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  • 1.
    Cabalgante, Sandra
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Zapata Pon, Milagros
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Hur sexuella övergreppsupplevelser i barndomen påverkar den vuxna människans möte med vården2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2.
    Jäderlund, Lovisa
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences. Kalmar County Council.
    Rudebeck, Carl Edvard
    Kalmar County Council ; University of Tromsø, Norway.
    Petersson, Göran
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Usability of computerized physician order entry in primary care: assessing ePrescribing with a new evaluation model2011In: Informatics in Primary Care, ISSN 1476-0320, E-ISSN 1475-9985, Vol. 19, no 3, p. 161-168Article in journal (Refereed)
    Abstract [en]

    Background: The incorrect use of medications may result from improper prescribing. The poor interface and design of computerised physician order entry (CPOE) systems may contribute. To improve the quality of electronic drug prescription, ePrescribing, there is a need for an evaluation model that is able to assess the quality of the CPOE, focusing on usability. Objective: To develop and apply a model to evaluate the usability of different CPOEs used for ePrescribing in electronic health records (EHRs) in primary care. Method: An evaluation model for CPOEs was designed by assembling existing quality criteria for ePrescribing, supplemented with new criteria. The evaluation model was used to assess CPOEs from seven EHRs in primary care. Results: The evaluation model included five categories comprising 73 single criteria. The model was found to be easy to use, and facilitated the assessment process. Evaluation of the EHRs revealed differences and similarities between the systems. None of the CPOEs was perfect in that all of them had distinct shortcomings. The most prominent deficiencies were a non-intuitive interface and incorrect dosage function. Conclusion: The model developed might be used not only to evaluate usability in ePrescribing, but also as a basis for studying the usability of other CPOEs. To reduce the risk of drugs being prescribed with incorrect dosages, the most urgent improvement is the development of a more consistent and intuitive interface for the EHRs and an improvement in the dosage function.

  • 3.
    Larsson, Alexsandra
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Holmkvist, Melinda
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sjuksköterskors erfarenhet av att arbeta inom den palliativa vården: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Litteraturöversiktens teoretiska referensram utgår från Patricia Benners teori om kompentensstadium. Detta ramverk nyttjas för att beskriva vikten av klinisk erfarenhet under sjuksköterskors professionsutveckling. Klinisk erfarenhet anses vara grundläggande för sjuksköterskors utveckling i yrkesrollen (Benner, 1993). Bakgrund: Att åldras är en naturlig del av livet. Många människor vårdas palliativt vilket resulterar i att sjuksköterskor kräver kunskap och kompetens inom området. Sjuksköterskor som arbetar inom den palliativa vården uttrycker ofta att de vill göra gott för patienten samt anhöriga. Syfte: Syftet med denna litteraturöversikt var att belysa sjuksköterskors erfarenhet av att arbeta inom den palliativa vården. Metod: Studien är en litteraturöversikt med kvalitativ forskning i form av vetenskapliga artiklar. Datasökningarna utfördes i databaserna Cinahl, MEDLINE, PsycINFO och PubMed. Artiklarna granskades med hjälp av Statens beredning för medicinsk och social utvärdering (SBU) granskningsmall. Resultat: Visade för- och nackdelar med att arbeta inom den palliativa vården. Viktiga faktorer hos sjuksköterskor var ansvar, samarbete, känslor och tid samt resurser. En god palliativ vård grundades i sjuksköterskors tillgänglighet och närhet. Slutsats: Resultatet har visat att ett utbildningsbehov framträdde vilket pekar på att grundläggande utbildning inte är tillräcklig inom den palliativa vården. God kommunikationsförmåga, utbildning samt kunskap inom området kan vara alternativ som underlättar för sjuksköterskor.

  • 4.
    Möllerberg, Marie-Louise
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Skåne University Hospital.
    Sandgren, Anna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Lithman, T.
    Lund University.
    Noreen, D.
    Lund University.
    Olsson, H.
    Skåne University Hospital;Lund University.
    Sjövall, K.
    Skåne University Hospital;Lund University.
    The effects of a cancer diagnosis on the health of a patient's partner: a population-based registry study of cancer in Sweden2016In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 25, no 5, p. 744-752Article in journal (Refereed)
    Abstract [en]

    The aim of this population-based registry study was to explore how cancer influences the health of partners, by examining the onset of new diagnoses for partners, health care use and health care costs among partners living with patients with cancer. The sample consisted of partners of patients with cancer (N = 10 353) and partners of age- and sex-matched controls who did not have cancer (N = 74 592). Diagnoses, health care use and health care costs were studied for a continuous period starting 1 year before the date of cancer diagnosis and continued for 3 years. One year after cancer diagnosis, partners of patients with cancer had significantly more mood disorders, reactions to severe stress and ischaemic heart disease than they exhibited in the year before the diagnosis. Among partners of patients with cancer, the type of cancer was associated with the extent and form of increased health care use and costs; both health care use and costs increased among partners of patients with liver cancer, lung cancer, colon cancer and miscellaneous other cancers. The risk of poorer health varied according to the type of cancer diagnosed, and appeared related to the severity and prognosis of that diagnosis.

  • 5.
    Perk, Joep
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Riktlinjer för primär hjärt-kärlprevention efterlevs inte i klinisk praxis. EURIKA-studien visar brister i Europa2012In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, no 23, p. 1164-1166Article in journal (Refereed)
    Abstract [sv]

    för primär kardiovaskulär prevention tillämpades i tolv länder för öppenvårdspatienter >50 år med åtminstone en riskfaktor för kardiovaskulär sjukdom.

    Studien visar att gapet mellan riktlinjer och praxis förblir för stort.

    Av hypertoniker uppnådde 39 procent målnivån för blodtrycket, och av patienter med hyperlipidemi uppnådde 41 procent målnivån för totalkolesterol och LDL-kolesterol.

    Endast 37 procent av diabetikerna (typ 2-diabetes) var välreglerade.

    Information om livsstil var bristfällig; mindre än 40 procent av rökarna deltog i ett rökavvänjningsprogram.

    I Sverige fanns ett lägre antal välinställda hypertoniker och diabetiker än genomsnittet för de övriga länderna.

  • 6.
    Perk, Joep
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Hambraeus, Kristina
    Falun Hospital.
    Burell, Gunilla
    Uppsala University.
    Carlsson, Roland
    Swedish PCI AB.
    Johansson, Pelle
    Heart and Lung Patients Association.
    Lisspers, Jan
    Mid Sweden University.
    Study of patient information after percutaneous coronary intervention (SPICI): should prevention programmes become more effective?2015In: EuroIntervention, ISSN 1774-024X, E-ISSN 1969-6213, Vol. 10, no 11, p. e1-e7Article in journal (Refereed)
    Abstract [en]

    Aims: This cross-sectional observational study was designed to evaluate the uptake and outcome of patient education after percutaneous coronary intervention (PCI).

    Methods and results: A questionnaire containing 41 items was handed out to consecutive patients from randomly selected Swedish hospitals after PCI. Questions concerned the patient's attribution of the cause of the cardiac event, perception of the information provided by physicians and nurses, and a self-assessment of changes in lifestyle post PCI regarding tobacco, physical activity, food habits and stress. Replies were obtained from 1,073 patients (reply rate 67%). Non-modifiable risk factors (age, heredity) were attributed a higher rate as the cause of disease compared to modifiable factors (smoking, physical activity, food habits). Most patients (67%) perceived they were cured, and 38% perceived from the given information that there was no need to change their habits. A mere 27% reported that they still had cardiovascular disease and needed behavioural change. After PCI, 16% continued to use tobacco; half of these were offered smoking cessation support. In spite of an 80% referral rate to cardiac rehabilitation, one out of two patients did not enrol. Fewer than half were regularly physically active. Nutritional counselling was provided to 71%, but only 40% changed food habits. Stress management programmes were rarely provided.

    Conclusions: Current preventive practice scarcely meets the challenge posed by the progress in modern invasive cardiology. The Study of Patient Information after percutaneous Coronary Intervention (SPICI) motivates an in-depth revision and adaptation of cardiac rehabilitation programmes in order to improve patient understanding of the disease, and to support greater compliance with a cardioprotective lifestyle.

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