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Articles /HS VV

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Articles /HS VV

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Coping strategies used by suicide attempters and comparison groups
Sunnqvist, Charlotta; Träskman-Bendz, Lil; Westrin, Åsa Journal article in Open journal of psychiatry; : Scientific Research Publishing (2013)	peer-reviewed scientific ARTICLE

English abstract:

A variety of factors have been identified as being risk factors for suicidal behaviour. One of them is the handling of stressful events. The aim of the present study was to investigate the coping-strategies used by suicide attempters and comparison groups. 37 pa- tients who had recently made a suicide attempt, 38 suicide attempters at follow up, 20 psychiatric follow up controls, and 19 healthy controls filled in the COPE. We found that suicide attempters at long term follow up and healthy controls used more adaptive problem solving strategies than patients who had re- cently made a suicide attempt, or psychiatric controls at follow up, who used more maladaptive coping strategies. Our findings suggest that suicide attempt- ers in a twelve year follow up are able to use coping strategies similarly to healthy controls by e.g. ap- proaching the stressor actively. Further examinations of the impact of long term professional care and treatment of suicide attempters on their coping strategies are necessary.

OJPsych_2013042216370767[1].pdf (147.0Kb)

Potential adult sibling stem cell donors’ perceptions and opinions re...
Kisch, Annika; Lenhoff, Stig; Bengtsson, Mariette; Bolmsjö, Ingrid Journal article in Bone Marrow Transplantation; : Nature Publishing Group (2013)	peer-reviewed scientific ARTICLE

English abstract:

The first international recommendations and guidelines for the care of sibling stem cell donors were established in 2010, and have not yet been evaluated. However, a model for information and care of adult potential sibling stem cell donors (the IC model) developed and introduced at the Skåne University Hospital, Lund, Sweden, in 2005 conforms closely to them. The IC model aims to protect the privacy of potential donors, support and respect their free choice, and identify quickly those unwilling or unable to donate and thus minimize delay in seeking alternative donors. To evaluate the IC model a questionnaire survey in 2010 gathered the perceptions and views on information provision; influences over decision making; and care provision under the IC model of 148 adult siblings informed about SCT donation, and asked to undergo HLA-typing since September 2005 at the hospital. The results suggest the IC model works well but highlights areas for improvement, such as in delivery of HLA typing results to non-matched siblings, and a need to further prevent complicating influence from health professionals and relatives on the decision to undergo HLA typing. Thus improved, the IC model could provide the groundwork for other SCT units seeking to implement the recommendations and guidelines.

bmt2012283a.pdf (212.3Kb)

Managers' views and experiences of a large-scale county council impro...
Andersson, Ann-Christine Journal article in Quality Management in Health Care;2 : Lippincott, Williams & Wilkins (2013)	peer-reviewed scientific ARTICLE

English abstract:

The aim of this study was to explore and evaluate managers’ views of a large-scale improvement program, including their experiences and opinions about improvement initiatives and drivers for change. The study is based on a survey used in 2 nationwide mappings of improvement initiatives and developmental trends in Swedish health care. The participants were all managers in a county council in Sweden. Data were analyzed descriptively, and statements were ranked in order of preferences. A majority of the respondents stated that they had worked with improvements since the county council improvement program started. The managers sometimes found it difficult to find data and measurements that supported the improvements, yet a majority considered that it was worth the effort and that the improvement work yielded results. The top-ranked driving forces were ideas from personnel and problems in the daily work. Staff satisfaction was ranked highest of the improvement potentials, but issues about patients’ experiences of their care and patient safety came second and third. The managers stated that no or only a few patients had been involved in their improvement initiatives. Large-scale county council improvement initiatives can illuminate quality problems and lead to increased interest in improvement initiatives in the health care sector.

Managersviews final.pdf (196.1Kb)

Evaluating a questionnaire to measure improvement initiatives in Swed...
Andersson, Ann-Christine; Elg, Mattias; Perseius, Kent-Inge; Idvall, Ewa Journal article in BMC Health Services Research;48 : BioMed Central (2013)	peer-reviewed scientific ARTICLE

English abstract:

Background: Quality improvement initiatives have expanded recently within the healthcare sector. Studies have shown that less than 40% of these initiatives are successful, indicating the need for an instrument that can measure the progress and results of quality improvement initiatives and answer questions about how quality initiatives are conducted. The aim of the present study was to develop and test an instrument to measure improvement process and outcome in Swedish healthcare. Methods: A questionnaire, founded on the Minnesota Innovation Survey (MIS), was developed in several steps. Items were merged and answer alternatives were revised. Employees participating in a county council improvement program received the web-based questionnaire. Data was analysed by descriptive statistics and correlation analysis. The questionnaire psychometric properties were investigated and an exploratory factor analysis was conducted. Results: The Swedish Improvement Measurement Questionnaire consists of 27 items. The Improvement Effectiveness Outcome dimension consists of three items and has a Cronbach’s alpha coefficient of 0.67. The Internal Improvement Processes dimension consists of eight sub-dimensions with a total of 24 items. Cronbach’s alpha coefficient for the complete dimension was 0.72. Three significant item correlations were found. A large involvement in the improvement initiative was shown and the majority of the respondents were satisfied with their work. Conclusions: The psychometric property tests suggest initial support for the questionnaire to study and evaluate quality improvement initiatives in Swedish healthcare settings. The overall satisfaction with the quality improvement initiative correlates positively to the awareness of individual responsibilities.

Andersson et al 2013 SIMQ.pdf (232.0Kb)

Utvärdering av studentaktivt lärande i verksamhetsförlagd utbildning ...
Bengtsson, Mariette; Stenberg, Marie; Carlson, Elisabeth Journal article in Högre utbildning;1 : Swednet (2013)	scientific ARTICLE

Swedish abstract:

Vården står idag inför en rad utmaningar inte minst ekonomiskt och en allt större del av befolkningen är 80 år eller äldre. Behovet av hälso- och sjukvårdspersonal kommer därmed att vara fortsatt högt och samverkan mellan olika professioner och organisationer behöver stärkas. Det betyder att det är nödvändigt att implementera pedagogiska modeller som främjar samarbete och personcentrerad vård redan tidigt i utbildningarna. I sjuksköterskeprogrammet vid Malmö Högskola är flera modeller för studentaktivt lärande implementerade i den verksamhetsförlagda utbildningen (VFU). Den första modellen, peer learning, är en handledningsmodell som bygger på strategier där studenterna lär från och av varandra. Den andra modellen är patientfokuserad handledning vilken ger studenten möjlighet att följa patienters väg genom vården. Syftet med de pedagogiska modellerna är att studenterna ska kunna skapa djupare vårdrelationer och förberedas inför den kommande yrkesrollen genom att träna reflektion, kritiskt tänkande och samarbete. Vi planerar just nu ett större forskningsprojekt för att mer genomgripande utvärdera såväl peer learning som patientfokuserad handledning där även patienters upplevelse av att vårdas i en studentaktiv modell ska inkluderas.

utvärdering_högre_utb_2013.pdf (156.6Kb)

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