lnu.sePublikasjoner
Endre søk
Begrens søket
1 - 48 of 48
RefereraExporteraLink til resultatlisten
Permanent link
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Treff pr side
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sortering
  • Standard (Relevans)
  • Forfatter A-Ø
  • Forfatter Ø-A
  • Tittel A-Ø
  • Tittel Ø-A
  • Type publikasjon A-Ø
  • Type publikasjon Ø-A
  • Eldste først
  • Nyeste først
  • Skapad (Eldste først)
  • Skapad (Nyeste først)
  • Senast uppdaterad (Eldste først)
  • Senast uppdaterad (Nyeste først)
  • Disputationsdatum (tidligste først)
  • Disputationsdatum (siste først)
  • Standard (Relevans)
  • Forfatter A-Ø
  • Forfatter Ø-A
  • Tittel A-Ø
  • Tittel Ø-A
  • Type publikasjon A-Ø
  • Type publikasjon Ø-A
  • Eldste først
  • Nyeste først
  • Skapad (Eldste først)
  • Skapad (Nyeste først)
  • Senast uppdaterad (Eldste først)
  • Senast uppdaterad (Nyeste først)
  • Disputationsdatum (tidligste først)
  • Disputationsdatum (siste først)
Merk
Maxantalet träffar du kan exportera från sökgränssnittet är 250. Vid större uttag använd dig av utsökningar.
  • 1.
    Bertilsson, Emelie
    et al.
    Kalmar County Hospital.
    Semark, Birgitta
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för medicin och optometri (MEO).
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Bremer, Anders
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Carlsson, Jörg
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Usage of Do-not-attempt-to resuscitate-orders in a Swedish community hospital: patient involvement, documentation and compliance2018Inngår i: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 130, nr s1, s. e93-e94Artikkel i tidsskrift (Fagfellevurdert)
  • 2.
    Bertilsson, Emilie
    et al.
    Kalmar County Hospital, Sweden.
    Semark, Birgitta
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Bremer, Anders
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Carlsson, Jörg
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Kalmar County Hospital, Sweden.
    Do-not-attempt-to resuscitate-orders in a Swedish Community Hospital: does the wording of these orders point towards discrimination?2019Inngår i: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 142, nr s1, s. e5-e5Artikkel i tidsskrift (Fagfellevurdert)
  • 3.
    Ekstedt, Mirjam
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Karolinska Institutet, Sweden.
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Wennerberg, Carolina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Kalmar County Council, Sweden.
    Nilsson, Lina
    Linnéuniversitetet, Fakulteten för teknik (FTK), Institutionen för informatik (IK). Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för medicin och optometri (MEO).
    Wannheden, Carolina
    Karolinska Institutet, Sweden.
    Hellström, Amanda
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Enhanced patient activation in cancer care transitions: protocol for a randomized controlled trial of a tailored eectronic health intervention for men with prostate cancer2019Inngår i: JMIR Research Protocols, ISSN 1929-0748, E-ISSN 1929-0748, Vol. 8, nr 3, s. 1-13, artikkel-id e11625Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Prostate cancer has increased in incidence worldwide and is the leading cause of cancer death in 24 countries. The most common treatment is radical prostatectomy. However, surgery is associated with postoperative complications such as urinary incontinence and sexual dysfunction, causing decreased quality of life. If survivors are encouraged to be more active in self-care management, the symptom burden may decrease and quality of life may improve. An electronic health (eHealth) intervention based on motivational behavioral theory has been developed for this purpose.

    Objective: This study aimed to compare the effectiveness of standard care in combination with a tailored eHealth and mobile health self-management support system, electronic Patient Activation in Treatment at Home (ePATH), with standard care of adverse effects of prostate cancer treatment (urinary incontinence and sexual functioning) in men undergoing radical prostatectomy. The secondary aim was to test the effect on patient activation, motivation, overall well-being, and health literacy over time in and between groups.

    Methods: A pragmatic multicenter, block-randomized controlled trial with 2 study arms, standard care (control) and eHealth-assisted standard care (intervention), for patients undergoing radical prostatectomy. For 80% power, a sample of 242 men will need to be recruited.

    Results: Recruitment started in January 2018 and is expected to be completed by August 2019. Data collection will be completed in August 2020. The first cross-sectional results from this trial are anticipated to be published in January 2020.

    Conclusions: With the increasing number of prostate cancer survivors, attention should be paid to rehabilitation, psychosocial care, and support for endurance of self-care to reduce suffering from adverse treatment effects, poor quality of life, and depression because of postoperative complications. This project may increase knowledge of how patients can be supported to feel involved in their care and returning to as normal a life as possible. The anticipated effects of ePATH could improve health outcomes for individuals and facilitate follow-up for health care professionals.

  • 4.
    Ericsson, Carin
    et al.
    Region Östergötland, Sweden;Linköping University, Sweden.
    Skagerström, Janna
    Linköping University, Sweden;Region Östergotland, Sweden.
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Årestedt, Kristofer
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Kalmar County Council, Sweden.
    Anders, Broström
    Jönkoping University, Sweden;Region Östergötland, Sweden.
    Pakpour, Amir
    Jönkoping University, Sweden;Qazvin University of Medical Sciences, Iran.
    Per, Nilsen
    Linköping University, Sweden.
    Can patients contribute to safer care in meetings with healthcare professionals?: A cross-sectional survey of patient perceptions and beliefs2019Inngår i: BMJ Quality and Safety, ISSN 2044-5415, E-ISSN 2044-5423, Vol. 28, nr 8, s. 657-666Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 5.
    Israelsson, Johan
    et al.
    Linnéuniversitetet, Fakulteten för teknik (FTK), Sjöfartshögskolan (SJÖ). Kalmar County Hospital ; Linköping University.
    von Wangenheim, Burkard
    Kalmar County Hospital.
    Årestedt, Kristofer
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Linköping University.
    Semark, Birgitta
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Carlsson, Jörg
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Kalmar County Hospital.
    Sensitivity and specificity of two different automated external defibrillators2017Inngår i: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 120, s. 108-112Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: The aim was to investigate the clinical performance of two different types of automated external defibrillators (AEDs). Methods: Three investigators reviewed 2938 rhythm analyses performed by AEDs in 240 consecutive patients (median age 72, q1-q3 = 62-83) who had suffered cardiac arrest between January 2011 and March 2015. Two different AEDs were used (AED A n = 105, AED B n = 135) in-hospital (n = 91) and out-of-hospital (n = 149). Results: Among 194 shockable rhythms, 17 (8.8%) were not recognized by AED A, while AED B recognized 100% (n = 135) of shockable episodes (sensitivity 91.2 vs 100%, p < 0.01). In AED A, 8 (47.1%) of these episodes were judged to be algorithm errors while 9 (52.9%) were caused by external artifacts. Among 1039 non-shockable rhythms, AED A recommended shock in 11 (1.0%), while AED B recommended shock in 63 (4.1%) of 1523 episodes (specificity 98.9 vs 95.9, p < 0.001). In AED A, 2 (18.2%) of these episodes were judged to be algorithm errors (AED B, n = 40, 63.5%), while 9 (81.8%) were caused by external artifacts (AED B, n = 23, 36.5%). Conclusions: There were significant differences in sensitivity and specificity between the two different AEDs. A higher sensitivity of AED B was associated with a lower specificity while a higher specificity of AED A was associated with a lower sensitivity. AED manufacturers should work to improve the algorithms. In addition, AED use should always be reviewed with a routine for giving feedback, and medical personnel should be aware of the specific strengths and shortcomings of the device they are using. (C) 2017 Elsevier B.V. All rights reserved.

  • 6.
    Israelsson, Johan
    et al.
    Kalmar County Hospital, Sweden.
    von Wangenheim, Burkard
    Kalmar County Hospital, Sweden.
    Årestedt, Kristofer
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Semark, Birgitta
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Carlsson, Jörg
    Kalmar County Hospital, Sweden.
    Sensitivity and specificity of two different automated external defibrillators used in-hospital and out-of-hospital2015Inngår i: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 96, nr Supplement 1, s. 23-23, artikkel-id AS041Artikkel i tidsskrift (Annet vitenskapelig)
    Abstract [en]

    Purpose: To investigate the performance of two different types of automated external defibrillators (AED) in out-of-hospital and in-hospital cardiac pulmonary resuscitation (CPR). Performance criteria in terms of sensitivity and specificity have been established but real life data are sparse.

    Materials and methods: Three investigators reviewed 2938 rhythm analyses performed by AED in 240 consecutive patients (38.3% women) suffering cardiac arrest between January 2011 and March 2015. The mean age was 70.1 ± 17.0 (3 months–104 years). Two different AED were used (AED A n = 105, AED B n = 135) in-hospital (n = 91) and out-of-hospital (n = 149).

    Results: Among 194 shockable rhythms, 17 (8.8%) were not recognized by AED A, while AED B recognized 100% (n = 135) of shockable episodes (p < 0.001). In AED A, 8 (47.1%) of these episodes were judged to be algorithm errors while 9 (52.9%) were caused by external artifacts. Among 1039 non-shockable rhythms, AED A recommended shock in 11 (1.0%), while AED B recommended shock in 63 (4.1%) of 1523 episodes (p < 0.001). In AED A, 2 (18.2%) of these episodes were judged to be algorithm errors (AED B, n = 40, 63.5%) while 9 (81.8%) were caused by external artifacts (AED B, n = 23, 36.5%). Fine ventricular fibrillation was analyzed as a separate category since guidelines do not recommend shock in these cases. AED A advised shock in 24 (80%) of 30 episodes, while AED B advised shock in 8 (47%) of 17 episodes (p < 0.027).

    Conclusions: Significant differences in performance could be detected between two different AED. A higher sensitivity of AED B was associated with a lower specificity while a higher specificity of AED A was associated with a lower sensitivity. Caregivers should be aware of the specific shortcomings of the device they are using. AED manufacturers should try to improve the algorithms in order to minimize the gap between sensitivity and specificity.

  • 7.
    Lindblad, Marlene
    et al.
    KTH Royal Institute of Technology.
    Ekstedt, Mirjam
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Karolinska Institutet.
    Unbeck, Maria
    Danderyd Hospital ; Karolinska Institutet.
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Nilsson, Lena
    Linköping University.
    Development and validation of a trigger tool for use in home care2016Konferansepaper (Fagfellevurdert)
  • 8.
    Lindblad, Marléne
    et al.
    Royal Institute of Technology.
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Nilsson, Lena
    Ekstedt, Mirjam
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Unbeck, Maria
    Karolinska Institutet.
    Development and validation of a trigger tool to identify adverse events and no-harm incidents in home healthcare2017Inngår i: Presented at the 6th World Congress of Clinical Safety(6WCCS), Rome, Italy, September 6-8, 2017, 2017Konferansepaper (Annet vitenskapelig)
  • 9.
    Lindblad, Marléne
    et al.
    Royal Institute of Technology.
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Nilsson, Lena
    Linköping University.
    Ekstedt, Mirjam
    Karolinska Institutet.
    Unbeck, Maria
    Karolinska Institutet.
    Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare2018Inngår i: BMJ Quality and Safety, ISSN 2044-5415, E-ISSN 2044-5423, Vol. 27, nr 7, s. 502-511Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background Adverse events (AEs) and no-harm incidents are common and of great concern in healthcare. A common method for identification of AEs is retrospective record review (RRR) using predefined triggers. This method has been used frequently in inpatient care, but AEs in home healthcare have not been explored to the same extent. The aim of this study was to develop a trigger tool (TT) for the identification of both AEs and no-harm incidents affecting adult patients admitted to home healthcare in Sweden, and to describe the methodology used for this development.

    Methods The TT was developed and validated in a stepwise manner, in collaboration with experts with different skills, using (1) literature review and interviews, (2) a five-round modified Delphi process, and (3) two-stage RRRs. Ten trained teams from different sites in Sweden reviewed 600 randomly selected records.

    Results In all, triggers were found 4031 times in 518 (86.3%) records, with a mean of 6.7 (median 4, range 1–54) triggers per record with triggers. The positive predictive values (PPVs) for AEs and no-harm incidents were 25.4% and 16.3%, respectively, resulting in a PPV of 41.7% (range 0.0%–96.1% per trigger) for the total TT when using 38 triggers. The most common triggers were unplanned contact with physician and/or registered nursemoderate/severe painmoderate/severe worry, anxiety, suffering, existential pain and/or psychological pain. AEs were identified in 37.7% of the patients and no-harm incidents in 29.5%.

    Conclusion This study shows that adapted triggers with definitions and decision support, developed to identify AEs and no-harm incidents that affect patients admitted to home healthcare, may be a valid method for safety and quality improvement work in home healthcare.

  • 10.
    Magneli, Martin
    et al.
    Karolinska Institutet, Sweden;Danderyd University Hospital, Sweden.
    Unbeck, Maria
    Karolinska Institutet, Sweden;Karolinska University Hospital, Sweden.
    Rogmark, Cecilia
    Skåne University Hospital, Sweden.
    Rolfson, Ola
    University of Gothenburg, Sweden.
    Hommel, Ami
    Malmö University, Sweden;Skåne University Hospital, Sweden.
    Samuelsson, Bodil
    Karolinska Institutet, Sweden.
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Sjöstrand, Desiree
    Skånevård Kryh, Sweden.
    Gordon, Max
    Karolinska Institutet, Sweden;Danderyd University Hospital, Sweden.
    Sköldenberg, Olof
    Karolinska Institutet, Sweden;Danderyd University Hospital, Sweden.
    Validation of adverse events after hip arthroplasty: a Swedish multi-centre cohort study2019Inngår i: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 9, nr 3, s. 1-9, artikkel-id e02377Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives Preventing adverse events (AEs) after orthopaedic surgery is a field with great room for improvement. A Swedish instrument for measuring AEs after hip arthroplasty based on administrative data from the national patient register is used by both the Swedish Hip Arthroplasty Register and the Swedish Association of Local Authorities and Regions. It has never been validated and its accuracy is unknown. The aim of this study was to validate the instrument’s ability to detect AEs, and to calculate the incidence of AEs following primary hip arthroplasties.

    Design Retrospective cohort study using retrospective record review with Global Trigger Tool methodology in combination with register data.

    Setting 24 different hospitals in four major regions of Sweden.

    Participants 2000 patients with either total or hemi-hip arthroplasty were recruited from the SHAR. We included both acute and elective patients.

    Primary and secondary outcome measures The sensitivity and specificity of the instrument. Adjusted cumulative incidence and incidence rate.

    Results The sensitivity for all identified AEs was 5.7% (95% CI: 4.9% to 6.7%) for 30 days and 14.8% (95% CI: 8.2 to 24.3) for 90 days, and the specificity was 95.2% (95% CI: 93.5% to 96.6%) for 30 days and 92.1% (95% CI: 89.9% to 93.8%) for 90 days. The adjusted cumulative incidence for all AEs was 28.4% (95% CI: 25.0% to 32.3%) for 30 days and 29.5% (95% CI: 26.0% to 33.8%) for 90 days. The incidence rate was 0.43 AEs per person-month (95% CI: 0.39 to 0.47).

    Conclusions The AE incidence was high, and most AEs occurred within the first 30 days. The instrument sensitivity for AEs was very low for both 30 and 90 days, but the specificity was high for both 30 and 90 days. The studied instrument is insufficient for valid measurements of AEs after hip arthroplasty.

  • 11.
    Nilsen, Per
    et al.
    Linköping University, Sweden.
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Ericsson, Carin
    County Council Östergötland, Sweden.
    Seing, Ida
    Linköping University, Sweden.
    Birken, Sarah
    Univ N Carolina, USA.
    Implementation of change in health care in Sweden: a qualitative study of professionals' change responses2019Inngår i: Implementation Science, ISSN 1748-5908, E-ISSN 1748-5908, Vol. 14, artikkel-id 51Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Implementation of evidence-based practices in health care implies change. Understanding health care professionals' change responses may be critical for facilitating implementation to achieve an evidence-based practice in the rapidly changing health care environment. The aim of this study was to investigate health care professionals' responses to organizational and workplace changes that have affected their work. Methods: We conducted interviews with 30 health care professionals (physicians, registered nurses and assistant nurses) employed in the Swedish health care system. An inductive approach was applied, using a semi-structured interview guide developed by the authors. We used an analytical framework first published in 1999 to analyze the informants' change responses in which change responses are perceived as a continuum ranging from a strong acceptance of change to strong resistance to change, describing seven forms of change responses along this continuum. Change response is conceptualized as a tridimensional attitude composed of three components: cognitive, affective and intentional/behavioral. Results: Analysis of the data yielded 10 types of change responses, which could be mapped onto 5 of the 7 change response categories in the framework. Participants did not report change responses that corresponded with the two most extreme forms of responses in the framework, i.e., commitment and aggressive resistance. Most of the change responses were classified as either indifference or passive resistance to changes. Involvement in or support for changes occurred when the health care professionals initiated the changes themselves or when the changes featured their active input and when changes were seen as well founded and well communicated. We did not identify any change responses that could not be fitted into the framework. Conclusions: We found the framework to be useful for a nuanced understanding of how people respond to changes. This knowledge of change responses is useful for the management of changes and for efforts to achieve more successful implementation of evidence-based practices in health care.

  • 12.
    Nilsen, Per
    et al.
    Linköping University.
    Skagerström, Janna
    Region Östergötland.
    Ericsson, Carin
    Region Östergötland.
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Många faktorer påverkar om patienter kan medverka till säkrare vård: intervjustudie visar läkares och sjuksköterskors perspektiv2017Inngår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 114, s. 1-5, artikkel-id EDWPArtikkel i tidsskrift (Fagfellevurdert)
    Abstract [sv]

    Stora förhoppningar knyts till att patienter ska kunna bidra till ökad patientsäkerhet. 

    I en studie genomfördes intervjuer med 13 läkare och 11 sjuksköterskor som representerade ett brett spektrum av erfarenheter och uppfattningar beträffande patientmedverkan för säkrare vård.

    Studien identifierade nio faktorer som underlättar och/eller försvårar patientmedverkan för att uppnå säkrare vård. 

    Många av faktorerna beskrevs huvudsakligen som hinder för patientmedverkan med relevans för patientsäkerheten.

  • 13.
    Nilsson, Lena
    et al.
    Linköping University.
    Risberg, Madeleine Borgstedt
    Region Östergötland.
    Montgomery, Agneta
    Skåne University Hospital.
    Sjödahl, Rune
    Linköping University.
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Rutberg, Hans
    Linköping University ; Swedish Association of Local Authorities & Regions.
    Preventable Adverse Events in Surgical Care in Sweden A Nationwide Review of Patient Notes2016Inngår i: Medicine (Baltimore, Md.), ISSN 0025-7974, E-ISSN 1536-5964, Vol. 95, nr 11, artikkel-id e3047Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Adverse events (AEs) occur in health care and may result in harm to patients especially in the field of surgery. Our objective was to analyze AEs in surgical patient care from a nationwide perspective and to analyze the frequency of AEs that may be preventable. In total 19,141 randomly selected admissions in 63 Swedish hospitals were reviewed each month during 2013 using a 2-stage record review method based on the identification of predefined triggers. The subgroup of 3301 surgical admissions was analyzed. All AEs were categorized according to site, type, level of severity, and degree of preventability. We reviewed 3301 patients' records and 507 (15.4%) were associated with AEs. A total of 62.5% of the AEs were considered probably preventable, over half contributed to prolonged hospital care or readmission, and 4.7% to permanent harm or death. Healthcare acquired infections composed of more than one third of AEs. The majority of the most serious AEs composed of healthcare acquired infections and surgical or other invasive AEs. The incidence of AEs was 13% in patients 18 to 64 years old and 17% in >= 65 years. Pressure sores and drug-related AEs were more common in patients being >= 65 years. Urinary retention and pressure sores showed the highest degree of preventability. Patients with probably preventable AEs had in median 7.1 days longer hospital stay. We conclude that AEs are common in surgical care and the majority are probably preventable.

  • 14.
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Aspects of retrospective record review: - A matter of patient safety2013Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Background: Health Care is of great value but despite increased efforts to improve patient safety, many patients still suffer harm caused by healthcare, and even more patients have encountered incidents that could have caused harm. Adverse events can be detected by using retrospective record review. The Harvard Medical Practice Study and the Global Trigger Tool are such methods. Retrospective record review has shown better coverage than the commonly used clinical incident reporting system to identify patient safety information.

    Aims: The general aim of the thesis was to evaluate, compare and expand retrospective record review methods for clinical use in health care. The specific aims were;

    • To evaluate the agreement in judgments of adverse events between well-trained Global Trigger Tool teams from different hospitals.
    • To describe strengths and weaknesses, from team members perspectives of working with the Global Trigger Tool method of retrospective record review to identify adverse events causing patient harm.
    • To evaluate the feasibility and capability of two common retrospective record review methods, the "Harvard Medical Practice Study" method and the "Global Trigger Tool" in detecting adverse events in adult orthopedic inpatients.
    • To evaluate retrospective record review for the detection and characterization of no-harm incidents and compare findings with conventional incident reporting systems.

    Methods: A random sample of fifty patient records was reviewed by a team from each of five hospitals according to the Global Trigger Tool method (I). The teams were interviewed in focus groups concerning their experiences of the Global Trigger Tool method (II). In papers III and IV, a random sample of 350 orthopaedic admissions was examined. The outcomes from the Harvard Medical Practice Study and the Global Trigger Tool methods were compared (III). In paper IV the Harvard Medical Practice Study method was also used for identifying no harm incidents.

    Results: The number of identified adverse events differed between the teams, corresponding to a level of adverse events ranging from 27.2 to 99.7 per 1000 hospital days. Differences were also found in the assessment of level of harm and judgment of preventability. Four of the teams made similar assessments while the fifth identified three times as many adverse events compared to the other teams (I).

    Eight categories with their strengths and weaknesses emerged from the focus group interviews. The team members were constant in their generally positive experiences of the Global Trigger Tool method, even if the teams over time altered the application of the method (II).

    With the Harvard Medical Practice Study and the Global Trigger Tool methods combined, 160 adverse events were identified in 105 (30%) of the 350 records. The Harvard Medical Practice Study method identified 155 (97%) adverse events in 104 of 350 records compared with 137 (86%) adverse events in 98 records using the Global Trigger Tool method. The adverse events causing the greatest differences were the ones causing minimal or moderate impairment (III).

    In paper IV, results showed that 118 no harm incidents were detected in 91 (26%) of the 350 patient records. Ninety-four of the 118 (80%) no-harm incidents were classified as preventable. Sixteen no-harm incidents were identified by the five conventional incident reporting systems. Of these, ten no-harm incidents were also found by the Harvard Medical Practice Study method.

    Conclusions: Retrospective record review enabled detection of adverse events as well as identification of no harm incidents. It is considered a useful method. There were differences both in agreement between reviewer teams and between review methods. Joint preparations and discussions seemed to increase the level of agreement in judgment between reviewers. By adding retrospective record review for findings of no-harm incidents to conventional incident reporting, healthcare providers can gain new important information about commonly occurring, no-harm incidents in order to improve patient safety.

  • 15.
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Att identifiera risker och vårdskador som kan drabba patienter som vårdas palliativt i sitt hem2016Inngår i: Presented at 4:e Nationella konferensen i Palliativ vård, Malmö, Sweden, March 15-16, 2016, 2016Konferansepaper (Annet vitenskapelig)
  • 16.
    Schildmeijer, Kristina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Ekstedt, Mirjam
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Karolinska Institutet, Sweden.
    Att identifiera risker och vårdskador som kan drabba patienter som vårdas palliativt i sitt hem2016Inngår i: Presented at 4:e Nationella konferensen i Palliativ vård, Malmö, Sweden, March 15-16, 2016, 2016Konferansepaper (Annet vitenskapelig)
  • 17.
    Schildmeijer, Kristina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Frykholm, Oscar
    KTH Royal Instute of Technology, Sweden.
    Ekstedt, Mirjam
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Karolinska Institutet, Sweden.
    Säker vård med hemmet som vårdplats2016Inngår i: Presented at Nationella Patientsäkerhetskonferensen, Stockholm, Sweden, September 21-22, 2016, 2016, 2016Konferansepaper (Annet vitenskapelig)
  • 18.
    Schildmeijer, Kristina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Frykholm, Oscar
    Karolinska Institutet.
    Kneck, Åsa
    Karolinska Institutet;Ersta Sköndal Bräcke University College.
    Ekstedt, Mirjam
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Karolinska institutet.
    Not a straight line: patient's experiences of prostate cancer and their journey through the healthcare system2019Inngår i: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 42, nr 1, s. E36-E43Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    Cancer and its treatment can severely impact quality of life, giving rise to complex needs with respect to follow-up care. To support patient needs and increase efficiency of care with limited resources, the Swedish government has launched national reforms to redesign cancer care pathways.

    Objective

    The aim of this study was to explore how prostate cancer patients experience their journey through the healthcare system when their care is provided according to the standardized care pathway, as described in healthcare policy documents.

    Methods

    A qualitative, descriptive approach with individual interviews was used. A template of a standardized prostate cancer pathway, created together with healthcare professionals, was used during interviews. Fourteen interviews were conducted with prostate cancer patients all operated on at a midsized hospital in southeast Sweden between October 2015 and April 2016. The interviews were analyzed with qualitative content analysis and illustrated in a patient journey map.

    Results

    We identified an overall theme, “walking a tightrope,” consisting of 4 categories: “waiting,” “becoming familiar with a troublesome body,” “adjusting to a different life,” and “information challenges.”

    Conclusions

    The clinical implementation of the standardized care pathway is described as a straight path through care, but patients described their experiences as walking a tightrope. Lack of information, especially about cancer treatment and its adverse effects, was the most common experience.

    Implications for Practice

    Our findings indicate areas where further healthcare tools could improve patient experiences of cancer treatment. This could include offering individualized information and tools to increase patient empowerment, as well as patient/caregiver collaboration (co-care).

  • 19.
    Schildmeijer, Kristina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Israelsson, Johan
    Kalmar County Hospital, Sweden.
    von Wangenheim, Burkard
    Kalmar County Hospital, Sweden.
    Semark, Birgitta
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Årestedt, Kristofer
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Carlsson, Jörg
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Sensitivitet och specificitet hos två olika hjärtstartare2016Inngår i: Presented at HLR2016: "Ett hjärtsäkert Sverige”, Gothenburg, Sweden, October 11-12, 2016, 2016Konferansepaper (Annet vitenskapelig)
  • 20.
    Schildmeijer, Kristina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Nilsen, Per
    Linköping University, Sweden.
    Ericsson, Carin
    Linköping University Hospital, Sweden.
    Broström, Anders
    Jönköping University, Sweden.
    Skagerström, Janna
    Linköping University, Sweden;Region Östergötland, Sweden.
    Determinants of patient participation for safer care: a qualitative study of physicians' experiences and perceptions2018Inngår i: Health Science Reports, ISSN 2398-8835, Vol. 1, nr 10, s. 1-10, artikkel-id e87Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: There is a paucity of research on physicians' perspectives on involving patients to achieve safer care. This study aims to explore determinants of patient participation for safer care, according to physicians in Swedish health care.

    Methods: We used a deductive descriptive design, applying qualitative content analysis based on the Capability-Opportunity-Motivation-Behaviour framework. Semi-structured interviews were conducted with 13 physicians in different types of health care units, to achieve a heterogeneous sample. The main outcome measure was barriers and facilitators to patient participation of potential relevance for patient safety.

    Results: Analysis of the data yielded 14 determinants (ie, subcategories) functioning as barriers and/or facilitators to patient participation of potential relevance for patient safety. These determinants were mapped to five categories: physicians' capability to involve patients in their care; patients' capability to become involved in their care, as perceived by the physicians; physicians' opportunity to achieve patient participation in their care; physicians' motivation to involve patients in their care; and patients' motivation to become involved in their care, as perceived by the physicians.

    Conclusion: There are many barriers to patient participation to achieve safer care. There are also facilitators, but these tend to depend on initiatives of individual physicians and patients, because organizational-level support may be lacking. Many of the determinants are interdependent, with physicians' perceived time constraints influencing other barriers.

  • 21.
    Schildmeijer, Kristina
    et al.
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Nilsson, L
    Årestedt, Kristofer
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Perk, Joep
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    The assessment of adverse events in medical care: lack of consistency between experienced teams using the Global Trigger Tool2012Konferansepaper (Fagfellevurdert)
  • 22.
    Schildmeijer, Kristina
    et al.
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Nilsson, Lena
    Linköping University Hospital, Sweden.
    Global Trigger Tool2012Konferansepaper (Annet vitenskapelig)
  • 23.
    Schildmeijer, Kristina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Nilsson, Lena
    Linköpings Universitetssjukhus.
    Perk, Joep
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Årestedt, Kristofer
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Linköpings Universitet.
    Nilsson, Gunilla
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus group interviews2013Inngår i: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 3, s. e003131-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives The aim was to describe the strengths and weaknesses, from team member perspectives, of working with the Global Trigger Tool (GTT) method of retrospective record review to identify adverse events causing patient harm.

    Design A qualitative, descriptive approach with focus group interviews using content analysis.

    Setting 5 Swedish hospitals in 2011.

    Participants 5 GTT teams, with 5 physicians and 11 registered nurses.

    Intervention 5 focus group interviews were carried out with the five teams. Interviews were taped and transcribed verbatim.

    Results 8 categories emerged relating to the strengths and weaknesses of the GTT method. The categories found were: Usefulness of the GTT, Application of the GTT, Triggers, Preventability of harm, Team composition, Team tasks, Team members’ knowledge development and Documentation. Gradually, changes in the methodology were made by the teams, for example, the teams reported how the registered nurses divided up the charts into two sets, each being read respectively. The teams described the method as important and well functioning. Not only the most important, but also the most difficult, was the task of bringing the results back to the clinic. The teams found it easier to discuss findings at their own clinics.

    Conclusions The GTT method functions well for identifying adverse events and is strengthened by its adaptability to different specialties. However, small, gradual methodological changes together with continuingly developed expertise and adaption to looking at harm from a patient's perspective may contribute to large differences in assessment over time.

  • 24.
    Schildmeijer, Kristina
    et al.
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Nilsson, Lena
    Årestedt, Kristofer
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Perk, Joep
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Assessment of adverse events in medical care: lack of consistency between experienced teams using the global trigger tool.2012Inngår i: BMJ Quality and Safety, ISSN 2044-5415, E-ISSN 2044-5423, Vol. 21, nr 4, s. 307-314Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Many patients are harmed as the result of healthcare. A retrospective structured record review is one way to identify adverse events (AEs). One such review approach is the global trigger tool (GTT), a consistent and well-developed method used to detect AEs. The GTT was originally intended to be used for measuring data over time within a single organisation. However, as the method spreads, it is likely that comparisons of GTT safety outcomes between hospitals will occur.

    OBJECTIVE: To evaluate agreement in judgement of AEs between well-trained GTT teams from different hospitals.

    METHODS: Five teams from five hospitals of different sizes in the southeast of Sweden conducted a retrospective review of patient records from a random sample of 50 admissions between October 2009 and May 2010. Inter-rater reliability between teams was assessed using descriptive and κ statistics.

    RESULTS: The five teams identified 42 different AEs altogether. The number of identified AEs differed between the teams, corresponding to a level of AEs ranging from 27.2 to 99.7 per 1000 hospital days. Pair-wise agreement for detection of AEs ranged from 88% to 96%, with weighted κ values between 0.26 and 0.77. Of the AEs, 29 (69%) were identified by only one team and not by the other four groups. Most AEs resulted in minor and transient harm, the most common being healthcare-associated infections. The level of agreement regarding the potential for prevention showed a large variation between the teams.

    CONCLUSIONS: The results do not encourage the use of the GTT for making comparisons between hospitals. The use of the GTT to this end would require substantial training to achieve better agreement across reviewer teams.

  • 25.
    Schildmeijer, Kristina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Nilsson, Lena
    Årestedt, Kristofer
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Perk, Joep
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Reply to Deilkas letter: Imprecision concerning the Global Trigger Tool Reply2013Inngår i: BMJ Quality and Safety, ISSN 2044-5415, E-ISSN 2044-5423, Vol. 22, nr 3, s. 271-272Artikkel i tidsskrift (Fagfellevurdert)
  • 26.
    Schildmeijer, Kristina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Semark, Birgitta
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Årestedt, Kristofer
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Israelsson, Johan
    Kalmar County Hospital.
    Carlsson, Jörg
    Kalmar County Hospital.
    von Wangenheim, Burkard
    Kalmar County Hospital.
    Quality of chest compressions by healthcare professionals using real-time audiovisual feedback during in-hospital cardiopulmonary resusscitation2017Inngår i: Paper presented at the 2nd International Nursing Conference (Nursing-2017), Barcelona, Spain, November 1-3, 2017, Madridge , 2017Konferansepaper (Annet vitenskapelig)
  • 27.
    Schildmeijer, Kristina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Semark, Birgitta
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för medicin och optometri (MEO).
    Årestedt, Kristofer
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Israelsson, Johan
    Linnéuniversitetet, Fakulteten för teknik (FTK), Sjöfartshögskolan (SJÖ).
    von Wangenheim, Burkard
    Carlsson, Jörg
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Quality of chest compressions and complaince by healthcare professionals with real-time audiovisual feedback during in-hospital cardiopulmonary resuscitation2017Inngår i: 2nd International Nursing Conference, November 1-3, 2017, Barcelona, Spain, 2017Konferansepaper (Annet vitenskapelig)
  • 28.
    Schildmeijer, Kristina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Skagerström, Janna
    Region Östergötland, Sweden.
    Ericsson, Carin
    Region Östergötland, Sweden.
    Nilsen, Per
    Linköping University, Sweden.
    Så ville patienter förbättra vårdmötet för att få säkrare vård2018Inngår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 115, s. 1-4, artikkel-id EXILArtikkel i tidsskrift (Fagfellevurdert)
    Abstract [sv]

    Patienterna i denna enkätstudie hade många förslag på hur mötet i vården kan förbättras för att åstadkomma ökad patientsäkerhet.

    Patienternas åtgärdsförslag avsåg både individnivå (vårdpersonalens kunskaper och tilltro till patienten) och systemnivå (kommunikationssätt, vårdstruktur och personalplanering samt arbetsförhållanden).

    Det finns en förbättringspotential avseende mötet mellan patienter och vårdpersonal för att främja en säkrare vård.

  • 29.
    Schildmeijer, Kristina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Skagerström, Janna
    Region Östergotland.
    Ericsson, Carin
    Nilsen, Per
    Ekstedt, Mirjam
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Patient involvement for safer care: nurses' perspective2016Inngår i: Paper presented at the 1st International conference on nursing (Nursing-2016), Dubai, UAE, December 5-7, 2016, Madridge , 2016Konferansepaper (Annet vitenskapelig)
  • 30.
    Schildmeijer, Kristina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Unbeck, Maria
    Danderyd Hospital, Sweden;Karolinska Institutet, Sweden.
    Ekstedt, Mirjam
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Karolinska Institutet, Sweden.
    Lindblad, Marléne
    KTH Royal Instute of Technology, Sweden;Ersta Sköndal Bräcke University College, Sweden.
    Nilsson, Lena
    Linköping University, Sweden.
    Adverse events in patients in home healthcare: a retrospective record review using trigger tool methodology2018Inngår i: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 8, nr 1, artikkel-id e019267Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective Home healthcare is an increasingly common part of healthcare. The patients are often aged, frail and have multiple diseases, and multiple caregivers are involved in their treatment. This study explores the origin, incidence, types and preventability of adverse events (AEs) that occur in patients receiving home healthcare.

    Design A study using retrospective record review and trigger tool methodology. setting and methods Ten teams with experience of home healthcare from nine regions across Sweden reviewed home healthcare records in a two-stage procedure using 38 prede ned triggers in four modules. A random sample of records from 600 patients (aged 18 years or older) receiving home healthcare during 2015 were reviewed. Primary and secondary outcome measures The cumulative incidence of AEs found in patients receiving home healthcare; secondary measures were origin, types, severity of harm and preventability of the AEs.

    results The patients were aged 20–79 years, 280 men and 320 women. The review teams identi ed 356 AEs in 226 (37.7%; 95% CI 33.0 to 42.8) of the home healthcare records. Of these, 255 (71.6%; 95% CI 63.2 to 80.8) were assessed as being preventable, and most (246, 69.1%; 95% CI 60.9 to 78.2) required extra healthcare visits or led to a prolonged period of healthcare. Most of the AEs (271, 76.1%; 95% CI 67.5 to 85.6) originated in home healthcare; the rest were detected during home healthcare but were related to care outside home healthcare. The most common AEs were healthcare-associated infections, falls and pressure ulcers.

    conclusions AEs in patients receiving home healthcare are common, mostly preventable and often cause temporary harm requiring extra healthcare resources. The most frequent types of AEs must be addressed and reduced through improvements in interprofessional collaboration. This is an important area for future studies. 

  • 31.
    Schildmeijer, Kristina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Unbeck, Maria
    Karolinska Institutet, Sweden;Danderyd Hospital, Sweden.
    Lindblad, Marlene
    KTH Royal Instute of Technology, Sweden.
    Ekstedt, Mirjam
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Karolinska Institutet, Sweden.
    Nilsson, Lena
    Linköping University Hospital, Sweden.
    Vad vet vi om tillbud, skador och vårdskador inom hemsjukvården?2016Inngår i: Presented at Nationella Patientsäkerhetskonferensen, Stockholm, Sweden, September 21-22, 2016, 2016Konferansepaper (Annet vitenskapelig)
  • 32.
    Schildmeijer, Kristina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Unbeck, Maria
    Karolinska Institutet.
    Muren, Olav
    Karolinska Institutet.
    Perk, Joep
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Harenstam, Karin Pukk
    Karolinska Institutet ; Karolinska University Hospital.
    Nilsson, Lena
    Linköping University.
    Retrospective record review in proactive patient safety work: identification of no-harm incidents2013Inngår i: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 13, artikkel-id 282Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    Background: In contrast to other safety critical industries, well-developed systems to monitor safety within the healthcare system remain limited. Retrospective record review is one way of identifying adverse events in healthcare. In proactive patient safety work, retrospective record review could be used to identify, analyze and gain information and knowledge about no-harm incidents and deficiencies in healthcare processes. The aim of the study was to evaluate retrospective record review for the detection and characterization of no-harm incidents, and compare findings with conventional incident-reporting systems. Methods: A two-stage structured retrospective record review of no-harm incidents was performed on a random sample of 350 admissions at a Swedish orthopedic department. Results were compared with those found in one local, and four national incident-reporting systems. Results: We identified 118 no-harm incidents in 91 (26.0%) of the 350 records by retrospective record review. Ninety-four (79.7%) no-harm incidents were classified as preventable. The five incident-reporting systems identified 16 no-harm incidents, of which ten were also found by retrospective record review. The most common no-harm incidents were related to drug therapy (n = 66), of which 87.9% were regarded as preventable. Conclusions: No-harm incidents are common and often preventable. Retrospective record review seems to be a valuable tool for identifying and characterizing no-harm incidents. Both harm and no-harm incidents can be identified in parallel during the same record review. By adding a retrospective record review of randomly selected records to conventional incident-reporting, health care providers can gain a clearer and broader picture of commonly occurring, no-harm incidents in order to improve patient safety.

  • 33.
    Schildmeijer, Kristina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Unbeck, Maria
    Muren, Olav
    Perk, Joep
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Pukk Härenstam, Karin
    Nilsson, Lena
    Retrospective record review: identification of no-harm indcidents2013Konferansepaper (Annet vitenskapelig)
  • 34.
    Schildmeijer, Kristina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Unbeck, Maria
    Muren, Olav
    Perk, Joep
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Pukk Härenstam, Karin
    Nilsson, Lena
    Retrospective record review in patient safety work: identification of no-harm incidents2013Konferansepaper (Annet vitenskapelig)
  • 35.
    Schildmeijer, Kristina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Unbeck, Maria
    Karolinska Institutet, Sweden.
    Muren, Olav
    Karolinska Institutet, Sweden.
    Perk, Joep
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Pukk Härenstam, Karin
    Karolinska Institutet, Sweden.
    Nilsson, Lena
    Linköping University, Sweden.
    Retrospective record review in proactive patient safety work: identification of no-harm incidents2014Inngår i: Presented at the 3rd Nordic Conference on Research in Patient Safety and Quality in Healthcare, Stavanger, Norway, October 2-3, 2014, 2014Konferansepaper (Annet vitenskapelig)
  • 36.
    Schildmeijer, Kristina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Unbeck, Maria
    Karolinska Institutet, Sweden.
    Muren, Olav
    Karolinska Institutet, Sweden.
    Perk, Joep
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Pukk Härenstam, Karin
    Karolinska Institutet, Sweden.
    Nilsson, Lena
    Linköping University, Sweden.
    Retrospective record review in proactive patient safety work: identifications of no-harm incidents2014Inngår i: Presented at the 3rd Nordic Conference on Research in Patient Safety and Quality in Healthcare, Stavanger, Norway, October 2-3, 2014, 2014Konferansepaper (Annet vitenskapelig)
  • 37.
    Schildmeijer, Kristina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Wallerstedt, Birgitta
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Ekstedt, Mirjam
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Karolinska Institutet, Sweden.
    Healthcare professionals' perceptions of risk when care is given in patients' homes2019Inngår i: Home Healthcare Now, ISSN 2374-4529, E-ISSN 2374-4537, Vol. 37, nr 2, s. 97-105Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Perceptions of risks in decision making for home healthcare were examined. Twenty home healthcare professionals were interviewed. Content analysis yielded one theme (management of known and unpredictable risks) and four categories. Healthcare professionals had to handle both known and unpredictable risks in daily work in patients' homes concerning communication challenges, a fragmented organization at several levels, risky medication management, and balancing respect for patient autonomy and involvement in care against risk taking. Priority must be given to creating safer care in this setting.

  • 38.
    Schildmeijer, Kristina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Wannheden, Carolina
    Karolinska Institutet.
    Nilsson, Lina
    Linnéuniversitetet, Fakulteten för teknik (FTK), Institutionen för informatik (IK).
    Frykholm, Oscar
    Karolinska Institutet.
    Hellström, Amanda
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Flink, Maria
    Karolinska Institutet.
    Ekstedt, Mirjam
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Karolinska Institutet.
    Developing an eHealth Tool to Support Patient Empowerment at Home2018Inngår i: Building Continents of Knowledge in Oceans of Data: The Future of Co-Created eHealth / [ed] Adrien Ugon, Daniel Karlsson, Gunnar O. Klein & Anne Moen, IOS Press, 2018, Vol. 247, s. 925-929Konferansepaper (Fagfellevurdert)
    Abstract [en]

    In previous research we have learned that patients with chronic or complex diseases often experience difficulties when transitioning from hospital care to self-care in their home. We address these difficulties by developing an eHealth tool for patients - ePATH (electronic Patient Activation in Treatment at Home) - intended to empower each patient to manage their individual situation. We have employed a user-centered design process involving both patients and healthcare personnel to specify the content and functionality of ePATH. The system is deployed as a web application with secure login for patients. In this article, we describe the main content and functionality of the system that makes it possible for a patient to manage symptoms development in relation to treatment progression Interactive functionality, e.g., reminders and social support, is included to make the ePATH a useful and informative bridge between patients, next-of-kin and different caregivers. One lesson learned is that it is necessary to incorporate motivational components in the development of an eHealth tool to successfully overcome the "intention-behavior" gap. The self-determination theory of motivation can be used to ensure that important aspects are not missed.

  • 39.
    Semark, Birgitta
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Årestedt, Kristofer
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Israelsson, Johan
    Kalmar County Hospital, Sweden.
    Carlsson, Jörg
    Kalmar County Hospital, Sweden.
    von Wangenheim, Burkard
    Kalmar County Hospital, Sweden.
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Quality of chest compressions during CPR: comparison between manual and automatic review2015Konferansepaper (Annet vitenskapelig)
  • 40.
    Semark, Birgitta
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Årestedt, Kristofer
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Israelsson, Johan
    Kalmar County Hospital.
    Carlsson, Jörg
    Kalmar County Hospital.
    von Wangenheim, Burkard
    Kalmar County Hospital.
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Quality of chest compressions during CPR-comparison between manual and automatic review2015Inngår i: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 96, nr Supplement 1, s. 66-66, artikkel-id AP058Artikkel i tidsskrift (Fagfellevurdert)
  • 41.
    Semark, Birgitta
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Årestedt, Kristofer
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Linköping University.
    Israelsson, Johan
    Linnéuniversitetet, Fakulteten för teknik (FTK), Sjöfartshögskolan (SJÖ). Linköping University ; Kalmar County Hospital.
    von Wangenheim, Burkard
    Kalmar County Hospital.
    Carlsson, Jörg
    Kalmar County Hospital.
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Quality of chest compressions by healthcare professionals using real-time audiovisual feedback during in-hospital cardiopulmonary resuscitation2017Inngår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 16, nr 5, s. 453-457Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction: A high quality of chest compressions, e.g. sufficient depth (5-6 cm) and rate (100-120 per min), has been associated with survival. The patient's underlay affects chest compression depth. Depth and rate can be assessed by feedback systems to guide rescuers during cardiopulmonary resuscitation. Aim: The purpose of this study was to describe the quality of chest compressions by healthcare professionals using real-time audiovisual feedback during in-hospital cardiopulmonary resuscitation. Method: An observational descriptive study was performed including 63 cardiac arrest events with a resuscitation attempt. Data files were recorded by Zoll AED Pro, and reviewed by RescueNet Code Review software. The events were analysed according to depth, rate, quality of chest compressions and underlay. Results: Across events, 12.7% (median) of the compressions had a depth of 5-6 cm. Compression depth of >6 cm was measured in 70.1% (median). The underlay could be identified from the electronic patient records in 54 events. The median compression depth was 4.5 cm (floor) and 6.7 cm (mattress). Across events, 57.5% (median) of the compressions were performed with a median frequency of 100-120 compressions/min and the most common problem was a compression rate of <100 (median=22.3%). Conclusions: Chest compression quality was poor according to the feedback system. However, the distribution of compression depth with regard to underlay points towards overestimation of depth when treating patients on a mattress. Audiovisual feedback devices ought to be further developed. Healthcare professionals need to be aware of the strengths and weaknesses of their devices.

  • 42.
    Skagerström, Janna
    et al.
    Region Östergötland;Linköping University.
    Ericsson, Carin
    Region Östergötland.
    Nilsen, Per
    Linköping University.
    Ekstedt, Mirjam
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Karolinska Institutet.
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Patient involvement for improved patient safety: A qualitative study of nurses’ perceptions and experience2017Inngår i: Nursing Open, E-ISSN 2054-1058, Vol. 4, nr 4, s. 230-239Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: To explore nurses' perceptions and experiences of patient involvement relevant to patient safety. Design: Qualitative design using individual semi-structured interviews. Methods: Interviews with registered nurses (n = 11) and nurse assistants (n = 8) were conducted in 2015-2016. Nurses were recruited from five different healthcare units in Sweden. The material was analysed using conventional content analysis. Results: The analysis resulted in four categories: healthcare professionals' ways of influencing patient involvement for safer care; patients' ways of influencing patient involvement for safer care; barriers to patient involvement for safer care; and relevance of patient involvement for safer care. The nurses expressed that patient involvement is a shared responsibility. They also emphasized that healthcare provider has a responsibility to create opportunities for the patient to participate. According to the nurses, involvement can be hindered by factors related to the patient, the healthcare provider and the healthcare system. However, respondents expressed that patient involvement can lead to safer care and benefits for individual patients.

  • 43.
    Skagerström, Janna
    et al.
    Region Östergötland, Sweden;Linköping University, Sweden.
    Ericsson, Carin
    Region Östergötland, Sweden.
    Nilsen, Per
    Linköping University, Sweden.
    Ekstedt, Mirjam
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). KTH Royal Instute of Technology, Sweden.
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Patient involvement for improved patient safety: a qualitative study of nurses' perceptions and experiences.2017Inngår i: Nursing Open, E-ISSN 2054-1058, Vol. 4, nr 4, s. 230-239Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIM: To explore nurses' perceptions and experiences of patient involvement relevant to patient safety.

    DESIGN: Qualitative design using individual semi-structured interviews.

    METHODS: Interviews with registered nurses (n = 11) and nurse assistants (n = 8) were conducted in 2015-2016. Nurses were recruited from five different healthcare units in Sweden. The material was analysed using conventional content analysis.

    RESULTS: The analysis resulted in four categories: healthcare professionals' ways of influencing patient involvement for safer care; patients' ways of influencing patient involvement for safer care; barriers to patient involvement for safer care; and relevance of patient involvement for safer care. The nurses expressed that patient involvement is a shared responsibility. They also emphasized that healthcare provider has a responsibility to create opportunities for the patient to participate. According to the nurses, involvement can be hindered by factors related to the patient, the healthcare provider and the healthcare system. However, respondents expressed that patient involvement can lead to safer care and benefits for individual patients.

  • 44.
    Unbeck, Maria
    et al.
    Karolinska Institutet.
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Henriksson, Peter
    Karolinska Institutet.
    Jurgensen, Urban
    Eksjö sjukhus.
    Muren, Olav
    Karolinska Institutet.
    Nilsson, Lena
    Linköpings Universitetssjukhus.
    Pukk Härenstam, Karin
    Karolinska Institutet.
    Is detection of adverses events affected by record review merthodology? an evaluation of the "Harvard medical practice study" method and the "Global trigger tool"2013Inngår i: Patient Safety in Surgery, ISSN 1754-9493, E-ISSN 1754-9493, Vol. 7, nr April, s. Article ID: 10-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    There has been a theoretical debate as to which retrospective record review method is the most valid, reliable, cost efficient and feasible for detecting adverse events. The aim of the present study was to evaluate the feasibility and capability of two common retrospective record review methods, the “Harvard Medical Practice Study” method and the “Global Trigger Tool” in detecting adverse events in adult orthopaedic inpatients.

    Methods

    We performed a three-stage structured retrospective record review process in a random sample of 350 orthopaedic admissions during 2009 at a Swedish university hospital. Two teams comprised each of a registered nurse and two physicians were assigned, one to each method. All records were primarily reviewed by registered nurses. Records containing a potential adverse event were forwarded to physicians for review in stage 2. Physicians made an independent review regarding, for example, healthcare causation, preventability and severity. In the third review stage all adverse events that were found with the two methods together were compared and all discrepancies after review stage 2 were analysed. Events that had not been identified by one of the methods in the first two review stages were reviewed by the respective physicians.

    Results

    Altogether, 160 different adverse events were identified in 105 (30.0%) of the 350 records with both methods combined. The “Harvard Medical Practice Study” method identified 155 of the 160 (96.9%, 95% CI: 92.9-99.0) adverse events in 104 (29.7%) records compared with 137 (85.6%, 95% CI: 79.2-90.7) adverse events in 98 (28.0%) records using the “Global Trigger Tool”. Adverse events “causing harm without permanent disability” accounted for most of the observed difference. The overall positive predictive value for criteria and triggers using the “Harvard Medical Practice Study” method and the “Global Trigger Tool” was 40.3% and 30.4%, respectively.

    Conclusions

    More adverse events were identified using the “Harvard Medical Practice Study” method than using the “Global Trigger Tool”. Differences in review methodology, perception of less severe adverse events and context knowledge may explain the observed difference between two expert review teams in the detection of adverse events.

  • 45.
    Unbeck, Maria
    et al.
    Karolinska Institutet.
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Olof, Muren
    Danderyd hospital.
    Identifiering av skada kan påverkas av val av journalgranskningsmetod2011Konferansepaper (Fagfellevurdert)
  • 46.
    Wallerstedt, Birgitta
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Benzein, Eva
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Sandgren, Anna
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    What is palliative care?: Perceptions of healthcare professionals2019Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 33, nr 1, s. 77-84Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background Despite increased attention and knowledge in palliative care, there is still confusion concerning how to interpret the concept of palliative care and implement it in practice. This can result in difficulties for healthcare professionals in identifying patients whom would benefit from palliative care, which, in turn, could lead to a delay in meeting patients' needs. Aim To explore healthcare professionals' perceptions of palliative care. Method Data were collected through twelve interprofessional focus group interviews in community care and hospital wards in south Sweden (n = 74). All interviews were analysed with latent content analysis. Results Three domains were revealed: first, a blurred conceptual understanding as participants described palliative care using synonyms, diagnoses, phases, natural care and holism; second, a challenge to communicate transitions concerned the importance of how and when the transition to palliative care was communicated and documented; finally, a need for interprofessional collaboration was described as well as the consequences for severely ill persons, relatives and healthcare professionals when it was not established. Conclusion The perceptions about how to interpret palliative care differed as well as when palliative care should be offered and decided, which might have practical consequences. How long a person has left to live is of great significance for decision-making, caregiving and preparation in palliative care. The challenge is to use interprofessional communication to promote understanding and collaborate across varied care levels. Integrating palliative care across diverse care levels could be one way to reduce the ambiguity of palliative care.

  • 47.
    Wallerstedt, Birgitta
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Benzein, Eva
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Sandgren, Anna
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Supporting QoL versus "having nothing more to do": staff´s perceptions of palliative care2017Inngår i: Presented at the 15th World Congress of the European Association for Palliative Care (EAPC), Madrid, Spain, May 18-20, 2017, 2017Konferansepaper (Annet vitenskapelig)
  • 48.
    Årestedt, Kristofer
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Kalmar County Council, Sweden.
    Allert, Camilla
    Blekinge Institute of Technology, Sweden.
    Djukanovic, Ingrid
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Israelsson, Johan
    Linnéuniversitetet, Fakulteten för teknik (FTK), Sjöfartshögskolan (SJÖ). Kalmar County Council, Sweden.
    Schildmeijer, Kristina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Agerström, Jens
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY).
    Herlitz, Johan
    University of Borås, Sweden.
    Årestedt, Liselott
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Bremer, Anders
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Kalmar County Council, Sweden.
    Health-related quality of life among in-hospital cardiac arrest survivors in working age2018Inngår i: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 130, nr s1, artikkel-id e18Artikkel i tidsskrift (Fagfellevurdert)
1 - 48 of 48
RefereraExporteraLink til resultatlisten
Permanent link
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf