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  • 201.
    Forsberg, Angelica
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Lindgren, Elenor
    Department of Intensive Care, Sunderby Hospital.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Being transferred from an intensive care unit to a ward: searching for the known in the unknown2011In: International Journal of Nursing Practice, ISSN 1322-7114, E-ISSN 1440-172X, Vol. 17, no 2, p. 110-116Article in journal (Refereed)
    Abstract [en]

    People who have been cared for in intensive care units (ICUs) are transferred between different levels of care and hospitals. The aim with this study was to describe peoples’ experiences of being cared for in an ICU and transferred to a ward. An inductive, descriptive qualitative study was performed with qualitative individual interviews with 10 participants. The interviews were transcribed verbatim and subjected to qualitative thematic content analysis which resulted in one theme; searching for the known in the unknown, and five categories. The findings showed the importance of being prepared for the transfer and knowing what was going to happen. Some participants felt secure in the ICU and excluded on the ward, others appreciated leaving the stressful environment in the ICU for a more peaceful ward. Feelings of anxiety and exposure were experienced during the transfer and it was helpful if staff involved were known to the participants. Better information and patients’ involvement concerning the transfer from ICUs to general wards are suggested as means of improving nursing care. Further studies are needed to improve continuity of care for critically ill people

  • 202.
    Forsberg, Angelica
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Söderberg, Siv
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    People's experiences of suffering a lower limb fracture and undergoing surgery2014In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 23, no 1-2, p. 191-200Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To describe people's experiences of suffering a lower limb fracture and undergoing surgery, from the time of injury through to the care given at the hospital and recovery following discharge.BACKGROUND: There is a lack of research on people's experiences of suffering a lower limb fracture and undergoing surgery - from injury to recovery.DESIGN: A qualitative approach was used.METHODS: Interviews with nine participants were subjected to thematic content analysis.RESULTS: One theme was expressed: from realising the seriousness of the injury to regaining autonomy. Participants described feelings of frustration and helplessness when realising the seriousness of their injury. The wait prior to surgery was a strain and painful experience, and participants needed orientation for the future. They expressed feelings of vulnerability about being in the hands of staff during surgery. After surgery, in the postanaesthesia unit, participants expressed a need to have control and to feel safe in their new situation. To mobilise and regain their autonomy was a struggle, and participants stated that their recovery was extended.CONCLUSIONS AND RELEVANCE TO CLINICAL PRACTICE: Participants found themselves in a new and unexpected situation and experienced pain, vulnerability and a striving for control during the process, that is, 'from realising the seriousness of the injury to regaining autonomy'. How this is managed depends on how the patient's needs are met by nurses. The nursing care received while suffering a lower limb fracture and undergoing surgery should be situation specific as well as individual specific. The safe performance of technical interventions and the nurse's comprehensive explanations of medical terms may help the patient to feel secure during the process.

  • 203.
    Forsberg, Angelica
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Vikman, Irene
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Wälivaara, Britt-Marie
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Patients' perceptions of quality of care during the perioperative procedure2015In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 30, no 4, p. 280-289Article in journal (Refereed)
    Abstract [en]

    To describe patients' perceptions of quality of care during the perioperative period and to identify areas for quality improvement. Design: A cross-sectional descriptive survey design was used. Methods: The data were collected (N = 170) using a questionnaire for perioperative care. The methods were descriptive statistics, reported as percentages, and a manifest content analysis of the free text. Finding: The areas identified for improvement were information and participation. The participants lacked knowledge, preferred to hand over decision making to the hospital staff, and indicated that having personalized information about the surgery and perioperative period was important. However, too detailed information before surgery could cause increased anxiety. Conclusions: This study indicates that participation and information needs in perioperative settings seem to be situation specific. In addition, these needs seem to be personal and surgery specific. Further studies are required to clarify the differences in the satisfaction and quality of care between groups of patients in the perioperative context

  • 204.
    Forsberg, Angelica
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Vikman, Irene
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Wälivaara, Britt-Marie
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Patients' perceptions of quality of care during the perioperative procedure2017In: ACORN: The Journal of Perioperative Nursing in Australia, ISSN 1448-7535, Vol. 30, no 3, p. 13-22Article in journal (Refereed)
    Abstract [en]

    Purpose: To describe patients' perceptions of quality of care during the perioperative period and to identify areas for quality improvement. Design: A cross-sectional descriptive survey design was used. Method: The data was collected (N=170) using a questionnaire for perioperative care. The methods were descriptive statistics, reported as percentages, and a manifest content analysis of the free text. Finding: The areas identified for improvement were information and participation. The participants lacked knowledge, preferred to hand over decision making to the hospital staff, and indicated that having personalised information about the surgery and perioperative period was important. However, too detailed information before surgery could cause increased anxiety. Conclusions: This study indicates that participation and information needs in perioperative settings seem to be situation specific. In addition, these needs seem to be personal and surgery specific. Further studies are required to clarify the differences in the satisfaction and quality of care between groups of patients in the perioperative context.

  • 205.
    Forsberg, Angelica
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Vikman, Irene
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Wälivaara, Britt-Marie
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Patients' perceptions of their postoperative recovery for one month2015In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, no 13-14, p. 1825-1836Article in journal (Refereed)
    Abstract [en]

    Aims and objectivesTo explore orthopaedic and general surgery patients' perceptions of their postoperative recovery for one month.BackgroundIn general, nursing research in the postoperative context has been directed towards a single symptom or area, which is valuable. However, there is a lack of studies of orthopaedic and general surgery patients' perceptions of postoperative recovery from a short-term perspective.DesignA quantitative approach with a longitudinal design was used.MethodsA total of 180 patients participated in the study. Data were collected using a standardised questionnaire, the Postoperative Recovery Profile, for self-assessment of recovery. Descriptive statistics reported as proportions were used for the categorical variables. Analytic statistics were used to identify statistically significant differences. Mean values and t-tests were used for quantity variables, and Mann–Whitney U-tests and Chi-squared tests were used for nonparametric variables.ResultsOverall, the orthopaedic patients were substantially less recovered than the general surgery patients. Two-thirds of the orthopaedic patients and half of the general surgery patients perceived severe or moderate pain in the acute recovery phase. Within the general surgery group, there were significant differences in the recovery between the Gastric Bypass patients and colon/ileum surgery patients. The gastric bypass patients were overall more recovered than the other groups of patients. The Gastric Bypass patients reported that they had improved after one month compared to their own status prior to surgery.Conclusions and relevance to clinical practiceNursing support for orthopaedic patients must be improved, especially after they are discharged from the hospital. To structure and monitor individual recovery, a top-five priority profile of the most important problems should be used during follow-up calls after the patient is discharged from the hospital. Postoperative pain continues to represent a clinical problem that requires attention. Heterogeneity in the perceptions of recovery within the general surgery group was indicated, which may depend on the surgical procedure as well as the patients' expectations and comparisons with their lives before surgery. Rather than return to their preoperative levels, certain patients tend to continue towards a new or different life postoperatively.

  • 206.
    Forsberg, Angelica
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care. Intensive Care Unit, Sunderby Hospital, Luleå, Sweden.
    Vikman, Irene
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Wälivaara, Britt-Marie
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Patterns of changes in patients' postoperative recovery from a short-term perspective2018In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 33, no 2, p. 188-199Article in journal (Refereed)
    Abstract [en]

    Purpose: To explore patterns of changes in patients' postoperative recovery over 1 month within different surgery groups.

    Design: A quantitative longitudinal survey design was used.

    Methods: A standardized questionnaire was used (N = 167 patients); the postoperative recovery profile for self-assessment of recovery. The postoperative recovery profile developed for hospitalized patients contains 17 items distributed over five dimensions: physical symptoms, physical function, psychological function, social function, and activity.

    Findings: Overall, orthopaedic patients perceived a lower recovery than general surgery patients. All major surgery groups and subgroups except for joint replacement patients indicated significant systematic changes toward lower levels of problems. The orthopaedic patients assessed their psychological functioning as impaired, and the gastric bypass group was the most recovered.

    Conclusions: The patients' expectations should be charted initially, and patients should be given realistic information to achieve a realistic hope for a good life in the future. A patient's recovery trajectory may not start after the surgery is completed. Rather, it has already commenced before surgery.

  • 207.
    Forsberg, Angelica
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care. ICU 57, Sunderby Hospital, Luleå, Sweden.
    Vikman, Irene
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. ICU 57, Sunderby Hospital, Luleå, Sweden.
    Wälivaara, Britt-Marie
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Rattray, Janice
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. School of Nursing and Health Sciences, University of Dundee, Scotland.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Patient's perceptions of perioperative quality of care in relation to self-rated health2018In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 33, no 6, p. 834-843Article in journal (Refereed)
    Abstract [en]

    Purpose: To explore (1) associations between patient and perioperativefactors and dimensions of quality of care and (2) perioperative patients’self-rated physical health in relation to information, encouragement, andparticipation.Design: A nonexperimental descriptive exploratory design (n 5 170participants).Methods: Analyses were performed using quantitative techniques;collected data were quantitative in nature. Multiple logistic regressionand Mann-Whitney U tests were used to analyze the data.Findings: The factor associatedwith patients’ satisfaction within the dimensionof ‘‘identity-oriented approach of the caregivers,’’ including the qualityof information, encouragement, and participation, was self-estimated physicalhealth. Those who estimated their physical health as being good weregenerally more satisfied. Patients who rated their physical health as beingless thangoodwere significantly less satisfiedwith the informationprovidedbefore surgery about their stay in the postanesthesia care unit (PACU).Conclusions: Nurses should chart patients’ estimations of their physicalhealth initially in care to provide reinforced support for patients who estimatetheir physical health is less than good. Before surgery, patients whohave estimated their physical health as being less than good should begiven realistic information about their stay in the PACU—that they willbe in a PACU after surgery, what that stay means, and why it is necessary.

  • 208.
    Forsberg, Emelie
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Rask, Maria
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Upplevelsen av att vara förälder till ett barn som drabbas av en traumatisk händelse: En analys av ett narrativ2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    En traumatisk händelse sker plötsligt och oväntat och kan orsaka stor fysisk och psykisk skada hos den drabbade och dennes närstående. Syftet med denna studie var att beskriva upplevelsen av att vara förälder till ett barn som drabbas av en traumatisk händelse. Studien har en kvalitativ design och syftet uppnåddes genom att analysera en självbiografi enligt en kvalitativ manifest innehållsanalys. Analysen resulterade i fem kategorier: Att pendla mellan hopp och förtvivlan; Att känna ensamhet och rädsla; Att känna skuld och ilska över att inte kunna skydda sitt barn; Att känna en sorg över att livet inte blev som det var tänkt; Att kunna hantera den nya livssituationen och känna att livet blir ljusare. Resultatet visade att föräldern i studien var av stort behov av information och hopp. Hon upplevde ensamhet och en djup sorg över det liv som inte blev. Genom denna studie kan sjuksköterskor få en förståelse för det trauma en förälder upplever när deras barn drabbas av en allvarlig olycka. Förslag på vidare forskning kan vara hur föräldrar påverkas långsiktigt av att leva med ett barn som drabbats av ett trauma.

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  • 209.
    Forslund, Ann-Sofie
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    A second chance at life: A study about people suffering out-of-hospital cardiac arrest2014Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    AimThe overall aim of this thesis was to describe people’s lives before and aftersuffering out-of-hospital cardiac arrest with validated myocardial infarction aetiology (OHCA-V). The following specific aims were formulated: describe trends in incidence, outcome and background characteristics among people who suffered OHCA-V (I), describe risk factors and thoughts about lifestyle among survivors(II),elucidate meanings of people’s lived experiences of surviving 1month after the event (III),and elucidate meanings of people’s lived experiencesof surviving 6 and 12 months after the event (IV)MethodsData were collected from the Northern Sweden MONICA myocardial registryand from interviews with people surviving OHCA-V. Quantitative and qualitative methodologies were used for analysis.ResultsThe incidence of OHCA-V decreased during the 19 years studied, and people aged 25-64 had an increased survival rate. The proportion of people with a history of ischemic heart disease (IHD) before the event decreased over theyears. Among people surviving OHCA-V, 60% had no prior history of IHD, but 20% had three cardiovascular risk factors (i.e., hypertension, diabetes mellitus,hypercholesterolemia and/or lipid lowering medication, current smoker). People surviving were aware of their risk factors and their descriptions of their lifestylefocused on the importance of having people around, feeling happy and having a positive outlook on life. They made their own choices regarding how to livetheir lives, which they often referred to as “living a good life.” Meanings of surviving during the first year can be understood as a pendulum ́s motion.Participants narrated they thought about the fact that they had been dead and returned to life. They also expressed they wished to know what had happened tothem while they were dead, but at the same time they wanted to put the event behind them and look forward. People surviving OHCA-V were striving to gettheir ordinary life back, but they also wondered if life would be the same. The cardiac arrest affected their body, which felt unfamiliar to them, and they felt they had to learn to feel secure in their body again. People survivingexpressed they had been given a second chance at life, and they described the event had affected their outlook on life.ConclusionThis thesis shows that people suffering OHCA-V are the most likely to die, but the survival rate is increasing. Many people had no known history of IHD beforethe event, but some had known risk factors for cardiovascular disease. To address these facts it is important for health care to focus both on primary andsecondary preventive measures to avoid complications connected to cardiovascular disease. Participants described their thoughts about their lifestyle,which was connected to what they found important in their lives; preventive 3 measures should be linked to those things to be more successful. People thatsurvived experienced pendulum emotions during their first year, and amovement back and forth in time was expressed. Health care personnel could support people surviving OHCA-V by talking with them about their thoughts connected to the past, present and future.Keywordsincidence, myocardial infarction, out-of-hospital cardiac arrest, survival, trends,life experiences, qualitative research

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  • 210.
    Forslund, Ann-Sofie
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Preventing cardiac death in diabetes2011In: Nursing Times, ISSN 0954-7762, E-ISSN 1338-6263, Vol. 107, no 40, p. 34-Article in journal (Other academic)
  • 211.
    Forslund, Ann-Sofie
    et al.
    Department of Medicine, Sunderby hospital.
    Lundblad, Dan
    Department of Medicine, Sunderby Hospital.
    Jansson, Jan-Håkan
    Skellefteå Hospital, Department of Medicine .
    Zingmark, Karin
    Department of Medicine, Sunderby Hospital.
    Söderberg, Siv
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Risk factors among people surviving out-of-hospital cardiac arrest and their thoughts about lifestyle2013In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 12, no Suppl. 1, p. S13-S14Article in journal (Refereed)
    Abstract [en]

    Aims: To describe risk factors among people surviving out-of-hospital cardiac arrest and their thoughts about lifestyle.Design: An explanatory mixed methods design was used.Methods: All people registered in the northern Sweden Monica myocardial registry between the year 1989 to 2007 who survived out-of-hospital cardiac arrest with validated myocardial infarction aetiology and were alive at the 28th day after the onset of symptoms (n=71) were included in the quantitative analysis. Thirteen of them participated in interviews conducted in 2011 and analysed via a qualitative manifest content analysis.Results: The quantitative results showed that about 60% of the people had no history of ischemic heart disease or hypertension before the out-of-hospital cardiac arrest whereas 25% and 17% had been diagnosed with myocardial infarction and diabetes mellitus, respectively. Eighty percent of the people had total cholesterol levels greater than 5.0 mmol/l and/or were taking lipid lowering medications. Almost half were smokers and overweight. The qualitative results are presented in three categories ‘descriptions of lifestyle after surviving’, ‘modifying the lifestyle to the new life situation’ and ‘a changed view on life’. The participants described that their lifestyle focused on the importance of being needed and meaning something to others, feeling well and doing things of their choice. They tried to find a reason why the cardiac arrest happened and make appropriate lifestyle changes although they made their own assessmnet of risk behaviours. The participants expressed being grateful for a second chance at life and tried to have a positive outlook on life.Conclusions: For most people in this study out-of-hospital cardiac arrest was the first symptom of coronary heart disease. In the interviews the participants expressed that they were well informed about their cardiovascular risk factors and the benefits of risk factor treatment. In spite of that, some of the patricipants chose to ignore this knowledge to some extent and preferred to live a ‘good life’. A life where risk factor treatment played a minor part. The results of this study indicates that health care workers and patients should focus more on the meaningful and joyful things in life and try to adopt healthy behaviours and lifestyle changes linked to these things.

  • 212.
    Forslund, Ann-Sofie
    et al.
    Luleå University of Technology, Department of Health Sciences.
    Lundblad, Dan
    Department of Medicine, Sunderby Hospital.
    Jansson, Jan-Håkan
    Department of Public Health and Clinical Medicine, Umeå university.
    Zingmark, Karin
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Söderberg, Siv
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Risk factors among people surviving out-of-hospital cardiac arrest and their thoughts about what lifestyle means to them: a mixed methods study2013In: BMC Cardiovascular Disorders, ISSN 1471-2261, E-ISSN 1471-2261, Vol. 13, no August, article id 62Article in journal (Refereed)
    Abstract [en]

    Background The known risk factors for coronary heart disease among people prior suffering an out-of-hospital cardiac arrest with validated myocardial infarction aetiology and their thoughts about what lifestyle means to them after surviving have rarely been described. Therefore the aim of the study was to describe risk factors and lifestyle among survivors. Methods An explanatory mixed methods design was used. All people registered in the Northern Sweden MONICA myocardial registry between the year 1989 to 2007 who survived out-of-hospital cardiac arrest with validated myocardial infarction aetiology and were alive at the 28th day after the onset of symptoms (n = 71) were included in the quantitative analysis. Thirteen of them participated in interviews conducted in 2011 and analysed via a qualitative manifest content analysis. Results About 60 % of the people had no history of ischemic heart disease before the out-of-hospital cardiac arrest, but 20 % had three cardiovascular risk factors (i.e., hypertension, diabetes mellitus, total cholesterol of more or equal 5 mmol/l or taking lipid lowering medication, and current smoker). Three categories (i.e., significance of lifestyle, modifying the lifestyle to the new life situation and a changed view on life) and seven sub-categories emerged from the qualitative analysis. Conclusions For many people out-of-hospital cardiac arrest was the first symptom of coronary heart disease. Interview participants were well informed about their cardiovascular risk factors and the benefits of risk factor treatment. In spite of that, some chose to ignore this knowledge to some extent and preferred to live a "good life", where risk factor treatment played a minor part. The importance of the support of family members in terms of feeling happy and having fun was highlighted by the interview participants and expressed as being the meaning of lifestyle. Perhaps the person with illness together with health care workers should focus more on the meaningful and joyful things in life and try to adopt healthy behaviours linked to these things.

  • 213.
    Forslund, Ann-Sofie
    et al.
    The Northern Sweden MONICA Myocardial Registry, Department of Research, Norrbotten County Council.
    Lundblad, Dan
    Department of Medicine, Sunderby Hospital.
    Söderberg, Siv
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Sudden cardiac death among people with diabetes: preventive measures documented in their medical records2010In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 19, no 23/24, p. 3401-3409Article in journal (Refereed)
    Abstract [en]

    Aims: The purpose of this study was to examine how prevention of complications for people with diabetes mellitus had been conducted, as described in their medical records, focusing particularly on sudden cardiac death. A further aim was to compare the documentation with guidelines for diabetes care. Background: Diabetes mellitus is associated with an increased risk of cardiovascular disease, death and sudden cardiac death. About half of those affected by sudden cardiac death are assumed to have had one or more risk factors for cardiovascular disease that could have been treated effectively resulting in a reduced risk of sudden death. Design: Survey. Method: Fifty-six people diagnosed with diabetes mellitus, who had died of a sudden cardiac arrest between the years 2003-2005, from the Northern Sweden MONICA myocardial registry were included. These people's medical records were examined with regard to documentation of the care given during the year prior to the person's sudden cardiac death. Results: The qualitative content analysis resulted in four categories: individualised goals for diabetes care; prevention of complications; self-care; and factors which may affect ability to adhere to treatment. The quantitative analysis showed that few people with diabetes mellitus achieved goals for metabolic control, compared with those set in guidelines for diabetes mellitus care.Conclusion. To prevent complications for people with diabetes mellitus, it is a challenge for nurses and physicians to involve people with diabetes mellitus in their own care to improve the prognosis. Relevance to clinical practice: Examination of medical records of people with diabetes mellitus showed that documentation could be more informative and systematic. It is important to achieve better adherence to treatment and to increase people's understanding of their illness

  • 214.
    Forslund, Ann-Sofie
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care. The Northern Sweden MONICA Myocardial Registry, Department of Research, Norrbotten County Council, Luleå, Sweden.
    Söderberg, Siv
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Jansson, Jan-Håkan
    Department of Medicine, Skellefteå Hospital, Skellefteå, Sweden;Department of Public Health and Clinical Medicine, University of Umeå, Umeå, Sweden.
    Lundblad, Dan
    Department of Public Health and Clinical Medicine, University of Umeå, Umeå, Sweden;Department of Medicine, Sunderby Hospital, Luleå, Sweden.
    Trends in incidence and outcome of out-of-hospital cardiac arrest among people with validated myocardial infarction2013In: European Journal of Preventive Cardiology, ISSN 2047-4873, E-ISSN 2047-4881, Vol. 20, no 2, p. 260-267Article in journal (Refereed)
    Abstract [en]

    Aims: To describe trends in incidence, outcome, and background characteristics among people who suffered an out-of-hospital cardiac arrest with validated myocardial infarction aetiology (OHCA-V).

    Methods and results: People from the northern Sweden MONICA myocardial registry (1989–2007) with OHCA-V (n = 2977) were divided in two age groups (25–64 and 65–74 years). Both those who were resuscitated outside hospital and those who died before resuscitation was started were included in the study. The younger age group was studied during 1989–2007 and the older group during 2000–2007. The incidence of OHCA-V decreased in both the younger group (men p < 0.0001, women p = 0.04) and the older group (men p < 0.0001, women p < 0.0007, respectively). The proportion with a history of ischaemic heart disease prior to the event decreased (p < 0.0001). The proportion of previous myocardial infarction decreased (p < 0.0001), diabetes mellitus increased (p = 0.001), coronary interventions increased (p < 0.0001), and survival after OHCA-V increased (p < 0.0001) in the younger group but not in the older group. Long-term survival after OHCA-V was better in the younger than in the older group (p = 0.026).

    Conclusion: The incidence of OHCA-V decreased in both sexes. The proportion surviving after OHCA-V was small but increased, and long-term survival (≥28 days) was better in the younger age group. Primary preventive measures may explain most of the improvements. However, the effects of secondary preventive measures cannot be excluded.

  • 215.
    Forslund, Ann-Sofie
    et al.
    Luleå University of Technology, Department of Health Sciences.
    Zingmark, Karin
    County Council of Norrbotten, Department of Research and Development.
    Jansson, Jan-Håkan
    Department of Public Health and Clinical Medicine, Sunderby Research Unit, Umeå University.
    Lundblad, Dan
    Department of Public Health and Clinical Medicine, Sunderby Research Unit, Umeå University.
    Söderberg, Siv
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Meanings of people's lived experiences of surviving an out-of-hospital cardiac arrest, 1 month after the event2014In: Journal of Cardiovascular Nursing, ISSN 0889-4655, E-ISSN 1550-5049, Vol. 29, no 5, p. 464-471Article in journal (Refereed)
    Abstract [en]

    Background: The out-of-hospital cardiac arrest (OHCA) survival rate has been poor and stable for a long time, but more recent studies describe its increase. However, there are few studies in which people narrate their experiences from surviving. Objective: The aim of this study was to elucidate meanings of people's lived experiences of surviving an OHCA with validated myocardial infarction (MI) etiology, 1 month after the event. Methods: A purposive sample of 2 women and 9 men was interviewed between February 2011 and May 2012. A phenomenological hermeneutical method was used for analysis, which involved 3 steps: naive reading and understanding, structural analysis, and comprehensive understanding. Results: There were 2 themes, (1) returning to life and (2) revaluing life, and five subthemes, (1a) waking up and missing the whole picture, (1b) realizing it was not time to die, (2a) wondering why and seeking explanations, (2b) feeling ambiguous in relations, and (2c) wondering whether life will be the same. All were constructed from the analysis. Conclusions: Surviving an OHCA with validated MI etiology meant waking up and realizing that one had experienced a cardiac arrest and had been resuscitated. These survivors had memory loss and a need to know what had happened during the time they were dead/unconscious. They searched for a reason why they experienced an MI and cardiac arrest and had gone from being "heart-healthy" to having a lifelong illness. They all had the experience of passing from life to death and back to life again. For the participants, these differences led to a revaluation of what is important in life.

  • 216.
    Forsman, Bradelina
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Mohamed, Samira
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Personers upplevelse av egenvård vid hjärtsvikt - En litteraturstudie2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Egenvård anse vara nödvändig vid hantering av kroniska sjukdomar och kan förebygga komplikationer vid hjärtsvikt. Syftet med denna litteraturstudie var att beskriva personers upplevelse av egenvård vid hjärtsvikt. Kvalitativ innehållsanalys med manifest ansats användes för att analysera 14 vetenskapliga artiklar. I analysen framkom fem kategorier: Att sakna kunskap och information för utförande av egenvård. Att uppleva stress och rädsla vid utförande av egenvård. Att ta hjälp av andra vid egenvårdshantering. Att engagera sig och lära sig metoder för egenvård. Att följa rekommendationer och hantera symtom vid egenvård. I diskussionen diskuteras att det finns ett tydligt samband mellan låg hälsokunskap och sämre sjukdomsrelaterad kunskap inom bland annat hjärt-kärlsjukdomar. Stress gör att patienter med kroniska sjukdomar har låg motivation till hantering av egenvård. Personerna med hjärtsvikt engagera sig i sin egenvård genom att de utvecklar färdigheter för att kunna hantera sin diagnos. Personerna blir motiverad att utföra egenvård i hopp om att hålla sig friska och kunna ha mer tid med familjen. I diskussionen diskuteras även litteraturstudiens trovärdighet. En slutsats utifrån denna studie är att det är viktig att sjuksköterskan har kunnat ha vetskap om hur personer med hjärtsvikt upplever egenvård, eftersom sjuksköterskans kunskap och förståelse kan bidra till att främja hälsa och ett personcentrerat arbetssätt. För att sjuksköterskan ska kunna ge säkra och effektiva råd om egenvård är det viktig att det forskas vidare om begreppet egenvård och dess olika modeller.

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  • 217.
    Fredriksson, Julia
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care. Luleå University of Technology, Department of Health Sciences, Nursing and Medical technology.
    Grundström, Linn
    Luleå University of Technology, Department of Health Sciences, Nursing Care. Luleå University of Technology, Department of Health Sciences, Nursing and Medical technology.
    Patienters upplevelser av att vårdas på akutmottagningen: En litteraturstudie2020Independent thesis Basic level (professional degree), 180 HE creditsStudent thesis
    Abstract [sv]

    Att drabbas av akut sjukdom är fysiskt och psykiskt påfrestande för den enskilda individen. Akutmottagningen är ofta den första kontakten patienten har med vården. Många människor som besöker akutmottagningen är svårt sjuka eller skadade. Syftet med litteraturstudien var att beskriva patienters upplevelser av att vårdas på akutmottagningen. Aktuell forskning söktes fram i två databaser. Elva artiklar kvalitetsgranskades med hjälp av SBU:s granskningsmall och bedömdes hålla medel till hög kvalitet. En kvalitativ innehållsanalys med manifest ansats utfördes. Detta resulterade i fyra kategorier; “Att kommunikation och tillräcklig information är värdefullt”, “Att vara tvungen att vänta länge”, “Att inte känna sig sedd och tagen på allvar”och ”Att känna sig sedd och lyssnad på. Resultatet visade hur betydelsefullt information och kommunikation var för vårdupplevelsen på akutmottagningen. Många patienter delade upplevelsen av att väntan var en stor del i att vårdas på akutmottagningen. Sjuksköterskan behöver beakta det humanistiska perspektivet och se till människan som en helhet för att kunna skapa sig förståelse ur ett patientperspektiv.

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  • 218.
    Gabrielsson, Sebastian
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    A moral endeavour in a demoralizing context: Psychiatric inpatient care from the perspective of professional caregivers2016In: American Psychiatric Nurses Association 30th Annual Conference, Hartford, Connecticut, October 19-22, 2016., 2016Conference paper (Refereed)
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  • 219.
    Gabrielsson, Sebastian
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    A moral endeavour in a demoralizing context: Psychiatric inpatient care from the perspective of professional caregivers2015Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Patients in psychiatric care experience a need for and expect to develop interpersonal relationships with professional caregivers and to be respected and listened to. Despite demands for care to be person-centred and recovery-oriented, patients experience that psychiatric inpatient care fails to meet their expectations. Nursing research suggest that nurses aspire to engage with and meet the needs of patients, but that the strenuous reality of inpatient care prevents them from doing so. Exploring the content and context of psychiatric inpatient care from the perspective of professional caregivers might provide valuable insights regarding what caregivers do, and more importantly it can aid in understanding why they do what they do.This thesis aimed to explore the content and context of adult psychiatric inpatient care from the perspective of professional caregivers. This was achieved by clarifying the concept of person-centred care in the context of inpatient psychiatry, describing staff members’ reasoning on their choice of action and perceptions of interprofessional collaboration in challenging situations in inpatient psychiatric care settings, and exploring nurses’ experiences of good nursing practice in the specific context of inpatient psychiatry. A systematic review of the literature identified 34 scholarly papers that were analysed using evolutionary concept analysis. Focus group interviews were conducted with 26 professional caregivers and analysed using qualitative content analysis. Individual qualitative interviews were conducted with 12 skilled, relationship-oriented nurses and analysed using an interpretive descriptive approach to qualitative analysis.Reviewing the literature on person-centred care in inpatient psychiatry clarified how person-centred care is expected to result in quality care when interpersonal relationships are used to promote recovery. Professional caregivers’ reasoning on choice of action described different concerns in caregiver-patient interaction resulting in a focus on either meeting patients’ individual needs or solving staff members’ own problems. Describing professional caregivers’ perceptions of interprofessional collaboration suggested that they are being constrained by difficulties in collaborating with each other and a lack of interaction with patients. Exploring nurses’ experiences of good nursing practice revealed how circumstances in the clinical setting affect nurses’ ability to work through relationships. It is argued that these findings describe the workings of two opposing forces in psychiatric inpatient care. The concept of caring as a process forms the basis for discussing the content of care as a moral endeavour in which nurses strive to do good. The concept of demoralizing organizational processes is used to discuss the context of care as demoralizing and allowing for immoral actions.The main conclusions to be drawn are that, from a nursing perspective, nurses in psychiatric inpatient care need to focus on patients’ experiences and needs. For this they need sufficient resources and time to be present and develop relationships with patients.Nurses in psychiatric inpatient care also need to take personal responsibility for their professional practice. Attempts to transform psychiatric care in a person-centred direction must consider all of these aspects and their interrelatedness. Further research on psychiatric inpatient care is needed to understand more about how the content of care relates to the context of care.

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  • 220.
    Gabrielsson, Sebastian
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Activity: The Tidal model of mental health recovery2015Conference paper (Other (popular science, discussion, etc.))
  • 221.
    Gabrielsson, Sebastian
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Bemötande vid psykisk ohälsa2010Conference paper (Other (popular science, discussion, etc.))
  • 222.
    Gabrielsson, Sebastian
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Evolutionär begreppsanalys2015Conference paper (Other (popular science, discussion, etc.))
  • 223.
    Gabrielsson, Sebastian
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Extravak - vad gör vi och varför?2010Conference paper (Other (popular science, discussion, etc.))
  • 224.
    Gabrielsson, Sebastian
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Få specialistutbildade sjuksköterskor i psykiatrin2012Other (Other (popular science, discussion, etc.))
  • 225.
    Gabrielsson, Sebastian
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Omvårdnad i psykiatrisk slutenvård - gör vi det vi borde göra?2015Conference paper (Other (popular science, discussion, etc.))
  • 226.
    Gabrielsson, Sebastian
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Psyche2013Other (Other (popular science, discussion, etc.))
    Abstract [sv]

    Psykiatriska riksföreningen för sjuksköterskors tidskrift

  • 227.
    Gabrielsson, Sebastian
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Psykiatrisjuksköterska och stolt!2010Other (Other (popular science, discussion, etc.))
    Abstract [sv]

    Facebookgrupp. Initiativtagare och gruppadministratör.

  • 228.
    Gabrielsson, Sebastian
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Psykiatriska riksföreningen för sjuksköterskor2013Other (Other (popular science, discussion, etc.))
  • 229.
    Gabrielsson, Sebastian
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Psykisk ohälsa och psykiatrisk vård2011Conference paper (Other (popular science, discussion, etc.))
  • 230.
    Gabrielsson, Sebastian
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Sjuksköterska i psykiatrisk vård - möjligheter och utmaningar2015Conference paper (Other (popular science, discussion, etc.))
  • 231.
    Gabrielsson, Sebastian
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Sjuksköterskor specialistutbildas2008Other (Other (popular science, discussion, etc.))
  • 232.
    Gabrielsson, Sebastian
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Ständig övervakning i psykiatrisk slutenvård2010Conference paper (Other (popular science, discussion, etc.))
  • 233.
    Gabrielsson, Sebastian
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Vårdtåget i Luleå: Viktigt diskutera syftet med extravak i psykiatrin2010Other (Other (popular science, discussion, etc.))
  • 234.
    Gabrielsson, Sebastian
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Släng regler utan mening i soporna2008In: Dagens Medicin, ISSN 1104-7488, no 46:3, p. 7-Article in journal (Other (popular science, discussion, etc.))
  • 235.
    Gabrielsson, Sebastian
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Smygmedicinering riskerar förtroendet för psykiatrin2007In: Psyche, ISSN 0283-3468, no 5, p. 20-21Article in journal (Other (popular science, discussion, etc.))
  • 236.
    Gabrielsson, Sebastian
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Ejneborn Looi, Git-Marie
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Att se och möta individuella behov: Introduktion till omvårdnad i psykiatrisk vård och omsorg2017 (ed. 1)Book (Other (popular science, discussion, etc.))
    Abstract [sv]

    Denna bok förklarar vad ett omvårdnadsperspektiv är och varför det är viktigt i psykiatrisk vård och omsorg. Med ett direkt språk, konkreta exempel och realistiska fallbeskrivningar tydliggörs hur abstrakta begrepp kan omsättas i praktiken. Boken vänder sig till sjuksköterskor i psykiatriska verksamheter och studenter på sjuksköterske- och specialistsjuksköterskeprogrammet. Den är också relevant för andra yrkesgrupper som i sitt arbete möter personer med psykisk ohälsa, och för studenter och elever i vård- och omsorgsutbildningar på alla nivåer Förhoppningen är att inspirera till reflektion och vidare läsning.

  • 237.
    Gabrielsson, Sebastian
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Ejneborn Looi, Git-Marie
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Bemötande i psykiatrin: Möten som främjar återhämtning2018 (ed. 1.1)Book (Other (popular science, discussion, etc.))
  • 238.
    Gabrielsson, Sebastian
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Ejneborn-Looi, Git-Marie
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Att se och möta individuella behov: Ett nätbaserat reflektionsunderlag för personal och studenter i psykiatrisk vård och omsorg2012Other (Other (popular science, discussion, etc.))
  • 239.
    Gabrielsson, Sebastian
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Ejneborn-Looi, Git-Marie
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Clinical reasoning on the use of containment measures in acute inpatient psychiatric care: professional roles and choices of action2012In: Vision, Knowledge and Practice in psychiatric and mental health nursing: II European Festival of Psychiatric Nursing, Stockholm, 2012, 2012Conference paper (Refereed)
  • 240.
    Gabrielsson, Sebastian
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Ejneborn-Looi, Git-Marie
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Ett personligt ansvar för god och säker vård2019In: Vårdande vid psykisk ohälsa: på avancerad nivå / [ed] Lena Wiklund Gustin, Lund: Studentlitteratur AB, 2019, 3, p. 571-594Chapter in book (Other (popular science, discussion, etc.))
  • 241.
    Gabrielsson, Sebastian
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Ejneborn-Looi, Git-Marie
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Mot en hållbar omvårdnadsutveckling2016In: Psyche, ISSN 0283-3468, Vol. 2016, no 1, p. 14-17Article in journal (Other (popular science, discussion, etc.))
  • 242.
    Gabrielsson, Sebastian
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Ejneborn-Looi, Git-Marie
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Psykiatrin behöver omvårdnadskompetens: farmakologi är inte sjuksköterskornas huvudsak2008In: Dagens Medicin, ISSN 1104-7488, no 25, p. 20-Article in journal (Other (popular science, discussion, etc.))
  • 243.
    Gabrielsson, Sebastian
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Ejneborn-Looi, Git-Marie
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Psykiatrin satsar på omvårdnad2007In: Norrbottenskuriren, ISSN 1103-9760Article in journal (Other (popular science, discussion, etc.))
  • 244.
    Gabrielsson, Sebastian
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Ejneborn-Looi, Git-Marie
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Recovery-Oriented Reflective Practice Groups: Conceptual Framework and Group Structure2019In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 40, no 12, p. 993-998Article in journal (Refereed)
    Abstract [en]

    The recovery-oriented reflective practice group (RORPG) is a staff-directed intervention aimed at achieving the recovery-focused transformation of mental health settings. This discussion paper aims to outline and reflect on the conceptual framework and group structure of recovery-oriented reflective practice groups. RORPGs build on conceptualizations of reflective practice, personal recovery, mental health nursing as a relational and reflective practice, and abductive reasoning. Dewey’s phases of reflection, together with an understanding of nursing practice as a dynamic process of care, provide a structure for group sessions in which abductive reasoning can be considered a core activity. This paper outlines a sound theoretical foundation and suggests that RORPGs might prove useful for providing a space for learning in practice, informed by both theoretical and practical knowledge.

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  • 245.
    Gabrielsson, Sebastian
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Ejneborn-Looi, Git-Marie
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Reflekterande arbetssätt i psykiatrisk vård2019In: Omvårdnad vid psykisk ohälsa: på grundnivå / [ed] Ingela Skärsäter och Lena Wiklund Gustin, Lund: Studentlitteratur AB, 2019, 3, p. 587-602Chapter in book (Other academic)
  • 246.
    Gabrielsson, Sebastian
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Ejneborn-Looi, Git-Marie
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Hellström, Ingela
    Sjuksköterskor utvecklar psykiatrin2008In: Norrbottenskuriren, ISSN 1103-9760Article in journal (Other (popular science, discussion, etc.))
  • 247.
    Gabrielsson, Sebastian
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Ejneborn-Looi, Git-Marie
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Zingmark, Karin
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Sävenstedt, Stefan
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Knowledge of the patient as decision-making power: staff members’ perceptions of interprofessional collaboration in challenging situations in psychiatric inpatient care2014In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 28, no 4, p. 784-792Article in journal (Refereed)
    Abstract [en]

    Challenging situations in psychiatric inpatient settings call for interprofessional collaboration, but the roles and responsibilities held by members of different professions is unclear. The aim of this study was to describe staff members' perceptions of interprofessional collaboration in the context of challenging situations in psychiatric inpatient care. Prior to the study taking place, ethical approval was granted. Focus group interviews were conducted with 26 physicians, ward managers, psychiatric nurses, and nursing assistants. These interviews were then transcribed and analysed using qualitative content analysis. Results described participants' perceptions of shared responsibilities, profession-specific responsibilities and professional approaches. In this, recognising knowledge of the patient as decision-making power was understood to be a recurring theme. This is a delimited qualitative study that reflects the specific working conditions of the participants at the time the study was conducted. The findings suggest that nursing assistants are the most influential professionals due to their closeness to and first-hand knowledge of patients. The results also point to the possibility of other professionals gaining influence by getting closer to patients and utilising their professional knowledge, thus contributing to a more person-centred care.

  • 248.
    Gabrielsson, Sebastian
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Gustafsson, Silje
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Evaluating reflective practice groups in a mental health context: Swedish translation and psychometric evaluation of the clinical supervision evaluation questionnaire2019In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 18, article id 2Article in journal (Refereed)
    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.

  • 249.
    Gabrielsson, Sebastian
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Sävenstedt, Stefan
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Olsson, Malin
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Taking personal responsibility: Nurses’ and assistant nurses’ experiences of good nursing practice in psychiatric inpatient care2016In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 25, no 5, p. 434-443Article in journal (Refereed)
    Abstract [en]

    Therapeutic nurse–patient relationships are considered essential for good nursing practice in psychiatric inpatient care. Previous research suggests that inpatient care fails to fulfil patients' expectations in this regard, and that nurses might experience the reality of inpatient care as an obstruction. The aim of the present study was to explore nurses' and assistant nurses' experiences of good nursing practice in the specific context of psychiatric inpatient care. Qualitative interviews were conducted with 12 skilled, relationship-oriented nurses and assistant nurses in order to explore their experiences with nursing practice related to psychiatric inpatient care. Interviews were transcribed and analysed using an interpretive descriptive approach. Findings describe good nursing practice as a matter of nurses and assistant nurses taking personal responsibility for their actions and for the individual patient as a person. Difficulties in providing dignified nursing care and taking personal responsibility cause them to experience feelings of distress and frustration. Shared values and nursing leadership supports being moral and treating patients with respect, having enough time supports being present and connecting with patients, and working as a part of a competent team with critical daily discussions and diversity supports being confident and building trust. The findings suggest that taking personal responsibility is integral to good nursing practice. If unable to improve poor circumstances, nurses might be forced to promote their own survival by refuting or redefining their responsibility. Nurses need to prioritize being with patients and gain support in shaping their own nursing practice. Nursing leadership should provide moral direction and defend humanistic values.

  • 250.
    Gabrielsson, Sebastian
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Sävenstedt, Stefan
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Zingmark, Karin
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Person-centred care: Clarifying the concept in the context of inpatient psychiatry2015In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 29, no 3, p. 555-562Article in journal (Refereed)
    Abstract [en]

    This paper reports an analysis of the concept of person-centred care in the context of inpatient psychiatry. It has been suggested that person-centred care in inpatient psychiatry might differ from person-centred care in other contexts, indicating a need to clarify the concept in this specific context. Scholarly papers from health-related disciplines were identified following a systematic search of the electronic databases CINAHL, PUBMED and PsycINFO, covering records indexed up until March 2014. An evolutionary approach to concept analysis was applied, integrating principles for data extraction and analysis in integrative reviews. The concept of person-centred care was defined as cultural, relational and recovery-oriented. It aspires to improve care and calls for a transformation of inpatient psychiatry. The concept is closely related to the concepts of recovery and interpersonal nursing. The result is described in terms of attributes, antecedents, consequences and related concepts. It is concluded that the further development of the concept needs to consider the contexts of the concept at both conceptual and praxis levels. Further research should explore the nature of and relationships between context, culture, care practice and outcomes in inpatient psychiatry from a perspective of person-centred care. The results of this analysis can provide a framework for such research

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