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Peterson, E., Keehn, M. T., Hasnain, M., Gruss, V., Axelsson, M., Carlson, E., . . . Kottorp, A. (2024). Exploring differences in and factors influencing self-efficacy for competence in interprofessional collaborative practice among health professions students. Journal of Interprofessional Care, 38(1), 104-112
Öppna denna publikation i ny flik eller fönster >>Exploring differences in and factors influencing self-efficacy for competence in interprofessional collaborative practice among health professions students
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2024 (Engelska)Ingår i: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 38, nr 1, s. 104-112Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The value of health care delivered via effective interprofessional teams has created an imperative for interprofessional education (IPE) and interprofessional collaborative practice (ICP). To inform IPE strategies, we investigated differences in perceived self-efficacy (SE) for competence in ICP among health professions students. Study data was collected between 2015-2019 from students from 13 different programs (N=3,496) before an annual institutional interprofessional program. Students completed the IPECC-SET, a validated instrument evaluating perceived SE for competence in ICP, and rated their 1) amount of previous contact with, and 2) perceived understanding of the role of different health professions.  Student groups were compared using parametric statistics. Regression analyses explored factors influencing SE for competence in ICP. Findings revealed significant differences in perceived SE for competence in ICP between programs (p<.05). Specifically, health information management/health informatics, dental, medicine, and nursing students expressed relatively higher SE, whereas physical and occupational therapy students expressed relatively lower SE. Perceived understanding of the role of health care professions (p<.01) and gender (p<.01) contributed significantly to predict perceived SE for competence in ICP, while amount of previous contact with other health professions did not (p=.42).  Findings highlight the value of IPE designed with consideration of specific learner needs.

Ort, förlag, år, upplaga, sidor
Taylor & Francis, 2024
Nyckelord
Interprofessional collaboration, interprofessional education, interprofessional evaluation, interprofessional practice, self-efficacy
Nationell ämneskategori
Annan hälsovetenskap
Identifikatorer
urn:nbn:se:mau:diva-61806 (URN)10.1080/13561820.2023.2241504 (DOI)001044222400001 ()37551921 (PubMedID)2-s2.0-85166970525 (Scopus ID)
Tillgänglig från: 2023-08-09 Skapad: 2023-08-09 Senast uppdaterad: 2024-02-05Bibliografiskt granskad
Rönnebjerg, L., Axelsson, M., Kankaanranta, H. & Ekerljung, L. (2024). Health-related quality of life, anxiety, depression, beliefs of medication, and self-efficacy in individuals with severe asthma - a population-based study. Journal of Asthma, 61(2), 148-159
Öppna denna publikation i ny flik eller fönster >>Health-related quality of life, anxiety, depression, beliefs of medication, and self-efficacy in individuals with severe asthma - a population-based study
2024 (Engelska)Ingår i: Journal of Asthma, ISSN 0277-0903, E-ISSN 1532-4303, Vol. 61, nr 2, s. 148-159Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

OBJECTIVE: Individuals with severe asthma often report poor Health-related quality of life (HRQoL) and more research is essential to increase understanding of how they may be helped to improve HRQoL. The main aim of the current paper is to evaluate HRQoL, and possible factors influencing HRQoL, in individuals with severe asthma. The aim is also to explore associations among anxiety, depression, beliefs of medication, self-efficacy, and HRQoL among individuals with severe and other asthma as well as those with no asthma.

METHODS: = 902) were recruited from West Sweden Asthma Study, a population-based study, which includes both questionnaire surveys and clinical examinations.

RESULTS: Individuals with severe asthma had worse physical HRQoL (measured with SF-8) than those with other and no asthma (median 48.4, 51.9, and 54.3, respectively). They also had worse mental HRQoL (median 46.7) and reported higher anxiety and depression scores (measured using HADS, median 5.0 and 3.5, respectively) compared to no asthma (median 4.0 and 2.0, respectively). HRQoL was particularly affected among women with severe asthma. Individuals with severe asthma believed that their asthma medication was more necessary than those with other asthma, but they reported more concern for the medication. Asthma control and packyears predicted physical HRQoL and anxiety predicted mental HRQoL among individuals with severe asthma.

CONCLUSIONS: Efforts to improve asthma control and to reduce anxiety may improve HRQoL in individuals with severe asthma. Especially, women with severe asthma seem to need support to improve their HRQoL. Reducing concerns with asthma medication is most likely essential as high concerns may lead to poor adherence, which in turn may negatively affect asthma control and HRQoL.

Ort, förlag, år, upplaga, sidor
Taylor & Francis, 2024
Nyckelord
Difficult asthma, clinical variables, epidemiology, health psychology, physical functioning, treatable traits, well-being
Nationell ämneskategori
Lungmedicin och allergi
Identifikatorer
urn:nbn:se:mau:diva-62737 (URN)10.1080/02770903.2023.2248512 (DOI)001060392000001 ()37610189 (PubMedID)s2-s2.0-85168880976 (Scopus ID)
Tillgänglig från: 2023-09-20 Skapad: 2023-09-20 Senast uppdaterad: 2024-02-05Bibliografiskt granskad
Al Musawi, A., Hellström, L., Axelsson, M., Midlöv, P., Rämgård, M., Cheng, Y. & Eriksson, T. (2024). Intervention for a correct medication list and medication use in older adults: a non-randomised feasibility study among inpatients and residents during care transitions. International Journal of Clinical Pharmacy
Öppna denna publikation i ny flik eller fönster >>Intervention for a correct medication list and medication use in older adults: a non-randomised feasibility study among inpatients and residents during care transitions
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2024 (Engelska)Ingår i: International Journal of Clinical Pharmacy, ISSN 2210-7703, E-ISSN 2210-7711Artikel i tidskrift (Refereegranskat) Epub ahead of print
Abstract [en]

Background Medication discrepancies in care transitions and medication non-adherence are problematic. Few interventions consider the entire process, from the hospital to the patient’s medication use at home.

Aim In preparation for randomised controlled trials (RCTs), this study aimed (1) to investigate the feasibility of recruitment and retention of patients and data collection to reduce medication discrepancies at discharge and improve medication adherence and (2) to explore the outcomes of the interventions.

Method Participants were recruited from a hospital and a residential area. Hospital patients participated in a pharmacist-led intervention to establish a correct medication list upon discharge and a follow-up interview two weeks post-discharge. All participants received a person-centred adherence intervention for three to six months. Discrepancies in the medication lists, the Beliefs about Medicines Questionnaire (BMQ-S), and the Medication Adherence Report Scale (MARS-5) were assessed.

Results Of 87 asked to participate, 35 were included, and 12 completed the study. Identifying discrepancies, discussing discrepancies with physicians, and performing follow-up interviews were possible. Conducting the adherence intervention was also possible using individual health plans for medication use. Among the seven hospital patients, 24 discrepancies were found. Discharging physicians agreed that all discrepancies were errors, but only ten were corrected in the discharge information. Ten participants decreased their total BMQ-S concern scores, and seven increased their total MARS-5 scores.

Conclusion Based on this study, conducting the two RCTs separately may increase the inclusion rate. Data collection was feasible. Both interventions were feasible in many aspects but need to be optimised in upcoming RCTs.

Ort, förlag, år, upplaga, sidor
Springer Nature, 2024
Nationell ämneskategori
Samhällsfarmaci och klinisk farmaci
Forskningsämne
Hälsa och samhälle
Identifikatorer
urn:nbn:se:mau:diva-66018 (URN)10.1007/s11096-024-01702-4 (DOI)001159736600001 ()2-s2.0-85184470244 (Scopus ID)
Forskningsfinansiär
Malmö universitet
Tillgänglig från: 2024-02-16 Skapad: 2024-02-16 Senast uppdaterad: 2024-02-26Bibliografiskt granskad
Axelsson, M., Bahtsevani, C., Neziraj, M., Persson, K. & Kumlien, C. (2023). A registry study of oral health problems and preventive interventions among older persons receiving municipal healthcare - PROSENIOR. Nursing Open, 10(2), 525-534
Öppna denna publikation i ny flik eller fönster >>A registry study of oral health problems and preventive interventions among older persons receiving municipal healthcare - PROSENIOR
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2023 (Engelska)Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 10, nr 2, s. 525-534Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aim: The aim was to identify planned and completed preventive interventions among older persons with oral health problems receiving municipal health care. A further aim was to determine the correspondence between oral health problems and planned preventive interventions among older persons with oral health problems receiving municipal health care. Design: Cross-sectional register study. Methods: Oral health data from the Swedish national quality registry, Senior Alert, were extracted for 4,024 older persons (>= 65 years) receiving municipal health care in a county in Southern Sweden. Data were statistically analysed. Results: A large majority of older persons (97.4%) with assessed oral health problems had at least one planned preventive intervention, and approximately three quarters of the planned interventions were completed. There seemed to be a mismatch between type of oral health problems and preventive interventions as not all older persons had a planned preventive intervention related to their specific oral health problem.

Ort, förlag, år, upplaga, sidor
John Wiley & Sons, 2023
Nyckelord
nursing, oral health, prevention, risk assessment, Senior Alert
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:mau:diva-55110 (URN)10.1002/nop2.1318 (DOI)000851512000001 ()36631732 (PubMedID)2-s2.0-85135862891 (Scopus ID)
Tillgänglig från: 2022-09-23 Skapad: 2022-09-23 Senast uppdaterad: 2024-02-05Bibliografiskt granskad
Murray, B., Smith, S., Roberts, N., Padilha, M. J., Sajnic, A., Narsavage, G., . . . Kelly, C. (2023). Existing respiratory nursing curriculum, frameworks, and other documentation relevant to respiratory nursing education: A Scoping Review. Paper presented at Annual congress of the European-Respiratory-Society (ERS), SEP 09-13, 2023, Milan, IA. European Respiratory Journal, 62(Suppl. 67), Article ID OA3173.
Öppna denna publikation i ny flik eller fönster >>Existing respiratory nursing curriculum, frameworks, and other documentation relevant to respiratory nursing education: A Scoping Review
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2023 (Engelska)Ingår i: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 62, nr Suppl. 67, artikel-id OA3173Artikel i tidskrift, Meeting abstract (Övrigt vetenskapligt) Published
Ort, förlag, år, upplaga, sidor
European Respiratory Society, 2023
Nyckelord
Education
Nationell ämneskategori
Lungmedicin och allergi Omvårdnad
Identifikatorer
urn:nbn:se:mau:diva-65616 (URN)10.1183/13993003.congress-2023.OA3173 (DOI)001109120500311 ()
Konferens
Annual congress of the European-Respiratory-Society (ERS), SEP 09-13, 2023, Milan, IA
Tillgänglig från: 2024-02-01 Skapad: 2024-02-01 Senast uppdaterad: 2024-02-01Bibliografiskt granskad
Jakobsson, J., Örmon, K., Axelsson, M. & Berthelsen, H. (2023). Exploring workplace violence on surgical wards in Sweden: a cross-sectional study. BMC Nursing, 22(1), Article ID 106.
Öppna denna publikation i ny flik eller fönster >>Exploring workplace violence on surgical wards in Sweden: a cross-sectional study
2023 (Engelska)Ingår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 22, nr 1, artikel-id 106Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BACKGROUND: Workplace violence is a global threat to healthcare professionals' occupational health and safety and the situation has worsened during the COVID-19 pandemic. This study aimed to explore workplace violence directed against assistant and registered nurses working on surgical wards in Sweden.

METHODS: This cross-sectional study was conducted in April 2022. Using a convenience sampling procedure, 198 assistant and registered nurses responded to an online questionnaire developed for this specific study. The questionnaire comprised 52 items and included, among other items, subscales from validated and previously used instruments. Data analysis included descriptive statistics, the chi-square test, and independent-samples t-test.

RESULTS: The most frequently reported type of workplace violence was humiliation (28.8%), followed by physical violence (24.2%), threats (17.7%), and unwanted sexual attention (12.1%). Patients and patients' visitors were reported as the main perpetrators of all kinds of exposure. Additionally, one third of the respondents had experienced humiliation from colleagues. Both threats and humiliation showed negative associations with work motivation and health (p < 0.05). Respondents classified as working in a high- or moderate-risk environment were more frequently exposed to threats (p = 0.025) and humiliation (p = 0.003). Meanwhile, half of the respondents were unaware of any action plans or training regarding workplace violence. However, of those who indicated that they had been exposed to workplace violence, the majority had received quite a lot or a lot of support, mainly from colleagues (range 70.8-80.8%).

CONCLUSION: Despite a high prevalence of workplace violence, and especially of humiliating acts, there appeared to be low preparedness within the hospital organizations to prevent and/or handle such incidents. To improve these conditions, hospital organizations should place more emphasis on preventive measures as part of their systematic work environment management. To help inform such initiatives, it is suggested that future research should focus on the identification of suitable measures regarding different types of incidents, perpetrators, and settings.

Ort, förlag, år, upplaga, sidor
BioMed Central (BMC), 2023
Nyckelord
Assistant nurse, Hospital organization, Questionnaire, Registered nurse, Surgical ward, Workplace violence
Nationell ämneskategori
Arbetsmedicin och miljömedicin
Identifikatorer
urn:nbn:se:mau:diva-59297 (URN)10.1186/s12912-023-01275-z (DOI)000964222400001 ()37029387 (PubMedID)2-s2.0-85152664470 (Scopus ID)
Tillgänglig från: 2023-04-20 Skapad: 2023-04-20 Senast uppdaterad: 2023-08-25Bibliografiskt granskad
Gustavsson, K., van Diepen, C., Fors, A., Axelsson, M., Bertilsson, M. & Hensing, G. (2023). Healthcare professionals' experiences of job satisfaction when providing person-centred care: a systematic review of qualitative studies. BMJ Open, 13(6), Article ID e071178.
Öppna denna publikation i ny flik eller fönster >>Healthcare professionals' experiences of job satisfaction when providing person-centred care: a systematic review of qualitative studies
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2023 (Engelska)Ingår i: BMJ Open, E-ISSN 2044-6055, Vol. 13, nr 6, artikel-id e071178Artikel, forskningsöversikt (Refereegranskat) Published
Abstract [en]

OBJECTIVES: This qualitative systematic review aimed to explore and synthesise healthcare professionals' (HCPs) experiences of job satisfaction when providing person-centred care (PCC) in healthcare settings in Europe.

METHOD: This systematic review of qualitative studies was followed by a thematic synthesis applying an inductive approach. Studies concerning HCPs and different levels of healthcare in Europe were eligible for inclusion. The CINAHL, PubMed and Scopus databases were searched. Study titles, abstracts and full texts were screened for relevance. Included studies were assessed for methodological quality using a quality appraisal checklist. Data were extracted and synthesised via thematic synthesis, generating analytical themes.

RESULTS: Seventeen studies were included in the final thematic synthesis, and eight analytical themes were derived. Most studies were conducted in Sweden and the UK and were performed in hospitals, nursing homes, elderly care and primary care. Thirteen of these studies were qualitative and four used a mixed-method design in which the qualitative part was used for analysis. HCPs experienced challenges adapting to a new remoulded professional role and felt torn and inadequate due to ambiguities between organisational structures, task-oriented care and PCC. Improved job satisfaction was experienced when providing PCC in line with ethical expectations, patients and colleagues expressed appreciation and team collaboration improved, while learning new skills generated motivation.

CONCLUSION: This systematic review found varied experiences among HCPs. Notably, the new professional role was experienced to entail disorientation and uncertainty; importantly, it also entailed experiences of job satisfaction such as meaningfulness, an improved relationship between HCPs and patients, appreciation and collaboration. To facilitate PCC implementation, healthcare organisations should focus on supporting HCPs through collaborational structures, and resources such as time, space and staffing.

PROSPERO REGISTRATION NUMBER: CRD42022304732.

Ort, förlag, år, upplaga, sidor
BMJ Publishing Group Ltd, 2023
Nyckelord
preventive medicine, public health, quality in health care, social medicine
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:mau:diva-61392 (URN)10.1136/bmjopen-2022-071178 (DOI)001014750700071 ()37295826 (PubMedID)2-s2.0-85163812828 (Scopus ID)
Tillgänglig från: 2023-06-27 Skapad: 2023-06-27 Senast uppdaterad: 2023-08-28Bibliografiskt granskad
Van Diepen, C., Fors, A., Bertilsson, M., Axelsson, M., Ekman, I. & Hensing, G. (2023). How the current non‐significant effects of person‐centred care on nurses' outcomes could be abated by the WE‐CARE roadmap enablers: A discursive paper. Nursing Open, 10(4), 2044-2052
Öppna denna publikation i ny flik eller fönster >>How the current non‐significant effects of person‐centred care on nurses' outcomes could be abated by the WE‐CARE roadmap enablers: A discursive paper
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2023 (Engelska)Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 10, nr 4, s. 2044-2052Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aim: To describe the non-significant results in nurses' outcomes after the implementation of person-centred care (PCC) and discuss if and how enablers of the WE-CARE roadmap for implementing PCC could abate the non-significant results.

Design: In this paper, an innovative framework of enablers in the WE-CARE Roadmap is explained in relation to increased PCC and nurses' job satisfaction.

Method: Findings from a scoping review and published material provided how PCC and nurses' outcomes connect. The WE-CARE roadmap entails five enablers: Information technology, Quality measures, Infrastructure, Incentive systems and contracting strategies.

Results: The WE-CARE roadmap was described and each enabler in the WE-CARE roadmap is discussed concerning PCC and the nurses' job satisfaction. Thus far, the effects of PCC on nurses' outcomes have been non-significant. The WE-CARE roadmap enablers can be implemented to ensure an increased PCC implementation and higher nurses' job satisfaction.Keywords: WE-CARE roadmap; enablers; job satisfaction; patient-centred care: nurses; person-centred care.

Ort, förlag, år, upplaga, sidor
John Wiley & Sons, 2023
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:mau:diva-56467 (URN)10.1002/nop2.1500 (DOI)000891667200001 ()36440684 (PubMedID)2-s2.0-85142867361 (Scopus ID)
Tillgänglig från: 2022-12-06 Skapad: 2022-12-06 Senast uppdaterad: 2023-04-20Bibliografiskt granskad
Striberger, R., Zarrouk, M., Kumlien, C. & Axelsson, M. (2023). Illness perception, health literacy, self-efficacy, adherence and quality of life in patients with intermittent claudication - a longitudinal cohort study. BMC Nursing, 22(1), Article ID 167.
Öppna denna publikation i ny flik eller fönster >>Illness perception, health literacy, self-efficacy, adherence and quality of life in patients with intermittent claudication - a longitudinal cohort study
2023 (Engelska)Ingår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 22, nr 1, artikel-id 167Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Patients with intermittent claudication need lifelong treatment with secondary prevention to prevent cardiovascular events and progression of atherosclerotic disease. Illness perception, health literacy, self-efficacy, adherence to medication treatment, and quality of life are factors influencing patients' self-management. Knowledge of these factors could be important when planning for secondary prevention in patients with intermittent claudication.

Aim: to compare illness perception, health literacy, self-efficacy, adherence to treatment, and quality of life in in patients with intermittent claudication.

Methods: A longitudinal cohort study was conducted with 128 participants recruited from vascular units in southern Sweden. Data were collected through medical records and questionnaires regarding illness perception, health literacy, self-efficacy, adherence to treatment, and quality of life.

Results: In the subscales in illness perception, patients with sufficient health literacy reported less consequences and lower emotional representations of the intermittent claudication. They also reported higher self-efficacy and higher quality of life than patients with insufficient health literacy. In comparison between men and women in illness perception, women reported higher illness coherence and emotional representations associated with intermittent claudication compared to men. A multiple regression showed that both consequences and adherence were negative predictors of quality of life. When examining changes over time, a significant increase in quality of life was seen between baseline and 12 months, but there were no significant differences in self-efficacy.

Conclusion: Illness perception differs in relation to level of health literacy and between men and women. Further, the level of health literacy seems to be of importance for patients' self-efficacy and quality of life. This illuminates the need for new strategies for improving health literacy, illness perception, and self-efficacy over time. For example, more tailored information regarding secondary prevention could be provided to strengthen self-management to further improve quality of life in patients with intermittent claudication.

Ort, förlag, år, upplaga, sidor
BioMed Central (BMC), 2023
Nyckelord
Illness perception, Self-efficacy, Health literacy, Adherence to treatment, Quality of life, Intermittent claudication, Secondary prevention
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:mau:diva-60868 (URN)10.1186/s12912-023-01329-2 (DOI)000989168100002 ()37198627 (PubMedID)2-s2.0-85160051442 (Scopus ID)
Tillgänglig från: 2023-06-16 Skapad: 2023-06-16 Senast uppdaterad: 2023-06-26Bibliografiskt granskad
Sajnic, A., Narsavage, G., Murphie, P., Hernandez, C., Axelsson, M., Padilha, J. M., . . . Heslop-Marshall, K. (2023). International Coalition of Respiratory Nurses supports global initiative in raising awareness of Asthma and COPD in low- and middle-income countries. Paper presented at Annual congress of the European-Respiratory-Society (ERS), SEP 09-13, 2023, Milan, IA. European Respiratory Journal, 62(Suppl. 67), Article ID OA3174.
Öppna denna publikation i ny flik eller fönster >>International Coalition of Respiratory Nurses supports global initiative in raising awareness of Asthma and COPD in low- and middle-income countries
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2023 (Engelska)Ingår i: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 62, nr Suppl. 67, artikel-id OA3174Artikel i tidskrift, Meeting abstract (Övrigt vetenskapligt) Published
Ort, förlag, år, upplaga, sidor
European Respiratory Society, 2023
Nyckelord
Asthma, COPD, Nursing care
Nationell ämneskategori
Omvårdnad Lungmedicin och allergi
Identifikatorer
urn:nbn:se:mau:diva-65617 (URN)10.1183/13993003.congress-2023.OA3174 (DOI)001109120500312 ()
Konferens
Annual congress of the European-Respiratory-Society (ERS), SEP 09-13, 2023, Milan, IA
Tillgänglig från: 2024-02-01 Skapad: 2024-02-01 Senast uppdaterad: 2024-02-01Bibliografiskt granskad
Projekt
Betydelsen av personlighet för studenters beredskap för interprofessionellt lärande; Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV)Studenters beredskap och kompetens för interprofessionellt lärande och personlighetens betydelse samt patienters och närståendes erfarenheter av att delta i interprofessionellt lärande; Malmö universitet
Organisationer
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0001-5493-8334

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