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Lundmark, M., Antonsson, L., Nobrell, A., Hommel, A. & Ramji, R. (2024). Measuring Professional Governance: The Swedish Version of the Verran Professional Governance Scale©. Journal of Nursing Administration, 54(11), 591-596
Open this publication in new window or tab >>Measuring Professional Governance: The Swedish Version of the Verran Professional Governance Scale©
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2024 (English)In: Journal of Nursing Administration, ISSN 0002-0443, E-ISSN 1539-0721, Vol. 54, no 11, p. 591-596Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To translate the Verran Professional Governance Scale© (VPGS©) into Swedish, adapt it to the Swedish context, and validate it.

BACKGROUND: Magnet®-recognized hospitals have proven successful in reversing negative trends regarding nursing shortage. A change in organizational and management structures is required, and professional governance is fundamental. However, in a Swedish context, there are no validated instruments to measure professional governance.

METHODS: The instrument was translated from English to Swedish and synthesized into a unified version. It was back translated, discussed in an expert panel, and pilot tested with cognitive interviews of nurses.

RESULTS: A new Swedish version of the VPGS© was developed. The expert group reached a consensus, and the scale-level Content Validity Index value shows high relevance. Some words and sentences were revised, and an introduction was added.

CONCLUSIONS: The study generated a Swedish version of the VPGS©, which can be used to measure nurses' perceptions of professional governance behaviors.

Place, publisher, year, edition, pages
Wolters Kluwer, 2024
National Category
Nursing
Identifiers
urn:nbn:se:mau:diva-71721 (URN)10.1097/NNA.0000000000001496 (DOI)001345912800010 ()39393022 (PubMedID)2-s2.0-85207346154 (Scopus ID)
Available from: 2024-10-22 Created: 2024-10-22 Last updated: 2024-11-23Bibliographically approved
Annersten Gershater, M., Brenner, J., Nordberg, M. & Hommel, A. (2024). Nurse assistants' perception of caring for older persons who are dying in their own home: An interview study.. BMC Palliative Care, 23(1), Article ID 70.
Open this publication in new window or tab >>Nurse assistants' perception of caring for older persons who are dying in their own home: An interview study.
2024 (English)In: BMC Palliative Care, E-ISSN 1472-684X, Vol. 23, no 1, article id 70Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: As the proportion of older persons in society increases, there is a growing trend towards providing end-of-life care in their homes. Palliative care is a complex and knowledge-demanding form of care, and nurse assistants are those who work closest to the older person at the end-of-life in their own homes. However, nurse assistants sometimes have low educational and insufficient levels of knowledge in palliative care, which can affect the quality of care they provide. Moreover, nurse assistants' experiences are relatively unexplored in this context. The purpose of the study was to illuminate nurse assistants' experiences in caring for dying older persons at home.

METHOD: An empirical, qualitative interview study was conducted with 14 nurse assistants with experience of palliative care in homecare. The material was analyzed using thematic content analysis.

RESULTS: From the nurse assistant's experiences, one main theme emerged: doing everything possible for the dying older person despite challenges. Moreover, three sub-themes emerged: making a difference at a crucial time, death awakens emotions, and balancing personal and professional relationships. The nurse assistants' saw their role primarily as relieving symptoms but also focusing on next of kin. The following are described as essential parts of their role: carrying out practical nursing tasks, focusing on the physical environment, working alone and seeking help from colleagues due to a physical distance to the other members of the multidisciplinary team. The nurse assistants experienced a lack of support as there was no structured guidance or debriefing available in difficult emotional situations. Furthermore, they disclosed that they were left alone to deal with their feelings.

CONCLUSION: This study demonstrates that nurse assistants strive to provide comprehensive care for dying older persons despite facing obstacles from their working conditions and work organization. They lack supervision and education in palliative care, but they rely on their experience-based knowledge to a large extent and provide care according to the four cornerstones of palliative care.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2024
Keywords
Home care, Interview study, Nurse assistant, Older person, Palliative care
National Category
Nursing
Identifiers
urn:nbn:se:mau:diva-66556 (URN)10.1186/s12904-024-01399-2 (DOI)001182118700001 ()38468298 (PubMedID)2-s2.0-85187456321 (Scopus ID)
Available from: 2024-03-28 Created: 2024-03-28 Last updated: 2024-04-25Bibliographically approved
Deprez, J., Ohde, N., Eilegård Wallin, A., Bååth, C., Hommel, A., Hultin, L., . . . Beeckman, D. (2024). Prognostic factors for the development of incontinence-associated dermatitis (IAD): A systematic review.. International Wound Journal, 21(7), Article ID e14962.
Open this publication in new window or tab >>Prognostic factors for the development of incontinence-associated dermatitis (IAD): A systematic review.
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2024 (English)In: International Wound Journal, ISSN 1742-4801, E-ISSN 1742-481X, Vol. 21, no 7, article id e14962Article, review/survey (Refereed) Published
Abstract [en]

Incontinence-associated dermatitis (IAD) is an irritant contact dermatitis from prolonged contact with urine or faeces, which can significantly impact patient comfort and quality of life. The identification of prognostic factors for the development of IAD has the potential to enhance management, support preventive measures and guide future research. The objective of this systematic review was to summarize the empirical evidence of prognostic factors for the development of IAD. This study included prospective and retrospective observational studies or clinical trials that described prognostic factors associated with IAD. There were no restrictions on setting, time, language, participants or geographical regions. Exclusion criteria included reviews, editorials, commentaries, methodological articles, letters to the editor, cross-sectional and case-control studies, and case reports. Searches were conducted from inception to April 2024 on MEDLINE, CINAHL, EMBASE and the Cochrane Library. The studies were assessed by two independent reviewers using the QUIPS and the CHARMS-PF for data extraction. A narrative synthesis approach was employed due to study heterogeneity and using the 'vote counting based on direction' method and the sign test. The overall certainty of evidence was assessed using adapted GRADE criteria. The review included 12 studies and identified 15 potential predictors. Moderate-quality evidence suggests that increased stool frequency, limited mobility and friction/shear problems are risk factors for IAD development. Female sex, older age, vasopressor use and loose/liquid stool are risk factors supported by low-quality evidence. Increased stool frequency, limited mobility and friction/shear problems seem to be risk factors for the development of IAD. There is insufficient evidence to support the predictive validity of female sex, older age, loose/liquid stool and vasopressor use. There is substantial methodological variability across studies, making it challenging to make comparisons. Large-scale cohort studies in different settings that incorporate our review findings should be conducted in the future.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024
Keywords
dermatitis, faecal incontinence, prognosis, risk factors, urinary incontinence
National Category
Nursing
Identifiers
urn:nbn:se:mau:diva-70053 (URN)10.1111/iwj.14962 (DOI)39016196 (PubMedID)2-s2.0-85198630870 (Scopus ID)
Available from: 2024-08-02 Created: 2024-08-02 Last updated: 2024-10-09Bibliographically approved
Nilsson, R. & Hommel, A. (2024). Registered nurses’ experiences of communication with patients after the end-of-life breakpoint communication: A pilot interview study. International Journal of Nursing Studies Advances, 7, Article ID 100263.
Open this publication in new window or tab >>Registered nurses’ experiences of communication with patients after the end-of-life breakpoint communication: A pilot interview study
2024 (English)In: International Journal of Nursing Studies Advances, ISSN 2666-142X, Vol. 7, article id 100263Article in journal (Refereed) Published
Abstract [en]

Purpose: Effective nurse-patient communication is demanding and essential when patients’ treatment changes from curative to palliative approach. We aimed to illustrate nurses’ experiences communicating with patients who have undergone end-of-life breakpoint communication.

Method: Six nurses from both haematology and oncology wards at a hospital in southern Sweden were interviewed. The data were analysed using content analysis.

Result: Three themes with a total of eight categories were identified: Nurses were excluded from the end-of-life breakpoint communication, which impacted the following communication and the dialogue between nurses and patients afterwards; the importance of communication, where the experience of following-up patients, supporting patients and having existential conversations was highlighted; the nurses’ strategies in the communication, included experience of using tools, the need for more information and education, and to be human.

Conclusion: Nurses in today's healthcare system need education to provide the care and the communication that patients ask for and are obligated to receive regarding support and information. In the results, nurses suggest and relate their strategies for effective patient communication, which would also aid nurses working in areas other than palliative care. For example, they propose collaborating more with physicians to facilitate better information flow and patient contact. Moreover, reflective tutorials, including spiritual leaders to aid patients’ existential concerns, are beneficial. The need for further research in this area is crucial for the growth and development of nurse-patient communication.

Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
Communication, End-of-life breakpoint communication, Fundamentals of care, Nursing; Palliative care
National Category
Nursing
Identifiers
urn:nbn:se:mau:diva-72230 (URN)10.1016/j.ijnsa.2024.100263 (DOI)001357121400001 ()39610663 (PubMedID)2-s2.0-85208563924 (Scopus ID)
Available from: 2024-11-15 Created: 2024-11-15 Last updated: 2024-12-02Bibliographically approved
Sundblad, H. & Hommel, A. (2023). Certified Registered Nurse Anesthetists' Experience of Relocation to COVID-19 Intensive Care-A Qualitative Interview Study. AANA journal, 91(4), 273-278
Open this publication in new window or tab >>Certified Registered Nurse Anesthetists' Experience of Relocation to COVID-19 Intensive Care-A Qualitative Interview Study
2023 (English)In: AANA journal, ISSN 2162-5239, Vol. 91, no 4, p. 273-278Article in journal (Refereed) Published
Abstract [en]

In spring 2020, a global SARS-Cov-2 pandemic was declared. The number of patients in need of intensive care exceeded the number of available care places at intensive care units (ICUs) and certified registered nurse anesthetists (CRNAs) were relocated to ICUs to support the care during the pandemic. The aim of this study was to illuminate the experiences of the CRNAs regarding relocation to COVID-19 intensive care. An interview study based on qualitative content analysis was conducted. The participants were CRNAs who usually work in the operating unit, however, were relocated to work in the COVID-19 ICU at a university hospital in southern Sweden during the pandemic. Four themes emerge in the results: sense of pride, competence, work environment, and nursing. The results illuminate the CRNAs' experience of relocating from their usual working environment to caring for critically ill patients in a COVID-19 ICU. The CRNAs managed the relocation well, although sometimes it was difficult. The CRNAs showed great loyalty, dedication, competence, and flexibility in their professional capacity. The time they worked in COVID-19 intensive care was a challenging period, but it gave them a well-deserved sense of pride and competence.

Place, publisher, year, edition, pages
AANA Publishing, 2023
Keywords
COVID-19, certified registered nurse anesthetist, intensive care, resilience, working environment
National Category
Nursing
Identifiers
urn:nbn:se:mau:diva-62052 (URN)37527166 (PubMedID)2-s2.0-85166037161 (Scopus ID)
Available from: 2023-08-22 Created: 2023-08-22 Last updated: 2024-12-01Bibliographically approved
Deprez, J., Kottner, J., Eilegård Wallin, A., Ohde, N., Bååth, C., Hommel, A., . . . Beeckman, D. (2023). What are the prognostic factors for the development of incontinence-associated dermatitis (IAD): a protocol for a systematic review and meta-analysis. BMJ Open, 13(7), Article ID e073115.
Open this publication in new window or tab >>What are the prognostic factors for the development of incontinence-associated dermatitis (IAD): a protocol for a systematic review and meta-analysis
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2023 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 13, no 7, article id e073115Article in journal, Editorial material (Other academic) Published
Abstract [en]

Introduction: Incontinence-associated dermatitis (IAD) is irritant contact dermatitis and skin damage associated with prolonged skin contact with urine and/or faeces. Identifying prognostic factors for the development of IAD may improve management, facilitate prevention and inform future research.

Methods and analysis: This protocol follows the guidelines of the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols. Prospective and retrospective observational studies or clinical trials in which prognostic factors associated with the development of IAD are described are eligible. There are no restrictions on study setting, time, language, participant characteristics or geographical regions. Reviews, editorials, commentaries, methodological articles, letters to the editor, cross-sectional and case-control studies, and case reports are excluded. MEDLINE, CINAHL, EMBASE and The Cochrane Library will be searched from inception until May 2023. Two independent reviewers will independently evaluate studies. The Quality in Prognostic Studies tool will be used to assess the risk of bias, and the Checklist for Critical Appraisal and Data Extraction for Systematic Reviews of Prediction Modelling Studies-Prognostic Factors checklist will be used for data extraction of the included studies. Separate analyses will be conducted for each identified prognostic factor, with adjusted and unadjusted estimated measures analysed separately. Evidence will be summarised with a meta-analysis when possible, and narratively otherwise. The Q and I2 statistics will be calculated in order to quantify heterogeneity. The quality of the evidence obtained will be evaluated according to the Grades of Recommendation Assessment, Development and Evaluation guidance.

Ethics and dissemination: No ethical approval is needed since all data is already publicly accessible. The results of this work will be published in a peer-reviewed scientific journal.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2023
Keywords
Prognosis, Risk Factors, Systematic Review, WOUND MANAGEMENT
National Category
Dermatology and Venereal Diseases
Identifiers
urn:nbn:se:mau:diva-62010 (URN)10.1136/bmjopen-2023-073115 (DOI)001034612700056 ()37429690 (PubMedID)2-s2.0-85164280207 (Scopus ID)
Available from: 2023-08-21 Created: 2023-08-21 Last updated: 2024-11-13Bibliographically approved
Sandberg, M., Ivarsson, B., Johansson, A. & Hommel, A. (2022). Experiences of patients with hip fractures after discharge from hospital. International Journal of Orthopaedic and Trauma Nursing, 46, Article ID 100941.
Open this publication in new window or tab >>Experiences of patients with hip fractures after discharge from hospital
2022 (English)In: International Journal of Orthopaedic and Trauma Nursing, ISSN 1878-1241, E-ISSN 1878-1292, Vol. 46, article id 100941Article in journal (Refereed) Published
Abstract [en]

Background:  To achieve successful rehabilitation after hip fracture and meet patient needs it is important to listen to how individual patients perceive their situation.

Purpose:  The aim of this study was to explore how patients with hip fractures experience the time after hospitalization.

Methods:  A qualitative study was performed, data were analyzed using content analysis and included a total of 14 patients who had undergone surgery for a hip fracture.

Results:  The result comprised two main themes, In the hands of others, and A new unfamiliar life. These included in total nine categories.

Conclusions:  Not all patients received adequate pain management or were treated in a professional way by the health system. Interventions targeting an improved care trajectory which include all care providers, the person with the hip fracture and their significant others are needed. Further research is needed to reveal the reasons for uneven/differing care.

Place, publisher, year, edition, pages
Elsevier, 2022
Keywords
Hip fractures, Continuity of patient care, Health services, Recovery
National Category
Nursing
Identifiers
urn:nbn:se:mau:diva-56017 (URN)10.1016/j.ijotn.2022.100941 (DOI)000913682200001 ()35843064 (PubMedID)2-s2.0-85134630742 (Scopus ID)
Available from: 2022-11-14 Created: 2022-11-14 Last updated: 2024-02-05Bibliographically approved
Hommel, A. & Andersson, Å. (2022). God och nära vård (1ed.). In: Leksell Janeth & Lepp Margret (Ed.), Implementering av sjuksköterskans kärnkompetenser: (pp. 78-101). Stockholm: Liber
Open this publication in new window or tab >>God och nära vård
2022 (Swedish)In: Implementering av sjuksköterskans kärnkompetenser / [ed] Leksell Janeth & Lepp Margret, Stockholm: Liber, 2022, 1, p. 78-101Chapter in book (Other academic)
Place, publisher, year, edition, pages
Stockholm: Liber, 2022 Edition: 1
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:mau:diva-56065 (URN)978-91-47-12837-2 (ISBN)
Available from: 2022-11-16 Created: 2022-11-16 Last updated: 2025-01-24Bibliographically approved
Hommel, A. (2022). Magnetsjukhus och transformerande ledarskap (1ed.). In: Ziegert, Kristina (Ed.), Våga leda omvårdnad: (pp. 191-206). Stockholm: Liber
Open this publication in new window or tab >>Magnetsjukhus och transformerande ledarskap
2022 (Swedish)In: Våga leda omvårdnad / [ed] Ziegert, Kristina, Stockholm: Liber , 2022, 1, p. 191-206Chapter in book (Other academic)
Place, publisher, year, edition, pages
Stockholm: Liber, 2022 Edition: 1
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:mau:diva-56066 (URN)978-91-47-12839-6 (ISBN)
Available from: 2022-11-16 Created: 2022-11-16 Last updated: 2022-11-23Bibliographically approved
Ulrika, K., Hommel, A., Madeleine, B. R., Lena, G., Eva, S. & Carina, B. (2022). Pressure ulcer prevalence and prevention interventions: A ten-year nationwide survey in Sweden. International Wound Journal, 19(7), 1736-1747
Open this publication in new window or tab >>Pressure ulcer prevalence and prevention interventions: A ten-year nationwide survey in Sweden
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2022 (English)In: International Wound Journal, ISSN 1742-4801, E-ISSN 1742-481X, Vol. 19, no 7, p. 1736-1747Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to describe pressure ulcer prevalence and prevention interventions in hospital care in Sweden based on nationwide surveys conducted over a 10-year period. All Swedish hospitals were invited to participate in annual pressure ulcer prevalence surveys during the period 2011-2020. The data collection protocols included gender, age, skin assessment, risk assessment, and preventive interventions. In total, more than 130,000 patients were included in the ten prevalence surveys. The prevalence of pressure ulcers in Swedish hospital patients decreased significantly from 17.0 %to 11.4% between 2011 and 2020 and hospital-acquired pressure ulcers decreased from 8.1% to 6.4% between 2018 and 2020. There was no significant decline in medicaldevice-related pressure ulcers during the same period. The proportion of patients who were risk and skin assessed increased, as did the use of pressure-reducing mattresses, sliding sheets, heel protection, and nrepositioning plans. This study shows that the implementation of a national patient safety program has had an impact on the nationwide prevalence of pressure ulcers in hospital care and the occurrence of prevention strategies. However, one in ten patients in Swedish hospitals still suffers from pressure ulcers. Further improvements can be made.

Place, publisher, year, edition, pages
John Wiley & Sons, 2022
Keywords
Sweden, hospital, point prevalence, pressure ulcer, prevention
National Category
Nursing
Identifiers
urn:nbn:se:mau:diva-50543 (URN)10.1111/iwj.13779 (DOI)000761598500001 ()35224868 (PubMedID)2-s2.0-85140933562 (Scopus ID)
Available from: 2022-03-10 Created: 2022-03-10 Last updated: 2024-02-05Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0002-6114-6535

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