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  • 1.
    Adair, Brooke
    et al.
    Australian Catholic Univ, Ctr Disabil & Dev Res, Fitzroy, Vic, Australia..
    Ullenhag, Anna
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Rosenbaum, Peter
    McMaster Univ, Hamilton, ON, Canada..
    Granlund, Mats
    Jonkoping Univ, CHILD, SIDR, Sch Hlth Sci, Jonkoping, Sweden..
    Keen, Deb
    Griffith Univ, Autism Ctr Excellence, Mt Gravatt, Qld, Australia..
    Imms, Christine
    Australian Catholic Univ, Ctr Disabil & Dev Res, Fitzroy, Vic, Australia..
    Measures used to quantify participation in childhood disability and their alignment with the family of participation-related constructs: a systematic review2018In: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749, Vol. 60, no 11, p. 1101-1116Article, review/survey (Refereed)
    Abstract [en]

    AimWe aimed to identify measures used to assess the participation of disabled children and to map the measures' content to the family of participation-related constructs (fPRC) to inform future research and practice. MethodSix databases were searched to identify measures used to assess participation in health, psychology, and education research. Included studies involved children aged 0 to 18 years with a permanent impairment or developmental disability and reported use of a quantitative measure of participation. A second search sought relevant literature about each identified measure (including published manuals) to allow a comprehensive understanding of the measure. Measurement constructs of frequently reported measures were then mapped to the fPRC. ResultsFrom an initial yield of 32 767 articles, 578 reported one or more of 118 participation measures. Of these, 51 measures were reported in more than one article (our criterion) and were therefore eligible for mapping to the fPRC. Twenty-one measures quantified aspects of participation attendance, 10 quantified aspects of involvement as discrete scales, and four quantified attendance and involvement in a manner that could not be separated. InterpretationImproved understanding of participation and its related constructs is developing rapidly; thoughtful selection of measures in research is critical to further our knowledge base.

  • 2.
    Juhlin, Linnea
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Svanström, Emma
    Mälardalen University, School of Health, Care and Social Welfare.
    ATT VARA EN DEL I DEN VÅRDANDE REHABILITERINGEN EFTER STROKE: En systematisk litteraturstudie om sjuksköterskors upplevelser2021Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Stroke is a collective name for a disease caused by circulatory disorders in the brain. The patients who are affected often have complications that are experienced as a major life change. The complications mean that rehabilitative care is necessary, which is based on a good caring relationship. Aim: To describe nurses' experiences of caring for patients in rehabilitation after a stroke. Method: Systematic literature study for analysis of ten qualitative studies. Results: Nurses experienced that the rehabilitative care in the stroke wards meant helping the patients find their ‘self’, by seeing the importance of the caring relationship, relatives and the patients' participation. The nurses also experienced that the rehabilitative care involved working in a team, where the nurses experienced the importance of their extensive role and the teamwork. Conclusion: The rehabilitative care after a stroke meant that the nurses help patients find their 'self'. They perceived it as important for patients to be able to achieve good health after their illness. The nurses also felt that their professional role in the team was extensive because they had a rehabilitative responsibility in addition to the general nurse duties. It was something that the nurses felt required a teamwork in the rehabilitation team.

    Keyword: Caring, nurse-perspective, rehabilitative care, stroke-care, systematic literature review.

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  • 3.
    Lagrosen, Yvonne
    et al.
    Högskolan Väst, Avd för process- och produktutveckling.
    Travis, Frederick T.
    Maharishi University of Management, Center for Brain, Consciousness and Cognition, Fairfield, IN, United States.
    Exploring the connection between quality management and brain functioning2015In: The TQM Journal, ISSN 1754-2731, E-ISSN 1754-274X, Vol. 27, no 5, p. 565-575Article in journal (Refereed)
    Abstract [en]

    Purpose: The purpose of this paper is to explore possible connections between brain functioning and quality management. Design/methodology/approach: Five central principles regarding brain functioning according to neuroscience are conceptually described and related to principles and major concepts in quality management with a special emphasis on Deming’s system of profound knowledge. Findings: The principles are shown to be related in a profound way. The first principle of coherence is closely related to appreciation for a system. The principle of homeostatic feedback loops concerns events that disturb the equilibrium of a system and is related to knowledge about variation. Neural plasticity is related to a theory of knowledge. The last two principles involve emotional and cognitive contributions to decision-making. They are closely related to the element psychology and one of them could lead to a further development of Deming’s system of profound knowledge. Research limitations/implications: The paper adds to the understanding of the role brain integration has for success in quality management efforts. A limitation is that it is difficult to localise higher-order thinking in brain function. Nonetheless, the research is indicative and provocative as a window to stimulate research into the fundamental basis of quality management success. Practical implications: The findings provide a deeper understanding of profound knowledge in quality management through relating it to how the brain is functioning, which is of value for quality managers and leaders striving for excellence for their organisations. Originality/value: The connection of brain principles with Deming’s profound knowledge has not been elaborated in the literature before. © Emerald Group Publishing Limited.

  • 4.
    Peultier, Anne-Claire
    et al.
    Erasmus Univ, Erasmus Sch Hlth Policy & Management, Bayle Bldg,Burgemeester Oudlaan 50, NL-3062 PA Rotterdam, Netherlands.
    Pandya, Ankur
    Harvard TH Chan Sch Publ Hlth, Dept Hlth Policy & Management, Boston, MA USA.
    Sharma, Richa
    Yale Sch Med, Dept Neurol, New Haven, CT USA.
    Severens, Johan L.
    Erasmus Univ, Erasmus Sch Hlth Policy & Management, Bayle Bldg,Burgemeester Oudlaan 50, NL-3062 PA Rotterdam, Netherlands.
    Redekop, Kenneth W.
    Erasmus Univ, Erasmus Sch Hlth Policy & Management, Bayle Bldg,Burgemeester Oudlaan 50, NL-3062 PA Rotterdam, Netherlands; Erasmus Univ, Inst Med Technol Assessment, Rotterdam, Netherlands.
    Cost-effectiveness of Mechanical Thrombectomy More Than 6 Hours After Symptom Onset Among Patients With Acute Ischemic Stroke2020In: JAMA Network Open, E-ISSN 2574-3805, Vol. 3, no 8, article id e2012476Article in journal (Refereed)
    Abstract [en]

    Importance Two 2018 randomized controlled trials (DAWN and DEFUSE 3) demonstrated the clinical benefit of mechanical thrombectomy (MT) more than 6 hours after onset in acute ischemic stroke (AIS). Health-economic evidence is needed to determine whether the short-term health benefits of late MT translate to a cost-effective option during a lifetime in the United States. Objective To compare the cost-effectiveness of 2 strategies (MT added to standard medical care [SMC] vs SMC alone) for various subgroups of patients with AIS receiving care more than 6 hours after symptom onset. Design, Setting, and Participants This economic evaluation study used the results of the DAWN and DEFUSE 3 trials to populate a cost-effectiveness model from a US health care perspective combining a decision tree and Markov trace. The DAWN and DEFUSE 3 trials enrolled 206 international patients from 2014 to 2017 and 182 US patients from 2016 to 2017, respectively. Patients were followed until 3 months after stroke. The clinical outcome at 3 months was available for 29 subgroups of patients with AIS and anterior circulation large vessel occlusions. Data analysis was conducted from July 2018 to October 2019. Exposures MT with SMC in the extended treatment window vs SMC alone. Main Outcomes and Measures Expected costs and quality-adjusted life-years (QALYs) during lifetime were estimated. Deterministic results (incremental costs and effectiveness, incremental cost-effectiveness ratios, and net monetary benefit) were presented, and probabilistic analyses were performed for the total populations and 27 patient subgroups. Results In the DAWN study, the MT group had a mean (SD) age of 69.4 (14.1) years and 42 of 107 (39.3%) were men, and the control group had a mean (SD) age of 70.7 (13.2) years and 51 of 99 (51.5%) were men. In the DEFUSE 3 study, the MT group had a median (interquartile range) age of 70 (59-79) years, and 46 of 92 (50.0%) were men, and the control group had a median (interquartile range) age of 71 (59-80) years, and 44 of 90 (48.9%) were men. For the total trial population, incremental cost-effectiveness ratios were $662/QALY and $13877/QALY based on the DAWN and DEFUSE 3 trials, respectively. MT with SMC beyond 6 hours had a probability greater than 99.9% of being cost-effective vs SMC alone at a willingness-to-pay threshold of $100 000/QALY. Subgroup analyses showed a wide range of probabilities for MT with SMC to be cost-effective at a willingness-to-pay threshold of $50000/QALY, with the greatest uncertainty observed for patients with a National Institute of Health Stroke Scale score of at least 16 and for those aged 80 years or older. Conclusions and Relevance The results of this study suggest that late MT added to SMC is cost-effective in all subgroups evaluated in the DAWN and DEFUSE 3 trials, with most results being robust in probabilistic sensitivity analyses. Future MT evidence-gathering could focus on older patients and those with National Institute of Health Stroke Scale scores of 16 and greater.

    Question Is mechanical thrombectomy in the extended treatment window cost-effective across patient subgroups in the United States? Findings This economic evaluation study found that mechanical thrombectomy provides good value for money in all the defined subgroups the 2 randomized clinical trials evaluated. Sensitivity analyses revealed a wide range of probabilities for late mechanical thrombectomy to be cost-effective at the willingness-to-pay threshold of $50 000 per quality-adjusted life-year. Meaning The results of this study suggest that attention should be placed on increasing access to mechanical thrombectomy rather than on developing subgroup-specific guidelines unless workforce and budget constraints require prioritization.

    This economic evaluation study compares the cost-effectiveness of 2 strategies (mechanical thrombectomy with standard medical care vs standard medical care alone) for various subgroups of patients with acute ischemic stroke who were receiving care more than 6 hours after symptom onset.

  • 5.
    Renbro, Gunnar
    Mälardalen University, School of Health, Care and Social Welfare.
    Palpationsömhet i perifer nerv och känseltest med sporre på friska försökspersoner2010Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Leg pain is common and neuropathy (nerve disease) is one reason which probably is under diagnosed. Bimanual (bilateral) nerve palpation and sensory test with spurs has been shown to be quite reliable. Furthermore, the tests are straight forward detecting nerve disease but have not been tested on a healthy population.

    Purpose: The purpose was to investigate whether peripheral nerve palpation in fossa poplitea induces pain/discomfort, and if side difference exists in a sensibility test with spurs on the lower leg in healthy subjects.

    Method: A bimanual palpation test of the tibial and peroneal nerve in fossa poplitea and also a bimanual sensibility test with spurs of dermatome L4, L5 and S1 on the lower leg were carried out. In order to find healthy subjects a purposive sampling was made. A total of 37 subjects between 20 and 57 years with a median age of 23 participated in the study.

    Results: At the palpation test the intensity of pain/discomfort had a median of 1 (range 3) in the 11 degrees of pain scale. A large part estimated differences between the sides in both the palpation test (11 of 37) and the sensibility test with spur (25 of 37). There was no significant difference between the sexes.

    Conclusion: When performing these nerve tests it is important to keep in mind that even healthy individuals might perceive some pain/discomfort as well as side difference. However, we need more studies to confirm these results.

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