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Gabrielsson, S., Engström, Å. & Gustafsson, S. (2019). Evaluating reflective practice groups in a mental health context: Swedish translation and psychometric evaluation of the clinical supervision evaluation questionnaire. BMC Nursing, 18, Article ID 2.
Open this publication in new window or tab >>Evaluating reflective practice groups in a mental health context: Swedish translation and psychometric evaluation of the clinical supervision evaluation questionnaire
2019 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 18, article id 2Article in journal (Refereed) Published
Abstract [en]

Background

Implementation of reflective practice groups in psychiatric and mental health contexts might improve the quality of care through promoting self-awareness, clinical insight, and facilitating stress management and team building. There is a need for valid and reliable instruments to test the outcomes of reflective practice groups in the mental health context. This study aimed to test the validity and reliability of the Swedish version of the Clinical Supervision Evaluation Questionnaire.

Methods

The instrument was translated from English to Swedish using a translation and back-translation procedure. Data for the calculation of content validity was collected from an expert group. Data for the reliability analysis was collected from rehabilitation assistants and ward managers participating in reflective practice groups (n = 20). Content validity was measured by computing a content validity index. Construct validity was assessed by calculating the corrected item-total correlation statistics. Reliability was evaluated by analysing the Cronbach’s alpha coefficient, the intraclass correlation coefficient and inter-item correlations.

Results

The content validity index for the scale as a whole was 0.94. Item-total correlations ranged between 0.23 and 0.81, and deletion of an item did not notably improve Cronbach’s alpha. Cronbach’s alpha for the scale was 0.89. The intraclass correlation coefficient for single measures was 0.35. The mean inter-item correlation was .37.

Conclusion

The Swedish version of the Supervision Evaluation Questionnaire has a degree of reliability and validity that is comparable to the original version in English, indicating that it can be used as an assessment of reflective practice groups in the mental health context.

Place, publisher, year, edition, pages
Biologisk institutt, 2019
Keywords
reflective practice, clinical supervision, mental health, psychometric evaluation
National Category
Nursing Psychiatry Social Sciences
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-72769 (URN)10.1186/s12912-019-0326-2 (DOI)000461656300001 ()
Note

Validerad;2019;Nivå 2;2019-02-11 (svasva)

Available from: 2019-02-02 Created: 2019-02-02 Last updated: 2019-04-11Bibliographically approved
Larson, F., Nyström, I., Gustafsson, S. & Engström, Å. (2019). Key Factors for Successful General Anesthesia of Obese Adult Patients. Journal of Perianesthesia Nursing, 34(5), 956-964
Open this publication in new window or tab >>Key Factors for Successful General Anesthesia of Obese Adult Patients
2019 (English)In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 34, no 5, p. 956-964Article in journal (Refereed) Published
Abstract [en]

Purpose

To study nurse anesthetists' experiences of key factors for successful airway management in general anesthesia of adult obese patients.

Design

The study was a qualitative observational study with a descriptive approach.

Methods

Eight semistructured interviews were conducted. Data were analyzed using the critical incident technique.

Findings

Five key factors for successful general anesthesia of adult obese patients were identified. These factors were preparing and planning the anesthesia, optimizing patient position, optimizing ventilation through proper preoxygenation and increasing positive end-expiratory pressure, quickly securing the airway, and working in teams.

Conclusions

Knowledge of key factors that facilitate and improve the anesthesia care of obese patients is important to provide safe and quality anesthesia to this patient group as obese patients often have small margins and urgent situations can quickly arise. This knowledge enables the nurse anesthetist to be one step ahead and to be ready to take action if complications occur.

DOI:10.1016/j.jopan.2019.01.009

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
obesity, general anesthesia, anesthesiologic nursing, critical incident technique
National Category
Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-76231 (URN)31151885 (PubMedID)
Note

Validerad;2019;Nivå 2;2019-10-03 (johcin)

Available from: 2019-10-03 Created: 2019-10-03 Last updated: 2019-10-18Bibliographically approved
Gustafsson, S., Wälivaara, B.-M. & Gabrielsson, S. (2019). Patient Satisfaction With Telephone Nursing: A Call for Calm, Clarity, and Competence. Journal of Nursing Care Quality
Open this publication in new window or tab >>Patient Satisfaction With Telephone Nursing: A Call for Calm, Clarity, and Competence
2019 (English)In: Journal of Nursing Care Quality, ISSN 1057-3631, E-ISSN 1550-5065Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background:Studies of patient satisfaction with telephone nursing can provide a better understanding of callers' needs and inform the improvement of services.Purpose:This study described patients' experiences and perceptions of satisfaction with telephone nursing.Methods:The design was nonexperimental and descriptive, with an inductive approach. Data were collected using open-ended questions in a questionnaire that was dispatched to 500 randomly selected callers to the Swedish Healthcare Direct in Northern Sweden.Results:Patients' satisfaction with telephone nursing was related to calm, clarity, and competence. Calm referred to the nurse remaining calm and composed during the call. Clarity was described as distinct, concrete, and practical advice on how to act, what to observe, and where to seek further assistance. Competence referred to both health care knowledge and caring skills.Conclusion:These aspects of nursing are dependent on each other and on-call telephone nursing services, which value patient satisfaction need to target all 3.

Place, publisher, year, edition, pages
Lippincott Williams and Wilkins, 2019
National Category
Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-75661 (URN)10.1097/NCQ.0000000000000392 (DOI)2-s2.0-85069050862 (Scopus ID)
Available from: 2019-08-22 Created: 2019-08-22 Last updated: 2019-08-27
Gustafsson, S., Sävenstedt, S., Martinsson, J. & Välivaara, B.-M. (2018). Need for reassurance in self-care of minor illnesses. Journal of Clinical Nursing, 27(5-6), 1183-1191
Open this publication in new window or tab >>Need for reassurance in self-care of minor illnesses
2018 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 5-6, p. 1183-1191Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES:

This study describes people's need for reassurance in self-care of minor illnesses.

BACKGROUND:

Self-care and active surveillance are advocated as important strategies to manage minor illnesses. Reassurance influences patient satisfaction and confidence in the practicing of self-care.

DESIGN:

This study is a descriptive and interpretive qualitative study.

METHODS:

Twelve persons with experience in self-care and receiving self-care advice were recruited, and data were collected using semi-structured interviews between September and December 2014. Data were analyzed using qualitative content analyses.

RESULTS:

Having previous experience and the ability to actively manage symptoms using self-care interventions was described as reassuring. Participants became stressed and concerned when the symptoms persisted and interventions lacked the desired effect, which often resulted in a decision to consult. Participants wanted to feel that the nurse was an actual person, who was sympathetic, present and understanding, when they received self-care advice. The nurse's assessment and reasoning of the symptoms facilitated care-seekers' assessments of risk, and clear and concrete advice on how to manage the symptoms exerted a calming effect. Patients needed to trust that the nurse understood their situation to embrace the advice, and being invited to return created a feeling that the nurse had listened and taken them seriously.

CONCLUSION:

Reassurance has the potential to allay doubts and fears to build confidence, which influences self-care and consultation behavior. Personal presence in the encounter, receiving an assessment and an explanation of the symptoms and precise advice are reassuring. This article is protected by copyright. All rights reserved.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018
National Category
Nursing Probability Theory and Statistics
Research subject
Nursing; Matemathical Statistics
Identifiers
urn:nbn:se:ltu:diva-66572 (URN)10.1111/jocn.14157 (DOI)000428419400078 ()29119676 (PubMedID)
Note

Validerad;2018;Nivå 2;2018-04-10 (andbra)

Available from: 2017-11-13 Created: 2017-11-13 Last updated: 2018-04-27Bibliographically approved
Gustafsson, S., Martinsson, J., Välivaara, B.-M., Vikman, I. & Sävenstedt, S. (2016). Influence of self-care advice on patient satisfaction and healthcare utilization (ed.). Journal of Advanced Nursing, 72(8), 1789-1799
Open this publication in new window or tab >>Influence of self-care advice on patient satisfaction and healthcare utilization
Show others...
2016 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, no 8, p. 1789-1799Article in journal (Refereed) Published
Abstract [en]

AimThe aim of this study is to explore the influence of nurse-led self-care advice on healthcare utilization and patients' satisfaction with telephone nursing.BackgroundMany consultations in high-cost settings are for conditions that are manageable through self-care and callers with greater satisfaction with the nurse interaction are nearly four times more likely to engage in self-care.DesignCross-sectional study.MethodsQuestionnaires were sent out to 500 randomly selected callers to the Swedish Healthcare Direct in Northern Sweden during March 2014. Callers were asked about their satisfaction with the consultation, their intended actions prior to consultation, the recommendation given by the nurse and the action undertaken after the call.ResultsYoung callers and persons recommended watchful waiting or recurrence if no improvements were significantly less satisfied with their care. When calling on their own behalf, both men and women rated the severity of their symptoms equally and were advised to self-care to the same extent. Self-care advice had a constricting influence on self-reported healthcare utilization, with 66·1% of cases resulting in a lower level of care than first intended. Feeling reassured after the call was the aspect of nursing care that influenced satisfaction the most.ConclusionReceiving self-care advice rather than referral to a general practitioner influences patient satisfaction negatively. Feeling reassured after consultation is strongly related to satisfaction, which in turn has been found to increase the likelihood of engaging in self-care behaviour.

National Category
Nursing Probability Theory and Statistics Physiotherapy
Research subject
Nursing; Matemathical Statistics; Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-7453 (URN)10.1111/jan.12950 (DOI)000379932000007 ()27001441 (PubMedID)2-s2.0-85028243147 (Scopus ID)5d53ffb8-d712-4795-bf3f-07728a299db7 (Local ID)5d53ffb8-d712-4795-bf3f-07728a299db7 (Archive number)5d53ffb8-d712-4795-bf3f-07728a299db7 (OAI)
Note

Validerad; 2016; Nivå 2; 20160323 (andbra)

Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2018-07-10Bibliographically approved
Gustafsson, S. (2016). Self-care for Minor Illness: People's Experiences and Needs. (Doctoral dissertation). Luleå: Luleå tekniska universitet
Open this publication in new window or tab >>Self-care for Minor Illness: People's Experiences and Needs
2016 (English)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[sv]
Egenvård vid lindrig sjukdom. : Personers erfarenheter och behov
Abstract [en]

During later years, the primary care services are experiencing a heavier strain in terms of increasing expenses and higher demand for medical services. An increased awareness about pharmaceutical adverse effects and the global concern of antibiotic resistance has given self-care and active surveillance a stronger position within the primary care services. The management strategy for minor illnesses is important because care-seekers tend to repeat successful strategies from past events, and past experience with self-care drives future self-care practices. The overall aim of this thesis was to explore people’s experiences and needs when practicing self-care and receiving self-care advice for minor illnesses. This was achieved by studying people’s experiences with and knowledge of minor illnesses, self-care interventions and channels of information used when providing self-care for minor illness. Needs for confidence in self-care were studied, as well as supporting and obstructing factors in the practice of self-care. Satisfaction with telephone nursing and people’s experiences of reassurance in relation to the decision-making process in self-care for minor illness was explored. The results showed that experience correlated with self-rated knowledge of the condition, and the least common conditions most often generated a health care services consultation. To confidently practice self-care people needed good knowledge and understanding about obtaining symptom relief. Younger persons more often reported the need of having family or friends to talk to. Easy access to care was most often reported as a support in self-care, and a lack of knowledge about illnesses was most often reported as obstructing self-care. Care-seekers receiving self-care advice were less satisfied with the telephone nursing than care-seekers referred to medical care, and feeling reassured after the call was the most important factor influencing satisfaction. Self-care advice had a constricting influence on healthcare utilization, with 66.1% of the cases resulting in a lower level of care than first intended. The course of action that persons in self-care decided on was found to relate to uncertainty and perception of risk. Reassurance had the potential to allay doubts and fears to confidence, thereby influencing self-care and consultation behavior. In conclusion, symptoms of minor illness can cause uncertainty and concern, and reassurance is an important factor influencing people’s course of action when afflicted with minor illness. The nurse constitutes a calming force, and the encounter between the nurse and the care-seeker holds a unique possibility of reassurance and confidence that minor illness is self-limiting to its nature and that effective interventions can provide relief and comfort. Just as health is more than the absence of disease, self-care is more than the absence of medical care.

Place, publisher, year, edition, pages
Luleå: Luleå tekniska universitet, 2016
Series
Doctoral thesis / Luleå University of Technology 1 jan 1997 → …, ISSN 1402-1544
Keywords
Self-care, Self-care advice, Minor illness, Information channels, Telephone nursing, Reassurance, Confidence, Satisfaction, Nursing, Self-care interventions
National Category
Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-361 (URN)978-91-7583-692-8 (ISBN)978-91-7583-693-5 (ISBN)
Public defence
2016-10-28, D770, Luleå tekniska universitet, Luleå, 10:00
Opponent
Available from: 2016-09-28 Created: 2016-09-28 Last updated: 2017-12-06Bibliographically approved
Gustafsson, S., Vikman, I., Sävenstedt, S. & Martinsson, J. (2015). Perceptions of needs related to the practice of self-care for minor illness (ed.). Paper presented at . Journal of Clinical Nursing, 24(21-22), 3255-3265
Open this publication in new window or tab >>Perceptions of needs related to the practice of self-care for minor illness
2015 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, no 21-22, p. 3255-3265Article in journal (Refereed) Published
Abstract [en]

Aims and objectivesThe aim of this study was to describe people's perceptions of needs to feel confident in self-care for minor illnesses as well as their perceptions about supporting and obstructing factors in the practice of self-care.BackgroundMinor illness constitutes a large part of primary care, and patients' attendance to doctors' appointments for minor illness has been seen to increase future attendance for the same condition. Almost half of the consultations with telenurses result in the provision of self-care advice.DesignA cross-sectional survey.MethodPrimary data were collected using a questionnaire, and the study participants (n = 315) were randomly selected from the national Swedish address register.ResultsHaving knowledge and receiving health care advice and reliable information were perceived to be needs in order for participants to feel confident in self-care. Having family or friends to consult with was perceived to be a positive factor influencing confidence in self-care, especially for persons under the age of 35. Health care services were perceived to support self-care practice by offering easy access to care, giving information about self-care, and offering increased follow-up after consultations. Lack of knowledge, along with difficulties being away from work, were obstructing factors in the practice of self-care.ConclusionsYoung age was the factor influencing people's perceptions of needs and supporting factors the most. Young age and low knowledge scores about minor illnesses were the two factors that had the most influence on perceived obstructing factors.Relevance to clinical practiceNurses play a major role in the promotion of self-care and in the dissemination of self-care advice. If health care services fail to meet the needs of care-seekers with minor illnesses, patients might turn to out-of-hours clinics and emergency departments for help.

National Category
Nursing Physiotherapy Probability Theory and Statistics
Research subject
Nursing; Physiotherapy; Matemathical Statistics
Identifiers
urn:nbn:se:ltu:diva-5767 (URN)10.1111/jocn.12888 (DOI)000362907300023 ()26248528 (PubMedID)2-s2.0-84943659809 (Scopus ID)3f26b439-e69d-42d3-afca-e154a696e096 (Local ID)3f26b439-e69d-42d3-afca-e154a696e096 (Archive number)3f26b439-e69d-42d3-afca-e154a696e096 (OAI)
Note
Validerad; 2015; Nivå 2; 20150810 (andbra)Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2018-07-10Bibliographically approved
Gustafsson, S., Vikman, I., Axelsson, K. & Sävenstedt, S. (2015). Self-care for minor illness (ed.). Paper presented at . Primary Health Care Research and Development, 16(1), 71-78
Open this publication in new window or tab >>Self-care for minor illness
2015 (English)In: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 16, no 1, p. 71-78Article in journal (Refereed) Published
Abstract [en]

Aim: To describe experiences with and knowledge of minor illness, self-care interventions used in minor illness and channels of information used when providing self-care for minor illness.Background: Although minor illness is self-limiting, symptoms can be substantial and have a great impact on the affected person’s wellbeing. Possibilities to seek and find information about health and self-care have significantly increased through internet-based communities, forums, and websites. Still, a considerable number of consultations with general practitioners are for conditions that are potentially self-treatable. Seeking advanced care for minor illnesses is costly for society and can create discomfort for patients as they are down-prioritized at emergency departments.Methods: Study participants were recruited randomly from the Swedish Adress Register. A questionnaire was sent out, and the final sample included 317 randomly selected persons aged 18–80 and living in Sweden.Findings: Having experienced a specific illness correlated with self-reported knowledge. Preferred self-care interventions differed between different conditions, but resting and self-medicating were commonly used, along with consulting health care facilities. Compliance to advice was the highest for official information channels, and family members were a popular source of advice.

National Category
Nursing Physiotherapy
Research subject
Nursing; Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-3738 (URN)10.1017/S1463423613000522 (DOI)000369919100010 ()24451047 (PubMedID)2-s2.0-84973426683 (Scopus ID)1921c3e7-d591-4ac6-bf97-0718bc662fca (Local ID)1921c3e7-d591-4ac6-bf97-0718bc662fca (Archive number)1921c3e7-d591-4ac6-bf97-0718bc662fca (OAI)
Note
Validerad; 2015; Nivå 1; 20140128 (andbra)Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2018-07-10Bibliographically approved
Gustafsson, S., Sävenstedt, S. & Vikman, I. (2013). Psychometric evaluation of a Swedish self-efficacy scale and recovery locus of control scale in the context of minor illness (ed.). Paper presented at . Scandinavian Journal of Caring Sciences, 27(3), 765-772
Open this publication in new window or tab >>Psychometric evaluation of a Swedish self-efficacy scale and recovery locus of control scale in the context of minor illness
2013 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 27, no 3, p. 765-772Article in journal (Refereed) Published
Abstract [en]

Reliable and valid instruments are essential when examining the role of self-efficacy and locus of control in the self-care context. The aim of this study was to test the validity and reliability of the Self-Efficacy Scale in Self-Care (SESSC) and the Swedish version of the Recovery Locus of Control scale (RLoC) in the context of minor illness. A descriptive correlational design was used to assess the psychometric characteristics of the scales. The study population was 317 randomly selected Swedish inhabitants aged 18–80. The results from this study showed that the RLoC has limitations in reliability and validity and should not be applied in the context of self-care of minor illness. The SESSC proved to be a reliable and valid instrument in assessing self-efficacy in self-care for minor illness.

National Category
Nursing Physiotherapy
Research subject
Nursing; Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-5646 (URN)10.1111/j.1471-6712.2012.01084.x (DOI)000321625800032 ()23121442 (PubMedID)2-s2.0-84880305629 (Scopus ID)3cd52b45-4413-4907-ae3c-92586bc2b2ae (Local ID)3cd52b45-4413-4907-ae3c-92586bc2b2ae (Archive number)3cd52b45-4413-4907-ae3c-92586bc2b2ae (OAI)
Note
Validerad; 2013; 20121107 (andbra)Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2018-07-10Bibliographically approved
Gustafsson, S. (2012). Aktivitet: Egenvård vid lindrig sjukdom (ed.). Paper presented at Norrsken : regional forskningskonferens 16/10/2012 - 17/10/2012. Paper presented at Norrsken : regional forskningskonferens 16/10/2012 - 17/10/2012.
Open this publication in new window or tab >>Aktivitet: Egenvård vid lindrig sjukdom
2012 (Swedish)Conference paper, Published paper (Other (popular science, discussion, etc.))
National Category
Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-41479 (URN)50a5de40-08ea-4acd-b6d7-f1fc75af6b32 (Local ID)50a5de40-08ea-4acd-b6d7-f1fc75af6b32 (Archive number)50a5de40-08ea-4acd-b6d7-f1fc75af6b32 (OAI)
Conference
Norrsken : regional forskningskonferens 16/10/2012 - 17/10/2012
Note
Startdatum: 16/10/2012; Slutdatum: 16/10/2012; Roll: Föreläsare; Typ: Föreläsning / muntligt bidragAvailable from: 2016-10-03 Created: 2016-10-03 Last updated: 2017-11-24Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-8990-752x

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