personnel’s knowledge, behaviour and emotional response in relation to patients with MDRB, in order to ensure patient safety and address patients’ needs. The heads of department is responsible for such improvements, and the MDRB Attitude Questionnaire is useful in identifying areas in need for improvement.
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| 13. |
- Martinsen, Randi, et al.
(författare)
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Self-reported competence among advanced practice nursing students in Denmark, Finland and Norway : a cross-sectional multicentre study
- 2024
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Ingår i: BMC Nursing. - : BioMed Central (BMC). - 1472-6955. ; 23:1
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundThe health care systems in the Nordic countries and worldwide are under pressure due to increased longevity and a shortage of nurses. Providing nurses with a high level of education, such as advanced practice nursing, is of great importance to ensure effective, safe and high-quality care.AimThe aim of this study was to investigate self-reported competence using the Nurse Professional Competence Scale Short-Form for the first time among master’s students of advanced practice nursing in the Nordic countries and to relate the findings to age, work obligations, child-rearing responsibilities, level of education and clinical nursing experience.MethodsA multicentre, cross-sectional design was used in this study conducted at five universities in Denmark, Finland and Norway. The Nurse Professional Competence Scale Short-Form consisting of six competence areas was used with a maximum score of 7 per item for the analysis of single items and a transformed scale from 14.3 to 100 for analysing the competence areas (higher score equals higher self-reported competence). Descriptive and comparative statistics were used to analyse the data.ResultsThe highest mean score was found for the competence area ‘Value-based nursing care’. Students living with home-dwelling children (≤ 18 years) reported significantly higher competence in ‘Nursing care’, while students ≥33 years reported significantly higher competence in ‘Nursing care’ and ‘Value-based nursing care’. No significant differences were found between students working and those not working alongside their studies, between students with and without further nursing-related education, or between students with long and short experience as nurses.ConclusionsThe findings from this study might help to further develop curricula in advanced practice nursing master’s programmes to ensure high-quality nursing and sustainable health care in the future. Future high-quality master’s programmes might benefit from systematic collaboration between Nordic higher education institutions as also Sweden is planning master’s programme. Higher age, having children at home and working while studying should not be considered causes for concern.
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| 14. |
- Nilsson, Jan, 1963-, et al.
(författare)
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A 30 year follow-up on red cross and red crescent nursing educations and activites responding to local and global vulnerability and disasters
- 2012
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Ingår i: Conference book of abstracts. Nursing History in a Global Perspective, International Nursing History Conference in Denmark. - Denmark. - 9788772667867 ; , s. 70-71
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Konferensbidrag (refereegranskat)abstract
- Introduction: From its very inception in 1863, the Red Cross and Red Crescent (RCRC) Movement has worked towards assisting vulnerable people, and as long as the nursing profession has existed, nurses have been ready to respond to public health threats. The main aim of the current research project was to perform a 30-year follow-up to investigate to what extent nurses’ competences are utilized within the RCRC 186 National Societies and to identify Societies running nursing education programmes, including identification of education in nursing disaster preparedness and response. Methods: The questionnaire from 1979 was slightly adapted to reflect the current global health situation and sent to all 186 National Societies. The questionnaire was translated into all four of the International Federation’s official languages. After two reminders, 84/186 replies were received,giving a response rate of 45.2%. Among the 79 National Societies that responded to the 1979 survey, 43 (54.4%) responded to the 2009 survey.ResultsThe results showed that nurses’ competence was regarded as important by a majority (76%) of the National Societies. More than 50% of the National Societies considered nurses’ competence to be specifically important for the International Federation’s working areas, which includes ethics, pandemic/disaste,r preparedness/response and health and care in the community. However, 12% of the National Societies did not consider nurses’ competence important in achieving their national mission. Moreover, we found that there is approximately the same number of RCRC nursing education institutions throughout the world today, as compared with 30 years ago. However, at some institutions a higher level of education (up to PhD) is now offered. Some of the educational institutions are old, starting the nursing education in the mid 19th century, and already from this time with focus on nurses’ help in wars and disasters. Discussion and conclusionThe RCRC Movement is 150 years old and has through history gained a wealth of knowledge and experience of disaster preparedness and response. Most National Societies considered that nursesare important in responding to humanitarian needs and health threats in the community. However, a further utilization of nurses’ competence should be considered as one vehicle to reach the goalsset by national and international organizations to reach quality and access to health, especially among marginalized groups affected by wars and disasters.
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| 15. |
- Nilsson, Jan, et al.
(författare)
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A short version of the nurse professional competence scale for measuring nurses' self-reported competence
- 2018
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Ingår i: Nurse Education Today. - Amsterdam : Elsevier BV. - 0260-6917 .- 1532-2793. ; 71, s. 233-239
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Tidskriftsartikel (refereegranskat)abstract
- Background: The Nurse Professional Competence (NPC) Scale with 88-items has been used to measure self-reported competence among nursing students and registered nurses in many national and international nursing research projects. However, a shorter version of the scale with maintained quality has been requested to further enhance its usability.Objectives: To develop and evaluate the construct validity and internal consistency of a shorter version of the NPC Scale. Design: A developmental and methodological design. Participants and Settings: The study was based on a sample of 1810 nursing students at the point of graduation from 12 universities in Sweden.Methods: The number of items in the original NPC Scale was reduced using several established research steps and then evaluated for data quality and construct validity using principal component analysis and confirmatory factor analysis. Reliability was measured as internal consistency using Cronbach's alpha.Results: The extensive process of reducing the number of items resulted in a version with 35 items. Principal component analysis resulted in six factors explaining 53.6% of the variance: “Nursing Care” “Value-based Nursing Care” “Medical and Technical Care” “Care Pedagogics” “Documentation and Administration of Nursing Care” and “Development, Leadership, and Organization of Nursing Care”. All factors showed Cronbach's alpha values of >0.70. The confirmative factor analysis goodness-of-fit indexes were for root mean square error of approximation 0.05 and for comparative fit index 0.89.Conclusions: The NPC Scale Short Form (NPC Scale-SF) 35-items revealed promising results with a six-factor structure explaining 53.6% of the total variance. This 35-item scale can be an asset when used alone and together with other instruments it can provide the possibility of more complex analyses of self-reported competence among nursing students and registered nurses.
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| 16. |
- Nilsson, Jan, 1963-, et al.
(författare)
-
Disaster response network. Nurses’ competence within the redcross and red crescent: disaster preparedness and response
- 2012
-
Ingår i: Conference book of abstract. - Denmark. - 9788772667867
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Konferensbidrag (refereegranskat)abstract
- Introduction: Nursing education within the Red Cross/Red Crescent (RCRC) Movement was initiated already in the late 19th century as a response to situations of war and disasters. In a previous study we have shown that more than 50% of the RCRC National Societies consider nurses competence to be important for disasterpreparedness and disaster response. The aim of the current research project was to conduct a globalbase-line survey of the Red Cross and Red Crescent Nursing Education Institutions.MethodsThe data derives from an on-going study where a questionnaire has been sent to the existing RCRCNursing Education Institution in 30 countries from Africa, Asia, Europe, Middle East and South America.The survey includes questions in the following areas: History of Nursing Education, Administration ofNursing Education, Partnership and Cooperation.Results and conclusionsPreliminary results indicate that RCRC Nursing Education Institutions have a very long tradition andknowledge in teaching disaster preparedness and response, as they over time have emerged and developed in relation to disasters and armed conflicts. Nurses within the RCRC movement get unique experiences through their work as international delegates in disaster prone areas/armed conflicts. Among the Nursing Education Institutions, the Japanese Red Cross Nursing Schools stands out in terms of giving significantly more education in national as well as international disaster preparedness and response. Although some countries are performing on a relatively high level in providing education indisaster nursing, there is room for improvement. Belonging to the unique global network of National Societies, Nursing Education Institutions should focus more on education in international disasterpreparedness and response to be ready to support each other in terms of catastrophic events.
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| 17. |
- Nilsson, Jan, 1963-, et al.
(författare)
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Process of translation and adaptation of the Nurse Professional Competence (NPC) Scale
- 2016
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Ingår i: Journal of Nursing Education and Practice. - : Sciedu Press. - 1925-4040 .- 1925-4059. ; 6:1, s. 100-103
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Tidskriftsartikel (refereegranskat)abstract
- Professional competence in nursing is of crucial importance for high quality care and patient related outcomes. A new instrument for measuring competence in nursing has been developed by a Swedish research group. The instrument is called the Nurse Professional Competence (NPC) Scale and is based on national guidelines, and the WHOs European Strategy for Nursing and Midwifery. The NPC Scale consists of 88 items distributed in eight competence areas, and measures self-reported professional competence. The target groups are nursing students at the point of graduation and registered nurses. As the NPC Scale has rendered great interest from researchers internationally, the NPC research group decided to translate the Scale into English to facilitate international use of the instrument. The aim of this article was to describe the translation process used to create an English version of the NPC Scale. This article describes the translation process from Swedish to English and its challenges. The translation process resulted in an English version of the NPC Scale ready for internationally usage.
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| 18. |
- Nilsson, Jan, 1963-, et al.
(författare)
-
The development of nursing within the red cross and redcrescent movement from 1890 to 2011
- 2012
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Ingår i: Conference book of abstract. - Denmark. - 9788772667867 ; , s. 68-69
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Konferensbidrag (refereegranskat)abstract
- Introduction: In 1859, Henri Dunant from Switzerland, witnessed the battle in Solferino and the suffering amongthe soldiers. In 1863 the ”International Committee for Relief to the Wounded” held its first meeting.It later became the International Committee of the Red Cross (ICRC). Henry Dunant suggestedcreating national relief societies, recognizable by the common emblem, and an international treatyto protect the wounded on the battlefield. Shortly thereafter states responded by establishingnursing schools educating Red Cross/Red Crescent (RCRC) nurses. Methods: The historical data on RCRC nursing education derives mainly from two of our research projects; i)the 2009 international questionnaire-survey of nursing activities within the InternationalFederation of the RCRC 186 Societies, and ii) an on-going study where a questionnaire has beensent to RCRC nursing education institution in 30 countries from Africa, Asia, Europe, Middle Eastand South America. Results: Already during the late 19th century, Japan and Sweden as pioneer countries commenced RCRCnursing education, as a response to the humanitarian needs forced by wars and disasters. Later onin 1919, the International Federation of the RCRC established a Nursing Division at the headquarterin Geneva to support and guide its member societies in nursing related issues. In 1947 theNursing Division was reorganized as a respond to the situation after the Second World War and called Nursing and Social Service Bureau. In 1984 the Nursing Bureau was dissolved and nursing issues organized within the Health and Care Department. However, this reorganization did not support a focus on nursing issues including nursing education for the years to come. As a result the Red Cross Nursing Education institutions in Japan and Sweden invited RCRC nursing institutions from all over the world to set up a new Global RCRC Nursing Education network for educational issues with focus on disaster preparedness and response. This new and unique network was launched in connection to the ICN International Nursing Conference in 2011. Discussion and conclusion: Nursing education within the RCRC Movement has over time been responsive to local and globalvulnerability. Countries affected by unrest and disaster and with weak health systems couldbenefit from the experience of nursing education within the RCRC Movement and the newlycreated Global RCRC Nursing Network can be seen as a vehicle of such knowledge.
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| 19. |
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| 20. |
- Nilsson Kajermo, Kerstin, et al.
(författare)
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Predictors of nurses' perceptions of barriers to research utilization
- 2008
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Ingår i: Journal of Nursing Management. - : Hindawi Limited. - 0966-0429 .- 1365-2834. ; 16:3, s. 305-314
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To identify predictors of nurses' self-reported barriers to using research findings in clinical practice. Background Several studies have shown that nurses perceive barriers to research utilization but to our knowledge predictors of nurses perceptions of barriers to research utilization have not been identified before. Methods Three questionnaires were answered by 833 nurses: the Barriers Scale, the Quality Work Competence questionnaire and a questionnaire including questions on professional issues. Results Dissatisfaction with support from immediate superiors for participating in research and/or development projects, having no academic degree and unclear and unrealistic workplace goals were identified as factors increasing the risk of perceiving barriers to the use of research findings in clinical practice. Conclusions The results imply that head nurses, nursing managers and other health care leaders should create strategies for supporting nurses' professional development and possibilities to implement research findings in clinical practice. Implications for nursing management To support research utilization and evidence-based care health care leaders, head nurses and nurse managers should create clear and realistic goals for the work place including demands on evidence-based care. It is also important for head nurses and nurse managers to create strategies for supporting nurses' professional development and possibilities to implement research findings in clinical practice.
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