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Arakelian, E., Rudolfsson, G., Rask-Andersen, A., Runeson, R. & Wålinder, R. (2019). I Stay: Swedish Specialist Nurses in the Perioperative Context and Their Reasons to Stay at Their Workplace. Journal of Perianesthesia Nursing, 34(3), 633-644
Open this publication in new window or tab >>I Stay: Swedish Specialist Nurses in the Perioperative Context and Their Reasons to Stay at Their Workplace
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2019 (English)In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 34, no 3, p. 633-644Article in journal (Refereed) Published
Abstract [en]

PURPOSE: To investigate why nurse anesthetists and operating room nurses choose to stay in the same workplace.

DESIGN: Qualitative design.

METHODS: Individual interviews were conducted with 15 nurse specialists from four hospitals in Sweden. Two men and 13 women aged between 43 and 63 participated. Data were analyzed with systematic text condensation according to Malterud.

FINDINGS: Three themes were identified. (1) Organizational stability contributed to low staff turnover, with good spirits between colleagues, representing everyone's equal value and resulting in a feeling of homelikeness. (2) Sustained development in one's own profession. (3) A humane head nurse who was at hand, who was a facilitator, who knew staff members, and eliminated obstacles for them.

CONCLUSIONS: In a nonhierarchical and stable organization with a head nurse with caritative leadership skills, a welcoming working environment with opportunities for professional development is created. Thus, nurse specialists choose to stay, contributing to organizational development.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
homelikeness, job satisfaction, qualitative, stay at work, thematic analysis, work stability
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:uu:diva-366347 (URN)10.1016/j.jopan.2018.06.095 (DOI)000469462400022 ()30448224 (PubMedID)
Available from: 2018-11-20 Created: 2018-11-20 Last updated: 2019-06-24Bibliographically approved
Victor, S., Binnmyr, J., Lampa, E., Rask-Andersen, A. & Elfman, L. (2019). Levels of horse allergen Equ c 4 in dander and saliva from ten horse breeds. Clinical and Experimental Allergy, 49(5), 701-711
Open this publication in new window or tab >>Levels of horse allergen Equ c 4 in dander and saliva from ten horse breeds
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2019 (English)In: Clinical and Experimental Allergy, ISSN 0954-7894, E-ISSN 1365-2222, Vol. 49, no 5, p. 701-711Article in journal (Refereed) Published
Abstract [en]

Background: Horses are an important source of allergens, but the distribution of horse allergens is poorly understood. Five horse allergens have been identified, Equ c 1-4 and 6. Equ c 4 seems to be an important allergen, with an IgE-binding frequency of 77% in horse-sensitized individuals.0000 Objectives: The aim of this study was to investigate levels of horse allergen Equ c 4 in dander, saliva and urine from ten horse breeds. Method: The study population included 170 horses (87 mares, 27 stallions, 56 geldings) from ten breeds. Horse dander, saliva and urine samples were collected. Levels of horse allergen Equ c 4 were quantified using a two-site sandwich ELISA (mAb 103 and 14G4) and were expressed as Equ c 4 U/mu g protein. Results: The horse allergen Equ c 4 was present in all dander and saliva samples from ten horse breeds, with high within-breed and inter-breed variations; GM values were 639 Equ c 4 U/mu g protein (range 5-15 264) for dander and 39.5 (4-263) for saliva. Equ c 4 was found in 19/21 urine samples. Adjusted for age, sex and changes over time, no differences between breeds could be seen in dander, while in saliva the North Swedish horse showed lower levels of Equ c 4 than any other breed. The levels of Equ c 4 protein in dander and saliva were significantly higher in samples from stallions compared to mares and geldings, independent of breed. Conclusions and Clinical Relevance: The results show a high variability in allergen levels of Equ c 4 in dander and saliva both within and between breeds. Significantly higher levels were found in stallions compared to mares and geldings, independent of breed. Results suggest that none of the horse breeds studied can be recommended for individuals allergic to Equ c 4.

Place, publisher, year, edition, pages
WILEY, 2019
Keywords
dander, Equ c 4, horse allergen, horse breeds, saliva
National Category
Occupational Health and Environmental Health Respiratory Medicine and Allergy
Identifiers
urn:nbn:se:uu:diva-390539 (URN)10.1111/cea.13362 (DOI)000472677500001 ()30716182 (PubMedID)
Available from: 2019-08-12 Created: 2019-08-12 Last updated: 2019-08-12Bibliographically approved
Wålinder, R., Runeson, R., Arakelian, E., Nordqvist, T., Runeson, A. & Rask-Andersen, A. (2018). A supportive climate and low strain promote well-being and sustainable working life in the operation theatre.. Upsala Journal of Medical Sciences, 123(3), 183-190
Open this publication in new window or tab >>A supportive climate and low strain promote well-being and sustainable working life in the operation theatre.
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2018 (English)In: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 123, no 3, p. 183-190Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Shortage of health-care workers e.g. in operating theatres is a global problem. A shortage of staff negatively affects patient outcomes, making it important to keep the employees from quitting. The aim of this survey was to study if well-being, zest for work, and thoughts about leaving work in an operating theatre can be related to the psychosocial work environment, as described by the job demand-control-support (JDCS) model.

METHODS: A questionnaire was provided to personnel in operating theatres of seven Swedish hospitals (n = 1405, with a response rate of 68%) that included the JDCS model, personal factors, work ability, well-being, zest for work, and thoughts about leaving their position. Ordinal scale regression was used for analyses.

RESULTS: A majority reported moderate to high zest for work (76%). A minority (30%) had sometimes thought during at least one month in the last year of leaving their position. Lower social support scores and high demands together with low control (high-strain) scores were related to lower well-being, lower zest for work, and more thoughts about leaving the position. Anaesthetists scored in the low-strain field, nurse anaesthetists and assistant nurses in the passive field, and operating nurses in the active field, in comparison to all personnel.

CONCLUSION: According to the JDCS model, both lower social support and high strain were related to lower well-being and negative thoughts about the position. Social support scores were about the same for different occupational groups in the operating theatre, and no occupation scored on average in the high-strain field.

Keywords
Anaesthetist, hospital, job demand-control-support model, nurse, occupational, operating room, psychosocial, zest for work
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:uu:diva-366346 (URN)10.1080/03009734.2018.1483451 (DOI)000446977000008 ()30084283 (PubMedID)
Available from: 2018-11-20 Created: 2018-11-20 Last updated: 2018-12-10Bibliographically approved
Lögde, A., Rudolfsson, G., Runeson, R., Rask-Andersen, A., Wålinder, R. & Arakelian, E. (2018). I am quitting my job: Specialist nurses in perioperative context and their experiences of the process and reasons to quit their job. International Journal for Quality in Health Care, 30(4), 313-320
Open this publication in new window or tab >>I am quitting my job: Specialist nurses in perioperative context and their experiences of the process and reasons to quit their job
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2018 (English)In: International Journal for Quality in Health Care, ISSN 1353-4505, E-ISSN 1464-3677, Vol. 30, no 4, p. 313-320Article in journal (Refereed) Published
Abstract [en]

The lack of specialist nurses in operating theatres is a serious problem. The aim of this study was to describe reasons why specialist nurses in perioperative care chose to leave their workplaces and to describe the process from the thought to the decision. Twenty specialist nurses (i.e. anaesthesia, NA, and operating room nurses) from seven university-and county hospitals in Sweden participated in qualitative individual in-depth interviews. Data were analysed by systematic text condensation. We identified four themes of reasons why specialist nurses quitted their jobs: the head nurses' betrayal and dismissive attitude, and not feeling needed; inhumane working conditions leading to the negative health effects; not being free to decide about one's life and family life being more important than work; and, colleagues' diminishing behaviour. Leaving one's job was described as a process and specialist nurses had thought about it for some time. Two main reasons were described; the head nurse manager's dismissive attitude and treatment of their employees and colleagues' mistreatment and colleagues' diminishing behaviour. Increasing knowledge on the role of the head nurse managers in specialist nurses' decision making for leaving their workplace, and creating a friendly, non-violent workplace, may give the opportunity for them to take action before it is too late.

Place, publisher, year, edition, pages
OXFORD UNIV PRESS, 2018
Keywords
quitting job, specialist nurse, qualitative, interviews
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-356800 (URN)10.1093/intqhc/mzy023 (DOI)000432295500012 ()29518200 (PubMedID)
Available from: 2018-08-17 Created: 2018-08-17 Last updated: 2018-08-17Bibliographically approved
Löfstedt, H., Hagström, K., Bryngelsson, I.-L., Holmström, M. & Rask-Andersen, A. (2017). Respiratory symptoms and lung function in relation to wood dust and monoterpene exposure in the wood pellet industry. Upsala Journal of Medical Sciences, 122(2), 78-84
Open this publication in new window or tab >>Respiratory symptoms and lung function in relation to wood dust and monoterpene exposure in the wood pellet industry
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2017 (English)In: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 122, no 2, p. 78-84Article in journal (Refereed) Published
Abstract [en]

Introduction: Wood pellets are used as a source of renewable energy for heating purposes. Common exposures are wood dust and monoterpenes, which are known to be hazardous for the airways. The purpose of this study was to study the effect of occupational exposure on respiratory health in wood pellet workers.

Materials and methods: Thirty-nine men working with wood pellet production at six plants were investigated with a questionnaire, medical examination, allergy screening, spirometry, and nasal peak expiratory flow (nasal PEF). Exposure to wood dust and monoterpenes was measured.

Results: The wood pellet workers reported a higher frequency of nasal symptoms, dry cough, and asthma medication compared to controls from the general population. There were no differences in nasal PEF between work and leisure time. A lower lung function than expected (vital capacity [VC], 95%; forced vital capacity in 1 second [FEV1], 96% of predicted) was noted, but no changes were noted during shifts. There was no correlation between lung function and years working in pellet production. Personal measurements of wood dust at work showed high concentrations (0.16–19 mg/m3), and exposure peaks when performing certain work tasks. Levels of monoterpenes were low (0.64–28 mg/m3). There was no association between exposure and acute lung function effects.

Conclusions: In this study of wood pellet workers, high levels of wood dust were observed, and that may have influenced the airways negatively as the study group reported upper airway symptoms and dry cough more frequently than expected. The wood pellet workers had both a lower VC and FEV1 than expected. No cross-shift changes were found.

Keywords
Asthma, lung function, occupational exposure, respiratory symptoms, rhinitis, wood dust
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:uu:diva-318144 (URN)10.1080/03009734.2017.1285836 (DOI)000401756500002 ()28276782 (PubMedID)
Funder
Swedish Energy Agency
Available from: 2017-03-23 Created: 2017-03-23 Last updated: 2018-09-13Bibliographically approved
Leander, M., Lampa, E., Rask-Andersen, A., Franklin, K., Gislason, T., Oudin, A., . . . Janson, C. (2014). Impact of anxiety and depression on respiratory symptoms. Respiratory Medicine, 108(11), 1594-1600
Open this publication in new window or tab >>Impact of anxiety and depression on respiratory symptoms
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2014 (English)In: Respiratory Medicine, ISSN 0954-6111, E-ISSN 1532-3064, Vol. 108, no 11, p. 1594-1600Article in journal (Refereed) Published
Abstract [en]

Psychological factors such as anxiety and depression are prevalent in patients with asthma. The purpose of this study was to investigate the relationship between respiratory symptoms and psychological status and to estimate the importance of psychological status in comparison with other factors that are known to be associated with respiratory symptoms. This study included 2270 subjects aged 20-44 (52% female) from Sweden, Iceland, and Norway. Each participant underwent a clinical interview including questions on respiratory symptoms. Spirometry and methacholine challenge were performed. Symptoms of depression and anxiety were measured using the Hospital Anxiety and Depression Scale (HADS). Eighty-two percent of the subjects reported no anxiety or depression whatsoever, 11% reported anxiety, 2.5% depression and 4% reported both anxiety and depression. All respiratory symptoms, such as wheezing, breathlessness and nightly symptoms, were more common, at a statistically significant level, in participants who had depression and anxiety, even after adjusting for confounders (ORs 1.33-1.94). The HADS score was the most important determinant for nightly symptoms and attacks of breathlessness when at rest whereas bronchial responsiveness was the most important determinant for wheezing, and breathlessness when wheezing. The probability of respiratory symptoms related to HADS score increased with increasing HADS score for all respiratory symptoms. In conclusion, there is a strong association between respiratory symptoms and psychological status. There is therefore a need for interventional studies designed to improve depression and anxiety in patients with respiratory symptoms.

National Category
Respiratory Medicine and Allergy
Identifiers
urn:nbn:se:uu:diva-239379 (URN)10.1016/j.rmed.2014.09.007 (DOI)000345733800004 ()25282543 (PubMedID)
Available from: 2014-12-25 Created: 2014-12-22 Last updated: 2017-12-05Bibliographically approved
Rask-Andersen, A. & Karlssson, T. (2013). Gör ett totalt omtag. Läkartidningen, 110(15), 775
Open this publication in new window or tab >>Gör ett totalt omtag
2013 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 110, no 15, p. 775-Article in journal (Other (popular science, discussion, etc.)) Published
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-219511 (URN)
Available from: 2014-03-03 Created: 2014-03-03 Last updated: 2017-12-05Bibliographically approved
Rask-Andersen, A. & Karlssson, T. (2013). Nonchalans när universitet och landsting behandlar känsliga personuppgifter. Läkartidningen, 110(11), 566-567
Open this publication in new window or tab >>Nonchalans när universitet och landsting behandlar känsliga personuppgifter
2013 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 110, no 11, p. 566-567Article in journal (Other (popular science, discussion, etc.)) Published
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-219505 (URN)
Available from: 2014-03-03 Created: 2014-03-03 Last updated: 2017-12-05Bibliographically approved
Uddenfeldt, M., Janson, C., Lampa, E. & Rask-Andersen, A. (2013). Sensitization to pets is a major determinant of persistent asthma and new asthma onset in Sweden. Upsala Journal of Medical Sciences, 118(2), 111-121
Open this publication in new window or tab >>Sensitization to pets is a major determinant of persistent asthma and new asthma onset in Sweden
2013 (English)In: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 118, no 2, p. 111-121Article in journal (Refereed) Published
Abstract [en]

Introduction. Our knowledge about atopy as a longitudinal predictor of asthma is limited. The purpose of this study was to investigate the prognosis of asthma and risk factors for asthma onset, especially sensitization of specific allergens in a population sample.

Material and methods. A cohort responded to a respiratory questionnaire in 1990 and 2003. At baseline, 2,060 subjects who, in the screening questionnaire, reported respiratory symptoms and 482 controls were investigated with interviews, spirometry, and skin-prick test. A total of 721 asthmatics and 976 subjects without respiratory disease were clinically verified. At follow-up in 2003, 340 subjects with persistent asthma and 186 subjects with asthma remission were identified, while 76 subjects reported new asthma onset.

Results. Sensitization to pets and a high symptom score were significant determinants of persistent asthma (odds ratio (OR) 3.2 (95% CI 1.9-5.6) and 5.7 (2.5-13.3), respectively) and onset of asthma (OR 2.6 (1.1-6.0), and 1.7 (1.2-2.3)). A high self-reported responsiveness to airway irritants (OR 1.6 (1.1-2.2)), and more asthma medications (OR 2.0 (1.3-2.9)) were additional indicators of persistent asthma at the follow-up. Belonging to the older age group decreased the risk both of having persistent asthma and asthma onset.

Discussion. Asthmatics sensitized to pets have a more severe outcome than asthmatics not sensitized to pets. Sensitization to pets was also a strong predictor for onset of asthma. Special attention should be given to asthmatics who report having severe symptoms and problems with airway irritants as such patients are more likely to have persistent problems.

Keywords
Allergens, allergy tests, asthma, longitudinal study, prognosis, skin-prick test
National Category
Respiratory Medicine and Allergy
Identifiers
urn:nbn:se:uu:diva-200055 (URN)10.3109/03009734.2012.752772 (DOI)000317486000008 ()
Available from: 2013-05-23 Created: 2013-05-20 Last updated: 2017-12-06Bibliographically approved
Rask-Andersen, A. & Karlssson, T. (2013). Sveriges lagar gäller även här. Läkartidningen, 110(13), 698
Open this publication in new window or tab >>Sveriges lagar gäller även här
2013 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 110, no 13, p. 698-Article in journal (Other (popular science, discussion, etc.)) Published
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-219509 (URN)
Available from: 2014-03-03 Created: 2014-03-03 Last updated: 2017-12-05Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-9412-6242

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