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Snögren, M., Ek, K., Browall, M., Eriksson, I. & Lindmark, U. (2024). Impacts on oral health attitude and knowledge after completing a digital training module among Swedish healthcare professionals working with older adults. BMC Health Services Research, 24(1), Article ID 174.
Open this publication in new window or tab >>Impacts on oral health attitude and knowledge after completing a digital training module among Swedish healthcare professionals working with older adults
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2024 (English)In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 24, no 1, article id 174Article in journal (Refereed) Published
Abstract [en]

Oral health care is essential, and digital training may influence healthcare professionals’ attitudes to and knowledge of oral health. The aim, therefore, was to evaluate the impact on attitudes to and knowledge of oral health after using a digital training module among Swedish healthcare professionals working within a municipality-run healthcare service for older adults. A secondary aim was to explore the healthcare professionals’ experiences of using the digital module. The study comprised a survey of healthcare professionals (registered nurses (RNs), assistant nurses, and care assistants) caring for older adults in a municipality in Sweden. Pre-post-tests were conducted to evaluate the outcomes for attitudes to and knowledge of oral health and of their experiences of completing the digital training module in oral health. These were statistically explored by comparing differences between the pre-post-tests, while the open-ended questions were analysed with qualitative content analysis. The findings of this study indicate that healthcare professionals had similar perceptions of their attitudes to and knowledge of oral health both before and after the digital training module in oral health. The study also indicates that healthcare professionals experienced that it is easier to perform practical oral health care after completing the digital training. The results also show that healthcare professionals value oral health knowledge and that the digital training module was easy to use and to disseminate knowledge throughout the municipality. The findings have implications for developing, implementing, and promoting healthcare professionals’ attitudes to and knowledge of oral health and in using a digital training module in combination with practical exercises in oral health in municipality health care. 

Place, publisher, year, edition, pages
BioMed Central (BMC), 2024
Keywords
Fundamentals of care, Health care training, Municipality care, Oral health care
National Category
Nursing Dentistry
Identifiers
urn:nbn:se:hj:diva-63641 (URN)10.1186/s12913-024-10639-3 (DOI)001158503100004 ()38326878 (PubMedID)2-s2.0-85184676240 (Scopus ID)GOA;;938518 (Local ID)GOA;;938518 (Archive number)GOA;;938518 (OAI)
Available from: 2024-02-20 Created: 2024-02-20 Last updated: 2024-02-20Bibliographically approved
Zhou, L., Hong, J., Henricson, M., Qin, R., Dai, Y., Enskär, K., . . . Browall, M. (2023). Factors associated with posttraumatic growth among spouses of women diagnosed with gynaecological cancer: A cross-sectional study. Nursing Open, 10(2), 630-640
Open this publication in new window or tab >>Factors associated with posttraumatic growth among spouses of women diagnosed with gynaecological cancer: A cross-sectional study
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2023 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 10, no 2, p. 630-640Article in journal (Refereed) Published
Abstract [en]

Aim: The aim of this study was to explore the factors that are associated with posttraumatic growth among spouses of women diagnosed with gynaecological cancer.

Design: A cross-sectional descriptive study.

Methods: A convenience sample of 312 spouses of women diagnosed with gynaecological cancer was recruited from two comprehensive hospitals in China, from March 2018 to March 2020. Demographic characteristics, cancer-related characteristics, posttraumatic growth, perceived social support and coping were assessed using self-reported questionnaires. Descriptive statistics and multiple linear regression analysis were performed. The methods were guided by the STROBE checklist.

Results: The mean score of posttraumatic growth was 46.7 (standard deviation = 16.7). The associated factors of posttraumatic growth were spouses' age, perceived social support, problem-focused coping, dysfunctional coping (e.g. denial) and cancer treatment received by partners, which accounted for 34% of total posttraumatic growth score.

Patient or public contribution: All participants contributed to the conducting of this study by completing self-reported questionnaires.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
coping, gynaecological cancer, posttraumatic growth, social support, spouses
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-58485 (URN)10.1002/nop2.1329 (DOI)000847429100001 ()36040057 (PubMedID)2-s2.0-85137188454 (Scopus ID)GOA;intsam;831442 (Local ID)GOA;intsam;831442 (Archive number)GOA;intsam;831442 (OAI)
Available from: 2022-09-15 Created: 2022-09-15 Last updated: 2023-04-26Bibliographically approved
Karlsson, A., Pham, N., Olsen, M. F., Lundstedt, D., Smith, F., Browall, M. & Sohlin, M. (2023). Is there an optimal DIBH maneuver in breast cancer radiation therapy?: A pilot study. Paper presented at Annual Meeting of the European-Society-for-Radiotherapy-and-Oncology (ESTRO), MAY 12-16, 2023, Vienna, AUSTRIA. Radiotherapy and Oncology, 182(Supplement 1), S996-S997
Open this publication in new window or tab >>Is there an optimal DIBH maneuver in breast cancer radiation therapy?: A pilot study
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2023 (English)In: Radiotherapy and Oncology, ISSN 0167-8140, E-ISSN 1879-0887, Vol. 182, no Supplement 1, p. S996-S997Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
Elsevier, 2023
National Category
Cancer and Oncology
Identifiers
urn:nbn:se:hj:diva-63067 (URN)001043659002298 ()
Conference
Annual Meeting of the European-Society-for-Radiotherapy-and-Oncology (ESTRO), MAY 12-16, 2023, Vienna, AUSTRIA
Available from: 2023-12-15 Created: 2023-12-15 Last updated: 2024-02-07Bibliographically approved
Snögren, M., Eriksson, I., Browall, M. & Ek, K. (2023). Older adults’ perceptions of oral health and its influence on general health: A deductive direct content analysis. Nordic journal of nursing research, 43(1)
Open this publication in new window or tab >>Older adults’ perceptions of oral health and its influence on general health: A deductive direct content analysis
2023 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 43, no 1Article in journal (Refereed) Published
Abstract [en]

Oral health is a complex issue associated with social and behavioral factors and general health. Therefore, this study aims to explore Swedish older adults’ perceptions of oral health and its influence on general health, based on the World Dental Federation's (FDI) definition and framework of oral health. The study adopted a descriptive qualitative design. Data were collected from semi-structured individual and focus group interviews with older adults (n = 23) and were analyzed with deductive direct content analysis. The study was evaluated using the COnsolidated criteria for REporting Qualitative research (COREQ) checklist. The older adults described the importance of good oral health in the physical, social, emotional, and mental aspects of their daily lives. The findings also indicate that older adults described oral health as multifaceted and agreed with the FDI's definition and framework of oral health. Therefore, the study findings might provide healthcare professionals with new knowledge and further insight into older adults’ perceptions of oral health and its influence on their well-being and general health.

Place, publisher, year, edition, pages
Sage Publications, 2023
Keywords
aged, article, checklist, clinical article, content analysis, controlled study, female, health, human, human experiment, interview, male, perception, qualitative research, wellbeing, deductive direct content analysis, general health, older adults, oral health, oral healthcare
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-58578 (URN)10.1177/20571585221124804 (DOI)2-s2.0-85138283877 (Scopus ID)GOA;;835333 (Local ID)GOA;;835333 (Archive number)GOA;;835333 (OAI)
Available from: 2022-10-03 Created: 2022-10-03 Last updated: 2024-01-15Bibliographically approved
Zhou, L., Stenmarker, M., Henricson, M., Meng, X.-H., Zhang, Y.-X., Hong, J.-F. & Browall, M. (2023). Perceived professional benefits and their associated factors among Chinese registered nurses caring for women diagnosed with gynecological cancer. European Journal of Oncology Nursing, 66, Article ID 102345.
Open this publication in new window or tab >>Perceived professional benefits and their associated factors among Chinese registered nurses caring for women diagnosed with gynecological cancer
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2023 (English)In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 66, article id 102345Article in journal (Refereed) Published
Abstract [en]

Propose

Registered nurses (RNs) are considered to be a major source of professional supportive care for women diagnosed with gynecological cancer (GC). This study described the level of perceived professional benefits and explored association between perceived professional benefits, sense of coherence (SOC), and coping strategies in Chinese RNs caring for women diagnosed with GC.

Method

A cross-sectional survey was employed to collect data using the Nurses' Perceived Professional Benefits Questionnaire (NPPBQ), Sense of coherence scale (SOC-13), and Brief Coping Orientation to Problems Experienced (Brief COPE). The questionnaires were administered to 250 RNs in China. The correlations between NPPBQ, SOC-13, and Brief COPE were evaluated with Pearson's correlation coefficient. Multiple regression analysis was performed to assess the relative contribution of each possible factor in explaining variance in the increased NPPBQ.

Results

Total score for NPPBQ was 142.4 (range 33.0–165.0). SOC, dysfunctional coping strategies, and problem-focused coping strategies were recognized as predictors of RNs' perceived professional benefit, while, emotion-focused coping strategies were not significantly associated with RNs’ perceived professional benefits.

Conclusions

The findings indicate that RNs who have high levels of SOC, dysfunctional coping strategies, and problem-focused coping strategies tend to experience more perceived professional benefit. These findings propose new perspectives for nursing managers to promote RNs' perceived professional benefit by helping RNs to find meaningfulness when caring for women diagnosed with GC, increasing RNs’ communication skills to improve their relationship with patients, and training RNs to use coping strategies effectively.

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
Coping strategies, Gynecological cancer, Perceived professional benefits, Registered nurses, Sense of coherence
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-60256 (URN)10.1016/j.ejon.2023.102345 (DOI)001077807000001 ()37689047 (PubMedID)2-s2.0-85169893327 (Scopus ID)HOA;intsam;1753261 (Local ID)HOA;intsam;1753261 (Archive number)HOA;intsam;1753261 (OAI)
Available from: 2023-04-26 Created: 2023-04-26 Last updated: 2023-10-23Bibliographically approved
Grynne, A., Wångdahl, J., Fristedt, S., Smith, F. & Browall, M. (2023). Women's experience of the health information process involving a digital information tool before commencing radiation therapy for breast cancer: a deductive interview study. BMC Health Services Research, 23(1)
Open this publication in new window or tab >>Women's experience of the health information process involving a digital information tool before commencing radiation therapy for breast cancer: a deductive interview study
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2023 (English)In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 23, no 1Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Individuals undergoing radiation therapy for breast cancer frequently request information before, throughout and after the treatment as a means to reduce distress. Nevertheless, the provision of information to meet individuals needs from their level of health literacy is often overlooked. Thus, individuals information needs are often unmet, leading to reports of discontent. Internet and digital information technology has significantly augmented the available information and changed the way in which persons accesses and comprehends information. As health information is no longer explicitly obtained from healthcare professionals, it is essential to examine the sequences of the health information process in general, and in relation to health literacy. This paper reports on qualitative interviews, targeting women diagnosed with breast cancer who were given access to a health information technology tool, Digi-Do, before commencing radiation therapy, during, and after treatment. METHODS: A qualitative research design, inspired by the integrated health literacy model, was chosen to enable critical reflection by the participating women. Semi-structured interviews were conducted with 15 women with access to a digital information tool, named Digi-Do, in addition to receiving standard information (oral and written) before commencing radiation therapy, during, and after treatment. A deductive thematic analysis process was conducted. RESULTS: The results demonstrate how knowledge, competence, and motivation influence women's experience of the health information process. Three main themes were found: Meeting interactive and personal needs by engaging with health information; Critical recognition of sources of information; and Capability to communicate comprehended health information. The findings reflect the women's experience of the four competencies: to access, understand, appraise, and apply, essential elements of the health information process. CONCLUSIONS: We can conclude that there is a need for tailored digital information tools, such as the Digi-Do, to enable iterative access and use of reliable health information before, during and after the radiation therapy process. The Digi-Do can be seen as a valuable complement to the interpersonal communication with health care professionals, facilitating a better understanding, and enabling iterative access and use of reliable health information before, during and after the radiotherapy treatment. This enhances a sense of preparedness before treatment starts.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Breast cancer, Digital information tool, Health information process, Radiation therapy, Breast Neoplasms, Cognition, Communication, Female, Humans, Qualitative Research, breast tumor, human, interpersonal communication
National Category
Nursing Cancer and Oncology
Identifiers
urn:nbn:se:hj:diva-62255 (URN)10.1186/s12913-023-09837-2 (DOI)001044350100002 ()37559113 (PubMedID)2-s2.0-85167528711 (Scopus ID)GOA;;898164 (Local ID)GOA;;898164 (Archive number)GOA;;898164 (OAI)
Available from: 2023-08-23 Created: 2023-08-23 Last updated: 2023-12-12Bibliographically approved
Ventura, F., Browall, M. & Smith, F. (2022). Beyond effectiveness evaluation: Contributing to the discussion on complexity of digital health interventions with examples from cancer care. Frontiers In Public Health, 10, Article ID 883315.
Open this publication in new window or tab >>Beyond effectiveness evaluation: Contributing to the discussion on complexity of digital health interventions with examples from cancer care
2022 (English)In: Frontiers In Public Health, ISSN 2296-2565, Vol. 10, article id 883315Article in journal (Refereed) Published
Abstract [en]

Digital health interventions (DHIs) have become essential complementary solutions in health care to enhance support and communication at a distance, with evidence of improving patient outcomes. Improving clinical outcomes is a major determinant of success in any health intervention, influencing its funding, development, adoption and implementation in real-world practice. In this article we explore our experiences of developing and testing DHIs to identify and discuss complexity challenges along their intervention research lifecycle. Informed by the case study research approach, we selected three individual DHIs aimed at satisfying the supportive and educational needs of people living with cancer. The Care Expert, the Digi-Do and the Gatapp were underpinned on different complexity frameworks i.e., the Medical Research Council framework and the Non-adoption, Abandonment, Scale-up, Spread and Sustainability framework. This variance on the methodological underpinning was expected to prompt a multifaceted discussion on the complexity dimensions endorsed by each of the frameworks. Our discussion endorses the adoption of mixed-methods research designs, to gather the perspectives of stakeholders and end-users, as well as pragmatic evaluation approaches that value effectiveness outcomes as much as process outcomes. Furthermore, the dissemination and sustainability agenda of DHIs needs to be considered from early-stage development with the inclusion of a business model. This business plan should be worked in partnership with healthcare services, regulatory bodies and industry, aiming to assure the management of the DHI throughout time.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2022
Keywords
interactive health communication technologies, hybrid designs, complex interventions, cancer care, telehealth
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-58328 (URN)10.3389/fpubh.2022.883315 (DOI)000840652500001 ()35968430 (PubMedID)2-s2.0-85136043894 (Scopus ID)GOA;intsam;827144 (Local ID)GOA;intsam;827144 (Archive number)GOA;intsam;827144 (OAI)
Available from: 2022-08-25 Created: 2022-08-25 Last updated: 2023-02-13Bibliographically approved
Smith, F., Browall, M. & Karlsson, A. (2022). Digital in-home training before breath-adapted radiotherapy. Paper presented at Annual Meeting of the European-Society-for-Medical-Oncology (ESMO), SEP 09-13, 2022. Annals of Oncology, 33(7), S1355-S1355
Open this publication in new window or tab >>Digital in-home training before breath-adapted radiotherapy
2022 (English)In: Annals of Oncology, ISSN 0923-7534, E-ISSN 1569-8041, Vol. 33, no 7, p. S1355-S1355Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Deep Inspiration Breath Hold (DIBH) technology is increasingly used with radiation therapy to protect healthy organs from unwanted absorbed dose. Using deep breaths, this technique creates as larger distance between the heart and the chest wall. DIBH has shown good results, but requires a well-prepared, involved patient who has learned the correct breathing technique so that optimal position and breathing patterns can be reproduced during each treatment session. There is no evidence regarding which type of inhalation is optimal or how to best train this. However, a person-centered model for DIBH training has been developed in co-design with relevant stakeholders, and this will be integrated into a digital information and instruction tool enabling training undertaken at home. The purpose of this project is to describe and evaluate a person-centered model to train the most optimal breathing technique for breath-adapted postoperative radiotherapy of women affected by left-sided breast cancer.

Place, publisher, year, edition, pages
Elsevier, 2022
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-59221 (URN)10.1016/j.annonc.2022.07.320 (DOI)000866211602340 ()
Conference
Annual Meeting of the European-Society-for-Medical-Oncology (ESMO), SEP 09-13, 2022
Available from: 2022-12-22 Created: 2022-12-22 Last updated: 2023-02-13Bibliographically approved
Craftman, Å. G., Pakpour, A. H., Calderon, H., Meling, A., Browall, M. & Lundh Hagelin, C. (2022). Home care assistants' attitudes and perceptions of caring for people at the end of life in their homes in Sweden. Health & Social Care in the Community, 30(5), e2648-e2656
Open this publication in new window or tab >>Home care assistants' attitudes and perceptions of caring for people at the end of life in their homes in Sweden
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2022 (English)In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 30, no 5, p. e2648-e2656Article in journal (Refereed) Published
Abstract [en]

The ageing population is increasing worldwide, with older people often having multimorbidity and a need for help with activities and personal care. Home Care Assistants (HCAs) are central to the provision of care in the home. They meet older people approaching the end of life and their relatives. Little is known about HCAs attitudes towards caring for a dying person and how aspects such as education, age, earlier care experiences, care education and experience of caring for dying older people affect their attitudes. The aim was to describe HCAs' attitudes towards the care of dying persons living in their ordinary homes. This cross-sectional study used the Frommelt Attitude Toward Care of the Dying Scale (FATCOD) for data collection during December 2017 and January 2018, and descriptive statistics and regression analysis for data analysis. The participants were HCAs (n = 127, 96% of those eligible) in a municipality in central Sweden. An overall positive attitude was reported. About 32% lacked formal HCA education although 93% had experience of interacting with a dying person. Age, HCA education, internal palliative care education, number of years? experience and previous experience of caring for a dying person were independently associated with HCAs? attitudes. In the multivariate regression analysis, age and years of experience were the only significant predictors of HCAs? attitudes towards caring for dying care recipients. Young employees without HCA education and experience of a dying person might be vulnerable in situations involving caring for a dying person. Communicating about death and dying, forming a relationship with the care recipient and the family, and providing care when a person is dying can be challenging.

Implications: Young employees without HCA education and experience of interacting with a dying person needs to be prepared for the situation. This needs to be considered by stakeholders and social and healthcare organisations.

Place, publisher, year, edition, pages
John Wiley & Sons, 2022
Keywords
death, end-of-life care, Frommelt, home care assistants, questionnaire
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-55520 (URN)10.1111/hsc.13708 (DOI)000741273800001 ()35018690 (PubMedID)2-s2.0-85122677669 (Scopus ID)HOA;;789892 (Local ID)HOA;;789892 (Archive number)HOA;;789892 (OAI)
Available from: 2022-01-12 Created: 2022-01-12 Last updated: 2023-02-13Bibliographically approved
Snögren, M., Pakpour, A. H., Eriksson, I., Stensson, M., Ek, K. & Browall, M. (2022). Psychometric evaluation of a short-form version of the Swedish "Attitudes to and Knowledge of Oral Health" questionnaire. BMC Geriatrics, 22, Article ID 513.
Open this publication in new window or tab >>Psychometric evaluation of a short-form version of the Swedish "Attitudes to and Knowledge of Oral Health" questionnaire
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2022 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 22, article id 513Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Healthcare professionals' attitudes to and knowledge of oral health are fundamental to providing good oral health care to older adults. One instrument that assesses healthcare professionals' attitudes to and knowledge of oral health in a Swedish context is the "Attitudes to and Knowledge of Oral health" (AKO) questionnaire. Two of the three item-groups of the AKO have previously been validated in a Swedish context. However, it is crucial that all three item-groups are validated, and beneficial to design a shorter, easy-to-use questionnaire for healthcare professionals while maintaining adequate integrity of its reliability and validity. Therefore, the present study aims to develop a short-form version of AKO and to secure its psychometric properties.

METHODS: Psychometric evaluation with Classical Test Theory and Item Response Theory to validate and shorten AKO with 611 healthcare professionals from a population of 1159 working in a municipality in an urban area in western Sweden.

RESULTS: Of the original 16 items in the AKO, 13 were shown to warrant retention in the abbreviated/shortened form. These showed acceptable validity and reliability for assessing healthcare professionals' attitudes to and knowledge of oral health.

CONCLUSION: This validated short-form version of AKO shows acceptable validity and reliability after being reduced to 13 items, structured in a 3-part scale. The items are consistent with the total scale, indicating that the internal consistency is acceptable. Future studies should be performed to evaluate AKO in other groups of healthcare professionals, across cultures, languages, and so on, to investigate its use and strengthen its validity and reliability.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2022
Keywords
Attitudes, Healthcare professional, Knowledge, Older adults, Oral health, Oral health care
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Dentistry
Identifiers
urn:nbn:se:hj:diva-57649 (URN)10.1186/s12877-022-03215-z (DOI)000814635400001 ()35733123 (PubMedID)2-s2.0-85132570033 (Scopus ID)GOA;;819440 (Local ID)GOA;;819440 (Archive number)GOA;;819440 (OAI)
Available from: 2022-06-23 Created: 2022-06-23 Last updated: 2023-02-13Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-0976-531X

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