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Leo Swenne, Christine
Publications (10 of 33) Show all publications
Pålsson, Y., Engström, M., Swenne, C. L. & Mårtensson, G. (2018). A peer learning intervention targeting newly graduated nurses: A feasibility study with a descriptive design based on the Medical Research Council framework. Journal of Advanced Nursing, 74(5), 1127-1138
Open this publication in new window or tab >>A peer learning intervention targeting newly graduated nurses: A feasibility study with a descriptive design based on the Medical Research Council framework
2018 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 74, no 5, p. 1127-1138Article in journal (Refereed) Published
Abstract [en]

Aims: The aim of this study was to describe the feasibility of a peer learning intervention targeting newly graduated nurses. Feasibility was tested concerning consistency of the theoretical description of peer learning with empirical findings in a new context, compliance and acceptability, as well as usability of a questionnaire measuring the intended future outcome variables.

Background: Newly graduated nurses who meet, socialize and share experiences have described supporting each other's ability to cope with stress. Peer learning involves individuals in a similar situation learning from and with each other through interaction. When implementing new interventions, feasibility studies are used to minimize problems in future evaluation studies.

Design: Quasi‐experimental design with an intervention group, followed over time using descriptive methods. The study was based on the Medical Research Council framework.

Methods: Repeated semi‐structured interviews, a checklist for fidelity and a questionnaire were conducted with 10 newly graduated nurses from January to March 2015. The intervention's main component included pairs of newly graduated nurses working the same shift and having joint responsibility for a group of patients for a period of 3 weeks. The intervention also included 3 months of regular reflection by the pair.

Findings: Using deductive analysis, the peer learning intervention was found to be consistent with the theoretical description. Due to the compliance and acceptability, there were lessons learnt. The tested questionnaire was found to be useful.

Conclusions: This peer learning intervention seems to be feasible in this context. This study will serve as the basis for a future full‐scale evaluation study.

Keywords
acceptability, compliance, feasibility, intervention, newly graduated nurses, peer learning, process evaluation
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-342752 (URN)10.1111/jan.13513 (DOI)000430121900015 ()29193242 (PubMedID)
Available from: 2018-02-23 Created: 2018-02-23 Last updated: 2018-06-19Bibliographically approved
Leo Swenne, C., Hjelte, L., Härdne, E., Friberg, C. & Arakelian, E. (2018). Perioperative dialogue on postoperative recovery measured by the use of pain medication, psychopharmaceutical agents and length of hospital stay. Nordic journal of nursing research
Open this publication in new window or tab >>Perioperative dialogue on postoperative recovery measured by the use of pain medication, psychopharmaceutical agents and length of hospital stay
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2018 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593Article in journal (Refereed) Epub ahead of print
Abstract [en]

The effects of perioperative dialogue have been studied using qualitative methods, describing patient satisfaction with their care. However, they have not been studied in patients with peritoneal carcinomatosis who undergo major surgery, nor with quantitative variables. The aim was to study the use of pain medication and length of hospital stay following cytoreductive surgery and hyperthermic intraperitoneal chemotherapy in patients who received, versus those who did not receive, perioperative dialogue. The study had a quantitative, retrospective and comparative design including 89 audits. Of these, 37 patients received perioperative dialogues, and 52 patients did not (the control group). The result showed that by postoperative day six, patients who received a perioperative dialogue experienced pain less frequently than patients in the control group. However, no differences between the groups were noted with regard to pain medication consumption and length of hospital stay. To ease their worries, all patients in both groups used benzodiazepines. The perioperative dialogue may be studied quantitatively, but it must involve the patient, who is an equal partner in the dialogue. Structured validated self-reporting measures may be used systematically before and after surgery in order to evaluate the perioperative dialogue using quantitative measures.

Place, publisher, year, edition, pages
SAGE Publications Ltd, 2018
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-342785 (URN)10.1177/2057158518754785 (DOI)
Available from: 2018-02-23 Created: 2018-02-23 Last updated: 2018-02-23Bibliographically approved
Pålsson, Y., Mårtensson, G., Swenne, C. L., Ädel, E. & Engström, M. (2017). A peer learning intervention for nursing students in clinical practice education: A quasi-experimental study. Nurse Education Today, 51, 81-87
Open this publication in new window or tab >>A peer learning intervention for nursing students in clinical practice education: A quasi-experimental study
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2017 (English)In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 51, p. 81-87Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Studies of peer learning indicate that the model enables students to practice skills useful in their future profession, such as communication, cooperation, reflection and independence. However, so far most studies have used a qualitative approach and none have used a quasi-experimental design to study effects of nursing students' peer learning in clinical practice.

OBJECTIVES: To investigate the effects of peer learning in clinical practice education on nursing students' self-rated performance.

DESIGN: Quasi-experimental.

SETTING: The study was conducted during nursing students' clinical practice.

PARTICIPANTS: All undergraduate nursing students (n=87) attending their first clinical practice were approached. Seventy students out of 87 answered the questionnaires at both baseline and follow-up (42 of 46 in the intervention group and 28 of 39 in the comparison group).

METHODS: During the first two weeks of the clinical practice period, all students were supervised traditionally. Thereafter, the intervention group received peer learning the last two weeks, and the comparison group received traditional supervision. Questionnaire data were collected on nursing students' self-rated performance during the second (baseline) and last (follow-up) week of their clinical practice.

RESULTS: Self-efficacy was improved in the intervention group and a significant interaction effect was found for changes over time between the two groups. For the other self-rated variables/tests, there were no differences in changes over time between the groups. Studying each group separately, the intervention group significantly improved on thirteen of the twenty variables/tests over time and the comparison group improved on four.

CONCLUSIONS: The results indicate that peer learning is a useful method which improves nursing students' self-efficacy to a greater degree than traditional supervision does. Regarding the other self-rated performance variables, no interaction effects were found.

Keywords
Intervention, Nursing students, Clinical practice education, Peer learning, Quasi-experimental
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-314364 (URN)10.1016/j.nedt.2017.01.011 (DOI)000396957900012 ()28142097 (PubMedID)
Available from: 2017-02-01 Created: 2017-02-01 Last updated: 2018-02-23Bibliographically approved
Swenne, C. L., Jangland, E. & Arakelian, E. (2017). Patients' experiences of their everyday life 14 months after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy: a qualitative follow-up study. Scandinavian Journal of Caring Sciences, 31(4), 904-913
Open this publication in new window or tab >>Patients' experiences of their everyday life 14 months after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy: a qualitative follow-up study
2017 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 31, no 4, p. 904-913Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Patients with peritoneal carcinomatosis treated with cytoreductive surgery and hyperthermic intraperitoneal chemotherapy have a long recovery process.

AIM: To describe patients' experiences of their everyday lives after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy.

METHOD: A follow-up study with a qualitative, descriptive design. Data were collected by individual, in-depth telephone interviews with 16 patients who had been treated for peritoneal carcinomatosis 14 months earlier at a university hospital in Sweden. The interviews were performed between May and June 2013 and analysed using systematic text condensation.

RESULTS: Five themes were identified: (i) finding one's new self and relating to the new situation; (ii) the disease making its presence felt through bodily complications or mental fatigue; (iii) worrying about the return of the disease and passing it on to one's children; (iv) experiencing difficulties contacting various care facilities, not having a clear plan for ongoing rehabilitation; and (v) the need for online support through the Internet and counselling for both patients and their family members.

CONCLUSIONS: Despite bodily complications, mental fatigue and worries about the return of the disease, the patient's everyday life was focused on finding his/her new self and adapting to the new circumstances. Difficulties in contacting care facilities and the lack of an ongoing medical and nursing rehabilitation plan called for a need for network support for patients and their families.

CLINICAL RELEVANCE: After advanced surgery, patients require a continuous medical and nursing rehabilitation plan, and a platform of support such as meetings via social media and Internet which would connect former patients and their families with future patients and their family members. A contact nurse with specific expertise should design an individual rehabilitation plan and continuously identify the individual needs for long-term support.

Keywords
cancer, everyday life, need for support, patients’ experiences, peritoneal carcinomatosis, rehabilitation plan
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-319014 (URN)10.1111/scs.12412 (DOI)000416413000029 ()28124449 (PubMedID)
Available from: 2017-03-30 Created: 2017-03-30 Last updated: 2018-02-05Bibliographically approved
Arakelian, E., Swenne, C. L., Lindberg, S., Rudolfsson, G. & von Vogelsang, A.-C. (2017). The meaning of person-centred care in the perioperative nursing context from the patient's perspective: an integrative review. Journal of Clinical Nursing, 26(17-18), 2527-2544
Open this publication in new window or tab >>The meaning of person-centred care in the perioperative nursing context from the patient's perspective: an integrative review
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2017 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 17-18, p. 2527-2544Article, review/survey (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: To determine the meaning of person-centred care from the patient's perspective and in the context of perioperative nursing.

BACKGROUND: Person-centred care is used, but not defined in the perioperative context. The concept indicates an interest in the patient's own experience of health, illness, needs and preferences. As with many terms that are frequently used, there is a tendency for person-centred care to mean different things to different people in different contexts.

DESIGN: Integrative Review.

METHODS: A two-part search strategy was employed: first, a computerised database search of PubMed and CINAHL, using Medical Subject Headings and free terms to search articles dating from 2004-2014, was performed, and second, a hand-search of those articles' reference lists was performed. Twenty-three articles were selected, and an integrative review was conducted.

RESULTS: Four themes were discovered: 'being recognised as a unique entity and being allowed to be the person you are', 'being considered important by having one's personal wishes taken into account', 'the presence of a perioperative nurse is calming, prevents feelings of loneliness and promotes well-being, which may speed up recovery' and 'being close to and being touched by the perioperative nurse during surgery'.

CONCLUSIONS: Person-centred care means respecting the patient as a unique individual, considering the patient's particularities and wishes and involving the patient in their own care. Person-centred care also implies having access to one's own nurse who is present both physically and emotionally through the entire perioperative process and who guides the patient and follows up postoperatively, guaranteeing that the patient is not alone.

RELEVANCE TO CLINICAL PRACTICE: By having a common understanding of the concept of person-centred care, the nurse anaesthetists' and theatre nurses' caring actions or concerns will be directed towards the patient, resulting in personalisation of care rather than simply defining the concept.

Keywords
integrative review, nursing, patient perspective, perioperative, person-centred care
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-319489 (URN)10.1111/jocn.13639 (DOI)000408919200003 ()27862496 (PubMedID)
Available from: 2017-04-05 Created: 2017-04-05 Last updated: 2018-03-19Bibliographically approved
Randmaa, M., Engström, M., Swenne, C. L. & Mårtensson, G. (2017). The postoperative handover: a focus group interview study with nurse anaesthetists, anaesthesiologists and PACU nurses. BMJ Open, 7(8), Article ID e015038.
Open this publication in new window or tab >>The postoperative handover: a focus group interview study with nurse anaesthetists, anaesthesiologists and PACU nurses
2017 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 7, no 8, article id e015038Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: To investigate different professionals' (nurse anaesthetists', anaesthesiologists', and postanaesthesia care unit nurses') descriptions of and reflections on the postoperative handover.

DESIGN: A focus group interview study with a descriptive design using qualitative content analysis of transcripts.

SETTING: One anaesthetic clinic at two hospitals in Sweden.

PARTICIPANTS: Six focus groups with 23 healthcare professionals involved in postoperative handovers. Each group was homogeneous regarding participant profession, resulting in two groups per profession: nurse anaesthetists (n=8), anaesthesiologists (n=7) and postanaesthesia care unit nurses (n=8).

RESULTS: Patterns and five categories emerged: (1) having different temporal foci during handover, (2) insecurity when information is transferred from one team to another, (3) striving to ensure quality of the handover, (4) weighing the advantages and disadvantages of the bedside handover and (5) having different perspectives on the transfer of responsibility. The professionals' perceptions of the postoperative handover differed with regard to temporal foci and transfer of responsibility. All professional groups were insecure about having all information needed to ensure the quality of care. They strived to ensure quality of the handover by: focusing on matters that deviated from the normal course of events, aiding memory through structure and written information and cooperating within and between teams. They reported that the bedside handover enhances their control of the patient but also that it could threaten the patient's privacy and that frequent interruptions could be disturbing.

CONCLUSIONS: The present findings revealed variations in different professionals' views on the postoperative handover. Healthcare interventions are needed to minimise the gap between professionals' perceptions and practices and to achieve a shared understanding of postoperative handover. Furthermore, to ensure high-quality and safe care, stakeholders/decision makers need to pay attention to the environment and infrastructure in postanaesthesia care.

Keywords
Anaesthetic clinic, Handover, Postoperative, Qualitative study
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-331769 (URN)10.1136/bmjopen-2016-015038 (DOI)000411802700046 ()28780540 (PubMedID)
Available from: 2017-10-17 Created: 2017-10-17 Last updated: 2018-02-23Bibliographically approved
Swenne, C. L. & Oscarsson, R. (2016). Compliance to intraoperative basic hygiene in the operating theatre and patient safety culture in Mozambique. Journal of Prevention and Infection Control., 2(1), 1-13, Article ID 13.
Open this publication in new window or tab >>Compliance to intraoperative basic hygiene in the operating theatre and patient safety culture in Mozambique
2016 (English)In: Journal of Prevention and Infection Control., Vol. 2, no 1, p. 1-13, article id 13Article in journal (Refereed) Published
Abstract [en]

Background: Surgical site infections are commonly occurring within healthcare, especially in Africa. Good hygiene is the most effective way in which to reduce and prevent infection. However, compliance is often low or insufficient.

Objective: To assess intraoperative compliance to basic hygiene in the operating theatre and the staffs’ views on patient safety and to assess whether adherence to hand hygiene is related to patient safety culture in a developing country. Methods: The design was a structured observation in order to gathered information on compliance to basic intraoperative hygiene routines in operating theatres in Mozambique. Theatre staff was also asked to complete a survey on patient safety culture.

Results: The study reveals that none of the work elements were performed in complete compliance to WHO’s guidelines at all times. The theatre staff’s views on patient safety culture showed the highest percentage of positive responses was within “Teamwork Within Hospital Units” and the dimensions with the least positive response was “Nonpunitive Response To Error” and “Staffing”. A medium relation was found between compliance to basic hygiene and the results of the patient safety culture survey.

Conclusion: This study shows that compliance to basic hygiene during the intraoperative phase in theatre was insufficient. There was a medium relation between the views of the staff on patient safety and their compliance to basic hand hygiene. This implies that working with the attitudes of the staff concerning patient safety could be one way of improving hygiene compliance which would be expected to reduce the number of surgical site infections.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-342641 (URN)
Available from: 2018-02-22 Created: 2018-02-22 Last updated: 2018-02-23Bibliographically approved
Randmaa, M., Swenne, C. L., Mårtensson, G., Högberg, H. & Engström, M. (2016). Implementing situation-background-assessment-recommendation in an anaesthetic clinic and subsequent information retention among receivers: A prospective interventional study of postoperative handovers. European Journal of Anaesthesiology, 33(3), 172-178
Open this publication in new window or tab >>Implementing situation-background-assessment-recommendation in an anaesthetic clinic and subsequent information retention among receivers: A prospective interventional study of postoperative handovers
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2016 (English)In: European Journal of Anaesthesiology, ISSN 0265-0215, E-ISSN 1365-2346, Vol. 33, no 3, p. 172-178Article in journal (Refereed) Published
Abstract [en]

BACKGROUND Communication errors cause clinical inci-dents and adverse events in relation to surgery. To ensureproper postoperative patient care, it is essential that person-nel remember and recall information given during the hand-over from the operating theatre to the postanaesthesia careunit. Formalizing the handover may improve communicationand aid memory, but research in this area is lacking.OBJECTIVE The objective of this study was to evaluatewhether implementing the communication tool Situation-Background-Assessment-Recommendation (SBAR) affectsreceivers’ information retention after postoperative handover.DESIGN A prospective intervention study with an interven-tion group and comparison nonintervention group, withassessments before and after the intervention.SETTING The postanaesthesia care units of two hospitals inSweden during 2011 and 2012.PARTICIPANTS Staff involved in the handover between theoperating theatre and the postanaesthesia care units withineach hospital.INTERVENTION Implementation of the communication toolSBAR in one hospital.MAIN OUTCOME MEASURES The main outcome was thepercentage of recalled information sequences among recei-vers after the handover. Data were collected using both audio-recordings and observations recorded on a study-specificprotocol form.RESULTS Preintervention, 73 handovers were observed(intervention group, n 1⁄4 40; comparison group, n 1⁄4 33)involving 72 personnel (intervention group, n 1⁄4 40; com-parison group, n 1⁄4 32). Postintervention, 91 handoverswere observed (intervention group, n 1⁄4 44; comparisongroup, n 1⁄4 47) involving 57 personnel (intervention group,n 1⁄4 31; comparison group, n 1⁄4 26). In the interventiongroup, the percentage of recalled information sequencesby the receivers increased from 43.4% preintervention to52.6% postintervention (P 1⁄4 0.004) and the SBAR struc-ture improved significantly (P 1⁄4 0.028). In the comparisongroup, the corresponding figures were 51.3 and 52.6%(P 1⁄4 0.725) with no difference in SBAR structure. When alinear regression generalised estimating equation modelwas used to account for confounding influences, we wereunable to show a significant difference in the informationrecalled between the intervention group and the noninter-vention group over time.CONCLUSION Compared with the comparison group withno intervention, when SBAR was implemented in an anaes-thetic clinic, we were unable to show any improvement in recalled information among receivers following postoperative handover.

National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-273677 (URN)10.1097/EJA.0000000000000335 (DOI)000369548100003 ()26760400 (PubMedID)
Available from: 2016-01-16 Created: 2016-01-16 Last updated: 2018-02-23Bibliographically approved
von Vogelsang, A.-C., Almquist, M. & Leo Swenne, C. (2016). Operation. In: Kumlien, Christine; Rystedt, Jenny (Ed.), Omvårdnad & kirurgi: (pp. 189-202). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Operation
2016 (Swedish)In: Omvårdnad & kirurgi / [ed] Kumlien, Christine; Rystedt, Jenny, Lund: Studentlitteratur AB, 2016, p. 189-202Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2016
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-342834 (URN)9789144088860 (ISBN)
Available from: 2018-02-23 Created: 2018-02-23 Last updated: 2018-03-02Bibliographically approved
Leo Swenne, C. (2016). Vård vid kirurgiska sjukdomar: Pre-, per- och postoperativ vård. In: Omvårdnad & kirurgi: . Lund: Studentlitteratur AB
Open this publication in new window or tab >>Vård vid kirurgiska sjukdomar: Pre-, per- och postoperativ vård
2016 (Swedish)In: Omvårdnad & kirurgi, Lund: Studentlitteratur AB, 2016Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2016
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-342835 (URN)9789144088860 (ISBN)
Available from: 2018-02-23 Created: 2018-02-23 Last updated: 2018-03-01Bibliographically approved
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