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  • 1.
    Beiranvand, Samira
    et al.
    Ahvaz Jundishapur University of Medical Sciences, Iran.
    Zarea, Kourosh
    Ahvaz Jundishapur University of Medical Sciences, Iran.
    Ghanbari, Saeed
    Shiraz University of Medical Sciences, Iran.
    Tuvesson, Hanna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Blekinge Institute of Technology.
    Keikhaei, Bijan
    Ahvaz Jundishapur University of Medical Sciences, Iran.
    Ten years incidence of cancer in Iran: a systematic review and meta-analysis2018In: Clinical Epidemiology and Global Health, ISSN 2452-0918, Vol. 6, no 2, p. 94-102Article in journal (Refereed)
    Abstract [en]

    Background

    Designing and implementation of screening programs depend on greatly epidemiologic basic data in every country. Also Variation in the incidence of various cancers in our country has been a favorite topic.

    Objectives

    This systematic review was conducted to provide an overall perspective about incidence, geographical and age distribution of cancers in Iran.

    Methods

    A comprehensive search were done according to MOOSE guideline criteria in national and international databases for selecting eligible articles from 2005 to 2015. After screening titles and abstracts, duplicated and irrelevant studies were excluded. Selected papers are written in Persian or English. The standard error of the cancer incidence was calculated based on the binomial distribution. Because of the significant heterogeneity observed among the results, we used a random-effects model combine the results of the primary studies. Moreover, a sensitivity analysis was undertaken to explore the effects of the risk of bias and other sources of heterogeneity.

    Results

    Overall 16 articles met eligibility criteria for inclusion. The total incidence of cancer was 19.4 and 17.2 per hundred thousand of people in males and females respectively. The five most common cancers in male were: Lymphoma, leukemia, esophagus, stomach, colorectal and in the female are: breast, colorectal, stomach, thyroid and esophagus. The highest incidence rate was seen in Golestan Province and in the age group over 65 years.

    Conclusion

    According to increasing incidence rate of cancers in Iran, Development, holding and accomplish of universal public cancer control program should be the first precedence for health policy.

  • 2.
    Eklund, Mona
    et al.
    Lund university.
    Bäckström, Martin
    Lund university.
    Tuvesson, Hanna
    Blekinge Institute of Technology.
    Psychometric properties and factor structure of the Swedish version of the Perceived Stress Scale.2014In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 68, no 7, p. 494-499Article in journal (Refereed)
    Abstract [en]

    The Perceived Stress Scale (PSS) measures general stress and the Swedish version, although used in several studies, has not been extensively evaluated for psychometric properties. Aims: This study aimed to investigate psychometric properties and the factor solution of the Swedish 14-item version when used with two samples, namely a mixed Internet sample of women and men (n = 171) and another of women with stress-related disorders (n = 84). Classical test theory, including confirmatory factor analysis, was employed. Results: The factor structure supported a two-factor model for the PSS and confirmed other language versions of the PSS, although one items showed a low item-total correlation. The PSS showed to be feasible with the investigated samples and the results indicated no ceiling or floor effects and good internal consistency of the PSS. Several aspects of construct validity were shown. An association of − 0.66 between the PSS and a measure of coping indicated good concurrent validity. Criterion validity was demonstrated through a statistically significant difference (P < 0.001) between the women with stress-related disorders and the Internet sample. Predictive validity of the PSS could be demonstrated in a short-term perspective. Based on the sample with stress-related disorders, sensitivity to change was shown through a statistically significant stress reduction (P < 0.001) from entering work rehabilitation to discharge. Conclusions: The Swedish version of the PSS showed satisfactory psychometric properties and may be recommended for use with people with and without known stress-related disorders.

  • 3.
    Fagerström, Cecilia
    et al.
    Blekinge Institute of Technology.
    Tuvesson, Hanna
    Blekinge Institute of Technology.
    Axelsson, Lisa
    Blekinge Institute of Technology.
    Nilsson, Lina
    Blekinge Institute of Technology.
    The role of ICT in nursing practice: An integrative literature review of the Swedish context2017In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 31, no 3, p. 434-448Article, review/survey (Refereed)
    Abstract [en]

    Background: The Swedish healthcare system employs information and communication technologies (ICT) in nursing practice to meet quality-, security- and efficiency-related demands. Although ICT is integrated with nursing practices, nurses do not always feel that they are convenient to use it. We need to improve our knowledge of the role of ICT in healthcare environments and so we decided to complement existing experience of how ICT influences nursing practice. Aim: This study aimed to review and synthesise the available literature on the role of ICT in nursing practice in Swedish healthcare settings. Method: To consolidate previous studies based on diverse methodologies, an integrative literature review was carried out. Three databases were used to search for literature, 20 articles met the inclusion criteria. Results: The literature review indicates that ICT integration into nursing practice is a complex process that impacts nurses’ communication and relationships in patient care, working conditions, and professional identities and development. Nurses are found to express ambiguous views on ICT as a usable service in their everyday practice since it impacts both positively and negatively. Discussion and conclusion: Although ICT cannot replace physical presence, it can be considered a complementary service that gives rise to improved patient care. However, nonverbal communication cues may be missed when ICT is used as mediating tool and ICT can be limiting because it is not always designed to meet nurse and patient needs. The meaning of an encounter appears to change when ICT is used in nursing practice, not only for patient relationships but also for interpersonal communication.

  • 4.
    Tuvesson, Hanna
    Blekinge Institute of Technology.
    Factors associated with the perception of Angry and Aggressive Behavior among psychiatric nursing staff2013In: Violence in Clinical Psychiatry: Proceedings of the 8th European Congress on violence in clinical psychiatry / [ed] Patrick Callaghan, Nico Oud, Johan Håkon Bjørngaard, Henk Nijman, Tom Palmstierna, Roger Almvik, Bart Thomas, Dwingeloo: KAVANAH , 2013, p. 108-111Conference paper (Refereed)
  • 5.
    Tuvesson, Hanna
    Malmö University.
    Psychiatric nursing staff and the workplace: Perceptions of the ward atmosphere, psychosocial work environment, and stress2011Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Major changes have taken place in psychiatric care in Sweden as well as in other countries. These changes, and the current climate of pressure and demands on the nursing staff in psychiatric in-patient care, make it important to be able to understand the relationship between environmental aspects and the nursing staff’s working conditions. The overall aim of the present thesis was to investigate perceptions of the ward atmosphere, the psychosocial work environment and stress among nursing staff working in psychiatric in-patient care. The findings were based on two questionnaire surveys (65 + 93 participants) and were analyzed using non-parametric statistics. The findings showed that a revised Swedish version of the Ward Atmosphere Scale involved some reliability problems that need to be addressed in future studies. Several aspects of the ward atmosphere were found to be related to the psychosocial work environment, and aspects of the ward atmosphere and the psychosocial work environment were related to the nursing staff’s Perceived Stress and Stress of Conscience. The nursing staff’s sense of Mastery was found to be a protective factor against Stress of Conscience, while a Sense of Moral Burden increased the vulnerability. Taking these aspects into consideration when making improvements in the workplace could help to prevent stress.

  • 6.
    Tuvesson, Hanna
    et al.
    Blekinge Institute of Technology ; Malmö University.
    Borglin, Gunilla
    Blekinge Institute of Technology ; Malmö University.
    The challenge of giving written thesis feedback to nursing students2014In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 34, no 11, p. 1343-1345Article in journal (Refereed)
    Abstract [en]

    Providing effective written feedback on nursing student's assignments can be a challenging task for any assessor. Additionally, as the student groups tend to become larger, written feedback is likely to gain an overall more prominent position than verbal feedback. Lack of formal training or regular discussion in the teaching faculty about the skill set needed to provide written feedback could negatively affect the students' learning abilities. In this brief paper, we discuss written feedback practices, whilst using the Bachelor of Science in Nursing thesis as an example. Our aim is to highlight the importance of an informed understanding of the impact written feedback can have on students. Creating awareness about this can facilitate the development of more strategic and successful written feedback strategies. We end by offering examples of some relatively simple strategies for improving this practice.

  • 7.
    Tuvesson, Hanna
    et al.
    Blekinge Institute of Technology.
    Eklund, Mona
    Lund university.
    Nursing Staff Stress and Individual Characteristics in Relation to the Ward Atmosphere in Psychiatric In-Patient Wards2017In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 38, no 9, p. 726-732Article in journal (Refereed)
    Abstract [en]

    - This study investigated the interplay between nursing staff stress, Mastery, Moral Sensitivity, individual characteristics and the ward atmosphere in psychiatric in-patient care. Data were collected through five questionnaires from 93 nursing staff. Multivariate analysis showed that Moral Strength, Moral Burden, Internal Demands, Perceived Stress and age were related to several factors of the ward atmosphere. We conclude that efforts to reduce stress levels and create a supporting ethical climate on psychiatric wards would be beneficial for both psychiatric nursing staff and their nursing practice. © 2017 Taylor & Francis Group, LLC

  • 8.
    Tuvesson, Hanna
    et al.
    Blekinge Institute of Technology ; Malmö University.
    Eklund, Mona
    Lund university.
    Psychosocial work environment, stress factors and individual characteristics among nursing staff in psychiatric in-patient care2014In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 11, no 1, p. 1161-1175Article in journal (Refereed)
    Abstract [en]

    The psychosocial work environment is an important factor in psychiatric in-patient care, and knowing more of its correlates might open up new paths for future workplace interventions. Thus, the aims of the present study were to investigate perceptions of the psychosocial work environment among nursing staff in psychiatric in-patient care and how individual characteristics—Mastery, Moral Sensitivity, Perceived Stress, and Stress of Conscience—are related to different aspects of the psychosocial work environment. A total of 93 nursing staff members filled out five questionnaires: the QPSNordic 34+, Perceived Stress Scale, Stress of Conscience Questionnaire, Moral Sensitivity Questionnaire, and Mastery scale. Multivariate analysis showed that Perceived Stress was important for Organisational Climate perceptions. The Stress of Conscience subscale Internal Demands and Experience in current units were indicators of Role Clarity. The other Stress of Conscience subscale, External Demands and Restrictions, was related to Control at Work. Two types of stress, Perceived Stress and Stress of Conscience, were particularly important for the nursing staff’s perception of the psychosocial work environment. Efforts to prevent stress may also contribute to improvements in the psychosocial work environment.

  • 9.
    Tuvesson, Hanna
    et al.
    Malmö University.
    Eklund, Mona
    Lund University.
    Wann-Hansson, Christine
    Malmö University.
    Perceived stress among nursing staff in psychiatric inpatient care: the influence of perceptions of the ward atmosphere and the psychosocial work environment2011In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 32, no 7, p. 441-448Article in journal (Refereed)
    Abstract [en]

    The aims of this study were to investigate (1) perceived stress as felt by the nursing staff working in psychiatric inpatient care, (2) possible differences between nurses and nurse assistants, and (3) associations among individual characteristics, the ward atmosphere, the psychosocial work environment, and perceived stress. Ninety-three members of the nursing staff completed three instruments--one each measuring perceived stress, the ward atmosphere, and the psychosocial work environment. There were no differences among the staff groups concerning perceived stress. Multivariate analysis showed that the ward atmosphere factor "Involvement" and the psychosocial work environment factor "Role Clarity" were indicators of perceived stress. Improvements in these factors could help to prevent stress among the staff.

  • 10.
    Tuvesson, Hanna
    et al.
    Malmö University.
    Eklund, Mona
    Lund University.
    Wann-Hansson, Christine
    Malmö University.
    Stress of Conscience among psychiatric nursing staff in relation to environmental and individual factors2012In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 19, no 2, p. 208-19Article in journal (Refereed)
    Abstract [en]

    The present study aimed at investigating the relationship between environmental and individual factors and Stress of Conscience among nursing staff in psychiatric in-patient care. A questionnaire involving six different instruments measuring Stress of Conscience, the ward atmosphere, the psychosocial work environment, Perceived Stress, Moral Sensitivity, and Mastery was answered by 93 nursing staff at 12 psychiatric in-patient wards in Sweden. The findings showed that Sense of Moral Burden, Mastery, Control at Work and Angry and Aggressive Behavior were related to Stress of Conscience. We conclude that Mastery and Control at Work seemed to work as protective factors, while Sense of Moral Burden and perceptions of Angry and Aggressive Behavior made the nursing staff more vulnerable to Stress of Conscience. Future research should investigate whether measures to increase the level of perceived control and being part of decision making will decrease the level of Stress of Conscience among the staff.

  • 11.
    Tuvesson, Hanna
    et al.
    Blekinge Institute of Technology.
    Hellström, Amanda
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sjöberg, L.
    Karolinska Institutet;Stockholm University.
    Sjölund, Britt-Marie
    University of Gävle;Karolinska Institutet;Stockholm University.
    Nordell, E.
    Skåne University Hospital.
    Fagerström, Cecilia
    Blekinge County Hospital.
    Life weariness and suicidal thoughts in late life: a national study in Sweden2018In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 22, no 10, p. 1365-1371Article in journal (Refereed)
    Abstract [en]

    Objectives: This study aimed at investigating the point prevalence of life weariness and suicidal thoughts and their relationship with socio-demographic characteristics in a population of older adults in Sweden. Method: Data from 7913 individuals aged 60 years and older were drawn from the Swedish National Study on Aging and Care, a collaborative study in Sweden. Life weariness and suicidal thoughts were measured by one item derived from the Montgomery–Åsberg Depression Rating Scale. A multinomial regression model was used to investigate the relationships of socio-demographic characteristics with life weariness and suicidal thoughts. Results: Living in urban and semi-urban areas, being of advanced age, being divorced and having lower educational levels were related to life weariness. Living in a residential care facility, being widowed or unmarried, being born in a non-Nordic European country and experiencing financial difficulties were related to both life weariness and suicidal thoughts. Sex was found to be unrelated to either life weariness or suicidal thoughts. Conclusion: This study found that several socio-demographic variables were associated with life weariness and suicidal thoughts among older adults. Specific attention to older individuals with these characteristics may be warranted as they might be more vulnerable to life weariness and suicidal thoughts.

  • 12.
    Tuvesson, Hanna
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Blekinge Tekniska Högskola .
    Hellström, Amanda
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sjögern, Linnea
    Karolinska Institutet.
    Sjölund, BrittMarie
    Nordell, Eva
    Lunds Universitet.
    Fagerström, Cecilia
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Blekinge Kompetenscentrum.
    Life weariness and suicidalthoughts in older adults: A multi-center study in Sweden.2016Conference paper (Refereed)
  • 13.
    Tuvesson, Hanna
    et al.
    Blekinge Institute of Technology.
    Lützén, Kim
    Karolinska institutet.
    Demographic factors associated with moral sensitivity among nursing students2017In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 24, no 7, p. 847-855Article in journal (Refereed)
    Abstract [en]

    Background:Today’s healthcare environment is often characterized by an ethically demanding worksituation, and nursing students need to prepare to meet ethical challenges in their future role. Moralsensitivity is an important aspect of the ethical decision-making process, but little is known regardingnursing students’ moral sensitivity and its possible development during nursing education.Objectives:The aims of this study were to investigate moral sensitivity among nursing students,differences in moral sensitivity according to sample sub-group, and the relation between demographiccharacteristics of nursing students and moral sensitivity.Research design:A convenience sample of 299 nursing students from one university completed aquestionnaire comprising questions about demographic information and the revised Moral SensitivityQuestionnaire. With the use of SPSS, non-parametric statistics, including logistic regression models,were used to investigate the relationship between demographic characteristics and moral sensitivity.Ethical considerations:The study followed the regulations according to the Swedish Ethical Review Actand was reviewed by the Ethics Committee of South-East Sweden.Findings:The findings showed that mean scores of nursing students’ moral sensitivity were found in themiddle to upper segment of the rating scale. Multivariate analysis showed that gender (odds ratio¼3.32),age (odds ratio¼2.09; 1.73), and parental status (odds ratio¼0.31) were of relevance to nursing students’moral sensitivity. Academic year was found to be unrelated to moral sensitivity.Discussion and conclusion:These demographic aspects should be considered when designing ethicseducation for nursing students. Future studies should continue to investigate moral sensitivity in nursingstudents, such as if and how various pedagogical strategies in ethics may contribute to moral sensitivity innursing students

  • 14.
    Tuvesson, Hanna
    et al.
    Malmö University.
    Wann-Hansson, Christine
    Malmö University.
    Eklund, Mona
    Malmö University ; Lund University.
    A revised Swedish version of the Ward Atmosphere Scale: Usability and psychometrics2010In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 64, no 5, p. 303-309Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The ward atmosphere of psychiatric care units has a major impact on treatment and satisfaction for both patients and staff. The Ward Atmosphere Scale (WAS) was developed to capture the ward atmosphere in different psychiatric settings and is a well-established instrument for this purpose. However, there is need for an update and revision of the WAS.

    AIM: The aim of the present study was to test a Swedish version of the revised WAS in terms of its internal consistency, content and construct validity, and usability.

    METHODS: Data collection took place at four psychiatric wards and 31 patients and 34 staff completed the WAS, as well as content and construct validity questions.

    RESULTS: Results showed that the WAS had acceptable to satisfactory internal consistency for all subscales, except for autonomy. Low correlation values between the WAS and the Good Milieu Index were obtained, against which construct validity was discussed. Results of the content validity and usability questionnaires indicate that the WAS is easy to understand and complete, but some of the items were difficult for the respondents to understand and some of the subjects were missing aspects of the physical ward environment.

    CONCLUSIONS: The present study confirms that the Swedish version of the revised WAS can be useful for examining the ward atmosphere in psychiatric care. However, more studies are needed in order to further test the psychometric properties of the WAS and the results of the usability questionnaire may indicate a need to use supplementary instruments in order to capture the physical ward environment as well.

  • 15.
    Tuvesson, Hanna
    et al.
    Malmö University.
    Wann-Hansson, Christine
    Malmö University.
    Eklund, Mona
    Lund University.
    The ward atmosphere important for the psychosocial work environment of nursing staff in psychiatric in-patient care2011In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 10, article id 12Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The nursing staff working in psychiatric care have a demanding work situation, which may be reflected in how they view their psychosocial work environment and the ward atmosphere. The aims of the present study were to investigate in what way different aspects of the ward atmosphere were related to the psychosocial work environment, as perceived by nursing staff working in psychiatric in-patient care, and possible differences between nurses and nurse assistants.

    METHODS: 93 nursing staff working at 12 general psychiatric in-patient wards in Sweden completed two questionnaires, the Ward Atmosphere Scale and the QPSNordic 34+. Data analyses included descriptive statistics, the Mann-Whitney U-test, Spearman rank correlations and forward stepwise conditional logistic regression analyses.

    RESULTS: The data revealed that there were no differences between nurses and nurse assistants concerning perceptions of the psychosocial work environment and the ward atmosphere. The ward atmosphere subscales Personal Problem Orientation and Program Clarity were associated with a psychosocial work environment characterized by Empowering Leadership. Program Clarity was related to the staff's perceived Role Clarity, and Practical Orientation and Order and Organization were positively related to staff perceptions of the Organizational Climate.

    CONCLUSIONS: The results from the present study indicate that several ward atmosphere subscales were related to the nursing staff's perceptions of the psychosocial work environment in terms of Empowering Leadership, Role Clarity and Organizational Climate. Improvements in the ward atmosphere could be another way to accomplish improvements in the working conditions of the staff, and such improvements would affect nurses and nurse assistants in similar ways.

  • 16.
    Wiklund Gustin, Lena
    et al.
    Nationellt nätverk för specialistsjuksköterskeutbildning i psykiatrisk vård.
    Gabrielsson, Sebastian
    Nationellt nätverk för specialistsjuksköterskeutbildning i psykiatrisk vård.
    Jormfeldt, Henrika
    Psykiatriska riksföreningen för sjuksköterskor, PRF.
    Tuvesson, Hanna
    Psykiatriska riksföreningen för sjuksköterskor, PRF.
    "Psykiatrin behöver mer kompetens - inte bara fler händer"2018In: Dagens Medicin, ISSN 1104-7488, no 2018-03-07Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    För att få en långsiktigt hållbar psykiatrisk vård krävs satsningar som underlättar för sjuksköterskor att specialistutbilda sig, skriver fyra debattörer.

  • 17.
    Zarea, Kourosh
    et al.
    Ahvaz Jundishapur University of Medical Sciences, Iran.
    Ghanbari, Samira
    Ahvaz Jundishapur University of Medical Sciences, Iran.
    Beiranvand, Saeed
    Shiraz University of Medical Sciences, Iran.
    Tuvesson, Hanna
    Blekinge Institute of Technology.
    Incidence of gastrointestinal cancers in Iran: A systematic review2017In: Jundishapur Journal of Chronic Disease Care, ISSN 3758-2322, Vol. 6, no 1, article id e37224Article in journal (Refereed)
    Abstract [en]

    Context: In service planning, indicators such as incidence can aid the development of strategies for service provision. The current systematic review was carried out to provide a general viewpoint on incidence, geographical and age distribution of gastrointestinal (GI) cancers in Iran.

    Evidence Acquisition: A detailed Science Direct, PubMed, Scopus, Google Scholar, Iran Medex, Magiran and SID (scientific information databases) search was made from 2005 to 2015. The basic inclusion criteria were all relevant studies focused on GI cancers incidence and epidemiologic data from Iran.

    Results: Overall incidence of cancer was 19.4 and 17.2 per 100 000 in males and females, respectively. The three most common GI cancers in males were: esophagus, stomach and colorectal and in females: colorectal, stomach and esophagus. The highest incidence rate was observed in Golestan province and in the age group over 65 years.

    Conclusions: According to increasing incidence rate of GI cancers in Iran, development, establishment and implement of comprehensive national cancer control program should be the first priorities for health policy makers.

1 - 17 of 17
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