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Willman, Ania
Publications (10 of 67) Show all publications
Bijelic, T., Ekberg, E., Willman, A. & Nilsson, I.-M. (2022). Expectations and Experiences of Internet-Based Therapy for Adolescents with TMD Pain. The Journal of Oral & Facial Pain and Headache, 36(3), 237-252
Open this publication in new window or tab >>Expectations and Experiences of Internet-Based Therapy for Adolescents with TMD Pain
2022 (English)In: The Journal of Oral & Facial Pain and Headache, ISSN 2333-0384 , E-ISSN 2333-0376 , Vol. 36, no 3, p. 237-252Article in journal (Refereed) Published
Abstract [en]

Aims: To investigate expectations and experiences of internet-based therapy (IBT) in adolescents with temporomandibular disorder (TMD) pain. Methods: Seven adolescents were strategically selected for this study. All patients had received IBT for their TMD pain in a previous randomized controlled trial. Oneon- one interviews were conducted in a nonclinical setting. The interviews were semi-structured, following an interview guide with six domains. The recorded interviews were transcribed, and a qualitative inductive content analysis was then performed. Results: Content analysis indicated that the expectations of the adolescents and their experiences of IBT as a treatment for TMD pain can be understood in light of three main categories: (1) To become better; (2) An ambivalent experience; and (3) A personal challenge. The adolescents expressed expectations of less TMD pain after treatment, but also of improvement in general well-being and everyday life. Although their experiences of IBT varied, adolescents described having mixed feelings about treatment and feeling that it was personally challenging. Conclusion: Gained understanding of expectations and experiences is a necessary basis for revising the IBT program to meet the demands of adolescents and to improve treatment adherence. Furthermore, the content of the three categories clarifies the values of adolescents, and this understanding can in turn contribute to the development of new patient-centered treatment programs.

Place, publisher, year, edition, pages
Quintessence, 2022
National Category
Dentistry
Identifiers
urn:nbn:se:mau:diva-64325 (URN)10.11607/ofph.3042 (DOI)000920467500005 ()36445908 (PubMedID)2-s2.0-85143917013 (Scopus ID)
Available from: 2023-12-12 Created: 2023-12-12 Last updated: 2023-12-12Bibliographically approved
Andersson, Å., Frank, C., Willman, A., Sandman, P.-O. & Hansebo, G. (2018). Factors contributing to serious adverse events in nursing homes (ed.). Journal of Clinical Nursing, 27(1-2), e354-e362
Open this publication in new window or tab >>Factors contributing to serious adverse events in nursing homes
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2018 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 1-2, p. e354-e362Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: The aim of this study was to identify the most common serious adverse events that occurred in nursing homes and their most frequent contributing factors to contribute to improvement of safe nursing care. BACKGROUND: There is a need to improve safe nursing care in nursing homes. Residents are often frail and vulnerable with extensive needs for nursing care. A relatively minor adverse event in nursing care can cause serious injury that could have been preventable. DESIGN: This was a retrospective study, with a total sample of data regarding adverse events (n=173) in nursing homes, concerning nursing care reported by health care providers in Sweden to the Health and Social Care Inspectorate. The reports were analysed with content analysis and the frequencies of the adverse events, and their contributing factors, were described with descriptive statistics. RESULTS: Medication errors, falls, delayed or inappropriate intervention and missed nursing care caused the vast majority (89%) of the serious adverse events. A total of 693 possible contributing factors were identified. The most common contributing factors were 1) lack of competence 2) incomplete, or lack of documentation 3) teamwork failure 4) and inadequate communication. CONCLUSIONS: The contributing factors frequently interacted yet they varied between different groups of serious adverse events. The resident's safety depends on the availability of staff's competence as well as adequate documentation about the resident's condition. Lack of competence was underestimated by health care providers. RELEVANCE TO CLINICAL PRACTICE: Registered Nurses and assistant nurses need to have awareness of contributing factors to adverse events in nursing care. A holistic approach to improve patient safety in nursing homes requires competence of the staff, safe environments as well as resident's and relative's participation. This article is protected by copyright. All rights reserved.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018
Keywords
Adverse events, Content analysis, Competence, Nursing Care, Nursing homes, Patient Safety
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:mau:diva-5521 (URN)10.1111/jocn.13914 (DOI)000418871000069 ()28618102 (PubMedID)2-s2.0-85037358690 (Scopus ID)23368 (Local ID)23368 (Archive number)23368 (OAI)
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-02-05Bibliographically approved
Lindberg, C., Fagerström, C. & Willman, A. (2018). Patient autonomy in a high-tech care context: A theoretical framework (ed.). Journal of Clinical Nursing, 27(21-22), 4128-4140
Open this publication in new window or tab >>Patient autonomy in a high-tech care context: A theoretical framework
2018 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 21-22, p. 4128-4140Article in journal (Refereed)
Abstract [en]

AIMS AND OBJECTIVES: To synthesise and interpret previous findings with the aim of developing a theoretical framework for patient autonomy in a high-tech care context. BACKGROUND: Putting the somewhat abstract concept of patient autonomy into practice can prove difficult as when it is highlighted in healthcare literature, the patient perspective is often invisible. Autonomy presumes that a person has experience, education, self-discipline and decision-making capacity. Reference to autonomy in relation to patients in high-tech care environments could therefore be considered paradoxical, as in most cases, these persons are vulnerable, with impaired physical and/or metacognitive capacity, thus making extended knowledge of patient autonomy for these persons even more important. DESIGN: Theory development. METHODS: The basic approaches in theory development by Walker and Avant were used to create a theoretical framework through an amalgamation of the results from three qualitative studies conducted previously by the same research group. RESULTS: A theoretical framework-the control-partnership-transition framework-was delineated disclosing different parts cocreating the prerequisites for patient autonomy in high-tech care environments. Assumptions and propositional statements that guide theory development were also outlined, as were guiding principles for use in day-to-day nursing care. Four strategies used by patients were revealed as follows: the strategy of control, the strategy of partnership, the strategy of trust and the strategy of transition. CONCLUSIONS: An extended knowledge base, founded on theoretical reasoning about patient autonomy, could facilitate nursing care that would allow people to remain/become autonomous in the role of patient in high-tech care environments. RELEVANCE TO CLINICAL PRACTICE: The control-partnership-transition framework would be of help in supporting and defending patient autonomy when caring for individual patients, as it provides an understanding of the strategies employed by patients to achieve autonomy in high-tech care contexts. The guiding principles for patient autonomy presented could be used in nursing guidelines.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018
Keywords
autonomy, caring, concept development, high‐tech care, metasynthesis, theory development
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:mau:diva-4111 (URN)10.1111/jocn.14562 (DOI)000446561500030 ()29893468 (PubMedID)2-s2.0-85050941568 (Scopus ID)26656 (Local ID)26656 (Archive number)26656 (OAI)
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-02-05Bibliographically approved
Lindberg, C., Fagerström, C., Willman, A. & Sivberg, B. (2017). Befriending Everyday Life When Bringing Technology Into the Private Sphere (ed.). Qualitative Health Research, 27(6), 843-854
Open this publication in new window or tab >>Befriending Everyday Life When Bringing Technology Into the Private Sphere
2017 (English)In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 27, no 6, p. 843-854Article in journal (Refereed) Published
Abstract [en]

We present the findings of our phenomenological interview study concerning the meaning of being an autonomous person while dependent on advanced medical technology at home. This was elucidated in the participants’ narratives as befriending everyday life when bringing technology into the private sphere. We discovered four constituents of the phenomenon: befriending the lived body, depending on good relationships, keeping the home as a private sphere, and managing time. The most important finding was the overall position of the lived body by means of the illness limiting the control over one’s life. We found that the participants wanted to be involved in and have influence over their care to be able to enjoy autonomy. We therefore stress the importance of bringing the patients into the care process as chronic illness will be a part of their everyday life for a long time to come, hence challenging patient autonomy.

Place, publisher, year, edition, pages
Sage Publications, 2017
Keywords
advanced home care, autonomy, decision making, ethics, Giorgi, interviews, phenomenology, qualitative, technology, medical
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:mau:diva-5340 (URN)10.1177/1049732315627428 (DOI)000400198000008 ()26848081 (PubMedID)2-s2.0-85018243086 (Scopus ID)20585 (Local ID)20585 (Archive number)20585 (OAI)
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-02-05Bibliographically approved
Willman, A., Bahtsevani, C., Nilsson, R. & Sandström, B. (2016). Evidensbaserad omvårdnad: en bro mellan forskning och klinisk verksamhe (4., [rev.] uppl.ed.). Studentlitteratur AB
Open this publication in new window or tab >>Evidensbaserad omvårdnad: en bro mellan forskning och klinisk verksamhe
2016 (Swedish)Book (Other academic)
Abstract [sv]

Evidensbaserad omvårdnad definieras i denna bok som både ett förhållningssätt och en process. Förhållningssättet innebär en vilja att använda bästa tillgängliga vetenskapliga bevis som underlag för vårdbeslut. Processen består i hur man praktiskt går tillväga för att finna, sammanställa, kritiskt värdera och implementera detta underlag. Evidensbaserad omvårdnad handlar således om en strävan att bedriva omvårdnad på en god och säker grund och att tillgodose samhällets krav på att forskningsresultat utnyttjas på bästa sätt. Denna fjärde upplaga har förtydligats och alla länkar samt webbadresser har uppdaterats. Ett nytt avsnitt om ledarskapets betydelse för implementering av evidens har tillkommit. På bokens webbsida finns en film som visar evidensbaserad omvårdnad i klinisk verksamhet.

Place, publisher, year, edition, pages
Studentlitteratur AB, 2016. p. 186 Edition: 4., [rev.] uppl.
Keywords
evidensbaserad omvårdnad, klinisk verksamhet, systematisk litteraturstudie
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:mau:diva-16133 (URN)20586 (Local ID)978-91-44-10902-2 (ISBN)20586 (Archive number)20586 (OAI)
Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2022-06-27Bibliographically approved
Lindvall, A., Kristensson, J., Willman, A. & Holst, G. (2016). Informal Care Provided by Family Caregivers: Experiences of Older Adults With Multimorbidity (ed.). Journal of Gerontological Nursing, 8(42), 24-31
Open this publication in new window or tab >>Informal Care Provided by Family Caregivers: Experiences of Older Adults With Multimorbidity
2016 (English)In: Journal of Gerontological Nursing, ISSN 0098-9134, E-ISSN 1938-243X, Vol. 8, no 42, p. 24-31Article in journal (Refereed)
Abstract [en]

Informal care given by family caregivers is an important part of the total care provided to older adults with multimorbidity. The current study aimed to describe how older adults with multimorbidity experienced care from family caregivers. Interviews were conducted with 24 participants (mean age = 86 years). Older adults with multimorbidity felt gratitude toward family caregivers for their willingness to help with everyday life and for representing their interests in contacts with health care providers. Family caregivers also had a significant impact on older adults’ psychological well-being. However, the results also showed that older adults often felt they were a burden to their family caregivers and that their independence might be reduced. Older adults with multimorbidity should have the opportunity to be more involved in and have more influence over their health care so that they do not have to depend on representation by family caregivers.

Place, publisher, year, edition, pages
Slack, 2016
Keywords
Informal care, Family caregivers, older adults, multimorbidity, experiences
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:mau:diva-5390 (URN)10.3928/00989134-20160615-06 (DOI)000386651400004 ()27319404 (PubMedID)2-s2.0-85041249897 (Scopus ID)21255 (Local ID)21255 (Archive number)21255 (OAI)
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-02-05Bibliographically approved
Berlin, A., Alinaghizadeh, H., Törnkvist, L., Willman, A. & Nilsson, G. (2016). Psychometric characteristics of a modified Sympathy-Acceptance-Understanding-Caring competence model questionnaire among foreign-born parents encountering nurses in primary child health care services (ed.). Primary Health Care Research and Development, 17(3), 298-310
Open this publication in new window or tab >>Psychometric characteristics of a modified Sympathy-Acceptance-Understanding-Caring competence model questionnaire among foreign-born parents encountering nurses in primary child health care services
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2016 (English)In: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 17, no 3, p. 298-310Article in journal (Refereed)
Abstract [en]

The aim was to determine the psychometric properties of the Sumpathy-Acceptance-Understanding-Caring Competence (SAUK) model questionnaire for foreign-born parents evaluating nursing encounters in the Swedish Primary Child Health Care (PCHC) services. Multicultural encounters in child health care from the nursing perspectives are challenging and problematic worlwide. A suitable theory-based and validated questionnaire is needed for foreign-born parents to assess the quality of their encounters with nurses. The SAUC questionnaire, modified for use by new, foreign-born parents using the Swedish PCHC services, was evaluated for its congruence with the theory of Confirming Encounter. The study was ethically approved and data were collected between March and August 2009 from 83 new foreign-born parents seen at 50 clinics. Exploratory factor analysis was used to identifiy related factors, and goodness-of-fit tests were used to estimate theoretical consistency. Confirmatory Factor Analysis was used to verify the results. The questionnaire had satisfactory theoretical consistency with the theory of Confirming Encounter. Three factors identified by exploratory factor analysis and confirmed by confirmatory factor analysis - person support, self-support, and self-perspective support - indicated internal consistency and validated the three factors implicit in the Confirming Encounter. In addition, a new factor, concordance, was identified that is compatible with the theory. To conclude, despite the fact that a modified questionnaire have its limitations results demonstrate that the SAUC-model questionnaire seems to be a reliable and valid nursing quality-control measure with which foreign-born parents can evaluate the qualities of a confirming encounter with nurses. However, we suggest the need for testing the questionnaire in a larger population.

Place, publisher, year, edition, pages
Cambridge University Press, 2016
Keywords
confirming encounter, foreign-born parents, immigrant health, nurses, primary child health care services, psychometrics, SAUC-model questionnaire
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:mau:diva-5192 (URN)10.1017/S1463423615000444 (DOI)000378160300009 ()26387440 (PubMedID)2-s2.0-85014467003 (Scopus ID)19789 (Local ID)19789 (Archive number)19789 (OAI)
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-02-05Bibliographically approved
Nilsson, I.-M. & Willman, A. (2016). Treatment Seeking and Self-Constructed Explanations of Pain and Pain management Strategies Among Adolescents with Temporomandibular Disorder Pain (ed.). Journal of Oral & Facial Pain Headache, 30(2), 127-133
Open this publication in new window or tab >>Treatment Seeking and Self-Constructed Explanations of Pain and Pain management Strategies Among Adolescents with Temporomandibular Disorder Pain
2016 (English)In: Journal of Oral & Facial Pain Headache, ISSN 2333-0376, Vol. 30, no 2, p. 127-133Article, review/survey (Refereed)
Abstract [en]

Aims: To explore adolescents' explanations of their temporomandibular disorder (TMD) pain, their pain management strategies for TMD pain, and their treatmentseeking behavior. Methods: One-on-one interviews were conducted with 21 adolescents aged 15 to 19 years old who had TMD pain and followed a semistructured interview guide. Subjects were strategically selected from patients referred to orofacial pain clinic. All participants had been examined and received a pain diagnosis based on the Research Diagnostic Criteria for TMD. The interviews focused on the adolescents' experiences of TMD pain, their strategies for handling pain, and how they seek care. The interviews were recorded, transcribed verbatim, and analyzed using qualitative manifest content analysis. Results: Qualitative manifest content analysis revealed two categories: (1) self-constructed explanations, with three subcategories (situation-based explanatory model, physical/bilogic model, and psychological explanatory model); and (2) pain management strategies, with four subcategories (social support, treatment, relaxation/rest, and psychological strategies). Adolescents used physical activities and psychological and pharmacologic treatment to manage pain. Reasons for seeking treatment were to be cured, to obtain explanation for their pain, and because their symtoms bother others. Conclusion: Adolescents living with TMD pain develop self-constructed explanations and pain management strategies. With access to these descriptions, dentists can be better prepared to have a dialouge with their adolescent patients about their own explanations of pain, the nature of pain, and in wich sitations the pain appears. Dentists can also explore adolescent patients' pain management stategies and perhaps also suggest new treatment stategies at an earlier stage.

Place, publisher, year, edition, pages
Quintessence, 2016
Keywords
adolescents, content analysis, interview, TMD pain, treatment
National Category
Dentistry
Identifiers
urn:nbn:se:mau:diva-854 (URN)10.11607/ofph.1450 (DOI)000376213700006 ()27128476 (PubMedID)2-s2.0-84977444442 (Scopus ID)21036 (Local ID)21036 (Archive number)21036 (OAI)
Available from: 2020-02-27 Created: 2020-02-27 Last updated: 2024-02-06Bibliographically approved
Lindberg, C., Sivberg, B., Willman, A. & Fagerström, C. (2015). A trajectory towards partnership in care: patient experiences of autonomy in intensive care, a qualitative study (ed.). Intensive & Critical Care Nursing, 31(5), 294-302
Open this publication in new window or tab >>A trajectory towards partnership in care: patient experiences of autonomy in intensive care, a qualitative study
2015 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 31, no 5, p. 294-302Article in journal (Refereed)
Abstract [en]

The aim of this study was to describe and elucidate patient experinces of autonomy in an intensive care context from a caring perspective. Patients in intensive care units (ICUs) are critically ill and in a dependent and vulnerable position. There is thus a risk of staff taking command not only of the patients' vital functions but also of their decision-making. A qualitative design was selected. Individual interviews were conducted with 11 adult patients with an intensive care episode of two days or more at six Swedish ICUs. Data were analysed using Inductive Content Analysis. Patient autonomy in intensive care was shown to be "A trajectory towards partnership in care depending on state of health and mutual understanding". It was experienced through acknowledged dependence, being recognised as a person, invited participation and becoming a co-partner in care. Patients in need of intensive care wanted to be involved in making decisions about their care as this creates a trusting and healthy care environment. Greater awarness is required about the ICU patient not only being a passive care recipient but also an active agent and where involvment in decision-making and participation in care are crucial.

Place, publisher, year, edition, pages
Elsevier, 2015
Keywords
Content analysis, intensive care, interviews, patient autonomy, qualitative research
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:mau:diva-5139 (URN)10.1016/j.iccn.2015.04.003 (DOI)000362147700005 ()26279390 (PubMedID)2-s2.0-84941738418 (Scopus ID)19788 (Local ID)19788 (Archive number)19788 (OAI)
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-02-05Bibliographically approved
Andersson, Å., Frank, C., Willman, A., Sandman, P.-O. & Hansebo, G. (2015). Adverse events in nursing: a retrospective study of reports of patient and relative experiences (ed.). International Nursing Review, 62(3), 377-385
Open this publication in new window or tab >>Adverse events in nursing: a retrospective study of reports of patient and relative experiences
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2015 (English)In: International Nursing Review, ISSN 0020-8132, E-ISSN 1466-7657, Vol. 62, no 3, p. 377-385Article in journal (Refereed)
Abstract [en]

Patient safety is an important global issue. While it is well known that patients can suffer from adverse events in nursing care, there is a lack of knowledge as to how they experience them. The aim was to examine adverse events in nursing care as they are experienced by patients and relatives. This was a retrospective study taking both a qualitative and quantitative approach. It was based on data regarding 242 adverse events in nursing care, as reported by patients and relatives to Sweden's Medical Responsibility Board, content analysis was used to analys the reports. Patients' and relatives' experiences were analysed into four categories of adverse events, as concerning participation, clinical judgement, nursing intervention and the essentials of care. The reports were classified by the Medical Responsibility Board, without a standardized system. The adverse events reported were few in number and were reported by patients and relatives only. Lack of participation has negative consquences and contributes to adverse events. Adverse events occur through missed care as well as through carer errors. Nurses need to improve their skills that support patient participation. Patient participation needs to be incorporated into nurses' duties. Resources for patients to participate in their own care needs to be a priority underpinning policy-making in health systems. Nursing education systems need to teach students about the value and benefits of involving patients in their care.

Place, publisher, year, edition, pages
International Council of Nurses, 2015
Keywords
communication, nursing, nursing care, patient participation, patient safety, qualitative methods, research
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:mau:diva-5289 (URN)10.1111/inr.12192 (DOI)000360218200023 ()26109381 (PubMedID)2-s2.0-84940437215 (Scopus ID)19797 (Local ID)19797 (Archive number)19797 (OAI)
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-02-05Bibliographically approved
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