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Jarl, G. & Ramstrand, N. (2018). A model to facilitate implementation of the International Classification of Functioning, Disability and Health into prosthetics and orthotics. Prosthetics and orthotics international, 42(5), 468-475
Open this publication in new window or tab >>A model to facilitate implementation of the International Classification of Functioning, Disability and Health into prosthetics and orthotics
2018 (English)In: Prosthetics and orthotics international, ISSN 0309-3646, E-ISSN 1746-1553, Vol. 42, no 5, p. 468-475Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The International Classification of Functioning, Disability and Health is a classification of human functioning and disability and is based on a biopsychosocial model of health. As such, International Classification of Functioning, Disability and Health seems suitable as a basis for constructing models defining the clinical P&O process. The aim was to use International Classification of Functioning, Disability and Health to facilitate development of such a model. Proposed model: A model, the Prosthetic and Orthotic Process (POP) model, is proposed. The Prosthetic and Orthotic Process model is based on the concepts of the International Classification of Functioning, Disability and Health and comprises four steps in a cycle: (1) Assessment, including the medical history and physical examination of the patient. (2) Goals, specified on four levels including those related to participation, activity, body functions and structures and technical requirements of the device. (3) Intervention, in which the appropriate course of action is determined based on the specified goal and evidence-based practice. (4) Evaluation of outcomes, where the outcomes are assessed and compared to the corresponding goals. After the evaluation of goal fulfilment, the first cycle in the process is complete, and a broad evaluation is now made including overriding questions about the patient's satisfaction with the outcomes and the process. This evaluation will determine if the process should be ended or if another cycle in the process should be initiated.

CONCLUSION: The Prosthetic and Orthotic Process model can provide a common understanding of the P&O process. Concepts of International Classification of Functioning, Disability and Health have been incorporated into the model to facilitate communication with other rehabilitation professionals and encourage a holistic and patient-centred approach in clinical practice. Clinical relevance The Prosthetic and Orthotic Process model can support the implementation of International Classification of Functioning, Disability and Health in P&O practice, thereby providing a common understanding of the P&O process and a common language to facilitate communication with other rehabilitation professionals.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
Orthotics, prosthetics, rehabilitation, International Classification of Functioning, Disability and Health, treatment outcomes
National Category
Other Medical Sciences not elsewhere specified Other Health Sciences Orthopaedics
Identifiers
urn:nbn:se:hj:diva-37429 (URN)10.1177/0309364617729925 (DOI)000444981600001 ()28905670 (PubMedID)2-s2.0-85041903423 (Scopus ID)
Available from: 2017-09-28 Created: 2017-09-28 Last updated: 2019-01-16Bibliographically approved
Fatone, S., Paul, C., Barnett, C. & Ramstrand, N. (2018). Balancing Act: Exploring Clinical, Theoretical, and Evidence-Based Perspectives in the Optimization of Balance using orthoses in Peripheral Neuropathy. Paper presented at 44th Academy Annual Meeting & Scientific Symposium, February 14-17, 2018, New Orleans, Louisiana, USA. Journal of prosthetics and orthotics, 30(2S), Article ID 0S9.
Open this publication in new window or tab >>Balancing Act: Exploring Clinical, Theoretical, and Evidence-Based Perspectives in the Optimization of Balance using orthoses in Peripheral Neuropathy
2018 (English)In: Journal of prosthetics and orthotics, ISSN 1040-8800, E-ISSN 1534-6331, Vol. 30, no 2S, article id 0S9Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
Wolters Kluwer, 2018
National Category
Orthopaedics
Identifiers
urn:nbn:se:hj:diva-42243 (URN)
Conference
44th Academy Annual Meeting & Scientific Symposium, February 14-17, 2018, New Orleans, Louisiana, USA
Available from: 2018-12-07 Created: 2018-12-07 Last updated: 2019-01-14Bibliographically approved
Ramstrand, N. & Möller, S. (2018). Can prostheses and orthoses reduce the demand on higher order cognitive processes during walking?. In: : . Paper presented at The 11th Nordic prosthetist and orthotist conference Copenhagen, Denmark, 6th – 8th September 2018.
Open this publication in new window or tab >>Can prostheses and orthoses reduce the demand on higher order cognitive processes during walking?
2018 (English)Conference paper, Oral presentation with published abstract (Other academic)
National Category
Orthopaedics
Identifiers
urn:nbn:se:hj:diva-42232 (URN)
Conference
The 11th Nordic prosthetist and orthotist conference Copenhagen, Denmark, 6th – 8th September 2018
Available from: 2018-12-07 Created: 2018-12-07 Last updated: 2019-01-14Bibliographically approved
Ramstrand, N. (2018). Clinical outcome measures to evaluate the effects of lower-limb orthotic management post-stroke. In: : . Paper presented at The 11th Nordic prosthetist and orthotist conference Copenhagen, Denmark, 6th – 8th September 2018.
Open this publication in new window or tab >>Clinical outcome measures to evaluate the effects of lower-limb orthotic management post-stroke
2018 (English)Conference paper, Oral presentation with published abstract (Other academic)
Keywords
orthotic device, Stroke, outcome measures
National Category
Orthopaedics
Identifiers
urn:nbn:se:hj:diva-42239 (URN)
Conference
The 11th Nordic prosthetist and orthotist conference Copenhagen, Denmark, 6th – 8th September 2018
Available from: 2018-12-07 Created: 2018-12-07 Last updated: 2019-01-14Bibliographically approved
Ramstrand, N. & Ramstrand, S. (2018). Competency standards for newly graduated prosthetist/orthotists in Sweden. Prosthetics and orthotics international, 42(4), 387-393
Open this publication in new window or tab >>Competency standards for newly graduated prosthetist/orthotists in Sweden
2018 (English)In: Prosthetics and orthotics international, ISSN 0309-3646, E-ISSN 1746-1553, Vol. 42, no 4, p. 387-393Article in journal (Refereed) Published
Abstract [en]

Background:

There are currently no national competency standards upon which to develop educational objectives for prosthetist/orthotists in Sweden. While standards have been developed in other countries, they cannot be applied without confirming their relevance in a Swedish context.

Objectives:

To describe and obtain consensus on core competencies required for newly graduated prosthetist/orthotists in Sweden.

Study design:

Modified Delphi process.

Methods:

A modified Delphi technique was carried out. Focus groups were initially used to identify core competency domains. Two consecutive questionnaires, containing a list of potential competency items, were sent to a group of stakeholders with ties to the prosthetic and orthotic profession. Stakeholders were requested to rate their level of agreement with each competency item and provide written comments. Finally, two focus groups were conducted to obtain feedback on the draft competency standards.

Results:

Forty-four competency items, listed under five key domains of practice, were identified as essential for newly graduated prosthetist/orthotists in Sweden.

Conclusions:

Many similarities exist in core competency descriptions for prosthetist/orthotists in Sweden when compared to other countries. Regional differences do however exist, and it is important to confirm the relevance of core competency items at a national level before they are applied.

Clinical relevance

Competency standards developed in this study can be used to guide development of learning objectives within an undergraduate prosthetic and orthotic program, provide a framework for workforce development, assist professional organizations in understanding the needs of their members, and prepare for international accreditation.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
Prosthetics, orthotics, education, consensus, competency standards, Delphi technique
National Category
Health Sciences
Identifiers
urn:nbn:se:hj:diva-39522 (URN)10.1177/0309364618774056 (DOI)000439608300003 ()29775171 (PubMedID)2-s2.0-85047423176 (Scopus ID)
Available from: 2018-05-24 Created: 2018-05-24 Last updated: 2018-08-23Bibliographically approved
Ramstrand, N. (2018). Considerations for developing an evidenced-based practice in orthotics and prosthetics. In: International Central European ISPO conference 2018, September 20-22, 2018, Portorož, Slovenia: Book of abstracts. Paper presented at International Central European ISPO conference 2018, September 20-22, 2018, Portorož, Slovenia (pp. 54-54).
Open this publication in new window or tab >>Considerations for developing an evidenced-based practice in orthotics and prosthetics
2018 (English)In: International Central European ISPO conference 2018, September 20-22, 2018, Portorož, Slovenia: Book of abstracts, 2018, p. 54-54Conference paper, Oral presentation with published abstract (Refereed)
Keywords
prosthetic and orthotics, evidence based practice
National Category
Orthopaedics
Identifiers
urn:nbn:se:hj:diva-42231 (URN)
Conference
International Central European ISPO conference 2018, September 20-22, 2018, Portorož, Slovenia
Available from: 2018-12-07 Created: 2018-12-07 Last updated: 2019-01-14Bibliographically approved
Ramstrand, N. & Ramstrand, S. (2018). Developing a competence-based core curriculum: a Delphi study. Paper presented at 44th Academy Annual Meeting & Scientific Symposium, February 14-17, 2018, New Orleans, Louisiana, USA. Journal of prosthetics and orthotics, 30(2S), 69-69
Open this publication in new window or tab >>Developing a competence-based core curriculum: a Delphi study
2018 (English)In: Journal of prosthetics and orthotics, ISSN 1040-8800, E-ISSN 1534-6331, Vol. 30, no 2S, p. 69-69Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
Wolters Kluwer, 2018
Keywords
prosthetics and orthotics, education
National Category
Orthopaedics
Identifiers
urn:nbn:se:hj:diva-42241 (URN)10.1097/01.JPO.0000530324.12610.61 (DOI)
Conference
44th Academy Annual Meeting & Scientific Symposium, February 14-17, 2018, New Orleans, Louisiana, USA
Available from: 2018-12-07 Created: 2018-12-07 Last updated: 2019-01-14Bibliographically approved
Larsen, L. B., Elgmark Andersson, E., Tranberg, R. & Ramstrand, N. (2018). Multi-site musculoskeletal pain in Swedish police: associations with discomfort from wearing mandatory equipment and prolonged sitting. International Archives of Occupational and Environmental Health, 91(4), 425--433
Open this publication in new window or tab >>Multi-site musculoskeletal pain in Swedish police: associations with discomfort from wearing mandatory equipment and prolonged sitting
2018 (English)In: International Archives of Occupational and Environmental Health, ISSN 0340-0131, E-ISSN 1432-1246, Vol. 91, no 4, p. 425--433Article in journal (Refereed) Published
Abstract [en]

Purpose: Musculoskeletal disorders are considered as a major issue affecting the health and well-being of active duty police. Discomfort from wearing mandatory equipment and sitting for long periods of time in fleet vehicles are workload factors linked to musculoskeletal disorders in police. This study aims to determine the prevalence of multi-site musculoskeletal pain among Swedish police and to explore the possible association to discomfort experience when wearing mandatory equipment and sitting for long periods in fleet vehicles.

Methods: In this cross-sectional study responses from 4185 police were collected through a self-administered online survey including questions about physical work environment, mandatory equipment and musculoskeletal pain. Multi-site pain was determined through summing pain sites from four body regions. Binomial logistic regression was performed to explore the association between multi-site musculoskeletal pain: (1) discomfort from wearing mandatory equipment and (2) sitting for long periods in fleet vehicles.

Results: The prevalence of multi-site musculoskeletal pain at least 1 day per week within the previous 3 months was 41.3%. A statistically significant association between discomfort from wearing mandatory equipment and multi-site musculoskeletal pain was found; duty belt [OR 5.42 (95% CI 4.56–6.43)] as well as body armour [OR 2.69 (95% CI 2.11–3.42)]. Sitting for long periods in fleet vehicles was not significantly associated to multi-site musculoskeletal pain.

Conclusion: Multi-site musculoskeletal pain is a considerable problem among Swedish police and modifying mandatory equipment to decrease discomfort is suggested as a potential means of decreasing the musculoskeletal pain experienced by many police officers. 

Place, publisher, year, edition, pages
Springer, 2018
Keywords
Body armour, Cross-sectional study, Duty belt, Law enforcement, Multi-site musculoskeletal pain
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:hj:diva-38891 (URN)10.1007/s00420-018-1292-9 (DOI)000430467900006 ()29411113 (PubMedID)2-s2.0-85041609300 (Scopus ID)
Available from: 2018-02-21 Created: 2018-02-21 Last updated: 2018-08-20Bibliographically approved
Sterner, A., Ramstrand, N., Nyström, M., Hagiwara, M. A. & Palmér, L. (2018). Novice nurses' perceptions of acute situations - A phenomenographic study. International Emergency Nursing, 40, 23-28
Open this publication in new window or tab >>Novice nurses' perceptions of acute situations - A phenomenographic study
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2018 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 40, p. 23-28Article in journal (Refereed) Published
Abstract [en]

Background: Today's nurses face complex patient challenges and increased patient acuity. Novice nurses may feel unprepared for some of the tasks facing them. In order to prevent adverse events and improve patient outcomes, the management of acute situations has been identified as an area needing attention. Despite this, it is not yet clear what novice nurses themselves perceive as an acute situation. Therefore, the aim of this study is to describe novice nurses' perceptions of acute situations.

Method: The study has a qualitative, descriptive design with a phenomenographic approach. Semi-structured interviews were conducted with twelve novice nurses, with less than a year of working experience, about their perceptions of acute situations.

Results: Acute situations are perceived as situations that occur suddenly, that involve shortage of time, or that generate a sense of insufficient personal competence. When acute situations arise, nurses experience a feeling of overwhelming responsibility. Acute situations involve not only deteriorating patient health but can also include challenging interpersonal relations or deficiencies in organisational procedures.

Conclusion: An acute situation, as perceived by novice nurses, contains significantly more than medical manifestations related to the patient, a prominent perception being that interpersonal relations are crucial for appropriate management. 

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
adult, human, human relation, nurse, perception, responsibility, semi structured interview
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-38328 (URN)10.1016/j.ienj.2017.12.001 (DOI)000441924600005 ()29269291 (PubMedID)2-s2.0-85038359181 (Scopus ID)
Available from: 2018-01-02 Created: 2018-01-02 Last updated: 2018-09-13Bibliographically approved
Möller, S., Hagberg, K., Samuelsson, K. & Ramstrand, N. (2018). Perceived self-efficacy and specific self-reported outcomes in persons with lower-limb amputation using a non-microprocessor-controlled versus a microprocessor-controlled prosthetic knee. Disability and Rehabilitation: Assistive Technology, 13(3), 220-225
Open this publication in new window or tab >>Perceived self-efficacy and specific self-reported outcomes in persons with lower-limb amputation using a non-microprocessor-controlled versus a microprocessor-controlled prosthetic knee
2018 (English)In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 13, no 3, p. 220-225Article in journal (Refereed) Published
Abstract [en]

Purpose: To measure self-efficacy in a group of individuals who have undergone a lower-limb amputation and investigate the relationship between self-efficacy and prosthetic-specific outcomes including prosthetic use, mobility, amputation-related problems and global health. A second purpose was to examine if differences exist in outcomes based upon the type of prosthetic knee unit being used.

Method: Cross-sectional study using the General Self-Efficacy (GSE) Scale and the Questionnaire for Persons with a Transfemoral Amputation (Q-TFA). Forty-two individuals participated in the study. Twenty-three used a non-microprocessor-controlled prosthetic knee joint (non-MPK) and 19 used a microprocessor-controlled prosthetic knee joint (MPK).

Results: The study sample had quite high GSE scores (32/40). GSE scores were significantly correlated to the Q-TFA prosthetic use, mobility and problem scores. High GSE scores were related to higher levels of prosthetic use, mobility, global scores and negatively related to problem score. No significant difference was observed between individuals using a non-MPK versus MPK joints. Conclusions: Individuals with high self-efficacy used their prosthesis to a higher degree and high self-efficacy was related to higher level of mobility, global scores and fewer problems related to the amputation in individuals who have undergone a lower-limb amputation and were using a non-MPK or MPK knee. Implications for rehabilitationPerceived self-efficacy has has been shown to be related to quality of life, prosthetic mobility and capability as well as social activities in daily life. Prosthetic rehabilitation is primary focusing on physical improvement rather than psychological interventions. More attention should be directed towards the relationship between self-efficacy and prosthetic related outcomes during prosthetic rehabilitation after a lower-limb amputation. 

Place, publisher, year, edition, pages
Taylor & Francis, 2018
Keywords
amputation, prosthetic knee, prosthetic limb, Self-efficacy, trans-femoral amputation
National Category
Orthopaedics
Identifiers
urn:nbn:se:hj:diva-35377 (URN)10.1080/17483107.2017.1306590 (DOI)000438482500002 ()28366038 (PubMedID)2-s2.0-85016483788 (Scopus ID)
Available from: 2017-04-18 Created: 2017-04-18 Last updated: 2019-01-09Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-8994-8786

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