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Neher, M., Nygårdh, A., Nilsen, P., Broström, A. & Johansson, P. (2019). Implementing internet-delivered cognitive behavioural therapy for patients with cardiovascular disease and psychological distress: a scoping review. European Journal of Cardiovascular Nursing, 18(5), 346-357
Öppna denna publikation i ny flik eller fönster >>Implementing internet-delivered cognitive behavioural therapy for patients with cardiovascular disease and psychological distress: a scoping review
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2019 (Engelska)Ingår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 18, nr 5, s. 346-357Artikel, forskningsöversikt (Refereegranskat) Published
Abstract [en]

BACKGROUND: Comorbid psychological distress (i.e. insomnia and depression) is experienced by 20-40% of patients with cardiovascular disease. This has a considerable impact on their health and quality of life, leading to frequent re-hospitalisations, higher healthcare costs and a shorter life expectancy. Internet-based cognitive behavioural therapy shows great potential for treating psychological distress in cardiovascular disease. Effective and feasible treatments can, however, only benefit patients if they are fully implemented in clinical care.

AIM: This scoping review aimed to explore the literature for internet-based cognitive behavioural therapy in cardiovascular disease and for strategies to implement the intervention.

METHODS: We searched electronic databases, journals and internet sources to find original studies about internet-based cognitive behavioural therapy in cardiovascular disease, adhering to scoping methodology guidelines. After identifying 267 titles, we screened 40 abstracts and chose 11 full-text articles for full-text screening. The results sections in four articles were searched for outcomes that related to the effectiveness and implementation of internet-based cognitive behavioural therapy by directed qualitative content analysis using an implementation framework.

RESULTS: Three of the four articles fulfilling the inclusion criteria concerned internet-based cognitive behavioural therapy for treating mild to moderate depressive symptoms in cardiovascular disease, and none focused on insomnia. The studies showed evidence for the effectiveness of internet-based cognitive behavioural therapy, and/or described patient factors influencing clinical effectiveness. Our qualitative content analysis showed that many implementation aspects and stakeholder perspectives remain unexplored.

CONCLUSIONS: Internet-based cognitive behavioural therapy promises to alleviate patient suffering in cardiovascular disease. There is, however, little research about internet-based cognitive behavioural therapy for cardiovascular disease, and about how this evidence-based intervention is implemented.

Ort, förlag, år, upplaga, sidor
Sage Publications, 2019
Nyckelord
Implementation, computer-assisted therapy, depression, insomnia, internet, remote consultation
Nationell ämneskategori
Kardiologi Psykiatri
Identifikatorer
urn:nbn:se:hj:diva-43367 (URN)10.1177/1474515119833251 (DOI)000469834300002 ()30795698 (PubMedID)2-s2.0-85062326670 (Scopus ID)
Tillgänglig från: 2019-03-21 Skapad: 2019-03-21 Senast uppdaterad: 2019-06-20Bibliografiskt granskad
Ahonen, H., Kvarnvik, C., Broström, A., Fransson, E. I., Nygårdh, A., Stensson, M., . . . Lindmark, U. (2019). “No one seems to know”: Studieprotokoll för utvärdering av ett teoretiskt ramverk för oral hälsa avseende reliabilitet och validitet i en obstruktiv sömnapné population. In: : . Paper presented at SFSS Årskongress, 16-18 oktober 2019, Uppsala.
Öppna denna publikation i ny flik eller fönster >>“No one seems to know”: Studieprotokoll för utvärdering av ett teoretiskt ramverk för oral hälsa avseende reliabilitet och validitet i en obstruktiv sömnapné population
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2019 (Svenska)Konferensbidrag, Poster (med eller utan abstract) (Övrigt vetenskapligt)
Nationell ämneskategori
Odontologi
Identifikatorer
urn:nbn:se:hj:diva-47387 (URN)
Konferens
SFSS Årskongress, 16-18 oktober 2019, Uppsala
Tillgänglig från: 2020-01-14 Skapad: 2020-01-14 Senast uppdaterad: 2020-01-14
Ahonen, H., Kvarnvik, C., Broström, A., Fransson, E. I., Nygårdh, A., Stensson, M. & Lindmark, U. (2019). Oral hälsa och obstruktiv sömnapné- protokoll för en longitudinell studie. In: : . Paper presented at Tandhygienistdagarna, 7-9 april, Arlanda Airport.
Öppna denna publikation i ny flik eller fönster >>Oral hälsa och obstruktiv sömnapné- protokoll för en longitudinell studie
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2019 (Svenska)Konferensbidrag, Poster (med eller utan abstract) (Refereegranskat)
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi Odontologi
Identifikatorer
urn:nbn:se:hj:diva-47385 (URN)
Konferens
Tandhygienistdagarna, 7-9 april, Arlanda Airport
Tillgänglig från: 2020-01-14 Skapad: 2020-01-14 Senast uppdaterad: 2020-01-14Bibliografiskt granskad
Abelsson, A. & Nygårdh, A. (2019). To enhance the quality of CPR performed by youth layman. International Journal of Emergency Medicine, 12(1), Article ID 30.
Öppna denna publikation i ny flik eller fönster >>To enhance the quality of CPR performed by youth layman
2019 (Engelska)Ingår i: International Journal of Emergency Medicine, ISSN 1865-1372, E-ISSN 1865-1380, Vol. 12, nr 1, artikel-id 30Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

By educating laymen, survival after cardiac arrest can increase in society. It is difficult to reach the entire population with cardiopulmonary resuscitation (CPR) training. However, if 15% of the population knows how to perform CPR, an increase in short- and long-term survival in patients suffering a cardiac arrest could be seen. To educate youth is a way to reach parts of the population. This study aimed to investigate the effect of a 2-h CPR intervention for youth.

Ort, förlag, år, upplaga, sidor
BioMed Central, 2019
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:hj:diva-46501 (URN)10.1186/s12245-019-0247-6 (DOI)000489046500001 ()31590653 (PubMedID)2-s2.0-85073150422 (Scopus ID)GOA HHJ 2019 (Lokalt ID)GOA HHJ 2019 (Arkivnummer)GOA HHJ 2019 (OAI)
Tillgänglig från: 2019-10-08 Skapad: 2019-10-08 Senast uppdaterad: 2019-10-24Bibliografiskt granskad
Wang, L., Mårtensson, J., Zhao, Y. & Nygårdh, A. (2018). Experiences of a health coaching self-management program in patients with COPD: a qualitative content analysis.. The International Journal of Chronic Obstructive Pulmonary Disease, 13, 1527-1536
Öppna denna publikation i ny flik eller fönster >>Experiences of a health coaching self-management program in patients with COPD: a qualitative content analysis.
2018 (Engelska)Ingår i: The International Journal of Chronic Obstructive Pulmonary Disease, ISSN 1176-9106, E-ISSN 1178-2005, Vol. 13, s. 1527-1536Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose: To describe the experiences of patients with COPD participating in a health coaching self-management program.

Patients and methods: Twenty patients who had participated in a 6-month health coaching self-management program intervention were purposefully selected for a qualitative evaluation of the program using semi-structured interviews. The interviews were analyzed using inductive qualitative content analysis.

Results: Four categories and 13 subcategories emerged describing the participants' experiences of the program. Their experiences were expressed as gaining insight into the importance of knowledge and personal responsibilities in the management of COPD, taking action to maintain a healthy lifestyle, feeling supported by the program, and being hindered by individual and program limitations.

Conclusion: Iterative interactions between patients and health care professionals together with the content of the program are described as important to develop skills to manage COPD. However, in future self-management programs more awareness of individual prerequisites should be considered.

Ort, förlag, år, upplaga, sidor
Dove Medical Press, 2018
Nyckelord
chronic obstructive pulmonary disease, health coaching, qualitative content analysis, self-management
Nationell ämneskategori
Lungmedicin och allergi Omvårdnad
Identifikatorer
urn:nbn:se:hj:diva-41081 (URN)10.2147/COPD.S161410 (DOI)000432048200001 ()29785102 (PubMedID)2-s2.0-85047080588 (Scopus ID)HHJADULTIS, HHJIMPROVEIS (Lokalt ID)HHJADULTIS, HHJIMPROVEIS (Arkivnummer)HHJADULTIS, HHJIMPROVEIS (OAI)
Tillgänglig från: 2018-07-31 Skapad: 2018-07-31 Senast uppdaterad: 2019-03-07Bibliografiskt granskad
Hedberg, B. & Nygårdh, A. (2018). Patientdelaktighet och medverkan hos vuxna med fysisk ohälsa. In: Ann Catrine Eldh (Ed.), Delaktighet och patientmedverkan: (pp. 107-138). Lund: Studentlitteratur AB
Öppna denna publikation i ny flik eller fönster >>Patientdelaktighet och medverkan hos vuxna med fysisk ohälsa
2018 (Svenska)Ingår i: Delaktighet och patientmedverkan / [ed] Ann Catrine Eldh, Lund: Studentlitteratur AB, 2018, s. 107-138Kapitel i bok, del av antologi (Övrigt vetenskapligt)
Ort, förlag, år, upplaga, sidor
Lund: Studentlitteratur AB, 2018
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:hj:diva-39636 (URN)9789144113296 (ISBN)
Tillgänglig från: 2018-05-31 Skapad: 2018-05-31 Senast uppdaterad: 2018-05-31Bibliografiskt granskad
Neher, M. S., Johansson, P., Nilsen, P., Broström, A. & Nygårdh, A. (2017). Exploring implementation issues when introducing a novel internet-based intervention to treat cardiovascular disease-associated mental health issues- the Implement-IT project.. Paper presented at EuroHeartCare 2017, 18-20 May 2017, Jönköping, Sweden. European Journal of Cardiovascular Nursing, 16(Suppl. 1), S52-S53
Öppna denna publikation i ny flik eller fönster >>Exploring implementation issues when introducing a novel internet-based intervention to treat cardiovascular disease-associated mental health issues- the Implement-IT project.
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2017 (Engelska)Ingår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 16, nr Suppl. 1, s. S52-S53Artikel i tidskrift, Meeting abstract (Refereegranskat) Published
Abstract [en]

Background: Mental health (MH) problems such as depression and insomnia are prominent among patients with cardiovascular disease (CVD). They are associated with a negative impact on quality of life, higher health care costs and a poorer prognosis. Despite this most patients with CVD will not receive support or treatment for their MH problems. Studies in other patient groups have described internet based cognitive behavioral treatment (I-CBT) as a promising intervention, but I-CBT has not been tested in CVD patients. The I-CBT HEART research project aims specifically to develop and evaluate I-CBT programs for CVD patients with psychological distress. The programs, both of which are in early stages of clinical evaluation, respectively target patients with depressive symptoms and patients with insomnia. Two randomized controlled trials will be carried out, I-CBT for insomnia (HiT-IT) and I-CBT for depression (DOHART). Implementation research has shown overwhelming evidence of the difficulties that are often encountered in the diffusion and dissemination of novel treatments, such as I-CBT for CVD. To smooth the way for future use of a successful intervention in clinical practice, a better knowledge is needed of the factors that may hinder or support implementation in practice.

Purpose: The overall aim of the IMPLEMENT-IT study, a part of the I-CBT HEART project, is to achieve a better understanding of potential future implementation issues by exploring barriers and facilitators from different stakeholder perspectives that may be of importance in future implementation.

Methods: Both qualitative and quantitative data will be collected in conjunction with the RCT studies HiT-IT and DOHART. Interviews with stakeholders at different levels focusing on perceptions of the role of eHealth in traditional healthcare in general, and of the I-CBT HEART intervention in particular. Informants are recruited in groups of healthcare-tasked representatives of political parties at the regional level, local decision-makers in higher healthcare administration, clinical decision-makers, healthcare profe ssionals (providers), as well as patients. Our intention is to measure implementation leadership,empowerment and implementation climate in the clinical contexts, but also to develop valid and reliable instruments to be used in future studies.

Conclusion: Studying factors that may potentially influence the implementation of a novel I-CBT program for treatment of MH problems in CVD patients through a mixed methods approach may assist the design of future implementation strategies in clinical cardiac care.

Ort, förlag, år, upplaga, sidor
Sage Publications, 2017
Nationell ämneskategori
Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi Kardiologi Psykiatri
Identifikatorer
urn:nbn:se:hj:diva-35950 (URN)000401775600091 ()
Konferens
EuroHeartCare 2017, 18-20 May 2017, Jönköping, Sweden
Tillgänglig från: 2017-06-09 Skapad: 2017-06-09 Senast uppdaterad: 2017-11-21Bibliografiskt granskad
Nygårdh, A., Sherwood, G., Sandberg, T., Rehn, J. & Knutsson, S. (2017). The visibility of QSEN competencies in clinical assessment tools in Swedish nurse education. Nurse Education Today, 59, 110-117, Article ID S0260-6917(17)30207-1.
Öppna denna publikation i ny flik eller fönster >>The visibility of QSEN competencies in clinical assessment tools in Swedish nurse education
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2017 (Engelska)Ingår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 59, s. 110-117, artikel-id S0260-6917(17)30207-1Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BACKGROUND: Prospective nurses need specific and sufficient knowledge to be able to provide quality care. The Swedish Society of Nursing has emphasized the importance of the six quality and safety competencies (QSEN), originated in the US, in Swedish nursing education.

PURPOSE: To investigate the visibility of the QSEN competencies in the assessment tools used in clinical practice

METHOD: A quantitative descriptive method was used to analyze assessment tools from 23 universities.

RESULTS AND CONCLUSION: Teamwork and collaboration was the most visible competency. Patient-centered care was visible to a large degree but was not referred to by name. Informatics was the least visible, a notable concern since all nurses should be competent in informatics to provide quality and safety in care. These results provide guidance as academic and clinical programs around the world implement assessment of how well nurses have developed these essential quality and safety competencies.

Ort, förlag, år, upplaga, sidor
Elsevier, 2017
Nyckelord
Assessment tool, Clinical education, QSEN, Student nurses
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:hj:diva-37619 (URN)10.1016/j.nedt.2017.09.003 (DOI)000416187800020 ()28985548 (PubMedID)2-s2.0-85030680352 (Scopus ID)HHJCHILDIS, HHJKvalitetIS (Lokalt ID)HHJCHILDIS, HHJKvalitetIS (Arkivnummer)HHJCHILDIS, HHJKvalitetIS (OAI)
Tillgänglig från: 2017-10-18 Skapad: 2017-10-18 Senast uppdaterad: 2018-01-19Bibliografiskt granskad
Nygårdh, A., Neher, M., Broström, A., Nilsen, P. & Johansson, P. (2017). Towards internet-based cognitive behavioural therapy for patients with cardiovascular disease and comorbid depression and insomnia?. European Journal of Cardiovascular Nursing, 16(7), 565-566
Öppna denna publikation i ny flik eller fönster >>Towards internet-based cognitive behavioural therapy for patients with cardiovascular disease and comorbid depression and insomnia?
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2017 (Engelska)Ingår i: European Journal of Cardiovascular Nursing, Vol. 16, nr 7, s. 565-566Artikel i tidskrift, Editorial material (Övrigt vetenskapligt) Published
Ort, förlag, år, upplaga, sidor
Sage Publications, 2017
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:hj:diva-37665 (URN)10.1177/1474515117704101 (DOI)000412103400002 ()28393545 (PubMedID)2-s2.0-85030231648 (Scopus ID)
Tillgänglig från: 2017-10-18 Skapad: 2017-10-18 Senast uppdaterad: 2017-11-21Bibliografiskt granskad
Nygårdh, A., Ahlström, G. & Wann-Hansson, C. (2016). Handling a challenging context: experiences of facilitating evidence-based elderly care. Journal of Nursing Management, 24(2), 201-210
Öppna denna publikation i ny flik eller fönster >>Handling a challenging context: experiences of facilitating evidence-based elderly care
2016 (Engelska)Ingår i: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 24, nr 2, s. 201-210Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aim

To explore improvement facilitators' experiences of handling their commission to implement evidence-based practice in elderly care for frail older persons.

Background

Improvement facilitators were put in place across Sweden in a time-limited project by the government, with one part of the project being to evaluate the model before establishing this facilitation of evidence-based practice in elderly care.

Method

Two focus groups were interviewed twice. Each group comprised three respondents. The interviews were analysed using qualitative content analysis.

Findings

A main theme, ‘Moving forward by adjusting to the circumstances’, described how the improvement facilitators handle their commitment. Five subthemes emerged: identifying barriers, keeping focus, maintaining motivation, building bridges and finding balance.

Conclusion

The improvement facilitators' commitment is ambiguous because of unclear leadership of, and responsibility for the national investment. They have to handle leaders' different approaches and justify the need for evidence-based practice. The improvement facilitators did not reflect on the impact of programme adaptations on evidence-based practice.

Implications for nursing management

The findings emphasise the need for collaboration between the improvement facilitator and the nurse manager. To fully implement evidence-based practice, negotiations with current practitioners for adaptation to local conditions are necessary. Furthermore, the value of improving organisational performance needs to be rigorously communicated throughout the organisation.

Nyckelord
elderly care; evidence-based practice; facilitators; nurse management; quality register
Nationell ämneskategori
Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi
Identifikatorer
urn:nbn:se:hj:diva-28864 (URN)10.1111/jonm.12300 (DOI)000372022600017 ()25882164 (PubMedID)2-s2.0-84928128896 (Scopus ID)
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Tillgänglig från: 2016-01-04 Skapad: 2016-01-04 Senast uppdaterad: 2017-12-01Bibliografiskt granskad
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