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  • 11701.
    Westergren, Albert
    Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.
    Preventiva hembesök till seniorer: för ett hälsosamt och oberoende liv2017Conference paper (Other academic)
  • 11702.
    Westergren, Albert
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Preventiva hembesök till seniorer för ett hälsosamt och oberoende åldrande2018Conference paper (Other (popular science, discussion, etc.))
  • 11703.
    Westergren, Albert
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Punktprevalensstudier som metod för systematisk uppföljning2013Other (Other academic)
  • 11704.
    Westergren, Albert
    Kristianstad University College, Department of Health Sciences.
    Påverkan på ätandet när man blir äldre2003In: Westergren, Albert (red.), Svårigheter att äta, Lund: Studentlitteratur , 2003, p. 47-53Chapter in book (Other (popular science, discussion, etc.))
  • 11705.
    Westergren, Albert
    Lund University.
    Retoriska ”knep” för 15 minutersföredraget [Rhetoric ”tricks” for the 15 minutes lecture]2005In: Vård i Norden, Vol. 25, no 3, p. 74-75Article in journal (Refereed)
    Abstract [en]

    To perform a scientific speech in

    fifteen minutes is sometimes more

    demanding than to have a longer

    lecture especially with regard to

    make the audience capture the

    most central messages. The use of

    rethoric tools can help the speeker

    to make a good performance

    and the audience to learn something

    from the lecture. This article

    aim at presenting a selection of

    rethoric tools to be used in the

    short scientific speech.

  • 11706.
    Westergren, Albert
    Kristianstad University, Department of Health Sciences.
    Sjukdomars inverkan på ätandet2003In: Svårigheter att äta / [ed] Westergren, Albert, Lund: Studentlitteratur , 2003, p. 67-74Chapter in book (Other (popular science, discussion, etc.))
  • 11707.
    Westergren, Albert
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Studiecirklar kring näring och ätande2013Other (Other academic)
  • 11708.
    Westergren, Albert
    Kristianstad University College, Department of Health Sciences.
    Svårigheter att äta2003Collection (editor) (Other academic)
    Abstract [sv]

    I denna bok sätts äldres ätande i fokus i stället för, som brukligt är, deras nutrition. Författarna utgår från de senaste forskningsrönen och visar på den praktiska betydelsen av forskningens resultat.

    Följande aspekter på äldres ätande tas upp:

    • ätandet ur ett socialt och kulturellt perspektiv

    • måltidsvanor, måltidsmiljö och rutiner

    • åldrandets, sjukdomars och munhälsans inverkan på ätandet

    • bedömning, behandling och bekräftelse vid svårigheter att äta

    • konsekvenser av svårigheter att äta

    • etiska aspekter på ätande

    • utbildning om ätande.

    Boken är allmängiltigt för alla som på något sätt arbetar med måltidsrelaterade uppgifter och äldres ätande på sjukhus, inom särskilt och ordinärt boende. Boken vänder sig även till studerande inom högskola och universitet.

    VÅRDlitt-serien är en utveckling av den tidigare FoU-serien som Vårdförbundet initierat i syfte att stärka medlemmarna i den professionella yrkesutövningen.

    Syftet med serien är att:

    • stimulera till utveckling av läromedel och fackböcker

    • göra kunskapen tillgänglig

    • synliggöra dess tillämpbarhet

    • sprida angelägen kunskap.

  • 11709.
    Westergren, Albert
    Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Så här lyckades vi: från forskning till innovation minskar risk för undernäring2016In: Innovationsarenan – en katalysator för innovation och utveckling / [ed] Jeanette Thelander, Kristianstad: Högskolan Kristianstad , 2016, p. 26-29Chapter in book (Other (popular science, discussion, etc.))
  • 11710.
    Westergren, Albert
    Lunds universitet.
    Texter i enskilda kapitel2006In: Nationella riktlinjer för strokesjukvård 2005: medicinskt och hälsoekonomiskt faktadokument / [ed] Socialstyrelsen, Stockholm: Socialstyrelsen , 2006Chapter in book (Other academic)
  • 11711.
    Westergren, Albert
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health.
    The Minimal Eating Observation Form – Version II (MEOF-II) revisited – validity and reliability.2019In: Article in journal (Refereed)
  • 11712.
    Westergren, Albert
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön PRO-CARE.
    Three generations of nurses – from practice to theory and research in a 99 year perspective2012Conference paper (Refereed)
  • 11713.
    Westergren, Albert
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health.
    Undernäring hos äldre2018Book (Other (popular science, discussion, etc.))
  • 11714.
    Westergren, Albert
    Kristianstad University, School of Health and Society. Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health.
    Undernäring hos äldre av Albert Westergren: bokrecension skriven av Gunnar Johansson, professor i kostvetenskap2019In: Dietistaktuellt, no 3, p. 35-35Article, book review (Other (popular science, discussion, etc.))
  • 11715.
    Westergren, Albert
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Undernäring och fallrisk: ett folkhälsoproblem?2015Conference paper (Other academic)
  • 11716.
    Westergren, Albert
    Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.
    Undernäring och fallrisk: ett folkhälsoproblem? Nordens största konferens med fokus på geriatrik och palliativ medicin2015Conference paper (Other academic)
  • 11717.
    Westergren, Albert
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health.
    Undernärings hos äldre: av Albert Westergren2019In: Svensk Geriatrik, ISSN 2001-2047, no 2, p. 30-30Article, book review (Other (popular science, discussion, etc.))
  • 11718.
    Westergren, Albert
    Kristianstad University, Department of Health Sciences.
    Upptäckt av svårigheter att äta på sjukhus2003In: Svårigheter att äta / [ed] Westergren, Albert, Lund: Studentlitteratur , 2003, p. 75-89Chapter in book (Other (popular science, discussion, etc.))
  • 11719.
    Westergren, Albert
    Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Verktyg avslöjar dolda ätstörningar2015In: Äldreomsorg, ISSN 1403-7025, no 6, p. 20-21Article, review/survey (Other academic)
  • 11720.
    Westergren, Albert
    Kristianstad University College, School of Health and Society.
    Vikten av mat för vikten, hälsan och välbefinnandet2009In: Nordisk geriatrik, ISSN 1403-2082, no 5, p. 32-39Article in journal (Other (popular science, discussion, etc.))
  • 11721.
    Westergren, Albert
    Kristianstad University, Research Environment PRO-CARE. Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I.
    What makes a good peer review?: an author’s perspective2006In: Nurse author & editor, ISSN 1750-4910, Vol. 16, no 2, p. 3-3Article in journal (Other academic)
  • 11722.
    Westergren, Albert
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön PRO-CARE.
    Ätförmåga2012In: Stroke: patienters, närståendes och vårdares perspektiv / [ed] Ann-Cathrin Jönsson, Lund: Studentlitteratur, 2012, p. 85-101Chapter in book (Other academic)
  • 11723.
    Westergren, Albert
    et al.
    Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, Research Platform for Collaboration for Health.
    Att äta och dricka2017In: Omvårdnad & äldre / [ed] Kerstin Blomqvist, Anna-Karin Edberg, Marie Ernsth Bravell, Helle Wijk, Lund: Studentlitteratur, 2017, p. 253-271Chapter in book (Other academic)
  • 11724.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön PRO-CARE.
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Johanssen, A.
    Strategier för tobaksavvänjning - det osynliga munhälsoarbetet2011Conference paper (Refereed)
  • 11725.
    Westergren, Albert
    et al.
    Kristianstad University College, School of Health and Society.
    Axelsson, Carolina
    Kristianstad University College, School of Health and Society.
    Lilja-Andersson, Petra
    Kristianstad University College, School of Health and Society.
    Lindholm, Christina
    Kristianstad University College, School of Health and Society.
    Petersson, Karin
    Department of Food and Restaurant, Social Service, Municipality of Kristianstad.
    Ulander, Kerstin
    Kristianstad University College, School of Health and Society.
    Study circles improve the precision in nutritional care in special accommodations2009In: Food and Nutrition Research, ISSN 1654-6628, Vol. 53, p. 8Article in journal (Refereed)
    Abstract [en]

    Background: Disease-related malnutrition is a major health problem in the elderly population, but it has until recently received very little attention, especially are management issues under-explored. By identifying residents at the risk of undernutrition, appropriate nutritional care can be provided.

    Objectives: Do study circles and policy documents improve the precision in nutritional care and decrease the prevalence of low or high BMI?

    Design: Pre and post intervention study.

    Setting: Special accommodations (nursing homes) within six municipalities were involved.

    Participants: In 2005, 1726 (90.4%) out of 1910 residents agreed to participate and in 2007, 1526 (81.8%) out of 1866 residents participated.

    Intervention: Study circles in one municipality, having a policy document in one municipality and no intervention in four municipalities.

    Measurements: Risk of undernutrition was defined as involving any of: involuntary weight loss, low BMI, and/or eating difficulties. Overweight was defined as high BMI.

    Results: In 2005 and 2007, 64% of 1726 and 66% of 1526 residents respectively were at the risk of undernutrition. In 2007 significantly more patients in the study circle municipality were accurately provided protein and energy enriched food compared to in the no intervention municipalities. There was a decrease in the prevalence of low BMI in the study circle municipality and the prevalence of overweight increased in the policy document municipality between 2005 and 2007.

  • 11726.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Blomqvist, Kerstin
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Edberg, Anna-Karin
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Petersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Sätt måltidsupplevelsen i centrum2012In: Kristianstadsbladet, ISSN 1103-9523, no 16/6, p. B4-Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Måltidsupplevelsen påverkas av så mycket; ljuset i lokalen, ljud, dukning, servering, bemötande, maten, smakerna, doften och sällskapet. Men hur kan den kunskapen omsättas på sjukhus och äldreboenden? Det skriver Albert Westergren, professor i omvårdnad, Kerstin Blomqvist, biträdande professor i klinisk omvårdnad, Anna-Karin Edberg, professor i omvårdnad, och Pia Petersson, ansvarig för sjuksköterskeprogrammet, samtliga på Högskolan Kristianstad.

  • 11727.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Broman, Jan-Erik
    Uppsala universitet.
    Hellström, Amanda
    Blekinge tekniska högskola & Linnéuniversitetet.
    Fagerström, Cecilia
    Blekinge tekniska högskola.
    Willman, Ania
    Blekinge tekniska högskola.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    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.

  • 11728.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön PRO-CARE.
    Edfors, Ellinor
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön PRO-CARE.
    Nursing students gain tools for knowledge utilisation through a work and research integrated learning assignment – a qualitative study2013In: Journal of Nursing Education and Practice, ISSN 1925-4040, Vol. 3, no 1Article in journal (Refereed)
    Abstract [en]

    Background: By integrating education, research and collaboration with society, in a learning assignment, the level of nursing students learning can be enhanced.

    Aim: The purpose of this study was to explore nursing students’ experiences of participating in a work and research integrated learning assignment during their clinical practice courses.

    Methods: At the end of their nursing training, in their sixth semester, five nursing students were recruited to the study and interviewed after which the texts of interviews were analysed using content analysis. The participants had been involved in two studies, one during their second semester, where the risk of falling was assessed, and one during their sixth semester where the risk for under nutrition was assessed.

    Results: The students experienced that the two assignments enhanced their learning in how to work as a foreman/supervisor, how to inform and engage in dialogue, about using risk assessment, and further, gave them the opportunity to meet the people behind the diagnosis. Through assignments they could also identify the need for knowledge within the study focus, for instance, the risks for falling or the risk of undernourishment. Further, they described how they tried to live up to the ethical standards and that they had learned about using a scientific approach in their work.

    Conclusion: It is possible to integrate Research, Education and Collaboration in a learning assignment during Nursing education (RECN-assignment) by allowing nursing students to participate in an actual research project during their work integrated learning courses. Such an approach enhances nursing students learning about research and the area being studied in the actual research project.

  • 11729.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE. Kristianstad University, Research Platform for Collaboration for Health.
    Edfors, Ellinor
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Hedin, Gita
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE. Kristianstad University, Research Platform for Collaboration for Health.
    Improving nursing students research knowledge through participation in a study about nutrition, its associated factors and assessment2013In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 3, no 8, p. 50-58Article in journal (Refereed)
    Abstract [en]

    Aims: The aims of this study were threefold: 1) to explore nursing students perceptions of knowledge development after participating in an actual research project; 2) to explore undernutrition and its relationship to other clinical factors; 3) to explore the user-friendliness of the Minimal Eating Observation and Nutrition Form (MEONF-II) in relation to dependency in Activities of Daily Living (ADL).

    Methods: A pilot study (Study 1, S1) was conducted in October 2010, including 281 patients. After extending the research protocol a second data collection (S2) was conducted in March 2011, including 236 patients (total n=517). First and third year nursing students (n=188) collected the data, during one day of their clinical practice courses by assessing three patients each in hospitals or nursing homes. Students answered questions about their experiences from participating in the study. Patient related assessments included: MEONF-II; ADL dependency (S1 and S2); insomnia; low-spiritedness; and subjective health (S2). In addition, questions about the user-friendliness of MEONF-II were included (S1 and S2).

    Results: Among the nursing students, 51% experienced that their knowledge about nutrition increased and 67% that their understanding for research increased by participating in the project. Out of the patients, 57% were women, 50% were almost independent, 27% had some dependency, 23% were almost totally dependent in ADL, and 48% were at moderate/ high undernutrition risk. In S2, 32% of patients had insomnia, and 46% experienced low-spiritedness. Dependency in 5-6 and 3-4 ADLs (OR, 2.439 and 2.057, respectively), compared to dependency in 0-2 ADLs, were the strongest predictors for undernutrition risk, followed by insomnia (OR 2.124). Nursing students experienced the MEONF-II as easy to understand (93%), easy to answer (94%) and relevant (94%), and the suggestions for measures to take in case of risk as relevant (95%), independent of the patients’ ADL status.

    Conclusions: By participating in an actual research project nursing students gets an understanding for research and tools for working with quality improvements in their future role as professional nurses. Undernutrition, mental and physical factors constitute coexisting problems in need for further investigation. Nursing students perceive the MEONF-II as user-friendly, independent of patient ADL dependency.

  • 11730.
    Westergren, Albert
    et al.
    Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Edfors, Ellinor
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Norberg, Erika
    Central Hospital Kristianstad.
    Stubbendorff, Anna
    County Council Skane.
    Hedin, Gita
    Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap.
    Wetterstrand, Martin
    Kristianstad University, School of Health and Society, Avdelningen för Design och datavetenskap.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Long-term effects of a computer-based nutritional training program for inpatient hospital care2017In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 23, no 4, p. 797-802Article in journal (Refereed)
    Abstract [en]

    Rationale

    A previous short-term study showed that a computer-based training in eating and nutrition increased the probability for hospital inpatients at undernutrition (UN) risk to receive nutritional treatment and care without increasing overtreatment (providing nutritional treatment to those not at UN risk).

    The aim of this study was to investigate if a computer-based training in eating and nutrition influences the precision in nutritional treatment and care in a longer-term perspective.

    Method

    A preintervention and postintervention study was conducted with a cross-sectional design at each time points (baseline and 7 months postintervention). Hospital inpatients > 18 years old at baseline (2013; n = 201) and follow-up (2014; n = 209) were included. A computer-based training was implemented during a period of 3 months with 297 (84%) participating registered nurses and nurse assistants. Undernutrition risk was screened for using the minimal eating observation and nutrition form-version II. Nutritional treatment and care was recorded using a standardized protocol.

    Results

    The share of patients at UN risk that received energy-dense food (+ 25.2%) and dietician consultations (+ 22.3%) increased between baseline and follow-up, while fewer received oral nutritional supplements (-18.9%). "Overtreatment" (providing nutritional treatment to those not at UN risk) did not change between baseline and follow-up.

    Conclusion

    The computer-based training increased the provision of energy-dense food and dietician consultations to patients at UN risk without increasing overtreatment of patients without UN risk.

  • 11731.
    Westergren, Albert
    et al.
    Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Edfors, Ellinor
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Norberg, Erika
    Central Hospital Kristianstad.
    Stubbendorff, Anna
    The County Council of Skåne.
    Hedin, Gita
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Wetterstrand, Martin
    Kristianstad University, School of Health and Society, Avdelningen för Design och datavetenskap.
    Hagell, Peter
    Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Short-term effects of a computer-based nutritional nursing training program for inpatient hospital care2016In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 22, no 5, p. 799-807Article in journal (Refereed)
    Abstract [en]

    RATIONALE: This study aimed to explore whether a computer-based training in eating and nutrition for hospital nursing staff can influence the precision in nutritional treatment and care.

    METHOD: A pre-intervention and post-intervention study was conducted with a cross-sectional design at each time point. The settings were one intervention (IH) and two control hospitals (CH1 and CH2). Hospital inpatients >18 years old at baseline (2012; n = 409) and follow-up (2014; n = 456) were included. The computer-based training was implemented during a period of 3 months in the IH with 297 (84%) participating registered nurses and nurse assistants. Nutritional risk was screened for using the Minimal Eating Observation and Nutrition Form. Nutritional treatment and care was recorded using a standardized protocol RESULTS: In the IH, there was an increase in the share of patients at UN risk that received energy-dense food (+16.7%) and dietician consultations (+17.3%) between baseline and follow-up, while fewer received feeding assistance (-16.2%). There was an increase in the share of patients at UN risk that received energy-dense food (+19.5%), a decrease in oral nutritional supplements (-30.5%) and food-registrations (-30.6%) in CH1, whereas there were no changes in CH2. 'Overtreatment' (providing nutritional treatment to those not at UN risk) was significantly higher in CH2 (52.7%) than in CH1 (14.3%) and in the IH (25.2%) at follow-up.

    CONCLUSION: The computer-based training seemed to increase the probability for patients at UN risk in the IH to receive nutritional treatment without increasing overtreatment.

  • 11732.
    Westergren, Albert
    et al.
    Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.
    Edfors, Ellinor
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Norberg, Erika
    Central Hospital Kristianstad .
    Stubbendorff, Anna
    The County Council of Skåne.
    Hedin, Gita
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Wetterstrand, Martin
    Kristianstad University, School of Health and Society, Avdelningen för Design och datavetenskap.
    Rosas, Scott R
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health.
    Computer-based training in eating and nutrition facilitates person-centered hospital care: a group concept mapping study2018In: Computers, Informatics, Nursing, ISSN 1538-2931, E-ISSN 1538-9774, Vol. 36, no 4, p. 199-207Article in journal (Refereed)
    Abstract [en]

    Studies have shown that computer-based training in eating and nutrition for hospital nursing staff increased the likelihood that patients at risk of undernutrition would receive nutritional interventions. This article seeks to provide understanding from the perspective of nursing staff of conceptually important areas for computer-based nutritional training, and their relative importance to nutritional care, following completion of the training. Group concept mapping, an integrated qualitative and quantitative methodology, was used to conceptualize important factors relating to the training experiences through four focus groups (n = 43), statement sorting (n = 38), and importance rating (n = 32), followed by multidimensional scaling and cluster analysis. Sorting of 38 statements yielded four clusters. These clusters (number of statements) were as follows: personal competence and development (10), practice close care development (10), patient safety (9), and awareness about the nutrition care process (9). First and second clusters represented "the learning organization," and third and fourth represented "quality improvement." These findings provide a conceptual basis for understanding the importance of training in eating and nutrition, which contributes to a learning organization and quality improvement, and can be linked to and facilitates person-centered nutritional care and patient safety.

  • 11733.
    Westergren, Albert
    et al.
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health.
    Garpsäter, Josephine
    Dietisternas riksförbund.
    Stuhr Olsson, Gunnel
    Findus AB.
    Äldre som bor hemma hotas av undernäring: Debattörerna: Nu måste hemtjänsten få hjälp av fler dietister2018In: AftonbladetArticle in journal (Other (popular science, discussion, etc.))
  • 11734.
    Westergren, Albert
    et al.
    Division of Gerontology and Caring Sciences, Department of Health Sciences, Faculty of Medicine, Lund University.
    Hagell, Peter
    Division of Gerontology and Caring Sciences, Department of Health Sciences, Faculty of Medicine, Lund University.
    Initial validation of the Swedish version of the London Handicap Scale2006In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 15, no 7, p. 1251-1256Article in journal (Refereed)
    Abstract [sv]

    Objective: To adapt and evaluate the unweighted version of the London Handicap Scale (LHS) for use in Sweden.

    Materials & Methods: Respondent burden, linguistic validity and patient perceived relevance was assessed in 16 neurologically ill patients. Internal consistency reliability and construct validity were evaluated among 89 stroke survivors six months after discharge.

    Results: Patients perceived the LHS as relevant and easy to understand and complete. Mean time to complete the questionnaire was 10 min. Cronbach’s alpha reliability was 0.85. The LHS differentiated between patients living at home and in special accommodations. As expected, scores correlated strongly and weakly with indices of related and more remote constructs, respectively. There were no floor-, but large ceiling effects.

    Conclusions: The observations reported here are in accordance with previous studies using the original British LHS and provide initial support for the reliability and validity of the instrument for use in Sweden. However, ceiling effects may limit its usefulness as an outcome measure.

  • 11735.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I. Kristianstad University, Research Environment PRO-CARE.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I. Kristianstad University, Research Environment PRO-CARE. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Measurement properties of the 12-item Short-Form Health Survey in stroke2014In: Journal of Neuroscience Nursing, ISSN 0888-0395, E-ISSN 1945-2810, Vol. 46, no 1, p. 34-45Article in journal (Refereed)
    Abstract [en]

    Background: The 12-item Short-Form Health Survey (SF-12) was developed to measure perceived physical and mental health. Some studies of the psychometric properties, using classical test theory, of the SF-12 provide support for its use in patients with stroke, but it has not been scrutinized using recommended modern test theory approaches such as the Rasch measurement model among stroke survivors.

    Objectives: This study sought to explore the measurement properties of the SF-12 physical and mental health scales among people with stroke using the Rasch measurement model.

    Design: A cross-sectional design was used in this study.

    Methods: All patients discharged from a dedicated stroke unit in southern Sweden during 6 months were asked to participate 6 months later. Of 120 stroke survivors, 89 (74%) agreed to participate. Rasch analysis was used to assess the measurement properties of the SF-12 physical and mental component summary scores (PCS-12 and MCS-12, respectively).

    Results: For the PCS-12, we identified problems with targeting, overall and item-level fit, representing local response dependency, and multidimensionality. For the MCS-12, there were problems related to targeting (the persons felt better than the scale could conceptualize) and response categories that did not function as expected. However, MCS-12 items displayed reasonable model fit without indications of multidimensionality but with signs of local response dependency.

    Conclusion: The measurement properties of the MCS-12 in stroke appear reasonable unless milder mental health problems are of interest, whereas those of the PCS-12 are less acceptable. Given the interdependence between MCS-12 and PCS-12 that is inherent with the standard SF-12 scoring algorithm, such data should be interpreted with caution.

  • 11736.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Screening for nutritional risk among home dwelling elderly people without service from the municipality2011In: Clinical Nutrition, ISSN 0261-5614, E-ISSN 1532-1983, Vol. 6, no Suppl. 1, p. 87-Article in journal (Refereed)
    Abstract [en]

    Risk factors for malnutrition were frequent mamong elderly persons and calls for preventive actions through information about how to eat healthy. This information can be provided during preventive home visits.

  • 11737.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Undernutrition, mental and physical factors form a triad of coexisting problems2012In: Clinical Nutrition, ISSN 0261-5614, E-ISSN 1532-1983, Vol. 7, no Suppl.1, p. 117-Article in journal (Refereed)
  • 11738.
    Westergren, Albert
    et al.
    Kristianstad University, Research Environment PRO-CARE. Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I.
    Hagell, Peter
    Kristianstad University, Research Environment PRO-CARE. Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I.
    Hedin, Gita
    Kristianstad University, Research Environment PRO-CARE. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Smärta: en studie genomförd med hjälp från studenter i sjuksköterskeprogrammet2014Report (Other academic)
    Abstract [sv]

    Syfte: Syftet med studien var att undersöka förekomst och grad av smärta hos vårdtagare och att jämföra två metoder för skattning av smärta, verbal skattning av smärta samt skattning med hjälp av VAS (Visuell Analog Skala). Vidare är syftet att sjuksköterskestudenterna ska få träna sig med hjälp av olika bedömningsinstrument identifiera problem med smärta samt reflektera över Metod: Sjuksköterskestudenter från första och sista året i utbildningen genomförde skattningar på vårdtagare vid den praktikplats där de genomförde sin verksamhetsförlagda utbildning (VFU) på sjukhus eller i särskilda boenden (SB, här även inkluderat avancerad sjukvård i hemmet (ASIH)). Vårdtagare gav sitt informerade samtycke till att medverka i studien som genomfördes under en dag. Vårdtagarna fick skatta sin smärta med verbal skattning samt med VAS. Totalt ingick 1769 vårdtagare i studien varav 1432 var på sjukhus och 1337 i SB/ASIH. På sjukhus var 54.3% kvinnor och 45.7% män, inom SB/ASIH var fördelningen 63.8% respektive 35.9%.

    Resultat: På sjukhus upplevde 48.4% av respondenterna sin grad av sjukdom som "svår" respektive 30.1% vid SB/ASIH. Vid sjukhus angav 27.8% någon form av smärta när den "var som värst", respektive 31.8% vid SB/ASIH. När smärtan "var som minst" var det 39.9% vid sjukhus som uppgav "ingen smärta" och inom SB/ASIH var det 43.1%. Vad gäller smärta "i genomsnitt" var det 22.1% som uppgav "ingen smärta" vid sjukhus, och 22.3% vid SB/ASIH.

    Slutsats: Smärta var väldigt vanligt både på sjukhus och i SB/ASIH.

  • 11739.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Lindgren, Emma
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Sömnsvårigheter inom vård och omsorg: en studie genomförd med hjälp av studenter i sjuksköterskeprogrammet2012Report (Other academic)
    Abstract [sv]

    Syftet med studien var att undersöka förekomsten av sömnsvårigheter bland personer på sjukhus, särskilt boende samt inom hemsjukvård/kvalificerad vård i hemmet (KVH), samt att jämföra sömnen hemma och på sjukhus för de personer som befann sig på sjukhus. Vidare var syftet att högskolestudenter inom sjuksköterskeprogrammet skulle få träning i kritiskt tänkande, reflektion och  att  introducera  evidensbaserade  verktyg/instrument  för  att  underlätta  beslut  rörande patientsäkerhet.

    Metod:  Datainsamlingen  utfördes  av  sjuksköterskestudenter  i  kurs  6  och  16  under  deras verksamhetsförlagda utbildning på sjukhus, särskilt boende, hemsjukvård och KVH, 2011. Även kliniska adjunkter/kliniska lärare och personal i verksamheterna medverkade till genomförandet. Studenterna fick genom datainsamlingen träning i att ge information till personal och patient/ vårdtagare, sammanställa resultat från enheten/avdelningen, samt att återrapportera och reflektera över resultaten. Screening avseende störd nattsömn (insomni) och dagsömnighet gjordes baserat på bedömninsinstrumenten The Pittsburgh Sleep Quality Index (PSQI), Minimal Insomnia Symptom Scale (MISS), Scales for Outcomes in PArkinson’s disease – Sleep (SCOPA-Sleep), Parkinson’s Disease Questionnaire-39 (PDQ-39) och Epworth Sleepiness Scale (ESS). Varje sjuksköterskestudent tillfrågade cirka fyra patienter/vårdtagare om att medverka i studien.

    Resultat: De på sjukhus och inom hemsjukvård/KVH sover i snitt färre timmar per natt jämfört med de på särskilt boende. Det vanligaste sömnproblemet för alla tre grupper var att vakna under natten och insomni var vanligare på sjukhus och inom hemsjukvård/KVH än på särskilt boende. Det vanligaste problemet under dag- och kvällstid för de på sjukhus och inom hemsjukvård/KVH var att somna under tiden när man tittat på TV eller läst. För de på särskilt boende var det vanligaste problemet att plötsligt somna under dag- eller kvällstid. Vid jämförelse av sömntimmar per natt hemma och på sjukhus bland de deltagare som befann sig på sjukhus skiljde sig sömntimmarna inte markant åt. En något större andel bedömde sin sömnkvalitet som ganska dålig eller mycket dålig under sjukhusvistelsen i jämförelse med sömnkvaliteten hemma. Även insomni var något vanligare att uppleva på sjukhus än hemma. Merparten av deltagarna använde ungefär lika mycket eller mer sömntabletter på sjukhuset än hemma. Majoriteten av medverkande studenter ansåg sig ha fått en bättre vetenskaplig förståelse efter genomförd studie, med en särskilt stor andel hos kurs 16 studenterna. En något större andel avkurs 6 studenterna ansåg sig ha ökat sina kunskaper om sömnvanor/sömnproblem i jämförelsemed kurs 16 studenterna. Åtgärder för att underlätta sömnen hos patienter/vårdtagare som föreslogs utav studenterna fokuserade på personalens bemötande, dokumentation och utvärdering samt miljö och hjälpmedel. Majoriteten av studenterna var positiva till genomförandet av studien, samt upplevde att även patienter och vårdtagare förhöll sig positiva till studien. Det var många som däremot kritiserade att frågorna i frågeformuläret var snarlika och att det saknas frågor om vad eventuella sömnsvårigheter berodde på.

    Konklusion: Sjukhusvistelse var delvis associerad med negativ påverkan på sömnen. Generellt rapporterar äldre personer på särskilt boende att de sover ganska bra. Att vara delaktiga i FUSS-projekt bidrar till en bättre vetenskaplig förståelse hos flertalet sjuksköterskestudenter.

  • 11740.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I. Kristianstad University, Research Environment PRO-CARE.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I. Kristianstad University, Research Environment PRO-CARE. Kristianstad University, Research Platform for Collaboration for Health.
    Sjödahl Hammarlund, Catharina
    Kristianstad University, School of Health and Society. Kristianstad University, Research Environment PRO-CARE. Kristianstad University, Research Platform for Collaboration for Health.
    Malnutrition and risk of falling among elderly without home-help service: a cross sectional study2014In: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 18, no 10, p. 905-911Article in journal (Refereed)
    Abstract [en]

    Objectives

    The aim of this study was to explore the frequency of malnutrition risk and associated risk of falling, social and mental factors among elderly without home-help service. The aim was also to explore factors associated with risk of falling.

    Design

    A cross-sectional design was used.

    Setting

    Elderly persons own homes.

    Participants

    Data were collected during preventive home visits to 565 elderly (age range 73–90 years) without home-help service. Those with complete SCREEN II forms were included in the study (n=465).

    Measurements

    Measurements included rating scales regarding malnutrition risk (SCREEN II) and risk of falling (Downton). In addition, single-items: general health, satisfaction with life, tiredness, low-spiritedness, worries/anxiety and sleeping were used.

    Results

    According to the SCREEN II, 35% of the sample had no malnutrition risk, 35% had moderate risk and 30% had high malnutrition risk. In an ordinal regression analysis, increased malnutrition risk was associated with being a woman living alone (OR 4.63), male living alone (OR 6.23), lower age (OR 0.86), poorer general health (OR 2.03–5.01), often/always feeling tired (OR 2.38), and an increased risk of falling (OR 1.21). In a linear regression analysis, risk of falling was associated with higher age (B 0.020), not shopping independently (B 0.162), and low meat consumption (B 0.138).

    Conclusion

    There are complex associations between malnutrition risk and the gender-cohabitation interaction, age, general health, tiredness, and risk of falling. In clinical practice comprehensive assessments to identify those at risk of malnutrition including associated factors are needed. These have to be followed by individual nutritional interventions using a holistic perspective which may also contribute to reducing the risk of falling.

  • 11741.
    Westergren, Albert
    et al.
    Kristianstad University, Research Environment PRO-CARE. Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I.
    Hagell, Peter
    Kristianstad University, Research Environment PRO-CARE. Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I. Kristianstad University, Research Platform for Collaboration for Health.
    Sjödahl Hammarlund, Catharina
    Department of Health Sciences, Lund University, Lund, Sweden.
    Undernäring och fallrisk - ett förestående folkhälsoproblem bland yngre pensionärer?2014In: Svensk Geriatrik, ISSN 2001-2047, no 1, p. 11-14Article, review/survey (Other academic)
  • 11742.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health.
    Wendin, Karin
    Kristianstad University, School of Education and Environment, Avdelningen för Humanvetenskap. Kristianstad University, Research Environment Food and Meals in Everyday Life (MEAL).
    Sjödahl Hammarlund, Catharina
    Kristianstad University, School of Health and Society. Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Conceptual relationships between the ICF and experiences of mealtimes and related tasks among persons with Parkinson’s disease2016In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 36, no 4, p. 201-208Article in journal (Refereed)
    Abstract [en]

    The aim was to investigate experiences of mealtimes and related tasks among people with Parkinson’s disease (PD) and to link these conceptually to the International Classification of Functioning, Disability and Health (ICF). Data were collected by use of semi-structured interviews of 19 people with PD. Inductive content analysis resulted in five categories: 1) Managing mealtime preparations and related tasks, 2) Compromised physical control, 3) Difficulties enjoying meals, 4) Difficulties eating together with others, and 5) Strategies to maintain conventional norms and independence. Deductive content analysis linked the categories to the ICF categories: body functions (mental, sensory, neuromusculoskeletal and movement-related functions); activities (self-determination and chores); participation (interpersonal interactions and relationships); and environmental factors (conventional norms, attitudes of friends and strangers). Emotional and involuntary movement functions were represented in all five inductively derived categories. Eating difficulties may have negative consequences on participation and the emotional wellbeing of people with Parkinson’s disease.

  • 11743.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön PRO-CARE.
    Hedin, Gita
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön PRO-CARE.
    Användarvänlighet för Minimal Eating Observation and Nutrition Form (MEONF-ll): en pilotstudie genomförd med hjälp av studenter på sjuksköterskeprogrammet2011Report (Other academic)
    Abstract [en]

    The aim of the study was to make a screening of risk for malnutrition among persons in hospitals and among those living in special accommondation (long-term care).

    Method: Nurse student collected the data during their clinical education at hospitals and in the special accommodations in 2010. Staff and clinical teachers participated also with the data collection. By participating in the study the students got training in how to provide information to the staff and patients/residents, collect data, and compile results ant to give feed-back about the findings to the department. The screening of risk for malnutrition was done using Minimal Eating Observation and Nutrition (MEONF) and Active Daily Life (ADL). Each student asked three patients/residents to participate, in the study.

    Results: A total of 266 patients/residents who received ADL-status assessed. 45% of respondents were next independent/dependent on the help of more than 2 ADL-functions, 26% were partially dependent on help in 3-4 ADL-functions and 25% were almost completely dependent on help in 5-6 ADL-functions. The results (Table 2) show that the respondents has no/low risk of malnutrition, they were almost completely independent/dependent in aid. In the case of those respondents with a high risk for portable so it was no more (39%) witch was almost entirely dependent on aid. The majority of students believe that assessment-manual were easy to understand, that the proposed measurement were easy and relevant regardless of which group the patients/residents belonged.

    Conclusion: The patients/residents who had high risk for malnutrition had even greater need of help. One group that must not be overlooked is the patients/residents who are obese but still high risk of malnutrition. Assessment instruments seem to be useful and easy to use. For the students perceived it as positive to participate in actual research projects.

     

     

     

  • 11744.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society.
    Hedin, Gita
    Kristianstad University, School of Health and Society.
    Do study circles and a nutritional care policy improve nutritional care in a short- and long-term perspective in special accommodations?2010In: Food & nutrition research, ISSN 1654-661X, Vol. 54, p. 5402-Article in journal (Refereed)
    Abstract [en]

    Study circles give positive short-term effects and a NCP gives positive short- and long-term effects on NC. Whether a combination of study circles and the implementation of a NCP can give even better results is an area for future studies.

  • 11745.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society.
    Hedin, Gita
    Kristianstad University, School of Health and Society.
    Fallriskbedömning: med Downton Fallrisk Index: n studie genomförd med hjälp av studenter på sjuksköterskeprogrammet2010Report (Other academic)
    Abstract [en]

    The aim of this study was to make an assessment of fall risk among persons in hospitals and among those living in special accommodation (long-term care).

    Method: Nurse students collected the data during their clinical education at hospitals and in special accommodations in 2008 and 2010. Staff and clinical teachers participated also with the data collection. By participating in the study the students got training in how to provide information to the staff and patients/residents, collect data, and compile results and to give feed-back about the findings to the department. The assessment of fall risk was done using the Downton Fallrisk Index (risk of fall >3 points). Both years all patients/residents were there were nurse students were asked to participate, in the study.

    Results: In the entire sample the prevalence of fall risk in year 2008 was 73% an in year 2010 was 69%. The mean score in the Downton Fallrisk Index in year 2008 was 3,7 and in year 2010 it was 3,5. At the hospitals in year 2008 and 2010 it was 66% and 58% respectively that had risk of fall while the corresponding prevalence in the special accommodations was 86% and 85%. The average time to carry out the assessment of fall risk was 10 minutes (median). The majority of the students agreed that the questions in Downton were relevant, easy to understand and that the answer alternatives also were easy to understand.

    The majority of the students 2008 and 2010 (2008, course 6: 76% respectively course 16: 65% and in 2010, course 6: 38% respectively course 16: 61%) stated that they received better scientific-knowledge, through participating in the study. It is of importance too note that the course 6 students in 2010 did not receive any verbal information before the study, which probably negatively influenced the experience of contributing in the study.

    Conclusion: In special accommodations the prevalence of fall was higher than in hospitals. The Downton Fallrisk Index seems to bee a useful and simple instrument to use. In general the nursing students experience is positive to participate in a real research project. However, a pre-requisite for the positive experiences from participating is most likely that they get, verbal information goof before participating in the study.

  • 11746.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society.
    Hedin, Gita
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Förebyggande och uppsökande verksamhet i Osby kommun: slutrapport2014Report (Other academic)
  • 11747.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society.
    Hedin, Gita
    Kristianstad University, School of Health and Society.
    Förebyggande och uppsökande verksamhet: Osby kommun2010Report (Other academic)
    Abstract [en]

    Aim: The aim with this report is to explore differences between home living men and women, younger (79 years or younger) and older elderly (80 years or older) that got a preventive home visit.

    Methods: In the fall 2007 one municipality started up with preventive home visits. Elderly persons are visited by district nurses to register and discuss the elderly persons perceived health, medications, living circumstances and social activities. At the same time a checklist is used to access preventive measures taken with respect to fall risk. From year 2010 also a form is used to assess the risk for malnutrition.

    Results: In total 1203 preventive home visits has been made to older persons with a mean age of 81.7 years, 56% women, and 44% men. In comparisons between men and women it was found that men were more dependent in washing, cooking and cleaning. Women perceived their state of health as worse, they had more problems with vision and more pain than men. Women were more physically active than men. More men hade problems hearing. Women were less satisfied with their situation, more tired, more often dejected, felt more worries/anxiety, and had poorer sleep. But, women had more contact with others (by visits/by phone) than men had. Women had more difficulties with mobility-tiredness and more had risk for falling (46.5%, men 39.8%). More women had also made adjustments in their homes to prevent falls. In total 218 persons had been assessed regarding the risk for malnutrition and significantly more women were at risk (82.8% versus men 58.4%). More needs were also identified during the preventive home visits for the women than for the men. In comparison between the younger and the older persons there were more needs for help i daily activities, poorer health, more vision- and hearing problems, less satisfaction with their circumstances, and more tiredness among the older persons. But, the oldest persons had better sleep and more visits from others (or that people called them). It was less persons in the older group that had a permanent contact with a doctor, more used medications and more had problems with mobility-tiredness, and more had fall risk (34.7% among the youngest and 51.0% in the oldest age group). Accordingly more preventive actions had been taken among the oldest persons to prevent falling. More needs were also identified during the preventive home visits for the oldest age group than for the youngest. Out of the 218 persons (all of whom were 79 years or younger) that had been assessed regarding the risk for malnutrition it was 70.5% that had such a risk. In total more persons wanted to, if the need arise, to get continued care and service in their own home. 

    Conclusion: In general women and the oldest (80 years or over) had more physical and psychological health problems than men and the youngest (79 years or under). Thus, women and the oldest are special risk groups. It was also in these groups most needs were identified during the preventive home visits. Risk for malnutrition seems to be an extensive problem among the home living elderly, this needs special attention during the preventive home visits.

  • 11748.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society.
    Hedin, Gita
    Kristianstad University, School of Health and Society.
    Nutrition: förekomsten av ätsvårigheter och undernäring: en studie genomförd med hjälp av studenter på sjuksköterskeprogrammetåren 2005, 2007 och 20092010Report (Other (popular science, discussion, etc.))
    Abstract [en]

    Summary: The aim of this study was to explore the prevalence of eating difficulties and malnutrition among persons in hospitals and among those living in special accommodations (long-term care). In addition the aim was to, within special accommodations, explore how different interventions could affect the precision in nutritional care and the occurrence of underweight/overweight, both from a short as well as a long-term perspective.

    Methods: Nurse students collected the data during their clinical education at hospitals and in special accommodations in years 2005, 2007, and 2009. Staff and clinical teachers participated also with the data collection. By participating in the study the students got training in how to provide information to the staff and patients/residents, collect data, and compile results and to give feed-back about the findings to the department. Underweight and overweight was assessed from BMI. Undernutrition risk was assessed based on: unintentional weight loss, low BMI, and/or the occurrence of eating difficulties. Assessments were also made regarding what nutritional care the care recipients got. In the special accommodations interventions with study circles (two municipalities), nutritional care policy (one municipality) and in four municipalities no specific intervention was made. The prevalence of overweight was 39-42%.

    Results: In hospitals the prevalence of moderate/high undernutrition risk was 27-28% and if also those with little risk were included the prevalence was 60-63%. Between 4-7% were provided with protein- and energy enriched food, 25-30% got oral supplements or similar and 12-13% needed eating assistance.

    In special accommodations the prevalence of moderate/high undernutrition risk was 27-35% and if also those with little risk were included the prevalence was 65-70%. The prevalence og overweight was 30-33%. Between 4-14% were provided with protein- and energy enriched food, 11-19% got oral supplements or similar and 47-50% needed eating assistance. Within the special accommodations it was shown that the intervention with study circles lead to improvements in the precision of nutritional care (protein- and energy enriched food and/or oral supplements) and a lower prevalence of underweight was seen, at least shortly after that the intervention was finished. In the same way the anchoring and implementation of the nutritional care policy resulted in improvement in the nutritional care. These improvements remained however also a long time after the implementation. 

    Most of the students (81%) experienced that they did get better understanding for research by participating in the study, more than half (53%) thought that their interest in assessment of eating and nutrition increased and 67% that their knowledge about eating and nutrition increased.

    Conclusion: Many patients and residents are at risk of becoming undernourished. This demands that adequate measures are taken to prevent or treat undernutrition. Such measures can be protein- and energy-dense food and oral supplements or similar. In the special accommodations can study circles for the staff lead to improvements in the nutritional care for more residents in a short-term perspective and by implementing a nutritional care policy also long-term positive effects are likely to be achieved. Combining study circles with implementation of nutritional care policies can be the focus for new studies.

    In general the nursing students experience it as positive to participate in a real research project.

     

  • 11749.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society.
    Hedin, Gita
    Kristianstad University, School of Health and Society.
    Undernäring, övervikt och relationer till aktiviteter i dagligt liv: en studie genomförd med hjälp från studenter i sjuksköterskeprogrammet2011Report (Other academic)
  • 11750.
    Westergren, Albert
    et al.
    Kristianstad University College, School of Health and Society.
    Hedin, Gita
    Kristianstad University College, School of Health and Society.
    Axelsson, Carolina
    Kristianstad University College, School of Teacher Education.
    Långvarig och akut smärta: hos patienter och boende: en studie genomförd av studenter på sjuksköterskeprogrammet2009Report (Other academic)
    Abstract [en]

    The aim of the study was to map out pain and pain treatment among patients in hospitals and persons in special accommodations as well as in ordinary living.

    Method: Nurse students collected the data during their clinical education at hospitals and in special accommodations or in ordinary living. Also the clinical teachers helped out with supporting the students during data collection. The students made assessments of pain where they had their clinical practice during the spring 2009. The students got, though collecting data, a training in how to provide information to the staff and patients/residents, compile results and to give feed-back about the findings to the department. The study was not conducted as a total survey, in other words was a selection of respondents that were included in the results.

    Results: In total 419 assessments of pain was made and 35% of respondents reported long standing pain and 14% reported acute pain. The respondents with long standing pain were older (76 years and 69 years respectively), more women (67% and 53% respectively) and more were in special accommodations or in ordinary living (37% and 17% respectively) than among those with acute pain. The respondents with acute pain more often agreed with that the staff asked about if he/she had pain (84% and 73% respective) while the respondents with long standing pain to a greater extent agreed with that they tried to hide their own pain (acute pain: 43% resp. long standing pain: 59%). The most common strategies to handle the pain among those with acute pain was to ask for something to alleviate the pain (84%), lie down and rest (78%) or to try thinking on something else (64%) while it among those with long standing pain was to lie down and rest (83%), ask for something to alleviate the pain (73%) or to try thinking on something else (70%). Of the students that collected the data and reported the findings to the staff 51 also evaluated their participation in the study. Of these, 74% experienced that their understanding for research increased, 51% that their interest för pain assessment had increased and 55% that their knowledge about pain had increased.

     Conclusion:

    Long standing pain was most common among women and elderly persons. The strategies used among the participants for making staff aware about the pain, and the strategies to handle once own pain differed depending on weather the pain was acute or long standing. Participating in the data collection and other research activities has a positive effect for nursing students understanding for research and to some extent for their interest in the area under study.

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