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Claesson, M., Josefsson, K., Jonasson, L.-L. & Lindberg, E. (2020). What implies registered nurses’ leadershipclose to older adults in municipal homehealth care? A systematic review. BMC Nursing, 19(30), 1-11, Article ID 1472-6955.
Open this publication in new window or tab >>What implies registered nurses’ leadershipclose to older adults in municipal homehealth care? A systematic review
2020 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 19, no 30, p. 1-11, article id 1472-6955Article in journal (Refereed) Published
Abstract [en]

Background: Registered nurses are key figures in municipal home health care for older adults. Thus, registerednurses’ leadership is crucial to a successful and preventive care process as well as a supportive organization in orderto achieve safe care. However, there is limited research on what registered nurses’ leadership implies close to olderadults in municipal home health care. Thus, the aim is to compile and critically evaluate how international researchresults describe registered nurses’ leadership close to older adults in municipal home health care.

Methods: A systematic literature review was performed in accordance with a qualitative research study. The mainsearch was conducted on 20 April 2018. The review was reported according to the PRISMA guidelines and is registeredin the PROSPERO database (ID# CRD42019109206). Nine articles from PubMed and CINAHL meet the quality criteria. Asynthesis of data was performed in four stages according to qualitative research synthesis.

Results: Ten themes describe what registered nurses’ leadership close to older adults in municipal home health careentails: trust and control; continuous learning; competence through knowledge and ability; nursing responsibility on anorganizational level; application of skills; awareness of the individual’s needs and wholeness; mutual support; mutualrelationships; collaborating on organizational and interpersonal levels; and exposure to challenges.

Conclusions: Registered nurses leading close to older adults in municipal home health care implies being multi-artists.Nursing education, including specialist education for registered nurses, should prepare individuals for their unique andcomplex leadership role as a multi-artist. Municipal employers require knowledge about what registered nurses’leadership implies in order to create adequate conditions for their leadership objectives to achieve safe care. Furtherresearch is warranted to explore registered nurses’ leadership close to older adults in municipal home health care fromdifferent perspectives, such as older adults and next of kin.

Place, publisher, year, edition, pages
Springer Nature, 2020
Keywords
Home health care, Leadership, Multi-artist, Municipal, Older adults, Registered nurse, Systematic review
National Category
Medical and Health Sciences
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-23162 (URN)10.1186/s12912-020-00413-1 (DOI)
Projects
Sjuksköterskans patientnära ledarskap i vården för den äldre människan i kommunens hemsjukvård
Available from: 2020-04-29 Created: 2020-04-29 Last updated: 2020-06-01Bibliographically approved
Jonasson, L.-L. & Josefsson, K. (2019). Empirical Ethical Values Promoting Good Caring Encounters with Older Patients and Relatives in a Geriatric Setting. Journal of Clinical Cases and Reports
Open this publication in new window or tab >>Empirical Ethical Values Promoting Good Caring Encounters with Older Patients and Relatives in a Geriatric Setting
2019 (English)In: Journal of Clinical Cases and Reports, ISSN 2582-0435Article in journal (Refereed) Published
Abstract [en]

Objective: This study describes empirical ethical values promoting good caring encounters with older patients 65, relatives, and care staff in a geriatric clinic.  Methods: Hermeneutic method was used in a secondary analysis, a re-analysis, of data already collected in three previous studies describing empirical ethical values. Data in the previous studies was collected in a geriatric clinic at a county hospital in a medium-sized city in Sweden. In study I were older patients (n = 22) with registered nurses and enrolled nurses observed during caring encounters (n = 57). Study II was an interview study with older patients´ relatives (n = 14). Study III observed encounters with registered nurses (n = 20) who cared for older patients. Result: Empirical ethical values promoting good caring encounters comprising a welcoming environment, moral actions in physical and social movements, showing respect, participation, security, and a worthy start, middle, and end of caring encounters. Conclusion: Bearing these empirical ethical values in mind should help care staff to focus on patient safety and their own ethical values, with the aim to promote good caring encounters with older patients and relatives. Respect establishes the basis for reciprocity, when people in caring encounters trust one another, security ensues and the fundamentals for patient safety fall into place. 

Place, publisher, year, edition, pages
Published by TRIDHA Scholars., 2019
Keywords
Care staff, Empirical ethical values, Caring interaction, Hermeneutics method, Older patient, Relative
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-15231 (URN)
Available from: 2018-10-23 Created: 2018-10-23 Last updated: 2020-01-22Bibliographically approved
Bergerum, C., Johan, T., Josefsson, K. & Wolmesjö, M. (2019). How might patient involvement in healthcare quality improvement efforts work—A realist literature review. Health Expectations, 00(00), 1-13
Open this publication in new window or tab >>How might patient involvement in healthcare quality improvement efforts work—A realist literature review
2019 (English)In: Health Expectations, ISSN 1369-6513, E-ISSN 1369-7625, Vol. 00, no 00, p. 1-13Article in journal (Refereed) Published
Abstract [en]

Introduction This realist literature review, regarding active patient involvement in healthcare quality improvement (QI), seeks to identify possible mechanisms that contribute to success or failure. Furthermore, the paper outlines key considerations for organising and supporting patient involvement in healthcare QI efforts.

 

Methods Two literature searches were performed. Altogether, 1,204 articles from a healthcare context were screened, focusing on improvement efforts that involve patients, healthcare professionals and/or managers and leaders. Among these, 107 articles fulfilled the chosen study selection criteria and were further analysed. 18 articles underwent a full realist review. In the realist synthesis, context-mechanism-outcome configurations were articulated as middle-range theories and organised thematically to generate a program theory on how active patient involvement in QI efforts might work.

 

Results The articles exhibited a diversity of patient involvement approaches at different levels of healthcare organisations. To be successful, organisations’ support of QI efforts that actively involved patients tailored the QI efforts to their context to achieve the desired outcomes, and involved the relevant microsystem members. Furthermore, it promoted interaction and partnership within the microsystem, and supported the behavioural change that follows.

Conclusion This realist synthesis generates a program theory for active patient involvement in QI efforts; active patient involvement can be a tool (resource), if tailored for interaction and partnership (reasoning), that leads to behaviour change (outcome) within healthcare QI efforts. The theory explains essential resource and reasoning mechanisms, and outcomes that together form guidance for healthcare organisations when managing active patient involvement in QI efforts.

Keywords
clinical microsystem, co‐design, co‐production, healthcare management, healthcare organization, patient involvement, quality improvement, realist review
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-21020 (URN)10.1111/hex.12900 (DOI)2-s2.0-85073632580 (Scopus ID)
Available from: 2019-05-16 Created: 2019-05-16 Last updated: 2020-01-29Bibliographically approved
Jonasson, L.-L., Lindö, P., Lindh, T. & Josefsson, K. (2019). Life situation and participation as experienced by adult patients in palliative home care. Nursing and Palliative Care
Open this publication in new window or tab >>Life situation and participation as experienced by adult patients in palliative home care
2019 (English)In: Nursing and Palliative CareArticle in journal (Refereed) Published
Abstract [en]

Background: Many patients are currently cared for at the end-of-life stage at home, and the number is expected to increase. The patient’s participation is a prerequisite for good care, which also relates to ethical principles and evidence-based action. Aim: To describe adult patients’ experiences of their life situation and their participation in palliative home care. Method: A reflective lifeworld approach and a phenomenological meaning analysis were conducted. Six adult patients in palliative home care were interviewed in Sweden during 2018. Results: One essential meaning and five elements of that meaning describe adult patients’ life situations and participation in their palliative home care. The essential meaning referred to needing and endeavouring to live as usual and taking responsibility for life. The five essential elements were: The home should be my home, where I know who is coming through the door; I should know when help is coming and be included when decisions are made; routines should be maintained, but without booking up tomorrow; accept death, feel hope, and plan for relatives after my death; and be aware that death is imminent, but not know when it will come. Conclusions: Participation in palliative home care can be maintained and improved by caregivers behaving as guests in the patient’s home, building up the patient’s trust, showing consideration for patients and their relatives, promoting patients living everyday life as they previously had, asking about the patient’s habits, and giving patients time and continuity in the caregiving relationship. Education should focus on how to have supportive conversations with a patient who is dying and preparing for death.

Keywords
adult patients, end-of-life, interview, life situation, palliative home care, participation
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-21192 (URN)
Available from: 2019-06-12 Created: 2019-06-12 Last updated: 2019-06-17Bibliographically approved
Jakobsson, M., Josefsson, K. & Högberg, K. (2019). Reasons for sleeping difficulties as perceived by adolescents.. In: : . Paper presented at School Nurses International Conference, Stockholm 22-26 juli 2019..
Open this publication in new window or tab >>Reasons for sleeping difficulties as perceived by adolescents.
2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hb:diva-21654 (URN)
Conference
School Nurses International Conference, Stockholm 22-26 juli 2019.
Available from: 2019-08-23 Created: 2019-08-23 Last updated: 2019-08-26Bibliographically approved
Jakobsson, M., Josefsson, K. & Högberg, K. (2019). Reasons for sleeping difficulties as perceived by adolescents: A content analysis. Scandinavian Journal of Caring Sciences
Open this publication in new window or tab >>Reasons for sleeping difficulties as perceived by adolescents: A content analysis
2019 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Published
Abstract [en]

Sleeping difficulties are increasingly prevalent among adolescents worldwide and have negative consequences for adolescent health and education. The aim of this study was to describe the reasons for sleeping difficulties as perceived by adolescents. Sleeping difficulties include insufficient sleep, trouble falling asleep, waking up at night, or sleep that does not leave an individual rested. Data were collected in 2015 using an open-ended question. The sample consisted of n = 475 adolescents from a city in Sweden, aged 15–16 years, with self-assessed sleeping difficulties. The results described the reasons for the adolescents’ sleeping difficulties, at a general, thematic level, as an imbalance between requirements and preconditions, distributed to stress, technology use, poor sleep habits, existential thoughts, needs, and suffering. To find a balance in their daily lives, adolescents may need support from parents, school nurses, and school health services to deal with their sleeping difficulties.

Keywords
Sleeping difficulties, adolescent, perception, questionnaire, content analysis.
National Category
Medical and Health Sciences
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-22678 (URN)10.1111/scs.12750 (DOI)000485751800001 ()2-s2.0-85071933415 (Scopus ID)
Available from: 2020-01-24 Created: 2020-01-24 Last updated: 2020-01-29Bibliographically approved
Jakobsson, M., Josefsson, K., Jutengren, G., Sandsjö, L. & Högberg, K. (2019). Sleep duration and sleeping difficulties among adolescents, and their associations with school stress, self-perception and technology use.. In: : . Paper presented at School Nurses International Conference, Stockholm, 22-26 juli 2019..
Open this publication in new window or tab >>Sleep duration and sleeping difficulties among adolescents, and their associations with school stress, self-perception and technology use.
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2019 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hb:diva-21650 (URN)
Conference
School Nurses International Conference, Stockholm, 22-26 juli 2019.
Available from: 2019-08-23 Created: 2019-08-23 Last updated: 2019-08-26Bibliographically approved
Jakobsson, M., Josefsson, K., Jutengren, G., Sandsjö, L. & Högberg, K. (2019). Sleep duration and sleeping difficulties among adolescents: Exploring associations with school stress, self-perception, and technology use. Scandinavian Journal of Caring Sciences, 33(1), 197-206, Article ID SCS12621.
Open this publication in new window or tab >>Sleep duration and sleeping difficulties among adolescents: Exploring associations with school stress, self-perception, and technology use
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2019 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 33, no 1, p. 197-206, article id SCS12621Article in journal (Refereed) Published
Abstract [en]

Sleep duration and sleeping difficulties among adolescents: exploring associations with school stress, self-perception and technology use

 

Sleeping problems are increasing among adolescents worldwide. This study aimed to describe the prevalence of self-reported sleep duration and sleeping difficulties, as well as to explore their associations with school stress, self-perception, that is how adolescents perceive their appearance and happiness, and technology use among adolescents. Data were collected in 2015 using a questionnaire. A total of 937 ninth grade adolescents, 15–16 years, from a city in western Sweden participated, resulting in a response rate of 83%. The result showed that 55% of the adolescents slept less than the recommended 8 hours per night and 11% had sleeping difficulties. School stress and technology use were associated with short sleep duration. School stress and self-perception were associated with sleeping difficulties. The girls had worse outcomes for sleeping difficulties, school stress, self-perception and technology use than the boys. Based on the results, there is a need for school nurses to implement preventive measures to improve adolescents’ sleep.

Keywords
Adolescents, school nurse, school stress, self-perception, sleep, technology use
National Category
Medical and Health Sciences
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-15107 (URN)10.1111/scs.12621 (DOI)000462154100020 ()30311255 (PubMedID)2-s2.0-85054857606 (Scopus ID)
Available from: 2018-10-18 Created: 2018-10-18 Last updated: 2020-01-31Bibliographically approved
Jakobsson, M., Josefsson, K. & Högberg, K. (2019). Sömnbrist och sömnsvårigheter hos ungdomar har samband med hög skolstress och låg självuppfattning. Tidskriften Sömn och Hälsa (1), 19-25
Open this publication in new window or tab >>Sömnbrist och sömnsvårigheter hos ungdomar har samband med hög skolstress och låg självuppfattning
2019 (Swedish)In: Tidskriften Sömn och Hälsa, ISSN 2003-234X, no 1, p. 19-25Article in journal (Other (popular science, discussion, etc.)) Published
Place, publisher, year, edition, pages
Kristianstad University Press, 2019
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hb:diva-21652 (URN)
Available from: 2019-08-23 Created: 2019-08-23 Last updated: 2019-09-02Bibliographically approved
Jakobsson, M., Josefsson, K., Jutengren, G., Sandsjö, L. & Högberg, K. (2019). Ungdomars självskattade sömnlängd och sömnsvårigheter - dess samband med skolstress, självuppfattning och teknikanvändning.. In: : . Paper presented at Nätverket Sömn och Hälsa. Kristianstad, 14 mars, 2019..
Open this publication in new window or tab >>Ungdomars självskattade sömnlängd och sömnsvårigheter - dess samband med skolstress, självuppfattning och teknikanvändning.
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2019 (Swedish)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hb:diva-21651 (URN)
Conference
Nätverket Sömn och Hälsa. Kristianstad, 14 mars, 2019.
Available from: 2019-08-23 Created: 2019-08-23 Last updated: 2019-08-26Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-7117-9808

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