Change search
Link to record
Permanent link

Direct link
BETA
Finnström, Berit
Publications (10 of 12) Show all publications
Finnström, B. (2019). Den professionella sjuksköterskan i dagens vård (3.ed.). In: Elisabeth Dahlborg (Ed.), Att bli sjuksköterska: en introduktion till yrke och ämn (pp. 71-99). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Den professionella sjuksköterskan i dagens vård
2019 (Swedish)In: Att bli sjuksköterska: en introduktion till yrke och ämn / [ed] Elisabeth Dahlborg, Lund: Studentlitteratur AB, 2019, 3., p. 71-99Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2019 Edition: 3.
Keywords
Sjuksköterskor, profession, identitet, legitimation
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-14378 (URN)9789144125350 (ISBN)
Available from: 2019-09-05 Created: 2019-09-05 Last updated: 2019-12-10Bibliographically approved
Forsner, M., Nilsson, S., Finnström, B. & Mörelius, E. (2016). Expectation prior to human papilloma virus vaccination: 11 to 12-Year-old girls' written narratives.. Journal of Child Health Care, 203, 365-373
Open this publication in new window or tab >>Expectation prior to human papilloma virus vaccination: 11 to 12-Year-old girls' written narratives.
2016 (English)In: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 203, p. 365-373Article in journal (Refereed) Published
Abstract [en]

Expectations prior to needle-related procedures can influence individuals' decision making and compliance with immunization programmes. To protect from human papilloma virus (HPV) and cervical cancer, the immunization needs to be given before sexual debut raising interest for this study's aim to investigate how 11 to 12-year-old girls narrate about their expectations prior to HPV vaccination. A total of 27 girls aged 11 to 12 years participated in this qualitative narrative study by writing short narratives describing their expectations. The requirement for inclusion was to have accepted HPV vaccination. Data were subjected to qualitative content analysis. Findings showed the following expectations: going to hurt, going to be scared and going to turn out fine. The expectations were based on the girls' previous experiences, knowledge and self-image. The latent content revealed that the girls tried to transform uneasiness to confidence. The conclusion drawn from this study is that most girls of this age seem confident about their ability to cope with possible unpleasantness related to vaccinations. However, nurses need to find strategies to help those children who feel uneasy about needle-related procedures.

Keywords
Expectations, health promotion, pain, qualitative approach, school nursing
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-8041 (URN)10.1177/1367493515598646 (DOI)000382967700012 ()26311482 (PubMedID)2-s2.0-84983671890 (Scopus ID)
Note

Published online before print August 26

Funders: Ebba Danelius Foundation.

Available from: 2015-09-01 Created: 2015-09-01 Last updated: 2020-02-27Bibliographically approved
Nilsson, S., Forsner, M., Finnström, B. & Mörelius, E. (2015). Relaxation and guided imagery do not reduce stress, pain and unpleasantness for 11- to 12-year-old girls during vaccinations. Acta Paediatrica, 104(7), 724-729
Open this publication in new window or tab >>Relaxation and guided imagery do not reduce stress, pain and unpleasantness for 11- to 12-year-old girls during vaccinations
2015 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 104, no 7, p. 724-729Article in journal (Refereed) Published
Abstract [en]

Aim: Relaxation and guided imagery is a distraction technique known to reduce discomfort during paediatric medical procedures. We examined whether its use decreased the stress experienced by 11- to 12-year-old girls receiving the human papilloma virus vaccination, as well as the intensity and unpleasantness of any pain. Methods: A randomised crossover trial was conducted with 37 girls. During the first vaccination, each girl was randomised to receive either relaxation and guided imagery or standard care. They then received the other form of care during the second vaccination. Salivary cortisol was measured before each vaccination, and 30 minutes after it was administered. The girls reported pain intensity and pain unpleasantness before and directly after each vaccination and stress after each vaccination. Results: On a group level, relaxation and guided imagery did not decrease cortisol levels, self-reported stress, pain intensity and pain unpleasantness. Salivary cortisol levels decreased significantly in both groups during the second vaccination. Conclusion: Relaxation and guided imagery did not prove beneficial during the vaccination of 11- to 12-year-old girls and is not recommended as a regular nursing intervention. However, further research is needed into effective techniques to help children who experience pain unpleasantness in connection with needle procedures. ©2015 Foundation Acta PÊdiatrica.

Keywords
Child, Cortisol, Immunisation, Nonpharmacological;Pain
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-7625 (URN)10.1111/apa.13000 (DOI)000356456300023 ()2-s2.0-84928248575 (Scopus ID)
Note

Article first published online: 22 APR 2015

Available from: 2015-06-02 Created: 2015-05-30 Last updated: 2020-02-27Bibliographically approved
Nilsson, S., Finnström, B., Mörelius, E. & Forsner, M. (2014). The Facial Affective Scale as a Predictor for Pain Unpleasantness When Children Undergo Immunizations. Nursing Research and Practice, 628198
Open this publication in new window or tab >>The Facial Affective Scale as a Predictor for Pain Unpleasantness When Children Undergo Immunizations
2014 (English)In: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, p. 628198-Article in journal (Refereed) Published
Abstract [en]

Needle fear is a common problem in children undergoing immunization. To ensure that the individual child’s needs are met during a painful procedure itwould be beneficial to be able to predictwhether there is a need for extra support.Theself-reporting instrument facial affective scale (FAS) could have potential for this purpose.The aim of this study was to evaluate whether the FAS can predict pain unpleasantness in girls undergoing immunization. Girls, aged 11-12 years, reported their expected pain unpleasantness on the FAS at least two weeks before and then experienced pain unpleasantness immediately before each vaccination. The experienced pain unpleasantness during the vaccination was also reported immediately after each immunization. The level of anxiety was similarly assessed during each vaccination and supplemented with stress measures in relation to the procedure in order to assess and evaluate concurrent validity.The results show that the FAS is valid to predict pain unpleasantness in 11-12-year-old girls who undergo immunizations and that it has the potential to be a feasible instrument to identify children who are in need of extra support to cope with immunization. In conclusion, the FAS measurement can facilitate caring interventions.

Keywords
nursing, pain assessment, vaccination
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-6177 (URN)10.1155/2014/628198 (DOI)
Available from: 2014-04-25 Created: 2014-04-25 Last updated: 2020-02-27Bibliographically approved
Finnström, B. & Nilsson, S. (2012). Postoperative pain assessment of children with cognitive impairments, aged 4-18, using INRS. In: Dr Gudrun Kristjansdottir, Professor (Ed.), Nordic Pediatric Pain 2012. 6th Nordic Congress on Pediatric Pain. Programme and Abstracts: Pain in Children - challenges and solutions. Paper presented at Nordic Pediatric Pain 2012: 6th Nordic Congress of Pediatric Pain in Reykjavik 5-7 september. -
Open this publication in new window or tab >>Postoperative pain assessment of children with cognitive impairments, aged 4-18, using INRS
2012 (English)In: Nordic Pediatric Pain 2012. 6th Nordic Congress on Pediatric Pain. Programme and Abstracts: Pain in Children - challenges and solutions / [ed] Dr Gudrun Kristjansdottir, Professor, -, 2012Conference paper, Oral presentation only (Refereed)
Abstract [en]

Conclusions A satisfactory pain assessment tool should be easy to use and be valid in the context of use. The INRS demonstrated validity for postoperative pain assessment in children with cognitive impairments. The FLACC scale, however, probably is the most user friendly scale to measure pain intensity in children with cognitive impairments.

Place, publisher, year, edition, pages
-: , 2012
Series
-
Keywords
Child, pain, scale
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-4907 (URN)
Conference
Nordic Pediatric Pain 2012: 6th Nordic Congress of Pediatric Pain in Reykjavik 5-7 september
Available from: 2013-01-08 Created: 2012-12-19 Last updated: 2020-02-27Bibliographically approved
Finnström, B., Käck, B.-M. & Söderhamn, O. (2011). Fingertoppskänsla och fingerfärdighet: Föräldrars uppfattningar om faktorer som inverkar på barnets upplevelse av perfer venpunktion. Vård i Norden, 31(2), 40-44
Open this publication in new window or tab >>Fingertoppskänsla och fingerfärdighet: Föräldrars uppfattningar om faktorer som inverkar på barnets upplevelse av perfer venpunktion
2011 (Swedish)In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 31, no 2, p. 40-44Article in journal (Refereed) Published
Abstract [en]

Introduction:Pain in connection with needles is a major reason to children’s anxiety and fear. Parents have a unique competence and knowledge about their children’s experiences and reactions that should be regarded as important in health care. Purpose: The purpose of this study was to describe a group of parents' perceptions of the factors that influence their children's experience in relation to venepuncture. Method: Qualitative interviews were conducted with 11 parents. The interviews were based on the question “What factors influence your child's experience in relation to venepuncture?”. The data were analysed through manifest and latent content analysis. Results: The manifest analysis resulted in five categories: Children's experience of fear and stress, The parent's behaviour, Information and preparation, Distraction and Staff expertise. The latent content analysis led to the theme: Adapting the peripheral venepuncture for the individual child is both the responsibility of the parents and the health care professionals. Conclusions: Parents have specific knowledge of the child they wish to convey to the nursing staff. They also want to work in collaboration with staff to minimize the child's anxiety and fear. Parents should be seen as a resource in the child’s health care.

Place, publisher, year, edition, pages
Oslo: , 2011
Keywords
fear, individual adaptation, parental skills, pediatric nursing.
National Category
Nursing Pediatrics
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-3501 (URN)
Note

-

Available from: 2011-11-22 Created: 2011-07-15 Last updated: 2020-03-31Bibliographically approved
Finnström, B. (2010). Den professionella sjuksköterskan i dagens vård. In: Elisabeth Dahlborg-Lyckhage (Ed.), Att bli sjuksköterska: en introduktion till yrke och ämne (pp. 59-82). Lund: Studentlitteratur
Open this publication in new window or tab >>Den professionella sjuksköterskan i dagens vård
2010 (Swedish)In: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Elisabeth Dahlborg-Lyckhage, Lund: Studentlitteratur , 2010, p. 59-82Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur, 2010
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-2955 (URN)978-91-44-05411-7 (ISBN)
Available from: 2010-12-22 Created: 2010-12-22 Last updated: 2020-03-31Bibliographically approved
Nilsson, S., Finnström, B., Kokinsky, E. & Enskär, K. (2009). The use of Virtual Reality for needle-related procedural pain and distress in children and adolescents in a paediatric oncology unit. European Journal of Oncology Nursing, 13(2), 102-109
Open this publication in new window or tab >>The use of Virtual Reality for needle-related procedural pain and distress in children and adolescents in a paediatric oncology unit
2009 (English)In: European Journal of Oncology Nursing, Vol. 13, no 2, p. 102-109Article in journal (Refereed) Published
Abstract [en]

Aim: It is essential to minimize pain and distress during painful procedures in children. This studyexamined the effect of using non-immersive Virtual Reality (VR) during a needle-related procedure onreported pain or distress of children and adolescents in a paediatric oncology unit and surveyed their response to the use of VR-equipment during the procedure.Method: Twenty-one children and adolescents were included in an intervention group with nonimmersiveVR and another 21 children and adolescents in a control group where they underwent either venous punctures or subcutaneous venous port devices. Self-reported pain and distress, heart rate andobservational pain scores were collected before, during and after the procedures. Semi-structured qualitative interviews were conducted in conjunction with the completed intervention.Results: Self-reported and observed pain and distress scores were low and few significant differences of quantitative data between the groups were found. Two themes emerged in the analysis of the interviews; the VR game should correspond to the child and the medical procedure and children enjoyed the VR game and found that it did distract them during the procedure.Conclusion: The interviews showed that non-immersive VR is a positive experience for children undergoing a minor procedure such as venous puncture or a subcutaneous venous port access.

Keywords
Childhood cancer, Distraction, Nursing, Pain management
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-1686 (URN)10.1016/j.ejon.2009.01.003 (DOI)
Available from: 2009-09-28 Created: 2009-09-25 Last updated: 2020-03-31Bibliographically approved
Nilsson, S., Finnström, B. & Kokinsky, E. (2008). The FLACC behavioral scale for procedural pain assessment in children aged 5-16 years. Pediatric Anaesthesia, 18(8), 767-774
Open this publication in new window or tab >>The FLACC behavioral scale for procedural pain assessment in children aged 5-16 years
2008 (English)In: Pediatric Anaesthesia, ISSN 1155-5645, E-ISSN 1460-9592, Vol. 18, no 8, p. 767-774Article in journal (Refereed) Published
Abstract [en]

Objectives:  To evaluate the concurrent and construct validity and the interrater reliability of the Face, Legs, Activity, Cry and Consolability (FLACC) scale during procedural pain in children aged 5–16 years.

Background:  Self-reporting of pain is considered to be the primary source of information on pain intensity for older children but a validated observational tool will provide augment information to self-reports during painful procedures.

Methods:  Eighty children scheduled for peripheral venous cannulation or percutaneous puncture of a venous port were included. In 40 cases two nurses simultaneously and independently assessed pain by using the FLACC scale and in 40 cases one of these nurses assessed the child. All children scored the intensity of pain by using the Coloured Analogue Scale (CAS) and distress by the Facial Affective Scale (FAS).

Results:  Concurrent validity was supported by the correlation between FLACC scores and the children's self-reported CAS scores during the procedure (r = 0.59, P < 0.05). A weaker correlation was found between the FLACC scores and children's self-reported FAS (r = 0.35, P < 0.05). Construct validity was demonstrated by the increase in median FLACC score to 1 during the procedure compared with 0 before and after the procedure (P < 0.001). Interrater reliability during the procedure was supported by adequate kappa statistics for all items and for the total FLACC scores (κ = 0.85, P < 0.001).

Conclusions:  The findings of this study support the use of FLACC as a valid and reliable tool for assessing procedural pain in children aged 5–16 years.

Keywords
Assessment, Child, FLACC, Pain, Procedure
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-1526 (URN)10.1111/j.1460-9592.2008.02655.x (DOI)
Available from: 2009-05-13 Created: 2009-05-13 Last updated: 2020-03-31Bibliographically approved
Finnström, B., Söderhamn, O. & Kokinsky., E. (2008). Utvärdering av två självskattningsinstrument för smärta bland barn på en akutmottagning. Vård i Norden, 28(1), 48-50
Open this publication in new window or tab >>Utvärdering av två självskattningsinstrument för smärta bland barn på en akutmottagning
2008 (Swedish)In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 28, no 1, p. 48-50Article in journal (Refereed) Published
Abstract [en]

In this pilot study a faces pain scale (FPS) and the ColouredAnalogue Scale (CAS) were evaluated. The FPS consists of six faces corresponding to a numeric scale of 0 to 10, and the CAS is a modified visual analogue scale from 0 to 10. The aims were to examine if FPS and CAS were considered as equal, valid and applicable in measuring pain in children in an emergency room. To assess concurrent validity, 62 children in an emergency room were asked to mark their current pain on both self-report scales. When construct validity was assessed, a subgroup of children (n=19) was asked to score their pain before and after administered analgesics. All children were asked which scale they preferred. There were no significant differences in the scores between the scales. The correlation between them was 0.64 for children >8 years of age and 0.66 for children 4.5–7 years (p<0.05). Median scores after analgesic administration decreased from 5.8 to 4.2 with CAS (p<0.001) and from 6 to 4 with FPS (p<0.001). Children >8 years preferred CAS, while younger children preferred FPS (p<0.05). Both scales showed concurrent and construct validity in this study group of untrained children in an emergency room.

Place, publisher, year, edition, pages
Köpenhamn: Sjuksköterskornas samarbete i Norden, 2008
Keywords
Children, nursing, scale testing
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-1865 (URN)
Available from: 2009-10-30 Created: 2009-10-30 Last updated: 2020-03-31Bibliographically approved
Organisations

Search in DiVA

Show all publications