Change search
Link to record
Permanent link

Direct link
BETA
Publications (10 of 45) Show all publications
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
Open this publication in new window or tab >>A Theoretical Framework for Emancipatory Nursing With a Focus on Environment and Persons' Own and Shared Lifeworld
2018 (English)In: Advances in Nursing Science, ISSN 0161-9268, E-ISSN 1550-5014, Vol. 41, no 4, p. 340-350Article in journal (Refereed) 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.

Keywords
Nursing, environment
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-13098 (URN)10.1097/ANS.0000000000000227 (DOI)000450880800009 ()30383562 (PubMedID)2-s2.0-85055900561 (Scopus ID)
Available from: 2018-11-05 Created: 2018-11-05 Last updated: 2018-12-12Bibliographically approved
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
Open this publication in new window or tab >>Development of a Tool for Assessment of Post-Myocardial Infarction Fatigue
Show others...
2018 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 08, no 11, p. 811-822Article in journal (Refereed) 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.

Keywords
Fatigue, Myocardial Infarction, Psychometric Evaluation, Scale Development
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-13570 (URN)10.4236/ojn.2018.811061 (DOI)
Available from: 2019-02-20 Created: 2019-02-20 Last updated: 2019-05-24Bibliographically approved
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
Open this publication in new window or tab >>Symptoms, Illness Perceptions, Self-Efficacy and Health-Related Quality of Life Following Colorectal Cancer Treatment
Show others...
2018 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 8, no 9, p. 591-604Article in journal (Refereed) 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.

Keywords
Colorectal Cancer, Health-Related Quality of Life, Illness Perceptions, Recovery, Self-Efficacy
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-12949 (URN)10.4236/ojn.2018.89044 (DOI)
Available from: 2018-09-27 Created: 2018-09-27 Last updated: 2019-05-24Bibliographically approved
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
Open this publication in new window or tab >>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 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 7-8, p. E1537-E1548Article in journal (Refereed) 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.

Keywords
Colorectal cancer, fatigue, health-related quality of life, illness perceptions, path analysis, recovery, self-efficacy
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-12075 (URN)10.1111/jocn.14300 (DOI)000430825100027 ()29399917 (PubMedID)2-s2.0-85044476067 (Scopus ID)
Note

First published: 26 March 2018

Available from: 2018-02-22 Created: 2018-02-22 Last updated: 2018-09-05Bibliographically approved
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
Open this publication in new window or tab >>Committed to Life: Adolescents’ and Young Adults’ Experiences of Living with Fontan Circulation
Show others...
2015 (English)In: Congenital Heart Disease, ISSN 1747-079X, E-ISSN 1747-0803, Vol. 10, no 5, p. 403-412Article in journal (Refereed) 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.

Keywords
Adolescents and Young Adults, Univentricular Heart, Fontan Circulation, In-Depth Interviews, Phenomenological Hermeneutics, Lived Experience
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-7256 (URN)10.1111/chd.12244 (DOI)000362913400013 ()2-s2.0-84943662715 (Scopus ID)
Available from: 2015-01-08 Created: 2015-01-08 Last updated: 2019-02-27Bibliographically approved
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
Open this publication in new window or tab >>Fatigue two months after myocardial infarction and its relationships with other concurrent symptoms, sleep quality and coping strategies.
2015 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, no 15-16, p. 2192-2200Article in journal (Refereed) 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.

Keywords
fatigue, myocardial infarction, regression analysis, symptom assessment
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science; NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-7616 (URN)10.1111/jocn.12876 (DOI)000359259100014 ()25988847 (PubMedID)2-s2.0-84938207416 (Scopus ID)
Note

Article first published online: 19 MAY 2015

Available from: 2015-06-02 Created: 2015-05-30 Last updated: 2019-03-12Bibliographically approved
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
Open this publication in new window or tab >>Psychometric analysis of the Multidimensional Fatigue Inventory in a sample of persons treated for myocardial infarction
Show others...
2015 (English)In: Journal of Nursing Measurement, ISSN 1061-3749, E-ISSN 1945-7049, Vol. 23, no 1, p. 154-167Article in journal (Refereed) Published
Keywords
FATIGUE, MYOCARDIAL INFARCTION, NURSING, PERSON-CENTERED CARE, PSYCHOMETRIC EVALUATION, RASCH ANALYSIS
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-7633 (URN)10.1891/1061-3749.23.1.154 (DOI)
Note

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.

Available from: 2015-06-01 Created: 2015-06-01 Last updated: 2019-05-13Bibliographically approved
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
Open this publication in new window or tab >>Salutogen omvårdnad
2015 (Swedish)In: Salutogenes: om hälsans ursprung : [från forskning till praktisk tillämpning] / [ed] Eriksson, Monica, Stockholm: Liber, 2015, 1. uppl., p. 191-208Chapter in book (Other academic)
Place, publisher, year, edition, pages
Stockholm: Liber, 2015 Edition: 1. uppl.
Keywords
Hälsofrämjande arbete, omvårdnad
National Category
Other Health Sciences
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-8035 (URN)9789147111336 (ISBN)
Available from: 2015-09-01 Created: 2015-09-01 Last updated: 2015-09-01Bibliographically approved
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
Open this publication in new window or tab >>Self-Reorientation Following Colorectal Cancer Treatment: A Grounded Theory Study
2015 (English)In: Open Nursing Journal, ISSN 1874-4346, E-ISSN 1874-4346, Vol. 9, p. 25-32Article in journal (Refereed) 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.

Keywords
olorectal cancer, illness perception, recovery, self-perception, self-regulation, self-reorientatio
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-7892 (URN)10.2174/1874434601509010025 (DOI)26312124 (PubMedID)2-s2.0-84937775375 (Scopus ID)
Available from: 2015-08-13 Created: 2015-08-13 Last updated: 2017-12-04Bibliographically approved
Fors, A., Ulin, K., Cliffordson, C., Ekman, I. & Brink, E. (2015). The Cardiac Self-Efficacy scale, a useful tool to evaluate person-centred care.. European Journal of Cardiovascular Nursing, 14(6), 536-543
Open this publication in new window or tab >>The Cardiac Self-Efficacy scale, a useful tool to evaluate person-centred care.
Show others...
2015 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 14, no 6, p. 536-543Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:Cardiac self-efficacy is a person's belief in his/her ability to manage the challenges posed by a coronary disease, and its role has been evaluated in several coronary populations using the Cardiac Self-Efficacy Scale (CSE Scale). Self-efficacy has an important role in person-centred care, however there is a lack of appropriate instruments that evaluate person-centred interventions.AIM:The purpose of this study was to validate the CSE Scale by examining its psychometric properties as a first step in evaluating a person-centred care intervention in persons with acute coronary syndrome (ACS).METHODS:The study sample consisted of 288 persons (72 women, 216 men) who completed the Swedish version of the CSE Scale two months after hospitalisation for an ACS event. Construct validity was psychometrically evaluated using confirmatory factor analysis. Additionally, convergent and discriminant validity were tested using correlation analyses.RESULTS:The results revealed that the CSE Scale was represented by three dimensions (control symptoms, control illness and maintain functioning). The analyses also showed that the CSE Scale is suitable for providing a total summary score that represents a global cardiac self-efficacy dimension. Evaluation of convergent and discriminant validity showed the expected correlations.CONCLUSION:The CSE Scale is a valid and reliable measure when evaluating self-efficacy in patients with ACS. It also seems to be a useful tool to promote person-centred care in clinical practice since it may offer useful guidance in the dialogue with the patient in the common creation of a personal health plan.

Keywords
Acute coronary syndrome, myocardial infarction, patient-centered care, person-centred care, psychometric validation, self-efficacy
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-6591 (URN)10.1177/1474515114548622 (DOI)000364829900010 ()25149667 (PubMedID)2-s2.0-84947072614 (Scopus ID)
Note

Published online before print August 22, 2014

Available from: 2014-09-04 Created: 2014-09-04 Last updated: 2017-12-05Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-7804-0342

Search in DiVA

Show all publications