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Rask, Mikael
Publications (10 of 52) Show all publications
Zhang, M., Ge, L. & Rask, M. (2019). Cross-cultural adaptation and psychometric testing of the Verbal and Social Interaction Questionnaire: A cross-sectional study among nursing students in China. Journal of Clinical Nursing, 28(11-12), 2181-2196
Open this publication in new window or tab >>Cross-cultural adaptation and psychometric testing of the Verbal and Social Interaction Questionnaire: A cross-sectional study among nursing students in China
2019 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 28, no 11-12, p. 2181-2196Article in journal (Refereed) Published
Abstract [en]

Aims and objectives: To develop and validate the Chinese version of Verbal and Social Interaction Questionnaire for Nursing Students. Background: The development of caring interaction skills is particularly important for achieving better nursing student–patient interactions. Nursing students in China, as in most countries, have often failed to establish a caring interaction with their patients. There is a lack of instruments to explore the difficulties and problems in nursing student–patient interactions in China. Design: A descriptive, cross-sectional survey was carried out. Methods: Data for cross-cultural adaptation and psychometric testing purposes were collected between May 10, 2017 and November 11, 2017. Exploratory and confirmatory factor analyses were performed; pilot testing, content validity and reliability were assessed for the translated questionnaire. EQUATOR guidelines for observational studies (strengthening the reporting of observational studies in epidemiology) were applied. Results: 716 nursing students from four universities in China completed the questionnaire. A pilot testing (n = 32) was conducted at a university hospital. The internal consistency reliability and the intra-class correlation coefficients were satisfactory. The overall content validity index was 0.95. Exploratory factor analysis resulted in a four-factor solution, explaining 61.26% of the variance, and the items had factor loadings ranging from 0.46–0.82. The final model's fit indexes were relatively acceptable. Overall, this instrument demonstrated sound psychometric properties. Conclusion: The Chinese version of Verbal and Social Interaction Questionnaire for Nursing Students has a high level of reliability and acceptable content validity. However, some values in the construct validity assessment were lower than was hypothesised, suggesting a need for further model modification. Relevance to clinical practice: This easy-to-use instrument may help nursing educators, clinicians and managers in the assessment and development of students’ interactional skills during their training or student–nurse transition period. Using the questionnaire could both provide the students with a greater understanding of caring interactions and help the nursing educators gain a better comprehension of the students’ verbal, social and interactional skills. © 2019 John Wiley & Sons Ltd

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
caring, cross-cultural adaptation, interaction, nursing students, validity and reliability, adult, article, China, clinician, comprehension, construct validity, content validity, controlled study, correlation coefficient, cross-sectional study, exploratory factor analysis, female, human, internal consistency, major clinical study, male, manager, nursing student, observational study, practice guideline, questionnaire, skill, social interaction, sound, university hospital
National Category
Nursing Psychology
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-82868 (URN)10.1111/jocn.14811 (DOI)000467448000014 ()2-s2.0-85062371118 (Scopus ID)
Available from: 2019-05-23 Created: 2019-05-23 Last updated: 2019-06-04Bibliographically approved
Zheng, Q.-X., Ge, L., Wang, C. C., Ma, Q.-S., Liao, Y.-T., Huang, P.-P., . . . Rask, M. (2019). Robot-assisted therapy for balance function rehabilitation after stroke: A systematic review and meta-analysis. International Journal of Nursing Studies, 95, 7-18
Open this publication in new window or tab >>Robot-assisted therapy for balance function rehabilitation after stroke: A systematic review and meta-analysis
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2019 (English)In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 95, p. 7-18Article in journal (Refereed) Published
Abstract [en]

Objective: To identify the rehabilitative effects of robot-assisted therapy on balance function among stroke patients. Design: A systematic review and meta-analysis of randomized controlled trials. Data sources: Thirteen electronic databases were systematically searched from inception to March 2018: Web of Science, PubMed, EMBase, The Cochrane Library, Science Direct, CINAHL, MEDLINE, AMED, Physiotherapy Evidence Database, SPORTDiscus, WanFang Data, China National Knowledge Infrastructure and Chinese Scientific Journal Database. Review methods: Randomized controlled trials were retrieved for identifying the effects of robot-assisted therapy on balance function among stroke patients. Two authors independently searched databases, screened studies, extracted data, and evaluated the methodological quality and risk bias of each included study. A standardized protocol and data-collection form were used to extract information. Effect size was evaluated by mean difference with corresponding 95% confidence intervals. Methodological quality and risk bias evaluation for each included study followed the quality appraisal criteria for randomized controlled trials that were recommended by Cochrane Handbook. Meta-analysis was conducted by utilizing Review Manager 5.3, a Cochrane Collaboration tool. Data was synthesized with descriptive analysis instead of meta-analysis where comparisons were not possible to be conducted with a meta-analysis. Results: Thirty-one randomized controlled trials with a total of 1249 participants were included. The majority of the included studies contained some methodological flaws. The results of the meta-analysis indicated that robot-assisted therapy produced positive effects on balance function, as shown by an increase in the Berg balance scale score [random effects model, mean difference = 4.64, 95%CI = 3.22–6.06, P<0.01], as well as Fugl-Meyer balance scale scores [fixed effects model, mean difference = 3.57, 95%CI = 2.81–4.34, P<0.01]. After subgroup and sensitivity analyses, the positive effects were not influenced by different types of robotic devices, by whether robot-assisted therapy was combined with another intervention or not, or by differences in duration and intensity of intervention. Conclusion: Evidence in the present systematic review indicates that robot-assisted therapy may produce significantly positive improvements on balance function among stroke patients compared with those not using this method. More multi-center, high-quality and large-scale randomized controlled trials following the guidelines of CONSORT are necessary to generate high-quality evidence in further research. © 2019 Elsevier Ltd

Place, publisher, year, edition, pages
Amsterdam: Elsevier, 2019
Keywords
Balance function, Meta-analysis, Randomized controlled trial, Robot-assisted therapy, Stroke, Systematic review, adult, article, Berg Balance Scale, China, Cinahl, Cochrane Library, drug combination, effect size, Embase, female, human, male, manager, Medline, meta analysis, PEDro, practice guideline, randomized controlled trial (topic), robotics, ScienceDirect, scientific literature, sensitivity analysis, stroke patient, WanFang Database, Web of Science
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-82891 (URN)10.1016/j.ijnurstu.2019.03.015 (DOI)000473380100003 ()31002951 (PubMedID)2-s2.0-85064162113 (Scopus ID)
Available from: 2019-05-23 Created: 2019-05-23 Last updated: 2019-07-23Bibliographically approved
Strand, T., Törnqvist, E., Rask, M. & Roxberg, Å. (2018). An intervention-based study of how MRI is perceived by patients with spinal metastasis after adjustments to the examination procedures. Journal of Radiology Nursing, 37(2), 119-125
Open this publication in new window or tab >>An intervention-based study of how MRI is perceived by patients with spinal metastasis after adjustments to the examination procedures
2018 (English)In: Journal of Radiology Nursing, ISSN 1546-0843, E-ISSN 1555-9912, Vol. 37, no 2, p. 119-125Article in journal (Refereed) Published
Abstract [en]

The aim was to explore magnetic resonance imaging (MRI) experiences of patients with spinal metastasis after adjustments to the examination procedures have been made in accordance with the findings from a previous study. MRI is an important medical technology, which is considered to be the first choice of examination method when diagnosing and evaluating spinal metastatic tumors. It is a challenge to care for patients who experience anxiety and pain during an MRI. However, several aspects of the examination can be adjusted to improve the care for these patients. Findings from previous research were used to develop a care intervention, the effects of which are explored in this study. Qualitative deductive-inductive content analysis was used in this study. Eleven patients with spinal metastasis were interviewed about their experiences of going through an MRI scan based on an intervention designed in accordance with the findings from previous research. The findings showed that adjustments to the examination often were perceived as beneficial. However, patients needed to be involved in the decisions that influenced their own care. Time was an important component that affected the need for being prepared as well as the degree of personalization of the examination. This study shows that patients need to be seen as unique individuals, and they need to be able to influence the care that is given to them. The personalization of and adjustments to the examination routines need to be carried out in agreement with the patient.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
Magnetic resonance imaging, Neoplasm metastasis, Patient experience
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-73037 (URN)10.1016/j.jradnu.2018.02.001 (DOI)
Available from: 2018-04-19 Created: 2018-04-19 Last updated: 2018-06-15Bibliographically approved
Strand, T., Törnqvist, E., Rask, M. & Roxberg, Å. (2018). Caring for patients with spinal metastasis during an MRI examination. Radiography, 24(1), 79-83
Open this publication in new window or tab >>Caring for patients with spinal metastasis during an MRI examination
2018 (English)In: Radiography, ISSN 1078-8174, E-ISSN 1532-2831, Vol. 24, no 1, p. 79-83Article in journal (Refereed) Published
Abstract [en]

Introduction: Magnetic resonance imaging (MRI) is without question the best tool used for diagnosing and evaluating spinal metastasis. An MRI examination is known to be of great value for the treatment planning and survival of these patients. Radiographers have an important role in how the quality of care is experienced by the patients during an MRI examination. The purpose of the study was to describe the radiographers’ perceptions of caring for patients with spinal metastasis during an examination with MRI.

Methods: Phenomenography was used to analyze the data in this study. Ten radiographers, one male and nine females were interviewed about their perception of caring for patients with spinal metastasis during an MRI examination.

Results: The findings showed that the radiographers’ caring perspective influenced their approach towards what they consider to be essential in the care of patients with spinal metastasis. This can impact the extent of the adjustment to the care needs of the patients. Furthermore, the findings showed that there was a strong connection between the radiographers’ care approach and preparedness to personalize the care.

Conclusion: This study shows that it is important to be flexible when providing care for the patients. A person-centered care is achieved when the caring perspective is based on the patient’s view and adjustments are made in agreement with the patient.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
MRI, Nurse-patient interaction, Care giving
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-65561 (URN)10.1016/j.radi.2017.06.001 (DOI)000419239200017 ()29306380 (PubMedID)
Available from: 2017-06-19 Created: 2017-06-19 Last updated: 2019-05-22Bibliographically approved
Gardsten, C., Blomqvist, K., Rask, M., Larsson, Å., Lindberg, A. & Olsson, G. (2018). Challenges in everyday life among recently diagnosed and more experienced adults with type 2 diabetes: A multistage focus group study. Journal of Clinical Nursing, 27(19-20), 3666-3678
Open this publication in new window or tab >>Challenges in everyday life among recently diagnosed and more experienced adults with type 2 diabetes: A multistage focus group study
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2018 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 19-20, p. 3666-3678Article in journal (Refereed) Published
Abstract [en]

Aims and objectivesTo identify perceived challenges related to self-management among recently diagnosed adults and those with longer experience of type 2 diabetes as a foundation for the future development of a person-centred information and communication technology service. BackgroundLearning self-management of type 2 diabetes includes mastering the skills required to complete complex emotional and physical tasks. A service developed with the participation of stakeholders may be an alternative way to meet rising needs for self-management. DesignQualitative descriptive design influenced by a participatory approach. MethodsMultistage focus group interviews among one group of recently diagnosed (3years, n=4) adults and one group with longer experience (5years, n=7) of type 2 diabetes. ResultsChallenges in self-management in everyday life with type 2 diabetes were identified: understanding; developing skills and abilities; and mobilising personal strengths. Both groups described challenges in understanding the causes of fluctuating blood glucose and in developing and mobilising skills for choosing healthful food and eating regularly. The recently diagnosed group was more challenged by learning to accept the diagnosis and becoming motivated to change habits while the experienced group was mainly challenged by issues about complications and medications. ConclusionAdults with diabetes have different needs for support during different phases of the disease. From a person-centred perspective, it would be desirable to meet individual needs for self-management on peoples' own terms through a technological service that could reach and connect to a large number of people. Relevance to clinical practiceDiabetes nurses need to address the knowledge needs of patients with diabetes and support them in developing self-management skills. Consistent with person-centred care, practitioners should also encourage patients' abilities to mobilise their own personal strengths to maintain self-management.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2018
Keywords
chronic illness, focus groups, patient teaching, patient-centred care, self-management, type 2 diabetes
National Category
Nursing
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-78096 (URN)10.1111/jocn.14330 (DOI)000444077000024 ()29495094 (PubMedID)
Available from: 2018-10-01 Created: 2018-10-01 Last updated: 2018-10-01Bibliographically approved
Brunt, D. & Rask, M. (2018). Resident and staff perceptions of the content of their relationship in supported housing facilities for people with psychiatric disabilities. Journal of Multidisciplinary Healthcare, 11, 673-681, Article ID 179322.
Open this publication in new window or tab >>Resident and staff perceptions of the content of their relationship in supported housing facilities for people with psychiatric disabilities
2018 (English)In: Journal of Multidisciplinary Healthcare, ISSN 1178-2390, E-ISSN 1178-2390, Vol. 11, p. 673-681, article id 179322Article in journal (Refereed) Published
Abstract [en]

Background: The work of staff in supported housing facilities for people with psychiatric disabilities has most often been studied from the perspective of one of the two groups but not from both. The staff in these facilities generally come from differing professions, reflecting either the beliefs of the medical or social models of psychiatric care. 

Aim: The aim of the present study was thus to investigate the perceptions of residents and staff of the frequency and the importance of verbal and social interactions in supported housing facilities for people with psychiatric disabilities and to compare these perceptions. A further aim was to investigate whether differences in education background and other sociodemographic factors are reflected in the staff perceptions of these interactions.

Methods: One hundred and eleven residents living in supported housing facilities in Sweden and 223 staff completed the Verbal and Social Interaction Supported Housing questionnaire. 

Results: The results revealed significant differences between the perceptions of the residents and staff on all six categories of interactions, where the staff rated the frequency and importance higher than the residents, but also some similarities in terms of the relative order of the frequency of the categories of interactions. Both the residents and staff perceived that “To build a relationship with a supportive quality” as the most frequently occurring and most important category. The mean levels of importance for all the categories were higher than for the frequency according to both groups. No differences were found between the staff with a medical or social educational background. Similarly, no differences were found in staff perceptions between those with short experience and those with long experience. 

Conclusion: This study is the first survey of its kind and the results indicate the need for reducing the gap between the staff intentions and the residents’ preferences, which could form the basis for in-house training activities. 

Place, publisher, year, edition, pages
Dove Press, 2018
Keywords
Supported Housing, Psychiatric Disability, Residents, Staff, Interactions
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-79284 (URN)10.2147/JMDH.S179322 (DOI)000450389500001 ()30532551 (PubMedID)
Available from: 2018-12-19 Created: 2018-12-19 Last updated: 2019-01-15Bibliographically approved
Brolin, R., Syrén, S., Rask, M., Sandgren, A. & Brunt, D. (2018). Residents' perceptions of the most positive and negative aspects of the housing situation for people with psychiatric disabilities. Scandinavian Journal of Caring Sciences, 32(2), 603-611
Open this publication in new window or tab >>Residents' perceptions of the most positive and negative aspects of the housing situation for people with psychiatric disabilities
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2018 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, no 2, p. 603-611Article in journal (Refereed) Published
Abstract [en]

The major aim of the present study was to explore what people with psychiatric disabilities, living in two different types of housing, consider to be the best and the worst in their housing situation. A secondary aim was to explore to what extent additional questions to a questionnaire with a free-response format can provide complementary information to the previous knowledge in the field. The content analysis revealed that the physical attributes were of great significance for the residents in ordinary housing, while both psychosocial aspects and physical attributes were important for those living in supported housing. When providing good housing solutions for people with psychiatric disabilities, attention needs to be given to these aspects by politicians, policymakers as well as by nursing staff.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2018
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-56282 (URN)10.1111/scs.12485 (DOI)000436254800016 ()
Available from: 2016-09-01 Created: 2016-09-01 Last updated: 2019-01-17Bibliographically approved
Lundqvist, L.-O., Ivarsson, A.-B., Rask, M., Brunt, D. & Schröder, A. (2018). The attendees' view of quality in community-based day centre services for people with psychiatric disabilities.. Scandinavian Journal of Occupational Therapy, 25(3), 162-171
Open this publication in new window or tab >>The attendees' view of quality in community-based day centre services for people with psychiatric disabilities.
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2018 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 25, no 3, p. 162-171Article in journal (Refereed) Published
Abstract [en]

BACKGROUND/AIMS: Community-based day centres in Sweden are well-established arenas for psychiatric rehabilitation, but little is known of the attendees' perception of the quality of the service provided. The aim of the study was thus to describe and investigate the quality of the services in community-based day centre for people with psychiatric disabilities.

METHODS: A sample of 218 attendees in 14 community-based day centre services in Sweden completed the Quality in Psychiatric Care - Daily Activities (QPC-DA).

RESULTS: The results showed that people with psychiatric disabilities perceived the quality of community-based day centre services as high. Most notably, quality of service was rated higher by those with lower educational level, had waited shorter time to attend the centre, and had better mental and physical health. However, particularly aspects of a secluded environment and participation (information) may be areas with potential for improvement.

CONCLUSION/SIGNIFICANCE: From an occupational science perspective, the results adhere to the importance of occupational balance, with periods of rest/privacy during the time at the centre.

Place, publisher, year, edition, pages
Taylor & Francis, 2018
Keywords
Daily activities, occupational balance, participation, quality of care
National Category
Occupational Therapy
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-74283 (URN)10.1080/11038128.2017.1283441 (DOI)000429357900002 ()28145145 (PubMedID)
Available from: 2018-05-09 Created: 2018-05-09 Last updated: 2018-06-28Bibliographically approved
Rask, M., Albinsson, G., Safipour, J., Wenneberg, S., Andersson, L., Carlsson Blomster, M., . . . Lindqvist, G. (2018). Validation of the verbal and social interaction questionnaire for nursing students: the focus of nursing students in their relationship with patients. Journal of Nursing Education and Practice, 8(4), 81-88
Open this publication in new window or tab >>Validation of the verbal and social interaction questionnaire for nursing students: the focus of nursing students in their relationship with patients
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2018 (English)In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 8, no 4, p. 81-88Article in journal (Refereed) Published
Abstract [en]

The Verbal and Social Interaction Nursing Students questionnaire (VSI-NS) has been created to measure the development of verbal, social and interactional skills of nursing students with patients, from their perspective in nursing care. The aim of the present study was to determine the construct validity and internal consistency reliability of the questionnaire. The study had a methodological and developmental design and was carried out in four steps: adjustment of the items, face validity, data collection and data analysis. The number of items was reduced from 48 to 31. The factor analysis of the final 31 items resulted in four quite distinct factors: “Inviting to talk about feelings and thoughts”, “Building a caring relationship”, “Encouraging social and practical aspects in daily life” and “Caring towards health and wellbeing”. The results showed satisfactory psychometric properties in terms of content validity, construct validity and the internal consistency reliability of the questionnaire.  It could be concluded that the original conceptual model could serve as a theoretical foundation to explain and understand nurses’ caring interactions with their patients.

Place, publisher, year, edition, pages
Sciedu Press, 2018
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-69195 (URN)10.5430/jnep.v8n4p81 (DOI)
Available from: 2017-12-12 Created: 2017-12-12 Last updated: 2019-02-22Bibliographically approved
Ge, L., Zheng, Q.-X., Liao, Y.-T., Tan, J.-Y., Xie, Q.-L. & Rask, M. (2017). Effects of traditional Chinese exercises on the rehabilitation of limb function among stroke patients: A systematic review and meta-analysis. Complementary Therapies in Clinical Practice, 29, 35-47
Open this publication in new window or tab >>Effects of traditional Chinese exercises on the rehabilitation of limb function among stroke patients: A systematic review and meta-analysis
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2017 (English)In: Complementary Therapies in Clinical Practice, ISSN 1744-3881, E-ISSN 1873-6947, Vol. 29, p. 35-47Article, review/survey (Refereed) Published
Abstract [en]

Objective: To systematically review literature about the rehabilitative effects of traditional Chinese exercises (TCEs) on limb function among patients with stroke. Methods: Systematic review and meta-analysis of randomized controlled trials (RCTs). Twelve electronic databases were searched from their inceptions to February 2017, including PudMed, The Cochrane Library, Web of Science, EMBase, Science Direct, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, Allied and Complementary Medicine, Chinese Scientific Journal Database, China National Knowledge Infrastructure, Chinese Biomedical Literature Database and WanFang Data. RCTs were located to examine the rehabilitative effects of TCEs on limb function among stroke patients. Two authors independently screened the literature, extracted data and assessed the risk bias of the included studies. Methodological quality evaluation and meta-analysis of included studies was performed by using Cochrane Collaboration's tool (RevMan 5.3). Results: A total of 31 RCTs with 2349 participants were included. Results of meta-analysis showed that TCEs produced positive effects on limb motor function (random effects model, standardized mean difference [SMD] = 1.21, 95% confidence interval [CI] = 0.66 to 1.77, P < 0.01), balance function{Berg balance scale: (random effects model, SMD = 2.07, 95% CI = 1.52 to 2.62, P < 0.01), timed-up-and-go test: (fixed effects model, mean difference [MD] = - 1.77, 95% CI = -2.87 to -0.67, P < 0.01)}, activities of daily living (ADL) ability {Barthel Index scale: (random effects model, MD = 15.60, 95% CI = 7.57 to 23.63, P < 0.01), Modified Barthel Index scale: (random effects model, MD = 12.30, 95% CI = 7.48 to 17.12, P < 0.01)}, and neurological impairment (fixed effects model, MD = -2.57, 95% CI = -3.14 to -2.00, P < 0.01). After subgroup analysis and sensitivity analysis, the positive effects did not be affected by different types of TCEs and different lengths of intervention time. However, TCEs were no benefit to physical function on Short Physical Performance Battery and 2-min Step Test among stroke patients. Conclusion: Current evidence showed that TCEs produced positive effects on limb motor function, balance function, ADL ability and neurological impairment among stroke patients. More large-scale, highquality, multiple center RCTs are required to further verify above conclusions in the future. (C) 2017 Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
Elsevier, 2017
Keywords
Traditional Chinese exercises, Stroke, Limb function, Systematic review, Meta-analysis, Randomized controlled trial
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-69693 (URN)10.1016/j.ctcp.2017.08.005 (DOI)000416166000006 ()29122267 (PubMedID)
Available from: 2018-01-10 Created: 2018-01-10 Last updated: 2019-03-29Bibliographically approved
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