Change search
Refine search result
1 - 33 of 33
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 1.
    Adolfsson, Margareta
    et al.
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Johnson, Ensa
    Centre for Augmentative and Alternative Communication, University of Pretoria, South Africa.
    Nilsson, Stefan
    Jönköping University, School of Health and Welfare, HHJ. CHILD. University of Gothenburg, Sweden.
    Pain management for children with cerebral palsy in school settings in two cultures: Action and reaction approaches2018In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 40, no 18, p. 2152-2162Article in journal (Refereed)
    Abstract [en]

    Background: Children with cerebral palsy (CP) face particular challenges, e.g. daily pain that threaten their participation in school activities. This study focuses on how teachers, personal assistants, and clinicians in two countries with different cultural prerequisites, Sweden and South Africa, manage the pain of children in school settings.

    Method: Participants’ statements collected in focus groups were analysed using a directed qualitative content analysis framed by a Frequency of attendance-Intensity of involvement model, which was modified into a Knowing-Doing model.

    Results: Findings indicated that pain management focused more on children’s attendance in the classroom than on their involvement, and a difference between countries in terms of action-versus-reaction approaches. Swedish participants reported action strategies to prevent pain whereas South African participants primarily discussed interventions when observing a child in pain.

    Conclusion: Differences might be due to school- and healthcare systems. To provide effective support when children with CP are in pain in school settings, an action-and-reaction approach would be optimal and the use of alternative and augmentative communication strategies would help to communicate children’s pain. As prevention of pain is desired, structured surveillance and treatment programs are recommended along with trustful collaboration with parents and access to “hands-on” pain management when needed.

  • 2. Al Ansari, A.
    et al.
    Strachan, K.
    Hashim, Sumaya
    RCSI Bahrain, Adliya, Kingdom of Bahrain.
    Otoom, S.
    Analysis of psychometric properties of the modified SETQ tool in undergraduate medical education2017In: BMC Medical Education, ISSN 1472-6920, E-ISSN 1472-6920, Vol. 17, no 1, article id 56Article in journal (Refereed)
    Abstract [en]

    Background: Effective clinical teaching is crucially important for the future of patient care. Robust clinical training therefore is essential to produce physicians capable of delivering high quality health care. Tools used to evaluate medical faculty teaching qualities should be reliable and valid. This study investigates the psychometric properties of modification of the System for Evaluation of Teaching Qualities (SETQ) instrument in the clinical years of undergraduate medical education.

    Methods: This cross-sectional multicenter study was conducted in four teaching hospitals in the Kingdom of Bahrain. Two-hundred ninety-eight medical students were invited to evaluate 105 clinical teachers using the SETQ instrument between January 2015 and March 2015. Questionnaire feasibility was analyzed using average time required to complete the form and the number of raters required to produce reliable results. Instrument reliability (stability) was assessed by calculating the Cronbach’s alpha coefficient for the total scale and for each sub-scale (factor). To provide evidence of construct validity, an exploratory factor analysis was conducted to identify which items on the survey belonged together, which were then grouped as factors.

    Results: One-hundred twenty-five medical students completed 1161 evaluations of 105 clinical teachers. The response rates were 42% for student evaluations and 57% for clinical teacher self-evaluations. The factor analysis showed that the questionnaire was composed of six factors, explaining 76.7% of the total variance. Cronbach’s alpha was 0.94 or higher for the six factors in the student survey; for the clinical teacher survey, Cronbach’s alpha was 0.88. In both instruments, the item-total correlation was above 0.40 for all items within their respective scales.

    Conclusion: Our modified SETQ questionnaire was found to be both reliable and valid, and was implemented successfully across various departments and specialties in different hospitals in the Kingdom of Bahrain.

  • 3.
    Ameryoun, Ahmad
    et al.
    Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
    Pakpour, Amir H.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Qazvin University of Medical Sciences, Qazvin, Iran.
    Nikoobakht, Mehdi
    Department of Neurosurgery, Iran University of Medical Sciences, Tehran, Iran.
    Saffari, Mohsen
    Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
    Yaseri, Mahdi
    Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
    O'Garo, Keisha-Gaye N.
    Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina.
    Koenig, Harold G.
    Duke University Medical Center, Durham, North Carolina.
    Effectiveness of an In-Service Education Program to Improve Patient Safety Directed at Surgical Residents: A Randomized Controlled Trial2019In: Journal of Surgical Education, ISSN 1931-7204, E-ISSN 1878-7452, Vol. 76, no 5, p. 1309-1318Article in journal (Refereed)
    Abstract [en]

    Background: Patient safety is a critical issue in healthcare services particularly in surgical units and operation rooms because of the high prevalence and risk of medical errors in such settings. This study was conducted to determine whether a 1-day educational intervention can change the attitude and behavior of surgical residents regarding patient safety.

    Methods: A total of 90 surgical residents were recruited from 6 university hospitals located in Tehran and Qazvin, Iran, and were randomized to either the intervention or a control group. Those in the intervention group participated in a 1-day workshop on patient safety, whereas the control group received no intervention. Both groups were followed for 3 months after the intervention was completed. The Safety Attitude Questionnaire and Oxford Non-Technical Skills scale were administered at 3 points in time (baseline, 1 month after the intervention, and 3 month later). The data were analyzed using repeated measures analysis of variance.

    Results: Total score on the Safety Attitude Questionnaire improved from 54.5 (SD = 14.4) at baseline to 58.3 (SD = 13.8) 3 months after the intervention in the intervention group; all dimensions, with the exception of working condition, showed significant changes. In addition, the Oxford Non-Technical Skills scale – as assessed by attending surgeons – improved significantly in all domains (p < 0.05). More than 60% of participants in the intervention group scored in the positive range for items assessing safety and teamwork climate.

    Conclusions: A 1-day interactive educational workshop may be effective in changing the attitude and practice of surgical residents regarding patient safety. Further assessment of this intervention in other healthcare settings involving health professionals from various specialties and use of an objective measure such as number of reported medical errors are needed to corroborate these findings. 

  • 4.
    Andersson, Ingvor
    Jönköping University, The Jönköping Academy for Improvement of Health and Welfare.
    Diabeteskonsulent - en möjlig funktion för att förbättra stödet till barn med typ 1 diabetes i skolan2012Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    AbstractBackground: Type 1 diabetes is one of the most common chronic diseases in children. The overall goal in treating diabetes is to normalize the blood sugar level, in order to avoid complications in adulthood. Since a child spends a large part of the day at school, the treatment has to work well during the school hours. In 2008, paediatric diabetes team in Sweden reported that about 50% of the children in lower primary school, suffering from diabetes, do not receive sufficient support in their diabetic treatment at school. A function such as diabetes resource nurse has been tested in Jönköping County Council for two years to offer the school staff necessary knowledge about diabetes. Purpose: Describe the diabetes resource nurse possibility to influence the support children with diabetes receive at school. Method: The collection of empirical data was done through interviews, questionnaires and comparison of HbA1c. Results: The diabetes resource nurse feels that she is able to convey the knowledge necessary for the school personnel. Parents whose children have been visited by a diabetes recourse nurse says that they less often fear that their child does not get good support at school, that more of the children have a person in charge in school and that more children have an individual communication plan, compared to parents whose children have not been visited by a diabetes resource nurse. The function of the diabetes resource nurse did not improve the metabolic control during the study period. Discussion: The result of the intervention shows that a diabetes resource nurse can successfully improve the support children with type 1 diabetes receive at school. Further studies are needed to clarify which grades benefits the most from the support of a diabetes resource nurse and inquire the school personnel's experience of the diabetes consultant's work.

  • 5.
    Arvidsson, Patrik
    et al.
    Jönköping University, School of Health and Welfare, HHJ. CHILD. Centre for Research & Development, Uppsala University/Region Gävleborg, Sweden.
    Granlund, Mats
    Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Education and Communication, HLK, CHILD.
    The Relationship Between Intelligence Quotient and Aspects of Everyday Functioning and Participation for People Who Have Mild and Borderline Intellectual Disabilities2018In: JARID: Journal of applied research in intellectual disabilities, ISSN 1360-2322, E-ISSN 1468-3148, Vol. 31, no 1, p. e68-e78Article in journal (Refereed)
    Abstract [en]

    Background

    This study explored the relationship between intelligence quotient (IQ) and aspects of everyday functioning/participation in individuals (age 16–40) who have a mild/borderline intellectual disability (IQ 55–85).

    Method

    Correlations were examined between IQ and (i) self-rated (n = 72) ability, participation as performance (how often an activity is performed), important participation restriction (not/seldom performing an activity perceived as important) and general well-being and (ii) proxy-rated (n = 41) ability and participation as performance.

    Results

    No significant correlations between IQ and any of the explored measures were found. However, the effect sizes of the correlations between IQ and ability were considered as small but not negligible.

    Conclusions

    The results support the notion that IQ is a poor predictor of general aspects of everyday functioning in persons with mild/borderline intellectual disability. The result indicates that self-ratings partly generate other information than proxy ratings which may be important for assessments of supportive requirements and diagnosis.

  • 6.
    Baek Larsen, Louise
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Elgmark Andersson, Elisabeth
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Tranberg, Roy
    Ortopeden, Sahlgrenska Universitetssjukhuset, Gothenburg University, Göteborg.
    Ramstrand, Nerrolyn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Jämförande studie av Svensk polis rörelseförmåga vid användandet av bål och/eller bäcken fixerad utrustning2014Report (Other (popular science, discussion, etc.))
    Abstract [sv]

    Under det senaste decenniet har det blivit allt vanligare med arbetsrelaterade besvär hos uniformerad polis i yttre tjänst, främst är det besvär från nedre delen av ryggen som uppgetts. Hälsohögskolan i Jönköping har fått i uppdrag av Rikspolisstyrelsen att belysa och utreda den uppkomna problematiken. Två tidigare rapporter, Polisens fysiska arbetsmiljö och Polisens psykosociala miljö, har presenterats. I rapporten om polisens fysiska arbetsmiljö framkom en hög förekomst av besvär från muskler och leder, främst nedre delen av ryggen under förhållande med bärande av utrustningsbältet i kombination med mycket stillasittande i tjänstebilar. I den andra rapporten framkom att en stor del av poliserna arbetar treskift och i många fall långa arbetspass, vilket yttrar sig i att de har svårt att psykiskt återhämta sig, inte har tid för familj och vänner samt att de ofta upplever sig trötta. I den tredje och sammanfattande rapporten presenteras vilka bakomliggande variabler som påverkar den fysiska och psykosociala arbetsmiljön.

    Syftet med studien var att analysera vilka variabler och vilka kombinationer av variabler som påverkar den fysiska och psykosociala arbetsmiljön för uniformerad polis i yttre tjänst i Sverige. Rapporten baseras på 4244 enkätsvar från poliser i yttre uniformerad tjänst.

    Resultatet från föreliggande studie har visat att det finns skillnaden i besvärsfrekvens mellan myndigheterna när det gäller otillräcklig fysisk och psykisk återhämtning samt besvär ifrån nedre delen av ryggen. Orsakerna till skillnaden mellan myndigheterna är inte utredda. Studien har visat att besvärsfrekvensen ökar då det föreligger krav att arbeta på ett rullande treskiftsschema. Utifrån detta föreslår vi att man:

    • utför benchmarking av polismyndigheter för att öka förståelsen för de stora skillnader som förekommer

    • utvärderar olika modeller av schemaläggning avseende treskift

    • fortsätter arbetet med att utreda hur polisens uniform och kroppsburna utrustning, i kombination med bilsätets utformning, påverkar besvär från nedre delen av ryggen.

  • 7.
    Edvinsson, Joakim
    et al.
    Qulturum, Center for Development, Jönköping County Council, Jönköping, Sweden.
    Rahm, Magnus
    Qulturum, Center for Development, Jönköping County Council, Jönköping, Sweden.
    Trinks, Anna
    Qulturum, Center for Development, Jönköping County Council, Jönköping, Sweden.
    Höglund, Pär J.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare.
    Senior alert: A quality registry to support a standardized, structured, and systematic preventive care process for older adults2015In: Quality Management in Health Care, ISSN 1063-8628, E-ISSN 1550-5154, Vol. 24, no 2, p. 96-101Article in journal (Refereed)
    Abstract [en]

    The average life expectancy and the proportion of the elderly in the Western countries are increasing. The care processes used for the elderly are known to differ between the care providers in Sweden. Accordingly, the need to develop a system to support the processes in order to attain a standardized, structured, and systematic approach to improve preventive care processes for the elderly has been called for. The County Council of Jönköping developed a national Web-based quality registry, Senior Alert, with a focus on the following areas: falls, pressure ulcers, malnutrition, and oral health. The patients are evaluated using validated risk assessment instruments, and the care is planned, executed, evaluated. The registry supports the users to work with preventive care systematically and in a standardized way and provides feedback to the care providers on their preventive care processes. The registry helps the caregivers fulfill the preventive care according to the best available clinical knowledge and practice. The registry also provides the government and health care politicians with data for setting aims for elderly care. The registry is used in 90% of the municipalities and county councils throughout the country. The total number of risk assessments completed from 2009 to 2014 exceeded 1 000 000.

  • 8.
    Elgmark Andersson, Elisabeth
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Baek Larsen, Louise
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Tranberg, Roy
    Ortopeden, Sahlgrenska Universitetssjukhuset, Gothenburg University, Göteborg.
    Ramstrand, Nerrolyn
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics. Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Fysiska aspekter2013Report (Other (popular science, discussion, etc.))
  • 9.
    Elgmark Andersson, Elisabeth
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Baek Larsen, Louise
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Tranberg, Roy
    Ortopeden, Sahlgrenska Universitetssjukhuset, Gothenburg University, Göteborg.
    Ramstrand, Nerrolyn
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics. Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Psykosociala aspekter2014Report (Other (popular science, discussion, etc.))
  • 10.
    Gambe, Tova
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Friberg, Kristina
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Validering av Narrowing Beam Walking Test (NBWT) för transtibialt amputerade protesanvändare.2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 11.
    Gjessing, Kristian
    et al.
    Linköpings universitet, Avdelningen för samhällsmedicin.
    Torgé, Cristina Joy
    Linköpings universitet, NISAL - Nationella institutet för forskning om äldre och åldrande.
    Hammar, Mats
    Linköpings universitet, Avdelningen för kliniska vetenskaper.
    Dahlberg, Johanna
    Linköpings universitet, Avdelningen för mikrobiologi och molekylär medicin.
    Faresjö, Tomas
    Linköpings universitet, Avdelningen för samhällsmedicin.
    Improvement of quality and safety in health care as a new interprofessional learning module – evaluation from students2014In: Journal of Multidisciplinary Healthcare, ISSN 1178-2390, E-ISSN 1178-2390, no 7, p. 341-347Article in journal (Refereed)
    Abstract [en]

    Background: Interprofessional teamwork is in many ways a norm in modern health care, and needs to be taught during professional education.

    Description: This study is an evaluation of a newly introduced and mandatory learning module where students from different health profession programs used Improvement of Quality and Safety as a way to develop interprofessional competence in a real-life setting. The intention of this learning module was to integrate interprofessional teamwork within the students' basic education, and to give students a basic knowledge about Improvement of Quality and Safety. This report focuses on evaluations from the participating students (n=222), mainly medical and nursing students.

    Materials and methods: To evaluate this new learning module, a questionnaire was developed and analyzed using a mixed methods design, integrating both qualitative and quantitative methods. The evaluation addressed learning concepts, learning objectives, and interprofessional and professional development.

    Results and conclusion: A majority of students responded positively to the learning module as a whole, but many were negative towards specific parts of the learning module and its implementation. Medical students and male students were less positive towards this learning module. Improvements and alterations were suggested. 

  • 12.
    Hallberg, Anneli
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare.
    SOS 112– vad har inträffat?: En studie av framgångs- och riskfaktorer i nöd-samtalet utifrån ett förbättringsarbete för att öka säkerställandet av vitala parametrar genom reflektion.2018Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    The purpose of the underlying improvement work was to increase the proportion of calls in which vital parameters are secured, and the case is given correct prioritization through regular interception and reflection. The purpose of the study was to identify success and risk factors from the perspective of the emergency call-taker on the emergency call with a focus on securing vital parameters, correct prioritization and the context of the emergency call.

     

    In the improvement work, 12 emergency call-takers were asked, within a period of four months, to individually reflected on the contents in calls and write down reflections. This was contributing to an increase in secured vital parameters and correct prioritization. A content analysis of the reflections demonstrated that it was a success factor to be professional and limitations in the call methodology was a risk factor. When the set process for the call was followed it was a success factor and a risk factor when it was not followed.

     

    The conclusion is that regular interception and reflection increase securing vital parameters and correct prioritization in emergency calls and that it is a success factor to follow the set process for the call, but that technical support for the purpose is missing.

  • 13.
    Hägg, Jennifer
    et al.
    Jönköping University, School of Health and Welfare.
    Nielsen, Signe Sander
    Jönköping University, School of Health and Welfare.
    How does the height of a chair influence the pressure distribution inside and underneath a transfemoral prosthetic socket whilst seated?2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Although sitting is a large part of everyday life is the influence of the sitting positions and chair design on pressure and load distribution as well as comfort for transfemoral amputees quite unexplored. The aim of this study was therefore to examine this further.

    Two transfemorally amputated females (49 and 57 years old) participated in the study. Three positions were examined for each subject; sitting without foot support and sitting with the knee joints flexed 90◦ and 105◦. The pressure inside the socket was measured by two pressure sensors, placed distally and proximally on the posterior wall inside the socket. The lengthwise pressure distribution and the sidewise load distribution between the socket and the underlying material was measured by a pressure mat. In addition to this, the subjects answered a questionnaire regarding the subjective comfort for each position. 

    The result showed that the pressure underneath the socket were higher distally than proximally without foot support. The pressure transferred proximally as the knee became more flexed. The most even load distribution sidewise was found when the subjects sat with their knees flexed 105 degrees. Sitting with the knees flexed 90◦ was ranked as the most comfortable position. No conclusion could be made regarding the pressure inside of the socket. Additionally, according to this study the level of comfort does not have any clear relation with the sidewise load distribution or the longitudinal pressure distribution.                  

  • 14.
    Jansson, Charlotte
    Jönköping University, School of Health Science, HHJ, Quality Improvement and Leadership in Health and Welfare.
    Tidig understödd utskrivning från strokeenhet: En fallstudie av ett förbättringsarbete inom rehabilitering2014Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Sammanfattning

    Bakgrund Rehabilitering efter ett strokeinsjuknande ska påbörjas tidigt och vara målinriktad. För patienter som drabbats av mild till måttlig stroke rekommenderas i Socialstyrelsens riktlinjer vård på strokeenhet i kombination med tidig understödd utskrivning. Uppsatsen beskriver, analyserar och utvärderar ett förbättringsarbete där tidig understödd utskrivning med stöd av ett stroketeam prövades som arbetsmodell på en strokeenhet.

    Syfte Syftet med förbättringsarbetet var att patienterna skulle uppleva ett tryggt omhändertagande i samband med utskrivningen, samtidigt som strokeprocessen effektiviserades genom kortare vårdtid på sjukhus. Syftet med studien var att beskriva erfarenheter hos patienter, närstående och personal vid införandet av tidig understödd utskrivning från sjukhus med stöd av ett stroketeam för patienter med mild till måttlig stroke.

    Metod Förbättringsarbetet utvärderades genom mätning av vårdtider och mätning av patienternas upplevelse av trygghet i samband med utskrivningen. I studien av förbättringsarbetet insamlades data genom semistrukturerade intervjuer med patienter och deras närstående, samt i en fokusgruppsintervju med involverad personal. Nio patienter och sex närstående intervjuades. Vid fokusgruppsintervjun deltog två arbetsterapeuter, två sjukgymnaster och en sjuksköterska. Intervjuerna analyserades med kvalitativ innehållsanalys.

    Resultat Arbetssättet med tidig understödd utskrivning testades på tio patienter. Vårdtiden var något kortare, men osäkerhet finns i mätningarna och i den kvalitativa analysen framkom tveksamhet om vårdtiderna påverkades. Upplevelsen av trygghet i samband med hemgång var något högre bland deltagarna i projektet jämfört med baslinjemätningen. Vid intervjuerna med patienter framkom värdet av att erhålla rehabilitering i sin hemmiljö. Både patienter och närstående beskrev att teamet bidrog med kunskaper om stroke, rehabilitering och säkerhetsaspekter i hemmet, samt att kontinuiteten med samma personal var värdefull. Närstående beskrev också att de fått stöd av teamet i närståenderollen. Personalen framhöll vid fokusgruppsintervjun förbättrad kvalitet för patienterna, tidsbrist och svårigheter med prioriteringar samt en arbetstillfredställelse i nöjda patienter och att arbeta med förbättringar.

    Slutsats Tidig understödd hemgång med stöd av ett stroketeam upplevdes positivt av patienter, närstående och personal. Arbetssättet var engagerande men tidskrävande. Förhoppningen är att lärdomarna från detta projekt kan bidra till fortsatt utveckling av rehabiliteringsprocessen i samband med utskrivning.

     

     

     

  • 15.
    Jarl, Gustav
    et al.
    Örebro University, Sweden.
    Ramstrand, Nerrolyn
    Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    A model to facilitate implementation of the International Classification of Functioning, Disability and Health into prosthetics and orthotics2018In: Prosthetics and orthotics international, ISSN 0309-3646, E-ISSN 1746-1553, Vol. 42, no 5, p. 468-475Article in journal (Refereed)
    Abstract [en]

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

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

  • 16.
    jennifer, lundgren
    Jönköping University, School of Health and Welfare.
    risker för fostreskador i sammband med MR-undersökningar på gravida2017Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Magnetresonanstomografi (MRI) har med sin bildkvalitet och detaljrikedom börjat bli ett alternativ till ultraljud som idag är ledande inom fosterdiagnostik. Tidigare forskning har studerat magnetfältets inverkan på fostret, denna inverkan har fortfarande inte kunnat bekräftas. Syfte: Syftet är att svara på evidensfrågan: Vad finns det för evidens för att MR-undersökningar på gravida kvinnor leder till fosterskada? Metod: Arbetet är en systematisk litteraturstudie som innehåller 13 vetenskapliga artiklar, som har sökts fram via olika databaser. Resultat: Ingen evidens för biologiska effekter eller hörselnedsättning kunde ses hos exponerade foster, dock gavs motstridiga resultat gällande gadolinium och värmeökning. Gadolinium kan ge NSF biverkningar och ökad risk för missfall. Värmeökning kan ske hos fostret om normal mode inte används och längre sekvenser körs. Det är osäkert vem av fostret och modern som uppnår högsta helkropps-SAR värdet. Slutsats: Resultatet av denna studie skall bejakas med försiktighet då resultaten visar olika och få studier har gjorts med högsta evidensvärdet. Alla 13 studier i detta arbete påpekar att mer forskning bör göras för att kunna säkerställa riskerna med MR på gravida.

  • 17.
    Johansson, Emelie
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare.
    Edlund, Åsa Maria
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare.
    Är vården vid armprotesförsörjning för barn med transversell reduktionsmissbildning lika i olika delar av landet: En kvalitativ intervjustudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 18.
    Johnson, Ensa
    et al.
    Centre for Augmentative and Alternative Communication, University of Pretoria, South Africa.
    Nilsson, Stefan
    CHILD, Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.
    Adolfsson, Margareta
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Eina! Ouch! Eish! Professionals’ perceptions of how children with cerebral palsy communicate about pain in South African school settings: Implications for the use of AAC2015In: Augmentative and Alternative Communication: AAC, ISSN 0743-4618, E-ISSN 1477-3848, Vol. 31, no 4, p. 325-335Article in journal (Refereed)
    Abstract [en]

    Most children with severe cerebral palsy experience daily pain that affects their school performance. School professionals need to assess pain in these children, who may also have communication difficulties, in order to pay attention to the pain and support the children’s continued participation in school. In this study, South African school professionals’ perceptions of how they observed pain in children with cerebral palsy, how they questioned them about it and how the children communicated their pain back to them were investigated. Thirty-eight school professionals participated in five focus groups. Their statements were categorized using qualitative content analysis. From the results it became clear that professionals observed children’s pain communication through their bodily expressions, behavioral changes, and verbal and non-verbal messages. Augmentative and alternative communication (AAC) methods were rarely used. The necessity of considering pain-related vocabulary in a multilingual South African context, and of advocating for the use of AAC strategies to enable children with cerebral palsy to communicate their pain was highlighted in this study.

  • 19.
    Kartal, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Mavi, Miray
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Tandläkarstudenters kunskap gällande tandhygienistens kompetens: - En enkätstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dental hygienist profession plays a significant role in Swedish dentistry and works primarily with prevention/health promotion. Dentists and dental hygienist's professions complete each other, which makes co-operation necessary to obtain a safe care for the patient. The aim was to study dental students (semester 10) knowledge regarding dental hygienists competence. Method: A cross-sectional study with questionnaire as measuring instrument was performed. The sample consisted of dentistry students from Malmo- and Gothenburg’s University, with two respective three years of dental hygienist education. Variables were analyzed by descriptive statistics. Comparisons between institutions, through Chi2-test were performed in SPSS. The result was based on 51 (Malmo) respective 26 (Gothenburg) participants. Statistically significant differences occurred regarding questions of diagnosing pericoronitis, behavioral changes, removing sutures, working with temporomandibular disorders, bite-impressions and responsibility of radiographic equipment. Malmo had 39 participants and Gothenburg 18 that reported they had not received enough knowledge. The relationship between the students knowledge and dental hygienists’ length of education cannot be established. Conclusion: There is a knowledge about dental hygienist’s competence, but with some variation. Differences in knowledge exists between the institutions. The majority of participants felt that the education did not give them sufficient knowledge about the dental hygienist's competence.

  • 20.
    Ling, David
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine.
    Ättiksyrans påverkan på mesotelcellers morfologi vid tvätt av exsudat2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    A common reason for unsatisfactory cytological smears is contamination of blood. Blood contaminated gynaecological samples are washed with Cytolyt® solution and acetic acid at the Cytological Laboratory, County Hospital Ryhov to reduce contaminations. The objective of this study was to determine the potential effect of Cytolyt® solution and acetic acid on the morphology of mesothelial cells. In this study 60 samples of pleural effusions and ascites was analysed with conventional cytological method. Cytological smears were prepared without wash (controls) and with wash for different durations. The morphology of mesothelial cells in the samples were then examined. Out of the controls 53% had a wellpreserved cytoplasm while this distribution decreased to 5.8% amongst the washed smears. About 87% of the controls and 46% of the washed smears had a preserved and distinct nucleus. Changes in morphology could be seen in mesothelial cells after wash with Cytolyt® solution and acetic acid. However, the changes could not be associated with disease. Washing exudates with Cytolyt® solution and acetic acid can alter morphological changes in mesothelial cells although the changes seen cannot be mistaken for pathological changes. 

  • 21.
    Ljungman Freij, Hanna
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare.
    Hälsofrämjande arbete för personer med psykossjukdom utvecklat i ett samverkansprojekt: Förutsättningar för spridning och varaktighet studerat i en fallstudie2017Independent thesis Advanced level (degree of Master (Two Years)), 80 credits / 120 HE creditsStudent thesis
    Abstract [en]

    Background

    People with mental illness have a greater extent of somatic illness and the mortality rate is two to three time higher than in general population. Life expectancy is 25 years shorter among people with mental illness than in the general population.

    Purpose

    Global aim: To improve health among people with psychosis.

    Specific aim: Health promotion among people with psychosis by developing routines for that work.

    Purpose of the study: Identify conditions in a cooperation project that can affect spread and sustainability.

    Method

    The improvement ramp and structure of a project has been the starting point of this improvement work.

    The study is a case study including two focus groups and content analysis is made from this and from documentation. Qualitative content analysis with deductive approach was done from a theory of spread and sustainability.

    Results

    Routines for health promotion has been developed and tested in community social services and in hospital. Evaluation among six patients showed mixed results and underlined the importance of establishing a plan and follow-up.

    Conclusion

    The study indicates the importance of doing a cooperation project with focus on person centeredness, aim and timeframe, common approach and understanding. Combining this

    with improvement knowledge might increase opportunities for spread and sustainability.

  • 22.
    Ma, Christina Zong-Hao
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Department of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong.
    Ling, Yan To
    Department of Biomedical Engineering, The Hong Kong Polytechnic University.
    Shea, Queenie Tsung Kwan
    Department of Biomedical Engineering, The Hong Kong Polytechnic University.
    Wang, Li-Ke
    Department of Biomedical Engineering, The Hong Kong Polytechnic University.
    Wang, Xiao-Yun
    GuangdongWork Injury Rehabilitation Center.
    Zheng, Yong-Ping
    Department of Biomedical Engineering, The Hong Kong Polytechnic University.
    Towards Wearable Comprehensive Capture and Analysis of Skeletal Muscle Activity during Human Locomotion2019In: Sensors, ISSN 1424-8220, E-ISSN 1424-8220, Vol. 19, no 1, article id 195Article in journal (Refereed)
    Abstract [en]

    Background: Motion capture and analyzing systems are essential for understanding locomotion. However, the existing devices are too cumbersome and can be used indoors only. A newly-developed wearable motion capture and measurement system with multiple sensors and ultrasound imaging was introduced in this study. Methods: In ten healthy participants, the changes in muscle area and activity of gastrocnemius, plantarflexion and dorsiflexion of right leg during walking were evaluated by the developed system and the Vicon system. The existence of significant changes in a gait cycle, comparison of the ankle kinetic data captured by the developed system and the Vicon system, and test-retest reliability (evaluated by the intraclass correlation coefficient, ICC) in each channel’s data captured by the developed system were examined. Results: Moderate to good test-retest reliability of various channels of the developed system (0.512 ≤ ICC ≤ 0.988, p < 0.05), significantly high correlation between the developed system and Vicon system in ankle joint angles (0.638R ≤ 0.707, p < 0.05), and significant changes in muscle activity of gastrocnemius during a gait cycle (p < 0.05) were found. Conclusion: A newly developed wearable motion capture and measurement system with ultrasound imaging that can accurately capture the motion of one leg was evaluated in this study, which paves the way towards real-time comprehensive evaluation of muscles and joint motions during different activities in both indoor and outdoor environments.

  • 23.
    Nodbrant, Per
    Jönköping University, The Jönköping Academy for Improvement of Health and Welfare.
    Lean för kortare väntetid till strålbehandling: Förbättringsarbete och enkätstudie hur det påverkar arbetsmiljön2014Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
  • 24.
    Nordström (Avby), Gunilla
    Jönköping University, School of Health and Welfare.
    Gränsöverskridande kunskapsbildning - praktik och teori i interaktion2009In: Vägval och dilemman i interaktiv forskning: kurspaper från Bridging the Gaps doktorandurs Interaktiv forskning 2008 / [ed] Mattias Elg, Boel Andersson Gäre, Jönköping: Landstinget i Jönköpings län , 2009, p. 27-45Chapter in book (Other academic)
    Abstract [sv]

    I detta paper kommer jag att föra ett resonemang kring möjligheten att kombinera ett praktiskt utvecklingsprojekt med ett interaktivt forskningsperspektiv. Jag inleder med att beskriva den praktik jag verkar i och mitt forskningsintresse, inkluderande ett antal aktuella begrepp. Därefter reflekterar jag över den interaktiva forskningen. Utifrån praktikens kontext och det problemområde som skisserats fram resonerar jag kring hur forskningen i samverkan med praktiken (interaktivt) skulle kunna struktureras för att bidra till att kritiskt skildra problemområdet och fördjupa kunskaperna i pågående utvecklingsprojekt. Avslutningsvis kommer jag att beröra forskarens roll med betoning på dikotomin med att både vara forskare och del av den studerade verksamheten. Mitt resonemang tar sin utgångspunkt ett par huvudfrågor:

    • Hur kan en interaktiv forskningsansats vara till fördel för att fångade faktorer som stödjer professionaliseringen av chefsrollen i dess kontextuella miljö, socialtjänsten i Jönköpings kommun samt vara till nytta för både praktiken och teorin?
    • Hur är det möjligt att hålla behövlig distans för att öka förståelsen för forskningsområdet och samtidigt bibehålla närheten som krävs för ett lyckat utvecklingsarbete?
  • 25.
    Ramstrand, Nerrolyn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Translating research into prosthetic and orthotic practice2013In: Prosthetics and orthotics international, ISSN 0309-3646, E-ISSN 1746-1553, Vol. 37, no 2, p. 108-112Article in journal (Refereed)
    Abstract [en]

    Background: Evidence-based practice is commonly accepted as a means of improving patient outcomes; however, there is little understanding of the processes required to successfully implement it into prosthetic and orthotic practice.

    Objectives: To discuss factors affecting adoption of evidence-based practice and present a theoretical framework for its implementation into prosthetic and orthotic practice.

    Discussion: Numerous factors that affect adoption of evidence-based practice are discussed, ranging from individual factors to those that can be attributed to administrative and environmental issues. Specific factors are likely to be context specific and are influenced by the manner in which evidence-based practice is introduced into the working environment. It is argued that successful implementation of evidence-based practice requires consideration of numerous interrelated factors. A formal translating research into practice model is presented as a means of developing a strategic plan that considers all relevant factors and maximizes acceptance of evidence-based practice into prosthetics and orthotics clinical practice.

    Conclusions: The use of a theoretical model for implementation of evidence-based practice is likely to improve its adoption by prosthetic and orthotic clinicians.

  • 26.
    Ramstrand, Nerrolyn
    et al.
    Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics. Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Ramstrand, Simon
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    AAOP State-of-the-Science Evidence Report: The Effect of Ankle-Foot Orthoses on Balance - A Systematic Review.2010In: Journal of prosthetics and orthotics, ISSN 1040-8800, E-ISSN 1534-6331, Vol. 22, no 4S, p. 4-23Article, review/survey (Refereed)
    Abstract [en]

    Ankle-foot orthoses (AFOs) are typically designed to limit the motion of the ankle joint in one or more planes. Given that balance may be compromised when joint range of motion is restricted, an understanding of the relative effects of AFOs on balance performance is clinically relevant. The aim of this systematic review was to evaluate existing evidence related to the effects of AFOs on static and dynamic balance. A search of appropriate medical databases was conducted, and 37 articles were found to satisfy predetermined inclusion criteria. Articles were categorized under two main areas: those investigating the use of AFOs designed for sporting applications (sports orthoses, 18 studies) and those investigating orthoses that are intended to facilitate ambulation in subjects with locomotor disorders (ambulatory orthoses, 19 studies). Combined results suggest that sports orthoses may facilitate certain aspects of balance in subjects with ankle instability and that balance is unlikely to be compromised when able-bodied subjects wear AFOs as a prophylactic measure. No evidence exists to suggest that any one design of sports orthosis is superior to another in terms of performance on balance measures. Results of studies involving ambulatory orthoses indicated that their effects on balance were largely dependent on the design characteristics of the orthosis used. Rigid AFOs seemed to facilitate static balance tasks, although the level of confidence in this outcome was relatively low. Under dynamic conditions, rigid AFOs seemed to compromise balance for the tested populations; confidence in this outcome was rated as moderate. A high level of confidence was ascribed to the statement that leaf spring AFOs, which allow controlled motion in the sagittal plane, seemed to facilitate both static and dynamic balance in the studied cohorts. ( J Prosthet Orthot. 2010;22:P4–P23.)

  • 27.
    Ramstrand, Nerrolyn
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Ramstrand, Simon
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Brolund, Per
    Norell, Kristin
    Bergström, Peter
    Relative effects of posture and activity on human height estimation from surveillance footage.2011In: Forensic Science International, ISSN 0379-0738, E-ISSN 1872-6283, Vol. 212, no 1-3, p. 27-31Article in journal (Refereed)
    Abstract [en]

    Height estimations based on security camera footage are often requested by law enforcement authorities. While valid and reliable techniques have been established to determine vertical distances from video frames, there is a discrepancy between a person's true static height and their height as measured when assuming different postures or when in motion (e.g., walking). The aim of the research presented in this report was to accurately record the height of subjects as they performed a variety of activities typically observed in security camera footage and compare results to height recorded using a standard height measuring device. Forty-six able bodied adults participated in this study and were recorded using a 3D motion analysis system while performing eight different tasks. Height measurements captured using the 3D motion analysis system were compared to static height measurements in order to determine relative differences. It is anticipated that results presented in this report can be used by forensic image analysis experts as a basis for correcting height estimations of people captured on surveillance footage.

  • 28.
    Sanela, Dzafic
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Faktorer som påverkar livskvaliteten hos personer med förmaksflimmer: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 29.
    Skarstedt, Marita
    Jönköping University, School of Health Science, HHJ, Quality Improvement and Leadership in Health and Welfare.
    Reduced turnaround time for blood culture:: Experiences from an improvement process2012Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background

    Customer satisfaction is important for clinical microbiology laboratories and the most important service aspect is the reliability of responses. One important indicator of the quality of care is turnaround time for a sample referred to a laboratory.

    Aim

    This study describes and evaluates an improvement of the blood culture process and evaluates the staff’s experiences of the changes brought by the improvement project.

    Methods

    The blood culture process during evenings and nights was re-designed in a cooperation project between the laboratories of clinical microbiology and clinical chemistry in a mid-size Swedish county council. Typing with matrix-assisted laser desorption/ionization time of flight (MALDI ToF) and rapid antibiotic susceptibility testing were also introduced. To describe staff experi-ences semi-structured interviews were performed with twelve of the staff involved.

    Results

    The time from sampling to susceptibility testing and typing, for patients with cefotaxime resistant enterobacteriaceae, was before the improvement project on average 55 hours compared to 43 hours after closure of the project. In the qualitative content analysis four categories were found which represented the experience of the staff: patient focus, changed knowledge, cooperation and driving forces.

    Discussion

    The study of the implementation of the improvement showed that laboratory staff could handle the change well. The change from traditional biochemical typing, used for over 50 years, to MALDI ToF is indeed a paradigm shift. Nevertheless, nobody was disappointed over the fact that some of the fundamental previous microbiological laboratory work routines were laid to rest.

  • 30.
    Sundkvist, Eva-Marie
    Jönköping University, School of Health and Welfare, HHJ, Quality Improvement and Leadership in Health and Welfare.
    Metodstöd för koordinering av sjukskrivning och rehabilitering: En studie av ett förbättringsarbete med syfte att stärka koordineringen av sjukskrivning och rehabilitering i Region Jönköpings län2017Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Rehabkoordinatorn är en resurs i det försäkringsmedicinska arbetet i vården. Rehabkoordinering kan ske på olika nivåer (nivå 1-8). Den högsta bedöms ge bäst effekt på patientens sjukskrivning/rehabilitering. För att nå högsta nivån behövs tydliga rutiner, stöd från chef och tid för uppdraget. Syftet med förbättringsarbetet var att genom att utveckla ett metodstöd för rehabkoordinering skulle fler vårdenheter erbjuda patienter stöd enligt nivå 7-8. På sikt var förhoppningen att minska sjukskrivningarna. Studiens syfte var att beskriva hur metodstödet påverkar rehabkoordinatorns professionella utveckling. Med hjälp av förbättringsverktyg utvecklades ett webbaserat metodstöd som utvärderades med hjälp av enkäter. För att fånga rehabkoordinatorernas erfarenheter genomfördes en kvalitativ studie med hjälp av fokusgruppsmetod. Nivå 7-8 uppnåddes av 81 procent av vårdenheterna med rehabkoordinator. Ingen påverkan på sjukskrivningar upptäcktes. Rehabkoordinatorn upplevdes stödja patienter och det interna arbetet med sjukskrivningar på vårdenheten samt beskrevs fungera som samarbetspartners till externa aktörer (Försäkringskassan/Arbetsförmedlingen och arbetsgivare). Metodstödet upplevdes skapa tydlighet för uppdraget och fungerade som ett stöd i det dagliga arbetet. Metodstödet är implementerat och används. Den del av metodstödet som handlar om det patientnära arbetet behöver fortsatt utvecklas och förbättras för att säkerställa att rehabkoordinatorerna arbetar med rätt patienter i rätt tid.

  • 31.
    Taylor, Susan
    et al.
    Faculty of Computing Health and Science, Edith Cowan University, Perth, Australia.
    McLean, B.
    School of Paediatrics and Child Health, University of Western Australia, Perth, Australia.
    Falkmer, Torbjörn
    Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. School of Occupational Therapy and Social work, Curtin University, Perth, Australia.
    Carey, L.
    Neurorehabilitation and Recovery, The Florey Institute of Neuroscience and Mental Health, Melbourne, Australia.
    Girdler, S.
    School of Occupational Therapy and Social work, Curtin University, Perth, Australia.
    Elliott, C.
    School of Occupational Therapy and Social work, Curtin University, Perth, Australia.
    Blair, E.
    Population Sciences, Telethon Kids Institute, Perth, Australia.
    Does somatosensation change with age in children and adolescents? A systematic review.2016In: Child Care Health and Development, ISSN 0305-1862, E-ISSN 1365-2214, Vol. 42, no 6, p. 809-824Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Somatosensory modalities, such as touch, proprioception and haptic ability, greatly influence the achievement of developmental milestones for children. Describing somatosensory impairment, natural variability and typical or expected developmental changes across age groups will help establish frameworks for intervention in clinical populations. This systematic review aimed to determine how different somatosensory modalities develop across childhood into adolescence to use as a point of reference for children at risk of somatosensory impairment.

    METHODS: Searches of five electronic databases were undertaken through EBSCO-host (MEDLINE, CINAHL, PsycINFO, SPORTDiscus and ERIC) for studies measuring at least one somatosensory modality in typically developing individuals between birth and 18 years and analysed by age. Characteristics of studies were collected including country of origin, sample size, demographics and outcome measure used. Quality assessment and data extraction were performed by two independent reviewers.

    RESULTS: Twenty three cross-sectional studies were included from a total of 188 articles retrieved: 8 examined aspects of touch, 5 proprioception and 10 haptic ability. Variability of study designs and variation in assessment tools precluded any formal meta-analysis.

    CONCLUSIONS: Somatosensation matures through childhood into adolescence; however, the present review found the pattern of somatosensory development varied depending on the assessment tool used and the aspect of somatosensation being measured, making it difficult to describe typical performance. There is a need for comprehensive assessment batteries to measure the somatosensation, including touch, proprioception and haptic ability, of children at risk of somatosensory impairment to aid in the development of effective interventions.

  • 32.
    Tranberg, Roy
    et al.
    Ortopeden, Sahlgrenska Universitetssjukhuset, Gothenburg University, Göteborg.
    Zügner, Roland
    Ortopeden, Sahlgrenska Universitetssjukhuset, Göteborg.
    Baek Larsen, Louise
    Ortopeden, Sahlgrenska Universitetssjukhuset, Göteborg.
    Ramstrand, Nerrolyn
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics. Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Jämförande studie av Svensk polis rörelseförmåga vid användandet av bål och/eller bäcken fixerad utrustning2014Report (Other (popular science, discussion, etc.))
  • 33.
    Vrang, Sophie
    Jönköping University, School of Health Science, HHJ, Quality Improvement and Leadership in Health and Welfare.
    Implementering av evidensbaserad omvårdnad hos fallriskpatienter genom standardiserade omvårdnadsplaner - en fallstudie2014Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background: Presently, falls account for a major national healthcare problem, which apart from the patient’s own suffering, brings costs of about 5 billion SEK annually for municipalities and regions. Research shows that an early risk assessment together with adherence to evidence based actions for fall prevention is necessary to counter this problem. Making standardized nursing care plans (SVP) for patients is in line with the nursing process. Some studies have focused on nurses’ experience and motivation to use SVP, but little research has focused on how the implementation process promote nurses learning process in relation to performance.

     

    Purpose: The aim of the improvement work was to practice evidence based nursing to prevent fall injuries and the purpose of the research was to evaluate the implementation process from a nurse’s learning- and development perspective.

     

    Method: A project group managed the intervention through 8 activities using established quality improvement methods and tools such as the PDSA-wheel and Nolans’ three questions. During a period of 6 months, the journals of 10 random patients records were reviewed two times each month to identify and map risk, implementation and adherence to the SVP. Data were analyzed with descriptive statistics. To illuminate learning in relation to the implementation process, nine nurses were interviewed,, using directed content analysis as the method. 

     

    Findings: During the period of study, both the portion of early fall risk assessments and created SVP increased. However, adherence cannot yet be seen as an improvement trend. Training, the change manager and a reminder-system were seen as most important during implementation. A simple manual and feedback of results were seen as the least important implementation factors. Time, workload, attitude and a lack of a common vision among the nursing staff were seen as the largest challenges. From a patient perspective, the benefits identified were improved patient safety, “right from the start”, early preventive actions on risk patients, collective awareness and equal care for all patients.

     

    Conclusion: An implementation taking consideration to quality improvement and activities has generated an increase in risk assessments and an increased proportion of fall risk patients with an established SVP containing evidence based nursing actions. However, this study could not verify that the identified actions were carried through. During the period and with the sample of the study, no clear relation between implementation of SVP and a reduction in fall injuries could be proven. The method of interviewing nurses about their learning and development process, prerequisites and experienced effects has provided good insights and knowledge for use in future improvement and implementation work.

     

    Keywords: evidence based nursing, fall prevention, quality improvement, implementation, learning

1 - 33 of 33
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf