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Mårtensson, Jan
Publications (10 of 118) Show all publications
Pettersen, T. R., Mårtensson, J., Axelsson, Å., Jørgensen, M., Strömberg, A., Thompson, D. & Norekvål, T. M. (2018). European cardiovascular nurses' and allied professionals' knowledge and practical skills regarding cardiopulmonary resuscitation.. European Journal of Cardiovascular Nursing, 17(4), 336-344
Open this publication in new window or tab >>European cardiovascular nurses' and allied professionals' knowledge and practical skills regarding cardiopulmonary resuscitation.
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2018 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 17, no 4, p. 336-344Article in journal (Refereed) Published
Abstract [en]

PURPOSE: Cardiopulmonary resuscitation (CPR) remains a cornerstone in the treatment of cardiac arrest, and is directly linked to survival rates. Nurses are often first responders and need to be skilled in the performance of cardiopulmonary resuscitation. As cardiopulmonary resuscitation skills deteriorate rapidly, the purpose of this study was to investigate whether there was an association between participants' cardiopulmonary resuscitation training and their practical cardiopulmonary resuscitation test results.

METHODS: This comparative study was conducted at the 2014 EuroHeartCare meeting in Stavanger ( n=133) and the 2008 Spring Meeting on Cardiovascular Nursing in Malmö ( n=85). Participants performed cardiopulmonary resuscitation for three consecutive minutes CPR training manikins from Laerdal Medical®. Data were collected with a questionnaire on demographics and participants' level of cardiopulmonary resuscitation training.

RESULTS: Most participants were female (78%) nurses (91%) from Nordic countries (77%), whose main role was in nursing practice (63%), and 71% had more than 11 years' experience ( n=218). Participants who conducted cardiopulmonary resuscitation training once a year or more ( n=154) performed better regarding ventilation volume than those who trained less (859 ml vs. 1111 ml, p=0.002). Those who had cardiopulmonary resuscitation training offered at their workplace ( n=161) also performed better regarding ventilation volume (889 ml vs. 1081 ml, p=0.003) and compression rate per minute (100 vs. 91, p=0.04) than those who had not.

CONCLUSION: Our study indicates a positive association between participants' performance on the practical cardiopulmonary resuscitation test and the frequency of cardiopulmonary resuscitation training and whether cardiopulmonary resuscitation training was offered in the workplace. Large ventilation volumes were the most common error at both measuring points.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
Cardiopulmonary resuscitation, cardiovascular nursing, knowledge, skills, sudden cardiac arrest
National Category
Nursing Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:hj:diva-38894 (URN)10.1177/1474515117745298 (DOI)000429799600006 ()29172687 (PubMedID)2-s2.0-85041412792 (Scopus ID)HHJADULTIS (Local ID)HHJADULTIS (Archive number)HHJADULTIS (OAI)
Available from: 2018-02-21 Created: 2018-02-21 Last updated: 2018-07-23Bibliographically approved
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
Open this publication in new window or tab >>Experiences of a health coaching self-management program in patients with COPD: a qualitative content analysis.
2018 (English)In: The International Journal of Chronic Obstructive Pulmonary Disease, ISSN 1176-9106, E-ISSN 1178-2005, Vol. 13, p. 1527-1536Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Dove Medical Press, 2018
Keywords
chronic obstructive pulmonary disease, health coaching, qualitative content analysis, self-management
National Category
Respiratory Medicine and Allergy Nursing
Identifiers
urn:nbn:se:hj:diva-41081 (URN)10.2147/COPD.S161410 (DOI)000432048200001 ()29785102 (PubMedID)2-s2.0-85047080588 (Scopus ID)HHJADULTIS, HHJIMPROVEIS (Local ID)HHJADULTIS, HHJIMPROVEIS (Archive number)HHJADULTIS, HHJIMPROVEIS (OAI)
Available from: 2018-07-31 Created: 2018-07-31 Last updated: 2019-02-18Bibliographically approved
Jiang, N., Zhao, Y., Jansson, H., Chen, X. & Mårtensson, J. (2018). Experiences of xerostomia after radiotherapy in patients with head and neck cancer: A qualitative study. Journal of Clinical Nursing, 27(1-2), e100-e108
Open this publication in new window or tab >>Experiences of xerostomia after radiotherapy in patients with head and neck cancer: A qualitative study
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2018 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 1-2, p. e100-e108Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: To describe the experiences of radiation-induced xerostomia in patients with head and neck cancer.

BACKGROUND: Xerostomia is the most commonly occurring complication during and following radiotherapy. It can persist for several months or years and can have a significant impact on patients' quality of life.

DESIGN: This was a qualitative descriptive study.

METHODS: Semi-structured interviews were conducted with a sample of 20 participants. Inductive content analysis was used to analyse the qualitative data.

RESULTS: Analysis of the manifest content identified five categories: communication problems, physical problems, psychosocial problems, treatment problems and relief strategies. The latent content was formulated into a theme: due to lack of information from professionals, the patients had to find their own solutions for their problems.

CONCLUSIONS: Xerostomia is not only a biophysical symptom but also has a profound effect on the emotional, intellectual and sociocultural dimensions of life. The majority of patients continued to suffer from xerostomia and its associated symptoms after radiotherapy, in part, because of a lack of professional support, including the inability of nurses to provide oral health care.

RELEVANCE TO CLINICAL PRACTICE: Nurses need to be knowledgeable about the effects of radiotherapy on oral mucosa and about appropriate interventions. The healthcare system requires a symptom management platform for radiation-induced complications, to help patients, their families and healthcare professionals obtain information about self-care, treatments and relief strategies.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018
Keywords
cancer, content analysis, oncology nursing, oral care, qualitative study
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-38615 (URN)10.1111/jocn.13879 (DOI)000418871000019 ()28514511 (PubMedID)2-s2.0-85021822353 (Scopus ID)HHJADULTIS, HHJARNIS (Local ID)HHJADULTIS, HHJARNIS (Archive number)HHJADULTIS, HHJARNIS (OAI)
Available from: 2018-01-19 Created: 2018-01-19 Last updated: 2018-01-23Bibliographically approved
Hjelmfors, L., Sandgren, A., Strömberg, A., Mårtensson, J., Jaarsma, T. & Friedrichsen, M. (2018). “I was told that I would not die from heart failure”: Patient perceptions of prognosis communication. Applied Nursing Research, 41, 41-45
Open this publication in new window or tab >>“I was told that I would not die from heart failure”: Patient perceptions of prognosis communication
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2018 (English)In: Applied Nursing Research, ISSN 0897-1897, E-ISSN 1532-8201, Vol. 41, p. 41-45Article in journal (Refereed) Published
Abstract [en]

Aim and objectives

To describe patients’ experiences of communication about their heart failure prognosis and explore how these experiences affected their preferences for future communication about the prognosis.

Background

Professionals need to discuss about the heart failure prognosis with patients in order to improve their understanding of their illness and address palliative care needs.

Methods

An inductive and exploratory design was used. A total of 24 patients (75% men, 52–87 years of age) in New York Heart Association class I-III from primary outpatient care participated in focus group-, or individual semi-structured interviews. Thematic analysis was used to identify and interpret patterns in the data.

Findings

Two overarching themes, “The message sent” and “Hoping for the best or preparing for the worst”, each with three sub-themes, were discovered during the thematic analysis. Many patients described that professionals had not provided them with any prognosis information at all. Other patients described professional information about prognosis that was given in an either very optimistic or very negative way. However, patients also described situations where professionals had given information in a way that they thought was perfect for them to handle, and in accordance with their preferences.

Conclusion

This study shows that patients have different experiences and preferences for communication about prognosis and uses different approaches in order to cope living with a chronic illness such as heart failure. 

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
Communication, Coping, Heart failure, Palliative care, Prognosis
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-40948 (URN)10.1016/j.apnr.2018.03.007 (DOI)000435427100008 ()29853212 (PubMedID)2-s2.0-85044112095 (Scopus ID)
Funder
Swedish Heart Lung Foundation, 20110417
Available from: 2018-07-05 Created: 2018-07-05 Last updated: 2018-07-05Bibliographically approved
Tingsvik, C., Hammarskjöld, F., Mårtensson, J. & Henricson, M. (2018). Patients' lived experience of intensive care when being on mechanical ventilation during the weaning process: A hermeneutic phenomenological study.. Intensive & Critical Care Nursing, 47, 46-53
Open this publication in new window or tab >>Patients' lived experience of intensive care when being on mechanical ventilation during the weaning process: A hermeneutic phenomenological study.
2018 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 47, p. 46-53Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The medical and nursing care of the patient on mechanical ventilation has developed and proceeds in terms of ventilator functions, sedation strategies and patient participation. New data are needed to explore the weaning process from the patients' perspective. Therefore, the aim of this study was to explore the meaning of being a patient on mechanical ventilation during the weaning process in the intensive care unit.

METHODS: This study used van Manen's hermeneutic phenomenological approach. Interviews were conducted, including twenty former intensive care patients from three different hospitals in Sweden.

FINDINGS: Five themes emerged including thirteen related themes; Maintaining human dignity, Accepting the situation, Enduring the difficulties, Inadequate interaction and A sense of unreality. The experiences differed from each other and varied over time, and the same patient expressed both pleasant and unpleasant experiences. Weaning was not a separate experience but intertwined with that of being on mechanical ventilation in the intensive care unit.

CONCLUSIONS: The patient's experiences differ and vary over time, with the same patient expressing various experiences. The favourable experiences were more clearly described, compared to previous research, this might depend on factors related to communication, participation and proximity to healthcare professionals and next-of-kin.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
Hermeneutic phenomenology, Intensive care, Mechanical ventilation, Nursing, Patients, Weaning
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-41003 (URN)10.1016/j.iccn.2018.03.004 (DOI)000436619800008 ()29628332 (PubMedID)2-s2.0-85044926036 (Scopus ID)
Available from: 2018-07-18 Created: 2018-07-18 Last updated: 2018-10-04Bibliographically approved
Lin, C.-Y., Pakpour, A. H., Broström, A., Fridlund, B., Årestedt, K., Strömberg, A., . . . Mårtensson, J. (2018). Psychometric Properties of the 9-item European Heart Failure Self-care Behavior Scale Using Confirmatory Factor Analysis and Rasch Analysis Among Iranian Patients.. Journal of Cardiovascular Nursing, 33(3), 281-288
Open this publication in new window or tab >>Psychometric Properties of the 9-item European Heart Failure Self-care Behavior Scale Using Confirmatory Factor Analysis and Rasch Analysis Among Iranian Patients.
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2018 (English)In: Journal of Cardiovascular Nursing, ISSN 0889-4655, E-ISSN 1550-5049, Vol. 33, no 3, p. 281-288Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The 9-item European Heart Failure Self-Care Behavior scale (EHFScB-9) is a self-reported questionnaire commonly used to capture the self-care behavior of people with heart failure (HF).

OBJECTIVE: The aim of this study was to investigate the EHFScB-9's factorial structure and categorical functioning of the response scale and differential item functioning (DIF) across subpopulations in Iran.

METHODS: Patients with HF (n = 380; 60.5% male; mean [SD] age, 61.7 [9.1] years) participated in this study. The median (interquartile range) of the duration of their HF was 6.0 (2.4-8.8) months. Most of the participants were in New York Heart Association classification II (NYHA II, 61.8%); few of them had left ventricular ejection fraction assessment (11.3%). All participants completed the EHFScB-9. Confirmatory factor analysis was used to test the factorial structure of the EHFScB-9; Rasch analysis was used to analyze categorical functioning and DIF items across 2 characteristics (gender and NYHA).

RESULTS: The 2-factor structure ("adherence to regimen" and "consulting behavior") of the EHFScB-9 was confirmed, and the unidimensionality of each factor was found. Categorical functioning was supported for all items. No items displayed substantial DIF across gender (DIF contrast, -0.25-0.31). Except for item 3 ("Contact doctor or nurse if legs/feet are swollen"; DIF contrast, -0.69), no items displayed substantial DIF across NYHA classes (DIF contrast, -0.40 to 0.47).

CONCLUSIONS: Despite the DIF displayed in 1 item across the NYHA classes, the EHFScB-9 demonstrated sound psychometric properties in patients with HF.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2018
Keywords
confirmatory factor analysis, heart failure, Rasch, self-care behavior scale
National Category
Nursing Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:hj:diva-39222 (URN)10.1097/JCN.0000000000000444 (DOI)000440243400021 ()28858887 (PubMedID)2-s2.0-85045200162 (Scopus ID)HHJADULTIS (Local ID)HHJADULTIS (Archive number)HHJADULTIS (OAI)
Available from: 2018-04-25 Created: 2018-04-25 Last updated: 2018-08-24Bibliographically 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: 2018-07-11Bibliographically approved
Wu, E., Broström, A. & Mårtensson, J. (2018). Undergoing enhanced external counterpulsation treatment - a qualitative study of patients with refractory angina pectoris. European Journal of Cardiovascular Nursing, 17, 12-13
Open this publication in new window or tab >>Undergoing enhanced external counterpulsation treatment - a qualitative study of patients with refractory angina pectoris
2018 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 17, p. 12-13Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
Sage Publications, 2018
National Category
Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:hj:diva-41231 (URN)000440339600020 ()
Available from: 2018-08-24 Created: 2018-08-24 Last updated: 2018-08-24Bibliographically approved
Hjelmfors, L., Strömberg, A., Friedrichsen, M., Sandgren, A., Mårtensson, J. & Jaarsma, T. (2018). Using co-design to develop an intervention to improve communication about the heart failure trajectory and end-of-life care. BMC Palliative Care, 17(1), Article ID 85.
Open this publication in new window or tab >>Using co-design to develop an intervention to improve communication about the heart failure trajectory and end-of-life care
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2018 (English)In: BMC Palliative Care, ISSN 1472-684X, E-ISSN 1472-684X, Vol. 17, no 1, article id 85Article in journal (Refereed) Published
Abstract [en]

Background: The aim of this paper was to describe the development of an intervention that is developed to improve communication about the heart failure (HF) trajectory and end-of-life care. We also present data that provides a first insight in specific areas of feasibility of the intervention.

Methods: Co-design was used and patients, family members and health care professionals were constructive participants in the design process of the intervention. Feasibility of the intervention was tested in two areas; acceptability and limited efficacy.

Results: Two communication tools were designed and evaluated; 1) a Question Prompt List (QPL) for patients and family members and 2) a communication course for professionals which was web -based with one face-to-face training day with simulation. Data on feasibility was collected with questionnaires that were developed for this study, from the 13 participants who completed the course (all nurses). They reported improved knowledge, confidence and skills to discuss the HF trajectory and end-of-life care. The QPL was evaluated to be a useful tool in communication with patients and family members.

Conclusions: In a co-design process, future users identified the need for a QPL and a communication course. These communication tools can be used as a dual intervention to improve communication about the HF trajectory and end-of-life care. The QPL can help patients and families to ask questions about the HF trajectory and end-of-life care. The communication course can prepare the professionals to be knowledgeable, confident and skilled to discuss the questions in the QPL. Before the tools are ready for implementation in clinical practice, further studies testing the feasibility of the intervention are needed, including also patients and their families. 

Place, publisher, year, edition, pages
BioMed Central, 2018
Keywords
Co-design, Communication, End-of-life care, Heart failure, Illness trajectory, User perspective
National Category
Nursing Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:hj:diva-40925 (URN)10.1186/s12904-018-0340-2 (DOI)000435412600001 ()29890974 (PubMedID)2-s2.0-85048548740 (Scopus ID)
Available from: 2018-07-03 Created: 2018-07-03 Last updated: 2018-08-24Bibliographically approved
Hjelmfors, L., Strömberg, A., Friedrichsen, M., Sandgren, A., Mårtensson, J. & Jaarsma, T. (2018). Using co-design to develop an intervention to improve communication about the heart failure trajectory and end-of-life care. European Journal of Cardiovascular Nursing, 17, 23-23
Open this publication in new window or tab >>Using co-design to develop an intervention to improve communication about the heart failure trajectory and end-of-life care
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2018 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 17, p. 23-23Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
Sage Publications, 2018
National Category
Cardiac and Cardiovascular Systems Nursing
Identifiers
urn:nbn:se:hj:diva-41232 (URN)000440339600037 ()
Available from: 2018-08-24 Created: 2018-08-24 Last updated: 2018-08-24Bibliographically approved
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