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Jakobsson, Liselotte
Publications (10 of 34) Show all publications
Glimelius Petersson, C., Jakobsson, L., Westergren, A. & Bergbom, I. (2021). Factors and health-related quality of life associated with participation in a post-ICU follow-up. A register study.. Acta Anaesthesiologica Scandinavica, 65(7), 902-911
Open this publication in new window or tab >>Factors and health-related quality of life associated with participation in a post-ICU follow-up. A register study.
2021 (English)In: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 65, no 7, p. 902-911Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Follow-up for heterogeneous intensive care patients presents challenges for rehabilitation interventions and outcome measurements. The aim was to describe and explore characteristics and determinants for visiting/not visiting a nurse-led clinic (NLC) at different time-points, and to describe physical and mental health (HRQoL) over time.

METHODS: Patients with a length of stay (LOS) of ≥72 hours, discharged from a general intensive care unit 2004-2014, who participated in a six-month follow-up programme offering visits to NLC at two and six months were included. The register study includes information regarding patients' participation in NLC, clinical and demographic data from the Patient Administrative System within Intensive care, and data on two-, six- and 12- month HRQoL by using SF-36 from the Swedish Intensive care Registry.

RESULTS: Of 656 patients, 57% visited the NLC on some occasion. These patients were younger (P=0.000), had lower Simplified Acute Physiology scores (P=0.001) and higher SF-36 physical health domain scores at two months (P<0.05) compared to those not visiting at all. Visitors at two months only were younger, had shorter LOS and higher physical and mental domain scores than patients visiting at six months only. Patients visiting the NLC scored significantly higher in all domains from 2-12 months, whereas non-visiting-patients´ did this in four out of eight domains during the same time frame.

CONCLUSION: Individual patient's characteristics and current health conditions seem to influence visits to NLC or not. The findings may contribute to development of existing routines to match the diversity of patients' needs and life situations.

Keywords
Follow-up, Health-related quality of life, Intensive care, Nurse-led clinic, Nursing, Register, study
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-21696 (URN)10.1111/aas.13811 (DOI)000630669400001 ()33650105 (PubMedID)
Available from: 2021-03-05 Created: 2021-03-05 Last updated: 2021-08-09Bibliographically approved
Uman, T., Edfors, E. & Jakobsson, L. (2020). Cultural diversity in nursing teams: triggers, team process and contingencies. International Journal of Health Professions, 7(1), 90-100
Open this publication in new window or tab >>Cultural diversity in nursing teams: triggers, team process and contingencies
2020 (English)In: International Journal of Health Professions, ISSN 2296-990X, Vol. 7, no 1, p. 90-100Article in journal (Refereed) Published
Abstract [en]

Introduction: The study explored cultural diversity in nursing teams and the internal and external conditions under which cultural differencesrepresent an asset or a liability for these teams.

Methods: A qualitative design with content analysis was employed. In total, 18 interviews were conducted with nurses and assistant nurseswith experience of working in culturally diverse teams in three distinct clinical settings.

Results: Three domains emerged in the study analysis: triggers, team process and contingencies. Each one encompassed a number of themesrelated to culturally diverse nursing team processes, triggers of team processes and context-specific contingencies, which represent the complexityof culturally diverse nursing team functioning.

Discussion/implications: The study suggests how cultural differences in nursing teams can be managed and further explored from within theteam and by individuals leading those teams, taking into account the disablers and enablers of their functioning.

Keywords
Cultural diversity, nursing teams, triggers, team process, contingencies, Sweden
National Category
Other Health Sciences
Identifiers
urn:nbn:se:hkr:diva-21436 (URN)10.2478/ijhp-2020-0009 (DOI)
Available from: 2020-12-17 Created: 2020-12-17 Last updated: 2021-01-07Bibliographically approved
Dahlbo, M., Jakobsson, L. & Lundqvist, P. (2017). Keeping the child in focus while supporting the family: Swedish child healthcare nurses experiences of encountering families where child maltreatment is present or suspected. Journal of Child Health Care, 21(1), 103-111
Open this publication in new window or tab >>Keeping the child in focus while supporting the family: Swedish child healthcare nurses experiences of encountering families where child maltreatment is present or suspected
2017 (English)In: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 21, no 1, p. 103-111Article in journal (Refereed) Published
Abstract [en]

Child maltreatment can lead to acute and long-term consequences, and it is important that at-risk children are identified early. Child healthcare (CHC) nurses in Sweden are in a position to identify child maltreatment, as they follow children and their parents from the child's birth to school age. Therefore, the aim was to describe CHC nurses' experiences when encountering families in which child maltreatment was identified or suspected. Individual open interviews with eight CHC nurses were performed and analysed using a qualitative content analysis. Findings revealed that keeping the child in focus, while supporting the family was essential for the nurses. This family-centred approach was assumed to benefit the child's interests. Meeting families where child maltreatment was identified or suspected influenced the nurses, emotionally in different ways. Nevertheless, it was important to keep an open mind and communication build on honesty. Furthermore, the nurses requested professional supervision in order to help them learn from the situation ahead of the next time. This knowledge about CHC nurses' experiences may form a basis for the development of interventions that aim to support the CHC nurses in their professional role, and thereby improve support to children and parents in the future.

Keywords
Child abuse, family-centred care, nurse-family relationships, qualitative approaches
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-16667 (URN)10.1177/1367493516686200 (DOI)000397413600012 ()
Available from: 2017-04-25 Created: 2017-04-25 Last updated: 2021-09-21Bibliographically approved
Jakobsson, L., Nilsson, P. & Fransson, P. (2017). The influence from sense of coherence on perceived health after prostatectomy: a 5 year follow up. Medical and Clinical Research, 2(2)
Open this publication in new window or tab >>The influence from sense of coherence on perceived health after prostatectomy: a 5 year follow up
2017 (English)In: Medical and Clinical Research, ISSN 0976-5530, Vol. 2, no 2Article in journal (Refereed) Published
Abstract [en]

The purpose of the study was to to describe which factors of health related quality of life were associated with a high sense of coherence in a 5 year perspective. The sense of coherence, SOC-scale, EORTC QLQ C-30 and PR 25 questionnaires were applied to a sample of 222 men at baseline and over 5 years following radical prostatectomy. Result showed significant association to SOC in psychological aspects (emotional and cognitive functioning, p=<0.00-0.04 respectively 0.04) and for hormone treatment related symptoms (i.e. manhood p=<0.05). High SOC was associated with quality of life (index) in the early post treatment period and to aspects of general functioning (role-, emotional- respectively cognitive) in year 3 and 5. High sense of coherence was interpreted to be a health resource for experiencing life quality connected to different aspects at different time points of the data collection. The result showed stability in SOC and QoL scoring over 5 years.

Keywords
Prostate Cancer, Longitudinal Study, Sense of Coherence, Quality of Life, Prostate Specific Questionnaire
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-16733 (URN)
Available from: 2017-05-11 Created: 2017-05-11 Last updated: 2017-11-21Bibliographically approved
Garmy, P. & Jakobsson, L. (2016). Utvärdering av ett samverkansprojekt mellan Cancerreahbiliteringsmottagningen och Försäkringskassan i Kristianstad. KRISTIANSTAD UNIVERSITY PRESS
Open this publication in new window or tab >>Utvärdering av ett samverkansprojekt mellan Cancerreahbiliteringsmottagningen och Försäkringskassan i Kristianstad
2016 (Swedish)Report (Other academic)
Abstract [sv]

Cancerrehabilitering ska vara en integrerad del av svensk cancervård och alla patienter med cancer och deras närstående ska få möjlighet till rehabiliteringsinsatser utifrån sina individuella behov. Försäkringskassans uppdrag är att besluta om och betala ut en stor del av de förmåner som ingår i socialförsäkringen. För att förbättra bemötandet av sjukskrivna personer med cancer, utsågs två handläggare på Försäkringskassan att inrikta sig på sjukskrivna personer med cancer. Dessa två handläggare fick extra utbildning i ämnet, och ett samarbete inleddes mellan Försäkringskassan och cancerrehabiliteringsmottagningen på Centralsjukhuset i Kristianstad. Det övergripandesyftet med studien var att undersöka patienters och medarbetares erfarenheter och upplevelser av Försäkringskassans och Cancerrehabiliteringsmottagningens insatser. Utvärderingens form har teoretiskt inspirerats av metoder som beskriver vikten av att forskningspersoner görs delaktiga i forskning och utvärdering och därmed bidrar till kunskapsutveckling. Datainsamlingen bestod av enkäter och fokusgruppsintervjuer och både kvantitativa och kvalitativa analyser har använts. Slutsatsen är att patienterna är övervägande nöjda med bemötandet från såväl handläggarna på Försäkringskassan och på Cancerrehabiliteringsmottagningen, men att mer insatser krävs för att nå alla patienter.

Place, publisher, year, edition, pages
KRISTIANSTAD UNIVERSITY PRESS, 2016. p. 52
Series
Forskningsplattformen för Hälsa i samverkan, ISSN 1652-9979 ; 6
Keywords
försäkringskassan, cancerrehabilitering, utvärdering
National Category
Other Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hkr:diva-16532 (URN)
Available from: 2017-02-08 Created: 2017-02-08 Last updated: 2017-02-13Bibliographically approved
Persson, L., Furenbäck, I. & Jakobsson, L. (2014). A new model for dealing with patients who frequently arrive spontaneously at hospital emergency departments requiring health care: a pilot study. International Journal of Nursing & Clinical Practices, 1, 103
Open this publication in new window or tab >>A new model for dealing with patients who frequently arrive spontaneously at hospital emergency departments requiring health care: a pilot study
2014 (English)In: International Journal of Nursing & Clinical Practices, Vol. 1, p. 103-Article in journal (Refereed) Published
Abstract [en]

Background: Patients who repeatedly seek care directly at hospital based somatic emergency

departments take up a large proportion of health care resources, at the same time they appear to experience low satisfaction with the care they receive. The purposes of this pilot study were to describe: I) the development of a team model for taking care of frequent visitors to a somatic hospital based ED; II) Eventual changes, over six months, in costs and patients’ health care utilization related to pilot testing the model and III), the team’s experiences of implementing the model.

Methods: A mixed method convergent parallel design was used.

Results: The development of the model began as a top-down process and later on into a bottom-up approach once the inter-professional team became involved. The new model functioned as a support for all 12 patients included in the study and collectively their visits decreased by a total of 73 visits (55%).

Conclusion: The inference quality description is that a management induced project may be accepted and actively applied when those involved experience freedom to structure the project. Increased communication between different professionals within the hospital and between different caregivers such as ED, primary health care and community social- and health-care, increases the possibility for the patients to be cared for in a sustainable and non-fragmented way.

National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-13209 (URN)10.15344/2014/ijncp/103 (DOI)
Available from: 2014-11-19 Created: 2014-11-19 Last updated: 2016-04-01Bibliographically approved
Persson, L. & Jakobsson, L. (2014). A new model for dealing with patients who frequently arrive spontaneously at hospital emergency departments requiring health care: a pilot study. In: : . Paper presented at OMICS group 2nd International Conference on Nursing and Healthcare. November, Chicago, USA.
Open this publication in new window or tab >>A new model for dealing with patients who frequently arrive spontaneously at hospital emergency departments requiring health care: a pilot study
2014 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Patients who repeatedly seek care directly at hospital based somatic emergency departments take up a large proportion of health care resources, at the same time they appear to experience low satisfaction with the care they receive  The purposes of this pilot study were to describe: I) the development of a team model for taking care of frequent visitors to  a somatic hospital based  ED; II) Eventual changes, over six months, in costs and patients’ health care utilization related to pilot testing the model and III), the team’s experiences of  implementing the model. A mixed method convergent parallel design was used. The development of the model began as a top-down process and later on in the process into a bottom-up approach once the inter-professional team became involved. The new model functioned as a support for all 12 patients included in the study and collectively their visits decreased by a total of 55%. The inference quality description is that such a management induced project may be accepted and actively applied when those involved experience freedom to structure the project. The freedom of being able to structure the model led to steps being taken that were beyond the project’s original limitations.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-13232 (URN)
Conference
OMICS group 2nd International Conference on Nursing and Healthcare. November, Chicago, USA
Available from: 2014-11-25 Created: 2014-11-25 Last updated: 2014-12-07Bibliographically approved
Persson, L., Jakobsson, L. & Ekman, I. (2014). Utvärdering av ett förändrat arbetssätt för omhändertagande av personer som upprepade gånger söker vård via akutmottagningen: rapport av en pilotstudie. Kristianstad: Kristianstad University Press
Open this publication in new window or tab >>Utvärdering av ett förändrat arbetssätt för omhändertagande av personer som upprepade gånger söker vård via akutmottagningen: rapport av en pilotstudie
2014 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Kristianstad: Kristianstad University Press, 2014. p. 21
Series
Forskningsplattformen för Hälsa i samverkan, ISSN 1652-9979 ; 2014:3
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-13399 (URN)
Available from: 2015-01-13 Created: 2015-01-13 Last updated: 2015-01-13Bibliographically approved
Jakobsson, L. (Ed.). (2013). Aktionsforskning i vård och omsorg: tillämpning och teori. Malmö: Gleerups Utbildning AB
Open this publication in new window or tab >>Aktionsforskning i vård och omsorg: tillämpning och teori
2013 (Swedish)Collection (editor) (Other academic)
Abstract [sv]

Aktionsforskning innebär ett möte mellan forskarens och praktikerns kunskapsfält. Det är genom deras samverkan som aktionsforskning sker. Praktiker kan sakna möjligheter och metoder för att synliggöra vardagsarbetet, medan forskare kan sakna att ingå i ett arbetslag och vara en del av en verksamhet. Aktionsforskning förenar praktik med teori och är ett användbart redskap i arbetet med att förändra och förbättra en verksamhet. 

I den här boken ges flera exempel på hur aktionsforskning har använts inom områden som vård och omsorg, t.ex. på en familjecentral eller vid matdistribution till äldre. Författarna ger en teoretisk introduktion till aktionsforskning och visar hur forskningsresultat kan implementeras i den dagliga verksamheten. Boken innehåller också reflektionsfrågor som utmanar läsaren att uppmärksamma både sitt eget arbete och verksamheten i stort och på så sätt hitta möjligheter till förbättring.

Aktionsforskning i vård och omsorg. Tillämpning och teori vänder sig till studerande på avancerad nivå och till yrkesverksamma inom vård, omvårdnad, socialt arbete och social omsorg.

Place, publisher, year, edition, pages
Malmö: Gleerups Utbildning AB, 2013. p. 188
National Category
Social Sciences
Identifiers
urn:nbn:se:hkr:diva-10927 (URN)978-91-40-68564-3 (ISBN)
Available from: 2013-08-16 Created: 2013-08-16 Last updated: 2014-07-31Bibliographically approved
Jakobsson, L., Persson, L. & Lundqvist, P. (2013). Daily life and life quality 3 years following prostate cancer treatment. BMC Nursing, 12, 11
Open this publication in new window or tab >>Daily life and life quality 3 years following prostate cancer treatment
2013 (English)In: BMC Nursing, E-ISSN 1472-6955, Vol. 12, p. 11-Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Knowledge of experiences from prostate cancer is sparse in a longitudinal perspective. From a nursing perspective, results from combined qualitative and quantitative studies are lacking however would present the broadest knowledge base for best practice. Present descriptions of medical-physical symptoms such as urinary, bowel and sexual dysfunction from quantitative inquiries need be complemented with qualitative results. Such knowledge is essential in relation to treatment and communication with patients over the years and not only shortly after surgery.

METHODS: A longitudinal study was formatted to investigate general and specific health quality and sense of coherence quantitative alterations over three years. A general health quality module (EORTC QLC-C30) and a disease-specific module (EORTC PR-25) were applied for the longitudinal study together with the Orientation to life questionnaire (SOC), measuring a persons' sense of coherence. In order to strengthen reliability and compensate for low participation we used the Directed content analysis for interviewing and analysis. The method allows using findings from earlier research when interviewing along with detecting new areas. Twenty-one men were followed over three years and six of them, in the third year, accepted to be interviewed.

RESULTS: We found high quality of life ratings and extended the study with follow-up interviews in year three, to investigate whether questionnaire results were in line with interview findings. We found high life quality and functioning ratings that were in line with qualitative descriptions. Interview analysis showed retrieval of life as lived before, yet in a different way, the men never forgot the diagnosis event, had a unique illness history worth hearing, and had come to terms with most treatment-related shortcomings. Sense of coherence ratings were medium to high and confirmed stability over time in comprehensibility, manageability and meaningfulness after prostate cancer treatment.

CONCLUSIONS: Over the years, the men's negative experiences from shifted into 'a good life' though in a different way than before. The interpretation is supported in the study by quantitative results showing a high degree of functioning. The men's sense of coherence seamed to support their handling of life three years after prostate cancer treatment.

Keywords
Prostate cancer, Longitudinal case study, Quality of life, Sexual life, Sense of coherence, Interview, Mixed method
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-10475 (URN)10.1186/1472-6955-12-11 (DOI)23574878 (PubMedID)
Available from: 2013-04-29 Created: 2013-04-29 Last updated: 2024-07-04Bibliographically approved
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