Implementation of incident reporting systems in Norwegian nursing homes from a management perspective – a pilot study

Artikkelen beskriver en studie hvor hensikten var å beskrive i hvilken grad norske sykehjem har implementert system for avvikshåndtering fra et ledelsesperspektiv. Studien er gjennomført ved å sende spørreskjema til et utvalg norske kommuner. Totalt 30 svarte på undersøkelsen, og alle hadde etablert en hendelse rapporteringssystem, men funnene tyder på at vi ikke har klart å integrere systemene i praksis.An incident reporting system is important for continual improvement in nursing homes. The purpose of this study is to describe the extent to which Norwegian nursing homes have implemented incident reporting systems from a management perspective. The study is a cross-sectional study with a quantitative and descriptive design, and is conducted by sending questionnaires to a sample of Norwegian municipalities. A total of 30 responded to the survey and all had established an incident reporting system, but the findings indicate that we have failed to integrate the systems in practice. A large drop-off makes the results hard to generalize, and there is a need for further research and monitoring of status

Patient education in the hospital-at-home care context

The objective of this study is to describe adult patients’ and their family caregivers’ experiences of patient education in the hospital-at-home care context. Methods included a cross-sectional descriptive study including three hospital-at-home units in Finland. Adult, non-palliative patients (n = 27) and their family caregivers (n = 18) were interviewed pairwise by telephone, and the data analyzed with inductive thematic content analysis. COREQ guidelines were used to plan and guide the study design. Results concluded both patients and family caregivers seemed to have quite similar knowledge expectations, which only differs slightly from findings in other in- or outpatient contexts. In the hospital-at-home context, there is an evident need for clinical coaching and guidance in relation to self-care activities and for future-oriented education about the services available after hospital-at-home care. Six themes describing patients’ and family caregivers’ experiences of patient education in the hospital-at-home care context emerged, from patient-centered, goal-oriented and empowering education to the bypassed education of both patients and family caregivers. We conclude that in the hospital-at-home care context, the patient is not alone in his/her illness but instead the patient and family caregiver together form a unit. Thus, the need exists for extended, iterative patient education in hospital-at-home care: need for clinical coaching, guidance and support in relation to self-care activities and for future-oriented education about the services available after HAH care. Such extended patient education, in which patients’ family caregivers were included, strengthens the patient-family caregiver relationship, minimizes caregiver burden and the need for additional healthcare services. Experience Framework This article is associated with the Patient, Family & Community Engagement lens of The Beryl Institute Experience Framework. (http://bit.ly/ExperienceFramework) Access other PXJ articles related to this lens. Access other resources related to this lens

Students’ evaluation of a computerized patient simulator in nursing education and its effect on the results of preclinical te

The aim of the study was two-fold: to evaluate nursing students’ experiences of active participation in the use of a-computerized simulation manikin during preclinical first-year Bachelor’s studies, and to evaluate the effect of active participation in simulation by comparing active students’ result with observers’ result on preclinical test. An evaluative case study design was used to evaluate simulation with a computerized manikin as a pedagogical learning method. A questionnaire was used to evaluate the active students’ experiences. The second part was a comparison between the active students’ and the observers’ preclinical test results. Findings indicated that the students thought simulation was beneficial, feedback from peers and lecturer was helpful and reflection during debriefing was beneficial. A significant difference was seen between those students who actively participated and those who observed in relation to the pass/fail preclinical test. Nursing students experienced simulation with a computerized manikin as being a beneficial pedagogical learning method, and active participation in a simulation situation can help students pass their preclinical test

Advanced Nursing Practice for Older People

Peer reviewe

Advanced Nursing Practice for Older People

Peer reviewe

Tverrprofesjonell klinisk praksis for helsefagstudenter som en del av den ordinære praksisperioden, En casestudie fra en akutt geriatrisk-, slag - og rehabiliteringsavdeling

Interdisciplinary Professional clinical practice for health sciences students as part of the regular work placement- a casestudy from an acute geriatric - stroke and rehabilitation department.This study describes students' experiences of interdisciplinary clinical practice (ICP) in an emergency department of geriatrics, stroke and rehabilitation in Norway. The purpose of this study was to investigate whether ICP has contributed to the students' knowledge of their own and other professional' expertise and expanded understanding of patients' rehabilitation needs. 19 students; nursing, occupational therapist, physiotherapist and social worker students were represented in the study. A model with various learning activities was developed in collaboration between two university colleges and the department. ICP lasted two weeks during a regular practice period. Students' experiences were evaluated through focus group interviews. The study concludes that collaboration in patient situations is essential for the students awareness of each other's disciplines, expanded perspective on own subjects and the patients need of rehabilitation. The short length of stay in the department led to increased focus on interaction early in the patient care

Arbetsförmåga, arbetsrelaterad selfefficacy och arbetsengagemang hos medelålders hemvårdare

Syftet var att undersöka sambandet mellan arbetsförmåga, arbetsrelaterad self-efficacy och arbetsengagemang hos medelålders hemvårdare. Ett delmål var att undersöka om det finns skillnader mellan olika åldersgrupper och hemvårdare med bra respektive dålig arbetsförmåga. En enkät innehållande Arbetsförmågeindex, Occupational Self-Efficacy Scale och Utrecht Work Engagement Scale sändes 2018 till 45 år och äldre hemvårdare i en region i västra Finland. Totalt 234 hemvårdare besvarade enkäten (svarsprocent 51%). Resultatet visade signifikanta sambandmellan arbetsförmåga och arbetsrelaterad self-efficacy (r= ,356, p<0,001, n=234), mellan arbetsförmåga och arbetsengagemang (r= ,440, p<0,001, n=234) och mellan arbetsrelaterad self-efficacy och arbetsengagemang (r= ,354,p<0,001, n=234). Hemvårdare med bättre arbetsförmåga hade signifikant bättre arbetsrelaterad self-efficacy och arbetsengagemang. Resultaten indikerar att arbetsrelaterad self-efficacy och arbetsengagemang kan ha en positiv effekt på arbetsförmågan hos medelålders hemvårdare

Norwegian translation, cultural adaption and testing of the Person-centred Practice Inventory - Staff (PCPI-S)

Background: Person-centred health care has widespread recognition, but there are few instruments aimed at measuring the provision of person-centred practice among health care professionals across a range of settings. The Person-centred Practice Inventory – Staff (PCPI-S) is a new instrument for this purpose, theoretically aligned with McCormack & McCance’s person-centred framework, which has been translated and culturally adapted into Norwegian. Methods: The study used a two-stage research design involving: translation and cultural adaption of the PCPI-S from English to Norwegian language (phase 1), and a quantitative cross sectional survey following psychometric evaluation (phase 2). Confirmatory factor analysis was used to examine the theoretical measurement model. Results: The translation and cultural adaption was carried out according to ten recommend steps. Discrepancies were addressed and revised by all translators until consensus was reached on a reconciled version of the translation. A sample of 258 health care staff participated in the survey. The model fit statistics were overall positive; the model requires minor modifications and these are mostly confined to correlated errors. Conclusions: The translation and cultural adaption process of the PCPI-S from English to Norwegian language was a demanding process in order to retain the conceptual meanings of the original instrument. Overall, the psychometric properties of the tool were acceptable, but testing on a larger sample size is recommended.publishedVersio