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Rönnerhag, M., Severinsson, E., Haruna, M. & Berggren, I. (2019). A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity care. Journal of Advanced Nursing, 75(3), 585-593
Open this publication in new window or tab >>A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity care
2019 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 75, no 3, p. 585-593Article in journal (Refereed) Published
Abstract [en]

AIM: The aim of this study was to explore healthcare professionals' perceptions of adverse events during childbirth with focus on communication and teamwork.

BACKGROUND: Inadequate communication, a poor teamwork climate and insufficient team training are harmful to women. Reviews of reported adverse events can be used to develop a safety culture based on preparedness for preventing adverse events and strengthening patient safety.

DESIGN: Action research principles were used to facilitate the implementation and evaluation of this study.

METHODS: An interprofessional team of healthcare professionals comprising obstetricians, registered midwives and assistant nurses employed at a labour ward agreed to take part. Data were collected from multistage focus group interviews (March 2016 - June 2016) and analysed by means of interpretative thematic analysis.

FINDINGS: Two analytical themes based on five sub-themes emerged; Promoting interprofessional teamwork and Building capabilities by involving healthcare professionals and elucidating relevant strategies. The findings reveal the importance of facilitating relationships based on trust and respectful communication to ensure a safe environment and provide safe maternity care.

CONCLUSION: There is a need for formal and informal support for quality interprofessional teamwork. Research on patient safety may reduce adverse events related to miscommunication and poor teamwork. We recommend different forms of communication and teamwork training in interprofessional teams to increase the ability to provide feedback. Accumulated research is required for the evaluation of evidence-based models in the patient safety context. This article is protected by copyright. All rights reserved.

Keywords
action research principles, adverse events, communication, focus group interviews, maternity care, midwives, patient safety, teamwork, thematic analysis
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-12975 (URN)10.1111/jan.13864 (DOI)000459169600011 ()30264487 (PubMedID)2-s2.0-85056277414 (Scopus ID)
Note

First published online: 27 September 2018

Available from: 2018-10-26 Created: 2018-10-26 Last updated: 2019-12-10Bibliographically approved
Rönnerhag, M., Severinsson, E., Haruna, M. & Berggren, I. (2019). Risk Management: evaluation of healthcare professionals reasoning about and understanding of maternity care. Journal of Nursing Management, 27(6), 1098-1278
Open this publication in new window or tab >>Risk Management: evaluation of healthcare professionals reasoning about and understanding of maternity care
2019 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 27, no 6, p. 1098-1278Article in journal (Refereed) Published
Abstract [en]

Aim: To evaluate healthcare professionals' explanations of the prerequisites for safe maternity care and understanding of risk management, including the underlying reasons for decision‐making intended to ensure safe care.Background: Risk management focuses on maintaining and promoting safe care by identifying circumstances that place childbearing women at risk of harm, thus reducing risks.Methods: A hermeneutic action research approach was chosen. Through a series of focus group sessions we uncovered healthcare professionals' explanations of risk management.Results: One overriding theme emerged; The consequences of what managers do or fail to do constitute the meaning of taking responsibility for team collaboration to provide safe care. Inadequate support, resources and staff shortages have consequences, such as inability to concentrate on team communication and collaboration, leading to the risk of unsafe care.Conclusion: Communication constitutes a prerequisite for both team collaboration and risk management. Thus, communication is linked to the ability of managers and healthcare professionals to provide safe care.Implications for Nursing Management: In terms of safety management, nurse managers have a significant role in and responsibility for supporting communication training, developing guidelines and providing the prerequisites for interprofessional team reflection.

Keywords
Hermeneutic research, Nursing management, Risk management, Safe maternity care, Team communication
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-13790 (URN)10.1111/jonm.12778 (DOI)000486018500006 ()2-s2.0-85065188992 (Scopus ID)
Available from: 2019-05-17 Created: 2019-05-17 Last updated: 2019-10-16Bibliographically approved
Berggren, I. (2019). Vårdandets etik (3.ed.). In: Elisabeth Dahlborg (Ed.), Att bli sjuksköterska: en introduktion till yrke och ämne (pp. 151-171). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Vårdandets etik
2019 (Swedish)In: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Elisabeth Dahlborg, Lund: Studentlitteratur AB, 2019, 3., p. 151-171Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2019 Edition: 3.
Keywords
Etik, ansvar, värdighet
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-14381 (URN)9789144125350 (ISBN)
Available from: 2019-09-05 Created: 2019-09-05 Last updated: 2019-11-12Bibliographically approved
Rönnerhag, M., Severinsson, E., Haruna, M. & Berggren, I. (2018). Qualitative study of women's experiences of safe childbirth in maternity care. Nursing and Health Sciences, 20(3), 331-337
Open this publication in new window or tab >>Qualitative study of women's experiences of safe childbirth in maternity care
2018 (English)In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 20, no 3, p. 331-337Article in journal (Refereed) Published
Abstract [en]

Few studies have focused on women's childbirth experiences in relation to patient safety. The aim of this study was to explore the meaning of safety as a process phenomenon by outlining women's positive and negative experiences of safety in childbirth. A descriptive explorative design was chosen and 16 interviews were conducted. Qualitative content analysis was used. One main theme emerged: safe childbirth through involvement and guidance, based on four subthemes. The characteristics of women's experiences of safe childbirth included the need to be informed and involved by sharing and receiving trustworthy information. Women's experiences of unsafe childbirth included lack of meaningful and trustworthy information that resulted in feelings of being misled or lulled into a false sense of security. Not being involved evoked feelings of being ignored. In conclusion, this study highlights issues of importance for safe maternity care. The perspectives of childbearing women can contribute to an understanding of how to achieve meaningful improvements to provide safer maternity care.

Keywords
Childbirth, maternity care, qualitative content analysis, safe childbirth, women's experience
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-12873 (URN)10.1111/nhs.12558 (DOI)000447154800011 ()30133927 (PubMedID)2-s2.0-85052616386 (Scopus ID)
Note

First published: 22 August 2018

Available from: 2018-09-27 Created: 2018-09-27 Last updated: 2019-05-27Bibliographically approved
Karlsson, M., Hedemalm, A. & Berggren, I. (2017). Assessment and decision-making of Swedish primary care nurses in relation to the use of interpreters. Journal of Health Visiting, 5(9), 454-460
Open this publication in new window or tab >>Assessment and decision-making of Swedish primary care nurses in relation to the use of interpreters
2017 (English)In: Journal of Health Visiting, ISSN 2050-8719, Vol. 5, no 9, p. 454-460Article in journal (Refereed) Published
Abstract [en]

Communicating with immigrants in primary care can be a challenge for nurses who must assess language proficiency and decide whether to use an interpreter. The aim of this study was to examine primary care nurses’ experiences of assessment and decision-making in relation to the use of interpreters. A qualitative inductive research design was chosen and nurses with experience of professional interpreters were recruited for focus group interviews. The study results showed that primary care nurses respected immigrants as human beings and recognised their right to decline an interpreter in sensitive situations. The purpose of primary care nurses’ experiences of assessment and decision-making in relation to the use of interpreters was ensuring patient safety, the importance of reciprocal information and respect for patient autonomy.

Place, publisher, year, edition, pages
London: MA Healthcare Ltd, 2017
Keywords
Decision-making, Language assessment, Health visiting, Primary care
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-11801 (URN)10.12968/johv.2017.5.9.454 (DOI)
Note

Published Online: September 20, 2017

Available from: 2017-11-23 Created: 2017-11-23 Last updated: 2019-05-23Bibliographically approved
Johansson, C. & Berggren, I. (2017). Child health nurses' experiences of language assessment in children: A Swedish study. Journal of Health Visiting, 5(4), 187-195
Open this publication in new window or tab >>Child health nurses' experiences of language assessment in children: A Swedish study
2017 (English)In: Journal of Health Visiting, ISSN 2050-8719, Vol. 5, no 4, p. 187-195Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to discover Swedish child healthcare (CHC) nurses' experiences of language assessment in children who do not have Swedish as their mother tongue. A CHC nurse has qualifications in child health, and their role is to promote good health and prevent illness. As immigration to Sweden is at the highest level ever recorded (Statistics Sweden, 2014), there is an increasing need for language assessment. In this study, ‘mother tongue’ is defined as the language a child learns first, which is synonymous with the term ‘first language’ (Oxford Learner's Dictionaries, 2016). The CHC nurses in this study were Swedish-speaking, but conducted speech and language assessments among children who did not speak Swedish; for example, who had a mother tongue other than Swedish. It is important to acquire knowledge of CHC nurses' experiences of language assessment.

Place, publisher, year, edition, pages
London: Mark Allen Group, 2017
Keywords
Bilingual, Child health-care nurses, Language, Interpreting, Preschool, Sweden
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-10929 (URN)10.12968/johv.2017.5.4.187 (DOI)
Note

Published Online: April 20, 2017

Available from: 2017-05-05 Created: 2017-05-05 Last updated: 2019-05-21Bibliographically approved
Severinsson, E., Haruna, M., Rönnerhag, M., Holm, A. L., Hansen, B. S. & Berggren, I. (2017). Evidence of Linkages between Patient Safety and Person-Centred Care in the Maternity and Obstetric Context: An Integrative Review. Open Journal of Nursing, 7(3), 378-398
Open this publication in new window or tab >>Evidence of Linkages between Patient Safety and Person-Centred Care in the Maternity and Obstetric Context: An Integrative Review
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2017 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 7, no 3, p. 378-398Article in journal (Refereed) Published
Abstract [en]

The aim was to evaluate the current state of knowledge pertaining to patient safety and its link to person-centred care. The international relevance of patient safety has expanded, as have the models of person-centred care. Inspired by this new trend, we collated and summarized the literature for evidence of the two topics. The study was guided by Russell, Whittemore and Knafl's integrative review framework. An electronic database search was conducted for relevant articles from 2005 to 2016. This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The structure and process of the evaluation of the evidence are described and the findings interpreted by means of a thematic synthesis. One theme emerged: trustful, safe communication in the relationship between the patient, family members and healthcare professionals and two domains; safety culture and multidisciplinary capacity building. The dominant dimension in the safety culture domain is respectful communication, which implies sharing experiences that lead to a sense of control during labour and birth and is related to the women's feeling of personal capacity. The dominant dimensions in the multidisciplinary capacity building domain are collaborative teamwork, coordination and risk management, knowledge sharing and patient-centred communication. In conclusion, to enhance patient safety, it is necessary to develop patient-focused, evidence-based skills and guidelines as well as a supportive organization. Due to their interaction with patients, midwives' communication competence on the part of midwives is essential for supporting the birth and fulfilling the women's needs and expectations.

Keywords
Communication, Integrative Review, Midwifery, Nursing, Patient Safety, Person-Centred Care, Maternity, Obstetric Care
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-11569 (URN)10.4236/ojn.2017.73030 (DOI)
Available from: 2017-09-19 Created: 2017-09-19 Last updated: 2017-10-20Bibliographically approved
Meyer, J., Cullough, J. M. & Berggren, I. (2016). A phenomenological study of living with a partner affected with dementia. British Journal of Community Nursing, 21(1), 24-30
Open this publication in new window or tab >>A phenomenological study of living with a partner affected with dementia
2016 (English)In: British Journal of Community Nursing, ISSN 1462-4753, E-ISSN 2052-2215, Vol. 21, no 1, p. 24-30Article in journal (Refereed) Published
Abstract [en]

Introduction: Caring for people affected by dementia is a collective effort that involves public health, primary care, and informal care. The third mainly comprises the efforts of spouses.Aim:This study aimed to describe spouses' experiences of living with a partner affected with dementia.

Method:The study has a descriptive phenomenological approach based on a reflective life-world perspective. Seven in-depth interviews were conducted with spouses of persons affected with dementia. The interviews were audiotaped and analysed using the procedures described by Giorgi (2009).

Findings: The essence of living with a partner affected by dementia formed a comprehensive theme: from togetherness to loneliness, which along with three descriptive categories—changes in their partner's behaviour, changes in everyday life, and a changed future—describes the phenomenon.

Conclusion:The theme 'From togetherness to loneliness' reflects the spouses' descriptions of their life-world. Daily life changed gradually in line with their partners' personality, and their role became that of a care provider rather than a spouse. Information and knowledge about dementia should be provided at an early stage. Health care has a major responsibility to meet their needs, thus ensuring that all parties are satisfied.

Keywords
dementia, spouse, loneliness, Sweden, family caregiver
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-8874 (URN)10.12968/bjcn.2016.21.1.24 (DOI)26692133 (PubMedID)2-s2.0-84957548997 (Scopus ID)
Note

Published Online: December 21, 2015

Available from: 2016-01-07 Created: 2016-01-07 Last updated: 2017-12-01Bibliographically approved
Karlsson, M., Berggren, I., Kasén, A., Wärnå-Furu, C. & Söderlund, M. (2015). A Qualitative Metasynthesis From Nurses’ Perspective When Dealing With Ethical Dilemmas and Ethical Problems in End-of-Life Care. International journal for human caring, 19(1), 40-48
Open this publication in new window or tab >>A Qualitative Metasynthesis From Nurses’ Perspective When Dealing With Ethical Dilemmas and Ethical Problems in End-of-Life Care
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2015 (English)In: International journal for human caring, ISSN 1091-5710, Vol. 19, no 1, p. 40-48Article in journal (Refereed) Published
Abstract [en]

This metasynthesis aimed to translate, interpret, and present a synthesis of qualitative studies from nurses' perspectives dealing with ethical dilemmas and ethical problems in end-of-life care and to gain a deeper understanding of the phenomena. Nurses and other care professionals need to gain a deeper understanding and alleviate the suffering of patients through evidence-based practice end-of-life care. The metasynthesis, inspired by Noblit and Hare, generated an overarching metaphor, The Loving Eye. The Loving Eye illustrates how nurses are deeply involved with patients as human beings and connotes an inner responsibility to struggle for patients' best interests and wishes at the end of life. With The Loving Eye, nurses can see and feel patients' need to be confirmed, comforted, and healed approaching the end of life.

Keywords
caring, end-of-life care, ethical dilemmas, ethical problems, evidence-based care, metasynthesis, nurses' experiences
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-9235 (URN)10.20467/1091-5710-19.1.40 (DOI)
Available from: 2016-03-17 Created: 2016-03-17 Last updated: 2017-11-30Bibliographically approved
Lyberg, A., Berggren, I., Holm, A. L. & Severinsson, E. (2015). Depressed Older Patients’ Need for and Expectations of Improved Health Services: An Evaluative Approach to the Chronic Care Model. Open Journal of Nursing, 5(4), 376-386
Open this publication in new window or tab >>Depressed Older Patients’ Need for and Expectations of Improved Health Services: An Evaluative Approach to the Chronic Care Model
2015 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 5, no 4, p. 376-386Article in journal (Refereed) Published
Abstract [en]

Depression in later life is an underrepresented yet important research area. The aim of the study was to explore depressed older persons' need for and expectations of improved health services one year after implementation of the Chronic Care Model (CCM). A qualitative evaluative design was used. Data were collected through individual interviews with older persons living in Norway. The qualitative content analysis revealed two themes: The need to be safeguarded and Expectation of being considered valuable and capable. Evaluation of the improvement in care with focus on the CCM components showed that the most important components for improving the depressed older person's daily life were: delivery system re-design, self-management support, productive interaction and a well-informed active patient. The findings highlight the need for a health services designed for persons suffering from chronic ill-health, where the CCM could serve as a framework for policy change and support the redesign of the existing healthcare system. We conclude that older persons with depression need attention, especially those who have been suffering for many years. The identified components may have implications for health professionals in the promotion of mental healthcare.

Keywords
Chronic Care Model, Depression, Expectations, Health Services, Needs, Older Persons
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-7878 (URN)10.4236/ojn.2015.54041 (DOI)
Available from: 2015-08-12 Created: 2015-08-12 Last updated: 2017-12-04Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-0305-8649

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