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  • 1.
    Algurén, Beatrix
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
    Användning av RiksSvikt – vad gör vi egentligen? Notering från en pågående studie2016Konferensbidrag (Övrigt vetenskapligt)
    Ladda ner fulltext (pdf)
    Presentation
  • 2.
    Algurén, Beatrix
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
    Creating value for those who need us! Person-centered care provided by foundations, associations and patient organizations in Nordic countries2016Konferensbidrag (Övrigt vetenskapligt)
  • 3.
    Algurén, Beatrix
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
    Erfarenheter av praktiskt arbete med värdegrund, social dokumentation, ICF och kvalitetsarbete2016Ingår i: Social dokumentation i handläggning och genomförande: med värdegrund och ICF / [ed] Thomas Carlsson, Ann Nilsson, Stockholm: Gothia Förlag AB, 2016, s. 89-100Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 4.
    Algurén, Beatrix
    Jönköping University, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). University of Gothenburg, Göteborg, Sweden.
    How to Bring About Change – A Literature Review About Education and Learning Activities for Sustainable Development2021Ingår i: Discourse and Communication for Sustainable Education, E-ISSN 2255-7547, Vol. 12, nr 1, s. 5-21Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Sustainable development and transformational change have become more critical than ever in the era of climate change. The aim of this literature review was to increase knowledge on education and learning activities (ELAs), along with the learning outcomes they address, in the context of higher education for sustainable development (SD) with UNESCO’s eight core competencies for SD as a starting point. The search was conducted in two educational databases, Education Research Complete and the Education Resource Information Center. 153 articles were identified, of which 16 remained after reviewing for inclusion and exclusion criteria. Education and learning activities in ESD were grounded in discussions, reflections and interdisciplinarity by using participatory teaching methods, such as problem-based or experiential learning. Commonly enhanced learning outcomes were knowledge, attitude and collaboration competencies, as well as critical and system thinking. Self-awareness and behavior change, however, were less frequently achieved and the studies addressing behavior frequently recognized inertia to behavior change, despite transferred attitudes and increased knowledge. Although UNESCO outlined behavioral learning objectives as particularly important for ESD, the present review revealed that these had hardly been reached by the used ELA. The paper discusses the complexity of behavior change and proposes an ethics-led and whole-institution approach to tackle some challenges for behavioral action and social activity. There is a need for new educational and learning activities, which have greater transformational potential, by acknowledging the complexity of behavior change.

  • 5.
    Algurén, Beatrix
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
    Systematiskt förbättringsarbete och innovationer - en viktig del i eHälsa2015Konferensbidrag (Övrigt vetenskapligt)
    Ladda ner fulltext (pdf)
    Presentation
  • 6.
    Algurén, Beatrix
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Department of Food and Nutrition, and Sport Science, UNIVERSITY OF GOTHENBURG.
    Värdeskapande inom vård och omsorg genom användning av kvalitetsregister – ett ehälsa-perspektiv2015Konferensbidrag (Refereegranskat)
  • 7.
    Algurén, Beatrix
    et al.
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. University of Gothenburg, Faculty of Education, Department of Food and Nutrition, and Sport Science, Sweden.
    Andersson Gäre, Boel
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping). Region Jönköping County, Futurum, Sweden.
    Thor, Johan
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
    Andersson, Ann-Christine
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
    Quality indicators and their regular use in clinical practice – results from a survey among users of two cardiovascular National Registries in Sweden2018Ingår i: International Journal for Quality in Health Care, ISSN 1353-4505, E-ISSN 1464-3677, Vol. 30, nr 10, s. 786-792Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: To examine the regular use of quality indicators from Swedish cardiovascular National Quality Registries (NQRs) by clinical staff; particularly differences in use between the two NQRs and between nurses and physicians.

    Design: Cross-sectional online survey study.

    Setting: Two Swedish cardiovascular NQRs: a) Swedish Heart Failure Registry and b) Swedeheart.

    Participants: Clinicians (n=185; 70% nurses, 26% physicians) via the NQRs’ email networks.

    Main outcome measures: Frequency of NQR use for a) producing healthcare activity statistics; b) comparing results between similar departments; c) sharing results with colleagues; d) identifying areas for quality improvement (QI); e) surveilling the impact of QI efforts; f) monitoring effects of implementation of new treatment methods; g) doing research; h) educating and informing healthcare professionals and patients.

    Results: Median use of NQRs was ten times a year (25th and 75th percentiles range: 3 – 23 times/year). Quality indicators from the NQRs were used mainly for producing healthcare activity statistics. Median use of Swedeheart was six times greater than SwedeHF (p<0.000). Physicians used the NQRs more than twice as often as nurses (18 vs. 7.5 times/year; p<0.000) and perceived NQR work more often as meaningful. Around twice as many Swedeheart users had the role to participate in data analysis and in QI efforts compared to SwedeHF users.

    Conclusions: Most respondents used quality indicators from the two cardiovascular NQRs infrequently (< 3 times/year). The results indicate that linking registration of quality indicators to using them for QI activities increases their routine use and makes them meaningful tools for professionals.

    Ladda ner fulltext (pdf)
    Fulltext
  • 8.
    Algurén, Beatrix
    et al.
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Department of Food and Nutrition, and Sport Science, UNIVERSITY OF GOTHENBURG.
    Andersson-Gäre, Boel
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
    Framtid och framgång för kvalitetsregisters möjligheter2015Konferensbidrag (Refereegranskat)
  • 9.
    Algurén, Beatrix
    et al.
    Jönköping University, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Department of Food and Nutrition, and Sport Science, Faculty of Education, University of Gothenburg, Gothenburg, Sweden.
    Coenen, Michaela
    Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Chair of Public Health and Health Services Research, Research Unit for Biopsychosocial Health, LMU Munich, Munich, Germany.
    Malm, Dan
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad. Jönköping University, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Fridlund, Bengt
    Centre of Interprofessional Collaboration within Emergency care (CICE), Linnaeus University, Växjö, Sweden.
    Mårtensson, Jan
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad. Jönköping University, Hälsohögskolan, HHJ. ADULT.
    Årestedt, Kristofer
    Faculty of Health and Life Sciences, Linnaeus University, Kalmar/Växjö, Sweden.
    A scoping review and mapping exercise comparing the content of patient-reported outcome measures (PROMs) across heart disease-specific scales2020Ingår i: Journal of Patient-Reported Outcomes, ISSN 2509-8020, Vol. 4, nr 1, artikel-id 7Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    BACKGROUND: Over the past decade, the importance of person-centered care has led to increased interest in patient-reported outcome measures (PROMs). In cardiovascular care, selecting an appropriate PROM for clinical use or research is challenging because multimorbidity is often common in patients. The aim was therefore to provide an overview of heart-disease specific PROMs and to compare the content of those outcomes using a bio-psycho-social framework of health.

    METHODS: A scoping review of heart disease-specific PROMs, including arrhythmia/atrial fibrillation, congenital heart disease, heart failure, ischemic heart disease, and valve diseases was conducted in PubMed (January 2018). All items contained in the disease-specific PROMs were mapped to WHO's International Classification of Functioning, Disability and Health (ICF) according to standardized linking rules.

    RESULTS: A total of 34 PROMs (heart diseases in general n = 5; cardiac arrhythmia n = 6; heart failure n = 14; ischemic heart disease n = 9) and 147 ICF categories were identified. ICF categories covered Body functions (n = 61), Activities & Participation (n = 69), and Environmental factors (n = 17). Most items were about experienced problems of Body functions and less often about patients' daily activities, and most PROMs were specifically developed for heart failure and no PROM were identified for valve disease or congenital heart disease.

    CONCLUSIONS: Our results motivate and provide information to develop comprehensive PROMs that consider activity and participation by patients with various types of heart disease.

  • 10.
    Algurén, Beatrix
    et al.
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Department of Food and Nutrition, and Sport Science, UNIVERSITY OF GOTHENBURG.
    Coenen, Michaela
    Research Unit for Biopsychosocial Health, Ludwig-Maximilians-University (LMU) Munich, Germany .
    Årestedt, Kristofer
    School of Health and Caring Sciences, Linnaeus University, Kalmar, Sweden.
    Malm, Dan
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättring och ledarskap inom hälsa och välfärd.
    Content-comparison of patient-reported outcomes in disease specific scales for patients with different types of cardiac diseases - a literature review2014Ingår i: EuroHeartCare 2014, April 4-5, 2014, Stavanger, Norway, 2014Konferensbidrag (Refereegranskat)
  • 11.
    Algurén, Beatrix
    et al.
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättring och ledarskap inom hälsa och välfärd.
    Cieza, Alarcos
    Ludwig-Maximilians-University, Munich, Germany .
    Sunnehagen, Katharina S
    University of Gothenburg, Gothenburg, Sweden.
    Christensson, Lennart
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Åldrande - livsvillkor och hälsa.
    Factors Associated With Health-Related Quality of Life After Stroke: A 1-Year Prospective Cohort Study2012Ingår i: Neurorehabilitation and Neural Repair, ISSN 1545-9683, E-ISSN 1552-6844, Vol. 26, nr 3, s. 266-274Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background. In line with patient-centered health care, it is necessary to understand patients’ perceptions of health. How stroke survivors perceive their health at different time points after stroke and which factors are associated with these feelings provide important information about relevant rehabilitation targets. Objective. This study aimed to identify the independent factors of health-related quality of life (HRQoL) from a biopsychosocial perspective using the methods of multivariate regression at 3 different time points poststroke. Methods. Included in the study were 99 patients from stroke units with diagnosed first-ever stroke. At admission and at 6 weeks, 3 months, and 1 year poststroke, HRQoL was assessed using the EuroQoL-5D Visual Analogue Scale (EQ-5D VAS). Consequences in Body Functions and Activities and Participation, and Environmental Factors were documented using 155 categories of the International Classification of Functioning, Disability and Health (ICF) Core Set for Stroke. Results. For a period of 1 year, problems with recreation and leisure, personality functions, energy and drive functions, and gait pattern functions were repeatedly associated with worse HRQoL. Whereas Body Functions and Activities and Participation explained more than three-fourths of the variances of HRQoL at 6 weeks and 3 months (R 2 = 0.80-0.93), the variation at 1 year was best explained by either Body Functions or Environmental Factors (R 2 = 0.51). Conclusions. The results indicate the importance of Body Functions and Activities and Participation (mainly personality functions and recreation and leisure) on HRQoL within 3 months poststroke, but increased impact of Environmental Factors on HRQoL at 1 year.

  • 12.
    Algurén, Beatrix
    et al.
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Department of Food and Nutrition, and Sport Science, UNIVERSITY OF GOTHENBURG.
    Gäre, Klas
    Högskolan i Jönköping, Internationella Handelshögskolan, JIBS Entrepreneurship Centre.
    Andersson-Gäre, Boel
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
    Från Kvalitetsregister till bättre vård och omsorg – komplexitetens utmaning2013Ingår i: Nationella kvalitetsregisterkonferensen 2013, 9-10 oktober, Quality Hotel Friends Arena, Stockholm.: Forum för medicinsk kvalitet & ständigt förbättringsarbete. Kan kvalitetsregister styra vården?, 2013Konferensbidrag (Refereegranskat)
  • 13.
    Algurén, Beatrix
    et al.
    Jönköping University, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Faculty of Education, Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Jernberg, Tomas
    Department of Clinical Sciences, Danderyd University Hospital, Karolinska Institute, Stockholm, Sweden.
    Vasko, Peter
    Department of Internal Medicine, Central Hospital, Växjö, Sweden.
    Selb, Melissa
    ICF Research Branch, a cooperation partner within the WHO Collaborating Centre for the Family of International Classifications (at DIMDI), Nottwil, Switzerland; and Swiss Paraplegic Research, Nottwil, Switzerland .
    Coenen, Michaela
    ICF Research Branch, a cooperation partner within the WHO Collaborating Centre for the Family of International Classifications (at DIMDI), Nottwil, Switzerland; Department of Medical Information Processing, Biometry and Epidemiology-IBE, Chair of Public Health and Health Services Research, Research Unit for Biopsychosocial Health, Ludwig-Maximilians-Universität (LMU) Munich, Munich, Germany; and Pettenkofer School of Public Health (PSPH), Munich, Germany .
    Content comparison and person-centeredness of standards for quality improvement in cardiovascular health care2021Ingår i: PLOS ONE, E-ISSN 1932-6203, Vol. 16, nr 1, artikel-id e0244874Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Quality standards are important for improving health care by providing compelling evidence for best practice. High quality person-centered health care requires information on patients' experience of disease and of functioning in daily life.

    OBJECTIVE: To analyze and compare the content of five Swedish National Quality Registries (NQRs) and two standard sets of the International Consortium of Health Outcomes Measurement (ICHOM) related to cardiovascular diseases.

    MATERIALS AND METHODS: An analysis of 2588 variables (= data items) of five NQRs-the Swedish Registry of Congenital Heart Disease, Swedish Cardiac Arrest Registry, Swedish Catheter Ablation Registry, Swedish Heart Failure Registry, SWEDEHEART (including four sub-registries) and two ICHOM standard sets-the Heart Failure Standard Set and the Coronary Artery Disease Standard Set. According to the name and definition of each variable, the variables were mapped to Donabedian's quality criteria, whereby identifying whether they capture health care processes or structures or patients' health outcomes. Health outcomes were further analyzed whether they were clinician- or patient-reported and whether they capture patients' physiological functions, anatomical structures or activities and participation.

    RESULTS: In total, 606 variables addressed process quality criteria (31%), 58 structure quality criteria (3%) and 760 outcome quality criteria (38%). Of the outcomes reported, 85% were reported by clinicians and 15% by patients. Outcome variables addressed mainly 'Body functions' (n = 392, 55%) or diseases (n = 209, 29%). Two percent of all documented data captured patients' lived experience of disease and their daily activities and participation (n = 51, 3% of all variables).

    CONCLUSIONS: Quality standards in the cardiovascular field focus predominately on processes (e.g. treatment) and on body functions-related outcomes. Less attention is given to patients' lived experience of disease and their daily activities and participation. The results can serve as a starting-point for harmonizing data and developing a common person-centered quality indicator set.

  • 14.
    Algurén, Beatrix
    et al.
    Göteborgs universitet, Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering.
    Lundgren Nilsson, Åsa
    Sunnerhagen, Katharina
    Göteborgs universitet, Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering.
    Christensson, Lennart
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Faktorer av betydelse för självupplevd hälsa hos personer med stroke – en prospektiv uppföljningsstudie2008Konferensbidrag (Refereegranskat)
  • 15.
    Algurén, Beatrix
    et al.
    Institute for Health and Rehabilitation Sciences (IHRS), Unit for Biopsychosocial Health, Ludwig-Maximilians-University, Munich, Germany.
    Lundgren Nilsson, Åsa
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Sunnerhagen, Katharina S.
    Functioning of patients with first-ever stroke six weeks after admission – a report from Sweden applying the International Classification of Functioning (ICF)2007Konferensbidrag (Refereegranskat)
  • 16.
    Algurén, Beatrix
    et al.
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
    Nordin, Annika
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
    Så blir ditt register attraktiv för kliniknära förbättringsarbete: Noteringar från en pågående studie - angreppsätt för att förbättra ANVÄNDANDET av kvalitetsregister2016Konferensbidrag (Övrigt vetenskapligt)
  • 17.
    Algurén, Beatrix
    et al.
    Jönköping University, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Department of Food and Nutrition, and Sport Science, Faculty of Education, University of Gothenburg, Göteborg, Sweden, and International Consortium for Health Outcomes Measurements (ICHOM), Boston, Massachusetts, USA.
    Ramirez, Jessily P.
    International Consortium for Health Outcomes Measurements (ICHOM), Boston, Massachusetts, USA.
    Salt, Matthew
    International Consortium for Health Outcomes Measurements (ICHOM), Boston, Massachusetts, USA.
    Sillett, Nick
    International Consortium for Health Outcomes Measurements (ICHOM), Boston, Massachusetts, USA.
    Myers, Stacie N.
    International Consortium for Health Outcomes Measurements (ICHOM), Boston, Massachusetts, USA.
    Alvarez-Cote, Albie
    International Consortium for Health Outcomes Measurements (ICHOM), Boston, Massachusetts, USA.
    Butcher, Nancy J.
    Child Health Evaluative Sciences, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
    Caneo, Luiz F.
    Heart Institute, University of Sao Paulo Medical School, Sao Paulo, Brazil.
    Cespedes, Jaime A.
    Fundacion Cardioinfantil- Instituto de Cardiologia, Universidad del Rosario, Bogota, Colombia.
    Chaplin, John E.
    Department of Pediatrics, Institute of Clinical Sciences, University of Gothenburg, Göteborg, Sweden.
    Ng, Kee Chong
    KK Women & Children's Hospital, Singapore.
    García-García, Juan J.
    Hospital Sant Joan de Déu, Barcelona, Spain.
    Hazelzet, Jan A.
    Department of Public Health, Erasmus Medical Centre, Rotterdam, The Netherlands.
    Klassen, Anne F.
    Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
    Turquetto, Aida Luiza R.
    Heart Institute, University of Sao Paulo Medical School, Sao Paulo, Brazil.
    Mew, Emma J.
    Child Health Evaluative Sciences, The Hospital for Sick Children Research Institute, Toronto, Ontario, Canada.
    Morris, Michael
    Samuel Morris Foundation, Sydney, New South Wales, Australia, and Sydney Children's Hospital Networks, Sydney, New South Wales, Australia.
    Offringa, Martin
    Child Health Evaluative Sciences, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
    O'Meara, Matthew
    NSW Health, Sydney, New South Wales, Australia.
    Papp, James M.
    Mindful Metrics, LLC, Cincinnati, Ohio, USA.
    Rodrigo, Carlos
    Pediatrics, Germans Trias i Pujol University Hospital, Badalona, Catalunya, Spain, and Universitat Autònoma de Barcelona Facultat de Medicina, Bellaterra, Catalunya, Spain.
    Switaj, Timothy L.
    U.S. Army, Boston, Massachusetts, USA.
    Valencia Mayer, Catalina
    Fundación CINDA - Universidad El Bosque, Bogotá, Colombia.
    Jenkins, Kathy J.
    Boston Children’s Hospital, Boston, Massachusetts, USA.
    Development of an international standard set of patient-centred outcome measures for overall paediatric health: a consensus process2021Ingår i: Archives of Disease in Childhood, ISSN 0003-9888, E-ISSN 1468-2044, Vol. 106, nr 9, s. 868-876, artikel-id 320345Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective

    To develop an Overall Pediatric Health Standard Set (OPH-SS) of outcome measures that captures what matters to young people and their families and recognising the biopsychosocial aspects of health for all children and adolescents regardless of health condition.

    Design

    A modified Delphi process.

    Setting

    The International Consortium for Health Outcomes Measurement convened an international Working Group (WG) comprised of 23 international experts from 12 countries in the field of paediatrics, family medicine, psychometrics as well as patient advisors. The WG participated in 11 video-conferences, through a modified Delphi process and 9 surveys between March 2018 and January 2020 consensus was reached on a final recommended health outcome standard set. By a literature review conducted in March 2018, 1136 articles were screened for clinician and patient-reported or proxy-reported outcomes. Further, 4315 clinical trials and 12 paediatric health surveys were scanned. Between November 2019 and January 2020, the final standard set was endorsed by a patient validation (n=270) and a health professional (n=51) survey.

    Results

    From a total of 63 identified outcomes, consensus was formed on a standard set of outcome measures that comprises 10 patient-reported outcomes, 5 clinician-reported measures, and 6 case-mix variables. The four developmental age-specific packages (ie, 0–5, 6–12, 13–17, 18–24 years) include either five or six measures with an average time for completion of 20 min.

    Conclusions

    The OPH-SS is a starting point to drive value-based paediatric healthcare delivery from a global perspective for enhancing child and adolescent physical health and psychosocial well-being.

  • 18.
    Algurén, Beatrix
    et al.
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Department of Food and Nutrition, and Sport Science, UNIVERSITY OF GOTHENBURG.
    Schneider, Thomas
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Famna.
    Johansson, Cecilia
    Bräcke Diakoni.
    Johansson, Lars-Åke
    Alkit Communication AB.
    Idéburna innovationer – En testbädd för personcentrerad vård och omsorg2014Konferensbidrag (Övrig (populärvetenskap, debatt, mm))
    Abstract [sv]

    Välfärdens utmaningar måste bemötas med innovativa och förebyggande arbetssätt och en helt ny användning av teknik. Men hur skapar man innovationer i vårdens och omsorgens vardag? Hur kan man se det friska i människan och hur kan medarbetare, patienter/brukare och närstående tillsammans hitta nya arbetssätt som gör vården och omsorgen bättre? Bräcke diakoni driver tillsammans med Famna, Jönköping Academy och Alkit Communication AB Famnas testbädd för en personcentrerad vård och omsorg. I den bygger man ett stöd för idéburna vård- och omsorgsgivare för att utveckla nya idéer till spridningsbara innovationer med fokus på de vi finns till för. I ett första test på Bräcke diakoni skapar man möjligheter att möta den enskildes behov och önskemål. Arbetet utgår från en strukturerad dokumentation och uppföljning som med hjälp av ICF och nya IT-stöd följer den enskildes väg genom vården och omsorgen. Möt Famnas testbädd, Vinnova och Äldreutredningen för att diskutera framtidens vård och omsorg.

  • 19.
    Algurén, Beatrix
    et al.
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
    Suwono, Beneditta
    Coenen, Michaela
    What are the Swedish Healthcare Quality Registries about? Content comparison using WHO’s International Classification of Functioning, Disability and Health and ICF Core Sets2016Konferensbidrag (Övrigt vetenskapligt)
  • 20.
    Algurén, Beatrix
    et al.
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
    Weitkunat, Rolf
    Monitoring behavioral risks – the development of lifestyle risk scale2009Konferensbidrag (Refereegranskat)
  • 21.
    Algurén, Beatrix
    et al.
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
    Weitkunat, Rolf
    Institute for Medical Informatics, Biometry and Epidemiology, Un iversity of Munich, Munich, Germany.
    Perception and prevalence of behavioral risk factors: the lifestyle risk scale (LRS)2011Ingår i: Open Journal of Preventive Medicine, ISSN 2162-2477, E-ISSN 2162-2485, Vol. 1, nr 3, s. 143-153Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: To develop a lifestyle risk scale (LRS) of health-related behaviors based on risk assessments of study participants.

    Method: By means of pairwise comparisons of assessed risks associated with tobacco, alcohol, obesity, fast-food, physical inactivity, and lack of sleep, each at four levels, 24 behaviors were ranked on a unidimensional risk scale.

    Results: Overall, use of tobacco was assigned the highest risk score (3.7), consumption of fast-food and lack of sleep the lowest (1.7, 1.6). Minor risk factors (lack of sleep and fast-food) were, at their highest levels, assigned similar risk values as major risk factors (tobacco, alcohol, obesity) at their lowest levels. Lifestyles of female participants were less hazardous than those of male participants, as measured with the LRS. In contrast, perception of behavioral health risks was more precise in men.

    Conclusions: The LRS provides a practical quantification to identify and compare groups with different risk behavior patterns as well as clusters of risky health be- haviors in and across populations. It can also support the communication of behavioral health risks.

    Ladda ner fulltext (pdf)
    Fulltext
  • 22.
    Gehandler, Louise
    et al.
    Äldreomsorg och Hospice, Bräcke diakoni.
    Algurén, Beatrix
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
    Johansson, Cecilia
    Södergårdens demensboende, Bräcke diakoni.
    Personcentrerad dokumentation och uppföljning2016Konferensbidrag (Övrigt vetenskapligt)
  • 23. Jansson, Inger
    et al.
    Algurén, Beatrix
    Jönköping University, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
    ICNP, ICF, KVÅ, ICD och NANDA - Hur kan dessa samverka?2016Konferensbidrag (Övrigt vetenskapligt)
    Ladda ner fulltext (pdf)
    Presentation
  • 24.
    Norman, Ann-Charlott
    et al.
    Jönköping University, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
    Elg, Mattias
    Department of Management and Engineering, HELIX Competence Centre, Linköping University, Linköping, Sweden.
    Nordin, Annika
    Jönköping University, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Andersson-Gäre, Boel
    Jönköping University, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Jönköping University, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping). Futurum, Academy for Health and Care Region Jönköping County, Ryhov County Hospital, Jönköping, Sweden.
    Algurén, Beatrix
    Jönköping University, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Department of Food and Nutrition, and Sport Science, Faculty of Education, University of Gothenburg, Gothenburg, Sweden.
    The role of professional logics in quality register use: a realist evaluation2020Ingår i: BMC Health Services Research, E-ISSN 1472-6963, Vol. 20, s. 1-11, artikel-id 107Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Clinical practice improvements based on quality-register data are influenced by multiple factors. Although there is agreement that information from quality registers is valuable for quality improvement, practical ways of organising register use have been notoriously difficult to realise. The present study sought to investigate the mechanisms that lead various clinicians to use quality registers for improvement.

    Methods: This research involves studying individuals’ decisions in response to a Swedish programme focusing on increasing the use of quality registers. Through a case study, we focused on heart failure care and its corresponding register: the Swedish Heart Failure Register. The empirical data consisted of a purposive sample collected longitudinally by qualitative methods between 2013 and 2015. In total, 18 semi-structured interviews were carried out. We used realist evaluation to identify contexts, mechanisms, and outcomes.

    Results: We identified four contexts – registration, use of output data, governance, and improvement projects – that provide conditions for the initiation of specific mechanisms. Given a professional theoretical perspective, we further showed that mechanisms are based on the logics of either organisational improvement or clinical practice. The two logics offer insights into the ways in which clinicians choose to embrace or reject certain registers’ initiatives.

    Conclusions: We identified a strong path dependence, as registers have historically been tightly linked to the medical profession’s competence. Few new initiatives in the studied programme reach the clinical context. We explain this through the lack of an organisational improvement logic and its corresponding mechanisms in the context of the medical profession. Implementation programmes must understand the logic of clinical practice; that is, be integrated with the ways in which work is carried out in everyday practice. Programmes need to be better at helping core health professionals to reach the highest standards of patient care.

  • 25.
    Ohlin, Maria
    et al.
    Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Algurén, Beatrix
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Lie, Anders
    Department of Mechanics and Maritime Sciences, Chalmers University of Technology, Gothenburg, Sweden.
    Analysis of bicycle crashes in Sweden involving injuries with high risk of health loss2019Ingår i: Traffic Injury Prevention, ISSN 1538-9588, E-ISSN 1538-957X, Vol. 20, nr 6, s. 613-618Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: The objectives of the present article were to (a) describe the main characteristics of bicycle crashes with regard to the road environment, crash opponent, cyclist, and crash dynamics; (b) compare individuals who describe their health after the crash as declined with those who describe their health as not affected; and (c) compare the number of injured cyclists who describe their health as declined after the crash with the predicted number of permanent medical impairments within the same population.

    Methods: A sample of individuals with specific injury diagnoses was drawn from the Swedish Traffic Accident Data Acquisition (STRADA) database (n = 2,678). A survey form was used to collect additional information about the crash and the health-related outcomes. The predicted number of impaired individuals was calculated by accumulating the risk for all individuals to sustain at least a 1% permanent medical impairment, based on the injured body region and injury severity.

    Results: Nine hundred forty-seven individuals (36%) responded, of whom 44% reported declined health after the crash. The majority (68%) were injured in single bicycle crashes, 17% in collisions with motor vehicles, and 11% in collisions with another cyclist or pedestrian. Most single bicycle crashes related to loss of control (46%), mainly due to skidding on winter surface conditions (14%), followed by loss of control during braking (6%). There was no significant difference in crash distribution comparing all crashes with crashes among people with declined health. The predicted number of impaired individuals (n = 427) corresponded well with the number of individuals self-reporting declined health (n = 421).

    Conclusions: The types of crashes leading to health loss do not substantially differ from those that do not result in health loss. Two thirds of injuries leading to health loss occur in single bicycle crashes. In addition to separating cyclists from motorized traffic, other preventive strategies are needed. 

  • 26.
    Ohlin, Maria
    et al.
    Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Berg, Hans-Yngve
    Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
    Lie, Anders
    Department of Applied Mechanics, Chalmers University of Technology, Gothenburg, Sweden.
    Algurén, Beatrix
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Long-term problems influencing health-related quality of life after road traffic injury – Differences between bicyclists and car occupants2017Ingår i: Journal of Transport and Health, ISSN 2214-1405, E-ISSN 2214-1405, Vol. 4, s. 180-190Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to describe and compare road traffic injuries leading to long-term problems in Health related quality of life (HRQoL), with regards to road user group, injury severity and injured body region, which is important when considering injury preventive strategies. From the Swedish Traffic Accident Data Acquisition (STRADA), a randomized sample of people injured in a road traffic crash and seeking emergency hospital care in connection to the crash between 1st of January 2007 and 31st of December 2009 was drawn (n=4761). HRQoL was investigated using a self-report survey, namely the EQ-5D. Among the responding persons injured in a bicycle crash (n=402) or car crash (n=557) the injury outcome of reporting or not reporting any problem in HRQoL was compared between bicyclists and car occupants depending on injured body region and injury severity. The results showed that 59% of car occupants and 44% of bicyclists reported problems in HRQoL after a road traffic injury. Pain/discomfort and anxiety/depression were the health-related dimensions where people most frequently reported problems. Leg injuries were most often associated with reporting problems in HRQoL, for both bicyclists and car occupants. Another finding was that car occupants consistently reported more problems in HRQoL compared to bicyclists, even when controlled for injury severity and injured body region.

  • 27.
    Rizzi, Maria C.
    et al.
    Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Rizzi, Matteo
    Swedish Transport Administration, Borlänge, Sweden.
    Kullgren, Anders
    Department of Mechanics and Maritime Sciences, Chalmers University of Technology, Gothenburg, Sweden.
    Algurén, Beatrix
    Jönköping University, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    The potential of different countermeasures to prevent injuries with high risk of health loss among bicyclists in Sweden2020Ingår i: Traffic Injury Prevention, ISSN 1538-9588, E-ISSN 1538-957X, Vol. 21, nr 3, s. 215-221Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: As bicyclists account for the largest share of serious injuries in Sweden, focus to improve safety for bicyclists is needed. While knowledge about fatal bicycle crashes is rather extensive, the number of studies that have investigated non-fatal injuries is still rather limited. The aim of this study was to estimate the potential of different countermeasures to reduce crashes resulting in injuries with high risk of health-loss among cyclists in Sweden. A further aim was to describe the residual-that is, crashes that were not considered to be addressed by the analyzed countermeasures.

    Methods: A sample of individuals with specific injury diagnoses was drawn from the Swedish national crash database Strada. A survey form was used to collect additional information about the crash and the health-related outcomes. The potential of countermeasures currently included in the Swedish Safety Performance Indicators, as well as of countermeasures that could be described as "existing but not fully implemented" was assessed. The overall potential of all countermeasures assessed was calculated, giving a grand total without double counting. Cases that were considered not to be addressed by any of the countermeasures included (i.e., the residual crashes) were described in more detail.

    Results: The current Swedish Safety Performance Indicators that relate to safe cycling addressed 22% of crashes. Improved maintenance by deicing and removal of snow from bicycle infrastructure was found to have the highest potential (8%), followed by improved crashworthiness of passenger cars (5%) and safer bicycle crossings (4%). The potential for existing but not fully implemented safety improvements was 56%. The greatest potential was found for Autonomous Emergency Braking with cyclist detection for passenger cars (12%), followed by studded winter tyres for bicycles (12%), and improved maintenance on non-bicycle infrastructure (11%). In total, taking double counting into consideration, all safety improvements could address 64% of all crashes. Among the residual crashes, the majority (69%) were single bicycle crashes of which most were related to wheel locking during braking and losing balance at low speed or stationary.

    Conclusions: Compared with fatal crashes that involve a majority of bicycle-car crashes, the crashes leading to health-loss are mostly single bicycle crashes. Therefore, innovation and development of additional countermeasures to improve safety for bicyclists should focus on single bicycle crashes.

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