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  • 1.
    Alverbratt, Catrin
    et al.
    University West, Department of Health Sciences, Specialist Nursing programme.
    Berlin, Johan
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Åström, Sture
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Kauffeldt, Anders
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    A New Working Method in Psychiatric Care: the impact of implementation2016In: International Journal of Public Administration, ISSN 0190-0692, E-ISSN 1532-4265, Vol. 40, no 3, p. 295-304Article in journal (Refereed)
    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.

  • 2.
    Alverbratt, Catrin
    et al.
    University West, Department of Nursing, Health and Culture.
    Carlström, Eric
    Sahlgrenska Akademin, Göteborgs universitet.
    Åström, Sture
    University West, Department of Nursing, Health and Culture. Umeå universitet.
    Kauffeldt, Anders
    University West, Department of Nursing, Health and Culture.
    Berlin, Johan
    University West, Department of Social and Behavioural Studies.
    The process of implementing a new working method - a project towards change in a Swedish psychiatric clinic2014In: Journal of Hospital Administration, ISSN 1927-6990, E-ISSN 1927-7008, Vol. 3, no 6, p. 174-189Article in journal (Refereed)
    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.

  • 3.
    Fulton, John
    et al.
    School of Health, Natural and Social Sciences, University of Sunderland, United Kingdom.
    Bøhler, Ann
    University College Buskerud, Drammen, Norway.
    Hansen, Grethe Storm
    University College Buskerud, Drammen, Norway.
    Kauffeldt, Anders
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Welander, Eva
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Santos, Margarida Reis
    Escola Superior de Enfermagem de São João, Porto, Portugal.
    Thorarinsdottir, Kristin
    University of Akureyri, Iceland.
    Ziarko, Ewa
    Instytyt Pielegniarstwa, Krakow, Poland.
    Mentorship: An international perspective2007In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 7, no 6, p. 399-406Article in journal (Refereed)
  • 4.
    Johansson, Catrin
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Åström, Sture
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Kauffeldt, Anders
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Carlström, Eric D.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    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 Health2013In: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 27, no 6, p. 306-311Article in journal (Refereed)
    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.

  • 5.
    Johansson, Catrin
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Åström, Sture
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Kauffeldt, Anders
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Helldin, Lars
    The NU Health Care, Department of Psychiatry, SE-461 85 Trollhättan.
    Carlström, Eric D.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Culture as a predictor of resistance to change: A study of competing values in a psychiatric nursing context.2014In: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 114, no 2-3, p. 156-162Article in journal (Refereed)
    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.

  • 6.
    Kauffeldt, Anders
    et al.
    University West, Department of Nursing, Health and Culture.
    Velander, Eva
    University West, Department of Nursing, Health and Culture.
    Att handleda handledare: ett led i arbetsintegrerat lärande2004Report (Other (popular science, discussion, etc.))
  • 7.
    Kauffeldt, Anders
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Velander-Sundin, Eva
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Sjuksköterskors uppfattningar av klinisk handledning utifrån organisations-, kompetens- och utbildningsperspektiv2009Report (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. 

  • 8.
    Kauffeldt, Anders
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Åström, Sture
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    "Formuleringarna blev professionella": upplevelser av omvårdnadsplanering med stöd av ICF ipsykiatrisk vård2012Report (Refereed)
1 - 8 of 8
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