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Maurin Söderholm, Hanna
Alternative names
Publications (10 of 45) Show all publications
Gustafsson, T., Sundler, A. J., Hedén, L., Lindberg, E. & Maurin Söderholm, H. (2023). Communication in home care—A feasibility study of an educational intervention in self‐efficacy and job satisfaction. Nursing Open, 10(3), 1375-1382
Open this publication in new window or tab >>Communication in home care—A feasibility study of an educational intervention in self‐efficacy and job satisfaction
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2023 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 10, no 3, p. 1375-1382Article in journal (Refereed) Published
Abstract [en]

Aim

To explore the feasibility of evaluating a novel educational intervention on person-centered communication for nursing assistants (NAs) in home care.

Design

A feasibility study with pre- and post-assessments.

Methods

Feasibility was assessed pre- and post-intervention, including evaluation of data collection procedures, completion rates and missing data in two questionnaires: Self-efficacy Questionnaire measuring communication skills and Measure of Job Satisfaction, analysed descriptively and statistically.

Results

The questionnaires were feasible and acceptable for the NAs to complete and understand. The pre- and post-assessments showed 83% and 61% completion rates, respectively, and a low proportion of missing data. Barriers for not participating in data collection were stress caused by staff shortages and high workload. Preliminary analysis of the questionnaires showed no significant difference pre- and post-intervention, even though an overall tendency of increased communication self-efficacy was observed. The NAs' self-efficacy ratings also revealed a ceiling effect.

 

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
communication, evaluation, feasibility, home care, intervention, job satisfaction, self-efficacy
National Category
Didactics
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-28722 (URN)10.1002/nop2.1387 (DOI)000860296700001 ()2-s2.0-85138725712 (Scopus ID)
Funder
University of Borås
Note

Forskningsfinansering: Agneta Prytz-Folkes och Gösta Folkes Stiftelse

Available from: 2022-10-11 Created: 2022-10-11 Last updated: 2023-08-24Bibliographically approved
Lee, E., Sjöqvist, B. A., Andersson Hagiwara, M., Maurin Söderholm, H. & Candefjord, S. (2023). Development of Verified Innovation Process for Healthcare Solutions (VIPHS): A Stepwise Model for Digital Health. In: Maria Hägglund, Madeleine Blusi, Stefano Bonacina, Lina Nilsson, Inge Cort Madsen, Sylvia Pelayo, Anne Moen, Arriel Benis, Lars Lindsköld, Parisis Gallos (Ed.), Studies in Health Technology and Informatics: Volume 302. Paper presented at The 33rd Medical Informatics Europe Conference, MIE2023, Gothenburg, Sweden, 22-25 May, 2023. (pp. 736-740).
Open this publication in new window or tab >>Development of Verified Innovation Process for Healthcare Solutions (VIPHS): A Stepwise Model for Digital Health
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2023 (English)In: Studies in Health Technology and Informatics: Volume 302 / [ed] Maria Hägglund, Madeleine Blusi, Stefano Bonacina, Lina Nilsson, Inge Cort Madsen, Sylvia Pelayo, Anne Moen, Arriel Benis, Lars Lindsköld, Parisis Gallos, 2023, p. 736-740Conference paper, Published paper (Refereed)
Abstract [en]

Many digital health projects often stop in the pilot or test phase. Realisation of new digital health services is often challenging due to lack of guidelines for the step-by-step roll-out and implementation of the systems when changing work processes and procedures are needed. This study describes development of the Verified Innovation Process for Healthcare Solutions (VIPHS) – a stepwise model for digital health innovation and utilisation using service design principles. A multiple case study (two cases) involving participant observation, role play, and semi-structured interviews were conducted for the model development in prehospital settings. The model might be helpful to support realisation of innovative digital health projects in a holistic, disciplined, and strategic way.

Series
Studies in Health Technology and Informatics, ISSN 0926-9630, E-ISSN 1879-8365 ; 302
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-29845 (URN)10.3233/shti230250 (DOI)001071432900191 ()2-s2.0-85159770221 (Scopus ID)
Conference
The 33rd Medical Informatics Europe Conference, MIE2023, Gothenburg, Sweden, 22-25 May, 2023.
Available from: 2023-05-30 Created: 2023-05-30 Last updated: 2024-02-01Bibliographically approved
Höglander, J., Holmström, I. K., Gustafsson, T., Lindberg, E., Maurin Söderholm, H., Hedén, L., . . . Sundler, A. J. (2023). Implementing A person-centred CommunicaTION (ACTION) educational intervention for in-home nursing assistants – a study protocol. BMC Geriatrics, 23(1), Article ID 112.
Open this publication in new window or tab >>Implementing A person-centred CommunicaTION (ACTION) educational intervention for in-home nursing assistants – a study protocol
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2023 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 23, no 1, article id 112Article in journal (Refereed) Published
Abstract [en]

Background: In this study, the focus is on how to support the competence development needed for nursing assistants in home care. Home care services for older persons can be challenging concerning the nature of the interpersonal interaction and communication needed to care for and respond to the diverse needs of older people who seek to live well in our communities. This implies a need to offer more person-centred care (PCC) to older persons. However, there is a lack of knowledge on how to develop such competence. We, therefore, developed A Person-centred CommunicaTION (ACTION) programme, which is a web-based educational intervention aimed at supporting competence development for nursing assistants. The research objective is to evaluate the ACTION programme with respect to participants’ responses to and the effect of the intervention. Methods: A multicentre case–control study with pre- and post-assessments was designed. The ACTION programme will be implemented at home care units, in two different geographic areas in Sweden. A total of 300 nursing assistants will be recruited: 150 for the intervention group and 150 for the control group. We will evaluate the impact measures and the process. Pre- and post-assessments will be performed with data collected via a) audio recordings of communication, b) a questionnaire on self-efficacy communication skills, PCC, empathy and job satisfaction, c) user data, evaluation forms, field notes and observations, and d) interviews. The data will be analysed with descriptive and analytic statistics and/or qualitative methods for meanings. Discussion: This study has the potential to contribute to the evidence supporting competence development required to offer person-centred and quality home care to older persons and to meet upcoming needs for flexible and easily accessible competence development. Trial registration: ISRCTN64890826. Registered 10 January 2022, https://www.isrctn.com/ISRCTN64890826 

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Competence development, Education intervention, Home care, Nursing assistants, Older persons, Person-centred communication, Study protocol, Aged, Aged, 80 and over, Case-Control Studies, Communication, Empathy, Home Care Services, Humans, article, audio recording, case control study, communication skill, controlled study, education, female, human, human experiment, interview, job satisfaction, male, multicenter study, nursing assistant, qualitative analysis, questionnaire, self concept, Sweden, interpersonal communication, very elderly
National Category
Nursing
Research subject
The Human Perspective in Care; The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-30273 (URN)10.1186/s12877-023-03831-3 (DOI)000940262500001 ()2-s2.0-85148998872 (Scopus ID)
Available from: 2023-08-15 Created: 2023-08-15 Last updated: 2024-02-01Bibliographically approved
Andersson, U., Maurin Söderholm, H., Andersson, H., Wireklint Sundström, B., Andersson Hagiwara, M. & Puaca, G. (2023). Organizational factors influencing clinical reasoning in a Swedish emergency medical service organization: An explorative qualitative case study. Paramedicine
Open this publication in new window or tab >>Organizational factors influencing clinical reasoning in a Swedish emergency medical service organization: An explorative qualitative case study
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2023 (English)In: Paramedicine, ISSN 2753-6386Article in journal (Refereed) Published
Abstract [en]

Introduction

Clinical reasoning (CR) among healthcare professionals working in emergency medical services (EMS) who focus on ambulance care is a vital part of ensuring timely and safe patient care. The EMS environment continually fluctuates, so clinicians constantly need to adapt to new situations. Organizational support is described as important for CR, but overall, research on organizational influences for CR in an EMS context is lacking. An increased understanding of these influencing factors can assist in the development of EMS by strengthening CR among clinicians. Therefore, the purpose of this study was to investigate the organizational factors influencing EMS clinicians’ CR.

Methods

Using a qualitative single case study design, an EMS organization in southwestern Sweden was explored. Data were collected from participant observations of patient encounters, individual and group interviews with clinicians and organizational representatives, and organizational document audits. Data were analyzed using qualitative content analysis and triangulation of data sources.

Results

The results revealed several organizational influencing factors. Collaboration and information sharing internally and externally were emphasized as essential components influencing CR. Additionally, the structure for the clinicians’ ‘room for action’ appeared confused and created uncertainties for CR related to decision mandates.

Conclusion

The conclusion is that organizational factors do play an important role in clinicians’ CR. Moreover, the EMS community needs to develop suitable forums for discussing and developing these influencing factors across organizational hierarchies. Finally, clarification is needed on clinicians’ ‘room for action’ within their own organization but also with possible collaborators.

 

Place, publisher, year, edition, pages
Sage Publications, 2023
Keywords
health and well-being, qualitative analysis and interpretation, clinical reasoning, decision making, emergency medicalservices, work and healthcare environment
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-30241 (URN)10.1177/27536386231189011 (DOI)2-s2.0-85175415486 (Scopus ID)
Available from: 2023-08-11 Created: 2023-08-11 Last updated: 2024-02-01Bibliographically approved
Andersson, U., Maurin Söderholm, H., Andersson Hagiwara, M. & Andersson, H. (2023). Situation awareness in Sweden’s emergency medical services: a goal-directed task analysis. Discover Health Systems, 2, Article ID 44.
Open this publication in new window or tab >>Situation awareness in Sweden’s emergency medical services: a goal-directed task analysis
2023 (English)In: Discover Health Systems, ISSN 2731-7501, Vol. 2, article id 44Article in journal (Refereed) Published
Abstract [en]

Situation awareness is knowing what is going on in the situation. Clinicians working in the emergency medical services (EMS) encounter numerous situations in various conditions, and to be able to provide efficient and patient safe care they need to understand what is going on and possible projections of the current situation. The design of this study encompassed a Goal-Directed Task analysis where situation awareness information requirements were mapped in relation to goals related to various aspects of the EMS mission. A group of 30 EMS subject matter experts were recruited and answered a web-based survey in three rounds related to what they though themselves or a colleague might need to achieve situation awareness related to the specific goals of various situations. The answers were analysed using content analysis and descriptive statistics. Answers reached consensus at a predetermined level of 75%. Those who reached consensus were entered into the final goal-directed task analysis protocol. The findings presented that EMS clinicians must rely on their own, or their colleagues prior experience or knowledge to achieve situation awareness. This suggests that individual expertise plays a crucial role in developing situation awareness. There also seems to be limited support for situation awareness from organizational guidelines. Furthermore, achieving situation awareness also involves collaborative efforts from the individuals involved in the situation. These findings could add to the foundation for further investigation in this area which could contribute to the development of strategies and tools to enhance situation awareness among EMS clinicians, ultimately improving patient care and safety.

National Category
Nursing
Research subject
The Human Perspective in Care; The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-30937 (URN)10.1007/s44250-023-00061-7 (DOI)
Available from: 2023-11-28 Created: 2023-11-28 Last updated: 2024-01-18Bibliographically approved
Gustafsson, T., Maurin Söderholm, H., Sundler, A. J., Karlsson, P. & Lindberg, E. (2023). ‘Sometimes you need an eye-opener’: A qualitative study on nursing assistants' experiences of developing communication skills through an educational intervention on person-centred communication. Nursing Open
Open this publication in new window or tab >>‘Sometimes you need an eye-opener’: A qualitative study on nursing assistants' experiences of developing communication skills through an educational intervention on person-centred communication
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2023 (English)In: Nursing Open, E-ISSN 2054-1058Article in journal (Refereed) Epub ahead of print
Abstract [en]

Aim

To explore nursing assistants' (NAs') experiences of developing communication skills while participating in an educational intervention on person-centred communication.

Design

A descriptive qualitative study was conducted.

Methods

Data were collected from interviews and written assignments before, during and after an educational intervention on person-centred communication targeting NAs in home care services. The data were analysed using a phenomenological approach. A total of 25 NAs participated in the study.

Results

The findings describe NAs' experiences concerning the communication skills needed for building relationships with older persons and handling emotionally challenging situations. The educational intervention increased their knowledge and awareness of the importance of communication skills and how such skills are developed and refined.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-29599 (URN)10.1002/nop2.1702 (DOI)000945982700001 ()2-s2.0-85150459308 (Scopus ID)
Funder
University of Borås
Available from: 2023-04-03 Created: 2023-04-03 Last updated: 2024-02-01
Gustafsson, T., Sundler, A. J., Hedén, L., Lindberg, E. & Maurin Söderholm, H. (2022). An educational intervention to improve communication skills in home care – a feasibility study. In: : . Paper presented at The 4th International NCCS & EACS Conference, Eskilstuna, 26-28 april, 2022..
Open this publication in new window or tab >>An educational intervention to improve communication skills in home care – a feasibility study
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2022 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

An educational intervention to improve communication skills in home care – a feasibility study

Background

An educational intervention focused on person-centred communication with older persons in home care was developed. Twenty-three nursing assistants (NAs) from two home care units were offered the intervention. This feasibility study was conducted to capture benefits and pit falls with study processes before large scale interventions, such as acceptability and appropriateness of evaluation methods.

Aim

To explore the feasibility of proposed methods for evaluating a novel educational intervention on person-centered communication for NAs in home care.

Method

Feasibility study with pre- and post-assessments, including evaluation of data collection procedures, completion rates, and missing data for two questionnaires: Self-efficacy Questionnaire measuring communication skills and Measure of Job Satisfaction. Descriptive and statistical analysis was conducted. 

Results

The results showed a completion rate of 83% and 61% in pre- and post-assessment respectively, and a low proportion of missing data. The questionnaires were feasible and acceptable for NAs to complete and understand. Stress due to staff shortages and high workload negatively affected NAs’ participation in data collection. Overall, NAs rated their communication skills as high with a tendency towards higher communication self-efficacy after the intervention, however, this difference was not statistically significant. Job satisfaction remained unchanged pre- and post-intervention.

Conclusion

Low follow-up rates suggest that the data collection procedures need refinement. Although the outcomes are preliminary at this point, they indicate a ceiling effect in NAs’ self-efficacy ratings. The ceiling effect limits possibilities for improvement and suggests that studies with a larger sample is needed.

Implications for caring in a changing world

In a changing world, where a rapid aging population challenges home care services, there is a need for innovative interventions that support and strengthen health care professionals’ communication skills, aiming at improving older persons’ well-being This study contributes with knowledge to the complexity of developing and evaluating complex interventions on communication in home care.

National Category
Nursing
Identifiers
urn:nbn:se:hb:diva-29100 (URN)
Conference
The 4th International NCCS & EACS Conference, Eskilstuna, 26-28 april, 2022.
Available from: 2022-12-11 Created: 2022-12-11 Last updated: 2023-01-04Bibliographically approved
Andersson, U., Andersson Hagiwara, M., Wireklint Sundström, B., Andersson, H. & Maurin Söderholm, H. (2022). Clinical Reasoning among Registered Nurses in Emergency Medical Services: A Case Study. Journal of Cognitive Engineering and Decision Making
Open this publication in new window or tab >>Clinical Reasoning among Registered Nurses in Emergency Medical Services: A Case Study
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2022 (English)In: Journal of Cognitive Engineering and Decision Making, ISSN 1555-3434, E-ISSN 2169-5032Article in journal (Refereed) Published
Abstract [en]

In emergency medical services (EMS), the clinical reasoning (CR) of registered nurses (RNs) working in ambulance care plays an important role in providing care and treatment that is timely, accurate, appropriate and safe. However, limited existing knowledge about how CR is formed and influenced by the EMS mission hinders the development of service provision and decision support tools for RNs that would further enhance patient safety. To explore the nature of CR and influencing factors in this context, an inductive case study examined 34 observed patient–RN encounters in an EMS setting focusing on ambulance care. The results reveal a fragmented CR approach involving several parallel decision-making processes grounded in and led by patients’ narratives. The findings indicate that RNs are not always aware of their own CR and associated influences until they actively reflect on the process, and additional research is needed to clarify this complex phenomenon.

Keywords
Clinical reasoning, decision-making, problem-solving, naturalistic studies, field study, healthcare delivery, emergency medical services
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-27921 (URN)10.1177/15553434221097788 (DOI)000800553600001 ()2-s2.0-85131073033 (Scopus ID)
Projects
Bedömning och beslutsfattande i ambulanssjukvård
Available from: 2022-05-25 Created: 2022-05-25 Last updated: 2023-10-03Bibliographically approved
Gustafsson, T., Lindberg, E., Hedén, L., Maurin Söderholm, H. & Sundler, A. J. (2022). Walk a fine line between meaningfulness or discomfort: the complexity of emotional communication. In: : . Paper presented at The 2022 International Conference on Communication in Healthcare in Glasgow, 6-9 September 2022..
Open this publication in new window or tab >>Walk a fine line between meaningfulness or discomfort: the complexity of emotional communication
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2022 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background: 

The home care of older persons includes inter-personal interactions and communication needed to care for and respond to diverse needs of older people. Previous research has focused on emotional expressions of older persons and responses by nursing staff. Research on the meaning of the interaction in these sequences is sparse. Therefore, the aim of this study was to illuminate the meaning attached to sequences of emotional communication and the interaction during these sequences between older persons and nursing assistants during home care visits.

Methods: 

A descriptive observational design was used. The data consisted of 44 audio recordings of real-life conversations between older persons and nursing assistants during home care visits. A hermeneutic phenomenological analysis was conducted.

Findings: 

Preliminary results indicate sequences of emotional communication being a window of opportunities. The interaction that followed were linked to dual and sometimes incongruent meanings. Expressions being actively blocked or ignored could cause an increase of unpleasant emotions or distract away from negative feelings. Simultaneously, such conversations could both ease or add to the complexity of the interaction and communication. Conversations elaborating on the older persons’ emotions seemed to instill trust and create meaningfulness, at the same time as these situations contained unpleasant moments with sad or angry feelings. The risk for discomfort in these sequences could threaten the trust in the relationship.

Discussion: 

Conversations on older persons worries can be complex: the findings point to a fine line between meaningfulness and distress in these sequences. Unpleasant emotions call for attention and caution, these may need to be noticed at the same time as they cannot be forced out. 

National Category
Nursing
Identifiers
urn:nbn:se:hb:diva-29336 (URN)
Conference
The 2022 International Conference on Communication in Healthcare in Glasgow, 6-9 September 2022.
Available from: 2023-01-18 Created: 2023-01-18 Last updated: 2023-01-19Bibliographically approved
Pepic, I., Feldt, R., Ljungström, L., Torkar, R., Dalevi, D., Maurin Söderholm, H., . . . Candefjord, S. (2021). Early detection of sepsis using artificial intelligence: a scoping review protocol. Systematic Reviews, 10(1), Article ID 28.
Open this publication in new window or tab >>Early detection of sepsis using artificial intelligence: a scoping review protocol
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2021 (English)In: Systematic Reviews, E-ISSN 2046-4053, Vol. 10, no 1, article id 28Article in journal (Refereed) Published
Abstract [en]

Background: Sepsis is a life-threatening organ dysfunction caused by a dysregulated host response to infection. To decrease the high case fatality rates and morbidity for sepsis and septic shock, there is a need to increase the accuracy of early detection of suspected sepsis in prehospital and emergency department settings. This may be achieved by developing risk prediction decision support systems based on artificial intelligence.

Methods: The overall aim of this scoping review is to summarize the literature on existing methods for early detection of sepsis using artificial intelligence. The review will be performed using the framework formulated by Arksey and O’Malley and further developed by Levac and colleagues. To identify primary studies and reviews that are suitable to answer our research questions, a comprehensive literature collection will be compiled by searching several sources. Constrictions regarding time and language will have to be implemented. Therefore, only studies published between 1 January 1990 and 31 December 2020 will be taken into consideration, and foreign language publications will not be considered, i.e., only papers with full text in English will be included. Databases/web search engines that will be used are PubMed, Web of Science Platform, Scopus, IEEE Xplore, Google Scholar, Cochrane Library, and ACM Digital Library. Furthermore, clinical studies that have completed patient recruitment and reported results found in the database ClinicalTrials.gov will be considered. The term artificial intelligence is viewed broadly, and a wide range of machine learning and mathematical models suitable as base for decision support will be evaluated. Two members of the team will test the framework on a sample of included studies to ensure that the coding framework is suitable and can be consistently applied. Analysis of collected data will provide a descriptive summary and thematic analysis. The reported results will convey knowledge about the state of current research and innovation for using artificial intelligence to detect sepsis in early phases of the medical care chain.

Ethics and dissemination: The methodology used here is based on the use of publicly available information and does not need ethical approval. It aims at aiding further research towards digital solutions for disease detection and health innovation. Results will be extracted into a review report for submission to a peer-reviewed scientific journal. Results will be shared with relevant local and national authorities and disseminated in additional appropriate formats such as conferences, lectures, and press releases. 

Place, publisher, year, edition, pages
Springer Nature, 2021
Keywords
Artificial intelligence, Clinical decision support, Emergency department, Machine learning, Prehospital care, Sepsis, Article, data extraction, data processing, decision support system, diagnostic test accuracy study, electronic medical record, emergency care, emergency ward, human, intensive care unit, Internet, mathematical model, medical care, practice guideline, receiver operating characteristic, sensitivity and specificity, septic shock, systematic review, validation study
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-25894 (URN)10.1186/s13643-020-01561-w (DOI)000609517600001 ()33453724 (PubMedID)2-s2.0-85100095303 (Scopus ID)
Available from: 2021-07-12 Created: 2021-07-12 Last updated: 2022-01-18Bibliographically approved
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