oru.sePublications
Change search
Link to record
Permanent link

Direct link
BETA
Zakrisson, Ann-Britt
Publications (10 of 24) Show all publications
Zakrisson, A.-B., Arne, M., Lisspers, K., Lundh, L., Sandelowsky, H., Ställberg, B., . . . Theander, K. (2020). Improved quality of care by using the PRISMS form to support self-management in patients with COPD: A Randomized Controlled Trial. Journal of Clinical Nursing
Open this publication in new window or tab >>Improved quality of care by using the PRISMS form to support self-management in patients with COPD: A Randomized Controlled Trial
Show others...
2020 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702Article in journal (Refereed) Epub ahead of print
Abstract [en]

AIMS AND OBJECTIVE: To investigate the effects on the quality of care of the Patient Report Informing Self-Management Support (PRISMS) form compared with usual care among patients with Chronic Obstructive Pulmonary Disease (COPD) consulting a COPD nurse in primary health care.

BACKGROUND: Patients with COPD experience symptoms affecting their everyday lives and there is a need for interventions in self-management support. The delivery of chronic care in an organized, structured, and planned manner can lead to more productive relationships between professionals and patients.

DESIGN: A multicentre randomised controlled trial with a post-test design, according to the CONSORT checklist, in one intervention group (n=94) and one control group (n=108).

METHODS: In addition to usual care, the intervention group (n=94) completed the PRISMS form to indicate areas where they wanted self-management support before the consultation with the COPD nurse. This form comprises 17 items that patients with COPD commonly experience as problems. The control group received usual care (n=108). The primary outcome was patients' satisfaction with quality of care, assessed using the Quality from the Patient's Perspective (QPP) questionnaire. Means and (SD) are presented where applicable. Differences between the intervention and control group were analysed with Student's t-test for independent groups for interval data, and the Mann-Whitney U-test for ordinal data.

RESULTS: Participants in the intervention group were more satisfied with the QPP domains "personal attention", regarding both "Perceived reality" (p=0.021) and "Subjective Importance" (p=0.012). The PRISMS form revealed "Shortness of breath" as the most commonly experienced problem and the issue most desired to discuss.

CONCLUSION: The PRISMS form improved patient satisfaction with quality of care regarding personal attention, which is an important factor in patient participation and improving relationships and communication.

RELEVANCE TO CLINICAL PRACTICE: The PRISMS form can be a useful tool in improving person-centred care when delivering self-management support.

Place, publisher, year, edition, pages
Blackwell Science Ltd., 2020
Keywords
Chronic obstructive pulmonary disease, nursing, patient education, primary care, quality of care, self-management support
National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-80909 (URN)10.1111/jocn.15253 (DOI)000529619900001 ()32220091 (PubMedID)
Note

Funding Agency:

Uppsala-Örebro Regional Research Council

Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2020-05-18Bibliographically approved
Zakrisson, A.-B., Arne, M., Hasselgren, M., Lisspers, K., Ställberg, B. & Theander, K. (2019). A complex intervention of self-management for patients with COPD or CHF in primary care improved performance and satisfaction with regard to own selected activities: a longitudinal follow-up. Journal of Advanced Nursing, 75(1), 175-186
Open this publication in new window or tab >>A complex intervention of self-management for patients with COPD or CHF in primary care improved performance and satisfaction with regard to own selected activities: a longitudinal follow-up
Show others...
2019 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 75, no 1, p. 175-186Article in journal (Refereed) Published
Abstract [en]

AIM: To test a self-management intervention in primary health care for patients with Chronic Obstructive Pulmonary Disease or Chronic Heart Failure on self-efficacy, symptoms, functioning and health.

BACKGROUND: Patients with Chronic Obstructive Pulmonary Disease or Chronic Heart Failure experience often the same symptoms such as shortness of breath, cough, lack of energy, dry mouth, numbness or tingling in hands and feet, pain and sleeping problems.

DESIGN: A multicentre randomized control trial.

METHOD: The trial was conducted with one intervention group (n=73) and one control group (n=77). The trial was performed from September 2013 - September 2015 at nine primary health care centres in three county councils in Sweden. At baseline patients with Chronic Obstructive Pulmonary Disease and Chronic Heart Failure experienced any symptom. Follow-ups were performed after three months and one year. The intervention was structured on Bandura's theory of self-efficacy in six meetings and individual action plans based on personal problems were performed and discussed.

RESULTS: At baseline, there were no differences between the groups except for SF-36 social function. After three months, the intervention group improved performance and satisfaction with regard to own selected activities, otherwise no differences were found.

CONCLUSION: When designing a program, the patient's own difficulties must be taken into consideration if person-centered care is to be established. It is feasible to include both patients with Chronic Obstructive Pulmonary Disease and Chronic Heart Failure in the same group in primary health care. Health care professionals need supervision in pedagogics during intervention in self-management.

Place, publisher, year, edition, pages
Blackwell Publishing, 2019
Keywords
Chronic heart failure, chronic obstructive pulmonary disease, nurses, patient education, primary health care, self-management support
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-70002 (URN)10.1111/jan.13899 (DOI)000453873300019 ()30375028 (PubMedID)2-s2.0-85057336384 (Scopus ID)
Note

Funding Agency:

Uppsala-Orebro Regional Research Council

Available from: 2018-11-06 Created: 2018-11-06 Last updated: 2019-01-08Bibliographically approved
Annika, L., Theander, K., Arne, M., Lisspers, K., Lundh, L., Sandelowsky, H., . . . Zakrisson, A.-B. (2019). Errors in inhaler use related to devices and to inhalation technique among patients with chronic obstructive pulmonary disease in primary health care. Nursing Open, 6(4), 1519-1527
Open this publication in new window or tab >>Errors in inhaler use related to devices and to inhalation technique among patients with chronic obstructive pulmonary disease in primary health care
Show others...
2019 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 6, no 4, p. 1519-1527Article in journal (Refereed) Published
Abstract [en]

Aim: The aim of this study was to describe inhaler use in primary health care patients with chronic obstructive pulmonary disease (COPD) and to categorize these patients into those making errors related to devices, those making errors related to inhalation technique and those making errors related to both.

Design: Observational study. Methods COPD nurses used a checklist to assess the use of inhalers by patients with spirometry-verified COPD (N = 183) from primary healthcare centres. The STROBE checklist has been used.

Results: The mean age of the patients was 71 (SD 9) years. Almost half of them (45%) made at least one error; of these, 50% made errors related to devices, 31% made errors related to inhalation technique and 19% made errors related both to devices and to inhalation technique.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2019
Keywords
administration, inhalation, pulmonary disease, chronic obstructive, dry powder inhalers, inhaler technique, metered-dose inhalers, patient education
National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-76052 (URN)10.1002/nop2.357 (DOI)000481947200001 ()
Note

Funding Agency:

Uppsala-Örebro Regional Research Council 

Available from: 2019-09-05 Created: 2019-09-05 Last updated: 2019-11-22Bibliographically approved
Zakrisson, A.-B., Anerös, T., Eliason, G. & Forsberg, A. (2019). Projekt Region Örebro län: Att använda en mobil app med larm för att motivera till fysisk aktivitet hos patienter med KOL – en mixed method pilot-studie. Lung och Allergi Forum, 32-39
Open this publication in new window or tab >>Projekt Region Örebro län: Att använda en mobil app med larm för att motivera till fysisk aktivitet hos patienter med KOL – en mixed method pilot-studie
2019 (Swedish)In: Lung och Allergi Forum, ISSN 2000-5237, p. 32-39Article in journal (Other academic) Published
Place, publisher, year, edition, pages
Mediahuset i Göteborg AB, 2019
National Category
Respiratory Medicine and Allergy
Identifiers
urn:nbn:se:oru:diva-73737 (URN)
Available from: 2019-04-15 Created: 2019-04-15 Last updated: 2019-04-24Bibliographically approved
Annika, L., Theander, K., Arne, M., Lisspers, K., Lundh, L., Sandelowsky, H., . . . Zakrisson, A.-B. (2018). A descriptive study of incorrect inhalation technique in patients with COPD in primary care. In: : . Paper presented at The International IRW Conference, Groningen, Netherlands, 15 -16 March, 2018.
Open this publication in new window or tab >>A descriptive study of incorrect inhalation technique in patients with COPD in primary care
Show others...
2018 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Respiratory Medicine and Allergy
Identifiers
urn:nbn:se:oru:diva-67265 (URN)
Conference
The International IRW Conference, Groningen, Netherlands, 15 -16 March, 2018
Available from: 2018-06-14 Created: 2018-06-14 Last updated: 2018-06-14Bibliographically approved
Annika, L., Theander, K., Arne, M., Lisspers, K., Lundh, L., Sandelowsky, H., . . . Zakrisson, A.-B. (2018). Description of inhalation technique in patients with COPD in primary care. Paper presented at 28th International Congress of the European-Respiratory-Society (ERS), Paris, France, September 15-19, 2018. European Respiratory Journal, 52(Suppl. 62), Article ID PA2070.
Open this publication in new window or tab >>Description of inhalation technique in patients with COPD in primary care
Show others...
2018 (English)In: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 52, no Suppl. 62, article id PA2070Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

Introduction: A recent systematic review showed that only about one third of the patients had a correct inhalation technique and the number had not improved the last 40 years¹.

Aim: The aim was to describe errors, separated into errors related to devices and errors related to inhalation technique, that occur when patients with COPD inhale medications.

Method: In this descriptive study, patients with a COPD diagnosis were recruited from a randomized controlled trial performed 2015-2016 in primary care in four county councils in Sweden. A COPD nurse assessed the inhalation technique using a checklist with errors related to devices and to inhalation technique with possibility to write additional comments.

Results: In total, 167 patients using 287 inhalers were assessed, 52% (n = 86) were female, mean age 71 years. A total of 163 errors were noted in the checklist, of which 87 were related to inhalation technique and 76 were related to devices. Except from this the COPD nurse had written comments regarding 53 errors that were not included in the checklist. At least one error (range: 1-7 errors) was made by 46% (n = 76) of the patients.

Conclusion: The results show that many patients do not use the device correctly. Both errors related to inhalation technique and related to devices were present. This implies that there is a need to focus on both aspects when teaching patients how to inhale their medication. The checklist used in this study needs to be further improved.

Place, publisher, year, edition, pages
European Respiratory Society, 2018
National Category
Respiratory Medicine and Allergy
Identifiers
urn:nbn:se:oru:diva-72099 (URN)10.1183/13993003.congress-2018.PA2070 (DOI)000455567102275 ()
Conference
28th International Congress of the European-Respiratory-Society (ERS), Paris, France, September 15-19, 2018
Available from: 2019-02-05 Created: 2019-02-05 Last updated: 2019-02-05Bibliographically approved
Annika, L., Theander, K., Arne, M., Lisspers, K., Lundh, L., Sandelowsky, H., . . . Zakrisson, A.-B. (2018). Incorrect inhalation technique is common in patients with COPD in primary care. In: : . Paper presented at 9th IPCRG World Conference, Porto, Portugal, 31 May-2 June, 2018.
Open this publication in new window or tab >>Incorrect inhalation technique is common in patients with COPD in primary care
Show others...
2018 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

The results show that many patients don’t use the inhaler correctly. Errors related to inhalation technique were twice as common as those related to devices. When teaching patients to use the inhalers it seems like there is a need to focus more on the inhalation technique itself. The checklist used in this study needs to be further improved.

National Category
Respiratory Medicine and Allergy
Identifiers
urn:nbn:se:oru:diva-67439 (URN)
Conference
9th IPCRG World Conference, Porto, Portugal, 31 May-2 June, 2018
Available from: 2018-06-21 Created: 2018-06-21 Last updated: 2018-10-08Bibliographically approved
Zakrisson, A.-B., Arne, M., Hasselgren, M., Lisspers, K., Sandelowsky, H., Ställberg, B., . . . Theander, K. (2017). A description of requests for self-management support among patients with COPD in Primary Health Care. Paper presented at European-Respiratory-Society (ERS) International Congress, Milan, Italy, Sep. 9-13, 2017. European Respiratory Journal, 50(Sup. 61), Article ID PA1605.
Open this publication in new window or tab >>A description of requests for self-management support among patients with COPD in Primary Health Care
Show others...
2017 (English)In: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 50, no Sup. 61, article id PA1605Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
European Respiratory Society, 2017
National Category
Respiratory Medicine and Allergy
Identifiers
urn:nbn:se:oru:diva-67266 (URN)10.1183/1393003.congress-2017.PA1605 (DOI)000431748901343 ()
Conference
European-Respiratory-Society (ERS) International Congress, Milan, Italy, Sep. 9-13, 2017
Available from: 2018-06-14 Created: 2018-06-14 Last updated: 2018-06-14Bibliographically approved
Zakrisson, A.-B., Arne, M., Hasselgren, M., Lisspers, K., Lundh, L., Sandelowsky, H., . . . Theander, K. (2017). Improved quality of care by the PRISMS form in supporting self-management in patients with COPD: A Randomized Controlled Trial (RCT). In: : . Paper presented at IPCRG 5th Scientific Meeting, Ljubljana, Slovenia, May 17-18, 2017.
Open this publication in new window or tab >>Improved quality of care by the PRISMS form in supporting self-management in patients with COPD: A Randomized Controlled Trial (RCT)
Show others...
2017 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Patient Report Informing Self-Management Support (PRISMS) could be a useful tool to improve quality of care in supporting self-management. Personal attention is an important part of a person-centered approach.

National Category
Respiratory Medicine and Allergy
Identifiers
urn:nbn:se:oru:diva-67447 (URN)
Conference
IPCRG 5th Scientific Meeting, Ljubljana, Slovenia, May 17-18, 2017
Available from: 2018-06-21 Created: 2018-06-21 Last updated: 2019-04-03Bibliographically approved
Zakrisson, A.-B. (2017). Symptom-reducing actions: a concept analysis in the context of chronic obstructive pulmonary disease. International Journal of Qualitative Studies on Health and Well-being, 12(1), Article ID 1387452.
Open this publication in new window or tab >>Symptom-reducing actions: a concept analysis in the context of chronic obstructive pulmonary disease
2017 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 12, no 1, article id 1387452Article, review/survey (Refereed) Published
Abstract [en]

Patients with Chronic Obstructive Pulmonary Disease (COPD) have multiple symptoms. Nursing care is based on six core competencies and one of them is person-centred care that includes the aspect of professional symptom relief. The aim was to clarify a meaning of the concept of Symptom-reducing actions in the context of COPD. Databases MEDLINE and CINAHL were searched between 1982 and February 2016 and 26 publications were found. Two dictionaries and three books were investigated. The method of Walker & Avant was followed. The use of the concept of Symptom-reducing actions may be categorized by the sub-concepts of supervision, information, and patient education. Exploration of defining attributes was symptom management, instructions, support, motivation, explanation, advice, teaching, and learning. Antecedent occurrences were related to factors that affect the patient's level of function such as physical performance and cognitive function. Symptom-reducing actions offer a way to support patients with COPD in self-management. Symptom-reducing actions can mediate facts in a purposeful process performed by the nurse to enable the patient to take control over and manage unpleasant symptoms by a person-centred, planned process. The nurse can achieve this via supervision, information, and patient education with an integrated emotional component. Evaluating the outcomes is needed.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2017
Keywords
Chronic obstructive pulmonary disease, concept analysis, nursing, person-centred care, self-care, self-management
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:oru:diva-64534 (URN)10.1080/17482631.2017.1387452 (DOI)000419649300001 ()
Available from: 2018-01-25 Created: 2018-01-25 Last updated: 2018-08-14Bibliographically approved
Organisations

Search in DiVA

Show all publications