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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
Open this publication in new window or tab >>Exploring differences in and factors influencing self-efficacy for competence in interprofessional collaborative practice among health professions students
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2024 (English)In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 38, no 1, p. 104-112Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Taylor & Francis, 2024
Keywords
Interprofessional collaboration, interprofessional education, interprofessional evaluation, interprofessional practice, self-efficacy
National Category
Other Health Sciences
Identifiers
urn:nbn:se:mau:diva-61806 (URN)10.1080/13561820.2023.2241504 (DOI)001044222400001 ()37551921 (PubMedID)2-s2.0-85166970525 (Scopus ID)
Available from: 2023-08-09 Created: 2023-08-09 Last updated: 2024-02-05Bibliographically approved
Jakobsson, J. & Kumlien, C. (2023). Everyday challenges following hospital discharge. A multi-method study identifying and describing areas of concern for patients during the first month after colorectal cancer surgery. Nursing Open, 10(4), 2172-2181
Open this publication in new window or tab >>Everyday challenges following hospital discharge. A multi-method study identifying and describing areas of concern for patients during the first month after colorectal cancer surgery
2023 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 10, no 4, p. 2172-2181Article in journal (Refereed) Published
Abstract [en]

AIM: Identify and describe areas of concern focusing on day-to-day variations during the first month after surgery for patients recovering from colorectal cancer surgery.

DESIGN: A multi-method design was applied using diaries and interviews.

METHOD: Data was collected using semi-structured diaries kept 1 month after surgery by seven patients recovering from colorectal cancer surgery. Also, face-to-face interviews were conducted 1 month after surgery. Data from the diaries constituted a framework for the following directed content analysis of interviews.

FINDINGS: Low levels of pain were experienced but caused reduced mobility and tiredness. Practical matters in daily living were restricted, while social life could be hampered by a frequent need to defecate. Appetite and consequently the ability to eat and drink was the most prominent concern, due to changes in taste and ability to tolerate food. Worries were mainly related to changes in bowel movements. No Patient or Public Contribution.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
colorectal cancer, concern, diary, interview, multi-method, postoperative recovery, self-care ability
National Category
Nursing
Identifiers
urn:nbn:se:mau:diva-56166 (URN)10.1002/nop2.1465 (DOI)000882936200001 ()36373481 (PubMedID)2-s2.0-85142146734 (Scopus ID)
Available from: 2022-11-22 Created: 2022-11-22 Last updated: 2023-08-25Bibliographically approved
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.
Open this publication in new window or tab >>Exploring workplace violence on surgical wards in Sweden: a cross-sectional study
2023 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 22, no 1, article id 106Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Assistant nurse, Hospital organization, Questionnaire, Registered nurse, Surgical ward, Workplace violence
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:mau:diva-59297 (URN)10.1186/s12912-023-01275-z (DOI)000964222400001 ()37029387 (PubMedID)2-s2.0-85152664470 (Scopus ID)
Available from: 2023-04-20 Created: 2023-04-20 Last updated: 2023-08-25Bibliographically approved
Drott, J., Engström, M., Jangland, E., Fomichov, V., Malmström, M. & Jakobsson, J. (2023). Factors related to a successful professional development for specialist nurses in surgical care: a cross-sectional study. BMC Nursing, 22(1), Article ID 79.
Open this publication in new window or tab >>Factors related to a successful professional development for specialist nurses in surgical care: a cross-sectional study
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2023 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 22, no 1, article id 79Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: A high level of competence among staff is necessary for providing patient-safe surgical care. Knowledge regarding what factors contribute to the professional development of specialist nurses in surgical care and why they choose to remain in the workplace despite high work requirements is needed. To investigate and describe the organizational and social work environment of specialist nurses in surgical care as part of studying factors that impact on professional development.

METHOD: This was a cross-sectional study with a strategic convenience sampling procedure that recruited 73 specialist nurses in surgical care in Sweden between October to December 2021. The study was guided by STROBE Statement and checklist of cross-sectional studies. The validated Copenhagen Psychosocial Questionnaire was used, and additional demographic data. Descriptive statistics were performed and the comparison to the population benchmarks was presented as the mean with a 95% confidence interval. To study potential differences among the demographic and professional characteristics, pairwise t tests were used with Bonferroni adjustment for multiple comparisons with a significance level of 5%.

RESULTS: Five domains were identified as factors related to success, as they received higher scores in relation to population benchmarks: quality of leadership, variation of work, meaning of work and work engagement as well as job insecurity. There was also a significant association between a having a manager with low nursing education and job insecurity (p = 0.021).

CONCLUSIONS: Quality of leadership is important for the professional development of specialist nurses in surgical care. Strategic work seems to include managers with a higher nursing education level to prevent insecure professional working conditions.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Clinical competence, Leadership, Professional competence, Surgical nursing, Working condition
National Category
Nursing
Identifiers
urn:nbn:se:mau:diva-58851 (URN)10.1186/s12912-023-01258-0 (DOI)000951329200002 ()36949475 (PubMedID)2-s2.0-85150917636 (Scopus ID)
Available from: 2023-03-27 Created: 2023-03-27 Last updated: 2024-02-05Bibliographically approved
Jakobsson, J. (2023). Psychometric Evaluation of the Postoperative Recovery Profile. Nursing Research and Practice, 2023, Article ID 3745570.
Open this publication in new window or tab >>Psychometric Evaluation of the Postoperative Recovery Profile
2023 (English)In: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, Vol. 2023, article id 3745570Article in journal (Refereed) Published
Abstract [en]

AIM: To further evaluate the postoperative recovery profile regarding its psychometric properties.

BACKGROUND: The postoperative recovery profile is an instrument for the self-assessment of general postoperative recovery that has received increased attention within nursing research. However, psychometric evaluation during development was sparse.

DESIGN: Psychometric evaluation was done using classical test theory.

METHOD: Data quality, targeting, reliability, and scaling assumptions were measured. In addition, confirmatory factor analysis was used to evaluate construct validity. Data collection was made during 2011-2013.

RESULT: Data derived from this study showed acceptable quality; however, item distribution was skewed, with ceiling effects in the majority of items. Cronbach's alpha showed high internal consistency. Item-total correlations indicated unidimensionality, whereas six items demonstrated high correlations pointing at redundancy. The confirmatory factor analysis confirmed problems related to dimensionality as the five proposed dimensions were highly correlated with each other. Furthermore, items were largely uncorrelated with the designated dimensions.

CONCLUSION: This study shows that the postoperative recovery profile needs to be further developed to serve as a robust instrument within nursing as well as medical research. Arguably, values from the instrument should not be calculated at a dimensional level for the time being because of discriminant validity issues.

Place, publisher, year, edition, pages
Hindawi Publishing Corporation, 2023
National Category
Nursing
Identifiers
urn:nbn:se:mau:diva-61373 (URN)10.1155/2023/3745570 (DOI)001004368600001 ()37283987 (PubMedID)2-s2.0-85161882445 (Scopus ID)
Available from: 2023-06-26 Created: 2023-06-26 Last updated: 2023-08-25Bibliographically approved
Samuelsson, M., Wennick, A., Bengtsson, M., Lydrup, M.-L. & Jakobsson, J. (2023). Translation, cultural adaptation, and psychometric testing of the supportive care needs survey for partners and caregivers for swedish family members of persons diagnosed with colorectal cancer. Journal of patient-reported outcomes, 7(1), Article ID 100.
Open this publication in new window or tab >>Translation, cultural adaptation, and psychometric testing of the supportive care needs survey for partners and caregivers for swedish family members of persons diagnosed with colorectal cancer
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2023 (English)In: Journal of patient-reported outcomes, E-ISSN 2509-8020, Vol. 7, no 1, article id 100Article in journal (Refereed) Published
Abstract [en]

Background: Colorectal cancer is the third most common cancer diagnosis globally and is increasing in both incidence and prevalence. Despite evidence showing that family members of persons diagnosed with cancer have supportive care needs, no validated questionnaire measuring the needs of family members of persons diagnosed with CRC exists in Swedish. Thus, the objective of the present study was to translate, culturally adapt, and evaluate the psychometric properties the Supportive Care Needs Survey - Partners and Caregivers 45.

Methods: The translation and cultural adaptation followed a systematic yet iterative process. Firstly, the questionnaire was translated using a forward-backward approach. Secondly, face and content validity and comprehensibility were evaluated by two expert panels of colorectal cancer specialist nurses and family members, respectively. Lastly, the psychometric properties, validity, and reliability of the translated questionnaire were evaluated among 45 Swedish family members of persons diagnosed with colorectal cancer.

Results: The face, content, and construct validity of the translated questionnaire were evaluated as satisfying. Moreover, psychometric evaluations showed high data quality and satisfactory internal consistency. However, the results also revealed unsolved issues regarding relevance, targeting, and internal consistency, as well as a probable scaling failure.

Conclusion: The translated and adapted questionnaire can be used to identify family members unmet needs of support throughout the colorectal cancer trajectory. The questionnaire showed promising validity and reliability in the target population. However, it needs to be further evaluated in a larger sample, preferably involving factor analysis and stability over time.

Plain language summary: Colorectal cancer is the third most common cancer diagnose globally. At times of cancer, also the health and wellbeing of the surrounding family members is negatively affected. As a result, family members of persons diagnosed with cancer report that they too need support. Still, no validated questionnaire that enable measurement of family members needs of support throughout the colorectal cancer trajectory existed in Swedish. Thus, the present study undertook the process of translation of a questionnaire from English to Swedish. Thereto, evaluated it among Swedish family members of persons diagnosed with colorectal cancer. The evaluation showed a successful translation and the translated questionnaire appeared reliable and useful for measuring the family members´ needs of support throughout the colorectal cancer trajectory. However, it requires further evaluation.

Place, publisher, year, edition, pages
Springer Nature, 2023
Keywords
Colorectal cancer, Caregivers, Cognitive interviews, Family members, Psychometrics, Supportive care needs, Translation, Unmet needs, Validity, Questionnaire
National Category
Nursing
Identifiers
urn:nbn:se:mau:diva-63502 (URN)10.1186/s41687-023-00636-1 (DOI)001081024300001 ()37819416 (PubMedID)2-s2.0-85173669481 (Scopus ID)
Available from: 2023-11-07 Created: 2023-11-07 Last updated: 2023-11-13Bibliographically approved
Jakobsson, J., Jangland, E., Engström, M., Malmström, M. & Drott, J. (2023). Work conditions influencing professional development of specialist nurses in surgical care explored using the Job Demand-Resources theory: A qualitative study. Journal of Advanced Nursing, 79(7), 2610-2621
Open this publication in new window or tab >>Work conditions influencing professional development of specialist nurses in surgical care explored using the Job Demand-Resources theory: A qualitative study
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2023 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 79, no 7, p. 2610-2621Article in journal (Refereed) Published
Abstract [en]

AIM: The aim of the study was to explore the work conditions that influence the opportunities for professional development of specialist nurses in surgical care.

DESIGN: A qualitative descriptive design was used.

METHODS: With a purposeful sampling procedure, 14 specialist nurses in surgical care were included. Four focus-group interviews were conducted during November to December 2021 and deductively analysed using the Job Demand-Resource theory as a guiding framework. Reporting adheres to COREQ guidelines.

FINDINGS: Work conditions that were identified as job demands and that inhibited nurses' opportunities for professional development were mainly found at an organizational and leadership level. Primarily, those conditions included role ambiguity and time constraints caused by uncompensated nursing shortages that restricted the nurses from exercising their role. Such conditions could also discourage other nurses from further education. Job demands were seen as largely compensated for by work conditions identified as job resources and located mainly at an individual level, for example finding the work interesting and multifaceted. Most prominent was the participants' inner motivation to work with surgical patients and to continue to develop themselves and other nurses professionally.

CONCLUSIONS: A prerequisite for professional development is that the specialist role is clearly defined in collaboration with representatives from the nursing profession and universities. Hence, hospital organizations need to reflect on how to utilize the competence. Also, it is important that nurse leaders promote the specialist nurses' motivation by supporting them in the exercise of their role.

IMPACT: Findings from this study revealed work conditions that need to be acknowledged during hospital organizations' endeavours to maintain and enhance nursing competence.

PATIENT OR PUBLIC CONTRIBUTION: Patient or public contribution was not applicable since the study focused on specialist nurses' working conditions.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
Job Demand Resources theory, motivation, nurse specialists, occupational health, professional role, surgical care
National Category
Nursing
Identifiers
urn:nbn:se:mau:diva-58520 (URN)10.1111/jan.15618 (DOI)000940407700001 ()36843299 (PubMedID)2-s2.0-85149728888 (Scopus ID)
Available from: 2023-03-03 Created: 2023-03-03 Last updated: 2023-10-09Bibliographically approved
Samuelsson, M., Jakobsson, J., Wennick, A., Lydrup, M.-L. & Bengtsson, M. (2022). Cancer specialist nurses' experiences of supporting family members of persons diagnosed with colorectal cancer: A qualitative study. European Journal of Oncology Nursing, 61, 102205-102205, Article ID 102205.
Open this publication in new window or tab >>Cancer specialist nurses' experiences of supporting family members of persons diagnosed with colorectal cancer: A qualitative study
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2022 (English)In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 61, p. 102205-102205, article id 102205Article in journal (Refereed) Published
Abstract [en]

Purpose: The purpose of the present study was to explore cancer specialist nurses' experiences of supporting family members of persons diagnosed with colorectal cancer.

Method: The study was designed as a qualitative study. Data was collected using individual semi-structured telephone interviews with 21 cancer specialist nurses. The interviews were transcribed and analysed with reflexive thematic analysis.

Results: The analysis generated one overarching theme, In the shadow of the person diagnosed with colorectal cancer, and four themes: striving for confidence, searching for ways to support, seeking individualization, and balancing between needs. Swedish colorectal cancer care is organized with the persons diagnosed with colorectal cancer as the centre of care and lacks both structure and allocated resources for supportive care for family members. Thus, support for family members has to be provided within the existing colorectal cancer care. The support provided focuses mainly on strengthening the family members' ability in the caregiving role and is offered primarily at the time of diagnosis.

Conclusion: There is an apparent need for developing supportive care plans for family members, involving repeated assessments of multidimensional needs, a tailored support, and follow-ups. Accordingly, a re-evaluation of the cancer specialist nurse's role is needed so that key nursing responsibilities are not ranked second to administrative tasks.

Place, publisher, year, edition, pages
Elsevier, 2022
Keywords
Cancer specialist nurse, Colorectal cancer, Family members, Needs assessment, Nursing, Oncology, Qualitative research, Supportive care, Thematic analysis
National Category
Nursing
Research subject
Care science
Identifiers
urn:nbn:se:mau:diva-55360 (URN)10.1016/j.ejon.2022.102205 (DOI)000871085600010 ()36240683 (PubMedID)2-s2.0-85139735971 (Scopus ID)
Available from: 2022-10-12 Created: 2022-10-12 Last updated: 2023-12-13Bibliographically approved
Aho, A. C., Renmarker, E., Axelsson, M. & Jakobsson, J. (2022). Experiences of Playing Volt Hockey With Focus on Well-Being According to Positive Emotion, Engagement, Relationships, Meaning, Achievement: An Interview Study. Adapted Physical Activity Quarterly, 39(2), 160-178, Article ID apaq.2021-0035.
Open this publication in new window or tab >>Experiences of Playing Volt Hockey With Focus on Well-Being According to Positive Emotion, Engagement, Relationships, Meaning, Achievement: An Interview Study
2022 (English)In: Adapted Physical Activity Quarterly, ISSN 0736-5829, E-ISSN 1543-2777, Vol. 39, no 2, p. 160-178, article id apaq.2021-0035Article in journal (Refereed) Published
Abstract [en]

Volt hockey is a team sport developed for persons with physical disabilities, but its influence on well-being is unknown. Elements of well-being have been described as positive emotions, engagement, relationships, meaning, and achievement constituting a theoretical framework referred to as PERMA. The purpose of this study was to describe how well-being according to PERMA is reflected in the experiences of playing volt hockey. Data were collected through focus group and individual interviews including 21 players. A deductive analysis was conducted using the elements in PERMA as preexisting main categories with an additional main category, named resources needed. Findings showed that all five elements constituting well-being according to PERMA were reflected in the experiences of playing volt hockey. In addition, players emphasized the importance of having the resources needed to play volt hockey. In conclusion, having the opportunity to enjoy playing volt hockey enabled the players to flourish and experience feelings of subjective well-being.

Place, publisher, year, edition, pages
Human Kinetics, 2022
Keywords
adapted sport, physical disabilities, positive psychology, qualitative inquiry
National Category
Sport and Fitness Sciences
Identifiers
urn:nbn:se:mau:diva-46853 (URN)10.1123/apaq.2021-0035 (DOI)000783136800002 ()34740989 (PubMedID)2-s2.0-85128493918 (Scopus ID)
Available from: 2021-11-15 Created: 2021-11-15 Last updated: 2024-02-05Bibliographically approved
Axelsson, M., Kottorp, A., Carlson, E., Gudmundsson, P., Kumlien, C. & Jakobsson, J. (2022). Translation and validation of the Swedish version of the IPECC-SET 9 item version. Journal of Interprofessional Care, 36(6), 900-907
Open this publication in new window or tab >>Translation and validation of the Swedish version of the IPECC-SET 9 item version
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2022 (English)In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 36, no 6, p. 900-907Article in journal (Refereed) Published
Abstract [en]

Interprofessional Education (IPE) is essential to prepare future health-care professionals for collaborative practice, but IPE requires evaluation. One psychometrically sound instrument is the Interprofessional Education Collaborative Competence Self-Efficacy Tool consisting of nine items (IPECC-SET 9). This tool does not, to date, exist in a Swedish version. Therefore, the aim of this study was to translate and validate the Swedish version of the IPECC-SET 9. The English version was translated into Swedish and tested among 159 students in the 3-year Bachelor Programs in Nursing and in Biomedical Laboratory Science. The psychometric analysis was guided by a Rasch model, which showed that the items functioned well together, confirming unidimensionality, and that the person misfit was also lower than the set criterion. The separation index was 2.98, and the Rasch-equivalent Cronbach-alpha measure was estimated to .92, supporting internal consistency. No systematic differences on item level in IPECC-SET 9 further supported fairness in testing. The Swedish IPECC-SET 9 demonstrates sound psychometric properties and has the potential to be used as a measure of self-efficacy for competence in interprofessional collaborative practice among health profession students. However, the IPECC-SET 9 is recommended to be further tested in larger samples representing the entirety of health-care teams.

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
Collaborative practice, interprofessional competence, interprofessional education, Rasch model, self-efficacy
National Category
Nursing
Identifiers
urn:nbn:se:mau:diva-50456 (URN)10.1080/13561820.2022.2034762 (DOI)000757295400001 ()35175872 (PubMedID)2-s2.0-85125311910 (Scopus ID)
Available from: 2022-03-08 Created: 2022-03-08 Last updated: 2024-02-05Bibliographically approved
Projects
The significance of personality for students' readiness for interprofessional learning; Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV)Electric hockey from a health perspective; Malmö UniversityThe Complexity of Interprofessional Education: Student Readiness, Self –Efficacy, Personality and Patients’ and next-of-kins’ Experience; Malmö University
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-1735-9437

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