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  • 1.
    Lachmann, Hanna
    et al.
    Karolinska Institutet / Sophiahemmet Högskola.
    Fossum, Bjöörn
    Sophiahemmet Högskola / Karolinska Institutet.
    Johansson, Unn-Britt
    Karolinska Institutet / Sophiahemmet Högskola.
    Karlgren, Klas
    Karolinska Institutet.
    Ponzer, Sari
    Karolinska Institutet.
    Promoting reflection by using contextual activity sampling: a study on students' interprofessional learning2014Inngår i: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 28, nr 5, s. 400-406Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Abstract Students' engagement and reflection on learning activities are important during interprofessional clinical practice. The contextual activity sampling system (CASS) is a methodology designed for collecting data on experiences of ongoing activities by frequent distribution of questionnaires via mobile phones. The aim of this study was to investigate if the use of the CASS methodology affected students' experiences of their learning activities, readiness for interprofessional learning, academic emotions and experiences of interprofessional team collaboration. Student teams, consisting of 33 students in total from four different healthcare programs, were randomized into an intervention group that used CASS or into a control group that did not use CASS. Both quantitative (questionnaires) and qualitative (interviews) data were collected. The results showed that students in the intervention group rated teamwork and collaboration significantly higher after than before the course, which was not the case in the control group. On the other hand, the control group reported experiencing more stress than the intervention group. The qualitative data showed that CASS seemed to support reflection and also have a positive impact on students' experiences of ongoing learning activities and interprofessional collaboration. In conclusion, the CASS methodology provides support for students in their understanding of interprofessional teamwork.

  • 2.
    Lachmann, Hanna
    et al.
    Karolinska Institutet.
    Ponzer, Sari
    Karolinska Institutet.
    Johansson, Unn-Britt
    Karolinska Institutet.
    Karlgren, Klas
    Karolinska Institutet.
    Fossum, Bjöörn
    Sophiahemmet Högskola.
    Students' experiences of collaboration during and after an interprofessional training ward course: a mixed methods study2013Inngår i: International Journal of Medical Education, ISSN 2042-6372, E-ISSN 2042-6372, Vol. 4, s. 170-179Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: The objective of this study was to obtain a deeper understanding of how students experience and perceive interprofessional collaboration connected to their learning activities during and after an interprofessional clinical course.

    Methods:

    A sample of 15 healthcare students participating on a two-week interprofessional clinical course was used. A mixed method approach was used for data collection. The students’ perceptions were gathered several times a day via mobile phones by using the Contextual Activity Sampling System (CASS) and they were also interviewed after the course.

    Results:

    The data revealed an interesting discrepancy between the students’ learning experiences reported during the course compared to their perceptions after the course. The students were generally more critical during the course, i.e., they tended to report things that did not work well. In the post-course interviews, the students reported that difficulties had been solved during the course. The students emphasized also the importance of structure, interaction, and insights into one’s own and other professions’ tasks as a base for fruitful interprofessional collaboration. Further-more, they underlined the benefits of interprofessional team learning with opportunities to contribute to and to acquire new knowledge.

    Conclusions:

    The CASS methodology provides possibilities to identify students’ and student teams’ needs of support to reach the intended learning outcomes of a specific course. Our results might be useful when developing clinical education with a special focus on supporting students in their collaborative practices.

  • 3.
    Tyrrell, Marie
    et al.
    Karolinska Institutet / Sophiahemmet University.
    Hillerås, Pernilla
    Sophiahemmet Högskola / Karolinska Institutet.
    Skovdahl, Kirsti
    University College of Southeast Norway, Norway.
    Fossum, Bjöörn
    Sophiahemmet Högskola / Karolinska Institutet.
    Religa, Dorota
    Karolinska Institutet.
    Voices of spouses living with partners with neuropsychiatric symptoms related to dementia2019Inngår i: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, Vol. 18, nr 3, s. 903-919Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Persons with dementia, who reside in their own homes, are often cared for by family members. The presence of a family career is said to have a protective effect, postponing admissions to residential care. The majority of persons with dementia develop behavioural and personality changes during the disease trajectory also known as neuropsychiatric symptoms. Quality of life for both the person with neuropsychiatric symptoms and their careers are affected, increasing suffering and risk for hospitalisation and admission to long-term residential care. Family careers to persons with dementia have identified behavioural changes as more distressing than cognitive impairment leading to increased burden of care and admissions to residential care. Knowledge gaps exist regarding how family careers living with persons with dementia experience neuropsychiatric symptoms in a community setting. The aim was to describe spouses' experiences of living with partners who have developed neuropsychiatric symptoms related to dementia in a community setting. Semi-structured interviews were carried out with 14 spouses of partners with dementia. The interviews included completion of the neuropsychiatric inventory. Interview data were analysed using a content analysis approach. The results showed that spouses identified in the neuropsychiatric inventory that partners with dementia had on average five to eight co-existing symptoms. Frequency, severity and distress varied. From the narrative data, the theme living on the edge lacking support and time for self, emerged. The findings of this study suggest that support offered to persons with dementia and their spouses should have a person-centred approach meeting individual needs. Safety and welfare of persons with dementia and their spouses residing in their own homes may be jeopardised in the presence of neuropsychiatric symptoms. A greater awareness is required in the community regarding the well-being of these persons.

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