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Hansen, M. U., Vejzovic, V., Zdravkovic, S. & Axelsson, M. (2022). Ambulance nurses' experiences of using prehospital guidelines for patients with acute chest pain - A qualitative study.. International Emergency Nursing, 63, 1-7, Article ID 101195.
Open this publication in new window or tab >>Ambulance nurses' experiences of using prehospital guidelines for patients with acute chest pain - A qualitative study.
2022 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 63, p. 1-7, article id 101195Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Ambulance nurses have an important role in early recognition and treatment often being the first medical contact for patients with acute chest pain. However, there is sparse knowledge on the experiences of ambulance nurses with regard to use of Prehospital Guidelines for patients with Acute Chest Pain.

AIM: To explore ambulance nurses' experiences of using prehospital guidelines for patients with acute coronary syndrome.

METHOD: A qualitative descriptive study design. Semi-structured interviews with 22 ambulance nurses recruited through purposive sampling strategy. The material was transcribed and analysed using content analysis.

RESULTS: Two main categories emerged from the results. The first category Sense of professional obligation included experiences of having an important role in caring for patients with acute chest pain. Understanding this role and the collaboration in the chain of care prompted ambulance nurses to adhere to the guidelines. However, not receiving enough feedback on the provided care made them uncertain whether to use guidelines. The second category Clinical difficulties using guidelines consisted of experiences of being surrounded by practical challenges while using guidelines. Ambulance nurses meet these challenges by relying on their clinical experience, which sometimes led to them deviating from the guidelines.

CONCLUSIONS: The ambulance nurses experienced a mixture of feeling secure and insecure when using the guidelines. Foremost, when encountering patients with unspecific chest pain, they felt a lack of feedback and an insufficient collaboration within the chain of care, which made them deviate from guidelines. To increase adherence in guidelines, post-registration education to update the knowledge and skills about guidelines for acute chest pain is needed followed by formal inter-disciplinary feedback on the care provided.

Place, publisher, year, edition, pages
Elsevier, 2022
Keywords
Ambulance nurses, Chest pain, Guideline adherence, Myocardial infarction, Prehospital care, Qualitative research
National Category
Nursing
Identifiers
urn:nbn:se:mau:diva-54130 (URN)10.1016/j.ienj.2022.101195 (DOI)000836194400003 ()35802956 (PubMedID)2-s2.0-85133702998 (Scopus ID)
Available from: 2022-08-02 Created: 2022-08-02 Last updated: 2024-02-05Bibliographically approved
Vejzovic, V., Carlson, L., Löfgren, L. & Bramhagen, A.-C. (2022). Early Identification of Mental Illness in Primary School Pupils by School Nurses: A Qualitative Study.. Sage Open Nursing, 8, Article ID 23779608221081452.
Open this publication in new window or tab >>Early Identification of Mental Illness in Primary School Pupils by School Nurses: A Qualitative Study.
2022 (English)In: Sage Open Nursing, E-ISSN 2377-9608, Vol. 8, article id 23779608221081452Article in journal (Refereed) Published
Abstract [en]

Introduction: The World Health Organization has reported that one fifth of all children in the world suffer from poor mental health regardless of cultural differences. Previous studies have shown that working with mental health is an important part of the duties of school nurses in Sweden.

Objective: The aim of the present study was to describe the experiences of school nurses regarding the identification of mental illness among pupils in primary school.

Methods: In this inductive qualitative study, interviews were conducted with 11 school nurses in southern Sweden and analyzed using content analysis.

Results: The results indicate three major themes: (1) the need for shared responsibility, (2) feelings of uncertainty and inadequacy in school nurses, and (3) the importance of establishing relationships.

Conclusion: This study indicates that school nurses feel responsible for their pupils' well-being, but also feel that they need support. A lack of guidance in identifying mental illness emerged from the interviews.

Place, publisher, year, edition, pages
Sage Publications, 2022
Keywords
guidance, mental illness, pupils, school nurses
National Category
Nursing
Identifiers
urn:nbn:se:mau:diva-50542 (URN)10.1177/23779608221081452 (DOI)000765588900001 ()35237719 (PubMedID)2-s2.0-85125879851 (Scopus ID)
Available from: 2022-03-10 Created: 2022-03-10 Last updated: 2024-02-05Bibliographically approved
Skog, N., Mesic Mårtensson, M., Dykes, A.-K. & Vejzovic, V. (2021). Pain Assessment from Swedish Nurses`perspective. Journal for Specialists in Pediatric Nursing, 26(3), Article ID e12317.
Open this publication in new window or tab >>Pain Assessment from Swedish Nurses`perspective
2021 (English)In: Journal for Specialists in Pediatric Nursing, ISSN 1539-0136, Vol. 26, no 3, article id e12317Article in journal (Refereed) Published
Abstract [en]

Methods

This study is a qualitative interview study. The authors used the stimulated recall interview (SRI) with nurses working at a children's hospital in southern Sweden for the data collection. In total twelve nurses were interviewed and qualitative content analysis was used for the data analysis.

Results

The results are presented as one theme: Need for higher competencies and evidence, and three categories: Routines can enable pain assessment, Trusting one's own assessment of the whole picture, and Pain assessment scales as an extra workload. The interviewed nurses acknowledged that pain assessment tools are a vital part of the field of pain treatment. They also had trust issues with measuring and estimating pain by means of a tool such as pain scale. Furthermore, their opinion was that too many different tools and methods add up towards a more blurry and stress‐related environment and due to a lack of consistent routines, pain assessment is seen as a work‐related burden in the daily routines.

Conclusion

Results from the present study indicated that nurses need clear routines in combination with continued education regarding pain assessment with pain scales, which might be the key to successful pediatric pain assessment and thus to better pain management within pediatrics.

Place, publisher, year, edition, pages
John Wiley & Sons, 2021
Keywords
nursing, pain assessment, pediatric care
National Category
Nursing
Research subject
Care science
Identifiers
urn:nbn:se:mau:diva-27149 (URN)10.1111/jspn.12317 (DOI)000583749500001 ()33140579 (PubMedID)2-s2.0-85096794759 (Scopus ID)
Available from: 2020-11-03 Created: 2020-11-03 Last updated: 2024-02-05Bibliographically approved
Vejzovic, V., Bozic, J., Panova, G., Babajic, M. & Bramhagen, A.-C. (2020). Children still experience pain during hospital stay: a cross-sectional study from four countries in Europe. BMC Pediatrics, 20(1), Article ID 39.
Open this publication in new window or tab >>Children still experience pain during hospital stay: a cross-sectional study from four countries in Europe
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2020 (English)In: BMC Pediatrics, ISSN 1471-2431, E-ISSN 1471-2431, Vol. 20, no 1, article id 39Article in journal (Refereed) Published
Abstract [en]

Background Little is known whether children experience pain during hospital stay from the child's own perspective or not. The existing studies tend to be based on a small number of children and therefore have limitations concerning the generalisability of the results. Aim The aim of this study was to describe children's self-reported pain and experience concerning pain management during hospital stay. Methods This study has a quantitative cross-sectional design with descriptive statistics as data analysis. Results A total of 786 questionnaires, Pain in Children in Hospital, were distributed in four countries with the response rate of 75% which was almost equal between countries. Our result showed that 87% (503/579) children at hospital self-reported pain during the past 24 h. Nearly 63% of the children reported a pain score of > 5 the last 24 h. Most of children reported that they had received a question about pain from the hospital staff, and that the staff observed and assessed their pain. Totally 95% reported that they were satisfied with their pain relief during the last 24 h. Conclusion Our study showed that when children were given the possibility to self-report pain, nearly 2/3 expressed that they had experienced pain during hospital stay. However, most of them reported satisfaction with pain management and their pain relief.

Place, publisher, year, edition, pages
BioMed Central, 2020
National Category
Pediatrics
Identifiers
urn:nbn:se:mau:diva-13821 (URN)10.1186/s12887-020-1937-1 (DOI)000513885200003 ()31996162 (PubMedID)2-s2.0-85078678771 (Scopus ID)
Available from: 2020-03-19 Created: 2020-03-19 Last updated: 2024-02-05Bibliographically approved
Örmon, K., Bramhagen, A.-C., Sunnqvist, C. & Vejzovic, V. (2020). The experience of polyethylene glycol (PEG) bowel preparation in adolescents undergoing colonoscopy. BMC Research Notes, 13(1), Article ID 180.
Open this publication in new window or tab >>The experience of polyethylene glycol (PEG) bowel preparation in adolescents undergoing colonoscopy
2020 (English)In: BMC Research Notes, E-ISSN 1756-0500, Vol. 13, no 1, article id 180Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: The aim of this study was to describe the experience of polyethylene glycol (PEG) bowel preparation in adolescents undergoing colonoscopy.

RESULTS: 32 adolescents, 10-18 years of age self-reported a minimum of complications 1 week after colonoscopy when PEG was used for bowel preparation. 17 adolescents, 10-18 years were also interviewed about bowel preparation with PEG. Using qualitative content analysis, two categories were extracted from the data: "Being decisive makes it manageable" and "Be prepared for a horrible experience." The adolescents reported PEG intake difficulty; the intake was, however, manageable if they received appropriate information.

Place, publisher, year, edition, pages
BioMed Central, 2020
Keywords
Adolescents, Pediatric colonoscopy, Polyethylene glycol
National Category
Nursing
Identifiers
urn:nbn:se:mau:diva-14177 (URN)10.1186/s13104-020-05011-7 (DOI)000522383600002 ()32216838 (PubMedID)2-s2.0-85082537246 (Scopus ID)
Available from: 2020-03-31 Created: 2020-03-31 Last updated: 2024-02-05Bibliographically approved
Holst-Hansson, A., Vejzovic, V., Idvall, E. & Wennick, A. (2020). The Usefulness of Brief Family Health Conversations Offered to Families Following the Diagnosis of Breast Cancer.. Journal of Family Nursing, 26(4), Article ID 1074840720966759.
Open this publication in new window or tab >>The Usefulness of Brief Family Health Conversations Offered to Families Following the Diagnosis of Breast Cancer.
2020 (English)In: Journal of Family Nursing, ISSN 1074-8407, E-ISSN 1552-549X, Vol. 26, no 4, article id 1074840720966759Article in journal (Refereed) Published
Abstract [en]

Currently, there are few studies which examine targeted family-focused support when a family member is diagnosed with breast cancer. Thus, the aim of this study was to explore families' experiences of participating in a family nursing intervention identified as Brief Family Health Conversations (BFamHC) following the diagnosis of breast cancer. Semi-structured family interviews were conducted with nine families (including 29 family members) 2 weeks following the family-focused intervention of three sessions of BFamHC. Thematic analysis was used to analyze the data. Families reported the BFamHC as positive and as a unique kind of family health conversation, one that afforded them the opportunity to communicate and share their experiences as a family group. A family conversation, even one as time-limited as BFamHC, offered a sense of relational sharing and togetherness, thus preventing feelings of isolation and vulnerability. Therapeutic family-focused conversations, such as BFamHC, hold promise as a useful family nursing intervention following the diagnosis of breast cancer.

Place, publisher, year, edition, pages
Sage Publications, 2020
Keywords
Family Health Conversations, breast cancer, family nursing intervention, qualitative research
National Category
Nursing
Identifiers
urn:nbn:se:mau:diva-27160 (URN)10.1177/1074840720966759 (DOI)000586092600001 ()33111591 (PubMedID)2-s2.0-85094652831 (Scopus ID)
Available from: 2020-11-03 Created: 2020-11-03 Last updated: 2024-01-11Bibliographically approved
Vejzovic, V. & Örmon, K. (2020). Undergoing colonoscopy as experienced by adolescents. Journal for specialists in pediatric nursing : JSPN, 25(3), Article ID e12290.
Open this publication in new window or tab >>Undergoing colonoscopy as experienced by adolescents
2020 (English)In: Journal for specialists in pediatric nursing : JSPN, ISSN 1744-6155, Vol. 25, no 3, article id e12290Article in journal (Refereed) Published
Abstract [en]

PURPOSE: The aim of this study was to describe the phenomenon of undergoing colonoscopy as experienced by adolescents.

DESIGN: This study was a qualitative study in which data were collected and analyzed in accordance with the methodological principles of Reflective Lifeworld Research with a phenomenological approach.

METHODS: Face-to-face interviews were performed with 17 adolescents after undergoing the first colonoscopy.

RESULTS: The phenomenon of undergoing colonoscopy as experienced by adolescents can be described as a collision between emotions and a desire to obtain answers to questions about the examination, as well as concerns about its result and the meaning of undergoing colonoscopy. The essential meaning is additionally described through its constituents: a sense of vulnerability, an opportunity for symptom explanation, and sensibility regarding information.

CONCLUSIONS: The results can be concluded in terms of the knowledge that for adolescents a colonoscopy means more than an examination. Although colonoscopy is not experienced as painful, it evokes different emotions that affect adolescents. Therefore, a psychological preparation, on an individual level, is required before the colonoscopy. Our results showed that adolescents need to understand the connection between their symptoms, their body, and the colonoscopy.

Place, publisher, year, edition, pages
John Wiley & Sons, 2020
Keywords
Merleau-Ponty, adolescent, colonoscopy, experience, reflective lifeworld research
National Category
Nursing
Identifiers
urn:nbn:se:mau:diva-14207 (URN)10.1111/jspn.12290 (DOI)000517606900001 ()32125083 (PubMedID)2-s2.0-85080975831 (Scopus ID)
Available from: 2020-03-31 Created: 2020-03-31 Last updated: 2024-02-05Bibliographically approved
Vejzovic, V. (2019). Professionals’ experiences with paediatric colonoscopy: an interview study (ed.). BMC Nursing, 18(7)
Open this publication in new window or tab >>Professionals’ experiences with paediatric colonoscopy: an interview study
2019 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 18, no 7Article in journal (Refereed)
Abstract [en]

Background Colonoscopy plays a crucial role in the diagnosis of paediatric inflammatory bowel disease (IBD), adolescents comprise 25% of all cases of IBD. Several studies have found that a safe, informative, and effective colonoscopy, performed in a child-friendly atmosphere with minimal distress to the child, is difficult to achieve. The aim of this study was to describe nurse’s experiences of the pre-colonoscopy procedure prior in children. Methods A qualitative design with a thematic content analysis approach was used. Fifteen nurses at a children’s hospital participated in interviews regarding their experiences of the bowel cleansing procedure with PEG in children. Results Four key themes were extracted from the nurses’ experiences; lack of knowledge, challenges surrounding information, responsibility without control and assembly line- like procedure.. Conclusions This study shows that nurses feel that they need more time and education opportunities before involved in paediatric colonoscopies.

Place, publisher, year, edition, pages
BioMed Central, 2019
Keywords
Nurse, Experience, Paediatric, Colonoscopy
National Category
Natural Sciences
Identifiers
urn:nbn:se:mau:diva-3934 (URN)10.1186/s12912-019-0331-5 (DOI)000461385500001 ()30911284 (PubMedID)2-s2.0-85063011302 (Scopus ID)28191 (Local ID)28191 (Archive number)28191 (OAI)
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-02-05Bibliographically approved
Vejzovic, V., Bramhagen, A.-C., Idvall, E. & Wennick, A. (2018). Swedish Children's Lived Experience of Ulcerative Colitis (ed.). Gastroenterology Nursing, 41, 333-340
Open this publication in new window or tab >>Swedish Children's Lived Experience of Ulcerative Colitis
2018 (English)In: Gastroenterology Nursing, ISSN 1042-895X, E-ISSN 1538-9766, Vol. 41, p. 333-340Article in journal (Refereed) Published
Abstract [en]

Inflammatory bowel disease (IBD) is increasing in children. When this lifelong illness is diagnosed in childhood, especially during adolescence, it may have a negative impact on children's quality of life. The aim of the present study was to illuminate the meaning of children's lived experience of ulcerative colitis. Seven children aged between 10 and 18 years were recruited from University Hospital South Sweden and interviewed about the phenomenon under scrutiny. Data were analyzed by means of a phenomenological hermeneutical method. The meaning of the children's lived experience of ulcerative colitis was summed up as a main theme. A daily struggle to adapt and be perceived as normal consisted of 4 subthemes: being healthy despite the symptoms, being healthy despite being afraid, being healthy despite a sense of being different, and being healthy despite needing support. The children strove to perceive themselves as healthy, and they needed to be perceived as healthy, especially when experiencing symptoms of inflammatory bowel disease. Children with inflammatory bowel disease confront various problems, such as ambitions and goals that are hard to achieve, due to reduced abilities as a result of the illness or an insufficiently adapted environment.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2018
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:mau:diva-14621 (URN)10.1097/SGA.0000000000000295 (DOI)000442742900007 ()28759516 (PubMedID)2-s2.0-85052660494 (Scopus ID)24218 (Local ID)24218 (Archive number)24218 (OAI)
Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2024-02-05Bibliographically approved
Holst-Hansson, A., Vejzovic, V., Idvall, E., Bolmsjö, I. & Wennick, A. (2018). The experiences of participating in Short Family Health Conversations from the perspective of families where a family member is diagnosed with breast cancer.
Open this publication in new window or tab >>The experiences of participating in Short Family Health Conversations from the perspective of families where a family member is diagnosed with breast cancer
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2018 (English)Manuscript (preprint) (Other academic)
National Category
Nursing
Identifiers
urn:nbn:se:mau:diva-17781 (URN)
Available from: 2020-07-14 Created: 2020-07-14 Last updated: 2022-08-16Bibliographically approved
Projects
Sexual health in patient with inflammatory bowel disease: how adolescents (15-18) and young adults (19-25) experience their sexual health during inflammatory bowel disease; Malmö UniversitySexual health in adolescents and young adults with inflammatory bowel disease: patients and professionals' perspective.; Malmö University
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-0690-3940

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