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  • 1.
    Rosvall, Annica
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Toth, Ervin
    Lund Univ, Skane Univ Hosp, Dept Gastroenterol, Lund, Sweden..
    Kumlien, Christine
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Skane Univ Hosp, Dept Cardiothorac & Vasc Surg, Malmö, Sweden..
    Annersten Gershater, Magdalena
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Development and content validity testing of a colonoscopy-specific patient-reported experience measure: the Patient Experience Colonoscopy Scale (PECS)2024Ingår i: Journal of Patient-Reported Outcomes, E-ISSN 2509-8020, Vol. 8, nr 1, artikel-id 32Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BackgroundIn endoscopic care, favourable patient experiences before, during and after a colonoscopy are essential for the patient's willingness to repeat the procedure. To ensure that significant experiences are measured, patients should be involved in creating the measurement instruments. Thus, the aim of the present study was to develop a colonoscopy-specific PREM by (1) operationalising patient experiences before, during and after a colonoscopy procedure and (2) evaluating its content validity.MethodsThe colonoscopy-specific PREM was developed in two stages: (1) operationalisation with item generation and (2) content validity testing. A previously developed conceptual model, based on a systematic literature review that illustrates patients' (n = 245) experiences of undergoing a colonoscopy, formed the theoretical basis. To assess the degree to which the PREM reflected patients' experiences before, during and after a colonoscopy procedure, content validity was tested-through face validity with healthcare professionals (n = 4) and cognitive interviews with patients (n = 14) having experienced a colonoscopy. Content validity index (CVI) was calculated to investigate the relevance of the items.ResultsThe Patient Experience Colonoscopy Scale (PECS) is a colonoscopy-specific PREM consisting of five different constructs: health motivation, discomfort, information, a caring relationship and understanding. Each construct was defined and generated into a pool of items (n = 77). After face-validity assessment with healthcare professionals, a draft 52-item version of the PECS was ready for content validity testing by the patients. During cognitive interviews the patients contributed valuable insights that led to rewording and removal of items. Results from the CVI suggest that the PECS and its content are relevant (I-CVI range 0.5-1, S-CVI/Ave = 0.86). The final PECS consists of 30 items representing a colonoscopy-specific PREM.ConclusionThe PECS is a new 30-item PREM instrument designed for adult elective colonoscopy patients after they have undergone the procedure. Each item in the PECS derives from a conceptual model based on a systematic literature review. Patients and healthcare professionals were involved in developing the PECS, which measures colonoscopy-specific patient experiences before, during and after the procedure. The content validity testing positively contributed to the development of the PECS. Psychometric properties need to be evaluated further.

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  • 2.
    Aho, Anna Carin
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Renmarker, Elisabeth
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Jakobsson, Jenny
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Experiences of volt hockey from family members’ perspectives: an interview study2024Ingår i: Sport in Society: Cultures, Media, Politics, Commerce, ISSN 1743-0437, E-ISSN 1743-0445, s. 1-14Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Volt hockey is a team sport developed for persons with physical disabilities. Because family members are important resources to enable sports participation, the purpose of this study was to illuminate experiences of volt hockey from family members’ perspectives. Focus group interviews were conducted, including 20 family members, and the verbatim transcripts were inductively analysed using reflexive thematic analysis. Family members saw the value of enabling participation in volt hockey, being an inclusive team sport that brings enjoyment and strengthens social relationships within, and outside of, the family. Trying to facilitate sport participation, the need for material resources and other actors was emphasised, such as personal assistance, funders, and healthcare professionals informing about the sport and the engagement of the volt hockey clubs. In conclusion, involvement in volt hockey is emotionally and socially rewarding for family members, but there is a need for additional enablers to allow the sport to grow. 

  • 3.
    Peterson, Elizabeth
    et al.
    Department of Occupational Therapy, University of Illinois Chicago, Chicago, Illinois, USA.
    Keehn, Mary Therese
    Office of the Vice Chancellor for Health Affairs, University of Illinois Chicago, Chicago, Illinois, USA.
    Hasnain, Memoona
    Department of Family and Community Medicine, College of Medicine, University of Illinois Chicago, Chicago, Illinois, USA.
    Gruss, Valerie
    College of Nursing, University of Illinois Chicago, Chicago, Illinois, USA.
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Carlson, Elisabeth
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Jakobsson, Jenny
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Kottorp, Anders
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Exploring differences in and factors influencing self-efficacy for competence in interprofessional collaborative practice among health professions students2024Ingår i: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 38, nr 1, s. 104-112Artikel i tidskrift (Refereegranskat)
    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.

  • 4.
    Rönnebjerg, L
    et al.
    Department of Internal Medicine and Clinical Nutrition, Krefting Research Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Kankaanranta, H
    Department of Internal Medicine and Clinical Nutrition, Krefting Research Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden; Department of Respiratory Medicine, Seinäjoki Central Hospital, Seinäjoki, Finland; Tampere University Respiratory Research Group, Faculty of Medicine and Health Technology, University of Tampere, Tampere, Finland.
    Ekerljung, L
    Department of Internal Medicine and Clinical Nutrition, Krefting Research Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
    Health-related quality of life, anxiety, depression, beliefs of medication, and self-efficacy in individuals with severe asthma - a population-based study2024Ingår i: Journal of Asthma, ISSN 0277-0903, E-ISSN 1532-4303, Vol. 61, nr 2, s. 148-159Artikel i tidskrift (Refereegranskat)
    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.

  • 5.
    Al Musawi, Ahmed
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för biomedicinsk vetenskap (BMV).
    Hellström, Lina
    Department of Medicine and Optometry, eHealth Institute, Linnaeus University, Kalmar; Pharmaceutical Department, Region Kalmar County, Kalmar.
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Midlöv, Patrik
    Department of Clinical Sciences Malmö, Center for Primary Health Care Research, Lund University.
    Rämgård, Margareta
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Cheng, Yuanji
    Malmö universitet, Fakulteten för teknik och samhälle (TS), Institutionen för materialvetenskap och tillämpad matematik (MTM).
    Eriksson, Tommy
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för biomedicinsk vetenskap (BMV). Malmö universitet, Biofilms Research Center for Biointerfaces.
    Intervention for a correct medication list and medication use in older adults: a non-randomised feasibility study among inpatients and residents during care transitions2024Ingår i: International Journal of Clinical Pharmacy, ISSN 2210-7703, E-ISSN 2210-7711Artikel i tidskrift (Refereegranskat)
    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.

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  • 6.
    Axelsson, Malin
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Bahtsevani, Christel
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Neziraj, Merita
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Persson, Karin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Kumlien, Christine
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Department of Cardio-Thoracic and Vascular Surgery, Skåne University Hospital, Malmö, Sweden.
    A registry study of oral health problems and preventive interventions among older persons receiving municipal healthcare - PROSENIOR2023Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 10, nr 2, s. 525-534Artikel i tidskrift (Refereegranskat)
    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.

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  • 7.
    Murray, Bridget
    et al.
    RCSI Univ Med & Hlth Sci, Sch Nursing & Midwifery, Dublin, Ireland..
    Smith, Sheree
    Univ Western Sydney, Sch Nursing & Midwifery, Sydney, Australia..
    Roberts, Nicola
    Edinburgh Napier Univ, Sch Hlth & Social Care, Edinburgh, Scotland..
    Padilha, Miguel Jose
    Escola Super Enfermagem Porto ESEP, Nursing Sch Porto, CINTESIS RISE, Porto, Portugal..
    Sajnic, Andreja
    Univ Hosp Ctr, Dept Resp Dis Jordanovac, Zagreb, Croatia..
    Narsavage, Georgia
    West Virginia Univ, Sch Nursing, Morgantown, WV USA..
    Christensen, Helle Marie
    Univ Southern Denmark, Odense Univ Hosp, Dept Resp Med, Odense, Denmark.;Univ Southern Denmark, Dept Clin Res, Odense, Denmark..
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Carme, Hernandez
    Hosp Clin Barcelona Univ Barcelona, August Pi & Sunyer Biomed Res Inst IDIBAPS, Med & Nursing Direct, CIBERES Barcelona, Barcelona, Spain..
    Poot, Betty
    Victoria Univ Wellington, Sch Nursing Midwifery & Hlth Practice, Wellington, New Zealand..
    Kelly, Carol
    Edge Hill Univ, Cardioresp Res Ctr, Ormskirk, England..
    Existing respiratory nursing curriculum, frameworks, and other documentation relevant to respiratory nursing education: A Scoping Review2023Ingår i: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 62, nr Suppl. 67, artikel-id OA3173Artikel i tidskrift (Övrigt vetenskapligt)
  • 8.
    Jakobsson, Jenny
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Malmö universitet, Centrum för tillämpad arbetslivsforskning och utvärdering (CTA).
    Örmon, Karin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). The Västra Götaland Region Competence Center on Intimate Partner Violence, Gothenburg, Sweden.
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Berthelsen, Hanne
    Malmö universitet, Centrum för tillämpad arbetslivsforskning och utvärdering (CTA). Malmö universitet, Odontologiska fakulteten (OD).
    Exploring workplace violence on surgical wards in Sweden: a cross-sectional study2023Ingår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 22, nr 1, artikel-id 106Artikel i tidskrift (Refereegranskat)
    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.

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  • 9.
    Gustavsson, Kristoffer
    et al.
    Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
    van Diepen, Cornelia
    Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden; Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands..
    Fors, Andreas
    Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden; Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Region Västra Götaland, Research, Education, Development and Innovation, Primary Health Care, Gothenburg, Sweden.
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Bertilsson, Monica
    School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Hensing, Gunnel
    School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Healthcare professionals' experiences of job satisfaction when providing person-centred care: a systematic review of qualitative studies2023Ingår i: BMJ Open, E-ISSN 2044-6055, Vol. 13, nr 6, artikel-id e071178Artikel, forskningsöversikt (Refereegranskat)
    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.

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  • 10.
    Van Diepen, Cornelia
    et al.
    Erasmus School of Health Policy &amp; Management Erasmus University Rotterdam Rotterdam The Netherlands;Centre for Person‐Centred Care (GPCC) University of Gothenburg Gothenburg Sweden.
    Fors, Andreas
    Centre for Person‐Centred Care (GPCC) University of Gothenburg Gothenburg Sweden;Institute of Health and Care Sciences, Sahlgrenska Academy University of Gothenburg Gothenburg Sweden;Research and Development Primary Health Care Region Västra Götaland Gothenburg Sweden.
    Bertilsson, Monica
    School of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy University of Gothenburg Gothenburg Sweden.
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Ekman, Inger
    Centre for Person‐Centred Care (GPCC) University of Gothenburg Gothenburg Sweden;Institute of Health and Care Sciences, Sahlgrenska Academy University of Gothenburg Gothenburg Sweden.
    Hensing, Gunnel
    School of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy University of Gothenburg Gothenburg Sweden.
    How the current non‐significant effects of person‐centred care on nurses' outcomes could be abated by the WE‐CARE roadmap enablers: A discursive paper2023Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 10, nr 4, s. 2044-2052Artikel i tidskrift (Refereegranskat)
    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.

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  • 11.
    Striberger, Rebecka
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Skane Univ Hosp, Vasc Ctr, Dept Cardiothorac & Vasc Surg, Malmö, Sweden..
    Zarrouk, Moncef
    Skane Univ Hosp, Vasc Ctr, Dept Cardiothorac & Vasc Surg, Malmö, Sweden.;Lund Univ, Dept Clin Sci, Malmö, Sweden..
    Kumlien, Christine
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Skane Univ Hosp, Vasc Ctr, Dept Cardiothorac & Vasc Surg, Malmö, Sweden..
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Illness perception, health literacy, self-efficacy, adherence and quality of life in patients with intermittent claudication - a longitudinal cohort study2023Ingår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 22, nr 1, artikel-id 167Artikel i tidskrift (Refereegranskat)
    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.

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  • 12.
    Sajnic, Andreja
    et al.
    Univ Hosp Ctr, Dept Resp Dis Jordanovac, Zagreb, Croatia..
    Narsavage, Georgia
    West Virginia Univ, Sch Nursing, Morgantown, WV USA..
    Murphie, Phyllis
    Natl Ctr Sustainable Delivery, Modernising Patient Pathways Programme, Glasgow, Scotland..
    Hernandez, Carme
    Univ Barcelona, August Pi & Sunyer Biomed Res Inst IDIBAPS, Med & Nursing Direct, Hosp Clin Barcelona, Barcelonaupon Tyne, Spain..
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Padilha, Jose Miguel
    CINTESIS Tech4edusim, Nursing Sch Porto, Porto, Portugal..
    Rezelj, Mariana Paula
    Clin Pulm Dis Golnik, Golnik, Slovenia..
    Stonham, Carol
    Minchinhampton Surg, Stroud, England..
    Heslop-Marshall, Karen
    Newcastle Upon Tyne Hosp NHS Fdn Trust, Dept Resp Med, Royal Victoria Infirm Hosp, Newcastle Upon Tyne, Tyne & Wear, England..
    International Coalition of Respiratory Nurses supports global initiative in raising awareness of Asthma and COPD in low- and middle-income countries2023Ingår i: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 62, nr Suppl. 67, artikel-id OA3174Artikel i tidskrift (Övrigt vetenskapligt)
  • 13.
    Axelsson, Malin
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Backman, Helena
    Umeå Univ, Sect Sustainable Hlth, Dept Publ Hlth & Clin Med, OLIN Unit, Umeå, Sweden..
    Nwaru, Bright I.
    Univ Gothenburg, Krefting Res Ctr, Inst Med, Gothenburg, Sweden.;Univ Gothenburg, Inst Med, Wallenberg Ctr Mol & Translat Med, Gothenburg, Sweden..
    Stridsman, Caroline
    Umeå Univ, Div Med, Dept Publ Hlth & Clin Med, OLIN unit, Umeå, Sweden..
    Vanfleteren, Lowie
    Univ Gothenburg, Krefting Res Ctr, Inst Med, Gothenburg, Sweden.;Univ Gothenburg, Gothenburg, Sweden.;Sahlgrens Univ Hosp, Dept Resp Med & Allergol, COPD Ctr, Gothenburg, Sweden..
    Hedman, Linnea
    Piirila, Paivi
    Univ Cent Hosp, Unit Clin Physiol, HUS Med Diagnost Ctr, Helsinki, Finland.;Univ Helsinki, Helsinki, Finland..
    Jalasto, Juuso
    Univ Cent Hosp, Unit Clin Physiol, HUS Med Diagnost Ctr, Helsinki, Finland.;Univ Helsinki, Helsinki, Finland..
    Langhammer, Arnulf
    Norwegian Univ Sci & Technol, Dept Publ Hlth & Nursing, HUNT Res Ctr, NTNU, Levanger, Norway..
    Kankaanranta, Hannu
    Univ Gothenburg, Krefting Res Ctr, Inst Med, Gothenburg, Sweden.;Seinajoki Cent Hosp, Dept Resp Med, Seinajoki, Finland.;Univ Tampere, Fac Med & Life Sci, Tampere, Finland..
    Radinger, Madeleine
    Univ Gothenburg, Krefting Res Ctr, Inst Med, Gothenburg, Sweden..
    Ekerljung, Linda
    Univ Gothenburg, Krefting Res Ctr, Inst Med, Gothenburg, Sweden..
    Ronmark, Eva
    Umeå Univ, Sect Sustainable Hlth, Dept Publ Hlth & Clin Med, OLIN Unit, Umeå, Sweden..
    Lindberg, Anne
    Umeå Univ, Div Med, Dept Publ Hlth & Clin Med, OLIN unit, Umeå, Sweden..
    The extent and characterization of underdiagnosis and misclassification of COPD in Sweden2023Ingår i: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 62, nr Suppl. 67, artikel-id OA3167Artikel i tidskrift (Övrigt vetenskapligt)
  • 14.
    Neziraj, Merita
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Kumlien, Christine
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Department of Cardiothoracic and Vascular Surgery, Skane University Hospital, Skanes universitetssjukhus Malmö, Malmö, Sweden.
    Hellman, Peter
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Andersson, Magdalena
    Health and Social Care, Strategic Development, Unit of Research and Development and Competence Centre, Malmö, Sweden.
    The STAIR OF KNOWLEDGE-a codesigned intervention to prevent pressure ulcers, malnutrition, poor oral health and falls among older persons in nursing homes in Sweden: development of a complex intervention2023Ingår i: BMJ Open, E-ISSN 2044-6055, Vol. 13, nr 8, artikel-id e072453Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: To describe the development of a codesigned complex intervention intended to prevent the risks of pressure ulcers, malnutrition, poor oral health and falls among older persons in nursing homes.

    DESIGN: : Nursing homes in the municipality in southern Sweden.

    PARTICIPANTS: End users (n=16) in nursing homes (n=4) codesigned the intervention together with the research group in workshops (n=4) in March-April 2022. Additionally, stakeholders (n=17) who were considered to play an important role in developing the intervention participated throughout this process. Data were analysed using reflexive thematic analysis.

    RESULTS: Four workshops were conducted with end users (n=16) and 13 meetings with stakeholders (n=12) were held during the development process. The intervention aims to bridge the evidence-practice gap regarding the preventive care process of the risks of pressure ulcers, malnutrition, poor oral health and falls among older persons in nursing homes. The intervention is aimed at end users, lasts for 3 weeks and is divided into two parts. First, end users obtain knowledge on their own by following written instructions. Second, they meet, interact and discuss the knowledge acquired during part 1.

    CONCLUSION: The intervention is robustly developed and thoroughly described. The study highlights the extensive process that is necessary for developing tailored complex interventions. The description of the entire development process may enhance the replicability of this intervention. The intervention needs to be tested and evaluated in an upcoming feasibility study.

    TRIAL REGISTRATION NUMBER: NCT05308862.

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  • 15.
    Axelsson, Malin
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Backman, Helena
    Department of Public Health and Clinical Medicine, Section of Sustainable Health/ the OLIN unit, Umeå University, Umeå, Sweden.
    Nwaru, Bright I
    Krefting Research Centre, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Wallenberg Centre for Molecular and Translational Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
    Stridsman, Caroline
    Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
    Vanfleteren, Lowie
    Krefting Research Centre, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; COPD Center, Department of Respiratory Medicine and Allergology, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Hedman, Linnea
    Department of Public Health and Clinical Medicine, Section of Sustainable Health/ the OLIN unit, Umeå University, Umeå, Sweden.
    Piirilä, Päivi
    Unit of Clinical Physiology, HUS Medical Diagnostic Center, University Central Hospital, Helsinki, Finland and University of Helsinki, Finland.
    Jalasto, Juuso
    Unit of Clinical Physiology, HUS Medical Diagnostic Center, University Central Hospital, Helsinki, Finland and University of Helsinki, Finland.
    Langhammer, Arnulf
    HUNT Research Centre, Department of Public Health and Nursing, NTNU, Norwegian University of Science and Technology, Levanger, Norway; Levanger Hospital, Nord-Trøndelag Hospital Trust, Levanger, Norway.
    Kankaanranta, Hannu
    Krefting Research Centre, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Respiratory Medicine, Seinäjoki Central Hospital, Seinäjoki, Seinäjoki, Finland; Faculty of Medicine and Life Sciences, University of Tampere, Tampere, Finland.
    Rådinger, Madeleine
    Krefting Research Centre, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Ekerljung, Linda
    Krefting Research Centre, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Rönmark, Eva
    Department of Public Health and Clinical Medicine, Section of Sustainable Health/ the OLIN unit, Umeå University, Umeå, Sweden.
    Lindberg, Anne
    Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
    Underdiagnosis and misclassification of COPD in Sweden - A Nordic Epilung study2023Ingår i: Respiratory Medicine, ISSN 0954-6111, E-ISSN 1532-3064, Vol. 217, artikel-id 107347Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    INTRODUCTION: The prevalence of COPD tends to level off in populations with decreasing prevalence of smoking but the extent of underdiagnosis in such populations needs further investigation.

    AIM: To investigate underdiagnosis and misclassification of COPD with a focus on socio-economy, lifestyle determinants and healthcare utilization.

    METHOD: was defined according to the fixed post-bronchodilator spirometric criteria FEV1/FVC<0.70 in combination with respiratory symptoms.

    RESULTS: , the underdiagnosis was 83.6% (n = 107) of which 57.9% were men. The undiagnosed participants were younger, had higher FEV1% of predicted and less frequently a family history of bronchitis. One in four of the undiagnosed had utilized healthcare and had more frequently utilized healthcare due to a burden of respiratory symptoms than the general population without COPD. Underdiagnosis was not related to educational level. Misclassification of COPD was characterized by being a woman with low education, ever smoker, having respiratory symptoms and having a previous asthma diagnosis.

    CONCLUSION: In the high income country Sweden, the underdiagnosis of COPD was highly prevalent. Reduced underdiagnosis can contribute to risk factor modification, medical treatment and self-management strategies in early stages of the disease, which may prevent disease progression and improve the quality of life among those affected. Therefore, there is a need to increase the use of spirometry in primary care to improve the diagnostic accuracy.

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  • 16.
    Hansen, Michael Ulrich
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Vejzovic, Vedrana
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Zdravkovic, Slobodan
    Malmö universitet, Malmö Institute for Studies of Migration, Diversity and Welfare (MIM). Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Ambulance nurses' experiences of using prehospital guidelines for patients with acute chest pain - A qualitative study.2022Ingår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 63, s. 1-7, artikel-id 101195Artikel i tidskrift (Refereegranskat)
    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.

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  • 17.
    Bashir, Muwada Bashir Awad
    et al.
    Krefting Research Centre, Institute of Medicine, University of Gothenbur.
    Basna, Rani
    Krefting Research Centre, Institute of Medicine, University of Gothenbur.
    Zhang, Guo-Qiang
    Krefting Research Centre, Institute of Medicine, University of Gothenbur.
    Backman, Helena
    Section of Sustainable Health/the OLIN Unit, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
    Lindberg, Anne
    Section of Medicine/the OLIN Unit, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
    Ekerljung, Linda
    Krefting Research Centre, Institute of Medicine, University of Gothenburg.
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Hedman, Linnea
    Department of Health Sciences, Luleå University of Technology, Luleå, Sweden.
    Vanfleteren, Lowie
    COPD Center, Sahlgrenska University Hospital, University of Gothenburg, Gothenburg, Sweden.
    Lundbäck, Bo
    Krefting Research Centre, Institute of Medicine, University of Gothenburg.
    Rönmark, Eva
    Section of Sustainable Health/the OLIN Unit, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
    Nwaru, Bright I
    Krefting Research Centre, Institute of Medicine, University of Gothenburg, SE-405 30, Gothenburg, Sweden Wallenberg Centre for Molecular and Translational Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
    Computational phenotyping of obstructive airway diseases: protocol for a systematic review2022Ingår i: Systematic Reviews, E-ISSN 2046-4053, Vol. 11, nr 1, s. 1-5, artikel-id 216Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    BACKGROUND: Over the last decade, computational sciences have contributed immensely to characterization of phenotypes of airway diseases, but it is difficult to compare derived phenotypes across studies, perhaps as a result of the different decisions that fed into these phenotyping exercises. We aim to perform a systematic review of studies using computational approaches to phenotype obstructive airway diseases in children and adults.

    METHODS AND ANALYSIS: We will search PubMed, Embase, Scopus, Web of Science, and Google Scholar for papers published between 2010 and 2020. Conferences proceedings, reference list of included papers, and experts will form additional sources of literature. We will include observational epidemiological studies that used a computational approach to derive phenotypes of chronic airway diseases, whether in a general population or in a clinical setting. Two reviewers will independently screen the retrieved studies for eligibility, extract relevant data, and perform quality appraisal of included studies. A third reviewer will arbitrate any disagreements in these processes. Quality appraisal of the studies will be undertaken using the Effective Public Health Practice Project quality assessment tool. We will use summary tables to describe the included studies. We will narratively synthesize the generated evidence, providing critical assessment of the populations, variables, and computational approaches used in deriving the phenotypes across studies CONCLUSION: As progress continues to be made in the area of computational phenotyping of chronic obstructive airway diseases, this systematic review, the first on this topic, will provide the state of the art on the field and highlight important perspectives for future works.

    ETHICS AND DISSEMINATION: No ethical approval is needed for this work is based only on the published literature and does not involve collection of any primary or human data.

    REGISTRATION AND REPORTING: SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42020164898.

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  • 18.
    Narsavage, G.
    et al.
    West Virginia Univ SON, Morgantown, WV USA..
    Sajnic, A.
    Univ Hosp Ctr, Zagreb, Croatia..
    Kelly, C.
    Edge Hill Univ, Ormskirk, England..
    Smith, S.
    Western Sydney Univ, Penrith, NSW, Australia..
    Roberts, N.
    Glasgow Caledonian Univ, Glasgow, Lanark, Scotland..
    Heslop-Marshall, K.
    RVI Hospita, Newcastle Upon Tyne, Tyne & Wear, England..
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Padilha, M.
    Nursing Sch Porto, Porto, Portugal..
    Hernandez, C.
    Univ Barcelona, Hosp Clin Barcelona, Barcelona, Spain..
    Murray, B.
    RCSI Univ Med & Hlth Sci, Dublin, Ireland..
    Poot, B.
    Victoria Univ Wellington, Wellington, New Zealand..
    Development of an international curriculum for respiratory nurses (ICRN): A global needs survey2022Ingår i: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 60, nr Suppl 66, artikel-id 204Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    Introduction: A coronavirus pandemic confirmed that respiratory nurses are critical healthcare providers. Knowledge about appropriate education for quality respiratory nursing care is limited. The ERS Nurses Chair formed the ICRN group to develop a core curriculum for respiratory nurses.

    Aims: The study surveyed the need for an international core respiratory nursing curriculum and current curricula that exist globally.

    Methods: A 39-item survey was sent to 33 respiratory nursing experts in 27 countries. Items included current roles, perception of need/expectations for a core curriculum, and respiratory content in nursing education in their countries.

    Results: Thirty responses from 25 countries were analyzed; participants worked in academia (53%)/clinical practice (40%). The need for a core respiratory nursing curriculum was confirmed (97%). Post-registration nursing programs at bachelor (63.3%) and masters (43.3%) levels included internal/medical nursing care; less than half identified separate respiratory nursing content. Consensus was that a core educational program should include knowledge (70%), skills (60%), and competencies (50%), with separate pediatric and adult content.

    Conclusion: The vast variation in formal respiratory nursing education globally confirms the need for a core respiratory curriculum. The ICRN will next use a Delphi study to identify core curricular elements for respiratory nursing education.

  • 19.
    Aho, Anna Carin
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Renmarker, Elisabeth
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Jakobsson, Jenny
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Experiences of Playing Volt Hockey With Focus on Well-Being According to Positive Emotion, Engagement, Relationships, Meaning, Achievement: An Interview Study2022Ingår i: Adapted Physical Activity Quarterly, ISSN 0736-5829, E-ISSN 1543-2777, Vol. 39, nr 2, s. 160-178, artikel-id apaq.2021-0035Artikel i tidskrift (Refereegranskat)
    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.

  • 20.
    Striberger, Rebecka
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Vascular Centre, Department of Cardiothoracic and Vascular Surgery, Skåne University Hospital, Malmö, Sweden.
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Kumlien, Christine
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Vascular Centre, Department of Cardiothoracic and Vascular Surgery, Skåne University Hospital, Malmö, Sweden.
    Zarrouk, Moncef
    Department of Clinical Sciences, Malmö, Lund University, Malmö, Sweden.
    Health literacy in patients with intermittent claudication in relation to clinical characteristics, demographics, self-efficacy and quality of life: A cross-sectional study2022Ingår i: Journal of Vascular Nursing, ISSN 1062-0303, E-ISSN 1532-6578, Vol. 40, nr 3, s. 121-127Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Intermittent claudication requires treatment with secondary prevention to reduce disease progression and the risk of cardiovascular events and to improve quality of life. Health literacy and self-efficacy are important preconditions for the health behaviour changes necessary for adhering to secondary prevention.

    Aim: Evaluate health literacy in patients with intermittent claudication regarding clinical characteristics, demographics, self-efficacy and quality of life.

    Methods: A cross-sectional study evaluating health literacy, self-efficacy and quality of life using questionnaires. Patients with intermittent claudication from vascular units in the south of Sweden were included.

    Results: In total, 158 patients were included, of which, 52.5% reported “inadequate” (0-8 points) or “problematic” (9-12 points) health literacy with no differences between men and women. A significant higher proportion of patients living alone reported “inadequate” or “problematic” health literacy than “sufficient” (13-16 points) health literacy. Patients with “sufficient” health literacy reported significantly higher self-efficacy and quality of life and were more physically active than patients with “inadequate” or “problematic” health literacy. Also, patients with a university degree reported a significantly higher ability to “access” (seek, find and obtain) and “understand” (comprehend the accessed) information relevant to health.

    Conclusion: The majority of patients with intermittent claudication have “inadequate” or “problematic” health literacy. Also, an “inadequate” or “problematic” health literacy level is more common among patients living alone, and education level appears to be more important when “accessing” and “understanding” information relevant to health. This illuminates the importance of not only the patients’ health literacy but also demographics when planning for secondary prevention.

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  • 21.
    Šajnić, Andreja
    et al.
    Dept for Respiratory Diseases Jordanovac, University Hospital Center, Zagreb, Croatia.
    Kelly, Carol
    Respiratory Research Centre, Edge Hill University, Ormskirk, UK.
    Smith, Sheree
    School of Nursing and Midwifery, Western Sydney University, Penrith, Australia.
    Heslop-Marshall, Karen
    Dept of Respiratory Medicine, Royal Victoria Infirmary Hospital, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Padilha, José Miguel
    Nursing School of Porto, CINTESIS-Tech4edusim, Porto, Portuga.
    Roberts, Nicola
    School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.
    Hernández, Carmen
    Medical and Nursing Direction, Hospital Clinic de Barcelona University of Barcelona, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain..
    Murray, Bridget
    School of Nursing and Midwifery, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
    Poot, Betty
    School of Nursing, Midwifery, and Health Practice, Victoria University of Wellington, Wellington, New Zealand.
    Narsavage, Georgia
    School of Nursing, West Virginia University, Morgantown, WV, USA..
    Need and baseline for harmonising nursing education in respiratory care: preliminary results of a global survey2022Ingår i: Breathe, ISSN 1810-6838, E-ISSN 2073-4735, Vol. 18, nr 3, s. 1-8, artikel-id 210172Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Background The COVID-19 pandemic confirmed that respiratory nurses are critical healthcare providers.Limited knowledge is available about appropriate education to prepare nurses to deliver high-qualityrespiratory care. A survey was developed by the International Coalition for Respiratory Nursing (ICRN)group to identify the need for a respiratory nursing core curriculum.Method A 39-item survey was distributed to 33 respiratory nursing experts in 27 countries. Questionsasked about current roles, perception of need, expectations for a core curriculum project and respiratorycontent in nursing education in their countries.Results 30 responses from 25 countries were analysed; participants predominantly worked in academia(53.3%, 16/30) and clinical practice (40%, 12/30). In total, 97% (29/30) confirmed a need for a corerespiratory nursing curriculum. Post-registration nursing programmes at bachelor (83.3%, 25/30) andmasters (63.3%, 19/30) levels include internal/medical nursing care; less than half identified separaterespiratory nursing content. The core educational programme developed should include knowledge (70%,21/30), skills (60%, 18/30), and competencies (50%, 15/30), with separate paediatric and adult content.Conclusion Survey results confirm a wide variation in nursing education and respiratory nursing educationacross the world, with many countries lacking any formal educational programmes to prepare nursescapable of providing enhanced quality respiratory care. These findings support the need for a corerespiratory curriculum. To advance this significant work the ICRN group plans to conduct a Delphi studyto identify core curriculum requirements for respiratory nursing education at pre-registration and advancededucational levels to flexibly meet each country’s specific educational requirements for recognition ofrespiratory nursing speciality practice.

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  • 22.
    Rosvall, Annica
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Annersten Gershater, Magdalena
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Kumlien, Christine
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Department of Cardio-Thoracic and Vascular Surgery, Skåne University Hospital, 205 02 Malmö, Sweden.
    Toth, Ervin
    Lund Univ, Skane Univ Hosp, Dept Gastroenterol, S-20502 Malmo, Sweden..
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Patient-Reported Experience Measures for Colonoscopy: A Systematic Review and Meta-Ethnography2022Ingår i: Diagnostics, ISSN 2075-4418, Vol. 12, nr 2, artikel-id 242Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Patient experience is defined as a major quality indicator that should be routinely measured during and after a colonoscopy, according to current ESGE guidelines. There is no standard approach measuring patient experience after the procedure and the comparative performance of the different colonoscopy-specific patient-reported experience measures (PREMs) is unclear. Therefore, the aim was to develop a conceptual model describing how patients experience a colonoscopy, and to compare the model against colonoscopy-specific PREMs. A systematic search for qualitative research published up to December 2021 in PubMed, Cochrane, CINAHL, and PsycINFO was conducted. After screening and quality assessment, data from 13 studies were synthesised using meta-ethnography. Similarities and differences between the model and colonoscopy-specific PREMs were identified. A model consisting of five concepts describes how patients experience undergoing a colonoscopy: health motivation, discomfort, information, a caring relationship, and understanding. These concepts were compared with existing PREMs and the result shows that there is agreement between the model and existing PREMs for colonoscopy in some parts, while partial agreement or no agreement is present in others. These findings suggest that new PREMs for colonoscopy should be developed, since none of the existing colonoscopy-specific PREMs fully cover patients' experiences.

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  • 23.
    Sajnic, A.
    et al.
    Univ Hosp Ctr, Zagreb, Croatia..
    Narsavage, G.
    West Virginia Univ SON, Morgantown, WV USA..
    Kelly, C.
    Edge Hill Univ, Ormskirk, England..
    Heslop-Marshall, K.
    Royal Victoria Infirm, Dept Resp Med, Newcastle Upon Tyne, Tyne & Wear, England..
    Padilha, J. M.
    CINTESIS Tech4edusim, Nursing Sch Porto, Porto, Portugal..
    Murray, B.
    RCSI Univ Med & Hlth Sci, Dublin, Ireland..
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Hernandez, C.
    Univ Barcelona, Hosp Clin Barcelona, Barcelona, Spain..
    Poot, B.
    Victoria Univ Wellington, Wellington, New Zealand..
    Roberts, N.
    Glasgow Caledonian Univ, Glasgow, Lanark, Scotland..
    Christensen, H. M.
    Odense Univ Hosp, Dept Resp Med, Odense, Denmark..
    Clari, M.
    Univ Torino, Dept Publ Hlth & Pediat, Turin, Italy..
    Smith, S.
    Western Sydney Univ, Penrith, NSW, Australia..
    Steps in the development of an international curriculum for respiratory nurses (ICRN): A Delphi Process plan to standardise levels of respiratory nursing education2022Ingår i: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 60, nr Suppl 66, artikel-id 515Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    Introduction: The sizable population of people with respiratory conditions places a significant demand on healthcare services and a need for specialized nursing care.

    Aim: The ERS Nursing Group recognized the need for harmonized curricula for respiratory nurses. The following steps incorporate the knowledge and experience of academic and clinical experts.

    Methodology: Steps in the Delphi Process for ICRN (Cantrill, et al. Int. J Pharm. Prac, 1996):

    1) 2020 - Choose Facilitator; ERS chair & 2 researchers (Sajnic A, Narsavage G, Kelly C),

    2) 2020 - Identify Experts; ICRN Advisory Group, in 2021, a group was added to support patient involvement,

    3) 2021 - Define the Problem; ICRN Global Needs Survey (Narsavage et al.) confirmed the need for ICRN and assessed the status of respiratory nursing in 25 countries worldwide,

    4) Review the literature; scoping review in process (2022) for a starting point for survey questions,

    5) Round One Questions; country-based focus groups and literature summarized by the advisory group will form survey for global group. Common items will constitute a Round Two survey,

    6) Round Two Questions; a survey will identify ICRN items and summarize common areas,

    7) Round Three Questions; what the experts are all agreed upon will be answered,

    8) Act on Findings; a consensus document for the core curriculum will be published.

    Conclusion: Worldwide recognition of respiratory nursing as a speciality with a harmonized ICRN based on the Delphi process can be effective in improving the quality of care and patients' outcomes in active partnerships with other healthcare professionals

  • 24.
    Axelsson, Malin
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Kottorp, Anders
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Carlson, Elisabeth
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Gudmundsson, Petri
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Kumlien, Christine
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Skane Univ Hosp, Vasc Ctr, Dept Cardiothorac & Vasc Surg, Malmo, Sweden..
    Jakobsson, Jenny
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Translation and validation of the Swedish version of the IPECC-SET 9 item version2022Ingår i: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 36, nr 6, s. 900-907Artikel i tidskrift (Refereegranskat)
    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.

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  • 25.
    Jakobsson, Jenny
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Örmon, Karin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). The Västra Götaland Region Competence Center on Intimate Partner Violence, Gothenburg, Sweden.
    Berthelsen, Hanne
    Malmö universitet, Centrum för tillämpad arbetslivsforskning och utvärdering (CTA). Malmö universitet, Odontologiska fakulteten (OD).
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Workplace violence from the perspective of hospital ward managers in Sweden: A qualitative study2022Ingår i: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 30, nr 6, s. 1523-1529Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: The aims of the study are to explore workplace violence perpetrated by patients or visitors from the perspective of hospital ward managers and to describe how ward managers perceive their leadership role and manage related incidents.

    BACKGROUND: Few studies focus on workplace violence from the perspective of ward managers even though they are the closest managers to the operational staff.

    METHOD: Fifteen semistructured interviews were analysed using qualitative content analysis.

    RESULTS: Four categories emerged: the face of workplace violence, a two-fold assignment, strive towards readiness to act, and managing incidents.

    CONCLUSION: While the most common acts of workplace violence are considered less serious and related to patients' medical conditions or dissatisfied visitors, hospital organizations focus on serious but rarely occurring incidents. Consequently, ward managers have limited opportunities to ensure a safe work environment on an everyday basis.

    IMPLICATIONS FOR NURSING MANAGEMENT: To support ward managers' occupational safety and health management, workplace violence prevention and management should be acknowledged as an important responsibility for senior management in hospitals. It is important to identify incidents that most likely will occur at the wards and to create strategies related to those incidents. Strategies could include risk assessments, prevention, evaluation, education and reflection combined with, for example, scenario training.

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  • 26.
    Axelsson, Malin
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Björk, Benita
    Region Skåne.
    Berg, Ulrika
    Region Skåne.
    Persson, Karin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Malmö universitet, Malmö Institute for Studies of Migration, Diversity and Welfare (MIM).
    Behövs ett undervisningspaket med syfte att stärka vårdpersonals följsamhetsberedskap?2021Ingår i: BestPractice Nordic, nr April 2021Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 27.
    Axelsson, Malin
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Ilmarinen, Pinja
    Department of Respiratory Medicine, Seinäjoki Central Hospital, Seinäjoki, Finland.
    Backman, Helena
    Department of Public Health and Clinical Medicine, Section of Sustainable Health/the OLIN unit, Umeå University, Umeå, Sweden; Department of Health Sciences, Luleå University of Technology, Luleå, Sweden.
    Ekerljung, Linda
    Krefting Research Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
    Hedman, Linnea
    Department of Public Health and Clinical Medicine, Section of Sustainable Health/the OLIN unit, Umeå University, Umeå, Sweden; Department of Health Sciences, Luleå University of Technology, Luleå, Sweden.
    Langhammer, Arnulf
    HUNT Research Centre, Department of Public Health and Nursing, NTNU, Norwegian University of Science and Technology, Levanger, Norway; Levanger Hospital, Nord-Trøndelag Hospital Trust, Levanger, Norway.
    Lindberg, Anne
    Department of Public Health and Clinical Medicine, Division of Medicine, Umeå University, Umeå, Sweden.
    Lindqvist, Ari
    Clinical Research Unit of Pulmonary Diseases, Helsinki University Hospital, Helsinki University and Clinical Research Institute HUCH Ltd, Helsinki, Finland.
    Nwaru, Bright I
    Krefting Research Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden; Wallenberg Center for Molecular and Translational Medicine, University of Gothenburg, Gothenburg, Sweden.
    Pallasaho, Paula
    Espoo City Primary Health Care Services, Finland.
    Sovijärvi, Anssi
    Unit of Clinical Physiology, HUS Medical Imaging Center, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
    Vähätalo, Iida
    Department of Respiratory Medicine, Seinäjoki Central Hospital, Seinäjoki, Finland.
    Kankaanranta, Hannu
    Department of Respiratory Medicine, Seinäjoki Central Hospital, Seinäjoki, Finland; Krefting Research Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden; Faculty of Medicine and Health Technology, University of Tampere, Tampere, Finland.
    Hisinger-Mölkänen, Hanna
    University of Helsinki, Helsinki, Finland.
    Piirilä, Päivi
    Unit of Clinical Physiology, HUS Medical Imaging Center, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
    Rönmark, Eva
    Department of Public Health and Clinical Medicine, Section of Sustainable Health/the OLIN unit, Umeå University, Umeå, Sweden.
    Differences in diagnostic patterns of obstructive airway disease between areas and sex in Sweden and Finland: the Nordic EpiLung study2021Ingår i: Journal of Asthma, ISSN 0277-0903, E-ISSN 1532-4303, Vol. 58, nr 9, s. 1196-1207Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: To investigate the current prevalence of physician-diagnosed obstructive airway diseases by respiratory symptoms and by sex in Sweden and Finland.Method: In 2016, a postal questionnaire was answered by 34,072 randomly selected adults in four study areas: Västra Götaland and Norrbotten in Sweden, and Seinäjoki-Vaasa and Helsinki in Finland.Results: The prevalence of asthma symptoms was higher in Norrbotten (13.2%), Seinäjoki-Vaasa (14.8%) and Helsinki (14.4%) than in Västra Götaland (10.7%), and physician-diagnosed asthma was highest in Norrbotten (13.0%) and least in Västra Götaland (10.1%). Chronic productive cough was most common in the Finnish areas (7.7-8.2% versus 6.3-6.7%) while the prevalence of physician-diagnosed chronic bronchitis (CB) or chronic obstructive pulmonary disease (COPD) varied between 1.7 and 2.7% in the four areas. Among individuals with respiratory symptoms, the prevalence of asthma was most common in Norrbotten, while a diagnosis of COPD or CB was most common in Västra Götaland and Seinäjoki-Vaasa. More women than men with respiratory symptoms reported a diagnosis of asthma in Sweden and Seinäjoki-Vaasa but there were no sex differences in Helsinki. In Sweden, more women than men with symptoms of cough or phlegm reported a diagnosis of CB or COPD, while in Finland the opposite was found.Conclusion: The prevalence of respiratory symptoms and corresponding diagnoses varied between and within the countries. The proportion reporting a diagnosis of obstructive airway disease among individuals with respiratory symptoms varied, indicating differences in diagnostic patterns both between areas and by sex.

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  • 28.
    Rönnebjerg, Lina
    et al.
    Krefting Research Centre, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Kankaanranta, Hannu
    Krefting Research Centre, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, University of Gothenburg; Department of Respiratory Medicine, Seinäjoki Central Hospital; Tampere University Respiratory Research Group, Faculty of Medicine and Health Technology, University of Tampere, Gothenburg, Sweden.
    Lundback, Bo
    Krefting Research Centre, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, University of Gothenburg; Department of Respiratory Medicine, Seinäjoki Central Hospital; Tampere University Respiratory Research Group, Faculty of Medicine and Health Technology, University of Tampere, Gothenburg, Sweden.
    Ekerljung, Linda
    Krefting Research Centre, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
    Health-psychologic features and health-related quality of life in persons with severe asthma2021Ingår i: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 58, nr Suppl 65Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    Introduction: Little is known about health-psychologic features and health-related quality of life (HRQoL) in persons with severe asthma. Hence, the aim was to explore these features among persons with severe asthma.

    Methods: In the population-based West Sweden Asthma Study, 68 persons with severe asthma completed questionnaires on HRQoL (SF-8), asthma control (ACT), general self-efficacy (GSE), beliefs about medications (BMQ), anxiety and depression (HADS). Severe asthma was based on GINA treatment steps 4/5. Sub-groups were compared with the Mann-Whitney U test and associations were explored using the Spearman’s r.

    Results: Women with severe asthma reported worse mental HRQoL and indicated more symptoms of anxiety on HADS compared to men with severe asthma. Persons with severe asthma and ACT<20 reported worse physical HRQoL and perceived their medication as more necessary than those with severe asthma and ACT≥20. Among persons with severe asthma, physical HRQoL was associated with ACT-score (r=.613, p>.001). Mental HRQoL was associated with symptoms of anxiety (r=-.670, p>.001), depression (r=-.499, p>.001), self-efficacy (r=.344, p=.004) and concerns of asthma medication side effects (r=-.340, p=.006) within the same group.

    Conclusions: Health-psychologic features and HRQoL were different between sub groups of severe asthma. Use of questionnaires in asthma management in healthcare might be helpful to identify these sub-groups and provide improved and preventive care.

  • 29.
    Striberger, Rebecka
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Vascular Centre, Department of Cardiothoracic and Vascular Surgery, Skåne University Hospital, Malmö, Sweden.
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Zarrouk, Moncef
    Vascular Centre, Department of Cardiothoracic and Vascular Surgery, Skåne University Hospital, Malmö, Sweden; Department of Clinical Sciences, Malmö, Lund University, Malmö, Sweden.
    Kumlien, Christine
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Vascular Centre, Department of Cardiothoracic and Vascular Surgery, Skåne University Hospital, Malmö, Sweden.
    Illness perceptions in patients with peripheral arterial disease: A systematic review of qualitative studies2021Ingår i: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 116, artikel-id 103723Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Patients with chronic diseases create their own subjective beliefs about their conditions based on their illness perceptions. In the common-sense model, illness perceptions constitute personal beliefs about illness with regard to five components: identity, timeline, cause, control/cure, and consequences. Patients' illness perceptions affect both their management of their disease and their adherence to treatment. Since patients with peripheral arterial disease need life-long treatment for secondary prevention, generating knowledge about illness perceptions in patients with peripheral arterial disease is essential.

    OBJECTIVES: To systematically review and synthesise the literature on illness perceptions in patients with peripheral arterial disease.

    DESIGN: A systematic review DATA SOURCES: PubMed, CINAHL, and PsycINFO.

    REVIEW METHODS: A systematic search strategy was conducted in December 2017, with an update in July 2019. Two team members independently screened all titles and abstracts. A relevance and quality appraisal of the studies was performed. The references from the included studies were evaluated for additional studies. The data from 14 studies were extracted and synthesised using a "best-fit" approach to framework analysis. A deductive analysis was conducted using the common-sense model. The data not suitable for the framework were analysed separately using inductive conventional content analysis, yielding an additional component representing the retrospective consequences of peripheral arterial disease.

    FINDINGS: The findings showed diversity in illness perceptions in each of the five components of the framework as well as in the additional component. The findings showed participants' lack of understanding of the chronic nature of the disease, i.e., about the timeline, the identity of the symptoms and the cause of the disease. The patients' beliefs about control and cures varied from having high motivation to engage in physical activity to thinking that walking could make their situations worse. There was fear about the future, as patients perceived disease progression and decreasing control to be consequences of their illness. Living with the disease, the emphasis in the additional component, was a process for regaining control and adapting to their situations.

    CONCLUSIONS: Patients with peripheral arterial disease shape their own understandings of their conditions. These beliefs may influence their management of their disease and adherence to treatment. Therefore, the current study suggests that illness perceptions should be addressed when planning secondary prevention for patients with peripheral arterial disease.

  • 30.
    Rosvall, Annica
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Toth, Ervin
    Skane Univ Hosp, Dept Gastroenterol, Malmo, Sweden..
    Kumlien, Christine
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Department of Cardio-Thoracic and Vascular Surgery, Skåne University Hospital, Malmö, Sweden.
    Annersten Gershater, Magdalena
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Patients' Experiences Before, During, and After a Colonoscopy Procedure A Qualitative Study2021Ingår i: Gastroenterology Nursing, ISSN 1042-895X, E-ISSN 1538-9766, Vol. 44, nr 6, s. 392-402Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Although colonoscopy is a common examination, there is limited research focusing on how patients experience this procedure. It is important that a colonoscopy is tolerated, as it may lead to lifesaving diagnostics and treatment. This study aims to explore adult patients' experience of undergoing a colonoscopy regarding the time prior to, during, and after the procedure. This was a qualitative study with individual interviews (n = 24) and a purposeful sample that was analyzed using thematic analysis. The analysis revealed four themes. The first, "making up one's mind," describes how the participants gathered information and reflected emotionally about the forthcoming procedure. The hope of clarification motivated them to proceed. In the theme "getting ready," self-care was in focus while the participants struggled to follow the instructions and carry out the burdensome cleansing. The next theme, "going through," illuminates' experiences during the colonoscopy and highlights the importance of feeling involved and respected. The last theme, "finally over," is characterized by experiences of relief, tiredness, and a desire for clarity. The healthcare professionals' ability to meet the participants' needs is vital, given that the experiences are highly individual. These findings contribute to a variegated image of how patients experience the process of undergoing a colonoscopy.

  • 31.
    Neziraj, Merita
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Hellman, Peter
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Kumlien, Christine
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Department of Cardio-Thoracic and Vascular Surgery, Skåne University Hospital, Malmö, Sweden.
    Andersson, Magdalena
    Malmö Stad.
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Prevalence of risk for pressure ulcers, malnutrition, poor oral health and falls: a register study among older persons receiving municipal health care in southern Sweden2021Ingår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 21, nr 1, artikel-id 265Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Although pressure ulcers, malnutrition, poor oral health and falls are common among older persons, causing deteriorated health status, they have not been studied altogether among older persons receiving different types of municipal health care. The aim of this study was to determine the prevalence of risk for pressure ulcers, malnutrition, poor oral health and falls among older persons aged ≥65 years receiving municipal health care in southern Sweden.

    METHODS: A retrospective cross-sectional study (n = 12,518 persons aged ≥65 years) using data from the national quality registry Senior Alert was conducted. The prevalence of risk for pressure ulcers, malnutrition, poor oral health and falls was calculated based on categorical data from the instruments available in Senior Alert. T-tests, chi-square test, the Mantel- Haenszel test and logistic regression models were performed.

    RESULTS: The prevalence of risk for pressure ulcers, malnutrition, poor oral health and falls was 27.9, 56.3, 34.2 and 74.5% respectively. Almost 90% of the older persons had at least one health risk. The prevalence of risk for pressure ulcers, poor oral health and falls was significantly higher in dementia care units compared to short term nursing care, home health care and nursing homes. The prevalence of risk for malnutrition was significantly higher among older persons staying in short term nursing care compared to other types of housing. The odds of having a risk for malnutrition were higher in short term nursing care compared to other types of housing. The oldest age group of 95-106 years had the highest odds of having a risk for falls. The presence of multiple health risks in one subject were more common in dementia homes compared to nursing homes and home health care but not compared to short term nursing care.

    CONCLUSION: The prevalence of risk for pressure ulcers, malnutrition, poor oral health and falls was high, implying that these health risks are a great concern for older persons receiving municipal health care. A comprehensive supporting preventive process to prevent all the investigated health risks among older persons receiving municipal health care is recommended.

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  • 32.
    Neziraj, Merita
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Andersson, Magdalena
    Department of Health and Social Care, Strategic Development, Unit of Research, Quality and Education, Malmö, Swede.
    Hellman, Peter
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Kumlien, Christine
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Department of Cardio-Thoracic and Vascular Surgery, Skane University Hospital, Malmö, Sweden.
    Prevention of pressure ulcers, malnutrition, poor oral health and falls in nursing homes: A focus group study with nurse aides, registered nurses and managers2021Ingår i: International Journal of Nursing Studies Advances, ISSN 2666-142X, Vol. 3, artikel-id 100056Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Despite available knowledge how to prevent the risk of pressure ulcers, malnutrition, poor oral health and falls among older persons in nursing homes, these risks still frequently occur and cause a major burden for older persons; furthermore, for the health care system, they are extremely costly. One way to combat these risks is to register the prevention process in quality registries. However, the increasing older population worldwide is going to put high demands on those working with this group of people. Objective: To explore how nurse aides, registered nurses and managers in nursing homes experience working with the prevention of pressure ulcers, malnutrition, poor oral health and falls in general and according to the quality register Senior Alert care process. Methods: A qualitative study was conducted in nursing homes in a municipality in southern Sweden. We purposively sampled nurse aides, registered nurses and managers (n = 21) working in nursing homes registered in the quality register Senior Alert, who then participated in one of five focus group semistructured digital interviews held between February and April 2020. The interviews were audio recorded. Data were analysed using reflexive thematic analysis. Results: Our findings explore how nurse aides, registered nurses and managers experience working with the prevention of pressure ulcers, malnutrition, poor oral health and falls in nursing homes both in general and according to Senior Alert. The following four themes were generated during the analysis: (1) is included in the everyday work, (2) requires team effort, (3) requires handling many challenges and (4) requires finding strategies. Conclusion: The prevention of pressure ulcers, malnutrition, poor oral health and falls among older persons in nursing homes is complex. There is a commitment and responsibility among nurse aides, registered nurses and managers regarding preventive work and team effort, and finding useful strategies is necessary for the work to be successful. However, challenges, both at the individual and organizational levels, are involved, which implies that smoother organizational routines facilitating this preventive work are needed. Although nurse aides, registered nurses and managers are good at finding strategies that facilitate this work, one of the main challenges seems to lie in the variety of knowledge found among those working in nursing homes, particularly among nurse aides. This challenge was voiced by all the professionals, which suggests the need for a tailored educational intervention aimed at increasing the related knowledge among those working in nursing homes to enhance preventive work.

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  • 33.
    Kumlien, Christine
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Hellman, Peter
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Neziraj, Merita
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Andersson, Magdalena
    Malmö Stad.
    PROSENIOR-prevention av fall, trycksår, undernäring och dålig munhälsa hos äldre personer i samverkan med personal, äldre personer och Senior Alert2021Ingår i: Ä : en tidning för Riksföreningen sjuksköterskan inom äldrevård : geriatriker, dietister inom geriatrik samt alla professioner runt den äldre patienten, ISSN 2001-1164Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 34.
    Rönnebjerg, Lina
    et al.
    Univ Gothenburg, Inst Med, Krefting Res Ctr, Dept Internal Med & Clin Nutr, Box 424, S-40530 Gothenburg, Sweden..
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Kankaanranta, Hannu
    Univ Gothenburg, Inst Med, Krefting Res Ctr, Dept Internal Med & Clin Nutr, Box 424, S-40530 Gothenburg, Sweden.;Seinajoki Cent Hosp, Dept Resp Med, Seinajoki, Finland.;Univ Tampere, Tampere Univ Resp Res Grp, Fac Med & Hlth Technol, Tampere, Finland..
    Backman, Helena
    Umeå Univ, Dept Publ Hlth & Clin Med, Umeå, Sweden..
    Rådinger, Madeleine
    Univ Gothenburg, Inst Med, Krefting Res Ctr, Dept Internal Med & Clin Nutr, Box 424, S-40530 Gothenburg, Sweden..
    Lundbäck, Bo
    Univ Gothenburg, Inst Med, Krefting Res Ctr, Dept Internal Med & Clin Nutr, Box 424, S-40530 Gothenburg, Sweden..
    Ekerljung, Linda
    Univ Gothenburg, Inst Med, Krefting Res Ctr, Dept Internal Med & Clin Nutr, Box 424, S-40530 Gothenburg, Sweden..
    Severe Asthma in a General Population Study: Prevalence and Clinical Characteristics2021Ingår i: Journal of Asthma and Allergy, ISSN 1178-6965, Vol. 14, s. 1105-1115Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: Current guidelines primarily use medication levels to distinguish severe asthma from other types of asthma. In addition, severe asthma must also be uncontrolled at high-intensity treatment or become uncontrolled if treatment level is decreased. To date, only a few studies have used this definition to investigate the prevalence and clinical characteristics of severe asthma in population-based samples. Therefore, the aim of this study was to evaluate the prevalence and clinical characteristics of individuals with severe asthma in the population-representative West Sweden Asthma Study. Materials and Methods: In this cross-sectional population-based study, a randomly selected sample (n=1172) and a separate asthma sample (n=744) underwent clinical examinations, completed a structured interview and responded to questionnaires. Severe asthma was defined as at least one feature of uncontrolled asthma despite treatment in line with the Global Initiative for Asthma (GINA) steps 4/5. This treatment level required a minimum medium dose of inhaled corticosteroids (ICS) plus a second controller or oral corticosteroids. Results: The prevalence of severe asthma was 1.1% in the adult random sample and 9.5% within the asthma sample. Individuals with severe asthma were older and had more symptoms, activity limitations, heart disease and blood neutrophils compared to those with other asthma. They also had lower lung function and despite these impairments, 32% did not have annual contact with a healthcare provider. Conclusion: The prevalence of severe asthma was higher compared to previous studies, and many individuals with severe asthma did not have regular contact with healthcare providers. Due to the high burden of symptoms and impairments for individuals with severe asthma, it is important that the healthcare system implement strategies to improve follow-up and evaluate these patients according to existing guidelines.

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  • 35.
    Wennick, Anne
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Schoug, Dorota
    Department of Pediatrics, Skåne University Hospital, Lund, Sweden.
    Ekwall, Anna
    Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Translation, adaptation and testing of an emergency care satisfaction scale in Swedish pediatric emergency departments2021Ingår i: BMC Pediatrics, ISSN 1471-2431, E-ISSN 1471-2431, Vol. 21, nr 1, artikel-id 486Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Pediatric healthcare today shows a rising demand for research focusing on children's perspectives on and consumer satisfaction with the nursing care they receive. Therefore, the purpose of this study was to translate and adapt the Consumer Emergency Care Satisfaction Scale (CECSS), a paper-based, self-administered 19-item questionnaire originally developed in the United States and targeted towards adults, and then test the new version in Swedish pediatric emergency departments.

    METHODS: The study was designed with a two-phase approach. Firstly, a forward-backward translation of the CECSS, involving expert consensus, was performed, and then the questionnaire was adapted for children aged 10-18 and assessed for face and content validity. Secondly, the translated and adapted questionnaire was tested with a clinical sample for construct validity, internal consistency, and reliability. This last aspect was assessed using a structured telephone interview 7-10 days after the participant visited a pediatric emergency department. All children participating in this study gave their assent (< 15 years) or consent (≥ 15 years), and their guardian's written informed consent was also obtained.

    RESULTS: The paper-based, self-administered 19-item Swedish version of the CECSS was tested on a clinical sample consisting of 203 nonurgent children (boys: n = 109, 53.7 % and girls: n = 94, 46.3 %) between 10 and 18 years (mean age 13.8, SD 2.29). The factor analysis revealed three factors that explain 63.1 % of the total variation in the 15 items. The Cronbach's alphas for the three dimensions (caring, teaching, and clinical competence) varied between 0.79 and 0.88. The intraclass correlation coefficient (ICC) for the entire Swedish version of the CECSS was 0.58, and the ICCs for the three dimensions varied between 0.56 and 0.71.

    CONCLUSIONS: The results show that the developed Swedish Pediatric Consumer Emergency Care Satisfaction Scale (p-CECSS-S) is a valid, stable and easy-to-use-questionnaire that can be used to assess children's satisfaction with nursing care.

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  • 36.
    Stridsman, Caroline
    et al.
    Division of Nursing, Department of Health Sciences, Luleå University of Technology, Luleå, Sweden; Section of Medicine, The OLIN Unit, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Warm, Katja
    Section of Medicine, The OLIN Unit, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
    Backman, Helena
    Section of Sustainable Health, The OLIN Unit, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
    Uncontrolled asthma occurs in all GINA treatment steps and is associated with worse physical health: a report from the OLIN adult asthma cohort2021Ingår i: Journal of Asthma, ISSN 0277-0903, E-ISSN 1532-4303, Vol. 58, nr 5, s. 586-595Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: To study asthma exacerbations, healthcare utilization and health status among subjects with asthma with different treatment regimens and levels of asthma control. Methods: In 2012-2014, n = 1425 adults from a population-based asthma cohort within the OLIN studies (Obstructive Lung disease in Northern Sweden) were invited to a follow-up including spirometry and a structured interview, n = 1006 participated. Asthma Control Test (ACT) was used to detect uncontrolled asthma, and physical and mental dimensions of health were measured with SF-8. Pharmacological treatment use was classified by Global Initiative for Asthma treatment steps. Out of n = 830 with current asthma, n = 714 answered ACT (57% women, 32-92 years) and were included in the study. Results: Uncontrolled asthma increased per treatment step (no treatment 9.9%, treatment step 1-3 24.1%, and treatment steps 4-5 39.9%, p < 0.001). A higher proportion of subjects with uncontrolled asthma reported exacerbations, healthcare utilization, and worse health status than those with controlled asthma. The proportion of subjects reporting exacerbations, healthcare visits, emergency room visits and regular follow-up visits increased per treatment step. Worse health was associated with uncontrolled asthma, but not with the level of treatment. A higher proportion of women than men reported exacerbations, any healthcare visits, and lower health. Regular follow-up visits to a physician were uncommon (women 21.2% vs. men 14.6%, p = 0.022). Conclusions: Uncontrolled asthma is common in all treatment steps, and is associated with worse health status. However, health status did not differ by treatment steps. Identifying subjects with uncontrolled asthma regardless of treatment regimens should be a priority, thus follow-up visits are important.

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  • 37.
    Van Beveren, Laura
    et al.
    Ghent University, Ghent, Belgium.
    Rutten, Kris
    Ghent University, Ghent, Belgium.
    Hensing, Gunnel
    University of Gothenburg, Gothenburg, Sweden.
    Spyridoula, Ntani
    University of Crete, Rethymno, Greece.
    Schønning, Viktor
    University of Gothenburg, Gothenburg, Sweden; Norwegian Institute of Public Health, Bergen, Norway.
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Bockting, Claudi
    University of Amsterdam, Amsterdam, The Netherlands.
    Buysse, Ann
    Ghent University, Ghent, Belgium.
    De Neve, Ine
    Ghent University, Ghent, Belgium.
    Desmet, Mattias
    Ghent University, Ghent, Belgium.
    Dewaele, Alexis
    Ghent University, Ghent, Belgium.
    Giovazolias, Theodoros
    University of Crete, Rethymno, Greece.
    Hannon, Dewi
    Ghent University, Ghent, Belgium.
    Kafetsios, Konstantinos
    University of Crete, Rethymno, Greece.
    Meganck, Reitske
    Ghent University, Ghent, Belgium.
    Øverland, Simon
    Norwegian Institute of Public Health, Bergen, Norway; University of Bergen, Bergen, Norway.
    Triliva, Sofia
    University of Crete, Rethymno, Greece.
    Vandamme, Joke
    Ghent University, Ghent, Belgium.
    A Critical Perspective on Mental Health News in Six European Countries: How Are "Mental Health/Illness" and "Mental Health Literacy" Rhetorically Constructed?2020Ingår i: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 30, nr 9, s. 1362-1378Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In this study, we aim to contribute to the field of critical health communication research by examining how notions of mental health and illness are discursively constructed in newspapers and magazines in six European countries and how these constructions relate to specific understandings of mental health literacy. Using the method of cluster-agon analysis, we identified four terminological clusters in our data, in which mental health/illness is conceptualized as "dangerous," "a matter of lifestyle," "a unique story and experience," and "socially situated." We furthermore found that we cannot unambiguously assume that biopsychiatric discourses or discourses aimed at empathy and understanding are either exclusively stigmatizing or exclusively empowering and normalizing. We consequently call for a critical conception of mental health literacy arguing that all mental health news socializes its audience in specific understandings of and attitudes toward mental health (knowledge) and that discourses on mental health/illness can work differently in varying contexts.

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  • 38.
    Backman, Helena
    et al.
    Department of Public Health and Clinical Medicine, Section of Sustainable Health/the OLIN Unit, Umeå University, Umeå, Sweden.
    Vanfleteren, Lowie
    COPD Center, Sahlgrenska University Hospital, University of Gothenburg, Göteborg, Sweden.
    Lindberg, Anne
    Dept of Public Health and Clinical Medicine, Section of Medicine, Umeå University, Umeå, Sweden.
    Ekerljung, Linda
    Krefting Research Centre, Institute of Medicine, University of Gothenburg, Göteborg, Sweden.
    Stridsman, Caroline
    Dept of Public Health and Clinical Medicine, Section of Medicine, Umeå University, Umeå, Sweden; Dept of Health Sciences, Luleå University of Technology, Luleå, Sweden.
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Nilsson, Ulf
    Dept of Public Health and Clinical Medicine, Section of Medicine, Umeå University, Umeå, Sweden.
    Nwaru, Bright I
    Krefting Research Centre, Institute of Medicine, University of Gothenburg, Göteborg, Sweden; Wallenberg Centre for Molecular and Translational Medicine, Institute of Medicine, University of Gothenburg, Göteborg, Sweden.
    Sawalha, Sami
    Dept of Public Health and Clinical Medicine, Section of Medicine, Umeå University, Umeå, Sweden.
    Eriksson, Berne
    Krefting Research Centre, Institute of Medicine, University of Gothenburg, Göteborg, Sweden; Department of Medicine, Halmstad Central County Hospital, Halmstad, Sweden.
    Hedman, Linnea
    Department of Public Health and Clinical Medicine, Section of Sustainable Health/the OLIN Unit, Umeå University, Umeå, Sweden; Dept of Health Sciences, Luleå University of Technology, Luleå, Sweden.
    Rådinger, Madeleine
    Krefting Research Centre, Institute of Medicine, University of Gothenburg, Göteborg, Sweden.
    Jansson, Sven-Arne
    Department of Public Health and Clinical Medicine, Section of Sustainable Health/the OLIN Unit, Umeå University, Umeå, Sweden.
    Ullman, Anders
    COPD Center, Sahlgrenska University Hospital, University of Gothenburg, Göteborg, Sweden.
    Kankaanranta, Hannu
    Krefting Research Centre, Institute of Medicine, University of Gothenburg, Göteborg, Sweden; Department of Respiratory Medicine, Seinäjoki Central Hospital, Seinäjoki, Finland; Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
    Lötvall, Jan
    Krefting Research Centre, Institute of Medicine, University of Gothenburg, Göteborg, Sweden.
    Rönmark, Eva
    Department of Public Health and Clinical Medicine, Section of Sustainable Health/the OLIN Unit, Umeå University, Umeå, Sweden.
    Lundbäck, Bo
    Krefting Research Centre, Institute of Medicine, University of Gothenburg, Göteborg, Sweden.
    Decreased COPD prevalence in Sweden after decades of decrease in smoking.2020Ingår i: Respiratory Research, ISSN 1465-9921, E-ISSN 1465-993X, Vol. 21, nr 1, artikel-id 283Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: COPD has increased in prevalence worldwide over several decades until the first decade after the millennium shift. Evidence from a few recent population studies indicate that the prevalence may be levelling or even decreasing in some areas in Europe. Since the 1970s, a substantial and ongoing decrease in smoking prevalence has been observed in several European countries including Sweden. The aim of the current study was to estimate the prevalence, characteristics and risk factors for COPD in the Swedish general population. A further aim was to estimate the prevalence trend of COPD in Northern Sweden from 1994 to 2009.

    METHODS: /FVC < lower limit of normal (LLN) criterion.

    RESULTS: Based on the fixed ratio definition, the prevalence of COPD was 7.0% (men 8.3%; women 5.8%) in 2009-2012. The prevalence of moderate to severe (GOLD ≥ 2) COPD was 3.5%. The LLN based results were about 30% lower. Smoking, occupational exposures, and older age were risk factors for COPD, whereof smoking was the most dominating risk factor. In northern Sweden the prevalence of COPD, particularly moderate to severe COPD, decreased significantly from 1994 to 2009, and the decrease followed a decrease in smoking.

    CONCLUSIONS: The prevalence of COPD has decreased in Sweden, and the prevalence of moderate to severe COPD was particularly low. The decrease follows a major decrease in smoking prevalence over several decades, but smoking remained the dominating risk factor for COPD.

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  • 39.
    Axelsson, Malin
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Björk, Benita
    The Knowledge Centre for Allergy, Asthma and COPD, Region Skåne, Skåne County, Sweden.
    Berg, Ulrika
    The Knowledge Centre for Allergy, Asthma and COPD, Region Skåne, Skåne County, Sweden.
    Persson, Karin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Effect of an Educational Program on Healthcare Professionals' Readiness to Support Patients with Asthma, Allergies, and Chronic Obstructive Lung Disease for Improved Medication Adherence2020Ingår i: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, Vol. 2020, s. 1-11, artikel-id 1585067Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose. The aim of this study was to strengthen the healthcare professionals' readiness to support patients who have asthma, an allergy, and COPD for better medication adherence. Methods. The design was an educational intervention in a study population (n = 70) consisting of 66 nurses and four other allied healthcare professionals working in primary care with patients diagnosed with asthma, allergy, or COPD in a county in southern Sweden. As part of two training days, an educational intervention-consisting of lectures and workshops-was conducted. Both qualitative and quantitative data were collected. The qualitative data were collected during the workshops when the participants worked with fictitious patient cases. They documented in writing how they, based on the theoretical content in the educational intervention in combination with their clinical experiences, reasoned that the fictitious patients could be supported for better adherence. This documentation constituted qualitative data. The quantitative data were collected through questionnaires, which the participants completed before and after the intervention. Data from the questionnaires were statistically analyzed using descriptive statistics and paired t-tests. The qualitative data collected from the workshops were analyzed with content analysis. Results. The intervention increased the participants' knowledge of adherence (pre mean 3.95 versus post mean 4.18, p=0.001) and how to better support patients' adherence to medication (pre mean 3.71 versus post mean 3.98, p=0.001). Moreover, their knowledge of how to measure patients' adherence behavior (pre mean 3.02 versus post mean 3.54, p=0.001) and how to communicate with patients effectively about adherence was heightened (pre mean 3.92 versus post mean 4.13, p=0.011). Furthermore, participants felt that their readiness to support patients for better adherence had strengthened (pre mean 3.78 versus post mean 4.13, p=0.001). Individual adherence support for three fictitious patients with different adherence issues was developed. Conclusion. An educational intervention focusing on adherence and communication equipped healthcare professionals with tools to support patients with asthma, an allergy, or COPD for better medication adherence.

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  • 40.
    Triliva, Sofia
    et al.
    Department of Psychology, University of Crete, 74100 Rethymno, Crete, Greece.
    Ntani, Spyridoula
    Department of Psychology, University of Crete, 74100 Rethymno, Crete, Greece.
    Giovazolias, Theodoros
    Department of Psychology, University of Crete, 74100 Rethymno, Crete, Greece.
    Kafetsios, Konstantinos
    Department of Psychology, University of Crete, 74100 Rethymno, Crete, Greece.
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Bockting, Claudi
    Department of Psychiatry, Amsterdam UMC, Location AMC, University of Amsterdam, Amsterdam, The Netherlands; Institute for Advanced Studies, University of Amsterdam, Amsterdam, The Netherlands.
    Buysse, Ann
    Department of Experimental Clinical and Health Psychology, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.
    Desmet, Mattias
    Department of Psychoanalysis and Clinical Consulting, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.
    Dewaele, Alexis
    Department of Experimental Clinical and Health Psychology, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.
    Hannon, Dewi
    Department of Experimental Clinical and Health Psychology, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.
    Haukenes, Inger
    Research Unit for General Practice, NORCE-Norwegian Research Centre, Bergen, Norway; Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
    Hensing, Gunnel
    Department of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
    Meganck, Reitske
    Department of Psychoanalysis and Clinical Consulting, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.
    Rutten, Kris
    Department of Educational Studies, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.
    Schønning, Viktor
    Department of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden; Division of Mental and Physical Health, Norwegian Institute of Public Health & Department of Psychosocial Science, University of Bergen, Bergen, Norway.
    Van Beveren, Laura
    Department of Educational Studies, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.
    Vandamme, Joke
    Department of Experimental Clinical and Health Psychology, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.
    Øverland, Simon
    Division of Mental and Physical Health, Norwegian Institute of Public Health & Department of Psychosocial Science, University of Bergen, Bergen, Norway.
    Healthcare professionals' perspectives on mental health service provision: a pilot focus group study in six European countries2020Ingår i: International Journal of Mental Health Systems, E-ISSN 1752-4458, Vol. 14, artikel-id 16Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: The mental healthcare treatment gap (mhcGAP) in adult populations has been substantiated across Europe. This study formed part of MentALLY, a research project funded by the European Commission, which aimed to gather qualitative empirical evidence to support the provision of European mental healthcare that provides effective treatment to all adults who need it.

    Methods: Seven focus groups were conducted with 49 health professionals (HPs), including psychologists, psychiatrists, social workers, general practitioners, and psychiatric nurses who worked in health services in Belgium, Cyprus, Greece, the Netherlands, Norway and Sweden. The focus group discussions centered on the barriers and facilitators to providing quality care to people with mild, medium, and severe mental health problems. Analyses included deductively and inductively driven coding procedures. Cross-country consensus was obtained by summarizing findings in the form of a fact sheet which was shared for triangulation by all the MentALLY partners.

    Results: The results converged into two overarching themes: (1) Minding the treatment gap: the availability and accessibility of Mental Health Services (MHS). The mhcGAP gap identified is composed of different elements that constitute the barriers to care, including bridging divides in care provision, obstacles in facilitating access via referrals and creating a collaborative 'chain of care'. (2) Making therapeutic practice relevant by providing a broad-spectrum of integrated and comprehensive services that value person-centered care comprised of authenticity, flexibility and congruence.

    Conclusions: The mhcGAP is comprised of the following barriers: a lack of funding, insufficient capacity of human resources, inaccessibility to comprehensive services and a lack of availability of relevant treatments. The facilitators to the provision of MHC include using collaborative models of primary, secondary and prevention-oriented mental healthcare. Teamwork in providing care was considered to be a more effective and efficient use of resources. HPs believe that the use of e-mental health and emerging digital technologies can enhance care provision. Facilitating access to a relevant continuum of community-based care that is responsive coordinated and in line with people's needs throughout their lives is an essential aspect of optimal care provision.

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  • 41.
    Jansson, Sven-Arne
    et al.
    Umeå University.
    Hedman, Linnea
    Umeå University; Luleå University of Technology.
    Stridsman, Caroline
    Umeå University; Luleå University of Technology.
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Lindberg, Anne
    Umeå University.
    Lundbäck, Bo
    University of Gothenburg.
    Rönmark, Eva
    Umeå University.
    Backman, Helena
    Umeå University.
    Life-years lost due to asthma and COPD2020Ingår i: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 56, nr S64, artikel-id 1400Artikel i tidskrift (Övrigt vetenskapligt)
  • 42.
    Axelsson, Malin
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Schønning, Viktor
    Department of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden; Department of Health Promotion, Division of Mental and Physical Health, Norwegian Institute of Public Health, Bergen, Norway.
    Bockting, Claudi
    Amsterdam UMC, Department of Psychiatry (AMC) and Institute for Advanced Studies, University of Amsterdam, Amsterdam, the Netherlands.
    Buysse, Ann
    Department of Experimental Clinical and Health Psychology, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.
    Desmet, Mattias
    Department of Psychoanalysis and Clinical Consulting, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.
    Dewaele, Alexis
    Department of Experimental Clinical and Health Psychology, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.
    Giovazolias, Theodoros
    Department of Psychology, University of Crete, Rethymno, Crete, Greece.
    Hannon, Dewi
    Department of Experimental Clinical and Health Psychology, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.
    Kafetsios, Konstantinos
    Aristotle University of Thessaloniki, Thessaloniki, Greece.
    Meganck, Reitske
    Department of Psychoanalysis and Clinical Consulting, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.
    Ntani, Spyridoula
    Department of Psychology, University of Crete, Rethymno, Crete, Greece.
    Rutten, Kris
    Department of Educational Studies, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.
    Triliva, Sofia
    Department of Psychology, University of Crete, Rethymno, Crete, Greece.
    Van Beveren, Laura
    Department of Educational Studies, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.
    Vandamme, Joke
    Department of Experimental Clinical and Health Psychology, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.
    Øverland, Simon
    Department of Health Promotion, Division of Mental and Physical Health, Norwegian Institute of Public Health, Bergen, Norway; Division of Mental and Physical Health, Norwegian Institute of Public Health & Department of Psychosocial Science, University of Bergen, Bergen, Norway.
    Hensing, Gunnel
    Department of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
    Lived experiences: a focus group pilot study within the MentALLY project of mental healthcare among European users2020Ingår i: BMC Health Services Research, E-ISSN 1472-6963, Vol. 20, nr 1Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BackgroundMental healthcare is an important component in societies' response to mental health problems. Although the World Health Organization highlights availability, accessibility, acceptability and quality of healthcare as important cornerstones, many Europeans lack access to mental healthcare of high quality. Qualitative studies exploring mental healthcare from the perspective of people with lived experiences would add to previous research and knowledge by enabling in-depth understanding of mental healthcare users, which may be of significance for the development of mental healthcare. Therefore, the aim of the current study was to describe experiences of mental healthcare among adult Europeans with mental health problems.MethodIn total, 50 participants with experiences of various mental health problems were recruited for separate focus group interviews in each country. They had experiences from both the private and public sectors, and with in- and outpatient mental healthcare. The focus group interviews (N=7) were audio recorded, transcribed verbatim and analysed through thematic analysis. The analysis yielded five themes and 13 subthemes.ResultsThe theme Seeking and trying to find help contained three subthemes describing personal thresholds for seeking professional help, not knowing where to get help, and the importance of receiving help promptly. The theme Awaiting assessment and treatment contained two subthemes including feelings of being prioritized or not and feelings of being abandoned during the often-lengthy referral process. The theme Treatment: a plan with individual parts contained three subthemes consisting of demands for tailored treatment plans in combination with medications and human resources and agreement on treatment. The theme Continuous and respectful care relationship contained two subthemes describing the importance of continuous care relationships characterised by empathy and respect. The theme Suggestions for improvements contained three subthemes highlighting an urge to facilitate care contacts and to increase awareness of mental health problems and a wish to be seen as an individual with potential.ConclusionFacilitating contacts with mental healthcare, a steady contact during the referral process, tailored treatment and empathy and respect are important aspects in efforts to improve mental healthcare. Recommendations included development of collaborative practices between stakeholders in order to increase general societal awareness of mental health problems.

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  • 43.
    Borglin, Gunilla
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Department of Nursing Education, Lovisenberg Diaconal University College, 0456, Oslo, Norway.
    Eriksson, Miia
    Department of Neurology, Skåne University Hospital, SE-222 42, Malmö, Sweden.
    Rosén, Madeleine
    Department of Neurology, Skåne University Hospital, SE-222 42, Malmö, Sweden.
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Registered nurses' experiences of providing respiratory care in relation to hospital- acquired pneumonia at in-patient stroke units: a qualitative descriptive study2020Ingår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 19, nr 1, artikel-id 124Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: This study aimed to describe registered nurses' (RNs) experiences of providing respiratory care in relation to hospital acquired pneumonia (HAP), specifically among patients with acute stroke being cared for at in-patient stroke units.

    BACKGROUND: One of the most common and serious respiratory complications associated with acute stroke is HAP. Respiratory care is among the fundamentals of patient care, and thus competency in this field is expected as part of nursing training. However, there is a paucity of literature detailing RNs' experiences with respiratory care in relation to HAP, specifically among patients with acute stroke, in the context of stroke units. As such, there is a need to expand the knowledge base relating to respiratory care focusing on HAP, to assist with evidence-based nursing.

    DESIGN: A qualitative descriptive study.

    METHOD: Eleven RNs working in four different acute stroke units in Southern Sweden participated in the current study. The data were collected through semi-structured interviews, and the transcribed interviews were analysed using inductive content analysis.

    RESULTS: Three overarching categories were identified: (1), awareness of risk assessments and risk factors for HAP (2) targeting HAP through multiple nursing care actions, and (3) challenges in providing respiratory care to patients in risk of HAP. These reflected the similarities and differences in the experiences that RNs had with providing respiratory care in relation to HAP among in-patients with acute stroke.

    CONCLUSIONS: The findings from this study suggest that the RNs experience organisational challenges in providing respiratory care for HAP among patients with acute stroke. Respiratory care plays a vital role in the identification and prevention of HAP, but our findings imply that RNs' knowledge needs to be improved, the fundamentals of nursing care need to be prioritised, and evidence-based guidelines must be implemented. RNs would also benefit from further education and support, in order to lead point-of-care nursing in multidisciplinary stroke teams.

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  • 44.
    Jakobsson, Jenny
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Örmon, Karin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Västra Götaland Region Competence Center on Intimate Partner Violence, Gothenburg, Sweden.
    The Face of Workplace Violence: Experiences of Healthcare Professionals in Surgical Hospital Wards2020Ingår i: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, Vol. 2020, artikel-id 1854387Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Though workplace violence (WPV) is a global problem for healthcare professionals, research within in-hospital care has mainly focused on WPV in emergency healthcare settings. Thus, the number of qualitative studies that explores experiences of WPV in general hospital wards with a longer length of stay is limited.

    Aim: The aim of this study was to explore how healthcare professionals in surgical hospital wards experience and manage WPV perpetrated by patients or visitors.

    Method: . Exposure to WPV is a problem for healthcare professionals in surgical wards and has consequences for the patients. Preventive strategies, guidelines, and action plans are urgently needed to minimise the risk of WPV and to ensure a safe work and care environment.

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  • 45.
    Axelsson, Malin
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Backman, Helena
    Vanfleteren, Lowie
    Stridsman, Caroline
    Ekerljung, Linda
    Eriksson, Berne
    Nwaru, Bright
    Ronmark, Eva
    Kankaanranta, Hannu
    Lindberg, Anne
    Lundback, Bo
    Underdiagnosis and misclassification of COPD in Sweden2020Ingår i: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 56, nr S64, artikel-id 1395Artikel i tidskrift (Övrigt vetenskapligt)
  • 46.
    Nwaru, Bright I
    et al.
    Krefting Research Centre, University of Gothenburg, Gothenburg, Sweden.
    Ekerljung, Linda
    University of Gothenburg, Krefting Research Centre, Medicinaregatan, Sweden.
    Rådinger, Madeleine
    Krefting Research Centre, University of Gothenburg, Gothenburg, Sweden.
    Bjerg, Anders
    Krefting Research Centre, University of Gothenburg, Gothenburg, Sweden.
    Mincheva, Roxana
    Krefting Research Centre, University of Gothenburg, Gothenburg, Sweden.
    Malmhäll, Carina
    Krefting Research Centre, University of Gothenburg, Gothenburg, Sweden.
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Wennergren, Göran
    Krefting Research Centre, University of Gothenburg, Gothenburg, Sweden.
    Lotvall, Jan
    Lung Pharmacology Group, Goteborg, Sweden.
    Lundbäck, Bo
    Krefting Research Centre, University of Gothenburg, Gothenburg, Sweden.
    Cohort profile: the West Sweden Asthma Study (WSAS): a multidisciplinary population-based longitudinal study of asthma, allergy and respiratory conditions in adults.2019Ingår i: BMJ Open, E-ISSN 2044-6055, Vol. 9, nr 6, artikel-id e027808Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    PURPOSE: The West Sweden Asthma Study (WSAS) is a population-representative longitudinal study established to: (1) generate data on prevalence trends, incidence and remission of asthma, allergy and respiratory conditions, (2) elucidate on the risk and prognostic factors associated with these diseases, (3) characterise clinically relevant phenotypes of these diseases and (4) catalyse relevant mechanistic, genomic, genetic and translational investigations. PARTICIPANTS: WSAS comprised of randomly selected individuals aged 16 to 75 years who are followed up longitudinally. The first stage involved a questionnaire survey (>42 000 participants) and was undertaken in 2008 and 2016. A random sample (about 8000) of participants in the initial survey undergoes extensive clinical investigations every 8 to 10 years (first investigations in 2009 to 2012, second wave currently ongoing). Measurements undertaken at the clinical investigations involve structured interviews, self-completed questionnaire on personality traits, physical measurements and extensive biological samples. FINDINGS TO DATE: Some of our key findings have shown a 54% increase in the use of asthma medications between the 1990s and 2000s, primarily driven by a five-fold increase in the use of inhaled corticosteroids. About 36% of asthmatics expressed at least one sign of severe asthma indicator, with differential lung performance, inflammation and allergic sensitisation among asthmatics with different signs of severe asthma. Multi-symptom asthmatics were at greater risk of having indicators of severe asthma. In all adults, being raised on a farm was associated with a decreased risk of allergic sensitisation, rhinitis and eczema, but not asthma. However, among adolescents (ie, those 16 to 20 years of age), being raised on a farm decreased the risk of asthma. Personality traits were associated with both beliefs of asthma medication and adherence to treatment. FUTURE PLANS: Follow-up of the cohort is being undertaken every 8 to 10 years. The repeated clinical examinations will take place in 2019 to 2022. The cohort data are currently being linked to routine Swedish healthcare registers for a continuous follow-up. Mechanistic, genomic, genetic and translational investigations are ongoing.

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  • 47.
    Axelsson, Malin
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Björk, Benita
    Berg, Ulrika
    Persson, Karin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Empower nurses to empower patients to better medication adherence2019Konferensbidrag (Övrigt vetenskapligt)
  • 48.
    Jansson, Sven-Arne
    et al.
    Umea Univ, OLIN Unit, Sect Sustainable Hlth, Dept Publ Hlth & Clin Med, Umea, Sweden.
    Hedman, Linnea
    Lulea Univ Technol, Div Nursing, Dept Hlth Sci, Lulea, Sweden; Umea Univ, OLIN Unit, Sect Sustainable Hlth, Dept Publ Hlth & Clin Med, Umea, Sweden.
    Stridsman, Caroline
    Umea Univ, Dept Publ Hlth & Clin Med, Div Med, Umea, Sweden; Lulea Univ Technol, Div Nursing, Dept Hlth Sci, Lulea, Sweden.
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Kriit, Hedi Katre
    Umea Univ, Dept Publ Hlth & Clin Med, Sect Sustainable Hlth, Umea, Sweden.
    Lindberg, Anne
    Umea Univ, Dept Publ Hlth & Clin Med, Div Med, Umea, Sweden.
    Lundback, Bo
    Univ Gothenburg, Krefting Res Ctr, Inst Med, Gothenburg, Sweden.
    Ronmark, Eva
    Umea Univ, OLIN Unit, Sect Sustainable Hlth, Dept Publ Hlth & Clin Med, Umea, Sweden.
    Backman, Helena
    Umea Univ, OLIN Unit, Sect Sustainable Hlth, Dept Publ Hlth & Clin Med, Umea, Sweden.
    Life-years lost due to asthma2019Ingår i: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 54, nr S63, artikel-id PA5063Artikel i tidskrift (Övrigt vetenskapligt)
  • 49.
    Ronnebjerg, Lina
    et al.
    Univ Gothenburg, Krefting Res Ctr, Inst Med, Dept Internal Med & Clin Nutr, Gothenburg, Sweden.
    Axelsson, Malin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Pascu, Adina
    Univ Gothenburg, Krefting Res Ctr, Inst Med, Dept Internal Med & Clin Nutr, Gothenburg, Sweden.
    Backman, Helena
    Umea Univ, Dept Publ Hlth & Clin Med, Lulea, Sweden.
    Kankaanranta, Hannu
    Seinajoki Cent Hosp, Dept Resp Med, Seinajoki, Finland; Univ Tampere, Fac Med & Hlth Technol, Seinajoki, Finland.
    Lundback, Bo
    OLIN Studies, R&D, Lulea, Region Of Norrb, Sweden; Univ Gothenburg, Krefting Res Ctr, Inst Med, Dept Internal Med & Clin Nutr, Gothenburg, Sweden.
    Ekerljung, Linda
    Univ Gothenburg, Krefting Res Ctr, Inst Med, Dept Internal Med & Clin Nutr, Gothenburg, Sweden.
    Prevalence of severe asthma: results from a population-based study2019Ingår i: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 54Artikel i tidskrift (Övrigt vetenskapligt)
  • 50.
    Axelsson, Malin
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Jakobsson, Jenny
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Carlson, Elisabeth
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Which nursing students are more ready for interprofessional learning? A cross-sectional study2019Ingår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 79, s. 117-123Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: It has been argued that the significance of personality in relation to students' readiness for interprofessional collaboration is an area where more research is needed. Nursing students in particular seem to be unsure about their role in the interprofessional team. Objective: To explore associations between nursing students' readiness for interprofessional learning and personality traits with regard to biological sex, and previous work experience from health care. Design: A cross-sectional questionnaire study. Setting: Nursing students in year one and three enrolled in a three-year undergraduate bachelor in nursing programme. Participants: Nursing students (n = 284) in semester two and six. Methods: The participants completed the Readiness for Interprofessional Learning Scale and the Neuroticism, Extraversion, and Openness to experience Five Factor Inventory-3. The data were statistically analyzed by descriptive statistics, t-tests, correlations and linear regressions. Results: Four of the five investigated personality traits – Extraversion, Openness to experiences, Agreeableness and Conscientiousness - were associated with nursing students' readiness for interprofessional learning. Moreover, nursing students in semester six were more ready for interprofessional learning regarding Negative professional identity and Roles and responsibilities than students in semester two. Female students were more ready for Teamwork and collaboration than male students. Conclusions: Nursing students being more outgoing, open-minded, agreeable or conscientious seem to be more ready for interprofessional learning. Consequently, personality is of significance for nursing students' readiness for interprofessional learning.

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