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Rönnerhag, Maria
Publications (6 of 6) Show all publications
Patriksson, K., Andersson, O., Thies-Lagergren, L. & Rönnerhag, M. (2024). Neonatal healthcare professionals’ experiences of intact cord resuscitation in the mother´s bed: an interview study. BMC Pregnancy and Childbirth, 24(1), Article ID 362.
Open this publication in new window or tab >>Neonatal healthcare professionals’ experiences of intact cord resuscitation in the mother´s bed: an interview study
2024 (English)In: BMC Pregnancy and Childbirth, E-ISSN 1471-2393, Vol. 24, no 1, article id 362Article in journal (Refereed) Published
Abstract [en]

Background Intact cord resuscitation in the frst three minutes of life improves oxygenation and Apgar scores. Thepractise of intact cord resuscitation implies the umbilical cord still being connected to the placenta for at least oneminute while providing temperature control and equipment for resuscitation. Healthcare professionals describedpractical challenges in providing intact cord resuscitation. This study aimed to explore neonatal healthcare profession‑als’ experiences of providing intact cord resuscitation in the mother’s bed.

Method An interview study with an inductive, interpretative approach was chosen and analysed according to refex‑ive thematic analysis by Braun & Clarke. An open interview guide was used and 20 individual interviews with neonatalhealthcare professionals were performed. The study was conducted at fve level I-III neonatal care units. In Sweden,resuscitation is performed either in or outside the labour room.

Results The results contributed insight into the participants’ experiences of prerequisites for providing neonatal carein intact cord resuscitation. The sense of the mother’s vulnerability was noticeable, as the participants reported reduc‑ing the risk of exposure to protect and preserve the mother’s integrity. The practical challenges in the environmentinvolved working in a limited space. The desire for multi-professional team training comprised education and trainingas well as debriefng to manage intact cord resuscitation.

Conclusion The result of the present study highlights the fact that neonatal healthcare professionals’ experiencesof providing ICR in the mother’s bed were positive and had signifcant benefts for the neonate, namely zero sepa‑ration between the neonate and parents and better physical recovery for the neonate. However, the fact that ICRin the mother’s bed can be challenging in several ways, such as emotionally, managing environmental circumstancesand ensuring efective team collaboration. Therefore, it is of the utmost importance that healthcare professionals aregiven the opportunity to refect and train together as a team. Future recommendations are to summarize evidencebased knowledge to design guidelines for ICR situation.

Place, publisher, year, edition, pages
Springer Science+Business Media B.V., 2024
Keywords
s Childbirth, Intact cord, Neonatal care, Resuscitation, Qualitative interview
National Category
Pediatrics Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-21650 (URN)10.1186/s12884-024-06558-0 (DOI)2-s2.0-85193354802 (Scopus ID)
Funder
Swedish Society for Medical Research (SSMF)
Note

CC-BY 4.0

This research was fundedby the Department of Health Sciences, University West, Trollhättan, Sweden. OA and LTL were funded by an unrestricted grant from the Swedish Society of Medical Research (SSMF).

Available from: 2024-05-24 Created: 2024-05-24 Last updated: 2024-05-24
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: 2021-05-05Bibliographically 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), 1098-1107
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. 1098-1107Article 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 ()30951231 (PubMedID)2-s2.0-85065188992 (Scopus ID)
Available from: 2019-05-17 Created: 2019-05-17 Last updated: 2020-03-30Bibliographically 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
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
Show others...
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
Severinsson, E., Haruna, M., Rönnerhag, M. & Berggren, I. (2015). Patient Safety, Adverse Healthcare Events and Near-Misses in Obstetric Care: A Systematic Literature Review. Open Journal of Nursing, 5(12), 1110-1122
Open this publication in new window or tab >>Patient Safety, Adverse Healthcare Events and Near-Misses in Obstetric Care: A Systematic Literature Review
2015 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 5, no 12, p. 1110-1122Article in journal (Refereed) Published
Abstract [en]

Systematic development of a patient safety culture is necessary because lack of quality care leads to human suffering. The aim of this review was to identify evidence of obstetric adverse events (AEs) and near-misses in the context of patient safety. We conducted a search of the published literature from Europe, Australia and the USA in the following databases: Cinahl, Cochrane, Maternity and Infant Care, Ovid, Pro-quest and PubMed, guided by PRISMA procedures. A total of 427 studies were screened, 15 full papers retrieved and nine studies included in the final thematic analysis. The selected papers address a broad spectrum of adverse patient safety events in obstetric care. The themes that emerged were: type of AEs, near-misses and their consequences, strategies to support and improve Patient Safety (PS) and domains related to the WHO Patient Safety competence outcomes. The findings of the first theme were grouped into the following categories: healthcare professionals' perspectives on ethical conflicts, attributing blame and responsibility, and patients' perspectives on lack of trust and involvement, as well as medication errors. The second theme, strategies to support interventions to improve PS, was based on two sub-themes: communicating effectively and gaining competence by learning from adverse events, while the third theme was domains related to the WHO Patient Safety competence outcomes. In conclusion, few studies have examined strategies for managing AEs despite the existence of programmes that target the implementation of changes, such as improved teamwork training. In addition to exploring strategies to make safety a priority for patients and healthcare professionals, it is of the utmost importance to improve communication with patients and between professionals in order to maintain and enhance safety. Efforts by organizations and individuals to continuously develop knowledge about the risk of AEs and the use of best practice guidelines are also essential.

Keywords
Maternal Care, Adverse Obstetric Healthcare Events, Patient Safety, Near-Misses
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-8875 (URN)10.4236/ojn.2015.512118 (DOI)
Available from: 2016-01-07 Created: 2016-01-07 Last updated: 2019-03-15Bibliographically approved
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