Endre søk
Begrens søket
12 1 - 50 of 62
RefereraExporteraLink til resultatlisten
Permanent link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • harvard-cite-them-right
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Treff pr side
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sortering
  • Standard (Relevans)
  • Forfatter A-Ø
  • Forfatter Ø-A
  • Tittel A-Ø
  • Tittel Ø-A
  • Type publikasjon A-Ø
  • Type publikasjon Ø-A
  • Eldste først
  • Nyeste først
  • Skapad (Eldste først)
  • Skapad (Nyeste først)
  • Senast uppdaterad (Eldste først)
  • Senast uppdaterad (Nyeste først)
  • Disputationsdatum (tidligste først)
  • Disputationsdatum (siste først)
  • Standard (Relevans)
  • Forfatter A-Ø
  • Forfatter Ø-A
  • Tittel A-Ø
  • Tittel Ø-A
  • Type publikasjon A-Ø
  • Type publikasjon Ø-A
  • Eldste først
  • Nyeste først
  • Skapad (Eldste først)
  • Skapad (Nyeste først)
  • Senast uppdaterad (Eldste først)
  • Senast uppdaterad (Nyeste først)
  • Disputationsdatum (tidligste først)
  • Disputationsdatum (siste først)
Merk
Maxantalet träffar du kan exportera från sökgränssnittet är 250. Vid större uttag använd dig av utsökningar.
  • 1.
    Bergerum, Carolina
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Johan, Thor
    Jönköping University.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Wolmesjö, Maria
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    How might patient involvement in healthcare quality improvement efforts work—A realist literature review2019Inngår i: Health Expectations, ISSN 1369-6513, E-ISSN 1369-7625, Vol. 00, nr 00, s. 1-13Artikkel i tidsskrift (Fagfellevurdert)
    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.

    Fulltekst (pdf)
    fulltext
  • 2.
    Claesson, Maria
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Jonasson, Lise-Lotte
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    What implies registered nurses leadership close to older adults in the municipality home health care?2019Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Title. What implies registered nurses leadership close to older adults in the municipality home health care?

    Objective. The objective was to explore how the literature describes the registered nurses’ leadership near to older adults in municipal home care.

    Background. Home health care in Sweden and world-wide is affected by the increasing number of older adults, 65 years and over. One challenge is that older adults report more health problems compared with health professionals’ needs assessments. The primary task of care is to support and strengthen people’s health processes to as good health as possible by alleviating the effects of disease and suffering. The registered nurse may be the one who contributes or makes a difference to the older adults’ experience of health. According to this; great demands are placed on the registered nurse's leadership close to the patient. There is a common agreement that registered nurses’ leadership is important. However, research is limited of what implies registered nurses’ leadership close to older adults in municipal home care.

    Method. A systematic literature review. The literature search was performed in CINAHL and PubMed during February to April, 2018. A total of 37 articles were identified and nine articles were screened in full text. Quality valuation and analyses of articles were performed doing qualitative research synthesis based of the PRISMA statement.

    Results. The results will be presented for the first time at the 9th IAGG-ER Congress, May 23-25, 2019, Gothenburg, Sweden.

    Contact information of authors.

    Maria Claesson, Lecturer, PhD. maria.claesson@hb.se

    Lise-Lotte Jonasson, Senior lecturer. lise-lotte.jonasson@hb.se 

    Elisabeth Lindberg, Senior lecturer. elisabeth.lindberg@hb.se

    Karin Josefsson, Professor, karin.josefsson@hb.se

    All authors works at the Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.

  • 3.
    Claesson, Maria
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Jonasson, Lise-Lotte
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    What implies registered nurses’ leadershipclose to older adults in municipal homehealth care? A systematic review2020Inngår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 19, nr 30, s. 1-11, artikkel-id 1472-6955Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 4.
    Gusdal, Annelie
    et al.
    Mälardalen University.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Adolfsson, Eva
    Uppsala University.
    Martin, Lene
    Mälardalen University.
    Nurses’ attitudes toward family importance in  heart failure careInngår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Support from the family positively affects self-management, patient outcomes and the incidence of hospitalizations among patients with heart failure (HF). To involve family members in HF care is thus valuable for the patients. Registered nurses (RNs) frequently meet family members to patients with HF and the quality of these encounters are likely to be influenced by the attitudes RNs hold toward families. Aims: To explore RNs' attitudes toward the importance of families' involvement in HF nursing care and to identify factors that predict the most supportive attitudes. Methods: Cross-sectional, multicentre web-survey study. A sample of 303 RNs from 47 hospitals and 30 primary health care centres (PHCC) completed the instrument Families’ Importance in Nursing Care - Nurses’ Attitudes. Results: Overall, RNs were supportive of families' involvement. Nonetheless, attitudes toward inviting families to actively take part in HF nursing care and involve families in planning of care were less supportive. Factors predicting the most supportive attitudes were to work in a PHCC, a HF clinic, a workplace with a general approach toward families, to have a postgraduate specialization, education in cardiac and or HF nursing care, and a competence to work with families. Conclusions: Experienced RNs in HF nursing care can be encouraged to mentor their younger and less experienced colleagues to strengthen their supportive attitudes toward families. RNs who have designated consultation time with patients and families, as in a nurse-led HF clinic, may have the most favourable condition for implementing a more supportive approach to families.

    Fulltekst (pdf)
    fulltext
  • 5.
    Gusdal, Annelie
    et al.
    Mälardalen University.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Adolfsson, Eva
    Uppsala University.
    Martin, Lene
    Mälardalen University.
    Nurses’ attitudes toward family importance in heart failure care2017Inngår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, s. 256-266Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Support from the family positively affects self-management, patient outcomes and the incidence of hospitalizations among patients with heart failure (HF). To involve family members in HF care is thus valuable for the patients. Registered nurses (RNs) frequently meet family members to patients with HF and the quality of these encounters are likely to be influenced by the attitudes RNs hold toward families. Aims: To explore RNs' attitudes toward the importance of families' involvement in HF nursing care and to identify factors that predict the most supportive attitudes. Methods: Cross-sectional, multicentre web-survey study. A sample of 303 RNs from 47 hospitals and 30 primary health care centres (PHCC) completed the instrument Families’ Importance in Nursing Care - Nurses’ Attitudes. Results: Overall, RNs were supportive of families' involvement. Nonetheless, attitudes toward inviting families to actively take part in HF nursing care and involve families in planning of care were less supportive. Factors predicting the most supportive attitudes were to work in a PHCC, a HF clinic, a workplace with a general approach toward families, to have a postgraduate specialization, education in cardiac and or HF nursing care, and a competence to work with families. Conclusions: Experienced RNs in HF nursing care can be encouraged to mentor their younger and less experienced colleagues to strengthen their supportive attitudes toward families. RNs who have designated consultation time with patients and families, as in a nurse-led HF clinic, may have the most favourable condition for implementing a more supportive approach to families.

    Fulltekst (pdf)
    fulltext
  • 6.
    Gusdal, Annelie
    et al.
    Mälardalen university.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Thor Adolfsson, Eva
    Uppsala University.
    Martin, Lene
    Mälardalen University.
    Family Health Conversations Conducted by Telephone in Heart Failure Nursing Care: A Feasibility Study2018Inngår i: SAGE Open Nursing, Vol. 4, s. 1-13Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Registered nurses (RNs) in heart failure (HF) nursing care have a key role in providing family support, which positively affects the outcome for the patient. Telephone interventions conducted by RNs have been reported to be successful in HF nursing care, but Family Health Conversations (FamHCs) involving the patient and the family, have not previously been tested. The purpose of the current study was to explore the experiences and feasibility of nurse-led FamHCs conducted by telephone with patients and their family caregivers. A single-group intervention study with a pretest–posttest design was conducted in three regional hospitals that had a nurse-led HF clinic. Five RNs, eight patients, and eight family caregivers participated. Three FamHCs were conducted by telephone with each family every 2 weeks. Qualitative and quantitative data were collected through semi structured interviews and questionnaires. FamHCs improved the nurse–family relationships and relationships within the families and provided RNs with new knowledge about the families. FamHCs conducted by telephone were considered to be feasible for both families and RNs, although RNs preferred fewer and shorter FamHCs. The RNs preferred meeting face-to-face with the families as nonverbal communication between the family members could be missed because of lack of visual input. On the other hand, RNs appreciated to focus entirely on the conversation without the need to perform illness-related routine checks. In conclusion, the advantages of FamHCs conducted by telephone outweighed the disadvantages. Visual contact, provided by video telephony, and a shorter version of the tested FamHC would facilitate the use in HFnursing care.

    Fulltekst (pdf)
    fulltext
  • 7. Gusdal, Annelie
    et al.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Thor Adolfsson, Eva
    Martin, Lene
    Registered nurses' perception about the situation of family caregivers to patients with hearth failure - A focus group interwiev study2016Inngår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, s. 1-18Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction

    Heart failure is a growing public health problem associated with poor quality of life and significant morbidity and mortality. The majority of heart failure care is provided by family caregivers, and is associated with caregiver burden and reduced quality of life. Research emphasizes that future nursing interventions should recognize the importance of involving family caregivers to achieve optimal outcomes.

    Aims

    The aims of this study are to explore registered nurses’ perceptions about the situation of family caregivers to patients with heart failure, and registered nurses’ interventions, in order to improve family caregivers’ situation.

    Methods

    The study has a qualitative design with an inductive approach. Six focus group interviews were held with 23 registered nurses in three hospitals and three primary health care centres. Data were analysed using qualitative content analysis.

    Results

    Two content areas were identified by the a priori study aims. Four categories and nine subcategories emerged in the analysis process. The content area “Family caregivers' situation” includes two categories: “To be unburdened” and “To comprehend the heart failure condition and its consequences”. The content area “Interventions to improve family caregivers' situation” includes two categories: “Individualized support and information” and “Bridging contact”.

    Fulltekst (pdf)
    fulltext
  • 8. Gusdal, Annelie
    et al.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Thors Adolfsson, Eva
    Martin, Lene
    Informal caregivers’ experiences and needs when caring for a relative with heart failure: An interview study2016Inngår i: Journal of Cardiovascular Nursing, ISSN 0889-4655, E-ISSN 1550-5049, Vol. 31, nr 4, s. 1-8Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Abstract

    Background: Informal caregivers play an important role for persons with heart failure in strengthening medication adherence, encouraging self-care, and identifying deterioration in health status. Caring for a relative with heart failure can affect informal caregivers' well-being and cause caregiver burden.

    Objective: The objective of this study was to explore informal caregivers' experiences and needs when caring for a relative with heart failure living in their own home.

    Methods: The study has a qualitative design with an inductive approach. Interviews were conducted with 14 informal caregivers. Data were analyzed using qualitative content analysis.

    Results: Two themes emerged: "living in a changed existence" and "struggling and sharing with healthcare." The first theme describes informal caregivers' experiences, needs, and ways of moving forward when living in a changed existence with their relative. Informal caregivers were responsible for the functioning of everyday life, which challenged earlier established roles and lifestyle. They experienced an ever-present uncertainty related to the relative's impending sudden deterioration and to lack of knowledge about the condition. Incongruence was expressed between their own and their relative's understanding and acceptance of the heart failure condition. They also expressed being at peace with their relative and managed to restore new strength and motivation to care. The second theme describes informal caregivers' experiences, needs, and ways in which they handled the healthcare. They felt counted upon but not accounted for, as their care was taken for granted while their need to be seen and acknowledged by healthcare professionals was not met. Informal caregivers experienced an ever-present uncertainty regarding their lack of involvement with healthcare. The lack of involvement with healthcare had a negative impact on the relationship between informal caregivers and their relative due to the mutual loss of important information about changes in medication regimens and the relative's symptoms and well-being. Another cause of negative impact was the lack of opportunity to talk with healthcare professionals about the emotional and relational consequences of heart failure. Healthcare professionals had provided them neither with knowledge on heart failure nor with information on support groups in the municipality. Informal caregivers captured their own mandate through acting as deputies for their relative and claiming their rights of involvement in their relative's healthcare. They also felt confident despite difficult circumstances. The direct access to the medical clinic was a source of relief and they appreciated the contacts with the registered nurses specialized in heart failure. Informal caregivers' own initiatives to participate in meetings were positively received by healthcare professionals.

    Conclusions: Informal caregivers' daily life involves decisive changes that are experienced as burdensome. They handled their new situations using different strategies to preserve a sense of "self" and of "us." Informal caregivers express a need for more involvement with healthcare professionals, which may facilitate informal caregivers' situation and improve the dyadic congruence in the relation with their relative.

  • 9.
    Gusdal, Annelie
    et al.
    Mälardalen University.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Thors Adolfsson, Eva
    Martin, Lene
    Mälardalen University.
    Nurses’ attitudes toward family importance in heart failure nursing2017Inngår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, s. 1-11Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Support from the family positively affects self-management, patient outcomes and the incidence ofhospitalizations among patients with heart failure. To involve family members in heart failure care is thus valuable forthe patients. Registered nurses frequently meet family members of patients with heart failure and the quality of theseencounters is likely to be influenced by the attitudes registered nurses hold toward families.Aims: To explore registered nurses’ attitudes toward the importance of families’ involvement in heart failure nursingcare and to identify factors that predict the most supportive attitudes.Methods: Cross-sectional, multicentre web-survey study. A sample of 303 registered nurses from 47 hospitalsand 30 primary health care centres completed the instrument Families’ Importance in Nursing Care – Nurses’Attitudes.Results: Overall, registered nurses were supportive of families’ involvement. Nonetheless, attitudes toward invitingfamilies to actively take part in heart failure nursing care and involve families in planning of care were less supportive.Factors predicting the most supportive attitudes were to work in a primary health care centre, a heart failure clinic, aworkplace with a general approach toward families, to have a postgraduate specialization, education in cardiac and/orheart failure nursing care, and a competence to work with families.Conclusions: Experienced registered nurses in heart failure nursing care can be encouraged to mentor their youngerand less experienced colleagues to strengthen their supportive attitudes toward families. Registered nurses who havedesignated consultation time with patients and families, as in a nurse-led heart failure clinic, may have the most favourablecondition for implementing a more supportive approach to families.

  • 10.
    Jakobsson, Malin
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Högberg, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Reasons for sleeping difficulties as perceived by adolescents.2019Konferansepaper (Fagfellevurdert)
  • 11.
    Jakobsson, Malin
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Högberg, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Reasons for sleeping difficulties as perceived by adolescents: A content analysis2019Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 12.
    Jakobsson, Malin
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Högberg, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Sömnbrist och sömnsvårigheter hos ungdomar har samband med hög skolstress och låg självuppfattning2019Inngår i: Tidskriften Sömn och Hälsa, ISSN 2003-234X, nr 1, s. 19-25Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 13.
    Jakobsson, Malin
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Jutengren, Göran
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Sandsjö, Leif
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Högberg, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Sleep duration and sleeping difficulties among adolescents, and their associations with school stress, self-perception and technology use.2019Konferansepaper (Fagfellevurdert)
  • 14.
    Jakobsson, Malin
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Jutengren, Göran
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Sandsjö, Leif
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Högberg, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Sleep duration and sleeping difficulties among adolescents: Exploring associations with school stress, self-perception, and technology use2019Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 33, nr 1, s. 197-206, artikkel-id SCS12621Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 15.
    Jakobsson, Malin
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Jutengren, Göran
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Sandsjö, Leif
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Högberg, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Ungdomars självskattade sömnlängd och sömnsvårigheter - dess samband med skolstress, självuppfattning och teknikanvändning.2019Konferansepaper (Fagfellevurdert)
  • 16.
    Jonasson, Lise-Lotte
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Empirical Ethical Values Promoting Good Caring Encounters with Older Patients and Relatives in a Geriatric Setting2019Inngår i: Journal of Clinical Cases and Reports, ISSN 2582-0435Artikkel i tidsskrift (Fagfellevurdert)
    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. 

    Fulltekst (pdf)
    fulltext
  • 17.
    Jonasson, Lise-Lotte
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Staffs’ experiences of the management of older adults with urinary incontinence2016Inngår i: Healthy Aging Research, ISSN 2261-7434Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background. Urinary incontinence is a complex public health problem for older adults both in Sweden and internationally. It is estimated that 50-80% of older adults in residential care facility have problems with urinary incontinence. Several studies illuminate staffs’ attitudes that incontinence is as a natural consequence of aging, which means that assessment and treatment are overlooked. There is also a lack of knowledge and compliance in relation to whether care staff is followed guidelines or not. Therefore, the aim of the present study was to describe staffs’ experiences of the management of older adults with urinary incontinence in residential care facility.

     Methods. The design was explorative with an inductive approach with 17 individual interviews. Data were analyzed using qualitative content analysis.

    Results. The analysis led to following three categories: Staffs’ management; The organization’s impact; and Creating wellbeing factors for older adults with urinary incontinence. The staff had different views of what an investigation is and what measures are needed to be done. To achieve a good individual patient care there is need of a greater knowledge about good nursing, communication and dialogue between the various working groups.

     Conclusions. Staffs’ management, the organization’s impact, and creating wellbeing factors are central to older adults’ influence and to experience quality of life. Implementing an evidence-based practice requires a long-term process-focused approach in order to improve the structure of daily work and to encourage staffs’ learning and competence development.

    Fulltekst (pdf)
    Staffs’ experiences of the management of older adults with urinary incontinence
  • 18.
    Jonasson, Lise-Lotte
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindö, Peggy
    Occupational Health Nurse, Laholmshälsan.
    Lindh, Tina
    Public health nurse, Mölndals municipality.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Life situation and participation as experienced by adult patients in palliative home care2019Inngår i: Nursing and Palliative CareArtikkel i tidsskrift (Fagfellevurdert)
    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.

    Fulltekst (pdf)
    fulltext
  • 19. Josefsson, Karin
    Bra chef viktig för jobb i äldrevården2011Inngår i: Dagens medicin, ISSN 1104-7488, nr 5, s. 16-Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 20.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Competence development of registered nurses in municipal elderly care in Sweden: A questionnaire survey2008Inngår i: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 45, nr 3, s. 428-441Artikkel i tidsskrift (Fagfellevurdert)
  • 21.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    District nurses’ experience of working in home care in Sweden2015Inngår i: Healthy Aging Research, ISSN 2261-7434, Vol. 4, nr 37Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Home care was previously included in healthcare centers in county councils in Sweden. Today,home care is the responsibility of municipalities. Consequently, the work of district nurses from healthcarecenters has changed, and they face a new mission and new challenges. The aim of this study was to exploredistrict nurses’ experiences of working in home care after the municipalization.Methods: The design was descriptive with an inductive approach. Five district nurses working in differentmunicipalities were interviewed. Qualitative content analysis was used.Results: The district nurses experienced their work through the following themes: organization, localenvironment and leading the team, and defined the themes in terms of inadequacy, collaboration, control,comfort, continuity and own competence. Their work was free and pleasant with more time for the patients. Atthe same time they at time had difficulties to carry out their work. Recipients’ condition in municipality homecare experienced as better as a consequence of cross-border cooperation, compared to earlier organisation ofhome care. District nurses work involved a great nursing responsibility and required leadership. Theyexperienced losses of competence as well as new competence.Conclusions: District nurses’ work was at times difficult because of organisational barriers. There is need ofimprovements and tools for district nurses to carry out their work and to promote their competence development.The organisation is not functioning optimally in municipal home care. Cooperation between municipality,primary care and inpatient care needs improvement.

    Fulltekst (pdf)
    fulltext
  • 22.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Distriktssköterskors erfarenheter av telefonrådgivning till ungdomar via tredje part2014Inngår i: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 34, nr 4, s. 21-26Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: There has been an evolution from district nurses previously providing patients with the opportunity to contact health services, to them now providing medical assessments and advice via telephone counselling. Telephone counselling is governed by laws that strengthen patient safety, something which may be complicated to accomplish when the call is made via a third party.

    Aim: The aim was to describe district nurses' experiences of giving telephone advice to young people via a third party.

    Methods: The design had an inductive approach. Ten district nurses were interviewed and the interviews were analysed using qualitative content analysis.

    Findings: The district nurses' wanted to avoid calls via a third party. They experienced that third party felt responsible for young people. At the same time, the district nurses' wanted to protect young people, make safe decisions and avoid misleading information. The district nurses' experienced difficulties in making accurate assessments and found it difficult to obtain the correct information.

    Conclusion: District nurses want to avoid telephone counselling for young people via a third party as they experienced it as difficult. Misleading information from a third party may compromise the safety of patients. Good skills are needed to cope with giving advice to young people on the phone via a third party. Employers should arrange for training in telephone counselling.

  • 23.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Do you accept violence at your work2008Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, nr 17, s. 1255-1256Artikkel, forskningsoversikt (Annet vitenskapelig)
  • 24. Josefsson, Karin
    Hur har du det på jobbet?2008Inngår i: Tidningen Äldreomsorg, ISSN 1403-7025, s. 9-11Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 25.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Informal caregivers’ experiences and needs when caring for a relative with heart failure: An interview study2016Inngår i: The Journal of Cardiovascular Nursing, ISSN 0889-4655, Vol. 31, nr 4, s. 1-8Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Informal caregivers play an important role for persons with heart failure in strengthening medication adherence, encouraging self-care, and identifying deterioration in health status. Caring for a relative with heart failure can affect informal caregivers' well-being and cause caregiver burden.

    Objective: The objective of this study was to explore informal caregivers' experiences and needs when caring for a relative with heart failure living in their own home.

    Methods: The study has a qualitative design with an inductive approach. Interviews were conducted with 14 informal caregivers. Data were analyzed using qualitative content analysis.

    Results: Two themes emerged: "living in a changed existence" and "struggling and sharing with healthcare." The first theme describes informal caregivers' experiences, needs, and ways of moving forward when living in a changed existence with their relative. Informal caregivers were responsible for the functioning of everyday life, which challenged earlier established roles and lifestyle. They experienced an ever-present uncertainty related to the relative's impending sudden deterioration and to lack of knowledge about the condition. Incongruence was expressed between their own and their relative's understanding and acceptance of the heart failure condition. They also expressed being at peace with their relative and managed to restore new strength and motivation to care. The second theme describes informal caregivers' experiences, needs, and ways in which they handled the healthcare. They felt counted upon but not accounted for, as their care was taken for granted while their need to be seen and acknowledged by healthcare professionals was not met. Informal caregivers experienced an ever-present uncertainty regarding their lack of involvement with healthcare. The lack of involvement with healthcare had a negative impact on the relationship between informal caregivers and their relative due to the mutual loss of important information about changes in medication regimens and the relative's symptoms and well-being. Another cause of negative impact was the lack of opportunity to talk with healthcare professionals about the emotional and relational consequences of heart failure. Healthcare professionals had provided them neither with knowledge on heart failure nor with information on support groups in the municipality. Informal caregivers captured their own mandate through acting as deputies for their relative and claiming their rights of involvement in their relative's healthcare. They also felt confident despite difficult circumstances. The direct access to the medical clinic was a source of relief and they appreciated the contacts with the registered nurses specialized in heart failure. Informal caregivers' own initiatives to participate in meetings were positively received by healthcare professionals.

    Conclusions: Informal caregivers' daily life involves decisive changes that are experienced as burdensome. They handled their new situations using different strategies to preserve a sense of "self" and of "us." Informal caregivers express a need for more involvement with healthcare professionals, which may facilitate informal caregivers' situation and improve the dyadic congruence in the relation with their relative.

  • 26. Josefsson, Karin
    Kommunal sjuksköterska – utsatt yrke med behov av kompetensutveckling2008Inngår i: Omvårdnadsmagasinet, ISSN 1652-0858, nr 4, s. 34-36Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 27.
    Josefsson, Karin
    Karolinska Institutet.
    Municipal elderly care: Implications of registered nurses' work situation, education, and competence.2006Doktoravhandling, med artikler (Annet vitenskapelig)
    Fulltekst (pdf)
    fulltext
  • 28.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Newly graduate public health nurses’ experiences of telephone advice nursing: An interview study2015Inngår i: Research, Vol. 2Artikkel i tidsskrift (Fagfellevurdert)
  • 29.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Nurse-led empowerment strategies for patients with hypertension: A questionnaire survey2015Inngår i: International Nursing Review, ISSN 0020-8132, E-ISSN 1466-7657, Vol. 62, nr 2, s. 187-195Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    Hypertension is common and may lead to cerebrovascular and cardiovascular events and mortality. District nurses frequently encounter patients requiring blood pressure monitoring, lifestyle counsel and support. Empowerment as a method enables patients to both increase their control over their health and improve it.

    Aim

    This study aims to describe the effects of the counsel and support from district nurses to patients with hypertension.

    Methods

    A randomized controlled intervention trial. Questionnaires were answered by patients with hypertension before and after the intervention comprising district nurses' counsel and support based upon empowerment. A specially developed card for blood pressure monitoring was also used.

    Results

    Blood pressure decreased in intervention and the control groups. The intervention group experienced significantly improved health, with better emotional and physical health, and reduced stress. Living habits did not change significantly in either group. Satisfaction with knowledge of hypertension increased significantly in both groups. The intervention group reported that their care was based upon their health needs.

    Limitations

    Conducting large multi-centre studies with long follow-ups is complicated and results sometimes have a tendency to decline with time. A shorter follow-up might have shown a greater difference between the groups.

    Conclusion

    Nursing interventions through district nurses' counsel and support with empowerment improved patients' health. More research is needed to evaluate nursing interventions' effect on hypertension.

    Implications for nursing and health policy

    This study highlighted that district nurses' counsel and support increased patients' health and decreased stress by focusing on empowerment.

  • 30.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Older adults' experiences of participating in a study circle about aging and drugs2015Inngår i: Healthy Aging Research, ISSN 2261-7434, Vol. 4, nr 28Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Primary care physicians have a responsibility to inform older adults about the drugs and drug treatments they are prescribed so as to increase patients’ compliance. However, this need is not always met. Use of a ‘study circle’ exercise may help older adults to obtain and increase their knowledge in a community setting, having the opportunity to share experiences with others in similar situations. The aim of this study was to describe older adults’ experiences of taking part in a study circle about aging and drugs. Methods: The study was designed to be descriptive with an inductive approach. Eleven older adults took part in focus group interviews in 2014, and the content of these interviews was analysed. Results: Participants felt the design of the study circle exercise was good; having a syllabus to follow but at the same time allowing individuals’ problems to be discussed. They described the leader of the study circle to be competent, with characteristics they appreciated. Participants found the study circle material informative, and it could be used as a reference for reflection. Participants’ knowledge of natural and pathological aging was increased, as was their knowledge of drugs and their formulations. Participants felt more confident; they dared to ask questions, challenged new drugs, and proactively took action by seeking care when needed. The study circle format was recommended to other older adults. Participants suggested that in future the study circle could be extended and repeated, and that they could be provided with supplementary educational materials or exercises. Conclusions: Use of a study circle about aging and drugs increased older adults’ knowledge, and empowered them to ask questions and take an active part in their drug treatment. We believe that older adults have a desire to want to know more about the drugs they are prescribed, and want to be involved with their treatment, not simply passive recipients.

    Fulltekst (pdf)
    fulltext
  • 31.
    Josefsson, Karin
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Probable stressors behind agitation in dementia. A theoretical framework related to the Progressively Lower Stress Threshold model1998Inngår i: Clinical Nursing Research, ISSN 1054-7738, E-ISSN 1552-3799, s. 189-206Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Nursing home patients with dementia were videotaped in three previous studies. Sixty sequences of nine patients exhibiting agitated behaviors were examined to identify the most probable antecedents to agitation. Probable reasons were interpreted and applied to the Progressively Lowered Stress Threshold model, which suggests that agitation is stress related. Analysis suggests that agitation often serves as form of communication. Two underlying reasons seem to be that the patient had loss of control over the situation and deficient autonomy. The most common causes for expressed agitation were interpreted as discomfort, a wish to be served immediately, conflict between patients or with nursing staff, reactions to environmental noises or sound, and invasion of personal space. It is recommended that nursing staff promote autonomy and independency for this group of patients whenever possible. By evaluating probable reasons for expressed agitation, the nursing staff can take steps to prevent or alleviate agitation.

  • 32. Josefsson, Karin
    Registered nurses’ education and their views on competence development in municipal elderly care in Sweden: A questionnaire survey2007Inngår i: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 44, nr 2, s. 245-258Artikkel i tidsskrift (Fagfellevurdert)
  • 33.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Registered nurses' health in community elderly care in Sweden2012Inngår i: International Nursing Review, ISSN 0020-8132, E-ISSN 1466-7657, Vol. 59, s. 409-415Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim:  To describe registered nurses' (RNs) ratings of their work-related health problems, sickness presence and sickness absence in community care of older people. To describe RNs' perceptions of time, competence and emotional pressure at work. To describe associations between time, knowledge and emotional pressure with RNs' perceptions of work-related health problems, sickness presence and sickness absence.

    Background:  There is a global nursing shortage. It is a challenge to provide working conditions that enable RNs to deliver quality nursing care.

    Method:  A descriptive design and a structured questionnaire were used. 213 RNs in 60 care homes for older people participated, with a response rate of 62%.

    Findings:  RNs' reported work-related health problems, such as neck/back disorders, dry skin/dry mucous membranes, muscles/joints disorders, sleep disorders and headache. They had periods of fatigue/unhappiness/sadness because of their work (37%). Most of the RNs felt at times psychologically exhausted after work, with difficulties leaving their thoughts of work behind. RNs stated high sickness presence (68%) and high sickness absence (63%). They perceived high time pressure, adequate competence and emotional pressure at work. There was a weak to moderate correlation between RNs' health problems and time pressure.

    Discussion:  We cannot afford a greater shortage of RNs in community care of older people. Politicians and employers need to develop a coordinated package of policies that provide a long-term and sustainable solution with healthy workplaces.

    Conclusion:  It is important to prevent RNs' work-related health problems and time pressure at work.

  • 34.
    Josefsson, Karin
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Sjuksköterskan i kommunens äldrevård och äldreomsorg2009 (oppl. 1)Bok (Annet (populærvitenskap, debatt, mm))
  • 35. Josefsson, Karin
    Sjuksköterskan i kommunens äldrevård och äldreomsorg2009 (oppl. 1)Bok (Annet (populærvitenskap, debatt, mm))
  • 36. Josefsson, Karin
    Sjuksköterskan och organisationen i hemsjukvård2010Inngår i: Hemsjukvård / [ed] Drevenhorn, Eva, Stockholm: Studentlitteratur AB, 2010, 1, s. 199-Kapittel i bok, del av antologi (Annet (populærvitenskap, debatt, mm))
  • 37. Josefsson, Karin
    Sjuksköterskan och organisationen i hemsjukvård2010Inngår i: Sjuksköterskan och organisationen i hemsjukvård / [ed] Eva Drevenhorn, Lund: Studentlitteratur AB, 2010, 1Kapittel i bok, del av antologi (Annet (populærvitenskap, debatt, mm))
  • 38.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Sjuksköterskans roll i hemsjukvården2017Inngår i: Hemsjukvård / [ed] Eva Drevenhorn, Lund: Studentlitteratur , 2017, 2, s. 276-Kapittel i bok, del av antologi (Annet (populærvitenskap, debatt, mm))
  • 39.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Sjuksköterskors syn på svårigheter i telefonrådgivning: En litteraturstudie2011Inngår i: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 100, nr 31, s. 11-18Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: To deepen the knowledge of difficulties in registered nurses telephone advice and identify possibilities to master these.

    Background: Telephone advice increases the accessibility to health care and the streamlined work at primary health care centres. The goal of telephone advice nursing is to give a correct advice, adapted to the caller’s situation, in order to reach correct care level. However, nurses’ telephone advice includes risks for misjudgement and may risk the patient safety.

    Methods: A systematic and manual literature study was used in CINAHL and Pubmed. A total of 38 studies were identified and 13 articles were screened in full text.

    Findings: Nurses’ had difficulties in telephone advice in following areas: computerized decision aids, non-visual communication, third-part communication, limited resources, the nurses’ vulnerability, genus and ethnicity, and also ethical questions.

    Conclusion: Nurses perceived difficulties in telephone advice. They should take part in the development of computerized decision support and receive continuous training in communication skills. Nurses’ telephone advice should be facilitated by the existence of an open climate at the workplace, to discuss and to reflect on difficulties, in order to reach patient safety.

  • 40.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Threats and violence in Swedish community elderly care.2010Inngår i: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 50, nr 1, s. 110-113Artikkel i tidsskrift (Fagfellevurdert)
  • 41. Josefsson, Karin
    Tio punkter för en god och säker hemsjukvård för äldre personer2010Rapport (Annet vitenskapelig)
    Abstract [sv]

    Rapporten har på uppdrag av Vårdförbundet och Svensk sjuksköterskeförening skrivits av Karin Josefsson, legitimerad sjuksköterska, medicine doktor i klinisk äldreforskning. Karin Josefsson arbetar som universitetslektor i Mälardalens högskola, som FoU/vetenskaplig handledare i FoU i Sörmland och i enheten för Social Välfärd i Regionförbundet Örebro län.

    Fulltekst (pdf)
    fulltext
  • 42.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    To lead and to be led in municipal care for older people in Sweden as perceived by registered nurses2011Inngår i: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 19, nr 4, s. 498-506Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIM

    To describe registered nurses' (RNs) perceptions of their own leadership and of their immediate line management, as well as leadership's organizational prerequisites in municipal elderly care.

    BACKGROUND

    Nursing leadership is a main factor influencing care quality. In spite of this, there is a leadership crisis in municipal elderly care.

    METHOD

    A descriptive design utilizing a questionnaire. The setting was 60 residential care homes in Sweden with 213 participating nurses. The response rate was 62%.

    RESULTS

    Most nurses (59%) viewed themselves as leaders of a smaller group, whereas 28% did not consider themselves as leaders at all. Few nurses had the will to develop their leadership competence. In all, 25% of the nurses had unresolved serious conflicts with their immediate line management. Half perceived receiving no or little feedback from their immediate line management. A majority had no organized supervision. They perceived, on average, organizational prerequisites as unclear, with few possibilities for leadership competence development.

    CONCLUSIONS

    Nurses need to be more willing to develop their leadership skills. Nurses need managers to support them in their leadership roles. They need distinct and supportive organizational prerequisites for leadership.

    IMPLICATIONS FOR NURSING MANAGEMENT

    It is crucial to provide distinct and supportive organizational prerequisites for nursing leadership.

  • 43. Josefsson, Karin
    Varför slog hon mig?2012Inngår i: Äldre i centrum, ISSN 1401-5110, nr 3, s. 40-41Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 44.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Violence in municipal elderly care in Sweden as perceived by registered nurses2007Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 16, nr 5, s. 900-910Artikkel i tidsskrift (Fagfellevurdert)
  • 45.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Violence in municipal elderly care in Sweden as perceived by registered nurses2007Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 16, nr 5, s. 900-910Artikkel i tidsskrift (Fagfellevurdert)
  • 46. Josefsson, Karin
    Vårda äldre är inget för mesar2010Inngår i: Vårdfokus, nr 9, s. 22-24Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 47.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    What implies the good work for registered nurses in municipal elderly care in Sweden?2011Inngår i: Clinical Nursing Research, ISSN 1054-7738, E-ISSN 1552-3799, Vol. 20, nr 3, s. 292-309Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim was to describe registered nurses’ perceptions of what the good work implies to them in municipal elderly care. A descriptive design and a structured questionnaire specifically designed for this study were used. Sixty housing units for older people and 213 nurses participated, with a response rate of 62%. The good work included the following aspects: intellectually stimulating without guilt feelings; freedom and independence with the possibility to influence; having appreciative and pleasant fellow workers and a fair and understanding manager; a good physical and risk-free environment; work security and a steady income with the possibility of improving salary through work effort; work effort should be beneficial to others; innovative thinking and initiative should be highly valued; and pride in work without compromising personal values. Employers must take this into consideration to retain those nurses already employed and recruit nurses to municipal elderly care.

  • 48.
    Josefsson, Karin
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Work situation of registered nurses in municipal elderly care in Sweden: A questionnaire survey2007Inngår i: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 44, nr 1, s. 71-82Artikkel i tidsskrift (Fagfellevurdert)
  • 49.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Äldre personers hälsa, levnadsvanor och livsvillkor.2011Rapport (Annet (populærvitenskap, debatt, mm))
    Abstract [sv]

    Syfte. Syftet var att beskriva äldre personers, 65 – 84 år, uppfattningar av deras hälsa, levnadsvanor och livsvillkor i Södermanlands län och i Örebro län år 2008. Ett andra syfte var att jämföra skillnader mellan åldersgrupper och kön i länen Södermanlands län och i Örebro län. Ett tredje syfte var att jämföra och beskriva trenden över tid, från år 2000, av deras hälsa, levnadsvanor och livsvillkor.

    Metod. Denna rapport är en del av befolkningsundersökningen Liv & hälsa. Deltagarna var äldre personer, 65-84 år, i Södermanlands län (n = 2123) och Örebro län (n = 3937). En enkät konstruerades som täckte områdena hälsa, levnadsvanor och livsvillkor med slutna svarsalternativ. Enkäten skickades till slumpmässigt utvalda personer. Svarsfrekvens var 80 procent i åldersgruppen 65-79 år och 75 procent i åldersgruppen 80-84 år i Södermanlans län. Svarsfrekvens i Örebro län var 78 procent i åldersgruppen 65-79 år och 71 procent i åldersgruppen 80-84 år. Enkätsvaren analyserades i statistikprogrammet Statistical Package for the Social Sciences (SPSS).

    Resultat. Hälften av de i åldersgruppen 65-79 år bedömde sin hälsa som bra eller mycket bra. Få hade ohälsosamma alkohol- och tobaksvanor. Flera hade ohälsosamma matvanor och motionsvanor. En större andel kvinnor än män i åldersgruppen 65-79 år bedömde sin hälsa, levnadsvanor (inte mat, rökning och alkohol) och livsvillkor sämre. Förtroendet var relativt lågt för folktandvården, socialtjänsten och försäkringskassan. Förtroendet för socialtjänsten och försäkringskassan hade, från redan låga nivåer, minskat signifikant sedan år 2000. Mindre än hälften hade förtroende för äldreomsorgen. Andelen, i åldersgruppen 65-79 år, som åt lunch, middag, kvällsmål varje dag hade signifikant minskat över tid. Det var få skillnader mellan länen och även få trender mellan år 2000 - 2008.

    Diskussion och slutsatser. Folkhälsoarbete och hälso- och sjukvårdsarbete bör, utifrån rapportens resultat, arbeta med de bestämningsfaktorer som påverkar hälsan, genom att förebygga risker, behandla ohälsa och skapa stödjande miljöer. Att bryta ohälsosamma levnadsvanor är något som bör in i hela sjukvården och samhället. De äldre bör mötas av personal med kompetens om åldrandet. Strategiska satsningar för evidensbaserade förebyggande insatser är nödvändigt. Det är avgörande att de äldre har kunskap om hälsosamma levnadsvanor och livsvillkor för att främja sin hälsa. Livsvillkor har inte alltid de äldre möjlighet att påverka själva. Här har samhället ett ansvar för att skapa stödjande strukturer som underlättar de äldres egenmakt.

    Fulltekst (pdf)
    fulltext
  • 50.
    Josefsson, Karin
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Andersson, Marie
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Erikstedt, Annika
    Older adults' self-rated health and differences by age and gender: A quantitative study2016Inngår i: Healthy Aging Research, ISSN 2261-7434, Vol. 5, nr 5Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: The older adult population is expected to grow, presenting potential challenges for individuals and society. Maintenance of older adults’ health will be an important factor for healthy aging. It will also be a challenge for health professionals who work to promote health and create care equity conditions. To promote healthy aging and equal care, an overview of older adults’ self-rated health is needed. The aim of this study was to describe self-rated health among older adults’ living at home and age group and gender-based health differences.

    Method: A descriptive and a comparative cross-sectional study. The questionnaire study was part of a Swedish national population study. Randomly selected older adults 65–84 years living in five counties in central Sweden. The response rates were 79% and 75% for those 65–79 years and 80–84 years, respectively. Participants (n = 13922) were divided into two age groups: 65–79 years (n = 5926 male, n = 5755 female) and 80–84 years (n = 1208 male, n = 1033 female).

    Results and conclusions: Older adults generally self-rated their health as well, especially in the age group aged 65–79 years. Females self-rated their health as poorer than did males, especially among those aged 65–79 years. Gender-based health differences decreased in the group aged 80–84 years. It is important to address these gender-based health differences; health policies and programmes need topromote equitable healthy aging.

    Fulltekst (pdf)
    fulltext
12 1 - 50 of 62
RefereraExporteraLink til resultatlisten
Permanent link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • harvard-cite-them-right
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf