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  • 1. Andersson, Elisabeth
    et al.
    Valdenäs, Stina
    Nilsson, Roland
    Willman, Ania
    Aktuellt kunskapsläge vid kateterspolning: systematisk litteraturgranskning2011Inngår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 31, nr 4, s. 27-31Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: Reviewing the scientific literature with regards to urinary catheter washouts in order to prevent occlusion. Background: Patients with long-term indwelling urinary catheters often suffers from catheter blockage. Encrustations and the forming of biofilm on the catheter surface are among the most common causes of occlusion. It is unknown whether urinary catheter washout is the treatment of choice to prevent occlusion. Methods: A systematic review of the scientific literature regarding urinary catheter washouts. The study was conducted by two independent reviewers. The search used MeSH and freetext terms, in The Cochrane Database of Systematic Reviews, Academic Search Elite, CINAHL, MedLine and SweMed+, and an additional mapping of clinical guidelines in order to update praxis. Findings: The study shows that there is insufficient scientific evidence as to whether urinary catheter washouts prevent catheter blockage. Conclusion: There is insufficient evidence that urinary catheter washouts are beneficial. Individual care planning and evaluation of long-term indwelling catheter care is important in minimizing the risk of harmful side effects.

  • 2. Gunningberg, Lena
    et al.
    Carlsson, Sara
    Willman, Ania
    EPUAP-protokollet: en europeisk metod för mätning av trycksårsförekomst2006Inngår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 26, nr 2, s. 48-51Artikkel i tidsskrift (Annet vitenskapelig)
    Abstract [en]

    The EPUAP (European Pressure Ulcer Advisory Panel) has developed a European-wide prevalence survey methodology, which has been used in several European countries. The EPUAP-protocol has been translated to Swedish and two prevalence studies have been conducted at Uppsala University and one at MalmöUniversity Hospital. The aim of this paper is to present the modified EPUAP-protocoll as well as our experience in using the methodology. Pressure ulcershave been described as a national quality indicator and the protocol could facilitate the follow up of an important nursing area.

  • 3. Gustafsson, Ann-Sofie
    et al.
    Eriksson, Terese
    Andersson, Stefan
    Borglin, Gunilla
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    The Occurrence of Problems in Connections with the Saphenous Vein Harvest Surgical Site: A Telephone Interview Project Three Months after Coronary Artery Bypass Grafting Surgery2012Inngår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 32, nr 1, s. 41-3Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Problems, such as slow-healing wounds and wound infections, arising at the saphenous vein harvest surgical site following Coronary Artery Bypass Grafting (CABG) surgery are more common than was previously thought. Few studies exist that addressing this and which at the same time adopt a nursing – patient perspective. This project came about when staff at the regional cardiothoracic intensive care unit was notified that a number of recently discharged patients were now attending the Tissue Viability Centre for wounds at the saphenous vein harvest site. It was therefore decided to investigate this in more detail as part of quality assuring the care provided at the unit. A telephone interview was conducted with 114 respondents who in the last three months had undergone a CABG. The aim was to explore how they perceived their general health and if they experienced any problems at the harvest site. Although no statistical significance was found concerning some of the well-known risk factors, 13.2% of them experienced problems at the harvest site. The findings indicate that the cardiothoracic nurse can have an important role to play at the pre-discharge stage with regard to the provision of information and support for this group of patients.

  • 4. Holst, Göran
    et al.
    Willman, Ania
    Fagerström, Cecilia
    Borg, Christel
    Hellström, Ylva
    Borglin, Gunilla
    Quality of care: Prevention of pressure ulcers – Nursing students facilitating evidence-based practice2010Inngår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 30, nr 1, s. 40-42Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This development project was aimed at engaging nursing students in a project targeting the prevention and reduction of pressure ulcers on an education based hospital ward. An intervention was implemented based on systematic assessment, skin observation, together with training and educational sessions, i.e. on how to make risk assessments and how to prevent and treat a pressure ulcer, were carried out. The project demonstrated the importance of offering nursing students an environment for clinical practice which supports them in participating and developing patient care starting from Evidence-Based Practice. During the project no patients developed pressure ulcers while on the ward. The opportunity to act as facilitators of evidence-based methods was found to enhance student ability to draw conclusions and make connections between quality of care and end result.

  • 5. Islamoska, Julli
    et al.
    Nilsson, Roland
    Sjöström, Kerstin
    Willman, Ania
    Arbetsmodeller som säkrar sjuksköterskekompetensen-en systematisk litteratursammanställning2009Inngår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 29, nr 2, s. 44-47Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    The Swedish healthcare system is organized in a way that all nurses despite formal competence and experience have the same responsibilities. A newly graduated nurse has the same work-load and responsibility in patient care as the experienced nurse. newly graduated nurses need supervision by clinical experts in the process of developing skills, but also to reduce risks that exists when their authority is above their skills and level of experience. The aim was to identify existing organizational models were the nurses´work has been formalized according to their level of competence and experince in order to improve patient safety and patient satisfaction. A search with a systematic approach in CINAHL, The Cochrane Library and MedLine was performed. A total of 397 studies were identified and 31 articles were screened in full text. Finally three articles , which are insufficient with regards to issue recommendations, presented common factors as models that focus on experienced nurses´competence and the organization of patient care. The research regarding models of organization that secure nursing competence in patient care, how it is utilized and, it´s effect on patient care is insufficient. there is a need for extensive research examining this relation at ward level.

  • 6.
    Wijk, Helle
    et al.
    Göteborgs universitet.
    Öhlén, Joakim
    Göteborgs universitet.
    Lidén, Eva
    Göteborgs universitet.
    Millberg, Lena German
    Karlstads Universitet.
    Jacobsson, Catrine
    Umeå universitet.
    Söderberg, Siv
    Luleå tekniska universitet, Omvårdnad.
    Berg, Linda
    Göteborgs universitet.
    Engström, Åsa
    Höglund, Ingela
    Borås Högskola.
    Lepp, Margret
    Göteborgs universitet.
    Lindström, Irma
    Göteborgs universitet.
    Nygren, Björn
    Umeå universitet.
    Person, Cathrin
    Umeå universitet.
    Petzäll, Kerstin
    Karlstads Universitet.
    Skär, Lisa
    Luleå tekniska universitet, omvårdnad.
    Suserud, Björn-Ove
    Borås Högskola.
    Lundbäck, Maud
    Verksamhetsförlagd utbildning på avancerad nivå: ny utmaning för specialistutbildningar för sjuksköterskor2009Inngår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 29, nr 4, s. 41-43Artikkel i tidsskrift (Annet vitenskapelig)
    Abstract [en]

    The aim of this article is to discuss challenges in the development of Specialist Nursing Educations as a result of the 2007 Swedish Higher Education Reform: the implementation of the so-called Bologna process. Certain challenges follow this reform, particularly since the specialist nursing programmes will be part of the second cycle of the higher education system, and it will be possible to combine the professional degree with a masters degree (one year). Possible strategies in four areas related to the Specialist Nursing Education are discussed: integration of researchbased knowledge, experienced-based knowledge, improvement knowledge, and strategies for collaboration between university institutions and clinics. Specific didactical issues are raised.

  • 7.
    Wijk, Helle
    et al.
    Göteborgs universitet.
    Öhlén, Joakim
    Göteborgs universitet.
    Lidén, Eva
    Göteborgs universitet.
    Millberg, Lena German
    Karlstads Universitet.
    Jacobsson, Catrine
    Umeå universitet.
    Söderberg, Siv
    Luleå tekniska universitet, Omvårdnad.
    Berg, Linda
    Göteborgs universitet.
    Engström, Åsa
    Luleå Tekniska Universitet.
    Höglund, Ingela
    Borås Högskola.
    Lepp, Margret
    Göteborgs universitet.
    Lindström, Irma
    Göteborgs universitet.
    Nygren, Björn
    Umeå universitet.
    Person, Cathrin
    Umeå universitet.
    Petzäll, Kerstin
    Karlstads Universitet.
    Skär, Lisa
    Luleå tekniska universitet.
    Suserud, Björn-Ove
    Borås Högskola.
    Söderlund, Maud
    Luleå tekniska universitet.
    Verksamhetsförlagd utbildning på avancerad nivå: ny utmaning för specialistutbildningar för sjuksköterskor2009Inngår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 29, nr 4, s. 41-43Artikkel i tidsskrift (Annet vitenskapelig)
    Abstract [en]

    The aim of this article is to discuss challenges in the development of Specialist Nursing Educations as a result of the 2007 Swedish Higher Education Reform: the implementation of the so-called Bologna process. Certain challenges follow this reform, particularly since the specialist nursing programmes will be part of the second cycle of the higher education system, and it will be possible to combine the professional degree with a masters degree (one year). Possible strategies in four areas related to the Specialist Nursing Education are discussed: integration of researchbased knowledge, experienced-based knowledge, improvement knowledge, and strategies for collaboration between university institutions and clinics. Specific didactical issues are raised.

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