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Borglin, Gunilla
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Publications (10 of 23) Show all publications
Sandström, B., Willman, A., Svensson, B. & Borglin, G. (2015). Perceptions of national guidelines and their (non) implementation in mental healthcare: a deductive and inductive content analysis. Implementation Science, 10(1), Article ID 43.
Open this publication in new window or tab >>Perceptions of national guidelines and their (non) implementation in mental healthcare: a deductive and inductive content analysis
2015 (English)In: Implementation Science, ISSN 1748-5908, E-ISSN 1748-5908, Vol. 10, no 1, article id 43Article in journal (Refereed) Published
Abstract [en]

Background: National guidelines are being produced at an increasing rate, and politicians and managers are expected to promote these guidelines and their implementation in clinical work. However, research seldom deals with how decision-makers can perceive these guidelines or their challenges in a cultural context. Therefore, the aim of this study was twofold: to investigate how well Promoting Action on Research Implementation in Health Services (PARIHS) reflected the empirical reality of mental healthcare and to gain an extended understanding of the perceptions of decision-makers operating within this context, in regard to the implementation of evidence-based guidelines. Methods: The study took place in the southeast of Sweden and employed a qualitative design. The data were collected through 23 interviews with politicians and managers working either in the county council or in the municipalities. The transcribed text was analysed iteratively and in two distinct phases, first deductively and second inductively by means of qualitative content analysis. Results: Our deductive analysis showed that the text strongly reflected two out of three categorisation matrices, i.e. evidence and context representing the PARIHS framework. However, the key element of facilitation was poorly mirrored in the text. Results from the inductive analysis can be seen in light of the main category sitting on the fence; thus, the informants' perceptions reflected ambivalence and contradiction. This was illustrated by conflicting views and differences in culture and ideology, a feeling of security in tradition, a certain amount of resistance to change and a lack of role clarity and clear directions. Together, our two analyses provide a rich description of an organisational culture that is highly unlikely to facilitate the implementation of the national guidelines, together with a distrust of the source behind such guidelines, which stands in stark contrast to the high confidence in the knowledge of experienced people in authority within the organisational context. Conclusions: Our findings have highlighted that, regardless of by whom guidelines are released, they are not likely to be utilised or implemented if those who are responsible for implementing them do not trust the source. This aspect (i.e. contextual trust) is not covered by PARIHS.

Keywords
Evidence-based practice, Guidelines, Implementation, Mental health, Nursing, PARIHS, Qualitative research
National Category
Nursing Psychiatry
Identifiers
urn:nbn:se:bth-702 (URN)10.1186/s13012-015-0234-0 (DOI)000352605700001 ()25888854 (PubMedID)
External cooperation:
Available from: 2015-05-26 Created: 2015-05-26 Last updated: 2017-12-04Bibliographically approved
Gustafsson, M., Bohman, D. M. & Gunilla, B. (2014). Challenges of conducting experimental studies within a clinical nursing context. Applied Nursing Research, 27(2), 133-136
Open this publication in new window or tab >>Challenges of conducting experimental studies within a clinical nursing context
2014 (English)In: Applied Nursing Research, ISSN 0897-1897, E-ISSN 1532-8201, Vol. 27, no 2, p. 133-136Article in journal (Refereed) Published
Abstract [en]

In recent years, several distinguished scholars have advocated for nursing research that may carry strong evidence for practice. Their advocacy have highlighted that nursing science has reached a point where as nurse researchers we need to develop the questions we ask and design studies that have the power to produce solid, translational, evidence-based knowledge. To do so, we need to carry out experimental tests on complex, everyday nursing interventions and activities. We also need to create public space to present accounts of our endeavours pursuing this type of design in clinical practice. This paper will discuss some of the most important insights gained from conducting a quasi-experimental study in which the aim was to investigate the effect of a theory-based intervention, targeting knowledge and attitudes among registered nurses regarding cancer pain management. The importance of careful practical and methodological planning is emphasised and the need for participation-friendly interventions is discussed.

Place, publisher, year, edition, pages
Elsevier, 2014
Keywords
Evidence-based nursing, Intervention studies, Nursing research, Quasi-experimental design
National Category
Nursing
Identifiers
urn:nbn:se:bth-6607 (URN)10.1016/j.apnr.2013.11.013 (DOI)000336191300008 ()oai:bth.se:forskinfoEADAB7FEBA11DC15C1257C2F00594F20 (Local ID)oai:bth.se:forskinfoEADAB7FEBA11DC15C1257C2F00594F20 (Archive number)oai:bth.se:forskinfoEADAB7FEBA11DC15C1257C2F00594F20 (OAI)
Available from: 2014-10-10 Created: 2013-11-26 Last updated: 2017-05-29Bibliographically approved
Sandström, B., Willman, A., Svensson, B. & Borglin, G. (2014). How do we know if this is the best? Mental health-care professionals' views on national guidelines for psychosocial interventions. International Journal of Mental Health Nursing, 23(3), 221-231
Open this publication in new window or tab >>How do we know if this is the best? Mental health-care professionals' views on national guidelines for psychosocial interventions
2014 (English)In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 23, no 3, p. 221-231Article in journal (Refereed) Published
Abstract [en]

National guidelines are released regularly, and professionals are expected to adopt and implement them. However, studies dealing with mental health-care professionals' views about guidelines are sparse. The aim of the present study was to highlight mental health-care staff's views on the Swedish national guidelines for 'psychosocial interventions for schizophrenia or schizophrenia-type symptoms' and their implementation. The study took place in the southeast parts of Sweden, and data were collected through five group interviews consisting of 16 professionals working either in the county council or in the municipalities. The transcribed text was analysed by content analysis, revealing two categories. The first category 'a challenge to the practice of care as known' reflected that the release of guidelines could be perceived as a challenge to prevailing care and culture. The second category 'anticipating change to come from above' mirrored views on how staff expected the implementation process to flow from top to bottom. To facilitate working in accordance with guidelines, we suggest that future guidelines should be accompanied by an implementation plan, where the educational needs of frontline staff are taken into account. There is also a need for policy makers and managers to assume responsibility in supporting the implementation of evidence-based practice.

Place, publisher, year, edition, pages
Wiley Blackwell, 2014
Keywords
Evidence-based practice, Group interview, Guideline, Mental health, Nurse
National Category
Nursing
Identifiers
urn:nbn:se:bth-6643 (URN)10.1111/inm.1204 (DOI)000334124000005 ()oai:bth.se:forskinfo4924AA3B1931C095C1257C2E00352996 (Local ID)oai:bth.se:forskinfo4924AA3B1931C095C1257C2E00352996 (Archive number)oai:bth.se:forskinfo4924AA3B1931C095C1257C2E00352996 (OAI)
Available from: 2014-07-17 Created: 2013-11-25 Last updated: 2017-09-19Bibliographically approved
Olsson, C., Ringner, A. & Borglin, G. (2014). Including systematic reviews in PhD programmes and candidatures in nursing Hobson's choice'?. Nurse Education in Practice, 14(2), 102-105
Open this publication in new window or tab >>Including systematic reviews in PhD programmes and candidatures in nursing Hobson's choice'?
2014 (English)In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 14, no 2, p. 102-105Article in journal (Refereed) Published
Abstract [en]

Nowadays, gathering and synthesising evidence, i.e. conducting systematic reviews, is considered an important part of any health service research endeavour. Reviewing the literature, however suggest that it is not yet common that PhD students/doctoral candidates publish systematic reviews or even include a high quality review of the literature as a part of their PhD programme or candidature. Implying that systematic reviewing skills might not be acquired by going through an education on a postgraduate level. Additionally, scholars debating systematic reviews 'to be or not to be' as a part of research training seem to be sparse, especially within the field of nursing. In this issue for debate, we would like to propose that the absence of systematic reviews' in this context might severely hamper the 'up and coming' researchers as well as the research conducted. We envisage that this lack can have a negative impact on international nursing practice, and therefore propose that systematic reviews should be considered, whenever appropriate, as a mandatory part of any PhD programme or candidature. We believe that abilities in systematic reviewing will be a sought after research skills in the near future. Including systematic reviews would promote i) refined, well-grounded adequate research questions, ii) PhDs with broad and elevated methodological skills, iii) an increased level of evidence based nursing praxis. However, to make this a reality, supervisors, PhD students, and candidates would need to understand the value of this kind of research activity. Finally, lobbying University faculty boards and grant providers that are not inclined to view literature reviews as 'proper' research or as an important part of health service research, needs to be put on the agenda. (C) 2014 Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
Elsevier, 2014
Keywords
Meta-analysis; Meta-synthesis; Mixed studies reviews; Nursing; PhD theses; Systematic reviews
National Category
Nursing
Identifiers
urn:nbn:se:bth-12441 (URN)10.1016/j.nepr.2014.01.005 (DOI)000349568000002 ()24480093 (PubMedID)
Available from: 2016-06-22 Created: 2016-06-22 Last updated: 2017-11-28Bibliographically approved
Bohman, D. & Borglin, G. (2014). Student exchange for nursing students: Does it raise cultural awareness'? A descriptive, qualitative study. Nurse Education in Practice, 14(3), 259-264
Open this publication in new window or tab >>Student exchange for nursing students: Does it raise cultural awareness'? A descriptive, qualitative study
2014 (English)In: Nurse Education in Practice, ISSN 0260-6917, Vol. 14, no 3, p. 259-264Article in journal (Refereed) Published
Abstract [en]

With free movement for citizens within the European Union and with distant parts of our globe becoming more accessible, cultural awareness and cultural competence are becoming important skills for nurses. Internationalisation and raising awareness of other cultural contexts are essential elements in Swedish higher education, thus explaining the variety of student exchange programmes that are available. The aim of this study was to explore Swedish nursing students' perceptions of student exchange and their experiences. Data were collected through group interviews and then analysed following the principles of content analysis. Our analysis resulted in three categories: Preparing to go abroad, Reasons for going abroad and From expectation to experience. Cultural aspects and cultural awareness were emphasised as strong motivational factors, both personal and professional, behind participation in student exchange programmes. Information was also highlighted as a crucial means of reaching potential students as well as the power of knowledge through personal experience. This study highlights the importance of student exchange in expanding the individual student's personal and professional horizons. It also stresses the importance of including a transcultural nursing element in nursing curricula.

Place, publisher, year, edition, pages
Elsevier, 2014
Keywords
Cultural awareness, Internationalisation, Student exchange, Qualitative study
National Category
Nursing
Identifiers
urn:nbn:se:bth-6335 (URN)10.1016/j.nepr.2013.11.006 (DOI)000349568100007 ()oai:bth.se:forskinfo4C3F71BB9EB40E05C1257C5B0038C333 (Local ID)oai:bth.se:forskinfo4C3F71BB9EB40E05C1257C5B0038C333 (Archive number)oai:bth.se:forskinfo4C3F71BB9EB40E05C1257C5B0038C333 (OAI)
Available from: 2015-05-26 Created: 2014-01-09 Last updated: 2017-03-14Bibliographically approved
Richards, D. A., Coulthard, V. & Borglin, G. (2014). The State of European Nursing Research: Dead, Alive, or Chronically Diseased? A Systematic Literature Review. Worldviews on Evidence-Based Nursing, 11(3), 147-155
Open this publication in new window or tab >>The State of European Nursing Research: Dead, Alive, or Chronically Diseased? A Systematic Literature Review
2014 (English)In: Worldviews on Evidence-Based Nursing, ISSN 1545-102X , Vol. 11, no 3, p. 147-155Article in journal (Refereed) Published
Abstract [en]

Background Reviews of nursing research have suggested that most is descriptive; with no more than 15% providing strong evidence for practice. No studies have examined this from the perspective of nursing research conducted in Europe. Objective The aim of this study was to review reports of European clinical nursing research in the top 20 nursing journals in 2010 to establish a baseline of nursing research activity in the year immediately prior to the launch of a European Science Foundation network to increase the proportion of intervention research in Europe. Methods We identified eligible reports that were then data-extracted by two independent reviewers. Disagreements were resolved through pair discussion and independent arbitration. We appraised and synthesized topics, methods, and the extent to which studies were programmatic. We synthesized data as proportions of study reports meeting our a priori categorization criteria. Results We identified 1995 published reports and included 223 from 21 European countries, of which 193 (86.6%) reported studies of primary research only, 30 (13.5%) secondary research, and three (1.4%) a mix of primary and secondary. Methodological description was often poor, misleading, or even absent. One hundred (44.8%) articles reported observational studies, 87 (39.0%) qualitative studies. We found 26 (11.7%) articles reporting experimental studies, 10 (4.5%) of which were randomized controlled trials. We found 29 (13.0%) reports located within a larger program of research. Seventy-six (34.1%) articles reported studies of nursing interventions. Linking Evidence to Action European research in nursing reported in the leading nursing journals remains descriptive and poorly described. Only a third of research reports concerned nursing interventions, and a tiny proportion were part of a programmatic endeavor. Researchers in nursing must become better educated and skilled in developing, testing, evaluating, and reporting complex nursing interventions. Editors of nursing journals should insist on systematic reporting of research designs and methods in published articles.

Place, publisher, year, edition, pages
Wiley Blackwell, 2014
Keywords
complex interventions, nursing research, Europe, research methods
National Category
Nursing
Identifiers
urn:nbn:se:bth-6583 (URN)10.1111/wvn.12039 (DOI)000337629300002 ()oai:bth.se:forskinfo8FF10ECC6E14BC1CC1257D6D003D655E (Local ID)oai:bth.se:forskinfo8FF10ECC6E14BC1CC1257D6D003D655E (Archive number)oai:bth.se:forskinfo8FF10ECC6E14BC1CC1257D6D003D655E (OAI)
Available from: 2014-10-10 Created: 2014-10-10 Last updated: 2015-06-30Bibliographically approved
Gustafsson, M. & Borglin, G. (2013). Can a theory-based educational intervention change nurses' knowledge and attitudes concerning cancer pain management? a quasi-experimental design. BMC Health Services Research, 13(328), 1-11
Open this publication in new window or tab >>Can a theory-based educational intervention change nurses' knowledge and attitudes concerning cancer pain management? a quasi-experimental design
2013 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 13, no 328, p. 1-11Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Registered Nurses (RNs) play an important role in caring for patients suffering from cancer pain. A lack of knowledge regarding pain management and the RNs' own perception of cancer pain could act as barriers to effective pain management. Educational interventions that target RNs' knowledge and attitudes have proved promising. However, an intervention consisting of evidence-based practice is a multifaceted process and demands behavioural and cognitive changes to sustain the effects of the intervention. Therefore, our study aimed to investigate if a theory-based educational intervention could change RNs' knowledge and attitudes to cancer pain and pain management, both four and 12 weeks after the start of the intervention. METHODS: A quasi-experimental design with non-equivalent control groups was used. The primary outcome was measured using a modified version of the instrument Nurses' Knowledge and Attitudes Survey Regarding Pain (NKAS) at baseline, four weeks and 12 weeks after the start of the intervention to evaluate its persistence. The intervention's educational curriculum was based on the principles of Ajzen's Theory of Planned Behaviour and consisted of interactive learning activities conducted in workshops founded on evidence-based knowledge. The RN's own experiences from cancer pain management were used in the learning process. RESULTS: The theory-based educational intervention aimed at changing RNs knowledge and attitudes regarding cancer pain management measured by primary outcome NKAS resulted in a statistical significant (p<0.05) improvement of total mean score from baseline to four weeks at the intervention ward. CONCLUSIONS: The findings of this study, suggest that a theory-based educational intervention focused at RNs can be effective in changing RN's knowledge and attitudes regarding cancer pain management. However, the high number of dropouts between baseline and four weeks needs to be taken into account when evaluating our findings. Finally, this kind of theory-based educational intervention with interactive learning activities has been sparsely researched and needs to be evaluated further in larger projects.Trial registration: Clinical Trials. Gov: NCT01313234.

Place, publisher, year, edition, pages
Springer Publishing Company, 2013
Keywords
Attitude, Cancer pain, Evidence-based practice, Education, Experimental study, Implementation, Intervention, Knowledge, Nurses, Quasi-experimental design
National Category
Nursing
Identifiers
urn:nbn:se:bth-6817 (URN)10.1186/1472-6963-13-328 (DOI)000324069600001 ()oai:bth.se:forskinfoF0E1F5CC43ED91D8C1257BE80041766C (Local ID)oai:bth.se:forskinfoF0E1F5CC43ED91D8C1257BE80041766C (Archive number)oai:bth.se:forskinfoF0E1F5CC43ED91D8C1257BE80041766C (OAI)
Note

Open Access Journal

Available from: 2013-12-17 Created: 2013-09-16 Last updated: 2017-12-04Bibliographically approved
Andersson, E., Borglin, G., Sjöström-Strand, A. & Willman, A. (2013). Standing alone when life takes an unexpected turn: Being a midlife next of kin of a relative who has suffered a myocardial infarction. Scandinavian Journal of Caring Sciences, 27(4), 864-871
Open this publication in new window or tab >>Standing alone when life takes an unexpected turn: Being a midlife next of kin of a relative who has suffered a myocardial infarction
2013 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 27, no 4, p. 864-871Article in journal (Refereed) Published
Abstract [en]

Background: Suffering a myocardial infarction (MI) is a life-threatening event that impacts not only on the individual concerned but also on the next of kin. However, there seems to be a paucity of naturalistic inquiries that focus specifically on midlife next of kin and their experience of being close to a relative who has suffered an MI. This study aims to elucidate the experience of being a midlife next of kin of a relative who has suffered a myocardial infarction. Method: Nine women and four men in midlife participated in the focused interviews, which were conducted and analysed during 2010/2011 using Lindseths and Norbergs' description of the phenomenological hermeneutical method. Findings: Four themes - Solely responsible, Lurking unease, Left out of the picture and Life on hold - formed the basis of the core theme Standing alone when life takes an unexpected turn. The core theme was interpreted as a central phenomenon encompassing the experience of being solely responsible for the well-being of their relative and the family, thus putting their own life on hold. The core theme also reflected the next of kin's experience of being left out of the picture when it came to the relative's care before and after the MI. Conclusion: The next of kin's negative feelings of standing alone were further intensified by their experience of being left out of the picture by the healthcare professionals concerning their relative's care. As a cardiac nurse, it would seem essential to have knowledge about the experiences of next of kin in connection with a relative's MI event. Such knowledge can facilitate the planning and organisation of nursing care and at the same time address the next of kin's role in the recovery and rehabilitation process.

Place, publisher, year, edition, pages
Blackwell, 2013
Keywords
Experience, Intervention, Next of kin, Nursing, Phenomenological hermeneutics, Qualitative research
National Category
Nursing
Identifiers
urn:nbn:se:bth-6651 (URN)10.1111/j.1471-6712.2012.01094.x (DOI)000328140200011 ()oai:bth.se:forskinfo131E0648358407DBC1257AC90045ED8C (Local ID)oai:bth.se:forskinfo131E0648358407DBC1257AC90045ED8C (Archive number)oai:bth.se:forskinfo131E0648358407DBC1257AC90045ED8C (OAI)
Available from: 2014-07-17 Created: 2012-12-03 Last updated: 2017-12-04Bibliographically approved
Andersson, E., Borglin, G. & Willman, A. (2013). The experience of younger adults following myocardial infarction. Qualitative Health Research, 23(6), 762-772
Open this publication in new window or tab >>The experience of younger adults following myocardial infarction
2013 (English)In: Qualitative Health Research, ISSN 1049-7323 , Vol. 23, no 6, p. 762-772Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to elucidate the meaning of the experience of younger people (< 55 years) during their first year following a myocardial infarction. We analyzed 17 interviews using a phenomenological-hermeneutic method. The core theme and central phenomenon was the everyday fight to redress the balance in life, which encompassed an existential, physical, and emotional battle to regain a foothold in daily life. The aftermath of a life-threatening event involved a process of transition while at the same time creating a new meaning in life. Lack of energy and its impact on the complex interplay of midlife combined with unreasonable demands from employers and health care professionals seemed to color the experience of the informants. The knowledge gained in this study can constitute a valuable contribution to overall quality assurance in nursing care and the development of nursing interventions for the cardiac rehabilitation of younger patients.

Place, publisher, year, edition, pages
Sage Publications, 2013
Keywords
heart health, hermeneutics, illness and disease, life-threatening / terminal, phenomenology, Ricoeur
National Category
Nursing
Identifiers
urn:nbn:se:bth-6648 (URN)10.1177/1049732313482049 (DOI)000336257700005 ()oai:bth.se:forskinfoF1B51E73BC39BA2CC1257B59002FCF2E (Local ID)oai:bth.se:forskinfoF1B51E73BC39BA2CC1257B59002FCF2E (Archive number)oai:bth.se:forskinfoF1B51E73BC39BA2CC1257B59002FCF2E (OAI)
Available from: 2014-07-17 Created: 2013-04-26 Last updated: 2015-06-30Bibliographically approved
Borglin, G. & Fagerström, C. (2012). Nursing students understanding of critical thinking and appraisal and academic writing: A descriptive qualitative study. Nurse Education in Practice, 12(6), 356-360
Open this publication in new window or tab >>Nursing students understanding of critical thinking and appraisal and academic writing: A descriptive qualitative study
2012 (English)In: Nurse Education in Practice, ISSN 0260-6917, Vol. 12, no 6, p. 356-360Article in journal (Refereed) Published
Abstract [en]

In Sweden, regulations from the National Agency for Higher Education advocate an education that equips students with independence as well as critical, problem-based thinking, i.e. academic literacy skills. However, some research findings indicate that students may leave higher education without mastering these skills effectively. As part of quality-assuring a nursing programme at a university college in south-east Sweden we explored the nursing student's view of crucial academic literacy skills, such as critical thinking and appraisal and academic writing, by conducting a descriptive, qualitative study. Informants were recruited through an advertisement posted on the university's e-learning tool. Eight focused interviews were conducted during autumn 2010. The transcribed interviews were analysed – inspired by content analysis – and two categories became apparent: constantly questioning and formality before substance. The latter revealed a gap between the student's perception of academic writing and that of the educators, thus implying that nursing students might not be equipped with the tools they need to develop within academia. We suggest that students could benefit in their academic endeavours from theoretical educational models that integrate several academic skills simultaneously and which could be incorporated into the development of syllabuses and curriculums.

Place, publisher, year, edition, pages
Elsevier Ltd, 2012
Keywords
Academic writing, critical thinking, educational theories, nursing
National Category
Pedagogy Nursing
Identifiers
urn:nbn:se:bth-7055 (URN)10.1016/j.nepr.2012.04.009 (DOI)oai:bth.se:forskinfoC7FBE7FE6F827411C125797A004FFC95 (Local ID)oai:bth.se:forskinfoC7FBE7FE6F827411C125797A004FFC95 (Archive number)oai:bth.se:forskinfoC7FBE7FE6F827411C125797A004FFC95 (OAI)
Available from: 2012-12-21 Created: 2012-01-03 Last updated: 2017-03-14Bibliographically approved
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