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  • 351. Sjöström-Strand, A
    et al.
    Fridlund, Bengt
    Växjö universitet.
    Stress in women's daily life before and after a myocardial infarction: a qualitative analysis2007Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 21, nr 1, s. 10-17Artikkel i tidsskrift (Fagfellevurdert)
  • 352. Sjöström-Strand, A
    et al.
    Fridlund, Bengt
    Lunds universitet.
    Women's descriptions of coping with stress at the time of and after a myocardial infarction: a phenomenographic analysis2006Inngår i: Canadian Journal of Cardiovascular Nursing, ISSN 0843-6096, Vol. 16, nr 1, s. 5-12Artikkel i tidsskrift (Fagfellevurdert)
  • 353. Skärsäter, I
    et al.
    Dencker, K
    Bergbom, I
    Häggström, L
    Fridlund, Bengt
    Högskolan i Halmstad.
    Women's conceptions of coping with major depression in daily life: a qualitative, salutogenic approach2003Inngår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 24, nr 4, s. 419-439Artikkel i tidsskrift (Fagfellevurdert)
  • 354. Skärsäter, I
    et al.
    Dencker, K
    Häggström, L
    Fridlund, Bengt
    Högskolan i Halmstad.
    A salutogenetic perspective on how men cope with major depression in daily life, with the help of professional and lay support2003Inngår i: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 40, nr 2, s. 153-162Artikkel i tidsskrift (Fagfellevurdert)
  • 355.
    Steinke, E.
    et al.
    School of Nursing, Wichita State University, Wichita, KS, USA.
    Palm Johansen, P.
    Department of Cardiology, Copenhagen University Hospital, Copenhagen, Denmark.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Broström, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT. Department of Clinical Neurophysiology, Linköping University Hospital, Linköping, Sweden.
    Determinants of sexual dysfunction and interventions for patients with obstructive sleep apnoea: a systematic review2016Inngår i: International journal of clinical practice (Esher), ISSN 1368-5031, E-ISSN 1742-1241, Vol. 70, nr 1, s. 5-19Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    Aims

    Obstructive sleep apnoea (OSA) may negatively affect a couple's sexual relationship. This systematic review evaluated what characteristics are determinants of sexual function and dysfunction in women and men with OSA, and what interventions are shown to be effective.

    Methods

    A systematic literature review was conducted using PubMed, CINAHL, Cochrane and TRIP, and articles published between January 2004 and December 2014 in English; original research; adults ≥ 18 years; and both experimental and non-experimental designs. The Effective Public Health Practice Project Quality Assessment Tool for Quantitative Studies was used to assess study quality. Of 21 studies, six studies (no randomised control trials, RCTs) included women and 15 (with six RCTs) studies included men. Extracted data were scrutinised and adjusted until consensus was reached; suitable quantitative data were pooled in statistical meta-analysis.

    Results

    Sexual function was affected similarly in both genders, but effective interventions were reported only for men. In some studies, OSA severity and medications contributed to greater sexual dysfunction. In women, menopausal status, hormone levels and SaO2 < 90% were determinants of sexual dysfunction, while for men factors included BMI, hormonal status and inflammatory markers. Continuous positive airway pressure (CPAP) not only improved clinical measures such as excessive daytime sleepiness but also the erectile and orgasmic function. Nevertheless, sildenafil was superior CPAP with regard to erectile dysfunction.

    Conclusions

    The findings illustrate important contributors to sexual dysfunction; however, firm generalisations cannot be made. There were limited RCTs and none for women, indicating further RCTs are needed to determine how OSA affects sexual function.

  • 356.
    Steinke, Elaine E.
    et al.
    Wichita State University, School of Nursing, Wichita, United States.
    Jaarsma, Tiny
    Linköpings universitet, Department of Social and Welfare Studies, Linköping, Sweden.
    Barnason, Susan A.
    University of Nebraska, Lincolnshire, United States.
    Byrne, Molly
    National University of Ireland Galway, Galway, Ireland.
    Doherty, Sally
    Royal College of Surgeons in Ireland, Division of Population Health Sciences, Dublin, Ireland.
    Dougherty, Cynthia M.
    University of Washington Seattle, Department of Biobehavioral Nursing and Health Systems, Seattle, United States.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Kautz, Donald D.
    The University of North Carolina at Greensboro, School of Nursing, Greensboro, United States.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Mosack, Victoria
    Wichita State University, School of Nursing, Wichita, United States.
    Moser, Debra K.
    University of Kentucky, College of Nursing, Lexington, United States.
    Sexual counseling for individuals with cardiovascular disease and their partners: a consensus document from the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP)2013Inngår i: Circulation, ISSN 0009-7322, E-ISSN 1524-4539, Vol. 128, nr 18, s. 2075-2096Artikkel i tidsskrift (Fagfellevurdert)
  • 357. Steinke, Elaine E.
    et al.
    Jaarsma, Tiny
    Barnason, Susan
    Byrne, Molly
    Doherty, Sally
    Dougherty, Cynthia
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Kautz, Donald
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Mosack, Victoria
    Moser, Debra
    Sexual counselling for individuals with cardiovascular disease and their partners: A Consensus Document From the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP)2013Inngår i: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 34, nr 41, s. 3217-3235Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    After a cardiovascular event, patients and their families often cope with numerous changes in their lives, including dealing with consequences of the disease or its treatment on their daily lives and functioning. Coping poorly with both physical and psychological challenges may lead to impaired quality of life. Sexuality is one aspect of quality of life that is important for many patients and partners that may be adversely affected by a cardiac event. The World Health Organization defines sexual health as '… a state of physical, emotional, mental and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences ….' The safety and timing of return to sexual activity after a cardiac event have been well addressed in an American Heart Association scientific statement, and decreased sexual activity among cardiac patients is frequently reported. Rates of erectile dysfunction (ED) among men with cardiovascular disease (CVD) are twice as high as those in the general population, with similar rates of sexual dysfunction in females with CVD. ED and vaginal dryness may also be presenting signs of heart disease and may appear 1-3 years before the onset of angina pectoris. Estimates reflect that only a small percentage of those with sexual dysfunction seek medical care; therefore, routine assessment of sexual problems and sexual counselling may be of benefit as part of effective management by physicians, nurses, and other healthcare providers.

  • 358.
    Strid, Camilla
    et al.
    Höglandssjukhuset.
    Lingfors, Hans
    Health Centre of Habo.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Lifestyle changes in coronary heart disease - Effects of cardiac rehabilitation programs with focus on intensity, duration and content: A systematic review2012Inngår i: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 2, nr 4, s. 420-430Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    Background: Although coronary heart disease (CHD) is the most common cause of death worldwide the literature shows a wide variation in the arrangement of cardiac rehabilitation and achieved lifestyle changes. Aim: The purpose of this study was to evaluate the effects of intensity (number of patient follow-ups), duration (length of intervention) and content in cardiac rehabilitation programs (CRP) regarding lifestyle changes in patients with CHD. Method: A systematic literature review of articles published in the databases PubMed and CINAHL between 1990 and 2007 was conducted. This resulted in 1120 hits of which 25 articles finally met the set criteria for inclusion. Results: The majority of significant positive results on lifestyle factors were shown among the studies describing high intensity and long duration. Included studies showed a wide variation in content, but four different interventions (informative content, educational content, practical content, behavioral and self care-oriented content) emerged. The group of studies which contained all four interventions focused on most lifestyle factors and achieved the most significant positive results. Conclusion: This systematic literature review shows that CRP should include high intensity, long duration and an intervention content covering information, knowledge, practical training, self care-activity and behavior changes in order to achieve effect on all four lifestyle factors of diet, physical activity and exercise, smoking and stress. Lifestyle changes can be reached in less lifestyle factors, with a longer duration and a variation of intensity of contacts but in combining with an informative and educational content with an additional content of a practical nature or self activity.

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  • 359. Strömberg, A
    et al.
    Ahlén, H
    Fridlund, Bengt
    Högskolan i Halmstad.
    Dahlström, U
    Interactive education on CD-ROM: a new tool in the education of heart failure patients2002Inngår i: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 46, nr 1, s. 75-81Artikkel i tidsskrift (Fagfellevurdert)
  • 360. Strömberg, A
    et al.
    Broström, A
    Dahlström, U
    Fridlund, Bengt
    Högskolan i Halmstad.
    Factors influencing patient compliance with therapeutic regimens in chronic heart failure: a critical incident technique analysis1999Inngår i: Heart & Lung, ISSN 0147-9563, E-ISSN 1527-3288, Vol. 28, nr 5, s. 334-341Artikkel i tidsskrift (Fagfellevurdert)
  • 361. Strömberg, A
    et al.
    Dahlström, U
    Fridlund, Bengt
    Växjö universitet.
    Computer-based education for patients with chronic heart failure: A randomised, controlled, multicentre trial of the effects on knowledge, compliance and quality of life2006Inngår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 64, nr 1-3, s. 128-135Artikkel i tidsskrift (Fagfellevurdert)
  • 362. Strömberg, Anna
    et al.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Gender issues in heart failure: Meeting the needs of both men and women2004Inngår i: Caring for the Heart Failure Patient: a Textbook for the Health Care Professional, London: Martin Dunitz , 2004, s. 211-222Kapittel i bok, del av antologi (Annet (populærvitenskap, debatt, mm))
  • 363. Strömberg, Anna
    et al.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Fridlund, Bengt
    Högskolan i Halmstad.
    Dahlström, U
    Nurse-led heart failure clinics in Sweden2001Inngår i: European Journal of Heart Failure, ISSN 1388-9842, E-ISSN 1879-0844, Vol. 3, nr 1, s. 139-44Artikkel i tidsskrift (Fagfellevurdert)
  • 364. Strömberg, Anna
    et al.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Levin, Lars-Åke
    Karlsson, Jan-Erik
    Dahlström, Ulf
    Nurse-led heart failure clinics improve survival and self-care behaviour in patients with heart failure: results from a prospective, randomised trial.2003Inngår i: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 24, nr 11, s. 1014-1023Artikkel i tidsskrift (Fagfellevurdert)
  • 365. Svedberg, P
    et al.
    Jormfeldt, H
    Fridlund, Bengt
    Högskolan i Halmstad.
    Arvidsson, B
    Perceptions of the concept of health among patients in mental health nursing2004Inngår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 25, nr 7, s. 723-736Artikkel i tidsskrift (Fagfellevurdert)
  • 366.
    Svedberg, Petra
    et al.
    School of Social and Health Sciences Halmstad University, Halmstad.
    Johansson, Ingela
    Division of Nursing Sciences, Department of Medical and Health Sciences, Linköping University, Linköping.
    Persson, Sylvie
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Roxberg, Åsa
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Baigi, Amir
    General Practice and Public Health, Halland County Council, Falkenberg.
    Brunt, David
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Roijer, Carin Alm
    The Faculty of Health and Society, Malmö University, Malmö.
    Malm, Dan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättring och ledarskap inom hälsa och välfärd.
    Rask, Mikael
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Nilsson, Ulrica
    Centre of Heath Care Sciences Örebro County Council and School of Health and Medical Sciences, Örebro University, Sweden.
    Psychometric evaluation of 'The 25-item Sex after MI Knowledge Test' in a Swedish context2012Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 26, nr 1, s. 203-208Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The patients' sexual life after a myocardial infarction is important for his/her quality of life. In spite of this, many patients are in doubt regarding their sex life after a myocardial infarction (MI) and the sexual information received, and counselling from health care providers has been seen to be insufficient. The purpose of this study was to evaluate the psychometric properties of 'The 25-item Sex after MI Knowledge Test' in a Swedish context. A convenience sample was recruited. The scale was translated into Swedish and completed by 79 former patients from The Heart and Lung Patients' National Association on two occasions, with an interval of 2 weeks. The scale was tested for face and content validity, internal consistency and test-retest reliability. The result in this study indicates that the instrument has good face and content validity and displayed a moderate internal consistency (alpha 0.61). The instrument showed some level of instability in test-retest reliability with 60% of the items presenting moderate or strong agreement between the test and retest. Further studies that use this instrument in larger and more diverse samples are thus needed.

  • 367. Svensson, Anders
    et al.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Experiences of and actions towards worries among ambulance nurses in their professional life: a critical incident study.2008Inngår i: Accident and Emergency Nursing, ISSN 0965-2302, E-ISSN 1532-9267, Vol. 16, nr 1, s. 35-42Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Nurses working in the ambulance service are frequently exposed to situations in which they have to take sole responsibility for sick or injured patients, many of which can be emotionally trying. The purpose of this study was therefore to describe critical incidents in which ambulance nurses experience worry in their professional life and the actions they take in order to prevent and cope with it. The sample consisted of 13 male and 12 female nurses working in ambulance services in three small to medium-sized counties in the south of Sweden. The data were collected by means of interviews and analysed according to Critical Incident Technique (CIT). The result showed that nurses worried about specific emergency situations as well as situations related to their working environment. Worry was alleviated by their own actions or with help from others. It was also shown that, with increasing experience, came a responsibility to be able to cope with all kinds of situations. This responsibility was experienced as worrying. However, if the nurse felt confident in their colleague, the worry could ease. It was concluded that the worry experienced by ambulance nurses in specific emergency situations requires flexibility on the part of the ambulance service. Nurses must be given the opportunity to address their worries in the way that is most appropriate for each individual.

  • 368.
    Svensson, Anders
    et al.
    Centre for Acute and Critical Care, Linneaus University, Växjö, Sweden.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Wångmar, Erik
    Department of Political Science, Linnaeus University, Växjö, Sweden.
    Elmqvist, Carina
    Centre for Acute and Critical Care, Linneaus University, Växjö, Sweden.
    Home healthcare nurses’ experiences of being on stand by as a first responder in a ‘While Waiting For the Ambulance’ assignment2016Inngår i: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 36, nr 4, s. 184-191Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of the study is to describe experiences of the ‘While Waiting for the Ambulance’ (WWFA) assignment, as described by home healthcare nurses (HHCNs). Since the early 1990s, municipal resources in Sweden, preferably firefighters, have been dispatched on WWFA. In order to further assist the local residents on an island in the southwest of Sweden, HHCNs have recently begun accompanying firefighters on WWFA. A reflective lifeworld approach was used for data analysis including in-depth interviews with eight HHCNs. When WWFA was established, the HHCNs experienced lack of clarity in where their responsibilities start and end. A split role is described, and there is a paradox in that the responders are meant to collaborate toward saving lives, when the assignment itself has a lack of collaborative structure. Ethical dilemmas and inner emotional worries led to the nurses expressing a need for support before, during and after WWFA.

  • 369.
    Valaker, I.
    et al.
    Western Norway University of Applied Sciences , Faculty of Health Studies, Førde, Norway.
    Norekvaal, T. M.
    Haukeland University Hospital, Department of Heart Disease, Bergen, Norway.
    Raaholm, M-B
    Western Norway University of Applied Sciences , Faculty of Health Studies, Førde, Norway.
    Nordrehaug, J. E.
    University of Bergen, Department of Clinical Science, Faculty of Medicine and Dentistry, Bergen, Norway.
    Rotevatn, S.
    Haukeland University Hospital, Department of Heart Disease, Bergen, Norway.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Relational continuity with healthcare providers after percutaneous coronary interventions: the patient perspective2017Inngår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 16, nr Suppl. 1, s. S89-S89Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Relational continuity plays an important role when organizing the health care services for patients after early discharge. However, little is known about how patients experience relational continuity after percutaneous coronary interventions (PCI). Relational continuity has been defined as an ongoing therapeutic relationship between a patient and one or more healthcare providers.

    Purpose: To explore how patients undergoing PCI experience relational continuity after early discharge.

    Methods: Patients undergoing PCI hospitalized 6-8 weeks earlier, ⩾ 18 years and living at home at the time of inclusion were eligible for the study. Patients were purposively recruited from the Norwegian Registry for Invasive Cardiology. The study used an explorative design, and semistructured interviews were conducted with nine women and 13 men. The majority were older than 67 years, suffered an ST-elevation infarction and did not participate in cardiac rehabilitation. Interviews were analyzed using qualitative content analysis according to Graneheim and Lundman.

    Results: Important dimensions inherent in relational continuity found in this study were: (1) genuine interest in the patient as a person, (2) fostering a trusting relationship,(3) knowledge about the patient’s current health status (4) the importance of a motivated and supportive healthcare provider, and (5) being in competent and safe hands.

    Conclusions: Establishing trusting relationships with multiple healthcare providers and especially with the GP provide patients with a sense of security and predictability. At present, GPs are joined by numerous of other healthcare providers offering supplemental services. Developing clinical pathways, interdisciplinary teams, and adding more nursing personnel on advanced level in primary careseems to be important. Furthermore, collaboration with user organizations could be an arena for better communication between healthcare providers and patients undergoing PCI. There is a need for new knowledge about relational continuity through research and education within this field.

  • 370.
    Valaker, Irene
    et al.
    Faculty of Health Studies, Western Norway University of Applied Sciences, Førde, Norway.
    Norekvål, Tone M.
    Department of Heart Disease, Haukeland University Hospital, Bergen, Norway.
    Råholm, Maj-Britt
    Faculty of Health Studies, Western Norway University of Applied Sciences, Førde, Norway.
    Nordrehaug, Jan Erik
    Department of Clinical Science, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway.
    Rotevatn, Svein
    Department of Heart Disease, Haukeland University Hospital, Bergen, Norway.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Continuity of care after percutaneous coronary intervention: The patient's perspective across secondary and primary care settings2017Inngår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 16, nr 5, s. 444-452Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Although patients may experience a quick recovery followed by rapid discharge after percutaneous coronary interventions (PCIs), continuity of care from hospital to home can be particularly challenging. Despite this fact, little is known about the experiences of care across the interface between secondary and primary healthcare systems in patients undergoing PCI.

    Aim: To explore how patients undergoing PCI experience continuity of care between secondary and primary care settings after early discharge.

    Methods: The study used an inductive exploratory design by performing in-depth interviews of 22 patients at 6-8 weeks after PCI. Nine were women and 13 were men; 13 were older than 67 years of age. Eight lived remotely from the PCI centre. Patients were purposively recruited from the Norwegian Registry for Invasive Cardiology. Interviews were analysed by qualitative content analysis.

    Findings: Patients undergoing PCI were satisfied with the technical treatment. However, patients experienced an unplanned patient journey across care boundaries. They were not receiving adequate instruction and information on how to integrate health information. Patients also needed help to facilitate connections to community-based resources and to schedule clear follow-up appointments.

    Conclusions and implications: As high-technology treatment dramatically expands, healthcare organisations need to be concerned about all dimensions of continuity. Patients are witnessing their own processes of healthcare delivery and therefore their voices should be taken into greater account when discussing continuity of care. Nurse-led initiatives to improve continuity of care involve a range of interventions at different levels of the healthcare system.

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  • 371. von Bothmer, M
    et al.
    Fridlund, Bengt
    Högskolan i Halmstad.
    Promoting a tobacco-free generation: who is responsible for what?2001Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 10, nr 6, s. 784-792Artikkel i tidsskrift (Fagfellevurdert)
  • 372. Von Bothmer, M I K
    et al.
    Mattsson, B
    Fridlund, Bengt
    Lunds universitet.
    Influences on adolescent smoking behaviour: siblings' smoking and norms in the social environment do matter2002Inngår i: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 10, nr 4, s. 213-220Artikkel i tidsskrift (Fagfellevurdert)
  • 373. von Bothmer, MI
    et al.
    Fridlund, Bengt
    Högskolan i Halmstad.
    Gender differences in health habits and in motivation for a healthy lifestyle among Swedish university students2005Inngår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 7, nr 2, s. 107-118Artikkel i tidsskrift (Fagfellevurdert)
  • 374. von Bothmer, MI
    et al.
    Fridlund, Bengt
    Högskolan i Halmstad.
    Self-rated health among university students in relation to sense of cherence and other personality traits2003Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 17, nr 4, s. 347-357Artikkel i tidsskrift (Fagfellevurdert)
  • 375.
    Wallin, Kim
    et al.
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Thorén, Ann-Britt
    School of Health Sciences, University College of Borås, Borås, Sweden.
    Prehospital emergency nursing students' experiences of learning during prehospital clinical placements2013Inngår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 21, nr 3, s. 197-203Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Clinical placements play an important role in learning a new profession, but students report about poor placement experiences. Standards have been laid down for improvements within clinical training in Prehospital Emergency Nursing programmes in Sweden, but no studies have been carried out in this field in a Swedish context. The purpose of this study was thus to describe the experiences of Prehospital Emergency Nursing (PEN) students of their clinical placement and the effect on their learning process. Data were collected in 28 individual interviews and analyzed in accordance with Flanagan’s Critical Incident Technique. Three main areas emerged: the professional clinical supervisor, the clinical placement setting and the learning strategy. All these areas played a significant role in the PEN students’ learning progress and development into a new professional role. The choice of clinical supervisor (CS) and clinical placement is important if PEN students’ learning is to be an effective and positive experience. The prehospital environment is unique and can have positive and negative effects on student learning depending on the support and structure given during their clinical placement. A learning strategy based on reflective dialogue, CS continuity and a learning structure based on the prehospital environment is presented.

  • 376. Wallin, U
    et al.
    Wieslander, I
    Fridlund, Bengt
    Högskolan i Halmstad.
    Loving care in the ambulance service1995Inngår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 11, nr 6, s. 306-113Artikkel i tidsskrift (Fagfellevurdert)
  • 377. Wendt, E
    et al.
    Fridlund, Bengt
    Lunds universitet.
    Lidell, E
    Trust and confirmation in a gynecologic examination situation: a critical incident technique analysis2004Inngår i: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 83, nr 12, s. 1208-1215Artikkel i tidsskrift (Fagfellevurdert)
  • 378. Weslien, M
    et al.
    Nilstun, T
    Lundqvist, A
    Fridlund, Bengt
    Lunds universitet.
    Narratives about resuscitation: family members differ about presence2006Inngår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 5, nr 1, s. 68-74Artikkel i tidsskrift (Fagfellevurdert)
  • 379. Weslien, M
    et al.
    Nilstun, T
    Lundqvist, A
    Fridlund, Bengt
    Lunds universitet.
    When the unreal becomes real: family members' experiences of cardiac arrest2005Inngår i: Nursing in Critical Care, ISSN 1362-1017, E-ISSN 1478-5153, Vol. 10, nr 1, s. 15-22Artikkel i tidsskrift (Fagfellevurdert)
  • 380. Wickholm, M
    et al.
    Fridlund, Bengt
    Högskolan i Halmstad.
    Women's health after a first myocardial infarction: a comprehensive perspective on recovery over a 4-year period2003Inngår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 2, nr 1, s. 19-25Artikkel i tidsskrift (Fagfellevurdert)
  • 381.
    Widäng, Ingrid
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Self-respect, dignity and confidence: Conceptions of integrity among male patients2003Inngår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 42, nr 1, s. 47-56Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    A mapping of fatigue crack growth rates in thick plates of a high strength aluminium alloy has been done. The plate thicknesses investigated was 100, 150 and 200 mm. In this work, material from near edge at near surface and mid-thickness has been investigated.

    Measurements of crack length has been performed using DC potential drop. Cyclic condensation is used in order to reveal crack growth behaviour for stage I and the earlier part of stage II crack growth.

    Influence of crack closure, crack branching and slow growing side cracks on fatigue crack growth rate of S-L and L-T oriented specimens are discussed. Variation of difference in growth rate in the upper part of the stage II growth between near surface and mid thickness positioned L-T specimens are found to vary with plate thickness.

  • 382.
    Widäng, Ingrid
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Women patients' conceptions of integrity within health care: a phenomenographic study2008Inngår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 61, nr 5, s. 540-548Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to describe how female patients conceive integrity within health care. A phenomenographic approach was chosen to focus on women’s conceptions. The participants were 15 strategically-chosen female patients who were interviewed after discharge from a hospital in Sweden. Three description categories were identified: ‘maintaining the self’, which represented the patient’s relationship to herself; ‘dignity’, which characterized the professional caregivers’ relationship to the patient; and ‘confidence’, which was associated with the relationship between patient and professional caregivers. Integrity implied having courage to set boundaries and have control of the private sphere, but also if necessary changing the boundaries of integrity. It is essential that professional caregivers are knowledgeable about all aspects of integrity and the importance of interactions with patients being characterized by dignity and confidentiality. Professional caregivers should take part in reflective discussions to identify situations in health care with an inherent risk of threatening or violating patients’ integrity, and how best to preserve it. Integrity is an abstract and complex concept that is not well-defined, and further research is needed to clarify its connection with other concepts.

  • 383. Wieslander, I
    et al.
    Baigi, A
    Turesson, C
    Fridlund, Bengt
    Högskolan i Halmstad.
    Women's social support and social network after their first myocardial infarction: a 4-year follow-up with focus on cardiac rehabilitation2005Inngår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 4, nr 4, s. 278-285Artikkel i tidsskrift (Fagfellevurdert)
  • 384. Wieslander, I
    et al.
    Fridlund, Bengt
    Högskolan i Halmstad.
    Cardiac rehabilitation efforts for patients with ischaemic heart disease: a 5-year comparative review in five counties in western Sweden2001Inngår i: Coronary Health Care, ISSN 1362-3265, E-ISSN 1532-2025, Vol. 5, nr 1, s. 16-24Artikkel i tidsskrift (Fagfellevurdert)
  • 385.
    Wieslander, Inger
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Svedberg, Petra
    School of Social and Health Sciences, Halmstad University, Halmstad, Sweden.
    Factors influencing female patients' recovery after their first myocardial infarction as experienced by cardiac rehabilitation nurses2013Inngår i: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 3, nr 2, s. 230-240Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: In the developed part of the world, coronary heart disease is the major cause of death and is one of the leading causes of disease burden. In Sweden, more than 30,000 people per year are affected by myocardial infarction and out of these approximately 40% are women. Nearly 70% of the women survive and after a myocardial infarction a recovery process follows. Today’s health care focuses more on treatment, symptoms and risk factors than on the individuals’ perceptions of the recovery process. Aim: To explore cardiac rehabilitation nurses’ experiences of factors influencing female patients’ recovery after their first myocardial infarction. Methods: Twenty cardiac rehabilitation nurses were interviewed. The study was conducted using qualitative content analysis. Results: The cardiac rehabilitation nurses experienced that women’s recovery after a first myocardial infarction was influenced whether they had a supportive context, their ability to cope with the stresses of life, if they wanted to be involved in their own personal care and how they related to themselves. Conclusions: Women’s recovery after a myocardial infarction was influenced by factors related to surroundings as well as own individual factors. The underlying meaning of women’s recovery can be described as the transition process of a recovery to health. Our findings suggest that a focus on person-centered nursing would be beneficial in order to promote the every woman’s personal and unique recovery after a myocardial infarction. Finally, the cardiac rehabilitation nurses’ experiences of factors influencing male patients’ recovery after their first myocardial infarction should be important to investigate.

    Fulltekst (pdf)
    Fulltext
  • 386.
    Wieslander, Inger
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). School of Social and Health Sciences, Halmstad University, Halmstad, Sweden.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Svedberg, Petra
    School of Social and Health Sciences, Halmstad University, Sweden.
    Women's experiences of how their recovery process is promoted after a first myocardial infarction: Implications for cardiac rehabilitation care2016Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, artikkel-id 30633Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: After a myocardial infarction and discharge from the hospital a recovery process follows for the women. In order to facilitate their recovery, both a preventive and promotive perspective should be taken into consideration. Despite this, today´s healthcare focuses more on prevention and thus research into the promotion of women’s recovery process is needed.

    Aim: To explore how women’s recovery processes are promoted after a first myocardial infarction

    Methods: The study had an explorative and descriptive design based on qualitative content analysis.

    Findings: The women’s recovery process was promoted through using external and internal resources as well as embracing behaviour, social and psychological dimensions. The women embraced these dimensions to a varying extent and this process led to them being able to take in a new perspective on life.

    Conclusions: The women’s personal recovery is a multidirectional process with a desire to develop and approach a new perspective on life. It is important for cardiac rehabilitation nurses to not only focus on lifestyle changes and social support, but also on working actively with the women’s inner strength in order to promote the personal recovery of the women. Furthermore, it would be interesting to investigate men’s experiences of how their recovery process after a first Myocardial infarction is promoted.

    Fulltekst (pdf)
    fulltext
  • 387.
    Wikström, Lotta
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT. Department of Anaesthesia and Intensive Care, Ryhov County Hospital, Jönköping, Sweden.
    Eriksson, Kerstin
    Högskolan i Jönköping, Hälsohögskolan.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Nilsson, Mats
    Futurum - Academy for Health and Care, Region Jönköping County, Sweden.
    Årestedt, Kristofer
    Faculty of Health and Life Sciences, Linnaeus University, Kalmar.
    Broström, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    The clinical applicability of a daily summary of patients’ self-reported postoperative pain - a repeated measure analysis2017Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, nr 23-24, s. 4675-4684Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIM AND OBJECTIVES:

    (I) to determine if a central tendency, median, based on patients' self-rated pain is a clinically applicable daily measure to show patients' postoperative pain on the first day after major surgery (II) and to determine the number of self-ratings required for the calculation of this measure.

    BACKGROUND:

    Perioperative pain traits in medical records are difficult to overview. The clinical applicability of a daily documented summarising measure of patients' self-rated pain scores is little explored.

    DESIGN:

    A repeated measure design was carried out at three Swedish country hospitals.

    METHODS:

    Associations between the measures were analysed with non-parametric statistical methods; systematic and individual group changes were analysed separately. Measure I: pain scores at rest and activity postoperative day 1; measure II: retrospective average pain from postoperative day 1.

    RESULTS:

    The sample, 190 general- and 289 orthopaedic surgery patients with a mean age of 65; 56% were men. 44% had a pre-operative daily intake of analgesia, and 77% used postoperative opioids. A range of 4-9 pain scores seem to be eligible for the calculation of the daily measures of pain. Rank correlations for individual median scores, based on four ratings, versus retrospective self-rated average pain, were moderate and strengthened with increased numbers of ratings. A systematic group change towards a higher level of reported retrospective pain was significant.

    CONCLUSIONS:

    The median values were clinically applicable daily measures. The risk of obtaining a higher value than was recalled by patients seemed to be low. Applicability increased with increased frequency of self-rated pain scores and with high-quality pain assessments.

    RELEVANCE TO CLINICAL PRACTICE:

    The documenting of daily median pain scores at rest and during activity could constitute the basis for obtaining patients' experiences by showing their pain severity trajectories. The measures could also be an important key to predicting postoperative health-related consequences.

    Fulltekst (pdf)
    Fulltext
  • 388.
    Wikström, Lotta
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT. Department of Anaesthesia and Intensive Care, Ryhov County Hospital, Jönköping, Sweden.
    Eriksson, Kerstin
    Högskolan i Jönköping, Hälsohögskolan. Department of Anaesthesia and Intensive Care, Ryhov County Hospital, Jönköping, Sweden.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Årestedt, Kristofer
    School of Health and Caring Sciences, Linnaeus University, Kalmar, Sweden.
    Broström, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT. Department of Clinical Neurophysiology, University Hospital, Linköping, Sweden.
    Healthcare professionals’ descriptions of care experiences and actions when assessing postoperative pain – a critical incident technique analysis2016Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 30, nr 4, s. 802-812Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    Pain is a common postoperative symptom, and length of hospital stay after surgery is short which highlights the importance of pain assessments. Experiences of assessing pain are mainly described from the perspective of nurses. In postoperative care, enrolled nurses and physicians also assess pain. It is therefore important to take note of their experiences to improve postoperative pain assessments.

    Objectives

    The aim of this study was, through considering critical incidents, to describe care experiences and actions taken by healthcare professionals when assessing postoperative pain.

    Methods

    An explorative design employing critical incidents technique analysis was used. A total of 24 strategically selected enrolled nurses, nurses and physicians employed at orthopaedic or general surgery wards in four Swedish hospitals were interviewed. The intention was to reach variation in age, sex, profession and professional experience.

    Findings

    In pain assessments, patient-related facilitators were patients’ verbal and emotional expressions including pain ratings, while lack of consistency with observed behaviours was a barrier. Clinical competence, continuity in care and time were healthcare-related facilitators. The actions healthcare professionals took were gathering facts about patients’ pain manifestations and adapting to patients’ communication abilities. Patient observations, either passive or active were used to confirm or detect pain. Collaboration between healthcare professionals, including consultations with pain experts, social workers and relatives, strengthened understanding of pain.

    Conclusions

    Communication skills and working conditions have an impact on performance of pain assessment. Patient comfort without compromising safety is reached by including healthcare professionals’ dissimilar responsibilities when collecting patients’ and relatives’ perspectives on current pain.

  • 389.
    Wikström, Lotta
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT. Ryhov County Hospital, Jönköping, Sweden.
    Eriksson, Kerstin
    Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT. Ryhov County Hospital, Jönköping, Sweden.
    Årestedt, Kristofer
    Linnaeus Univ., Linköping Univ., Ersta Sköndal Univ Coll., Ersta Hosp., Sweden.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Broström, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT. Linköping University Hospital, Sweden.
    Healthcare professionals' perceptions of the use of pain scales in postoperative pain assessments2014Inngår i: Applied Nursing Research, ISSN 0897-1897, E-ISSN 1532-8201, Vol. 27, nr 1, s. 53-58Artikkel i tidsskrift (Fagfellevurdert)
  • 390. Winberg, B
    et al.
    Fridlund, Bengt
    Högskolan i Halmstad.
    Self-reported behavioural and medical changes in women after their first myocardial infarction: a 4-year comparison between participation and non-participation in a cardiac rehabilitation programme2002Inngår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 1, nr 2, s. 101-107Artikkel i tidsskrift (Fagfellevurdert)
  • 391. Wårdh, I
    et al.
    Paulsson, G
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Nursing staff's understanding of oral health care for patients with cancer diagnoses: a intervention study2009Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 18, nr 6, s. 799-806Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to evaluate long-lasting changes in the nursing staff's understanding of oral health care for cancer patients after an oral health care intervention. The study also assessed whether there were changes between registered nurses and auxiliary nurses.

    The maintenance of good oral health care in cancer patients is essential for nutrition, recovery and wellbeing and requires the involvement of nursing staff. However, several studies reveal that the need to prioritize oral health care has not been made sufficiently clear.

    The nursing staff (registered nurses, n = 133 and auxiliary nurses, n = 109) on five wards at different hospitals providing cancer care took part in a four-hour oral healthcare training session, including the use of an oral assessment guide and answered a questionnaire initially and after this intervention. The data were statistically analyzed.

    Several aspects of implementation opportunities improved, but they did not include attitudes to oral health care. Knowledge of oral diseases decreased, more for auxiliary nurses than for registered nurses.

    A four-hour oral health training session and subsequent activities improve the nursing staff's understanding of oral health care for patients with cancer diagnoses in some respects but not in terms of attitudes to oral health care or specific oral knowledge.

    Oral healthcare education and training activities for nursing staff can produce some improvements in the understanding of oral health care for cancer patients but not in attitudes and specific oral knowledge. These areas must be covered during the basic education period or/and by a routine oral healthcare programme for nursing staff, probably including an oral healthcare standard.

  • 392.
    Yaghoobi, Siamak
    et al.
    Qazvin University of Medical Sciences, Iran.
    Hamidfar, Monadi
    Qazvin University of Medical Sciences, Iran.
    Lawson, Douglas M.
    University of Calgary, Canada.
    Fridlund, Bengt
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad. Jönköping University, Hälsohögskolan, HHJ. ADULT.
    Myles, Paul Stewart
    Monash University, Melbourne, Victoria, Australia.
    Pakpour, Amir H.
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad. Qazvin University of Medical Sciences, Iran.
    Validity and reliability of the Iranian version of the quality of recovery-40 questionnaire2015Inngår i: Anesthesiology and Pain Medicine, ISSN 2228-7523, Vol. 5, nr 2, s. 1-8, artikkel-id e20350Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Recovery after anesthesia and surgery is a complex process and depends on many factors such as patient, anesthesia and surgery conditions as well pre-existing comorbidities.

    OBJECTIVES: The aims of this study were to translate the 40-item quality of recovery score (QoR-40) into Persian and evaluate its psychometric properties in Iranian patients.

    PATIENTS AND METHODS: We enrolled patients candidate for elective general surgery undergoing general anesthesia from July 2013 to December 2013 at Shahid Rajaee Hospital, Qazvin, Iran. Translation was performed based on Beaton's and Bullinger's recommendations. Estimates of internal consistency, test-retest reliability, concurrent validity, predictive validity and clinical validity were performed.

    RESULTS: All estimates of internal consistency were high (Cronbach's alpha = 0.89 for global estimates, subscales between 0.89 and 0.93). All test-retest scores and subscales were between 0.71 and 0.88.The correlation with a recovery visual analogue scale was 0.51, and all subscales correlated significantly with comparable subscales of the SF-36. An exploratory factor analysis found five-components and explained 52% of the variance. A confirmatory factor analysis based on the five-components, yielded good fit statistics (CFI = 0.93).

    CONCLUSIONS: Overall, the Persian version of the QoR-40 was both conceptually and linguistically equivalent to the original English QoR-40. This study revealed that the Persian version of the QoR-40 is a valid and reliable instrument to assess the recovery quality in Iranian patients after surgery.

    Fulltekst (pdf)
    fulltext
  • 393.
    Yekaninejad, Mir Saeed
    et al.
    Tehran University of Medical Sciences.
    Pakpour, Amir H.
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad. Qazvin University of Medical Sciences.
    Tadakamadala, Jyothi
    Griffith University.
    Kumar, Santhosh
    Griffith University.
    Mosavi, Seyed Hamzeh
    Iran University of Medical Sciences.
    Fridlund, Bengt
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad. Jönköping University, Hälsohögskolan, HHJ. ADULT.
    Bottomley, Andrew
    European Organization for Research and Treatment of Cancer.
    Aaronson, Neil K.
    The Netherlands Cancer Institute.
    Oral-health-related quality of life in patients with cancer: Cultural adaptation and the psychometric testing of the Persian version of EORTC QOQ-OH172015Inngår i: Supportive Care in Cancer, ISSN 0941-4355, E-ISSN 1433-7339, Vol. 23, nr 5, s. 1215-1224Artikkel i tidsskrift (Fagfellevurdert)
  • 394. Ziegert, K
    et al.
    Fridlund, Bengt
    Högskolan i Halmstad.
    Conceptions of life situation among next-of-kin of haemodialysis patients2001Inngår i: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 9, nr 4, s. 231-239Artikkel i tidsskrift (Fagfellevurdert)
  • 395. Ziegert, K
    et al.
    Fridlund, Bengt
    Växjö universitet.
    Lidell, E
    Health in everyday life among spouses of haemodialysis patients: a content analysis2006Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 20, nr 2, s. 223-228Artikkel i tidsskrift (Fagfellevurdert)
  • 396. Ziegert, K
    et al.
    Fridlund, Bengt
    Växjö universitet.
    Lidell, E
    Professional support for next of kin of patients receiving chronic haemodialysis treatment: a content analysis study of nursing documentation2007Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 16, nr 2, s. 353-361Artikkel i tidsskrift (Fagfellevurdert)
  • 397. Ziegert, K
    et al.
    Högstedt, B
    Fridlund, Bengt
    Lunds universitet.
    Lidell, E
    Time distribution factors of hospital and home care among chronic haemodialysis patients2004Inngår i: Journal of Renal Care (EDTNA/ERCA), ISSN 1755-6678, Vol. 16, nr 1, s. 19-22Artikkel i tidsskrift (Fagfellevurdert)
  • 398. Ziegert, Kristina
    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.
    Lidell, Evy
    Time for dialysis as time to live: experiences of time in everyday life of the Swedish next of kin of hemodialysis patients2009Inngår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 11, nr 1, s. 45-50Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to explore the content of time in everyday life as experienced by the next of kin of patients on hemodialysis in Sweden. Chronic renal disease often requires hemodialysis, which is a time-consuming treatment that makes it necessary to carefully plan everyday life and involves the next of kin to a large degree. This study used a descriptive design with a content analysis approach. The analysis of the data from the twenty interviews revealed the experiences of time in the everyday lives of the next of kin of a patient on hemodialysis. The content of time in everyday life can be described as follows: fragmented time, vacuous time, and uninterrupted time. The findings show how everyday life time for the next of kin is minimized and that the common life space is contracted. The next of kin must be provided with supervision in order to provide them with more of their own time in everyday life, which can benefit their health.

  • 399. Åkerlund, E
    et al.
    Odams, E
    Larsson, I
    Fridlund, Bengt
    Högskolan i Halmstad.
    Nipple necrosis after reduction mammaplasty: a case report1995Inngår i: International Journal of Rehabilitation and Health, ISSN 1068-9591, E-ISSN 1573-1537, Vol. 1, nr 4, s. 285-289Artikkel i tidsskrift (Fagfellevurdert)
  • 400.
    Åkerman, Eva
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Ersson, Anders
    Skåne University Hospital, Department of Intensive Care Medicine in Malmö, Sweden.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättring och ledarskap inom hälsa och välfärd.
    Samuelson, Karin
    Division of Nursing, Department of Health Sciences, Lund University, Lund, Sweden.
    Preferred content and usefulness of a photodiary as described by ICU-patients-A mixed method analysis2013Inngår i: Australian Critical Care, ISSN 1036-7314, E-ISSN 1878-1721, Vol. 26, nr 1, s. 29-35Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Many ICU-patients have memory-gaps which may affect their recovery. A tool in the recovery can be an ICU-diary to explain and clarify thoughts and events from the ICU-period. There are different standards for the content in the ICU-diary. The aim of this study was to identify the preferred content and usefulness of an ICU-diary as described by ICU-patients.

    Method: a descriptive, exploratory cohort design with a mixed method approach. The patients answered a questionnaire (n=115) and participated in an interview (n=15) six months after the ICU-stay. Data analysis was carried out in three stages; the questionnaire was analysed by descriptive statistics and categorized by content (four open-ended questions) and the interviews were analysed by manifest content analysis.

    Results: The patients explained that detailed information about daily activities and medical facts had to be included to understand and give a sense of coherence of what had happened. The content in the ICU-diary had to be chronological in order to follow the process in which photos were an important part. The patients re-read the ICU-diary during the recovery which helped them to fill in the memory gaps and used it as a tool for communication.

    Conclusion; To construct a coherent story, it was essential that the ICU-diary was complete and were amplified by photos, all appearing in a chronological order. The results of this study could form a basis for further developments of standards and guidelines for ICU-diaries

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