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Snögren, M., Ek, K., Browall, M., Eriksson, I. & Lindmark, U. (2024). Impacts on oral health attitude and knowledge after completing a digital training module among Swedish healthcare professionals working with older adults. BMC Health Services Research, 24(1), Article ID 174.
Open this publication in new window or tab >>Impacts on oral health attitude and knowledge after completing a digital training module among Swedish healthcare professionals working with older adults
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2024 (English)In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 24, no 1, article id 174Article in journal (Refereed) Published
Abstract [en]

Oral health care is essential, and digital training may influence healthcare professionals’ attitudes to and knowledge of oral health. The aim, therefore, was to evaluate the impact on attitudes to and knowledge of oral health after using a digital training module among Swedish healthcare professionals working within a municipality-run healthcare service for older adults. A secondary aim was to explore the healthcare professionals’ experiences of using the digital module. The study comprised a survey of healthcare professionals (registered nurses (RNs), assistant nurses, and care assistants) caring for older adults in a municipality in Sweden. Pre-post-tests were conducted to evaluate the outcomes for attitudes to and knowledge of oral health and of their experiences of completing the digital training module in oral health. These were statistically explored by comparing differences between the pre-post-tests, while the open-ended questions were analysed with qualitative content analysis. The findings of this study indicate that healthcare professionals had similar perceptions of their attitudes to and knowledge of oral health both before and after the digital training module in oral health. The study also indicates that healthcare professionals experienced that it is easier to perform practical oral health care after completing the digital training. The results also show that healthcare professionals value oral health knowledge and that the digital training module was easy to use and to disseminate knowledge throughout the municipality. The findings have implications for developing, implementing, and promoting healthcare professionals’ attitudes to and knowledge of oral health and in using a digital training module in combination with practical exercises in oral health in municipality health care.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2024
Keywords
Health care training, Municipality care, Fundamentals of care, Oral health care
National Category
Nursing Learning
Research subject
Wellbeing in long-term health problems (WeLHP); Family-Centred Health
Identifiers
urn:nbn:se:his:diva-23560 (URN)10.1186/s12913-024-10639-3 (DOI)38326878 (PubMedID)
Funder
University of Skövde
Note

CC BY 4.0

Published: 07 February 2024

Correspondence: Maria Snögren maria.snogren@his.se

The authors would like to express their gratitude to all healthcare professionals who shared their perceptions of oral health preventive measures for this study, Ingemar Kåreholt and Anna Dahl Aslan for the statistical guidance, and Aileen Ireland for the language editing and proofreading of the manuscript.

This research received funding from: (1) the School of Health Sciences, University of Skövde, Sweden, (2) the Skaraborg Institute for Research and Development, Skövde, Sweden) and (3) The Foundation Astrid Janzon, Sweden. Open access funding provided by University of Skövde.

Available from: 2024-01-31 Created: 2024-01-31 Last updated: 2024-02-14Bibliographically approved
Snögren, M., Eriksson, I., Browall, M. & Ek, K. (2023). Older adults’ perceptions of oral health and its influence on general health: A deductive direct content analysis. Nordic journal of nursing research, 43(1), 1-8
Open this publication in new window or tab >>Older adults’ perceptions of oral health and its influence on general health: A deductive direct content analysis
2023 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 43, no 1, p. 1-8Article in journal (Refereed) Published
Abstract [en]

Oral health is a complex issue associated with social and behavioral factors and general health. Therefore, this study aims to explore Swedish older adults’ perceptions of oral health and its influence on general health, based on the World Dental Federation's (FDI) definition and framework of oral health. The study adopted a descriptive qualitative design. Data were collected from semi-structured individual and focus group interviews with older adults (n = 23) and were analyzed with deductive direct content analysis. The study was evaluated using the COnsolidated criteria for REporting Qualitative research (COREQ) checklist. The older adults described the importance of good oral health in the physical, social, emotional, and mental aspects of their daily lives. The findings also indicate that older adults described oral health as multifaceted and agreed with the FDI's definition and framework of oral health. Therefore, the study findings might provide healthcare professionals with new knowledge and further insight into older adults’ perceptions of oral health and its influence on their well-being and general health. 

Place, publisher, year, edition, pages
Sage Publications, 2023
Keywords
aged, article, checklist, clinical article, content analysis, controlled study, female, health, human, human experiment, interview, male, perception, qualitative research, wellbeing, deductive direct content analysis, general health, older adults, oral health, oral healthcare
National Category
Public Health, Global Health, Social Medicine and Epidemiology Health Care Service and Management, Health Policy and Services and Health Economy Gerontology, specialising in Medical and Health Sciences
Research subject
Wellbeing in long-term health problems (WeLHP); Family-Centred Health
Identifiers
urn:nbn:se:his:diva-21919 (URN)10.1177/20571585221124804 (DOI)2-s2.0-85138283877 (Scopus ID)
Note

CC BY 4.0

Attribution 4.0 International (CC BY 4.0)

© The Author(s) 2022.

Copyright © 2022 by Vårdförbundet 

First published online September 13, 2022

Corresponding author: Maria Snögren, School of Health Sciences, University of Skövde, Högskolevägen, Box 408, 541 28 Skövde, Sweden. Email: maria.snogren@his.se

Available from: 2022-10-06 Created: 2022-10-06 Last updated: 2024-02-13Bibliographically approved
Snögren, M., Pakpour, A. H., Eriksson, I., Stensson, M., Ek, K. & Browall, M. (2022). Psychometric evaluation of a short-form version of the Swedish “Attitudes to and Knowledge of Oral Health” questionnaire. BMC Geriatrics, 22(1), Article ID 513.
Open this publication in new window or tab >>Psychometric evaluation of a short-form version of the Swedish “Attitudes to and Knowledge of Oral Health” questionnaire
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2022 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 22, no 1, article id 513Article in journal (Refereed) Published
Abstract [en]

BackgroundHealthcare professionals’ attitudes to and knowledge of oral health are fundamental to providing good oral health care to older adults. One instrument that assesses healthcare professionals’ attitudes to and knowledge of oral health in a Swedish context is the “Attitudes to and Knowledge of Oral health” (AKO) questionnaire. Two of the three item-groups of the AKO have previously been validated in a Swedish context. However, it is crucial that all three item-groups are validated, and beneficial to design a shorter, easy-to-use questionnaire for healthcare professionals while maintaining adequate integrity of its reliability and validity. Therefore, the present study aims to develop a short-form version of AKO and to secure its psychometric properties.

MethodsPsychometric evaluation with Classical Test Theory and Item Response Theory to validate and shorten AKO with 611 healthcare professionals from a population of 1159 working in a municipality in an urban area in western Sweden.

ResultsOf the original 16 items in the AKO, 13 were shown to warrant retention in the abbreviated/shortened form. These showed acceptable validity and reliability for assessing healthcare professionals’ attitudes to and knowledge of oral health.

ConclusionThis validated short-form version of AKO shows acceptable validity and reliability after being reduced to 13 items, structured in a 3-part scale. The items are consistent with the total scale, indicating that the internal consistency is acceptable. Future studies should be performed to evaluate AKO in other groups of healthcare professionals, across cultures, languages, and so on, to investigate its use and strengthen its validity and reliability.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2022
National Category
Nursing Other Health Sciences
Research subject
Wellbeing in long-term health problems (WeLHP); Family-Centred Health
Identifiers
urn:nbn:se:his:diva-21544 (URN)10.1186/s12877-022-03215-z (DOI)000814635400001 ()35733123 (PubMedID)2-s2.0-85132570033 (Scopus ID)
Funder
University of Skövde
Note

CC BY 4.0

© The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

© 2022 BioMed Central Ltd unless otherwise stated. Part of Springer Nature.

Correspondence: maria.snogren@his.se

Open access funding provided by University of Skövde. This research received funding from the Skaraborg Institute for Research and Development, Skövde, Sweden, and from the School of Health Sciences University of Skövde, Skövde, Sweden.

Available from: 2022-07-01 Created: 2022-07-03 Last updated: 2022-12-12Bibliographically approved
Lundh Hagelin, C., Melin-Johansson, C., Ek, K., Henoch, I., Österlind, J. & Browall, M. (2022). Teaching about death and dying: A national mixed-methods survey of palliative care education provision in Swedish undergraduate nursing programmes. Scandinavian Journal of Caring Sciences, 36(2), 545-557
Open this publication in new window or tab >>Teaching about death and dying: A national mixed-methods survey of palliative care education provision in Swedish undergraduate nursing programmes
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2022 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 36, no 2, p. 545-557Article in journal (Refereed) Published
Abstract [en]

Background: In coming decades, the number of people affected by illnesses who need palliative care will rise worldwide. Registered Nurses are in a central position in providing this care, and education is one of the necessary components for meeting coming requirements. However, there is a lack of knowledge about palliative care in undergraduate nursing education curricula, including the extent of the education provided and the related pedagogical methods. Aim: The aim was to investigate the extent, content and pedagogical methods used and to explore lecturers’ experiences of being responsible for teaching and learning about palliative care for undergraduate nursing students on nursing programmes at Swedish universities. Setting: All 24 universities responsible for providing undergraduate nursing education in Sweden participated. Participants: One lecturer with in-depth knowledge about palliative care or end-of-life care education participated in the quantitative (n = 24) and qualitative (n = 22) parts of the study. Method: A mixed-method research study with an explorative design was used. Descriptive statistics were used to analyse quantitative data, and content analysis for qualitative, with both also analysed integratively. Results: Few undergraduate nursing programmes included a specific course about palliative care in their curricula, however, all universities incorporated education about palliative care in some way. Most of the palliative care education was theoretical, and lecturers used a variety of pedagogical strategies and their own professional and personal experience to support students to understand the palliative care approach. Topics such as life and death were difficult to both learn and teach about. Conclusions: There is a need for substantial education about palliative care. Lecturers strive on their own to develop students’ understanding and increase the extent of palliative care education with innovative teaching strategies, but must compete with other topics. Palliative care teaching must be prioritised, not only by the universities, but also by the national authority. 

Place, publisher, year, edition, pages
John Wiley & Sons, 2022
Keywords
death and dying, palliative care, qualitative approaches, quantitative approaches, undergraduate nurse education
National Category
Nursing
Research subject
Wellbeing in long-term health problems (WeLHP)
Identifiers
urn:nbn:se:his:diva-20857 (URN)10.1111/scs.13061 (DOI)000736112500001 ()34962307 (PubMedID)2-s2.0-85122058267 (Scopus ID)
Note

CC BY-NC-ND 4.0

© 2021 The Authors. Scandinavian Journal of Caring Sciences published by John Wiley & Sons Ltd on behalf of Nordic College of Caring Science.

First published: 28 December 2021

Available from: 2022-01-13 Created: 2022-01-13 Last updated: 2022-05-16Bibliographically approved
Mijwel, S., Backman, M., Bolam, K. A., Jervaeus, A., Sundberg, C. J., Margolin, S., . . . Wengström, Y. (2018). Adding high-intensity interval training to conventional training modalities: optimizing health-related outcomes during chemotherapy for breast cancer: the OptiTrain randomized controlled trial. Breast Cancer Research and Treatment, 168(1), 79-93
Open this publication in new window or tab >>Adding high-intensity interval training to conventional training modalities: optimizing health-related outcomes during chemotherapy for breast cancer: the OptiTrain randomized controlled trial
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2018 (English)In: Breast Cancer Research and Treatment, ISSN 0167-6806, E-ISSN 1573-7217, Vol. 168, no 1, p. 79-93Article in journal (Refereed) Published
Abstract [en]

PURPOSE: Exercise training is an effective and safe way to counteract cancer-related fatigue (CRF) and to improve health-related quality of life (HRQoL). High-intensity interval training has proven beneficial for the health of clinical populations. The aim of this randomized controlled trial was to compare the effects of resistance and high-intensity interval training (RT-HIIT), and moderate-intensity aerobic and high-intensity interval training (AT-HIIT) to usual care (UC) in women with breast cancer undergoing chemotherapy. The primary endpoint was CRF and the secondary endpoints were HRQoL and cancer treatment-related symptoms.

METHODS: Two hundred and forty women planned to undergo chemotherapy were randomized to supervised RT-HIIT, AT-HIIT, or UC. Measurements were performed at baseline and at 16 weeks. Questionnaires included Piper Fatigue Scale, EORTC-QLQ-C30, and Memorial Symptom Assessment Scale.

RESULTS: The RT-HIIT group was superior to UC for CRF: total CRF (p = 0.02), behavior/daily life (p = 0.01), and sensory/physical (p = 0.03) CRF. Role functioning significantly improved while cognitive functioning was unchanged for RT-HIIT compared to declines shown in the UC group (p = 0.04). AT-HIIT significantly improved emotional functioning versus UC (p = 0.01) and was superior to UC for pain symptoms (p = 0.03). RT-HIIT reported a reduced symptom burden, while AT-HIIT remained stable compared to deteriorations shown by UC (p < 0.01). Only RT-HIIT was superior to UC for total symptoms (p < 0.01).

CONCLUSIONS: 16 weeks of resistance and HIIT was effective in preventing increases in CRF and in reducing symptom burden for patients during chemotherapy for breast cancer. These findings add to a growing body of evidence supporting the inclusion of structured exercise prescriptions, including HIIT, as a vital component of cancer rehabilitation.

TRIAL REGISTRATION: Clinicaltrials.gov Registration Number: NCT02522260.

Place, publisher, year, edition, pages
Springer, 2018
Keywords
Breast cancer, Chemotherapy, Concurrent training, Health-related quality of life, High-intensity interval training, Symptom burden
National Category
Clinical Medicine
Research subject
Wellbeing in long-term health problems (WeLHP)
Identifiers
urn:nbn:se:his:diva-14988 (URN)10.1007/s10549-017-4571-3 (DOI)000425747200009 ()29139007 (PubMedID)2-s2.0-85033731943 (Scopus ID)
Note

CC BY 4.0

Available from: 2018-03-29 Created: 2018-03-29 Last updated: 2020-10-28Bibliographically approved
Muntlin Athlin, Å., Browall, M., Wengström, Y., Conroy, T. & Kitson, A. L. (2018). Descriptions of Fundamental Care needs in cancer care - an exploratory study. Journal of Clinical Nursing, 27(11-12), 2322-2332
Open this publication in new window or tab >>Descriptions of Fundamental Care needs in cancer care - an exploratory study
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2018 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 11-12, p. 2322-2332Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: To explore the experiences of the fundamentals of care for people with a cancer diagnosis, from diagnosis to after adjuvant treatment.

BACKGROUND: More focus is needed on the experience of people living with cancer, as current cancer care more emphasises on independence and resilience without fully acknowledging that there will be moments in the cancer journey where patients will need 'basic nursing care' to manage their symptoms and care pathways.

DESIGN: Secondary analysis of qualitative data.

METHOD: Secondary thematic analysis of interview data from 30 people with a diagnosis of breast (n=10), colorectal (n=10) or prostate (n=10) cancer was undertaken.

RESULTS: The findings revealed vivid descriptions of the fundamentals of care (i.e. basic needs) and participants described physical, psychosocial and relational aspects of the delivery of care. Both positive (e.g. supportive and kind) and negative (e.g. humiliating) experiences related to the relationship with the healthcare professionals were re-counted and affected the participants' experiences of the fundamentals of care. Participants' accounts of their fundamental care needs were provided without them identifying who, within the health care system, was responsible for providing these needs. Specific nursing interventions were seldom described.

CONCLUSION: Some people with a cancer diagnosis have to strive for help and support from the nursing staff to manage to regain control over their recovery. Nurses in cancer care need to focus on the patients' fundamental care needs to optimise their patients' recovery. This article is protected by copyright. All rights reserved.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Inc., 2018
Keywords
Cancer care, fundamentals of care, nursing care, person-centred care, qualitative study, secondary analysis
National Category
Nursing
Research subject
Wellbeing in long-term health problems (WeLHP)
Identifiers
urn:nbn:se:his:diva-14616 (URN)10.1111/jocn.14251 (DOI)000434127600012 ()29292542 (PubMedID)2-s2.0-85047805189 (Scopus ID)
Note

Requests to reproduce material from John Wiley & Sons publications are being handled through the RightsLink® automated permissions service

Available from: 2018-01-03 Created: 2018-01-03 Last updated: 2021-01-05Bibliographically approved
Ek, K., Browall, M., Eriksson, M. & Eriksson, I. (2018). Healthcare providers’ experiences of assessing and performing oral care in older adults. International Journal of Older People Nursing, 13(2), Article ID e12189.
Open this publication in new window or tab >>Healthcare providers’ experiences of assessing and performing oral care in older adults
2018 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 13, no 2, article id e12189Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Inc., 2018
Keywords
ethics, experiences, focus-group interviews, healthcare providers, older adults, oral health
National Category
Clinical Medicine Dentistry Geriatrics Health Sciences Nursing
Research subject
Wellbeing in long-term health problems (WeLHP)
Identifiers
urn:nbn:se:his:diva-15030 (URN)10.1111/opn.12189 (DOI)000434118100011 ()29512291 (PubMedID)2-s2.0-85043302693 (Scopus ID)
Note

© 2018 John Wiley & Sons Ltd

Available from: 2018-04-11 Created: 2018-04-11 Last updated: 2021-01-07Bibliographically approved
Browall, M., Mijwel, S., Rundqvist, H. & Wengström, Y. (2018). Physical Activity During and After Adjuvant Treatment for Breast Cancer: An Integrative Review of Women's Experiences. Integrative Cancer Therapies, 17(1), 16-30
Open this publication in new window or tab >>Physical Activity During and After Adjuvant Treatment for Breast Cancer: An Integrative Review of Women's Experiences
2018 (English)In: Integrative Cancer Therapies, ISSN 1534-7354, E-ISSN 1552-695X, Vol. 17, no 1, p. 16-30Article, review/survey (Refereed) Published
Abstract [en]

Background: In oncology, physical activity (PA) is recognized to improve psychological and physiological functions. Motivating women with breast cancer to sustain a physically active lifestyle is important for promoting positive health after diagnosis. To review and synthesize what is known about how women with breast cancer experience supervised and unsupervised PA during and after adjuvant treatment. PubMed, PsycINFO, and CINAHL were searched, yielding 994 citations. The final review included 17 articles published between 2004 and 2014 in English. The CASP (Critical Appraisal Skills Programme) instrument was used to appraise quality. Results: Exercise is experienced as a positive element with multiple benefits. However, maintaining a physically active lifestyle during and after chemotherapy is sometimes challenging. Reported benefits of PA include feeling empowered, and improving and reclaiming health. Facilitators to PA comprised exercising with peers and skilled instructors. Barriers included social factors and lack of information. Conclusions: Findings highlight the importance of incorporating PA programs from a patient experience perspective as routine treatment. Health care professionals play a crucial gateway role in providing information on implementation and benefits of PA. Providing support and educated advice about how to safely start or continue regular PA to minimize symptoms, reduce morbidity, and increase well-being during or after treatment is vital for women with breast cancer. Implications for Practice: Health care professionals need increased knowledge of the breast cancer patients' perspectives on facilitators and barriers to PA during and after treatment, in order to provide sufficient support for women to stay physically active during a breast cancer illness.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
breast cancer, physical exercise, physical activities, qualitative research, supervised exercise, nonsupervised exercise
National Category
Nursing
Research subject
Wellbeing in long-term health problems (WeLHP)
Identifiers
urn:nbn:se:his:diva-14948 (URN)10.1177/1534735416683807 (DOI)000425156600003 ()28008778 (PubMedID)2-s2.0-85034572010 (Scopus ID)
Note

CC BY-NC 3.0

Available from: 2018-03-08 Created: 2018-03-08 Last updated: 2020-11-16Bibliographically approved
Göransson, C., Eriksson, I., Ziegert, K., Wengström, Y., Langius-Eklöf, A., Brovall, M., . . . Blomberg, K. (2018). Testing an app for reporting health concerns-Experiences from older people and home care nurses. International Journal of Older People Nursing, 13(2), Article ID e12181.
Open this publication in new window or tab >>Testing an app for reporting health concerns-Experiences from older people and home care nurses
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2018 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 13, no 2, article id e12181Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: To explore the experiences of using an app among older people with home-based health care and their nurses.

BACKGROUND: Few information and communication technology innovations have been developed and tested for older people with chronic conditions living at home with home-based health care support. Innovative ways to support older people's health and self-care are needed.

DESIGN: Explorative qualitative design.

METHODS: For 3 months to report health concerns, older people receiving home-based health care used an interactive app, which included direct access to self-care advice, graphs and a risk assessment model that sends alerts to nurses for rapid management. Interviews with older people (n = 17) and focus group discussions with home care nurses (n = 12) were conducted and analysed using thematic analysis.

RESULTS: The findings reveal that a process occurs. Using the app, the older people participated in their care, and the app enabled learning and a new way of communication. The interaction gave a sense of security and increased self-confidence among older people. The home care nurses viewed the alerts as appropriate for the management of health concerns. However, all participants experienced challenges in using new technology and had suggestions for improvement.

CONCLUSIONS: The use of an app appears to increase the older people's participation in their health care and offers them an opportunity to be an active partner in their care. The app as a new way to interact with home care nurses increased the feeling of security. The older people were motivated to learn to use the app and described potential use for it in the future.

IMPLICATIONS FOR PRACTICE: The use of an app should be considered as a useful information and communication technology innovation that can improve communication and accessibility for older people with home-based health care.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Inc., 2018
Keywords
app, health concerns, older people, security, self-confidence, thematic analysis
National Category
Nursing
Research subject
Wellbeing in long-term health problems (WeLHP)
Identifiers
urn:nbn:se:his:diva-14595 (URN)10.1111/opn.12181 (DOI)000434118100005 ()29210218 (PubMedID)2-s2.0-85037995107 (Scopus ID)
Note

© 2017 John Wiley & Sons Ltd

Available from: 2017-12-19 Created: 2017-12-19 Last updated: 2021-01-07Bibliographically approved
Feo, R., Conroy, T., Jangland, E., Muntlin Athlin, Å., Browall, M., Parr, J., . . . Kitson, A. (2018). Towards a standardised definition for fundamental care: a modified Delphi study. Journal of Clinical Nursing, 27(11-12), 2285-2299
Open this publication in new window or tab >>Towards a standardised definition for fundamental care: a modified Delphi study
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2018 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 11-12, p. 2285-2299Article in journal (Refereed) Published
Abstract [en]

AIMS: To generate a standardised definition for fundamental care and identify the discrete elements that constitute such care.

BACKGROUND: There is poor conceptual clarity surrounding fundamental care. The Fundamentals of Care Framework aims to overcome this problem by outlining three core dimensions underpinning such care. Implementing the Framework requires a standardised definition for fundamental care that reflects the Framework's conceptual understanding, as well as agreement on the elements that comprise such care (i.e., patient needs, such as nutrition, and nurse actions, such as empathy). This study sought to achieve this consensus.

DESIGN: Modified Delphi study.

METHODS: Three phases: (1) engaging stakeholders via an interactive workshop; (2) using workshop findings to develop a preliminary definition for, and identify the discrete elements that constitute, fundamental care; and (3) gaining consensus on the definition and elements via a two-round Delphi approach (Round 1 n=38; Round 2 n=28).

RESULTS: Delphi participants perceived both the definition and elements generated from the workshop as comprehensive, but beyond the scope of fundamental care. Participants questioned whether the definition should focus on patient needs and nurse actions, or more broadly on how fundamental care should be delivered (e.g., through a trusting nurse-patient relationship), and the outcomes of this care delivery. There were also mixed opinions whether the definition should be nursing specific.

CONCLUSIONS: This study has initiated crucial dialogue around how fundamental care is conceptualised and defined. Future work should focus on further refinements of the definition and elements with a larger, international group of practising nurses and service users. This article is protected by copyright. All rights reserved.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018
Keywords
Delphi study, Fundamental care, basic nursing care, definition, fundamentals of care
National Category
Nursing
Research subject
Wellbeing in long-term health problems (WeLHP)
Identifiers
urn:nbn:se:his:diva-14614 (URN)10.1111/jocn.14247 (DOI)000434127600009 ()29278437 (PubMedID)2-s2.0-85041860881 (Scopus ID)
Note

© 2017 John Wiley & Sons Ltd

Available from: 2018-01-02 Created: 2018-01-02 Last updated: 2021-01-07Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0003-0976-531X

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