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Ohlsson Nevo, E., Andersson, G. & Nilsing Strid, E. (2020). In the hands of nurses: A focus group study of how nurses perceive and promote inpatients' needs for physical activity. Nursing Open, 7(1), 334-344
Öppna denna publikation i ny flik eller fönster >>In the hands of nurses: A focus group study of how nurses perceive and promote inpatients' needs for physical activity
2020 (Engelska)Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 7, nr 1, s. 334-344Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aims: To describe how nurses perceive and promote inpatients' needs for physical activity during their stay at the ward.

Design: A qualitative descriptive design was employed providing an exploration of how nurses perceive and promote inpatients' need for physical activity.

Methods: Seven semi-structured focus group discussions were held between November 2016 and February 2017 with 29 nurses in three hospitals in Sweden. Both interaction analysis and content analysis of the data were conducted.

Results: Patients are dependent on nurses' prioritizations and promotions to be sufficiently physically active during their stay at the ward. The external environment and the integration of physical activity affected the promotion of physical activity. The nurses perceived that understanding the patient's expectations was important and that promotion of physical activity was a joint responsibility of patient, relatives and healthcare professionals. The interaction analysis revealed no clear hierarchical pattern as all members in each focus group took initiative to open the discussions. The Registered Nurses contributed with more new ideas.

Ort, förlag, år, upplaga, sidor
Wiley-Blackwell Publishing Inc., 2020
Nyckelord
content analysis, focus group discussions, interaction analysis, nurse-patient relationship, nurses, nursing practice, patient safety, physical activity, quality of care
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:oru:diva-77988 (URN)10.1002/nop2.401 (DOI)000494533900001 ()31871718 (PubMedID)2-s2.0-85074767131 (Scopus ID)
Tillgänglig från: 2019-11-22 Skapad: 2019-11-22 Senast uppdaterad: 2020-01-13Bibliografiskt granskad
Wåhlin, C., Kvarnström, S., Öhrn, A. & Nilsing Strid, E. (2020). Patient and healthcare worker safety risks and injuries: Learning from incident reporting. European Journal of Physiotherapy, 22(1), 44-50
Öppna denna publikation i ny flik eller fönster >>Patient and healthcare worker safety risks and injuries: Learning from incident reporting
2020 (Engelska)Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 22, nr 1, s. 44-50Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objectives: Learning from incident reporting systems is one core strategy to develop a culture of safety for healthcare workers and patients. The aim of this retrospective study was to explore patient injuries focussing on falls. Furthermore, on healthcare workers incidents, injuries and the situations they occurred.

Method: A total of 65,749 patient risks and incidents were registered in the incident reporting system between 2011 and 2014. Of these, 11,006 were classified as an injury to a patient. Risks and incidents were registered and analysed for 1702 healthcare workers.

Results: Fifteen percent of the patient injuries required treatment. Falls were reported in 17% of the cases. Patients fell mainly in unassisted situations. Healthcare workers’ incidents and injuries were registered mainly by nurses and assistant nurses. Sixteen percent of the injuries required treatment. Prevalence of incidents was on an average 3.5% each year. Common injuries were: needle stick, workplace violence, injuries during patient manual handling. The patient was present in 74% of all incidents.

Conclusion: Patient and healthcare workers injuries are still prevalent in Swedish healthcare and a substantial part of the incidents involved a patient situation. Collaboration between employers, employees and patient representatives is needed to increase awareness of safety in healthcare.

Ort, förlag, år, upplaga, sidor
Taylor & Francis, 2020
Nyckelord
Health services, nurses, occupational safety, patient safety, physical therapists, Sweden
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:oru:diva-73684 (URN)10.1080/21679169.2018.1549594 (DOI)000514590100007 ()2-s2.0-85060480878 (Scopus ID)
Anmärkning

Funding Agency:

Region Östergötland County 

Tillgänglig från: 2019-04-12 Skapad: 2019-04-12 Senast uppdaterad: 2020-03-17Bibliografiskt granskad
Carlfjord, S., Nilsing-Strid, E., Johansson, K., Holmgren, T. & Öberg, B. (2019). Practitioner experiences from the structured implementation of evidence-based practice in primary care physiotherapy: A qualitative study. Journal of Evaluation In Clinical Practice, 25(4), 622-629
Öppna denna publikation i ny flik eller fönster >>Practitioner experiences from the structured implementation of evidence-based practice in primary care physiotherapy: A qualitative study
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2019 (Engelska)Ingår i: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 25, nr 4, s. 622-629Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

RATIONALE, AIMS, AND OBJECTIVES: To provide best available care, the practitioners in primary health care (PHC) must have adequate knowledge about effective interventions. The implementation of such interventions is challenging. A structured implementation strategy developed by researchers at Linköping University, Sweden, was used for the implementation of an evidence-based assessment and treatment programme for patients with subacromial pain among physiotherapists in PHC. To further develop strategies for implementation of evidence-based practices, it was deemed important to study the implementation from the practitioners' perspective. The aim of this study was to explore the practitioners' experiences from the implementation.

METHODS: A qualitative design with focus group discussions was applied. The implementation in terms of perceptions of process and outcome was evaluated by focus group discussions with, in total, 16 physiotherapists in the target group. Data were analysed using the method qualitative content analysis.

RESULTS: The components of the strategy were viewed positively, and the applicability and evidence base behind the programme were appreciated. The programme was perceived to be adopted, and the practitioners described a changed behaviour and increased confidence in handling patients with subacromial pain. Both patient- and provider-related challenges to the implementation were mentioned.

CONCLUSIONS: The practitioners' experiences from the implementation were mainly positive. A strategy with collaboration between academy and practice, and with education and implementation teams as facilitators, resulted in changes in practice. Critical voices concerned interprofessional collaboration and that the programme was focused explicitly on the shoulder, not including other components of physical function.

Ort, förlag, år, upplaga, sidor
Wiley-Blackwell Publishing Ltd., 2019
Nyckelord
exercise, implementation, physiotherapy, primary health care, qualitative study, shoulder pain
Nationell ämneskategori
Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi Sjukgymnastik
Identifikatorer
urn:nbn:se:oru:diva-69125 (URN)10.1111/jep.13034 (DOI)000474663700012 ()30246293 (PubMedID)2-s2.0-85053702144 (Scopus ID)
Tillgänglig från: 2018-10-01 Skapad: 2018-10-01 Senast uppdaterad: 2019-08-08Bibliografiskt granskad
Ohlsson Nevo, E., Andersson, G. & Nilsing Strid, E. (2018). Nurses’ perceptions of hospitalized patients’ need for progressed physical activity: a focus group study. In: : . Paper presented at Nordic Conference in Nursing Research: Methods and Networks for the future, Oslo, Norway, 13-15 June, 2018.
Öppna denna publikation i ny flik eller fönster >>Nurses’ perceptions of hospitalized patients’ need for progressed physical activity: a focus group study
2018 (Engelska)Konferensbidrag, Muntlig presentation med publicerat abstract (Refereegranskat)
Abstract [en]

Background: Patients enrolled in wards at hospitals spend time in bed even if rest is not medically indicated. The inactivity in the hospital reduces muscle strength and can create a need for assistants that did not exist before or justified by the treated condition. Early and progressive mobilization is a key factor to maintain physical functioning during the care period in hospital. Despite the knowledge of the importance of physical activity, patients are not sufficiently mobilized. Reasons why patients are not mobilized are related to organizational factors as well as patient and nurse personal characteristics. With an understanding of nurses’ experiences, interventions to enhance patients’ physical activity can be develop aiming at reducing the risk of physical deterioration due to inactivity.

Objective: The aim of the study was to describe how nurses perceive hospitalized patients’ needs for progressed physical activity during their stay at the wards.

Method: A total of seven focus group discussions were conducted in seven wards at three different hospitals in Sweden. A total of 16 nurses and 14 nurse assistants participated. The analysis was conducted in two steps; First an interaction analysis of the communication and respond pattern in the focus groups and thereafter a content analysis of the transcribed text.

Results: The analysis is in progress and the results will be presented at the conference.

Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:oru:diva-68638 (URN)
Konferens
Nordic Conference in Nursing Research: Methods and Networks for the future, Oslo, Norway, 13-15 June, 2018
Tillgänglig från: 2018-08-30 Skapad: 2018-08-30 Senast uppdaterad: 2018-08-30Bibliografiskt granskad
Nilsing Strid, E., Öhrn, A., Kvarnström, S. & Wåhlin, C. (2017). A physiotherapy perspective on patient injuries: Learning from incident reporting. In: : . Paper presented at World Confederation for Physical Therapy Congress (WCPT 2017), Cape Town, South Africa, July 2-4, 2017 [PDF fileRR-PLR5-1025]. World Confederation for Physical Therapy
Öppna denna publikation i ny flik eller fönster >>A physiotherapy perspective on patient injuries: Learning from incident reporting
2017 (Engelska)Konferensbidrag, Muntlig presentation med publicerat abstract (Övrigt vetenskapligt)
Abstract [en]

Background: Patient adverse events such as accidental falls are still common in healthcare, putting not only patients but also healthcare workers (HCWs) at risk for injuries. The causes are often multifactorial and many can be predicted and prevented. However, the effectiveness of preventive programs varies, which emphasizes the need to better understand the factors that increase the risk of falls to inform intervention strategies. Learning from incident reports is one core strategy to develop a culture of safety for both patients and HCWs, but research from a physiotherapy perspective is scarce.

Purpose: The aim of this retrospective study was to examine patient injuries reported over a 4-year period, and to further explore patient falls regarding situations and contributory factors putting patients at risk for fall.

Methods: The Patient and Workers Safety Study (PAWSS) was conducted in a County Council of eastern Sweden, focusing on patients and HCWs injuries over a 4-year period. Data was retrieved from the Incident reporting systems during 2011-2014. This part of the study included 11006 incident reports of risks and patient injuries.

Results: The majority of the 11006 reported incidents were related to medication errors, 23%, followed by incidents occurred in care processes, 22%. Patients were in mean 65 years old, 55% were women and 45% men. There was a decline in frequency of reported incidents during the four years, from 3010 incidents in 2011 to 2201 in 2014. Patient falls were reported in 17% of all incidents (n=1861), most common in care processes. These patients were in mean 78 years old, and the majority male (52%). Patients were more likely to fall in un-witnessed situations (92%), primarily when going to the toilet (25%) or just found on the floor (16%). In 8% of the fall incidents, patients were assisted by a HCW, a situation where some HCWs were injured. Contributing factors to the fall were reported in approximately 40% of the incidents. Impaired balance or muscle strength were most common (42%) followed by cognitive impairments (21%). In a few incidents, factors related to the organization, technology/tools or environment were reported as contributing to the fall. Fifteen percent of the fall incidents required treatment, and 1% resulted in death.

Conclusions: Patient falls are common adverse events. Patients are more likely to fall when unassisted, and impaired balance and muscle strength are major contributing factors to patient falls. These are known risk factors which can be assessed and targeted in a fall prevention programvof which physiotherapists can play an important role. Whether a fall prevention program incorporating physiotherapists in a human factor system approach increases patient and workers safety needs to be further investigated.

Implications: Incident reports capture information that provides a learning opportunity by identifying injury risk factors. The results from this study highlight patient falls as harmful for both patients and HCWs. By providing assessments of functioning, risks and tailored interventions, physiotherapists at different healthcare settings, wards and teams may play an important role in safe patient handling for both patients and HCWs.

Ort, förlag, år, upplaga, sidor
World Confederation for Physical Therapy, 2017
Nyckelord
patient safety, incident reporting, accidental falls
Nationell ämneskategori
Sjukgymnastik
Identifikatorer
urn:nbn:se:oru:diva-63523 (URN)
Konferens
World Confederation for Physical Therapy Congress (WCPT 2017), Cape Town, South Africa, July 2-4, 2017 [PDF fileRR-PLR5-1025]
Anmärkning

Funding Agencies:

County Council of Östergötland

Department of Medical and Health Sciences, Linköping University, Sweden

Tillgänglig från: 2017-12-21 Skapad: 2017-12-21 Senast uppdaterad: 2019-04-01Bibliografiskt granskad
Nilsing Strid, E., Söderberg, E. & Öberg, B. (2014). Sickness certificates: what information do they provide about rehabilitation?. Disability and Rehabilitation, 36(15), 1299-1304
Öppna denna publikation i ny flik eller fönster >>Sickness certificates: what information do they provide about rehabilitation?
2014 (Engelska)Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 36, nr 15, s. 1299-1304Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose: To investigate whether patients are prescribed rehabilitation early in a new sick leave period, and whether this prescription is associated with age, sex, diagnosis, description of functioning, and affiliation of certifying physician.

Methods: A cross-sectional study using data from sickness certificates issued during a total sick leave period, collected consecutively during 2 weeks in 2007 in Östergötland County, Sweden. Rehabilitation prescribed in the first certificate or within 28 days after the start of sick leave was defined as early rehabilitation.

Results: Musculoskeletal diseases (MSD) were the largest diagnostic group, followed by mental disorders (MD). The mean certified duration of sick leave was 94 days (SD 139), longest for MD patients. Early rehabilitation was prescribed in 27% of all certificates and in 45% of certificates for MSD and MD diagnoses. Logistic regression analysis indicated that prescription of early rehabilitation was associated with certificates issued for MSD and MD, youngest patients, and certificates issued by primary health care physicians. The final model explained 29% of variation in the prescription of early rehabilitation.

Conclusion: There is a modest prescription of early rehabilitation in sickness certificates, based on younger age and MSD or MD diagnosis. This indicates that patients’ rehabilitation needs may not have been identified.

Ort, förlag, år, upplaga, sidor
Informa Healthcare, 2014
Nyckelord
Sick leave, musculoskeletal diseases, mental disorders, physicians, physiotherapy, vocational rehabilitation, Sweden
Nationell ämneskategori
Sjukgymnastik
Identifikatorer
urn:nbn:se:oru:diva-70719 (URN)10.3109/09638288.2013.836252 (DOI)000340450300010 ()24063292 (PubMedID)2-s2.0-84904504200 (Scopus ID)
Forskningsfinansiär
Försäkringskassan
Anmärkning

Funding Agency:

County Council in Östergotland, Sweden [7/0728]

Tillgänglig från: 2018-12-13 Skapad: 2018-12-13 Senast uppdaterad: 2018-12-14Bibliografiskt granskad
Nilsing Strid, E., Söderberg, E., Berterö, C. & Öberg, B. (2013). Primary Healthcare Professionals' Experiences of the Sick Leave Process: A Focus Group Study in Sweden. Journal of occupational rehabilitation, 23(3), 450-461
Öppna denna publikation i ny flik eller fönster >>Primary Healthcare Professionals' Experiences of the Sick Leave Process: A Focus Group Study in Sweden
2013 (Engelska)Ingår i: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 23, nr 3, s. 450-461Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose The aim of this study was to explore primary healthcare (PHC) professionals' experiences of the sick leave process. Methods This is an explorative study using data from four semi-structured focus group discussions with a purposeful sample of PHC professionals in A-stergotland County, Sweden. Content analysis with an inductive approach was used in the analysis. Results Four key themes emerged from the analysis; priority to the sick leave process, handling sickness certifications, collaboration within PHC and with other stakeholders, and work ability assessments. Patients' need for sick leave was handled from each professional group's perspective. Collaboration was considered important, but difficult to achieve and all the competencies available at the PHC centre were not used for work ability assessments. There was insufficient knowledge of patients' work demands and contact with an employer was rare, and the strained relationship with the social insurance officers affected the collaboration. Conclusions This study highlights the challenges physicians and other PHC professionals face when handling the need for sick leave, especially when encountering patients with symptom-based diagnoses, and the influence of non-medical factors. Hindrances to good practice were increased demands, collaboration, and role responsibility. The challenges in the sick leave process concerned both content and consequences related to poor collaboration within PHC and with representatives from various organizations, primarily employers and social insurance officers. Further research on how to develop a professional approach for handling the sick leave process is needed.

Ort, förlag, år, upplaga, sidor
Springer, 2013
Nyckelord
Sick leave, Work ability, Rehabilitation, Return to work, Physicians, Healthcare professionals, Sickness certificates, Primary healthcare, Sweden
Nationell ämneskategori
Medicin och hälsovetenskap Arbetsmedicin och miljömedicin
Identifikatorer
urn:nbn:se:oru:diva-70715 (URN)10.1007/s10926-013-9418-0 (DOI)000322880900015 ()23345119 (PubMedID)2-s2.0-84883134156 (Scopus ID)
Tillgänglig från: 2018-12-13 Skapad: 2018-12-13 Senast uppdaterad: 2018-12-14Bibliografiskt granskad
Nilsing Strid, E. (2013). The Sick Leave Process: Sick Leave Guidelines, Sickness Certificates, and Experiences of Professionals. (Doctoral dissertation). Linköping: Linköping University Electronic Press
Öppna denna publikation i ny flik eller fönster >>The Sick Leave Process: Sick Leave Guidelines, Sickness Certificates, and Experiences of Professionals
2013 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

Decisions on entitlement to sickness benefits and return to work interventions have substantial impact on individuals’ lives and on society. In most Western European countries, such decisions are based on sickness certificates, which should provide information on how a disease or injury reduces the individual’s work ability. These are challenging and complex assessments. In 2008, guidelines for the management of sick leave were implemented in Sweden, emphasizing early assessments of work ability and return to work, and increasing the quality demands of sickness certificates by underscoring descriptions of activity limitations related to work. The overall aim of this thesis was to gain a deeper knowledge of the sick leave process with special emphasis on the content of sickness certificates and primary health care (PHC) professionals’ experiences with the process. Specific aims were to compare the quality of sickness certificates regarding descriptions of functioning by the use of WHO’s International Classification of Functioning, disability, and health (ICF), as well as the prescribed interventions before versus after implementation of the Swedish sick leave guidelines.

The thesis comprises three studies. A cross-sectional design was used in studies I and II, which included 475 and 501 new sickness certificates consecutively collected in Östergötland County, Sweden, in 2007 and 2009, respectively. Text on functioning was analysed with a deductive content analysis using the ICF. Study III was an exploratory study using data from four semi-structured focus group discussions with a purposeful sample of PHC professionals (n=18) in Östergötland County. An inductive content analysis was used in this study.

The thesis comprises three studies. A cross-sectional design was used in studies I and II, which included 475 and 501 new sickness certificates consecutively collected in Östergötland County, Sweden, in 2007 and 2009, respectively. Text on functioning was analysed with a deductive content analysis using the ICF. Study III was an exploratory study using data from four semi-structured focus group discussions with a purposeful sample of PHC professionals (n=18) in Östergötland County. An inductive content analysis was used in this study.

An overall conclusion drawn from this thesis is that patient functioning and needs might not be adequately communicated in the sick leave process. Despite the implementation of sick leave guidelines, this information is limited in sickness certificates and the collaboration is poor among the involved stakeholders, i.e., health care, the social insurance office, the employer and the OHS. The basis for decisions on entitlement to sickness benefits could be improved by including a description of the patients’ activity limitations or participation restrictions related to work demands. One way to enhance the decision basis might be to use the available team competencies at the PHC.

Ort, förlag, år, upplaga, sidor
Linköping: Linköping University Electronic Press, 2013. s. 75
Serie
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1354
Nationell ämneskategori
Medicin och hälsovetenskap Arbetsmedicin och miljömedicin
Identifikatorer
urn:nbn:se:oru:diva-70731 (URN)978-91-7519-689-3 (ISBN)
Disputation
2013-04-05, Aulan, Hälsans Hus ingång 16, Campus US, 13:00 (Svenska)
Opponent
Handledare
Tillgänglig från: 2018-12-14 Skapad: 2018-12-13 Senast uppdaterad: 2018-12-14Bibliografiskt granskad
Nilsing Strid, E., Söderberg, E. & Öberg, B. (2012). Sickness certificates in Sweden: did the new guidelines improve their quality?. BMC Public Health, 12, Article ID 907.
Öppna denna publikation i ny flik eller fönster >>Sickness certificates in Sweden: did the new guidelines improve their quality?
2012 (Engelska)Ingår i: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 12, artikel-id 907Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Long-term sickness absence is high in many Western countries. In Sweden and many other countries, decisions on entitlement to sickness benefits and return to work measures are based on information provided by physicians in sickness certificates. The quality demands, as stressed by the Swedish sick leave guidelines from 2008, included accurate sickness certificates with assessment of functioning clearly documented. This study aims to compare quality of sickness certificates between 2007 and 2009 in Ostergotland County, Sweden. Quality is defined in terms of descriptions of functioning with the use of activity and participation according to WHOs International Classification of Functioning, Disability and Health (ICF), and in prescriptions of early rehabilitation.

Methods: During two weeks in 2007 and four weeks in 2009, all certificates had been collected upon arrival to the social insurance office in Ostergotland County, Sweden. Four hundred seventy-five new certificates were included in 2007 and 501 in 2009. Prolongations of sick leave were included until the last date of sick listing. Free text on functioning was analysed deductively using the ICF framework, and placed into categories (body functions/structures, activity, participation, no description) for statistical analysis.

Results: The majority of the certificates were issued for musculoskeletal diseases or mental disorders. Text on functioning could be classified into the components of ICF in 65% and 78% of sickness certificates issued in 2007 and 2009, respectively. Descriptions according to body components such as "sensations of pain" or "emotional functions" were given in 58% of the certificates from 2007 and in 65% from 2009. The activity component, for example "walking" or "handling stress", was more frequent in certificates issued in 2009 compared with 2007 (33% versus 26%). Prescriptions of early rehabilitation increased from 27% in 2007 to 35% in 2009, primarily due to more counseling.

Conclusions: An improvement of the quality between certificates collected in 2007 and 2009 was demonstrated in Ostergotland County, Sweden. The certificates from 2009 provided more information linkable to ICF and incorporated an increased use of activity limitations when describing patients functioning. Still, activity limitations and prescriptions of early rehabilitation were only present in one-third of the sickness certificates.

Ort, förlag, år, upplaga, sidor
BioMed Central, 2012
Nyckelord
Sickness certificates, International Classification of Functioning, Disability and Health (ICF), Rehabilitation, Sick leave, Physicians, Functioning, Work ability, Sweden
Nationell ämneskategori
Medicin och hälsovetenskap Arbetsmedicin och miljömedicin
Identifikatorer
urn:nbn:se:oru:diva-70717 (URN)10.1186/1471-2458-12-907 (DOI)000311617300001 ()23101724 (PubMedID)2-s2.0-84867754555 (Scopus ID)
Forskningsfinansiär
Försäkringskassan
Anmärkning

Funding Agency:

County Council in Östergotland, Sweden |IHS 7/0728|

Tillgänglig från: 2018-12-13 Skapad: 2018-12-13 Senast uppdaterad: 2018-12-14Bibliografiskt granskad
Nilsing Strid, E., Söderberg, E., Normelli, H. & Öberg, B. (2011). Description of functioning in sickness certificates. Scandinavian Journal of Public Health, 39(5), 508-516
Öppna denna publikation i ny flik eller fönster >>Description of functioning in sickness certificates
2011 (Engelska)Ingår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 39, nr 5, s. 508-516Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aims: Sickness certificates are to provide information on a disease and its consequences on the patients functioning. This information has implications for the patients rights to sickness benefits and return-to-work measures. The objective of this study was to investigate the description of functioning in sickness certificates according to WHOs International Classification of Functioning, Disability, and Health (ICF), and to describe the influence of patients age, gender, diagnostic group, and affiliation of certifying physician.

Method: A content analysis of written statements regarding how the disease limits the patients functioning with ICF as a framework was performed in 475 sickness certificates, consecutively collected in Ostergotland County, Sweden.

Results: Musculoskeletal diseases (MSD) were the largest diagnostic group, followed by mental disorders (MD). Certificates were mainly issued from physicians at hospitals and in primary health care (PHC). ICF was applicable for classifying statements regarding functioning in 311 certificates (65%). The distribution of components was 58% body functions, 26% activity, and 7% participation. The descriptions were primarily restricted to the use of at least one component; namely, body functions. Subgroup analysis showed that descriptions of activity and participation were more common in certificates for MD and MSD, or those issued by PHC physicians. A multiple regression analysis with the activity component as dependent variable confirmed the results by showing that activity was related to both diagnosis and affiliation.

Conclusions: In a consecutive sample of sickness certificates, it was shown that information on functioning is scarce. When functioning was described, it was mainly body oriented.

Ort, förlag, år, upplaga, sidor
Sage Publications, 2011
Nyckelord
International Classification of Functioning; Disability; and Health; mental disorders; musculoskeletal diseases; physicians assessment of work capacity; sick leave
Nationell ämneskategori
Medicin och hälsovetenskap Arbetsmedicin och miljömedicin
Identifikatorer
urn:nbn:se:oru:diva-70716 (URN)10.1177/1403494811399954 (DOI)000292539900009 ()21343312 (PubMedID)22-s2.0-79960479393 (Scopus ID)
Forskningsfinansiär
Försäkringskassan
Anmärkning

The final, definitive version of this paper has been published in: Scandinavian Journal of Public Health, (39), 5, 508-516, 2011. Emma Nilsing, Elsy Söderberg, Helena Normelli and Birgitta Öberg, Description of functioning in sickness certificates http://dx.doi.org/10.1177/1403494811399954 by SAGE Publications Ltd, All rights reserved. http://www.uk.sagepub.com/

Funding Agency:

County Council in Östergotland, Sweden [IHS 7/0728]

Tillgänglig från: 2018-12-13 Skapad: 2018-12-13 Senast uppdaterad: 2018-12-14Bibliografiskt granskad
Organisationer
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0002-0483-8981

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