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  • 1. Bäckström-Siwe, Christin
    et al.
    Lindbladh-Fridh, Marianne
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Mårtensson, Jan
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. ADULT.
    The workload of caring in anaesthesia care: test of validity and reliability2011In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 31, no 3, p. 9-14Article in journal (Refereed)
    Abstract [en]

    Purpose: The purpose of this study was to test the reliability and validity of an existing patient classification instrument in anaesthetic nursing in a new context.

    Background: A patient classification system has to be used by many nurses, so consistency in how it is used is important.

    Methods: The study was divided into three parts. The first part was intended to measure interreliability using double assessments of 150 anaesthesia cases. In the second part, the anaesthetic nurses carried out the workload and, in part three, content validity was examined using a questionnaire and meetings.

    Results: The result showed good to very good consistency across the board in the nurses' assessments, which also included an overall assessment of the workload (r 0,85). The workload showed the highest mean care level for the indicator preparations/surgical position and the lowest for respiration. The questionnaire replies showed that the nurses were positive about workload, but 43.3 per cent thought that the instrument only described part of their work.

    Conclusion: The instrument was shown to be of use in different contexts, but the reliability and validation process should continue so as to increase reliability. Clarifying the progression between the different care levels for each indicator in the instrument can be a way of increasing its usefulness in different services. In terms of clinical work, the measurement of workload has started a valuable process of reflection on anaesthetic nursing that helps to enable the nurses to show what they do and why.

  • 2.
    Eriksson, Kerstin
    et al.
    Ryhov County Hospital, Jönköping.
    Wikström, Lotta
    Ryhov County Hospital, Jönköping.
    Lindblad-Fridh, Marianne
    Jönköping University, School of Health and Welfare.
    Broström, Anders
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Using mode and maximum values from the Numeric Rating Scale when evaluating postoperative pain management and recovery2013In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 22, no 5-6, p. 638-647Article in journal (Refereed)
    Abstract [en]

    Aims and objectives: To (1) examine the clinical applicability of compiled mode and maximum values from the Numeric Rating Scale (NRS) by comparing the correspondence between patient perceptions of pain and pain values from monitoring records, as well as (2) to study the relationship between mode and maximum values and self-assessed ability for early postoperative recovery.

    Background: Documentation of pain remains a problem despite recommendations of quality improvements. To examine the correlation between patient perceptions and documented pain therefore becomes important. Few have studied how pain affects recovery.

    Design: A quantitative cross-sectional design was used in which 157 postoperative patients answered a questionnaire on pain intensity and recovery. A parallel examination of pain in monitoring records was conducted.

    Results: A total of 57% had a mode value calculated from records between 0 and 3 on postoperative day 1 and 69% on day 2. A maximum value between 4 and 10 was found in monitoring records for 73% on day 1 and for 67% on day 2. The correspondence between mode value from monitoring records and the patients’ retrospective perceptions was 88% for NRS 0–3 and 92% between maximum value and NRS 4–10. The correlation between documented pain and retrospectively identified pain for mode value of the NRS in all (0–10) was rather weak (r = 0·37), while maximum value had a stronger correlation (r = 0·53).

    Conclusion: Mode and maximum values could be used as outcome measures when evaluating postoperative pain. Pain affects recovery negatively, but more research is needed to strengthen the evidence for the use and clarify the link between pain and recovery.

    Relevance to clinical practice: International organisations emphasise the importance of improving pain assessment. Mode and maximum values are easy to compile for nurses and can, together with assessments of how experienced pain levels affect postoperative recovery, improve treatment of postoperative pain.

  • 3. Hult, H
    et al.
    Lindblad Fridh, Marianne
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Lindh Falk, A
    Thörne, K
    Pedagogical processes in healthcare: an exploratory study of pedagogic work with patients and next of kin2009In: Education for Health, ISSN 1357-6283, E-ISSN 1469-5804, Vol. 22, no 3Article in journal (Refereed)
  • 4.
    Lindblad Fridh, Marianne
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science.
    Intensivvårdssjuksköterskans kompetens: Ingår i Kompetens ur ett vårdpedagogiskt perspektiv1998In: Kompetens ur ett vårdpedagogiskt perspektiv: en antologi i vårdpedagogik / [ed] Eva Pilhammar Andersson, Mölndal: Inst. för vårdlärarutbildning, Göteborgs universitet , 1998, , p. 36Chapter in book (Other (popular science, discussion, etc.))
  • 5.
    Lindblad Fridh, Marianne
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science.
    Intensivvårdsutbildningen för sjuksköterskor: igår, idag och i morgon.2005In: Ventilen: Tidskrift för Riksföreningen för anestesi och intensivvård, ISSN 0348-6257, no 2Article in journal (Other (popular science, discussion, etc.))
  • 6.
    Lindblad Fridh, Marianne
    Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    The importance of advanced level for specialist nurse program in intensive care nursing2008In: The importance of advanced level for specialist nurse program in intensive care nursing, 2008Conference paper (Refereed)
    Abstract [en]

    The importance of advanced level for specialist nurse program in intensive care nursing

    Lindblad Fridh, M. PhD , RNT, CCRN; School of Health Sciences, Jönköping University, Sweden

    Contact: Marianne.Lindblad-Fridh@hhj.hj.se

    Aim: The aim was to study the students/intensive care nurses self rated competence in academic skills, their conceptions of the importance of these skills in their professional work and changing during six year.

    Method: The sample consist of one annual cohort of students (n=221) from all higher education institutions in Sweden (n=18) where specialist nurse programs in intensive care nursing were offered in 2000. Data were collected via a questionnaire at the end of the education (2000) and another one 2006. After six year 68 percent (n=150) are still working in ICU and 67 percent of these (n=100) had answered both questionnaires. Mc Nemar was used to analyse changes. The results here are just a small part of a larger study.

    Results: 49 percent of the student rated their competence in analysing and making interpretation of research  high/very high at the end of  the education but after six year at work  only 22 percent rated high/very high competence (p= ,000). 38 percent of the student rated their competence in identifying nursing problem and initiating quality improvement work high/very high at the end of the education and after six year at work 42 percent rated high/very high competence (n.s.).  18 percent of the student rated their competence in leading and organising quality improvement work high/very high at the end of the education and after six year at work 24 percent rated high/very high competence (n.s.). The importance for the tree items varying between 64 to 88 percent for important /very important for the professional role.

    Conclusion: It will be important to better prepare the nurses in the specialist nurse program for quality improvement work and evidence-based nursing care and the employers have to improve the possibility for nurses to work with evidence-based practice.

    Reference

    Lindblad Fridh, M. (2003). From general nurse to specialist nurse in intensive care. A study of experiences of specialist education and initial professional practice in intensive care (PhD thesis). Göteborg: Acta Universitatis Gothoburgensis.

  • 7.
    Lindblad Fridh, Marianne
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Utbilda dig till intensivvårdssjuksköterska: Ett samverkansprojekt mellan Länssjukhuset Ryhov och Hälsohögskolan i Jönköping1999In: Abstractsboken, Stockholm: Vårdförb. SHSTF , 1999Conference paper (Other academic)
  • 8.
    Lindblad Fridh, Marianne
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    "Utbilda dig till intensivvårdssjuksköterska": Ett samverkansprojekt mellan Länssjukhuset Ryhov och Hälsohögskolan i Jönköping1999Report (Other academic)
  • 9.
    Lindblad Fridh, Marianne
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Utvärdering av en bemanningsförändring på en intensivvårdsavdelning: "50/50-projektet"1993Report (Other academic)
  • 10.
    Lindblad Fridh, Marianne
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Hiselius, Anne
    Kuno, Malin
    Administrering av läkemedel i sond1999In: Sjukskötersketidningen, ISSN 0283-541X, no 4, p. 108-111Article in journal (Other academic)
  • 11.
    Lindblad Fridh, Marianne
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Nilsson, A
    Att utveckla sin förståelse för sina egna kompetensgränser i vardagens olika dilemman2009Conference paper (Other academic)
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