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  • 1.
    Ahlin, Catharina
    The Swedish Red Cross University College, Department of Nursing and Care. Institutionen för medicin, Karolinska Institutet .
    Utveckling av instrument och bedömning av sjuksköterskestudenters kunskaper och färdigheter att genomföra venös provtagning och insättning av perifer venkateter2015Licentiate thesis, comprehensive summary (Other academic)
  • 2.
    Ahlin, Catharina
    et al.
    The Swedish Red Cross University College, Department of Nursing and Care. Karolinska Institutet and Karolinska University Hospital.
    Klang-Söderkvist, B
    Karolinska Institutet.
    Johansson, E
    Karolinska Institutet and Karolinska University Hospital.
    Björkholm, M
    Karolinska Institutet and Karolinska University Hospital.
    Löfmark, A
    University of Gävle / Western Norway University of Applied Sciences, Haugesund, Norway.
    Assessing nursing students' knowledge and skills in performing venepuncture and inserting peripheral venous catheters2017In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 23, p. 8-14Article in journal (Refereed)
    Abstract [en]

    Venepuncture and the insertion of peripheral venous catheters are common tasks in health care, and training in these procedures is included in nursing programmes. Evidence of nursing students' knowledge and skills in these procedures is limited. The main aim of this study was to assess nursing students' knowledge and skills when performing venepuncture and inserting peripheral venous catheters. Potential associations between level of knowledge and skills, self-training, self-efficacy, and demographic characteristics were also investigated. The assessment was performed by lecturers at a university college in Sweden using the two previously tested instruments "Assess Venepuncture" and "Assess Peripheral Venous Catheter Insertion". Between 81% and 100% of steps were carried out correctly by the students. The step with the highest rating was "Uses gloves", and lowest rating was 'Informs the patients about the possibility of obtaining local anaesthesia'. Significant correlations between degree of self-training and correct performance were found in the group of students who registered their self-training. No associations between demographic characteristics and correct performances were found. Assessing that students have achieved adequate levels of knowledge and skills in these procedures at different levels of the nursing education is of importance to prevent complications and support patient safety.

  • 3.
    Bergkvist, K
    et al.
    Sophiahemmet University.
    Fossum, B
    Sophiahemmet University.
    Johansson, U.-B.
    Sophiahemmet University.
    Mattsson, J
    Oncology and Pathology, Karolinska Institutet.
    Larsen, Joacim
    The Swedish Red Cross University College, Department of Nursing and Care.
    Hospital care or home care after allogeneic hematopoietic stem cell transplantation: patients’ experiences of care and daily life during the early phase2016In: Bone Marrow Transplantation, ISSN 0268-3369, E-ISSN 1476-5365, Vol. 51, no Suppl 1, p. S518-S519Article in journal (Other academic)
  • 4.
    Bergkvist, K
    et al.
    Sophiahemmet University / Karolinska Institutet.
    Fossum, B
    Sophiahemmet University / Karolinska Institutet.
    Johansson, U-B
    Sophiahemmet University / Karolinska Institutet.
    Mattsson, J
    Karolinska University Hospital Huddinge / Karolinska Institutet.
    Larsen, Joacim
    The Swedish Red Cross University College, Department of Nursing and Care.
    Patients' experiences of different care settings and a new life situation after allogeneic haematopoietic stem cell transplantation2018In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 27, no 1, article id e12672Article in journal (Refereed)
    Abstract [en]

    Over the past 20 years, considerable healthcare resources have shifted from an inpatient to an outpatient setting. To be in an outpatient setting or at home after allogeneic haematopoietic stem cell transplantation (allo-HSCT) has been shown to be medically safe and beneficial to the patient. In this study we describe patients' experiences of different care settings (hospital or home) and a new life situation during the acute post-transplant phase after HSCT. Semi-structured interviews were conducted with 15 patients (six women and nine men) 29-120 days after HSCT. An inductive qualitative content analysis was performed to analyse the data. The analysis resulted in four categories: To be in a safe place, To have a supportive network, My way of taking control, and My uncertain return to normality. The findings showed that patients undergoing HSCT felt medically safe regardless of the care setting. The importance of a supportive network (i.e. the healthcare team, family and friends) was evident for all patients. Both emotional and problem-focused strategies were used to cope with an uncertain future. Being at home had some positive advantages, including freedom, having the potential for more physical activity, and being with family members. The study highlights some key areas thought to provide more personalised care after HSCT.

  • 5.
    Bergkvist, K
    et al.
    Sophiahemmet University.
    Larsen, Joacim
    The Swedish Red Cross University College, Department of Nursing and Care.
    Johansson, U.-B.
    Oncology and Pathology, Karolinska Institutet.
    Fossum, B
    Sophiahemmet University.
    Family members’ experiences of different caring organizations during allogeneic hematopoietic stem cells transplantation: A qualitative interview study2016In: Bone Marrow Transplantation, ISSN 0268-3369, E-ISSN 1476-5365, Vol. 51, no Suppl 1, p. S520-S520Article in journal (Other academic)
  • 6.
    Bergkvist, K
    et al.
    Sophiahemmet University.
    Larsen, Joacim
    The Swedish Red Cross University College, Department of Nursing and Care.
    Johansson, U-B
    Sophiahemmet University / Södersjukhuset, Karolinska Institutet.
    Mattsson, J
    Karolinska University Hospital / Karolinska Institutet.
    Fossum, B
    Sophiahemmet University / Södersjukhuset, Karolinska Institutet.
    Family members' life situation and experiences of different caring organisations during allogeneic haematopoietic stem cells transplantation: A qualitative study2018In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 7, no 1, article id e12610Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe family members' life situation and experiences of care in two different care settings, the patient's home or in hospital during the acute post-transplantation phase after allogeneic haematopoietic stem cell transplantation (HSCT). Data were collected through semi-structured interviews with 14 family members (seven women and seven men). An inductive qualitative content analysis was used to analyse the data. The majority of the family members' (n = 10) had experiences from home care. The findings show the family members' voice of the uncertainty in different ways, related with the unknown prognosis of the HSCT, presented as Being me being us in an uncertain time. The data are classified into; To meet a caring organisation, To be in different care settings, To be a family member and To have a caring relationship. Positive experiences such as freedom and security from home care were identified. The competence and support from the healthcare professionals was profound. Different strategies such as adjusting, having hope and live in the present used to balance to live in an uncertain time. The healthcare professionals need to identify psychosocial problems, and integrate the psychosocial support for the family to alleviate or decrease anxiety during HSCT, regardless of the care setting.

  • 7.
    Björling, Gunilla
    The Swedish Red Cross University College, Department of Nursing and Care.
    När doktorn ljuger – vem kan vi då lita på?2016In: Aftonbladet, article id 4 marsArticle in journal (Other (popular science, discussion, etc.))
  • 8.
    Björling, Gunilla
    et al.
    The Swedish Red Cross University College, Department of Nursing and Care. Karolinska Institutet.
    Aune, R.
    The Norwegian University of Science and technology, Trondheim, Norway.
    Strömberg, E.
    KTH.
    Lindberg, J.
    Karolinska Institutet.
    Burgstaller, C.
    Transfercenter fur Kunststofftechnik GMBH, Vienna, Austria.
    Egizabal, A.
    Fundaction Tecnalia Research & Innovation, TECNALIA, Madrid, Spain.
    Liljegren, A.
    Karolinska Institutet.
    Ehlen, B.
    Boukje.com Consulting BV, Amsterdam, Netherlands.
    Grønberg, B. H.
    St Olav hospital, Trondheim, Norway.
    Vermeiren, P.
    Health Leads BV, Amsterdam, Netherlands.
    Namy, P.
    SIMTEC EURL, Paris, France.
    Mancini, T.
    Universita Degli Studi di Roma La Sapienza, Rome, Italy.
    Karlsson, S.
    KTH.
    Vullum-Bruer, F.
    The Norwegian University of Science and technology, Trondheim, Norway.
    Frostell, C.
    Karolinska Institutet.
    Risk Evaluation of Therapy Medical Devices and Implants for Increased Patient Safety: REMISS Horizon 2020 Research and Innovation Action2017Conference paper (Refereed)
    Abstract [en]

    Current knowledge in the area of medical devices remains insufficiently complete, and many of the established test methods and international standards (ISO (International Organization for Standardization) standards) open up to individual interpretation on how the test should be performed and the results reported. Treating long-term diseases such as cancer imposes a stringent sequence of various treatments on patients. For instance, cancer may be treated with radiation and chemotherapy; the latter in many treatment protocols requiring the implantation of an intravascular catheter during a prolonged period of time. To maximize the effect of such measures, as well as issues related to the patient Health Related Quality of Life (HRQoL), integrated and validated methodologies are needed as decisional basis for appropriate risk management and patient safety with regard to clinical use of intravascular catheters.

    The ambition of the REMISS project is to: Establish integrated and validated methodologies for risk management of the clinical use of intravascular catheters with respect to the clinical service lifetime, improved patient treatment, safety and HRQoL. This is assumed to reduce patient suffering due to complications associated with material deployment and degradation associated side effects for e.g. cancer patients receiving treatment with chemotherapeutical drugs using an intravascular catheter.

    The main vision is to improve the standards for eliminating side effects (complications) caused by deployment from and degradation of intravascular catheters, as well as loss of performance due to material-drug-biological system interactions, compared to the current state-of-the-art. Realising the project goals the rate of catheter-associated complications can be lowered by 40-50%, which in turn will improve patient treatment, safety and HRQoL, as well as health care related costs.

    Package integrally developed methodologies, predictive models, databases, and other project findings, as a potential product with a holistic coverage. It is believed that commercialisation of (selected) results will be the best option in order to create sustainable availability of this service based on continued research on intravascular catheters according to integrated and validated methodologies.REMISS answer the call NMBP-12-2017 Development of a Reliable Methodology for Better Risk Management of Engineered Biomaterials Advanced Therapy Medicinal Products and/or Medical Devices Marcy, P. Central venous access: techniques and indications in oncology. European Society of Radiology, 2008; 18; 2333-44 Maki DG, et al The risk of bloodstream infection in adults with different intravascular devices: a systematic review of 200 published prospective studies. Mayo Clin Proc 2006: 81 (9): 1159-71. Frostell, C., Björling, G., Strömberg, E., Karlsson, S., and Aune, R. E., Tracheal Implants Revisited, The Lancet (2017), 389(10075) pp.1191

  • 9.
    Björling, Gunilla
    et al.
    The Swedish Red Cross University College, Department of Nursing and Care. Karolinska Institutet, Department of Clinical Sciences, Division of Anaesthesia and Intensive Care, Danderyd Hospital.
    Johansson, Dorota
    Bactiguard AB, Stockholm; Tullinge, SE-146 21, Sweden .
    Bergström, Linda
    Bactiguard AB, Stockholm; Tullinge, SE-146 21, Sweden .
    Jalal, Shah
    Karolinska Institutet, Division of Clinical Microbiology, Department of Laboratory Medicine.
    Kohn, Ivar
    Department Anesthesia and Intensive Care, Karolinska University Hospital Huddinge.
    Frostell, Claes
    Karolinska Institutet, Department of Clinical Sciences, Division of Anaesthesia and Intensive Care, Danderyd Hospital.
    Kalman, Sigridur
    Department Anesthesia and Intensive Care, Karolinska University Hospital Huddinge, CLINTEC, Karolinska Institutet.
    Tolerability and performance of BIP endotracheal tubes with noble metal alloy coating: a randomized clinical evaluation study2015In: BMC Anesthesiology, ISSN 1471-2253, E-ISSN 1471-2253, Vol. 15, p. 1-10, article id 174Article in journal (Refereed)
    Abstract [en]

    Background

    Hospital acquired infections worsen the outcome of patients treated in intensive care units and are costly. Coatings with silver or metal alloys may reduce or alter the formation of biofilm on invasive medical devices. An endotracheal tube (ETT) is used to connect the patient to a ventilator and coated tubes have been tested in relation to bacterial colonization and respiratory infection. In the present study, we aimed to evaluate and compare a coated and uncoated ETT for patient symptoms and local tracheal tolerability during short term clinical use. Degree of bacterial colonization was also described.

    Methods

    A silver-palladium-gold alloy coating (‘Bactiguard®’Infection Protection, BIP) has been extensively used on urinary tract catheters and lately also on central venous catheters. We performed a randomised, single-blinded, controlled, first in man, post Conformité Européenne (EC) certification and CE marking study, focused on Bactiguard® coated ETTs (BIP ETT). Thirty patients at a tertiary university hospital scheduled for upper abdominal elective surgery with an expected duration of anaesthesia of at least 3 h were randomised; BIP ETT (n = 20) or standard ETT (n = 10). The tolerability was assessed with a modified version of Quality of Life Head and Neck Module, QLQ-H&N35 and by inspection of the tracheal mucosa with a fibre-optic bronchoscope before intubation and at extubation. Adverse Events (AE) and bacterial adherence were also studied. Statistical evaluations were carried out with the Fisher’s Exact Test, the Clopper-Pearson method, as well as a Proportional Odds Model.

    Results

    Differences between groups were identified in 2 of 8 patient related symptoms with regard to tolerability by QLQ-H&N35 (cough, p = 0.022 and dry mouth, p = 0.014 in the treatment group.). No mucosal damage was identified with bronchoscopy. A low level of bacterial colonization with normal flora, equal between groups, was seen after short-term of intubation (median 5 h). No serious Adverse Events related to the use of an ETT were observed. The results should be treated with caution due to statistical confounders, a small study size and large inter-individual variability in bacterial adhesion.

    Conclusions

    The new device BIP ETT is well tolerated and has good clinical performance during short-term intubation. Studies with larger sample sizes and longer intubation periods (>24 h) in the ICU-setting are needed and can now be planned in order to identify possible differences in clinical outcomes.

  • 10.
    Carlander, Ida
    et al.
    Ersta Sköndha Högskola.
    Hellström, Ingrid
    Linköpings Universitet.
    Sandberg, Jonas
    Jönköping University.
    Eriksson, Henrik
    The Swedish Red Cross University College, Department of Nursing and Care.
    The Distrained Masculinity2016In: EPAC 2015: 14th World Congress of the European Association for Palliative Care : Building Bridges : 8-10 May 2015, Copenhagen, Denmark, Newmarket: Hayward Medical Communications, 2016, Vol. 1, p. 206-, article id P2-160Conference paper (Refereed)
    Abstract [en]

    Dying is a gendered situated experience. Relatively few discussions about death and dying have looked beyond patient perspective in relation to culture and images of men and masculinity. Despite a growing body of literature on dying, criticalstudies about men and masculinitiesin relation to thisis needed. Aim: The aim wasto describe the perceived and self-reflected processes of dying in relation to gendered ideas of culture, family and identity. Methods: We used a narrative thematic approach to analyse 8 interviews conducted over 18 month with one man close to death. The analysisfocuses on the interplay of death and dying and examines how they can be related to the concept of hegemonic masculinity and the processes connecting such men with the position of being. Result: Three themes are presented here: The priorities – straightened, the body – revised, the fatherhood – comprised. Setting the prioritiesstraight when time was meted out entails revising norms connected to work and what it meansto be a“real”man. The navigation towards child-centered manhood representsinstant re-evaluation of work. The presence of body is a deeply rooted foundation in perceptions and ideas of masculinity. Hence, the body is often regarded as a machine, i.e. working and operating in socialsituations, and bodily decline is a dispossession of masculinity. Achieving the goal of a“positively involved fatherhood”indicatesthat the amount of involvement mattersin contemporary masculinity. Being presentseemsto involve a range of responsibilities,such as economy, practical and emotionalstrings even beyond death. Conclusion: The overarching“distrained masculinity”usesimages and ideals astoolsto reach last possible opportunitiesfor fulfillment rather than filling a function as a style and posing in gendered meanings, covering strategies of: concentration asin putting priorities wright, dispossession or loss due to bodily decline and, extension of responsibilities beyond death.

  • 11.
    Chatchumni, Manaporn
    et al.
    Rangsit University, Thailand .
    Namvongprom, Ampaporn
    Rangsit University, Thailand .
    Eriksson, Henrik
    The Swedish Red Cross University College, Department of Nursing and Care.
    Mazaheri, Monir
    The Swedish Red Cross University College, Department of Nursing and Care.
    Treating without Seeing: Pain Management Practice in a Thai Context2016In: Pain Research & Management, ISSN 1203-6765, E-ISSN 1918-1523, article id 9580626Article in journal (Refereed)
    Abstract [en]

    Pain management is a core nursing function, and it plays a key role in postoperative care. It is important to understand the cultural context of nursing practices and how this affects effective pain management. The aim of this study was to describe the professional and cultural framework within which pain management is practiced on a Thai surgical ward. Spradley’s ethnographic methodology was used. Data were collected through 98.5 hours of field observations and interviews at a surgical ward in Thailand. Three themes were constructed that describe the way Thai nurses practiced pain management: (i) complex communications system to address pain and to respond to it, (ii) the essence of Thai-ness, and (iii) a passive approach to pain management. The results indicate that, in the response to discomfort and pain, better pain management will result if there is a shift from functional to patient-centered care. The nursing culture needs to be further researched and discussed, in order to set priorities in line with the goals of national and international organizations for improving postoperative care and promoting patient comfort

  • 12.
    Chatchumni, Manaporn
    et al.
    Rangsit University.
    Namvongprom, Ampaporn
    Rangsit University .
    Eriksson, Henrik
    The Swedish Red Cross University College, Department of Nursing and Care.
    Mazaheri, Monir
    The Swedish Red Cross University College, Department of Nursing and Care.
    Using Critical Incident Technique to understand pain management situations in Thailand2017Conference paper (Refereed)
    Abstract [en]

    Background: Nursing care is an important concern in the field of pain management as it addresses situated efforts to achieve a person-centered care in pain management. Although it is clear that the effectiveness of the pain management practice needs to be improved, there is limited knowledge about the pain management practices of Thai nurses. This study address if Critical Incident Technique be a used to increase our understanding of Pain management in a Thai context.

    Methods: Critical Incident Technique was used to explore postoperative pain management provided by nurses in a surgical ward in Thailand. A purposive sample of nine registered nurses over a five-week period using a semi-structured interview guide were conducted and collected. 

    Findings: All 69 situations were used to illustrate the successful and unsuccessful aspects of managing postoperative pain, and included Engagement is a manner of commitments, Availability is characteristic in the practicalities of managing pain for the patients, and Imbalance is being inconsistency between the patients' needs and nurses maintain their undertaking routines. 

    Discussion: Nurses’ experience helped to grasp and understand how nurses treat pain in the postoperative setting; this study was conducted in order to further the understanding of this topic. The result show that Critical Incident Technique can serve to expand our knowledge how existing guidelines are facilitated by nurses. Further, the knowledge gained can serve as foundation to development of new nursing guidelines and/or policies in pain management, including improving nursing skills and education programs in pain management settings. 

  • 13.
    Chatchumni, Manaporn
    et al.
    School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna- Västerås.
    Namvongprom, Ampaporn
    School of Nursing, Rangsit University, Thailand.
    Sandborgh, Maria
    School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna- Västerås.
    Mazaheri, Monir
    School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna- Västerås.
    Eriksson, Henrik
    The Swedish Red Cross University College, Department of Nursing and Care.
    Nurses’ Perceptions of Patients in Pain and Pain Management: A Focus Group Study in Thailand2015In: Pacific Rim international journal of nursing research, ISSN 1906-8107, Vol. 19, no 2, p. 164-177Article in journal (Refereed)
    Abstract [en]

    In Thailand, nurses have a key role in the assessment of symptoms and advising on pain management in patients with post-operative in a surgical ward. This study provides insight into nurses’ perceptions of patients in pain and subsequent pain management. A focus group discussion method was used with 18 registered nurses working in surgical wards. The data were analysed using qualitative content analysis.The participants’ descriptions of their perceptions of patients in pain and pain management were condensed into four themes. Two themes revolved around their perceptions of patient pain, uncomfortable patient, and restricted mobility and changed mood. The two remaining themes comprised intolerable pain would be managed, and managing pain through our own experience seems to be of importance in their professional assumption that evidence-based practice is inadequate for patients’ postoperative care. It is suggested that nurses work to a organized pain assessment guideline and pain management models according to cultural contexts. This should be developed within an understanding of the nurse-patient relationship, and specifically holistic nursing models of care can play an important role in bridging the connection between training and practice, not only between personal and professional perceptions of pain and selected strategies, but also between professional knowledge and nurses’ perceptions of patients in pain.The findings may have relevance for other similar contexts and settings.

  • 14.
    Eriksson, Henrik
    The Swedish Red Cross University College, Department of Nursing and Care.
    När omvårdnaden blir ett med tekniken2016In: Äldre i Centrum, ISSN 1653-3585, no 4, p. 34-37Article, review/survey (Other academic)
    Abstract [sv]

    Den pågående sammanflätningen av människa och teknik kommer att ge ett mångfasetterat vårdande, med utgångspunkt i både vardag och science fiction. Omvårdnad kan äga rum i virtuella miljöer, där den som vårdar är en robot och den som vårdas kan vara ihopväxt med tekniken. Det skriver omvårdnadsprofessorn Henrik Eriksson.

  • 15.
    Eriksson, Henrik
    et al.
    The Swedish Red Cross University College, Department of Nursing and Care.
    Salzmann-Ericson, Martin
    Gävle Högskola, University of Gävle.
    Twitter discussions about the predicaments of robots in geriatric nursing: forecast of nursing robotics in aged care2018In: Contemporary Nurse: health care across the lifespan, ISSN 1037-6178, E-ISSN 1839-3535, Vol. 54, no 1, p. 97-107Article in journal (Refereed)
    Abstract [en]

    Background: People use social media to express perceptions, attitudes and a wide range of concerns regarding human life. Aim: This study aims at analysing the ongoing discussions on the internet microblog Twitter and offers some coming predicaments regarding developments in geriatric nursing regarding nursing robots. Methods: Data were retrospectively collected from Twitter. 1322 mentions were included in the final analyses, where principles of interpreting data by using netnography were utilized. Results: Many ideas are presented expressing functional, psychological and social aspects of robots in nursing care. Most postings come from metropolitan cities around the globe. The discussion focuses on market-driven, science fiction solutions for aged care. Twitter users overall seem to be positive using various nursing robots in aged care. These discussions offer a window into the attitudes and ideas of this group of users. Conclusion: We suggest that monitoring Twitter discussions on social media can provide valuable insights into current attitudes as well as forecast coming trends.

  • 16.
    Eriksson, Henrik
    et al.
    The Swedish Red Cross University College, Department of Nursing and Care.
    Salzmann-Erikson, Martin
    Högskolan i Gävle, Akademin för hälsa och arbetsliv.
    Cyber nursing: a conceptual framework2016In: Journal of Research in Nursing, ISSN 1744-9871, E-ISSN 1744-988X, Vol. 21, no 7, p. 505-514Article in journal (Refereed)
    Abstract [en]

    There have been few attempts to express in words and conceptualise ‘the Internet’ and ‘health’ within a framework. The aim of this study was to present a conceptual framework concerning virtual self-care and online caring. The results show that the concepts of virtual communities, virtual self-care and torrenting frame these very specific interactions and environments and that the concepts of ‘keyboard cowboy’ ‘cyber aid’ and ‘health-interests trader’stipulate different ways in which to express expertise in cyber nursing. Alongside cyber bullying, cyber nursing is also present in virtual arenas. Nursing researchers need to explore and monitor cyber nursing activities using concepts developed within the field of nursing.

  • 17.
    Eriksson, Henrik
    et al.
    The Swedish Red Cross University College, Department of Nursing and Care.
    Salzmann-Erikson, Martin
    Högskolan i Gävle, Akademin för hälsa och arbetsliv.
    The digital generation and nursing robotics: A netnographic study about nursing care robots posted on social media2017In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 4, no 2, article id e12165Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to present the functionality and design of nursing care robots as depicted in pictures posted on social media. A netnographic study was conducted using social media postings over a period of 3 years. One hundred and Seventy-two images were analyzed using netnographic methodology. The findings show that nursing care robots exist in various designs and functionalities, all with a common denominator of supporting the care of one’s own and others’ health and/or well-being as a main function. The results also show that functionality and design are influenced by recent popular sci-fi/cartoon contexts as portrayed in blockbuster movies, for example. Robots’designs seem more influenced by popular sci-fi/cartoon culture than professional nursing culture. We therefore stress that it is relevant for nursing researchers to critically reflect upon the development of nursing care robots as a thoughtful discussion about embracing technology also might generate a range of epistemological possibilities when entering a postmodern era of science and practice.

  • 18.
    Eriksson, Henrik
    et al.
    The Swedish Red Cross University College, Department of Nursing and Care.
    Salzmann-Erikson, Martin
    Högskolan i Gävle.
    Turning to monster to learn about humanity: presentation of findings from caring monsters - the research project2015In: Abstract Book Human Rights and Health and the Astrid Janzon Symposium: The Swedish Red Cross University College, Stockholm 26-27th November 2015 : Oral sessions and Poster sessions, Stockholm, 2015, Vol. 1, p. 22-Conference paper (Refereed)
    Abstract [en]

    Popular culture; literature, movies and comics, is full of monsters. Monsters that both scare and amuse. Through history people has been fascinated, feared and amused by the idea of mysterious creatures, the monsters. Passing stories and constructing the “monsters” are part of all cultures and over times, although the representation of monsters are projected in variance over time and are historical and contextual bounded. Just as monsters are the binary opposition of the ‘good citizen’, monsters also perform as embodied representations of the “Other”. Monster is therefore best understood as embodiment of difference, a breaker of categories and a resistant other. Monsters are “tricksters” challenging our coding of the world by challenging our knowledge. The monster ask us how we as humans perceive the world and about our perception of difference. The aim of this project is to explore the caring activities of monsters in popular culture. The project will catalog monsters’ caring activities around the globe and analyze why, when and under what circumstances monster characters actually do care. In this presentation the initial analyzes of data gathered from the project website (http://www.caringmonsters.com/) will be presented. The initial readings based on a straight forward content analysis of why monsters sometimes go out of character and suddenly engage in some kind of caring activities will be presented. The result will contribute to a critical discussion of the impact of caring and the ethics of caring from which we could learn about humanity, when reflecting upon it from an “outside” and monstrous perspective.

  • 19.
    Eriksson, Henrik
    et al.
    The Swedish Red Cross University College, Department of Nursing and Care.
    Salzmann-Eriksson, Martin
    Department of Health and Caring Sciences at the University of Gävle .
    Future Challenges of Robotics and Artificial Intelligence in Nursing: What Can We Learn from Monsters in Popular Culture?2016In: The Permanente Journal, ISSN 1552-5767, E-ISSN 1552-5775, Vol. 20, no 3, article id 15-243Article in journal (Refereed)
    Abstract [en]

    It is highly likely that artificial intelligence (AI) will be implemented in nursing robotics in various forms, both in medical and surgical robotic instruments, but also as different types of droids and humanoids, physical reinforcements, and also animal/pet robots. Exploring and discussing AI and robotics in nursing and health care before these tools become commonplace is of great importance. We propose that monsters in popular culture might be studied with the hope of learning about situations and relationships that generate empathic capacities in their monstrous existences. The aim of the article is to introduce the theoretical framework and assumptions behind this idea. Both robots and monsters are posthuman creations. The knowledge we present here gives ideas about how nursing science can address the postmodern, technologic, and global world to come. Monsters therefore serve as an entrance to explore technologic innovations such as AI. Analyzing when and why monsters step out of character can provide important insights into the conceptualization of caring and nursing as a science, which is important for discussing these empathic protocols, as well as more general insight into human knowledge. The relationship between caring, monsters, robotics, and AI is not as farfetched as it might seem at first glance.

  • 20.
    Fonad, Edit
    et al.
    Karolinska Institutet.
    Robins Wahlin, Tarja-Brita
    Karolinska Institutet / The University of Queensland School of Medicine, Brisbane, Queensland, Australia.
    Hedman, Ann-Marie
    The Swedish Red Cross University College, Department of Nursing and Care.
    Associations between falls and general health, nutrition, dental health and medication use in Swedish home-dwelling people aged 75 years and over.2015In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 23, no 6, p. 594-604Article in journal (Refereed)
    Abstract [en]

    ABSTRACT The vast majority of elderly people in Sweden live in private homes in their communities for as long as possible. Poor health and a high risk of falls are very common among this group. This cross-sectional study investigates the association between falls and general health, appetite, dental health, and the use of multiple medications among home-dwelling men and women aged ≥75 years. Data were collected between October 2008 and March 2009 using a postal questionnaire. A total of 1243 people participated in the questionnaire survey (74% response rate), of which 1193 were included in the analysis. The majority of participants were women (n = 738, 62%). Falls in the previous 12-month period were reported by 434 (36%) participants. Most fallers (n = 276, 64%) were women. The majority of the fallers lived in a flat (n = 250, 58%). Poor health (aOR: 1.61; CI: 1.34-1.95), poor dental health (aOR: 1.22; CI: 1.07-1.39) and the use of four or more types of medication daily (aOR: 1.13; CI: 1.03-1.25) were significantly associated with falls in all participants. Poor dental health was found irrespectively of living in a flat (aOR: 1.23; CI: 1.04-1.46) or living in a house (aOR: 1.28; CI: 1.02-1.61), and both were significantly associated with falls. The use of more than four different types of medication daily (aOR: 1.25; CI: 1.11-1.41) was associated with falls for those living in a flat. The results highlight that falls are associated with poor general health, poor dental health and the use of four or more types of medication daily. Health professionals should provide health promotion education and investigate dental health and risk factors for oral disease. Likewise, medical and clinical practices of physicians and community care nurses should include assessing the risk of falling, and treatment that predisposes falls.© 2015 John Wiley & Sons Ltd.

  • 21.
    Fossum, Maren
    et al.
    Norwegian University of Science and Technology, Trondheim, Norway / KTH.
    Strömberg, Emma
    KTH.
    Sanchez, Javier
    Karolinska Institutet.
    Rotstein, Samuel
    Karolinska Institutet.
    Björling, Gunilla
    The Swedish Red Cross University College, Department of Nursing and Care. Karolinska Institutet.
    Aune, Ragnhild E
    Norwegian University of Science and Technology, Trondheim, Norway.
    Preliminary In-Vitro Study of Surface Altera1ons of Subcutaneous Venous Access Ports Exposed to Antineoplastic Drugs and Whole Blood2015In: TMS 2015, 144th Annual Meeting & Exhibition: Supplemental Proceedings, John Wiley & Sons, 2015, p. 645-652Conference paper (Refereed)
  • 22.
    Frostell, Claes
    et al.
    Danderyd Hospital, Karolinska Institutet.
    Björling, Gunilla
    The Swedish Red Cross University College, Department of Nursing and Care. Danderyd Hospital, Karolinska Institutet.
    Strömberg, Emma
    KTH.
    Karlsson, Sigbritt
    KTH.
    Aune, Ragnhild E
    Norwegian University of Science and Technology, Trondheim, Norway.
    Tracheal implants revisited2017In: The Lancet, ISSN 0140-6736, E-ISSN 1474-547X, Vol. 389, no 10075, p. 1191-Article in journal (Other (popular science, discussion, etc.))
  • 23.
    Hanpatchaiyakul, Kulnaree
    et al.
    School of Health, Care and Social Welfare, Mälardalen University; Basic Concept of Nursing Practice Department, Boromarajonani College of Nursing Changwat Nonthaburi, Nonthaburi, Thailand.
    Eriksson, Henrik
    The Swedish Red Cross University College, Department of Nursing and Care.
    Kijsomporn, Jureerat
    Praboromarajchanok Institute for Health Workforce Development, Ministry of Public Health, Nonthaburi, Thailand.
    Östlund, Gunnel
    School of Health, Care and Social Welfare, Mälardalen University.
    Barriers to successful treatment of alcohol addiction as perceived by healthcare professionals in Thailand: a Delphi study about obstacles and improvement suggestions2016In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 9, article id 31738Article in journal (Refereed)
    Abstract [en]

    Background: Many Thai people experiencing alcohol addiction do not seek help, and those who do often have inadequate access to treatment. There are few research studies focusing on alcohol addiction treatment in Thailand.

    Objective: The purpose of the current study was to identify barriers to the treatment of alcohol addiction and to collect experts’ suggestions for improving treatment in Thailand. The Delphi technique was used to achieve consensual agreement among an expert panel within the field of alcohol addiction and treatment.

    Design: Three rounds of a Delphi survey were completed by a panel of experts in alcohol addiction, including physicians, nurses, social workers, psychologists, healthcare officers, and an Alcoholics Anonymous member. The open-ended answers provided by 34 experts in the first round resulted in 60 statements, which were later grouped into three themes. After three rounds of questionnaires, 51 statements were accepted as consensus.

    Results: Thirty-two experts participated in all three Delphi rounds. Over 80% of participants were particularly concerned about five obstacles to alcohol addiction treatment. The majority of suggestions from the expert panel were related to patients’ right to treatment and the national policy for reducing the negative effects of alcohol. According to the results of the present study, the experts suggested that the treatment of alcohol addiction should be continuous from primary care to tertiary care, and convenient pathways should be established in healthcare services. The experts would also like to increase the number of healthcare providers and improve their knowledge and skills in working with people experiencing alcohol addiction.

    Conclusions: Equal rights to health and treatment for people experiencing alcohol addiction in Thailand require policy improvements, as well as acceptance and awareness of alcohol addiction from both the public and policymakers.

  • 24.
    Hanpatchaiyakul, Kulnaree
    et al.
    School of Health Care and Social Welfare, Mälardalen University; Boromarajonani College of Nursing Changwat Nonthaburi, Thailand.
    Eriksson, Henrik
    The Swedish Red Cross University College, Department of Nursing and Care.
    Kijsomporn, Jureerat
    Praboromarajchanok Institute for Health Workforce Development (PIHWD), Ministry of Public Health, Nonthaburi, Thailand.
    Östlund, Gunnel
    School of Health Care and Social Welfare, Mälardalen University .
    Healthcare providers' experiences of working with alcohol addiction treatment in Thailand2016In: Contemporary Nurse: health care across the lifespan, ISSN 1037-6178, E-ISSN 1839-3535, Vol. 52, no 1, p. 59-73Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The high prevalence of alcohol consumption, together with its associated health risk factors, has long-term negative impacts on both society and the economy in Thailand.

    AIM: The aim of this study was to explore the experiences of healthcare providers working with people experiencing alcohol addiction and the treatment programs in a Thai hospital.

    METHODS: Qualitative study was applied in this study by conducting focus group interviews with 32 interdisciplinary healthcare providers, most of which were nurses. Content analysis was applied to analyze the verbatim-transcribed data.

    FINDINGS: Two main topics emerged: (1) the collaborative practices related to alcohol treatment, and (2) the fit of the program, including how the treatment program functions. Obstacles were identified and formulated from several sub-categories.

    CONCLUSIONS: The findings included obstacles linked to the imported (Western) program and the patriarchal structure in Thai culture, which seem to intersect and reinforce each other.

  • 25.
    Hedman, Ann-Marie
    et al.
    The Swedish Red Cross University College, Department of Nursing and Care.
    Brantberg, Anna-Lena
    Vo Ortopedi, Södersjkhuset.
    När det inte blev som planerat2015Conference paper (Other academic)
    Abstract [sv]

    Bakgrund

    Vid ortopedisk proteskirurgi i höft- eller knäled är postoperativa infektioner ett allvarligt hot mot den nya inopererade leden och kan leda till långa behandlingstider som påverkar patientens livskvalitet under lång tid.

    Tidig upptäck av en postoperativ infektion samt patientens delaktighet och kunskap om tecken på infektion är avgörande för att förhindra allvarliga konsekvenser av en infektion.

    Svenska höft- och knäprotesregistret har visat på en oroande ökning av andelen protesrelaterade infektioner. Nationella in-satser har gjorts för att minska andelen infektioner, till exempel genom projektet Protesrelaterade Infektioner ska Stoppas, PRISS. 

    Patientens delaktighet är viktig för att minska andelen infektioner men hur har patienten förstått given information?

    Frågeställningar

    • Har patienten fått information och förstått informationen om tidiga tecken på infektion?

    • Har patienten kunnat vara en aktiv part i upptäckten av postoperativ infektion utifrån given information?

    Metod

    • Kvalitativ intervjustudie med 10 patienter som drabbats av djup postoperativ infektion efter höft- eller knäproteskirurgi 

    • Journalgranskning av demografisk- och klinisk data

    Resultat

    Resultatet visade att patienterna upplevde det svårt att tolka symtomen och kände sig osäkra på vad som är normalt och vad som inte är normalt.  Information hade getts i varierad grad och förmågan att ta tills sig informationen var också olika. Bristande tillgänglighet, bristande rutiner för informationsöverföring och bristande rutiner för att säkerställa att patienten förstått den information som getts var bidragande orsaker till att patienten inte omedelbart tog kontakt med vården trots tecken på infektion.

    Slutsats

    • För att information ska övergå i kunskap måste den anpassas efter patientens behov och förmågor att ta till sig information.  Rutiner för att säkerställa att given information övergår i kunskap behöver förbättras.

    • Personcentrerad vård kan vara ett redskap för att öka patientens delaktighet och öka förutsättningarna för att ge anpassad information och säkerställa en god kunskapsöverföring.

  • 26.
    Hellström, Ingrid
    et al.
    Linköpings Universitet.
    Håkansson, Cecilia
    Ersta Sköndahl Högskola; Karolinska Institutet.
    Eriksson, Henrik
    The Swedish Red Cross University College, Department of Nursing and Care.
    Sandberg, Jonas
    Jönköpings Universitet.
    Development of older men’s caregiving roles for wives with dementia2017In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 31, no 4, p. 957-964Article in journal (Refereed)
    Abstract [en]

    This secondary analysis of qualitative interviews describes how older Swedish men approach the caregiver role for a wife with dementia, over time. An increasing number of male caregivers will become primary caregivers for partners living with dementia at home, and they will likely be caregivers for an extended period of time. It has been stated that caregiving experiences influence how older men think of themselves. The theoretical starting point is a constructivist position, offering an understanding of older caregiving men’s constructions and reconstructions of themselves and their caregiver roles. Seven men, who were cohabiting with their wives, were interviewed on up to five occasions at home during a 5- to 6-year period. The findings comprise three themes; me and it, me despite it, it is me, depict how these men gradually take on and normalise the caregiving tasks, and how they develop and internalise a language based on their caring activities. The results provide understanding about the relationship between men as caregivers and how this influences them as individuals. By careful attention to each caregiving man’s individual needs rather than making gendered assumptions about men and caring, the aim of the caregiver support for men might best target men’s own meaning to the caring in their the everyday practices.

  • 27.
    Holmgren, Jessica
    The Swedish Red Cross University College, Department of Nursing and Care.
    Anhörigas delaktighet vid äldreboenden: ett möjligheternas projekt?2017Conference paper (Other (popular science, discussion, etc.))
  • 28.
    Holmgren, Jessica
    The Swedish Red Cross University College, Department of Nursing and Care.
    Global Nursing: Educating future nurses for tomorrow’s nursing care needs2017In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 37, no 3, p. 172-174Article in journal (Other academic)
    Abstract [en]

    The world has witnessed the most comprehensive refugee diaspora of modern history. Sweden has been one of the countriesthat has welcomed people and given them refuge. Refugees are in need of quality nursing care that is provided by professionaland knowledgeable registered nurses. However, taking into account this global mobility and the resulting shift in demographiccharacteristics, nurses need to be particularly competent in relation to addressing global issues. The question is, are futurenurses educated with enough relevant knowledge and skills to be able to meet tomorrow’s nursing care needs? The SwedishRed Cross University College (SRCUC) has contributed to the global discourse in several aspects, not least those elementsrelated to the International Red Cross tradition and its basic humanitarian principles. We would like to share the stipulateddefinition that guides our subject profile area: global nursing. To answer the question that first concerned the SRCUC, wepreviously had conducted a traditional undergraduate nursing education that needed to be updated in relation to what is nowhappening globally. By developing and promoting the relevant knowledge and skills in global nursing, we believe that futurenurses will be prepared to accommodate tomorrow’s nursing care needs.

  • 29.
    Holmgren, Jessica
    The Swedish Red Cross University College, Department of Nursing and Care.
    Humanitarian nursing in an EBOLA viral haemorrhagic fever outbreak: Before, during and after deployment2016Conference paper (Refereed)
    Abstract [en]

    Background: In February 2014, the first Ebola Virus Disease (EVD) case in West Africa was confirmed in the Republic of Guinea. It then quickly spread to neighbouring countries, and became the largest Ebola outbreak ever. By March 2016, there was reported 28,639 cases of EVD and 11,316 deaths worldwide. As the largest humanitarian network in the world, the International Federation of Red Cross and Red Crescent Societies (IFRC) played an active role in stopping the spread of the deadly virus. IFRC also provided psychosocial support to affected families, and assisted in the management of dead bodies. Previous research concerning the Ebola outbreak has focused on practical guidance, such as protective equipment, protective behaviours infection control and emergency management. Very few studies have focused on health care staff’s own experiences from caring for these patients under very extreme conditions. Nurses play a key role in global disaster response at disaster centers, nevertheless, they are often not prepared for the challenges they are facing and what nursing skills that are required by nurses who are first responders to a disaster situation.

    Objectives: To investigate how returnee nursing staff experienced their deployment before, during and after having worked at an Ebola Treatment Center (ETC) during an acute viral haemorrhagic fever (VHF) outbreak, and to supply knowledge on how to better prepare health care staff for future VHF outbreaks.

    Design: A cross-sectional approach.

    Participants: Nurses having returned after working with Ebola patients at an ETC in Kenema, Sierra Leone, during 2014 and 2015.

    Measurements: Data were collected through a self-administered questionnaire via mail covering aspects of pre-deployment training, personal health and stress management, leadership styles and knowledge transfer, socio-cultural exposure, and attitudes from others when returning home.

    Results: Before employment, there is a need for practical exercises specific for the task, and information adapted to the mission. Further, information to family and colleagues can be deepen. During employment, the participants are in need of interpersonal contacts, team work and strong dynamics. After deployment there is a need for mental health support and hands-on coping strategies.

    Conclusions: Participants stressed the importance of mental health support combined with psychosocial care after deployment. There is also a need for more specific practical training. An active dialogue and communication with colleagues were perceived as primordial, and information given to family and colleagues was relevant but not sufficient.

  • 30.
    Holmgren, Jessica
    The Swedish Red Cross University College, Department of Nursing and Care.
    The voluntary arena - diversity, identity and glocal challenges within Swedish volunteering activities2016Conference paper (Other academic)
  • 31.
    Kako, F
    et al.
    Kllimanjaro Christian Medical University College, Tanzania.
    Msuya, Maryclina
    Kllimanjaro Christian Medical University College, Tanzania.
    Björling, Gunilla
    The Swedish Red Cross University College, Department of Nursing and Care. Karolinska Institutet.
    Study on Factors Influencing Participation to Continuous Professional Development Among Nurses Working at Mawenzi Regional Hospital in Moshi Municipal Council, Tanzania2015In: Abstract Book Human Rights and Health and the Astrid Janzon Symposium: The Swedish Red Cross University College, Stockholm 26-27th November 2015 : Oral sessions and Poster sessions, 2015, p. 26-Conference paper (Refereed)
  • 32.
    Kraft, Mia
    et al.
    The Swedish Red Cross University College, Department of Nursing and Care.
    Kästel, Anne
    The Swedish Red Cross University College, Department of Nursing and Care.
    Eriksson, Henrik
    The Swedish Red Cross University College, Department of Nursing and Care.
    Rydholm Hedman, Ann-Marie
    The Swedish Red Cross University College, Department of Nursing and Care.
    Global Nursing: a literature review in the field of education and practice2017In: Nursing Open, E-ISSN 2054-1058, Vol. 4, no 3, p. 122-133Article, review/survey (Refereed)
  • 33.
    Manaporn Chatchumni, Manaporn
    et al.
    Mälardalen Univesity.
    Namvongprom, Ampaporn
    Rangsit University.
    Eriksson, Henrik
    The Swedish Red Cross University College, Department of Nursing and Care.
    Mazaheri, Monir
    The Swedish Red Cross University College, Department of Nursing and Care.
    Thai Nurses’ experiences of post-operative pain assessment and its’ influence on pain management decisions2016In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 15, article id 12Article in journal (Refereed)
    Abstract [en]

    Background

    While many studies have addressed various issues with regards to pain management, there is limited knowledge about how nurses assess pain in surgical wards. This study aimed to describe Thai nurses’ experiences of pain assessment in a surgical ward.

    Methods

    A cross-sectional explorative study was conducted. Participants were selected through theoretical sampling. Data was collected through interviews with twelve registered nurses working in surgical wards. Qualitative content analysis guided the analysis of the data.

    Results

    Nurses use a double/triple check system, communicated to the healthcare team via records and protocols, and they used their skills and experiences in pain assessment. The results showed that nurses missed the opportunity to include the patients’ self-reported pain in their accounts. Though much evidence of pain was collected, this did not seem to benefit the patients. Furthermore, the nurses were not using instruments to measure pain, which illustrates the potential unreliability of professionals who have differing opinions concerning the patients’ pain.

    Conclusions

    Thai nurses worked based on a ‘patient-evidence’ paradigm when assessing patients in pain; this should be shifted to an evidence-based paradigm. Furthermore, by including the patients’ self-reported pain in their assessment, nurses would both improve the quality of the pain assessment and empower patients in their pain management. Pain management practices in Thailand should be improved through education, training, supportive innovation, and collegial competence development in order to improve the quality of care in the post-operative field.

  • 34.
    Mazaheri, Monir
    et al.
    The Swedish Red Cross University College, Department of Nursing and Care. Tehran University of Medical Sciences, Tehran, Iran.
    Ericson-Lidman, Eva
    Umeå University.
    Öhlén, Joakim
    Sahlgrenska Academy at the University of Gothenburg; University of Gothenburg Centre for Person-Centred Care.
    Norberg, Astrid
    Umeå University; Ersta Sköndal Bräcke University College.
    Meanings of troubled conscience and how to deal with it: expressions of Persian-speaking enrolled nurses in Sweden2018In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, no 1, p. 380-388Article in journal (Refereed)
    Abstract [en]

    Introduction

    A feature of the healthcare system in Sweden, particularly in the care of older people, is its cultural diversity in terms of having considerable numbers of both caregivers and care recipients with an immigrant background. Considering the influence of culture in ethical decision-making processes, the idea of conscience and the adverse effects of a troubled conscience, it is important to study the concepts of conscience and troubled conscience in culturally diverse populations. There is no published study regarding troubled conscience among immigrant populations that includes enrolled nurses.

    Aim

    To illuminate the meanings of troubled conscience and how to deal with it among enrolled nurses with Iranian backgrounds working in Swedish residential care for Persian-speaking people with dementia who have emigrated from Iran.

    Method

    The study was conducted with a phenomenological hermeneutic design. Ten enrolled nurses with an Iranian background, with at least one year's experience of taking care of older people with dementia, were interviewed. The study was reviewed by the Regional Ethical Review Board for ethical vetting of research involving humans. Appropriate measures were taken to ensure confidentiality and voluntary participation.

    Results

    The meanings of having a troubled conscience for the participants comprise not being a good person, including being an uncaring person, not acting according to one's values and living in a state of unease. Dealing with a troubled conscience involves trying to compensate for the harm one has caused and trying to prevent similar situations by being a responsible caregiver.

    Conclusions

    The enrolled nurses understood themselves as caring people and not only caregivers. They knew that they should hear their conscience and respond to it by trying to be a caring person and acting according to their values. The findings should be interpreted in the given specific context.

  • 35.
    Mlay, Immuclate P
    et al.
    Kilimanjaro Christian Medical University College.
    Msuya, Maryclina
    Kllimanjaro Christian Medical University College, Tanzania.
    Björling, Gunilla
    The Swedish Red Cross University College, Department of Nursing and Care. Karolinska Institutet.
    Knowledge, Attitude and Practice on Breast Cancer Screening Among Women of Child Bearing Age at KCMC Referral Hospital in Moshi Urban, Kilimanjaro Region – Tanzania2015In: Abstract Book Human Rights and Health and the Astrid Janzon Symposium: The Swedish Red Cross University College, Stockholm 26-27th November 2015 : Oral sessions and Poster sessions, 2015, p. 27-Conference paper (Refereed)
  • 36.
    Mollel, M.W.
    et al.
    Kllimanjaro Christian Medical University College, Tanzania.
    Msuya, Maryclina
    Kllimanjaro Christian Medical University College, Tanzania.
    Sabuni, S.J.
    Kllimanjaro Christian Medical University College, Tanzania.
    Björling, Gunilla
    The Swedish Red Cross University College, Department of Nursing and Care. Karolinaska Institutet.
    Knowledge, Attitude and Practice on the Use of Helmets Among Commercial Motorcyclists in Moshi Town, Tanzania: A Cross Sectional Study2015In: Abstract Book Human Rights and Health and the Astrid Janzon Symposium: The Swedish Red Cross University College, Stockholm 26-27th November 2015 : Oral sessions and Poster sessions, 2015, p. 25-Conference paper (Refereed)
  • 37.
    Nahlen Bose, Catarina
    et al.
    The Swedish Red Cross University College, Department of Nursing and Care. Karolinska Institutet Department of Clinical Sciences Danderyd Hospital.
    Björling, Gunilla
    The Swedish Red Cross University College, Department of Nursing and Care. Karolinska Institutet Department of Clinical Sciences Danderyd Hospital.
    Elfstrom, Magnus L.
    Mälardalen University, Academy of Health, Care and Social Welfare, Eskilstuna/Västerås.
    Persson, Hans
    Karolinska Institutet Department of Clinical Sciences Danderyd Hospital.
    Saboonchi, Fredrik
    The Swedish Red Cross University College, Department of Public Health and Medicine. Karolinska Institutet, Department of Clinical Neuroscience, Division of Insurance Medicine.
    Assessment of Coping Strategies and Their Associations With Health Related Quality of Life in Patients With Chronic Heart Failure: the Brief COPE Restructured2015In: Cardiology Research, ISSN 1923-2829, E-ISSN 1923-2837, Vol. 6, no 2, p. 239-248Article in journal (Refereed)
    Abstract [en]

    Background: Individuals with chronic heart failure (CHF) need to cope with both the physical limitations and the psychological impacts of the disease. Since some coping strategies are beneficial and others are linked to increased mortality and worse health-related quality of life (HRQoL), it is important to have a reliable and valid instrument to detect different coping styles. Brief COPE, a self-reporting questionnaire, has been previously used in the context of CHF. There is, however, currently a lack of consensus about the theoretical or empirical foundations for grouping the multiple coping strategies assessed by Brief COPE into higher order categories of coping. The main purpose of this study was to examine the structure of Brief COPE, founded on the higher order grouping of its subscales in order to establish an assessment model supported by theoretical considerations. Furthermore, the associations between these higher order categories of coping and HRQoL were examined to establish the predictive validity of the selected model in the context of CHF.

    Method: One hundred eighty-three patients diagnosed with CHF were recruited at a heart failure outpatient clinic or at a cardiac ward. Self-reported questionnaires were filled in to measure coping strategies and HRQoL. Confirmatory factor analyses were performed to investigate different hierarchical structures of Brief COPE found in the literature to assess coping strategies in patients with CHF. Regression analyses explored associations of aggregated coping strategies with HRQoL.

    Results: A four factorial structure of Brief COPE displayed the most adequate psychometric properties, consisting of problem focused coping, avoidant coping, socially supported coping and emotion focused coping. Avoidant coping was associated with worse HRQoL in CHF.

    Conclusions: This study provides support for a four-factor model of coping strategies in patients with CHF. This could facilitate assessment of coping both in clinical and research settings.

  • 38.
    Nahlen Bose, Catarina
    et al.
    The Swedish Red Cross University College, Department of Nursing and Care. Karolinska Institutet.
    Björling, Gunilla
    The Swedish Red Cross University College, Department of Nursing and Care. Karolinska Institutet.
    Elfström, M. L.
    Mälardalen University.
    Persson, H.
    Karolinska Institutet.
    Saboonchi, Fredrik
    The Swedish Red Cross University College, Department of Public Health and Medicine. Karolinska Institutet.
    Implementation of coping effectiveness training in patients with chronic heart failure: participants evaluations indicate psychosocial benefits2015In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 14, no S1, p. S10-S10Article in journal (Other academic)
  • 39.
    Nahlen Bose, Catarina
    et al.
    Department of Clinical Sciences Danderyd Hospital, Karolinska Institutet / Sophiahemmet University.
    Elfström, Magnus L.
    Academy of Health, Care and Social Welfare, Mälardalen University.
    Björling, Gunilla
    The Swedish Red Cross University College, Department of Nursing and Care. Department of Clinical Sciences Danderyd Hospital, Karolinska Institutet.
    Persson, Hans
    Department of Clinical Sciences Danderyd Hospital, Karolinska Institutet.
    Saboonchi, Fredrik
    Department of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet.
    Patterns and the mediating role of avoidant coping style and illness perception on anxiety and depression in patients with chronic heart failure2016In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 30, no 4, p. 704-713Article in journal (Refereed)
    Abstract [en]

    Introduction: Emotional distress in patients with chronic heart failure (CHF) predicts mortality, hospital readmission and quality of life. The patient's avoidant coping style and beliefs about the disease have been linked to emotional distress in CHF. However, the pattern and transmitting effects of these variables are indefinite.

    Aim: This study aimed to examine the links between and the potential mediating role of illness perceptions and avoidant coping style on depression and anxiety in patients with CHF.

    Method: Self-assessment data from 103 patients with CHF were subjected to path analysis in two hypothesised models. The outcome measures were coping styles, illness perception, anxiety and depression.

    Results: Avoidant coping had a direct adverse effect on anxiety and depression. The perception of symptom burden and personal control, significantly mediated the effect between avoidant coping and anxiety and depression.

    Conclusions: Avoidant coping style appears to influence not only emotional distress, but also a malignant symptom perception and low sense of control over the illness.

  • 40.
    Nahlen Bose, Catarina
    et al.
    The Swedish Red Cross University College, Department of Nursing and Care. Karolinska Institutet, Department of Clinical Sciences Danderyd Hospital AB.
    Persson, Hans
    Karolinska Institutet, Department of Clinical Sciences Danderyd Hospital AB.
    Björling, Gunilla
    The Swedish Red Cross University College, Department of Nursing and Care. Karolinska Institutet, Department of Clinical Sciences Danderyd Hospital AB.
    Ljunggren, Gunnar
    Public Healthcare Services Committee Administration, Stockholm County Counsil; Karolinska Institutet, Department of Learning, Informatics, Management and Ethics, Medical Management Centre.
    Elfström, Magnus L.
    Mälardalen University, Academy of Health, Care and Social Welfare.
    Saboonchi, Fredrik
    The Swedish Red Cross University College, Department of Public Health and Medicine. Karolinska Institutet; Department of Clinical Neuroscience, Division of Insurance Medicine, Administration.
    Evaluation of a Coping Effectiveness Training intervention in patients with chronic heart failure: a randomized controlled trial2016In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 15, no 7, p. 537-548Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Impaired emotional well-being has detrimental effects on health outcomes in patients with chronic heart failure (CHF).AIMS:To evaluate a nurse-led Coping Effectiveness Training (CET) group intervention for patients with CHF. It was hypothesized that CET would increase emotional well-being (primary outcome) and health-related quality (HRQoL) of life and improve clinical outcomes. Furthermore, changes in appraisal and coping as mediators of the intervention effect were examined.

    METHODS: Participants were randomized to either control group (n=51) receiving standard health care or CET intervention group (n=52). Self-assessments of positive affect, negative affect, depression, anxiety, HRQoL, illness perception, coping strategies and social support were performed pre- and post-intervention and after six weeks, six months and 12 months. Time to death and hospitalizations were measured during the entire follow-up (median 35 months, interquartile range 11 months).

    RESULTS: No significant improvements for emotional well-being and HRQoL in the intervention group compared with the control group were found. After excluding patients with clinical anxiety and depression at baseline the intervention group had significantly lower negative affect (p = 0.022). There were no significant differences regarding cardiovascular events between the groups. The intervention group had greater sense of control over their illness in the short-term (p = 0.036).

    CONCLUSION: CET intervention was found to increase sense of control over the illness in the short term. Psychosocial support programmes, like CET, for patients with CHF is currently lacking evidence for implementing in clinical practice. However, the results provide a basis for future studies with a modified CET intervention design and increased study size.

  • 41.
    Paillard-Borg, Stéphanie
    et al.
    The Swedish Red Cross University College, Department of Public Health and Medicine.
    Holmgren, Jessica
    The Swedish Red Cross University College, Department of Nursing and Care.
    Immigration, Women, and Japan—A Leap Ahead and a Step Behind: A Qualitative Journalistic Approach2016In: SAGE Open, ISSN 2158-2440, E-ISSN 2158-2440, Vol. 6, no 2, p. 1-7, article id 2158244016673129Article in journal (Refereed)
    Abstract [en]

    Japan has become a super-aged society, facing demographic challenges resulting in societal and economic consequences. In its political structural reform, the Japanese government presented the urgency to consider the increase in labor mobility that includes the issues of immigration and female employment, both domestic and foreign. The aim of this study was to explore, from a Japanese woman’s perspective, the intertwined issues of immigration. An in-depth interview was performed and analyzed by content analysis with a methodological departure in qualitative journalistic interviewing. The case was a Japanese woman with a unique profile. The results of this study, family permanency and group cohesiveness, can contribute to understand the potential interdependency between the roles, within the Japanese society, of foreign female domestic workers and Japanese women. In conclusion, it appears that the pivotal role of women in the Japanese society and the global feminization of migration challenge Japanese social consistency.

  • 42.
    Salzmann-Erikson, Martin
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap..
    Eriksson, Henrik
    The Swedish Red Cross University College, Department of Nursing and Care.
    Empatiska robotar förändrar vårdvetenskapen2015In: Vårdfokus, ISSN 2000-5717, no 12, p. 26-27Article in journal (Other (popular science, discussion, etc.))
  • 43.
    Salzmann-Erikson, Martin
    et al.
    Högskolan i Gävle.
    Eriksson, Henrik
    The Swedish Red Cross University College, Department of Nursing and Care.
    Forskningsdata från cyberrymden: Analys och vägledning utifrån vårdvetenskaplig kunskapsteori2015In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 35, no 2, p. 91-97Article in journal (Refereed)
    Abstract [en]

    Aim The aim was to identify how ethical issues have been handled in theses written by undergraduate students in the field of nursing.

    Background The act of gathering information online to become an ‘expert’ by locating useful advice for oneself – and others – is a fairly new phenomenon. How virtual caring and nursing can contribute to people’s health as a resource is growing as an area of interest within the field of caring sciences.

    Methods A qualitative content analysis of 21 bachelor theses in nursing science was conducted. The analysis focused on how ethical issues concerning gathering data in cyberspace were handled.

    Findings The results show that the students chose very complex health issues when gathering data in cyberspace. The results reveal asymmetries between the researcher and subjects behind the data (the bloggers), both in terms of knowledge as well as in relation to the resources available to them.

    Conclusions There is a need to discuss cyberspace as a source of data, including ethical, ontological, and epistemological issues. Based on the findings, we provide a tentative outline of how data from cyberspace can be used by nursing researchers and instructors at all levels in the field.

  • 44.
    Salzmann-Erikson, Martin
    et al.
    University of Gävle.
    Eriksson, Henrik
    The Swedish Red Cross University College, Department of Nursing and Care.
    Letter to the Editor: Prosperity of nursing care robots: an imperative for the development of new infrastructure and competence for health professions in geriatric care2017In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 25, no 6, p. 486-488Article in journal (Other academic)
  • 45.
    Salzmann-Erikson, Martin
    et al.
    University of Gävle.
    Eriksson, Henrik
    The Swedish Red Cross University College, Department of Nursing and Care.
    Tech-resistance: the complexity of implementing nursing robots in healthcare workplaces.2016In: Contemporary Nurse: health care across the lifespan, ISSN 1037-6178, E-ISSN 1839-3535, Vol. 52, no 5, p. 567-568Article in journal (Refereed)
  • 46.
    Salzmann-Erikson, Martin
    et al.
    Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, University of Gävle.
    Eriksson, Henrik
    The Swedish Red Cross University College, Department of Nursing and Care.
    The rise of the avatar: Virtual dimensions of ‘the human’ in nursing science2015In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 35, no 3, p. 158-164Article in journal (Refereed)
    Abstract [en]

    In this theory article, we discuss the virtual dimensions of the human, the avatar, in relation to ontological assumptions within nursing science. Assumptions in nursing science promote a ‘wholistic’ perspective of the human in terms of body, mind and spirit in relation to the environment. However, due to the enhanced technological development and the invention of cyberspace, we pose the critical question of whether the virtual dimension of identity really implicates a ‘wholistic’ view of human kindness or if this has been neglected. Furthermore, we suggest an ontological understanding that grasps new dimensions of humanity. In the article, we discuss the virtual dimensions of the human in relation to ontological assumptions within nursing science under the three headings of The techno-self and virtual identities, Techno-therapy and cyber nursing, and Becoming homo technicus. Due to these reflections, this article contributes to the debate on a postmodern understanding of human living conditions in society. We suggest further theoretical discussions to explore the conceptual and theoretical levels of nursing knowledge as new realities of human existence are introduced in the field. The transition into the digital age of the Internet, with the existence of cyborgs and avatars, is an ontological and epistemological challenge for nursing science that needs to be further investigated.

  • 47.
    Sigvardsdotter, Erika
    et al.
    The Swedish Red Cross University College, Department of Public Health and Medicine.
    Vaez, Marjan
    Karolinska Institutet.
    Hedman, Ann-Marie
    The Swedish Red Cross University College, Department of Nursing and Care.
    Saboonchi, Fredrik
    The Swedish Red Cross University College, Department of Public Health and Medicine. Karolinska Institutet.
    Prevalence of torture and other war-related traumatic events in forced migrants: A systematic review2016In: Journal on Rehabilitation of Torture Victims and Prevention of Torture, ISSN 1018-8185, E-ISSN 1997-3322, Vol. 26, no 2, p. 41-73Article in journal (Refereed)
    Abstract [en]

    Aim: To describe and appraise the research literature reporting prevalence of torture and/or war-related potentially traumatic experiences (PTEs) in adult forced migrants living in high-income countries.

    Methods: A search for peer-reviewed articles in English was conducted in PubMed, Web of Science, PILOTS, key journals, and reference lists. Studies based on clinical samples and samples where less than half of participants were forced migrants were excluded. Data was extracted and a methodological quality appraisal was performed.

    Results: A total of 3,470 titles and abstracts were retrieved and screened. Of these, 198 were retrieved in full-text. Forty-one articles fulfilled inclusion criteria and the total number of study participants was 12,020 (median 170). A majority focused on specific ethnic groups or nationalities, Southeast Asian, Middle Eastern and Balkan being the most frequent. Reported prevalence rates of torture ranged between one and 76 % (median 27 %). Almost all participants across all studies had experienced some kind of war-related PTE.

    Conclusions: Reported prevalence rates of torture and war-related PTEs vary between groups of forced migrants. Trauma history was often studied as a background variable in relation to mental health. The heterogeneity of data, as well as the methodological challenges in reaching forced migrants and defining and measuring traumatic experiences, prevent generalisation concerning trauma history across groups.

  • 48.
    von Vogelsang, Ann-Christin
    et al.
    Karolinska Instsitutet / Karolinska Univ Hospital.
    Milton, Camilla
    Danderyd Hospital.
    Ericsson, Ingrid
    Handen Geriatrics, Praktikertjänst NÄRA.
    Strömberg, Lars
    The Swedish Red Cross University College, Department of Nursing and Care.
    'Wouldn't it be easier if you continued to be a guy?' - a qualitative interview study of transsexual persons' experiences of encounters with healthcare professionals2016In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 25, no 23-24, p. 3577-3588Article in journal (Refereed)
    Abstract [en]

    Aims and objectives. To describe transsexual persons' experiences of encounters with healthcare professionals during the sex reassignment process. Background. Transsexual persons are individuals who use varying means to alter their natal sex via hormones and/or surgery. Transsexual persons may experience stigma, which increases the risk of psychological distress. Mistreatments by healthcare professionals are common. Qualitative studies addressing transsexual persons' experiences of healthcare are scarce. Design. Qualitative descriptive design. Methods. A Swedish non-clinical convenience sample was used, consisting of six persons who had been diagnosed as transsexual, gone through sex reassignment surgery or were at the time of the interview awaiting surgery. Semi-structured interviews were undertaken, and data were analysed using manifest qualitative content analysis. Results. Three categories and 15 subcategories were identified. The encounters were perceived as good when healthcare professionals showed respect and preserved the transsexual person's integrity, acted in a professional manner and were responsive and built trust and confidence. However, the participants experienced that healthcare professionals varied in their level of knowledge, exploited their position of power, withheld information, expressed gender stereotypical attitudes and often used the wrong name. They felt vulnerable by having a condescending view of themselves, and they could not choose not to be transsexual. They felt dependent on healthcare professionals, and that the external demands were high. Conclusions. Transsexual persons are in a vulnerable position during the sex reassignment surgery process. The encounters in healthcare could be negatively affected if healthcare professionals show inadequate knowledge, exploit their position of power or express gender stereotypical attitudes. A good encounter is characterised by preserved integrity, respect, responsiveness and trust. Relevance to clinical practice. Improved education on transgender issues in nursing and medical education is warranted. Healthcare professionals should be aware of how their attitudes and their level of knowledge affect the care given during the sex reassignment surgery process.

  • 49.
    Zander, Viktoria
    et al.
    Department of Women's and Children's Health, Karolinska Institutet, Elevhemmet H2:00, Karolinska University Hospital Solna; Centre for Clinical Research Sörmland, Uppsala University.
    Eriksson, Henrik
    The Swedish Red Cross University College, Department of Nursing and Care.
    Christensson, Kyllike
    Department of Women's and Children's Health, Karolinska Institutet, Elevhemmet H2:00, Karolinska University Hospital Solna.
    Müllersdorf, Maria
    School of Health, Care, and Social Welfare, Mälardalen University.
    Development of an Interview Guide Identifying the Rehabilitation Needs of Women from the Middle East Living with Chronic Pain2015In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 12, no 10, p. 12043-56Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to develop an interview guide for use by primary healthcare professionals to support them in identifying the rehabilitation needs of forced resettled women from the Middle East living with chronic pain. Previous findings together with the existing literature were used as the basis for developing the interview guide in three steps: item generation, cognitive interviews, and a pilot study. The study resulted in a 16-item interview guide focusing on patients' concerns and expectations, with consideration of pre-migration, migration, and post-migration factors that might affect their health. With the help of the guide, patients were also invited to identify difficulties in their daily activities and to take part in setting goals and planning their rehabilitation. The current interview guide provides professional guidance to caretakers, taking a person-centered participative point of departure when meeting and planning care, for and together, with representatives from dispersed ethnic populations in Sweden. It can be used together with the patient by all staff members working in primary healthcare, with the aim of contributing to continuity of care and multi-professional collaboration. 

  • 50.
    Zander, Viktoria
    et al.
    Department of Women's and Children's Health , Karolinska Institutet , Stockholm; Centre for Clinical Research Sörmland, Uppsala University.
    Eriksson, Henrik
    The Swedish Red Cross University College, Department of Nursing and Care.
    Christensson, Kyllike
    Department of Women's and Children's Health , Karolinska Institutet , Stockholm.
    Müllersdorf, Maria
    School of Health, Care, and Social Welfare, Eskilstuna, Västerås.
    Rehabilitation of Women From the Middle East Living With Chronic Pain-Perceptions From Health Care Professionals.2015In: Health Care for Women International, ISSN 0739-9332, E-ISSN 1096-4665, Vol. 36, no 11, p. 1194-1207Article in journal (Refereed)
    Abstract [en]

    Meeting patients from other countries constitutes a challenge for health care. The purpose of this study was to increase knowledge about tacit understandings of treatment in practice by determining the perceptions of chronic pain and rehabilitation directed to resettled women from the Middle East, from a variety of health care professionals within primary care. Based on the results, we find a need to support and increase knowledge among health care professionals to involve the patient and consider her beliefs, expectations, background, current life situation, and spirituality, and to involve family in rehabilitation.

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