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Nilsson, J., Engström, M., Florin, J., Gardulf, A. & Carlsson, M. (2018). A short version of the nurse professional competence scale for measuring nurses' self-reported competence.. Nurse Education Today, 71, 233-239
Öppna denna publikation i ny flik eller fönster >>A short version of the nurse professional competence scale for measuring nurses' self-reported competence.
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2018 (Engelska)Ingår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 71, s. 233-239Artikel i tidskrift (Refereegranskat) Published
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.

Nyckelord
Nurses' competence, Nursing education, Nursing students' competence, Professional nursing, Psychometric properties, Validation
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:uu:diva-371638 (URN)10.1016/j.nedt.2018.09.028 (DOI)000452938200038 ()30321851 (PubMedID)
Tillgänglig från: 2018-12-21 Skapad: 2018-12-21 Senast uppdaterad: 2019-01-16Bibliografiskt granskad
Hedström, M., Carlsson, M., Ekman, A., Gillespie, U., Mörk, C. & Åsberg, K. H. (2018). Development of the PHASE-Proxy scale for rating drug-related signs and symptoms in severe cognitive impairment. Aging & Mental Health, 22(1), 53-60
Öppna denna publikation i ny flik eller fönster >>Development of the PHASE-Proxy scale for rating drug-related signs and symptoms in severe cognitive impairment
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2018 (Engelska)Ingår i: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 22, nr 1, s. 53-60Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

OBJECTIVES: The need for assessment of possible drug-related signs and symptoms in older people with severe cognitive impairment has increased. In 2009, the PHASE-20 rating scale for identifying symptoms possibly related to medication was the first such scale to be found valid and reliable for use with elderly people. In this project, the aim was to develop and examine the psychometric properties and clinical utility of PHASE-Proxy, a similar scale for proxy use in assessing elderly people with cognitive impairment.

METHODS: Three expert groups revised PHASE-20 into a preliminary proxy version, which was then tested for inter-rater reliability, internal consistency, and content validity. Its clinical usefulness was investigated by pharmacist-led medication reviews. Group interviews and a study-specific questionnaire with nursing home staff were used to investigate the feasibility of use.

RESULTS: The PHASE-Proxy scale had satisfactory levels of inter-rater reliability (Spearman's rank correlation coefficient; rs = 0.8), and acceptable internal consistency (Cronbach's alpha coefficient; α = 0.73). The factor analysis resulted in a logical solution with seven factors, grouped into two dimensions: signs of emotional distress and signs of physical discomfort. The medication reviews, interviews, and questionnaires also found the proxy scale to be clinically useful, and feasible to use.

CONCLUSION: The PHASE-Proxy scale appears to be a valid instrument that enables proxies to reliably assess nursing home residents who cannot participate in the assessment, to identify possible drug-related signs and symptoms. It also appears to be clinically useful and feasible for use in this population.

Nationell ämneskategori
Medicin och hälsovetenskap
Identifikatorer
urn:nbn:se:uu:diva-303839 (URN)10.1080/13607863.2016.1232364 (DOI)000417735800008 ()27657536 (PubMedID)
Forskningsfinansiär
Socialstyrelsen, 6.2.4-42858/2011
Tillgänglig från: 2016-09-25 Skapad: 2016-09-25 Senast uppdaterad: 2018-01-17Bibliografiskt granskad
Höglund, A., Carlsson, M., Holmström, I., Lännerström, L. & Kaminsky, E. (2018). From denial to awareness: a conceptual model for obtaining equity in healthcare. International Journal for Equity in Health, 17(9)
Öppna denna publikation i ny flik eller fönster >>From denial to awareness: a conceptual model for obtaining equity in healthcare
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2018 (Engelska)Ingår i: International Journal for Equity in Health, ISSN 1475-9276, E-ISSN 1475-9276, Vol. 17, nr 9Artikel i tidskrift (Refereegranskat) Published
Ort, förlag, år, upplaga, sidor
Springer: , 2018
Nyckelord
Equity in health, conceptual model, telephone nursing, gender, ethnicity, Sweden
Nationell ämneskategori
Medicin och hälsovetenskap
Identifikatorer
urn:nbn:se:uu:diva-339844 (URN)10.1186/s12939-018-0723-2 (DOI)
Tillgänglig från: 2018-01-23 Skapad: 2018-01-23 Senast uppdaterad: 2019-03-11Bibliografiskt granskad
Nilsson, A., Carlsson, M., Lindqvist, R. & Kristofferzon, M.-L. (2017). A comparative correlational study of coping strategies and quality of life in patients with chronic heart failure and the general Swedish population. Nursing Open, 4(3), 157-167
Öppna denna publikation i ny flik eller fönster >>A comparative correlational study of coping strategies and quality of life in patients with chronic heart failure and the general Swedish population
2017 (Engelska)Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 4, nr 3, s. 157-167Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aim: The aim was to compare coping strategies and quality of life (QoL) in patients with chronic heart failure (CHF) with such strategies and QOL in persons from two general Swedish populations and to investigate relationships between personal characteristics and coping strategies. Design: A cross-sectional, comparative and correlational design was used to examine data from three sources. Methods: The patient group (n=124), defined using ICD-10, was selected consecutively from two hospitals in central Sweden. The population group (n=515) consisted of persons drawn randomly from the Swedish population. Data were collected with questionnaires in 2011; regarding QoL, Swedish population reference data from 1994 were used. Results: Overall, women used more coping strategies than men did. Compared with the general population data from SF-36, patients with CHF rated lower QoL. In the regression models, perceived low efficiency in managing psychological aspects of daily life increased use of coping. Other personal characteristics related to increased use of coping strategies were higher education, lower age and unsatisfactory economic situation.

Nyckelord
chronic heart failure, coping, cross sectional survey, general Swedish population, Jalowiec Coping Scale, quality of life
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:uu:diva-330024 (URN)10.1002/nop2.81 (DOI)000405085600006 ()28694980 (PubMedID)
Tillgänglig från: 2017-10-09 Skapad: 2017-10-09 Senast uppdaterad: 2017-10-09Bibliografiskt granskad
Theander, K., Wilde-Larsson, B., Carlsson, M., Florin, J., Gardulf, A., Johansson, E., . . . Nilsson, J. (2016). Adjusting to future demands in healthcare: Curriculum changes and nursing students' self-reported professional competence. Nurse Education Today, 37, 178-183
Öppna denna publikation i ny flik eller fönster >>Adjusting to future demands in healthcare: Curriculum changes and nursing students' self-reported professional competence
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2016 (Engelska)Ingår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 37, s. 178-183Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Nursing competence is of significant importance for patient care. Newly graduated nursing students rate their competence as high. However, the impact of different designs of nursing curricula on nursing students' self-reported nursing competence areas is seldom reported. Objectives: To compare newly graduated nursing students' self-reported professional competence before and after the implementation of a new nursing curriculum. The study had a descriptive comparative design. Nursing students, who graduated in 2011, having studied according to an older curriculum, were compared with those who graduated in 2014, after a new nursing curriculum with more focus on person-centered nursing had been implemented. Setting: A higher education nursing program at a Swedish university. Participants: In total, 119 (2011 n = 69, 2014 n = 50) nursing students responded. Methods: Nursing students' self-reported professional competencies were assessed with the Nurse Professional Competence (NPC) scale. Results: There were no significant differences between the two groups of nursing students, who graduated in 2011 and 2014, respectively, with regard to age, sex, education, or work experience. Both groups rated their competencies as very high. Competence in value-based nursing was perceived to be significantly higher after the change in curriculum. The lowest competence, both in 2011 and 2014, was reported in education and supervision of staff and students. Conclusions: Our findings indicate that newly graduated nursing students- both those following the old curriculum and the first batch of students following the new one - perceive that their professional competence is high. Competence in value-based nursing, measured with the NPC scale, was reported higher after the implementation of a new curriculum, reflecting curriculum changes with more focus on person-centered nursing.

Nyckelord
Nurse competence, Professional nursing, Nursing education, Nursing curriculum, Nursing student, NPC scale
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:uu:diva-282386 (URN)10.1016/j.nedt.2015.11.012 (DOI)000371098300029 ()26703792 (PubMedID)
Tillgänglig från: 2016-04-05 Skapad: 2016-04-05 Senast uppdaterad: 2017-11-30Bibliografiskt granskad
Nilsson, J., Johansson, E., Carlsson, M., Florin, J., Leksell, J., Lepp, M., . . . Gardulf, A. (2016). Disaster nursing: Self-reported competence of nursing students and registered nurses, with focus on their readiness to manage violence, serious events and disasters. Nurse Education in Practice, 17, 102-108
Öppna denna publikation i ny flik eller fönster >>Disaster nursing: Self-reported competence of nursing students and registered nurses, with focus on their readiness to manage violence, serious events and disasters
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2016 (Engelska)Ingår i: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 17, s. 102-108Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The World Health Organization and the International Council of Nurses recognises the importance of nurses' involvement in disaster preparedness and response. The aim of this study was to describe and compare self reported disaster nursing competence (DNC) among nursing students (NSs) and among registered nurses (RNs) with professional experience. Further to investigate possible associations between self-reported DNC and background factors. A cross-sectional study was conducted of 569 NSs and 227 RNs. All respondents completed the 88-item Nurse Professional Competence Scale, including three items assessing DNC. Significant differences were found among the NSs depending on which University/University College they had attended. RNs reported significantly higher overall DNC and better ability to handle situations involving violence, and to apply principles of disaster medicine during serious events. RNs working in emergency care reported significantly better DNC ability, compared with RNs working in other areas of healthcare. Multiple linear regression analysis showed that working night shift and working in emergency care were positively associated with high self-reported overall DNC. The results indicate that workplace experience of serious events increase the readiness of registered nurses to handle violence, to act in accordance with safety regulations, and to apply principles of disaster medicine during serious events.

Nyckelord
Disaster nursing, Nursing students, Registered nurses, NPC Scale
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:uu:diva-297139 (URN)10.1016/j.nepr.2015.09.012 (DOI)000374622700017 ()26776502 (PubMedID)
Tillgänglig från: 2016-06-21 Skapad: 2016-06-21 Senast uppdaterad: 2017-11-28Bibliografiskt granskad
Höglund, A. T., Carlsson, M., Holmström, I. K. & Kaminsky, E. (2016). Impact of telephone nursing education program for equity in health. International Journal for Equity in Health, 15(1), Article ID 152.
Öppna denna publikation i ny flik eller fönster >>Impact of telephone nursing education program for equity in health
2016 (Engelska)Ingår i: International Journal for Equity in Health, ISSN 1475-9276, E-ISSN 1475-9276, Vol. 15, nr 1, artikel-id 152Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background:The Swedish Healthcare Act prescribes that healthcare should be provided according to needs andwith respect for each person’s human dignity. The goal is equity in health for the whole population. In spite of this,studies have revealed that Swedish healthcare is not always provided equally. This has also been observed intelephone nursing.Therefore, the aim of the present study was to investigate if and how an educational intervention can improveawareness of equity in healthcare among telephone nurses.Methods:The study had a quasi-experimental design, with one intervention group and one control group. Abase-line measurement was performed before an educational intervention and a follow-up measurement wasmade afterwards in both groups, using a study specific questionnaire in which fictive persons of different age,gender and ethnicity were assessed concerning, e.g., power over one’s own life, quality of life and experience ofdiscrimination. The educational intervention consisted of a web-based lecture, literature and a seminar, coveringaspects of inequality in healthcare related to gender, ageand ethnicity, and gender and intersectionality theoriesas explaining models for these conditions.Results:The results showed few significant differences before and after the intervention in the intervention group.Also in the control group few significant differences were found in the second measurement, although no interventionwas performed in that group. The reason might be that the instrument used was not sensitive enough to pick up anexpected raised awareness of equity in healthcare, or that solely the act of filling out the questionnaire can create asort of intervention effect. Fictive persons born in Sweden and of young age were assessed to have a higherGood life-index than the fictive persons born outside Europe and of higher age in all assessments.Conclusion:The results are an imperative that equity in healthcare still needs to be educated and discussed indifferent healthcare settings. The intervention and questionnaire were designed to fit telephone nurses, but couldeasily be adjusted to suit other professional groups, who need to increase their awareness of equity in healthcare.

Ort, förlag, år, upplaga, sidor
BioMed Central, 2016
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
urn:nbn:se:uu:diva-304235 (URN)10.1186/s12939-016-0447-0 (DOI)
Tillgänglig från: 2016-10-03 Skapad: 2016-10-03 Senast uppdaterad: 2017-11-30Bibliografiskt granskad
Gardulf, A., Nilsson, J., Florin, J., Leksell, J., Lepp, M., Lindholm, C., . . . Johansson, E. (2016). The Nurse Professional Competence (NPC) Scale: Self-reported competence among nursing students on the point of graduation. Nurse Education Today, 36, 165-171
Öppna denna publikation i ny flik eller fönster >>The Nurse Professional Competence (NPC) Scale: Self-reported competence among nursing students on the point of graduation
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2016 (Engelska)Ingår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 36, s. 165-171Artikel i tidskrift (Refereegranskat) Published
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.

Nyckelord
Nurses' competence, Professional nursing, Nursing education, Nursing students, Graduate nurses, Quality in care, Safety in care, NPC Scale
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:uu:diva-274429 (URN)10.1016/j.nedt.2015.09.013 (DOI)000367117000028 ()
Tillgänglig från: 2016-01-21 Skapad: 2016-01-21 Senast uppdaterad: 2017-11-30Bibliografiskt granskad
Borg, T., Hernefalk, B., Carlsson, M. & Larsson, S. (2015). Development of a pelvic discomfort index to evaluate outcome following fixation for pelvic ring injury. Journal of Orthopaedic Surgery, 23(2), 146-149
Öppna denna publikation i ny flik eller fönster >>Development of a pelvic discomfort index to evaluate outcome following fixation for pelvic ring injury
2015 (Engelska)Ingår i: Journal of Orthopaedic Surgery, ISSN 1022-5536, E-ISSN 2309-4990, Vol. 23, nr 2, s. 146-149Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose. To develop a pelvic discomfort index (PDI) to evaluate outcome following fixation for pelvic ring injury. Methods. 29 female and 44 male consecutive patients (mean age, 36 years) underwent internal fixation for pelvic ring injury of type B1 (n=10), B2 (n=22), B3 (n=15), C1 (n=18), C2 (n=5), and C3 (n=3), based on the AO/OTA classification. At postoperative 6, 12, and 24 months, patients were asked to assess their discomfort in the pelvis using a 14-item questionnaire. Three questions were open-ended, and responses were categorised by a single assessor. The remaining 11 questions were closed-ended and had 6 ordinal options from 'no discomfort' (score=0) to' extremely severe discomfort' (score=5). The content validity and relevance of the 11 closed-ended questions was determined. The 14-item questionnaire was compared with the 36-item Short Form Health Survey (SF-36). Results. Respectively at postoperative 6, 12, and 24 months, 78%, 71%, and 71% of the patients completed the 14-item questionnaire. Based on the factor analysis and responses to the open-ended questions, the number of items was reduced to 6 including pain, walking, mobility of the hips, loss of sensation in the legs, sexual life, and operation scar. Four factors could explain 96% of the total variance. The first factor involved the first 3 items (pain, walking, and hip motion) and addressed 'pelvis', whereas 3 factors involved the remaining items and each addressed peripheral neurology, sexual life, and operation scar. A PDI was developed using these 6 items. The PDI had high internal reliability (alpha=0.89), adequate content and criterion validity, and moderate correlation with the SF-36 total score or scores of physical function, bodily pain, and general health (r=0.50-0.77). Conclusion. The PDI provides valid, specific, and relevant information to assess

Nyckelord
fracture fixation, internal, patient outcome assessment, pelvis, quality of life
Nationell ämneskategori
Ortopedi
Identifikatorer
urn:nbn:se:uu:diva-263545 (URN)000360670300005 ()26321538 (PubMedID)
Tillgänglig från: 2015-10-02 Skapad: 2015-10-02 Senast uppdaterad: 2018-01-11Bibliografiskt granskad
Hakimnia, R., Carlsson, M., Höglund, A. T. & Holmström, I. K. (2015). Doing gender in the context of telenursing:: Analyses of authentic calls to a telenursing site in Sweden. Clinical Nursing Studies, 3(2), 24-30
Öppna denna publikation i ny flik eller fönster >>Doing gender in the context of telenursing:: Analyses of authentic calls to a telenursing site in Sweden
2015 (Engelska)Ingår i: Clinical Nursing Studies, ISSN 2324-7940, E-ISSN 2324-7959, Vol. 3, nr 2, s. 24-30Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Introduction: Aim: The aim of the present study was to analyze authentic health calls to a telenursing site in Sweden regardingreasons for calling and outcome of the calls with focus on a gender perspective. Background: Telephone advice nursing isan expanding service in many Western countries. In Sweden, all regions are now connected to a national telenursing service.Healthcare in Sweden is stipulated by law to be equitable. This includes the teleursing service, which is a new actor in Swedishhealthcare system, and which often is a citizen’s first contact with healthcare.Methods: The study had a descriptive and comparative design. 800 authentic calls to SHD were analysed regarding reasons forcalling, and outcome of the calls.Results: The results showed that men, and especially fathers, received more referrals to general practitioners than women. Themost common caller was a woman fluent in Swedish (64%), and the least likely caller was a man non-fluent in Swedish (3%).All in all, 70% of the callers were women. When the calls concerned children, 78% of the callers were female. In total, 9% ofthe calls were made by a man calling for another person. Callers were predominately young (mean age 29 years for women and33 for men).Conclusions: It is important that telenursing does not become a “feminine” activity, only suitable for young callers fluent inSwedish. Given the telenurses’ gatekeeping role, there is a risk that differences on this first level of health care can be reproducedthroughout the whole healthcare system. In striving for more equitable telenursing services, future research might investigate ifcampaigns encouraging men to call, and more frequent use of translators could enhance access to telenursing services.

Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:uu:diva-268689 (URN)10.5430/cns.v3n2p24 (DOI)
Tillgänglig från: 2015-12-09 Skapad: 2015-12-09 Senast uppdaterad: 2017-12-01Bibliografiskt granskad
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