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  • 1.
    Adam, Christina
    et al.
    1 St. Savvas Anticancer Hospital, Athens, Greece.
    Patiraki, Elisabeth
    National and Kapodistrian University of Athens, Athens, Greec.
    Lemonidou, Chryssoula
    National and Kapodistrian University of Athens, Faculty of Nursing, Athens, Greece.
    Radwin, Laurel
    Research Health Scientist, Center for Health Care Organization and Implementation Research, Boston VA Health Care System, Boston, MA USA.
    Charalambouss, Andreas
    Cyprus University of Technology, Department of Nursing Studies, Limassol, Cyprus and Docent, University of Turku, Department of Nursing Science, Finland.
    Charalambous, Melanie
    Cyprus Ministry of Health, Nursing Services, Educational Sector, Nicosia, Cyprus.
    Berg, Agneta
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Kristianstad University, Kristianstad.
    Sjövall, Katarina
    Skane University Hospital and Medical faculty, Lund University, Sweden.
    Katajisto, Jouko
    Statistician University of Turku, Department of Mathematics and Statistics, Turku, Finland.
    Stolti, Minna
    University of Turku, Department of Nursing Science, Turku, Finland.
    Suhonen, Riitta
    University of Turku, Department of Nursing Science/Turku University Hospital and City of Turku, Welfare Division, Turku, Finland.
    Quality of nursing care as perceived by cancer patients: A cross-sectional survey in four European countries2017Ingår i: Balkan Union of Oncology. Journal, ISSN 1107-0625, Vol. 22, nr 3, s. 777-782Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: To explore and compare cancer patients’ perceptions on the quality of nursing care in four European countries. Methods: Data were collected in Cyprus, Finland, Greece and Sweden. The sample comprised 596 hospitalized cancer patients. The quality of nursing care was measured using the “Oncology Patients’ Perceptions of the Quality of Nursing Care Scale” (OPPQNCS). Patient characteristics were also collected. Analysis of variance was used to examine the effects of country on the perceptions of the quality of nursing care. Results: Patients’ age ranged from 18 to 86 years, and 58% were male. The comparison of cancer patients’ perceptions regarding the quality of nursing care between the four countries showed a statistically significant difference in the total OPPQNCS scores (p <0.001) as well as in the subscales responsiveness (p <0.001), individualization (p<0.001), co ordination (p<0.001) and proficiency (p<0.001). The Cronbach’s alpha coefficient for the OPPQNCS ranged between 0.89 and 0.95. A multivariate analysis of variance for the OPPQNCS controlled by respondents’ demographic characteristics revealed that only the patient’s country was significantly related with the patients’ perceptions of quality care. Conclusion: Quality of nursing care as perceived by cancer patients was high, but differed between the four countries. The impact of the clinical status of cancer patients on the quality of nursing care and managerial factors such as staffing/nursing care delivery models that influence the ability of nurses to offer high quality care should also be explored by more focused studies.

  • 2.
    Andersson, Ann-Christine
    et al.
    Jönköping University,The Jönköping Academy for Improvement of Health and Welfare, Jönköping.
    Ainalem, Ingrid
    Centre for Innovation and Improvement (CII), Region Skane, Malmo.
    Berg, Agneta
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Kristianstad University, Kristianstad.
    Janlöv, Ann-Christin
    Kristianstad University, Kristianstad.
    Challenges to Improve Inter-Professional Care and Service Collaboration for People Living With Psychiatric Disabilities in Ordinary Housing.2016Ingår i: Quality Management in Health Care, ISSN 1063-8628, E-ISSN 1550-5154, Vol. 25, nr 1, s. 44-52Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to describe health care- and social service professionals' experiences of a quality-improvement program implemented in the south of Sweden. The focus of the program was to develop inter-professional collaboration to improve care and service to people with psychiatric disabilities in ordinary housing. Focus group interviews and a thematic analysis were used. The result was captured as themes along steps in process. (I) Entering the quality-improvement program: Lack of information about the program, The challenge of getting started, and Approaching the resources reluctantly. (II) Doing the practice-based improvement work: Facing unprepared workplaces, and Doing twice the work. (III) Looking back-evaluation over 1 year: Balancing theoretical knowledge with practical training, and Considering profound knowledge as an integral part of work. The improvement process in clinical practice was found to be both time and energy consuming, yet worth the effort. The findings also indicate that collaboration across organizational boundaries was broadened, and the care and service delivery were improved.

  • 3.
    Charalambous, Andreas
    et al.
    Cyprus University of Technology, Nursing, Limassol, Limassol, Cyprus.
    Radwin, Laurel
    Veteran Administration Medical Center, Manchester, New Hampshire, United States.
    Stolt, Minna
    University of Turku, Nursing, Turku, Finland, .
    Katajisto, Jouko
    University of Turku, Mathematics and Statistics, Turku, Finland.
    Berg, Agneta
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Kristianstad University, Kristianstad.
    Lemonido, Chryssoula
    National and Kapodistrian University of Athens, Nursing, Athens, Greece,.
    Patiraki, Elisabeth
    National and Kapodistrian University of Athens, Nursing, Athens, Greece,.
    Sjovall, Katarina
    Lund University, Department of Health Sciences and Skåne University Hospital, Lund, Sweden.
    Suhonen, Riitta
    University of Turku, Nursing, Turku, Finland.
    Hospitalized Cancer Patients' Perceptions of Individualized Nursing Care in Four European Countries2015Ingår i: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 38, nr 4S, artikel-id 0-160Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    As patients are different, only one way of delivering care is neither appropriate nor efficient. Care needs to be tailored according to individual characteristics in more general and extents to include individualized nursing care. Individualized care has a positive impact on patient outcomes and is therefore worth of studies and implementation in clinical practice. The aim of this study was to describe and compare hospitalized cancer patients' perceptions of individualized care, controlled by their socio-demographic characteristics, in four European countries. The quality of individualized nursing care was represented by hospitalized patients' perceptions of the (1) nurses' support of individuality and (2) receipt of individuality as measured by the two-part Individualized Care Scale (ICS). Patients' socio-demographic characteristicsincluded education, age, gender, type of hospital admission, previous hospitalization, and hospital length of stay. Data (n=599) were collected in Cyprus (n=150), Finland (n=158), Greece (n=150) and Sweden (n=141). Multivariate analysis of variance models were constructed. The main effect of country on perceptions of individualized care was analyzed using socio-demographic characteristics as covariates. The level of support of individuality was reported as moderate and receipt of individuality on care as good. The assessments were generally the highest by the respondents in Sweden and the lowest in Greece. Shortcomings in the individualized nursing care were found based on patients' assessments. This study revealed some between-country differences in patients' perceptions of care individualization, controlled by the sample characteristics, and allows the researcher to further analyze the possible reasons for these differences whether conceptual, differences due to the education, clinical practice or organization of nursing care and services

  • 4.
    Clausson, Eva K.
    et al.
    Kristianstad University, School of Health and Social Science.
    Berg, Agneta
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Janlöv, Ann-Christin
    Kristianstad University, School of Health and Social Science.
    Challenges of Documenting Schoolchildren’s Psychosocial Health: A Qualitative Study2015Ingår i: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 31, nr 3, s. 205-211Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to explore school nurses’ experience of challenges related to documenting schoolchildren’s psychosocial health in Sweden. Six focus group discussions were carried out. Areas for discussions included questions about situations, especially challenging to document as well as what constrains and/or facilitates documenting psychosocial health problem issues. Qualitative content analysis was used for interpreting the data. The analysis resulted in one overarching theme: having to do one’s duty and being afraid of doing wrong; and three subthemes: uncertainty related to one’s own ability, concerns related to future consequences, and strategies to handle the documentation. School nurses relying on their intuition and using a structured documentation model may increase the opportunities for a reliable documentation. To further develop their professional skills with regular, clinical supervision can be of great importance. This in turn may increase contributions to research and development for the benefit of schoolchildren’s psychosocial health.

  • 5.
    Garmy, Pernilla
    et al.
    Kristianstad University, Department of Health Science,Kristianstad, Swede.
    Berg, Agneta
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Kristianstad University, Department of Health Science,Kristianstad, Swede.
    Clausson, Eva K
    Kristianstad University, Department of Health Science,Kristianstad, Swede.
    A qualitative study exploring adolescents' experiences with a school-based mental health program2015Ingår i: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 15, artikel-id 1074Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Supporting positive mental health development in adolescents is a major public health concern worldwide. Although several school-based programs aimed at preventing depression have been launched, it is crucial to evaluate these programs and to obtain feedback from participating adolescents. This study aimed to explore adolescents' experiences with a -based cognitive-behavioral depression prevention program.

    METHODS: Eighty-nine adolescents aged 13-15 years were divided into 12 focus groups. The focus group interviews were analyzed using qualitative content analysis.

    RESULTS: Three categories and eight subcategories were found to be related to the experience of the school-based program. The first category, intrapersonal strategies, consisted of the subcategories of directed thinking, improved self-confidence, stress management, and positive activities. The second category, interpersonal awareness, consisted of the subcategories of trusting the group and considering others. The third category, structural constraints, consisted of the subcategories of negative framing and emphasis on performance.

    CONCLUSIONS: The school-based mental health program was perceived as beneficial and meaningful on both individual and group levels, but students expressed a desire for a more health-promoting approach.

  • 6.
    Garmy, Pernilla
    et al.
    Kristianstad University, Department of Health Science.
    Berg, Agneta
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Clausson, Eva K
    Kristianstad University, Department of Health Science.
    Supporting positive mental health development in adolescents with a group cognitive intervention2014Ingår i: British Journal of School Nursing, ISSN 1752-2803, E-ISSN 2052-2827, Vol. 9, nr 1, s. 24-29Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Supporting positive mental health development in adolescents is an important school health concern, but there is a need to investigate the suitability of the interventions used. Aim: The aim is to investigate the experiences of school health professionals in conducting a universal school-based programme aimed at preventing depressive symptoms in adolescents. Methods: Twenty-two school health professionals participated in four focus groups. The interviews were analysed using qualitative content analysis. Findings: The overall theme identified in the study consists of‘striking a balance between strictly following the manual and meeting the students’ needs’. Three subthemes emerged: ‘doing good and sowing seeds for the future’, working with insufficient tools, and ‘personal development as a professional and as an individual’. Conclusions: School health professionals conducting the programme found it valuable in a school setting, but considered support from the school administration essential.

  • 7.
    Garmy, Pernilla
    et al.
    Kristianstad University, Department of Health Science.
    Jakobsson, Ulf
    Lund University, Center for Primary Health Care Research, Faculty of Medicine.
    Carlsson, Katarina Steen
    Kristianstad University, Department of Health Science.
    Berg, Agneta
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Clausson, Eva K.
    Kristianstad University, Department of Health Science.
    Evaluation of a School-Based Program Aimed at Preventing Depressive Symptoms in Adolescents2015Ingår i: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 31, nr 2, s. 117-125Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this pilot study was to evaluate the implementation of a universal school-based cognitive behavioral program whose target is to prevent depressive symptoms in adolescents. The study had a quasi-experimental design with pretest, posttest, and a 1-year follow-up and provides an illustrative calculation for the implementation costs of the intervention. Sixty-two students (aged 14) and seven tutors participated. A majority of the students and all of the tutors were satisfied with the intervention. The students, both females and males, rated their depressed symptoms as significantly lower after the course; and for the females, this was maintained 1-year postintervention. The implementation costs for the initial 2 years were about US$300 per student. Positive effects of a universal school-based cognitive behavioral intervention aiming at preventing depressive symptoms in adolescents were found, especially among females.

  • 8.
    Garmy, Pernilla
    et al.
    Kristianstad University, School of Health and Society.
    Jakobsson, Ulf
    Lunds universitet.
    Steen Carlsson, Katarina
    Lunds universitet.
    Berg, Agneta
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Clausson, Eva K.
    Kristianstad University, School of Health and Society.
    Att förebygga depressiva symtom hos ungdomar: en pilotstudie2014Konferensbidrag (Övrigt vetenskapligt)
    Abstract [sv]

    Bakgrund: Att främja välmående och psykisk hälsa hos barn och ungdomar är en viktig uppgift för samhället. Psykisk ohälsa, t ex depression och ångest, innebär en försämrad livskvalitet som kan försvåra barnets kognitiva, sociala och känslomässiga funktioner. Att främja en positiv utveckling och förebygga barns och ungas psykiska ohälsa innebär både ett minskat individuellt lidande och minskade samhällskostnader. Förutsättningen är dock att förebyggande åtgärder är effektiva ur såväl hälsomässiga som ekonomiska perspektiv.

    Syfte: Att utvärdera det skolbaserade programmet Disa som syftar till att förebygga depressiva symptom hos ungdomar.Metod:Studien, som har en kvasiexperimentell design, inkluderade pre-test, post-test och ett-års-uppföljning samt en illustrativ beräkning av interventionens implementeringskostnader. I studien deltog 62 elever i årskurs 8, samt 7 Disa-ledare.

    Resultat: En majoritet av eleverna och samtliga ledare var nöjda med interventionen. Eleverna, både flickorna och pojkarna, skattade sina depressiva symtom signifikant lägre efter kursen, och för flickorna bestod denna effekt vid ett-års-uppföljningen. Implementeringskostnaderna för de första två åren var cirka 2000 kr per elev.

    Slutsats: Positiva resultat av det skolbaserade programmet Disa påvisades, särskilt för flickor. Flera elever tyckte att de fått ett nytt sätt att tänka, och att stämningen förbättrades i klassen.

    Svar på frågan "Vad tyckte du om Disa-kursen?""Mycket bra! Bättre stämning i klassen efter det! Mysigt!" – Flicka"Helt okej, märkte ingen skillnad efter. Mådde i och för sig inte dåligt innan heller." – Flicka"Den har varit bra, man har fått ett nytt sätt att tänka på." – Flicka"Intressant och gav perspektiv" – Pojke"Tråkigt" - Pojke"Bra att få tips hur man kan undvika negativa tankar snabbt!" – Pojke

  • 9.
    Janlöv, Ann-Christin
    et al.
    Kristianstad University, Health and Social Sciences, Kristianstad, Sweden.
    Granskär, Monica
    Kristianstad University, Health and Social Sciences, Kristianstad, Sweden.
    Berg, Agneta
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Kristianstad University, Health and Social Sciences, Kristianstad, Sweden.
    Challenges Highlighted During Peer Supervision by Mental Health Nurses and Social Workers Recently Trained as Case Managers in Sweden2015Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 36, nr 10, s. 809-816Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study looked at 13 mental health nurses and social workers who were recently trained as case managers (CMs) and the work-related challenges they faced in community mental health services. Data were collected during ten peer supervisions sessions. Participants expressed pride and enthusiasm about their new function as CMs, but they also acknowledged that their new position meant they had to confront existing systems and posed several challenges, including organizational hindrances, economic prerequisites, nominated administrators, role function, and model fidelity. We conclude that the existing organizations seemed to be unprepared to hold and facilitate more person-centered approaches, such as designating CMs. The model fidelity is important, but has to be flexible according to clients' daily state.

  • 10.
    Janlöv, Ann-Christin
    et al.
    Kristianstad University.
    Persson, Irené
    Kristianstad University.
    Berg, Agneta
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    The lived experience of a 24-hour support center for persons with psychiatric disabilities: Making me feel almost like an ordinary person2014Ingår i: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 4, nr 1, s. 42-50Artikel i tidskrift (Refereegranskat)
    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.

  • 11.
    Papastavrou, Evridiki
    et al.
    Cyprus University of Technology, Department of Nursing, School of Health Studies, Limassol, Cyprus.
    Acaroglu, Rengin
    Istanbul University, Florence Nightingale School Faculty of Nursing, Istanbul, Turkey.
    Sendir, Merdiye
    Istanbul University, Florence Nightingale School Faculty of Nursing, Istanbul, Turkey.
    Berg, Agneta
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Kristianstad University.
    Efstathiou, Georgios
    Nursing Services – Education Sector, Ministry of Health, Cyprus.
    Idvall, Ewa
    Skåne University Hospital, Department of Intensive Care and Perioperative Medicin.
    Kalafati, Maria
    National and Kapodistrian University of Athens, Faculty of Nursing, Athens, Greece.
    Katajisto, Jouko
    University of Turku, Department of Mathematics and Statistics, Turku, Finland.
    Leino-Kilpi, Helena
    University of Turku, Department of Nursing Science, Turku, Finland.
    Lemonidou, Chryssoula
    National and Kapodistrian University of Athens, Faculty of Nursing, Athens, Greece.
    Luz, Maria Deolinda Antunes da
    Unidade de Investigacão e Desenvolvimento em Enfermagem (UI&DE), Escola Superior de Enfermagem de Lisboa (Nursing Research and Development Unit UI&DE), Portugal.
    Suhonen, Riitta
    University of Turku, Department of Nursing Science, Turku, Finland.
    The relationship between individualized care and the practice environment: An international study2015Ingår i: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 52, nr 1, s. 121-133Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background Previous research studies have found that the better the quality of practice environments in hospitals, the better the outcomes for nurses and patients. Practice environment may influence nurses’ ability to individualize care but the detailed relationship between individualized care and the professional practice environment has not been investigated widely. Some evidence exists about the association of practice environments with the level of individualization of nursing care, but this evidence is based on single national studies. Objectives The aim of this study was to determine whether nurses’ views of their professional practice environment associate with their views of the level of care individualization in seven countries. Design This study had an international, multisite, prospective, cross-sectional, exploratory survey design. Settings The study involved acute orthopedic and trauma surgical inpatient wards (n&#xa0;=&#xa0;91) in acute care hospitals (n&#xa0;=&#xa0;34) in seven countries, Cyprus, Finland, Greece, the State of Kansas, USA, Portugal, Sweden, and Turkey. Participants Nurses (n&#xa0;=&#xa0;1163), registered or licensed practical, working in direct patient care, in orthopedic and trauma inpatient units in acute care hospitals in seven countries participated in the study. Methods Self-administered questionnaires, including two instruments, the Revised Professional Practice Environment and the Individualized Care Scale-Nurse (Individualized Care Scale-Nurse A and B) were used for data collection. Data were analyzed statistically using descriptive statistics, simultaneous multiple regression analysis, and generalized linear model. Results Two regression models were applied to assess the predictive validity of the Revised Professional Practice Environment on the Individualized Care Scale-Nurse-A and B. The results showed that elements of the professional practice environment were associated with care individualization. Internal work motivation, cultural sensitivity, control over practice, teamwork, and staff relationship with physicians were predictors of support (Individualized Care Scale-A) for and the delivery (Individualized Care Scale-B) of individualized care. Conclusions The results of this study provide evidence that environment aspect could explain variations in care individualization. These findings support the assertion that individualized care needs to be understood in a broader context than the immediate nurse–patient relationship and that careful development of the care environment may be an effective way to improve care quality and outcomes.

  • 12.
    Suhonen, Riitta
    et al.
    University of Turku, Department of Nursing Science, University of Turku, Turku, Finland.
    Charalambous, A.
    Cyprus University of Technology,Department of Nursing Studies, Limassol, Cyprus..
    Berg, Agneta
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Kristianstad University, Kristianstad, Sweden.
    Katajisto, J.
    University of Turku, Department of Mathematics and Statistics, Turku, Finland.
    Lemonidou, C.
    National and Kapodistrian University of Athens, Faculty of Nursing, Athens, Greece.
    Patiraki, E.
    National and Kapodistrian University of Athens, Faculty of Nursing, Athens, Greece.
    Sjövall, K.
    Lund University, Department of Health Sciences and Skåne University Hospital, Lund, Sweden.
    Stolt, M.
    University of Turku, Department of Nursing Science, University of Turku, Turku, Finland.
    Radwin, L. E.
    Center for Healthcare Organization & Implementation Research (CHOIR), Veteran Administration Boston Healthcare System, Boston, MA, USA.
    Hospitalised cancer patients' perceptions of individualised nursing care in four European countries2018Ingår i: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 27, nr 1, artikel-id e12525Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to describe hospitalised cancer patients' perceptions of individualised care in four European countries and compare these perceptions using the patients' socio-demographic characteristics and the Individualized Care Scale. The patients' socio-demographic characteristics used were: education, age, gender, type of hospital admission, previous hospitalisation and hospital length of stay. The Individualized Care Scale has two parts (1) nurses' support of individuality and (2) patients' receipt of individuality. Data (n = 599) were collected in Cyprus (n = 150), Finland (n = 158), Greece (n = 150) and Sweden (n = 141). Multivariate analysis of variance models were constructed and differences in perceptions of individualised care were analysed using the patients' socio-demographic characteristics as covariates. The level of support for individuality and receipt of individualised care was reported as moderate and good respectively. Generally, the highest assessments were made by the Swedish respondents and the lowest by those in Greece. This study revealed some between-country differences in patients' perceptions of care individualisation. These differences, for example, conceptual, educational, based in clinical practice or in the health organisation, require further research. Enquiry into the individualised care perceptions of health care providers and the families of cancer patients would also be useful.

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