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Årestedt, KristoferORCID iD iconorcid.org/0000-0002-0961-5250
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Publications (10 of 152) Show all publications
Möllerberg, M.-L., Årestedt, K., Sandgren, A., Benzein, E. & Swahnberg, K. (2020). Adaptation and psychometric evaluation of the short version of Family Sense of Coherence Scale in a sample of persons with cancer in the palliative stage and their family members. Palliative & Supportive Care, 18(1), 24-32
Open this publication in new window or tab >>Adaptation and psychometric evaluation of the short version of Family Sense of Coherence Scale in a sample of persons with cancer in the palliative stage and their family members
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2020 (English)In: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. 18, no 1, p. 24-32Article in journal (Refereed) Published
Abstract [en]

Objectives For patients' entire families, it can be challenging to live with cancer during the palliative stage. However, a sense of coherence buffers stress and could help health professionals identify families that require support. Therefore, the short version of the Family Sense of Coherence Scale (FSOC-S) was translated, culturally adapted, and validated in a Swedish sample. Methods Translation and cross-cultural adaptation of the FSOC-S into Swedish was conducted in accordance with the World Health Organization's Process for Translation and Adaptation of Research Instruments guidelines. Participants were recruited from two oncology clinics and two palliative centers in Sweden. Results Content validity was supported by experts (n = 7), persons with cancer (n = 179), and family members (n = 165). Homogeneity among items was satisfactory for persons with cancer and family members (item-total correlations were 0.45-0.70 and 0.55-0.72, respectively) as well as internal consistency (ordinal alpha = 0.91 and 0.91, respectively). Factor analyses supported unidimensionality. FSOC-S correlated (r(s) > 0.3) with hope, anxiety, and symptoms of depression, which supported convergent validity. The test-retest reliability for items ranged between fair and good (k(w) = 0.37-0.61).

Place, publisher, year, edition, pages
Cambridge University Press, 2020
Keywords
cancer, family, sense of coherence, palliative care, validation
National Category
Nursing
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-92866 (URN)10.1017/S1478951519000592 (DOI)000513203900005 ()31495345 (PubMedID)
Available from: 2020-03-12 Created: 2020-03-12 Last updated: 2020-03-12Bibliographically approved
Pucciarelli, G., Årestedt, K., Simeone, S., Bolgeo, T., Alvaro, R. & Vellone, E. (2020). Psychometric characteristics of the WHOQOL-SRPB Scale in a population of stroke survivors and caregivers. Quality of Life Research, 1-13
Open this publication in new window or tab >>Psychometric characteristics of the WHOQOL-SRPB Scale in a population of stroke survivors and caregivers
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2020 (English)In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, p. 1-13Article in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose Studies have shown that spirituality plays an important role in enhancing the quality of life of stroke survivors and their caregivers. Spirituality has been associated with positive patient and caregiver outcomes, so a valid, reliable measure of spirituality is important. It has not been tested with stroke survivors and their caregivers, so the aim of this study was to evaluate the validity and reliability of the World Health Organization Quality of Life Spiritual Religious and Personal Belief (WHOQOL-SRPB) scale for stroke survivors and their caregivers. Methods In this cross-sectional study, 414 stroke survivors at 10 rehabilitation hospitals and 244 caregivers completed the WHOQOL-SRPB. The WHOQOL-SRPB's factorial structure was assessed with confirmatory factor analysis (CFA), criterion-related validity was evaluated with the WHOQOL-BREF, and internal consistency reliability was assessed with Cronbach's alpha and ordinal alpha. Results The CFA results supported the hypothesized eight-factor structure. The stroke survivor and the caregiver versions of the model both had excellent fit indices. The factor loadings for the final models were strong: 0.78-0.98 for stroke survivors and caregivers (p < 0.001). The criterion-related validity for the WHOQOL-SRPB showed weak to moderate correlations with all the WHOQOL-BREF dimensions. Both ordinal alpha and Cronbach's alpha had values more than 0.70. Conclusions The WHOQOL-SRPB scale is a valid, reliable instrument for measuring spirituality in stroke survivors and caregivers. Given the importance of spirituality for stroke survivors and caregivers, the WHOQOL-SRPB scale is recommended as an important tool for clinical practice and research.

Place, publisher, year, edition, pages
Springer, 2020
Keywords
Stroke, Patient, Caregiver, Psychometrics, Reliability, Validity, WHOQOL-SRPB
National Category
Other Health Sciences
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-92854 (URN)10.1007/s11136-020-02446-0 (DOI)000516185500001 ()32065322 (PubMedID)
Available from: 2020-03-12 Created: 2020-03-12 Last updated: 2020-03-12
Lin, C.-Y., Broström, A., Årestedt, K., Mårtensson, J., Steinke, E. E. & Pakpour, A. H. (2020). Using extended theory of planned behavior to determine factors associated with help-seeking behavior of sexual problems in women with heart failure: a longitudinal study. Journal of Psychosomatic Obstetrics and Gynaecology, 41(1), 54-61
Open this publication in new window or tab >>Using extended theory of planned behavior to determine factors associated with help-seeking behavior of sexual problems in women with heart failure: a longitudinal study
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2020 (English)In: Journal of Psychosomatic Obstetrics and Gynaecology, ISSN 0167-482X, E-ISSN 1743-8942, Vol. 41, no 1, p. 54-61Article in journal (Refereed) Published
Abstract [en]

Introduction: This study used extended theory of planned behavior (extended TPB) to understand the underlying factors related to help-seeking behavior for sexual problems among Iranian women with heart failure (HF). Methods: We recruited 758 women (mean age = 61.21 +/- 8.92) with HF at three university-affiliated heart centers in Iran. Attitude, subjective norms, perceived behavioral control, behavioral intention, self-stigma of seeking help, perceived barriers, frequency of planning, help-seeking behavior, and sexual function were assessed at baseline. Sexual function was assessed again after 18 months. Structural equation modeling was used to explain change in sexual functioning after 18 months. Results: Attitude and perceived behavioral control were positively correlated to behavioral intention. Behavioral intention was negatively and self-stigma in seeking help was positively correlated to perceived barriers. Behavioral intention was positively and self-stigma in seeking help was negatively correlated to frequency of planning. Perceived behavioral control, behavior intention, and frequency of planning were positively and self-stigma in seeking help and perceived barriers were negatively correlated to help-seeking behavior. Help-seeking behavior was positive correlated to the change of FSFI latent score. Conclusions: The extended TPB could be used by healthcare professionals to design an appropriate program to treat sexual dysfunction in women with HF.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2020
Keywords
Extended theory of planned behavior, women, heart failure, help-seeking, sexual function
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-93139 (URN)10.1080/0167482X.2019.1572743 (DOI)000518498000005 ()30829094 (PubMedID)
Available from: 2020-03-26 Created: 2020-03-26 Last updated: 2020-03-26Bibliographically approved
Hellström, A., Hagell, P., Broström, A., Ulander, M., Luik, A. I., Espie, C. A. & Årestedt, K. (2019). A classical test theory evaluation of the Sleep Condition Indicator accounting for the ordinal nature of item response data. PLoS ONE, 14(3), 1-13, Article ID e0213533.
Open this publication in new window or tab >>A classical test theory evaluation of the Sleep Condition Indicator accounting for the ordinal nature of item response data
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2019 (English)In: PLoS ONE, E-ISSN 1932-6203, Vol. 14, no 3, p. 1-13, article id e0213533Article in journal (Refereed) Published
Abstract [en]

Background Insomnia symptoms are common among young adults and affect about 5% to 26% of 19 to 34-year-olds. In addition, insomnia is associated with poor mental health and may affect daily performance. In research, as well as in clinical practice, sleep questionnaires are used to screen for and diagnose insomnia. However, most questionnaires are not developed according to current DSM-5 diagnostic criteria. An exception is the recently developed Sleep Condition Indicator (SCI), an eight-item scale screening for insomnia. Aim The aim of this study was to perform a Classical Test Theory (CTT) based psychometric evaluation of the SCI in a sample of Swedish university students, by taking the ordinal nature of item level data into account. Methods The SCI was translated into Swedish and distributed online to undergraduate students at three Swedish universities, within programs of health, psychology, science or economy. Of 3673 invited students, 634 (mean age 26.9 years; SD = 7.4) completed the questionnaire that, in addition to the SCI, comprised other scales on sleep, stress, lifestyle and students' study environment. Data were analyzed according to CTT investigating data completeness, item homogeneity and unidimensionality. Results Polychoric based explorative factor analysis suggested unidimensionality of the SCI, and internal consistency was good (Cronbach's alpha, 0.91; ordinal alpha, 0.94). SCI scores correlated with the Insomnia Severity Index (-0.88) as well as with sleep quality (-0.85) and perceived stress (-0.50), supporting external construct validity. Conclusions These observations support the integrity of the of the SCI. The SCI demonstrates sound CTT-based psychometric properties, supporting its use as an insomnia screening tool.

Place, publisher, year, edition, pages
Public Library of Science, 2019
National Category
Other Health Sciences Psychology
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-81402 (URN)10.1371/journal.pone.0213533 (DOI)000461166300038 ()30870454 (PubMedID)2-s2.0-85062951355 (Scopus ID)
Available from: 2019-03-29 Created: 2019-03-29 Last updated: 2020-01-16Bibliographically approved
Danielsson, M., Nilsen, P., Rutberg, H. & Årestedt, K. (2019). A national study of patient safety culture in hospitals in Sweden. Journal of patient safety, 15(4), 328-333
Open this publication in new window or tab >>A national study of patient safety culture in hospitals in Sweden
2019 (English)In: Journal of patient safety, ISSN 1549-8417, E-ISSN 1549-8425, Vol. 15, no 4, p. 328-333Article in journal (Refereed) Published
Abstract [en]

Objective Using the Hospital Survey on Patient Culture, our aim was to investigate the patient safety culture in all Swedish hospitals and to compare the culture among managers, physicians, registered nurses, and enrolled nurses and to identify factors associated with high overall patient safety.

Methods The study used a correlational design based on cross-sectional surveys from health care practitioners in Swedish health care (N = 23,781). We analyzed the associations between overall patient safety (outcome variable) and 12 culture dimensions and 5 background characteristics (explanatory variables). Simple logistic regression analyses were conducted to determine the bivariate association between each explanatory variable and the outcome variable. The explanatory variables were entered to determine the multivariate associations between the variables and the outcome variable.

Results The highest rated culture dimensions were “teamwork within units” and “nonpunitive response to error,” and the lowest rated dimensions were “management support for patient safety” and “staffing.” The multivariate analysis showed that long professional experience (>15 years) was associated with increased probability for high overall patient safety. Compared with general wards, the probability for high overall patient safety was higher for emergency care but lower for psychiatric care. The probability for high overall patient safety was higher for both enrolled nurses and physicians compared with managers.

Conclusions The safety culture dimensions of the Hospital Survey on Patient Culture contributed far more to overall patient safety than the background characteristics, suggesting that these dimensions are very important in efforts to improve the overall patient safety culture.

Place, publisher, year, edition, pages
Wolters Kluwer, 2019
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-74271 (URN)10.1097/PTS.0000000000000369 (DOI)000501824500041 ()28234728 (PubMedID)
Available from: 2018-05-09 Created: 2018-05-09 Last updated: 2020-01-10Bibliographically approved
Holm, M., Årestedt, K. & Alvariza, A. (2019). Associations between Predeath and Postdeath Grief in Family Caregivers in Palliative Home Care. Journal of Palliative Medicine, 22(12)
Open this publication in new window or tab >>Associations between Predeath and Postdeath Grief in Family Caregivers in Palliative Home Care
2019 (English)In: Journal of Palliative Medicine, ISSN 1096-6218, E-ISSN 1557-7740, Vol. 22, no 12Article in journal (Refereed) Published
Abstract [en]

Background: Family caregivers in palliative care may be placed in a complicated emotional situation wherein they suffer the risk of grief reactions both pre- and postbereavement and may also experience symptoms of anxiety and depression. Objective: The aim of this study was to investigate (1) associations between predeath grief and postdeath grief and (2) whether these are moderated by symptoms of anxiety and depression. Design: This was a prospective correlational study. Linear regression analysis in three blocks was used to investigate associations between pre- and postdeath grief and moderation effects of anxiety and depression. Postdeath grief was used as the outcome variable and predeath grief was used as the explanatory variable in block I. The moderator variables, symptoms of anxiety, and symptoms of depression were added as covariates in block II. A multiplicative interaction term between predeath grief and anxiety/depression was added to the model in block III. Setting/Subjects: Data were collected at 10 facilities specialized in palliative home care where health care professionals provided advanced care to patients with various diagnoses in their own homes. Measurements: The anticipatory grief scale and the Texas Revised Inventory of Grief were used to measure pre- and postdeath grief, respectively. To measure symptoms of anxiety and depression, the Hospital Anxiety and Depression scale was used. Results: A total of 128 family caregivers were included. Significant associations were found between predeath grief and postdeath grief and this association remained when controlled against symptoms of anxiety or depression. We found no moderation effect of anxiety or depression on the association between pre- and postdeath grief. Conclusions: In conclusion, grief before and after an expected death can be regarded as parts of the same grief process. Hence, knowing the intensity of predeath grief could be a way to predict the levels of postdeath grief.

Place, publisher, year, edition, pages
Mary Ann Liebert, 2019
Keywords
family caregivers, grief, palliative care
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-87066 (URN)10.1089/jpm.2019.0026 (DOI)000475716700001 ()31225778 (PubMedID)
Available from: 2019-08-01 Created: 2019-08-01 Last updated: 2019-12-06Bibliographically approved
Ericsson, C., Skagerström, J., Schildmeijer, K., Årestedt, K., Anders, B., Pakpour, A. & Per, N. (2019). Can patients contribute to safer care in meetings with healthcare professionals?: A cross-sectional survey of patient perceptions and beliefs. BMJ Quality and Safety, 28(8), 657-666
Open this publication in new window or tab >>Can patients contribute to safer care in meetings with healthcare professionals?: A cross-sectional survey of patient perceptions and beliefs
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2019 (English)In: BMJ Quality and Safety, ISSN 2044-5415, E-ISSN 2044-5423, Vol. 28, no 8, p. 657-666Article in journal (Refereed) Published
Abstract [en]

Objectives To investigate patients’ perceptions of their meetings with healthcare professionals and the extent to which they believe they can influence patient safety in these meetings.

Design Cross-sectional survey of patients using a study-specific questionnaire. Data were analysed using both parametric and non-parametric statistics.

Setting The study was conducted in primary and secondary care in three county councils in southeast Sweden by means of a survey questionnaire despatched in January 2017.

Participants Survey data were collected from 1445 patients, 333 of whom were complainants (patients who had filed a complaint about being harmed in healthcare) and 1112 regular patients (patients recruited from healthcare units).

Main outcome measures Patients’ perceptions of meetings with physicians and nurses, beliefs concerning patients’ contributions to safer care and whether the patients had suffered harm in healthcare during the past 10 years.

Results Most respondents reported that it was easy to ask physicians and nurses questions (84.9% and 86.6%) and to point out if something felt odd in their care (77.7% and 80.7%). In general, complainants agreed to a higher extent compared with regular patients that patients can contribute to safer care (mean 1.92 and 2.13, p<0.001). Almost one-third (31.2%) of the respondents (both complainants and regular patients) reported that they had suffered harm in healthcare during the past 10 years.

Conclusions Most respondents believed that healthcare professionals can facilitate patient interaction and increase patient safety by encouraging patients to ask questions and take an active part in their care. Further research will need to identify strategies to support such questioning in routine practice and ensure that it achieves its intended goals.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2019
Keywords
patient safety, patient satisfaction, adverse events, epidemiology and detection, medical error, measurement, epidemiology
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-82217 (URN)10.1136/bmjqs-2018-008524 (DOI)000477894500008 ()31018984 (PubMedID)2-s2.0-85065298242 (Scopus ID)
Available from: 2019-04-25 Created: 2019-04-25 Last updated: 2019-08-29Bibliographically approved
Mattisson, M., Johnson, C., Börjeson, S., Årestedt, K. & Lindberg, M. (2019). Development and content validation of the Telenursing Interaction and Satisfaction Questionnaire (TISQ). Health Expectations, 22(6), 1213-1222
Open this publication in new window or tab >>Development and content validation of the Telenursing Interaction and Satisfaction Questionnaire (TISQ)
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2019 (English)In: Health Expectations, ISSN 1369-6513, E-ISSN 1369-7625, Vol. 22, no 6, p. 1213-1222Article in journal (Refereed) Published
Abstract [en]

Background Caller satisfaction with telephone advice nursing (TAN) is generally high, and the interaction is essential. However, a valid questionnaire exploring caller satisfaction in TAN with focus on perceived interaction is lacking. Objective To develop and assess content validity and test-retest reliability of a theoretically anchored questionnaire, the Telenursing Interaction and Satisfaction Questionnaire (TISQ), that explores caller satisfaction in TAN by focusing on perceived interaction between the caller and the telenurse. Methods The study was performed in three stages. First, variables relevant for patient satisfaction in health care were identified through a literature search. Variables were then structured according to the Interaction Model of Client Health Behavior (IMCHB), which provided theoretical guidance. Items relevant for a TAN context were developed through consensus discussions. Then, evaluation and refinement were performed through cognitive interviews with callers and expert ratings of the Content Validity Index (CVI). Finally, test-retest reliability of items was evaluated in a sample of 109 individuals using intraclass correlation coefficients (ICC). Results The TISQ consists of 60 items. Twenty items cover perceived interaction in terms of health information, affective support, decisional control and professional/technical competence. Five items cover satisfaction with interaction and five items overall satisfaction. Remaining items reflect singularity of the caller and descriptive items of the call. The TISQ was found to exhibit good content validity, and test-retest reliability was moderate to good (ICC = 0.39-0.84). Conclusions The items in the TISQ form a comprehensive and theoretically anchored questionnaire with satisfactory content validity and test-retest reliability.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
communication, content validity, nurse-patient relations, patient experiences, patient satisfaction, surveys and questionnaires, telenursing
National Category
Nursing
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-89415 (URN)10.1111/hex.12945 (DOI)000486250400001 ()31513328 (PubMedID)
Available from: 2019-10-03 Created: 2019-10-03 Last updated: 2019-12-06Bibliographically approved
Waldréus, N., Jaarsma, T., Ivarsson, B., Strömberg, A., Årestedt, K. & Kjellström, B. (2019). Development and validation of a questionnaire to measure patient's experiences of health care in pulmonary arterial hypertension outpatient clinics. Heart, Lung and Circulation, 28(7), 1074-1081
Open this publication in new window or tab >>Development and validation of a questionnaire to measure patient's experiences of health care in pulmonary arterial hypertension outpatient clinics
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2019 (English)In: Heart, Lung and Circulation, ISSN 1443-9506, E-ISSN 1444-2892, Vol. 28, no 7, p. 1074-1081Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Measuring the patients' experience of care at an outpatient clinic can provide feedback about the quality of health care and if needed, can be support for quality improvements. To date, there is no patient reported experience measurement (PREM) developed targeting patients at the pulmonary arterial hypertension (PAH) outpatient clinics. Therefore, the aim was to develop and evaluate the psychometric properties of a PREM scale to be used for patients at PAH-outpatient clinics.

METHODS: The development and psychometric evaluation of the PREM for patients at PAH outpatient clinics followed two stages: (I) development of the PAH Clinic PREM (PAHC-PREM) scale based on interviews with patients; and (II) psychometric evaluation of the PAHC-PREM scale including data quality, factor structure (construct validity), criterion validity and internal consistency.

RESULTS: A sample of 156 patients at PAH outpatient clinics completed the PAHC-PREM scale (median age 69 years, 57% women). Unidimensionality of the PAHC-PREM scale was supported by parallel analysis. A single factor explained 67% of the variance. Inter-item and item-total correlations were satisfactory (0.46-0.88 and 0.64-0.91, respectively). Internal consistency reliability with ordinal coefficient alpha was good (0.93).

CONCLUSIONS: The PAHC-PREM scale was demonstrated to have good psychometric properties and is now ready to be used to measure quality of health care experience from patients at PAH-outpatient clinics.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Chronic disease, Patient reported experience measurement, Pulmonary arterial hypertension, Quality of health care
National Category
Cardiac and Cardiovascular Systems Nursing
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-82984 (URN)10.1016/j.hlc.2018.07.011 (DOI)000470117200017 ()30139595 (PubMedID)2-s2.0-85051704199 (Scopus ID)
Available from: 2019-05-23 Created: 2019-05-23 Last updated: 2019-08-29Bibliographically approved
Israelsson, J., Persson, C., Bremer, A., Strömberg, A. & Årestedt, K. (2019). Dyadic effects of type D personality and perceived control on health-related quality of life in cardiac arrest survivors and their spouses using the actor–partner interdependence model. European Journal of Cardiovascular Nursing, 1-8
Open this publication in new window or tab >>Dyadic effects of type D personality and perceived control on health-related quality of life in cardiac arrest survivors and their spouses using the actor–partner interdependence model
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2019 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, p. 1-8Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: There is a lack of knowledge about factors associated with health-related quality of life in cardiac arrest survivors and their spouses. In addition, survivors and spouses are likely to affect each other’s health-related quality of life.

Aims: The aim was to investigate if a distressed personality and perceived control among cardiac arrest survivors and their spouses were associated with their own and their partner’s health-related quality of life.

Methods: This dyadic cross-sectional study used the actor–partner interdependence model to analyse associations between a distressed personality (type D personality), perceived control (control attitudes scale), and health-related quality of life (EQ index and EQ visual analogue scale).

Results: In total, 126 dyads were included in the study. Type D personality and perceived control in cardiac arrest survivors were associated with their own health-related quality of life. In their spouses, a significant association was found for type D personality but not for perceived control. In addition, type D personality and perceived control in survivors were associated with health-related quality of life in their spouses.

Conclusions: Type D personality and perceived control are factors that might be considered during post cardiac arrest, because of the associations with health-related quality of life in survivors and spouses. More research is needed to test psychosocial interventions in the cardiac arrest population in order to improve health-related quality of life.

Place, publisher, year, edition, pages
Sage Publications, 2019
Keywords
Heart arrest, Survivor, Partner, Health, Quality of life, Dyads
National Category
Cardiac and Cardiovascular Systems
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-90228 (URN)10.1177/1474515119890466 (DOI)000498130000001 ()31752502 (PubMedID)
Available from: 2019-11-22 Created: 2019-11-22 Last updated: 2020-03-13
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ORCID iD: ORCID iD iconorcid.org/0000-0002-0961-5250

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