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  • 1.
    Andersson, Viktor
    et al.
    Surgery Department, Östersund Hospital, Sweden.
    Bergstrand, Josefine
    Surgery Department, Östersund Hospital, Sweden.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing and Medical technology.
    Gustafsson, Silje
    Luleå University of Technology, Department of Health Sciences, Nursing and Medical technology.
    The Impact of Preoperative Patient Anxiety on Postoperative Anxiety and Quality of Recovery After Orthopaedic Surgery2020In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473Article in journal (Refereed)
    Abstract [en]

    Purpose

    To study how preoperative anxiety affects postoperative recovery in orthopaedic surgery based on two specific issues: does preoperative anxiety affect postoperative anxiety, pain, and nausea in the postanesthesia care unit (PACU) and does preoperative anxiety affect the quality of recovery.

    Design

    This was a nonexperimental quantitative observational study.

    Methods

    Patients (N = 37) were included through consecutive selection. Anxiety, pain, and nausea were measured preoperatively, 30 minutes after arrival at PACU and before discharge from PACU. Three days after discharge, participants completed the Quality of Recovery Questionnaire by telephone.

    Findings

    There was a significant correlation between preoperative anxiety and anxiety in PACU as well as anxiety, sadness, and depression 3 days after discharge from PACU.

    Conclusions

    Patients who experience preoperative anxiety also experience anxiety in PACU. The quality of recovery 3 days after surgery is also affected by preoperative anxiety. Patients experience continued anxiety as well as sadness and depression.

  • 2.
    Backman, Helena
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing and Medical technology. Dept of Public Health and Clinical Medicine, Section of Sustainable Health/the OLIN Unit, Umeå University, Umeå, Sweden.
    Lindberg, Anne
    Dept of Public Health and Clinical Medicine, Section of Medicine, Umeå University, Umeå, Sweden.
    Hedman, Linnea
    Luleå University of Technology, Department of Health Sciences, Nursing and Medical technology. Dept of Public Health and Clinical Medicine, Section of Sustainable Health/the OLIN Unit, Umeå University, Umeå, Sweden.
    Stridsman, Caroline
    Luleå University of Technology, Department of Health Sciences, Nursing and Medical technology. Dept of Public Health and Clinical Medicine, Section of Medicine, Umeå University, Umeå, Sweden.
    Jansson, Sven-Arne
    Dept of Public Health and Clinical Medicine, Section of Sustainable Health/the OLIN Unit, Umeå University, Umeå, Sweden.
    Sandström, Thomas
    Dept of Public Health and Clinical Medicine, Section of Medicine, Umeå University, Umeå, Sweden.
    Lundbäck, Bo
    Dept of Public Health and Clinical Medicine, Section of Sustainable Health/the OLIN Unit, Umeå University, Umeå, Sweden. Krefting Research Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
    Rönmark, Eva
    Dept of Public Health and Clinical Medicine, Section of Sustainable Health/the OLIN Unit, Umeå University, Umeå, Sweden.
    FEV1 decline in relation to blood eosinophils and neutrophils in a population-based asthma cohort2020In: World Allergy Organization Journal, ISSN 1731-3317, E-ISSN 1939-4551, Vol. 13, no 3, article id 100110Article in journal (Refereed)
    Abstract [en]

    Background

    The relationship between lung function decline and eosinophils and neutrophils has important therapeutic implications among asthmatics, but it has rarely been studied in large cohort studies.

    Objective

    The aim is to study the relationship between blood eosinophils and neutrophils and FEV1 decline in a long-term follow-up of a population-based adult asthma cohort.

    Methods

    In 2012–2014, an adult asthma cohort was invited to a follow-up including spirometry, blood sampling, and structured interviews, and n = 892 participated (55% women, mean age 59 y, 32–92 y). Blood eosinophils, neutrophils and FEV 1 decline were analyzed both as continuous variables and divided into categories with different cut-offs. Regression models adjusted for smoking, exposure to vapors, gas, dust, or fumes (VGDF), use of inhaled and oral corticosteroids, and other possible confounders were utilized to analyze the relationship between eosinophils and neutrophils at follow-up and FEV1 decline.

    Results

    The mean follow-up time was 18 years, and the mean FEV 1 decline was 27 ml/year. The annual FEV1 decline was related to higher levels of both blood eosinophils and neutrophils at follow-up, but only the association with eosinophils remained when adjusted for confounders. Further, the association between FEV1 decline and eosinophils was stronger among those using ICS. With EOS <0.3 × 109/L as reference, a more rapid decline in FEV1 was independently related to EOS ≥0.4 × 109/L in adjusted analyses.

    Conclusions and clinical relevance

    Besides emphasizing the importance of smoking cessation and reduction of other harmful exposures, our real-world results indicate that there is an independent relationship between blood eosinophils and FEV1 decline among adults with asthma.

  • 3.
    Berg Jansson, Anna
    et al.
    Luleå University of Technology, Department of Business Administration, Technology and Social Sciences, Humans and technology.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing and Medical technology.
    Parding, Karolina
    Luleå University of Technology, Department of Business Administration, Technology and Social Sciences, Humans and technology.
    What about learning? A study of temporary agency staffing and learning conditions in Swedish health care2020In: Journal of Workplace Learning, ISSN 1366-5626, E-ISSN 1758-7859, Vol. 32, no 1, p. 63-75Article in journal (Refereed)
    Abstract [en]

    Purpose

    The purpose of this paper is to discuss conditions for workplace learning (WPL) in relation to temporary agency staffing (TAS), focusing on temporary and regular nurses’ experiences of social relations.

    Design/methodology/approach

    Data were gathered using qualitative semi-structured interviews with five agency nurses and five regular nurses. Thematic analysis was used to analyse the data.

    Findings

    Similarities and differences regarding conditions for WPL among “temps” and “regulars” emerged, pointing towards both challenges and opportunities for WPL on various levels. Moreover, although challenges stood out, the context of professional work provides certain opportunities for WPL through, for example, knowledge sharing among nurses.

    Research limitations/implications

    Results are valid for the interviewees’ experiences of WPL conditions. However, the findings may also have currency in other but similar workplaces and employment circumstances.

    Practical implications

    Client organisations and temporary work agencies could benefit from developing management and HR strategies aimed at strengthening the opportunities for WPL, related to professional work, to ensure that these opportunities are leveraged fully.

    Originality/value

    This study adopts a WPL perspective on TAS in the context of professional work, which is still rare.

  • 4.
    Gustafsson, Silje
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing and Medical technology.
    Strömqvist, Magnus
    Skellefteå Hospital, Intensive Care Unit, Skellefteå, Sweden.
    Ekelund, Johanna
    Helsingborg Hospital, Intensive Care Unit, Helsingborg, Sweden.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing and Medical technology.
    Factors Influencing Early Postoperative Recovery After Laparoscopic Cholecystectomy2020In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 35, no 1, p. 80-84Article in journal (Refereed)
    Abstract [sv]

    Purpose

    To study the factors influencing early postoperative recovery after laparoscopic cholecystectomy.

    Design

    A nonexperimental retrospective study.

    Methods

    The study was performed using records from all patients who had undergone laparoscopic cholecystectomy at a hospital in Northern Sweden in 2017 (219 patients in total). Nonparametric data were analyzed using Spearman's rho, Mann-Whitney U test, and logistic regression. Parametric data were analyzed using Pearson's correlation, an independent t test, and analysis of variance.

    Findings

    The length of stay in the postanesthesia care unit was not predicted by factors such as age, gender, body mass index, American Society of Anesthesiologists classification, postoperative nausea and vomiting, premedication, or type of surgery. Younger age and high classification level were significant predictors of pain during rest and pain when in motion. No significant predictors of postoperative nausea were found. The majority of study participants experienced little or no pain or nausea. The documentation of pain, nausea, and premedication was inadequate in many cases.

    Conclusions

    Nurses in postanesthesia care units should work to preventively identify and address patients’ medical and emotional needs so that optimal conditions for postoperative recovery can be provided.

  • 5.
    Juuso, Päivi
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing and Medical technology.
    Skär, Lisa
    Department of Health, Blekinge Institute of Technology, Karlskrona, Sweden.
    Söderberg, Siv
    Department of Nursing Sciences, Mid Sweden University, Östersund, Sweden.
    Recovery despite everyday pain: Women's experiences of living with whiplash‐associated disorder2020In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 18, no 1, p. 20-28Article in journal (Refereed)
    Abstract [en]

    Introduction

    Living with whiplash‐associated disorders (WAD) means living every day under the influence of pain and limitations. As the incidence of WAD and the related intensity of pain are somewhat higher among women than men, the aim of the present study was to describe women's experiences of living with WAD.

    Methods

    A purposive sample of seven women participated in individual in‐depth qualitative interviews, the transcripts of which were subjected to qualitative content analysis.

    Results

    The results of the analysis suggested six themes of women's experiences with WAD: living with unpredictable pain; trying to manage the pain; living with limitations; being unable to work as before; needing support and understanding; and learning to live with limitations. The findings showed that unpredictable pain limited women's strength to engage in activities of daily life and be as active as before. Support and understanding were important for their ability to manage changes in their daily lives.

    Conclusions

    Pain considerably affects the daily lives of women with WAD, particularly by limiting their ability to perform activities and to enjoy their professional and social lives. As women with WAD need support with managing their daily lives, nurses and other healthcare personnel should adopt a person‐centred approach, in order to support such women according to their individual needs and circumstances.

  • 6.
    Karlsson, Margareta
    et al.
    Luleå University of Technology, Department of Business Administration, Technology and Social Sciences, Business Administration and Industrial Engineering.
    Garvare, Rickard
    Luleå University of Technology, Department of Business Administration, Technology and Social Sciences, Business Administration and Industrial Engineering.
    Zingmark, Karin
    Luleå University of Technology, Department of Health Sciences, Nursing and Medical technology.
    Nordström, Birgitta
    Luleå University of Technology, Department of Health Sciences, Health, Medicine and Rehabilitation.
    Organizing for sustainable inter-organizational collaboration in health care processes2020In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 34, no 2, p. 241-250Article in journal (Refereed)
    Abstract [en]

    Integrating health care services has proven to be important from both the patient and organizational perspectives. This study explores what defines a perceived well-functioning collaboration in the inter-organizational process of providing assistive devices in Sweden. Two focus groups comprising participants with profound knowledge of collaboration were performed, and data were analyzed in five steps, resulting in a data structure. Results yield the identification of three interacting processes: coordinating efforts to patient needs, ensuring evidence-based practice, and planning for efficient use of resources. These processes affected one another, and, therefore, would likely not have been effectively managed separately. The study contributes to theories of process management and organization by specifically focusing on how to analyze and improve sustainable collaboration in health care processes at both the management and professional levels. Theoretical frameworks that show different ways of organizing collaboration, as well as the concepts of action nets and boundary objects, can support both analysis and planning of collaboration. The intention would be to develop integration in inter-organizational health care processes, resulting in more person-centered care.

  • 7.
    Marklund, Lisa
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing and Medical technology. Department of Forensic Psychiatric Care, Region Norrbotten, Piteå, Sweden.
    Wahlroos, Terese
    Luleå University of Technology, Department of Health Sciences, Nursing and Medical technology. Department of Forensic Psychiatric Care, Region Norrbotten, Piteå, Sweden.
    Ejneborn-Looi, Git-Marie
    Luleå University of Technology, Department of Health Sciences, Nursing and Medical technology.
    Gabrielsson, Sebastian
    Luleå University of Technology, Department of Health Sciences, Nursing and Medical technology.
    ‘I know what I need to recover’: Patients’ experiences and perceptions of forensic psychiatric inpatient care2020In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 29, no 2, p. 235-243Article in journal (Refereed)
    Abstract [en]

    Patients find forensic psychiatric care inadequate in that they are not treated as individuals and not involved in their own care. The purpose of this study was to describe patients’ experiences and perceptions of forensic psychiatric inpatient care. Semi‐structured interviews were conducted with 11 inpatients. A qualitative content analysis resulted in a recurring theme, ‘I know what I need to recover’, and three main categories: ‘A need for meaning in a meagre existence’, ‘A need to be a person in an impersonal context’, and ‘A need for empowerment in a restricted life’. Participants experienced and perceived forensic care as predominantly monotonous, predetermined, and not adapted to them as individuals, forcing them to fight and adapt to get through it and not lose themselves. Perceived needs were largely ignored or opposed by staff due to the content and structure of care. Findings suggest a need for reflective practices and patient involvement in order to develop and maintain a person‐centred and recovery‐oriented nursing practice. The study adds to previous research showing the importance of patients in forensic psychiatric inpatient care being listened to and involved in their care. The study is reported in accordance with the COREQ guidelines.

1 - 7 of 7
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