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  • 51.
    Axelsson, Christer
    et al.
    University of Borås, School of Health Science.
    Bremer, Anders
    University of Borås, School of Health Science.
    Hagiwara, Magnus
    University of Borås, School of Health Science.
    Herlitz, Johan
    University of Borås, School of Health Science.
    Englund, Lotta
    University of Borås, School of Health Science.
    Så skapas världens bästa ambulanssjukvård2011In: Göteborgsposten, ISSN 1103-9345Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Tiden från larm till dess att ambulans kommer har ökat dramatiskt de senaste tio åren i Västra Götaland. Samtidigt bedöms allt fler i behov av snabb utryckning. Kompetens finns att råda bot på detta – om den tillåts styra utvecklingen, skriver bland andra professor Johan Herlitz.

  • 52.
    Axelsson, Christer
    et al.
    University of Borås, School of Health Science.
    Claesson, Andreas
    University of Borås, School of Health Science.
    Engdahl, J
    Herlitz, Johan
    University of Borås, School of Health Science.
    Hollenberg, J
    Lindqvist, J
    Rosenqvist, M
    Svensson, L
    Outcome after out-of-hospital cardiac arrest witnessed by EMS: changes over time and factors of importance for outcome in Sweden.2012In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 83, no 10, p. 1253-1258Article in journal (Refereed)
    Abstract [en]

    Background Among patients who survive after out-of-hospital cardiac arrest (OHCA), a large proportion are recruited from cases witnessed by the Emergency Medical Service (EMS), since the conditions for success are most optimal in this subset. Aim To evaluate outcome after EMS-witnessed OHCA in a 20-year perspective in Sweden, with the emphasis on changes over time and factors of importance. Methods All patients included in the Swedish Cardiac Arrest Register from 1990 to 2009 were included. Results There were 48,349 patients and 13.5% of them were EMS witnessed. There was a successive increase in EMS-witnessed OHCA from 8.5% in 1992 to 16.9% in 2009 (p for trend < 0.0001). Among EMS-witnessed OHCA, the survival to one month increased from 13.9% in 1992 to 21.8% in 2009 (p for trend < 0.0001). Among EMS-witnessed OHCA, 51% were found in ventricular fibrillation, which was higher than in bystander-witnessed OHCA, despite a lower proportion with a presumed cardiac aetiology in the EMS-witnessed group. Among EMS-witnessed OHCA overall, 16.0% survived to one month, which was significantly higher than among bystander-witnessed OHCA. Independent predictors of a favourable outcome were: (1) initial rhythm ventricular fibrillation; (2) cardiac aetiology; (3) OHCA outside home and (4) decreasing age. Conclusion In Sweden, in a 20-year perspective, there was a successive increase in the proportion of EMS-witnessed OHCA. Among these patients, survival to one month increased over time. EMS-witnessed OHCA had a higher survival than bystander-witnessed OHCA. Independent predictors of an increased chance of survival were initial rhythm, aetiology, place and age.

  • 53. Axelsson, E
    et al.
    Määttä, Sylvia
    University of Borås, School of Health Science.
    Taktil massage som behandling för ungdomar med anorexia nervosa2007In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 27, no 3, p. 35-39Article in journal (Refereed)
  • 54. Axelsson, Å
    et al.
    Stibrant Sunnerhagen, K
    Herlitz, J
    University of Borås, School of Health Science.
    Comparision of respondents and non-respondents in a follow-upsurvey after cardiac arrest2013Conference paper (Refereed)
  • 55. Axelsson, Åsa
    et al.
    Sunnerhagen, Katrina
    Herlitz, Johan
    University of Borås, School of Health Science.
    Post-traumatic stress among survivors of out of hospital cardic arrest2012Conference paper (Refereed)
  • 56. Backlund, Per
    et al.
    Heldal, Ilona
    Söderström, Ewa
    Lundberg, Lars
    University of Borås, School of Health Science.
    Jonsson, Anders
    University of Borås, School of Health Science.
    Maurin Söderholm, Hanna
    University of Borås, Swedish School of Library and Information Science.
    Pre-hospital training and simulation initiative2014Conference paper (Refereed)
    Abstract [en]

    Background The pre-hospital process is a complex one involving aspects such as medical skills as well as care taking, team performance, inter-organizational cooperation and communication. This calls for novel training methods and technology support. Our review of literature (covering the areas of pre-hospital care, training simulator technologies and methods and process modelling) indicates that the different aspects are typically trained in isolation, e.g. medical skills using patient simulators.Objective The pre-hospital training center project addresses the overall complexity of the pre-hospital process by taking all of the aspects into account when designing scenarios and technology support for training the complete prehospital process (covering alarm, on-scene activities, transportation and hand-over). This is indeed a challenging task as we need to develop both training methods and technology support for a very complex training situation.Methods The project will develop a prototype scenario along with technology support to enact it. The training scenario will involve many of the aspects listed above and will be tested in a field experiment with ambulance personnel. Results The expected outcome of the project is a platform for establishing a pre-hospital simulation and training center. The initial technologies, research results and experiences will be used to form a consortium for further work and development. Conclusions We have identified a need for a pre-hospital training center with the unique and ambitious idea of covering the entire pre-hospital process as well as its many interacting aspects. To the best of our knowledge this approach is not at all common and we expect the complexity to be so high that it is a challenging enough research area that can only be addressed if we have a well-designed simulation and training center in place with all the different areas of knowledge represented, i.e. pre-hospital medicine as well as simulation and visualization technology.

  • 57. Bagshow, D.
    et al.
    Lepp, Margret
    University of Borås, School of Health Science.
    Zorn, C
    International Research Collaboration: Building Teams and Managing Conflicts2007In: Conflict Resolution Quarterly, ISSN 1536-5581, E-ISSN 1541-1508, Vol. 24, no 4, p. 433-446Article in journal (Refereed)
  • 58. Behboudi, A
    et al.
    Roshani, L
    Lundin, L
    Ståhl, Fredrik
    University of Borås, School of Health Science.
    Klinga-Levan, K
    Levan, G
    Functional significance of absence: The chromosomal segment harboring the Tp53 gene is missing in the T55 rat radiation hybrid mapping panel2002In: Genomics, ISSN 0888-7543, E-ISSN 1089-8646, Vol. 79, no 6, p. 844-848Article in journal (Refereed)
    Abstract [en]

    The T55 rat radiation hybrid (RH) mapping panel has been reported to retain the entire rat genome at retention frequencies between 22% and 37%. However, we found that a small segment of rat chromosome 10 harboring at least four different genes, including Tp53, was completely absent from the panel (retention frequency = 0%). Two other markers located in the vicinity exhibited much reduced retention (2–6%). RH clones are generated by transferring highly fragmented DNA into a recipient cell. There might be a strong selection against the transfer and retention of chromosome segments harboring an intact Tp53, as the action of this gene might prevent proliferation and establishment of the RH clone. Our finding further suggests that unexpected low retention or absence of chromosome segments in an RH panel may represent indications that the segments harbor genes with important functions in cell proliferation control.

  • 59. Behboudi, A
    et al.
    Sjöstrand, E
    Gómez-Fabre, P
    Sjöling, Å
    Taib, Z
    Klinga-Levan, K
    Ståhl, Fredrik
    University of Borås, School of Health Science.
    Levan, G
    Evolutionary aspects of the genomic organization in rat chromosome 102002In: Cytogenetic and Genome Research, ISSN 1424-8581, E-ISSN 1424-859X, Vol. 96, no 1-4, p. 52-59Article in journal (Refereed)
    Abstract [en]

    Using FISH and RH mapping a chromosomal map of rat chromosome 10 (RNO10) was constructed. Our mapping data were complemented by other published data and the final map was compared to maps of mouse and human chromosomes. RNO10 contained segments homologous to mouse chromosomes (MMU) 11, 16 and 17, with evolutionary breakpoints between the three segments situated in the proximal part of RNO10. Near one of these breakpoints (between MMU17 and 11) we found evidence for an inversion ancestral to the mouse that was not ancestral to the condition in the rat. Within each of the chromosome segments identified, the gene order appeared to be largely conserved. This conservation was particularly clear in the long MMU11-homologous segment. RNO10 also contained segments homologous to three human chromosomes (HSA5, 16, 17). However, within each segment of conserved synteny were signs of more extensive rearrangements. At least 13 different evolutionary breakpoints were indicated in the rat-human comparison. In contrast to what was found between rat and mouse, the rat-human evolutionary breaks were distributed along the entire length of RNO10.

  • 60. Beijer, Elisabeth
    et al.
    Eriksson, Bengt
    Greene, Jennifer
    Jess, Kari
    Karlsson Vestman, Ove
    Karlsson, Per-Åke
    University of Borås, School of Health Science.
    Niklasson, Laila
    Verkstäder för utvärdering i välfärdsverksamheter: erfarenheter från några svenska FoU-enheter och högskolor2011Report (Other academic)
    Abstract [sv]

    I denna rapport beskrivs och värderas erfarenheter från utvärderingsverkstäder, som är en pedagogisk form för att simultant lära om utvärdering och att genomföra utvärderingar inom välfärdsområdet. Rapporten bygger på studier av utvärderingsverkstäder liksom på författarnas egna erfarenheter från att bedriva verkstäder. Studien har genomförts inom ramen för Nätverket för utvärderingsverkstäder (Nuv). Initiativet till Nuv togs 2008 från Mälardalens Högskola och dess utvärderingsakademi. Nätverket etablerades mellan de enheter vars medarbetare medverkar i denna rapport; FoU Välfärd Värmland (Bengt G Eriksson), FoU i Väst/GR (Elisabeth Beijer), Mälardalens Högskola och FoU i Sörmland (Kari Jess, Laila Niklasson, Ove Karlsson Vestman) och FoU Sjuhärad Välfärd (Per-Åke Karlsson). Jennifer C Greene, gästprofessor vid Mälardalens högskola, medverkade under en tid i nätverket och bidrar även i denna antologi. Tanken med Nuv är att samla och sprida erfarenheter från redan genomförda verkstäder, för att på så sätt bidra till en utveckling där flera utvärderingsverkstäder kommer till stånd och till att förbättra arbetsmodellen på basis av gjorda erfarenheter. Denna antologi är ett led i detta. Rapporten har antologins form där varje författare svarar för innehållet i respektive kapitel. Grundmaterialet för kapitlen utgörs av de studier vi genomfört gemensamt samt erfarenheter från att leda utvärderingsverkstäder. Våren 2009 genomförde vi tillsammans en enkätundersökning riktad till deltagare i utvärderingsverkstäderna. Vi vill passa på att tacka deltagarna som tog sig tid att besvara enkäten. Dessutom genomfördes något senare ett antal intervjuer med några deltagare i utvärderingsverkstäderna liksom med några av deras chefer (tillika uppdragsgivare för utvärderingsuppdragen). Även dessa vill vi tacka för att de välvilligt låtit sig intervjuas om sina erfarenheter från verkstäderna. Vår förhoppning är att antologin ska bidra till att sprida kunskap om utvärderingsverkstäder, bidra till utveckling av metodiken samt inspirera till ytterligare verkstäder.

  • 61. Beijer, Elisabeth
    et al.
    Eriksson G, Bengt
    Jess, Kari
    Niklasson, Laila
    Karlsson, Ove
    Karlsson, Per-Åke
    University of Borås, School of Health Science.
    Utvärderingsverkstäder i välfärdsverksamheter: studier av verkstädernas kvalitet och nytta2011Conference paper (Other academic)
    Abstract [sv]

    Med inspiration från aktionsforskningen har olika former av förändringsinriktad och deltagarbaserad forskning och utvecklingsarbete utvecklats, under beteckningar som forsknings- eller FoU-cirklar (Socialstyrelsen, 2002), participatorisk aktionsforskning (Participatory Action Research, PAR) (Holmer & Starrin, 1993), handlingsorienterat forskningssamarbete (Co-operative Inquiry) (Reason & Heron, 1986; Hummelvoll, 2006). Dessa olika arbetssätt förenas i en gemensam syn på hur kunskap kan utvecklas, spridas och användas: gemensamt och i samarbete, och inte utifrån ett ’top-down-perspektiv’. Utvärderingsverkstäder (i fortsättningen förkortat UV), som utgår från denna tradition, arrangeras av FoU-enheter inom välfärdsområdet, och/eller av högskola/universitet. I dessa verkstäder träffas en grupp deltagare tillsammans med utvärderingskunniga ledare från FoU-enheten/högskolan. Deltagarna genomför med stöd från ledarna och de övriga deltagarna utvärderingar, eller utvecklar system för utvärdering, på uppdrag av sina respektive organisationer.Syftet med detta paper är att redovisa och diskutera tio års erfarenheter från UV vid fyra FoU-enheter och en högskola i Mellansverige, ur deltagarnas och deras organisationers, samt ledarnas och de ansvariga enheternas/högskolans perspektiv.

  • 62. Beillon, Lena Marie
    et al.
    Suserud, Björn-Ove
    University of Borås, School of Health Science.
    Karlberg, Ingvar
    Herlitz, Johan
    University of Borås, School of Health Science.
    Does ambulance use differ between geographic areas? A survey of ambulance use in sparsely and densely populated areas2009In: American Journal of Emergency Medicine, ISSN 0735-6757, E-ISSN 1532-8171, Vol. 27, no 2, p. 202-211Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to analyze possible differences in the use of ambulance service between densely and sparsely populated areas. Methods: This study was designed as a 2-step consecutive study that included the ambulance service in 4 different areas with different geographical characteristics. A specific questionnaire was distributed to the enrolled ambulance services. Completion of one questionnaire was required for each ambulance mission, that is, I per patient, during the study periods. For calculations of P values, geographic area was treated as a 4-graded ordered variable, from the most densely populated to the most sparsely populated (ie, urban-suburban-rural-remote rural area). Statistical tests used were Mann-Whitney U test and Spearman rank statistic, when appropriate. All P values are 2 tailed and considered significant if below .01. Results: The medical status of the patients in the prehospital care situation was more often severe in the sparsely populated areas. In addition, drugs were more often used in the ambulances in these areas. In the sparsely populated areas, ambulance use was more frequently judged as the appropriate mode of transportation compared with the more densely populated areas. Conclusions: Our study suggests that the appropriateness of the use of ambulance is not optimal. Furthermore, our data suggest that geographical factors, that is, population density, is related to inappropriate use. Thus, strategies to improve the appropriateness of ambulance use should probably take geographical aspects into consideration. (C) 2009 Published by Elsevier Inc.

  • 63. Bengtsson, I
    et al.
    Karlson, B
    Herlitz, Johan
    University of Borås, School of Health Science.
    Haglid Evander, M
    Währborg, P
    A 14-year follow-up study of chest pain patients including stress hormones and mental stress at index event2012In: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 154, no 3, p. 306-311Article in journal (Refereed)
    Abstract [en]

    Background Knowledge of long-term outcome in chest pain patients is limited. We reinvestigated patients who 14 years earlier had visited the emergency department due to chest pain, and were discharged without hospitalization. Extensive examinations were made at that time on 484 patients including full medical history, exercise test, a battery of stress questions and stress hormone sampling. Methods From a previously conducted chest pain study patients still alive after 14 years were approached. Hospitalization or deaths with a diagnosis of ischemic heart disease or cerebrovascular disease were used as end point. Results During the follow-up period 24 patients had died with a diagnosis of ischemic heart or cerebrovascular disease, and 50 patients had been given such a diagnosis at hospital discharge. Age (OR 1.12, CI 1.06–1.19), previous history of angina pectoris (OR 9.69, CI 2.06–71.61), pathological ECG at emergency department visit (OR 3.27, CI 1.23–8.67), hypertension (OR 5.03, CI 1.90–13.76), smoking (OR 3.04, CI 1.26–7.63) and lipid lowering medication (OR 14.9, CI 1.60–152.77) were all associated with future ischemic heart or cerebrovascular events. Noradrenalin levels were higher in the event group than in the non-event group, mean (SD) 2.44 (1.02) nmol/L versus 1.90 (0.75) nmol/L. When noradrenalin was included in the regression model high maximal exercise capacity was protective of an event (OR 0.986, CI 0.975–0.997). Conclusion In chest pain patients previous history of angina pectoris, hypertension, smoking, pathological ECG at primary examination, and age were the main risk factors associated with future cardiovascular or cerebrovascular events.

  • 64.
    Berg, AL
    et al.
    University of Borås, School of Health Science.
    Bergh, CH
    Friberg, Febe
    How do nurses record pedagogical activities? Nurses' documentation in patient records in a cardiac rehabilitation unit for patients who have undergone coronary artery bypass surgery.2007In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 16, no 10, p. 1898-1907Article in journal (Refereed)
    Abstract [en]

    Aims. To describe the use of pedagogically related keywords and the content of notes connected to these keywords, as they appear in nursing records in a coronary artery bypass graft (CABG) surgery rehabilitation unit. Background. Nursing documentation is an important component of clinical practice and is regulated by law in Sweden. Studies have been carried out in order to evaluate the educational and rehabilitative needs of patients following CABG surgery but, as yet, no study has contained an in-depth evaluation of how nurses document pedagogical activities in the records of these patients. Methods. The records of 265 patients admitted to a rehabilitation unit following CABG surgery were analysed. The records were structured in accordance with the VIPS model. Using this model, pedagogically related keywords: communication, cognition/development and information/education were selected. The analysis of the data consisted of three parts: the frequency with which pedagogically related keywords are used, the content and the structure of the notes. Results. Apart from the term 'communication', pedagogically related keywords were seldom used. Communication appeared in all records describing limitations, although no explicit reference was made to pedagogical activities. The notes related to cognition/development were grouped into the following themes: nurses' actions, assessment of knowledge and provision of information, advice and instructions as well as patients' wishes and experiences. The themes related to information were the provision of information and advice in addition to relevant nursing actions. The structure of the documentation was simple. Conclusions. The documentation of pedagogical activities in nursing records was infrequent and inadequate. Relevance to clinical practice. The patients' need for knowledge and the nurses' teaching must be documented in the patient records so as to clearly reflect the frequency and quality of pedagogical activities.

  • 65. Berg, M
    et al.
    Nilsson, Christina
    University of Borås, School of Health Science.
    Värdegrunden har betydelse för vårdandet2007In: Vårdfacket, ISSN 0347-0911, Vol. MarsArticle in journal (Other academic)
  • 66.
    Bergh, Anne-Louise
    University of Borås, School of Health Science.
    Registered nurses’ perceptions of conditions for patient education: focusing on organizational, environmental and professional cooperation aspects.2012In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 20, no 6, p. 758-770Article in journal (Refereed)
    Abstract [en]

    AIM: To describe nurses' perceptions of conditions for patient education, focusing on organisational, environmental and professional cooperation aspects, and to determine any differences between primary, municipal and hospital care. BACKGROUND: Although patient education is an important part of daily nursing practice, the conditions for this work are unclear and require clarification. METHOD: A stratified random sample of 701 (83%) nurses working in primary, municipal and hospital care completed a 60-item questionnaire. The study is part of a larger project. The study items relating to organisation, environment and professional cooperation were analysed using descriptive statistics, non-parametric tests and content analysis. RESULTS: Conditions for patient education differ. Nurses in primary care had better conditions and more managerial support, for example in the allocation of undisturbed time. CONCLUSIONS: Conditions related to organisation, environment and cooperation need to be developed further. In this process, managerial support is important, and nurses must ask for better conditions in order to carry through patient education. IMPLICATIONS FOR NURSING MANAGEMENT: Managerial support for the development of visible patient education routines (e.g. allocation of time, place and guidelines) is required. One recommendation is to designate a person to oversee educational work.

  • 67.
    Bergh, Anne-Louise
    et al.
    University of Borås, School of Health Science.
    Bergh, Claes-Håkan
    Friberg, Febe
    How do nurses record pedagogical activities? An investigation of nurses’ documentation inpatients´ records in a cardiac rehabilitation unit for patients following coronary artery bypass surgery.2007In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 16, no 10, p. 1898-1907Article in journal (Refereed)
    Abstract [en]

    Aims. To describe the use of pedagogically related keywords and the content of notes connected to these keywords, as they appear in nursing records in a coronary artery bypass graft (CABG) surgery rehabilitation unit. Background. Nursing documentation is an important component of clinical practice and is regulated by law in Sweden. Studies have been carried out in order to evaluate the educational and rehabilitative needs of patients following CABG surgery but, as yet, no study has contained an in-depth evaluation of how nurses document pedagogical activities in the records of these patients. Methods. The records of 265 patients admitted to a rehabilitation unit following CABG surgery were analysed. The records were structured in accordance with the VIPS model. Using this model, pedagogically related keywords: communication, cognition/development and information/education were selected. The analysis of the data consisted of three parts: the frequency with which pedagogically related keywords are used, the content and the structure of the notes. Results. Apart from the term 'communication', pedagogically related keywords were seldom used. Communication appeared in all records describing limitations, although no explicit reference was made to pedagogical activities. The notes related to cognition/development were grouped into the following themes: nurses' actions, assessment of knowledge and provision of information, advice and instructions as well as patients' wishes and experiences. The themes related to information were the provision of information and advice in addition to relevant nursing actions. The structure of the documentation was simple. Conclusions. The documentation of pedagogical activities in nursing records was infrequent and inadequate. Relevance to clinical practice. The patients' need for knowledge and the nurses' teaching must be documented in the patient records so as to clearly reflect the frequency and quality of pedagogical activities.

  • 68.
    Bergh, Anne-Louise
    et al.
    University of Borås, School of Health Science.
    Johansson, Inger
    Persson, Eva
    University of Borås, School of Health Science.
    Karlsson, Jan
    Friberg, Febe
    Nurses’ Patient Education Questionnaire: development and validation process2015In: Journal of Research in Nursing, ISSN 1744-9871, Vol. 20, no 3, p. 181-200Article in journal (Refereed)
    Abstract [en]

    Abstract Conditions for nurses’ daily patient education work are unclear and require clarification. The aim was to develop and validate the Nurses’ Patient Education Questionnaire, a questionnaire that assesses nurses’ perceptions of appropriate conditions for patient education work: what nurses say they actually do and what they think about what they do. The questionnaire was developed from a literature review, resulting in the development of five domains. This was followed by ‘cognitive interviewing’ with 14 nurses and dialogue with 5 pedagogical experts. The five domains were identified as significant for assessing nurses’ beliefs and knowledge; education environment; health care organisation; interdisciplinary cooperation and collegial teamwork; and patient education activities. A content validity index was used for agreement of relevance and consensus of items by nurses (n¼10). The total number of items in the final questionnaire is 60, consisting of demographic items, what nurses report they do and perceptions about patient education in daily work. The questionnaire can be used by managers and nurses to identify possibilities and barriers to patient education in different care contexts.

  • 69.
    Bergh, Anne-Louise
    et al.
    University of Borås, School of Health Science.
    Persson, Eva
    University of Borås, School of Health Science. Lund University, Lund, Sweden.
    Karlsson, Jan
    The Sahlgrenska Academy, University of Gothenburg, Örebro University Hospital.
    Friberg, Febe
    University of Stavanger, Stavanger, Norway.
    Registered nurses’ perceptions of conditions for patient education: focusing on aspects of competence.2014In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 28, no 3, p. 523-536Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: It is important to clarify nurses' perceptions of conditions for patient education in daily work as research findings are ambiguous. There is a gap between societal regulations on nurses' competence in accomplishment/achievement of patient education and research findings. AIM: The aim was to describe nurses' perceptions of conditions for patient education, focusing on aspects of competence. The aim was also to describe differences in conditions for nurses working in primary, municipal and hospital care. METHODS: The study is a cross-sectional survey and is part of a project about nurses' patient-education. A randomized selection of nurses (842) received a questionnaire comprising 47 items concerning factual experience and attitudes to patient education and 13 background items. Questionnaires were returned by 83% of participants. Descriptive statistics, non-parametric tests and content analysis for open-ended items were used. RESULTS: Nurses' perceptions of conditions for patient education differ between health-care settings. Primary care nurses are at an advantage in following research in patient education, perception of their own competence (prioritizing and knowing their mandate in patient teaching), pedagogical education and post graduate specializations. CONCLUSIONS: Nurses' patient education must be more visualized and appropriate conditions created at each workplace. In this change process, managers' support is considered vital.

  • 70.
    Bergh, Anne-Louise
    et al.
    University of Borås, School of Health Science.
    Persson, LO
    Attvall, Stig
    Psychometric properties of the Swedish version of the Well-Being Questionnaire in a sample of patients with diabetes type 1.2000In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 28, no 2, p. 137-145Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: The aim of the present investigation was to further test the psychometric properties of a Swedish version of the Well-Being Questionnaire (WBQ) in order to determine whether it could be suitable for measuring health-related quality of life among type 1 diabetic patients. METHODS: In total, 94 patients who fulfilled the inclusion criteria were selected for the study and of these 85% participated. Reliability was tested with Cronbach's alpha coefficient and the internal validity by means of principal component analysis and multitrait analysis. To test the external validity, comparisons were made with two other questionnaires, the Short form-36 and a Swedish Mood Adjective Check List. RESULTS: The results show that, above all, the Swedish version of the WBQ measures psychological well-being, and thus must also be complemented with scales that measure other consequences of the illness and/or treatment, i.e. physical symptoms. The questionnaire has low discriminatory validity between subscales, which casts doubt on the appropriateness of using the four subscales as separate measures. The two scales measuring anxiety and depression are not sensitive enough for use among type 1 diabetics without complications and high or normal levels of psychological well-being. CONCLUSIONS: The Well-Being Questionnaire alone does not give any more information about subjective health status among type 1 diabetic patients than, for example, the generic SF-36.

  • 71. Berglind, L
    et al.
    Karlsson, T
    Hirlekar, G
    Albertsson, P
    Herlitz, J
    University of Borås, School of Health Science.
    Ravn-Fischer, A
    Delay and inequality in treatment of the elderly with suspected acute coronary syndrome2014In: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 176, no 3, p. 946-950Article in journal (Refereed)
    Abstract [en]

    BACKGROUND/OBJECTIVES: The aim of this study is to determine differences between elderly patients (≥80 years) and younger patients with suspected acute coronary syndrome (ACS) regarding delay times before diagnostic tests and treatments. METHODS: All patients with chest pain who were admitted to a hospital in the Gothenburg area were included consecutively over a 3-month period. They were divided into an elderly group (≥80 years) and a reference group (<80 years). Previous medical history, ECG findings, treatments, diagnostic tests, and delay times were registered. RESULTS: Altogether, 2588 patients were included (478 elderly and 2110 reference). There were no significant differences in delay time to hospital ward admission, to first medical therapy with aspirin, or to investigation with coronary angiography (CA) between the two groups. The elderly patients had a significantly shorter median time from first medical contact to first ECG (12 vs. 14 min, p=0.002) but after adjustment for confounding factors, especially mode of transport, the opposite was found to be the case (p=0.002). Elderly hospitalized patients with ACS were less often investigated with CA (44% vs. 89%, p<0.0001) and received less medical treatment with P2Y12 antagonists and lipid lowering drugs. CONCLUSIONS: Elderly individuals with chest pain could not be shown to have a delay to hospital admission compared to their younger counterparts. Nevertheless, higher age was associated with a longer time to first ECG. The elderly patients received less active therapy, and fear of age-related side effects might explain this difference.

  • 72. Berglund, Mia
    et al.
    Sjögren, Reet
    Ekebergh, Margaretha
    University of Borås, School of Health Science.
    Reflect and learn together: when two supervisors interact in the learning support process of nurse education2012In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 20, no 2, p. 152-158Article in journal (Refereed)
    Abstract [en]

    Aim  To describe the importance of supervisors working together in supporting the learning process of nurse students through reflective caring science supervision. Background  A supervision model has been developed in order to meet the need for interweaving theory and practice. The model is characterized by learning reflection in caring science. A unique aspect of the present project was that the student groups were led by a teacher and a nurse. Method  Data were collected through interviews with the supervisors. The analysis was performed with a phenomenological approach. Results  The results showed that theory and practice can be made more tangible and interwoven by using two supervisors in a dual supervision. The essential structure is built on the constituents ‘Reflection as Learning Support’, ‘Interweaving Caring Science with the Patient’s Narrative’, ‘The Student as a Learning Subject’ and ‘The Learning Environment of Supervision’. Conclusion  The study concludes that supervision in pairs provides unique possibilities for interweaving and developing theory and practice. Implications for nursing management  The supervision model offers unique opportunities for cooperation, for the development of theory and practice and for the development of the professional roll of nurses and teachers.

  • 73. Berndtsson, I
    et al.
    Carlsson, E
    Persson, Eva
    University of Borås, School of Health Science.
    Lindholm, E
    Long-term adjustment to living with an ilial pouch-anal anastomosis2011In: Diseases of the Colon & Rectum, ISSN 0012-3706, E-ISSN 1530-0358, Vol. 54, no 2, p. 193-199Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The aim of this study was to describe long-term adjustment to life with an ileal pouch-anal anastomosis after surgery for ulcerative colitis, to investigate the relationship of pouch function to adjustment, and to explore factors affecting quality of life. METHODS: A total of 369 patients treated between 1982 and 1993 were included in the study. Questionnaires designed to assess bowel (pouch) function (Öresland score) and disease-specific adjustment (Swedish version of the Ostomy Adjustment Scale), plus open-ended questions regarding quality of life, were sent by mail. Open-ended questions were analyzed with qualitative content analysis. RESULTS: A total of 252 patients (84%) returned the disease-specific adjustment questionnaire (141 males/111 females); median age, 51 (range, 26-77) years; median follow-up, 15 (range, 10-21) years after construction of the ileal pouch-anal anastomosis. High adjustment ratings were found for all statements, with the maximum median score of 6 on 28 of the 36 items. Items with the lowest ratings (median score, 5) pertained to things one would do if not for the IPAA, feeling free to travel, ability to enjoy sexual activities, comfort with body image, ability to laugh about awkward situations, confidence in the appliance, and whether the surgery helped with decisions on what things are most important in life. Participants with the lowest adjustment scores had low bowel function scores (P < .0001). Open-ended quality of life questions were answered by 150 patients (59.5%). The most important areas for quality of life were health, family, restroom access, and friends. Five categories emerged from the qualitative content analysis: living a "normal" life, food restrictions, physical limitations, influence of restroom access on social life, and being dependent on medical care. CONCLUSIONS: Most participants had adjusted well to life with an ileal pouch-anal anastomosis and considered life to be normal. Good public restrooms were important for quality of life. Improving pouch function may help patients adjust to the postoperative state, but deeper understanding of reasons for poor adjustment despite good pouch function is needed.

  • 74. Berndtsson, Ina
    et al.
    Carlsson, Eva
    Hallén, Ann-Marie
    Fingren, Jeanette
    Lindholm, Eva
    Persson, Eva
    University of Borås, School of Health Science.
    Stoma complications in acute and emergency situations: a prospective longitudinal study2009Conference paper (Refereed)
  • 75. Berndtsson, Ina
    et al.
    Carlsson, Eva
    Persson, Eva
    University of Borås, School of Health Science.
    Framtida forskning2008In: Stomi- och tarmopererad - ett helhetsperspektiv / [ed] Eva Persson, Ina Berndtsson, Eva Carlsson, Studentlitteratur , 2008Chapter in book (Other academic)
  • 76. Billhult, Annika
    et al.
    Määttä, Sylvia
    University of Borås, School of Health Science.
    Light pressure massage for patients with severe anxiety2009In: Complementary Therapies in Clinical Practice, ISSN 1744-3881, E-ISSN 1873-6947, Vol. 15, no 2, p. 96-101Article in journal (Refereed)
    Abstract [en]

    Generalised anxiety disorder (GAD) is common in the western world with a lifetime prevalence of 4.3 to 5.9% and is twice as common in women as in men. GAD can have a decisive impact on a patient's everyday life as it is surrounded by unfocused worries and the severe anxiety may interfere with normal social functions. The treatments include cognitive behavioural therapy and/or psychopharmacological drugs. In previous studies the positive effects of massage on anxiety have been shown. The present study described the experience of receiving massage for eight patients with GAD. Findings revealed that the patients were able to rediscover their own capacity during the massage period. This was illuminated by the experience of being relaxed in body and mind, the experience of unconditional attention, the experience of decreased anxiety and the experience of increased self-confidence. The paper ends with a discussion of clinical implications.

  • 77. Binfa, Lorena
    et al.
    Pantoja, Loreto
    Gonzalez, Hilda
    Ransjö-Arvidson, Anna-Berit
    Robertson, Eva
    University of Borås, School of Health Science.
    Chilean midwives and midwifery students' views of women's midlife health-care needs2011In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 27, no 4, p. 417-423Article in journal (Refereed)
    Abstract [en]

    Objective to determine Chilean midwives’ views with regard to Chilean women’s health-care needs in midlife. The aim was also to explore Chilean midwifery students’ views on the clinical care provided to women in midlife. Design a qualitative study using focus group discussions and narratives which were analysed using thematic manifest and latent content analysis. Setting 10 different primary health care (PHC) centres in Santiago, Chile. Participants 22 midwives, working in PHC clinics and 13 (n=13) midwifery students with PHC clinical experience, attending their fourth or fifth year of midwifery education at the School of Midwifery in Santiago. Findings the midwives felt that women in midlife have special health-care service needs. They also considered themselves to be the most appropriate health staff to provide health care for women in midlife, but recognised that they lacked competence in attending psychological and social health-care needs of women in midlife such as violence, abuse and sexuality issues. The midwifery students remarked that many midwives focused their attention on fulfilling the biomedical requirements. Even if the midwives had knowledge about recent research on menopause, they had difficulties in approaching this issue and including it in their counselling. Some students also questioned the sometimes disrespectful attitude shown, especially towards Peruvian immigrants and women with psychosocial problems. Conclusions and implications for practice the findings suggest that midwives need more education about women’s health-care needs in midlife, and that more focus should be placed on the psychosocial aspects of midwifery. More reflections about the quality of the client–provider relationship in clinical practice are needed. Gender issues, the structure of power relationships, and empowerment should be incorporated and critically discussed during midwifery education and training, and also in clinics.

  • 78. Binfa, Lorena
    et al.
    Robertson, Eva
    University of Borås, School of Health Science.
    Ransjö-Arvidson, Anna-Berit
    Chilean Women's Reflections About Womanhood and Sexuality During Midlife in a Swedish or Chilean Context2009In: Health Care for Women International, ISSN 0739-9332, E-ISSN 1096-4665, Vol. 30, no 12, p. 1093-1110Article in journal (Refereed)
    Abstract [en]

    In order to learn about Chilean women's reflections about womanhood and sexuality during midlife, we held focus group discussions (FGDs) with middle-aged Chilean women living in Stockholm, Sweden, or in Santiago, Chile. We used thematic content analysis for the qualitative data. Emerging themes follow; societal expectations on women, perceptions about sexual relationships, and women's social stigmatization. The women had since childhood been strongly influenced by a gender-imbalanced world, which had made them socially, economically, and biologically at higher risk for exploitation during life. More focus should be directed to middle-aged women's life situation and promotion of gender equity in society.

  • 79. Binfa, Lorena
    et al.
    Robertson, Eva
    University of Borås, School of Health Science.
    Ransjö-Arvidson, Anna-Berit
    "We are always asked; 'where are you from?'": Chilean women's reflections in midlife about their health and influence of migration to Sweden2010In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 24, no 3Article in journal (Refereed)
    Abstract [en]

    Aim: This study explored how Chilean immigrant women living in Sweden perceived and related their life situations and health status during midlife to their migration experiences. Method: Three focus group discussions (FGDs) were performed with 21 middle-aged Chilean women (40-60 years) who had lived in Stockholm for at least 15-20 years. In-depth interviews were held with three key informants. A combination of manifest and latent content analysis was performed to structure and categorize the tape-recorded and transcribed data. Findings: Three main themes emerged from the data: (i) Chilean women's reflections about migration and resettlement; (ii) Health during midlife; perceptions of Chilean women living in Sweden; and (iii) Strategies to manage their lives and to gain social acceptance and position. The Chilean women reflected about the discrimination they had met in the Swedish society and within the health care system along with health changes they had had during midlife. They connected some of their health related problems to their hardships of migration. They also expressed confusion about the health care they had received in Sweden including conflicting and mistrusting relationship with some health care providers. Important for their way of coping with their own health seemed to be a recognition of their own space, level of independence, self-acceptance and awareness of power relationships. Conclusion: The results illuminate the importance of awareness of influence of gender and socio-cultural aspects, power relationships and communication skills among health care providers on women's health. Complementary interventions to the biomedical paradigm are needed and should be addressed in Swedish health staff educational programmes as well as in clinical training.

  • 80.
    Bisholt, Birgitta
    et al.
    University of Borås, School of Health Science.
    Ohlsson, Ulla
    University of Borås, School of Health Science.
    Kullén Engström, Agneta
    University of Borås, School of Health Science.
    Sundler J, Annelie
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Gustafsson, Margareta
    University of Borås, School of Health Science.
    Nursing students' assessment of the learning environment in different clinical settings2014In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 14, no 3, p. 304-310Article in journal (Refereed)
    Abstract [en]

    Introduction Nursing students perform their clinical practice in different types of clinical settings. The clinical learning environment is important for students to be able to achieve desired learning outcomes. Knowledge is lacking about the learning environment in different clinical settings. Aim The aim was to compare the learning environment in different clinical settings from the perspective of the nursing students. Design A cross-sectional study with comparative design was conducted. Method Data was collected from 185 nursing students at three universities by means of a questionnaire involving the Clinical Learning Environment, Supervision and Nurse Teacher (CLES + T) evaluation scale. An open-ended question was added in order to ascertain reasons for dissatisfaction with the clinical placement. Results The nursing students' satisfaction with the placement did not differ between clinical settings. However, those with clinical placement in hospital departments agreed more strongly that sufficient meaningful learning situations occurred and that learning situations were multi-dimensional. Some students reported that the character of the clinical setting made it difficult to achieve the learning objectives. Conclusion In the planning of the clinical placement, attention must be paid to whether the setting offers the student a meaningful learning situation where the appropriate learning outcome may be achieved.

  • 81. Bjerke, Ulrika
    et al.
    Frändin, Kerstin
    University of Borås, School of Health Science.
    Formkontroll för äldre. En randomiserad, kontrollerad studie2013Report (Other academic)
  • 82. Björck, M.
    et al.
    Sandman, Lars
    University of Borås, School of Health Science.
    Vårdrelation. Ett försök att tydliggöra begreppsanvändningen2007In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 27, no 4, p. 14-19Article in journal (Refereed)
  • 83.
    Björk Brämberg, Elisabeth
    University of Borås, School of Health Science.
    Att vara invandrare och patient i Sverige2008Doctoral thesis, monograph (Other academic)
    Abstract [en]

    This thesis focuses on immigrants in Sweden. What experiences from the meeting with Swedish society do immigrants have and what meaning does the immigrant background have when they have been patients within the Swedish health and medical service? Former research about patients with an immigrant background can be divided into two perspectives. One which illuminates ethnically demarcated immigrant groups and specific needs. The other perspective has an individually adopted approach independently of the patients’ ethnical background. Here it is mainly the communication problems that are stressed, since these make it hard to understand the individual’s needs. The two empirical studies of the thesis start from an individualised perspective, a life world perspective. Research data have been collected through open interviews. The overall purpose was to develop a deepened understanding of what it means to live as an immigrant in Sweden and receive care. The aim of the pre-study was to examine immigrants’ experiences of participation in municipal home care. In the main study the overall purpose was used and two research questions were asked: What do persons with an immigrant background have to tell us about their situation in Swedish society? How does the situation as an immigrant in Sweden influence the experience of being a patient in Swedish health and medical care? The pre-study shows that participation means making demands and meeting caregivers who view the patient as an actor with the right to make his or her own decisions. One important postulate seems to be access to a good interpreter. To refrain from participation seems to be about adopting a passive attitude as a patient. It seems as if it is the caregivers who are the active ones and the ones setting the standards for the contents of the care. To experience not being invited to participation mainly seems to originate from the fact that the interviewees could neither understand nor make themselves understood. One consequence is that patients are just looked upon as carriers of a symptom. The main study shows that the interviewees’ existential existence as patients involves the whole life situation. Different forms of unsurmountable difficulties might reinforce each other. The ambition to establish oneself in a new home country might therefore be passivised. For patients with immigrant background earlier experiences from exposed situations seem to influence how the patients feel about their treatment. The additional knowledge is that problems seem to reinforce each other. Patients with an immigrant background must be treated as individuals. Every individual’s story has to be made visible. The thesis shows that caregivers ought to endeavour to understand the individual. To encourage dialogue, despite language problems, is of importance for the patient to be able to express his or her needs. The use of an interpreter may have a positive influence on these patients’ possibilities to exert an influence. This means that caregivers who consult an interpreter should build up their competence to communicate through an interpreter.

  • 84.
    Björk Brämberg, Elisabeth
    University of Borås, School of Health Science.
    Behövs kulturkompetens för att vårda patienter med invandrarbakgrund?2008Report (Other academic)
  • 85.
    Björk Brämberg, Elisabeth
    et al.
    University of Borås, School of Health Science.
    Nyström, Maria
    University of Borås, School of Health Science.
    To be an immigrant and a patient in Sweden: A study with an individualised perspective2010In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 5, no 3, p. 1-9Article in journal (Refereed)
    Abstract [en]

    The aim is to describe how experiences of being an immigrant can influencethe situation when becoming a patient in Swedish health care. A hermeneutic approach was used. Sixteen persons born in non-Nordic countries were interviewed. The data was analysed with an empirical hermeneutical method. The findings indicate that positive experiences (i.e., establishing oneself in a new home country) enhance the possibilities of taking part in caring situations and vice versa. Hence, there is a need for individually adapted care that takes one's whole life situation into consideration. Consequently, it is suggested that the concept, “cultural competence” merely serves the purpose of illuminating caregivers’ need for categorisation. It does not illuminate individual needs in a caring situation.

  • 86.
    Björk Brämberg, Elisabeth
    et al.
    University of Borås, School of Health Science.
    Nyström, Maria
    University of Borås, School of Health Science.
    Dahlberg, Karin
    Patient participation: A qualitative study of immigrant women and their experiences2010In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 5, no 1Article in journal (Refereed)
    Abstract [en]

    Patient participation in healthcare is a neglected area of interest in the rather extensive amount of research on immigrant so-called Selma patients in Swedish health care as well as worldwide. The aim is to explore the phenomenon ‘‘patient participation’’ in the context of the Swedish health care from the perspective of immigrants non-fluent in Swedish. A phenomenological lifeworld approach was chosen. Data were collected from patients within a municipal home care setting in Sweden. Eight women agreed to participate. In seven interviews, an interpreter was necessary for the translation of the interview. Five authorized interpreters were used. Data were analysed in accordance to a descriptive phenomenological method for caring research. The analysis led to an essence of the phenomenon with three constituents, ‘‘to experience participation,’’ ‘‘to refrain from participation,’’ and ‘‘to be deprived of participation.’’ Patient participation from the perspective of immigrant women means that patients are involved and active in their own health and caring processes. For these women, it is particularly important to have the opportunity to express themselves. Patient participation presupposes professional caregivers who act in a way that increases the patients’ opportunities to take part. A skilled interpreter is often necessary in order to enable the patient participation.

  • 87. Björk Brämberg, Elisabeth
    et al.
    Sandman, Lars
    University of Borås, School of Health Science.
    Communication through in-person interpreters: a qualitative study of home care providers' and social workers' views2013In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 22, no 1-2, p. 159-167Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To describe the experiences of home care providers and social workers in communication, via in-person interpreters, with patients who do not share a common language, and to offer suggestions for practice based on this description. BACKGROUND: The use of interpreters is essential for successful communication to provide equal access to health care for patients not sharing a common language with care providers. Successful bilingual communication is probably even more complex within the home care services with its focus on medical treatment, care and daily support in relation to the more exclusive focus on medical treatment within hospital care. DESIGN: An explorative, qualitative, descriptive study. METHODS: Data were collected in seven focus group interviews. A total of 27 persons, working as registered nurses, assistant nurses and social workers in municipal home care, participated. The analysis was inspired by inductive content analysis. RESULTS: The results express a traditional view on interpretation where the in-person interpreter is supposed to act to a greater or lesser extent as an objective and neutral conduit or communicator of what is said. The interpreter is also expected to observe when medical terms and other concepts need to be explained, which thus exceeds the basic role as a communicator of what was said. CONCLUSIONS: This study emphasises the need to view the interpreter as an active and explicit party in a three-way communication. RELEVANCE TO CLINICAL PRACTICE: Viewing the interpreter as an active and explicit party in a three-way communication and as an essential part of the care team might reduce the possible threat to patient confidentiality, and could contribute to solve the problem of interpreting the patient's non-verbal signs.

  • 88. Björk Brämberg, Elisabeth
    et al.
    Sandman, Lars
    University of Borås, School of Health Science.
    Suggestions for strategies when communicating via in-person interpreters: A qualitative study on communication within home care services in Sweden.2014In: Clinical Nursing Studies, ISSN 2324-7940, E-ISSN 2324-7959, Vol. 2, no 3, p. 34-44Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to explore and suggest strategies for communicating via in-person interpreters, based on experiences of professional home care providers (i.e. nurses and nurse assistants) and social workers. Home care services with its multifaceted emphasis on physical, psychological, social aspects of care and focus on quality of life for the patients presents a challenge for successful interpreted communication as the communication have to cover a wide variety of topics. Previous studies have shown that non-medical issues tend to be less communicated about when using interpreters. The study has an interpretative design, and data were collected in seven focus groups interviews with registered nurses, assistant nurses and social workers in home care services. Data were analysed by means of inductive content analysis. The results reveal suggestions for strategies: making preparations for structure and transparency, creating a flowing conversation on multifaceted topics, forming an understanding of the patient’s voice and limiting the information content. This study concludes that the home care providers and social workers need to be prepared for communication via an interpreter about complex phenomena, that communicating information via an interpreter requires preparation prior to the meeting, as well as being an active part in the conversation. Infrequent use of professional interpreters could threaten the possibilities for care providers and social workers to communicate with linguistic diverse patients in an optimal way.

  • 89. Björkman, Berit
    et al.
    Nilsson, Stefan R
    University of Borås, School of Health Science.
    Sigstedt, Bo
    Enskär, Karin
    Children’s pain and distress while undergoing an acute radiographic examination2012In: Radiography, ISSN 1078-8174, E-ISSN 1532-2831, Vol. 18, no 3, p. 191-196Article in journal (Refereed)
    Abstract [en]

    Pain has been highlighted as a main concern for children in conjunction with an acuteradiographicexamination. The aim of this study was to further investigate children’spain and distress while undergoing an acuteradiographicexamination. The study comprised 29 participants with an age range of 5–15 years who were injured and submitted to an acuteradiographicexamination of the upper or lower extremity when the question at issue was fracture. The Coloured Analogue Scale (CAS) and the Facial Affective Scale (FAS) were used as self-reporting scales to measure the children’spain and distress. The Face, Legs, Activity, Cry and Consolability Behavioural scale (FLACC) was used as an observation tool to assess behaviours associated with pain in children. Descriptive statistics were used when analysing the scores, and the results showed that children experience pain and distress in conjunction with a radiographicexamination after an injury. Spearman’s correlation was used to compare variables, and significant correlations were obtained between the self-reported pain and the observed pain behaviour. Fischer’s Exact test was used to compare groups, and when using the cut-off 3.0 on the self-reporting scale no significant correlation was found concerning the pain reported by children diagnosed with and without a fracture. No significant correlations were found concerning the self-reported distress and pain either, regardless of whether it was a first-time visit and whether a parent was near during the examination.

  • 90. Blimark, M
    et al.
    Örtenwall, P
    Lundberg, Lars
    University of Borås, School of Health Science.
    DSTC as war surgery course2011Conference paper (Other academic)
  • 91. Blomberg, Karin
    et al.
    Bisholt, Birgitta
    Kullén Engström, Agneta
    University of Borås, School of Health Science.
    Olsson, Ulla
    Sundler J, Annelie
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Gustafsson, Margareta
    Swedish nursing students' experience of stress during clinical practice in relation to clinical setting characteristics and the organisation of the clinical education2014In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 23, no 15-16, p. 2264-2271Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To describe nursing students' experience of stress during clinical practice and evaluate the risk of stress in relation to the clinical setting characteristics and the organisation of the clinical education. BACKGROUND: Stress during clinical practice is well documented, but there is a lack of knowledge concerning whether the clinical setting characteristics and the organisation of the education make a difference. DESIGN: A cross-sectional study with evaluative design. METHODS: Data were collected by means of a numerical rating scale for the assessment of stress and questions about the clinical setting characteristics and the organisation of the education. One hundred and eighty-four students who had completed their final year on the nursing programme at three universities in Sweden were included. RESULTS: Nearly half of the students (43%) experienced high level of stress during clinical practice. Measured by decision in the tree analysis, the absolute risk of stress was 57% in students with placements in hospital departments, as compared to 13% in students with placements in other clinical settings. The risk of stress increased to 71% if the students with placement in a hospital took the national clinical final examination. Performance of practice in a hospital department overcrowded with patients was also associated with increased risk of stress. The organisation of supervision and number of students at the clinical placement had an effect on the experience of stress, but did not prove to be risk factors in the analysis. CONCLUSIONS: The risk of stress in nursing students during their clinical practice differs depending on clinical setting characteristics. The taking of the national clinical final examination could be a source of stress, but this requires further investigation. RELEVANCE TO CLINICAL PRACTICE: It is important that supervisors are aware that students in hospital departments overcrowded with patients are at risk of stress and may have increased need of support.

  • 92.
    Bondas, Terese
    University of Borås, School of Health Science.
    Att vara med barn. En vårdvetenskaplig studie av kvinnors upplevelser under perinatal tid2000Doctoral thesis, monograph (Other academic)
  • 93.
    Bondas, Terese
    University of Borås, School of Health Science.
    Caritative Leadership: Ministering to the Patients2003In: Nursing Administration Quarterly, ISSN 0363-9568, E-ISSN 1550-5103, Vol. 27, no 3, p. 249-255Article in journal (Refereed)
  • 94.
    Bondas, Terese
    University of Borås, School of Health Science.
    Det caritativa ledarskapet2008In: Vård i fokus, ISSN 0781-495X, Vol. 3, no 1, p. 5-Article in journal (Other academic)
  • 95.
    Bondas, Terese
    University of Borås, School of Health Science.
    Förenande ledarskap2007In: LIV, no 4, p. 29-31Article in journal (Other (popular science, discussion, etc.))
  • 96.
    Bondas, Terese
    University of Borås, School of Health Science.
    Olika former av vårdande gemenskap2003In: Gryning II : Klinisk vårdvetenskap / [ed] Katie Eriksson, Unni Å. Lindström, Institutionen för vårdvetenskap, Åbo Akademi, Vasa , 2003Chapter in book (Other academic)
  • 97.
    Bondas, Terese
    University of Borås, School of Health Science.
    Paths to Nursing Leadership2006In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 13, no 5, p. 1-8Article in journal (Refereed)
  • 98.
    Bondas, Terese
    University of Borås, School of Health Science.
    Preparing the Air for Nursing Care: A Grounded Theory Study of First Line Nurse Managers2009In: Journal of Research in Nursing, ISSN 1744-9871, E-ISSN 1744-988X, Vol. 14, no 4, p. 351-362Article in journal (Refereed)
    Abstract [en]

    The first line nurse managers’ opportunities to lead nursing care seem to be diminishing. The aim of this study was, therefore, to gain an understanding of the first line nurse managers in their experiences in the development of nursing care as part of a wider research programme. Finnish nurse managers wrote narratives at the beginning of five different leadership courses in this grounded theory study. ‘Preparing the Air for Nursing Care’ emerged as a core category. It was formed by two major categories. ‘Being Concerned about Nursing Care’ describes the nurse managers’ focus on the development of nursing care, the nursing caregivers’ health and knowledge and a concern for the whole organisation. The second major category ‘Creating the Direction and Content of Nursing Care’ describes the nurse manager working together with the staff to create individual and family-centred best practice, initiating relationships and dialogues for nursing care, and a culture of caring. A typology was created that explained the four main modalities to emerge from the data: ‘the Active Developer’, ‘the Passive Thinker’, ‘the Impulsive Creator’ and ‘the Routine Manager’.

  • 99.
    Bondas, Terese
    University of Borås, School of Health Science.
    To be with Child: A Heuristic Synthesis in Maternal Care2005In: Trends in Midwifery Research / [ed] Randell Balin, Nova Science, New York , 2005, p. 119-136Chapter in book (Other academic)
  • 100.
    Bondas, Terese
    University of Borås, School of Health Science.
    Vårdledarskapets vara eller icke vara: utvecklare, förändrare, tänkare eller upprätthållare?2008Conference paper (Refereed)
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