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  • 1.
    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.

     

  • 2.
    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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  • 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).
    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.))
  • 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).
    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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  • 5.
    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.))
  • 6.
    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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  • 7.
    Biswas, Priti
    et al.
    University of East Anglia.
    Kabir, Zarina Nahar
    Karolinska Institutet.
    Nilsson, Jan
    Zaman, Shahaduz
    BRAC.
    Dynamics of Health Care Seeking Behaviourof Elderly People in Rural Bangladesh2006In: International Journal of Ageing and Later Life, E-ISSN 1652-8670, Vol. 1, no 1, p. 69-89Article in journal (Refereed)
    Abstract [en]

    Bangladesh is projected to experience a doubling of its elderly populationfrom the current level of 7 million to 14 million by the end of the nextdecade. Drawing upon qualitative evidence from rural Bangladesh, thisarticle focuses on coping strategies in cases of illness of elderly peopleand the contributing factors in determining the health-seeking behaviourof elderly persons. The sample for this study consisted of elderly menand women aged 60 years or older and their caregivers. Nine focus groupdiscussions and 30 in-depth interviews were conducted. Findingsindicate that old age and ill-health are perceived to be inseparableentities. Seeking health care from a formally qualified doctor is avoideddue to high costs. Familiarity and accessibility of health care providersplay important roles in health-seeking behaviour of elderly persons.Flexibility of health care providers in receiving payment is a crucialdeciding factor of whether or not to seek treatment, and even the type oftreatment sought.

  • 8.
    Bjuresäter, Kaisa
    et al.
    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).
    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). Innland Norway University of Applied Sciences, Norway.
    Self-reported Professional Competence Among Swedish Contact Nurses in Cancer Care: A Cross-sectional Study2022In: Cancer Care Research Online, E-ISSN 2691-3623, Vol. 2, no 3, p. e024-e024Article in journal (Refereed)
    Abstract [en]

    Background: Since 2011, patients in Swedish cancer care have been offered a contact nurse (CN). The CN role is to improve patient participation, care continuity, and provide information and manage patients’ symptoms and needs across the whole continuum of the cancer pathway. A competence profile for the CN role is yet to be developed, and it is important to assess CNs’ self-reported competence to assure that they are well equipped for the role.

    Objectives: To assess self-reported professional competence among contact nurses working in Swedish cancer care and relate the findings to education level and clinical experience.

    Methods: The Nurse Professional Competence scale short form (35 items) was used to assess the nurses’ professional competence. Data were collected through a web-based survey in 2017 in 2 regional cancer centers in Sweden.

    Results: One hundred eight CNs participated in the study and reported highest scores in “value-based nursing care” and lowest scores in “development, leadership, and organization of nursing care.” Higher age, extended clinical work experience, and academic degree were significantly associated with higher competence.

    Conclusions: CNs with extensive work experience and CNs with an academic degree reported higher scores concerning their generic competence. There is a need in future studies to assess CNs’ specific competence in cancer care.

    Implications for Practice: There is room for improvement in the competence development of CNs, primarily in the areas of leadership and organization of nursing care.

    What is Foundational: CNs’ competence regarding leadership and organization should be improved, preferably as part of academic education.

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  • 9.
    Bjuresäter, Kaisa
    et al.
    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).
    Nilsson, Jan
    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).
    Competence for a new role - Contact Nurses´self-reported competence related to education and clinical experience.2019Conference paper (Refereed)
  • 10.
    Blomberg, Ann-Catrin
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Bisholt, Birgitta
    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).
    Lindwall, Lillemor
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Making the invisible visible: Operating theatre nurses’ perceptions of caring in perioperative practice2015In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 29, no 2, p. 361-368Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe operating theatre nurses' (OTNs') perceptions of caring in perioperative practice. A qualitative descriptive design was performed. Data were collected with interviews were carried out with fifteen strategically selected operating theatre nurses from different operating theatres in the middle of Sweden. A phenomenographic analysis was used to analyse the interviews. The findings show that operating theatre nurses' perceptions of caring in perioperative practice can be summarised in one main category: To follow the patient all the way. Two descriptive categories emerged: To ensure continuity of patient care and keeping a watchful eye. The operating theatre nurses got to know the patient and as a result became responsible for the patient. They protected the patient's body and preserved patient dignity in perioperative practice. The findings show different aspects of caring in perioperative practice. OTNs wanted to be more involved in patient care and follow the patient throughout the perioperative nursing process. Although OTNs have the ambition to make the care in perioperative practice visible, there is today a medical technical approach which promotes OTNs continuing to offer care in secret.

  • 11. Castren, M.
    et al.
    Makinen, M.
    Nilsson, Jan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Lindström, V.
    The effects of interprofessional education - Self-reported professional competence among prehospital emergency care nursing students on the point of graduation - A cross-sectional study2017In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 32, p. 50-55Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to investigate whether interprofessional education (IPE) and interprofessional collaboration (IPC) during the educational program had an impact on prehospital emergency care nurses' (PECN) self-reported competence towards the end of the study program. A cross-sectional study using the Nurse Professional Competence (NPC) Scale was conducted. A comparison was made between PECN students from Finland who experienced IPE and IPC in the clinical setting, and PECN students from Sweden with no IPE and a low level of IPC. Forty-one students participated (Finnish n = 19, Swedish n = 22). The self-reported competence was higher among the Swedish students. A statistically significant difference was found in one competence area; legislation in nursing and safety planning (p < 0.01). The Finnish students scored significantly higher on items related to interprofessional teamwork. Both the Swedish and Finnish students' self-reported professional competence was relatively low according to the NPC Scale. Increasing IPC and IPE in combination with offering a higher academic degree may be an option when developing the ambulance service and the study program for PECNs. (C) 2017 Elsevier Ltd. All rights reserved.

  • 12. Castrèn, M
    et al.
    Mäkinen, M
    Nilsson, Jan
    Sophiahemmet University.
    Lindström, V
    The effects of interprofessional education - Self-reported professional competence among prehospital emergency care nursing students on the point of graduation - A cross-sectional study2017In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 32, p. 50-55, article id S1755-599X(16)30143-4Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to investigate whether interprofessional education (IPE) and interprofessional collaboration (IPC) during the educational program had an impact on prehospital emergency care nurses' (PECN) self-reported competence towards the end of the study program. A cross-sectional study using the Nurse Professional Competence (NPC) Scale was conducted. A comparison was made between PECN students from Finland who experienced IPE and IPC in the clinical setting, and PECN students from Sweden with no IPE and a low level of IPC. Forty-one students participated (Finnish n=19, Swedish n=22). The self-reported competence was higher among the Swedish students. A statistically significant difference was found in one competence area; legislation in nursing and safety planning (p<0.01). The Finnish students scored significantly higher on items related to interprofessional teamwork. Both the Swedish and Finnish students' self-reported professional competence was relatively low according to the NPC Scale. Increasing IPC and IPE in combination with offering a higher academic degree may be an option when developing the ambulance service and the study program for PECNs.

  • 13.
    Forsman, Henrietta
    et al.
    Högskolan Dalarna.
    Jansson, Inger
    Göteborgs universitet.
    Leksell, Janeth
    Högskolan Dalarna; Uppsala universitet.
    Lepp, Margret
    Göteborgs universitet; Østfold University College, Norway; Griffith University, Australia.
    Sundin Andersson, Christina
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Engström, Maria
    Högskolan i Gävle; Lishui University, China; Uppsala Universitet.
    Nilsson, Jan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Sophiahemmet Högskola; Japanese Red Cross Institute for Humanitarian Studies, Japan..
    Clusters of competence: Relationship between self-reported professional competence and achievement on a national examination among graduating nursing students2020In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 76, no 1, p. 199-208Article in journal (Refereed)
    Abstract [en]

    Aims To identify clusters based on graduating nursing students' self-reported professional competence and their achievement on a national examination. Furthermore, to describe and compare the identified clusters regarding sample characteristics, students' perceptions of overall quality of the nursing programme, and students' general self-efficacy (GSE). Design A cross-sectional study combining survey data and results from a national examination. Methods Data were collected at two universities and one university college in Sweden in January 2017, including 179 students in the final term of the nursing programme. The study was based on the Nurse Professional Competence Scale, the GSE scale, and results from the National Clinical Final Examination. A two-step cluster analysis was used to identify competence profiles, followed by comparative analyses between clusters. Results Three clusters were identified illustrating students' different competence profiles. Students in Clusters 1 and 2 passed the examination, but differed in their self-assessments of competence, rating themselves under and above the overall median value, respectively. Students in Cluster 3 failed the examination but rated themselves at the overall median level or higher. Conclusion The study illustrates how nursing students' self-assessed competence might differ from competency assessed by examination, which is challenging for nursing education. Self-evaluation is a key learning outcome and is, in the long run, essential to patient safety. Impact The study has identified clusters of students where some overestimate and others underestimate their competence. Students who assessed their competence low but passed the exam assessed their GSE lower than other students. The findings illuminate the need for student-centred strategies in nursing education, including elements of self-assessment in relation to examination to make the students more aware of their clinical competence.

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  • 14. Forsman, Henrietta
    et al.
    Jansson, Inger
    Leksell, Janeth
    Lepp, Margret
    Sundin Andersson, Christina
    Engström, Maria
    Nilsson, Jan
    Sophiahemmet University.
    Clusters of competence: Relationship between self-reported professional competence and achievement on a national examination among graduating nursing students2020In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 76, no 1, p. 199-208Article in journal (Refereed)
    Abstract [en]

    AIMS: To identify clusters based on graduating nursing students' self-reported professional competence and their achievement on a national examination. Furthermore, to describe and compare the identified clusters regarding sample characteristics, students' perceptions of overall quality of the nursing programme and students' general self-efficacy.

    DESIGN: A cross-sectional study combining survey data and results from a national examination.

    METHODS: Data were collected at two universities and one university college in Sweden in January 2017, including 179 students in the final term of the nursing programme. The study was based on the Nurse Professional Competence Scale, the General Self-Efficacy scale and results from the National Clinical Final Examination. A Two-Step Cluster Analysis was used to identify competence profiles, followed by comparative analyses between clusters.

    RESULTS: Three clusters were identified illustrating students' different competence profiles. Students in Cluster 1 and 2 passed the examination, but differed in their self-assessments of competence, rating themselves under and above the overall median value respectively. Students in Cluster 3 failed the examination but rated themselves at the overall median level or higher.

    CONCLUSION: The study illustrates how nursing students' self-assessed competence might differ from competency assessed by examination, which is challenging for nursing education. Self-evaluation is a key learning outcome and is, in the long run, essential to patient safety.

    IMPACT: The study has identified clusters of students where some overestimate and others underestimate their competence. Students who assessed their competence low but passed the exam assessed their general self-efficacy lower than other students. The findings illuminate the need for student-centered strategies in nursing education, including elements of self-assessment in relation to examination to make the students more aware of their clinical competence.

  • 15. Frieberg, Otto-Patrik
    et al.
    Millqvist, Eva
    Nilsson, Jan
    Sophiahemmet University.
    From, Ingrid
    Development and validation of the self-administered Falun health instrument (SAFHI) using data from health promoted workplaces in Sweden2017In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, article id 1403494817728668Article in journal (Refereed)
    Abstract [en]

    AIM: The aim of this study was to develop and to validate the self-administered Falun health instrument. An additional aim was to test its applicability in measuring people's lifestyles linked to health.

    METHODS: In 2002, an instrument was constructed containing questions regarding the hazardous use of alcohol, tobacco, unhealthy diets and insufficient physical activity. A pilot study using the instrument was assessed between 2002 and 2006. In Sweden, it was further expanded and tested during the years 2004-2014 among a total of 1295 people.

    RESULTS: Face validity was evaluated among colleagues and experts for clarity and completeness resulting in minor adjustments of some questions. With the test-retest method, the self-administered Falun health questionnaire showed a positive and high reproducibility and high compliance. Cronbach's alpha showed a high level of consistency (average 0.86). Factor analysis demonstrated the choice of questions correlated highly to the measured lifestyle.

    CONCLUSIONS: This study showed that the self-administered Falun health questionnaire is a valid and reliable instrument, useful for detecting individuals at risk of developing diseases that are related to individual choice of lifestyle.

  • 16.
    Frieberg, Otto-Patrik
    et al.
    1Health Centre Läkarhuset Unicare, Borlänge; Centre of Clinical Research (CKF), Dalarna.
    Millqvist, Eva
    University of Gothenburg.
    Nilsson, Jan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    From, Ingrid
    Dalarna University.
    Development and validation of the self-administered Falun health instrument (SAFHI) using data from health promoted workplaces in Sweden2018In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, no 7, p. 735-743Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to develop and to validate the self-administered Falun health instrument. An additional aim was to test its applicability in measuring people's lifestyles linked to health. Methods: In 2002, an instrument was constructed containing questions regarding the hazardous use of alcohol, tobacco, unhealthy diets and insufficient physical activity. A pilot study using the instrument was assessed between 2002 and 2006. In Sweden, it was further expanded and tested during the years 2004-2014 among a total of 1295 people. Results: Face validity was evaluated among colleagues and experts for clarity and completeness resulting in minor adjustments of some questions. With the test-retest method, the self-administered Falun health questionnaire showed a positive and high reproducibility and high compliance. Cronbach's alpha showed a high level of consistency (average 0.86). Factor analysis demonstrated the choice of questions correlated highly to the measured lifestyle. Conclusions: This study showed that the self-administered Falun health questionnaire is a valid and reliable instrument, useful for detecting individuals at risk of developing diseases that are related to individual choice of lifestyle.

  • 17. Gardulf, Ann
    et al.
    Florin, Jan
    Carlsson, Marianne
    Leksell, Janeth
    Lepp, Margret
    Lindholm, Christina
    Sophiahemmet University.
    Nordström, Gun
    Theander, Kersti
    Wilde-Larsson, Bodil
    Nilsson, Jan
    Sophiahemmet University.
    The Nurse Professional Competence (NPC) Scale: A tool that can be used in national and international assessments of nursing education programmes2019In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 39, no 3, p. 137-142Article in journal (Refereed)
    Abstract [en]

    The quality of basic nursing bachelor programmes nationally and internationally must regularly be assessed to ensure that they fulfil requirements and are appropriate in relation to developments and changes in societies and healthcare systems. There is a need for instruments in helping to assess this. The aim of this study was to investigate whether the Nurse Professional Competence (NPC) Scale could serve as a tool to measure and detect possible differences between universities/university colleges regarding nursing students' self-reported competence. Totally, 543 nursing students who had just completed their academic three-year nursing bachelor programmes at 10 universities/university colleges in Sweden participated in the study (response rate 71%). The students answered the NPC Scale with its 88 items constituting eight competence areas (CAs) and two overarching themes. The results from using the NPC Scale by the students were then compared between the 10 universities/university colleges. Significant mean score differences were found between the universities/university colleges on all CAs and on both themes. The highest mean score differences were found for the CAs 'Medical and technical care' and 'Documentation and information technology'. The lowest mean score differences were found for the CAs 'Value-based nursing care' and 'Leadership in and development of nursing'. It is concluded that the NPC Scale can serve as a useful tool in national and international assessments of nursing bachelor programmes.

  • 18.
    Gardulf, Ann
    et al.
    Karolinska Institutet ;The Japanese Red Cross Institute,JPN.
    Florin, Jan
    Dalarna University ; Karolinska Institutet,.
    Carlsson, Marianne
    University of Gävle ; Uppsala University.
    Leksell, Janeth
    Dalarna University ; Uppsala University.
    Lepp, Margret
    University of Gothenburg ;Østfold University College, NOR ; Griffith University, AUS.
    Lindholm, Christina
    Sophiahemmet University.
    Nordström, Gun
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Norway University of Applied Sciencies, NOR.
    Theander, Kersti
    Region Värmland.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Norway University of Applied Sciencies, NOR.
    Nilsson, Jan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). The Japanese Red Cross Institute for Humanitarian Studies, JPN ; Sophiahemmet University.
    The Nurse Professional Competence (NPC) Scale: A tool that can be used in national and international assessments of nursing education programmes2019In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 39, no 3, p. 137-142Article in journal (Refereed)
  • 19.
    Gardulf, Ann
    et al.
    Karolinska Univ Hosp, Karolinska Inst, Dept Lab Med, Div Clin Immunol,Unit Clin Nursing Res & Clin Res, SE-14186 Stockholm, Sweden.;Japanese Red Cross Inst Humanitarian Studies, Tokyo, Japan..
    Nilsson, Jan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Japanese Red Cross Inst Humanitarian Studies, Tokyo, Japan..
    Florin, Jan
    Dalama Univ, Sch Educ Hlth & Social Studies, Falun, Sweden..
    Leksell, Janeth
    Dalama Univ, Sch Educ Hlth & Social Studies, Falun, Sweden.;Uppsala Univ, Dept Med Sci Clin Diabetol & Metab, Uppsala, Sweden..
    Lepp, Margret
    Univ Gothenburg, Sahlgrenska Acad, Inst Hlth & Care Sci, Gothenburg, Sweden.;Ostfold Univ Coll, Holden, Norway..
    Lindholm, Christina
    Sophiahemmet Univ, Stockholm, Sweden..
    Nordström, Gun
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Hedmark University College, Hedmark, Norway.
    Theander, Kersti
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Hedmark Univ Coll, Hedmark, Norway..
    Carlsson, Marianne
    Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden.;Univ Gavle, Fac Hlth & Occupat Studies, Gavle, Sweden..
    Johansson, Eva
    Karolinska Inst, Dept Neurobiol Care Sci & Soc, Dept Nursing, Stockholm, Sweden..
    The Nurse Professional Competence (NPC) Scale: Self-reported competence among nursing students on the point of graduation2016In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 36, p. 165-171Article in journal (Refereed)
    Abstract [en]

    Background: International organisations, e.g. WHO, stress the importance of competent registered nurses (RN) for the safety and quality of healthcare systems. Low competence among RNs has been shown to increase the morbidity and mortality of inpatients. Objectives: To investigate self-reported competence among nursing students on the point of graduation (NSPGs), using the Nurse Professional Competence (NPC) Scale, and to relate the findings to background factors. Methods and participants; The NPC Scale consists of 88 items within eight competence areas (CAs) and two overarching themes. Questions about socio-economic background and perceived overall quality of the degree programme were added. In total, 1086 NSPGs (mean age, 28.1[20-56] years, 87.3% women) from 11 universities/university colleges participated. Results: NSPGs reported significantly higher scores for Theme I "Patient-Related Nursing" than for Theme II "Organisation and Development of Nursing Care". Younger NSPGs (20-27 years) reported significantly higher scores for the CAs "Medical and Technical Care" and "Documentation and Information Technology". Female NSPGs scored significantly higher for "Value-Based Nursing". Those who had taken the nursing care programme at upper secondary school before the Bachelor of Science in Nursing (BSN) programme scored significantly higher on "Nursing Care", "Medical and Technical Care", "Teaching/Learning and Support", "Legislation in Nursing and Safety Planning" and on Theme I. Working extra paid hours in healthcare alongside the BSN programme contributed to significantly higher self-reported scores for four CAs and both themes. Clinical courses within the BSN programme contributed to perceived competence to a significantly higher degree than theoretical courses (932% vs 875% of NSPGs). Summary and conclusion: Mean scores reported by NSPGs were highest for the four CAs connected with patient-related nursing and lowest for CAs relating to organisation and development of nursing care. We conclude that the NPC Scale can be used to identify and measure aspects of self-reported competence among NSPGs. (C) 2015 Elsevier Ltd. All rights reserved.

  • 20.
    Glawing, Carina
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Karlsson, Ingela
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Kylin, Camilla
    Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Social and Psychological Studies (from 2013).
    Nilsson, Jan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Inland Norway University of Applied Sciences, Norway.
    Work-related stress, stress reactions and coping strategies in ambulance nurses: A qualitative interview study2024In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 80, no 2, p. 538-549Article in journal (Refereed)
    Abstract [en]

    Aim: To describe experiences of work-related stress, stress reactions and coping strategies among registered nurses (RNs) in the ambulance service (AS).Design: A descriptive and qualitative design.Methods: Participants were recruited from eight different ambulance stations from different geographical locations in central Sweden. Data were collected from 14 RNs during the period from January 2022 to May 2022 using a semi-structured interview guide. Qualitative content analysis was used to analyse data using an abductive approach.Results: Three categories describe the RNs' experiences; (1) Situations that cause work-related stress, (2) Reactions and feelings that occur and (3) Management of work-related stress. These three main categories included a total of 12 subcategories. Work-related stress was experienced when participants were a part of traumatic events or experienced insufficient cooperation or a disturbing event in the work environment. The different causes lead to different kinds of reactions with feelings of frustration, fear and loneliness being prominent. To manage the work-related stress, RNs used different kinds of strategies and support from colleagues or lack thereof seemed to have a major impact.Conclusions: Findings revealed the importance of having competent colleagues in the AS. Working with a competent colleague can reduce experiences of stress and prevent feelings of loneliness. It is important for the AS to provide stress-reduction support, to promote cooperation and to maintain and develop RNs' professional competence to ensure quality care and patient safety in the AS.

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  • 21. Halabi, Jehad O
    et al.
    Lepp, Margret
    Nilsson, Jan
    Sophiahemmet University.
    Assessing self-reported competence among registered nurses working as a culturally diverse work force in public hospitals in the Kingdom of Saudi Arabia2020In: Journal of Transcultural Nursing, ISSN 1043-6596, E-ISSN 1552-7832, article id 1043659620921222Article in journal (Refereed)
    Abstract [en]

    Introduction: Nurses in the Kingdom of Saudi Arabia (KSA) represent a multicultural workforce who are educated in different countries from around the world. The purpose was to assess professional competence among a multicultural workforce of registered nurses in KSA in relation to individual and work-related factors.

    Method: The Nurse Professional Competence Scale was used in a cross-sectional design.

    Results: Registered nurses (N = 541) reported highest scores for "nursing care," and "value-based nursing care," and lowest scores for "care pedagogics," and "development, leadership, and organization of nursing care." All CAs achieved 0.80 or more Cronbach's alpha. Known-group validity was verified by comparing nurse managers and staff nurses competence in organization, administration, and leadership of nursing care (p = .000).

    Discussion: There is room for competence development in care pedagogics, and development, leadership, and organization of nursing care. Assessing registered nurses competence is of importance for planning and implementing cultural congruent nursing care.

  • 22.
    Halabi, Jehad O.
    et al.
    King Saud bin Abdulaziz University for Health Sciences, SAU.
    Lepp, Margret
    Göteborgs Universitet.;Östfold University College,NOR;Griffith University, AUS; University Gadjah Mada, IDN.
    Nilsson, Jan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Sophiahemmet University ;Japanese Red Cross, JPN.
    Assessing Self-Reported Competence Among Registered Nurses Working as a Culturally Diverse Work Force in Public Hospitals in the Kingdom of Saudi Arabia2021In: Journal of Transcultural Nursing, ISSN 1043-6596, E-ISSN 1552-7832, Vol. 32, no 1, p. 69-76Article in journal (Refereed)
    Abstract [en]

    Introduction: Nurses in the Kingdom of Saudi Arabia (KSA) represent a multicultural workforce who are educated in different countries from around the world. The purpose was to assess professional competence among a multicultural workforce of registered nurses in KSA in relation to individual and work-related factors. Method: The Nurse Professional Competence Scale was used in a cross-sectional design. Results: Registered nurses (N = 541) reported highest scores for "nursing care," and "value-based nursing care," and lowest scores for "care pedagogics," and "development, leadership, and organization of nursing care." All CAs achieved 0.80 or more Cronbach's alpha. Known-group validity was verified by comparing nurse managers and staff nurses competence in organization, administration, and leadership of nursing care (p = .000). Discussion: There is room for competence development in care pedagogics, and development, leadership, and organization of nursing care. Assessing registered nurses competence is of importance for planning and implementing cultural congruent nursing care.

  • 23.
    Halabi, Jehad O.
    et al.
    King Saud bin Abdulaziz University for Health Sciences, SAU.
    Nilsson, Jan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Sophiahemmet ;Japanese Red Cross Inst Humanitarian Studies, JPN.
    Lepp, Margret
    Göteborgs universitet.;Ostfold University College, NOR.;Griffith University, AUS;University Gadjah Mada, IDN.
    Professional Competence Among Registered Nurses Working in Hospitals in Saudi Arabia and Their Experiences of Quality of Nursing Care and Patient Safety2021In: Journal of Transcultural Nursing, ISSN 1043-6596, E-ISSN 1552-7832, Vol. 32, no 4, p. 425-433Article in journal (Refereed)
    Abstract [en]

    Introduction: The Kingdom of Saudi Arabia (KSA) plans to become self-sufficient, generating a national nursing workforce. The study's purpose was to assess nurses' self-reported professional competence and illuminate experiences of the quality of nursing care and patient safety. Methodology: A cross-sectional design with 469 nurses working in different units from two public hospitals and Regions of the KSA participated. The Nurse Professional Competence Scale short version including six professional areas of nursing care was used. Results: There are significant relationships between self-reported professional competence and the quality of nursing care, patient safety, nurse's characteristics, and workplace. Discussion: Registered nurses' professional competence is related to the clinical areas in which they work and the nature of their involvement in patient care. The Nurse Professional Competence Scale can identify professional competence areas for further development, which is important for culturally congruent health care in KSA for their transformation process.

  • 24. Halabi, Jehad O
    et al.
    Nilsson, Jan
    Sophiahemmet University.
    Lepp, Margret
    Professional competence among registered nurses working in hospitals in Saudi Arabia and their experiences of quality of nursing care and patient safety2021In: Journal of Transcultural Nursing, ISSN 1043-6596, E-ISSN 1552-7832, Vol. 32, no 4, p. 425-433, article id 1043659621992845Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: The Kingdom of Saudi Arabia (KSA) plans to become self-sufficient, generating a national nursing workforce. The study's purpose was to assess nurses' self-reported professional competence and illuminate experiences of the quality of nursing care and patient safety.

    METHODOLOGY: A cross-sectional design with 469 nurses working in different units from two public hospitals and Regions of the KSA participated. The Nurse Professional Competence Scale short version including six professional areas of nursing care was used.

    RESULTS: There are significant relationships between self-reported professional competence and the quality of nursing care, patient safety, nurse's characteristics, and workplace.

    DISCUSSION: Registered nurses' professional competence is related to the clinical areas in which they work and the nature of their involvement in patient care. The Nurse Professional Competence Scale can identify professional competence areas for further development, which is important for culturally congruent health care in KSA for their transformation process.

  • 25.
    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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  • 26. Jansson, Jörgen
    et al.
    Josse Eklund, Anna
    Larsson, Maria
    Nilsson, Jan
    Sophiahemmet University.
    Prehospital care nurses' self reported competence: A cross-sectional study2020In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 52, 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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  • 27.
    Jansson, Jörgen
    et al.
    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). Inland Norway Univ Appl Sci, NOR.
    Advanced paramedics and nurses can deliver safe and effective pre-hospital and in-hospital emergency care: An integrative review2021In: Nursing Open, E-ISSN 2054-1058, Vol. 8, no 5, p. 2385-2405Article in journal (Refereed)
    Abstract [en]

    Aim To explore and present an overview of scope of practice among registered nurses and paramedics with an advanced level of education in pre-hospital and in-hospital emergency care. Design An integrative literature review. Method Studies published between 2006 and 2018 were retrieved by searching the databases CINAHL, PubMed, Scopus and Web of Science. Studies were selected by three independent researchers, and data were synthesized using thematic analysis. Results The 25 studies identified focused on in-hospital (n = 15) and pre-hospital emergency care (n = 10) and included 13 professional titles originated from seven countries. The thematic analysis disclosed four themes; "Versatile care," "Safe care based on precision and accuracy," "Autonomous performance within boundaries" and "Beneficial towards patients and society." Advanced paramedics' and advanced nurses' services are characterized as safe, of high quality and of public benefit. Their services are being used in everyday practice as well as directed to certain categories of patients.

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  • 28. Jansson, Jörgen
    et al.
    Larsson, Maria
    Nilsson, Jan
    Sophiahemmet University.
    Specialister i prehospital akutsjukvård eller generalister anpassade till ett allt bredare och mera varierat ambulansuppdrag: En systematisk litteraturstudie om avancerade paramedics och sjuksköterskors kompetens2019Conference paper (Other academic)
  • 29.
    Jansson, Jörgen
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Larsson, Maria
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Nilsson, Jan
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Specialister i prehospital akutsjukvård eller generalister anpassade till ett bredare och mera varierat uppdrag2019Conference paper (Other academic)
  • 30.
    Jansson, Jörgen
    et al.
    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).
    Competence and quality of care in Swedish ambulance service - still room for improvements.2020Conference paper (Refereed)
  • 31. Lachmann, Hanna
    et al.
    Nilsson, Jan
    Sophiahemmet University.
    Dual use of instruments for assessing nursing students professional - and clinical competence2020In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 96, article id 104616Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Changes in demographics and the development of health systems have a direct impact on patients' nursing needs and nurses' ability to meet them. Modern and forward-looking nursing education programmes that will help nursing students to develop their professional competence require useful tools for assessment and self-reflection that can be combined in theoretical and clinical education.

    OBJECTIVES: To investigate the associations between the Nurse Professional Competence Scale - Short Form (NPC-SF), and the tool Assessment of Clinical Education (AssCE) tool, and to assess the graduating students´ professional competence based on their self-assessment.

    DESIGN: A cross-sectional descriptive study design was used.

    PARTICIPANTS AND SETTINGS: A total of 151 nursing students at a Swedish university college completed the NPC-SF and the AssCE (response rate 77%).

    METHODS: In their final weeks of the nursing programme, students were invited to respond to two questionnaires: the NPC Scale - Short Form (35 items) and the AssCE tool (21 items).

    RESULT: There are significant correlations between the nursing students' responses to the NPC-SF competence areas and the AssCE areas (r = 0.19-0.57). Students score in the NPC-SF were highest in Value-based Nursing Care and lowest in Development, Leadership and Organization of Nursing Care, and in the AssCE areas student scores were highest in Examination and treatment and Professional Approach and lowest in Management and Cooperation.

    CONCLUSION: The NPC-SF and AssCE are valid and reliable instruments, showing a high level of correlation. Results imply that dual use could strengthen student-centred theoretical and clinical learning as well as professional competence development. Additional research is needed to assess student's competence development during the nursing program.

  • 32.
    Lachmann, Hanna
    et al.
    Swedish Red Cross University; Karolinska Institutet.
    Nilsson, Jan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Sophiahemmet university.
    Dual use of instruments for assessing nursing students professional- and clinical competence2021In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 96, article id 104616Article in journal (Refereed)
    Abstract [en]

    Background: Changes in demographics and the development of health systems have a direct impact on patients' nursing needs and nurses' ability to meet them. Modern and forward-looking nursing education programmes that will help nursing students to develop their professional competence require useful tools for assessment and self-reflection that can be combined in theoretical and clinical education. Objectives: To investigate the associations between the Nurse Professional Competence Scale - Short Form (NPC-SF), and the tool Assessment of Clinical Education (AssCE) tool, and to assess the graduating students' professional competence based on their self-assessment. Design: A cross-sectional descriptive study design was used. Participants and settings: A total of 151 nursing students at a Swedish university college completed the NPC-SF and the AssCE (response rate 77%). Methods: In their final weeks of the nursing programme, students were invited to respond to two questionnaires: the NPC Scale - Short Form (35 items) and the AssCE tool (21 items). Result: There are significant correlations between the nursing students' responses to the NPC-SF competence areas and the AssCE areas (r = 0.19-0.57). Students score in the NPC-SF were highest in Value-based Nursing Care and lowest in Development, Leadership and Organization of Nursing Care, and in the AssCE areas student scores were highest in Examination and treatment and Professional Approach and lowest in Management and Cooperation. Conclusion: The NPC-SF and AssCE are valid and reliable instruments, showing a high level of correlation. Results imply that dual use could strengthen student-centred theoretical and clinical learning as well as professional competence development. Additional research is needed to assess student's competence development during the nursing program.

  • 33. Larsson, M
    et al.
    Nilsson, Jan
    Sophiahemmet University.
    Bjuresäter, K
    Olsson, C
    Contact Nurses' self-reported competence in managing cancer related symptoms and consequences: a cross sectional survey2019Conference paper (Other academic)
  • 34.
    Larsson, Maria
    et al.
    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).
    Bjuresäter, Kaisa
    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).
    Contact Nurses´self-reported competence in managing cancer related symptoms and consequences: A cross sectional survey2019Conference paper (Refereed)
  • 35.
    Leksell, Janeth
    et al.
    Dalarna University.
    Gardulf, Ann
    Karolinska Institutet at Karolinska University Hospital; he Japanese Red Cross Institute for Humanitarian Studies, JPN.
    Nilsson, Jan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Lepp, Margret
    University of Gothenburg; Østfold University College, NOR.
    Self-reported conflict management competence among nursing students on the point of graduating and registered nurses with professional experience2015In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 5, no 8, p. 82-89Article in journal (Refereed)
    Abstract [en]

    Objective: It has been shown that specific competence is necessary for preventing and managing conflicts in healthcaresettings. The aim of this descriptive and correlation study was to investigate and compare the self-reported conflict managementcompetence (CMC) of nursing students who were on the point of graduating (NSPGs), and the CMC of registered nurses (RNs)with professional experience.Methods: The data collection, which consisted of soliciting answers to items measuring CMC in the Nurse ProfessionalCompetence (NPC) Scale, was performed as a purposive selection of 11 higher education institutions (HEIs) in Sweden. ThreeCMC items from the NPC Scale were answered by a total of 569 nursing students who were on the point of graduating and 227RN registered nurses with professional experience.Results: No significant differences between NSPGs and RNs were found, and both groups showed a similar score pattern, withthe lowest score for the item: “How do you perceive your ability to develop the group and strengthen competence in conflictmanagement and problem-solving, based on knowledge of group dynamics?”. RNs with long professional experience (>24months) rated their overall CMC as significantly better than RNs with short (<24 months) professional experience did (p = .05).NSPGs who had experience of international studies during their nursing education reported higher CMC, compared with thosewho did not have this experience (p = .03). RNs who reported a high degree of utilisation of CMC during the previous monthscored higher regarding self-reported overall CMC (p < .0001).Conclusions: Experience of international studies during nursing education, or long professional experience, resulted in higherself-reported CMC. Hence, the CMC items in the NPC Scale can be suitable for identifying self-reported conflict managementcompetence among NSPGs and RNs.

  • 36. Lepp, Margret
    et al.
    Nilsson, Jan
    Sophiahemmet University.
    Nursing education in Europe - the use of self-reported competence among nurse students: A research project within the European Network of Nursing Academies (ENNA)2019Conference paper (Other academic)
  • 37.
    Lewen, Hanna
    et al.
    Karolinska institutet.
    Gardulf, Ann
    The Red Cross University College.
    Nilsson, Jan
    The Red Cross University College and Aging Research Center (ARC), Karolinska Institutet, Stockholm, Sweden.
    Documented assessments and treatments of patients seeking emergency care because of pain.2010In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, no 4, p. 764-771Article in journal (Refereed)
  • 38.
    Nilsson, Jan
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Are nurses´ competence utilized within the world-wide Red Cross/Red Crescent Movement?: A 30-year follow-up focusing on nursing activities relating to ethics, disasters and community health.2011Conference paper (Refereed)
  • 39.
    Nilsson, Jan
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Experiences from the Linnaeus-Palme Exchange Program.2010Conference paper (Refereed)
  • 40.
    Nilsson, Jan
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nurse competence and its contribution to safe and high-quality patient care2014Conference paper (Refereed)
    Abstract [en]

    Abstract for workshop

    Background: The International Council of Nurses states that 90 % of all health-care services worldwide is delivered by nurses. In 2005 the Swedish National Board for Health and Welfare developed competence requirements for registered nurses, thereby describing the views and recommendations of the Swedish government and society with respect to nurses’ expected knowledge and skills. The competence requirements, which are in line with the Munich Declaration (2000), have the goal to contribute to safe and high-quality patient care. In order to assess the outcome of the competence requirement, a tool has been developed and validated by the Swedish Nurse Professional Competence (NPC) research project group. The tool is used for measuring self-reported competence among both nurse students prior to graduation and among practicing nurses.

    Aim/goal: To present studies conducted by the research group with focus on the use of  the Nurse Professional Competence (NPC) Scale and its potential use in research and quality improvement in nursing education and nursing practice in Sweden as well as in Europe.

    Procedure: In this workshop the research group will present several studies and invite to explore and discuss its further applicability in the European context with aspects of professional nurse competence such as; (1) the establishment and use of the NPC Scale, (2) the current self-reported competence level among nurse students at 50% of the higher education institutions in Sweden, (3) the outcome of internationalization in nursing education among registered nurses and their self reported competence, (4) the level of self-reported disaster nursing competence among nurse students and graduated nurses, (5) the effect of educational interventions on nurse students self-reported competence.

  • 41.
    Nilsson, Jan
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Carlsson, Marianne
    Johansson, Eva
    Karolinska Institutet.
    Egmar, Ann-Charlotte
    Röda Korsets Högskola.
    Florin, Jan
    Högskolan Dalarna.
    Leksell, Janeth
    Högskolan Dalarna.
    Lindholm, Christina
    Sophiahemmet Högskola.
    Nordström, Gun
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Theander, Kersti
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Lepp, Margret
    Göteborgs universitet.
    Gardulf, Ann
    Nursing in a globalized world: Nursing students with international study experience report higher competence at graduation2014In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, no 4, p. 848-858Article in journal (Refereed)
    Abstract [en]

    Due to globalization, there is a need for nurses with skills and competence in providing safe, competent and culturally appropriate care. The aim of the study was to investigate whether International Study Experiences (ISE) in other countries during basic nursing education had an impact on newly graduated nurses as regards to self-reported competence. Moreover, a second aim was to explore what background factors that facilitated or constituted a hindrance for nursing students to choose to conduct part of their basic nursing education abroad. At 11 Universities/University Colleges (henceforth called Higher Education Institutions [HEIs]) in Sweden, 565 nursing students responded to the Nurse Professional Competence (NPC) Scale. Students with ISE rated their competence significantly higher on three NPC competence areas; “Legislation in nursing and safety planning”, “Leadership and development of nursing” and “Education and supervision of staff/students”. Background factors that significantly seemed to enhance ISE were; living alone, not having children or other commitments, international focus at the HEI and previous international experience. Lack of financial means was reported to prevent students from choosing ISE. The study implies that several background factors are of importance whether students choose ISE or not. ISE during basic nursing education might result in better self-reported competence in leading and developing nursing care, including education of future nurses, and in providing safe care.

  • 42.
    Nilsson, Jan
    et al.
    Sophiahemmet University.
    Engström, Maria
    Florin, Jan
    Gardulf, Ann
    Carlsson, Marianne
    A short version of the nurse professional competence scale for measuring nurses' self-reported competence2018In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 71, p. 233-239, article id S0260-6917(18)30695-6Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The Nurse Professional Competence (NPC) Scale with 88-items has been used to measure self-reported competence among nursing students and registered nurses in many national and international nursing research projects. However, a shorter version of the scale with maintained quality has been requested to further enhance its usability.

    OBJECTIVES: To develop and evaluate the construct validity and internal consistency of a shorter version of the NPC Scale.

    DESIGN: A developmental and methodological design.

    PARTICIPANTS AND SETTINGS: The study was based on a sample of 1810 nursing students at the point of graduation from 12 universities in Sweden.

    METHODS: The number of items in the original NPC Scale was reduced using several established research steps and then evaluated for data quality and construct validity using principal component analysis and confirmatory factor analysis. Reliability was measured as internal consistency using Cronbach's alpha.

    RESULTS: The extensive process of reducing the number of items resulted in a version with 35 items. Principal component analysis resulted in six factors explaining 53.6% of the variance: "Nursing Care", "Value-based Nursing Care", "Medical and Technical Care", "Care Pedagogics", "Documentation and Administration of Nursing Care", and "Development, Leadership, and Organization of Nursing Care". All factors showed Cronbach's alpha values of >0.70. The confirmative factor analysis goodness-of-fit indexes were for root mean square error of approximation 0.05 and for comparative fit index 0.89.

    CONCLUSIONS: The NPC Scale Short Form (NPC Scale-SF) 35-items revealed promising results with a six-factor structure explaining 53.6% of the total variance. This 35-item scale can be an asset when used alone and together with other instruments it can provide the possibility of more complex analyses of self-reported competence among nursing students and registered nurses.

  • 43.
    Nilsson, Jan
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Stockholm University; Japanese red cross institute for humanitarian studies, Japan.
    Engström, Maria
    University of Gävle; Uppsala University.
    Florin, Jan
    Högskolan Dalarna.
    Gardulf, Ann
    Karolinska Institutet; Japanese red cross institute for humanitarian studies, Japan.
    Carlsson, Marianne
    Uppsala University; Gävle University.
    A short version of the nurse professional competence scale for measuring nurses' self-reported competence2018In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 71, p. 233-239Article in journal (Refereed)
    Abstract [en]

    Background

    The Nurse Professional Competence (NPC) Scale with 88-items has been used to measure self-reported competence among nursing students and registered nurses in many national and international nursing research projects. However, a shorter version of the scale with maintained quality has been requested to further enhance its usability.

    Objectives

    To develop and evaluate the construct validity and internal consistency of a shorter version of the NPC Scale.

    Design

    A developmental and methodological design.

    Participants and Settings

    The study was based on a sample of 1810 nursing students at the point of graduation from 12 universities in Sweden.

    Methods

    The number of items in the original NPC Scale was reduced using several established research steps and then evaluated for data quality and construct validity using principal component analysis and confirmatory factor analysis. Reliability was measured as internal consistency using Cronbach's alpha.

    Results

    The extensive process of reducing the number of items resulted in a version with 35 items. Principal component analysis resulted in six factors explaining 53.6% of the variance: “Nursing Care”, “Value-based Nursing Care”, “Medical and Technical Care”, “Care Pedagogics”, “Documentation and Administration of Nursing Care”, and “Development, Leadership, and Organization of Nursing Care”. All factors showed Cronbach's alpha values of >0.70. The confirmative factor analysis goodness-of-fit indexes were for root mean square error of approximation 0.05 and for comparative fit index 0.89.

    Conclusions

    The NPC Scale Short Form (NPC Scale-SF) 35-items revealed promising results with a six-factor structure explaining 53.6% of the total variance. This 35-item scale can be an asset when used alone and together with other instruments it can provide the possibility of more complex analyses of self-reported competence among nursing students and registered nurses.

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    Nilsson et al 2018
  • 44.
    Nilsson, Jan
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Florin, Jan
    Gardulf, Ann
    The Nurse Professional Competence Scale: An important tool contributing to professional development and lifelong learning.2019Conference paper (Refereed)
  • 45.
    Nilsson, Jan
    et al.
    Sophiahemmet University.
    Florin, Jan
    Gardulf, Ann
    The Nurse Professional Competence scale: an important tool contributing to professional developmentand life long learning2019Conference paper (Other academic)
  • 46.
    Nilsson, Jan
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Gardulf, Ann
    Karolinska Institutet.
    Higashiura, Hiroshi
    THE JAPANESE RED CROSS COLLEGE OF NURSING, HEAD OF THE JAPANESE RED CROSS INSTITUTE FOR HUMANITARIAN STUDIES,.
    A 30 year follow-up on red cross and red crescent nursing educations and activites responding to local and global vulnerability and disasters2012In: Conference book of abstracts. Nursing History in a Global Perspective, International Nursing History Conference in Denmark,, Denmark, 2012, p. 70-71Conference paper (Refereed)
    Abstract [en]

    Introduction: From its very inception in 1863, the Red Cross and Red Crescent (RCRC) Movement has worked towards assisting vulnerable people, and as long as the nursing profession has existed, nurses have been ready to respond to public health threats. The main aim of the current research project was to perform a 30-year follow-up to investigate to what extent nurses’ competences are utilized within the RCRC 186 National Societies and to identify Societies running nursing education programmes, including identification of education in nursing disaster preparedness and response. Methods: The questionnaire from 1979 was slightly adapted to reflect the current global health situation and sent to all 186 National Societies. The questionnaire was translated into all four of the International Federation’s official languages. After two reminders, 84/186 replies were received,giving a response rate of 45.2%. Among the 79 National Societies that responded to the 1979 survey, 43 (54.4%) responded to the 2009 survey.ResultsThe results showed that nurses’ competence was regarded as important by a majority (76%) of the National Societies. More than 50% of the National Societies considered nurses’ competence to be specifically important for the International Federation’s working areas, which includes ethics, pandemic/disaste,r preparedness/response and health and care in the community. However, 12% of the National Societies did not consider nurses’ competence important in achieving their national mission. Moreover, we found that there is approximately the same number of RCRC nursing education institutions throughout the world today, as compared with 30 years ago. However, at some institutions a higher level of education (up to PhD) is now offered. Some of the educational institutions are old, starting the nursing education in the mid 19th century, and already from this time with focus on nurses’ help in wars and disasters. Discussion and conclusionThe RCRC Movement is 150 years old and has through history gained a wealth of knowledge and experience of disaster preparedness and response. Most National Societies considered that nursesare important in responding to humanitarian needs and health threats in the community. However, a further utilization of nurses’ competence should be considered as one vehicle to reach the goalsset by national and international organizations to reach quality and access to health, especially among marginalized groups affected by wars and disasters.

  • 47.
    Nilsson, Jan
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Gardulf, Ann
    The Japanese Red Cross Institute for Humanitarian Studies, JPN; Karolinska Institutet at Karolinska University Hospital,.
    Lepp, Margret
    he Sahlgrenska Academy, University of Gothenburg; Østfold University College, NOR.
    Process of translation and adaptation of the Nurse Professional Competence (NPC) Scale2016In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, no 1, p. 100-103Article in journal (Refereed)
    Abstract [en]

    Professional competence in nursing is of crucial importance for high quality care and patient related outcomes. A new instrumentfor measuring competence in nursing has been developed by a Swedish research group. The instrument is called the NurseProfessional Competence (NPC) Scale and is based on national guidelines, and the WHOs European Strategy for Nursing andMidwifery. The NPC Scale consists of 88 items distributed in eight competence areas, and measures self-reported professionalcompetence. The target groups are nursing students at the point of graduation and registered nurses. As the NPC Scale hasrendered great interest from researchers internationally, the NPC research group decided to translate the Scale into English tofacilitate international use of the instrument. The aim of this article was to describe the translation process used to create anEnglish version of the NPC Scale. This article describes the translation process from Swedish to English and its challenges. Thetranslation process resulted in an English version of the NPC Scale ready for internationally usage.

  • 48. Nilsson, Jan
    et al.
    Grafström, Margareta
    Karolinska Institutet.
    Zaman, Shahaduz
    Research and Evaluation Division, BRAC.
    Nahar Kabir, Zarina
    Karolinska Institutet.
    Role and function: Aspects of quality of life of older peoplein rural Bangladesh2005In: Journal of Aging Studies, ISSN 0890-4065, E-ISSN 1879-193X, no 19, p. 363-374Article in journal (Refereed)
    Abstract [en]

    The aim of this study is to explore the meaning of quality of life (QoL) for elderly people in a rural communityin Bangladesh. Data were obtained through in-depth interviews with 11 elderly persons aged 63–86 years.Interview data were analysed using content analysis to determine the conceptual meaning of elderly peoples’experiences of QoL. Two major themes emerged from the data as being of utmost importance in QoL of elderlypeople in rural Bangladesh. These were: (i) having a role in the family and the community and (ii) beingfunctional, both physically and economically. Results also showed that elderly people in rural Bangladeshprioritise being healthy, having a good social network, social support and a secure financial situation in order tohave good QoL. This study is a step towards a better understanding of QoL experienced by the elderly peoplethemselves in a rural Bangladeshi context.

  • 49.
    Nilsson, Jan
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Higashiura, Hiroshi
    THE JAPANESE RED CROSS COLLEGE OF NURSING, HEAD OF THE JAPANESE RED CROSS INSTITUTE FOR HUMANITARIAN STUDIES,.
    Gardulf, Ann
    Karolinska Institutet.
    The development of nursing within the red cross and redcrescent movement from 1890 to 20112012In: Conference book of abstract: International nursing history conference in Denmark, Denmark, 2012, p. 68-69Conference paper (Refereed)
    Abstract [en]

    Introduction: In 1859, Henri Dunant from Switzerland, witnessed the battle in Solferino and the suffering amongthe soldiers. In 1863 the ”International Committee for Relief to the Wounded” held its first meeting.It later became the International Committee of the Red Cross (ICRC). Henry Dunant suggestedcreating national relief societies, recognizable by the common emblem, and an international treatyto protect the wounded on the battlefield. Shortly thereafter states responded by establishingnursing schools educating Red Cross/Red Crescent (RCRC) nurses. Methods: The historical data on RCRC nursing education derives mainly from two of our research projects; i)the 2009 international questionnaire-survey of nursing activities within the InternationalFederation of the RCRC 186 Societies, and ii) an on-going study where a questionnaire has beensent to RCRC nursing education institution in 30 countries from Africa, Asia, Europe, Middle Eastand South America. Results: Already during the late 19th century, Japan and Sweden as pioneer countries commenced RCRCnursing education, as a response to the humanitarian needs forced by wars and disasters. Later onin 1919, the International Federation of the RCRC established a Nursing Division at the headquarterin Geneva to support and guide its member societies in nursing related issues. In 1947 theNursing Division was reorganized as a respond to the situation after the Second World War and called Nursing and Social Service Bureau. In 1984 the Nursing Bureau was dissolved and nursing issues organized within the Health and Care Department. However, this reorganization did not support a focus on nursing issues including nursing education for the years to come. As a result the Red Cross Nursing Education institutions in Japan and Sweden invited RCRC nursing institutions from all over the world to set up a new Global RCRC Nursing Education network for educational issues with focus on disaster preparedness and response. This new and unique network was launched in connection to the ICN International Nursing Conference in 2011. Discussion and conclusion: Nursing education within the RCRC Movement has over time been responsive to local and globalvulnerability. Countries affected by unrest and disaster and with weak health systems couldbenefit from the experience of nursing education within the RCRC Movement and the newlycreated Global RCRC Nursing Network can be seen as a vehicle of such knowledge.

  • 50.
    Nilsson, Jan
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Higashiura, HiroshiI
    THE JAPANESE RED CROSS COLLEGE OF NURSING, HEAD OF THE JAPANESE RED CROSS INSTITUTE FOR HUMANITARIAN STUDIES,.
    Gardulf, Ann
    Karolinska Institutet.
    Disaster response network. Nurses’ competence within the redcross and red crescent: disaster preparedness and response2012In: Conference book of abstract, Denmark, 2012Conference paper (Refereed)
    Abstract [en]

    Introduction: Nursing education within the Red Cross/Red Crescent (RCRC) Movement was initiated already in the late 19th century as a response to situations of war and disasters. In a previous study we have shown that more than 50% of the RCRC National Societies consider nurses competence to be important for disasterpreparedness and disaster response. The aim of the current research project was to conduct a globalbase-line survey of the Red Cross and Red Crescent Nursing Education Institutions.MethodsThe data derives from an on-going study where a questionnaire has been sent to the existing RCRCNursing Education Institution in 30 countries from Africa, Asia, Europe, Middle East and South America.The survey includes questions in the following areas: History of Nursing Education, Administration ofNursing Education, Partnership and Cooperation.Results and conclusionsPreliminary results indicate that RCRC Nursing Education Institutions have a very long tradition andknowledge in teaching disaster preparedness and response, as they over time have emerged and developed in relation to disasters and armed conflicts. Nurses within the RCRC movement get unique experiences through their work as international delegates in disaster prone areas/armed conflicts. Among the Nursing Education Institutions, the Japanese Red Cross Nursing Schools stands out in terms of giving significantly more education in national as well as international disaster preparedness and response. Although some countries are performing on a relatively high level in providing education indisaster nursing, there is room for improvement. Belonging to the unique global network of National Societies, Nursing Education Institutions should focus more on education in  international disasterpreparedness and response to be ready to support each other in terms of catastrophic events.

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