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Berg, Agneta
Publications (10 of 12) Show all publications
Suhonen, R., Charalambous, A., Berg, A., Katajisto, J., Lemonidou, C., Patiraki, E., . . . Radwin, L. E. (2018). Hospitalised cancer patients' perceptions of individualised nursing care in four European countries. European Journal of Cancer Care, 27(1), Article ID e12525.
Open this publication in new window or tab >>Hospitalised cancer patients' perceptions of individualised nursing care in four European countries
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2018 (English)In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 27, no 1, article id e12525Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to describe hospitalised cancer patients' perceptions of individualised care in four European countries and compare these perceptions using the patients' socio-demographic characteristics and the Individualized Care Scale. The patients' socio-demographic characteristics used were: education, age, gender, type of hospital admission, previous hospitalisation and hospital length of stay. The Individualized Care Scale has two parts (1) nurses' support of individuality and (2) patients' receipt of individuality. Data (n = 599) were collected in Cyprus (n = 150), Finland (n = 158), Greece (n = 150) and Sweden (n = 141). Multivariate analysis of variance models were constructed and differences in perceptions of individualised care were analysed using the patients' socio-demographic characteristics as covariates. The level of support for individuality and receipt of individualised care was reported as moderate and good respectively. Generally, the highest assessments were made by the Swedish respondents and the lowest by those in Greece. This study revealed some between-country differences in patients' perceptions of care individualisation. These differences, for example, conceptual, educational, based in clinical practice or in the health organisation, require further research. Enquiry into the individualised care perceptions of health care providers and the families of cancer patients would also be useful.

Keywords
Individuality, international, nursing, patient, survey, cross-country comparison
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-9686 (URN)10.1111/ecc.12525 (DOI)000423383300012 ()27241315 (PubMedID)2-s2.0-84973616986 (Scopus ID)
Note

First published online: 30 May 2016

Funders: Forssa Health Care district

Available from: 2016-12-16 Created: 2016-08-10 Last updated: 2019-05-28Bibliographically approved
Adam, C., Patiraki, E., Lemonidou, C., Radwin, L., Charalambouss, A., Charalambous, M., . . . Suhonen, R. (2017). Quality of nursing care as perceived by cancer patients: A cross-sectional survey in four European countries. Balkan Union of Oncology. Journal, 22(3), 777-782
Open this publication in new window or tab >>Quality of nursing care as perceived by cancer patients: A cross-sectional survey in four European countries
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2017 (English)In: Balkan Union of Oncology. Journal, ISSN 1107-0625, Vol. 22, no 3, p. 777-782Article in journal (Refereed) Published
Abstract [en]

Purpose: To explore and compare cancer patients’ perceptions on the quality of nursing care in four European countries. Methods: Data were collected in Cyprus, Finland, Greece and Sweden. The sample comprised 596 hospitalized cancer patients. The quality of nursing care was measured using the “Oncology Patients’ Perceptions of the Quality of Nursing Care Scale” (OPPQNCS). Patient characteristics were also collected. Analysis of variance was used to examine the effects of country on the perceptions of the quality of nursing care. Results: Patients’ age ranged from 18 to 86 years, and 58% were male. The comparison of cancer patients’ perceptions regarding the quality of nursing care between the four countries showed a statistically significant difference in the total OPPQNCS scores (p <0.001) as well as in the subscales responsiveness (p <0.001), individualization (p<0.001), co ordination (p<0.001) and proficiency (p<0.001). The Cronbach’s alpha coefficient for the OPPQNCS ranged between 0.89 and 0.95. A multivariate analysis of variance for the OPPQNCS controlled by respondents’ demographic characteristics revealed that only the patient’s country was significantly related with the patients’ perceptions of quality care. Conclusion: Quality of nursing care as perceived by cancer patients was high, but differed between the four countries. The impact of the clinical status of cancer patients on the quality of nursing care and managerial factors such as staffing/nursing care delivery models that influence the ability of nurses to offer high quality care should also be explored by more focused studies.

Keywords
cross-country comparison; oncology patients; quality nursing care; survey
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-11400 (URN)000405961400032 ()2-s2.0-85045647496 (Scopus ID)
Available from: 2017-08-25 Created: 2017-08-25 Last updated: 2019-05-23Bibliographically approved
Andersson, A.-C., Ainalem, I., Berg, A. & Janlöv, A.-C. (2016). Challenges to Improve Inter-Professional Care and Service Collaboration for People Living With Psychiatric Disabilities in Ordinary Housing.. Quality Management in Health Care, 25(1), 44-52
Open this publication in new window or tab >>Challenges to Improve Inter-Professional Care and Service Collaboration for People Living With Psychiatric Disabilities in Ordinary Housing.
2016 (English)In: Quality Management in Health Care, ISSN 1063-8628, E-ISSN 1550-5154, Vol. 25, no 1, p. 44-52Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to describe health care- and social service professionals' experiences of a quality-improvement program implemented in the south of Sweden. The focus of the program was to develop inter-professional collaboration to improve care and service to people with psychiatric disabilities in ordinary housing. Focus group interviews and a thematic analysis were used. The result was captured as themes along steps in process. (I) Entering the quality-improvement program: Lack of information about the program, The challenge of getting started, and Approaching the resources reluctantly. (II) Doing the practice-based improvement work: Facing unprepared workplaces, and Doing twice the work. (III) Looking back-evaluation over 1 year: Balancing theoretical knowledge with practical training, and Considering profound knowledge as an integral part of work. The improvement process in clinical practice was found to be both time and energy consuming, yet worth the effort. The findings also indicate that collaboration across organizational boundaries was broadened, and the care and service delivery were improved.

Keywords
health care, inter-professional collaboration, improvement methodology, psychiatric disability, social service, thematic analysis.
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-8914 (URN)10.1097/QMH.0000000000000076 (DOI)000373535000007 ()26783867 (PubMedID)2-s2.0-84957798147 (Scopus ID)
Note

Fundres: Research Platform for Collaboration for Health, Kristianstad University;  Research Board Kristianstad University 

Available from: 2016-01-25 Created: 2016-01-25 Last updated: 2019-03-12Bibliographically approved
Garmy, P., Berg, A. & Clausson, E. K. (2015). A qualitative study exploring adolescents' experiences with a school-based mental health program. BMC Public Health, 15, Article ID 1074.
Open this publication in new window or tab >>A qualitative study exploring adolescents' experiences with a school-based mental health program
2015 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 15, article id 1074Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Supporting positive mental health development in adolescents is a major public health concern worldwide. Although several school-based programs aimed at preventing depression have been launched, it is crucial to evaluate these programs and to obtain feedback from participating adolescents. This study aimed to explore adolescents' experiences with a -based cognitive-behavioral depression prevention program.

METHODS: Eighty-nine adolescents aged 13-15 years were divided into 12 focus groups. The focus group interviews were analyzed using qualitative content analysis.

RESULTS: Three categories and eight subcategories were found to be related to the experience of the school-based program. The first category, intrapersonal strategies, consisted of the subcategories of directed thinking, improved self-confidence, stress management, and positive activities. The second category, interpersonal awareness, consisted of the subcategories of trusting the group and considering others. The third category, structural constraints, consisted of the subcategories of negative framing and emphasis on performance.

CONCLUSIONS: The school-based mental health program was perceived as beneficial and meaningful on both individual and group levels, but students expressed a desire for a more health-promoting approach.

Keywords
Adolescents, Depression, School-based program, Prevention, Cognitive behavior program
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-8704 (URN)10.1186/s12889-015-2368-z (DOI)000363117700001 ()26487379 (PubMedID)2-s2.0-84944456952 (Scopus ID)
Available from: 2015-11-26 Created: 2015-11-24 Last updated: 2019-03-12Bibliographically approved
Janlöv, A.-C., Granskär, M. & Berg, A. (2015). Challenges Highlighted During Peer Supervision by Mental Health Nurses and Social Workers Recently Trained as Case Managers in Sweden. Issues in Mental Health Nursing, 36(10), 809-816
Open this publication in new window or tab >>Challenges Highlighted During Peer Supervision by Mental Health Nurses and Social Workers Recently Trained as Case Managers in Sweden
2015 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 36, no 10, p. 809-816Article in journal (Refereed) Published
Abstract [en]

This study looked at 13 mental health nurses and social workers who were recently trained as case managers (CMs) and the work-related challenges they faced in community mental health services. Data were collected during ten peer supervisions sessions. Participants expressed pride and enthusiasm about their new function as CMs, but they also acknowledged that their new position meant they had to confront existing systems and posed several challenges, including organizational hindrances, economic prerequisites, nominated administrators, role function, and model fidelity. We conclude that the existing organizations seemed to be unprepared to hold and facilitate more person-centered approaches, such as designating CMs. The model fidelity is important, but has to be flexible according to clients' daily state.

National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-8708 (URN)10.3109/01612840.2015.1047073 (DOI)26514259 (PubMedID)2-s2.0-84945897051 (Scopus ID)
Note

Published online: 29 Oct 2015

Available from: 2015-11-26 Created: 2015-11-24 Last updated: 2019-03-12Bibliographically approved
Clausson, E. K., Berg, A. & Janlöv, A.-C. (2015). Challenges of Documenting Schoolchildren’s Psychosocial Health: A Qualitative Study. Journal of School Nursing, 31(3), 205-211
Open this publication in new window or tab >>Challenges of Documenting Schoolchildren’s Psychosocial Health: A Qualitative Study
2015 (English)In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 31, no 3, p. 205-211Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to explore school nurses’ experience of challenges related to documenting schoolchildren’s psychosocial health in Sweden. Six focus group discussions were carried out. Areas for discussions included questions about situations, especially challenging to document as well as what constrains and/or facilitates documenting psychosocial health problem issues. Qualitative content analysis was used for interpreting the data. The analysis resulted in one overarching theme: having to do one’s duty and being afraid of doing wrong; and three subthemes: uncertainty related to one’s own ability, concerns related to future consequences, and strategies to handle the documentation. School nurses relying on their intuition and using a structured documentation model may increase the opportunities for a reliable documentation. To further develop their professional skills with regular, clinical supervision can be of great importance. This in turn may increase contributions to research and development for the benefit of schoolchildren’s psychosocial health.

Keywords
mental health, documentation, legal/ethical issues, school nurse, knowledge/perceptions/self-efficacy, qualitative research
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-7111 (URN)10.1177/1059840514543525 (DOI)000353984700006 ()25061093 (PubMedID)2-s2.0-84929083499 (Scopus ID)
Note

Published online before print July 24, 2014

Available from: 2014-12-10 Created: 2014-12-10 Last updated: 2019-03-12Bibliographically approved
Garmy, P., Jakobsson, U., Carlsson, K. S., Berg, A. & Clausson, E. K. (2015). Evaluation of a School-Based Program Aimed at Preventing Depressive Symptoms in Adolescents. Journal of School Nursing, 31(2), 117-125
Open this publication in new window or tab >>Evaluation of a School-Based Program Aimed at Preventing Depressive Symptoms in Adolescents
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2015 (English)In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 31, no 2, p. 117-125Article in journal (Refereed) Published
Abstract [en]

The aim of this pilot study was to evaluate the implementation of a universal school-based cognitive behavioral program whose target is to prevent depressive symptoms in adolescents. The study had a quasi-experimental design with pretest, posttest, and a 1-year follow-up and provides an illustrative calculation for the implementation costs of the intervention. Sixty-two students (aged 14) and seven tutors participated. A majority of the students and all of the tutors were satisfied with the intervention. The students, both females and males, rated their depressed symptoms as significantly lower after the course; and for the females, this was maintained 1-year postintervention. The implementation costs for the initial 2 years were about US$300 per student. Positive effects of a universal school-based cognitive behavioral intervention aiming at preventing depressive symptoms in adolescents were found, especially among females.

Keywords
health education, mental health, high school, program development/evaluation
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-5921 (URN)10.1177/1059840514523296 (DOI)000351473300006 ()24526572 (PubMedID)2-s2.0-84925246510 (Scopus ID)
Note

Published online before print February 12, 2014,

Available from: 2014-02-14 Created: 2014-02-14 Last updated: 2019-03-12Bibliographically approved
Charalambous, A., Radwin, L., Stolt, M., Katajisto, J., Berg, A., Lemonido, C., . . . Suhonen, R. (2015). Hospitalized Cancer Patients' Perceptions of Individualized Nursing Care in Four European Countries. Paper presented at ICCN 2015 Abstract Book Manuscript Oral Sessions. Cancer Nursing, 38(4S), Article ID 0-160.
Open this publication in new window or tab >>Hospitalized Cancer Patients' Perceptions of Individualized Nursing Care in Four European Countries
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2015 (English)In: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 38, no 4S, article id 0-160Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

As patients are different, only one way of delivering care is neither appropriate nor efficient. Care needs to be tailored according to individual characteristics in more general and extents to include individualized nursing care. Individualized care has a positive impact on patient outcomes and is therefore worth of studies and implementation in clinical practice. The aim of this study was to describe and compare hospitalized cancer patients' perceptions of individualized care, controlled by their socio-demographic characteristics, in four European countries. The quality of individualized nursing care was represented by hospitalized patients' perceptions of the (1) nurses' support of individuality and (2) receipt of individuality as measured by the two-part Individualized Care Scale (ICS). Patients' socio-demographic characteristicsincluded education, age, gender, type of hospital admission, previous hospitalization, and hospital length of stay. Data (n=599) were collected in Cyprus (n=150), Finland (n=158), Greece (n=150) and Sweden (n=141). Multivariate analysis of variance models were constructed. The main effect of country on perceptions of individualized care was analyzed using socio-demographic characteristics as covariates. The level of support of individuality was reported as moderate and receipt of individuality on care as good. The assessments were generally the highest by the respondents in Sweden and the lowest in Greece. Shortcomings in the individualized nursing care were found based on patients' assessments. This study revealed some between-country differences in patients' perceptions of care individualization, controlled by the sample characteristics, and allows the researcher to further analyze the possible reasons for these differences whether conceptual, differences due to the education, clinical practice or organization of nursing care and services

National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-7885 (URN)10.1097/NCC.0000000000000287 (DOI)
Conference
ICCN 2015 Abstract Book Manuscript Oral Sessions
Available from: 2015-08-13 Created: 2015-08-12 Last updated: 2019-03-12Bibliographically approved
Papastavrou, E., Acaroglu, R., Sendir, M., Berg, A., Efstathiou, G., Idvall, E., . . . Suhonen, R. (2015). The relationship between individualized care and the practice environment: An international study. International Journal of Nursing Studies, 52(1), 121-133
Open this publication in new window or tab >>The relationship between individualized care and the practice environment: An international study
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2015 (English)In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 52, no 1, p. 121-133Article in journal (Refereed) Published
Abstract [en]

Background Previous research studies have found that the better the quality of practice environments in hospitals, the better the outcomes for nurses and patients. Practice environment may influence nurses’ ability to individualize care but the detailed relationship between individualized care and the professional practice environment has not been investigated widely. Some evidence exists about the association of practice environments with the level of individualization of nursing care, but this evidence is based on single national studies. Objectives The aim of this study was to determine whether nurses’ views of their professional practice environment associate with their views of the level of care individualization in seven countries. Design This study had an international, multisite, prospective, cross-sectional, exploratory survey design. Settings The study involved acute orthopedic and trauma surgical inpatient wards (n&#xa0;=&#xa0;91) in acute care hospitals (n&#xa0;=&#xa0;34) in seven countries, Cyprus, Finland, Greece, the State of Kansas, USA, Portugal, Sweden, and Turkey. Participants Nurses (n&#xa0;=&#xa0;1163), registered or licensed practical, working in direct patient care, in orthopedic and trauma inpatient units in acute care hospitals in seven countries participated in the study. Methods Self-administered questionnaires, including two instruments, the Revised Professional Practice Environment and the Individualized Care Scale-Nurse (Individualized Care Scale-Nurse A and B) were used for data collection. Data were analyzed statistically using descriptive statistics, simultaneous multiple regression analysis, and generalized linear model. Results Two regression models were applied to assess the predictive validity of the Revised Professional Practice Environment on the Individualized Care Scale-Nurse-A and B. The results showed that elements of the professional practice environment were associated with care individualization. Internal work motivation, cultural sensitivity, control over practice, teamwork, and staff relationship with physicians were predictors of support (Individualized Care Scale-A) for and the delivery (Individualized Care Scale-B) of individualized care. Conclusions The results of this study provide evidence that environment aspect could explain variations in care individualization. These findings support the assertion that individualized care needs to be understood in a broader context than the immediate nurse–patient relationship and that careful development of the care environment may be an effective way to improve care quality and outcomes.

Keywords
Individualized care, International study, Nurses, Professional practice environment, Questionnaires, Regression analysis
National Category
Nursing
Identifiers
urn:nbn:se:hv:diva-7125 (URN)10.1016/j.ijnurstu.2014.05.008 (DOI)000347604600015 ()2-s2.0-84919473942 (Scopus ID)
Available from: 2014-12-11 Created: 2014-12-11 Last updated: 2019-03-12Bibliographically approved
Garmy, P., Jakobsson, U., Steen Carlsson, K., Berg, A. & Clausson, E. K. (2014). Att förebygga depressiva symtom hos ungdomar: en pilotstudie. In: : . Paper presented at Skolsköterskornas kongress 2014 Stockholm 8-9 maj.
Open this publication in new window or tab >>Att förebygga depressiva symtom hos ungdomar: en pilotstudie
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2014 (Swedish)Conference paper, Poster (with or without abstract) (Other academic)
Abstract [sv]

Bakgrund: Att främja välmående och psykisk hälsa hos barn och ungdomar är en viktig uppgift för samhället. Psykisk ohälsa, t ex depression och ångest, innebär en försämrad livskvalitet som kan försvåra barnets kognitiva, sociala och känslomässiga funktioner. Att främja en positiv utveckling och förebygga barns och ungas psykiska ohälsa innebär både ett minskat individuellt lidande och minskade samhällskostnader. Förutsättningen är dock att förebyggande åtgärder är effektiva ur såväl hälsomässiga som ekonomiska perspektiv.

Syfte: Att utvärdera det skolbaserade programmet Disa som syftar till att förebygga depressiva symptom hos ungdomar.Metod:Studien, som har en kvasiexperimentell design, inkluderade pre-test, post-test och ett-års-uppföljning samt en illustrativ beräkning av interventionens implementeringskostnader. I studien deltog 62 elever i årskurs 8, samt 7 Disa-ledare.

Resultat: En majoritet av eleverna och samtliga ledare var nöjda med interventionen. Eleverna, både flickorna och pojkarna, skattade sina depressiva symtom signifikant lägre efter kursen, och för flickorna bestod denna effekt vid ett-års-uppföljningen. Implementeringskostnaderna för de första två åren var cirka 2000 kr per elev.

Slutsats: Positiva resultat av det skolbaserade programmet Disa påvisades, särskilt för flickor. Flera elever tyckte att de fått ett nytt sätt att tänka, och att stämningen förbättrades i klassen.

Svar på frågan "Vad tyckte du om Disa-kursen?""Mycket bra! Bättre stämning i klassen efter det! Mysigt!" – Flicka"Helt okej, märkte ingen skillnad efter. Mådde i och för sig inte dåligt innan heller." – Flicka"Den har varit bra, man har fått ett nytt sätt att tänka på." – Flicka"Intressant och gav perspektiv" – Pojke"Tråkigt" - Pojke"Bra att få tips hur man kan undvika negativa tankar snabbt!" – Pojke

National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-7128 (URN)
Conference
Skolsköterskornas kongress 2014 Stockholm 8-9 maj
Available from: 2014-12-11 Created: 2014-12-11 Last updated: 2019-03-12Bibliographically approved
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