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Skogevall, S., Holmström, I., Kaminsky, E. & Håkansson Eklund, J. (2020). A survey of telephone nurses' experiences in their encounters with frequent callers. Journal of Advanced Nursing, 76(4), 1019-1026
Open this publication in new window or tab >>A survey of telephone nurses' experiences in their encounters with frequent callers
2020 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 76, no 4, p. 1019-1026Article in journal (Refereed) Published
Abstract [en]

Aim The aim of this study was to describe telephone nurses' experiences of their encounters with frequent callers to Swedish Healthcare Direct. Design A descriptive inductive design with qualitative approach. Methods Data collection was performed during the period of September 2017 - June 2018. A total of 199 telephone nurses working at 10 Swedish Healthcare Direct sites with different geographical locations in Sweden answered a survey containing seven open-ended questions. Data analysis was performed during the period of September 2018 - June 2019. The answers were analysed using content analysis. Results The telephone nurses perceived that the encounters with frequent callers were sometimes frustrating as they felt unable to help. According to the telephone nurses, the frequent callers called about the same issues several times and the calls were often about loneliness and psychiatric problems. The telephone nurses were worried about missing something urgent; one of the aspects leading to this was the perception of knowing the caller. They expressed a wish to know more about frequent callers and strategies for helping them. A common care plan for frequent callers' calls was suggested. Conclusion Telephone nurses often found it difficult to handle calls from frequent callers. However, they had a will to care for frequent callers and to learn more about them. Therefore, a common strategy, education and training for telephone nurses in answering calls from frequent callers could be beneficial for both callers and telephone nurses. Impact statement This study offers insights to researchers, telephone nurses and managers of telephone nursing, regarding telephone nurses' experiences in handling frequent caller calls. These findings can offer direction for the content of a possible intervention.

Place, publisher, year, edition, pages
WILEY, 2020
Keywords
frequent caller, repeated calling, Swedish healthcare direct, telephone nursing
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-47382 (URN)10.1111/jan.14308 (DOI)000518098300011 ()31997365 (PubMedID)
Available from: 2020-03-19 Created: 2020-03-19 Last updated: 2020-03-19Bibliographically approved
Sundler, A. J., Hjertberg, F., Keri, H. & Holmström, I. (2020). Attributes of person-centred communication: A qualitative exploration of communication with older persons in home health care. International Journal of Older People Nursing, 15(1), Article ID e12284.
Open this publication in new window or tab >>Attributes of person-centred communication: A qualitative exploration of communication with older persons in home health care
2020 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 15, no 1, article id e12284Article in journal (Refereed) Published
Abstract [en]

Background: Previous research points to challenges related to the home healthcare of older persons and to the complexity of communication. Although person-centred care has been advocated widely, there remains a need for in-depth knowledge on how to enable person-centred and supportive communication in the care of older persons. Aim: The aim of this study was to explore attributes of person-centred communication between nurses and older persons being cared for in their home. Methods: A descriptive study with a qualitative approach was conducted. A data set from the COMHOME-study consisting of 77 audio-recorded home healthcare visits between registered nurses and older persons was analysed with a method for qualitative thematic analysis. Results: The findings indicate that the attributes of person-centred communication comprise recognising, inviting and involving older persons. To facilitate this form of communication, attentiveness and responsiveness on the part of RNs seemed significant. Person-centred communication was facilitated when the RNs used verbal expressions to emphasise and acknowledge the older persons’ views and were attentive to their emotions and expressions. Conclusion: The nurses’ attentiveness and responsiveness seems important for person-centred communication with older persons. Communication skills are needed to recognise, invite and involve older persons in their care and to support their health and well-being. Implication for practice The importance of communication which facilitate a person-centred approach by nurses should be acknowledged when caring for older persons and included in education and training.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2020
Keywords
communication, home healthcare, nursing, older persons, person-centred, qualitative, aged, article, attention, care behavior, communication skill, education, female, home care, human, human experiment, male, registered nurse, thematic analysis, verbal behavior, wellbeing
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-47105 (URN)10.1111/opn.12284 (DOI)494120600001 ()31642182 (PubMedID)2-s2.0-85074600808 (Scopus ID)
Available from: 2020-02-21 Created: 2020-02-21 Last updated: 2020-03-16Bibliographically approved
Lannerstrom, L., Holmström, I. & Wallman, T. (2020). The effect of a short educational intervention in social insurance medicine: A randomized controlled trial. Nursing Open, 7(2), 523-529
Open this publication in new window or tab >>The effect of a short educational intervention in social insurance medicine: A randomized controlled trial
2020 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 7, no 2, p. 523-529Article in journal (Refereed) Published
Abstract [en]

Aim To evaluate the effect of an educational intervention in social insurance medicine with Registered Nurses. Design Randomized controlled trial. Methods The trial was performed in 20 primary healthcare centres in Central Sweden. The centres were randomly assigned as intervention or control. All Registered Nurses working with telephone nursing at the centres were invited (N = 114); out of these 100 agreed to participate and responded to a questionnaire at the beginning and end of the trial. Fourteen questions in the questionnaire dealt with professional background and were used as exposure variables and were analysed using nominal logistic regression. Results Registered Nurses in the centres randomly assigned for the intervention experienced handling sick leave questions as less problematic after the intervention than those in the control group. This indicated that the intervention was associated with a positive effect. However, due to the rather small study population, the effect was inconclusive.

Place, publisher, year, edition, pages
WILEY, 2020
Keywords
cluster randomized controlled trial, primary health care, sick leave, social insurance medicine, telephone nursing
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-47360 (URN)10.1002/nop2.416 (DOI)000503777100001 ()32089848 (PubMedID)
Available from: 2020-03-16 Created: 2020-03-16 Last updated: 2020-03-16Bibliographically approved
Danielsson, L., Lundström, L., Holmström, I. K. & Kerstis, B. (2019). Anaesthetizing children from a nurse anaethetist's perspective. In: Barnveckan, Örebro: . Paper presented at Barnveckan, Örebro.
Open this publication in new window or tab >>Anaesthetizing children from a nurse anaethetist's perspective
2019 (English)In: Barnveckan, Örebro, 2019Conference paper, Poster (with or without abstract) (Refereed)
National Category
Nursing
Identifiers
urn:nbn:se:mdh:diva-45440 (URN)
Conference
Barnveckan, Örebro
Available from: 2019-10-07 Created: 2019-10-07 Last updated: 2020-01-28Bibliographically approved
Höglander, J., Sundler, A. J., Spreeuwenberg, P., Holmström, I. K., Eide, H., van Dulmen, S. & Håkansson Eklund, J. (2019). Emotional communication with older people: A cross-sectional study of home care. Nursing and Health Sciences (3), 382-389, Article ID NHS12611.
Open this publication in new window or tab >>Emotional communication with older people: A cross-sectional study of home care
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2019 (English)In: Nursing and Health Sciences, ISSN 1442-2018, no 3, p. 382-389, article id NHS12611Article in journal (Refereed) Published
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-42881 (URN)10.1111/nhs.12611 (DOI)000486246900015 ()30957364 (PubMedID)2-s2.0-85063993689 (Scopus ID)
Available from: 2019-03-07 Created: 2019-03-07 Last updated: 2020-03-12Bibliographically approved
Håkansson Eklund, J., Holmström, I. K., Ollén Lindqvist, A., Sundler, A. J., Hochwälder, J. & Marmstål Hammar, L. (2019). Empathy levels among nursing students: A comparative cross-sectional study. Nursing Open, 6(3), 983-989
Open this publication in new window or tab >>Empathy levels among nursing students: A comparative cross-sectional study
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2019 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 6, no 3, p. 983-989Article in journal (Refereed) Published
Abstract [en]

Aim: Empathy is a crucial component of the nurse–patient relationship, but knowledge is lacking as to when empathy develops during nursing education. The aim of the present study was to compare empathy levels at different stages of undergraduate nursing education and different master's nursing programmes. Design: The design was a comparative cross-sectional study. Methods: A total of 329 participants in Sweden, comprised of nursing students in their second and sixth semesters in an undergraduate nursing programme as well as master's nursing students, rated their own empathy using the Jefferson Scale of Physician Empathy. Results: Students in their sixth semester in an undergraduate nursing programme expressed more empathy than did students in their second semester and master's nursing students. Among the five master's programmes, public-health nursing students expressed the most empathy and intensive-care nursing students the least. 

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Ltd, 2019
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-44968 (URN)10.1002/nop2.280 (DOI)000476917700036 ()31367422 (PubMedID)2-s2.0-85069773206 (Scopus ID)
Available from: 2019-08-08 Created: 2019-08-08 Last updated: 2020-03-19Bibliographically approved
Skogevall, S., Holmström, I., Kaminsky, E. & Håkansson Eklund, J. (2019). Frequent callers to telenursing services. In: : . Paper presented at Royal College of Nursing, Sheffield, UK.
Open this publication in new window or tab >>Frequent callers to telenursing services
2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Nursing
Identifiers
urn:nbn:se:mdh:diva-45436 (URN)
Conference
Royal College of Nursing, Sheffield, UK
Available from: 2019-10-07 Created: 2019-10-07 Last updated: 2020-01-28Bibliographically approved
Lannerstrom, L., Wallman, T., Kaminsky, E. & Holmström, I. K. (2019). Gaining role clarity in working with sick leave questions-Registered Nurses' experiences of an educational intervention. Nursing Open, 6(2), 236-244
Open this publication in new window or tab >>Gaining role clarity in working with sick leave questions-Registered Nurses' experiences of an educational intervention
2019 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 6, no 2, p. 236-244Article in journal (Refereed) Published
Abstract [en]

Aim To describe how a short educational intervention in social insurance medicine was experienced by Registered Nurses and what changes it brought to their work with sick leave questions in telephone nursing. Design Qualitative explorative interview study. Methods Interviews with 12 purposively sampled Registered Nurses were conducted and analysed using manifest content analysis. Results The intervention increased Registered Nurses' knowledge of the sick leave process and changed their work habits as they now have more of the skills needed to handle sick leave questions. In this way, they gained role clarity in their work with sick leave questions. The new knowledge included rules and regulations, actors' roles and patients' experiences. Learning from peers, reflecting and having the opportunity to ask questions were also described as increasing their knowledge. The skills following the participation were described as knowing what to say and do and knowing where to turn for support.

Place, publisher, year, edition, pages
WILEY, 2019
Keywords
cluster randomized controlled study, educational intervention, interviews, sick leave, social insurance medicine, telephone nursing
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-43022 (URN)10.1002/nop2.201 (DOI)000461835600004 ()30918675 (PubMedID)
Available from: 2019-04-04 Created: 2019-04-04 Last updated: 2020-01-28Bibliographically approved
Wahlström, E., Harder, M., Granlund, M., Holmström, I. K., Peter, L. & Golsäter, M. (2019). How culturally competent are Swedish school nurses? Relations between school nurses self-assessed cultural competence and demographic variables when encountering children of foreign origin. In: School nurses international, Stockholm, Sweden: . Paper presented at School nurses international, Stockholm, Sweden.
Open this publication in new window or tab >>How culturally competent are Swedish school nurses? Relations between school nurses self-assessed cultural competence and demographic variables when encountering children of foreign origin
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2019 (English)In: School nurses international, Stockholm, Sweden, 2019Conference paper, Poster (with or without abstract) (Refereed)
National Category
Nursing
Identifiers
urn:nbn:se:mdh:diva-45438 (URN)
Conference
School nurses international, Stockholm, Sweden
Available from: 2019-10-07 Created: 2019-10-07 Last updated: 2020-01-28Bibliographically approved
Håkansson Eklund, J., Holmström, I. K., Kumlin, T., Kaminsky, E., Skoglund, K., Höglander, J., . . . Summer Meranius, M. (2019). "Same same or different?" A review of reviews of person-centered and patient-centered care. Patient Education and Counseling, 102(1), 3-11
Open this publication in new window or tab >>"Same same or different?" A review of reviews of person-centered and patient-centered care
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2019 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 102, no 1, p. 3-11Article, review/survey (Refereed) Published
Abstract [en]

Objective: To provide a synthesis of already synthesized literature on person-centered care and patient-centered care in order to identify similarities and differences between the two concepts. Methods: A synthesis of reviews was conducted to locate synthesized literature published between January 2000 and March 2017. A total of 21 articles deemed relevant to this overview were synthesized using a thematic analysis. Results: The analysis resulted in nine themes present in person-centered as well as in patient-centered care: (1) empathy, (2), respect (3), engagement, (4), relationship, (5) communication, (6) shared decision-making, (7) holistic focus, (8), individualized focus, and (9) coordinated care. The analysis also revealed that the goal of person-centered care is a meaningful life while the goal of patient-centered care is a functional life. Conclusions: While there are a number of similarities between the two concepts, the goals for person-centered and patient-centered care differ. The similarities are at the surface and there are important differences when the concepts are regarded in light of their different goals. Practice implications: Clarification of the concepts may assist practitioners to develop the relevant aspects of care. Person-centered care broadens and extends the perspective of patient-centered care by considering the whole life of the patient.

Place, publisher, year, edition, pages
ELSEVIER IRELAND LTD, 2019
Keywords
Patient-centered, Person-centered, Literature review, Concept analysis, Care
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-41771 (URN)10.1016/j.pec.2018.08.029 (DOI)000452381100002 ()30201221 (PubMedID)2-s2.0-85052965545 (Scopus ID)
Available from: 2018-12-20 Created: 2018-12-20 Last updated: 2020-03-19Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-4302-5529

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