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Kauffeldt, Anders
Publications (8 of 8) Show all publications
Alverbratt, C., Berlin, J., Åström, S., Kauffeldt, A. & Carlström, E. (2016). A New Working Method in Psychiatric Care: the impact of implementation. International Journal of Public Administration, 40(3), 295-304
Open this publication in new window or tab >>A New Working Method in Psychiatric Care: the impact of implementation
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2016 (English)In: International Journal of Public Administration, ISSN 0190-0692, E-ISSN 1532-4265, Vol. 40, no 3, p. 295-304Article in journal (Refereed) Published
Abstract [en]

An equal mix of organizational cultures is important for a successful implementation process. The aim of this study was to examine the implementation of a new working method in psychiatric hospital wards, representing different cultural characteristics. Descriptive quantitative data were collected at two hospitals (intervention and control). The results revealed one ward characterized by a mix of organizational cultures. This ward, compared with other intervention wards, showed the best results regarding patient assessed empowerment and participation. The result shows tentatively that organizational culture may have an impact on the implementation processes.

Keywords
Empowerment, implementation, organizational culture, patient participation, psychiatric care
National Category
Nursing Psychiatry
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-7935 (URN)10.1080/01900692.2015.1072557 (DOI)000415696000007 ()2-s2.0-84962129556 (Scopus ID)
Note

Ingår i avhandling. Published online: 30 Mar 2016

Available from: 2015-08-19 Created: 2015-08-19 Last updated: 2022-10-25Bibliographically approved
Johansson, C., Åström, S., Kauffeldt, A., Helldin, L. & Carlström, E. D. (2014). Culture as a predictor of resistance to change: A study of competing values in a psychiatric nursing context.. Health Policy, 114(2-3), 156-162
Open this publication in new window or tab >>Culture as a predictor of resistance to change: A study of competing values in a psychiatric nursing context.
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2014 (English)In: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 114, no 2-3, p. 156-162Article in journal (Refereed) Published
Abstract [en]

It is well known that a conservative organizational culture can hinder the implementation of new organizational models. Prior to introducing something new it is important to identify the culture within the organization. This paper sets out to detect the feasibility of reform in a psychiatric clinic in a Swedish hospital prior to implementation of a new working method - a structured tool based on the International Classification of Functioning Disability and Health. A survey consisting of two instruments - an organizational values questionnaire (OVQ) and a resistance to change scale (RTC) - was distributed to registered and assistant nurses at the clinic. The association between the organizational subcultures and resistance to change was investigated with regression analysis. The results revealed that the dominating cultures in the outpatient centers and hospital wards were characterized by human relation properties such as flexibility, cohesion, belongingness, and trust. The mean resistance to change was low, but the subscale of cognitive rigidity was dominant, reflecting a tendency to avoid alternative ideas and perspectives. An instrument like the one employed in the study could be a useful tool for diagnosing the likelihood of extensive and costly interventions.

National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-5644 (URN)10.1016/j.healthpol.2013.07.014 (DOI)000331159300007 ()23932351 (PubMedID)2-s2.0-84892680385 (Scopus ID)
Note

Available online 7 August 2013

Available from: 2013-10-17 Created: 2013-10-17 Last updated: 2022-10-25Bibliographically approved
Alverbratt, C., Carlström, E., Åström, S., Kauffeldt, A. & Berlin, J. (2014). The process of implementing a new working method - a project towards change in a Swedish psychiatric clinic. Journal of Hospital Administration, 3(6), 174-189
Open this publication in new window or tab >>The process of implementing a new working method - a project towards change in a Swedish psychiatric clinic
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2014 (English)In: Journal of Hospital Administration, ISSN 1927-6990, E-ISSN 1927-7008, Vol. 3, no 6, p. 174-189Article in journal (Refereed) Published
Abstract [en]

The implementation of evidence-based methods in hospital settings is difficult and complex. The aim of the present study was to highlight the implementation process concerning a new working method, i.e. a new assessment tool, based on the International Classification of Functioning Disability and Health (ICF), among psychiatric nursing staff on five participating wards at a Swedish county hospital. Descriptive, qualitative data were collected through focus group interviews pre- and post-implementation. Data were analysed using directed content analysis, guided by Normalization Process Theory (NPT). The results revealed that just one of the five participating wards met the criteria for a successful implementation process. The results confirm previous studies showing the difficulty of implementation. Although participants agreed with the intention of the model, they were reluctant to apply it in practice. The implementation process seemed to be influenced by factors such as: time pressure; heavy workload; stress; lack of routines in using the tool; lack of nursing staff; as well as cultural characteristics and resistance to change.

Keywords
Implementation, normalization process theory, psychiatric nursing, Sweden
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Nursing Other Social Sciences not elsewhere specified Public Administration Studies
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science; SOCIAL SCIENCE, Public administration
Identifiers
urn:nbn:se:hv:diva-7002 (URN)10.5430/jha.v3n6p174 (DOI)
Available from: 2014-11-17 Created: 2014-11-17 Last updated: 2022-10-25Bibliographically approved
Johansson, C., Åström, S., Kauffeldt, A. & Carlström, E. D. (2013). Daily Life Dialogue Assessment in Psychiatric Care—Face Validity and Inter-Rater Reliability of a Tool Based on the International Classification of Functioning, Disability and Health. Archives of Psychiatric Nursing, 27(6), 306-311
Open this publication in new window or tab >>Daily Life Dialogue Assessment in Psychiatric Care—Face Validity and Inter-Rater Reliability of a Tool Based on the International Classification of Functioning, Disability and Health
2013 (English)In: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 27, no 6, p. 306-311Article in journal (Refereed) Published
Abstract [en]

This article describes the development of an assessment tool based on the International Classification of Functioning Disability and Health (ICF) adapted to a psychiatric nursing context where both the patient and the nurse assess the patient's ability to participate in various spheres of life. The aim was to test psychometric properties, focusing on face validity and inter-rater reliability. Three Swedish expert groups participated. Analysis of inter-rater reliability was conducted through simulated patient cases. The results of an unweighted kappa value of 0.38, a linear weighted kappa value of 0.65 and a quadratic weighted kappa value of 0.73 were considered as acceptable when using simulated patient cases.

National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-5650 (URN)10.1016/j.apnu.2013.08.005 (DOI)000327415500008 ()24238011 (PubMedID)2-s2.0-84887618647 (Scopus ID)
Available from: 2013-10-17 Created: 2013-10-17 Last updated: 2022-10-25Bibliographically approved
Kauffeldt, A. & Åström, S. (2012). "Formuleringarna blev professionella": upplevelser av omvårdnadsplanering med stöd av ICF ipsykiatrisk vård. Trollhättan
Open this publication in new window or tab >>"Formuleringarna blev professionella": upplevelser av omvårdnadsplanering med stöd av ICF ipsykiatrisk vård
2012 (Swedish)Report (Refereed)
Place, publisher, year, edition, pages
Trollhättan: , 2012. p. 25
Series
Reports University West, ISSN 2002-6188, E-ISSN 2002-6196 ; 2012:1
Keywords
bedömning, funktion, psykiatrisk omvårdnad, specialistsjuksköterska
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-4768 (URN)
Available from: 2012-10-26 Created: 2012-10-26 Last updated: 2022-10-25Bibliographically approved
Kauffeldt, A. & Velander-Sundin, E. (2009). Sjuksköterskors uppfattningar av klinisk handledning utifrån organisations-, kompetens- och utbildningsperspektiv. Trollhättan: Högskolan Väst
Open this publication in new window or tab >>Sjuksköterskors uppfattningar av klinisk handledning utifrån organisations-, kompetens- och utbildningsperspektiv
2009 (Swedish)Report (Other academic)
Abstract [sv]

Verksamhetsförlagda studier i sjuksköterskeprogrammen på såväl grund- som specialistnivå är att betrakta som en form av arbetsintegrerat lärande. En viktig del i detta är den kliniska handledning som studenterna möter i sin utbildning. Högskolan Väst och Västra Götalandsregionen har i samverkan utvecklat en handledningsmodell där bas- huvudhandledare och högskolans lärare tillsammans är resurser för studenterna under verksamhetsförlagda studier. I anslutning till dessa intentioner erbjuds kliniskt verksamma sjuksköterskor handledarutbildning. Syftet med denna studie var att beskriva en grupp sjuksköterskors uppfattningar av klinisk handledning utifrån organisations-, kompetens och utbildningsperspektiv. I en enkätundersökning som besvarades av 199 sjuksköterskor som genomgått handledarutbildning framkom att den föreskrivna handledarmodellen fortfarande var i en utvecklingsfas. Huvudhandledarfunktion och handledarnas akademiska kompetens var inte i fas med intentionerna i handledarmodellen. I undersökningen framkom också indikationer på att samarbetet mellan kliniska handledare och högskolans lärare behöver utvecklas. När det gällde innehåll i den kliniska handledningen beskrevs att praktiska perspektiv har en dominerande funktion i handledningen och att arbetsledning och samarbete var det område där informanterna upplevde att de hade lägst kompetens att handleda i. Överlag skattade sjuksköterskorna sin handledande kompetens som hög. Informanterna var positiva till handledarutbildningens effekter i förhållande till integration av och reflektion kring teori, etik och praktik. Utbildningen hade också stärkt självkänslan i rollen som handledare vilket också hade ett positivt samband med i vilken utsträckning man uppfattade att studenterna uppnådde kursplanernas studiemål. Med utgångspunkt från arbetsintegrerat lärande diskuteras fortsatt utveckling av den föreskrivna handledarmodellen och handledarnas kompetens. Vidare diskuteras utveckling av handledarutbildningen och möjligheter till vidareutbildning i handledning. 

Place, publisher, year, edition, pages
Trollhättan: Högskolan Väst, 2009. p. 33
Series
Högskolan Västs rapportserie för arbetsintegrerat lärande [Elektronisk], ISSN 1654-1766 ; 2009:01
Keywords
Sjuksköterskor, klinisk handledning
National Category
Nursing
Research subject
Work Integrated Learning; NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-13 (URN)
Available from: 2009-02-18 Created: 2009-02-18 Last updated: 2020-04-06Bibliographically approved
Fulton, J., Bøhler, A., Hansen, G. S., Kauffeldt, A., Velander-Sundin, E., Santos, M. R., . . . Ziarko, E. (2007). Mentorship: An international perspective. Nurse Education in Practice, 7(6), 399-406
Open this publication in new window or tab >>Mentorship: An international perspective
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2007 (English)In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 7, no 6, p. 399-406Article in journal (Refereed) Published
Keywords
Mentorship, Reflective practice, Trans-European
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-115 (URN)10.1016/j.nepr.2006.11.012 (DOI)
Available from: 2009-04-14 Created: 2009-04-08 Last updated: 2020-04-06Bibliographically approved
Kauffeldt, A. & Velander-Sundin, E. (2004). Att handleda handledare: ett led i arbetsintegrerat lärande. Uddevalla: Högskolan Trollhättan/Uddevalla
Open this publication in new window or tab >>Att handleda handledare: ett led i arbetsintegrerat lärande
2004 (Swedish)Report (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Uddevalla: Högskolan Trollhättan/Uddevalla, 2004. p. 31
Series
Working paper / University Trollhättan/Uddevalla, ISSN 1403-9494 ; 2004:03
Keywords
Handledning, Arbetsintegrerat lärande
National Category
Pedagogy
Research subject
Work Integrated Learning; SOCIAL SCIENCE, Pedagogics
Identifiers
urn:nbn:se:hv:diva-45 (URN)
Available from: 2009-03-12 Created: 2009-03-12 Last updated: 2020-04-06Bibliographically approved
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