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Ziegert, Kristina
Publications (7 of 7) Show all publications
Carlsson, I.-M., Ziegert, K. & Nissen, E. (2014). Psychometric properties of the Swedish childbirth self-efficacy inventory (Swe-CBSEI). BMC Pregnancy and Childbirth, 14, 1
Open this publication in new window or tab >>Psychometric properties of the Swedish childbirth self-efficacy inventory (Swe-CBSEI)
2014 (English)In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 14, p. 1-Article in journal (Refereed) Published
Abstract [en]

Background: Previous research has reported that women who are admitted to delivery wards in early labour process before an active stage of labour has started run an increased risk of instrumental deliveries. Therefore, it is essential to focus on factors such as self-efficacy that can enhance a woman's own ability to cope with the first stage of labour. However, there was no Swedish instrument measuring childbirth self-efficacy available. Thus, the aim of the study was to translate the Childbirth Self-efficacy Inventory and to psychometrically test the Swedish version on first-time mothers within the Swedish culture. Methods: The method included a forward-backward translation with face and content validity. The psychometric properties were evaluated using a Principal Component Analysis and by using Cronbach's alpha coefficient and inter-item correlations. Descriptive statistics and non-parametric tests were used to describe and compare the scales. All data were collected from January 2011 to June 2012, from 406 pregnant women during the gestational week 35-42. Results: The Swedish version of the Childbirth Self-Efficacy Inventory indicated good reliability and the Principal Component Analysis showed a three-component structure. The Wilcoxon Signed-Ranks Test indicated that the women could differentiate between the concepts outcome expectancy and self-efficacy expectatancy and between the two labour stages, active stage and the second stage of labour. Conclusions: The Swedish version of Childbirth Self-efficacy Inventory is a reliable and valid instrument. The inventory can act as a tool to identify those women who need extra support and to evaluate the efforts of improving women's self-efficacy during pregnancy.

Place, publisher, year, edition, pages
BioMed Central, 2014
Keywords
Childbirth, Self-efficacy, Instrument development, Psychometric properties, Principal component analysis, Think aloud, Midwifery
National Category
Medical and Health Sciences
Research subject
Obstetrics and Gynaecology
Identifiers
urn:nbn:se:oru:diva-34271 (URN)10.1186/1471-2393-14-1 (DOI)000331213400001 ()
Available from: 2014-03-14 Created: 2014-03-13 Last updated: 2019-06-14Bibliographically approved
Kihlgren, A., Sunnvison, H., Ziegert, K. & Mamhidir, A. G. (2014). Referrals to Emergency departments- The processes and Factors That Influence Decision-Making among Community Nurses. Open Journal of Nursing, 4(5), 366-374
Open this publication in new window or tab >>Referrals to Emergency departments- The processes and Factors That Influence Decision-Making among Community Nurses
2014 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 4, no 5, p. 366-374Article in journal (Refereed) Published
Abstract [en]

The aim of the study was to describe the basis on which municipal care registered nurses (RN) make decisions and their experiences when referring older persons from nursing homes to emergency departments (EDs). RNs in the community are to ensure that older adults receive good care quality in nursing home. This study used a descriptive design with a qualitative content analysis. The analysis of the data from the 13 interviews revealed one theme “Shared responsibilities in the best interests of the older person reduce feelings of insufficiency”. The content was formulated, which revealed the RNs’ feelings, reasoning and factors influencing them and their actions in the decision-making situation, before the patients were referred to an emergency department. Complex illnesses, non-adapted organizations, considerations about what was good and right in order to meet the older person’s needs, taking account of her/his life-world, health, well-being and best interests were reported. Co-worker competencies and open dialogues in the “inner circle” were crucial for the nurses’ confidence in the decision. Hesitation to refer was associated with previous negative reactions from ED professionals. The RN sometimes express that they lacked medical knowledge and were uncertain how to judge the acute illness or changes. Access to the “outer circle”, i.e. physicians and hospital colleagues, was necessary to counteract feelings of insecurity about referrals. When difficult decisions have to be made, not only medical facts but also relationships are of importance. To strengthen the RNs’ and staff members’ competence by means of education seems to be important for avoiding unnecessary referrals. Guidelines and work routine need to be more transparent and referrals due to the lack of resources are not only wasteful but can worsen the older persons’ health.

Keywords
mergency Department, Older Persons, Municipal Care, Registered Nurse, Decision Making
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:oru:diva-35444 (URN)10.4236/ojn.2014.45042 (DOI)
Available from: 2014-06-18 Created: 2014-06-18 Last updated: 2017-12-05Bibliographically approved
Norell [Pejner], M., Ziegert, K. & Kihlgren, A. (2013). Care priorities: registered Nurses' clinical daily work in municipal elderly care settings. Scandinavian Journal of Caring Sciences, 27(2), 388-95
Open this publication in new window or tab >>Care priorities: registered Nurses' clinical daily work in municipal elderly care settings
2013 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 27, no 2, p. 388-95Article in journal (Refereed) Published
Abstract [en]

Care priorities- Registered Nurses' clinical daily work in municipal care settings Common in Swedish elderly home care is that Registered Nurses work independently, and lead the care team without being a part of it. People involved in the care of the patient can be social services, physician, Registered Nurse (RN), nurses in inpatient care and family. In according to current model for nursing documentation RNs interventions is described as participation, information/education, support, environment, general care, training, observation/surveillance, special care drug administration and coordination. Time pressure is perceived as high, but the nurses have the opportunity to influence their daily work situation and make priorities. The purpose of this study was to investigate how RNs prioritise interventions in municipal elderly care settings. A quantitative descriptive method was used for the study. Data were collected during the months of April and October 2004 - 2008, using a web-based form. The nurses filled in patient's type of housing, performed interventions, and if the interventions were delegated. Interventions were described as keywords and were attributed a certain amount of time, calculated in previous time studies. The inclusion criteria were: all patients 80 years of age and older, in a municipality in south-western Sweden, who received some form of health care from a RN, or performed by non-certified staff by delegation. Results indicate that differences in priority could be observed, depending on the patient's gender, or whether the patient was living in independent or sheltered housing. Drug administration was prioritised for female patients, while coordination became a priority for patients living in ordinary housing. Support received the highest priority, regardless if the patient lived in ordinary or sheltered housing. However, it is not entirely clear what support signifies in municipal health care settings, and this issue would therefore require further investigation.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2013
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:oru:diva-29654 (URN)10.1111/j.1471-6712.2012.01051.x (DOI)000318815700023 ()23003218 (PubMedID)2-s2.0-84877795395 (Scopus ID)
Available from: 2013-06-20 Created: 2013-06-20 Last updated: 2017-12-06Bibliographically approved
Norell, M., Ziegert, K. & Kihlgren, A. (2012). Dealing with daily emotions: supportive activities for the elderly in a municipal care setting. International Journal of Qualitative Studies on Health and Well-being, 7, Article ID 9510.
Open this publication in new window or tab >>Dealing with daily emotions: supportive activities for the elderly in a municipal care setting
2012 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 7, article id 9510Article in journal (Refereed) Published
Abstract [en]

There are diverse descriptions of supportive activities in nursing to be found in the literature. What they have in common is their association with good care outcomes, but they may differ depending on the context in which the care is given. In a Swedish municipal elderly care setting, registered nurses (RNs) work in a consultative way and they describe a part of their tasks as comprising supportive activities, without specifying what kind of supportive activities they mean. The aim of the study was to explore the main concern of the support given by RNs to a group of patients in an elderly home care setting. The study was conducted using Grounded Theory. Data were collected using nonparticipant observations regarding the supportive activities of 12 RNs at the home of 36 patients between the ages of 80 and 102 years. Most of the home visit lasted about 40 min but some lasted for 90 min. The central category was about dealing with daily emotions. This was done by encouraging the situation and reducing the patient's limitations, but situations also occurred in which there was a gap of support. Support was about capturing the emotions that the patient expressed for a particular moment, but there were also situations in which RNs chose not to give support. To develop a holistic eldercare, more knowledge is needed about the factors causing the RNs to choose not to provide support on some occasions.

Place, publisher, year, edition, pages
Järfälla, Sweden: Co-Action Publishing, 2012
Keywords
Support, maintaining wellness, municipal care, the elderly
National Category
Nursing
Research subject
Caring sciences
Identifiers
urn:nbn:se:oru:diva-22132 (URN)10.3402/qhw.v7i0.9510 (DOI)000300455000001 ()22312410 (PubMedID)2-s2.0-84875208481 (Scopus ID)
Available from: 2012-03-16 Created: 2012-03-16 Last updated: 2017-12-07Bibliographically approved
Carlsson, I.-M., Ziegert, K., Sahlberg-Blom, E. & Nissen, E. (2012). Maintaining power: women's experiences from labour onset before admittance to maternity ward. Midwifery, 28(1), 86-92
Open this publication in new window or tab >>Maintaining power: women's experiences from labour onset before admittance to maternity ward
2012 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 28, no 1, p. 86-92Article in journal (Refereed) Published
Abstract [en]

Background: in Sweden pregnant women are encouraged to remain at home until the active phase of labour. Recommendation is based on evidence, that women who seek care and are admitted in the latent phase of labour are subjected to more obstetric interventions and suffer more complications than women who remain at home until the active phase of labour. The aim of this study was to obtain a deeper understanding of how women, who remain at home until the active phase of labour, experience the period from labour onset until admission to labour ward.

Method: interviews were conducted with 19 women after they had given birth to their first child. A Constructivist Grounded theory method was used.

Findings: ‘Maintaining power’ was identified as the core category, explaining the women's experience of having enough power, when the labour started. Four related categories: ‘to share the experience with another’, ‘to listen to the rhythm of the body’, ‘to distract oneselfand ‘to be encased in a glass vessel’, explained how the women coped and thereby maintained power.

Conclusions: the first time mothers in this study, who managed to stay at home during the latent phase of labour, had a sense of power that was expressed as a driving force towards the birth, a bodily and mental strength and the right to decide over their own bodies. This implies that women who maintain power have the ability to make choices during the birth process. The professionals need to be sensitive, supportive and respectful to women's own preferences in the health-care encounter, to promote the existing power throughout the birthing process.

Place, publisher, year, edition, pages
Oxon, United Kingdom: Elsevier, 2012
Keywords
Experiences, grounded theory, labour onset, maintaining power
National Category
Nursing
Research subject
Obstetrics and Gynaecology
Identifiers
urn:nbn:se:oru:diva-14078 (URN)10.1016/j.midw.2010.11.011 (DOI)000299324500013 ()21237538 (PubMedID)2-s2.0-84855931014 (Scopus ID)
Available from: 2011-01-19 Created: 2011-01-19 Last updated: 2018-09-07Bibliographically approved
Norell Pejner, M., Ziegert, K. & Kihlgren, A. (2012). Trying to cope with everyday life: emotional support in municipal elderly care setting. International Journal of Qualitative Studies on Health and Well-being, 7, 1-7
Open this publication in new window or tab >>Trying to cope with everyday life: emotional support in municipal elderly care setting
2012 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 7, p. 1-7Article in journal (Refereed) Published
Abstract [en]

Emotional support is considered to be important to older patients because it is a contributing factor to experiencing good health and it has been shown that it can prevent depression after a hip fracture. Opinions differ on whether emotional support falls within the field of nursing, and studies also show that nurses in an elderly home care setting fail when it comes to giving emotional support. The aim of this study was to explore reasons for registered nurses to give emotional support to older patients in a municipal home care setting. The study was conducted using Grounded Theory. Data collection was carried out through interviews with 16 registered nurses. The inclusion criteria were emotional support given to patients aged 80 years and above living in ordinary or sheltered housing and who were in need of help from both the home help service and registered nurses. The results show that the main concern of emotional support was "Trying to relieve the patient from their emotions so they are able to cope with everyday life." This core category illustrates how registered nurses tried to support the patients' own strength, so that they were able to move forward. Registered nurses consider that they could support the patients because they give them access to, or could create access to, their emotions, but there were also times when they felt helplessness and as a result, consciously opted out. The results also indicate that registered nurses were keen to give emotional support. To develop patient-centered elderly care, more knowledge of emotional support and the elderly's need for this support is required.

Place, publisher, year, edition, pages
Järfälla, Sweden: Co-Action Publishing, 2012
Keywords
Support, maintain strength, municipal care, the elderly
National Category
Nursing
Research subject
Caring sciences
Identifiers
urn:nbn:se:oru:diva-29657 (URN)10.3402/qhw.v7i0.19613 (DOI)000312581100001 ()23237630 (PubMedID)2-s2.0-84875190747 (Scopus ID)
Available from: 2013-06-20 Created: 2013-06-20 Last updated: 2017-12-06Bibliographically approved
Pejner, M. N., Ziegert, K. & Kihlgren, A."It's amazing that I can take coverage!": emotional support to a group of older patients in municipal home care setting.
Open this publication in new window or tab >>"It's amazing that I can take coverage!": emotional support to a group of older patients in municipal home care setting
(English)Manuscript (preprint) (Other academic)
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:oru:diva-29658 (URN)
Available from: 2013-06-20 Created: 2013-06-20 Last updated: 2017-10-17Bibliographically approved
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