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Allvin, Renée
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Tamás, É., Södersved Källestedt, M.-L., Hult, H., Carlzon, L., Karlgren, K., Berndtzon, M., . . . Allvin, R. (2020). Simulation educators in clinical work: the manager's perspective. Journal of Health Organisation & Management
Öppna denna publikation i ny flik eller fönster >>Simulation educators in clinical work: the manager's perspective
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2020 (Engelska)Ingår i: Journal of Health Organisation & Management, ISSN 1477-7266, E-ISSN 1758-7247Artikel i tidskrift (Refereegranskat) Epub ahead of print
Abstract [en]

PURPOSE: Information is scarce on healthcare managers' understanding of simulation educators' impact on clinical work. Therefore, the aim of this study was to explore healthcare managers' perceptions of the significance of clinically active simulation educators for the organisation.

DESIGN/METHODOLOGY/APPROACH: Healthcare managers were invited to be interviewed in a semi-structured manner. Inductive thematic analysis was used to identify and analyse patterns of notions describing the managers' perceptions of simulation educators' impact as co-workers on their healthcare organisations.

FINDINGS: The identified relevant themes for the healthcare unit were: (1) value for the manager, (2) value for the community and (3) boundaries. Simulation educators were perceived to be valuable gatekeepers of evidence-based knowledge and partners in leadership for educational issues. Their most prominent value for the community was establishing a reflective climate, facilitating open communication and thereby improving the efficacy of teamwork. Local tradition, economy, logistics and staffing of the unit during simulation training were suggested to have possible negative impacts on simulation educators' work.

PRACTICAL IMPLICATIONS: The findings might have implications for the implementation and support of simulation training programs.

SOCIAL IMPLICATIONS: Healthcare managers appreciated both the personal value of simulation educators and the effect of their work for their own unit. Local values were prioritised versus global. Simulation training was valued as an educational tool for continual professional development, although during the interviews, the managers did not indicate the importance of employment of pedagogically competent and experienced staff.

ORIGINALITY/VALUE: The study provided new insights about how simulation educators as team members affect clinical practice.

Ort, förlag, år, upplaga, sidor
Emerald Group Publishing Limited, 2020
Nyckelord
Community of practice, Continuing medical education, Organisational learning, Patient safety, Patient simulation, Teamwork
Nationell ämneskategori
Pedagogik
Identifikatorer
urn:nbn:se:oru:diva-80177 (URN)10.1108/JHOM-04-2018-0107 (DOI)32073806 (PubMedID)
Tillgänglig från: 2020-02-25 Skapad: 2020-02-25 Senast uppdaterad: 2020-02-25Bibliografiskt granskad
Tamás, É., Södersved Källestedt, M.-L., Hult, H., Karlgren, K. & Allvin, R. (2019). Closing the Gap: Experienced Simulation Educators' Role and Impact on Everyday Health care. Journal of Continuing Education in the Health Professions, 39(1), 36-41
Öppna denna publikation i ny flik eller fönster >>Closing the Gap: Experienced Simulation Educators' Role and Impact on Everyday Health care
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2019 (Engelska)Ingår i: Journal of Continuing Education in the Health Professions, ISSN 0894-1912, E-ISSN 1554-558X, Vol. 39, nr 1, s. 36-41Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

INTRODUCTION: Trained simulation educators (SEs) usually work both at simulation centers and in everyday health care, and thus, they possess dual expertise. Experienced SEs are known to grow confident with their expanding experience, but evidence is scarce about how this affects their development as clinical professionals. The aim of this study was to explore how experienced SEs describe their role within the context of everyday health care.

METHODS: An explorative descriptive study including 14 semistructured interviews and 27 questionnaires was conducted with 41 experienced SEs. An inductive thematic analysis was used to identify and analyze patterns describing SEs' perceptions of the influence of their educational work on everyday health care.

RESULTS: The SEs' descriptions of their encounters during everyday clinical work, which were affected by the fact that they had experience of facilitating simulation training, were gathered into three main themes with three of their own subthemes: education (educational needs, routines/guidelines, and being a resource), nontechnical skills (communication, feedback, and leadership/coworkership), and clinical proficiency (situational insight, role model, and confidence in clinical practice). The insights gained and actions taken as clinical professionals are all intended to be implemented with the ultimate aim of safe patient care.

DISCUSSION: All the aspects of the SEs' work are perceived to be successfully translated into clinical practice and can be summarized by the main themes of education, nontechnical skills, and clinical proficiency as delineated by this study. These themes are demonstrated at the individual, team, and organizational levels through increased competence and confidence.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

Ort, förlag, år, upplaga, sidor
Lippincott Williams & Wilkins, 2019
Nyckelord
Simulation educator, medical simulation, continuing medical education, patient safety, knowledge translation
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:oru:diva-72789 (URN)10.1097/CEH.0000000000000240 (DOI)000480812500007 ()30768445 (PubMedID)2-s2.0-85062407899 (Scopus ID)
Anmärkning

Funding Agency:

Medical Research Council of Southeast Sweden

Tillgänglig från: 2019-03-04 Skapad: 2019-03-04 Senast uppdaterad: 2019-08-29Bibliografiskt granskad
Allvin, R., Fjordkvist, E. & Blomberg, K. (2019). Struggling to be seen and understood as a person: chronic back pain patients’ experiences of encounters in healthcare: an interview study. Nursing Open, 6(3), 1047-1054
Öppna denna publikation i ny flik eller fönster >>Struggling to be seen and understood as a person: chronic back pain patients’ experiences of encounters in healthcare: an interview study
2019 (Engelska)Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 6, nr 3, s. 1047-1054Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aim: The aim of this study was to describe how patients with chronic back pain experience encounters with health care. Persons with chronic back pain are a stigmatized group often treated based on stereotypes, which may lead to misunderstandings and create frustrated patients and healthcare personnel. Few studies have examined the generic aspects of quality of care in this context.

Design: A descriptive design with a qualitative approach was used.

Methods: Nine individual interviews were conducted with chronic back pain patients after admission to an orthopaedic hospital ward. Data were analysed using content analysis.

Results: The patients’ experiences of healthcare encounters can be described by the theme “Struggling to be seen and understood as a person,” comprising the categories “Lack of access and trust to care",“A desire to be taken care of and listened to” and “Own strength to handle healthcare situations.”

Ort, förlag, år, upplaga, sidor
Wiley-Blackwell, 2019
Nyckelord
Chronic back pain, experiences, patient-provider relationship, patient-centred care
Nationell ämneskategori
Omvårdnad
Forskningsämne
Omvårdnadsvetenskap
Identifikatorer
urn:nbn:se:oru:diva-75342 (URN)10.1002/nop2.290 (DOI)000476917700044 ()31367430 (PubMedID)2-s2.0-85069790502 (Scopus ID)
Tillgänglig från: 2019-07-26 Skapad: 2019-07-26 Senast uppdaterad: 2019-11-15Bibliografiskt granskad
Hilding, U., Allvin, R. & Blomberg, K. (2018). Striving for a balance between leading and following the patient and family - nurses' strategies to facilitate the transition from life-prolonging care to palliative care: an interview study. BMC Palliative Care, 17(1), Article ID 55.
Öppna denna publikation i ny flik eller fönster >>Striving for a balance between leading and following the patient and family - nurses' strategies to facilitate the transition from life-prolonging care to palliative care: an interview study
2018 (Engelska)Ingår i: BMC Palliative Care, ISSN 1472-684X, E-ISSN 1472-684X, Vol. 17, nr 1, artikel-id 55Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BACKGROUND: The transition from life-prolonging to palliative care (PC) can be challenging often characterized by psychical, physiological, social and existential changes. Knowledge of how to support the patient and family in this specific care phase is lacking, and this area needs to be further explored. The aim of this study was to investigate strategies that registered nurses (RNs) use to ease the transition from life-prolonging care to PC for patients with incurable disease.

METHODS: The study has a descriptive design. Fourteen RNs working in a specialized PC unit were interviewed. The data were analysed using content analysis.

RESULTS: The RNs' strategies can be described under the categories "Getting to know the patient and creating a relationship", "Providing support", "Adapting to individuals' needs" and "Enabling conversations".

CONCLUSION: The findings show that the RNs in this population used strategies that not only took time but also required knowledge about the transition process and required the ability to identify and meet patients' and families' unique needs. Patients' difficult and exposed situation needs to be addressed through a structured follow-up after informing about the change from life-prolonging care to PC. RNs have a unique role of supporting both the patient and the family in the transition from life-prolonging care to PC for patients with incurable disease.

Ort, förlag, år, upplaga, sidor
BioMed Central, 2018
Nyckelord
Interviews, Palliative nursing care, Qualitative research
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:oru:diva-66441 (URN)10.1186/s12904-018-0311-7 (DOI)000429290100001 ()29615009 (PubMedID)2-s2.0-85044759340 (Scopus ID)
Anmärkning

Funding Agency:

Örebro University

Tillgänglig från: 2018-04-17 Skapad: 2018-04-17 Senast uppdaterad: 2018-04-25Bibliografiskt granskad
Hartwig, M., Allvin, R., Bäckström, R. & Stenberg, E. (2017). Factors Associated with Increased Experience of Postoperative Pain after Laparoscopic Gastric Bypass Surgery. Obesity Surgery, 27(7), 1854-1858
Öppna denna publikation i ny flik eller fönster >>Factors Associated with Increased Experience of Postoperative Pain after Laparoscopic Gastric Bypass Surgery
2017 (Engelska)Ingår i: Obesity Surgery, ISSN 0960-8923, E-ISSN 1708-0428, Vol. 27, nr 7, s. 1854-1858Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Introduction: Patients with high body mass index (BMI), pre-existing pain and young age and women seem to experience more postoperative pain. Few studies have, however, addressed these risk factors amongst obese patients undergoing bariatric surgery. The aim of the present study was to evaluate risk factors for postoperative pain following laparoscopic gastric bypass surgery.

Methods: In this cohort study, we used data from the PAIN OUT register for postoperative pain during the first 24 h after surgery. Primary outcome measure was severity of pain after surgery. Multivariate analyses were conducted to evaluate BMI, young age, gender and pre-existing pain as independent risk factors for postoperative pain.

Results: We included 192 patients in this study. Younger age (B -0.08, 95%CI -0.11 to -0.05/year; p < 0.001), female gender (B 0.92, 95%CI 0.10-1.75; p = 0.029) and pre-existing pain (B 1.06, 95%CI 0.03-2.09; p = 0.044) were all associated with an increased risk for postoperative pain. In the multivariate analyses, only young age ((adjusted OR 0.95, 95%CI 0.92-0.97/year; p < 0.001) and pre-existing pain (adjusted OR 2.56, 95%CI 1.09-6.00; p = 0.031) remained as independent risk factors for severe postoperative pain.

Conclusion: Younger age and pre-existing pain are associated with severe postoperative pain during the first 24 h after laparoscopic gastric bypass surgery, whereas female gender and high BMI are not.

Ort, förlag, år, upplaga, sidor
New York, USA: Springer, 2017
Nyckelord
Gastric bypass, Laparoscopy, Postoperative pain, Risk factor, Obesity, Sex, Pre-existing pain, Age
Nationell ämneskategori
Kirurgi
Forskningsämne
Kirurgi
Identifikatorer
urn:nbn:se:oru:diva-55411 (URN)10.1007/s11695-017-2570-4 (DOI)000404529600033 ()28144798 (PubMedID)2-s2.0-85011263982 (Scopus ID)
Anmärkning

Funding Agencies:

Örebro County Council  

European Commission  

Tillgänglig från: 2017-03-10 Skapad: 2017-03-10 Senast uppdaterad: 2018-07-30Bibliografiskt granskad
Bratt, A., Allvin, R. & Wann-Hansson, C. (2017). Modifying a generic postoperative recovery profile instrument to an instrument specifically targeting coronary artery bypass grafting. Scandinavian Journal of Caring Sciences, 31(3), 475-486
Öppna denna publikation i ny flik eller fönster >>Modifying a generic postoperative recovery profile instrument to an instrument specifically targeting coronary artery bypass grafting
2017 (Engelska)Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 31, nr 3, s. 475-486Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Patients may suffer from a wide range of postoperative symptoms after coronary artery bypass grafting. In-depth knowledge of the recovery process is a prerequisite for nursing interventions. However, we found no specific instrument covering the entire range and duration of postoperative symptoms related to this procedure. We therefore modified and extended the 19 items, generic Postoperative Recovery Profile questionnaire for the specific evaluation of the recovery after coronary artery bypass grafting. We here report on the development process of the new questionnaire. Procedure-specific symptoms were identified by a literature review and by experts. The content validity was assessed by healthcare professionals (n = 15), inpatients (n = 12) and outpatients (n = 4). A test run was done with inpatients (n = 10), which was followed by a test-retest reliability evaluation with inpatients (n = 24). We identified 15 new symptoms in the literature review and six in the content validity assessment. Only three of the 35 items had an acceptable content validity index, but all 35 items in the test run were reported by at least two patients. The questionnaire took 4-9 minutes to complete and was considered easy to use. The final instrument used in the reliability test included 22 new items, and 25 of the 35 items were satisfactory stable. To conclude, we developed a 35 items, procedure-specific questionnaire that was easy to use and may aid systematic assessment of the recovery after coronary artery bypass grafting.

Ort, förlag, år, upplaga, sidor
Wiley-Blackwell Publishing Inc., 2017
Nyckelord
Coronary artery bypass grafting, postoperative recovery, instrument, questionnaire, content validity index, nursing, reliability, test–retest
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:oru:diva-51669 (URN)10.1111/scs.12360 (DOI)000412401200006 ()27507166 (PubMedID)2-s2.0-84992502912 (Scopus ID)
Tillgänglig från: 2016-08-22 Skapad: 2016-08-16 Senast uppdaterad: 2018-07-24Bibliografiskt granskad
Ewertsson, M., Bagga-Gupta, S., Allvin, R. & Blomberg, K. (2017). Tensions in learning professional identities - nursing students' narratives and participation in practical skills during their clinical practice: an ethnographic study. BMC Nursing, 16, Article ID 48.
Öppna denna publikation i ny flik eller fönster >>Tensions in learning professional identities - nursing students' narratives and participation in practical skills during their clinical practice: an ethnographic study
2017 (Engelska)Ingår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 16, artikel-id 48Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BACKGROUND: Clinical practice is a pivotal part of nursing education. It provides students with the opportunity to put the knowledge and skills they have acquired from lectures into practice with real patients, under the guidance of registered nurses. Clinical experience is also essential for shaping the nursing students' identity as future professional nurses. There is a lack of knowledge and understanding of the ways in which students learn practical skills and apply knowledge within and across different contexts, i.e. how they apply clinical skills, learnt in the laboratory in university settings, in the clinical setting. The aim of this study was therefore to explore how nursing students describe, and use, their prior experiences related to practical skills during their clinical practice.

METHODS: An ethnographic case study design was used. Fieldwork included participant observations (82 h), informal conversations, and interviews (n = 7) that were conducted during nursing students' (n = 17) clinical practice at an emergency department at a university hospital in Sweden.

RESULTS: The overarching theme identified was "Learning about professional identities with respect to situated power". This encompasses tensions in students' learning when they are socialized into practical skills in the nursing profession. This overarching theme consists of three sub-themes: "Embodied knowledge", "Divergent ways of assessing and evaluating knowledge" and "Balancing approaches".

CONCLUSIONS: Nursing students do not automatically possess the ability to transfer knowledge from one setting to another; rather, their development is shaped by their experiences and interactions with others when they meet real patients. The study revealed different ways in which students navigated tensions related to power differentials. Reflecting on actions is a prerequisite for developing and learning practical skills and professional identities. This highlights the importance of both educators' and the preceptors' roles for socializing students in this process.

Ort, förlag, år, upplaga, sidor
BioMed Central, 2017
Nyckelord
Clinical practice, Learning, Nursing students, Practical skills, Socialization
Nationell ämneskategori
Omvårdnad
Forskningsämne
Omvårdnadsvetenskap
Identifikatorer
urn:nbn:se:oru:diva-59393 (URN)10.1186/s12912-017-0238-y (DOI)000407709800001 ()28824335 (PubMedID)2-s2.0-85027455714 (Scopus ID)
Projekt
Research in Nursing Skills
Anmärkning

Funding Agency:

Faculty of Medicine and Health, School of Health Sciences, Örebro University

Tillgänglig från: 2017-08-25 Skapad: 2017-08-25 Senast uppdaterad: 2018-08-05Bibliografiskt granskad
Allvin, R., Rawal, N., Johanzon, E. & Bäckström, R. (2016). Open versus Laparoscopic Surgery: Does the Surgical Technique Influence Pain Outcome? Results from an International Registry. Pain Research and Treatment, Article ID 4087325.
Öppna denna publikation i ny flik eller fönster >>Open versus Laparoscopic Surgery: Does the Surgical Technique Influence Pain Outcome? Results from an International Registry
2016 (Engelska)Ingår i: Pain Research and Treatment, ISSN 2090-1542, E-ISSN 2090-1550, artikel-id 4087325Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Postoperative pain management relevant for specific surgical procedures is debated. The importance of evaluating pain with consideration given to type of surgery and the patient's perspective has been emphasized. In this prospective cohort study, we analysed outcome data from 607 patients in the international PAIN OUT registry for assessment and comparison of postoperative pain outcome within the 24 first hours after laparoscopic and open colonic surgery. Patients from the laparoscopic group scored minimum pain at a higher level than the open group (P = 0.012). Apart from minimum pain, no other significant differences in patient reported outcomes were observed. Maximum pain scores >3 were reported from 77% (laparoscopic) and 68% (open) patients (mean >= 5 in both groups). Pain interference with mobilization was reported by 87-93% of patients. Both groups scored high levels of patient satisfaction. In the open group, a higher frequency of patients received a combination of general and regional anaesthesia, which had an impact of the minimum pain score. Our results from registry data indicate that surgical technique does not influence the quality of postoperative pain management during the first postoperative day if adequate analgesia is given.

Ort, förlag, år, upplaga, sidor
Hindawi Publishing Corporation, 2016
Nationell ämneskategori
Kirurgi
Forskningsämne
Kirurgi
Identifikatorer
urn:nbn:se:oru:diva-50065 (URN)10.1155/2016/4087325 (DOI)000373472200001 ()27127649 (PubMedID)
Tillgänglig från: 2016-05-02 Skapad: 2016-05-02 Senast uppdaterad: 2018-09-04Bibliografiskt granskad
Ewertsson, M., Gustafsson, M., Blomberg, K., Holmström, I. & Allvin, R. (2016). Use of technical skills and medical devices among new registered nurses: a questionnaire study. New registered nurses’ use of technical skills and possibility for continued learning. In: : . Paper presented at AMEE –An international association for medical education. International Conference. Barcelona, Spain, 2016 27-31/8..
Öppna denna publikation i ny flik eller fönster >>Use of technical skills and medical devices among new registered nurses: a questionnaire study. New registered nurses’ use of technical skills and possibility for continued learning
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2016 (Engelska)Konferensbidrag, Muntlig presentation med publicerat abstract (Refereegranskat)
Nationell ämneskategori
Omvårdnad
Forskningsämne
Omvårdnadsvetenskap
Identifikatorer
urn:nbn:se:oru:diva-54276 (URN)
Konferens
AMEE –An international association for medical education. International Conference. Barcelona, Spain, 2016 27-31/8.
Tillgänglig från: 2017-01-04 Skapad: 2017-01-04 Senast uppdaterad: 2019-04-12Bibliografiskt granskad
Blomberg, K., Isaksson, A.-K., Allvin, R., Bisholt, B., Ewertsson, M., Kullén Engström, A., . . . Gustafsson, M. (2016). Work stress among newly graduated nurses in relation to workplace and clinical group supervision. Journal of Nursing Management, 24(1), 80-87
Öppna denna publikation i ny flik eller fönster >>Work stress among newly graduated nurses in relation to workplace and clinical group supervision
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2016 (Engelska)Ingår i: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 24, nr 1, s. 80-87Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aim: The aim was to investigate occupational stress among newly graduated nurses in relation to the workplace and clinical group supervision.

Background: Being a newly graduated nurse is particularly stressful. What remains unclear is whether the workplace and clinical group supervision affect the stress.

Method: A cross-sectional comparative study was performed in 2012. Data were collected by means of a numerical scale measuring occupational stress, questions about workplace and clinical group supervision. One hundred and thirteen nurses who had recently graduated from three Swedish universities were included in the study.

Results: The stress was high among the newly graduated nurses but it differed significantly between workplaces, surgical departments generating the most stress. Nurses who had received clinical group supervision reported significantly less stress. The stress between workplaces remained significant also when participation in clinical group supervision was taken into account.

Conclusions: Newly graduated nurses experience great stress and need support, especially those in surgical departments. Nurses participating in clinical group supervision reported significantly less stress.

Implications for nursing management: It is important to develop strategies that help to adapt the work situation so as to give nurses the necessary support. Clinical group supervision should be considered as an option for reducing stress.

Ort, förlag, år, upplaga, sidor
Wiley-Blackwell, 2016
Nyckelord
clinical group supervision; newly graduated nurses; occupational stress; workplace
Nationell ämneskategori
Omvårdnad
Forskningsämne
Vårdvetenskap
Identifikatorer
urn:nbn:se:oru:diva-36208 (URN)10.1111/jonm.12274 (DOI)000368263600021 ()25421164 (PubMedID)
Tillgänglig från: 2014-08-29 Skapad: 2014-08-29 Senast uppdaterad: 2018-09-11Bibliografiskt granskad
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