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Hedlund, J., Blomberg, K., Hjelmqvist, H. & Jaensson, M. (2024). Nurse anaesthetists' experiences of student nurse anaesthetist learning during clinical practice: a qualitative interview study. BMC Nursing, 23(1), Article ID 141.
Open this publication in new window or tab >>Nurse anaesthetists' experiences of student nurse anaesthetist learning during clinical practice: a qualitative interview study
2024 (English)In: BMC Nursing, E-ISSN 1472-6955, Vol. 23, no 1, article id 141Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The professional role of a nurse anaesthetist involves taking a pedagogical approach towards students, including supervision during clinical practice. Although supervisors are facilitators of student learning, they are offered little training in adult learning principles. The aim of this study was to describe supervisors' experience of student nurse anaesthetist learning during clinical practice in the operating room.

METHOD: In this qualitative interview study, 12 semi-structured individual interviews were carried out with clinical supervising nurse anaesthetists. The data were analysed inductively using thematic analysis.

RESULTS: The results are illustrated with one theme and five sub-themes. The clinical learning situation of student nurse anaesthetists is described as a reflection of different cultures coming together. The operating room environment is a new context to students, and students enter with different clinical background and experiences. There is tension in facilitating student learning due to demands for productivity; supervisors suggest the use of separate operating rooms with a special focus on learning in the future.

CONCLUSION: Clinical practice facilitates student learning and is a parallel process to routine care. Thus, it requires the cultures of higher education and healthcare organizations to co-exist. This is illustrated with the theme "Contributing to students' future professional roles by bridging the hospital and university cultures". In the operating room, student learning is challenged by a new context and time pressure as shown by subthemes. To overcome challenges and support student learning in the operating room from a supervisors' perspective, interprofessional student teams are suggested as a future approach and need to be further investigated.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2024
Keywords
Clinical practice, Interprofessional learning, Student nurse anaesthetist
National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-112030 (URN)10.1186/s12912-024-01818-y (DOI)38419018 (PubMedID)
Funder
Örebro UniversityRegion Örebro County, OLL-960068; OLL-985061
Note

Open access funding provided by Örebro University. The study was financed by grants from the Swedish state under the agreement between the Swedish government and the county councils, the ALF-agreement (OLL-960068; OLL-985061), and the study fund Alice Linström.

Available from: 2024-02-29 Created: 2024-02-29 Last updated: 2024-02-29Bibliographically approved
Hälleberg Nyman, M., Lillsunde-Larsson, G., Blomberg, K. & Schröder, A. (2024). Older women's perceptions of HPV self-sampling and HPV-sampling performed by a midwife: a phenomenographic study. BMC Public Health, 24(1), Article ID 211.
Open this publication in new window or tab >>Older women's perceptions of HPV self-sampling and HPV-sampling performed by a midwife: a phenomenographic study
2024 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 24, no 1, article id 211Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Cervical cancer is a global disease and it is well established that cervical cancer is caused by human papillomavirus (HPV). In Sweden self-sampling for HPV is now used as a complement to sampling performed by a midwife. However, there is a lack of knowledge on how older women perceive the self-sampling compared to the sampling performed by a midwife. Therefore, the aim of the study was to describe how women, aged 64 years and older, perceived the process of self-sampling and sampling performed by a midwife for HPV-testing.

METHODS: Eighteen women were included in a qualitative interview study, and a phenomenographic approach was used for the analysis of the interviews.

RESULTS: Three descriptive categories emerged: Confidence in sampling, Facilitating participation and Being informed. Within the categories, eight conceptions emerged describing the variation relating to how the women perceived the process of self-sampling and sampling performed by a midwife.

CONCLUSIONS: Women in this study describe confidence in self-sampling for HPV-testing and that the self-sampling was saving time and money, both for themselves and for society. Information in relation to an HPV-positive test result is of importance and it must be kept in mind that women affected by HPV may feel guilt and shame, which health care professionals should pay attention to. This knowledge can be used in education of health care staff.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2024
Keywords
Cervical screening, HPV, Human papillomavirus, Qualitative, Self-sampling
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:oru:diva-111031 (URN)10.1186/s12889-024-17723-7 (DOI)001144643400002 ()38233805 (PubMedID)2-s2.0-85182662727 (Scopus ID)
Funder
Örebro University
Note

We would like to acknowledge grants received from The Kamprad Family Foundation for Entrepreneurship, Research & Charity. Open access funding provided by Örebro University.

Available from: 2024-01-30 Created: 2024-01-30 Last updated: 2024-02-08Bibliographically approved
Mouazzen, A.-K., Blomberg, K. & Jaensson, M. (2024). Perceptions of interprofessional team collaboration among professionals working in the Occupational Health Service in Sweden. Journal of Occupational Health, 66(1), Article ID uiad009.
Open this publication in new window or tab >>Perceptions of interprofessional team collaboration among professionals working in the Occupational Health Service in Sweden
2024 (English)In: Journal of Occupational Health, ISSN 1341-9145, E-ISSN 1348-9585, Vol. 66, no 1, article id uiad009Article in journal (Refereed) Published
Abstract [en]

Objectives: Interprofessional collaboration (IPC) among professionals in occupational health service is crucial when rendering a service to clients and customers. The aim of this study was to describe and compare perceptions relating to IPC among professionals working as occupational health (OH) providers in Sweden.

Methods: This cross-sectional study with a descriptive and comparative design included 456 respondents representing different OH professions in Sweden. Data were collected using the Swedish short version of the Assessment of Interprofessional Team Collaboration Scale adapted for OH (AITCS)-SII(OH), with its three subscales Partnership, Cooperation and Coordination, and were analysed and presented descriptively. Items and sum scores were dichotomized into inadequate and adequate and compared between sexes, workplaces, types of employment and professions.

Results: According to the responses, items related to openness, honesty and trust were perceived as adequate among the respondents. The findings show that perceptions about IPC differed among the professions. The perception of IPC did also differ between different types of organizations.

Conclusion: The result show diverse perceptions between professionals and organizations. The perception of IPC may be influenced by the professional’s education in occupational safety and health. Study findings may be used to support further development of IPC in the occupational health service for the best of the clients. To develop IPC in the best interests of both professionals and customers/clients, further studies need to be performed to gain a deeper understanding of IPC in the OH context.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024
Keywords
AITCS, Interprofessional collaboration (IPC), Interprofessional teamwork, Occupational health (OH), Occupational health service (OHS), Occupational health and safety
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-110583 (URN)10.1093/joccuh/uiad009 (DOI)001146723100001 ()38258940 (PubMedID)2-s2.0-85183232899 (Scopus ID)
Funder
Örebro University
Available from: 2024-01-05 Created: 2024-01-05 Last updated: 2024-02-02Bibliographically approved
Runngren, E., Blomberg, K., Schollin-Ask, L., Appelqvist, E., Danielsson, M. & Eriksson, M. (2023). Attitudes and knowledge about HPV vaccination of school children and their parents following use of a targeted information. In: : . Paper presented at 35th International Papillomavirus Conference & Basic, Clinical and Public Health Scientific Workshops (IPVC 2023), Washington DC, USA, April 17-21, 2023.
Open this publication in new window or tab >>Attitudes and knowledge about HPV vaccination of school children and their parents following use of a targeted information
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2023 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Background/Objective: This study aimed to investigate children’s’ and parents’ attitudes and knowledge about HPV (human papillomavirus) following introduction of gender-neutral HPV vaccination in the national immunization program (NIP) in Sweden. An evaluation of a tailored information package for parents and children launched by the Public Health Agency (PHAS) alongside the introduction of gender-neutral HPV vaccination was also performed 

Method: In total, 276 parents and 206 children from 22 School Health Services responded to a web-based survey, spring 2021 to January 2022.  

Result:  Overall, parents (78%) perceived HPV vaccination to be of importance for their child’s health. About half of the participating children and two thirds of the parents had used the tailored information package for the HPV vaccination. The fact sheet was mostly used by parents (55%) and children (20%) and also perceived as easy to understand (99% and 68% respectively). For both children and parents, the school nurse (70% respectively) was the primary source for information. The teacher (59%) was also a common source of information of HPV vaccination for the children.  

Conclusion: The school nurse is essential for informing about HPV vaccination for both children and parents. There is a need to strengthen the knowledge regarding HPV vaccination among teachers as they also are a key source of information for the majority of the children. Additional interventions are needed to support parents in making informed decisions for HPV vaccinations. 

Keywords
Attitude, child, human papillomavirus viruses, knowledge, parents
National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-105653 (URN)
Conference
35th International Papillomavirus Conference & Basic, Clinical and Public Health Scientific Workshops (IPVC 2023), Washington DC, USA, April 17-21, 2023
Available from: 2023-04-24 Created: 2023-04-24 Last updated: 2023-05-02Bibliographically approved
Sezgin, D., Geraghty, J., Graham, T., Blomberg, K., Charnley, K., Dobbs, S., . . . Gethin, G. (2023). Defining palliative wound care: A scoping review by European Association for Palliative Care wound care taskforce. Journal of tissue viability, 32(4), 627-634
Open this publication in new window or tab >>Defining palliative wound care: A scoping review by European Association for Palliative Care wound care taskforce
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2023 (English)In: Journal of tissue viability, ISSN 0965-206X, Vol. 32, no 4, p. 627-634Article, review/survey (Refereed) Published
Abstract [en]

BACKGROUND: Deciding whether to transition to wound palliation is challenging for health care professionals because there is no agreed definition or understanding of palliative wound care, including the goals, core elements and differences from general wound management.

OBJECTIVES: To conduct a scoping review with qualitative synthesis to define palliative wound care in terms of its conceptual framework, goals, principles, components, and differences from general wound management, and provide a new definition of palliative wound care based on this scoping review.

ELIGIBILITY CRITERIA: Published literature that refers to the definitions, concept, goals and core elements of palliative wound care using any methodological approach, without any time limits, published in English.

SOURCES OF EVIDENCE: The searches were conducted in CINAHL Complete via Ebsco, Medline via Ovid, Cochrane Library, Scopus, and Google Scholar.

CHARTING METHODS: A data extraction form was developed by the review team and used independently for data charting purposes. Braun and Clarke's six phases of thematic analysis guided the qualitative synthesis.

RESULTS: A total of 133 publications met the inclusion criteria. Three main themes were developed to define palliative wound care and understand its differences from general wound management: 1- Healing potential of wounds and patient vulnerability, 2- Understanding the impact on individuals and family to address needs, 3- Towards new goals and perspectives in approach to care.

CONCLUSIONS: Palliative wound care focuses on symptom management, comfort, and dignity, but does not always target the healing of the wound, which is the goal of general wound care. The needs of the individual and their family must be addressed by clinicians through the provision of care and support that takes into account the true meaning of living and dying with a palliative wound.

PROTOCOL REGISTRATION: A review protocol was developed but not registered.

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
Concept, Definition, End of life wound care, Goal, Non-healing, Palliation, Palliative wound care, Principle, Terminal wound care
National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-107460 (URN)10.1016/j.jtv.2023.07.002 (DOI)001132790600001 ()37482507 (PubMedID)2-s2.0-85165657914 (Scopus ID)
Available from: 2023-08-09 Created: 2023-08-09 Last updated: 2024-01-22Bibliographically approved
Blomberg, K. & Hälleberg Nyman, M. (2023). Experiences of human papillomavirus self-sampling by women >60 years old: A qualitative study. Health Expectations, 26(2), 567-940
Open this publication in new window or tab >>Experiences of human papillomavirus self-sampling by women >60 years old: A qualitative study
2023 (English)In: Health Expectations, ISSN 1369-6513, E-ISSN 1369-7625, Vol. 26, no 2, p. 567-940Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Human papillomavirus (HPV) self-sampling has shown to be acceptable and feasible across cultures and effective in reaching women who do not participate in regular cervical cancer screening. However, most of these studies have included younger women. There is a lack of knowledge of how older women reason about HPV self-sampling.

OBJECTIVE: The aim of this study was to describe how women (>60 years old) experience the offering of self-sampling of HPV, compared to having a sample collected by a healthcare professional.

DESIGN AND PARTICIPANTS: The study had a qualitative explorative design. Four focus group discussions were conducted with women 60-69 years old (n = 22). Data were analysed using principles of interpretive description.

RESULTS: Five themes were identified: self-sampling-convenient and without pain, lack of knowledge, worries related to HPV self-sampling, need for information and taking a societal perspective.

CONCLUSION: Women aged >60 years found that HPV self-sampling was convenient and easy to perform. Further, they stressed the importance of being able to remain in the screening programme in advanced age and that self-sampling could be a possible solution. This study also revealed a lack of knowledge among women in this age group regarding HPV infection, how the disease is transmitted and its relation to cervical cancer.

PUBLIC CONTRIBUTION: Women who had performed HPV self-sampling participated in the focus group discussion.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
HPV, cervical screening, human papillomavirus, qualitative, self-sampling
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:oru:diva-103170 (URN)10.1111/hex.13707 (DOI)000910503100001 ()36633121 (PubMedID)2-s2.0-85146277891 (Scopus ID)
Available from: 2023-01-19 Created: 2023-01-19 Last updated: 2023-12-08Bibliographically approved
Söderman, A., Hälleberg Nyman, M., Werkander Harstäde, C., Johnston, B. & Blomberg, K. (2023). Grasping a new approach to older persons' dignity: A process evaluation of the Swedish Dignity Care Intervention in municipal palliative care. Scandinavian Journal of Caring Sciences
Open this publication in new window or tab >>Grasping a new approach to older persons' dignity: A process evaluation of the Swedish Dignity Care Intervention in municipal palliative care
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2023 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Epub ahead of print
Abstract [en]

Aim: Dignity in older persons is a goal of palliative care. This study aimed to perform a process evaluation of the Swedish Dignity Care Intervention (DCI-SWE) in municipal palliative care in Sweden, focusing on implementation, context, and mechanism of impact.

Methods: This study had a process evaluation design. The Knowledge to Action framework supported the implementation of the DCI-SWE. The intervention was used by community nurses with older persons (n = 18) in home healthcare and nursing homes. Data were collected by focus groups- and individual interviews with community nurses (n = 11), health care professionals (n = 5) and managers (n = 5), reflective diaries, and field notes.

Results: Grasping the DCI-SWE was challenging for some community nurses. Enhanced communication training and increased engagement from managers were requested. However, the DCI-SWE was perceived to enhance professional pride in nursing. In terms of fidelity, dose and reach the project was not fully achieved. Regarding mechanism of impact the DCI-SWE contributes to address older persons' loneliness and existential life issues, as it put conversations with older persons on community nurses' agenda.

Conclusions: The DCI-SWE provided opportunities to maintain older persons' dignity and quality of life. However, with refinements of design and the DCI-SWE, the sustainability in the context may increase.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
dignity, home and community-based healthcare, implementation, palliative care, process evaluation
National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-109442 (URN)10.1111/scs.13222 (DOI)001090782200001 ()37882233 (PubMedID)2-s2.0-85174846072 (Scopus ID)
Funder
Örebro University
Available from: 2023-10-27 Created: 2023-10-27 Last updated: 2023-12-08Bibliographically approved
Blomberg, K. & Hugelius, K. (2023). Health and well-being after being deployed in a major incident; how do Swedish ambulance nurses perceive their health recover process? A qualitative study. BMJ Open, 13(7), Article ID e071848.
Open this publication in new window or tab >>Health and well-being after being deployed in a major incident; how do Swedish ambulance nurses perceive their health recover process? A qualitative study
2023 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 13, no 7, article id e071848Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: To explore health problems and the recovery process after being deployed in a major incident.

DESIGN: Qualitative, explorative design.

SETTING: Ambulance services in Sweden.

PARTICIPANTS AND METHODS: Semistructured, individual two-session interviews with 15 ambulance nurses with the experience of being deployed to major incidents were conducted. Data were analysed with thematic analysis.

RESULTS: Being deployed in major incidents was perceived to be straining and led to both physical health problems and distress. To recover, the ambulance nurses strived to use strategies to distance themselves from the situation and created supportive conditions for their recovery, and if successful, the experiences led to both professional and personal growth and self-awareness. However, being deployed in major incidents without significant preparedness or experience could harm individuals and, in the worst case, end their career.

CONCLUSIONS: A successful recovery from the physical and mental exhaustion experienced after being deployed in a major incident required both individual abilities and self-care strategies as well as a supportive working environment. Supporting individual recovery strategies and following up on physical and mental well-being over time should be part of all ambulance services procedures after major incidents.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2023
Keywords
accident & emergency medicine, health & safety, qualitative research
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-106996 (URN)10.1136/bmjopen-2023-071848 (DOI)001034612700070 ()37407063 (PubMedID)2-s2.0-85163924422 (Scopus ID)
Available from: 2023-07-06 Created: 2023-07-06 Last updated: 2023-09-04Bibliographically approved
Pettersson, M., Eriksson, M., Albinsson, E., Odlind, A., Blomberg, K., Ryen, L. & Ohlin, A. (2023). Home phototherapy for hyperbilirubinemia in neonates: an unblinded multicentre randomised controlled trial. In: Örebro University's Nobel Day Festivities: Book of Abstracts. Paper presented at Nobel Day Festivites.
Open this publication in new window or tab >>Home phototherapy for hyperbilirubinemia in neonates: an unblinded multicentre randomised controlled trial
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2023 (English)In: Örebro University's Nobel Day Festivities: Book of Abstracts, 2023Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background/Objective: The aim of this study was to assess whether home phototherapy is a safe alternative to hospital treatment.

Method: This was a randomised controlled, multicentre, trial in which term newborns with a total serum bilirubin of 300-400 μmol/ were randomized to either home phototherapy or conventional in-hospital phototherapy.The outcome measurements were parent-infant bonding, stress and measurements of safety and feasibility. A descriptive qualitative study based on interviews was performed as well as a health economic analysis.

Result: 147 patients were recruited from 6 hospitals, Results showed no difference between groups in the safety and feasibility outcomes. Parents in the intervention group had better scores on bonding and lower levels of stress. The interviews showed that parents felt secure at home. The cost per patient was €337 for home phototherapy compared with €1156 for the hospital alternative indicating average cost savings of €819 or 71% per patient.

Conclusion: Home phototherapy can be considered a safe and feasible alternative to hospital care for well selected patients. It improves bonding and stress for parents and reduces health care costs. Since the first publication from this study was published home phototherapy is now recommended by the American Academy of Pediatrics as an alternative to hospital care for patients with uncomplicated hyperbilirubinemia.

Keywords
Newborn infant, phototherapy
National Category
Pediatrics Nursing
Identifiers
urn:nbn:se:oru:diva-110073 (URN)978-91-87789-92-2 (ISBN)
Conference
Nobel Day Festivites
Available from: 2023-12-06 Created: 2023-12-06 Last updated: 2023-12-13Bibliographically approved
Pettersson, M., Eriksson, M. & Blomberg, K. (2023). Parental experiences of home phototherapy for neonatal hyperbilirubinemia. Journal of Child Health Care, 27(4), 562-573
Open this publication in new window or tab >>Parental experiences of home phototherapy for neonatal hyperbilirubinemia
2023 (English)In: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 27, no 4, p. 562-573Article in journal (Refereed) Published
Abstract [en]

Newborns with hyperbilirubinemia have traditionally received phototherapy in hospital. Hospital stays for infants, however, may negatively affect parent–infant bonding and induce anxiety and feelings of powerlessness in mothers. This study examined parent’s experiences of providing phototherapy to their neonates at home instead. A descriptive qualitative study based on 15 interviews (8 mothers and 7 fathers) with parents of 8 children who had been randomised to home phototherapy was conducted during spring 2018 in Örebro county, Sweden. Inductive content analysis was used. The overall experience of home phototherapy was positive, and five categories were identified describing their experiences: continuing life at home, adjusting to having a newborn, feeling secure, experiencing parenthood and accessing information. The findings support the use of home phototherapy. Parents felt secure at home with their infants and emphasised the importance of clear information and round-the-clock access to hospital staff.

Place, publisher, year, edition, pages
Sage Publications, 2023
Keywords
Hyperbilirubinemia, Neonatal, Phototherapy, Qualitative research
National Category
Pediatrics Nursing
Identifiers
urn:nbn:se:oru:diva-98249 (URN)10.1177/13674935221082404 (DOI)000780662800001 ()35341337 (PubMedID)2-s2.0-85127346083 (Scopus ID)
Note

Funding agencies:

Little Child foundation

Örebro and Uppsala regional research fund

Available from: 2022-03-27 Created: 2022-03-27 Last updated: 2024-01-12Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-9209-5179

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