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Sterner, Anders
Publications (9 of 9) Show all publications
Sterner, A., Säfström, E., Palmér, L., Ramstrand, N. & Andersson Hagiwara, M. (2020). Development and initial validation of an instrument to measure novice nurses’ perceived ability to provide care in acute situations – PCAS. BMC Nursing, 19(13)
Open this publication in new window or tab >>Development and initial validation of an instrument to measure novice nurses’ perceived ability to provide care in acute situations – PCAS
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2020 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 19, no 13Article in journal (Refereed) Published
Abstract [en]

Background: Novice nurses need to be better prepared to provide care in acute situations. There is currently no validated scale specifically measuring nurses’ perception of their ability to provide care in acute situations. The aim of this study was to develop and examine the psychometric properties of a scale that measures novice nurses selfreported perception of ability to provide care in acute situations.

Method: Development and test of the psychometric properties of the Perception to Care in Acute Situations (PCAS) scale. Items were generated from interviews with novice nurses (n = 17) and validated using opinions of an expert panel and cognitive interviews with the target group. Two hundred nine novice nurses tested the final scale. Exploratory factor analysis (EFA) was used to test construct validity, item reduction and underlying dimensions between the measured variables and the latent construct.

Result: The PCAS scale contains 17 items grouped into three factors. EFA demonstrated a clean three factor logic construct solution with no cross-loadings, high correlation for the total scale in both Cronbach’s alfa 0.90 and ordinal alpha 0.92.

Conclusions: The PCAS scale has proven to have acceptable validity. The factors,” confidence in provision of care”, “communication” and “patient perspective” are likely to be important aspects of providing care in acute situations. Additional testing of the PCAS is needed to conclude if it is sensitive enough to evaluate interventions aimed at improving novice nurses competence and suitable as a guide for reflection for novice nurses.

Keywords
Nursing, Education, Educational measurement, Psychometrics, Self report, Acute
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-22837 (URN)
Available from: 2020-02-18 Created: 2020-02-18 Last updated: 2020-03-04Bibliographically approved
Sterner, A. (2019). Factors developing nursing students and novice nurses’ ability to provide care in acute situations. Nurse Education in Practice, 35, 135-140
Open this publication in new window or tab >>Factors developing nursing students and novice nurses’ ability to provide care in acute situations
2019 (English)In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 35, p. 135-140Article in journal (Refereed) Published
Abstract [en]

Nurses play an important role in detecting, interpreting and deciding appropriate actions to take in order to care for patients in acute situations. Nevertheless, novice nurses are reported as feeling unprepared to provide appropriate care in acute situations. In order to address this issue, it is important to describe factors in nursing education and first year of practice that enable nurses to provide appropriate care in acute situations. 17 novice nurses were interviewed in this qualitative study. A phenomenographic analysis was applied and four categories were discovered: Integrating theory into practice, access to adequate support, experience-based knowledge and personality traits. Results suggest that a variety of factors contribute to novice nurses’ ability to provide appropriate care in acute situations. Experience of acute situations and the integration of theory and practice are pivotal in acquiring skills to provide appropriate care. To accomplish this, reflection, practice and/or applied training with a patient perspective is recommended.

Place, publisher, year, edition, pages
Elsevier: , 2019
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-15891 (URN)10.1016/j.nepr.2019.02.005 (DOI)30818117 (PubMedID)2-s2.0-85062686089 (Scopus ID)
Available from: 2019-03-21 Created: 2019-03-21 Last updated: 2020-01-31Bibliographically approved
Sterner, A., Nyström, M., Ramstrand, N., Andersson Hagiwara, M. & Palmér, L. (2018). Novice Nurses Perceptions Of Their Ability To Care In Acute Situations. In: : . Paper presented at 3rd Global Conference on Emergency Nursing & Trauma Care, Leeuwenhorst, 4-6 October,.
Open this publication in new window or tab >>Novice Nurses Perceptions Of Their Ability To Care In Acute Situations
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2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Introduction

Nurses have an essential role in acute care situations for preventing adverse events and improve patient outcomes as they typically have most patient contact and are often first to detect acute sickness (Della Ratta, 2016). Education and experience is highlighted as important for developing nurses ability in acute situations (Massey et al., 2017). The aim of this study was to describe what affects novice nurses’ ability to care in acute situations.

Method: Qualitative descriptive design with a phenomenographic approach. Data consisted of 17 interviews of novice nurses working in acute care hospitals in Sweden. Novice are defined as less than 1 year of working experience. The context acute situations following Sterner et al. (2017) findings that acute situations is more than physical deterioration of patients.

Results: Experience of acute situations is perceived as significant for developing the pivotal knowledge and ability to care in acute situations. Clinical practice is not a guarantee for this experience during nurse education. Reasons for this could be that nothing acute happened during allocated shifts. If an acute situation occurred the student could be allocated additional assignments or sent home. The skills obtained in acute situations are perceived as a lottery dependent upon where you get your clinical practice assigned.

Discussion: Experience is perceived as significant for developing ability to care in acute situations. If nurse education can’t facilitate learning of and in acute situations during clinical practice, simulation can be a method for developing the ability. When nursing students train, it is important to include different factors such as time pressure, surprises, contact with different occupational groups and next of kin to facilitate the ability to care in acute situations.

References

DELLA RATTA, C. 2016. Challenging graduate nurses' transition: Care of the deteriorating

patient. Journal of Clinical Nursing, 25, 3036-3048.

MASSEY, D., CHABOYER, W. & ANDERSON, V. 2017. What factors influence ward nurses’ recognition of and response to patient deterioration? An integrative review of the literature.Nursing open, 4, 6-23.

STERNER, A., RAMSTRAND, N., NYSTRÖM, M., HAGIWARA, M. A. & PALMÉR, L. 2017. Novice nurses’ perceptions of acute situations–a phenomenographic study. International emergency nursing.

Keywords
Novice nurses, Acute situation, Ability, Simulation
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hb:diva-15104 (URN)
Conference
3rd Global Conference on Emergency Nursing & Trauma Care, Leeuwenhorst, 4-6 October,
Available from: 2018-09-18 Created: 2018-09-18 Last updated: 2018-09-26Bibliographically approved
Palmér, L., Sterner, A. & Andersson Hagiwara, M. (2017). Kan komplex simuleringsträning öka patientsäkerheten? Vilken är högskolans och universitetens roll i patientsäkerhetsarbetet?. In: : . Paper presented at Almedalen, Borås, July 6, 2017.
Open this publication in new window or tab >>Kan komplex simuleringsträning öka patientsäkerheten? Vilken är högskolans och universitetens roll i patientsäkerhetsarbetet?
2017 (Swedish)Conference paper, Oral presentation only (Other (popular science, discussion, etc.))
Keywords
Simulering, vård, patientsäkerhet, kliniskt träningscentrum
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-13527 (URN)
Conference
Almedalen, Borås, July 6, 2017
Available from: 2018-01-16 Created: 2018-01-16 Last updated: 2018-01-17Bibliographically approved
Sterner, A., Ramstrand, N., Nyström, M., Andersson Hagiwara, M. & Palmér, L. (2017). Novice nurses' perceptions of acute situations - A phenomenographic study.. International Emergency Nursing, Article ID S1755-599X(17)30169-6.
Open this publication in new window or tab >>Novice nurses' perceptions of acute situations - A phenomenographic study.
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2017 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, article id S1755-599X(17)30169-6Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: Today's nurses face complex patient challenges and increased patient acuity. Novice nurses may feel unprepared for some of the tasks facing them. In order to prevent adverse events and improve patient outcomes, the management of acute situations has been identified as an area needing attention. Despite this, it is not yet clear what novice nurses themselves perceive as an acute situation. Therefore, the aim of this study is to describe novice nurses' perceptions of acute situations.

METHOD: The study has a qualitative, descriptive design with a phenomenographic approach. Semi-structured interviews were conducted with twelve novice nurses, with less than a year of working experience, about their perceptions of acute situations.

RESULTS: Acute situations are perceived as situations that occur suddenly, that involve shortage of time, or that generate a sense of insufficient personal competence. When acute situations arise, nurses experience a feeling of overwhelming responsibility. Acute situations involve not only deteriorating patient health but can also include challenging interpersonal relations or deficiencies in organisational procedures.

CONCLUSION: An acute situation, as perceived by novice nurses, contains significantly more than medical manifestations related to the patient, a prominent perception being that interpersonal relations are crucial for appropriate management.

Keywords
Fenomenografi, akuta situationer, nyutexaminerade sjuksköterskor, vård
National Category
Health Sciences
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-13525 (URN)10.1016/j.ienj.2017.12.001 (DOI)000441924600005 ()29269291 (PubMedID)2-s2.0-85038359181 (Scopus ID)
Available from: 2018-01-16 Created: 2018-01-16 Last updated: 2018-12-21Bibliographically approved
Sterner, A. (2017). Novice nurses perceptions of acute situations - Born to run or a thunder road?. In: : . Paper presented at Advances in Health Care Sciences Research Conference 2017, Stockholm Sweden, November 15-16, 2017. Stockholm
Open this publication in new window or tab >>Novice nurses perceptions of acute situations - Born to run or a thunder road?
2017 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

AIM: Describe novice nurses perception of what constitute acute situations.

METHOD: Qualitative descriptive design with a phenomenographic approach. Data consisted of 12 interviews of nurses with less than 1 year of working experience in acute care hospitals in south west of Sweden. The informants were encouraged to reflect and speak freely about their perceptions of acute situations. Follow-up questions were open- ended, individual and dependent upon previous answers.

RESULTS: Novice nurses perceive acute situations as something more than just a medical physical deterioration. Acute situations are also for example challenging interpersonal relations. The acute situation is surprising and happens suddenly, time is insufficient, one’s own competence is insufficient, the responsibility feels overwhelming and the organisational deficiencies surrounding the nurse become evident.

CONCLUSION: These perceptions and challenges novice nurses experience in acute situations are important to be aware of. Nurse educators should consider them in their planning of curriculums. Hospital managers should consider these perceptions in their planning of preceptor, residency or introduction programs for new nurses. Together this could be a step in the important work to bridge the education practice gap.

Place, publisher, year, edition, pages
Stockholm: , 2017
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-13264 (URN)
Conference
Advances in Health Care Sciences Research Conference 2017, Stockholm Sweden, November 15-16, 2017
Available from: 2017-12-19 Created: 2017-12-19 Last updated: 2017-12-19Bibliographically approved
Engwall, M., Fridh, I., Jutengren, G., Bergbom, I., Sterner, A. & Lindahl, B. (2017). The effect of cycled lighting in the intensive care unit on sleep, activity and physiological parameters: A pilot study. Intensive & Critical Care Nursing, 41, 26-32, Article ID S0964-3397(17)30032-0.
Open this publication in new window or tab >>The effect of cycled lighting in the intensive care unit on sleep, activity and physiological parameters: A pilot study
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2017 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 41, p. 26-32, article id S0964-3397(17)30032-0Article in journal (Refereed) Published
Abstract [en]

Patients in intensive care suffer from severe illnesses or injuries and from symptoms related to care and treatments. Environmental factors, such as lighting at night, can disturb patients' circadian rhythms. The aim was to investigate whether patients displayed circadian rhythms and whether a cycled lighting intervention would impact it. In this pilot study (N=60), a cycled lighting intervention in a two-bed patient room was conducted. An ordinary hospital room functioned as the control. Patient activity, heart rate, mean arterial pressure and body temperature were recorded. All data were collected during the patients' final 24h in the intensive care unit. There was a significant difference between day and night patient activity within but not between conditions. Heart rates differed between day and night significantly for patients in the ordinary room but not in the intervention room or between conditions. Body temperature was lowest at night for all patients with no significant difference between conditions. Patients in both conditions had a natural circadian rhythm; and the cycled lighting intervention showed no significant impact. As the sample size was small, a larger repeated measures study should be conducted to determine if other types of lighting or environmental factors can impact patients' well-being.

Keywords
Body temperature, Circadian rhythm, Critical care, Heart rate, Intensive care unit, Light, Mean arterial pressure, Motor activity, Sleep
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hb:diva-12870 (URN)10.1016/j.iccn.2017.01.009 (DOI)000405251200006 ()28268055 (PubMedID)2-s2.0-85014263045 (Scopus ID)
Available from: 2017-10-16 Created: 2017-10-16 Last updated: 2017-12-13Bibliographically approved
Engström, H., Andersson Hagiwara, M., Backlund, P., Lebram, M., Lundberg, L., Johannesson, M., . . . Maurin Söderholm, H. (2016). The impact of contextualization on immersion in healthcare simulation. Advances in Simulation, 1(1), 1-11
Open this publication in new window or tab >>The impact of contextualization on immersion in healthcare simulation
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2016 (English)In: Advances in Simulation, ISSN 2059-0628, Vol. 1, no 1, p. 1-11Article in journal (Refereed) Published
Abstract [en]

The aim of this paper is to explore how contextualization of a healthcare simulation scenarios impacts immersion, by using a novel objective instrument, the Immersion Score Rating Instrument. This instrument consists of 10 triggers that indicate reduced or enhanced immersion among participants in a simulation scenario. Triggers refer to events such as jumps in time or space (sign of reduced immersion) and natural interaction with the manikin (sign of enhanced immersion) and can be used to calculate an immersion score.

National Category
Other Medical Sciences
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-9517 (URN)10.1186/s41077-016-0009-y (DOI)
Available from: 2016-04-05 Created: 2016-04-05 Last updated: 2017-05-04Bibliographically approved
Lundberg, L., Sterner, A., Engström, H., Heldal, I. & Maurin Söderholm, H. (2015). Evaluation of immersion in high fidelity simulation. In: : . Paper presented at Society in Europe for Simulation Applied to Medicine (SESAM), Belfast,June 24-26, 2015..
Open this publication in new window or tab >>Evaluation of immersion in high fidelity simulation
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2015 (English)Conference paper, Oral presentation only (Refereed)
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hb:diva-8558 (URN)
Conference
Society in Europe for Simulation Applied to Medicine (SESAM), Belfast,June 24-26, 2015.
Available from: 2016-01-15 Created: 2016-01-15 Last updated: 2018-04-28Bibliographically approved
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