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BETA
Björling, Gunilla, DocentORCID iD iconorcid.org/0000-0003-1445-900X
Publications (10 of 34) Show all publications
Anderberg, P., Björling, G., Stjernberg, L. & Bohman, D. (2019). Analyzing Nursing Students' Relation to Electronic Health and Technology as Individuals and Students and in Their Future Career (the eNursEd Study): Protocol for a Longitudinal Study. JMIR Research Protocols, 8(10), Article ID e14643.
Open this publication in new window or tab >>Analyzing Nursing Students' Relation to Electronic Health and Technology as Individuals and Students and in Their Future Career (the eNursEd Study): Protocol for a Longitudinal Study
2019 (English)In: JMIR Research Protocols, ISSN 1929-0748, E-ISSN 1929-0748, Vol. 8, no 10, article id e14643Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The nursing profession has undergone several changes in the past decades, and new challenges are to come in the future; patients are now cared for in their home, hospitals are more specialized, and primary care will have a key role. Health informatics is essential in all core competencies in nursing. From an educational perspective, it is of great importance that students are prepared for the new demands and needs of the patients. From a societal point of view, the society, health care included, is facing several challenges related to technological developments and digitization. Preparation for the next decade of nursing education and practice must be done, without the advantage of certainty. A training for not-yet-existing technologies where educators should not be limited by present practice paradigms is desirable. This study presents the design, method, and protocol for a study that investigates undergraduate nursing students' internet use, knowledge about electronic health (eHealth), and attitudes to technology and how experiences of eHealth are handled during the education in a multicenter study.

OBJECTIVE: The primary aim of this research project is to describe the design of a longitudinal study and a qualitative substudy consisting of the following aspects that explore students' knowledge about and relation to technology and eHealth: (1) what pre-existing knowledge and interest of this area the nursing students have and (2) how (and if) is it present in their education, (3) how do the students perceive this knowledge in their future career role, and (4) to what extent is the education capable of managing this knowledge?

METHODS: The study consists of two parts: a longitudinal study and a qualitative substudy. Students from the BSc in Nursing program from the Blekinge Institute of Technology, Karlskrona, Sweden, and from the Swedish Red Cross University College, Stockholm/Huddinge, Sweden, were included in this study.

RESULTS: The study is ongoing. Data analysis is currently underway, and the first results are expected to be published in 2019.

CONCLUSIONS: This study presents the design of a longitudinal study and a qualitative substudy. The eHealth in Nursing Education eNursEd study will answer several important questions about nursing students' attitudes toward and use of information and communications technology in their private life, their education, and their emerging profession. Knowledge from this study will be used to compare different nursing programs and students' knowledge about and relation to technology and eHealth. Results will also be communicated back to nursing educators to improve the teaching of eHealth, health informatics, and technology.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/14643.

Place, publisher, year, edition, pages
JMIR Publications, 2019
Keywords
digitization, eHealth, internet, nursing, nursing student
National Category
Nursing Educational Sciences
Identifiers
urn:nbn:se:rkh:diva-3059 (URN)10.2196/14643 (DOI)31573945 (PubMedID)
Available from: 2019-11-05 Created: 2019-11-05 Last updated: 2019-11-06Bibliographically approved
Manninen, K. & Björling, G. (2019). Ethical Coffee Room: ett EU-projekt om etiska frågor och diskussioner i verksamhetsförlagd utbildning för sjuksköterskestudenter.
Open this publication in new window or tab >>Ethical Coffee Room: ett EU-projekt om etiska frågor och diskussioner i verksamhetsförlagd utbildning för sjuksköterskestudenter
2019 (Swedish)Other (Other (popular science, discussion, etc.))
Abstract [sv]

Projektet Simulation in Ethics, SimE, syftar till att öka den etiska kompetensen hos sjuksköterskestudenter i Norden och Baltikum. Projektet pågår under åren 2017-2019 i samarbete mellan Röda Korsets Högskola, Turku University of Applied Sciences (Finland) och Riga Medical College of the University of Latvia (Lettland)  och är finansierat av EU och Interregional Central Baltic Programme.

I projektet ingår att planera och genomföra tre kurser: Basic Theories of Ethics (2 ECTS), Ethical Coffee Room (1 ETCS) and Simulation in Ethics (3ECTS) som görs gemensamt av de tre partnerorganisationer. Kurserna finns på en digital plattform med web-seminarier och diskussionsforum som resurs för studenterna. Språket är engelska. I kurs 1 ges grunderna i etik och etiska teorier och begrepp. Kurs 2 handlar om att tillämpa och diskutera teoretiska kunskaper och erfarenheter i etik i en autentisk miljö i den verksamhetsförlagda utbildningen. I kurs 3 genomförs simuleringar där studenterna aktivt medverkar i simuleringsscenarier med efterföljande etisk reflektion. Gemensamma kurser i etik bidrar till en mer harmoniserad utbildning och kompetens inom regionen och främjar mobilitet av arbetskraft och bättre patientvård. Efter avslutat projekt kommer allt kursmaterial inklusive en handbok att finnas fritt tillgängligt och kunna användas av alla utbildningar inom hälso- och sjukvård. Röda Korsets Högskola har huvudansvaret för kurs 2 och vi har under våren genomfört en pilot-testning av den, Ehtical Coffee Room, i termin 3 med gott resultat.

Publisher
p. 3
Keywords
etik, klinisk utbildning
National Category
Medical and Health Sciences Medical Ethics
Identifiers
urn:nbn:se:rkh:diva-2944 (URN)
Projects
SimE Simulation pedagogy in learning ethics in practice in health care
Funder
Interreg Central Baltic
Available from: 2019-06-18 Created: 2019-06-18 Last updated: 2019-08-30Bibliographically approved
Hallberg, D., Kimario, T. D., Mtuya, C., Msuya, M. & Björling, G. (2019). Factors affecting HIV disclosure among partners in Morongo, Tanzania. International Journal of Africa Nursing Sciences, 10, 49-54
Open this publication in new window or tab >>Factors affecting HIV disclosure among partners in Morongo, Tanzania
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2019 (English)In: International Journal of Africa Nursing Sciences, E-ISSN 2214-1391, Vol. 10, p. 49-54Article in journal (Refereed) Published
Abstract [en]

Background: Human immunodeficiency virus (HIV) remains a major concern globally and locally. Married couples and those in stable relationships account for the highest percentage of new HIV and acquired immune deficiency syndrome (AIDS) infections. The rate of HIV disclosure among couples is low and affected by both known and unknown factors. The aim of this study was to describe the reasons for HIV status (non)disclosure among partners in Morongo. Methods: A sampling containing two stages was used in this quantitative, exploratory, and descriptive study to select the 100 participants. The location was a Care and Treatment Clinic in the Morogoro municipality. Results: The participants had a moderate level of knowledge about the importance of HIV serostatus disclosure. Female genital mutilation was the most mentioned (44%) custom affecting disclosure. The participants’ level of knowledge about their partner's HIV status was also moderate (28%). Nitty-six percent had not disclosed due to fear of divorce and 98% due to fear of loss of financial support. Cultural factors such as traditional practices (95%) were also a major reason that hindered disclosure. Conclusions: Interventions to address the negative attitudes are necessary to promote HIV disclosure and, in turn, better adherence to psychological adjustment therapy and reduction in the risk of HIV transmission among couples.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
adult, article, cultural factor, divorce, exploratory research, fear, female, female genital mutilation, financial management, human, human experiment, Human immunodeficiency virus, major clinical study, male, nonhuman, psychological adjustment, quantitative analysis, sampling, Tanzania, virus transmission
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:rkh:diva-2963 (URN)10.1016/j.ijans.2019.01.006 (DOI)
Available from: 2019-06-24 Created: 2019-06-24 Last updated: 2019-08-30Bibliographically approved
Mattsson, J., Östlund, B., Björling, G., Williamsson, A. & Eriksson, A. (2019). Interprofessional Learning for Enhanced Patient Safety: Biomedical Engineering Students and Nursing Students in Joint Learning Activities. Journal of Research in Interprofessional Practice and Education, 9(1)
Open this publication in new window or tab >>Interprofessional Learning for Enhanced Patient Safety: Biomedical Engineering Students and Nursing Students in Joint Learning Activities
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2019 (English)In: Journal of Research in Interprofessional Practice and Education, ISSN 1916-7342, E-ISSN 1916-7342, Vol. 9, no 1Article in journal (Refereed) Published
Abstract [en]

Background: In the last decade, research has highlighted the importance of interprofessional approaches to education and practice. Collaboration between medical practice and engineering has been identified as particularly relevant to developing accountable models for sustainable healthcare and overcoming increased specialization leading to professional barriers. This study aims to analyze insights and understanding expressed by nursing students and biomedical engineering students following a joint learning activity regarding a medical device used in the hospital setting.

Method: A qualitative approach deriving from a phenomenological view examined an interprofessional learning activity where the focus was on active integration and knowledge exchange.

Conclusion: The activity was expressed as a positive opportunity for getting insights into perspectives from other professional groups as well as insights into the importance of a system perspective in patient safety. The learning and insights listed in the evaluations included ideas about how the two professional groups could collaborate in the future.

Keywords
Patient safety; Joint learning; Biomedical engineering
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-2755 (URN)10.22230/jripe.2019v9n1a275 (DOI)
Available from: 2019-04-02 Created: 2019-04-02 Last updated: 2019-08-30Bibliographically approved
Antoniadou, I., Soltannia, M., Björling, G. & Mattsson, J. (2019). Moving from Participation towards Partnership in Nursing Care. Anaesthesia & Surgery Open Access Journal, 1(3), 1-8
Open this publication in new window or tab >>Moving from Participation towards Partnership in Nursing Care
2019 (English)In: Anaesthesia & Surgery Open Access Journal, Vol. 1, no 3, p. 1-8Article in journal (Refereed) Published
Abstract [en]

Background: Meeting with health care gets short before and after the operation. The difficulty at the day surgery is that preparation and information take place in close proximity to the operation. Health professionals must not only take care of the child during the medical visit, but also of the accompanying parent, too. Parents’ participation in the perioperative care, sometimes unable to attend.

Aim: This study aims to investigate how parental involvement in the perioperative a process can be facilitated.

Method: A qualitative design based on observations and interviews with semi structured questions with open answers. Results: The results conveyed involvement in the child’s perioperative process in diverse ways and to a different depth. This is highlighted in the theme Allowed with the under themes Security and Being accepted. However, the theme Exclusion with the under-theme Rejection revealed a non-caring approach where no caring relation could be established. Quotes from the transcribed material are used to highlight the results.

Conclusion: The study’s findings confirm earlier studies in the perspective that information is of central importance in enabling parents to be involved in the perioperative process. The results showed that parents’ involvement in the perioperative process is a prerequisite for creating safety in the child and reducing concerns in connection with the operation. Parental involvement may be hindered by a conventional approach that does not include the child’s perspective.

Place, publisher, year, edition, pages
USA: Iris Publishers, 2019
Keywords
participation, partnership, children, peroperative process
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-3066 (URN)
Available from: 2019-11-08 Created: 2019-11-08 Last updated: 2019-11-11Bibliographically approved
Östlund, B., Björling, G., Stridh, S., Sahlström, M. & Mattsson, J. (2018). Digitizing Health Care in Collaboration Between Nursing and Engineering: Two cases of strategic learning and implementationof robots in the homes of elderly people. International Journal On Advances in Life Sciences, 10(1 & 2), 11-22
Open this publication in new window or tab >>Digitizing Health Care in Collaboration Between Nursing and Engineering: Two cases of strategic learning and implementationof robots in the homes of elderly people
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2018 (English)In: International Journal On Advances in Life Sciences, ISSN 1942-2660, E-ISSN 1942-2660, Vol. 10, no 1 & 2, p. 11-22Article in journal (Refereed) Published
Abstract [en]

Digitization exceeds the limits of healthcare meetings, which gives renewed relevance to examine the collaboration between engineers and nurses. Caring for people is no longer just something going on in the hospital but at new arenas at home and in the middle of people's everyday lives. In caring situations nurse's responsibility is, unlike the physician, to make observations and to follow in detail the patient's caring needs, and where engineers provide technological devices to support and monitor the course of the disease. When digitizing the caring situation person-centered care gets a new meaning. For engineers the understanding of how technology is contextualized and domesticated becomes even more important to make applications and systems work outside laboratories. This paper presents two cases of interaction between engineers and nurses aimed at improving the implementation of robots and sensorsin elderly people ́s homes; and learning how to improve patient safety in hospitals.The result shows that conflicting epistemologies, differences in professional languages and lack of joint learning opportunities are factors that create obstacles for interactions. The conclusionsreject the idea of linear innovation processes and showthat successful ccollaborationtake more than just adding two and two together. Especially digitization is breaking up traditional barriers and hierarchies. For nurses to be proactive requires knowledge about technological developments and the ability toparticipate in design and innovation processes. For engineers a more thorough understanding of caring situations and users will contribute to a more reliable provision of digitalsolutions and point at new ideas leading up to innovations. The main output of the paper is that it is deepening the understanding of what factors leading to successfulcollaborations between nursing and engineering and what are the missing links.

Keywords
digitization, caring, nursing, engineering
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-2621 (URN)
Available from: 2018-09-04 Created: 2018-09-04 Last updated: 2019-08-30Bibliographically approved
Björling, G., Johansson, D., Bergström, L., Strekalovsky, A., Sanchez, J., Frostell, C. & Kalman, S. (2018). Evaluation of central venous catheters coated with a noble metal alloy - A randomized clinical pilot study of coating durability, performance and tolerability. Journal of Biomedical Materials Research. Part B - Applied biomaterials, 106(6), 2337-2344
Open this publication in new window or tab >>Evaluation of central venous catheters coated with a noble metal alloy - A randomized clinical pilot study of coating durability, performance and tolerability
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2018 (English)In: Journal of Biomedical Materials Research. Part B - Applied biomaterials, ISSN 1552-4973, E-ISSN 1552-4981, Vol. 106, no 6, p. 2337-2344Article in journal (Refereed) Published
Abstract [en]

The use of Central Venous Catheters (CVCs) commonly results in complications. Coatings with silver or metal alloys can reduce the risk associated with the use of CVC. We have evaluated the durability of a noble metal coated CVC (the Bactiguard Infectious Protection, BIP CVC) and compared with an uncoated CVC for clinical tolerability (Adverse Events, AEs) and performance, in order to create a baseline for a large future study. Patients undergoing major surgery, randomised at a 2:1 ratio to BIP CVC (n = 22) or standard CVC (n = 12), were catheterized 9 - 12 days, respectively. Adverse events, microbial colonization and metal release were measured.

FINDINGS: There were no AEs in the BIP CVC-group, but 5 AEs occurred in 4 patients (1 patient had 2 AEs) in the standard CVC-group, p = 0.011 (whereof 3 were catheter related). The BIP CVC showed an initial release of coating metals in blood (gold, silver and palladium), which rapidly decreased and were far below Permitted Paily Exposure (PDE) for chronical use. The levels of silver concentration were far below those needed to develop microbial resistance. The performance was equal, and there was no difference concerning microbial colonization, for the two CVCs.

CONCLUSION: In this pilot study the BIP CVC had significantly lower AEs and showed a comparable performance to the standard CVC. The coating was durable throughout the study length (up to 16 days) and toxicological evaluation showed good safety margins. Larger studies are needed.

Keywords
central venous catheter, colonization, noble metal alloy coating, performance, tolerability
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-2496 (URN)10.1002/jbm.b.34041 (DOI)29106034 (PubMedID)
Available from: 2017-11-24 Created: 2017-11-24 Last updated: 2019-10-31Bibliographically approved
Fossum, M., Tunc, Z., Strömberg, E., Frostell, C., Liljegren, A., Björling, G. & Aune, R. (2018). In-vitro and In-vivo Exposure of Intravascular Catheters to Cytostatic Drugs. In: : . Paper presented at International Conference on Biomaterials, London, August 16-18, 2018..
Open this publication in new window or tab >>In-vitro and In-vivo Exposure of Intravascular Catheters to Cytostatic Drugs
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2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Nursing Materials Engineering
Identifiers
urn:nbn:se:rkh:diva-2696 (URN)
Conference
International Conference on Biomaterials, London, August 16-18, 2018.
Available from: 2018-10-02 Created: 2018-10-02 Last updated: 2019-08-30Bibliographically approved
Björling, G. (2018). Material Wear of Medical Technical Products: Impact on patient safety. In: : . Paper presented at 2nd International Biotechnology Congress, From innovation to Practice, Fukuoka, Japan, Ocotber 14-16, 2018..
Open this publication in new window or tab >>Material Wear of Medical Technical Products: Impact on patient safety
2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

The use of a central venous catheters (CVC) always involves an increased risk of infection and thrombotic complications, subsequently increasing patient suffering, prolonged care and health care related costs. One contributing cause of infection is that the surface of the catheter is quickly colonized by bacteria, forming a biofilm, hard to reach by and/or resistant to antibiotics and the patient’s immune defense system. Catheter related thrombosis may also promote colonization of microbes on the fibrin sheet at the surface, and at the same time impact on CVC functionality by lumen occlusion or, in a rare worst-case scenario – cause life threatening embolic events. Coatings with silver or metal alloys can reduce the risk for complications. Our research group have previously identified a correlation between material degradation in medical devices used in patients and exposure time and infections. This talk will discuss the impact of material degradation of different types of CVCs used for patients undergoing chemotherapy against breast cancer.  The results from an evaluation study of a anti infectious noble metal alloy coated CVC compared with an uncoated CVC for tolerability (Adverse Events, AEs), performance and noble metal durability on the surface will also be discussed.

National Category
Materials Engineering Nursing
Identifiers
urn:nbn:se:rkh:diva-2697 (URN)
Conference
2nd International Biotechnology Congress, From innovation to Practice, Fukuoka, Japan, Ocotber 14-16, 2018.
Available from: 2018-10-02 Created: 2018-10-02 Last updated: 2019-08-30Bibliographically approved
Björling, G., Fossum, M. & Aune, R. (2017). Cytostatika-inducerad materialnedbrytning av subkutana venportar: En preliminär jämförande in-vitro och in-vivostudie. In: : . Paper presented at Forskningens dag Danderyds Sjukhus.
Open this publication in new window or tab >>Cytostatika-inducerad materialnedbrytning av subkutana venportar: En preliminär jämförande in-vitro och in-vivostudie
2017 (Swedish)Conference paper, Oral presentation only (Refereed)
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-2689 (URN)
Conference
Forskningens dag Danderyds Sjukhus
Available from: 2018-10-02 Created: 2018-10-02 Last updated: 2019-08-30Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-1445-900X

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