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Maurin Söderholm, Hanna
Alternative names
Publications (10 of 30) Show all publications
Pilerot, O. & Maurin Söderholm, H. (2019). A conceptual framework for investigating documentary practices in prehospital emergency care. In: International Conference on Conceptions of Library and Information Science (CoLIS): . Paper presented at Proceedings of the Tenth International Conference on Conceptions of Library and Information Science, Ljubljana, Slovenia, June 16-19, 2019. , 4, Article ID colis1931.
Open this publication in new window or tab >>A conceptual framework for investigating documentary practices in prehospital emergency care
2019 (English)In: International Conference on Conceptions of Library and Information Science (CoLIS), 2019, Vol. 4, article id colis1931Conference paper, Published paper (Refereed)
Abstract [en]

Introduction. The area of documentary practices in complex, mobile, unpredictable and time critical contexts is understudied. This paper outlines a conceptual framework suitable for empirical studies of the use and production of documents in such contexts. 

Method. The development of the conceptual framework is grounded in a set of empirical observations from previous studies of prehospital emergency care, and conceptually shaped by practice theory and critical document theory. 

Analysis. By drawing on a set of key concepts from critical document theory and materiality oriented practice theory, three empirical examples from prehospital emergency care, in which documents are in focus, are analysed. 

Results. The empirical cases illustrate that the use and production of documents must be seen as integral with, and in some cases inseparable from, the overall work of the emergency medical services (EMS) clinicians. 

Conclusions. By conceptualizing documents as agents and that which is going on in the empirical setting as practices and bundles of practices, the paper demonstrates how documentation is incorporated in context and functions as a mutually shaping part of the arrangement in which it takes place. The prime novelty in the study is the innovative combination of practice theory and critical document theory.

National Category
Other Social Sciences
Research subject
Library and Information Science
Identifiers
urn:nbn:se:hb:diva-22193 (URN)
Conference
Proceedings of the Tenth International Conference on Conceptions of Library and Information Science, Ljubljana, Slovenia, June 16-19, 2019
Available from: 2019-12-16 Created: 2019-12-16 Last updated: 2019-12-27Bibliographically approved
Gustafsson, T., Sundler, A. J., Lindberg, E. & Maurin Söderholm, H. (2019). ACTION: A Person-centred Communication Intervention Targeting Nurse Assistants in Home Care for Older Persons. In: : . Paper presented at Sustainable Caring for Health and Wellbeing, Vasa, Finland, 1-3 October, 2019..
Open this publication in new window or tab >>ACTION: A Person-centred Communication Intervention Targeting Nurse Assistants in Home Care for Older Persons
2019 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background: The aging population and the number of older persons living at home are increasing. Some have extensive needs for care, which leads to increased demands on professionals in home care settings. Professionals’ need to have sufficient competency to promote health and wellbeing among older persons. For sustainable care, there is a need for efficient educational efforts in the home care context. Person-centred communication may increase the quality of care and improve older persons independence.

Aim: To develop, test and evaluate a web based educational intervention on person-centred communication targeting nurse assistants (NA) in home care setting.

Method: A stepwise web based education, consisting of eight modules, was developed and tested. The education was evaluated using both quantitative and qualitative data.

Results: In all, 23 NAs participated in the education. The majority of the NAs (n=21) participated in five or more modules. Overall, the education was experienced as feasible and accessible. Challenges emerged during the time of the intervention, such as time constrains, technical problems, and participants´ engagement.

Conclusion: The web-based education was found to be a feasible way to offer education to home care staff, although successful implementation requires adaptations to the current context. Engagement from managers, especially considering the NAs motivation to complete the education is important for accomplishment by participants.

Implications: This study can contribute to the knowledge regarding how to develop, test and evaluate an educational intervention, and considerations found to be important during the implementation process for success.

National Category
Health Sciences Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-21861 (URN)
Conference
Sustainable Caring for Health and Wellbeing, Vasa, Finland, 1-3 October, 2019.
Available from: 2019-10-16 Created: 2019-10-16 Last updated: 2019-12-27Bibliographically approved
Andersson, U., Maurin Söderholm, H., Wireklint Sundström, B. & Andersson Hagiwara, M. (2019). Clinical reasoning in the emergency medical services: an integrative review. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Open this publication in new window or tab >>Clinical reasoning in the emergency medical services: an integrative review
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2019 (English)In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, ISSN 1757-7241, E-ISSN 1757-7241Article in journal (Refereed) Published
Abstract [en]

Abstract: Clinical reasoning is the process of gathering and understanding information conducted by clinicians in the emergency medical services (EMS) so as to make informed decisions. Research on clinical reasoning spans several disciplines, but a comprehensive view of the process is lacking. To our knowledge, no review of clinical reasoning in the EMS has been conducted.

Aim: The aim was to investigate the nature, deployment, and factors influencing EMS clinicians’ clinical reasoning by means of a review.

Method: Data was collected through searches in electronic databases, networking among research teams ,colleagues and friends, “grey literature,” and through ancestry searches. A total of 38 articles were deemed eligible for inclusion and were analyzed using descriptive thematic analysis. The analysis resulted in an overarching finding -namely, the importance for EMS clinicians to adjust for perceived control in unpredictable situations. Within this finding, 3 themes emerged in terms of EMS clinicians’ clinical reasoning: (1) maintaining a holistic view of the patient; (2) keeping an open mind; and (3) improving through criticism. Seven subthemes subsequently emerged from these three themes.

Results: This review showed that EMS clinicians’ clinical reasoning begins with the information that they are given about a patient. Based on this information, clinicians calculate the best route to the patient and which equipment to use, and they also assess potential risks. They need to be constantly aware of what is happening on the scene and with the patient and strive to control the situation. This striving also enables EMS clinicians to work safely and effectively in relation to the patient, their relatives, other clinicians, associated organizations, and the wider community. A lack of contextually appropriate guidelines results in the need for creativity and forces EMS clinicians to use “workarounds” to solve issues beyond the scope of the guidelines available. In addition, they often lack organizational support and fear repercussions such as litigation, unemployment, or blame by their EMS or healthcare organization or by patients and relatives.

Conclusion: Clinical reasoning is influenced by several factors. Further research is needed to determine which influencing factors can be addressed through interventions to minimize their impact on patient outcomes.

Keywords
Clinical reasoning, Decision-making, Emergency Medical Services, Ambulance, Clinicians
National Category
Health Sciences
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-21633 (URN)10.1186/s13049-019-0646-y (DOI)000483062300002 ()
Available from: 2019-08-20 Created: 2019-08-20 Last updated: 2020-01-29Bibliographically approved
Gustafsson, T., Sundler, A. J., Lindberg, E. & Maurin Söderholm, H. (2019). Development and process evaluation of an educational intervention on communication targeting nurse assistants in home care. In: : . Paper presented at Advances in Health Care Sciences Conferences.
Open this publication in new window or tab >>Development and process evaluation of an educational intervention on communication targeting nurse assistants in home care
2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Background

Person-centred communication is important to assure the quality of home care services and to promote older persons´ independence and influence over their lives. Previous research indicates challenges regarding communication between professionals and home care recipients, and how to deliver efficient educational efforts in the home care context.

Aim

The aim was to describe the development and process evaluation of a web-based education intervention in person-centred communication for nurse assistants (NA) in home care.

Method

The intervention consisted of a step-wise education, with eight modules that included short video based lectures and movies, one group supervision, and reflective assignments. The content was based on previous research on health care communication and person-centred care. Data were collected from multiple sources before, during and after the implementation, and analysed by a combination of quantitative and qualitative approaches.

Results

A complex intervention was conducted to improve the communication competency wanted for person-centred care. The intervention was offered to 23 nurse assistants (NA). Of those, 91% (n=21) participated, in total or in parts, in five or more modules. The findings address participants’ experiences of expectations and worries before the intervention, experiences from the implementation process, and their experiences from taking part of the intervention. During the implementation changes were made according to local circumstances. Overall, the education was experienced as feasible. The web-based design was found to be accessible and the content relevant.

Conclusion

From this study, it can be concluded that the key features for successful implementation of the intervention was the format, educational content, and technical facilities provided. In addition to this, participant involvement, resources and constructive practical circumstances for NAs to participate in the intervention are crucial.

National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-22335 (URN)
Conference
Advances in Health Care Sciences Conferences
Available from: 2019-12-27 Created: 2019-12-27 Last updated: 2020-01-07Bibliographically approved
Maurin Söderholm, H., Andersson, H., Andersson Hagiwara, M., Backlund, P., Bergman, J., Lundberg, L. & Sjöqvist, B. A. (2019). Research challenges in prehospital care: the need for a simulation-based prehospital research laboratory.. Advances in Simulation, 4, Article ID 3.
Open this publication in new window or tab >>Research challenges in prehospital care: the need for a simulation-based prehospital research laboratory.
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2019 (English)In: Advances in Simulation, ISSN 2059-0628, Vol. 4, article id 3Article in journal (Refereed) Published
Abstract [en]

There is a need for improved research in the field of prehospital care. At the same time, there are many barriers in prehospital research due to the complex context, posing unique challenges for research, development, and evaluation. The present paper argues for the potential of simulation for prehospital research, e.g., through the development of an advanced simulation-based prehospital research laboratory. However, the prehospital context is different from other healthcare areas, which implies special requirements for the design of this type of laboratory, in terms of simulation width (including the entire prehospital work process) and depth (level of scenario detail). A set of features pertaining to simulation width, scenario depth, equipment, and personnel and competence are proposed. Close tailoring between these features and the prehospital research problems and context presents great potential to improve and further prehospital research.

Keywords
Laboratory, Prehospital, Simulation
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hb:diva-15823 (URN)10.1186/s41077-019-0090-0 (DOI)30783539 (PubMedID)
Available from: 2019-02-22 Created: 2019-02-22 Last updated: 2019-02-25Bibliographically approved
Gustafsson, T., Sundler, A. J., Lindberg, E. & Maurin Söderholm, H. (2019). The Development and Process Evaluation of the ACTION Study. A Person-centred Communication Intervention Targeting Nursing Staff in Home Care for Older Persons. In: : . Paper presented at International Association of Gerontology and Geriatrics European Region Congress(IAGG-ER).
Open this publication in new window or tab >>The Development and Process Evaluation of the ACTION Study. A Person-centred Communication Intervention Targeting Nursing Staff in Home Care for Older Persons
2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Background: Person-centred communication is important to assure the quality of home care services and to promote older persons independence and influence over their lives. Previous research indicates challenges regarding communication between professionals and home care recipients, and how to deliver efficient educational efforts in the home care context. Hitherto, research on design and implementation of this type of intervention is scarce.

Aims and objectives: To describe the development and process evaluation of an education intervention in person-centred communication for nursing staff (NS) in home care.

Method: The web-based education consisted of eight modules, including short video based lectures and movies, one group supervision, and reflective assignments. The content was based on previous research of health care communication and person-centred care. Data was collected from multiple sources (web analytics, interviews, evaluation forms, and field notes), before, during and after the implementation, and analysed by a combination of quantitative and qualitative approaches.

Results: In all, 23 NS participated in the education. Initial analysis indicate that a majority of the participants completed six or more modules. Overall, the content was experienced as relevant and interesting. The flexibility and accessibility of the web-based format was appreciated, as well as the mix of lectures, short movies, reflective assignments and group supervision. Challenges included developing content relevant to work teams with diverse competence levels and individual differences (e.g. age, language, motivation). Furthermore, time constrains and structure of work emerged as barriers for implementing the education, in some cases adding stress and fragmentation to NS´ work.

Conclusions: This type of intervention seems to be a feasible approach for flexible educations in person-centred communication for NS. Engagement and commitment from managers and team leaders may be key factors in succeeding, with impact on participants´ motivation to fulfil the education.

National Category
Nursing
Research subject
Människan i vården; Människan i vården
Identifiers
urn:nbn:se:hb:diva-21862 (URN)
Conference
International Association of Gerontology and Geriatrics European Region Congress(IAGG-ER)
Available from: 2019-10-16 Created: 2019-10-16 Last updated: 2019-12-27Bibliographically approved
Andersson Hagiwara, M., Lundberg, L., Sjöqvist, B. A. & Maurin Söderholm, H. (2019). The Effects of Integrated IT Support on the Prehospital Stroke Process: Results from a Realistic Experiment. Journal of Healthcare Informatics Research
Open this publication in new window or tab >>The Effects of Integrated IT Support on the Prehospital Stroke Process: Results from a Realistic Experiment
2019 (English)In: Journal of Healthcare Informatics Research, ISSN 2509-4971Article in journal (Refereed) Epub ahead of print
Abstract [en]

Stroke is a serious condition and the stroke chain of care is a complex. The present study aims to explore the impact of a computerised decision support system (CDSS) for the prehospital stroke process, with focus on work processes and performance. The study used an exploratory approach with a randomised controlled crossover design in a realistic contextualised simulation experiment. The study compared clinical performance among 11 emergency medical services (EMS) teams of 22 EMS clinicians using (1) a computerised decision support system (CDSS) and (2) their usual paper-based process support. Data collection consisted of video recordings, postquestionnaires and post-interviews, and data were analysed using a combination of qualitative and quantitative approaches. In this experiment, using a CDSS improved patient assessment, decision making and compliance to process recommendations. Minimal impact of the CDSS was found on EMS clinicians’ self-efficacy, suggesting that even though the system was found to be cumbersome to use it did not have any negative effects on self-efficacy. Negative effects of the CDSS include increased on-scene time and a cognitive burden of using the system, affecting patient interaction and collaboration with team members. The CDSS’s overall process advantage to the prehospital stroke process is assumed to lead to a prehospital care that is both safer and of higher quality. The key to user acceptance of a system such as this CDSS is the relative advantages of improved documentation process and the resulting patient journal. This could improve the overall prehospital stroke process.

Keywords
Stroke, Decision support, EMS team, Prehospital process
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hb:diva-21183 (URN)10.1007/s41666-019-00053-4 (DOI)
Projects
PrehospIT
Funder
Vinnova
Available from: 2019-06-11 Created: 2019-06-11 Last updated: 2019-06-17Bibliographically approved
Sundler, A. J., Gustafsson, T., Lindberg, E., Maurin Söderholm, H. & Holmström, I. K. (2018). ACTION - A person-centred communication intervention in home care of older persons. In: : . Paper presented at The 16th International Conference on Communication in Healthcare (ICCH), Porto, Portugal, 1-4 September, 2018.
Open this publication in new window or tab >>ACTION - A person-centred communication intervention in home care of older persons
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2018 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-15148 (URN)
Conference
The 16th International Conference on Communication in Healthcare (ICCH), Porto, Portugal, 1-4 September, 2018
Projects
ACTION - A person-centred communication intervention
Available from: 2018-10-04 Created: 2018-10-04 Last updated: 2018-12-13Bibliographically approved
Backlund, P., Maurin Söderholm, H., Engström, H., Andersson Hagiwara, M. & Lebram, M. (2018). Breaking Out of the Bubble Putting Simulation Into Context to Increase Immersion and Performance. Simulation & Gaming, Article ID 1046878118772612.
Open this publication in new window or tab >>Breaking Out of the Bubble Putting Simulation Into Context to Increase Immersion and Performance
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2018 (English)In: Simulation & Gaming, article id 1046878118772612Article in journal (Refereed) Published
Abstract [en]

Objective: Simulation based training with full-size mannequins is a prominent means of training within the healthcare sector. Prehospital missions include all parts of the healthcare process which take place before a patient is handed over to the receiving hospital. This implies that the context for prehospital care is varied and potentially challenging or dangerous in several ways. In this article we present a study which explores immersion and performance by emergency medical services (EMS) professionals in in a training situation which takes the specifics of prehospital interventions into account.

Methods: The study was carried out as a field experiment at an ambulance unit. The experiment was designed to compare the differences between two types of medical scenarios: basic and contextualized. We analyzed the levels of immersion throughout the scenarios and then team performance was evaluated by independent experts. Both analyses were made by observing video recordings from multiple camera angles with a custom made analysis tool.

Results: Our results show that the contextualization of a medical scenario increases both immersion as measured by the Immersion Score Rating Instrument (ISRI) and team performance as measured by the Global Rating Scale (GRS). The overall ISRI score was higher in the contextualized condition as compared to the basic condition, with an average team wise difference of 2.94 (sd = 1.45). This difference is significant using a paired, two-tailed t-test (p<.001). The GRS score was higher for overall clinical performance in the contextualized scenario with an average team wise difference of 0.83 (sd = 0.83, p=.005).Conclusions. Full-size mannequin simulation based training for EMS professionals may be enhanced by contextualizing the medical scenarios. The main benefits are that the contextualized scenarios better take prehospital medical challenges into account and allow participants to perform better.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hb:diva-14277 (URN)10.1177/1046878118772612 (DOI)2-s2.0-85047428895 (Scopus ID)
Projects
SAREK
Funder
Region Västra Götaland
Available from: 2018-05-29 Created: 2018-05-29 Last updated: 2018-12-07Bibliographically approved
Andersson, H., Gabre, M., Dehre, A., Andersson Hagiwara, M. & Maurin Söderholm, H. (2018). Simulation in Virtual World to Promote Communication. In: Pre-hospital care- Education and training of ambulance professionals: . Paper presented at 3rd Global Conference on Emergency Nursing and Trauma Care, Leeuwenhorst, 4-6 October, 2018.. Noordwijkerhout, The Netherlands
Open this publication in new window or tab >>Simulation in Virtual World to Promote Communication
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2018 (English)In: Pre-hospital care- Education and training of ambulance professionals, Noordwijkerhout, The Netherlands, 2018Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]

Introduction

Communication between ambulance professionals and patients is essential for understanding the patient's lifeworld (Wireklint Sundström & Dahlberg 2010). Simultaneously, communication is challenging to teach and learn within the framework of specific courses. However, simulation in virtual worlds can support the development of new skills such as communication (Combs, Sokolowski & Banks 2016).

 

Aim

The aim of this work was to design a simulation-based platform for communication training among ambulance nurse students (ANS).

 

Methods

A qualitative action research approach was used (Coghlan & Casey 2001). Second Life® (SL) was selected since it was an existing virtual world. SL is a web-based flexible three-dimensional platform that allows customization. Interaction and communication with other virtual people can be done through avatars in real time (Hodge, Collins & Giordano 2011). Three ANS and five teachers participated, none of the participants had prior experience of SL. Observations and interviews were used as data and analysed using thematic analysis.

 

Results

The participants’ experiences generated three themes:

 

Understanding the virtual world

It was easy to interact and communicate with other virtual people. However, it took time to feel comfortable to navigate in SL.

 

Technological challenges

One challenge was related to audio-visual problems e.g. not compatible headset, interfering echoes and that the image was distorted at times, which made it difficult to act and move the avatar. Another challenge was associated with the 3D modelling e.g. the capability to use of coordinates, positioning, object dimensioning and the fact that accidental deletions could not be restored. A third challenges that influenced the communication was the difficulty of visualizing clinically relevant care measures such as diagnostic examinations or drug treatment. Finally, there was a challenge to customize the avatars to look like ambulance professionals or a severely ill patient.

 

Learning through avatars

Learning through avatars requires that the participants take responsibility for delivering a convincing performance.  Immersion was limited since actions do not take place from a first-person viewpoint. There is a need that the scenario is based on realistic conditions e.g. interiors, equipment, clothing, avatar appearance and behaviour.

 

Conclusion

The present system is not suitable for training of medical assessment. Teachers who are considering using virtual worlds in the training for future ambulance professionals should note that an appropriate design is crucial for how the simulation is experienced.  

Place, publisher, year, edition, pages
Noordwijkerhout, The Netherlands: , 2018
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-15170 (URN)
Conference
3rd Global Conference on Emergency Nursing and Trauma Care, Leeuwenhorst, 4-6 October, 2018.
Available from: 2018-10-07 Created: 2018-10-07 Last updated: 2018-10-09Bibliographically approved
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