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Carlsson, Marianne
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Publications (10 of 65) Show all publications
Lou, Y., Xu, L., Carlsson, M., Lan, X. & Engström, M. (2022). Quality of life of older people in nursing homes in China-evaluation and application of the Chinese version of the life satisfaction questionnaire. BMC Geriatrics, 22, Article ID 328.
Open this publication in new window or tab >>Quality of life of older people in nursing homes in China-evaluation and application of the Chinese version of the life satisfaction questionnaire
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2022 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 22, article id 328Article in journal (Refereed) Published
Abstract [en]

Background: Chinese and global populations are aging, and more older people are living in nursing homes in China. However, there is a lack of research measuring nursing home residents' quality of life (QOL), and especially associations with nursing home types (publicly versus privately run). Therefore, this study aimed to determine the construct validity and internal consistency of the Chinese version of the life satisfaction questionnaire (LSQ-Chinese) and determine the associations between nursing home types (publicly versus privately run), residents' sociodemographic characteristics, and their QOL.

Methods: A cross-sectional survey measuring QOL among older people living in nursing homes was conducted (n = 419). Confirmatory factor analysis and Cronbach's alpha were used to assess the construct validity and reliability of the LSQ-Chinese. In addition, multivariate regression analysis was used to examine these associations.

Results: Confirmatory factor analysis indicated acceptable goodness-of-fit statistics for the seven-factor LSQ solution. All factors and the total scale had good internal consistency, with Cronbach's alpha values > 0.70. The two factors with the highest QOL scores (higher scores indicate a more desirable state) were "physical symptoms" and "socioeconomic situation," and those with the lowest QOL scores were "quality of close-friend relationships" and "quality of daily activities fun". Residents living in privately run nursing homes had higher LSQ scores overall and for all factors except "physical symptoms" and "sickness impact" compared with publicly run nursing homes. Multivariate analyses indicated that marital status, number of chronic diseases, education level, main source of income, and nursing home type significantly contributed to the variance in the total LSQ scores. The associated sociodemographic variables differed between the factors, and the variable publicly versus privately run was significant for five of the seven factors.

Conclusions: The LSQ is a suitable instrument for measuring the QOL of Chinese nursing home residents. The total LSQ score was higher among residents in privately run nursing homes than in publicly run ones. According to residents' needs, staff should work for person-centered activities, and facilitate residents' social interactions with friends, as both these aspects were scored relatively low.

Place, publisher, year, edition, pages
Springer NatureSpringer Nature, 2022
Keywords
Psychometric testing, Life satisfaction questionnaire, Quality of life, Older adults, Residential living homes, Influencing factors
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-473706 (URN)10.1186/s12877-022-03040-4 (DOI)000782774200002 ()35428208 (PubMedID)
Available from: 2022-05-04 Created: 2022-05-04 Last updated: 2024-01-15Bibliographically approved
Blom Johansson, M., Carlsson, M., Östberg, P. & Sonnander, K. (2022). Self-reported changes in everyday life and health of significant others of people with aphasia: a quantitative approach. Aphasiology, 36(1), 76-94
Open this publication in new window or tab >>Self-reported changes in everyday life and health of significant others of people with aphasia: a quantitative approach
2022 (English)In: Aphasiology, ISSN 0268-7038, E-ISSN 1464-5041, Vol. 36, no 1, p. 76-94Article in journal (Refereed) Published
Abstract [en]

Background: Changes in the everyday life and health of the significant others (SOs) of people living with stroke sequalae have been widely investigated. However, information regarding the frequency of the changes in daily life and the variables most associated with these perceived life changes is limited.

Aims: To examine the extent to which SOs of persons with aphasia (PWAs) experience changes in everyday life and health after the stroke event and how they evaluate these changes and to identify which variables are associated with these perceived life changes.

Methods & Procedures: A study-specific questionnaire about perceived changes in everyday life and health was completed by 173 SOs of PWAs living in Sweden (response rate 67.8%). The items concerned the SO’s working and financial situation, leisure time and social life, relationship with the PWA, household work and responsibility, and health and quality of life.

Outcomes & Results: The everyday life and health of the SOs were greatly affected by the stroke event. The changes the SOs experienced were mainly appraised negatively. The relationships with the PWA and immediate family were least affected by the stroke. The perceived existence and severity of physical, cognitive, and language impairments of the PWA were the variables most strongly associated with the everyday life situation of the participants. The sex and age of the participants and the nature of the relationship with the PWA were only marginally associated with the experience of the situation.

Conclusions: SOs’ perceptions of the PWA’s stroke-related disabilities and need for assistance may be a key factor in identifying SOs who may require support and guidance to help them cope with their new life situation.

Place, publisher, year, edition, pages
Routledge, 2022
Keywords
Aphasia, significant others, everyday life, health, quality of life
National Category
Other Medical Sciences not elsewhere specified
Identifiers
urn:nbn:se:uu:diva-429506 (URN)10.1080/02687038.2020.1852166 (DOI)000603789900001 ()
Available from: 2020-12-28 Created: 2020-12-28 Last updated: 2022-07-04Bibliographically approved
Holmström, I. K., Kaminsky, E., Höglund, A. T. & Carlsson, M. (2021). A survey of nursing teachers’ awareness of discrimination and inequity in telephone nursing care. BMC Nursing, 20(1), Article ID 240.
Open this publication in new window or tab >>A survey of nursing teachers’ awareness of discrimination and inequity in telephone nursing care
2021 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 20, no 1, article id 240Article in journal (Refereed) Published
Abstract [en]

Background

Nursing care should be respectful of and unrestricted by patients’ age, ethnicity, gender, dis/abilities or social status, and such values should be taught to nursing students. Nursing teachers are crucial as role models, and their values are essential. In telephone nursing, only age, sex and ethnicity are known to the registered nurses, which can be challenging. The aim of this study was to explore awareness of discrimination and inequity in telephone nursing among nursing teachers.

Methods

A study specific survey was filled in by 135 nursing teachers from three universities in Sweden. The survey included short descriptions of 12 fictive persons who differed in age, ethnicity and sex and with questions about their estimated life situation. The teachers’ estimations of life situation were ranked from lowest probability to highest probability. A ‘good life index’ was constructed and calculated for each fictive person. It included quality of life, power over one’s own life and experience of discrimination.

Results

The results indicate that the nursing teachers were aware of how power and age, ethnicity and sex are related; that is, they were aware of discrimination and inequity in healthcare. The persons assessed to be most likely to lead a good life were males of Swedish origin, followed by females of Swedish origin. Persons with non-European origin were estimated to have the highest probability of experiencing discrimination.

Conclusions

The nursing teachers were aware of discrimination and inequity in healthcare. They were able to estimate a fictive person’s life situation based on the limited knowledge of age, ethnicity and sex. This is important, as their values are pivotal in theoretical and practical nursing education.

Place, publisher, year, edition, pages
Springer, 2021
Keywords
General Nursing, Discrimination, Equity, Telephone nursing, Nursing teachers
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-460110 (URN)10.1186/s12912-021-00762-5 (DOI)000724739700001 ()34852806 (PubMedID)
Available from: 2021-12-02 Created: 2021-12-02 Last updated: 2021-12-17Bibliographically approved
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.
Open this publication in new window or tab >>Nursing student's expectations for their future profession and motivating factors - A longitudinal descriptive study from Sweden
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2020 (English)In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 84, article id 104218Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
CHURCHILL LIVINGSTONE, 2020
Keywords
Expectations, Longitudinal qualitative study, Nursing students, Professional role
National Category
Nursing Pedagogy
Identifiers
urn:nbn:se:uu:diva-400737 (URN)10.1016/j.nedt.2019.104218 (DOI)000501643800026 ()31698292 (PubMedID)
Available from: 2020-01-02 Created: 2020-01-02 Last updated: 2020-01-23Bibliographically approved
Carlsson, M. (2020). Self-reported competence in female and male nursing students in the light of theories of hegemonic masculinity and femininity. Journal of Advanced Nursing, 76(1), 191-198
Open this publication in new window or tab >>Self-reported competence in female and male nursing students in the light of theories of hegemonic masculinity and femininity
2020 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 76, no 1, p. 191-198Article in journal (Refereed) Published
Abstract [en]

Background

In most parts of the world, nursing historically has been considered an occupation for women. Gender stereotypes are associated with the nursing profession.

Aim

The aim was to describe and compare the self-reported competence in female and male nursing students. The students were also compared according to their different background college educations. The theoretical framework of hegemonic masculinity and femininity was used.

Design

A cross-sectional design with a questionnaire was used at two points in time, 2012 and 2017.

Methods

Nursing students completed a questionnaire on graduation from a 3-year university nursing program from 12 universities/university colleges in Sweden. In total, 1810 students were participating, 1577 female and 227 male students. The Nurse Professional Competence scale was used for data collection.

Results

There were statistically significant differences in the self-reported competence between female and male students (t tests and ANOVAs). These differences are in agreement with the patterns of hegemonic masculinity and femininity. Female students estimated their competence in giving value-based nursing care as higher than males. Male students estimated their competence in development and leadership higher than females.

Conclusion

The pattern of hegemonic masculinity and femininity could be identified. This indicates a difference in power between female and male students.

Impact

The study addresses the self-reported competence of female and male nursing students. The results indicated that male students possibly looked on themselves as superior to the female students. In order to change the image of nursing as a woman ' s work, the self-images should be discussed in nursing education as well as in college education. Women interested in development, research, and leadership and men interested in nursing care and administration must feel that nursing is a suitable profession for them. The stereotypical image of nursing as a women's work is a barrier to nurses' professional development.

Place, publisher, year, edition, pages
Wiley, 2020
Keywords
gender imbalance, hegemonic femininity, hegemonic masculinity, nursing education, nursing students, self-reported competence
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-397687 (URN)10.1111/jan.14220 (DOI)000495122600001 ()31588580 (PubMedID)
Available from: 2019-11-22 Created: 2019-11-22 Last updated: 2021-03-22Bibliographically approved
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
Open this publication in new window or tab >>A short version of the nurse professional competence scale for measuring nurses' self-reported competence.
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2018 (English)In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 71, p. 233-239Article in journal (Refereed) 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.

Keywords
Nurses' competence, Nursing education, Nursing students' competence, Professional nursing, Psychometric properties, Validation
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-371638 (URN)10.1016/j.nedt.2018.09.028 (DOI)000452938200038 ()30321851 (PubMedID)
Available from: 2018-12-21 Created: 2018-12-21 Last updated: 2019-01-16Bibliographically approved
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
Open this publication in new window or tab >>Development of the PHASE-Proxy scale for rating drug-related signs and symptoms in severe cognitive impairment
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2018 (English)In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 22, no 1, p. 53-60Article in journal (Refereed) 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.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-303839 (URN)10.1080/13607863.2016.1232364 (DOI)000417735800008 ()27657536 (PubMedID)
Funder
Swedish National Board of Health and Welfare, 6.2.4-42858/2011
Available from: 2016-09-25 Created: 2016-09-25 Last updated: 2018-01-17Bibliographically approved
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)
Open this publication in new window or tab >>From denial to awareness: a conceptual model for obtaining equity in healthcare
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2018 (English)In: International Journal for Equity in Health, E-ISSN 1475-9276, Vol. 17, no 9Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Springer: , 2018
Keywords
Equity in health, conceptual model, telephone nursing, gender, ethnicity, Sweden
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-339844 (URN)10.1186/s12939-018-0723-2 (DOI)
Available from: 2018-01-23 Created: 2018-01-23 Last updated: 2024-01-17Bibliographically approved
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
Open this publication in new window or tab >>A comparative correlational study of coping strategies and quality of life in patients with chronic heart failure and the general Swedish population
2017 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 4, no 3, p. 157-167Article in journal (Refereed) 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.

Keywords
chronic heart failure, coping, cross sectional survey, general Swedish population, Jalowiec Coping Scale, quality of life
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-330024 (URN)10.1002/nop2.81 (DOI)000405085600006 ()28694980 (PubMedID)
Available from: 2017-10-09 Created: 2017-10-09 Last updated: 2017-10-09Bibliographically approved
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
Open this publication in new window or tab >>Adjusting to future demands in healthcare: Curriculum changes and nursing students' self-reported professional competence
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2016 (English)In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 37, p. 178-183Article in journal (Refereed) 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.

Keywords
Nurse competence, Professional nursing, Nursing education, Nursing curriculum, Nursing student, NPC scale
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-282386 (URN)10.1016/j.nedt.2015.11.012 (DOI)000371098300029 ()26703792 (PubMedID)
Available from: 2016-04-05 Created: 2016-04-05 Last updated: 2017-11-30Bibliographically approved
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