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  • 51. Stoltz, Peter
    et al.
    Lindholm, Maud
    Udén, Giggi
    Willman, Ania
    The Meaning of Being Supportive for Family Caregivers as Narrated by Registered Nurses Working in Palliative Homecare2006In: Nursing Science Quarterly, ISSN 0894-3184, E-ISSN 1552-7409, Vol. 19, no 2, p. 163-173Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to illuminate the meaning of being supportive to family caregivers who care for a relative at home as narrated by registered nurses. The context used to allow for the meaning of being supportive to be illuminated was palliative home care. The study uses a phenomenological-hermeneutical method inspired by the philosophy of Ricoeur. Data consisted of narrative interviews, which were analyzed in three recurring phases: naive reading, structural analysis and interpreted whole. Twenty nurses from the hospitals in Sweden participated in the study. Two core themes were found: forming a relationship and keeping caregiving at home.

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    FULLTEXT01
  • 52. Stoltz, Peter
    et al.
    Skärsäter, Ingela
    Willman, Ania
    Insufficient Evidence of Effectiveness Is Not "Evidence of No Effectiveness:" Evaluating Computer-Based Education for Patients with Severe Mental Illness.2009In: Worldviews on Evidence-Based Nursing, ISSN 1545-102X, E-ISSN 1741-6787, Vol. 6, no 4, p. 190-199Article, review/survey (Refereed)
    Abstract [en]

    This article reports on commissioned research funded by the Swedish Council of Technology Assessment in Health Care (SBU) and the Swedish Society of Nursing (SSF). The objective was to review computer-based education programs. However, as the review produced insufficient evidence of effectiveness, the publication was withheld due to previous incident where such evidence was misunderstood by Swedish policy and health care decision makers. This article highlights the concept of evidence with regard to the consequences of insufficient evidence of effectiveness being mistaken for evidence of no effectiveness. The aim is also to present a systematic review evaluating a computer-based education program for patients suffering from severe menatl illness. Systematic database searches in Medline, CINAHL, PsycINFO and the Cochrane Library identified a total of 131 potentially relevant references. Thereafter, 27 references were retrieved as fulltext documents, of which 5 were finally included and co-reviewed by two independent researchers. The review found no decisive evidence of effectiveness regarding computer-based education programs designed to assisst persons suffering from severe mental illness. Failing to see the difference between insufficient evidence and evidence of no effectiveness may have unexpected consequences. As a result, practice may be misguided and treatments withheld, which at worse may have harmful consequences for patients. In the end, it is of utmost importance that researchers do good quality research by ensuring statistical power and quality of outcome measurement. For example, this review of computer-based education programs could have revealed effective ways of dealing with severe mental illness if the studies included had been conducted using more sophisticated designs.

  • 53. Stoltz, Peter
    et al.
    Skärsäter, Ingela
    Willman, Ania
    "Insufficient Evidence of Effectiveness" Is Not "Evidence of No Effectiveness:" Evaluating Computer-Based Education for Patients with Severe Mental Illness2008Conference paper (Refereed)
    Abstract [en]

    This paper was originally commissioned research initiated by the Swedish Council of Technology Assessment (SBU) and the SWedish Nursing Society (SSF). The objective was to review nursing methods, more specifically computer based education programme. However, as the review produced insufficient evidence of effectiveness, the publication was withheld due to a previous incident were such evidence was misunderstood by Swedish policy and healthcare decision makers. The aim with this paper is therefore to highlight the concept of evidence with regards to the consequences when insufficient evidence of effectiveness is mistaken for evidence of no effectiveness. The aim is also to present a systematic review evaluating a computerbased education program for patients suffering from severe mental illness. Systematic database searches in MedLine, CINAHL, PsycINFO and the Cochrane Library identified a total of 131 potentially relevant references. Thereafter, 27 references were retrieved as full-textdocuments of which 5 were finally included and co-reviewed by two independent researchers. The review found no decisive evidence of effectiveness regarding computer based education programmes designed to assist persons suffering from severe mental illness. Failing to see the difference between insufficient evidence and evidence of no effectiveness may have unexpected consequences. As a result, practice may be misguided and treatments withheld which as its worst may have harmful consequences for patients. In the end, it is of outmost importance to patients that researchers do good research by ensuring statistical power, quality of outcome measurements and strive for overall excellence. For example, this review of computer based education programmes could have revealed effective ways of dealing with severe mental illness if the studies included had been more sophistically designed.

  • 54. Stoltz, Peter
    et al.
    Udén, Giggi
    Willman, Ania
    Support for family carers who care for an elderly person at home- a systematic literature review2004In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 18, no 2, p. 1-9Article in journal (Refereed)
  • 55. Stoltz, Peter
    et al.
    Willman, Ania
    Blekinge Institute of Technology, School of Health Science.
    Udén, Giggi
    The Meaning of Support as Narrated by Family Carers Who Care for a Senior Relative at Home2006In: Qualitative Health Research, ISSN 1049-7323, Vol. 16, no 5, p. 594-610Article in journal (Refereed)
    Abstract [en]

    The authors´aim in this study is to illuminate the meaning of support as narrated by family members who care for a senior relative at home. Twenty individuals who cared for a senior relative at home participated. Narrative interviews resulted in a text, which the authors analyzed in three recurring phases, naive understanding, structural analysis, and comprehensive understanding, using the phenomenological hermeneutical method. They formulated two themes from the analysis: Experiencing a togetherness with others in caring and Sensingtogetherness with oneself in caring. The meaning of support was understood here as Sensing togetherness. In the comprehensive understanding, the authors further illuminate thismeaning using literature on the concepts of frienship, inner strengt, and manageability through the sense of coherence theory. They provide suggestions for the relevance to practice and further research.

    Download full text (pdf)
    fulltext
  • 56. Tärnhuvud, Marie
    et al.
    Wändel, Cilla
    Willman, Ania
    Nursing interventions to improve the health of men with prostata cancer undergoing radiotherapy: A review2007In: European Journal of Oncology Nursing, ISSN 1462-3889 , no 11, p. 328-339Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to investigate what nurses do to improve the health of men who are receiving radiotherapy treatment due to prostata cancer. The method was a literature review using a systematic approach. The Cochrane Library, Medline and CINAHL databaseswere used in a search that covered the period from January 1994 to April 2006. The screening of 200 abstracts resulted in 14 articles corresponding to the research question,which were assessed according to scientific quality. Two independent reviewers performed the screening and quality assessment process using specific protocols. Two themes emerged: nurse-led care related to radiotherapy treatment and patients´experiences of radiotherapy treatment. The result show that there is strong scientific support for nurse-led follow-up care aimed at assisting patients by means of providing information on how to manage side effects (evidence grade A). In addition, there is moderate scientific support for the need to ensure that this information is structured, objective and concrete and that it can be provided by means of audiotapes or over the phone (evidence grade B) as well as weak scientific support for reporting patients´experiences of radiotherapy treatment (evidence grade C).

  • 57. Wann-Hansson, Christine
    et al.
    Hagell, Peter
    Willman, Ania
    Commentary on Wann-Hannson C, Hagell P, Willman A (2008) Risk factors and prevention among patients with hospital-acquired and pre-existing pressure ulcers in an acute care hospital. Journal of Clinical Nursing 17, 1718-1727 Response2008In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 17, no 23, p. 3257-3258Article in journal (Refereed)
  • 58. Wann-Hansson, Christine
    et al.
    Hagell, Peter
    Willman, Ania
    Risk factors and prevention among patients with hospital-acquired and pre-existing pressure ulcers in an acute care hospital2008In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 17, no 13, p. 1718-1727Article in journal (Refereed)
    Abstract [en]

    Thisstudy aimed to describe and identify risk factors associated with hospital-acquired pressure ulcers among adults in an acute care hospital compared with patients with pre-existing pressure ulcers present on admission. A further aim was to identify the preventive measures performed with both groups respectively. Pressure ulcers occur most often in older and immobile persons with severe acute illness and neurological deficits. However, few studies have adressed risk factors that are associated with hospital-acquired pressure ulcers compared with patients with pre-existing pressure ulcers. A point prevalence study with a cross-sectional survey design was conducted at a Swedish university hospital. Data on 535 patients were recorded using a modified version of the protocol developed and tested by the European Pressure Ulcer Advisory Panel, including the Braden scale for risk assessment. The prevalence of pressure ulcers was 27% (95% confidence interval, 23-31%.) Higher age and total Braden score below 17 were significantly associated with the presence of pressure ulcers. Among individual risk factors higher age, limited activity level and friction and shear while seated or lying down were associated with hospital-acquired pressure ulcers, whereas only higher age and friction and shear were associated with the presence of pressure ulcers in the overall sample. There was an overall sparse use of preventive measures to relieve pressure. The findings of the present study revealed that pressure ulcers and the insufficient use of preventive measure to relieve pressure is still a problem in acute care settings. A continued focus must be placed on staff training in identifying patients at risk for pressure ulcers development.

  • 59. Westergren, Albert
    et al.
    Broman, Jan-Erik
    Hellström, Amanda
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Fagerstrom, Cecilia
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Willman, Ania
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Hagell, Peter
    Measurement properties of the Minimal Insomnia Symptom Scale as an insomnia screening tool for adults and the elderly2015In: Sleep Medicine, ISSN 1389-9457, E-ISSN 1878-5506, Vol. 16, no 3, p. 379-384Article in journal (Refereed)
    Abstract [en]

    Background: The psychometric properties of the three-item Minimal Insomnia Symptom Scale (MISS) were evaluated using the classical test theory. Different cut-offs for identifying insomnia were suggested in two age groups (>= 6 and >= 7 among adult and elderly people, respectively). The aim of the present study was to test the measurement properties of the MISS using the Rasch measurement model, with special emphasis on differential item functioning by gender and age. Methods: Cross-sectional MISS data from adult (age 20-64 years, n = 1075) and elderly (age 65+, n = 548) populations were analysed using the Rasch measurement model. Results: Data generally met Rasch model requirements and the scale could separate between two distinct groups of people. Differential item functioning was found by age but not gender. The difference between the adult and elderly samples was lower for the originally recommended >= 6 points cut-off (0.09 logits) than for the >= 7 points cut-off (0.23 logits), but greater at the lower and higher ends of the scale. Conclusions: This study provides general support for the measurement properties of the MISS. Caution should be exercised in comparing raw MISS scores between age groups, but applying a = 6 cut-off appears to allow for valid comparisons between adults and the elderly regarding the presence of insomnia. Nevertheless, additional studies are needed to determine the clinically optimal cut-score for identification of insomnia. (C) 2014 Elsevier B.V. All rights reserved.

  • 60. Willman, Ania
    Evidens och personcentrerad omvårdnad.2010In: Personcentrerad omvårdnad teori och praktik / [ed] David, Edvardsson, Lund: Studentlitteratur , 2010, p. 101-112Chapter in book (Other academic)
    Abstract [en]

    I detta kapitel argumenteras för att omvårdnaden behöver bli mer evidensbaserad och personcentrerad för att svar mot ökade krav på kunskapsbasering, trygghet, delaktighet och säkerhet. En evidensbaserad personcentrerad omvårdnad beskrivs innehålla att omvårdnadspersonal analyserar den unika omvårdnadssituationen, samtalar med patient och närstående, och med ledning av sin kunskap om evidens (kvalitetsgranskade sammanställda forskningsresultat) väljer de åtgärder som med störst sannolikhet gör mest nytta och minst skada.

  • 61. Willman, Ania
    Förord samt Kapitel 2 Hälsa och välbefinnande2010In: Omvårdnadens grunder: en specialutgåva för sjuksköterskor / [ed] al, A-K et, Lund: Studentlitteratur , 2010, p. 11-12, 39-55Chapter in book (Other (popular science, discussion, etc.))
    Abstract [sv]

    Alla sjuksköterskor arbetar med hälsofrämjande arbete och har en viktig uppgift när det gäller att minimera risker för och förebygga sjukdomar likaväl som de har till uppgift att bistå personer med ohälsoproblem. Sjuksköterskors hälsofrämjande arbete, som bedrivs på person-, grupp och samhällsnivå, utgår från omvårdnadsvetenskaplig kunskap i kombination med medicinsk och folkhälsovetenskaplig kunskap. I detta kapitel beksrivs översiktligt hur det teoretiska begreppet hälsa har utvecklats över tid och hur begreppet hälsa kan förstås utifrån olika sätt att framställa hälsotillstånd och sjukdomar, vilketexemplifieras med en redogörelse av International classification of functioning, disability and health (ICF) som är en klassifikation för funktionstillstånd, funktionshinder och hälsa. Sjuksköterskors insatser för att främja individers hälsa kan innebära att förebygga och motverka sjukdom, lidande och död, men eftersom hälsa inom omvårdnadsvetenskapen kan förstås som en process som personen själv skapar och upplever i det dagliga livet kan insatserna ibland syfta till att förstärka en persons resurser och förmågor och till att belysa mening i olika upplevelser.

  • 62. Willman, Ania
    Hälsa och hopp inom omvårdnad2008In: Omsorg: Nordisk tidsskrift for Palliativ Medisin, ISSN 0800-7489, Vol. 25, no 3, p. 3-6Article in journal (Refereed)
    Abstract [en]

    Den här artikeln beskriver de teoretiska begreppen hälsa och hopp inom omvårdnadsvetenskapen utifrån ett humanistiskt, holistiskt perspektiv bland annat genom att konkretisera begreppen med hjälp av the Human Becoming Theory. Hälsa beskrivs som enlivsyttring och ett sätt att vara. Hoppets innehåll och struktur exemplifieras med hjälp av en studie med äldre personer.

  • 63. Willman, Ania
    Hälsa och välbefinnande. Kapitel 12009In: Omvårdnadens grunder Hälsa och ohälsa. / [ed] A-K, Edberg; H, Wijk, Lund: Studentlitteratur , 2009, p. 27-43Chapter in book (Other academic)
    Abstract [en]

    Alla sjuksköterskor arbetar med hälsofrämjande arbete och har en viktig uppgift när det gäller att minimera risker för och förebygga sjukdomar likväl som de har till uppgift att bistå personer med ohälsoproblem. Sjuksköterskors hälsofrämjande arbete, som bedrivs på person-, grupp- och samhällsnivå, utgår från omvårdnadsvetenskaplig kunskap i kombination med medicinsk och folkhälsovetenskaplig kunskap. I detta kapitel beskrivs översiktligt hur det teoretiska begreppet hälsa har utvecklats över tid och hur begreppet hälsa kan förstås utifrån olika perspektiv. Beskrivningen bildar bakgrund till olika sätt att framställa hälsotillstånd och sjukdomar, vilket exemplifieras med en redogörelse av International classification of functioning, disability and health (ICF) som är en klassifikation för funktionstillstånd, funktionshinder och hälsa. Sjuksköterskors insatser för att främja individers hälsa kan innebära att förebygga och motverka sjukdom, lidande och död, men eftersom hälsa inom omvårdnadsvetenskapen kan förstås som en process som personen själv skapar och upplever i det dagliga livet kan insatserna ibland även syfta till att förstärka en persons resurser och förmågor och till att belysa mening i olika upplevelser.

  • 64. Willman, Ania
    et al.
    Burke, Jacqueline
    Smith, Lorraine
    Sveinsdottir, Herdis
    Report: A report on patient safety in Europe: medication errors and hospital-acquired infection2008In: Journal of Research in Nursing, ISSN 1744-9871, E-ISSN 1744-988X, Vol. 13, no 5, p. 451-454Article in journal (Other academic)
    Abstract [en]

    The report "Patient Safety in Europe: Medication Errors and Hospital-acquired Infection" was comissioned by the European Federation of Nurses Associations (EFN) in order to support its policy statement on Patient Safety. The report is authored by a working-group within the Workgroup of European Nurse Researchers and it is a snapshot of current work in the European areas surveyed. Medication errors and hospital-acquired infections are examined and a range of European studies are used as evidence. The result shows that studies on medication safety and nursing are few and they are heterogeneous in design making comparability between research reports difficult. Future research should capture the environmental and human context of error. WHo has identified hand hygiene as a major patient safety issue in relation to health care associated infections (HCAI) and there is general agreement in the literature that effective hand hygien remains the most important initiative in the control of infection. To maximize EFNs lobbying function EFN and WENR should work together.

  • 65. Willman, Ania
    et al.
    Leksell, Janeth
    Nursing research: Strategies; Swedish society of Nursing2011Conference paper (Refereed)
    Abstract [en]

    The nursing research aim to promote renewing and improving nursing care both nationally and internationally. In order to highlight the impact of nursing research the Swedish Society of Nursing has developed "Nursing research Strategies". The strategy includes the following parts: premises for the strategy, work strategies, and priority areas for better health. Premises for the strategy is that research is creative and innovative, of high quality and carried out together with other know-ledge areas. Research in nursing have the readiness to act and the knowledge to initiate, participate in and direct quality improvement within the areas in wich the research is conducted. Nurses should conduct research as a natural part of their clinical professional work. The Swedish Society of Nursing is working to ensure that resources for nursing research is strengthened and to ensure that nursing science as a discipline has good prerequisites for continuous development in creative research environments. the following areas are of high priority for better health: children's and young adults' health; mental health; needs of the elderly; needs of families and relatives and the provision of care; patient and relatives with different ethnic and cultural backgrounds; priorities for the provision of safe healthcare; national quality registers; nursing informatics and global perspective on nursing. Furthermore intervention and implementation research as well as meta-analysis and meta-synthesis are important conditions to ensure better care.

  • 66.
    Willman, Ania
    et al.
    Blekinge Institute of Technology, School of Health Science.
    Stoltz, Peter
    Bahtsevani, Christel
    Evidensbaserad omvårdnad. En bro mellan forskning & klinisk verksamhet2011Book (Other academic)
    Abstract [sv]

    Evidensbaserad omvårdnad definieras i denna bok som både ett förhållningssätt och en process. Förhållningssättet innebär en vilja att använda bästa tillgängliga vetenskapliga bevis som underlag för vårdbeslut. Processen består i hur man praktiskt går tillväga för att finna, sammanställa, kritiskt värdera och implementera detta underlag. Evidensbaserad omvårdnad handlar således om en strävan att bedriva omvårdnad på en god och säker grund och att tillgodose samhällets krav på att forskningsresultat utnyttjas på bästa sätt. Denna tredje upplaga har förtydligats framförallt avseende sammanvägning av resultat från de kvalitetsgranskade studier som databassökningarna identifierar. Ett särskilt avsnitt med vidare hänvisning till fördjupningslitteratur för sammanvägning av studier med kvalitativ analysmetod har också tillkommit. Bokens webbplats är kraftigt uppdaterad med nya miniföreläsningar av författarna och en film som visar evidensbaserad omvårdnad i klinisk praktik.

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