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  • 1.
    Brink, Eva
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Fredriksson-Larsson, Ulla
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Alsén, Pia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lång, Marianne
    Department of Cardiology, NU Hospital Group, Trollhättan, Sweden.
    Cliffordson, Christina
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Development of a Tool for Assessment of Post-Myocardial Infarction Fatigue2018In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 08, no 11, p. 811-822Article in journal (Refereed)
    Abstract [en]

    Introduction: After treatment for myocardial infarction (MI) quite a few persons will experience different symptoms, including fatigue, during the recovery phase. The aim of the present study was to construct the multidimensional Post-Myocardial Infarction Fatigue (PMIF) scale, based on empirical data gathered in coronary heart disease contexts. Methods: The construction of the post-MI fatigue scale was conducted in seven steps, ending in a psychometric evaluation of the internal structure of the scale, using confirmatory factor analysis, as well as testing of convergent and discriminant validity, using correlational analysis, in a sample of 141 persons treated for MI. Results: The results showed that the PMIF scale represents three dimensions: physical, cognitive and emotional fatigue. It was also found that the scale is suitable for summing the items to obtain a total score representing a post-MI global fatigue dimension. Conclusion: The PMIF is a brief and easily completed scale for identifying persons experiencing post-MI fatigue. Early identification of fatigue, together with health behavior support, might prevent progression toward a more severe state of fatigue.

  • 2.
    Brink, Eva
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg.
    Skott, Carola
    University of Gothenburg, Institute of Health and Care Sciences.
    Caring about symptoms in person-centred care2013In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 3, no 8, p. 563-567Article in journal (Refereed)
    Abstract [en]

    In the present article, we emphasize the symptom experience perspective in person-centred care and discuss barriers to implementation of this approach. There are obstacles to overcome: the diversity of understandings of symptoms in clinical settings, the current biomedical discourse and the incompleteness of symptom research. Since the 19th century, the bio-medical perspective has been powerful in conceptualizing symptoms in terms of pathology and diagnosis. Many diagnoses conjure up preconceived notions about the persons receiving them. This perspective may influence person-centred care negatively. Yet symptoms often mean something beyond the diagnosis. Recognizing this discrepancy, it is crucial that we consider a perspective that starts from each person’s symptom experience, thus complementing the biomedical perspective. Using the notion caring about symptoms, we advocate a person-centred approach that includes a symptom experience perspective. This requires that health-care professionals be skilled in listening to patient narratives and acquire knowledge about how symptom experiences can be individually expressed and interpreted. Listening to symptom experiences may give insights into the personal meaning of illness as well as information about bodily and social restrictions caused by symptom distress. In this way, caring about symptoms will improve the prerequisites for establishing person-centred care planning.

  • 3.
    Fredriksson-Larsson, Ulla
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Cardiac Self-Efficacy and Fatigue One Year Post-Myocardial Infarction2019In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 9, no 4, p. 396-407Article in journal (Refereed)
    Abstract [en]

    Background: Patients and clinicians report that fatigue post-myocardial infraction (MI) is a bothersome symptom during recovery. Aim: The objective of this study was to explore whether there is a relationship between fatigue, cardiac self-efficacy, stress, breathlessness and physical activity one year post-MI. Method: Data were collected from a sample of patients diagnosed with MI one year earlier (n = 125) who responded to a questionnaire package measuring fatigue, cardiac self-efficacy, physical activity and the symptoms breathlessness and stress. Correlation and regression analyses were preformed to evaluate which factors were related to fatigue. Results: The results showed that cardiac self-efficacy was associated with fatigue (r = −0.611, p = 0.01) and the regression model, controlling for breathlessness and stress, showed an explained variance of 72% one year post-MI. Physical activity was not significant in this model and did not predict fatigue during this time period. Conclusion: Post-MI fatigue-relief support should rely not only on identification of fatigue and other concurrent symptoms, but also on identification of cardiac self-efficacy.

  • 4.
    Fredriksson-Larsson, Ulla
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden..
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden..
    Jonsdottir, Ingibjörg H.
    University of Gothenburg, Institute of Stress Medicine, Sahlgrenska Academy, , Gothenburg, Sweden..
    Grankvist, Gunne
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    Alsén, Pia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    The single-item measure of stress symptoms after myocardial infarction and its association with fatigue.2015In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 5, p. 345-353Article in journal (Refereed)
    Abstract [en]

    Surviving a myocardial infarction (MI) can be a stressful event entailing challenges in daily life during the recovery period. Experiencing fatigue symptoms post-MI has been described as bothersome and occurs in nearly half of patients four months and two years after MI. The aetiology of fatigue disorder is unclear, but research has shown that fatigue plays an important role in the relationship between stress and perceived poor health. Previous findings indicate that having access to an easily administered stress measurement is worthwhile both in the clinic and in research. The single-item measure of stress symptoms has not been validated in persons treated for MI. The aim was to validate the single-item measure of stress symptoms and to explore its association with fatigue in a sample of persons treated for MI. Methods: 142 respondents completed the questionnaires of the Multidimensional Fatigue Inventory-20, the single-item measure of stress symptoms and the Perceived Stress Scale-10 (PPS-10) two months post-MI. Correlation analysis and t-tests were used to validate the single-item stress measure and its association with post-MI fatigue. Results: The convergent validity of the single-item measure of stress symptoms was confirmed. In analyses of relations between stress and fatigue, it was found that the single-item stress measure was strongly associated with both the global fatigue score and all four fatigue dimension scores (general, physical and mental fatigue as well as reduced activity). Conclusion: The single-item measure of stress symptoms was found to be a valid measure of post-MI stress. Also, the measure was useful in assessing associations between stress and fatigue and could therefore indicate that post-MI fatigue experiences should be further explored in full using multidimensional fatigue assessmen

  • 5.
    Holm, Anne Lise
    et al.
    Buskerud & Vestfold University College, The Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Kongsberg, Norway.
    Lyberg, Anne
    Buskerud & Vestfold University College, The Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Kongsberg, Norway.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Åström, Sture
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Severinson, Elisabeth
    Buskerud & Vestfold University College, The Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Kongsberg, Norway.
    Social Capital and Depressive Ill-Health: An Evaluative Approach to the Implementation of the Chronic Care Model (CCM)2014In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 4, no 10, p. 683-694Article in journal (Refereed)
    Abstract [en]

    Background: Social capital has been described as a person's sense of belonging as a result of the number and type of relationships she/he has, in which trust and reciprocity are especially important. Aim: To illuminate older persons' experiences of social capital and depressive ill-health after implementation of the CCM. Methods: Data were collected from nine participants resident in two districts of Norway by means of individual in-depth interviews. A qualitative hermeneutic analysis was performed. Results: Two overall themes, desire for a guardian and a wish for independence despite being dependent, and two themes emerging from the analysis. The first theme—searching for protection was based on three sub-themes overwhelmed by the emotional pain of other people, a sense of exclusion and worries about the future, while the second theme—the need for a relationship with trustworthy persons comprised two sub-themes, namely, emotional pain was not understood and powerlessness to change the situation. The result of this study highlights the need for greater understanding on the part of healthcare professionals of how older persons manage their social relationships. Healthcare professionals require more knowledge about how negative self-beliefs held by older persons suffering from emotional pain, which can lead to reduced ability to trust other people. Another consequence is that fear of being dependent on other people can result in unwillingness to admit the need for help. Conclusion: This study highlights the lack of social capital in older persons who suffer from depressive ill-health. The implementation of the CCM does not appear to improve the situation. Older persons need to be more aware of their social needs and productive interactions in order to protect themselves and obtain support from their social network.

  • 6.
    Janlöv, Ann-Christin
    et al.
    Kristianstad University.
    Persson, Irené
    Kristianstad University.
    Berg, Agneta
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. University West, Department of Health Sciences, Section for nursing - graduate level.
    The lived experience of a 24-hour support center for persons with psychiatric disabilities: Making me feel almost like an ordinary person2014In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 4, no 1, p. 42-50Article in journal (Refereed)
    Abstract [en]

    This study illuminates nine psychiatric disabled per-sons’ lived experience of a newly established community based service center open around the clock. This new 24-hour support center (SC) was established in 2011 in a Swedish community to better match and facilitate the disabled persons’ needs. In order to illuminate the disabled person’s experiences individual interview was performed. A phenomenologicalhermeneutical method inspired by Paul Ricoeur was used to interpret the texts. After a naive reading, a structural analysis revealed two themes: 1), becoming aware of myself as a person, and 2) having a lifeline and belongingness. The comprehensive understanding was interpreted as meaning “Making me feel almost like an ordinary person”, which incorporated the person’s past with their present together with a direction for the future and hope for a more fulfilling life.

  • 7.
    Johansson, Ann-Caroline
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Axelsson, Malin
    Malmö University, Department of Care Science, Faculty of Health and Society, Malmö, Sweden.
    Grankvist, Gunne
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Berndtsson, Ina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Brink, Eva
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Symptoms, Illness Perceptions, Self-Efficacy and Health-Related Quality of Life Following Colorectal Cancer Treatment2018In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 8, no 9, p. 591-604Article in journal (Refereed)
    Abstract [en]

    Introduction: Lower health-related quality of life (HRQoL) is associated with fatigue, poor mental and poor gastrointestinal health during the first three months after colorectal cancer (CRC) treatment. Research indicates that maintaining usual activities has a positive impact on HRQoL after treatment for CRC. Illness perceptions have been associated with HRQoL in other cancer diseases, and self-efficacy has been associated with HRQoL in gastrointestinal cancer survivors. Our knowledge about illness perceptions and self-efficacy in relation to maintaining everyday activities and HRQoL following CRC treatment is incomplete. Aim: To explore associations between HRQoL, fatigue, mental health, gastrointestinal health, illness perceptions and self-efficacy in relation to maintaining everyday activities, three months after surgical CRC treatment. A further aim was to test the Maintain Function Scale in a CRC population. Method: The study was cross-sectional. Forty-six persons participated. Data were collected using questionnaires. Descriptive and analytical statistics were used. Results: Persons who were more fatigued, depressed, worried, and had more diarrhea were more likely to report lower HRQoL. Increased fatigue and diarrhea were associated with decreased HRQoL. Concerning illness perceptions, persons who reported negative emotions and negative consequences of CRC were more likely to report lower HRQoL. Persons scoring higher on self-efficacy were more likely to report higher HRQoL. Increased self-efficacy was associated with increased HRQoL. The Maintain Function Scale was suitable for assessing self-efficacy in relation to maintaining everyday activities. Conclusions: Nursing support to improve self-efficacy and illness perceptions and to minimize symptoms during recovery should have a favorable impact on HRQoL.

  • 8.
    Lyberg, Anne
    et al.
    Buskerud and Vestfold University College, Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Kongsberg, Norway..
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Holm, Anne Lise
    Stord/Haugesund University College, Department of Health Science, Stord, Norway..
    Severinsson, Elisabeth
    Buskerud and Vestfold University College, Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Kongsberg, Norway..
    Depressed Older Patients’ Need for and Expectations of Improved Health Services: An Evaluative Approach to the Chronic Care Model2015In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 5, no 4, p. 376-386Article in journal (Refereed)
    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.

  • 9.
    Severinsson, Elisabeth
    et al.
    Buskerud & Vestfold University College, Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Kongsberg, Norway..
    Haruna, Megumi
    The University of Tokyo, Department of Midwifery and Women’s Health, Division of Health Sciences & Nursing, Graduate School of Medicine, Tokyo, Japan..
    Rönnerhag, Maria
    University West, Department of Health Sciences, Section for nursing - undergraduate level. Buskerud & Vestfold University College, Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Kongsberg, Norway..
    Berggren, Ingela
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Patient Safety, Adverse Healthcare Events and Near-Misses in Obstetric Care: A Systematic Literature Review2015In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 5, no 12, p. 1110-1122Article in journal (Refereed)
    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.

  • 10.
    Severinsson, Elisabeth
    et al.
    University College of Southeast-Norway, Centre for Women’s, Family & Child Health, Department of Nursing and Health Sciences, Faculty of Health and Social Sciences, Kongsberg, Norway..
    Haruna, Megumi
    The University of Tokyo, Department of Midwifery and Women’s Health, Division of Health Sciences & Nursing, Graduate School of Medicine, Tokyo, Japan..
    Rönnerhag, Maria
    University West, Department of Health Sciences, Section for nursing - undergraduate level. University College of Southeast-Norway, Centre for Women’s, Family & Child Health, Department of Nursing and Health Sciences, Faculty of Health and Social Sciences, Kongsberg, Norway..
    Holm, Anne Lise
    Western Norway University of Applied Sciences, Department of Health Sciences, Haugesund, Norway.
    Hansen, Britt S,
    University College of Southeast-Norway, Centre for Women’s, Family & Child Health, Department of Nursing and Health Sciences, Faculty of Health and Social Sciences, Kongsberg, Norway..
    Berggren, Ingela
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Evidence of Linkages between Patient Safety and Person-Centred Care in the Maternity and Obstetric Context: An Integrative Review2017In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 7, no 3, p. 378-398Article in journal (Refereed)
    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.

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