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Publications (10 of 38) Show all publications
Petersson, C., Batalden, P. B., Fritzell, P., Borst, S. & Hedberg, B. (2019). Exploring the meaning of coproduction as described by patients after spinal surgery interventions. Open Nursing Journal, 13, 85-91
Open this publication in new window or tab >>Exploring the meaning of coproduction as described by patients after spinal surgery interventions
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2019 (English)In: Open Nursing Journal, ISSN 1874-4346, E-ISSN 1874-4346, Vol. 13, p. 85-91Article in journal (Refereed) Published
Abstract [en]

Background:

In the procedures of surgical pathways it is important to create opportunities for developing active forms of engagement and extending the patients’ health maintenance knowledge, which is essential in nursing. One way is to understand more about the concept of coproduction.

Objective:

The purpose was to use experiences from spinal surgery patients’ narratives to explore the conceptual model of healthcare service coproduction.

Method:

A prospective qualitative explorative approach was performed and analyzed in two phases with inductive and deductive content analysis of data retrieved from five focus group interviews of 25 patients with experiences from spinal surgery interventions.

Result:

The findings indicate that mutual trust and respect, as well as guidance given in dialogue, are two important domains. An illustration of how to apply the conceptual model of healthcare service coproduction was revealed in the descriptions of the three core concepts co-planning, co-execution and civil discourse.

Conclusion:

This study highlights what is needed to reach coproduction in healthcare services concerning patients with spinal disorders. Development of care plans that focuses on co-planning and co-execution is recommended which are structured and customizable for each patient situation to make coproduction to occur.

Place, publisher, year, edition, pages
Bentham Open, 2019
Keywords
Coproduction, Focus-group interviews, Healthcare service, Qualitative methods, Spinal surgery, Common spine
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-43419 (URN)10.2174/1874434601913010085 (DOI)2-s2.0-85067126348 (Scopus ID)GOA HHJ 2019;HHJIMPROVEIS (Local ID)GOA HHJ 2019;HHJIMPROVEIS (Archive number)GOA HHJ 2019;HHJIMPROVEIS (OAI)
Funder
Futurum - Academy for Health and Care, Jönköping County Council, Sweden
Available from: 2019-04-03 Created: 2019-04-03 Last updated: 2019-06-25Bibliographically approved
Mollerhoj, J., Hedberg, B., Stolan, L. O., Erdner, A., Stahl, K., Riise, J., . . . Rise, M. B. (2019). Scandinavian user perspectives on three-monthly administrations of antipsychotic medication. European psychiatry, 56(Suppl.), S280-S280, Article ID E-PP1162.
Open this publication in new window or tab >>Scandinavian user perspectives on three-monthly administrations of antipsychotic medication
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2019 (English)In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 56, no Suppl., p. S280-S280, article id E-PP1162Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
Elsevier, 2019
National Category
Psychiatry
Identifiers
urn:nbn:se:hj:diva-45341 (URN)000471659000833 ()
Available from: 2019-07-12 Created: 2019-07-12 Last updated: 2019-07-12Bibliographically approved
Hedberg, B., Malm, D., Karlsson, J.-E., Årestedt, K. & Broström, A. (2018). Factors associated with confidence in decision making and satisfaction with risk communication among patients with atrial fibrillation. European Journal of Cardiovascular Nursing, 17(5), 446-455
Open this publication in new window or tab >>Factors associated with confidence in decision making and satisfaction with risk communication among patients with atrial fibrillation
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2018 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 17, no 5, p. 446-455Article in journal (Refereed) Published
Abstract [en]

Background:

Atrial fibrillation is a prevalent cardiac arrhythmia. Effective communication of risks (e.g. stroke risk) and benefits of treatment (e.g. oral anticoagulants) is crucial for the process of shared decision making.

Aim:

The aim of this study was to explore factors associated with confidence in decision making and satisfaction with risk communication after a follow-up visit among patients who three months earlier had visited an emergency room for atrial fibrillation related symptoms.

Methods:

A cross-sectional design was used and 322 patients (34% women), mean age 66.1 years (SD 10.5 years) with atrial fibrillation were included in the south of Sweden. Clinical examinations were done post an atrial fibrillation episode. Self-rating scales for communication (Combined Outcome Measure for Risk Communication and Treatment Decision Making Effectiveness), uncertainty in illness (Mishel Uncertainty in Illness Scale–Community), mastery of daily life (Mastery Scale), depressive symptoms (Hospital Anxiety and Depression Scale) and vitality, physical health and mental health (36-item Short Form Health Survey) were used to collect data.

Results:

Decreased vitality and mastery of daily life, as well as increased uncertainty in illness, were independently associated with lower confidence in decision making. Absence of hypertension and increased uncertainty in illness were independently associated with lower satisfaction with risk communication. Clinical atrial fibrillation variables or depressive symptoms were not associated with satisfaction with confidence in decision making or satisfaction with risk communication. The final models explained 29.1% and 29.5% of the variance in confidence in decision making and satisfaction with risk communication.

Conclusion:

Confidence in decision making is associated with decreased vitality and mastery of daily life, as well as increased uncertainty in illness, while absence of hypertension and increased uncertainty in illness are associated with risk communication satisfaction.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
Atrial fibrillation, decision making, patient-based outcome measure, risk communication
National Category
Cardiac and Cardiovascular Systems Nursing
Identifiers
urn:nbn:se:hj:diva-37870 (URN)10.1177/1474515117741891 (DOI)000433529700008 ()29135285 (PubMedID)2-s2.0-85041497464 (Scopus ID)
Available from: 2017-11-13 Created: 2017-11-13 Last updated: 2018-07-06Bibliographically approved
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
Open this publication in new window or tab >>Patientdelaktighet och medverkan hos vuxna med fysisk ohälsa
2018 (Swedish)In: Delaktighet och patientmedverkan / [ed] Ann Catrine Eldh, Lund: Studentlitteratur AB, 2018, p. 107-138Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2018
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-39636 (URN)9789144113296 (ISBN)
Available from: 2018-05-31 Created: 2018-05-31 Last updated: 2018-05-31Bibliographically approved
Henricson, M., Fridlund, B., Mårtensson, J. & Hedberg, B. (2018). The validation of the Supervision of Thesis Questionnaire (STQ). Nurse Education Today, 65, 11-16
Open this publication in new window or tab >>The validation of the Supervision of Thesis Questionnaire (STQ)
2018 (English)In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 65, p. 11-16Article in journal (Refereed) Published
Abstract [en]

Background: The supervision process is characterized by differences between the supervisors’ and the students’ expectations before the start of writing a bachelor thesis as well as after its completion. A review of the literature did not reveal any scientifically tested questionnaire for evaluating nursing students’ expectations of the supervision process when writing a bachelor thesis.

Objectives: The aim of the study was to determine the construct validity and internal consistency reliability of a questionnaire for measuring nursing students’ expectations of the bachelor thesis supervision process.

Design & Methods: The study had a developmental and methodological design carried out in four steps including construct validity and internal consistency reliability statistical procedures: construction of the items, assessment of face validity, data collection and data analysis.

Settings & Participants: This study was conducted at a university in southern Sweden, where students on the “Nursing student thesis, 15 ECTS” course were consecutively selected for participation. Of the 512 questionnaires distributed, 327 were returned, a response rate of 64%.

Results: Five factors with a total variance of 74% and good communalities, ≥0.64, were extracted from the 10-item STQ. The internal consistency of the 10 items was 0.68. The five factors were labelled: The nature of the supervision process, The supervisor's role as a coach, The students’ progression to self-support, The interaction between students and supervisor and supervisor competence.

Conclusions: A didactic, useful and secure questionnaire measuring nursing students’ expectations of the bachelor thesis supervision process based on three main forms of supervision was created.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
Bachelor thesis, Construct validity, Expectations, Internal consistency, Questionnaire, Supervision, adult, article, data analysis, expectation, face validity, female, human, human experiment, male, nursing student, Sweden, validation process
National Category
Nursing Educational Sciences
Identifiers
urn:nbn:se:hj:diva-38984 (URN)10.1016/j.nedt.2018.02.010 (DOI)000431747100003 ()29522961 (PubMedID)2-s2.0-85042876027 (Scopus ID)
Available from: 2018-03-13 Created: 2018-03-13 Last updated: 2019-03-07Bibliographically approved
Broström, A., Pakpour, A. H., Nilsen, P., Hedberg, B. & Ulander, M. (2018). Validation of CollaboRATE and SURE - two short questionnaires to measure shared decision making during CPAP initiation. Journal of Sleep Research, 28(5), Article ID e12808.
Open this publication in new window or tab >>Validation of CollaboRATE and SURE - two short questionnaires to measure shared decision making during CPAP initiation
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2018 (English)In: Journal of Sleep Research, ISSN 0962-1105, E-ISSN 1365-2869, Vol. 28, no 5, article id e12808Article in journal (Refereed) Published
Abstract [en]

Adherence to continuous positive airway pressure (CPAP) treatment tends to be low. Brief validated instruments focusing on shared decision making have not been used in a CPAP context. The aim was to investigate factorial structure, categorical functioning of the response scale and differential item functioning across sub-populations of the CollaboRATE and Sure questionnaires among patients with obstructive sleep apnea (OSA) before CPAP treatment is initiated. A prospective design, including 193 objectively diagnosed (polygraphy) OSA patients (68% men, 59.7 years, SD 11.5) from two CPAP clinics was used. Data were collected with the following questionnaires; Sure, CollaboRATE, Attitudes to CPAP Inventory, Epworth sleepiness scale, minimal insomnia symptoms scale, and hospital anxiety and depression scale. Objective CPAP use was collected after 6 months; 49% demonstrated decisional conflict on SURE and 51% scored low levels of shared decision making on CollaboRATE. Unidimensionality was found for both CollaboRATE (one factor explaining 57.4%) and SURE (one factor explaining 53.7%), as well as local independence. Differential item functioning showed both to be invariant across both male and female patients. Internal consistency (Cronbach's alpha 0.83) and composite reliability (0.89) were good. Latent class analyses showed that patients with low decisional conflict and high shared decision making were more adherent to CPAP treatment. CollaboRATE and SURE provided good validity and reliability scores to measure shared decision making and decisional conflict in relation to CPAP treatment. The questionnaires can be used by healthcare personnel as a tool to simplify the assessment of shared decision making.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018
Keywords
adherence, continuous positive airway pressure treatment, obstructive sleep apnea, shared decision making, validation
National Category
Neurology
Identifiers
urn:nbn:se:hj:diva-42381 (URN)10.1111/jsr.12808 (DOI)000483715200012 ()30549161 (PubMedID)2-s2.0-85058622729 (Scopus ID)HHJADULTIS, HHJIMPROVEIS (Local ID)HHJADULTIS, HHJIMPROVEIS (Archive number)HHJADULTIS, HHJIMPROVEIS (OAI)
Available from: 2018-12-20 Created: 2018-12-20 Last updated: 2019-10-03Bibliographically approved
Hedberg, B., Nordström, E., Kjellström, S. & Josephson, I. (2018). "We found a solution, sort of”: qualitative interview study with children and parents on their experiences of the coordinated individual plan (CIP) in Sweden. Cogent Medicine, 5(1), Article ID 1428033.
Open this publication in new window or tab >>"We found a solution, sort of”: qualitative interview study with children and parents on their experiences of the coordinated individual plan (CIP) in Sweden
2018 (English)In: Cogent Medicine, ISSN 2331-205X, Vol. 5, no 1, article id 1428033Article in journal (Refereed) Published
Abstract [en]

Children and adolescents receiving services from two professional parties may obtain support with a coordinated individual plan (CIP). The Swedish law prescribes that CIP must incorporate service user participation. This study aims to explore children and parents’ experiences of participating in CIP-process to generate knowledge with practical implications of how children and parents may be involved in the CIP-process. A descriptive qualitative interview study with 13 service users was conducted during November 2014 to March 2016. Data were audio-recorded and transcribed, and further subjected to qualitative content analysis. Three main descriptive categories with six subcategories emerged. The category “Struggle for coordination” includes service users’ need for participation which are limited by professionals’ lack of consensus. The category “Alliance for coordination” points out the importance of relationship and personal support to accomplish functional coordination. The category “Structure for coordination” shows how the structure facilitate service user involvement on a high level. Service user involvement seemed limited by professionals’ actions, but could be facilitated by support of professionals working in the child’s daily life. Structured coordination seems to relieve the pressure on parents, as well as children, but CIP needs to be individually tailored to reach its full potential.

Place, publisher, year, edition, pages
Cogent OA, 2018
Keywords
alliances, children, coordinated individual plans, coordination, service user involvement
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-31222 (URN)10.1080/2331205X.2018.1428033 (DOI)
Note

Included in thesis in its submitted form.

Available from: 2016-08-11 Created: 2016-08-11 Last updated: 2019-01-22Bibliographically approved
Broström, A., Fridlund, B., Hedberg, B., Nilsen, P. & Ulander, M. (2017). Communication between patients with obstructive sleep apnoea syndrome and healthcare personnel during the initial visit to a continuous positive airway pressure clinic. Journal of Clinical Nursing, 26(3-4), 568-577
Open this publication in new window or tab >>Communication between patients with obstructive sleep apnoea syndrome and healthcare personnel during the initial visit to a continuous positive airway pressure clinic
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2017 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 3-4, p. 568-577Article in journal (Refereed) Published
Abstract [en]

Aims and objectives: To describe facilitators and barriers from a patient perspective in communications between patients with obstructive sleep apnoea syndrome and healthcare personnel during the first meeting when continuous positive airway pressure is initiated.

Background: Adherence to continuous positive airway pressure treatment tends to be poor, especially at the initial phase of treatment. Communication between the patient and healthcare personnel has not been studied from the patient perspective, as either a barrier or facilitator for adherence.

Methods: A descriptive design using qualitative content analysis was used. Interviews with 25 patients with obstructive sleep apnoea syndrome took place after their initial visit at four continuous positive airway pressure clinics. A deductive analysis based on The 4 Habits Model (i.e. emphasise the importance of investing in the beginning of the consultation, elicit the patient's perspective, demonstrate empathy and invest in the end of the consultation) was conducted.

Results: Building confidence (i.e. structure building, information transfer, commitment) or hindering confidence (i.e. organisational insufficiency, stress behaviour, interaction deficit) was associated with investing in the beginning. Motivating (i.e. situational insight, knowledge transfer, practical training) or demotivating (i.e. expectations, dominance and power asymmetry, barriers) was associated with eliciting the patient's perspective. Building hope (i.e. awareness, sensitivity, demonstration of understanding) or hindering hope (i.e. unprepared, uncommitted, incomprehension) was associated with showing empathy. Agreement (i.e. confirmation, responsibilities, comprehensive information) or disagreement (i.e. structural obscurity, irresponsibility, absent-mindedness) was associated with investing in the end.

Conclusions: Understanding of facilitators and barriers, as described by patients, can be used to improve contextual conditions and communication skills among healthcare personnel.

Relevance to clinical practice: A patient-centred communication technique should be used in relation to all stages of The 4 Habits Model to facilitate shared decision-making and improve adherence to continuous positive airway pressure treatment.

Place, publisher, year, edition, pages
John Wiley & Sons, 2017
Keywords
Communication, Continuous positive airway pressure, Obstructive sleep apnoea, Shared decision-making
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-34270 (URN)10.1111/jocn.13592 (DOI)000396479700026 ()27685080 (PubMedID)2-s2.0-84997787381 (Scopus ID)
Available from: 2016-12-12 Created: 2016-12-12 Last updated: 2017-04-21
Hedberg, B., Malm, D., Karlsson, J. E., Arestedt, K. A. & Broström, A. (2017). Factors associated with involvement in risk communication and confidence in shared decision making among patients with atrial fibrillation.. Paper presented at EuroHeartCare 2017, 18-20 May 2017, Jönköping, Sweden. European Journal of Cardiovascular Nursing, 16(Suppl. 1), S74-S75
Open this publication in new window or tab >>Factors associated with involvement in risk communication and confidence in shared decision making among patients with atrial fibrillation.
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2017 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 16, no Suppl. 1, p. S74-S75Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Background: Atrial fibrillation (AF) is a highly prevalent arrhythmia. Effective communication of risks (e.g., risk for stroke) and benefits to patients (e.g., treatment with oral anticoagulants) is crucial for shared decision making. Knowledge about how patients experience confidence and satisfaction in communication in relation to their health status is limited.

Aim: The aim was to explore factors associated with involvement in risk communication and confidence in shared decision making among patients with AF.

Method: A cross-sectional design was used and 322 patients (39 % women), mean age 67 years (SD 10.3 years) with AF were included at four hospitals in Sweden. Clinical examinations and self-rating scales for risk communication (COMRADE), uncertainty in illness (MUIS-C), depressive symptoms (HADS), mastery of daily life (MDL), as well as physical and mental health (SF-36) were used to collect data after a follow-up visit at the outpatient clinic 3 months post an AF episode.

Results: Paroxysmal, persistent and permanent AF occurred among 32%, 34% and 7% of the patients, respectively. Patients whom had undergone DC-conversion (53%) and had anticoagulants (37%). Seven percent had been treated by a percutan ablation. Heart failure (15%) and ischemic heart disease (12%) were the most common co-morbidities. CHA2DS2-VASc >2 were seen among 62% of the patients. Overall, multiple regression analyses showed that uncertainty in illness and mastery of daily life were significantly associated with confidence in decisions and uncertainty in illness and hypertension were significantly associated with satisfaction in communication. Higher uncertainty in illness and poorer mastery of daily life were associated with poor confidence in decisions. Higher uncertainty in illness and occurrence of hypertension were associated with poor satisfaction in communication. Clinical AF variables (i.e.,symptom or treatment related) or depressive symptoms were not significantly associated with satisfaction in communication or confidence in decisions in the multiple regression analysis. The final models explained 29% and 30% of the variance in confidence in decision making and satisfaction in communication.

Conclusion: In this cross-sectional study, including patients with AF, confidence in decision making and satisfaction in communication are associated with uncertainty in illness, mastery of daily life and hypertension.

Place, publisher, year, edition, pages
Sage Publications, 2017
National Category
Cardiac and Cardiovascular Systems Nursing
Identifiers
urn:nbn:se:hj:diva-35917 (URN)000401775600126 ()
Conference
EuroHeartCare 2017, 18-20 May 2017, Jönköping, Sweden
Available from: 2017-06-08 Created: 2017-06-08 Last updated: 2017-06-08Bibliographically approved
Nordström, E., Josephson, I., Hedberg, B. & Kjellström, S. (2016). Agenda för samverkan eller verksamhetens agenda? Om professionellas erfarenheter av samverkan enligt samordnad individuell plan (SIP). Socialvetenskaplig tidskrift (1), 37-57
Open this publication in new window or tab >>Agenda för samverkan eller verksamhetens agenda? Om professionellas erfarenheter av samverkan enligt samordnad individuell plan (SIP)
2016 (Swedish)In: Socialvetenskaplig tidskrift, ISSN 1104-1420, no 1, p. 37-57Article in journal (Refereed) Published
Abstract [en]

Agenda for collaboration or an agency agenda? Professionals’ experiences of colla­boration according to a coordinated individual plan (CIP)

An increasing number of children and adolescents develop complex needs that require simultaneous action by different professionals. Several reports state that efforts for these children and adolescents have become increasingly specialized and fragmented. Since 2010, there are statutory requirements for collaboration according to a coordinated individual plan (SIP) between health care and social services. Pre-school and school can after regional agreement be involved in the co-ordination as equal partner. Collaboration in line with CIP is expected to offset the fragmentation for benefit of the service users’ ability to monitor and comprehend interventions. The aim was to investigate professionals’ experiences of CIP. The study consists of qualitative analysis of 12 focus group interviews with a total of 71 staff with different professions in health care, education and social services about their experiences of CIP. The results indicate that the participants act according to their core mission: nurturing, teaching and investigation. Two main categories with four sub-categories each appeared in the analysis. The main category, hindering factors, contains the categories: different mandates and requirements, requirements for presence initiative, questioning and censure, and timelines and prioritization. The main category of facilitating factors contains the categories: similar interpretation of common agreement, mutual respect and shared learning, common terminology and documentation, and willingness to collaborate. The analysis indicate that CIP was perceived as alternating between, on the one hand, a pro-active and service-focused tool, and on the other hand, a competing and compelling professional instrument.

Place, publisher, year, edition, pages
Förbundet för forskning i socialt arbete (FORSA), 2016
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-30943 (URN)
Available from: 2016-06-29 Created: 2016-06-29 Last updated: 2018-09-04Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-3817-4981

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