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Lindberg, M., Carlsson, M., Engström, M., Kristofferzon, M.-L. & Skytt, B. (2020). Nursing student's expectations for their future profession and motivating factors - A longitudinal descriptive study from Sweden. Nurse Education Today, 84, Article ID 104218.
Åpne denne publikasjonen i ny fane eller vindu >>Nursing student's expectations for their future profession and motivating factors - A longitudinal descriptive study from Sweden
Vise andre…
2020 (engelsk)Inngår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 84, artikkel-id 104218Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: The shortage of registered nurses is a global concern. Motives to become registered nurses can be to help others, altruism, personal development and career security. Motives in combination with student expectations regarding the role are not explored. Objective: To describe students' motives to become registered nurses and their expectations regarding their future profession. Design: A longitudinal descriptive design with a qualitative approach was used to follow nursing students in the beginning, during and at the end of their education. Participants and setting A purposive sampling of a group with initially 75 students starting a three-year nursing program at a university in Sweden. Methods: A study specific questionnaire with open-ended questions was used in the beginning, during and the end of the students' education. At data collection two and three, a copy of the earlier answers was attached. Data were analysed using manifest and latent content analysis. Results: An important profession with career opportunities, interesting duties and team work were described. Students expected diversified duties, possibilities for development and work satisfaction. Increased concerns regarding their upcoming work life was described at the end of the education. Conclusion: The students had a positive understanding of the profession and perceived their forthcoming role as interesting. The leading role of coordinating patient care was more comprehensive than expected. Supportive conditions and well planned transition periods could strengthen newly graduated nurses in their professional role and could be an important aspect in the future retention of RNs.

sted, utgiver, år, opplag, sider
CHURCHILL LIVINGSTONE, 2020
Emneord
Expectations, Longitudinal qualitative study, Nursing students, Professional role
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-400737 (URN)10.1016/j.nedt.2019.104218 (DOI)000501643800026 ()31698292 (PubMedID)
Tilgjengelig fra: 2020-01-02 Laget: 2020-01-02 Sist oppdatert: 2020-01-23bibliografisk kontrollert
Dahlkvist, E., Engström, M. & Nilsson, A. (2020). Residents' use and perceptions of residential care facility gardens: A behaviour mapping and conversation study. International Journal of Older People Nursing, 15(1), Article ID e12283.
Åpne denne publikasjonen i ny fane eller vindu >>Residents' use and perceptions of residential care facility gardens: A behaviour mapping and conversation study
2020 (engelsk)Inngår i: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 15, nr 1, artikkel-id e12283Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

AIM: To describe the gardens and their use by individuals living at residential care facilities (RCFs) with high ratings on restorative values.

BACKGROUND: Being outdoors has been described as important to older people's well-being. Use of outdoor gardens may increase residents' well-being through experiences of restorative qualities such as being away and fascination. Thus far, there has been little research on restorative experiences of gardens in the care of older people.

DESIGN: A descriptive design using behaviour mapping observations integrated with qualitative field notes and recorded conversations.

METHODS: A criterion sampling of two gardens (out of a total of 87) was made based on residents' ratings of restorative values; the two with the highest values were chosen. Eleven residents at the two RCFs took part. Data were collected through behaviour mapping observations, field notes and conversations on five occasions in the respective facilities during residents' visits to the garden.

RESULTS: The observations revealed that the main uses of the gardens were to socialise and relax. The conversations also showed that the garden stimulated residents' senses and evoked memories from the past. These restorative values were interpreted as a sense of being away and fascination. Not having opportunities for outdoor visits was reported to result in disappointment and reduced well-being.

CONCLUSIONS: The findings showed that two basic gardens with different characteristics and views could stimulate residents' senses and evoke memories from the past; this supports the call for residents to be able to spend time in gardens to promote their well-being.

IMPLICATIONS FOR PRACTICE: First-line managers, nurses and healthcare staff in the care of older people should consider that regular opportunities to spend time outdoors may promote older people's well-being through feelings of being away and fascination.

sted, utgiver, år, opplag, sider
John Wiley & Sons, 2020
Emneord
behaviour mapping, gardens, health, nurses, older people, residential facilities
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-402190 (URN)10.1111/opn.12283 (DOI)000513523300001 ()31670913 (PubMedID)
Tilgjengelig fra: 2020-01-11 Laget: 2020-01-11 Sist oppdatert: 2020-03-25bibliografisk kontrollert
Zhu, L., Lian, Z. & Engström, M. (2020). Use of a flipped classroom in ophthalmology courses for nursing, dental and medical students: A quasi-experimental study using a mixed-methods approach. Nurse Education Today, 85, Article ID 104262.
Åpne denne publikasjonen i ny fane eller vindu >>Use of a flipped classroom in ophthalmology courses for nursing, dental and medical students: A quasi-experimental study using a mixed-methods approach
2020 (engelsk)Inngår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 85, artikkel-id 104262Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

BACKGROUND: Traditional teaching is associated with dilemmas, such as low motivation to learn and passive learning. In contrast, use of a flipped classroom with the proper learning design has the potential to promote accelerated learning, bolster transmission of competencies (i.e., critical thinking, communication and problem-solving skills) and improve teamwork capacity, all of which are of great significance in professional healthcare practice, including nursing, dentistry and medicine.

OBJECTIVE: The aim of the study was to examine the effects of using a flipped classroom in ophthalmology courses for undergraduate nursing students, dental students and higher vocational medical students.

DESIGN: A quasi-experimental design was used with an intervention (n = 100) and a comparison group (n = 100), pre-/post-testing measures and a mixed-methods approach.

SETTING: A university in China.

PARTICIPANTS: A total of 200 students were included.

METHODS: Students' self-rated learning ability was measured before and after the courses, and skill exams were performed after the courses. In addition, interviews were conducted with the clinical medical students concerning their experiences of the flipped classroom.

RESULTS: Students' self-rated learning ability improved significantly more in the intervention than in the comparison group, for the total scale and the three factors 'learning goals', 'self-efficacy and social learning' and 'problem-solving'. Skill exam scores were statistically significantly better in the intervention than in the comparison group. On the whole, the clinical medicine students felt the flipped classroom had a positive impact and improved their learning ability as well as knowledge in ophthalmology.

CONCLUSIONS: Use of a flipped classroom for nursing, dental and clinical medical students in ophthalmology courses shows promising results in the form of students' skill exam scores and self-rated learning ability.

sted, utgiver, år, opplag, sider
Elsevier, 2020
Emneord
Dental students, Flipped classroom, Medical students, Nursing students, Ophthalmology
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-402189 (URN)10.1016/j.nedt.2019.104262 (DOI)000513989200012 ()31759243 (PubMedID)
Tilgjengelig fra: 2020-01-11 Laget: 2020-01-11 Sist oppdatert: 2020-03-24bibliografisk kontrollert
Jarnulf, T., Skytt, B., Mårtensson, G. & Engström, M. (2019). District nurses experiences of precepting district nurse students at the postgraduate level. Nurse Education in Practice, 37, 75-80
Åpne denne publikasjonen i ny fane eller vindu >>District nurses experiences of precepting district nurse students at the postgraduate level
2019 (engelsk)Inngår i: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 37, s. 75-80Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

District nurses are preceptors of district nurse students at the postgraduate level. These district nurse students are already registered nurses who have graduated and are now studying to become district nurses; this training is at the postgraduate level. As preceptors at the postgraduate level, district nurses play an important role in helping these students to achieve the learning outcomes of the clinical practice part of their education. However, there is a lack of studies on precepting at this level. Thus, the aim was to describe district nurses' experiences of precepting district nurse students at the postgraduate level. The study was descriptive in design and used a qualitative approach. Purposive sampling was used and nine district nurses from seven primary health care units in Sweden were interviewed. Data were analysed using qualitative content analysis. An overall theme "Fluctuating between transferring knowledge and striving for reflective learning" and two subthemes emerged. The preceptors' views on precepting and performance varied depending on the situation. The conclusions is that given the current learning outcomes for clinical practice education at the postgraduate level, district nurses need to be more influenced by preception focused on reflective learning.

sted, utgiver, år, opplag, sider
ELSEVIER SCI LTD, 2019
Emneord
Postgraduate level, Clinical practice education, District nurses, Preceptor
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-390530 (URN)10.1016/j.nepr.2019.05.004 (DOI)000473840000011 ()31128519 (PubMedID)
Tilgjengelig fra: 2019-08-13 Laget: 2019-08-13 Sist oppdatert: 2020-03-04bibliografisk kontrollert
Stromberg, A., Engström, M., Hagerman, H. & Skytt, B. (2019). First-line managers dealing with different management approaches. Leadership in Health Services, 32(4), 543-557
Åpne denne publikasjonen i ny fane eller vindu >>First-line managers dealing with different management approaches
2019 (engelsk)Inngår i: Leadership in Health Services, ISSN 1751-1879, E-ISSN 1751-1887, Vol. 32, nr 4, s. 543-557Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Purpose

The purpose of this paper is to contribute new knowledge about how first line managers (FLMs) in elderly care perceive their situation, with a focus on differences in management approaches at the intersection of the central and local parts of the organization.

Design/methodology/approach

The present study has a qualitative approach and is part of a larger project on FLMs in elderly care. The results presented here are based on a secondary analysis of 15 of the total of 28 interviews carried out in the project.

Findings

The main results are twofold: the majority of FLMs perceived differences in management approaches between local and central management; the differences caused some struggle because FLMs perceived that the management system did not support the differences. The two main aspects that caused the FLMs to struggle were differences in the foci of the management levels and difficulties in influencing the conditions of management.

Originality/value

The results contribute to the debate on what aspects are important to sustainable management of elderly care. It is common knowledge that FLMs have a complex position, intermediate to the central, upper level management and their subordinates at the local level - levels with different foci and interests. The study contributes new knowledge about what these differences consist of and the dilemmas they cause and offers suggestions as to what can be done to reduce both energy waste and the risk of low job satisfaction.

Emneord
Leadership, Elderly care, Management, Value-orientation, First-line manager, Production-orientation
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-396663 (URN)10.1108/LHS-09-2018-0046 (DOI)000491144600004 ()31612787 (PubMedID)
Tilgjengelig fra: 2019-11-12 Laget: 2019-11-12 Sist oppdatert: 2020-01-24bibliografisk kontrollert
Hagerman, H., Engström, M., Wadensten, B. & Skytt, B. (2019). How do first-line managers in elderly care experience their work situation from a structural and psychological empowerment perspective?: An interview study. Journal of Nursing Management, 27(6), 1208-1215
Åpne denne publikasjonen i ny fane eller vindu >>How do first-line managers in elderly care experience their work situation from a structural and psychological empowerment perspective?: An interview study
2019 (engelsk)Inngår i: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 27, nr 6, s. 1208-1215Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

BACKGROUND: The work situation for first-line managers in elderly care is complex and challenging. Little is known about these managers' work situation from a structural and psychological empowerment perspective.

AIM: To describe first-line managers' experiences of their work situation in elderly care from a structural and psychological empowerment perspective.

METHOD: Interviews from 14 female first-line managers were analysed using qualitative content analysis.

RESULTS: The theme described the managers' work situation as "It's not easy, but it's worth it." In the four subthemes, the managers described their work in terms of "Enjoying a meaningful job," "A complex and demanding responsibility that allows great authority within set boundaries," "Supported by other persons, organisational preconditions and confidence in their own abilities" and "Lacking organisational preconditions, but developing strategies for dealing with the situations."

CONCLUSION: The managers described having various amounts of access to structural empowerment and experienced a feeling of meaning, competence, self-determination and impact, that is, psychological empowerment in their work.

IMPLICATIONS FOR NURSING MANAGEMENT: It is vital that first-line managers have access to organisational support. Therefore, upper management and first-line managers need to engage in continuous dialogue to customize the support given to each first-line manager.

Emneord
elderly care, empowerment, first-line manager, structures of proportions, work situation
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-394229 (URN)10.1111/jonm.12793 (DOI)000486018500019 ()31102540 (PubMedID)
Forskningsfinansiär
AFA InsuranceUniversity of Gävle
Tilgjengelig fra: 2019-10-05 Laget: 2019-10-05 Sist oppdatert: 2020-01-24bibliografisk kontrollert
Kaltenbrunner, M., Mathiassen, S. E., Bengtsson, L. & Engström, M. (2019). Lean maturity and quality in primary care. Journal of Health Organisation & Management, 33(2), 141-154
Åpne denne publikasjonen i ny fane eller vindu >>Lean maturity and quality in primary care
2019 (engelsk)Inngår i: Journal of Health Organisation & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 33, nr 2, s. 141-154Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Purpose: The purpose of this paper is twofold: first, to describe Lean maturity in primary care using a questionnaire based on Liker’s description of Lean, complemented with observations; and second, to determine the extent to which Lean maturity is associated with quality of care measured as staff-rated satisfaction with care and adherence to national guidelines (NG). High Lean maturity indicates adoption of all Lean principles throughout the organization and by all staff.

Design/methodology/approach: Data were collected using a survey based on Liker’s four principles, divided into 16 items (n=298 staff in 45 units). Complementary observations (n=28 staff) were carried out at four units.

Findings: Lean maturity varied both between and within units. The highest Lean maturity was found for “adhering to routines” and the lowest for “having a change agent at the unit.” Lean maturity was positively associated with satisfaction with care and with adherence to NG to improve healthcare quality.

Practical implications: Quality of primary care may benefit from increasing Lean maturity. When implementing Lean, managers could benefit from measuring and adopting Lean maturity repeatedly, addressing all Liker’s principles and using the results as guidance for further development.

Originality/value: This is one of the first studies to evaluate Lean maturity in primary care, addressing all Liker’s principles from the perspective of quality of care. The results suggest that repeated actions based on evaluations of Lean maturity may help to improve quality of care.

Emneord
Lean principles, Observations, Qualitative, Healthcare, Liker
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-382657 (URN)10.1108/JHOM-04-2018-0118 (DOI)000463633800002 ()30950305 (PubMedID)
Tilgjengelig fra: 2019-05-07 Laget: 2019-05-07 Sist oppdatert: 2019-05-07bibliografisk kontrollert
Löfmark, A., Mårtensson, G., Vae, K. J. & Engström, M. (2019). Lecturer's reflection on the three-part assessment discussions with students and preceptors during clinical practice education: A repeated group discussion study. Nurse Education in Practice, 36, 1-6
Åpne denne publikasjonen i ny fane eller vindu >>Lecturer's reflection on the three-part assessment discussions with students and preceptors during clinical practice education: A repeated group discussion study
2019 (engelsk)Inngår i: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 36, s. 1-6Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Assessment of students' learning and achievement requires active involvement of participating students, preceptors and lecturers. The lecturers have overall responsibility for both the content of the assessment and students' learning. The aim of the present study was to investigate lecturer's reflections on the mid-course discussion and final assessment that are part of nursing students' clinical practice education. The design was descriptive and had a qualitative approach. Repeated group discussions were undertaken with 14 lecturers at two university campuses in Norway. Five categories were identified: preparing for the three-part discussion, creating a collaborative atmosphere, facilitating student learning, verifying student learning, using the assessment tool to create the assessment discussion; one theme emerged: 'being able to see and justify students' learning processes'. Lecturers' reflections on both assessment discussions and students' learning proceeded from a clear pedagogical viewpoint.

sted, utgiver, år, opplag, sider
ELSEVIER SCI LTD, 2019
Emneord
University lecturer, Clinical practice education, Assessment, Nursing student, Preceptor
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-387977 (URN)10.1016/j.nepr.2019.02.010 (DOI)000470041900001 ()30826626 (PubMedID)
Tilgjengelig fra: 2019-06-27 Laget: 2019-06-27 Sist oppdatert: 2020-03-04bibliografisk kontrollert
Lian, Z., Skytt, B., Li, C. & Engström, M. (2019). Nursing students' reflections on caring for end-of-life patients in a youth volunteer association. Nurse Education in Practice, 34, 204-209
Åpne denne publikasjonen i ny fane eller vindu >>Nursing students' reflections on caring for end-of-life patients in a youth volunteer association
2019 (engelsk)Inngår i: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 34, s. 204-209Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

The aim of the study was to describe nursing students' reflections on caring for end-of-life patients in a youth volunteer service. A purposive sample of 11 nursing students in one province in China were interviewed and diaries were collected. The data were analysed using qualitative content analysis. The students described the service as "an empowering care that makes a difference - but not without challenges on different levels". The service was said to provide devoted caring adjusted to the person's need, condition and wishes. According to the students, the service had an impact on them; the internal and/or external support was stimulating and rewarding, whereas deficient support was frustrating and made them feel helpless. They emphasized the need for improvements at different levels. In conclusions, the youth volunteer service empowers both patients and students and can be seen as person-centred care. The students' professional knowledge, skills and ability improved, while these aspects were still perceived as deficient. Appropriate curriculum and training for nursing students are necessary and should be tailored to improving students' caring ability and confidence. Expanding the service was emphasized and suggestions for improvements were identified.

Emneord
End-of-life care, Nursing students, Nursing education, Reflections, Volunteers
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-379237 (URN)10.1016/j.nepr.2018.12.006 (DOI)000459841600031 ()30605789 (PubMedID)
Tilgjengelig fra: 2019-03-19 Laget: 2019-03-19 Sist oppdatert: 2020-01-23bibliografisk kontrollert
Randmaa, M., Engström, M., Mårtensson, G., Leo Swenne, C. & Högberg, H. (2019). Psychometric properties of an instrument measuring communication within and between the professional groups licensed practical nurses and registered nurses in anaesthetic clinics. BMC Health Services Research, 19(1), Article ID 950.
Åpne denne publikasjonen i ny fane eller vindu >>Psychometric properties of an instrument measuring communication within and between the professional groups licensed practical nurses and registered nurses in anaesthetic clinics
Vise andre…
2019 (engelsk)Inngår i: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 19, nr 1, artikkel-id 950Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

BACKGROUND: The most common cause of clinical incidents and adverse events in relation to surgery is communication error. There is a shortage of studies on communication between registered nurses and licenced practical nurses as well as of instruments to measure their perception of communication within and between the professional groups. The aim of the present study was to evaluate the psychometric properties of the Swedish version of the adapted ICU Nurse-Physician Questionnaire, designed to also measure communication within and between two professional groups: licensed practical nurses and registered nurses. Specifically, the aim was to examine the instrument's construct validity using confirmatory factor analysis and its internal consistency using Cronbach's Alpha.

METHODS: A cross-sectional and correlational design was used. The setting was anaesthetic clinics in two Swedish hospitals. A total of 316 questionnaires were delivered during spring 2011, of which 195 were analysed to evaluate the psychometric properties of the questionnaire. Construct validity was assessed using confirmatory factor analysis and internal consistency using Cronbach's Alpha. To assess items with missing values, we conducted a sensitivity analysis of two sets of data, and to assess the assumption of normally distributed data, we used Bayesian estimation.

RESULTS: The results support the construct validity and internal consistency of the adapted ICU Nurse-Physician Questionnaire. Model fit indices for the confirmative factor analysis were acceptable, and estimated factor loadings were reasonable. There were no large differences between the estimated factor loadings when comparing the two samples, suggesting that items with missing values did not alter the findings. The estimated factor loadings from Bayesian estimation were very similar to the maximum likelihood results. This indicates that confirmative factor analysis using maximum likelihood produced reliable factor loadings. Regarding internal consistency, alpha values ranged from 0.72 to 0.82.

CONCLUSIONS: The tests of the adapted ICU Nurse-Physician Questionnaire indicate acceptable construct validity and internal consistency, both of which need to be further tested in new settings and samples.

TRIAL REGISTRATION: Current controlled trials http://www.controlled-trials.com Communication and patient safety in anaesthesia and intensive care. Does implementation of SBAR make any differences? Identifier: ISRCTN37251313, retrospectively registered (assigned 08/11/2012).

Emneord
Anaesthetic clinic, Communication, Confirmatory factor analysis, ICU nurse-physician questionnaire, Methodological, Psychometric, Validation
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-402188 (URN)10.1186/s12913-019-4805-7 (DOI)000506198900003 ()31823775 (PubMedID)
Tilgjengelig fra: 2020-01-11 Laget: 2020-01-11 Sist oppdatert: 2020-03-04bibliografisk kontrollert
Organisasjoner
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0002-9912-5350