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Rosenburg, M., Tuvesson, H., Lindqvist, G., Brudin, L. & Fagerström, C. (2024). Associations between self-care advice and healing time in patients with venous leg ulcer – a Swedish registry-based study. BMC Geriatrics, 24(1), Article ID 124.
Open this publication in new window or tab >>Associations between self-care advice and healing time in patients with venous leg ulcer – a Swedish registry-based study
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2024 (English)In: BMC Geriatrics, E-ISSN 1471-2318, Vol. 24, no 1, article id 124Article in journal (Refereed) Published
Abstract [en]

Background Venous leg ulcers take time to heal. It is advocated that physical activity plays a role in healing, and so does the patient’s nutritional status. Additionally, malnutrition influences the inflammatory processes, which extends the healing time. Therefore, the staff’s advising role is important for patient outcomes. Thus, this study aimed to investigate the associations between given self-care advice and healing time in patients with venous leg ulcers while controlling for demographic and ulcer-related factors.

Methods The sample consisted of patients registered in the Registry of Ulcer Treatment (RUT) which includes patient and ulcer-related and healing variables. The data was analyzed with descriptive statistics. Logistic regression models were performed to investigate the influence of self-care advice on healing time.

Results No associations between shorter healing time (less than 70 days) and the staff´s self-care advice on physical activity was identified, whilst pain (OR 1.90, CI 1.32–2.42, p < 0.001) and giving of nutrition advice (OR 1.55, CI 1.12–2.15, p = 0.009) showed an association with longer healing time.

Conclusions Neither self-care advice on nutrition and/or physical activity indicated to have a positive association with shorter healing time. However, information and counseling might not be enough. We emphasize the importance of continuously and systematically following up given advice throughout ulcer management, not only when having complicated ulcers.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2024
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-127439 (URN)10.1186/s12877-024-04660-8 (DOI)001155895500003 ()2-s2.0-85183682041 (Scopus ID)
Funder
Linnaeus University
Available from: 2024-02-02 Created: 2024-02-02 Last updated: 2024-02-20Bibliographically approved
Säll-Hansson, K., Lindqvist, G., Stening, K., Fohlman, J., Wojanowski, A., Ponten, M., . . . Elmqvist, C. (2023). Efficacy of mecobalamin (vitamin B12) in the treatment of long-term pain in women diagnosed with fibromyalgia: protocol for a randomised, placebo-controlled trial. BMJ Open, 13(3), Article ID e066987.
Open this publication in new window or tab >>Efficacy of mecobalamin (vitamin B12) in the treatment of long-term pain in women diagnosed with fibromyalgia: protocol for a randomised, placebo-controlled trial
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2023 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 13, no 3, article id e066987Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Fibromyalgia causes long-term pain. It affects at least 2% of the population, the majority being women. In addition, extended symptoms corresponding to vitamin B12 deficiency occur. Findings from several studies have indicated that vitamin B12 may be a possible treatment for pain in fibromyalgia. The aim of the proposed study is to evaluate whether vitamin B12 decreases pain sensitivity and the experience of pain (ie, hyperalgesia and allodynia) in women with fibromyalgia.

METHODS AND ANALYSIS: The study is a randomised, placebo-controlled, single-blind, clinical trial with two parallel groups which are administered mecobalamin (vitamin B12) or placebo over 12 weeks. 40 Swedish women aged 20-70 years with an earlier recorded diagnosis of fibromyalgia are randomised into the placebo group or the treatment group, each consisting of 20 participants. Outcomes consist of questionnaires measured at baseline and after 12 weeks of treatment. A final re-evaluation will then follow 12 weeks after treatment ends. The primary outcome is tolerance time, maximised to 3 min, which is assessed using the cold pressor test. In order to broaden the understanding of the lived experience of participants, qualitative interviews will be conducted using a phenomenological approach on a lifeworld theoretical basis (reflective lifeworld research approach).

ETHICS AND DISSEMINATION: The protocol for the study is approved by the local ethical committee at Linkoping (EPM; 2018/294-31, appendices 2019-00347 and 2020-04482). The principles of the Helsinki Declaration are followed regarding oral and written consent to participate, confidentiality and the possibility to withdraw participation from the study at any time. The results will primarily be communicated through peer-reviewed journals and conferences.

TRIAL REGISTRATION NUMBER: NCT05008042.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2023
Keywords
Complementary medicine, Clinical trials, Pain management, Qualitative research, Statistics & research methods
National Category
Pharmacology and Toxicology
Research subject
Biomedical Sciences, Pharmacology
Identifiers
urn:nbn:se:lnu:diva-120456 (URN)10.1136/bmjopen-2022-066987 (DOI)000991985100022 ()36997252 (PubMedID)2-s2.0-85151316549 (Scopus ID)
Available from: 2023-04-28 Created: 2023-04-28 Last updated: 2023-12-18Bibliographically approved
Rosenburg, M., Lindqvist, G., Tuvesson, H. & Fagerström, C. (2023). Experiences of undergoing venous leg ulcer management: A reflective lifeworld research study. International Wound Journal, 20(6), 1857-1865
Open this publication in new window or tab >>Experiences of undergoing venous leg ulcer management: A reflective lifeworld research study
2023 (English)In: International Wound Journal, ISSN 1742-4801, E-ISSN 1742-481X, Vol. 20, no 6, p. 1857-1865Article in journal (Refereed) Published
Abstract [en]

Venous leg ulcers have multiple consequences for the patient. Ulcer management can be lengthy and recurrence is common. As the patient is the expert on their experiences and life, the aim of the present study was to describe patients' lived experiences of undergoing management for a venous leg ulcer. The study encompassed 16 phenomenological interviews. The analysis led to a description of the phenomenon's essence, further described by three constituents. The essential meaning of the phenomenon is described as being in an oscillation between hope and despair. Ulcer management is challenging for the patient, who feels unseen and lives with doubts during the management period. This study is considered enriching as it puts words to the patients' suffering during ulcer management and shows that reliable relationships and competence can reduce patient doubts. This knowledge should enable improvement of patient care and treatment during ulcer management.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-117730 (URN)10.1111/iwj.14044 (DOI)000914185900001 ()36457152 (PubMedID)2-s2.0-85143762876 (Scopus ID)
Funder
The Kamprad Family Foundation, 20190132
Available from: 2022-12-02 Created: 2022-12-02 Last updated: 2023-09-19Bibliographically approved
Carlsson Blomster, M., Rask, M. & Lindqvist, G. (2023). First Semester Nursing Student Perceptions of Their Knowledge of and Difficulties in Performing Supportive Caring Actions. Quality Advancement in Nursing Education - Avancées en formation infirmière, 9(2), Article ID 7.
Open this publication in new window or tab >>First Semester Nursing Student Perceptions of Their Knowledge of and Difficulties in Performing Supportive Caring Actions
2023 (English)In: Quality Advancement in Nursing Education - Avancées en formation infirmière, E-ISSN 2368-6669, Vol. 9, no 2, article id 7Article in journal (Refereed) Published
Abstract [en]

Students in nursing education do not need to have any experience of having worked in healthcare prior to entering the programme. A total of 123 students rated their perceived knowledge and degree of difficulty in performing supportive caring actions during the first semester of their nursing education. The study, which has a descriptive approach, has been carried out using the Verbal and Social Interaction for Nursing Students (VSI-NS) questionnaire that contains four factors: Inviting to talk about feeling and thoughts, Building a caring relationship, Encouraging social and practical aspects in daily life and Caring towards health and well-being. The results of the study showed that the nursing students rated a high level of knowledge about supportive caring actions, but that these could be difficult to perform. The only significant difference was between male and female nursing students, where the male nursing students considered that it was more difficult to create a caring relationship than their female counterparts.

Abstract [fr]

Les étudiantes et étudiants en sciences infirmières n'ont pas d’expérience de travail dans un milieu de santé avant d'entrer dans le programme. Une étude auprès de 123 d’entre eux a permis de collecter des données quant à leurs connaissances perçues et à leur degré de difficulté à effectuer des actions de soins de soutien au cours du premier semestre de leur formation en sciences infirmières. L’étude descriptive a été menée en utilisant le questionnaire Verbal and Social Interaction for Nursing Students (VSI-NS), qui comprend quatre dimensions : inviter à parler de ses sentiments et de ses pensées, établir une relation de caring, promouvoir les aspects sociaux et pratiques de la vie quotidienne et prendre soin de sa santé et de son bien-être. Les résultats de l'étude ont montré que les étudiantes et étudiants en sciences infirmières percevaient qu’ils avaient un niveau élevé de connaissances sur les actions de soins de soutien, mais que ces actions pouvaient être difficiles à mettre en œuvre. La seule différence significative identifiée était entre les étudiants hommes et les étudiantes femmes; les étudiants hommes trouvaient plus difficiles que les étudiantes femmes d’établir une relation de caring.

Place, publisher, year, edition, pages
Canadian Association of Schools of Nursing, 2023
National Category
Learning Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-124055 (URN)10.17483/2368-6669.1407 (DOI)2-s2.0-85174542356 (Scopus ID)
Available from: 2023-09-05 Created: 2023-09-05 Last updated: 2023-12-18Bibliographically approved
Koldestam, M., Rolander, B., Broström, A., Lindqvist, G. & Knutsson, S. (2023). Undergraduate nursing student's attitudes to learning during clinical practice in different semesters when using a conceptual learning model grounded in a caritative caring perspective – A cross-sectional study. Scandinavian Journal of Caring Sciences
Open this publication in new window or tab >>Undergraduate nursing student's attitudes to learning during clinical practice in different semesters when using a conceptual learning model grounded in a caritative caring perspective – A cross-sectional study
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2023 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Epub ahead of print
Abstract [en]

Aim:To describe undergraduate nursing students' attitudes to learning during clinical practice in different semesters when using the conceptual learning model, Model for Improvements in Learning Outcomes (MILO) grounded in a caritative caring perspective.

Background: With the intention to support interlinking between theory and praxis and offer understanding and structure to facilitate learning, MILO, theoretically grounded in hermeneutics and a caritative caring perspective based on ethical values, was implemented. MILO consists of four contextual concepts (peer learning, co-clinical teachers, student-centred and student-active supervision) and four intrapersonal concepts (nursing, a reflective approach, a critical approach, quality and safety).

Methods: A descriptive comparative quantitative study design was applied at a Swedish university, 3 hospitals and 13 municipalities in one county. Cross-sectional data collected via a questionnaire developed to assess attitudes to learning related to MILO's contextual and intrapersonal concepts and their applications were used.

Results: 209 students in semester 3, 4 and 6 participated in 6 different clinical practice courses. In comparison, intrapersonal concepts, that is, the student's own characteristics and abilities were viewed to be of greater value for learning than contextual, that is, organisational-related concepts in all semesters. Understanding the needs of others and reflective learning were rated to be of major importance. Students in semester 3 valued the use of the applications the highest. To be supervised in pairs was rated the lowest in semester 6. Some of the concepts and their applications were to great extent not applied.

Conclusions: In all semesters, fundamentals in caritative caring and characteristics and abilities related to the individual student were rated to be of greater importance for learning than environmental support. Providing students opportunities to develop independency seems essential. Use of a learning model such as MILO is dependent on a bearing of a caritative caring culture and a shared understanding between all involved in student learning during clinical practice.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
attitudes, caring culture, caritas, clinical practice, concepts, implementation, learning, learning models, questionnaire
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-125873 (URN)10.1111/scs.13229 (DOI)001111904700001 ()2-s2.0-85178389357 (Scopus ID)
Funder
Futurum - Academy for Health and Care, Jönköping County Council, Sweden
Available from: 2023-12-04 Created: 2023-12-04 Last updated: 2023-12-18
Knutsson, S., Axelsson, J. & Lindqvist, G. (2022). An application of the caritative caring approach - nursing students' experiences of practising caring and uncaring encounters by simulation at a clinical training centre. International Journal of Qualitative Studies on Health and Well-being, 17(1), Article ID 2100610.
Open this publication in new window or tab >>An application of the caritative caring approach - nursing students' experiences of practising caring and uncaring encounters by simulation at a clinical training centre
2022 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 17, no 1, article id 2100610Article in journal (Refereed) Published
Abstract [en]

Purpose Nurses' lack of competence to be caring affects patients' health and patients describe a desire for more individual and compassionate care. Nursing education tends, however, to focus less on the caring approach in nursing practice and more on developing knowledge in psychomotor skills. The aim of this study was to describe nursing students' experiences of simulating caring and uncaring encounters founded on the caritative perspective at a Clinical Training Centre (CTC). Method A qualitative, inductive approach using a qualitative latent content analysis. Written reflections of 49 students were analysed. Findings By intertwining reflection with acting and observation, the students experienced that they achieved an open mind and gained an understanding of how important it was to treat the patient based on a caring approach. To act, first uncaring and thereafter caring, gave them an awakening. The students were touched and an overwhelming feeling of suddenly understanding human uniqueness and vulnerability appeared. Conclusions To simulate caritative caring and uncaring encounters at the CTC enhanced students' knowledge and understanding about caring and strengthened their prerequisites to acquire a caritative ontological basic view and attitude which in the long run may lead to an increased feeling of patient well-being in the encounter.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2022
Keywords
Caring, encounters, nursing education, clinical training centre
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-115609 (URN)10.1080/17482631.2022.2100610 (DOI)000824344600001 ()35822434 (PubMedID)2-s2.0-85133932231 (Scopus ID)
Available from: 2022-08-03 Created: 2022-08-03 Last updated: 2023-12-18Bibliographically approved
Rosenburg, M., Fagerström, C., Tuvesson, H. & Lindqvist, G. (2022). Daily life after healing of a venous leg ulcer: A lifeworld phenomenological study. International Journal of Qualitative Studies on Health and Well-being, 17(1), Article ID 2054080.
Open this publication in new window or tab >>Daily life after healing of a venous leg ulcer: A lifeworld phenomenological study
2022 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 17, no 1, article id 2054080Article in journal (Refereed) Published
Abstract [en]

PURPOSE

Venous leg ulcer is a recognized condition, affecting people globally. Ulcers mainly affect the elderly and recurrences are not uncommon. There is knowledge about life with venous leg ulcers, but the situation after healing is unexplored. This paper explores and describes meanings of experiences of daily life after healing of a hard-to-heal venous leg ulcer.

METHODS

Lived experiences of 15 individuals with healed hard-to-heal venous leg ulcers generated data for this study. Interviews were recorded for analysis using a reflective lifeworld research approach. An essence emerged, further described by its constituents.

RESULTS

Memories of a difficult time with leg ulcer were ever present, in a way becoming part of the self. A striving for control in daily life entailed a struggle to do what was best for the own body. After healing, a new normal emerged in daily life, a reality that encompassed the risk for a new ulcer. The body had changed physically, with marks alongside those from ageing, in a life that still went on.

CONCLUSIONS

For those who had healed from a venous leg ulcer, life had changed. Even if they referred to life as normal, it was not the same normal as before.

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
life change events, life experiences, qualitative research, varicose ulcer, wound healing
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-110904 (URN)10.1080/17482631.2022.2054080 (DOI)000771405800001 ()35306967 (PubMedID)2-s2.0-85126794673 (Scopus ID)2022 (Local ID)2022 (Archive number)2022 (OAI)
Funder
The Kamprad Family Foundation
Available from: 2022-03-21 Created: 2022-03-21 Last updated: 2023-04-20Bibliographically approved
Ekstedt, M., Kirsebom, M., Lindqvist, G., Kneck, Å., Frykholm, O., Flink, M. & Wannheden, C. (2022). Design and Development of an eHealth Service for Collaborative Self-Management among Older Adults with Chronic Diseases: A Theory-Driven User-Centered Approach. International Journal of Environmental Research and Public Health, 19(1), Article ID 391.
Open this publication in new window or tab >>Design and Development of an eHealth Service for Collaborative Self-Management among Older Adults with Chronic Diseases: A Theory-Driven User-Centered Approach
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2022 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 1, article id 391Article in journal (Refereed) Published
Abstract [en]

The increasing prevalence of chronic conditions and multimorbidity poses great challenges to healthcare systems. As patients' engagement in self-managing their chronic conditions becomes increasingly important, eHealth interventions are a promising resource for the provision of adequate and timely support. However, there is inconclusive evidence about how to design eHealth services to meet the complex needs of patients. This study applied an evidence-based and theory-informed user-centered design approach in three phases to identify the needs of older adults and healthcare professionals in the collaborative management of multimorbidity (phase 1), develop an eHealth service to address these needs (phase 2), and test the feasibility and acceptance of the eHealth service in a clinical setting (phase 3). Twenty-two user needs were identified and a web-based application-ePATH (electronic Patient Activation in Treatment at Home)-with separate user interfaces for patients and healthcare professionals was developed. The feasibility study with two nurses and five patients led to a redesign and highlighted the importance of adequately addressing not only varying user needs but also the complex nature of healthcare organizations when implementing new services and processes in chronic care management.

Place, publisher, year, edition, pages
MDPI, 2022
Keywords
eHealth, mHealth, chronic disease, patient activation, person-centered care, self-management
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-109605 (URN)10.3390/ijerph19010391 (DOI)000741767200001 ()35010652 (PubMedID)2-s2.0-85121849256 (Scopus ID)2021 (Local ID)2021 (Archive number)2021 (OAI)
Available from: 2022-01-20 Created: 2022-01-20 Last updated: 2023-12-18Bibliographically approved
Lindqvist, G., Ge, L., Borg, C., Xiaoling, Z., Hongbo, X., Safipour, J. & Rask, M. (2022). Nursing students' perceptions of their verbal and social interaction skills in Sweden and China during their first semester. Quality Advancement in Nursing Education QANEAFI, 8(1), 1-20
Open this publication in new window or tab >>Nursing students' perceptions of their verbal and social interaction skills in Sweden and China during their first semester
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2022 (English)In: Quality Advancement in Nursing Education QANEAFI, E-ISSN 2368-6669, Vol. 8, no 1, p. 1-20Article in journal (Refereed) Published
Abstract [en]

Aim: This study aimed to investigate the similarities and differences related to verbal and social interaction skills between nursing students attending universities in Sweden and China, two countries with different educational systems, during the students’ first semester.

Background: Nurses need a high level of interaction skills in order to interact effectively with patients and their families. Thus, practical nursing education focusing on clinical skills is essential.

Method: Students at one university in Sweden and two universities in China completed the Verbal and Social Interactions for Nursing Students (VSI-NS) questionnaire.

Results: The students perceived ‘Building a caring relationship’ and ‘Caring towards health and well-being’ as the most frequently occurring and important types of caring interactions. The students perceived that talking with a patient about his/her feelings and thoughts was the least frequently occurring and least important type of caring interaction.

Conclusion: The students appear to understand from the initial phase of their education that the caring relationship and the patients’ health and well-being will be the major focus of their role as nurses.

Place, publisher, year, edition, pages
bepress, 2022
National Category
Learning
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-110422 (URN)10.17483/2368-6669.1308 (DOI)2-s2.0-85159891794 (Scopus ID)
Available from: 2022-02-16 Created: 2022-02-16 Last updated: 2023-11-08Bibliographically approved
Gunnarsson, H. E. M., Safipour, J., Elmqvist, C. & Lindqvist, G. (2021). Different pain variables could independently predict anxiety and depression in subjects with chronic musculoskeletal pain. Scandinavian Journal of Pain, 21(2), 274-282
Open this publication in new window or tab >>Different pain variables could independently predict anxiety and depression in subjects with chronic musculoskeletal pain
2021 (English)In: Scandinavian Journal of Pain, ISSN 1877-8860, E-ISSN 1877-8879, Vol. 21, no 2, p. 274-282Article in journal (Refereed) Published
Abstract [en]

Objectives: Chronic, clinical pain states are often accompanied by distress such as anxiety and depression. The aim of this study was to determine if certain clinical pain variables could predict the level of anxiety and depression in subjects with musculoskeletal pain.Methods: Two multiple linear regression analyses were conducted on a sample consisting of 189 subjects with clinical pain with the independent pain variables of pain intensity, the influence of pain on daily activities, pain persistence, pain duration, and the number of pain locations. The dependent variables measured anxiety and depression, respectively.Result: Two statistically significant models were found, where the predicted variables accounted for 37.0% of the variability in the anxiety levels and 43.7% of the variability in the depression levels. The independent variable, the influence of pain on daily activities, significantly predicted the level of anxiety. The variables, the influence of pain on daily activities and the number of pain locations, significantly predicted the levels of anxiety and depression.Conclusions: This study showed that two different independent variables, the influence of pain on daily activities and the number of pain locations, significantly predicted the levels of depression. The predictor, the influence of pain on daily activities, significantly predicted the levels of anxiety. The knowledge gained about which specific pain variables are more likely to coexist with anxiety and depression in clinical pain states could be important in implementing holistic treatment plans for chronic pain.

Place, publisher, year, edition, pages
Walter de Gruyter GmbH, 2021
National Category
Psychology Nursing
Research subject
Social Sciences, Psychology; Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-100497 (URN)10.1515/sjpain-2020-0129 (DOI)000635163700008 ()2-s2.0-85099401082 (Scopus ID)2021 (Local ID)2021 (Archive number)2021 (OAI)
Available from: 2021-01-25 Created: 2021-01-25 Last updated: 2023-12-18Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-4630-7385

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