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  • 1. Almerud, S
    et al.
    Alapack, RJ
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Ekebergh, M
    Caught in an artificial split: a phenomenological study of being a caregiver in the technologically intense environment.2008Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 24, nr 2, s. 130-136Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    A symbiotic relationship exists between technology and caring, however, technologically advanced environments challenge caregivers. The aim of this study is to uncover the meaning of being a caregiver in the technologically intense environment. Ten open-ended interviews with intensive care personnel comprise the data. A phenomenological analysis shows that ambiguity abounds in the setting. The act of responsibly reading and regulating instruments easily melds the patient and the machinery into one clinical picture. The fusion skews the balance between objective distance and interpersonal closeness. The exciting captivating lure of technological gadgets seduces the caregivers and lulls them into a fictive sense of security and safety. It is mind-boggling and heart-rending to juggle 'moments' of slavish mastery and security menaced by insecurity in the act of monitoring a machine while caring for a patient. Whenever the beleaguered caregiver splits technique from human touch, ambiguity decays into ambivalence. Caring and technology become polarized. Everyone loses. Caregiver competence wanes; patients suffer. The intensive care unit should be technologically sophisticated, but also build-in a disclosive space where solace, trust, and reassurance naturally happen. Caring professionals need to balance state-of-the-art technology with integrated and comprehensive care and harmonize the demands of subjectivity with objective signs

  • 2. Backe, M
    et al.
    Larsson, K
    Fridlund, Bengt
    Högskolan i Halmstad.
    Patients' conceptions of their life situation within the first week after a stroke event: a qualitative analysis1996Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 12, nr 5, s. 285-294Artikel i tidskrift (Refereegranskat)
  • 3. Corrigan, I
    et al.
    Samuelson, KA
    Fridlund, Bengt
    Växjö universitet.
    Thomé, B
    The meaning of posttraumatic stress-reactions following critical illness or injury and intensive care treatment2007Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 23, nr 4, s. 206-215Artikel i tidskrift (Refereegranskat)
  • 4.
    Fridlund, Bengt
    et al.
    Högskolan i Halmstad.
    Carlsson, B
    Acute myocardial infarction patients' chest pain as monitored and evaluated by ambulance personnel1992Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 8, nr 2, s. 113-117Artikel i tidskrift (Refereegranskat)
  • 5.
    Fridlund, Bengt
    et al.
    Högskolan i Halmstad.
    Hansson, H
    Swedish emergency hospitals' readiness for disaster: incidence, interest and training1991Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 7, nr 3, s. 164-170Artikel i tidskrift (Refereegranskat)
  • 6.
    Fridlund, Bengt
    et al.
    Högskolan i Halmstad.
    Stener-Bengtsson, A
    Wännman, A-L
    Social support and social network after acute myocardial infarction: a critically ill male patients' needs, choice and motives1993Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 9, nr 2, s. 88-94Artikel i tidskrift (Refereegranskat)
  • 7. Gustafsson, Marcus
    et al.
    Wennerholm, Sara
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident study2010Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 26, nr 3, s. 138-145Artikel i tidskrift (Refereegranskat)
  • 8.
    Haraldsson, Lena
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Christensson, Lennart
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Conlon, Lisa
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Henricson, Maria
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    The experiences of ICU patients during follow-up sessions: A qualitative study2015Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 31, nr 4, s. 223-231Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective

    Evidence supports the recommendation for follow-up session(s) for patients after discharge from an intensive care unit (ICU). The aim of these follow-up sessions is to allow patients to express and discuss their experiences and problems following their time in an ICU. To optimise the knowledge gained from the follow-up session experience, it is necessary to describe how patients experience these sessions. The aim of this study was to describe how ICU-patients, experience a follow-up session.

    Design/setting

    This study adopted a qualitative design utilising semi-structured interviews, and which examined the experiences of seven men and five women. Qualitative content analysis was utilised.

    Findings

    The participants stated that the information gained from these sessions, which had previously seemed unclear to some of them, was, on the whole, now clarified and confirmed. A discernible difference was found between participants who were cared for on a general ward and those who were cared for on a rehabilitation ward and also were offered a meeting with a counsellor, following discharge their from the ICU. The findings also indicated that participants who were not offered psychosocial support showed a greater need for a follow-up session.

    Conclusion

    This study has highlighted the need for increasing collaboration between intensive care staff and staff in other units to provide support to this patient group in order to reduce their suffering post intensive care experience.

  • 9. Henricson, Maria
    et al.
    Berglund, Anna-Lena
    Määttä, Sylvia
    Segesten, Kerstin
    A transition from nurse to touch therapist: a study of preparation before giving tactile touch in an Intensive Crae Unit.2006Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 22, nr 4, s. 239-245Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Tactile touch is a complementary therapy that is rarely undertaken in intensive care units (ICUs) in Sweden. This study was a part of a larger project that examines whether tactile touch can relieve the suffering of patients in the ICU. The aim of this study was to describe nurses’ lived experience of preparation before giving tactile touch in an ICU. Four assistant nurses and one registered nurse, each with diplomas in tactile touch working at three different ICUs in Sweden, participated in the study. A phenomenological approach was chosen to achieve experience-based and person-centred descriptions. Data were collected through interviews and analysed following Giorgi's method. The main finding was that before providing tactile touch, the nurses needed to add the new role as touch therapists, to their professional one. The essential aspect being the transition from nurse to touch therapist. Findings included a general structure, with four constituents; a sense of inner balance, an unconditional respect for the patients’ integrity, a relationship with the patient characterised by reciprocal trust, and a supportive environment. Furthermore, the study underlines the difficulties to integrate a complementary caring act, such as tactile touch, in a highly technological environment.

  • 10. Henricson, Maria
    et al.
    Segesten, Kerstin
    Berglund, Anna-Lena
    Määttä, Sylvia
    Enjoying tactile touch and gaining hope when being cared for in intenisve care: A phenomenological hermeneutical study2009Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 25, nr 6, s. 323-331Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Touch has been a part of the healing process in many civilisations and cultures throughout the centuries. Nurses frequently use touch to provide comfort and reach their patients. The aim of this study was to illuminate the meaning of receiving tactile touch when being cared for in an intensive care unit. Tactile touch is a complementary method including the use of effleurage, which means soft stroking movements along the body. The context used to illuminate the meaning of receiving tactile touch was two general intensive care units (ICUs). Six patients, who have been cared for in the two ICUs, participated in the study. A phenomenological–hermeneutical method based on the philosophy of Ricoeur and developed for nursing research by Lindseth and Norberg [Lindseth A, Norberg A. A phenomenological hermeneutical method for researching lived experience. Scandinavian Journal of Caring Sciences, 2004;18:145–53] was chosen for the analysis. Data consisted of narratives, which were analysed in three recurring phases: naïve understanding, structural analyses and comprehensive understanding. Two main themes were found: being connected to oneself and being unable to gain and maintain pleasure. The comprehensive understanding of receiving tactile touch during intensive care seems to be an expression of enjoying tactile touch and gaining hope for the future. This study reveals that it is possible to experience moments of pleasure in the midst of being a severely ill patient at an ICU and, through this experience also gain hope.

  • 11. Johansson, I
    et al.
    Fridlund, Bengt
    Högskolan i Halmstad.
    Hildingh, C
    Coping strategies of relatives when an adult next-of-kin is recovering at home following critical illness2004Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 20, nr 5, s. 281-291Artikel i tidskrift (Refereegranskat)
  • 12. Johansson, I
    et al.
    Hildingh, C
    Fridlund, Bengt
    Högskolan i Halmstad.
    Coping strategies when an adult next-of-kin/close friend is in critical care: a grounded theory analysis2002Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 18, nr 2, s. 96-108Artikel i tidskrift (Refereegranskat)
  • 13.
    Johansson, Lotta
    et al.
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.
    Knutsson, Susanne
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Bergbom, Ingegerd
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.
    Lindahl, Berit
    School of Health Sciences, Borås University College, Sweden.
    Noise in the ICU patient room - Staff knowledge and clinical improvements2016Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 35, s. 1-9Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction: The acoustic environment in the intensive care unit patient room, with high sound levels and unpredictable sounds, is known to be poor and stressful. Therefore, the present study had two aims: to investigate staff knowledge concerning noise in the intensive care unit and: to identify staff suggestions for improving the sound environment in the intensive care unit patient room.

    Method: A web-based knowledge questionnaire including 10 questions was distributed to 1047 staff members at nine intensive care unit. Moreover, 20 physicians, nurses and enrolled nurses were interviewed and asked to give suggestions for improvement.

    Results: None of the respondents answered the whole questionnaire correctly; mean value was four correct answers. In the interview part, three categories emerged: improving staff's own care actions and behaviour; improving strategies requiring staff interaction; and improving physical space and technical design.

    Conclusion: The results from the questionnaire showed that the staff had low theoretical knowledge concerning sound and noise in the intensive care unit. However, the staff suggested many improvement measures, but also described difficulties and barriers. The results from this study can be used in the design of future interventions to reduce noise in the intensive care unit as well as in other settings.

  • 14.
    Knutsson, Susanne
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Bergbom, Ingegerd
    Sahlgrenska Academy, University of Gothenburg.
    Children's thoughts and feelings related to visiting critically ill relatives in an adult ICU: A qualitative study2016Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 32, s. 33-41Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES:

    To describe and understand children's thoughts and feelings related to visiting critically ill relatives or family members in an adult intensive care unit.

    DESIGN:

    A qualitative descriptive study.

    METHOD:

    Twenty-eight children (14 girls; 14 boys) that had visited a critically ill relative or family member in an adult intensive care unit were invited to participate in an interview. The material was analysed inspired by Gadamer's hermeneutic philosophy and Doverborg and Pramling Samuelsson's method about interviews and dialogues with children.

    RESULTS:

    Children with a seriously ill/injured relative suffer. However, visiting seems to alleviate suffering. Visiting and being present as a part of the situation brought positive feelings of involvement and made it possible to show that they wanted to care for the relative. The sick relative was always on the child's mind and seeing and being with them in the intensive care unit resulted in relief and calmness, even if the relative's situation sometimes evoked feelings of despair and fear.

    CONCLUSION:

    Knowledge and awareness of the fact that children are affected by the relative's condition and for their wellbeing needs to visit, caring actions must focus on helping the child become involved in the relative's situation in order to alleviate suffering.

  • 15.
    Knutsson, Susanne
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Futurum Academy for Health and Care Region Jönköping County, Jönköping, Sweden.
    Nurses' experiences of what constitutes the encounter with children visiting a sick parent at an adult ICU2017Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 39, s. 9-17Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND:

    Despite a cultural change in visitation policies for children (0-17 years) in the intensive care unit (ICU) to a more open approach, children are still restricted from visiting for various reasons. To overcome these obstacles, it is vital to determine what is needed while encountering a child.

    AIM:

    To elucidate nurses' experiences of what constitutes the encounter with children visiting a sick parent in an adult ICU.

    METHOD:

    An explorative inductive qualitative design was used, entailing focus group interviews with 23 nurses working at a general ICU. The interviews were analysed according to inductive content analysis.

    RESULTS:

    The findings show components that constitute the encounter with children as relatives at the ICU, as experienced by ICU nurses: nurses need to be engaged and motivated; parents need to be motivated; the child needs individual guidance; and a structured follow-up is needed. This reflects a child-focused encounter.

    CONCLUSIONS:

    Nurses need to adopt a holistic view, learn to see and care for the child individually, and be able to engage parents in supporting their children. To accomplish this the nurses need engagement and motivation, and must have knowledge about what constitutes a caring encounter, in order to achieve a caring child-focused encounter.

  • 16.
    Knutsson, Susanne
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Otterberg, Cecilia L
    CIVA Sahlgrenska University Hospital, Göteborg, Sweden CIVA, Sahlgrenska Universitetssjukhus, SE-415 45 Göteborg, Sweden.
    Bergbom, Ingegerd L.
    Faculty of Health and Caring Sciences, Institute of Nursing, The Sahlgrenska Academy at Göteborg University, Box 457, SE-405 30 Göteborg, Sweden.
    Visits of children to patients being cared for in adult ICUs: policies, guidelines and recommendations.2004Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 20, nr 5, s. 264-74Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Little is known about the frequency of children visiting their nearest relatives in adult ICUs or if there are any policies/guidelines or recommendations regarding these. The aims of this multi-centre descriptive study were to survey Swedish ICUs policies/guidelines or recommendations, and examine the reasons given both for and against restricting child visits; if parents/guardians sought advice in connection with such visits, and if any differences in demographic data could be ascertained. Fifty-six Lead Nurse Managers (LNM), representing as many general adult ICUs, participated by answering a questionnaire. Only one ICU had written policy/guidelines concerning child visits; most ICUs (70%) had no policies/guidelines at all. All LNMs reported that their ICU was positive to child visits, but only two actively encouraged these. Nineteen (34%) of the ICUs restricted child visits. More than 50% of the LNMs reported that only about half of their patients ever had visits from children. Seventy percent of the ICUs had no restrictions on visiting hours, but 30% imposed some form of restriction. Twenty LNMs reported that 75% of the parents/guardians of children 0-6 years old asked for advice about child visits. However, those responsible for children >12 years of age seldom asked for any advice at all.

  • 17. Lilja, Y
    et al.
    Ryden, S
    Fridlund, Bengt
    Högskolan i Halmstad.
    Effects of extended preoperative information on perioperative stress: An anaesthetic nurse intervention for patients with breast cancer and total hip replacement1998Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 14, nr 6, s. 276-282Artikel i tidskrift (Refereegranskat)
  • 18. Löf, Lennart
    et al.
    Berggren, Lars
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    ICU patients' recall of emotional reactions in the trajectory from falling critically ill to hospital discharge: Follow-ups after 3 and 12 months.2008Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 24, nr 2, s. 108-121Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Patients' memories of frightening ICU experiences may be a threat to later psychological recovery. The purpose of the study is to describe ICU patients' recall of their emotional reactions, from falling critically ill to hospital discharge; this at 3 and 12 months following discharge from the ICU. The study is qualitative and concerns eight ICU patients ventilated for more than 72h. The participants were interviewed twice and the data were subjected to qualitative content analysis. It emerged that the memories of emotions during the trajectory of critical illness were extensive, detailed and strong, and that unpleasant emotions were clearly stable over time. At 12 months as compared with 3 months, the unpleasant emotions were less intense and had less prominent; furthermore the ICU care was more greatly associated with a sense of security, and there was greater recall of caring doctors and nurses (though not of their names) as well as next of kin. CONCLUSIONS: The study generated knowledge not previously described about how ICU patients' recollection of their emotions during the trajectory of critical illness changes over time. This has implications regarding future study of patients' ICU memories and regarding patients' need for support in coping with such memories.

  • 19. Löf, Lennart
    et al.
    Berggren, Lars
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Severely ill ICU patients recall of factual events and unreal experiences of hospital admission and ICU stay: 3 and 12 months after discharge.2006Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 22, nr 3, s. 154-166Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    There is a lack of knowledge regarding how critically ill patients recall of the ICU and their life-threatening condition changes over time. The purpose of this study is to describe critically ill and ventilator-treated patients' recollections of both factual events and unreal experiences at 3 and 12 months following discharge from the ICU. The study is qualitative and encompasses nine critically ill ICU patients, ventilator-treated for more than 72 h. The participants were interviewed twice, at 3 and 12 months after their discharge from the ICU. The interviews were analysed using qualitative content analysis. The patients in this study reported unreal experiences, memory confusion and/or disturbances before admittance to the ICU and before their respirator treatment. Their "unreal experiences" were far clearer than their memories of factual occurrences. Patients' fragmentary memories of factual events and their recall of unreal experiences were practically unchanged after 12 month. Their unreal experiences could still be recalled and related after 12 months, but not with the same expression and feeling as earlier (3 months). The unreal experiences were not - after 12 months - their initial recollections, as they had been after 3 months. Conclusions: Patients' recollections of both factual events and unreal experiences show very little variation between 3 and 12 months. The stability of long-term memory after 12 months shows that the recollection of their experiences had been both traumatic and emotionally charged. This study shows that critically ill patients were affected by cognitive disturbances and/or disturbed memory before their arrival at the ICU. This result indicates the need of ICU follow-up clinics.

  • 20. Mårtensson, IE
    et al.
    Fridlund, Bengt
    Högskolan i Halmstad.
    Factors influencing the patient during weaning from mechanical ventilation: a national survey2002Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 18, nr 4, s. 219-229Artikel i tidskrift (Refereegranskat)
  • 21.
    Rosengren, Kristina
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Bondas, Terese
    Faculty of Professional Studies, Bodø University College, Norway.
    Supporting 'two-getherness': Assumption for nurse managers working in a shared leadership model2010Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 26, nr 5, s. 288-295Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    New leadership models are developing; one of them is shared leadership, which is often described at the team level. In this study, shared leadership is explored at the managerial level. The aim of this case study was to describe two nurse manager’s experiences of working together as equal partners within a shared leadership model at an intensive care unit in Sweden. The study comprised a total of 12 interviews collected over three years with two nurse managers who worked together in shared leadership. ‘Developing active influence to improve care’ was identified as the core category, which was related to five subcategories ‘Safeguarding leadership’, ‘Enabling leadership’, ‘Supporting ‘two’-getherness’, ‘Transparent determination’ and ‘Balancing power’. A new construct ‘two’-getherness’ was created, this means that two equal nurse managers within a trustful relationship share responsibility and tasks by using the couples’ strengths and minimizing their weaknesses. Nurse managers experienced increased opportunities to improve work standards and do the very best for the ward. Moreover, the shared leadership model balanced the burden of day-to-day management. A model of shared leadership was created for further research.

     

     

     

  • 22.
    Rosengren, Kristina
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Bondas, Terese
    Nordholm, Lena
    Nordström, Gun
    Nurses' views of shared leadership in ICU: A case study2010Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 26, nr 4, s. 226-233Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    New management models develop; one of them is shared leadership where two nurse managers share tasks and responsibility for a unit. The overall aim of this study was to describe  staff’s views about shared leadership at an ICU in Sweden, and to study if there were any differences in perceptions between staff groups. This unit had changed the management organization from single leadership (one nurse manager) to shared leadership (two nurse managers). Sixty four (79%) registered nurses and assistant nurses responded to a 72 item questionnaire measuring social and organizational factors at work, especially leadership and shared leadership.

    The results showed that staff reported positive views in relation to the dimensions ‘Organizational culture’, ‘Social interactions’, ‘Work satisfaction’, ‘Leadership’, ‘Shared leadership’ and ‘Work motives’. Registered nurses reported more positive views than assistant nurses in relation to the dimensions: ‘Organizational culture’, ‘Social interactions’, ‘Work satisfaction’ and ‘Leadership’. Further, females had more positive views than males on the dimension ‘Social interactions’. Staff described that shared leadership positively influenced the work in terms of confidence. In conclusion, staff reported positive views of work and the model shared leadership in the investigated ICU. One implication is that nurse managers have to be conscious of different health professionals in the unit and it is important to offer a good working environment for all staff. However, more research is needed within the area of shared leadership. A future research project could be to add a qualitative research question about how work and shared leadership affects different health professionals in the day to day practice both at the managerial as well as the team level to improve health care.

  • 23. Samuelson, KA
    et al.
    Larsson, S
    Lundberg, D
    Fridlund, Bengt
    Lunds universitet.
    Intensive care sedation of mechanically ventilated patients: a national Swedish survey2003Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 19, nr 6, s. 350-362Artikel i tidskrift (Refereegranskat)
  • 24.
    Tingsvik, Catarine
    et al.
    Högskolan i Jönköping, Hälsohögskolan. Department of Anaesthesia and Intensive Care, Ryhov County Hospital, Jönköping, Sweden.
    Hammarskjöld, Fredrik
    Department of Anaesthesia and Intensive Care, Ryhov County Hospital, Jönköping, Sweden.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Henricson, Maria
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Patients' lived experience of intensive care when being on mechanical ventilation during the weaning process: A hermeneutic phenomenological study.2018Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 47, s. 46-53Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

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

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

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

  • 25. Wallin, U
    et al.
    Wieslander, I
    Fridlund, Bengt
    Högskolan i Halmstad.
    Loving care in the ambulance service1995Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 11, nr 6, s. 306-113Artikel i tidskrift (Refereegranskat)
  • 26. Åkerman, Eva
    et al.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Ersson, Anders
    Granberg-Axell, Anetth
    Development of the 3-SET 4P questionnaire for evaluating former ICU patients´physical and psychosocial problems over time: a pilot study2009Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 25, nr 2, s. 80-89Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Current studies reveal a lack of consensus for the evaluation of physical and psychosocial problems after ICU stay and their changes over time.

    Objectives: The aim was to develop and evaluate the validity and reliability of a questionnaire for assessing physical and psychosocial problems over time for patients following ICU recovery.

    Patients: Thirty-nine patients completed the questionnaire, 17 were retested.

    Methods and results: The questionnaire was constructed in three sets: physical problems, psychosocial problems and follow-up care. Face and content validity were tested by nurses, researchers and patients. The questionnaire showed good construct validity in all three sets and had strong factor loadings (explained variance >70%, factor loadings >0.5) for all three sets. There was good concurrent validity compared with the SF 12 (rs > 0.5). Internal consistency was shown to be reliable (Cronbach's α 0.70–0.85). Stability reliability on retesting was good for the physical and psychosocial sets (rs > 0.5).

    Conclusion: The 3-set 4P questionnaire was a first step in developing an instrument for assessment of former ICU patients’ problems over time. The sample size was small and thus, further studies are needed to confirm these findings.

  • 27.
    Åkerman, Eva
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättring och ledarskap inom hälsa och välfärd. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Samuelson, Karin
    Baigi, Amir
    Ersson, Anders
    Psychometric evaluation of 3-set 4P questionnaire2013Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 29, nr 1, s. 40-47Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This is a further development of a specific questionnaire, the 3-set 4P, to be used for measuring former ICU patients’ physical and psychosocial problems after ICU and the need for follow-up. The aim was to psychometrically test and evaluate the 3-set 4P questionnaire in a larger population. The questionnaire consists of three sets: “physical”, “psychosocial” and “follow-up”. The questionnaires were sent by mail to all patients with >24 hour length of stay at four ICUs in Sweden. Construct validity was measured with exploratory factor analysis with varimax rotation resulting in “physical set” three factors, “psychosocial set” five factors and “follow-up set” four factors with strong factor loadings and a total explained variance of 62 - 77.5%. Thirteen questions in the SF-36 were used for concurrent validity showing Spearman’s rs 0.3-0.6 in eight and <0.2 in five questions. Test-retest was used for stability reliability. In set follow-up the correlation was strong to moderate and in physical and psychosocial sets the correlations were moderate to fair. This could be due to that the physical and psychosocial status changed rapidly during the test period. All three sets had good homogeneity. In conclusion, the 3-set 4P showed overall acceptable results, but it has to be further modified in different cultures before being an instrument which may be fully operational in clinical practice.

     

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