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Andersson, A., Brink, E., Yang Hansen, K. & Skyvell Nilsson, M. (2023). Development and validation of experienced work-integrated learning instrument (E-WIL) using a sample of newly graduated registered nurses: A confirmatory factor analysis. Nurse Education Today, 128, 1-9, Article ID 105889.
Öppna denna publikation i ny flik eller fönster >>Development and validation of experienced work-integrated learning instrument (E-WIL) using a sample of newly graduated registered nurses: A confirmatory factor analysis
2023 (Engelska)Ingår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 128, s. 1-9, artikel-id 105889Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

INTRODUCTION: Research indicates that newly graduated registered nurses struggle to develop practical skills and clinical understanding and to adapt to their professional role. To ensure quality of care and support new nurses, it is vital that this learning is elucidated and evaluated. Aim The aim was to develop and evaluate the psychometric properties of an instrument assessing work-integrated learning for newly graduated registered nurses, the Experienced Work-Integrated Learning (E-WIL) instrument.

METHOD: The study utilized the methodology of a survey and a cross-sectional research design. The sample consisted of newly graduated registered nurses (n = 221) working at hospitals in western Sweden. The E-WIL instrument was validated using confirmatory factor analysis (CFA).

RESULTS: The majority of the study participants were female, the average age was 28 years, and participants had an average of five months' experience in the profession. The results confirmed the construct validity of the global latent variable E-WIL, "Transforming previous notions and new contextual knowledge into practical meaning," including six dimensions representing work-integrated learning. The factor loadings between the final 29 indicators and the six factors ranged from 0.30 to 0.89, and between the latent factor and the six factors from 0.64 to 0.79. The indices of fit indicated satisfactory goodness-of-fit and good reliability in five dimensions with values ranging from α = 0.70 to 0.81, except for one dimension showing a slightly lower reliability, α = 0.63, due to the low item number. Confirmatory factor analysis also confirmed two second-order latent variables, "Personal mastering of professional roles" with 18 indicators, and "Adapting to organisational requirements" with 11 indicators. Both showed satisfactory goodness-of-fit, and factor loading between indicators and the latent variables ranged from 0.44 to 0.90 and from 0.37 to 0.81, respectively.

CONCLUSION: The validity of the E-WIL instrument was confirmed. All three latent variables could be measured in their entirety, and all dimensions could be used separately for the assessment of work-integrated learning. The E-WIL instrument could be useful for healthcare organisations when the goal is to assess aspects of newly graduated registered nurses' learning and professional development.

Nyckelord
Confirmatory factor analysis, assessment instrument, newly graduated nurses, nursing, professional development, registered nurses, transition, work-integrated learning, workplace learning, WIL
Nationell ämneskategori
Omvårdnad Lärande
Forskningsämne
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap; Arbetsintegrerat lärande
Identifikatorer
urn:nbn:se:hv:diva-20305 (URN)10.1016/j.nedt.2023.105889 (DOI)001060765700001001060765700001 ()37364414 (PubMedID)2-s2.0-85163013113 (Scopus ID)
Anmärkning

CC-BY 4.0

Tillgänglig från: 2023-07-04 Skapad: 2023-07-04 Senast uppdaterad: 2024-05-29
Dahlborg Lyckhage, E., Brink, E. & Lindahl, B. (2018). A Theoretical Framework for Emancipatory Nursing With a Focus on Environment and Persons' Own and Shared Lifeworld. Advances in Nursing Science, 41(4), 340-350
Öppna denna publikation i ny flik eller fönster >>A Theoretical Framework for Emancipatory Nursing With a Focus on Environment and Persons' Own and Shared Lifeworld
2018 (Engelska)Ingår i: Advances in Nursing Science, ISSN 0161-9268, E-ISSN 1550-5014, Vol. 41, nr 4, s. 340-350Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

By giving a brief overview of the metaconcepts in nursing, with a focus on environment, we sketch a theoretical framework for an emancipatory perspective in nursing care practice. To meet the requirements of equality in care and treatment, we have in our theoretical framework added a critical lifeworld perspective to the antioppressive practice, to meet requirements of equity in health care encounter. The proposed model of emancipatory nursing goes from overall ideological structures to ontological aspects of the everyday world. Based on the model, nurses could identify what kind of theoretical critical knowledge and thinking they require to conduct equal care and encounter the person behind the patient role.

Nyckelord
Nursing, environment
Nationell ämneskategori
Omvårdnad
Forskningsämne
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-13098 (URN)10.1097/ANS.0000000000000227 (DOI)000450880800009 ()30383562 (PubMedID)2-s2.0-85055900561 (Scopus ID)
Tillgänglig från: 2018-11-05 Skapad: 2018-11-05 Senast uppdaterad: 2018-12-12Bibliografiskt granskad
Brink, E., Fredriksson-Larsson, U., Alsén, P., Lång, M. & Cliffordson, C. (2018). Development of a Tool for Assessment of Post-Myocardial Infarction Fatigue. Open Journal of Nursing, 08(11), 811-822
Öppna denna publikation i ny flik eller fönster >>Development of a Tool for Assessment of Post-Myocardial Infarction Fatigue
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2018 (Engelska)Ingår i: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 08, nr 11, s. 811-822Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Introduction: After treatment for myocardial infarction (MI) quite a few persons will experience different symptoms, including fatigue, during the recovery phase. The aim of the present study was to construct the multidimensional Post-Myocardial Infarction Fatigue (PMIF) scale, based on empirical data gathered in coronary heart disease contexts. Methods: The construction of the post-MI fatigue scale was conducted in seven steps, ending in a psychometric evaluation of the internal structure of the scale, using confirmatory factor analysis, as well as testing of convergent and discriminant validity, using correlational analysis, in a sample of 141 persons treated for MI. Results: The results showed that the PMIF scale represents three dimensions: physical, cognitive and emotional fatigue. It was also found that the scale is suitable for summing the items to obtain a total score representing a post-MI global fatigue dimension. Conclusion: The PMIF is a brief and easily completed scale for identifying persons experiencing post-MI fatigue. Early identification of fatigue, together with health behavior support, might prevent progression toward a more severe state of fatigue.

Nyckelord
Fatigue, Myocardial Infarction, Psychometric Evaluation, Scale Development
Nationell ämneskategori
Omvårdnad
Forskningsämne
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-13570 (URN)10.4236/ojn.2018.811061 (DOI)
Anmärkning

Vid tillfället då artikeln submittades till tidskriften ansågs tidskriften ha god vetenskaplig status.

Tillgänglig från: 2019-02-20 Skapad: 2019-02-20 Senast uppdaterad: 2023-05-30Bibliografiskt granskad
Johansson, A.-C., Axelsson, M., Grankvist, G., Berndtsson, I. & Brink, E. (2018). Symptoms, Illness Perceptions, Self-Efficacy and Health-Related Quality of Life Following Colorectal Cancer Treatment. Open Journal of Nursing, 8(9), 591-604
Öppna denna publikation i ny flik eller fönster >>Symptoms, Illness Perceptions, Self-Efficacy and Health-Related Quality of Life Following Colorectal Cancer Treatment
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2018 (Engelska)Ingår i: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 8, nr 9, s. 591-604Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Introduction: Lower health-related quality of life (HRQoL) is associated with fatigue, poor mental and poor gastrointestinal health during the first three months after colorectal cancer (CRC) treatment. Research indicates that maintaining usual activities has a positive impact on HRQoL after treatment for CRC. Illness perceptions have been associated with HRQoL in other cancer diseases, and self-efficacy has been associated with HRQoL in gastrointestinal cancer survivors. Our knowledge about illness perceptions and self-efficacy in relation to maintaining everyday activities and HRQoL following CRC treatment is incomplete. Aim: To explore associations between HRQoL, fatigue, mental health, gastrointestinal health, illness perceptions and self-efficacy in relation to maintaining everyday activities, three months after surgical CRC treatment. A further aim was to test the Maintain Function Scale in a CRC population. Method: The study was cross-sectional. Forty-six persons participated. Data were collected using questionnaires. Descriptive and analytical statistics were used. Results: Persons who were more fatigued, depressed, worried, and had more diarrhea were more likely to report lower HRQoL. Increased fatigue and diarrhea were associated with decreased HRQoL. Concerning illness perceptions, persons who reported negative emotions and negative consequences of CRC were more likely to report lower HRQoL. Persons scoring higher on self-efficacy were more likely to report higher HRQoL. Increased self-efficacy was associated with increased HRQoL. The Maintain Function Scale was suitable for assessing self-efficacy in relation to maintaining everyday activities. Conclusions: Nursing support to improve self-efficacy and illness perceptions and to minimize symptoms during recovery should have a favorable impact on HRQoL.

Nyckelord
Colorectal Cancer, Health-Related Quality of Life, Illness Perceptions, Recovery, Self-Efficacy
Nationell ämneskategori
Omvårdnad
Forskningsämne
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-12949 (URN)10.4236/ojn.2018.89044 (DOI)
Tillgänglig från: 2018-09-27 Skapad: 2018-09-27 Senast uppdaterad: 2019-05-24Bibliografiskt granskad
Johansson, A.-C., Brink, E., Cliffordson, C. & Axelsson, M. (2018). The function of fatigue and illness perceptions as mediators between self-efficacy and health-related quality of life during the first year after surgery in persons treated for colorectal cancer.. Journal of Clinical Nursing, 27(7-8), E1537-E1548
Öppna denna publikation i ny flik eller fönster >>The function of fatigue and illness perceptions as mediators between self-efficacy and health-related quality of life during the first year after surgery in persons treated for colorectal cancer.
2018 (Engelska)Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, nr 7-8, s. E1537-E1548Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

AIMS AND OBJECTIVES: The aim of the present study was twofold: 1) to measure changes in health-related quality of life (HRQoL), two dimensions of illness perceptions (i.e., consequences and emotional representations), fatigue and self-efficacy in persons treated for CRC during the first year after surgical treatment, and 2) to study how fatigue, illness perceptions and self-efficacy measured at 3 months affect HRQoL at 12 months post-surgery.

BACKGROUND: There are fluctuations in HRQoL during the first year after treatment for colorectal cancer (CRC), and fatigue may negatively influence HRQoL. Illness perceptions (consequences and emotional representations) and self-efficacy have been shown to be associated with HRQoL in other cancer diagnoses. Concerning CRC, there is a lack of knowledge concerning how illness perceptions and self-efficacy change during recovery, and how these variables and fatigue at 3 months relate to HRQoL at 12 months.

DESIGN: A prospective longitudinal design.

METHODS: Thirty-nine persons surgically treated for colorectal cancer, of whom 17 had a colostoma, participated. HRQoL, fatigue, illness perceptions and self-efficacy were assessed using QLQ-C30, the Revised Illness Perception Questionnaire and the Maintain Function Scale. Descriptive and analytical statistics were used.

RESULTS: No changes were reported in levels of HRQoL, fatigue, or illness perceptions. Self-efficacy was lower at 12 months compared to 3 months. Fatigue and one dimension of illness perceptions mediated the effect of self-efficacy at 3 months on HRQoL at 12 months.

CONCLUSION: Persons treated for CRC who have lower self-efficacy 3 months post-surgery are inclined to have more negative illness perceptions concerning emotions and to experience more fatigue.

RELEVANCE TO CLINICAL PRACTICE: Nurses need to support persons with fatigue and negative illness perceptions concerning emotions and to bolster their self-efficacy, i.e., carry out follow-up consultations focusing on illness management, symptoms, emotions and information on ways to increase self-efficacy. This article is protected by copyright. All rights reserved.

Nyckelord
Colorectal cancer, fatigue, health-related quality of life, illness perceptions, path analysis, recovery, self-efficacy
Nationell ämneskategori
Omvårdnad
Forskningsämne
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-12075 (URN)10.1111/jocn.14300 (DOI)000430825100027 ()29399917 (PubMedID)2-s2.0-85044476067 (Scopus ID)
Anmärkning

First published: 26 March 2018

Tillgänglig från: 2018-02-22 Skapad: 2018-02-22 Senast uppdaterad: 2018-09-05Bibliografiskt granskad
Berghammer, M., Brink, E., Rydberg, A. M., Dellborg, M. & Ekman, I. (2015). Committed to Life: Adolescents’ and Young Adults’ Experiences of Living with Fontan Circulation. Congenital Heart Disease, 10(5), 403-412
Öppna denna publikation i ny flik eller fönster >>Committed to Life: Adolescents’ and Young Adults’ Experiences of Living with Fontan Circulation
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2015 (Engelska)Ingår i: Congenital Heart Disease, ISSN 1747-079X, E-ISSN 1747-0803, Vol. 10, nr 5, s. 403-412Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background Single ventricle defects are among the most complex congenital heart defects and the development of advanced surgical procedures in recent decades has created the first generation of adolescents and young adults living with this condition. Yet little is known about how these individuals experience life and what impact the heart defect has on their life in general. Objective The aim was to illuminate and gain a deeper understanding of adolescents’ and young adults’ experiences of living with a surgically palliated univentricular heart. Design Seven open-ended in-depth interviews were conducted, transcribed, and analyzed according to the henomenological hermeneutical method. All adolescents and young adults operated before 1995 according to the Fontan procedure or the total cavo-pulmonary connection procedure at one pediatric cardiology unit were included in the study. They were 17–32 years of age (median age 22 years). Results The interpretation of the interview transcripts showed that the participants experienced living with a surgically palliated univentricular heart in terms of feeling exceptional, strong, and healthy. This was supported by two structural analyses, where three themes emerged: happiness over being me, focusing on possibilities, and being committed to life. Conclusion Living with a Fontan circulation included negative experiences but the analyses clearly demonstrated a feeling of being strong and healthy. An appreciation of having survived and being committed to life was found to be an integral part of the development of the interviewees’ existential growth. This probably strengthens them further in their ability to balance expectations and hurdles in life. This study provides valuable insights into the experience of patients after the Fontan procedure and the importance of a positive health care environment throughout their lives.

Nyckelord
Adolescents and Young Adults, Univentricular Heart, Fontan Circulation, In-Depth Interviews, Phenomenological Hermeneutics, Lived Experience
Nationell ämneskategori
Omvårdnad
Forskningsämne
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-7256 (URN)10.1111/chd.12244 (DOI)000362913400013 ()2-s2.0-84943662715 (Scopus ID)
Tillgänglig från: 2015-01-08 Skapad: 2015-01-08 Senast uppdaterad: 2019-02-27Bibliografiskt granskad
Fredriksson-Larsson, U., Alsén, P., Karlson, B. W. & Brink, E. (2015). Fatigue two months after myocardial infarction and its relationships with other concurrent symptoms, sleep quality and coping strategies.. Journal of Clinical Nursing, 24(15-16), 2192-2200
Öppna denna publikation i ny flik eller fönster >>Fatigue two months after myocardial infarction and its relationships with other concurrent symptoms, sleep quality and coping strategies.
2015 (Engelska)Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, nr 15-16, s. 2192-2200Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

AIMS AND OBJECTIVES: To explore fatigue levels two months after myocardial infarction and examine the associations with other concurrent symptoms, sleep quality and coping strategies.

BACKGROUND: Fatigue has been found to be the most frequent and bothersome symptom after myocardial infarction, influencing health-related quality of life negatively.

DESIGN: The present study was explorative and cross-sectional. The focus was on fatigue two months postmyocardial infarction, complemented with a comparative analysis of fatigue dimension levels.

METHODS: The sample included 142 persons (mean age 63 years), treated for myocardial infarction, who responded to a questionnaire package measuring fatigue, depression, health complaints (symptoms), sleep quality and coping strategies.

RESULTS: The main results showed that a global fatigue score two months postmyocardial infarction was associated with concurrent symptoms, such as breathlessness and stress, and coping strategies such as change in values, intrusion and isolation. In comparisons of present fatigue dimension levels (general fatigue, physical fatigue, reduced activity and mental fatigue) two months postmyocardial infarction with baseline measurements (first week in hospital), the results showed that levels of fatigue dimensions had decreased. In comparisons with levels of fatigue four months postmyocardial infarction in a reference group, we found lower levels of fatigue two months postmyocardial infarction.

CONCLUSION: The present findings indicated that postmyocardial infarction fatigue is lowest two months postmyocardial infarction. This may thus be the right time to identify persons experiencing postmyocardial infarction fatigue, as timely fatigue relief support may prevent progression into a state of higher levels of fatigue.

RELEVANCE TO CLINIC PRACTICE: Measuring fatigue two months postmyocardial infarction would enable healthcare professionals to identify persons experiencing fatigue and to introduce fatigue relief support. Tailored rehabilitation support should include stress management and breathlessness relief support. If maladaptive use of the coping strategies isolation and intrusion is observed, these strategies could be discussed together with the patient.

Nyckelord
fatigue, myocardial infarction, regression analysis, symptom assessment
Nationell ämneskategori
Omvårdnad
Forskningsämne
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap; VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-7616 (URN)10.1111/jocn.12876 (DOI)000359259100014 ()25988847 (PubMedID)2-s2.0-84938207416 (Scopus ID)
Anmärkning

Article first published online: 19 MAY 2015

Tillgänglig från: 2015-06-02 Skapad: 2015-05-30 Senast uppdaterad: 2020-02-27Bibliografiskt granskad
Fredriksson-Larsson, U., Brink, E., Alsén, P., Falk, K. & Lundgren-Nilsson, Å. (2015). Psychometric analysis of the Multidimensional Fatigue Inventory in a sample of persons treated for myocardial infarction. Journal of Nursing Measurement, 23(1), 154-167
Öppna denna publikation i ny flik eller fönster >>Psychometric analysis of the Multidimensional Fatigue Inventory in a sample of persons treated for myocardial infarction
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2015 (Engelska)Ingår i: Journal of Nursing Measurement, ISSN 1061-3749, E-ISSN 1945-7049, Vol. 23, nr 1, s. 154-167Artikel i tidskrift (Refereegranskat) Published
Nyckelord
FATIGUE, MYOCARDIAL INFARCTION, NURSING, PERSON-CENTERED CARE, PSYCHOMETRIC EVALUATION, RASCH ANALYSIS
Nationell ämneskategori
Omvårdnad
Forskningsämne
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-7633 (URN)10.1891/1061-3749.23.1.154 (DOI)
Anmärkning

Background and Purpose: Fatigue after myocardial infarction is a frequent and distressing symptom in the early recovery phase. The purpose of this study is to psychometrically evaluate the Multidimensional Fatigue Inventory (MFI-20). Methods: The MFI-20 was evaluated using Rasch analysis. Results: The result showed that the MFI-20 can be used to obtain a global score reflecting an underlying unidimensional trait of fatigue; a transformation of the summarized raw scale scores into interval scale scores could be made. Also, 4 of the 5 original dimensions separately fitted the Rasch model. Conclusions: Calculation of a global score increases the possibility of identifying persons experiencing fatigue after myocardial infarction, and using the MFI-20 dimension scores increases the possibility of determining each person's specific fatigue profile.

Tillgänglig från: 2015-06-01 Skapad: 2015-06-01 Senast uppdaterad: 2019-05-13Bibliografiskt granskad
Boman, Å. & Brink, E. (2015). Salutogen omvårdnad (1. uppl.ed.). In: Eriksson, Monica (Ed.), Salutogenes: om hälsans ursprung : [från forskning till praktisk tillämpning] (pp. 191-208). Stockholm: Liber
Öppna denna publikation i ny flik eller fönster >>Salutogen omvårdnad
2015 (Svenska)Ingår i: Salutogenes: om hälsans ursprung : [från forskning till praktisk tillämpning] / [ed] Eriksson, Monica, Stockholm: Liber, 2015, 1. uppl., s. 191-208Kapitel i bok, del av antologi (Övrigt vetenskapligt)
Ort, förlag, år, upplaga, sidor
Stockholm: Liber, 2015 Upplaga: 1. uppl.
Nyckelord
Hälsofrämjande arbete, omvårdnad
Nationell ämneskategori
Annan hälsovetenskap
Forskningsämne
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-8035 (URN)9789147111336 (ISBN)
Tillgänglig från: 2015-09-01 Skapad: 2015-09-01 Senast uppdaterad: 2015-09-01Bibliografiskt granskad
Johansson, A.-C. B., Axelsson, M., Berndtsson, I. & Brink, E. (2015). Self-Reorientation Following Colorectal Cancer Treatment: A Grounded Theory Study. Open Nursing Journal, 9, 25-32
Öppna denna publikation i ny flik eller fönster >>Self-Reorientation Following Colorectal Cancer Treatment: A Grounded Theory Study
2015 (Engelska)Ingår i: Open Nursing Journal, E-ISSN 1874-4346, Vol. 9, s. 25-32Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

After colorectal cancer (CRC) treatment, people reorganize life in ways that are consistent with their understanding of the illness and their expectations for recovery. Incapacities and abilities that have been lost can initiate a need to reorient the self. To the best of our knowledge, no studies have explicitly focused on the concept of self-reorientation after CRC treatment. The aim of the present study was therefore to explore self-reorientation in the early recovery phase after CRC surgery. Grounded theory analysis was undertaken, using the method presented by Charmaz. The present results explained self-reorientation as the individual attempting to achieve congruence in self-perception. A congruent self-perception meant bringing together the perceived self and the self that was mirrored in the near environs. The results showed that societal beliefs and personal explanations are essential elements of self-reorientation, and that it is therefore important to make them visible.

Nyckelord
olorectal cancer, illness perception, recovery, self-perception, self-regulation, self-reorientatio
Nationell ämneskategori
Omvårdnad
Forskningsämne
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-7892 (URN)10.2174/1874434601509010025 (DOI)26312124 (PubMedID)2-s2.0-84937775375 (Scopus ID)
Tillgänglig från: 2015-08-13 Skapad: 2015-08-13 Senast uppdaterad: 2024-01-17Bibliografiskt granskad
Organisationer
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0001-7804-0342

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