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  • 1.
    Aaby Orellana, Tanja
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Kirkegaard, Betina
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Sjuksköterskors upplevelser av att implementera personcentrerad omvårdnad i slutenvården: -         En Empirisk Studie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Person-centred care (PCC) is when the person seeking care get’s involved in their care and are seen as more then their illness or ailment. PCC as a concept began in dementia care, but is now the approach that most healthcare institutions strive after. To achieve the improved care that PCC can bring, there is need for a well- planned and clear implementation plan from the management.

    Aim: To describe the nursing staffs experience of implementing person-centred care as a work procedure in inpatient care.

    Method: An inductive qualitative study where eleven interviews was completed. Eight interviews were strategically chosen and a content analysis was carried out.

    Result: There is hope among the participants that implementation will bring a better and safer care, but also concerns about fear of change among the healthcare staff and increased workloads. Participants experience that PCC will place higher demans on the healthcare staff, especially nurses, regarding time, knowledge and communication skills.

    Conclusion: To provide the best care, there has to be dedicated and competent staff who also have the support and understanding from the management. Despite the obstacles that seem to exist, there is a positive spirit among the nurses in relation to the implementation of person-centred care.  There is hope that person-centred care, among other things, will increase participation that could lead to shorter hospital stays and risk of needing to seek care again short after being discharged from the hospital. Ultimately it provides a better care in the whole for the individual person seeking care.

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    Sjuksköterskors upplevelser av att implementera personcentrerad omvårdnad i slutenvården
  • 2.
    Abbas, Ali
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine.
    Påverkan av koffein på blodtryck, flödeshastighet och lumendiameter i arteria carotis communis: En ultraljudsundersökning inom klinisk fysiologi2022Independent thesis Basic level (university diploma), 180 HE creditsStudent thesis
    Abstract [sv]

    Ultraljudsundersökningar av arteria carotis communis (CCA) utförs med ultraljud vid bedömning av kärlförändringar och flödeshastigheter (FH) samt utredning av sjukdomar i CCA. Lumendiameter (LD) i CCA är en markör för riskfaktorer som leder till stroke, hjärtinfarkt och ateroskleros. Syftet med den aktuella studien är att studera om det sker någon vasoaktiv förändring i CCA vid konsumtion av koffein hos unga vuxna. Det var 33 försökspersoner som delades upp i grupper beroende på deras koffeinkonsumtionsvanor och undersöktes med ultraljud. Försökspersonerna hade innan undersökning inte konsumerat koffein på 12 timmar. Undersökningen utfördes innan konsumtion av koffeindryck och 45 minuter efter koffeinkonsumtion. En signifikant skillnad efter konsumtion av koffein påvisades i lågkonsument gruppen (grupp 1) (p.0,06) och högkonsument gruppen (grupp 3) (p=0,05). En positiv korrelation mellan LD innan och efter konsumtion (r=0,955; p <0,01) samt FH innan och efter konsumtion (r=0,393; p <0,01) av koffein kunde påvisas.

    Nyckelord: Carotisduplex, Kaffe, Vasoaktiv, CCA.

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  • 3.
    Abbas, Hassan
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine.
    Huzeirovic, Melisa
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine.
    En jämförelse mellan två sjukdomsgrupper med PET/CT som undersökningsmetod: Beräkning av den totala effektiva dosen från PET- och CT-undersökning2019Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [en]

    Background: Lung cancer and malignant melanoma are diseases investigated by the dual-modality positron emission tomography/computed tomography (PET/CT). There are radiation risks with the examination that can appear as stochastic effects such as cancer. The aim of this study was to compare the radiation doses between the lung cancer group (suspected or verified) and the malignant melanoma group by calculating the total effective radiation dose and to declare the risk with the PET/CT examination. Material and method: The material contained parameters regarding the examination and the sample contained 20 patients from the two groups. The method was retrospective with a quantitative approach. Results: There was a significant difference (p <0,001) between these two groups, were the lung cancer group received 11,95 milliSievert (mSv) and the malignant melanoma group 6,03 mSv and the percentage risk for lethal cancer increased by 0,06% and 0,03%, respectively. Conclusions: The lung cancer group received twice as much effective dose than the malignant melanoma group. However, the effective dose is so low that the risk increase of the lethal cancer is marginal, and the benefit of the examination outweighs the risks.

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    FULLTEXT01
  • 4.
    Abbas, Päivi Maria
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Stockholms stad.
    Kommunala riktlinjer för anhöriganställningar: En kvalitativ innehållsanalys med feministisk teoriansats2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The overall aim was to investigate municipal guidelines for paid dependent care which were available online, i.e. documents regarding situations where a relative is hired to care for a next-to-kin. The overall aim has been built on the following three research questions regarding how municipalities describe: 1) which situations qualify for paid dependent care, 2) how the elderly person’s needs are met in case of paid dependent care and 3) how the dependent caregivers’ rights and well-being are ensured?

    There is no legal basis for demanding cash-for-care setting, and the local self-government determines whether the municipality offers this form of care. Recently, paid dependent care has been restricted and banned in several Swedish municipalities, and according to some statistics paid dependent care is allowed in 55–65 % of the Swedish municipalities. It is mostly women of foreign origin who are dependent caregivers nowadays, and feminist care research and the media lift up cash-for-care settings as a trap for women and for migrant integration.

    The study included guidelines from a total of 21 municipalities, which were analyzed using qualitative content analysis according to Elo & Kyngäs (2007). The guidelines analysed were found from the websites of Sweden's 121 medium and large municipalities (more than 20 000 inhabitants). The results were processed using feminist theory (Hirdman 2012).

    The results show that overall there are few guidelines available in Sweden's municipalities and that the regulations differ in the different municipalities’ guidelines. The guidelines that are available often contain general or vague descriptions. One conclusion is therefore that many municipalities ensure their own discretion and prevail through vague and general rules in their guidelines. From a feminist perspective, these different municipal policies create unfair structures and differences in conditions and terms for the elderly and their family caregivers regarding cash-for-care settings. Finally, the result shows that the few detailed descriptions prioritize elder people's rights over their caregivers'. Ensuring the paid dependent caregivers’ rights is mainly described to be done by checking and controlling them. In other words, the paid dependent caregivers are often invisible in the guidelines, are often regarded as pseudo-employees and therefore fall between the cracks in terms of their need for support (Sand 2010).

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    Abbas, P.M. (2016)
  • 5.
    Abdilsalam, Ansam
    et al.
    Jönköping University, School of Health and Welfare. inget.
    Alsehnawi, Hanan
    Jönköping University, School of Health and Welfare. inget.
    Samband mellan cigarettrökning och förekomst av parodontit hos vuxna: Allmän litteraturstudie2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Det finns ett starkt samband mellan cigarrettrökning och förekomst av parodontit. Parodontit är dosberoende och minskning av cigarrettrökning eller tobaksstopp har potential att förhindra utveckling av parodontit samt fortsatt progression av redan existerande parodontit.  

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  • 6.
    Abdiqadir Salad, Amal
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Pedersen, Ida Marie Palmgren
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Exploring Transtibial Prosthesis User’s Satisfaction and Experiences regarding the Appearance of their Cosmesis: A Qualitative Study2021Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [en]

    Background: Cosmesis has been found to have an impact on prosthesis users' body image. Therefore the satisfaction of the cosmesis plays an essential role in a prosthesis user perception of themselves. Most cosmeses on the market are natural-looking, although more futuristic options are coming to the market. Most of the previous evidence has been conducted using quantitative methods. There is a lack of research investigating the experiences of cosmesis in transtibial prosthesis users through qualitative methods. This is expected to elucidate potentially undiscovered areas and factors surrounding patient satisfaction. 

    Purpose: The aim of this thesis is to explore transtibial prosthesis user's satisfaction with the appearance of their cosmesis and gain a deeper understanding of their experiences regarding cosmeses. 

    Methods: The method in this thesis is a qualitative phenomenology approach with an interpretivist view. The experiences of 5 male transtibial users regarding their cosmesis and satisfaction towards it were explored. This was done by having in-depth semi-structured interviews that were analyzed with thematic analysis. 

    Results: The results five main themes arrived: Satisfaction, Natural-looking cosmesis, Function, Difficulties with the material, and Awareness. The results of these themes showed that the participants have different experiences regarding cosmesis. 

    Conclusion: This thesis found a variation regarding satisfaction of the appearance among unilateral transtibial prosthesis users. Similarities in satisfaction and experience were found in the respective age groups of the participants. However, due to saturation not being fully reached, there should be further investigations. 

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  • 7.
    Abdirahman, Seynab
    et al.
    Jönköping University, School of Health and Welfare.
    Ahmed Mohamed, Fatma
    Jönköping University, School of Health and Welfare.
    Sjuksköterskors upplevelser av att vårda patienter med olika kulturella bakgrunder: En litteraturöversikt av kvalitativa artiklar2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In connection with increased globalization, multicultural societieslead to more transcultural care encounters. The multicultural world makes itnecessary for nurses to plan a care based on transcultural nursing. Previous researchshows that nurses lack cultural competence. By acquiring cultural competence,nurses can provide better care for the care recipient that has a different culturalbackground.Aim: To describe nurses' experiences of caring for patients with different culturalbackgrounds.Method: Qualitative method with inductive approach. Article searches wereconducted in CINAHL, MEDLINE and PsycInfo. After quality review, 13 articlesremained which were compiled in a matrix. The articles were analyzed using Friberg'sanalysis model.Results: Three main categories emerged in the results. The first main category ischallenges in communication with subcategories language barriers and nursesexperiences of interpreters use. The second main category is challenges in nursingwork with subcategories cultural differences, prejudices and uncertainty and lowerquality nursing. Third main category is organizational aspects with subcategoriesneed for knowledge and resources and the importance of routines. The results shownurses' challenges in transcultural care meetings. Nurses express a need to getresources such as an interpreter and knowledge in transcultural nursing.Conclusions: Transcultural care encounters are characterized by difficulties due tolanguage barriers and cultural differences. The lack of cultural competency affects the quality of care when meeting patients with different cultural backgrounds.

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  • 8.
    Abdulhasan Looli, Intisar
    Jönköping University, School of Health and Welfare, HHJ, Department of Odontology and Oral Health Science.
    Oral hälsa hos barn och ungdomar med Downs syndrom: En litteraturstudie2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The aim of this literature study was to investigate oral health in children and adolescents with Down syndrome.

    Method: The study is a general literature study where the searches were carried out in the databases CINAHL, MEDLINE and Dentistry & oral sciences source (DOSS). Scientific articles that responded to the purpose of the study were selected based on inclusion and exclusion criteria and relevant keywords. Results: A total of 22 quantitative studies were reviewed which showed that children and adolescents with Down syndrome had poorer oral hygiene, more oral diseases and malocclusions compared to children and adolescents without Down syndrome. The reported oral diseases/conditions were caries, gingivitis, periodontitis, oral candidosis, malocclusions, attrition, agenesis and dental erosion. Risk factors that can influence the development of oral diseases and malocclusions, for example, oral hygiene habits and oral motor factors. Conclusion: Children and young people with Down syndrome have an increased risk of suffering from oral diseases and malocclusions. Through increased knowledge about the oral health of children and young people with Down syndrome, dental hygienists can work preventively and motivate support and care for this risk group.

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    Oral hälsa hos barn och ungdomar med Downs syndrom
  • 9.
    Abellan, Antonio
    et al.
    Centre for Human and Social Sciences, Spanish National Research Council, Madrid, Spain.
    Perez, Julio
    Centre for Human and Social Sciences, Spanish National Research Council, Madrid, Spain.
    Pujol, Rogelio
    Centre for Human and Social Sciences, Spanish National Research Council, Madrid, Spain.
    Sundström, Gerdt
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue).
    Jegermalm, Magnus
    School of Education, Health and Social Studies, Dalarna University, Falun, Sweden.
    Malmberg, Bo
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Partner care, gender equality, and ageing in Spain and Sweden2017In: International Journal of Ageing and Later Life, E-ISSN 1652-8670, Vol. 11, no 1, p. 69-89Article in journal (Refereed)
    Abstract [en]

    We used national surveys to study how older persons’ changing household patterns influence the gender balance of caregiving in two countries with distinct household structures and cultures, Spain and Sweden. In both countries, men and women provide care equally often for their partner in couple-only households. This has become the most common household type among older persons in Spain and prevails altogether in Sweden. This challenges the traditional dominance of young or middle-aged women as primary caregivers in Spain. In Sweden, many caregivers are old themselves. We focus attention to partners as caregivers and the consequences of changing household structures for caregiving, which may be on the way to gender equality in both countries, with implications for families and for the public services.

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  • 10. Abellán, Antonio
    et al.
    Ayala, Alba
    Pérez, Julio
    Pujol, Rogelio
    Sundström, Gerdt
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue). Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Ramos, María
    The new carers2018In: Ageing and care: How will we live and care for ourselves when we get old?, Palma: Observatorio Sociale de "la caxia" , 2018, p. 25-31Chapter in book (Other academic)
    Abstract [en]

    Usually it is women who take care of family members in the home, but with age, gender differences become less pronounced and, from 80 years onwards, there are more men caring for a family member – generally their partner – than women. Social and demographic changes are presenting new challenges for public services. In particular, in two-person households with elderly inhabitants, one of whom is dependent, it is necessary to tackle not only the needs of the dependent partner but also those of the carer partner. For this reason, carer support programmes are needed.

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  • 11.
    Abelsson, Anna
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Anxiety caused by simulated prehospital emergency care2019In: Clinical Simulation in Nursing, ISSN 1876-1399, E-ISSN 1876-1402, Vol. 29, p. 24-28Article in journal (Refereed)
    Abstract [en]

    During the simulation, participants experience different degrees of stress and anxiety. It could be described as “Anxiety is like perpetually hearing the enemy music but never seeing the threat”. This study aimed to describe the Emergency Medical Services personnel's feelings of anxiety during simulation. The study had a qualitative design with interviews of 28 participants. The data were analyzed using content analysis. The result shows how the simulation could be perceived as a stage performance in the form of a theatre. The perceived acting was unpleasant and embarrassing due to unfamiliarity to perform. To be scrutinized meant having spectators reviewing ones' performance. It was considered more natural to care for actors than manikins. The interaction and connection with a human, even unconscious, were more natural. To care for a human did not require the imagination to empathize in the simulation.

  • 12.
    Abelsson, Anna
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Att ansvara för en annan människas liv2013Conference paper (Other (popular science, discussion, etc.))
  • 13.
    Abelsson, Anna
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Att bedöma patienter utsatta för trauma2013Conference paper (Other academic)
  • 14.
    Abelsson, Anna
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Att träna på en patient som går att starta om2015Conference paper (Other academic)
  • 15.
    Abelsson, Anna
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Being responsible for the life of another human being2017In: Disaster and Emergency Medicine Journal, ISSN 2451–4691, Vol. 2, no 4, p. 164-166Article in journal (Refereed)
    Abstract [en]

    A common feature of prehospital emergency care are short and fragmentary patient encounters with in­creased demands for efficient and rapid treatment. Crucial decisions are often made, based on the premise of the ambulance staff`s ability to capture the situation instantaneously. The assessment is, therefore, a pre-requisite for decisions about appropriate actions. However, a low exposure to severe trauma cases leads to vulnerability for the ambulance staff, which makes the assessment more difficult. Assessment of severe trauma patients at the scene of accident is difficult and complicated. No trauma scenarios are alike and practical skills, training, and feedback are therefore necessary.

  • 16.
    Abelsson, Anna
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Bringing your simulation into an attractive scientific program - Without the need for research data2017Conference paper (Refereed)
  • 17.
    Abelsson, Anna
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Den specialistutbildade ambulanssjuksköterskans uppfattning av att bedöma patienter utsatta för svårt trauma2013Conference paper (Other academic)
  • 18.
    Abelsson, Anna
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Developing ethical competence among students in nurse specialist programs2014Conference paper (Other academic)
  • 19.
    Abelsson, Anna
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Dom ser döda ut allihop: Att våga fatta svåra beslut2015In: Samverkan 112, ISSN 1650-7487, Vol. AprilArticle in journal (Other academic)
  • 20.
    Abelsson, Anna
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    First response emergency care - experiences described by firefighters2019In: International Journal of Emergency Services, ISSN 2047-0894, E-ISSN 2047-0908, Vol. 8, p. 247-258Article in journal (Refereed)
    Abstract [en]

    Purpose – The purpose of this paper was to describe firefighters’ experiences of First Response Emergency Care.

    Design/methodology/approach – An explorative descriptive design with a qualitative approach. Data was collected through group interviews of 35 firefighters and subjected to qualitative content analysis.

    Findings – The results showed that the firefighters’ professional role and their uniform serve as protection against mentally strenuous situations. It is important to protect the dignity of the injured or dead, as well as to protect and safeguard colleagues from the experience of the tragedy of an accident. Having a solid and sterling medical education gives a sense of security when providing emergency care, as well as when caring for the relatives. Debriefing brings thoughts and feelings to the surface for processing and closure. The sense of sadness lingers for those they were unable to save, or the ones that had been dead on arrival or were forgotten.

    Originality/value – A firefighter’s work situation is exposed and stressful. The firefighter’s uniform as a mental barrier, colleagues, time to mentally prepare and being allowed to show feelings are factors all needed to cope. It is therefore important to encourage, promote and strengthen the protective role of camaraderie for the firefighter, which can likely be emphasized for other uniform-wearing professions such as police, military and ambulance personell. Being acknowledged for their contribution to other peoples’ lives and wellbeing can confirm the firefighters’ importance.

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  • 21.
    Abelsson, Anna
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013).
    Full scale pre-hospital care scenario: Prehsopital workshop2015Conference paper (Refereed)
  • 22.
    Abelsson, Anna
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Kan man se blod i mörkret?2017Conference paper (Other (popular science, discussion, etc.))
  • 23.
    Abelsson, Anna
    Department of Health Sciences, Karlstad University, Sweden.
    Learning through simulation2017In: Disaster and Emergency Medicine Journal, ISSN 2451–4691, Vol. 2, no 3, p. 125-128Article in journal (Refereed)
    Abstract [en]

    With simulation, caregivers are given the opportunity to improve their knowledge and skills. With simulation, both theoretical and practical knowledge is taught. With the experiences that simulation creates, critical thinking and better care are developed. Learning through simulation complements the learning that takes place in everyday work and can have a positive effect of the advances of the care profession. The purpose of simulation may vary and different learning theories are used, both based on learning objectives and the purpose of the simulation. The experience gained from simulation prepares caregivers on how similar complex situations can be handled in the future.

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  • 24.
    Abelsson, Anna
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Mapping the use of simulation in prehospital care2013Conference paper (Refereed)
  • 25.
    Abelsson, Anna
    Department of Health Sciences, Karlstad University, Sweden.
    Medical tattoos impact on CPR decisions2017In: Disaster and Emergency Medicine Journal, ISSN 2451-4691, Vol. 2, no 3, p. 140-141Article in journal (Other academic)
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  • 26.
    Abelsson, Anna
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013).
    Nästa gång du hör sirener vill jag att du skall tänka på mig2014In: Vård i fokus, ISSN 0781-495X, Vol. 1Article in journal (Other academic)
  • 27.
    Abelsson, Anna
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Prehospital simulation differs from others: Prehospital workshop2015Conference paper (Refereed)
  • 28.
    Abelsson, Anna
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013).
    Prehospital simulering2014Conference paper (Other academic)
  • 29.
    Abelsson, Anna
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Simulering i ambulanssjukvården2013Conference paper (Other academic)
  • 30.
    Abelsson, Anna
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Simulering som lärande inom prehospital akutsjukvård2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of the research was to deepen the understanding of learning through simulation in prehospital emergency care.

    Method: In this research, qualitative and quantitative methods are used as well as integrative literature studies (I, II). Qualitative data from the interview studies (III, V) were analyzed by phenomenographic methodology. Quantitative data from the intervention study (IV) were analyzed using descriptive and analytical statistics.

    Results: Research on simulation and learning within the prehospital trauma care context is relatively rare (I). Simulation of realistic scenarios where the caregivers are exposed to stress contributes to strengthen caregiver knowledge, skills and experience (II). Caregivers request simulation opportunities regarding critical and emergency situations (III). They describe that learning through regular simulation provides in-depth knowledge and skills in the care of a patient exposed to high-energy trauma (V). Interventions with repeated simulation opportunities related to the care of the patient exposed to high-energy trauma give some improvement in care provided at the site of the accident (IV).

    Conclusion: Through simulation, the caregivers develop knowledge and skills and receive enhanced confidence in the care of an injured and sick patient. The research suggests several areas with potential for improvement with regard to the care of patients exposed to high-energy trauma. A model has been developed for systematic trauma simulation.

     

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  • 31.
    Abelsson, Anna
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013).
    Simulering som pedagogisk metod: ett sätt att träna olika patientsituationer2015Conference paper (Refereed)
  • 32.
    Abelsson, Anna
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Så räddar du liv2014Conference paper (Other (popular science, discussion, etc.))
  • 33.
    Abelsson, Anna
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    The case of the women with the broken heart2018In: Disaster and Emergency Medicine Journal, ISSN 2451-4691, Vol. 3, no 2, p. 67-68Article in journal (Refereed)
    Abstract [en]

    Takotsubo can be detected as a kindred disease, predominantly affecting post-menopausal women. By correctly identifying these patients as having an acute heart failure syndrome, the outcome can be favorable.

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  • 34.
    Abelsson, Anna
    Karlstads universitet, Institutionen för hälsovetenskaper.
    The simulation used in prehospital care2013Conference paper (Refereed)
  • 35.
    Abelsson, Anna
    Karlstads universitet, Institutionen för hälsovetenskaper.
    To optimize prehospital CPR- performed by fire fighters2015Conference paper (Refereed)
  • 36.
    Abelsson, Anna
    Karlstads universitet, Institutionen för hälsovetenskaper.
    What do we need to train the ambulance staff in and how can we train them?2014In: Workshop vid Society in Europe for Simulation Applied to Medicine, Pre-Hospital Special Interest Group Pre-Conference Course., 2014Conference paper (Refereed)
  • 37.
    Abelsson, Anna
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Öppet samtal mellan Sveriges prehospitala doktorander och representanter för nationell prehospital forskning2013Conference paper (Other (popular science, discussion, etc.))
  • 38.
    Abelsson, Anna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Appelgren, Jari
    Karlstad University.
    Axelsson, Christer
    University of Borås.
    Enhanced self-assessment of CPR by low-dose, high-frequency training2021In: International Journal of Emergency Services, ISSN 2047-0894, E-ISSN 2047-0908, Vol. 10, no 1, p. 93-100Article in journal (Refereed)
    Abstract [en]

    Purpose - The purpose was to investigate what effect an intervention of low-dose, highfrequencycardiopulmonary resuscitation (CPR) training with feedback for one month wouldhave on professionals’ subjective self-assessment skill of CPR.

    Design/methodology/approach - This study had a quantitative approach. In total, 38firefighters performed CPR for two minutes on a Resusci Anne QCPR. They then self-assessedtheir CPR through four multiple-choice questions regarding compression rate, depth, recoil, andventilation volume. After one month of low-dose, high-frequency training with visual feedback,the firefighters once more performed CPR and self-assessed their CPR.

    Findings - With one month of low-dose, high-frequency training with visual feedback, the levelof self-assessment was; 87% (n=33) correct self-assessment of compression rate, 95% (n=36)correct self-assessment of compression depth, 68% (n=26) correct self-assessment of recoil and87% (n=33) correct self-assessment of ventilations volume. The result shows a reduced numberof firefighters who overestimate their ability to perform CPR.

    Originality/value - With low-dose, high-frequency CPR training with visual feedback for amonth, the firefighters develop a good ability to self-assess their CPR to be performed withinthe guidelines. By improving their ability to self-assess their CPR quality, firefighters can selfregulatetheir compression and ventilation quality.

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  • 39.
    Abelsson, Anna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Appelgren, Jari
    Faculty of Arts and Social Sciences, Karlstad University, Karlstad, Sweden.
    Axelsson, Christer
    Prehospen – Centre for Prehospital Research, University of Borås, Borås, Sweden.
    Low-dose, high-frequency CPR training with feedback for firefighters2019In: International Journal of Emergency Services, ISSN 2047-0894, E-ISSN 2047-0908, Vol. 8, no 1, p. 64-72Article in journal (Refereed)
    Abstract [en]

    Purpose

    The purpose of this paper is to investigate the effects of the intervention of low-dose, high-frequency cardiopulmonary resuscitation (CPR) training with feedback for firefighters for one month.

    Design/methodology/approach

    The study had a quantitative approach. Data were collected through an intervention by means of simulation. The data collection consisted of a pre- and post-assessment of 38 firefighter’s CPR performance.

    Findings

    There was a statistically significant improvement from pre- to post-assessment regarding participants’ compression rates. Compression depth increased statistically significantly to average 2 mm too deep in the group. Recoil decreased in the group with an average of 1 mm for the better. There was a statistically significant improvement in participants’ ventilation volume from pre- to post-assessment.

    Originality/value

    Prehospital staff such as firefighters, police, and ambulance perform CPR under less than optimal circumstances. It is therefore of the utmost importance that these professionals are trained in the best possible way. The result of this study shows that low-dose, high-frequency CPR training with an average of six training sessions per month improves ventilation volume, compression depth, rate, and recoil. This study concludes that objective feedback during training enhances the firefighters’ CPR skills which in turn also could be applied to police and ambulance CPR training.

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  • 40.
    Abelsson, Anna
    et al.
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Bisholt, Birgitta
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Nurse students learning acute care by simulation: Focus on observation and debriefing2017In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 24, p. 6-13Article in journal (Refereed)
    Abstract [en]

    Introduction:

    Simulation creates the possibility to experience acute situations during nursing education which cannot easily be achieved in clinical settings.

    Aim:

    To describe how nursing students learn acute care of patients through simulation exercises, based on observation and debriefing.

    Design:

    The study was designed as an observational study inspired by an ethnographic approach.

    Method:

    Data was collected through observations and interviews. Data was analyzed using an interpretive qualitative content analysis.

    Results:

    Nursing students created space for reflection when needed. There was a positive learning situation when suitable patient scenarios were presented. Observations and discussions with peers gave the students opportunities to identify their own need for knowledge, while also identifying existing knowledge. Reflections could confirm or reject their preparedness for clinical practice. The importance of working in a structured manner in acute care situations became apparent. However, negative feedback to peers was avoided, which led to a loss of learning opportunity.

    Conclusion:

    High fidelity simulation training as a method plays an important part in the nursing students' learning. The teacher also plays a key role by asking difficult questions and guiding students towards accurate knowledge. This makes it possible for the students to close knowledge gaps, leading to improved patient safety.

  • 41.
    Abelsson, Anna
    et al.
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Blomberg, Ann-Catrin
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013).
    Rörelsen mellan teori och praxis2013In: Vård i fokus, ISSN 0781-495X, no 2, p. 26-28Article in journal (Other academic)
  • 42.
    Abelsson, Anna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Falk, P.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Surgical and Intensive care Clinics, Värnamo County Hospital, Region Jönköping county, Sweden.
    Sundberg, B.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Surgical and Intensive care Clinics, Ryhov County Hospital, Region Jönköping county, Sweden.
    Nygårdh, Annette
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Empowerment in the perioperative dialog2021In: Nursing Open, E-ISSN 2054-1058, Vol. 8, no 1, p. 96-103Article in journal (Refereed)
    Abstract [en]

    Aim: To describe how the nurse anaesthetist empowers the patient in the perioperative dialogue. Design: A qualitative descriptive design with interviews with 12 nurse anaesthetist (NA). Method: A hermeneutic text interpretation with a foundation in Gibson's empowerment model. Result: The results highlight Gibson's nursing domain: Helper, Supporter, Counsellor, Educator, Resource Consultant, Resource Mobilizer, Facilitator, Enabler and Advocate. The overall understanding is revealed as a relationship can be built through closeness between the patient and the NA. The NA helps the patient master the situation by talking to and touching the patient. The patient is helped to find their own strengths and to cope with their fears. The patients decide over their own bodies. When the patients do not want to or cope with protecting themselves, the NA protects and represents the patient.

  • 43.
    Abelsson, Anna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Gustafsson, Marcus
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Petersèn, Christina
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Knutsson, Susanne
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. CHILD. Department of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, Växjö, Sweden.
    Physical stress triggers in simulated emergency care situations2021In: Nursing Open, E-ISSN 2054-1058, Vol. 8, no 1, p. 156-162Article in journal (Refereed)
    Abstract [en]

    Aim

    To practise emergency care situations during the education can be stressful. The aim of this study is to identify factors that cause stress in simulated emergency care.

    Design

    A descriptive observational study.

    Methods

    Video recordings (N = 26) subjected to observation with written field notes in turn subjected to interpretive qualitative content analysis.

    Results

    To assess the patient's condition and decide what measures to take trigger stress reactions. If the students failed to connect the correct and relevant information in the conversation with the physician, the students showed signs of stress. Also, to calculate medication dosages stress the students.

  • 44.
    Abelsson, Anna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Nursing Science.
    Gwinnutt, Carl
    Resuscitation Council (UK), London, UK.
    Greig, Paul
    Department of Anaesthetics, Guy’s and St Thomas’s NHS Foundation Trust, London, UK.
    Smart, Jonathan
    Innosonian Europe, Farnborough, Hampshire, UK.
    Mackie, Kevin
    Resuscitation Council (UK), London, UK.
    Validating peer-led assessments of CPR performance2020In: Resuscitation Plus, E-ISSN 2666-5204, Vol. 3, article id 100022Article in journal (Refereed)
    Abstract [en]

    Background

    A patient’s survival from cardiac arrest is improved if they receive good quality chest compressions as soon as possible. During cardiopulmonary resuscitation (CPR) training subjective assessments of chest compression quality is still common. Recently manikins allowing objective assessment have demonstrated a degree of variance with Instructor assessment. The aim of this study was to compare peer-led subjective assessment of chest compressions in three groups of participants with objective data from a manikin.

    Method

    This was a quantitative multi-center study using data from simulated CPR scenarios. Seventy-eight Instructors were recruited, from different backgrounds; lay persons, hospital staff and emergency services personnel. Each group consisted of 13 pairs and all performed 2 ​min of chest compressions contemporaneously by peers and manikin (Brayden PRO®). The primary hypothesis was subjective and objective assessment methods would produce different test outcomes.

    Results

    13,227 chest compressions were assessed. The overall median score given by the manikin was 88.5% (interquartile range 71.75–95), versus 92% (interquartile range 86.75–98) by observers. There was poor correlation in scores between assessment methods (Kappa −0.051 – +0.07). Individual assessment of components within the manikin scores demonstrated good internal consistency (alpha ​= ​0.789) compared to observer scores (alpha ​= ​0.011).

    Conclusion

    Observers from all backgrounds were consistently more generous in their assessment when compared to the manikin. Chest compressions quality influences outcome following cardiac arrest, the findings of this study support increased use of objective assessment at the earliest opportunity, irrespective of background.

  • 45.
    Abelsson, Anna
    et al.
    Karlstads universitet, Avdelningen för omvårdnad.
    Lindwall, Lillemor
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013).
    Att som ambulanssjuksköterska vara förberedd i samband med svårt sjuk patient.2013Conference paper (Other academic)
  • 46.
    Abelsson, Anna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Lindwall, Lillemor
    Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Ethical dilemmas in prehospital emergency care – from the perspective of specialist ambulance nurse students2018In: International Journal of Ethics Education, ISSN 2363-9997, Vol. 3, no 2, p. 181-192Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe specialist ambulance nurse students’ experiences of ethical conflicts and dilemmas in prehospital emergency care. In the autumn of 2015, after participating in a mandatory lecture on ethics, 24 specialist ambulance nurse (SAN) students reported experiences and interpretations concerning conflicts and ethical dilemmas from prehospital emergency care. The text consisted of 24 written critical incidents which were interpreted using hermeneutic text interpretation. The text revealed three themes: Not safeguarding a patient’s body and identity; Not agreeing on the care actions; and Not treating the patient with dignity. The SANs experiences ethical dilemmas and conflict of values when they witness how others violate a patient’s dignity. Discussion and reflection is based on ethical conflicts and dilemmas experienced when students see how caregivers do not safeguard the patient’s body or identity. When caregivers have a conflicting will, it results in patients not being treated in an ethical manner. Also, seeing how caregivers put themselves in a power position over patients is described as an ethical dilemma that students experience when they choose not to intervene.

  • 47.
    Abelsson, Anna
    et al.
    Karlstads universitet, Avdelningen för omvårdnad.
    Lindwall, Lillemor
    Karlstads universitet, Avdelningen för omvårdnad.
    The prehospital assessment of severe trauma patients’ by specialist ambulance nurse in Sweden-a phenomenographic study2012In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, E-ISSN 1757-7241, Vol. 20, p. 67-Article in journal (Refereed)
    Abstract [en]

    Background

    A common feature of prehospital emergency care is the short and fragmentary patient encounters with increased demands for efficient and rapid treatment. Crucial decisions are often made and the premise is the specialist ambulance nurse’s ability to capture the situation instantaneously. The assessment is therefore a pre-requisite for decisions about appropriate actions. However, the low exposure to severe trauma cases in Sweden leads to vulnerability for the specialist ambulance nurse, which makes the assessment more difficult. Our objective was to describe specialist ambulance nurses’ perceptions of assessing patients exposed to severe trauma.

    Methods

    This study had a phenomenographic approach and was performed in 2011 as an interview study. 15 specialist ambulance nurses with a minimum of 2.5 years of experience from praxis were included. The analysis of data was performed using phenomenography according to Marton.

    Results

    The perceptions of assessing patients exposed to severe trauma were divided into: To be prepared for emergency situations, Confidence in one’s own leadership and Developing professional knowledge.

    Conclusions

    This study reveals that the specialist ambulance nurse, on the scene of accident, finds the task of assessment of severe trauma patients difficult and complicated. In some cases, even exceeding what they feel competent to accomplish. The specialist ambulance nurses feel that no trauma scenarios are alike and that more practical skills, more training, exercise and feedback are needed.

  • 48.
    Abelsson, Anna
    et al.
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Lindwall, Lillemor
    Karlstads universitet, Institutionen för hälsovetenskaper.
    What is dignity in prehospital emergency care?2017In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 24, no 3, p. 268-278Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Ethics and dignity in prehospital emergency care are important due to vulnerability and suffering. Patients can lose control of their body and encounter unfamiliar faces in an emergency situation.

    OBJECTIVE: To describe what specialist ambulance nurse students experienced as preserved and humiliated dignity in prehospital emergency care.

    RESEARCH DESIGN: The study had a qualitative approach.

    METHOD: Data were collected by Flanagan's critical incident technique. The participants were 26 specialist ambulance nurse students who described two critical incidents of preserved and humiliated dignity, from prehospital emergency care. Data consist of 52 critical incidents and were analyzed with interpretive content analysis.

    ETHICAL CONSIDERATIONS: The study followed the ethical principles in accordance with the Declaration of Helsinki.

    FINDINGS: The result showed how human dignity in prehospital emergency care can be preserved by the ambulance nurse being there for the patient. The ambulance nurses meet the patient in the patient's world and make professional decisions. The ambulance nurse respects the patient's will and protects the patient's body from the gaze of others. Humiliated dignity was described through the ambulance nurse abandoning the patient and by healthcare professionals failing, disrespecting, and ignoring the patient.

    DISCUSSION: It is a unique situation when a nurse meets a patient face to face in a critical life or death moment. The discussion describes courage and the ethical vision to see another human.

    CONCLUSION: Dignity was preserved when the ambulance nurse showed respect and protected the patient in prehospital emergency care. The ambulance nurse students' ethical obligation results in the courage to see when a patient's dignity is in jeopardy of being humiliated. Humiliated dignity occurs when patients are ignored and left unprotected. This ethical dilemma affects the ambulance nurse students badly due to the fact that the morals and attitudes of ambulance nurses are reflected in their actions toward the patient.

  • 49.
    Abelsson, Anna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Lindwall, Lillemor
    Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Suserud, Björn-Ove
    Faculty of Caring Science, Work Life and Social Welfare, PreHospen-Centre for Prehospital Research, University of Borås, Borås, Sweden.
    Rystedt, Ingrid
    Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Ambulance nurses’ competence and perception of competence in prehospital trauma care2018In: Emergency Medicine International, ISSN 2090-2840, E-ISSN 2090-2859, Vol. 2018, article id 5910342Article in journal (Refereed)
    Abstract [en]

    Introduction. We focus on trauma care conducted in the context of a simulated traumatic event. This is in this study defined as a four-meter fall onto a hard surface, resulting in severe injuries to extremities in the form of bilateral open femur fractures, an open tibia fracture, and a closed pelvic fracture, all fractures bleeding extensively. 

    Methods. The simulated trauma care competence of 63 ambulance nurses in prehospital emergency care was quantitatively evaluated along with their perception of their sufficiency. Data was collected by means of simulated trauma care and a questionnaire. 

    Results. Life-saving interventions were not consistently performed. Time to perform interventions could be considered long due to the life-threatening situation. In comparison, the ambulance nurses’ perception of the sufficiency of their theoretical and practical knowledge and skills for trauma care scored high. In contrast, the perception of having sufficient ethical training for trauma care scored low. 

    Discussion. This study suggests there is no guarantee that the ambulance nurses’ perception of theoretical and practical knowledge and skill level corresponds with their performed knowledge and skill. The ambulance nurses rated themselves having sufficient theoretical and practical knowledge and skills while the score of trauma care can be considered quite low.

  • 50.
    Abelsson, Anna
    et al.
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Lindwall, Lillemor
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Suserud, Björn-Ove
    Högskolan i Borås.
    Rystedt, Ingrid
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Effect of repeated simulation on the quality of trauma care2017In: Clinical Simulation in Nursing, ISSN 1876-1399, E-ISSN 1876-1402, Vol. 13, no 12, p. 601-608Article in journal (Refereed)
    Abstract [en]

    Background

    Simulation participants are not dependent on learning during an actual clinical situation. This allows for a learning environment that can be constructed to meet the knowledge and experience needs of the participant. Simulations in a prehospital emergency are an ideal way to address these needs without risking patient safety.

    Method

    Nurses in prehospital emergency care (n = 63) participated in simulation interventions. During the simulation, the performed trauma care was assessed in two groups of participants with different frequency of simulation.

    Results

    Several statistically significant differences and clinical improvements were found within and between the groups. Differences were noted in specific assessments, examinations, care actions, and time from assessment to action.

    Conclusion

    The result suggested that repeated simulation may contribute to a clinical improvement in trauma care, and more frequent simulation may led to even greater improvements.

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