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  • 1. Almstedt, Veronica
    et al.
    Eklund, Anna Josse
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Åhlander, Ann-Charlotte
    Moegelin, Ing-Marie
    Kompetensbeskrivning avancerad nivå distriktssköterska2019Other (Other (popular science, discussion, etc.))
  • 2.
    Alstveit, Marit
    et al.
    University Stavanger, NOR.
    Lahti, Sari
    Metropolia University, FIN.
    Jonsdottir, Sigridur Sia
    University Akureyri, ISL.
    Egeland, Nina
    University Stavanger, NOR.
    Sorensen, Susanne Klit
    VIA University College, DNK.
    Eklund, Anna Josse
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Public health nurse education in the Nordic countries2022In: Public Health Nursing, ISSN 0737-1209, E-ISSN 1525-1446, Vol. 39, no 1, p. 270-278Article in journal (Refereed)
    Abstract [en]

    Background: Higher education should promote critical reflection and guide students towards international activities. In the Nordic countries public health nurse educational programmes are mostly based on guidelines issued by national educational authorities, which describe students' learning outcomes.

    Aim: The aim of this paper is twofold: to give an overview of public health nurse education and service in the Nordic countries and thereby discuss opportunities for collaboration within the programmes.

    Data sources and compilation of data: National legislations for public health nurse education and services are used as data. Since all sources are written in the language of each country, all the authors wrote the parts that describe each countries conditions in English and contributed to the compilation of data.

    Results: We found both similarities and differences in public health nurse education and services. Opportunities for collaboration between the programmes are discussed.

    Conclusion: Critical reflection by the public health nurse students can be enhanced by arranging collaboration projects, an exchange of clinical placement, and joint master projects. Collaboration among academic staff within the educational programmes, in education and research, have the potential to enhance quality both within public health nurse education and in developing the profession of public health nursing.

  • 3.
    Andersson, Ingrid
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Bååth, Carina
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Eklund, Anna Josse
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Nilsson, Jan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Registered nurse´s perception of staffing in community care – contributing to a sustainable health care workforce2022Conference paper (Refereed)
    Abstract [en]

    Background: Population ageing will lead to increased need for care, both as home care and in nursing homes. The time spent in hospital are shorten, so more and more advanced care takes place as community care. To meet this challenges, it will be important to ensure a sustainable health care workforce in which registered nurses (RNs) have a key role. Staffing in community care is related to patient safety and care quality.

    Aim of the study: To describe registered nurse´s perceptions of staffing in community care.

    Methods: A number of 56 RNs (age 26 to 65, median age 47) working in community care answered a questionnaire including questions about staffing. Data were collected in 2019/2020. Descriptive statistical- and qualitative content analyses were used. 

    Results: The majority of the RNs (71%) perceived the planned staffing in community care as acceptable or good. Although, when looking back on the previous week, around half of the RNs (55%) perceived it to be lower that needed. The RNs holds perceptions of staffing in a continuum from positive to negative. The RNs perceptions of staffing are expressed in five sub-themes; “it´s working, it´s all fine,” “the willingness to do good”, “being in a vicious circle”, “having a feeling of resignation”, and “challenging for a vulnerable organization”.

    Conclusions and implications: RNs perceptions on staffing in community care are important in contributing to a sustainable and resilient workforce, they are like the organisation´s band-aid. There is a need to optimise and increase nurse staffing in community care.

     

  • 4.
    Andersson, Ingrid
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Bååth, Carina
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Ostfold Univ Coll, NOR.
    Nilsson, Jan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Inland Norway Univ Appl Sci, NOR.
    Eklund, Anna Josse
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    A scoping review-Missed nursing care in community healthcare contexts and how it is measured2022In: Nursing Open, E-ISSN 2054-1058, Vol. 9, no 4, p. 1943-1966Article in journal (Refereed)
    Abstract [en]

    Aim: To examine the extent and nature of missed nursing care in elderly care in community healthcare contexts from the perspective of healthcare staff, and to identify instruments used to measure missed nursing care and the content of these instruments. Design: Scoping review. Methods: Searches were conducted in the CINAHL, PubMed, Scopus and Google Scholar databases in March 2020. The selection process followed the PRISMA flow diagram. Results: Sixteen research papers were found from nine countries. The instruments used in the studies were Basel Extent of Rationing of Nursing Care for nursing homes (BERNCA-NH), modified MISSCARE survey and study-specific instruments or items. The item content differed, as did the number of items, which was between one and 44. The studies reported values for missed nursing care, as well as described reasons for and/or the relation between missed nursing care and organization, working climate and patient outcomes.

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  • 5.
    Andersson, Ingrid
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Bååth, Carina
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Nilsson, Jan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Eklund, Anna Josse
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    [Manuscript] Validation of the Basel Extent of Rationing of Nursing Care for Nursing Homes and Home Care, a Swedish versionManuscript (preprint) (Other (popular science, discussion, etc.))
  • 6.
    Andersson, Ingrid
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Bååth, Carina
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Nilsson, Jan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Eklund, Anna Josse
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Validation of the Basel Extent of Rationing of Nursing Care for Nursing Homes and Home Care, a Swedish version2023In: Nursing Open, E-ISSN 2054-1058, Vol. 10, no 7, p. 4504-4514Article in journal (Refereed)
    Abstract [en]

    AimThe aim of the study was to translate, adapt and validate the instrument Basel Extent of Rationing of Nursing Care for Nursing Homes and Home Care for use in the Swedish community health care context. DesignA cross-sectional study. Data were collected from October 2019 to January 2020, and the questionnaire was sent to Registered Nurses, Enrolled Nurses and assistant nurses. MethodsThe study was performed in four phases: (1) translation, (2) adaptation of the Basel Extent of Rationing of Nursing Care for Nursing Homes and Home Care to the Swedish context, (3) content validity testing, and (4) evaluation of psychometric properties. The collected data resulted in 611 responses. Explorative factor analysis was performed to explore the interrelationship, and Cronbach's alpha was used to evaluate the internal consistency. ResultsExplorative factor analysis presented six factors/subscales: (1) fundamental care, (2) timely needed-based care, (3) dignity and support, (4) ensuring respectful treatment, (5) social activities, and (6) documentation, planning and reporting. The Cronbach's alpha for the components showed values between 0.7 and 0.9. ConclusionThe analyses indicate an instrument to be usable for Enrolled Nurses and nurse assistants in community health care. Additional tests, can contribute to refining the content of the items and further test reliability and validity of the instrument. No patient or public contributionAs this is a study of translation and validation of the instrument Basel Extent of Rationing of Nursing Care for Nursing Homes and Home Care.

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  • 7.
    Andersson, Ingrid
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Eklund, Anna Josse
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Nilsson, Jan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Bååth, Carina
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    [Manuscript] First-line managers´ perceptions of missed nursing care in municipal health care for older people – a phenomenographic studyManuscript (preprint) (Other (popular science, discussion, etc.))
  • 8.
    Andersson, Ingrid
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Eklund, Anna Josse
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Nilsson, Jan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Inland Norway Univ Applied Science, NOR..
    Bååth, Carina
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Östfold University College, NOR.
    Prevalence, type, and reasons for missed nursing care in municipality health care in Sweden: A cross sectional study2022In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 21, no 1, article id 95Article in journal (Refereed)
    Abstract [en]

    Background With an ageing population, there is an increasing need for care, both as home care and in nursing homes. However, some needed care is not carried out for different reasons, which can affect patient safety. The aim of the study was to describe prevalence, type, and reasons for missed nursing care in home care and nursing homes, from nurses' perspective. Methods A cross sectional design with quantitative and qualitative approach. A Swedish version of Basel Extent of Rationing of Nursing Care for nursing homes and 15 study specific questions were answered by 624 registered nurses, enrolled nurses, or nurse assistants. Both descriptive and analytical, independent-samples t-test, analyses were used. Qualitative content analysis was used for the open-ended question. Results The care activity most often missed in home care was: 'set up or update care plans' (41.8%), and in nursing homes: 'scheduled group activity' (22.8%). Reasons for missed nursing care were lack of preparedness for unexpected situations, obstacles in a deficient work environment, unsatisfactory planning in the organisation, and/or shortcomings related to the individual. Conclusion Not all care activities needed are performed, due to reasons such as lack of time or organisational issues. Missed nursing care can lead to adverse events and affect patient safety. It is important to be aware of missed nursing care and the reasons for it, which gives a possibility to initiate quality improvement work to ensure patient safety.

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  • 9.
    Eklund, Anna Josse
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Den professionella distriktssköterskan2021In: Distriktssköterskans specialistområden / [ed] Eva-Karin Hultgren, Studentlitteratur AB, 2021, 1, p. 27-48Chapter in book (Other academic)
  • 10.
    Eklund, Anna Josse
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Professionellt ledarskap2021In: Distriktssköterskans specialistområden / [ed] Eva-Karin Hultgren, Studentlitteratur AB, 2021, p. 49-60Chapter in book (Other academic)
  • 11.
    Eklund, Anna Josse
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Sjuksköterskor som patienters företrädare: Med huvudsakligt fokus på företrädarskap för äldre patienter i kommunal hälso- och sjukvård2013Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim was to study nurses’ and managers’ attitudes towards micro social patient advocacy (I) and factors related to patient advocacy (II, III) with the main focus being on advocacy in the care of older patients in community health care together with psychometric testing of the instrument 'Attitudes toward Patient Advocacy Scale-Attitudes toward MIcrosocial Advocacy' (IV).

    Methods: A quantiative cross-sectional study and a qualitative study were carried out. Nurses (n=207) and managers (n=23) in community health care responded to a questionnaire about patient advocacy, nursing competence, personal traits, quality of care and organisational climate (I, II, IV). Nurses' (n=18) perceptions of influencers of patient advocacy was studied in a phenomenographic study (III).

    The results showed that nurses and managers reported positive attitudes to patient advocacy (I, II), especially for patients unable to speak for themselves (I). Two areas of nursing competence (Performing the nursing process, Supervision and cooperation) and a dimension of quality of care of older patients were positively associated with attitudes towards patient advocacy (II). Two organisational dimensions were, negatively (dynamism) respectively positively (playfulness), associated with attitudes towards patient advocacy. The nurses' perceptions of influencers of patient advocacy consist of three hierarchically related levels: The nurse's character traits, The nurse’s bond with the patient and The organisational conditions (III). The Swedish version of APAS-AMIA consists of 33 items in a four-factor structure (APAS-AMIA/SE): Support patients’ beliefs and decision-making, Safeguard patients' health care, Support patients to communicate their wishes and Respect patients’ wishes not to participate in decisions regarding care (IV).

    Conclusions: Maintaining the continuing professional competence of nurses is important, and is ensuring the organisational prerequisites to enable nurses' advocacy for patients.

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    Sjuksköterskor som patienters företrädare
  • 12.
    Eklund, Anna Josse
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Carlson, Elisabeth
    Malmö University.
    Sundin-Andersson, Christina
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Olsson, Cecilia
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Lovisenberg Diaconal University College, Norway.
    Experiences of the clinical learning environment in peer learning: A mixed method study from bachelor students’ and main preceptors’ perspectives2023In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 43, no 1Article in journal (Refereed)
    Abstract [en]

    There is a lack of clinical placements for bachelor nursing students (BNS). Due to this, stringent educational models for clinical practice need to be developed. The aim was to describe bachelor nursing students’ and main preceptors’ experiences of the clinical learning environment during peer learning. This mixed method study was based on a joint project between the Karlstad University and the Region Värmland, Sweden, where peer learning was launched in two geriatric clinical education wards. A total of 23 bachelor nursing student and four main preceptors participated. The data were collected in parallel, qualitative data through focus group interviews and reflective journals, and quantitative data with the CLES + T scale between November 2017 and February 2018. A directed content analysis of all results was performed. The COREQ Checklist was used. The student–patient and the student–main preceptor relationships were important for the students’ development. The students described the educational atmosphere as comfortable and safe and that the staff were knowledgeable about them. Peer learning with close interaction between patients and all staff can create authenticity, which in turn drives the BNSs’ professional development. All staff should be involved in the supervision of the students and include them as members of the nursing team.

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  • 13.
    Eklund, Anna Josse
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Jossebo, Marie
    Karlskoga lasarett, Örebro läns landsting.
    Sandin-Bojö, Ann-Kristin
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences. Karlskoga Hospital, Sweden.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences. Norway.
    Petzäll, Kerstin
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences. Norway.
    Swedish nurses’ perceptions of influencers on patient advocacy – a phenomenographic study2014In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 21, no 6, p. 673-683Article in journal (Refereed)
    Abstract [en]

    Background: A limited number of studies have shown that patient advocacy can be influenced by both facilitators and barriers which can encourage and discourage nurses to act as patient advocates. Objective: This study’s aim was to describe Swedish nurses’ perceptions of influencers on patient advocacy.

    Research design and context: Interviews with 18 registered nurses from different Swedish clinical contexts were analysed using the phenomenographic method.

    Ethical considerations: Ethical revisions were made in accordance with national legislation and guidelines by committees for research ethics at Karlstad University. Findings: Three levels of hierarchically related influencers on patient advocacy were found in the descriptive categories. The fundamental influencer, the nurse’s character traits, was described in the perceptions that advocacy is influenced by nurse’s having a moral compass, having control over the care situation, being protective and feeling secure as a nurse. The second most vital influencer, the nurse’s bond with the patient, was expressed in the perceptions of knowing the patient and feeling empathy for the patient. The third level of influencers, the organisational conditions, was described in the perceptions that the organisational structures and organisational culture influence patient advocacy.

    Discussion: The results correspond with findings from earlier research but add an understanding that influencers on patient advocacy exist at three hierarchically related levels. Conclusion: The nurse’s character traits are the fundamental influencer to patient advocacy, but in order to be comfortable and secure when advocating for patients, nurses also need to be familiar with both the patient and the situation. A supposition could be that all influencers interact, which needs to be further addressed in future studies.

  • 14.
    Eklund, Anna Josse
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Petzäll, Kerstin
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Räty, Lena
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Patient Advocacy in Community Care of Older Patients: Psychometric testing of the Swedish version of Attitudes towards Patient Advocacy Scale (APAS) and registered nurses and nurse managers attitudes towards patient advocacy2010Conference paper (Refereed)
  • 15.
    Eklund, Anna Josse
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Petzäll, Kerstin
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Räty, Lena
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Sjuksköterskans advokatskap för patienter inom kommunal vård2010Conference paper (Other (popular science, discussion, etc.))
  • 16.
    Eklund, Anna Josse
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Petzäll, Kerstin
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Räty, Lena
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Sandin-Bojö, Ann-Kristin
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Sjuksköterskans advokatskap för patienter inom kommunal vård2011Conference paper (Other (popular science, discussion, etc.))
  • 17.
    Eklund, Anna Josse
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Petzäll, Kerstin
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Sandin-Bojö, Ann-Kristin
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Swedish registered nurses attitudes towards patient advocacy and individual influencing factors2011Conference paper (Refereed)
    Abstract [en]

    INTRODUCTIONPatient advocacy can be considered as a vital part of the registered nurses (RNs) profession. The RN advocates for the patients when she/he speaks or acts on behalf of the patients, support and protects the patients when they themselves cannot. According to Bu and Jezewski´s1 theory (2007) patient advocacy consists of three core attributes; safeguarding the patients autonomy, acting on behalf of patients and championing social justice in provision of health care. Factors on an individual and an organisational level can influence patient advocacy. Individual factors described in the literature are the RNs nursing competence, educational level and her/ his personality.AIMSThe aims of the study was to describe registered nurses (RNs) attitudes toward patient advocacy and to explore individual factors influencing attitudes toward patient advocacy in the context of community care of older patients.METHODSThe cross sectional study was carried out in 16 communities in a region of Sweden, between March and September in 2009. Mailed questionnaires were used to collect data and a total of 226 RNs participated in the study (rr=52 %). Besides demographics, the questionnaire consisted of the instruments the APAS2 (to measure RNs attitudes towards patient advocacy), the AssCe3 (to measure the RNs self assessed nursing competence) and the SIMP4 (to measure personality traits). Descriptive statistics and multiple regression analysis were used to analyze data.RESULTSThe RNs showed positive attitudes towards patient advocacy. Nursing competence proved to be an influencing factor to attitudes towards patient in the regression model. The model explained 18.4 % of the variance in attitudes toward patient advocacy.CONCLUSIONThe results from this study can contribute to the available knowledge about patient advocacy since new insights about influencing factors have been added. The vital results from this study are that RNs in a community context showed a positive attitude towards patient advocacy and that attitudes towards patient advocacy were influenced by the RNs nursing competence but not by their nursing experience, educational level or personality traits. The results can contribute to the knowledge about patient advocacy but further research regarding patient advocacy and influencing factors is needed.REFERENCES1. Bu X. & Jezewski MA. Developing a mid-range theory of patient advocacy through concept analysis. J Adv Nur 2007; 57(1): 101-110.2. Bu X. & Wu Y.B. Development and Psychometric Evaluation of the Instrument: Attitude Toward Patient Advocacy. Res Nurs Health 2008; 31(1): 63- 75.3. Löfmark A. & Thorell-Ekstrand I. An assessment form for clinical nursing education: a Delphi study. J Adv Nurs 2004; 48(3): 291-298.4. Woods S.A. & Hampson S.E. Measuring the Big Five with Single Items using a Bipolar Response Scale. Eur J Pers. 2005; 19: 373-390.

  • 18.
    Eklund, Anna Josse
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Petzäll, Kerstin
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Sandin-Bojö, Ann-Kristin
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Cross-cultural validation and psychometric testing of the Swedish version of the microsocial section of the Attitudes toward Patient Advocacy Scale2012In: The International Journal of Person Centered Medicine, ISSN 2043-7730, E-ISSN 2043-7749, Vol. 2, no 3, p. 473-481Article in journal (Refereed)
    Abstract [en]

    Rationale, aims and objectives: Patient advocacy can be defined as a process for maintaining and monitoring patients’ rights, values and best interests. To measure attitudes toward patient advocacy, Bu and Wu (2008) developed the Attitudes toward Patient Advocacy Scale (APAS), which required further testing and refining in different contexts. This two-phased study aimed to: (1) translate and cross-culturally validate the APAS section for microsocial patient advocacy (AMIA) in accordance with the Swedish context and (2) test the instrument’s psychometric properties in the community care of older patients.

    Methods and results: The first phase consisted of back-translation and cultural validation of the APAS-AMIA in accordance with the Swedish context and resulted in a 39-item Swedish version of the APAS-AMIA. In the second phase, data were collected using the 39-item APAS-AMIA in 2009 from a sample of 230 registered nurses and nurse managers covering 16 communities. Subsequently, psychometric testing was conducted with exploratory factor analysis and reliability analysis in a final sample of 201 RNs. The exploratory factor analysis revealed a 4-factor structure, explaining 52.1% of the total scale variance in a 33-item instrument called the APAS-AMIA/SE. The Cronbach’s alpha for the APAS-AMIA/SE was 0.92 and varied between 0.82 and 0.88 for the factors.

    Conclusion: When the APAS-AMIA/SE semantic and conceptual equivalence to the APAS-AMIA, its distinct factor structure, internal consistency values and theoretical attachment are all added together, the conclusion is that the APAS-AMIA/SE is an acceptably reliable and valid instrument.

  • 19.
    Eklund, Anna Josse
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Petzäll, Kerstin
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Sandin-Bojö, Ann-Kristin
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Swedish registered nurses’ and nurse managers’ attitudes towards patient advocacy in community care of older patients2013In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 21, no 5, p. 753-761Article in journal (Refereed)
    Abstract [en]

    Aim To describe and compare registered nurses’ (RNs) and nurse managers’ (NMs) attitudes towards patient advocacy in the community care of older patients.

    Background RNs may act as patients’ advocates in the care of older patients. NMs should support patient advocacy in order to make the best care available to patients.

    Method A modified Attitudes towards Patient Advocacy Scale was used to collect data from 207 RNs and 23 NMs in the Swedish community care of older patients. The response rate was 52%. Descriptive and inferential statistics were used.

    Results Both RNs and NMs showed positive attitudes towards patient advocacy. They were more positive towards patient advocacy for patients unable to help themselves than for competent patients.

    Conclusions This study showed that RNs and NMs did not differ in their attitudes towards patient advocacy. This result is consistent with the idea of giving the neediest and vulnerable patients greater care.

    Implications for Nursing Management It is important for NMs to clarify their own and RNs attitudes towards patient advocacy as disparities may affect cooperation between the groups. Any effects on cooperation may, by extension, affect the quality of care.

  • 20.
    Eklund, Anna Josse
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences. Norway.
    Petzäll, Kerstin
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences. Norway.
    Sandin-Bojö, Ann-Kristin
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences. City Council Värmland.
    Individual and organisational factors influencing registered nurses' attitudes towards patient advocacy in Swedish community health care of elders2014In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 28, no 3, p. 486-495Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to describe and explore individual and organisational factors potentially influencing registered nurses' (RNs) attitudes towards patient advocacy. Methods and Sample: In a quantitative cross-sectional study, data were collected from 226 RNs in community health care of elders. A questionnaire was used to measure a number of factors including attitudes towards patient advocacy, nursing competence, personality traits, individual preferences regarding the quality of health care and working climate. A multiple regression analysis was performed. Results: The results showed that individual factors of nursing competence and individual preferences of the quality of health care, as well as organisational factors of the working climate, explained 26.2% of the variance in the RNs' attitudes towards patient advocacy. Conclusions: Although the mentioned individual factors may be intertwined, the conclusion is that both individual and organisational factors influenced RNs' attitudes towards patient advocacy. The results do not verify that nursing experience, workplace experience, educational level or personality traits influence the RNs' attitudes towards patient advocacy. The proportion of explained variance indicates that additional factors also influence attitudes towards patient advocacy, and more research is needed to shed further light on these factors.

  • 21.
    Flyum, Ida Røed
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Lovisenberg Diaconal University College, Oslo, Norway.
    Gjevjon, Edith Roth
    Lovisenberg Diaconal University College, Oslo, Norway.
    Eklund, Anna Josse
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Lærum-Onsager, Ellisiv
    Lovisenberg Diaconal University College, Oslo, Norway.
    Borglin, Gunilla
    Lovisenberg Diaconal University College, Oslo, Norway.
    Nursing, frailty, functional decline and models of care in relation to older people receiving long-term care: a scoping review protocol2022In: BMJ Open, E-ISSN 2044-6055, Vol. 12, no 8, p. 1-7, article id e061303Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: Older people receiving healthcare in long-term care contexts (eg, home healthcare, sheltered housing and nursing home contexts) are especially vulnerable to developing frailty and functional decline. Considering the negative effects associated with these conditions and the possibility of preventing them from progressing, it is vital that nurses possess a broad knowledge base related to them. Particularly as prevention related to these conditions lies well within their remit. Such knowledge could guide the development of effective models of care, ensuring continuity and, hence, quality of care. Our objective will be to review published literature on existing models of care targeting frailty and/or functional decline and how these conditions are described by older people themselves, significant others and nurses in relation to long-term care. METHODS AND ANALYSIS: The scoping review will be conducted in accordance with Arksey and O’Malley’s methodological framework. Recent methodological developments will be considered. PubMed, CINAHL and PsycINFO will be searched. Eligibility criteria will be peer-reviewed papers and written in English. All types of study designs will be eligible and included papers will be quality and ethically assessed. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)-Protocol checklist for protocols and the PRISMA for Scoping Reviews checklist were followed in this paper. ETHICS AND DISSEMINATION: As the study outlined in this protocol is a scoping review, no ethics approval was needed for this protocol nor for the upcoming study. The findings will be published in an open-access, peer-reviewed journal. Additionally, the findings will guide a research project following the Medical Research Council’s framework for developing and evaluating complex interventions. Thus, supporting us in developing a model of care related to the detection and prevention of frailty and/or functional decline among older people in a long-term care context. 

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  • 22.
    Jansson, Jörgen
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Eklund, Anna Josse
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Larsson, Maria
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Nilsson, Jan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Sophiahemmet University .
    Prehospital care nurses' self reported competence: A cross-sectional study2020In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 52, p. 1-7, article id 100896Article in journal (Refereed)
    Abstract [en]

    Background: The Swedish ambulance service has undergone major changes in recent decades due to advancements being made in medical and technical resources, professional competence, and patient care. Registered and specialist nurses share the same role, accountabilities, and responsibilities in the ambulance service, and their professional competence has not yet been evaluated. Objectives: The aim of the study was to investigate and compare self-reported professional competence among nurses working in the ambulance service and to explore associations between potentially predictive background factors and self-reported professional competence. Method: A cross-sectional study with a digital questionnaire was used for collecting data from 34 registered nurses and 71 specialist nurses. The Ambulance Nurse Competence Scale and the Research Utilization Questionnaire were used for data collection. Results: Significant differences were found among the nursing categories in terms of age, gender, education, and work experience. Prehospital emergency nurses reported the highest professional competence. Nurses with a master's degree did not report significantly higher professional competence than nurses with a bachelor's degree. Conclusions: The findings indicated that there are differences in the professional competence of registered nurses and specialist nurses. Length of work experience in the ambulance service is an important factor associated with higher professional competence.

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  • 23.
    Nilsson, Johanna
    et al.
    Region Östergötland.
    Johansson, Sofi
    Praktikertjänst AB.
    Eklund, Anna Josse
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Robotic medication assistance in homecare: A scoping review2022Conference paper (Refereed)
  • 24.
    Olsson, Cecilia
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Carlson, Elisabeth
    Malmö University.
    Sundin-Andersson, Christina
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Eklund, Anna Josse
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    All our problems solved? Implementing peer learning in a geriatric hospital setting:: A discussion paper2020In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 41, no 2, p. 61-64Article in journal (Refereed)
    Abstract [en]

    Educational models that facilitate an increased number of students while maintaining clinical education of good quality are needed. This discussion paper presents how peer learning was implemented in a geriatric hospital setting allowing for an increase in student numbers. Conclusively, a stringent implementation of peer learning facilitated an effective way of using existing supervision resources, while maintaining a good quality of clinical education. It is also important that the process is anchored in both educational and clinical settings with a clear division of responsibilities. Finally, all collaborative partners need to acknowledge the significance of high-quality clinical education.

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  • 25.
    Olsson, Cecilia
    et al.
    Karlstad Universitet.
    Eklund, Anna Josse
    Karlstad Universitet.
    Larsson, Maria
    Karlstad Universitet.
    Ringnér, Anders
    Umeå University, Faculty of Medicine, Department of Nursing. Faculty of Health, Science and Technology, Department of Health Sciences, Karlstad University .
    Sexuality After Treatment of Diffuse Large B-cell Lymphoma: Patients' Experiences and Psychometric Testing of the Sexual Adjustment Questionnaire-Swedish Version II2020In: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 44, no 6, p. 499-508Article in journal (Refereed)
    Abstract [en]

    Background: Sexuality is an important part of health-related quality of life. To ensure adequate supportive interventions, valid and reliable instruments specific to sexual changes and adjustments after cancer treatment are needed.

    Objectives: The aims of this study were to test the psychometric properties of the Sexual Adjustment Questionnaire-Swedish version II (SAQ-SII) in patients treated for diffuse large B-cell lymphoma and to describe and explore patients' experiences of sexuality after treatment.

    Methods: A cross-sectional study was conducted in 2019, using SAQ-SII and data from the National Quality Registry for Leukemia–subregistry for Lymphoma, which included 257 patients (25% response rate). An exploratory factor analysis was performed for psychometric evaluation. Internal consistency was assessed by Cronbach's α. Independent t tests, analysis of variance, and multiple regression were used to describe patients' experiences of sexuality.

    Results: The exploratory factor analysis resulted in a 4-factor structure, explaining 65.7% of the total scale variance (SAQ-SII). The Cronbach's α for the SAQ-SII was 0.88 and varied between 0.70 and 0.89 across subscales. Sexuality was affected in various ways and extent. Sexual Interest was most affected, whereas Sexual Function was least affected. Being male, of younger age, without comorbidities, and in a relationship were associated to a higher Sexual Interest.

    Conclusions: The SAQ-SII is a valid and reliable instrument to measure changes and adjustments in sexuality in patients treated for lymphoma.

    Implications for Practice: Assessments of sexuality in a broad sense should be an integrated part of cancer care to ensure timely interventions for those who need and want support.

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  • 26.
    Olsson, Cecilia
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Eklund, Anna Josse
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Larsson, Maria
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Ringnér, Anders
    Umeå University.
    Sexuality After Treatment of Diffuse LargeB-cell Lymphoma: Patients' Experiencesand Psychometric Testing of the SexualAdjustment Questionnaire-SwedishVersion II2020In: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 13, p. 1-10Article in journal (Refereed)
    Abstract [en]

    Background: Sexuality is an important part of health-related quality of life. To ensureadequate supportive interventions, valid and reliable instruments specific to sexualchanges and adjustments after cancer treatment are needed. Objectives: The aims ofthis study were to test the psychometric properties of the Sexual AdjustmentQuestionnaire-Swedish version II (SAQ-SII) in patients treated for diffuse large B-celllymphoma and to describe and explore patients' experiences of sexuality after treatment.Methods: A cross-sectional study was conducted in 2019, using SAQ-SII and datafrom the National Quality Registry for Leukemia–subregistry for Lymphoma, whichincluded 257 patients (25% response rate).An exploratory factor analysis was performedfor psychometric evaluation. Internal consistency was assessed by Cronbach's α.Independent t tests, analysis of variance, and multiple regression were used to describepatients' experiences of sexuality. Results: The exploratory factor analysis resulted in a4-factor structure, explaining 65.7% of the total scale variance (SAQ-SII). The Cronbach'sα for the SAQ-SII was 0.88 and varied between 0.70 and 0.89 across subscales.Sexuality was affected in various ways and extent. Sexual Interest was most affected,whereas Sexual Function was least affected. Being male, of younger age, withoutcomorbidities, and in a relationship were associated to a higher Sexual Interest.Conclusions: The SAQ-SII is a valid and reliable instrument to measure changes andadjustments in sexuality in patients treated for lymphoma. Implications for Practice:Assessments of sexuality in a broad sense should be an integrated part of cancer care toensure timely interventions for those who need and want support.

  • 27.
    Olsson, Cecilia
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Sundin-Andersson, C
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Eklund, Anna Josse
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Peer Learning På En Klinisk Utbildningsavdelningen Pedagogisk Modell För Att Förbereda Sjuksköterskestudenter För Framtidens Vård2018In: Verksamhetsförlagd utbildning inom professionsutbildning- utvecklings- och forskningsprojekt från sjuksköterskeprogrammet och lärarutbildningen / [ed] Madelaine Johansson ; Lena E. Johansson, Karlstads universitet, 2018, 1, p. 15-46Chapter in book (Other academic)
  • 28.
    Sundler, Annelie J.
    et al.
    Högskolan i Borås.
    Blomberg, Karin
    Örebro universitet.
    Bisholt, Birgitta
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Eklund, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Windahl, Jenny
    Örebro universitet.
    Larsson, Margaretha
    Högskolan i Skövde.
    Experiences of supervision during clinical education among specialised nursing students in Sweden: A cross-sectional study2019In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 79, p. 20-24Article in journal (Refereed)
    Abstract [en]

    Background: The importance of the clinical learning environment in nurse education has gained increasing attention over the last decades. However, there is a lack of research on the learning environment, its significance and meaning in specialist nurse education. Objective: The objectives of the study were to investigate specialised nursing students' experiences of supervision during clinical practice and to compare students who were satisfied with the supervision with those who were dissatisfied with respect to a)organisation of supervision and number of preceptors, as well as time allocated by preceptors for b)supervision, c)reflection, d)discussion of intended learning outcomes, and e)assessments of students' performance by preceptors. Design: This study used a cross-sectional design. Sample and settings: A convenience sample of specialised nursing students was derived from five Swedish universities in the years 2016 and 2017. Methods: Data were collected using a questionnaire. Statistical analyses and a qualitative conventional content analysis were performed. Results: While almost all specialised nursing students reported that there had been time for discussion on their performance assessment, almost half of the students reported not getting time for supervision, or time for reflections and discussions on intended learning outcomes with the preceptor. Students reporting having time allocated for supervision by preceptors were found to be more satisfied with supervision. It was described as important that the preceptor(s)acknowledged the students previous work experiences. Even though being a registered nurse, reflections and feedback were described as valuable for the students learning. Several preceptors were described as positive allowing a broader picture and different views regarding working as a specialist nurse. Conclusions: This study indicates that supervision, in terms of discussions and reflections, of specialised nursing students is significant for learning experiences and satisfaction during clinical placement.

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