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Björling, Gunilla, DocentORCID iD iconorcid.org/0000-0003-1445-900X
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Publications (10 of 47) Show all publications
Mattsson, J., Meijers, J. & Björling, G. (2022). Challenges in Nursing Care of Children With Substance Withdrawal Syndrome in the PICU. Sage Open Nursing, 8
Open this publication in new window or tab >>Challenges in Nursing Care of Children With Substance Withdrawal Syndrome in the PICU
2022 (English)In: Sage Open Nursing, E-ISSN 2377-9608, Vol. 8Article in journal (Refereed) Published
Abstract [en]

Introduction: Substance withdrawal is one of the most common advert events in the Pediatric Intensive Care Unit (PICU), as the administration of potent opiates and sedative drugs is frequently performed several times each day.

Objectives: The present study explored the challenges in nursing care of children with substance withdrawal syndrome inthe PICU.

Method: The study has an explorative and descriptive semi-structured qualitative interview design, with a strategic selection of informants. It was conducted at one out of three pediatric intensive care units in Sweden.

Results: Three different main themes were identified describing the different challenges regarding withdrawal symptoms: monitor the child’s interest, work with structured support, and understand the observation.

Conclusions: There is a discrepancy between the medical perspective and the nursing care perspective regarding children in PICU suffering from withdrawal syndrome. The lack of joint guidelines, language, and nursing diagnoses may lead to subjective evaluations and increase suffering for these children.

Place, publisher, year, edition, pages
Sage Publications, 2022
Keywords
pediatrics, practice, qualitative research, research, children, workforce, organizational culture, business concepts
National Category
Nursing Pediatrics
Identifiers
urn:nbn:se:rkh:diva-4366 (URN)10.1177/23779608221117382 (DOI)
Available from: 2022-08-09 Created: 2022-08-09 Last updated: 2022-12-12Bibliographically approved
Mattsson, J., Meijers, J. & Björling, G. (2022). Delirium, How Do Nurses Cope In The PICU. Paper presented at Baltimore, Maryland. Pediatric Critical Care Medicine, 23(Supplement 1 11S), Article ID PP089.
Open this publication in new window or tab >>Delirium, How Do Nurses Cope In The PICU
2022 (English)In: Pediatric Critical Care Medicine, ISSN 1529-7535, E-ISSN 1947-3893, Vol. 23, no Supplement 1 11S, article id PP089Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2022
Keywords
child, withdrawal, delirium
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-4529 (URN)10.1097/01.pcc.0000900272.14143.78 (DOI)
Conference
Baltimore, Maryland
Available from: 2023-03-27 Created: 2023-03-27 Last updated: 2023-07-06Bibliographically approved
Gripewall, E., Kerstis, B., Björling, G., Fagerström, L., Mattsson, J., Widarsson, M. & Nyholm, L. (2022). Intensive Care Nurses’ Experiences of Caring during the Organ Donor Process in Sweden: a Qualitative Study. International Journal of Caring Sciences, 15(2), 720-726
Open this publication in new window or tab >>Intensive Care Nurses’ Experiences of Caring during the Organ Donor Process in Sweden: a Qualitative Study
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2022 (English)In: International Journal of Caring Sciences, ISSN 1791-5201, E-ISSN 1792-037X, Vol. 15, no 2, p. 720-726Article in journal (Refereed) Published
Abstract [en]

Background: The organ donor process is challenging, not at least for intensive care nurses. The situation changes radically, from intensively working to save the patient’s life to instead caring for the donor patient’s organs so that those, in turn, can save another patient’s life. The donation process challenges nurses’ view on what dignified caring at end-of-life entails. The inner core of caring comprises love, mercy and compassion. Dignified caring is related to treating the patient as a unique human being and respecting human value, rooted in the theory of caritative caring that is the framework for this study.   

Aim: The aim was to illuminate intensive care nurses’ experiences of caring during the organ donor process, from a caring science perspective.

Methodology: A descriptive research design including inductive qualitative content analysis of interviews with twelve intensive care nurses in Sweden about their experiences of caring during the donor process.

Results: The theme The complexity of caring during the organ donor process with two categories and five subcategories was generated. Intensive care nurses experienced caring during the donor process as being complex in relation to the potential donor patient and patient’s family as well as communication, teamwork and organization. Caring affects not only the patient and families, but also the nurses and receivers of the donated organs. Intensive care nurses perceive the other’s life situation as if it were their own and recognize the importance of shared humanity.

Place, publisher, year, edition, pages
Hellas: Athens Alexander Technological Educational Institu, 2022
Keywords
Brain Death, Caring, Experiences, Intensive Care Nurses, Organ Donor Process
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-4275 (URN)
Available from: 2022-06-01 Created: 2022-06-01 Last updated: 2022-09-15Bibliographically approved
Mattsson, J., Hedlund, E., George-Svahn, L., Scheers Andersson, E., Mazaheri, M. & Björling, G. (2022). Nurses’ Experiences of Caring for Patients With Suspected or Confirmed COVID-19 in the Initial Stage of the Pandemic. Sage Open Nursing, 8, 1-11
Open this publication in new window or tab >>Nurses’ Experiences of Caring for Patients With Suspected or Confirmed COVID-19 in the Initial Stage of the Pandemic
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2022 (English)In: Sage Open Nursing, E-ISSN 2377-9608, Vol. 8, p. 1-11Article in journal (Refereed) Published
Abstract [en]

Introduction: Nursing staff have faced various challenges during the global pandemic of COVID-19 such as nursing shortages. The great number of COVID-19 patients requiring hospitalization placed heavy demands on healthcare staff to maintain patient safety and to work according to constantly changing guidelines to prevent the spread of infection.

Objective: The objective was to describe nurses’ experiences of caring for patients with suspected or confirmed COVID-19 in the initial phase of the pandemic.

Methods: The study has a qualitative design. Semi-structured interviews were conducted with seven nurses in primary care and hospital care during the initial stage of the pandemic. Qualitative content analysis with an inductive approach was used.

Results: The nurses expressed that the working routines changed very quickly at the onset of the pandemic. A triage system was implemented to care for patients with symptoms of COVID-19 to prevent transmission between patients. A major change was the constant use of personal protective equipment in patient care. The nurses also experienced a sense of inadequacy regarding the care of the patients and became emotionally affected and exhausted.

Conclusion: The nurses experienced that many patients worsened clinically, leading to exhausting and difficult nursing care situations. They also experienced increasing responsibility since new protective equipment and procedures needed to be quickly implemented according to frequently changing recommendations, causing the nurses to feel uncertain about how to maintain patient safety. Support from colleagues was crucial to cope throughout the initial stage of the pandemic.

Keywords
COVID-19, qualitative research, experiences, primary care, practice, advance practice nurses
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-4363 (URN)10.1177/23779608221114981 (DOI)000834231400001 ()35899037 (PubMedID)
Available from: 2022-08-01 Created: 2022-08-01 Last updated: 2022-12-12Bibliographically approved
Mattsson, J., Lunnelie, J., Löfholm, T., Scheers Andersson, E., Aune, R. E. & Björling, G. (2022). Quality Of Life in Children With Home Mechanical Ventilation – A Scoping Review. Sage Open Nursing, 8, 1-12
Open this publication in new window or tab >>Quality Of Life in Children With Home Mechanical Ventilation – A Scoping Review
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2022 (English)In: Sage Open Nursing, E-ISSN 2377-9608, Vol. 8, p. 1-12Article, review/survey (Refereed) Published
Abstract [en]

Introduction: Home mechanical ventilation is an established method to support children suffering from chronic respiratory insufficiency, still more research is needed regarding mechanically ventilated children’s and adolescents’ quality of life (QoL). Therefore, the aim of this scoping review was to explore research regarding QoL and lived experience of children and adolescents with home mechanical ventilation. 

Methods: A scoping review with systematic searches for research studies published between year 2000–2020 was performed in Cinahl, Medline, and PubMed. Studies that met the inclusion criteria were quality assessed and a thematic analysis was performed.

Results: In total, ten articles were quality assessed and included in the results. Four themes emerged: Children’s self-reported QoL, Parents’ perception and parent-proxy report, Differences between the child’s and parent’s perception, and challenges in daily life. Children with home mechanical ventilation reported a lower QoL than healthy children and children with other chronic diseases. Generally, parents rate their child’s QoL lower than the children themselves.

Conclusion: This is the first literature review focusing on HMV in the paediatric population. It is clear that HMV does not only affect the treated child or adolescent but also the whole family. It is important to regularly measure and evaluate QoL in children and adolescents with

Place, publisher, year, edition, pages
Sage Publications, 2022
Keywords
adolescents and children, home mechanical ventilation, parent-proxy, quality of life, respiratory insufficiency
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-4252 (URN)10.1177/23779608221094522 (DOI)
Available from: 2022-04-27 Created: 2022-04-27 Last updated: 2022-12-12Bibliographically approved
George-Svahn, L., Eriksson, L. E., Wiklander, M., Björling, G., Svedhem, V. & Brännström, J. (2021). Barriers to HIV testing as reported by individuals newly diagnosed with HIV infection in Sweden. AIDS Care, 33(10), 1286-1295
Open this publication in new window or tab >>Barriers to HIV testing as reported by individuals newly diagnosed with HIV infection in Sweden
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2021 (English)In: AIDS Care, ISSN 0954-0121, E-ISSN 1360-0451, Vol. 33, no 10, p. 1286-1295Article in journal (Refereed) Published
Abstract [en]

Despite the availability of free and anonymous HIV testing almost 60% of Swedish patients are diagnosed late. Identifying predictors of different types of barriers could inform policy makers and health care of interventions to increase testing where needed. This cross-sectional study aimed to describe and analyze barriers to HIV testing as reported by Swedish patients newly diagnosed with HIV infection. N = 285 patients completed the 18-item Barriers to HIV Testing Scale - Karolinska Version. Descriptive analysis and logistic regressions were performed to assess the prevalence of barriers and to identify predictors for the different investigated barriers. Barriers to testing were reported by 60%. Approximately 67% of patients originating from Sweden, 50% from Sub-Saharan Africa and 75% from Eastern European/East Asian countries reported barriers. Patients who were younger and patients who self-initiated HIV testing, had greater odds of reporting a barrier than older individuals and those who were offered a test through screening or by a healthcare professional. To counteract barriers that still exist on an individual level, healthcare-initiated HIV testing could be offered more broadly and information about risks for transmission and effectiveness of HIV treatment still needs to be disseminated among both people born in Sweden and different migrant groups.

Place, publisher, year, edition, pages
Taylor & Francis, 2021
Keywords
HIV, HIV testing, barriers, prevention, psychometrics
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-3519 (URN)10.1080/09540121.2020.1844862 (DOI)000592045700001 ()33233939 (PubMedID)
Funder
Swedish National Institute of Public Health
Available from: 2020-12-01 Created: 2020-12-01 Last updated: 2021-10-04Bibliographically approved
Hasselroth, R., Björling, G., Faag, C. & Nahlén Bose, C. (2021). “Can Someone as Young as You Really Feel That Much Pain?” – A Survey on How People With Fibromyalgia Experience Healthcare in Sweden. Sage Open Nursing, 7
Open this publication in new window or tab >>“Can Someone as Young as You Really Feel That Much Pain?” – A Survey on How People With Fibromyalgia Experience Healthcare in Sweden
2021 (English)In: Sage Open Nursing, E-ISSN 2377-9608, Vol. 7Article in journal (Refereed) Published
Abstract [en]

Background: Research show that fibromyalgia has low credibility in healthcare, leading to poor treatment, lack of knowledge and disinterest. Therefore, people with fibromyalgia feel frustration, fear, anxiety and disappointment.

Objective: The aim of this study was to explore the experiences of people with fibromyalgia in their encounters with healthcare personnel in Sweden.

Method: A cross-sectional design, where 409 people with fibromyalgia answered an anonymous online patient-reported experience measure, developed specific for the study, with six closed questions and one open-ended question. Descriptive statistics were analysed by response frequencies. Correlation analysis were performed between demographic and clinical variables with the answers from the closed questions. Free-text answers were analysed with content analysis.

Results: A third experienced the treatment as bad (34%) and that they were not being taken seriously (30.5%). Almost half (47%) always or mostly felt fear of seeking healthcare related to fibromyalgia and that the health care personnel did not understand their diagnosis (46%). The majority (54%) experienced that the health care personnel did not understand how fibromyalgia affected them or how they could help them. The findings were confirmed in the free-text answers that were categorized into: Scepticism and disregard, Ignorance and disinterest and Professionalism and empathy. There were positive significant correlations between age and five of the questions (ρ = .105–.181, p < .05–p < .01), indicating that lower age is correlated with a worse experience. Furthermore, the duration of fibromyalgia showed a significant correlation with feeling afraid of seeking healthcare because of fibromyalgia (ρ = .144, p < .01), the shorter duration, the greater was the fear of seeking healthcare.

Conclusion: As a third of patients with fibromyalgia had bad experiences with healthcare, especially younger patients, knowledge about fibromyalgia needs to be increased and the patients should be taken seriously and treated respectfully, as well as given adequate support.

Place, publisher, year, edition, pages
Thousand Oaks: Sage Publications, 2021
Keywords
fibromyalgia, healthcare, patient-reported experience, professional patient-relation
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-4076 (URN)10.1177/23779608211026145 (DOI)000689580900001 ()34263029 (PubMedID)2-s2.0-85108652243 (Scopus ID)
Projects
Nej
Available from: 2021-06-30 Created: 2021-06-30 Last updated: 2022-12-12Bibliographically approved
Manhica, H., Kidayi, P., Carelli, I., Gränsmark, A., Nsubuga, J., George-Svahn, L., . . . Björling, G. (2021). Promoting sustainable health and wellbeing for pregnant adolescents in Uganda – A qualitative case study among health workers. International Journal of Africa Nursing Sciences, 14, 1-7, Article ID 100306.
Open this publication in new window or tab >>Promoting sustainable health and wellbeing for pregnant adolescents in Uganda – A qualitative case study among health workers
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2021 (English)In: International Journal of Africa Nursing Sciences, E-ISSN 2214-1391, Vol. 14, p. 1-7, article id 100306Article in journal (Refereed) Published
Abstract [en]

Background: Adolescent pregnancy is a global health problem. In Uganda, the rate of teenage pregnancies is approximately 25% and these are associated with both poor maternal- and perinatal health outcome.

Objective: This qualitative case study aimed to examine health workers’ experiences of promoting sustainable health and well-being for pregnant adolescent girls in Uganda.

Method: A qualitative study design was used. Data was collected through semi-structured interviews of four health workers working for a Non-Government Organization (NGO) based in Uganda. Data was inductively analyzed by content analysis.

Result: Three categories emerged: social structure, organization’s work – rehabilitation and therapy, and outcome. Healthcare workers worked with health promotion using a person-centered approach, emphasizing therapies and empowerment strategies and an overall faith-based approach. Furthermore, the result showed that girls were abandoned by their families when entering the center, but with help from the NGO they increased their understanding of the girls situation, due to resettlement of plan and follow up made by the health workers.

Conclusion: Health workers can promote health and well-being among pregnant adolescent by applying person-centered care, including therapies and empowerment strategies by a faith-based approach. Social structures and families should be encouraged to provide support to pregnant adolescent girls.

Place, publisher, year, edition, pages
Elsevier, 2021
Keywords
Adolescent, Pregnancy, Health workers, Empowerment, NGO, Uganda
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-3984 (URN)10.1016/j.ijans.2021.100306 (DOI)
Available from: 2021-04-07 Created: 2021-04-07 Last updated: 2021-04-07Bibliographically approved
Hansson, J., Hörnfeldt, A., Björling, G. & Mattsson, J. (2021). The Healthcare Staffs’ Perception of Parents’ Participation in Critical Incidents at the PICU, a Qualitative Study. Nursing Reports, 11(3), 680-689
Open this publication in new window or tab >>The Healthcare Staffs’ Perception of Parents’ Participation in Critical Incidents at the PICU, a Qualitative Study
2021 (English)In: Nursing Reports, ISSN 2039-439X, E-ISSN 2039-4403, Vol. 11, no 3, p. 680-689Article in journal (Refereed) Published
Abstract [en]

Background: Internationally, there are very few guidelines regarding how near relations can be taken care of on a children’s intensive care unit. Despite knowledge about the positive effects of parental presence, staff frequently reject parents out of insecurity. This study aimed to investigate health professionals’ understanding of letting parents be present throughout critical situations. A qualitative method with semi-structured interviews was used to answer the aim of his study. Nine persons participated in the study, both physicians and nurses. The result showed that health professionals’ main view is that parents’ presence is positive. However, their presence often has lower priority than the medical focus of the child and the health professionals’ concern of failure. Conclusion: Health professionals have the power to decide if parents can be present in critical situations. Only when a parent demands to be present does that demand beat the decisions made by health professionals. Lack of resources within the team and fear of parents becoming a disturbance or a distraction are cited as the primary reasons not to let parents be present.

Place, publisher, year, edition, pages
MDPI, 2021
Keywords
children intensive care, parental presence, nursing, power relations
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-4109 (URN)10.3390/nursrep11030064 (DOI)34968342 (PubMedID)
Available from: 2021-10-11 Created: 2021-10-11 Last updated: 2022-01-04Bibliographically approved
Nahlén Bose, C., Saboonchi, F., Persson, H., Björling, G. & Elfström, M. L. (2020). Adaptation of Coping Effectiveness Training for Patients With Heart Failure and Patient-Reported Experience of the Intervention. Journal of Patient Experience, 7(6), 1054-1061
Open this publication in new window or tab >>Adaptation of Coping Effectiveness Training for Patients With Heart Failure and Patient-Reported Experience of the Intervention
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2020 (English)In: Journal of Patient Experience, ISSN 2374-3735, Vol. 7, no 6, p. 1054-1061Article in journal (Refereed) Published
Abstract [en]

Although patients with chronic heart failure (CHF) often experience psychological distress, psychosocial aspects are not an integral part of their treatment and care. The aim is to describe the adaptation of Coping Effectiveness Training for patients with CHF and the participants? reported experiences. The intervention workbook and manual were translated into Swedish and adapted for patients with CHF. Patient-reported experience from 33 of 35 participants, that had completed the psychosocial intervention, was measured with an evaluation form consisting of closed and open-ended questions. Most participants thought they benefited from the intervention, were pleased with the structure and did not want to add anything to the program. The benefits experienced were learning how to cope with the illness and meeting other people to share and discuss experiences. There was a variation concerning the group process of how much direction should be given during the discussions. Overall, unique data from patient-reported experience measure showed that the participants were satisfied with the psychosocial intervention, applied for the first time to patients with CHF.

Place, publisher, year, edition, pages
Sage Publications, 2020
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-3502 (URN)10.1177/2374373520916012 (DOI)33457545 (PubMedID)
Funder
Swedish Heart Lung Foundation
Note

This study was supported by the Swedish Heart and Lung Association, Solstickan foundation, Department of Cardiology Danderyd Hospital, Stockholm, Sweden, Karolinska Institutet Department of Clinical Sciences Danderyd Hospital, Stockholm County Council (ALF), Sophiahemmet Research Foundation, and Mats Kleberg Foundation.

Available from: 2020-11-16 Created: 2020-11-16 Last updated: 2021-01-26Bibliographically approved
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